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
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
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
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
The Jabodetabek Metropolitan Area(JMA),Indonesia’s largest urban agglomeration,faces severe challenges due to rapid population growth and environmental degradation.Expanding urban areas has led to a reduction in gree...The Jabodetabek Metropolitan Area(JMA),Indonesia’s largest urban agglomeration,faces severe challenges due to rapid population growth and environmental degradation.Expanding urban areas has led to a reduction in green spaces,damaging ecosystem services,and exacerbating urban heat island effect,soil erosion,and flood risk.Therefore,this study identified key ecosystem service indicators,including Urban Heat Mitigation(UHM),Sediment Retention(SR),and Flood Risk Mitigation(FRM),and defined the spatial pattern of ecosystem services and its management zones in the JMA in 2024.Spatial data and ecosystem service indicators were analyzed using the Integrated Valuation of Ecosystem Services and Trade-offs(InVEST)and spatial clustering analysis tool(e.g.,Rustiadi’s Quantitative Zoning Method(RQZM)Ⅱ),and the results served as the basis for formulating strategic recommendations.This study highlighted significant regional disparities.Jakarta,Tangerang Regency,Bekasi Regency,Depok City,Tangerang City,South Tangerang City,and Bekasi City experienced the increase of urban heat effect and flood risk due to dense infrastructure and limited green spaces.Conversely,southern peri-urban areas of Bogor Regency demonstrated higher ecological capacities,particularly in water infiltration and temperature regulation,but remained vulnerable to soil erosion due to urban expansion.The results underscored the critical imbalance between growing urban demands and the diminishing capacity of peri-urban areas to supply ecosystem services,which is driven by the transformation of green spaces into built-up areas.To address these challenges,this study proposed the Nature-Based Solutions(NBS)by emphasizing forested area conservation in the southern region of the JMA,natural landscape restoration and rehabilitation in the central region,and a hybrid of natural and artificial ecosystem creation in the northern region.展开更多
In any organization where SOA has been implemented, all of the web services are registered in UDDI and users’ needs are served by using appropriate web services. So in this paper, we will try to discover a service fr...In any organization where SOA has been implemented, all of the web services are registered in UDDI and users’ needs are served by using appropriate web services. So in this paper, we will try to discover a service from repository first that can provide the required output to the user. The process becomes difficult when a single service is not able to fulfill a user’s need and we need a combination of services to answer complex needs of users. In our paper, we will suggest a simpler approach for dynamic service composition using a graph based methodology. This will be a design time service composition. This approach uses the functional and non-functional parameters of the services to select the most suitable services for composition as per user’s need. This approach involves “service classification” on the basis of functional parameters, “service discovery” on the basis of user’s need and then “service composition” using the selected services on the basis of non-functional parameters like response time, cost, security and availability. Another challenge in SOA implementation is that, once the composition has performed, some services may become faulty at runtime and may stop the entire process of serving a user’s need. So, we will also describe a way of “dynamic service reconfiguration” in our approach that will enable us to identify and replace a faulty service that is violating the SLA or is not accessible anymore. This service reconfiguration is done without redoing or reconfiguring the entire composition. In the end, to simulate the proposed approach, we will represent a prototype application built on php 5.4 using My SQL database at backend.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
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
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 degradation and the loss of ecosystem services stem from multiple causes,requiring coordinated and diverse policies,legislation,and institutional responses to effectively address them.An understanding of the...Ecosystem degradation and the loss of ecosystem services stem from multiple causes,requiring coordinated and diverse policies,legislation,and institutional responses to effectively address them.An understanding of the policies,legislation,and institutions governing ecosystem services can enhance the sustained management and provision of ecosystem services.Therefore,this work appraises the policies,legislation and institutional provisions made by the government of Nepal.In addition,this study analyzes policy implications and identifies gaps and barriers that hinder future improvements in the management of ecosystem services.Altogether,63 documents comprising 45 policies and 18 legislations promulgated by the government of Nepal have been assessed for content analysis.Twenty Key Informant