Saud Khan,a Pakistani physician,collected his work and residence permits at the Yangpu Government Service Centre in Danzhou City,Hainan Province,on 18 December 2025.Khan had arrived in Hainan three months earlier to p...Saud Khan,a Pakistani physician,collected his work and residence permits at the Yangpu Government Service Centre in Danzhou City,Hainan Province,on 18 December 2025.Khan had arrived in Hainan three months earlier to participate in a medical training programme at Hainan Western Central Hospital.By the time the programme concluded,he had made up his mind to stay and broaden his professional experience and long-term career prospects in Hainan.展开更多
In their recent paper Pereira et al.(2025)claim that validation is overlooked in mapping and modelling of ecosystem services(ES).They state that“many studies lack critical evaluation of the results and no validation ...In their recent paper Pereira et al.(2025)claim that validation is overlooked in mapping and modelling of ecosystem services(ES).They state that“many studies lack critical evaluation of the results and no validation is provided”and that“the validation step is largely overlooked”.This assertion may have been true several years ago,for example,when Ochoa and Urbina-Cardona(2017)made a similar observation.However,there has been much work on ES model validation over the last decade.展开更多
With the accelerating aging process of China’s population,the demand for community elderly care services has shown diversified and personalized characteristics.However,problems such as insufficient total care service...With the accelerating aging process of China’s population,the demand for community elderly care services has shown diversified and personalized characteristics.However,problems such as insufficient total care service resources,uneven distribution,and prominent supply-demand contradictions have seriously affected service quality.Big data technology,with core advantages including data collection,analysis and mining,and accurate prediction,provides a new solution for the allocation of community elderly care service resources.This paper systematically studies the application value of big data technology in the allocation of community elderly care service resources from three aspects:resource allocation efficiency,service accuracy,and management intelligence.Combined with practical needs,it proposes optimal allocation strategies such as building a big data analysis platform and accurately grasping the elderly’s care needs,striving to provide operable path references for the construction of community elderly care service systems,promoting the early realization of the elderly care service goal of“adequate support and proper care for the elderly”,and boosting the high-quality development of China’s elderly care service industry.展开更多
Ensuring an information fabric safe is critical and mandatory.For its related Internet of Things(IoT)service system running on the open Internet,existing host-based monitoring methods may fail due to only inspecting s...Ensuring an information fabric safe is critical and mandatory.For its related Internet of Things(IoT)service system running on the open Internet,existing host-based monitoring methods may fail due to only inspecting software,and the physical system may not be able to be protected.In this paper,a nonintrusive virtual machine(VM)-based runtime protection framework is provided to protect the physical system with the isolated IoT services as a controlling means.Compared with existing solutions,the framework gets inconsistent and untrusted observation knowledge from multiple observation sources,and enforces property policies concurrently and incrementally in a competing-game way to avoid compositional problems.In addition,the monitoring is implemented without any modification to the protected system.Experiments are conducted to validate the proposed techniques.展开更多
Identifying the community structure of complex networks is crucial to extracting insights and understanding network properties.Although several community detection methods have been proposed,many are unsuitable for so...Identifying the community structure of complex networks is crucial to extracting insights and understanding network properties.Although several community detection methods have been proposed,many are unsuitable for social networks due to significant limitations.Specifically,most approaches depend mainly on user-user structural links while overlooking service-centric,semantic,and multi-attribute drivers of community formation,and they also lack flexible filtering mechanisms for large-scale,service-oriented settings.Our proposed approach,called community discovery-based service(CDBS),leverages user profiles and their interactions with consulted web services.The method introduces a novel similarity measure,global similarity interaction profile(GSIP),which goes beyond typical similarity measures by unifying user and service profiles for all attributes types into a coherent representation,thereby clarifying its novelty and contribution.It applies multiple filtering criteria related to user attributes,accessed services,and interaction patterns.Experimental comparisons against Louvain,Hierarchical Agglomerative Clustering,Label Propagation and Infomap show that CDBS reveals the higher performance as it achieves 0.74 modularity,0.13 conductance,0.77 coverage,and significantly fast response time of 9.8 s,even with 10,000 users and 400 services.Moreover,community discoverybased service consistently detects a larger number of communities with distinct topics of interest,underscoring its capacity to generate detailed and efficient structures in complex networks.These results confirm both the efficiency and effectiveness of the proposed method.Beyond controlled evaluation,communities discovery based service is applicable to targeted recommendations,group-oriented marketing,access control,and service personalization,where communities are shaped not only by user links but also by service engagement.展开更多
Objective:To systematically summarize and evaluate the evidence on discharge preparation services for patients undergoing total knee arthroplasty,providing an evidence-based foundation for developing scientific and st...Objective:To systematically summarize and evaluate the evidence on discharge preparation services for patients undergoing total knee arthroplasty,providing an evidence-based foundation for developing scientific and standardized discharge preparation intervention programs in clinical practice.Methods:Following the“5S”evidence model,literature such as guidelines,expert consensuses,evidence summaries and randomized controlled trials related to discharge preparation services for total knee arthroplasty patients were retrieved from relevant websites and databases,both domestic and international,from database inception to August 31,2025.Two researchers independently screened the literature,conducted quality appraisals,and extracted and synthesized the evidence.Results:A total of 15 articles were included,comprising 3 guidelines,4 expert consensuses,3 evidence summaries,3 systematic reviews and 2 randomized controlled trials.Ultimately,23 pieces of evidence were summarized across five aspects.Conclusion:This study synthesizes the evidence on discharge preparation services for patients undergoing total knee arthroplasty.It is recommended that healthcare professionals apply this evidence in clinical practice,considering specific circumstances and patient needs.展开更多
Amidst evolving user behavior driven by the development of the internet,enhancing the operational quality of trade publishing knowledge service platforms has become a significant challenge for publishing institutions....Amidst evolving user behavior driven by the development of the internet,enhancing the operational quality of trade publishing knowledge service platforms has become a significant challenge for publishing institutions.To address this issue,this paper employs a combined approach of theoretical analysis and case study,introducing the SICAS(Sense-Interest-Connection-Action-Share)user consumption behavior analysis model and selecting“CITIC Academy”as the case study subject.It systematically examines and summarizes the platform’s operational practices and specific strategies,aiming to offer strategic insights and practical references for the operational improvement and sustainable,high-quality development of trade publishing knowledge service platforms.展开更多
