Multitarget stool DNA(mt-sDNA) testing was approved for average risk colorectal cancer(CRC) screening by the United States Food and Drug Administration and thereafter reimbursed for use by the Medicare program(2014).T...Multitarget stool DNA(mt-sDNA) testing was approved for average risk colorectal cancer(CRC) screening by the United States Food and Drug Administration and thereafter reimbursed for use by the Medicare program(2014).The United States Preventive Services Task Force(USPSTF) October 2015 draft recommendation for CRC screening included mt-s DNA as an "alternative" screening test that "may be useful in select clinical circumstances",despite its very high sensitivity for early stage CRC.The evidence supporting mt-s DNA for routine screening use is robust.The clinical efficacy of mt-s DNA as measured by sensitivity,specificity,life-years gained(LYG),and CRC deaths averted is similar to or exceeds that of the other more specifically recommended screening options included in the draft document,especially those requiring annual testing adherence.In a population with primarily irregular screening participation,tests with the highest point sensitivity and reasonable specificity are more likely to favorably impact CRC related morbidity and mortality than those depending on annual adherence.This paper reviews the evidence supporting mt-s DNA for routine screening and demonstrates,using USPSTF's modeling data,that mt-s DNA at three-year intervals provides significant clinical net benefits and fewer complications per LYG than annual fecal immunochemical testing,high sensitivity guaiac based fecal occult blood testing and 10-year colonoscopy screening.展开更多
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
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
Northwest China serves as a critical ecological barrier region for maintaining national water,energy,and food security,as well as transboundary ecological governance.However,under the dual pressures of climate change ...Northwest China serves as a critical ecological barrier region for maintaining national water,energy,and food security,as well as transboundary ecological governance.However,under the dual pressures of climate change and human activities,ecosystem services(ESs)are facing severe challenges in this region.Based on multi-source remote sensing and statistical data during 2000–2020,this study investigated the spatiotemporal evolution characteristics of four key ESs(water yield,habitat quality,carbon storage,and food provisioning)in Northwest China using the Integrated Valuation of Ecosystem Services and Tradeoffs(InVEST)model.Integrating morphological spatial pattern analysis(MSPA)and circuit theory,we identified ecological sources,corridors,pinch points,and barriers,and further designed three optimization scenarios(bottleneck optimization,high-resistance corridor buffering,and barrier removal optimization)to enhance landscape connectivity.The results revealed that ES supply and demand exhibited marked spatial heterogeneity,with high-supply areas concentrated in the southeastern sectors.Ecological sources primarily distributed in the southeastern and northern sectors,and ecological resistance surfaces continuously intensified.Water yield and habitat quality demands were increasing,food provisioning demand was decreasing,and carbon storage demand was surging.A total of 61 ecological sources(8%of the study area),142 ecological corridors(24,957 km in total length),237 ecological pinch points,and 89 barrier zones were identified.Among the three optimization scenarios,barrier removal achieved optimal connectivity improvement across all distance thresholds,with the probability of connectivity index improvement reaching up to 4%.This study provides scientific foundations and spatial decision support for ecological network optimization and sustainable governance in arid and semi-arid areas.展开更多
Within the context of global climate change and rapid urbanization,increasing urban resilience(UR)is especially important in the arid region of Northwest China(ANC),where fragile ecosystems and an uneven water distrib...Within the context of global climate change and rapid urbanization,increasing urban resilience(UR)is especially important in the arid region of Northwest China(ANC),where fragile ecosystems and an uneven water distribution create significant sustainability challenges.In this study,a coupled UR-water ecosystem services(WESs)framework was developed on the basis of 1-km resolution remote sensing data for the 2000–2020 period obtained from the Landsat series,Defense Meteorological Satellite Program(DMSP)/Operational Linescan System(OLS),and Global Precipitation Measurement(GPM),among other sources.Within the framework,the Integrated Valuation of Ecosystem Services and Tradeoffs(InVEST)model was incorporated to provide a WES indicator