Interviews(KIIs)have also been conducted to obtain expert insights about the gaps in policy formulation and implementation.The results indicate that though several sectoral policies and legislations have made provision on management of ecosystem and its services implicitly or explicitly,still there is lacking of overarching framework to deal with ecosystem services.Overlapping roles and responsibilities outlined in the constitution,policies,and legislation,coupled with weak enforcement and lack of multisectoral coordination mechanism,are significant obstacles to effective policy implementation.Therefore,there is a need to develop an overarching national framework backed up by legislation with a strong multisectoral coordination mechanism that will adopt a holistic and multidisciplinary approach to the sustained management and provision of the ecosystem and its services.展开更多
Coastal tourism holds substantial development potential.However,coastal ecosystems are affected by tourism development,which limits the supply of ecosystem services(ES).This study aims to conduct a systematic literatu...Coastal tourism holds substantial development potential.However,coastal ecosystems are affected by tourism development,which limits the supply of ecosystem services(ES).This study aims to conduct a systematic literature review on the impacts of tourism on coastal and marine ES using the Preferred Reporting Items for Systematic Reviews and Meta-alpha Methods.We initially identified 640 studies by searching titles,abstracts,and keywords.After screening,only 50 studies met the criteria for inclusion in the review.The results showed a significant increase in publications between 2011 and 2023.Most studies were conducted in Europe,Asia,and North and Central America.The most used ES classifications were MEA and CICES.Most studies concentrated on the ES supply dimension(43 studies;86%).Cultural ES(47 studies;94%)were researched more than provisioning(28 studies;56%)and regulating&maintenance(29 studies;58%)sections.Regarding cultural ES,most studies were focused on“Physical and experiential interactions with the natural environment”(34 studies;68%)and on provisioning ES on“Wild animals(terrestrial and aquatic)for nutrition,materials or energy”(18 studies;36%).Quantitative and mixed methods were the most used in the reviewed studies.Most studies identified pressures from“Tourism,urbanisation,and population increase”(27 studies;54%)and focused on“Integrative/common management strategies”(20 studies;40%).Only a few of the studies’results have been validated by external data(10 studies;20%).This study provides an overview of the most assessed marine and coastal ES,where studies are needed with more comprehensive geographic coverage.展开更多
Ecosystem services(ES)mapping and models have advanced in recent years.Improvements were made,and the assessments have transitioned from qualitative to quantitative.Although this is an important advancement,the ES map...Ecosystem services(ES)mapping and models have advanced in recent years.Improvements were made,and the assessments have transitioned from qualitative to quantitative.Although this is an important advancement,the ES mapping and modelling validation step has been overlooked,and this raises an important question in the credibility of the outcomes.This has been an important and unsolved issue in the ES research community that needs to be tackled.This highlight paper discusses the importance of validating single ES mapping and models.Conducting this using field or proximal/remote sensing raw data and not data from other models or stakeholder evaluation is important.A validation step should be mandatory in ES frameworks since it can assess the models’veracity,contribute to identifying the model’s weaknesses/strengths and ultimately represent a scientific advance in the field.This is easier to apply to the biophysical mapping and models of regulating and provisioning ES than to cultural ES,as the latter rely more on perception and cultural contexts.Also,ES supply models are easier to validate than demand and flow models.Robust and well-grounded models are essential for ensuring the reliability of individual ES maps and models and should be integrated into decision-making processes.Although several challenges arise related to the costs of data collection,in several cases prohibitive,and the time and the expertise needed to conduct this sampling and analysis,this is likely an imperative step that needs to be considered in the future.This will be beneficial in establishing ES research and improving decision-making and wellbeing.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
HIV-related stigma,discrimination,and other forms of oppression can severely undermine adherence to antiretroviral therapy(ART)among people living with HIV[1].For example,Kerr et al.reveal that perceived discriminatio...HIV-related stigma,discrimination,and other forms of oppression can severely undermine adherence to antiretroviral therapy(ART)among people living with HIV[1].For example,Kerr et al.reveal that perceived discrimination based on sexual orientation in healthcare settings significantly reduces ART adherence[1].This highlights the urgent need for targeted strategies to address stigma,discrimination,and social marginalization,especially within healthcare facilities,to improve HIV care outcomes.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