The Guangdong,Jiangxi and Fujian(GJF)provinces,located in the subtropical region of southeastern China,is one of the national key regions for soil erosion control and ecological restoration.This region is characterize...The Guangdong,Jiangxi and Fujian(GJF)provinces,located in the subtropical region of southeastern China,is one of the national key regions for soil erosion control and ecological restoration.This region is characterized by extensive red soil development and high rainfall erosivity,making it a representative landscape for exploring the interactions between land use change(LUC)and ecosystem services(ES).Despite the recognized importance of ES in hilly regions,comprehensive assessing the impacts of LUC on ES remain limited.This study investigates five key ES:water yield,soil conservation,carbon conservation,food supply,and habitat quality in GJF region from 2000 to 2020.By applying the InVEST model and the Geodetector method,we assessed the trade-offs,synergies,and transitions among ES,identified the natural and social drivers of ES dynamics,and quantified the contribution of LUC to ES changes using the ecosystem service contribution index.The results showed that cropland and woodland were the dominant land use types.Ecological restoration efforts positively influenced ES,with synergies intensifying and trade-offs diminishing over time.Land use conversions,particularly among woodland,grassland,and cropland,exerted significant impacts on ES.In particular,the conversion of woodland to other land uses had markedly negative effects on soil conservation,carbon conservation,and habitat quality.Forest cover was identified as a major driver of ES dynamics.These findings highlight the importance of maintaining and expanding forest and grassland cover,strengthening red soil conservation,and optimizing land use structure to achieve coordinated ecological protection and socioeconomic development in the subtropical hilly regions of southern China.展开更多
A comprehensive assessment of grain supply,demand,and ecosystem service flows is essential for identifying grain movement pathways,ensuring regional grain security,and guiding sustainable management strategies.However...A comprehensive assessment of grain supply,demand,and ecosystem service flows is essential for identifying grain movement pathways,ensuring regional grain security,and guiding sustainable management strategies.However,current studies primarily focus on short-term grain provision services while neglecting the spatiotemporal variations in grain flows across different scales.This gap limits the identification of dynamic matching relationships and the formulation of optimization strategies for balancing grain flows.This study examined the spatiotemporal evolution of grain supply and demand in the Beijing-Tianjin-Hebei(BTH)region from 1980 to 2020.Using the Enhanced TwoStep Floating Catchment Area method,the grain provision ecosystem service flows were quantified,the changes in supply–demand matching under different grain flow scenarios were analyzed and the optimal distance threshold for grain flows was investigated.The results revealed that grain production follows a spatial distribution pattern characterized by high levels in the southeast and low levels in the northwest.A significant mismatch exists between supply and demand,and it shows a scale effect.Deficit areas are mainly concentrated in the northwest,while surplus areas are mainly located in the central and southern regions.As the spatial scale increases,the ecosystem service supply–demand ratio(SDR)classification becomes more clustered,while it exhibits greater spatial SDR heterogeneity at smaller scales.This study examined two distinct scenarios of grain provision ecosystem service flow dynamics based on 100 and 200 km distance thresholds.The flow increased significantly,from 2.17 to 11.81million tons in the first scenario and from 2.41 to 12.37 million tons in the second scenario over nearly 40 years,forming a spatial movement pattern from the central and southern regions to the surrounding areas.Large flows were mainly concentrated in the interior of urban centers,with significant outflows between cities such as Baoding,Shijiazhuang,Xingtai,and Hengshui.At the county scale,supply–demand matching patterns remained consistent between the grain flows in the two scenarios.Notably,incorporating grain flow dynamics significantly reduced the number of grain-deficit areas compared to scenarios without grain flow.In 2020,grain-deficit counties decreased by28.79 and 37.88%,and cities by 12.50 and 25.0%under the two scenarios,respectively.Furthermore,the distance threshold for achieving optimal supply and demand matching at the county scale was longer than at the city scale in both grain flow scenarios.This study provides valuable insights into the dynamic relationships and heterogeneous patterns of grain matching,and expands the research perspective on grain and ecosystem service flows across various spatiotemporal scales.展开更多
Hebei Province has incorporated targeted assistance services for people with disabilities into livelihood projects,upgrading the quality and efficiency of support services for disadvantaged groups.THE living and nursi...Hebei Province has incorporated targeted assistance services for people with disabilities into livelihood projects,upgrading the quality and efficiency of support services for disadvantaged groups.THE living and nursing allowances provided by the Chinese government for people with disabilities who are unable to work are not only important components of China’s social security system which provide for the needs of its disabled,but also show China’s ability to guarantee the basic living standard and social fairness and justice for this group of people.展开更多
Mobile service robots(MSRs)in hospital environments require precise and robust trajectory tracking to ensure reliable operation under dynamic conditions,including model uncertainties and external disturbances.This stu...Mobile service robots(MSRs)in hospital environments require precise and robust trajectory tracking to ensure reliable operation under dynamic conditions,including model uncertainties and external disturbances.This study presents a cognitive control strategy that integrates a Numerical Feedforward Inverse Dynamic Controller(NFIDC)with a Feedback Radial Basis Function Neural Network(FRBFNN).The robot’s mechanical structure was designed in SolidWorks 2022 SP2.0 and validated under operational loads using finite element analysis in ANSYS 2022 R1.The NFIDC-FRBFNN framework merges proactive inverse dynamic compensation with adaptive neural learning to achieve smooth torque responses and accurate motion control.A two-stage simulation evaluation was conducted.In the first stage,the controller was tested in a simulated hospital environment under both ideal and non-ideal conditions.In the second,it was benchmarked against four established controllers-Neural Network Model Reference Adaptive(NNMRA),Z-number Fuzzy Logic(Z-FL),Adaptive Dynamic Controller(ADC),and Fuzzy Logic-PID(FL-PID)—using circular and lemniscate trajectories.Across ten runs,the proposed controller achieved the lowest tracking errors under all conditions.Under ideal conditions,it achieved average improvements of 55.24%,75.75%,and 55.20%in integral absolute error(IAE),integral squared error(ISE),and mean absolute error(MAE),respectively,with coefficient of variation(CV)reductions above 55%.Under non-ideal conditions,average improvements exceeded 64%in IAE,77%in ISE,and 66%in MAE,while maintaining CV reductions above 57%.These results confirm that the NFIDC-FRBFNN controller offers superior accuracy,robustness,and consistency for real-time path tracking in healthcare robotics.展开更多
