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
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
With the deployment of ultra-dense low earth orbit(LEO)satellite constellations,LEO satellite access network(LEO-SAN)is envisioned to achieve global Internet coverage.Meanwhile,the civil aviation communications have i...With the deployment of ultra-dense low earth orbit(LEO)satellite constellations,LEO satellite access network(LEO-SAN)is envisioned to achieve global Internet coverage.Meanwhile,the civil aviation communications have increased dramatically,especially for providing airborne Internet services.However,due to dynamic service demands and onboard LEO resources over time and space,it poses huge challenges in satellite-aircraft access and service management in ultra-dense LEO satellite networks(UDLSN).In this paper,we propose a deep reinforcement learning-based approach for ultra-dense LEO satellite-aircraft access and service management.Firstly,we develop an airborne Internet architecture based on UDLSN and design a management mechanism including medium earth orbit satellites to guarantee lightweight management.Secondly,considering latency-sensitive and latency-tolerant services,we formulate the problem of satellite-aircraft access and service management for civil aviation to ensure service continuity.Finally,we propose a proximal policy optimization-based access and service management algorithm to solve the formulated problem.Simulation results demonstrate the convergence and effectiveness of the proposed algorithm with satisfying the service continuity when applying to the UDLSN.展开更多
In this editorial,I comment on the article by Zhang et al.To emphasize the importance of the topic,I discuss the relationship between the use of smart medical devices and mental health.Smart medical services have the ...In this editorial,I comment on the article by Zhang et al.To emphasize the importance of the topic,I discuss the relationship between the use of smart medical devices and mental health.Smart medical services have the potential to positively influence mental health by providing monitoring,insights,and inter-ventions.However,they also come with challenges that need to be addressed.Understanding the primary purpose for which individuals use these smart tech-nologies is essential to tailoring them to specific mental health needs and prefe-rences.展开更多
The scientific assessment of ecosystem ser-vice value(ESV)plays a critical role in regional ecologi-cal protection and management,rational land use planning,and the establishment of ecological security barriers.The ec...The scientific assessment of ecosystem ser-vice value(ESV)plays a critical role in regional ecologi-cal protection and management,rational land use planning,and the establishment of ecological security barriers.The ecosystem service value of the Northeast Forest Belt from 2005 to 2020 was assessed,focusing on spatial–temporal changes and the driving forces behind these dynamics.Using multi-source data,the equivalent factor method,and geo-graphic detectors,we analyzed natural and socio-economic factors affecting the region.which was crucial for effective ecological conservation and land-use planning.Enhanced the effectiveness of policy formulation and land use plan-ning.The results show that the ESV of the Northeast Forest Belt exhibits an overall increasing trend from 2005 to 2020,with forests and wetlands contributing the most.However,there are significant differences between forest belts.Driven by natural and socio-economic factors,the ESV of forest belts in Heilongjiang and Jilin provinces showed significant growth.In contrast,the ESV of Forest Belts in Liaoning and Inner Mongolia of China remains relatively stable,but the spatial differentiation within these regions is characterized by significant clustering of high-value and low-value areas.Furthermore,climate regulation and hydrological regulation services were identified as the most important ecological functions in the Northeast Forest Belt,contributing greatly to regional ecological stability and human well-being.The ESV in the Northeast Forest Belt is improved during the study period,but the stability of the ecosystem is still chal-lenged by the dual impacts of natural and socio-economic factors.To further optimize regional land use planning and ecological protection policies,it is recommended to prior-itize the conservation of high-ESV areas,enhance ecological restoration efforts for wetlands and forests,and reasonably control the spatial layout of urban expansion and agricul-tural development.Additionally,this study highlights the importance of tailored ecological compensation policies and strategic land-use planning to balance environmental protec-tion and economic growth.展开更多
We consider a single server constant retrial queue,in which a state-dependent service policy is used to control the service rate.Customer arrival follows Poisson process,while service time and retrial time are exponen...We consider a single server constant retrial queue,in which a state-dependent service policy is used to control the service rate.Customer arrival follows Poisson process,while service time and retrial time are exponential distributions.Whenever the server is available,it admits the retrial customers into service based on a first-come first-served rule.The service rate adjusts in real-time based on the retrial queue length.An iterative algorithm is proposed to numerically solve the personal optimal problem in the fully observable scenario.Furthermore,we investigate the impact of parameters on the social optimal threshold.The effectiveness of the results is illustrated by two examples.展开更多