This review aims to analyze the development and impact of Artificial Intelligence(AI)in the context of Saudi Arabia’s public healthcare system to fulfill Vision 2030 objectives.It is extensively devoted to AI technol...This review aims to analyze the development and impact of Artificial Intelligence(AI)in the context of Saudi Arabia’s public healthcare system to fulfill Vision 2030 objectives.It is extensively devoted to AI technology deployment relevant to disease management,healthcare delivery,epidemiology,and policy-making.However,its AI is culturally sensitive and ethically grounded in Islam.Based on the PRISMA framework,an SLR evaluated primary academic literature,cases,and practices of Saudi Arabia’s AI implementation in the public healthcare sector.Instead,it categorizes prior research based on how AI can work,the issues it poses,and its implications for the Kingdom’s healthcare system.The Saudi Arabian context analyses show that AI has increased the discreet prediction of diseases,resource management,and monitoring outbreaks during mass congregations such as hajj.Therefore,the study outlines critical areas for defining the potential for artificial intelligence and areas for enhancing digital development to support global healthcare progress.The key themes emerging from the review include Saudi Arabia:(i)the effectiveness of AI with human interaction for sustainable health services;(ii)conditions and quality control to enhance the quality of health care services using AI;(iii)environmental factors as influencing factors for public health care;(iv)Artificial Intelligence,and advanced decision-making technology for Middle Eastern health care systems.For policymakers,healthcare managers,and researchers who will engage with AI innovation,the review proclaims that AI applications should respect the country’s socio-cultural and ethical practices and pave the way for sustainable healthcare provision.More empirical research is needed on the implementation issues with AI,creating culturally appropriate models of AI,and finding new applications of AI to address the increasing demand for healthcare services in Saudi Arabia.展开更多
Pharmacy clinics,staffed by clinical pharmacists who interact directly with patients,encompass services such as medication reconciliation,education,follow-up visits,and lifestyle guidance.Their primary goal is to enha...Pharmacy clinics,staffed by clinical pharmacists who interact directly with patients,encompass services such as medication reconciliation,education,follow-up visits,and lifestyle guidance.Their primary goal is to enhance patients’quality of life.Numerous studies,both domestic and international,have highlighted the benefits of pharmacy clinics in optimizing drug therapy quality and reducing treatment costs,particularly for long-term medication management in organ transplant recipients and similar patient groups.Despite these benefits,pharmacy clinics are still in the early stages of development in China.There remains a lack of clarity regarding the specific development and service content of pharmacy clinics tailored for transplant patients.Therefore,this study aimed to assess the current status of pharmacy clinic development for transplant patients in China and provide insights to hospitals for advancing and strengthening transplant pharmacy clinic initiatives.展开更多
Global warming and climate change have made food production through conventional agriculture inefficient, and their effects on livestock and crop cultivation are leading to disruptions in the food supply. The troubles...Global warming and climate change have made food production through conventional agriculture inefficient, and their effects on livestock and crop cultivation are leading to disruptions in the food supply. The troubles are severe in regions suffering from improper land management and unsustainable practices. The Bio-CircularGreen(BCG) economic model, designed to reduce and recycle resources by using environmentally friendly procedures, has been developed. The Azolla plant represents an interesting model for BCG and for enhancing community networks in Southeast Asia(SEA) because it provides multipurpose materials. Azolla can be used for various applications in agriculture such as biofertilizer and animal feed. However, our understanding and utilization of Azolla are limited. Moreover, collaboration among farmers is insufficient to maximize the benefits of Azolla. In this study, we provide a comprehensive review of the role of Azolla in agriculture. We review the main properties of Azolla as biofertilizers, especially regarding rice production and the interaction with cyanobacteria. For livestock, we discuss procedures to use Azolla in animal feed and evaluate the ingredients of the meal. In addition, we discuss product qualities from livestock treated with Azolla in the diet. This review also describes Azolla-based farming, which is designed for efficient land use and promotes nutrient cycling.Hence, we show that the Azolla plant is one of the key factors for farm-based agroecosystem services which can drive sustainable bioresource management in SEA. Moreover, we also propose the potential development of Azolla to improve its properties as a biofertilizer, a functional feed for animals and humans, and a feedstock for bio-oil production.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.