Image captchas have recently become very popular and are widely deployed across the Internet to defend against abusive programs. However, the ever-advancing capabilities of computer vision have gradually diminished th...Image captchas have recently become very popular and are widely deployed across the Internet to defend against abusive programs. However, the ever-advancing capabilities of computer vision have gradually diminished the security of image captchas and made them vulnerable to attack. In this paper, we first classify the currently popular image captchas into three categories: selection-based captchas, slide-based captchas, and click-based captchas. Second, we propose simple yet powerful attack frameworks against each of these categories of image captchas. Third, we systematically evaluate our attack frameworks against 10 popular real-world image captchas,including captchas from tencent.com, google.com, and 12306.cn. Fourth, we compare our attacks against nine online image recognition services and against human labors from eight underground captcha-solving services. Our evaluation results show that(1) each of the popular image captchas that we study is vulnerable to our attacks;(2) our attacks yield the highest captcha-breaking success rate compared with state-of-the-art methods in almost all scenarios; and(3) our attacks achieve almost as high a success rate as human labor while being much faster.Based on our evaluation, we identify some design flaws in these popular schemes, along with some best practices and design principles for more secure captchas. We also examine the underground market for captcha-solving services, identifying 152 such services. We then seek to measure this underground market with data from these services. Our findings shed light on understanding the scale, impact, and commercial landscape of the underground market for captcha solving.展开更多
Human well-being and livelihoods depend on natural ecosystem services(ESs).Following the increment of population,ESs have been deteriorated over time.Ultimately,land use/land cover(LULC)changes have a profound impact ...Human well-being and livelihoods depend on natural ecosystem services(ESs).Following the increment of population,ESs have been deteriorated over time.Ultimately,land use/land cover(LULC)changes have a profound impact on the change of ecosystem.The primary goal of this study is to determine the impacts of LULC changes on ecosystem service values(ESVs)in the upper Gilgel Abbay watershed,Ethiopia.Changes in LULC types were studied using three Landsat images representing 1986,2003,and 2021.The Landsat images were classified using a supervised image classification technique in Earth Resources Data Analysis System(ERDAS)Imagine 2014.We classified ESs in this study into four categories(including provisioning,regulating,supporting,and cultural services)based on global ES classification scheme.The adjusted ESV coefficient benefit approach was employed to measure the impacts of LULC changes on ESVs.Five LULC types were identified in this study,including cultivated land,forest,shrubland,grassland,and water body.The result revealed that the area of cultivated land accounted for 64.50%,71.50%,and 61.50%of the total area in 1986,2003,and 2021,respectively.The percentage of the total area covered by forest was 9.50%,5.90%,and 14.80%in 1986,2003,and 2021,respectively.Result revealed that the total ESV decreased from 7.42×10^(7) to 6.44×10^(7) USD between 1986 and 2003.This is due to the expansion of cultivated land at the expense of forest and shrubland.However,the total ESV increased from 6.44×10^(7) to 7.76×10^(7) USD during 2003-2021,because of the increment of forest and shrubland.The expansion of cultivated land and the reductions of forest and shrubland reduced most individual ESs during 1986-2003.Nevertheless,the increase in forest and shrubland at the expense of cultivated land enhanced many ESs during 2003-2021.Therefore,the findings suggest that appropriate land use practices should be scaled-up to sustainably maintain ESs.展开更多
The rapid population and land urbanization not only promoted economic development but also affected the ecosystem service value(ESV).In the context of new-type urbanization and green development,it’s essential to inv...The rapid population and land urbanization not only promoted economic development but also affected the ecosystem service value(ESV).In the context of new-type urbanization and green development,it’s essential to investigate the impacts of urbanization on ESV in China.However,a comprehensive and dynamic framework to reveal the relationship between ESV and urbanization processes is lacking.This study adopted multi-source datasets to portray China’s urbanization process by integrating population,land,and economic urbanization,eval-uated the ESV changes of 10 categories by gross ecosystem product(GEP)methods,and explored ESV changes within different urbanization scales and speeds.The results showed rapid urbanization in the population,land,and economic dimensions in China,with a faster process of economic urbanization.The ESV also exhibited an increasing trend,with higher levels in the southeastern coastal regions and lower levels in the northwestern regions.Urbanization had positive impacts on ESV across various research units,but the ESV exhibited heteroge-neous changes across different urbanization scales,speeds,and their interactive effects.The response of ESV to dynamic urbanization processes was influenced by socio-economic,ecological,and policy factors;it is essential to combine targeted measures with general ecological product value realization methods in each unit to maximize social-economic-ecological benefits.展开更多
Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more ...Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more rational“Internet Nursing Service”model.Methods A systematic search in PubMed,Embase,Web of Science,the Cochrane Library,CINAHL,China National Knowledge Infrastructure(CNKI),Wanfang Database,and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses’experiences with“Internet Nursing Service,”with a retrieval time limit from December 2019 to June 2024.Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes,organization of codes into descriptive themes,and development of analytical themes.Results A total of 19 studies were included,one study was rated as Grade A in quality evaluation,and the remaining studies were rated as Grade B.Collectively synthesized into three integrated results:Harvest and growth,Difficulties and challenges,and Expectations and support.Harvest and growth,include 1)manifestation of self-value,2)enhancing nursing capabilities,3)optimizing nursing resources;Difficulties and challenges,include 1)lack of safety guarantee,2)role conflict;Expectations and support include,1)expectation for professional knowledge and skill training,2)expectations for service platform optimization,3)expectation for reasonable charges,4)expectation for related policy support.Conclusion“Internet Nursing Service”model benefits both nurses and patients,but still full of challenges.It aids in the decentralization of medical resources.Management departments still need to encourage nurses to actively invest in“Internet Nursing Service”while ensuring their safety and interests.展开更多
Promoting the deep integration of advanced manufacturing and producer services is not only a key path for metropolitan to climb the global value chain,but also an important new driving force for optimizing urban spati...Promoting the deep integration of advanced manufacturing and producer services is not only a key path for metropolitan to climb the global value chain,but also an important new driving force for optimizing urban spatial structure.Based on the two dimen-sions of industrial linkage and spatial co-agglomeration from the perspective of industrial integration,taking Beijing,China as a case,using industrial input-output data,micro-enterprise spatial data,and methods such as industrial linkage model,standard deviation el-lipse,and spatial similarity coefficient,this study explores the coupling relationship between industrial linkage and spatial co-agglomer-ation of advanced manufacturing and producer services from 2007 to 2020.The results demonstrate that:1)the industrial linkage between advanced manufacturing and producer services in Beijing has an upward trend,in which the business services have the most significant improvement,in which the business services have the most improvement while the technology services have the most de-crease,but in general,the industrial linkage between the two industries shows a low level.2)Producer services were more spatially clustered than advanced manufacturing,and the degree of spatial co-agglomeration of the two also showed an increasing trend,with strong regional and industrial heterogeneity characteristics,among which the pairing industry involving commerce services and techno-logy services had a more obvious improvement.3)The coupling analysis found that the spatial dependence between advanced manufac-turing and producer services decreased,showing a weak positive correlation and a decreasing trend between industrial linkage and spa-tial co-agglomeration;the heterogeneity among subdivision pairs is prominent,and the strong correlation between industries does not mean that there is an inevitable spatial co-agglomeration.4)Based on the differences in coupling relationships and influence mechan-isms,four coupling modes are identified:H-H type,H-L type,L-L type,and L-H type.Finally,this study proposes three policy implica-tions for the integration of advanced manufacturing and producer services in metropolitan areas.展开更多