In recent years,service computing has been widely integrated into software development.Web service development,especially under the RESTful schema,needs to guide students in transferring from object-oriented to resour...In recent years,service computing has been widely integrated into software development.Web service development,especially under the RESTful schema,needs to guide students in transferring from object-oriented to resource-oriented architectural thinking and cultivating students’literacy in design thinking,design patterns,and development methods.This paper introduces the foundations of service thinking with a brief review of service sciences,the core features of service thinking,and how to train service thinking of students.It also introduces a case study in Shandong University in the construction of a service computing curriculum system,especially how to highlight the cultivation of service thinking in the design of service software system.展开更多
In order to improve the efficiency of cloud-based web services,an improved plant growth simulation algorithm scheduling model.This model first used mathematical methods to describe the relationships between cloud-base...In order to improve the efficiency of cloud-based web services,an improved plant growth simulation algorithm scheduling model.This model first used mathematical methods to describe the relationships between cloud-based web services and the constraints of system resources.Then,a light-induced plant growth simulation algorithm was established.The performance of the algorithm was compared through several plant types,and the best plant model was selected as the setting for the system.Experimental results show that when the number of test cloud-based web services reaches 2048,the model being 2.14 times faster than PSO,2.8 times faster than the ant colony algorithm,2.9 times faster than the bee colony algorithm,and a remarkable 8.38 times faster than the genetic algorithm.展开更多
With the intensifying aging population,rural elderly care services are facing challenges such as uneven medical resources and inadequate facilities.Taking Qinhuangdao City as an example,this paper explores ways to imp...With the intensifying aging population,rural elderly care services are facing challenges such as uneven medical resources and inadequate facilities.Taking Qinhuangdao City as an example,this paper explores ways to improve rural elderly care services through the construction of a remote medical service network.This paper analyzes the current status of rural elderly care services in Qinhuangdao City,pointing out that issues such as the uneven distribution of medical resources between urban and rural areas,poor accessibility,and low service quality urgently need to be addressed.The necessity of accelerating the construction of a remote medical network is proposed,including reducing medical costs,optimizing resource allocation,and disease prevention.Specific measures cover aspects such as policy support,integration of medical and elderly care services,talent cultivation,and technology promotion.At the same time,the potential challenges and risks faced by the remote medical service network in improving rural elderly care services are evaluated,and corresponding countermeasures and suggestions are proposed.Research shows that remote medical care can effectively improve the quality of rural elderly care services and help achieve proper medical care for the elderly.展开更多
In the rapidly evolving landscape of digital health,the integration of data analytics and Internet healthserviceshasbecome a pivotal area of exploration.To meet keen social needs,Prof.Shan Liu(Xi'an Jiaotong Unive...In the rapidly evolving landscape of digital health,the integration of data analytics and Internet healthserviceshasbecome a pivotal area of exploration.To meet keen social needs,Prof.Shan Liu(Xi'an Jiaotong University)and Prof.Xing Zhang(Wuhan Textile University)have published the timely book Datadriven Internet Health Platform Service Value Co-creation through China Science Press.The book focuses on the provision of medical and health services from doctors to patients through Internet health platforms,where the service value is co-created by three parties.展开更多
Objective To study the current situation and corresponding characteristics of internet pharmacy services and summarize their core connotations,and to make some suggestions for their future development based on nationa...Objective To study the current situation and corresponding characteristics of internet pharmacy services and summarize their core connotations,and to make some suggestions for their future development based on national policies.Methods The literature of the last 20 years that fully or partially matched the theme of internet pharmacy services in China was studied to summarize the status of research and development of remote pharmacy services by combining the web survey method.Results and Conclusion China’s internet pharmacy services include online consultation,science education,information enquiry,follow-up and intervention,and other functions.The main service providers are medical institutions,Internet enterprises,and online drug sales platforms.Internet pharmacy services can improve patients’compliance with medication and the convenience of medical treatment,which better play the role of pharmacists.However,they also face problems such as the varying service qualities,the small number of users,the difficulty in popularizing services in remote areas,and the lack of supervision and protection of patients’rights.展开更多
