Main Manifestations Research Articles

The neuro-psychological manifestations of COVID-19 in healthcareworkers

IntroductionAt the beginning of the Covid-19 pandemic, respiratory expression of SARS-CoV-2 infection was the most worrying one. Later, other symptoms appeared to be more disturbing such as neurological and psychiatric manifestations, which may be due to direct or indirect effects of this virus on the central nervous system.ObjectivesTo assess the prevalence of neuropsychological manifestations of covid-19 in healthcareworkers and to identify their risk factors.MethodsThis is a cross-sectional descriptive epidemiological study, carried out in the teaching hospitals of Farhat Hached and Sahloul of Sousse. All healthcareworkers, having tested positive for SARS-COV 2 during the period from 01/09/2020 to 28/02/2021 were enrolled. The collection of socio-professional and medical data was based on a pre-established synoptic form completed during an interview with the participants.ResultsA total of 953 COVID-19 patients were enrolled in this study. The mean age was 40.1 ± 10.5 years, with a sex ratio of 0.32. In our sample, 37.9% of patients had comorbidities such as psychiatric history (4.9%) and neurological history (2.4%). The prevalence of neuropsychological manifestations of covid-19 was 72.6%. The main neuropsychological manifestations were headache (50.3%), anosmia (40.7%), dysgeusia (29.9%), sleep disturbances (0.5%), dizziness (1, 2%) and paresthesia (0.3%).Neuropsychological symptoms of long covid were dominated by memory impairment (10.7%), anosmia (8.5%), headache (7.3%), dizziness (3.4%) and sleep disturbances (3.1%).The occurrence of neuropsychological manifestations was significantly associated with age (OR=1.6; p<10-3), male gender (OR= 0.57; p=0.03), smoking (OR=1.7; p=0.033), history of hypertension (OR=1.6; p=0.038), history of diabetes (OR=2.4; p<10-3) and hospitalization (OR=4.03 ; p<10-3).ConclusionsThe high prevalence of neuropsychological manifestations underlines the importance of studying their pathogenesis in order to better adapt their therapeutic protocols.Disclosure of InterestNone Declared

Globalization in the format of multipolarity: philosophical and worldview foundation of globopolycentrism

The subject is multipolar globalization formed in the context of globomonocentrism and globopolycentrism confrontation. The aim is to study the process of globalization in its main (current and potential) manifestations, including bipolar, unipolar and multipolar models. Their essence and specificity are considered, their effectiveness is assessed, philosophical and worldview foundation is found. F. Fukuyama’s, S. Huntington’s, Z. Brzezinski’s conceptions are analyzed as a philosophical and worldview foundation of globomonocentrism; philosophical ideas of N. Y. Danilevsky, K. N. Trubetskoy, P. N. Savitsky — of globopolycentrism. It’s concluded that there’s a need to revise the global world order from a unipolar to a multipolar format. The importance of globopolycentrism as an alternative development strategy opposing neocolonialism is emphasized. Constructing a multipolar world is necessary to strengthen the civilizational sovereignty of modern Russia and other countries of the world. The article uses historical, logical and comparative methods of analysis, the civilizational approach as a methodological instrument to substantiate the multipolarity. The main conclusions are the following: globalization as a form of interaction between civilizations isn’t identical to globomonocentrism. It’s one of the forms (not the only and not the most perfect) of constructing the interaction of civilizations. Modern globomonocentrism (in fact, americanocentrism) tries to reconstruct the world in the interests of a neocolonial regime. An alternative form of civilizational coexistence, providing protection from neocolonialism, is a multipolar world. Today we can’t talk about abandoning globalization as a whole, only about changing its format from unipolar to multipolar globalization. Multipolarity basing on the worldview principle of globopolycentrism perceives other (not only highly developed) countries as equal partners. The globopolycentric model of a multipolar world has flaws as well as the bipolar and unipolar models, but it’s much more connected with objective reality and, therefore, gives humanity a chance to overcome global geopolitical crises.

Sports participation plays a relevant role in the relationship between birth weight and bone mineral content in adolescents.