Global population growth and rising standards of living are the driving factors for the cropland expansion to meet increasing demands.However,there is no clear assessment of the specific losses on ecosystem services c...Global population growth and rising standards of living are the driving factors for the cropland expansion to meet increasing demands.However,there is no clear assessment of the specific losses on ecosystem services caused by China's expansion of cropland to ensure food security at the cost of losing ecological land such as forests and grasslands.This study employed the ArcGIS platform and integrated valuation of ecosystem services and tradeoffs(InVEST)model to explore the cropland expansion in China from 2000 to 2020 and its impact on ecosystem services,so as to predict the priority areas of future cropland expansion in different scenarios.The results indicated that in the past 20 years,the total area of cropland expansion in China was 17.04 million hm^(2)with 70.79% conversion from forests and grasslands.Cropland expansion has contributed to an overall improvement in the food supply services with the Northern Arid and Semi-Arid Region exhibiting an increase of 18.76×10^(6) tons,while concurrently leading to a decline in habitat quality services.The priority areas for future cropland expansion without ecological loss were found to be 1.42 million hm^(2),which only account for 9.44% of the total reclaimable land.To minimize the loss of ecosystem services,there is a need to adjust the cropland replenishment policies and provide an operational solution for global food security and ecological protection.展开更多
With the acceleration of global aging,the population aged 60 and above in China has exceeded 280 million,and the contradiction between the digital skills demands of the elderly and the supply of static and universal e...With the acceleration of global aging,the population aged 60 and above in China has exceeded 280 million,and the contradiction between the digital skills demands of the elderly and the supply of static and universal educational resources has become prominent.This article conducts an in-depth study on the“on-demand creation”model of elderly education resource services driven by generative AI.This study proposes an“on-demand creation”service paradigm based on generative AI,providing suitable resources for elderly intelligent life skills training through demand perception,content generation,and dynamic optimization mechanisms.From the perspective of technological philosophy and service science,deconstruct the core element logic of the paradigm to demonstrate its dual value in reconstructing the theoretical framework of elderly education and promoting practical transformation.This research indicates that this paradigm provides systematic theoretical support for the innovation of elderly education services through a balance between technological empowerment and humanistic care,helping the elderly master modern information technology and life skills,enhancing their self-care ability and social participation,and better adapting to life in the digital age.展开更多
Quantifying and mapping how ecosystem services impact agricultural competitiveness is crucial for attaining the Sustainable Development Goals of United Nations.However,few study quantified agricultural competitiveness...Quantifying and mapping how ecosystem services impact agricultural competitiveness is crucial for attaining the Sustainable Development Goals of United Nations.However,few study quantified agricultural competitiveness and mapped the effects of ecosystem services on agricultural competitiveness using multiple models.In this study,multi-source data from 2000 to 2020 were utilized to establish the indicator system of agricultural competitiveness;five ecosystem services were quantified using computation models;Geographic Information System(GIS)spatial analysis was used to explore the spatial patterns of agricultural competitiveness and ecosystem services;geographic detector models were applied to investigate the effects and driving mechanisms of ecosystem services on agricultural competitiveness.Shandong Province of China was selected as the case study area.The results demonstrated that:1)there was a significant increase in agricultural competitiveness during the study period,with high levels observed mainly in the east region of the study area.2)The spatial distribution patterns of ecosystem services and agricultural competitiveness primarily exhibited High-High and Low-Low Cluster types.3)Habitat quality emerged as the main driving factor of agricultural competitiveness in 2000 and 2020,while water yield played a substantial role in 2010.4)The coupling of two ecosystem services exerted a greater effect on agricultural competitiveness compared to individual ecosystem service.The innovations of this study are constructing an indicator system to quantify agricultural competitiveness,and exploring the effects of ecosystem services on agricultural competitiveness.This study proposed an indicator system to quantify agricultural competitiveness,which can be applied in other regions,and explored the effects of ecosystem services on agricultural competitiveness.The findings of this study can serve as valuable insights for policymakers to formulate tailored agricultural development policies that take into account the synergistic effects of ecosystem services on agricultural competitiveness.展开更多
Background:People working outdoors in the Map Ta Phut pollution control area of Thailand require comprehen-sive health monitoring.In the past,studies have been done on the health effects of pollutants.However,there ar...Background:People working outdoors in the Map Ta Phut pollution control area of Thailand require comprehen-sive health monitoring.In the past,studies have been done on the health effects of pollutants.However,there are few studies on musculoskeletal disorders(MSDs),and Thailand is struggling to meet the Sustainable Development Goals.Methods:This cross-sectional study examines access to health services and factors affecting MSDs among outdoor pollution workers(OPWs).The sample group includes OPWs,including local fisherman,street vendors,public car drivers,and traffic police.We studied 50 people from each of these groups,for a total of 200 people.Data were analyzed with inferential statistics using Chi-square test,McNemar test,and Univariate logistic regression.Results:The OPWs reported experiencing significantly more total MSDs pain than they did in the past(P<0.05).Factors affecting current MSDs pain,including occupation and working days per week,were significant(P<0.05).The street vendor group and public car driver group had(odds ratio[OR]=2.253,95%confidence interval[CI]:1.101 to 5.019)and(OR=2.681,95%CI:1.191 to 6.032)times higher risks of MSDs pain,respectively.OPWs who work>5 days per week had a(OR=1.464,95%CI:1.093 to 2.704)times higher risk of MSDs pain.52.7%of OPWs with MSDs,pain(n=110)had received an annual health check-up.In the past year,50.9%had minor illnesses and 21.8%had severe illnesses.OPWs receiving free treatment and visiting health service stations for no cost comprised 77.3%and 51.8%,respectively.60.9%used their right to receive treatment with universal health insurance cards.Conclusions:The study indicates that occupational groups with MSDs pain problems should exercise this right,according to the worker protection law.Local health agencies should organize activities or create accessible media to promote preventive medicine services,as many OPWs believe that health services can only be accessed when illness occurs.展开更多
文摘Saud Khan,a Pakistani physician,collected his work and residence permits at the Yangpu Government Service Centre in Danzhou City,Hainan Province,on 18 December 2025.Khan had arrived in Hainan three months earlier to participate in a medical training programme at Hainan Western Central Hospital.By the time the programme concluded,he had made up his mind to stay and broaden his professional experience and long-term career prospects in Hainan.