Recently,SAMR issued four national standards in the exhibition services sector,including the newly developed GB/T 45704-2025,Guidelines for online exhibition services,and three revised standards.GB/T 45704-2025 addres...Recently,SAMR issued four national standards in the exhibition services sector,including the newly developed GB/T 45704-2025,Guidelines for online exhibition services,and three revised standards.GB/T 45704-2025 addresses the emerging online exhibition models.It provides guidelines for the whole exhibition process,and clarifies the requirements for service providers’capabilities,to promote the healthy development of this evolving industry.展开更多
Ecosystem service flows(ESFs)can reveal the interrelationships and impacts between natural systems and human activities.We can improve the stability and sustainability of ecosystems,more effectively utilize natural re...Ecosystem service flows(ESFs)can reveal the interrelationships and impacts between natural systems and human activities.We can improve the stability and sustainability of ecosystems,more effectively utilize natural resources,protect the environment,and enhance the harmonious coexistence of humans and nature by comprehending ESFs.However,few studies have examined ESFs across scales and evaluated their sustainability;most have concentrated on regional scales.In order to quantify and analyze ESFs within the Jing River Basin(JRB)and between the JRB and the adjacent and distant regions from a water-food-energy perspective,this paper employs a meta-coupling framework.Additionally,it evaluates the sustainability of these flows using a techno-ecological synergy framework.The results show that the ESFs within the JRB was significant in 2020.Water production services were concentrated in the southern part of the JRB,while the distribution of food supply and carbon supply services was relatively even.Huan County emerged as the largest exporting county,providing 1.46×10^(8)kg of food to other counties and exporting 2.97×10^(6)kg of energy.The ESFs in the JRB primarily moved towards the neighboring and distant systems.Water production services flowed into the Guanzhong Plain Urban Agglomeration(GPUA),amounting to 5.8×10^(6)kg.Carbon supply services flowed out at 2.4×10^(5)kg,and food exports were the highest,reaching 5.0×10^(7)kg.The ecosystem service flows from the JRB to both the neighboring and distant systems enhanced food security and ecological resilience.The basin itself demonstrated good sustainability in food supply services,with an index value reaching 48.19.In crossscale calculations of food production sustainability with the adjacent GPUA,the index value increased from 48.19 to 52.99,indicating a significant improvement.These findings demonstrate that applying the meta-coupling framework provides an effective approach to quantify ESFs and assess their sustainability across scales.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
Cultural ecosystem services(CES),which encompass recreational and aesthetic values,contribute to human wellbeing and yet are often underrepresented in forest management planning due to challenges in quantifying these ...Cultural ecosystem services(CES),which encompass recreational and aesthetic values,contribute to human wellbeing and yet are often underrepresented in forest management planning due to challenges in quantifying these services.This study introduces the Recreational and Aesthetic Values of Forested Landscapes(RAFL)index,a novel framework combining six measurable recreational and aesthetic components:Stewardship,Naturalness,Complexity,Visual Scale,Historicity,and Ephemera.The RAFL index was integrated into a Linear Programming(LP)Resource Capability Model(RCM)to assess trade-offs between CES and other ecosystem services,including timber production,wildfire resistance,and biodiversity.The approach was applied in a case study in Northern Portugal,comparing two forest management scenarios:Business as Usual(BAU),dominated by eucalyptus plantations,and an Alternative Scenario(ALT),focused on the conversion to native species:cork oak,chestnut,and pedunculate oak.Results revealed that the ALT scenario consistently achieved higher RAFL values,reflecting its potential to enhance CES,while also supporting higher biodiversity and wildfire resilience compared to the BAU scenario.Results highlighted further that management may maintain steady timber production and wildfire regulatory services while addressing concerns with CES.This study provides a replicable methodology for quantifying CES and integrating them into forest management frameworks,offering actionable insights for decision-makers.The findings highlight the effectiveness of the approach in designing landscape mosaics that provide CES while addressing the need to supply provisioning and regulatory ecosystem services.展开更多