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 the Directorate General of Higher Education,Research,and Technology,Ministry of Education,Culture,Research,and Technology,Indonesia,under the Research Program Implementation Contract for the year 2024 under subcontract number 027/ES/PG.02.00.PL/2024.
文摘The Jabodetabek Metropolitan Area(JMA),Indonesia’s largest urban agglomeration,faces severe challenges due to rapid population growth and environmental degradation.Expanding urban areas has led to a reduction in green spaces,damaging ecosystem services,and exacerbating urban heat island effect,soil erosion,and flood risk.Therefore,this study identified key ecosystem service indicators,including Urban Heat Mitigation(UHM),Sediment Retention(SR),and Flood Risk Mitigation(FRM),and defined the spatial pattern of ecosystem services and its management zones in the JMA in 2024.Spatial data and ecosystem service indicators were analyzed using the Integrated Valuation of Ecosystem Services and Trade-offs(InVEST)and spatial clustering analysis tool(e.g.,Rustiadi’s Quantitative Zoning Method(RQZM)Ⅱ),and the results served as the basis for formulating strategic recommendations.This study highlighted significant regional disparities.Jakarta,Tangerang Regency,Bekasi Regency,Depok City,Tangerang City,South Tangerang City,and Bekasi City experienced the increase of urban heat effect and flood risk due to dense infrastructure and limited green spaces.Conversely,southern peri-urban areas of Bogor Regency demonstrated higher ecological capacities,particularly in water infiltration and temperature regulation,but remained vulnerable to soil erosion due to urban expansion.The results underscored the critical imbalance between growing urban demands and the diminishing capacity of peri-urban areas to supply ecosystem services,which is driven by the transformation of green spaces into built-up areas.To address these challenges,this study proposed the Nature-Based Solutions(NBS)by emphasizing forested area conservation in the southern region of the JMA,natural landscape restoration and rehabilitation in the central region,and a hybrid of natural and artificial ecosystem creation in the northern region.
文摘In any organization where SOA has been implemented, all of the web services are registered in UDDI and users’ needs are served by using appropriate web services. So in this paper, we will try to discover a service from repository first that can provide the required output to the user. The process becomes difficult when a single service is not able to fulfill a user’s need and we need a combination of services to answer complex needs of users. In our paper, we will suggest a simpler approach for dynamic service composition using a graph based methodology. This will be a design time service composition. This approach uses the functional and non-functional parameters of the services to select the most suitable services for composition as per user’s need. This approach involves “service classification” on the basis of functional parameters, “service discovery” on the basis of user’s need and then “service composition” using the selected services on the basis of non-functional parameters like response time, cost, security and availability. Another challenge in SOA implementation is that, once the composition has performed, some services may become faulty at runtime and may stop the entire process of serving a user’s need. So, we will also describe a way of “dynamic service reconfiguration” in our approach that will enable us to identify and replace a faulty service that is violating the SLA or is not accessible anymore. This service reconfiguration is done without redoing or reconfiguring the entire composition. In the end, to simulate the proposed approach, we will represent a prototype application built on php 5.4 using My SQL database at backend.
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.
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the support of the Second Tibetan Plateau Scientific Expedition and Research(Grant No.2019QZKK0603)the National Natural Science Foundation of China(NSFC)(Grant No.42250410329)the President’s International Fellowship Initiative(PIFI)for Visiting Scientists of the Chinese Academy of Sciences(Grants No.2021VCA0005 and 2023VCC0005)。
文摘Ecosystem degradation and the loss of ecosystem services stem from multiple causes,requiring coordinated and diverse policies,legislation,and institutional responses to effectively address them.An understanding of the policies,legislation,and institutions governing ecosystem services can enhance the sustained management and provision of ecosystem services.Therefore,this work appraises the policies,legislation and institutional provisions made by the government of Nepal.In addition,this study analyzes policy implications and identifies gaps and barriers that hinder future improvements in the management of ecosystem services.Altogether,63 documents comprising 45 policies and 18 legislations promulgated by the government of Nepal have been assessed for content analysis.Twenty Key Informant Interviews(KIIs)have also been conducted to obtain expert insights about the gaps in policy formulation and implementation.The results indicate that though several sectoral policies and legislations have made provision on management of ecosystem and its services implicitly or explicitly,still there is lacking of overarching framework to deal with ecosystem services.Overlapping roles and responsibilities outlined in the constitution,policies,and legislation,coupled with weak enforcement and lack of multisectoral coordination mechanism,are significant obstacles to effective policy implementation.Therefore,there is a need to develop an overarching national framework backed up by legislation with a strong multisectoral coordination mechanism that will adopt a holistic and multidisciplinary approach to the sustained management and provision of the ecosystem and its services.