文摘In their recent paper Pereira et al.(2025)claim that validation is overlooked in mapping and modelling of ecosystem services(ES).They state that“many studies lack critical evaluation of the results and no validation is provided”and that“the validation step is largely overlooked”.This assertion may have been true several years ago,for example,when Ochoa and Urbina-Cardona(2017)made a similar observation.However,there has been much work on ES model validation over the last decade.
文摘With the accelerating aging process of China’s population,the demand for community elderly care services has shown diversified and personalized characteristics.However,problems such as insufficient total care service resources,uneven distribution,and prominent supply-demand contradictions have seriously affected service quality.Big data technology,with core advantages including data collection,analysis and mining,and accurate prediction,provides a new solution for the allocation of community elderly care service resources.This paper systematically studies the application value of big data technology in the allocation of community elderly care service resources from three aspects:resource allocation efficiency,service accuracy,and management intelligence.Combined with practical needs,it proposes optimal allocation strategies such as building a big data analysis platform and accurately grasping the elderly’s care needs,striving to provide operable path references for the construction of community elderly care service systems,promoting the early realization of the elderly care service goal of“adequate support and proper care for the elderly”,and boosting the high-quality development of China’s elderly care service industry.
基金supported by the National Key Research and Development Program of China under grant 2022YFF0902701the National Natural Science Foundation of China under grant U21A20468,61972043,61921003+1 种基金Zhejiang Lab under grant 2021PD0AB 02the Fundamental Research Funds for the Central Universities under grant 2020XD-A07-1.
文摘Ensuring an information fabric safe is critical and mandatory.For its related Internet of Things(IoT)service system running on the open Internet,existing host-based monitoring methods may fail due to only inspecting software,and the physical system may not be able to be protected.In this paper,a nonintrusive virtual machine(VM)-based runtime protection framework is provided to protect the physical system with the isolated IoT services as a controlling means.Compared with existing solutions,the framework gets inconsistent and untrusted observation knowledge from multiple observation sources,and enforces property policies concurrently and incrementally in a competing-game way to avoid compositional problems.In addition,the monitoring is implemented without any modification to the protected system.Experiments are conducted to validate the proposed techniques.
文摘Identifying the community structure of complex networks is crucial to extracting insights and understanding network properties.Although several community detection methods have been proposed,many are unsuitable for social networks due to significant limitations.Specifically,most approaches depend mainly on user-user structural links while overlooking service-centric,semantic,and multi-attribute drivers of community formation,and they also lack flexible filtering mechanisms for large-scale,service-oriented settings.Our proposed approach,called community discovery-based service(CDBS),leverages user profiles and their interactions with consulted web services.The method introduces a novel similarity measure,global similarity interaction profile(GSIP),which goes beyond typical similarity measures by unifying user and service profiles for all attributes types into a coherent representation,thereby clarifying its novelty and contribution.It applies multiple filtering criteria related to user attributes,accessed services,and interaction patterns.Experimental comparisons against Louvain,Hierarchical Agglomerative Clustering,Label Propagation and Infomap show that CDBS reveals the higher performance as it achieves 0.74 modularity,0.13 conductance,0.77 coverage,and significantly fast response time of 9.8 s,even with 10,000 users and 400 services.Moreover,community discoverybased service consistently detects a larger number of communities with distinct topics of interest,underscoring its capacity to generate detailed and efficient structures in complex networks.These results confirm both the efficiency and effectiveness of the proposed method.Beyond controlled evaluation,communities discovery based service is applicable to targeted recommendations,group-oriented marketing,access control,and service personalization,where communities are shaped not only by user links but also by service engagement.
文摘Objective:To systematically summarize and evaluate the evidence on discharge preparation services for patients undergoing total knee arthroplasty,providing an evidence-based foundation for developing scientific and standardized discharge preparation intervention programs in clinical practice.Methods:Following the“5S”evidence model,literature such as guidelines,expert consensuses,evidence summaries and randomized controlled trials related to discharge preparation services for total knee arthroplasty patients were retrieved from relevant websites and databases,both domestic and international,from database inception to August 31,2025.Two researchers independently screened the literature,conducted quality appraisals,and extracted and synthesized the evidence.Results:A total of 15 articles were included,comprising 3 guidelines,4 expert consensuses,3 evidence summaries,3 systematic reviews and 2 randomized controlled trials.Ultimately,23 pieces of evidence were summarized across five aspects.Conclusion:This study synthesizes the evidence on discharge preparation services for patients undergoing total knee arthroplasty.It is recommended that healthcare professionals apply this evidence in clinical practice,considering specific circumstances and patient needs.
文摘Amidst evolving user behavior driven by the development of the internet,enhancing the operational quality of trade publishing knowledge service platforms has become a significant challenge for publishing institutions.To address this issue,this paper employs a combined approach of theoretical analysis and case study,introducing the SICAS(Sense-Interest-Connection-Action-Share)user consumption behavior analysis model and selecting“CITIC Academy”as the case study subject.It systematically examines and summarizes the platform’s operational practices and specific strategies,aiming to offer strategic insights and practical references for the operational improvement and sustainable,high-quality development of trade publishing knowledge service platforms.