In the 21st century world,people mostly behave with business mentality without considering moral obligations in society.In this behavioral change,the service market,particularly the medical care service market,has app...In the 21st century world,people mostly behave with business mentality without considering moral obligations in society.In this behavioral change,the service market,particularly the medical care service market,has appeared to be vulnerable.Because of supplying medical care services,the doctor or hospital receives capitation payments,fees-for-services,risk pool settlements,incentive payments or other fees.However,today it is probably the most criticized profession in world economy country-wise such as Bangladesh.Sometimes doctors here are blamed for requiring unnecessary tests of patients for doctors’own monetary gains.In some cases,doctors’efforts are assumed to relate to pharmaceutical products promotion by writing lengthy prescriptions.Some groups claim that today doctors spend less time on each patient.All these interactions justify claiming that a patient works for a doctor when the patient visits a doctor for medical care services.Here the existence of“asymmetric information”dominates the medical care market where doctor takes advantages in multiple facets.It causes market inefficiency that creates negative economic externalities-deadweight loss.Improving medical education with special emphasis on ethical aspects and soft skills in communication is considered important in order to reduce the magnitudes of today’s dilemma in the medical care service market.Also,strict enforcements of medical care provisions and ethical code of conduct among all health works can be instrumental.Finally,the answer to the question“Are medical care services becoming money-making machines under physicians’headship in the 21st century business-driven world?”depends on who are asked.But the reflections of today’s medical care market in economy of Bangladesh are no deniable,which deserves to be studied further curtailing the magnitudes of the problem.展开更多
As the healthcare system advances and expands in its services,the challenges of remaining efficient become more important.Emergency medical services(EMS)are vital cornerstones of communities.In many countries,EMS is a...As the healthcare system advances and expands in its services,the challenges of remaining efficient become more important.Emergency medical services(EMS)are vital cornerstones of communities.In many countries,EMS is available for every individual,regardless of their social or insurance status,via a toll-free telephone number.Understanding the risk factors for busy days in EMSs might be helpful for improving the allocation of resources,which is the key to better care for all patients in the prehospital setting.[1]An important factor influencing ambulance call volume could be the interplay of public behavior and weather.展开更多
Objective:To assess comprehensive abortion care(CAC)services uptake and barriers to it in selected representative units of the three tier health care in the district of Malda in West Bengal,India.Methods:We conducted ...Objective:To assess comprehensive abortion care(CAC)services uptake and barriers to it in selected representative units of the three tier health care in the district of Malda in West Bengal,India.Methods:We conducted community-based,concurrent,parallel mixed methods study.Quantitative assessment of knowledge of primary health care workers on CAC and appropriate infrastructure assessment was done.Qualitative methods were used to identify themes affecting uptake of quality care among stakeholders.Results:A total of 48 staff nurses and 133 auxiliary nurses and midwives were included in the study.About half of nurses(of total 48)who were second tier health care provider and two thirds(of total 133)of first tier health care provider had incorrect knowledge about legality of abortion.Only 40%mothers seeking abortion were accompanied to subcentre by primary health care worker.At the third tier health care site,physicians insisted on necessity of refresher training.Suboptimal uptake of available CAC services was due to lack of enabling environment.Lack of updated training across health care workers was observed.Conclusions:Health care providers at the community level were unaware of facilities available for mothers seeking abortion.Higher level health care providers were unsure of specific knowledge about legal permissibility and sterilization of apparatus for abortion.At the highest level,more training on medical methods of abortion was required.The problems identified are amenable to correction,and some administrative and service-related provision on appropriate measures may lead to immediate success.展开更多
Objective:To study the application effect of the multi-role positioning service model in hypertensive patients in the health examination center.Methods:A total of 152 hypertensive patients admitted to the hospital’s ...Objective:To study the application effect of the multi-role positioning service model in hypertensive patients in the health examination center.Methods:A total of 152 hypertensive patients admitted to the hospital’s health examination center from January 2024 to January 2025 were selected as the subjects.They were randomly divided into two groups using a random number table method.The control group(76 cases)received conventional physical examination service mode,while the observation group(76 cases)adopted the multi-role positioning service model.The nurse proficiency and physical examination quality were compared between the two groups.Results:The nurse proficiency scores in the observation group were higher than those in the control group(P<0.05).The physical examination quality scores in the observation group were higher than those in the control group(P<0.05).Conclusion:The adoption of the multi-role positioning service model for hypertensive patients in the health examination center can improve nurse proficiency and physical examination quality.展开更多
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.