基金supported by the project MApping and Forecasting Ecosystem Services in Urban Areas(MAFESUR)funded by the Lithuanian Research Council(Contract:Nr.P-MIP-23-426).
文摘Coastal tourism holds substantial development potential.However,coastal ecosystems are affected by tourism development,which limits the supply of ecosystem services(ES).This study aims to conduct a systematic literature review on the impacts of tourism on coastal and marine ES using the Preferred Reporting Items for Systematic Reviews and Meta-alpha Methods.We initially identified 640 studies by searching titles,abstracts,and keywords.After screening,only 50 studies met the criteria for inclusion in the review.The results showed a significant increase in publications between 2011 and 2023.Most studies were conducted in Europe,Asia,and North and Central America.The most used ES classifications were MEA and CICES.Most studies concentrated on the ES supply dimension(43 studies;86%).Cultural ES(47 studies;94%)were researched more than provisioning(28 studies;56%)and regulating&maintenance(29 studies;58%)sections.Regarding cultural ES,most studies were focused on“Physical and experiential interactions with the natural environment”(34 studies;68%)and on provisioning ES on“Wild animals(terrestrial and aquatic)for nutrition,materials or energy”(18 studies;36%).Quantitative and mixed methods were the most used in the reviewed studies.Most studies identified pressures from“Tourism,urbanisation,and population increase”(27 studies;54%)and focused on“Integrative/common management strategies”(20 studies;40%).Only a few of the studies’results have been validated by external data(10 studies;20%).This study provides an overview of the most assessed marine and coastal ES,where studies are needed with more comprehensive geographic coverage.
基金supported by the project Monetary valuation of soil ecosystem services and creation of initiatives to invest in soil health:setting a framework for the inclusion of soil health in business and in the policy making process(InBestSoil)(Horizon Europe)Grant agreement ID:101091099。
文摘Ecosystem services(ES)mapping and models have advanced in recent years.Improvements were made,and the assessments have transitioned from qualitative to quantitative.Although this is an important advancement,the ES mapping and modelling validation step has been overlooked,and this raises an important question in the credibility of the outcomes.This has been an important and unsolved issue in the ES research community that needs to be tackled.This highlight paper discusses the importance of validating single ES mapping and models.Conducting this using field or proximal/remote sensing raw data and not data from other models or stakeholder evaluation is important.A validation step should be mandatory in ES frameworks since it can assess the models’veracity,contribute to identifying the model’s weaknesses/strengths and ultimately represent a scientific advance in the field.This is easier to apply to the biophysical mapping and models of regulating and provisioning ES than to cultural ES,as the latter rely more on perception and cultural contexts.Also,ES supply models are easier to validate than demand and flow models.Robust and well-grounded models are essential for ensuring the reliability of individual ES maps and models and should be integrated into decision-making processes.Although several challenges arise related to the costs of data collection,in several cases prohibitive,and the time and the expertise needed to conduct this sampling and analysis,this is likely an imperative step that needs to be considered in the future.This will be beneficial in establishing ES research and improving decision-making and wellbeing.
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HIV-related stigma,discrimination,and other forms of oppression can severely undermine adherence to antiretroviral therapy(ART)among people living with HIV[1].For example,Kerr et al.reveal that perceived discrimination based on sexual orientation in healthcare settings significantly reduces ART adherence[1].This highlights the urgent need for targeted strategies to address stigma,discrimination,and social marginalization,especially within healthcare facilities,to improve HIV care outcomes.