The Developmental Origins of Health and Disease hypothesis (DOHaD) proposes that growth during the prenatal period might play a critical role in health, affecting the development of diseases, such as osteoporosis. Bone health is particularly affected by human behaviors when sports participation constitutes the main manifestation of physical exercise. The aim of this study is to analyze the relationship between birth weight (BW) and bone mineral content (BMC) among adolescents, as well as to identify if sports participation and maturity can affect this relationship. The sample was composed of adolescents with ages ranging from 11 to 18 years, stratified according to normal birth weight (n = 331), low birth weight (n = 36), and macrosomia (n = 47), extracted from a wider cross-sectional study (ABCD Growth Study). BW was self-reported by the adolescent's parent. Sports participation was assessed by face-to-face interview. BMC was assessed using dual-energy X-ray absorptiometry. In the multivariate models, the relationships between BW and BMC remained non-significant, while sports participation was significantly related to BMC on lower limbs among boys (r = 0.154; p value = .001) and BMC of upper limbs among girls (r = 0.124; p value = .044). APHV was related to BMC of upper limbs among boys (r = 0.137; p value = .001). In conclusion, BMC was not affected by BW, while this phenomenon seems to be significantly affected by the positive impact of sports participation and maturation on it.

What are the main oral manifestations in heart transplant patients? A scoping review.

The purpose of this scoping review is to evaluate the oral manifestations (OM) of heart transplant (HT) patients undergoing immunosuppressive therapy (IT). A literature search was performed using keywords and MeSH terms related to OM and HT in the Medline/PubMed, Web of Science, Cochrane Library, Scopus, LILACS/BBO databases and in gray literature without language or date restrictions until June 2023. Studies that evaluated HT individuals who used any IT and who reported the occurrence of OM were considered eligible. The results from the search were imported to EndNote Web, and duplicates were removed followed by title/abstract and full-text analysis. A total of 402 nonduplicated studies were found and 13 fulfilled the criteria and were included in the present review: 10 cross-sectional, 2 cohorts, and 1 clinical trial. The most reported OM were periodontal diseases, including drug-induced gingival enlargement (DIGE), gingival bleeding, gingivitis, and periodontitis. Reported in a minority of studies are oral cancer, opportunistic infections (oral hairy leukoplakia and erythematous candidiasis), enamel defects, and burning mouth. Considering the methodological heterogeneity of the studies analyzed, DIGE is the most commonly observed oral manifestation in HT individuals.

Age-Dependent Cerebral Microangiopathy Associated with Vascular Risk Factors: How to Recognize the Signs?

The focus of this article is on cerebral microangiopathy (CMA), also known as cerebral small vessel disease, which is commonly linked to age and vascular risk factors. It is a major contributor to both vascular and mixed cognitive decline in older individuals. The leading causes of vascular cognitive impairment and dementia include hypertension, high cholesterol, type 2 diabetes mellitus, smoking, and atrial fibrillation. The main manifestations of CMA in patients over 60 are outlined in this article, with supporting evidence from both domestic and foreign studies. By examining a specific clinical case, the characteristics, diagnosis, and treatment of cognitive impairment caused by CMA and vascular risk factors in an older patient were analyzed.

Патология билиарного тракта: от МКБ-10 к МКБ-11

Pathology of the biliary tract is widespread among the adult population of many countries around the world. This is due to the high incidence of risk factors in these populations. In addition to the commonality of risk factors and progression, another characteristic feature of the entire group of biliary diseases of both organic and functional nature is the presence of similar clinical manifestations. The main manifestation of biliary tract pathology is biliary pain. This article reflects modern data on the most common variants of biliary tract pathology in the practice of general practitioners and gastroenterologists in the light of the transition from ICD X to ICD XI, and presents a step-by-step diagnostic algorithm and approaches to the management of patients with biliary pain, including an example own clinical case.

Migration through Resolution Cell Correction and Sparse Aperture ISAR Imaging for Maneuvering Target Based on Whale Optimization Algorithm-Fast Iterative Shrinkage Thresholding Algorithm.

Targets faced by inverse synthetic aperture radar (ISAR) are often non-cooperative, with target maneuvering being the main manifestation of this non-cooperation. Maneuvers cause ISAR imaging results to be severely defocused, which can create huge difficulties in target identification. In addition, as the ISAR bandwidth continues to increase, the impact of migration through resolution cells (MTRC) on imaging results becomes more significant. Target non-cooperation may also result in sparse aperture, leading to the failure of traditional ISAR imaging algorithms. Therefore, this paper proposes an algorithm to realize MTRC correction and sparse aperture ISAR imaging for maneuvering targets simultaneously named whale optimization algorithm-fast iterative shrinkage thresholding algorithm (WOA-FISTA). In this algorithm, FISTA is used to perform MTRC correction and sparse aperture ISAR imaging efficiently and WOA is adopted to estimate the rotational parameter to eliminate the effects of maneuvering on imaging results. Experimental results based on simulation and measured datasets prove that the proposed algorithm implements sparse aperture ISAR imaging and MTRC correction for maneuvering targets simultaneously. The proposed algorithm achieves better results than traditional algorithms under different signal-to-noise ratio conditions.