基金supported in part by the National Key R&D Program of China under Grant 2020YFB1806104in part by Innovation and Entrepreneurship of Jiangsu Province High-level Talent Program+1 种基金in part by Natural Sciences and Engineering Research Council of Canada (NSERC)the support from Huawei
文摘With the deployment of ultra-dense low earth orbit(LEO)satellite constellations,LEO satellite access network(LEO-SAN)is envisioned to achieve global Internet coverage.Meanwhile,the civil aviation communications have increased dramatically,especially for providing airborne Internet services.However,due to dynamic service demands and onboard LEO resources over time and space,it poses huge challenges in satellite-aircraft access and service management in ultra-dense LEO satellite networks(UDLSN).In this paper,we propose a deep reinforcement learning-based approach for ultra-dense LEO satellite-aircraft access and service management.Firstly,we develop an airborne Internet architecture based on UDLSN and design a management mechanism including medium earth orbit satellites to guarantee lightweight management.Secondly,considering latency-sensitive and latency-tolerant services,we formulate the problem of satellite-aircraft access and service management for civil aviation to ensure service continuity.Finally,we propose a proximal policy optimization-based access and service management algorithm to solve the formulated problem.Simulation results demonstrate the convergence and effectiveness of the proposed algorithm with satisfying the service continuity when applying to the UDLSN.
文摘In this editorial,I comment on the article by Zhang et al.To emphasize the importance of the topic,I discuss the relationship between the use of smart medical devices and mental health.Smart medical services have the potential to positively influence mental health by providing monitoring,insights,and inter-ventions.However,they also come with challenges that need to be addressed.Understanding the primary purpose for which individuals use these smart tech-nologies is essential to tailoring them to specific mental health needs and prefe-rences.
基金funded by the Central University D Project(HFW230600022)National Natural Science Foundation of China(71973021)+1 种基金National Natural Science Foundation Youth Funding Project(72003022)Heilongjiang Province University Think Tank Open Topic(ZKKF2022173).
文摘The scientific assessment of ecosystem ser-vice value(ESV)plays a critical role in regional ecologi-cal protection and management,rational land use planning,and the establishment of ecological security barriers.The ecosystem service value of the Northeast Forest Belt from 2005 to 2020 was assessed,focusing on spatial–temporal changes and the driving forces behind these dynamics.Using multi-source data,the equivalent factor method,and geo-graphic detectors,we analyzed natural and socio-economic factors affecting the region.which was crucial for effective ecological conservation and land-use planning.Enhanced the effectiveness of policy formulation and land use plan-ning.The results show that the ESV of the Northeast Forest Belt exhibits an overall increasing trend from 2005 to 2020,with forests and wetlands contributing the most.However,there are significant differences between forest belts.Driven by natural and socio-economic factors,the ESV of forest belts in Heilongjiang and Jilin provinces showed significant growth.In contrast,the ESV of Forest Belts in Liaoning and Inner Mongolia of China remains relatively stable,but the spatial differentiation within these regions is characterized by significant clustering of high-value and low-value areas.Furthermore,climate regulation and hydrological regulation services were identified as the most important ecological functions in the Northeast Forest Belt,contributing greatly to regional ecological stability and human well-being.The ESV in the Northeast Forest Belt is improved during the study period,but the stability of the ecosystem is still chal-lenged by the dual impacts of natural and socio-economic factors.To further optimize regional land use planning and ecological protection policies,it is recommended to prior-itize the conservation of high-ESV areas,enhance ecological restoration efforts for wetlands and forests,and reasonably control the spatial layout of urban expansion and agricul-tural development.Additionally,this study highlights the importance of tailored ecological compensation policies and strategic land-use planning to balance environmental protec-tion and economic growth.
基金supported by the National Natural Science Foundation of China(Grant No.11971486)。
文摘We consider a single server constant retrial queue,in which a state-dependent service policy is used to control the service rate.Customer arrival follows Poisson process,while service time and retrial time are exponential distributions.Whenever the server is available,it admits the retrial customers into service based on a first-come first-served rule.The service rate adjusts in real-time based on the retrial queue length.An iterative algorithm is proposed to numerically solve the personal optimal problem in the fully observable scenario.Furthermore,we investigate the impact of parameters on the social optimal threshold.The effectiveness of the results is illustrated by two examples.