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.
基金funded by the Scientific ResearchDeanship at theUniversity ofHa’il-Saudi Arabia through project number-RG-23251.
文摘This review aims to analyze the development and impact of Artificial Intelligence(AI)in the context of Saudi Arabia’s public healthcare system to fulfill Vision 2030 objectives.It is extensively devoted to AI technology deployment relevant to disease management,healthcare delivery,epidemiology,and policy-making.However,its AI is culturally sensitive and ethically grounded in Islam.Based on the PRISMA framework,an SLR evaluated primary academic literature,cases,and practices of Saudi Arabia’s AI implementation in the public healthcare sector.Instead,it categorizes prior research based on how AI can work,the issues it poses,and its implications for the Kingdom’s healthcare system.The Saudi Arabian context analyses show that AI has increased the discreet prediction of diseases,resource management,and monitoring outbreaks during mass congregations such as hajj.Therefore,the study outlines critical areas for defining the potential for artificial intelligence and areas for enhancing digital development to support global healthcare progress.The key themes emerging from the review include Saudi Arabia:(i)the effectiveness of AI with human interaction for sustainable health services;(ii)conditions and quality control to enhance the quality of health care services using AI;(iii)environmental factors as influencing factors for public health care;(iv)Artificial Intelligence,and advanced decision-making technology for Middle Eastern health care systems.For policymakers,healthcare managers,and researchers who will engage with AI innovation,the review proclaims that AI applications should respect the country’s socio-cultural and ethical practices and pave the way for sustainable healthcare provision.More empirical research is needed on the implementation issues with AI,creating culturally appropriate models of AI,and finding new applications of AI to address the increasing demand for healthcare services in Saudi Arabia.
文摘Pharmacy clinics,staffed by clinical pharmacists who interact directly with patients,encompass services such as medication reconciliation,education,follow-up visits,and lifestyle guidance.Their primary goal is to enhance patients’quality of life.Numerous studies,both domestic and international,have highlighted the benefits of pharmacy clinics in optimizing drug therapy quality and reducing treatment costs,particularly for long-term medication management in organ transplant recipients and similar patient groups.Despite these benefits,pharmacy clinics are still in the early stages of development in China.There remains a lack of clarity regarding the specific development and service content of pharmacy clinics tailored for transplant patients.Therefore,this study aimed to assess the current status of pharmacy clinic development for transplant patients in China and provide insights to hospitals for advancing and strengthening transplant pharmacy clinic initiatives.
基金Mahidol University for the support of a “Scholarship for PhD Student”, Thailandthe the cooperation with the National Science and Technology Development Agency and Mahidol University of “the Scholarship for the Development of High Quality Research Graduates in Science and Technology Project”, Thailand。
文摘Global warming and climate change have made food production through conventional agriculture inefficient, and their effects on livestock and crop cultivation are leading to disruptions in the food supply. The troubles are severe in regions suffering from improper land management and unsustainable practices. The Bio-CircularGreen(BCG) economic model, designed to reduce and recycle resources by using environmentally friendly procedures, has been developed. The Azolla plant represents an interesting model for BCG and for enhancing community networks in Southeast Asia(SEA) because it provides multipurpose materials. Azolla can be used for various applications in agriculture such as biofertilizer and animal feed. However, our understanding and utilization of Azolla are limited. Moreover, collaboration among farmers is insufficient to maximize the benefits of Azolla. In this study, we provide a comprehensive review of the role of Azolla in agriculture. We review the main properties of Azolla as biofertilizers, especially regarding rice production and the interaction with cyanobacteria. For livestock, we discuss procedures to use Azolla in animal feed and evaluate the ingredients of the meal. In addition, we discuss product qualities from livestock treated with Azolla in the diet. This review also describes Azolla-based farming, which is designed for efficient land use and promotes nutrient cycling.Hence, we show that the Azolla plant is one of the key factors for farm-based agroecosystem services which can drive sustainable bioresource management in SEA. Moreover, we also propose the potential development of Azolla to improve its properties as a biofertilizer, a functional feed for animals and humans, and a feedstock for bio-oil production.