Cardiac involvement in the catastrophic antiphospholipid syndrome (CAPS): Lessons from the “CAPS registry”

ObjectiveTo analyze the demographic, clinical, and laboratory characteristics of catastrophic antiphospholipid syndrome (CAPS) patients with cardiac involvement, and to identify the factors associated with this cardiac involvement. Material and methodsBased on the analysis of the “CAPS Registry”, the demographic, clinical, and serological characteristics of patients with cardiac involvement were analyzed. Cardiac involvement was defined as heart failure, valvular disease, acute myocardial infarction, pericardial effusion, pulmonary arterial hypertension, systolic dysfunction, intracardiac thrombosis, and microvascular disease. Univariate and multivariate analysis was used for multiple comparisons. Results749 patients (293 [39 %] women and mean age 38.1 ± 16.2 years) accounting for 778 CAPS events were included, of them 404 (52 %) had cardiac involvement. The main cardiac manifestations were heart failure in 185/377 (55 %), valve disease in 116/377 (31 %), and acute myocardial infarction in 104/378 (28 %). Of 58 patients with autopsy/biopsy, 48 (83 %) had cardiac thrombotic microangiopathy, Stroke (29% vs. 21 %, p = 0.012), transient cerebral vascular accident (2% vs. 1 %, p = 0.005), pulmonary infarction (26% vs. 3 %, p = 0.017), renal infarction (46% vs. 35 %, p = 0.006), acute kidney injury (70% vs. 53 %, p < 0.001), and livedo reticularis (24% vs. 17 %, p = 0.016) were significantly more frequent during CAPS events with versus without heart involvement. Multivariate analysis identified acute kidney injury (OR 1.068, IC 95 % 1.8–4.8, p < 0.001) as the only clinical characteristics that were, independently, associated with cardiac involvement in CAPS events. Cardiac involvement was not related to higher mortality. ConclusionsCardiac involvement is frequent in CAPS, with association with kidney involvement, and it is not related to higher mortality. The presence of cardiac microthrombosis was demonstrated in most biopsies/autopsies performed.

Transient idiopathic perivascular inflammation of the carotid artery syndrome (TIPIC syndrome) is a rare variant of non-atherosclerotic arteriopathy

Syndrome of transient idiopathic perivascular inflammation of the carotid artery (TIPIC syndrome) refers to a benign variant of non-atherosclerotic arteriopathy. TIPIC is characterized by regression of symptoms and pathological changes without specific therapy. The main manifestation of carotidynia is ipsilateral neck pain, which, due to low awareness of this disease, is often mistakenly regarded as dissection or atherosclerosis of the carotid artery and leads to additional unjustified diagnosis and treatment. This article presents a clinical case of a patient with idiopathic carotidynia with a discussion of the diagnostic algorithm and management of patients with unilateral neck pain and suspected TIPIC syndrome.

Analysis of 9 patients with adolescence-onset methylenetetrahydrofolate reductase deficiency