基金the support provided by the“New 20 Regulations for Universities”funding program of Jinan(202228089)the TaiS han Industrial Experts Programme(tscx202312128)。
文摘In recent years,service computing has been widely integrated into software development.Web service development,especially under the RESTful schema,needs to guide students in transferring from object-oriented to resource-oriented architectural thinking and cultivating students’literacy in design thinking,design patterns,and development methods.This paper introduces the foundations of service thinking with a brief review of service sciences,the core features of service thinking,and how to train service thinking of students.It also introduces a case study in Shandong University in the construction of a service computing curriculum system,especially how to highlight the cultivation of service thinking in the design of service software system.
基金Shanxi Province Higher Education Science and Technology Innovation Fund Project(2022-676)Shanxi Soft Science Program Research Fund Project(2016041008-6)。
文摘In order to improve the efficiency of cloud-based web services,an improved plant growth simulation algorithm scheduling model.This model first used mathematical methods to describe the relationships between cloud-based web services and the constraints of system resources.Then,a light-induced plant growth simulation algorithm was established.The performance of the algorithm was compared through several plant types,and the best plant model was selected as the setting for the system.Experimental results show that when the number of test cloud-based web services reaches 2048,the model being 2.14 times faster than PSO,2.8 times faster than the ant colony algorithm,2.9 times faster than the bee colony algorithm,and a remarkable 8.38 times faster than the genetic algorithm.
文摘With the intensifying aging population,rural elderly care services are facing challenges such as uneven medical resources and inadequate facilities.Taking Qinhuangdao City as an example,this paper explores ways to improve rural elderly care services through the construction of a remote medical service network.This paper analyzes the current status of rural elderly care services in Qinhuangdao City,pointing out that issues such as the uneven distribution of medical resources between urban and rural areas,poor accessibility,and low service quality urgently need to be addressed.The necessity of accelerating the construction of a remote medical network is proposed,including reducing medical costs,optimizing resource allocation,and disease prevention.Specific measures cover aspects such as policy support,integration of medical and elderly care services,talent cultivation,and technology promotion.At the same time,the potential challenges and risks faced by the remote medical service network in improving rural elderly care services are evaluated,and corresponding countermeasures and suggestions are proposed.Research shows that remote medical care can effectively improve the quality of rural elderly care services and help achieve proper medical care for the elderly.
文摘In the rapidly evolving landscape of digital health,the integration of data analytics and Internet healthserviceshasbecome a pivotal area of exploration.To meet keen social needs,Prof.Shan Liu(Xi'an Jiaotong University)and Prof.Xing Zhang(Wuhan Textile University)have published the timely book Datadriven Internet Health Platform Service Value Co-creation through China Science Press.The book focuses on the provision of medical and health services from doctors to patients through Internet health platforms,where the service value is co-created by three parties.
基金2021 General Scientific Research Project of Liaoning Provincial Department of Education(No.LJKR0298)Liaoning Provincial Social Science Planning。
文摘Objective To study the current situation and corresponding characteristics of internet pharmacy services and summarize their core connotations,and to make some suggestions for their future development based on national policies.Methods The literature of the last 20 years that fully or partially matched the theme of internet pharmacy services in China was studied to summarize the status of research and development of remote pharmacy services by combining the web survey method.Results and Conclusion China’s internet pharmacy services include online consultation,science education,information enquiry,follow-up and intervention,and other functions.The main service providers are medical institutions,Internet enterprises,and online drug sales platforms.Internet pharmacy services can improve patients’compliance with medication and the convenience of medical treatment,which better play the role of pharmacists.However,they also face problems such as the varying service qualities,the small number of users,the difficulty in popularizing services in remote areas,and the lack of supervision and protection of patients’rights.
文摘Recently,SAMR issued four national standards in the exhibition services sector,including the newly developed GB/T 45704-2025,Guidelines for online exhibition services,and three revised standards.GB/T 45704-2025 addresses the emerging online exhibition models.It provides guidelines for the whole exhibition process,and clarifies the requirements for service providers’capabilities,to promote the healthy development of this evolving industry.