基金funded by the National Natural Science Foundation of China(42377326 and 42201267)National Research-Development Support Plan Projects of China(Grant No.2017YFC05054)the Fujian Provincial Water Resources Department Science and Technology Project(MSK202308)。
文摘The Guangdong,Jiangxi and Fujian(GJF)provinces,located in the subtropical region of southeastern China,is one of the national key regions for soil erosion control and ecological restoration.This region is characterized by extensive red soil development and high rainfall erosivity,making it a representative landscape for exploring the interactions between land use change(LUC)and ecosystem services(ES).Despite the recognized importance of ES in hilly regions,comprehensive assessing the impacts of LUC on ES remain limited.This study investigates five key ES:water yield,soil conservation,carbon conservation,food supply,and habitat quality in GJF region from 2000 to 2020.By applying the InVEST model and the Geodetector method,we assessed the trade-offs,synergies,and transitions among ES,identified the natural and social drivers of ES dynamics,and quantified the contribution of LUC to ES changes using the ecosystem service contribution index.The results showed that cropland and woodland were the dominant land use types.Ecological restoration efforts positively influenced ES,with synergies intensifying and trade-offs diminishing over time.Land use conversions,particularly among woodland,grassland,and cropland,exerted significant impacts on ES.In particular,the conversion of woodland to other land uses had markedly negative effects on soil conservation,carbon conservation,and habitat quality.Forest cover was identified as a major driver of ES dynamics.These findings highlight the importance of maintaining and expanding forest and grassland cover,strengthening red soil conservation,and optimizing land use structure to achieve coordinated ecological protection and socioeconomic development in the subtropical hilly regions of southern China.
基金supported by the National Natural Science Foundation of China(42471336,52379021 and 42201278)the Hebei Province Backbone Talent Program,China(Returnee Platform for Overseas Study)(A20240028)+2 种基金the Hebei Province Statistical Science Research Project,China(2024HZ04)the Hebei Province Graduate Education and Teaching Reform Research Project,China(YJG2024046)the Innovation Ability Training Program for Postgraduate Students of Hebei Provincial Department of Education,China(CXZZSS2025048)。
文摘A comprehensive assessment of grain supply,demand,and ecosystem service flows is essential for identifying grain movement pathways,ensuring regional grain security,and guiding sustainable management strategies.However,current studies primarily focus on short-term grain provision services while neglecting the spatiotemporal variations in grain flows across different scales.This gap limits the identification of dynamic matching relationships and the formulation of optimization strategies for balancing grain flows.This study examined the spatiotemporal evolution of grain supply and demand in the Beijing-Tianjin-Hebei(BTH)region from 1980 to 2020.Using the Enhanced TwoStep Floating Catchment Area method,the grain provision ecosystem service flows were quantified,the changes in supply–demand matching under different grain flow scenarios were analyzed and the optimal distance threshold for grain flows was investigated.The results revealed that grain production follows a spatial distribution pattern characterized by high levels in the southeast and low levels in the northwest.A significant mismatch exists between supply and demand,and it shows a scale effect.Deficit areas are mainly concentrated in the northwest,while surplus areas are mainly located in the central and southern regions.As the spatial scale increases,the ecosystem service supply–demand ratio(SDR)classification becomes more clustered,while it exhibits greater spatial SDR heterogeneity at smaller scales.This study examined two distinct scenarios of grain provision ecosystem service flow dynamics based on 100 and 200 km distance thresholds.The flow increased significantly,from 2.17 to 11.81million tons in the first scenario and from 2.41 to 12.37 million tons in the second scenario over nearly 40 years,forming a spatial movement pattern from the central and southern regions to the surrounding areas.Large flows were mainly concentrated in the interior of urban centers,with significant outflows between cities such as Baoding,Shijiazhuang,Xingtai,and Hengshui.At the county scale,supply–demand matching patterns remained consistent between the grain flows in the two scenarios.Notably,incorporating grain flow dynamics significantly reduced the number of grain-deficit areas compared to scenarios without grain flow.In 2020,grain-deficit counties decreased by28.79 and 37.88%,and cities by 12.50 and 25.0%under the two scenarios,respectively.Furthermore,the distance threshold for achieving optimal supply and demand matching at the county scale was longer than at the city scale in both grain flow scenarios.This study provides valuable insights into the dynamic relationships and heterogeneous patterns of grain matching,and expands the research perspective on grain and ecosystem service flows across various spatiotemporal scales.
文摘Hebei Province has incorporated targeted assistance services for people with disabilities into livelihood projects,upgrading the quality and efficiency of support services for disadvantaged groups.THE living and nursing allowances provided by the Chinese government for people with disabilities who are unable to work are not only important components of China’s social security system which provide for the needs of its disabled,but also show China’s ability to guarantee the basic living standard and social fairness and justice for this group of people.
基金supported by the Malaysia Ministry of Higher Education under Fundamental Research Grant Scheme with Project Code:FRGS/1/2024/TK07/USM/02/3.
文摘Mobile service robots(MSRs)in hospital environments require precise and robust trajectory tracking to ensure reliable operation under dynamic conditions,including model uncertainties and external disturbances.This study presents a cognitive control strategy that integrates a Numerical Feedforward Inverse Dynamic Controller(NFIDC)with a Feedback Radial Basis Function Neural Network(FRBFNN).The robot’s mechanical structure was designed in SolidWorks 2022 SP2.0 and validated under operational loads using finite element analysis in ANSYS 2022 R1.The NFIDC-FRBFNN framework merges proactive inverse dynamic compensation with adaptive neural learning to achieve smooth torque responses and accurate motion control.A two-stage simulation evaluation was conducted.In the first stage,the controller was tested in a simulated hospital environment under both ideal and non-ideal conditions.In the second,it was benchmarked against four established controllers-Neural Network Model Reference Adaptive(NNMRA),Z-number Fuzzy Logic(Z-FL),Adaptive Dynamic Controller(ADC),and Fuzzy Logic-PID(FL-PID)—using circular and lemniscate trajectories.Across ten runs,the proposed controller achieved the lowest tracking errors under all conditions.Under ideal conditions,it achieved average improvements of 55.24%,75.75%,and 55.20%in integral absolute error(IAE),integral squared error(ISE),and mean absolute error(MAE),respectively,with coefficient of variation(CV)reductions above 55%.Under non-ideal conditions,average improvements exceeded 64%in IAE,77%in ISE,and 66%in MAE,while maintaining CV reductions above 57%.These results confirm that the NFIDC-FRBFNN controller offers superior accuracy,robustness,and consistency for real-time path tracking in healthcare robotics.