Objective: To explore the diagnosis and treatment of adolescence-onset methylenetetrahydrofolate reductase (MTHFR) deficiency. Methods: This was a retrospective case study. Nine patients with adolescence-onset MTHFR deficiency were diagnosed at Peking University First Hospital from January 2016 to December 2022, and followed up for more than 1 year. Their general information, clinical manifestations, laboratory tests, cranial images, MTHFR gene variants, diagnosis, treatment, and outcome were analyzed retrospectively. Results: The 9 patients came from 8 families. They had symptoms at age of 8.0 years to 17.0 years and diagnosed at 9.0 years to 17.5 years. Eight were male and 1 was female. Two patients were brothers, the elder brother developed abnormal gait at 17.0 years; and the younger brother was then diagnosed at 15.0 years of age and treated at the asymptomatic stage, who was 18.0 years old with normal condition during this study. The main manifestations of the 8 symptomatic patients included progressive dyskinesia and spastic paralysis of the lower limbs, with or without intellectual decline, cognitive impairment and behavioral abnormalities. Totally, 15 variants of MTHFR gene were identified in the 9 patients, including 8 novel variants. Five patients had brain image abnormalities. Increased plasma total homocysteine level (65-221 μmol/L) was found in all patients, and decreased to 20-70 μmol/L after treatment with betaine and calcium folinate. Besides, the 8 symptomatic patients had their behavior and cognitive problems significantly improved, with a legacy of lower limb motor disorders. Conclusions: Late-onset MTHFR deficiency can occur in adolescence. The diagnosis is usually delayed because of non-specific clinical symptoms. The test of blood total homocysteine could be used as a selective screening test. Eight novel varients of MTHFR gene were identified. Timely treatment can improve clinical condition significantly, and pre-symptomatic treatment may prevent brain damage.

Mycobacterium tuberculosis sepsis with multiple intermuscular abscesses and respiratory failure as the main manifestations: a case report

BackgroundTuberculous sepsis is uncommon in individuals without human immunodeficiency virus (HIV) infection, and some patients may not exhibit clinical signs and symptoms of suspected sepsis upon admission, leading to delayed diagnosis and treatment.Case presentationThis report present the case of a 60-year-old female patient who presented with erythema, edema, and pain in her right upper limb accompanied by fever and chills. Further evaluation revealed multiple intermuscular abscesses caused by suspected gram-positive bacteria. Despite receiving anti-infection treatment, the patient rapidly progressed to septic shock and respiratory failure. Metagenomic next-generation sequencing (mNGS) analysis of blood samples detected Mycobacterium tuberculosis complex groups (11 reads). Additionally, mNGS analysis of fluid obtained from puncture of the abscess in the right upper extremity also suggested Mycobacterium tuberculosis complex groups (221 981 reads). Consequently, the patient was diagnosed with tuberculous sepsis resulting from hematogenous dissemination of Mycobacterium tuberculosis. Following the administration of anti-tuberculosis treatment, a gradual recovery was observed during the subsequent follow-up period.ConclusionIt is noteworthy that atypical hematogenous disseminated tuberculosis can be prone to misdiagnosis or oversight, potentially leading to septic shock. This case illustrates the importance of early diagnosis and treatment of tuberculosis sepsis. Advanced diagnostic techniques such as mNGS can aid clinicians in the early identification of pathogens for definitive diagnosis.

Role of liver sinusoidal endothelial cell damage in the developmental process of hepatic sinusoidal obstruction syndrome: a focus on the research progress of immune inflammatory mechanisms

Hepatic sinusoidal obstruction syndrome (HSOS) is a type of secondary vascular disease of the liver that is mainly associated with the ingestion of pyrrole alkaloids (PAs) and hematopoietic stem cell transplantation (HSCT) treatment, resulting in severe liver dysfunction, multiple organ failure, and even death. Hepatic sinusoidal dilatation and obstruction, hepatocyte coagulative necrosis, and hepatic lobular inflammation are the main pathological manifestations of HSOS. The key initiating process for the pathogenesis of HSOS is damage to liver sinusoidal endothelial cells (LSECs). Currently, it is believed that LSECs are damaged by the involvement of multiple etiologies and mechanisms, and secondary coagulation and fibrinolysis disorders, oxidative stress, and inflammatory responses are the occurrence contributors to HSOS; however, the mechanism has not been fully elucidated. Therefore, the role of immune-inflammatory mechanisms has received increasing attention in LSEC damage. This article provides an overview of the epidemiology, etiology, and pathological changes of HSOS and reviews the physiological functions, common etiological damage mechanisms, and the key role of LSEC damage in the pathogenesis of HSOS, with a special focus on the role and research progress of immune-inflammatory mechanisms for LSEC damage in recent years. Furthermore, we believe that in-depth study and elucidation of the role of immune-inflammatory mechanisms in LSEC damage and the pathogenesis of HSOS and diagnosis will provide feasible research and development ideas for the screening and identification of new markers and drug treatment targets for HSOS.