基金supported by the National Natural Science Foundation of China[Grant NO.42361040]。
文摘Ecosystem service flows(ESFs)can reveal the interrelationships and impacts between natural systems and human activities.We can improve the stability and sustainability of ecosystems,more effectively utilize natural resources,protect the environment,and enhance the harmonious coexistence of humans and nature by comprehending ESFs.However,few studies have examined ESFs across scales and evaluated their sustainability;most have concentrated on regional scales.In order to quantify and analyze ESFs within the Jing River Basin(JRB)and between the JRB and the adjacent and distant regions from a water-food-energy perspective,this paper employs a meta-coupling framework.Additionally,it evaluates the sustainability of these flows using a techno-ecological synergy framework.The results show that the ESFs within the JRB was significant in 2020.Water production services were concentrated in the southern part of the JRB,while the distribution of food supply and carbon supply services was relatively even.Huan County emerged as the largest exporting county,providing 1.46×10^(8)kg of food to other counties and exporting 2.97×10^(6)kg of energy.The ESFs in the JRB primarily moved towards the neighboring and distant systems.Water production services flowed into the Guanzhong Plain Urban Agglomeration(GPUA),amounting to 5.8×10^(6)kg.Carbon supply services flowed out at 2.4×10^(5)kg,and food exports were the highest,reaching 5.0×10^(7)kg.The ecosystem service flows from the JRB to both the neighboring and distant systems enhanced food security and ecological resilience.The basin itself demonstrated good sustainability in food supply services,with an index value reaching 48.19.In crossscale calculations of food production sustainability with the adjacent GPUA,the index value increased from 48.19 to 52.99,indicating a significant improvement.These findings demonstrate that applying the meta-coupling framework provides an effective approach to quantify ESFs and assess their sustainability across scales.
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 Forest Research Centre,a research unit funded by Fundacao para a Ciencia e a Tecnologia I.P.(FCT),Portugal(UIDB/00239/2020)the Associated Laboratory TERRA(LA/P/0092/2020)+4 种基金Additional funding was provided through the Ph.D.grant awarded to Dagm Abate(UI/BD/151525/2021)by two key projects:H2020-MSCA-RISE-2020/101007950,titled“DecisionES-Decision Support for the Supply of Ecosystem Services under Global Change,”funded by the Marie Curie International Staff Exchange Scheme,H2020-LCGD-2020-3/101037419,titled“FIRE-RES-Innovative technologies and socio-ecological economic solutions for fireresilient territories in Europe,”funded by the EU Horizon 2020—Research and Innovation Framework Programmesupported by a project MODFIRE—a multiple criteria approach to integrate wildfire behavior in forest management planning with reference PCIF/MOS/0217/2017a contract from Dr.Susete Marques in the scope of Norma Transitoria—DL57/2016/CP1382/CT15a grant from Fundacao para a Ciencia e a Tecnologia(FCT),Portugal to Dr.Guerra-Hernandez(CEECIND/02576/2022).
文摘Cultural ecosystem services(CES),which encompass recreational and aesthetic values,contribute to human wellbeing and yet are often underrepresented in forest management planning due to challenges in quantifying these services.This study introduces the Recreational and Aesthetic Values of Forested Landscapes(RAFL)index,a novel framework combining six measurable recreational and aesthetic components:Stewardship,Naturalness,Complexity,Visual Scale,Historicity,and Ephemera.The RAFL index was integrated into a Linear Programming(LP)Resource Capability Model(RCM)to assess trade-offs between CES and other ecosystem services,including timber production,wildfire resistance,and biodiversity.The approach was applied in a case study in Northern Portugal,comparing two forest management scenarios:Business as Usual(BAU),dominated by eucalyptus plantations,and an Alternative Scenario(ALT),focused on the conversion to native species:cork oak,chestnut,and pedunculate oak.Results revealed that the ALT scenario consistently achieved higher RAFL values,reflecting its potential to enhance CES,while also supporting higher biodiversity and wildfire resilience compared to the BAU scenario.Results highlighted further that management may maintain steady timber production and wildfire regulatory services while addressing concerns with CES.This study provides a replicable methodology for quantifying CES and integrating them into forest management frameworks,offering actionable insights for decision-makers.The findings highlight the effectiveness of the approach in designing landscape mosaics that provide CES while addressing the need to supply provisioning and regulatory ecosystem services.