基金supported by the National Natural Science Foundation of China (Nos. 61772466 and U1836202)the Zhejiang Provincial Natural Science Foundation for Distinguished Young Scholars (No. LR19F020003)+1 种基金the Provincial Key Research and Development Program of Zhejiang Province (No. 2017C01055)the Alibaba-ZJU Joint Research Institute of Frontier Technologies
文摘Image captchas have recently become very popular and are widely deployed across the Internet to defend against abusive programs. However, the ever-advancing capabilities of computer vision have gradually diminished the security of image captchas and made them vulnerable to attack. In this paper, we first classify the currently popular image captchas into three categories: selection-based captchas, slide-based captchas, and click-based captchas. Second, we propose simple yet powerful attack frameworks against each of these categories of image captchas. Third, we systematically evaluate our attack frameworks against 10 popular real-world image captchas,including captchas from tencent.com, google.com, and 12306.cn. Fourth, we compare our attacks against nine online image recognition services and against human labors from eight underground captcha-solving services. Our evaluation results show that(1) each of the popular image captchas that we study is vulnerable to our attacks;(2) our attacks yield the highest captcha-breaking success rate compared with state-of-the-art methods in almost all scenarios; and(3) our attacks achieve almost as high a success rate as human labor while being much faster.Based on our evaluation, we identify some design flaws in these popular schemes, along with some best practices and design principles for more secure captchas. We also examine the underground market for captcha-solving services, identifying 152 such services. We then seek to measure this underground market with data from these services. Our findings shed light on understanding the scale, impact, and commercial landscape of the underground market for captcha solving.
文摘Human well-being and livelihoods depend on natural ecosystem services(ESs).Following the increment of population,ESs have been deteriorated over time.Ultimately,land use/land cover(LULC)changes have a profound impact on the change of ecosystem.The primary goal of this study is to determine the impacts of LULC changes on ecosystem service values(ESVs)in the upper Gilgel Abbay watershed,Ethiopia.Changes in LULC types were studied using three Landsat images representing 1986,2003,and 2021.The Landsat images were classified using a supervised image classification technique in Earth Resources Data Analysis System(ERDAS)Imagine 2014.We classified ESs in this study into four categories(including provisioning,regulating,supporting,and cultural services)based on global ES classification scheme.The adjusted ESV coefficient benefit approach was employed to measure the impacts of LULC changes on ESVs.Five LULC types were identified in this study,including cultivated land,forest,shrubland,grassland,and water body.The result revealed that the area of cultivated land accounted for 64.50%,71.50%,and 61.50%of the total area in 1986,2003,and 2021,respectively.The percentage of the total area covered by forest was 9.50%,5.90%,and 14.80%in 1986,2003,and 2021,respectively.Result revealed that the total ESV decreased from 7.42×10^(7) to 6.44×10^(7) USD between 1986 and 2003.This is due to the expansion of cultivated land at the expense of forest and shrubland.However,the total ESV increased from 6.44×10^(7) to 7.76×10^(7) USD during 2003-2021,because of the increment of forest and shrubland.The expansion of cultivated land and the reductions of forest and shrubland reduced most individual ESs during 1986-2003.Nevertheless,the increase in forest and shrubland at the expense of cultivated land enhanced many ESs during 2003-2021.Therefore,the findings suggest that appropriate land use practices should be scaled-up to sustainably maintain ESs.
基金supported by the Key Program of the National Natural Science Foundation of China(Grant No.41931293)the National Natural Science Foundation of China(Grant No.42271275).
文摘The rapid population and land urbanization not only promoted economic development but also affected the ecosystem service value(ESV).In the context of new-type urbanization and green development,it’s essential to investigate the impacts of urbanization on ESV in China.However,a comprehensive and dynamic framework to reveal the relationship between ESV and urbanization processes is lacking.This study adopted multi-source datasets to portray China’s urbanization process by integrating population,land,and economic urbanization,eval-uated the ESV changes of 10 categories by gross ecosystem product(GEP)methods,and explored ESV changes within different urbanization scales and speeds.The results showed rapid urbanization in the population,land,and economic dimensions in China,with a faster process of economic urbanization.The ESV also exhibited an increasing trend,with higher levels in the southeastern coastal regions and lower levels in the northwestern regions.Urbanization had positive impacts on ESV across various research units,but the ESV exhibited heteroge-neous changes across different urbanization scales,speeds,and their interactive effects.The response of ESV to dynamic urbanization processes was influenced by socio-economic,ecological,and policy factors;it is essential to combine targeted measures with general ecological product value realization methods in each unit to maximize social-economic-ecological benefits.
基金supported by the General Project of the Cultivation Project of the Chinese Hospital Reform and Development Research Institute of Nanjing University(NDYG2022072)。
文摘Objective Systematically integrate nurses’experience with“Internet Nursing Service”to analysis the nurses’experiences with“Internet Nursing Service”,and to provide a theoretical reference for formulating a more rational“Internet Nursing Service”model.Methods A systematic search in PubMed,Embase,Web of Science,the Cochrane Library,CINAHL,China National Knowledge Infrastructure(CNKI),Wanfang Database,and Chinese Biomedical Literature Database was conducted to collect qualitative research on nurses’experiences with“Internet Nursing Service,”with a retrieval time limit from December 2019 to June 2024.Qualitative meta-synthesis was performed through line-by-line coding of relevant quotes,organization of codes into descriptive themes,and development of analytical themes.Results A total of 19 studies were included,one study was rated as Grade A in quality evaluation,and the remaining studies were rated as Grade B.Collectively synthesized into three integrated results:Harvest and growth,Difficulties and challenges,and Expectations and support.Harvest and growth,include 1)manifestation of self-value,2)enhancing nursing capabilities,3)optimizing nursing resources;Difficulties and challenges,include 1)lack of safety guarantee,2)role conflict;Expectations and support include,1)expectation for professional knowledge and skill training,2)expectations for service platform optimization,3)expectation for reasonable charges,4)expectation for related policy support.Conclusion“Internet Nursing Service”model benefits both nurses and patients,but still full of challenges.It aids in the decentralization of medical resources.Management departments still need to encourage nurses to actively invest in“Internet Nursing Service”while ensuring their safety and interests.
基金Under the auspices of National Natural Science Foundation of China(No.42371181)。
文摘Promoting the deep integration of advanced manufacturing and producer services is not only a key path for metropolitan to climb the global value chain,but also an important new driving force for optimizing urban spatial structure.Based on the two dimen-sions of industrial linkage and spatial co-agglomeration from the perspective of industrial integration,taking Beijing,China as a case,using industrial input-output data,micro-enterprise spatial data,and methods such as industrial linkage model,standard deviation el-lipse,and spatial similarity coefficient,this study explores the coupling relationship between industrial linkage and spatial co-agglomer-ation of advanced manufacturing and producer services from 2007 to 2020.The results demonstrate that:1)the industrial linkage between advanced manufacturing and producer services in Beijing has an upward trend,in which the business services have the most significant improvement,in which the business services have the most improvement while the technology services have the most de-crease,but in general,the industrial linkage between the two industries shows a low level.2)Producer services were more spatially clustered than advanced manufacturing,and the degree of spatial co-agglomeration of the two also showed an increasing trend,with strong regional and industrial heterogeneity characteristics,among which the pairing industry involving commerce services and techno-logy services had a more obvious improvement.3)The coupling analysis found that the spatial dependence between advanced manufac-turing and producer services decreased,showing a weak positive correlation and a decreasing trend between industrial linkage and spa-tial co-agglomeration;the heterogeneity among subdivision pairs is prominent,and the strong correlation between industries does not mean that there is an inevitable spatial co-agglomeration.4)Based on the differences in coupling relationships and influence mechan-isms,four coupling modes are identified:H-H type,H-L type,L-L type,and L-H type.Finally,this study proposes three policy implica-tions for the integration of advanced manufacturing and producer services in metropolitan areas.