Ultrasound Duplex Scanning of Vessels in the Diagnosis of Limb Length Discrepancy in Pediatric Patients with Congenital Vascular Malformations

Ultrasound Duplex Scanning of Vessels in the Diagnosis of Limb Length Discrepancy in Pediatric Patients with Congenital Vascular Malformations

The Doctrine of Excessive Formalism in the Legal Theory and Practice of the European Court of Human Rights

As a means of organising certain existing disputes and resolving conflicts within society, it has made the institution of procedural formalities necessary since the beginning of history. The existence of formalities in a proceeding, whether judicial or extrajudicial, serves to limit certain situations in the course of the process. It is well known that there are several principles that regulate the formalities of procedure, mainly by establishing procedural limits. These reason values are thus aimed at achieving the principles of purpose. The methodological basis of the article is the dialectical method of cognition based on materialistic dialectic with the use of such general scientific methods as analysis, synthesis, induction, deduction, abstraction, specification, analogy, hypothesis building method, and the system-structural method. The study has resulted in the identification of cases of excessive formalism by courts when applying the rules of procedural law. The practical significance of the results obtained is to prevent such mistakes by law enforcement authorities in the future. As a result of writing this article, the author has established that the main manifestations of excessive formalism are the creation by the court of procedural obstacles to the implementation of procedural rules by the parties to the case, strict interpretation by national legislation of the procedural rules, and return of an administrative claim on formal grounds. It is proved that excessive formalism in resolving the issue of acceptance of a statement of claim leads to a violation of the right to fair judicial protection.

Impacts of Cultural Biases on the International Advertising Translation

The translator's role is, by definition, to transfer the linguistic and iconic meanings of the text from one language to another, but during the translation process the translator's attitudes, judgments, prejudices... come into play. These are cultural biases linked to the socio-cultural context in which he was raised. Therefore, we can say that the translator's cultural biases largely affect, on the one hand, the production of the text; and on the other hand, the process of the receiver’s involvement in the construction of the meaning of the message. Thus, the translator is given a great deal of leeway to fill in the gaps and spaces in the original text. On the other hand, the reader's knowledge and cognitive faculties allow him to give interpretations to the received text. In this article, we have shown to what extent the cultural biases of both the translator and the reader impact the production of meaning in the advertising text. The object of the study is a corpus of advertising messages of international brands. The methodology adopted is based on an analytical and comparative approach that allows us to shed light on the main manifestations of these biases, as well as the problems and pitfalls that the translator faces when transferring the meaning of the texts in the original language into the target language.

Contribution of new coronavirus infection to the development of cardiovascular diseases (systematic review)

In 2020, the National Institute for Health and Care Excellence in the UK proposed the concept of post-Covid syndrome. One of the main manifestations of the post-COVID syndrome are cardiovascular diseases (CVD) and dyslipidemia. However, the pathogenetic patterns of CVD development in COVID-19 convalescents remain unclear. The purpose of the systematic review was to analyze research data on the contribution of past new coronavirus infection to the development of dyslipidemia and atherosclerosis-associated diseases (AAD) in the post-COVID period. 106 publications were selected for analysis. After excluding clinical cases, drug studies, literature reviews and publications devoted to the acute period of COVID-19, a total of 19 articles were selected from Russian and international search engines. Analysis of studies has led to the conclusion that COVID-19 infection makes a significant contribution to the development of new AADs and worsening existing. One of the most likely mechanisms for occurrence of this phenomenon seems to be the development of endotheliitis against the background of the course of COVID-19, however, there are not enough works devoted to this problem.

Clinical features and prognostic analysis of checkpoint inhibitor pneumonitis in patients with non-small cell lung cancer