文摘In the 21st century world,people mostly behave with business mentality without considering moral obligations in society.In this behavioral change,the service market,particularly the medical care service market,has appeared to be vulnerable.Because of supplying medical care services,the doctor or hospital receives capitation payments,fees-for-services,risk pool settlements,incentive payments or other fees.However,today it is probably the most criticized profession in world economy country-wise such as Bangladesh.Sometimes doctors here are blamed for requiring unnecessary tests of patients for doctors’own monetary gains.In some cases,doctors’efforts are assumed to relate to pharmaceutical products promotion by writing lengthy prescriptions.Some groups claim that today doctors spend less time on each patient.All these interactions justify claiming that a patient works for a doctor when the patient visits a doctor for medical care services.Here the existence of“asymmetric information”dominates the medical care market where doctor takes advantages in multiple facets.It causes market inefficiency that creates negative economic externalities-deadweight loss.Improving medical education with special emphasis on ethical aspects and soft skills in communication is considered important in order to reduce the magnitudes of today’s dilemma in the medical care service market.Also,strict enforcements of medical care provisions and ethical code of conduct among all health works can be instrumental.Finally,the answer to the question“Are medical care services becoming money-making machines under physicians’headship in the 21st century business-driven world?”depends on who are asked.But the reflections of today’s medical care market in economy of Bangladesh are no deniable,which deserves to be studied further curtailing the magnitudes of the problem.
文摘As the healthcare system advances and expands in its services,the challenges of remaining efficient become more important.Emergency medical services(EMS)are vital cornerstones of communities.In many countries,EMS is available for every individual,regardless of their social or insurance status,via a toll-free telephone number.Understanding the risk factors for busy days in EMSs might be helpful for improving the allocation of resources,which is the key to better care for all patients in the prehospital setting.[1]An important factor influencing ambulance call volume could be the interplay of public behavior and weather.
基金funded by National Health Mission,Government of West Bengal[HFW-35099/37/2018-SFWB SEC(DHS)(HFW)/4441,dated 23 August 2018].
文摘Objective:To assess comprehensive abortion care(CAC)services uptake and barriers to it in selected representative units of the three tier health care in the district of Malda in West Bengal,India.Methods:We conducted community-based,concurrent,parallel mixed methods study.Quantitative assessment of knowledge of primary health care workers on CAC and appropriate infrastructure assessment was done.Qualitative methods were used to identify themes affecting uptake of quality care among stakeholders.Results:A total of 48 staff nurses and 133 auxiliary nurses and midwives were included in the study.About half of nurses(of total 48)who were second tier health care provider and two thirds(of total 133)of first tier health care provider had incorrect knowledge about legality of abortion.Only 40%mothers seeking abortion were accompanied to subcentre by primary health care worker.At the third tier health care site,physicians insisted on necessity of refresher training.Suboptimal uptake of available CAC services was due to lack of enabling environment.Lack of updated training across health care workers was observed.Conclusions:Health care providers at the community level were unaware of facilities available for mothers seeking abortion.Higher level health care providers were unsure of specific knowledge about legal permissibility and sterilization of apparatus for abortion.At the highest level,more training on medical methods of abortion was required.The problems identified are amenable to correction,and some administrative and service-related provision on appropriate measures may lead to immediate success.
文摘Objective:To study the application effect of the multi-role positioning service model in hypertensive patients in the health examination center.Methods:A total of 152 hypertensive patients admitted to the hospital’s health examination center from January 2024 to January 2025 were selected as the subjects.They were randomly divided into two groups using a random number table method.The control group(76 cases)received conventional physical examination service mode,while the observation group(76 cases)adopted the multi-role positioning service model.The nurse proficiency and physical examination quality were compared between the two groups.Results:The nurse proficiency scores in the observation group were higher than those in the control group(P<0.05).The physical examination quality scores in the observation group were higher than those in the control group(P<0.05).Conclusion:The adoption of the multi-role positioning service model for hypertensive patients in the health examination center can improve nurse proficiency and physical examination quality.