基金supported by the National Natural Science Foundation of China(Grant No.52374170)the Major Special Projects of the Third Comprehensive Scientific Exploration in Xinjiang(Grant No.2022xjkk1005)the Fundamental Research Funds for the Central Universities(Grant No.B230207001)。
文摘Global population growth and rising standards of living are the driving factors for the cropland expansion to meet increasing demands.However,there is no clear assessment of the specific losses on ecosystem services caused by China's expansion of cropland to ensure food security at the cost of losing ecological land such as forests and grasslands.This study employed the ArcGIS platform and integrated valuation of ecosystem services and tradeoffs(InVEST)model to explore the cropland expansion in China from 2000 to 2020 and its impact on ecosystem services,so as to predict the priority areas of future cropland expansion in different scenarios.The results indicated that in the past 20 years,the total area of cropland expansion in China was 17.04 million hm^(2)with 70.79% conversion from forests and grasslands.Cropland expansion has contributed to an overall improvement in the food supply services with the Northern Arid and Semi-Arid Region exhibiting an increase of 18.76×10^(6) tons,while concurrently leading to a decline in habitat quality services.The priority areas for future cropland expansion without ecological loss were found to be 1.42 million hm^(2),which only account for 9.44% of the total reclaimable land.To minimize the loss of ecosystem services,there is a need to adjust the cropland replenishment policies and provide an operational solution for global food security and ecological protection.
文摘With the acceleration of global aging,the population aged 60 and above in China has exceeded 280 million,and the contradiction between the digital skills demands of the elderly and the supply of static and universal educational resources has become prominent.This article conducts an in-depth study on the“on-demand creation”model of elderly education resource services driven by generative AI.This study proposes an“on-demand creation”service paradigm based on generative AI,providing suitable resources for elderly intelligent life skills training through demand perception,content generation,and dynamic optimization mechanisms.From the perspective of technological philosophy and service science,deconstruct the core element logic of the paradigm to demonstrate its dual value in reconstructing the theoretical framework of elderly education and promoting practical transformation.This research indicates that this paradigm provides systematic theoretical support for the innovation of elderly education services through a balance between technological empowerment and humanistic care,helping the elderly master modern information technology and life skills,enhancing their self-care ability and social participation,and better adapting to life in the digital age.
基金Under the auspices of the National Key Research and Development Program of China(No.2022YFC3204404)。
文摘Quantifying and mapping how ecosystem services impact agricultural competitiveness is crucial for attaining the Sustainable Development Goals of United Nations.However,few study quantified agricultural competitiveness and mapped the effects of ecosystem services on agricultural competitiveness using multiple models.In this study,multi-source data from 2000 to 2020 were utilized to establish the indicator system of agricultural competitiveness;five ecosystem services were quantified using computation models;Geographic Information System(GIS)spatial analysis was used to explore the spatial patterns of agricultural competitiveness and ecosystem services;geographic detector models were applied to investigate the effects and driving mechanisms of ecosystem services on agricultural competitiveness.Shandong Province of China was selected as the case study area.The results demonstrated that:1)there was a significant increase in agricultural competitiveness during the study period,with high levels observed mainly in the east region of the study area.2)The spatial distribution patterns of ecosystem services and agricultural competitiveness primarily exhibited High-High and Low-Low Cluster types.3)Habitat quality emerged as the main driving factor of agricultural competitiveness in 2000 and 2020,while water yield played a substantial role in 2010.4)The coupling of two ecosystem services exerted a greater effect on agricultural competitiveness compared to individual ecosystem service.The innovations of this study are constructing an indicator system to quantify agricultural competitiveness,and exploring the effects of ecosystem services on agricultural competitiveness.This study proposed an indicator system to quantify agricultural competitiveness,which can be applied in other regions,and explored the effects of ecosystem services on agricultural competitiveness.The findings of this study can serve as valuable insights for policymakers to formulate tailored agricultural development policies that take into account the synergistic effects of ecosystem services on agricultural competitiveness.
基金grant Fundamental Fund of National Science Research and Innovation Fund(NSRF)via Burapha University of Thailand(Grant number 52/2024).
文摘Background:People working outdoors in the Map Ta Phut pollution control area of Thailand require comprehen-sive health monitoring.In the past,studies have been done on the health effects of pollutants.However,there are few studies on musculoskeletal disorders(MSDs),and Thailand is struggling to meet the Sustainable Development Goals.Methods:This cross-sectional study examines access to health services and factors affecting MSDs among outdoor pollution workers(OPWs).The sample group includes OPWs,including local fisherman,street vendors,public car drivers,and traffic police.We studied 50 people from each of these groups,for a total of 200 people.Data were analyzed with inferential statistics using Chi-square test,McNemar test,and Univariate logistic regression.Results:The OPWs reported experiencing significantly more total MSDs pain than they did in the past(P<0.05).Factors affecting current MSDs pain,including occupation and working days per week,were significant(P<0.05).The street vendor group and public car driver group had(odds ratio[OR]=2.253,95%confidence interval[CI]:1.101 to 5.019)and(OR=2.681,95%CI:1.191 to 6.032)times higher risks of MSDs pain,respectively.OPWs who work>5 days per week had a(OR=1.464,95%CI:1.093 to 2.704)times higher risk of MSDs pain.52.7%of OPWs with MSDs,pain(n=110)had received an annual health check-up.In the past year,50.9%had minor illnesses and 21.8%had severe illnesses.OPWs receiving free treatment and visiting health service stations for no cost comprised 77.3%and 51.8%,respectively.60.9%used their right to receive treatment with universal health insurance cards.Conclusions:The study indicates that occupational groups with MSDs pain problems should exercise this right,according to the worker protection law.Local health agencies should organize activities or create accessible media to promote preventive medicine services,as many OPWs believe that health services can only be accessed when illness occurs.