Objective: To describe the clinical characteristics of patients with non-small cell lung cancer (NSCLC) who developed checkpoint inhibitor pneumonitis (CIP) and to explore potential prognostic factors. Methods: NSCLC patients who were complicated with CIP after immune checkpoint inhibitors (ICIs) therapy in our institute were enrolled in this study from 1 July 2018 to 30 November 2022. Clinical data of NSCLC-CIP patients were collected, including clinical and radiological features and their outcomes. Results: Among the 70 enrolled NSCLC-CIP patients, there were 57 males (81%) and 13 females (19%). The mean age at the diagnosis of CIP was (65.2±6.3) years. There were 46 smokers (66%), 26 patients (37%) with emphysema, 19 patients (27%) with previous interstitial lung disease, and 26 patients (37%) with a history of thoracic radiation. The mean interval from the first application of checkpoint inhibitor to the onset of CIP was (122.7±106.9) days (range: 2-458 days). The main chest CT manifestations were coincided with non-specific interstitial pneumonia (NSIP) pattern and organizing pneumonia (OP) pattern. Most patients had grade 2 (21 cases) or grade 3 (34 cases) CIP. Seventeen patients had been concurrent with other immune-related adverse events such as rash, hepatitis, colitis, and thyroiditis. Half of the enrolled patients (36 patients/51%) had fever, and most patients had elevated C-reactive protein (52 patients/72%) and all patients had elevated erythrocyte sedimentation rate (70 patients/100%). Serum lactate dehydrogenase was elevated in 34 CIP patients. Prednisone≥1 mg·kg-1·d-1 (or equivalent) was the most commonly used initial treatment in CIP patients (50 patients/71.4%). Complications with pulmonary infections (OR=4.44, P=0.03), use of anti-fungal drugs (OR=5.10, P=0.03) or therapeutic dose of sulfamethoxazole (OR=4.86, P=0.04), longer duration of prednisone≥1 mg·kg-1·d-1 (or equivalent) (Z=-2.33, P=0.02) were probable potential risk factors for poor prognosis. Conclusions: Older males with smoking history might be predisposed to develop NSCLC-CIPs after ICIs therapy. NSIP pattern and OP pattern were common chest CT manifestations. Complications with pulmonary infections (especially fungal infection or Pneumocystis jirovecii pneumonia), longer duration, longer duration of high-dose corticosteroids were likely potential risk factors for poor prognosis.

Effects of Payments for Ecosystem Services and Livelihoods on Non-Grain Agricultural Land Use

Non-grain agricultural land use (NGALU) could be an alternative to payments for ecosystem services (PES) to achieve ecosystem benefits, given their joint contribution to forest transition. Unraveling the correlation between PES and NGALU can enhance cost-effective decisions. While farmland abandonment and non-grain cash crops (NGCCs) plantation are two main manifestations of NGALU, previous studies have primarily assessed the effects of PES on farmland abandonment. Little is known about the effects of PES on NGCC planting. This study evaluated the effects of China’s two nationwide PES programs (i.e., the Grain to Green Program, GTGP, and the Ecological Welfare Forest Program, EWFP) on NGALU in the Black River Basin of Shaanxi province. The study found a wide adoption of NGALU, with 52% of households adopting NGALU. The total area of NGALU is more than half of the afforested area through the GTGP. A quarter of the NGALU area is abandoned farmland, while the remaining NGALU area is planted with NGCCs. The two PES programs did not have effects on NGCC planting, but reduced farmland abandonment. Engagement in labor migration and local non-farm employment increased NGALU, while livestock breeding and farmland area reduced NGALU. Furthermore, the large area and unfavorable geographical conditions of farmland parcels promoted NGALU. These results highlight the important implications of leveraging NGALU to boost ecological gains from conservation investments.

Isolated anterior cerebral artery occlusion: an atypical form of moyamoya disease

BackgroundThe relationship between anterior cerebral artery (ACA) occlusion and moyamoya disease (MMD) has rarely been studied. In this study, we focused on a special type of MMD: isolated ACA-occlusive MMD....

The impact of companies disclosing ESG reports in multiple languages on the enthusiasm of foreign investors for holding shares.

We collect Chinese A-share listed companies from 2013 to 2022 as samples and use the multi-period difference-in-difference model (DID) to study the impact of multilingual ESG report disclosure on the enthusiasm of foreign investors. We find that Chinese companies disclose ESG reports in both Chinese and English stimulate the enthusiasm of foreign investors to hold shares. The main manifestations are the expansion of the company's foreign shareholding quota and the increase in the number of shareholders. Further research show that disclosure of multilingual ESG reports makes up for the readability of company annual reports for foreign investors. In the case of companies with poor analyst attention and comparability of accounting information, and companies that hire non-big four auditing firms to audit financial reports, multilingual ESG report disclosures are more positive for foreign shareholdings. The participation of the central investor service center in corporate governance is weak, the degree of regional cultural integration is low, and the disclosure of English ESG reports by Chinese enterprises is conducive to promoting the enthusiasm of foreign shareholding. The research conclusions provide theoretical guidance and empirical reference for enterprises to expand information disclosure methods to foreign investors and attract overseas capital investment.