system.Moreover,entropy weighting was employed to quantify both UR and WES indicators;the coupling coordination degree(CCD)model was used to measure the coupled relationship between UR and WESs;an extreme gradient boosting(XGBoost)-SHapley Additive exPlanations(SHAP)interpretation approach was adopted to identify key drivers and underlying mechanisms;and Geographically Weighted Regression(GWR)was applied to capture spatial distribution characteristics of major driving factors.The results indicated that UR steadily increased from 4.60×10^(-3) to 10.24×10^(-3),whereas WESs followed an inverted V-shaped trend,with a peak value observed in 2010(11.84×10^(-3)).The CCD remained consistently low(mean:0.0166–0.0246)and exhibited considerable spatial heterogeneity.Notably,the degree of coordination was greater in the oasis and mountain core areas but significantly lower at desert areas.XGBoost-SHAP model analysis revealed six key drivers influencing various states of the CCD between UR and WESs systems.The contributions of these factors could be ranked as follows:water yield(WY;24.30%)>farmland area per capita(FP;21.10%)>gross domestic product(GDP)per capita(GDPC;19.00%)>soil retention(SR;14.90%)>population density(PD;5.42%)>water purification(WP;4.40%).In contrast,in UR system,WP(53.66%)and SR(31.62%)served as the dominant drivers.Moreover,the dominant drivers shifted from a combination of natural and socioeconomic factors in StateⅠ(sustainable high resilience)to primarily socioeconomic factors in StateⅢ(unsustainable low resilience).SR and WP exerted positive moderating effects,whereas socioeconomic factors such as GDPC and PD exerted inhibitory effects on the coordination relationship.This research highlights that UR in the ANC region is limited mainly by water scarcity,weak feedback loops,and spatial variability,emphasizing the need for tailored intervention strategies.展开更多
This study explored beliefs and actual practices of young women on utilization of Prevention of Mother to Child Transmission (PMTCT) of HIV services in Balaka district of Southern Malawi. The study design wascross sec...This study explored beliefs and actual practices of young women on utilization of Prevention of Mother to Child Transmission (PMTCT) of HIV services in Balaka district of Southern Malawi. The study design wascross sectional which utilized qualitative data collection and analysis methods. In-depth interviews were conducted on 12 young mothers of 15 to 24 years old. The respondents were drawn from 6 health centres in the district during their visits to either the under-five clinic, HIV and AIDS support groups or HIV follow up clinics. Data were analyzed using thematic analysis approach. Overall the respondents had positive beliefs on utilization of PMTCT services. They believed that adherence to PMTCT guidelines such as condom use, taking of Nevirapine (NVP) and exclusive breastfeeding protected the baby from contracting the virus. Nevertheless, all respondents believed that HIV testing was mandatory and that early weaning caused malnutrition and death of babies. Actual practice was very low. Very few young mothers breastfed exclusively, weaned their babies abruptly and took NVP as recommended. Not all positive beliefs translated into positive behavior. Lack of male support, inability of the midwives to provide comprehensive care to HIV infected mothers and their infants, and fear of stigma and discrimination were other factors that hindered utilization of PMTCT services. Culture was also a major barrier because traditionally babies are expected to be breastfed and supplements are fed to babies too. Therefore, there is a need to mobilize communities on PMTCT of HIV. Education programmes in HIV should emphasize behavior change interventions and should focus on both men and women and significant others. There is also need to intensify monitoring and evaluation of health workers’ activities to ensure that beliefs translate into positive behavior.展开更多
Identifying the community structure of complex networks is crucial to extracting insights and understanding network properties.Although several community detection methods have been proposed,many are unsuitable for so...Identifying the community structure of complex networks is crucial to extracting insights and understanding network properties.Although several community detection methods have been proposed,many are unsuitable for social networks due to significant limitations.Specifically,most approaches depend mainly on user-user structural links while overlooking service-centric,semantic,and multi-attribute drivers of community formation,and they also lack flexible filtering mechanisms for large-scale,service-oriented settings.Our proposed approach,called community discovery-based service(CDBS),leverages user profiles and their interactions with consulted web services.The method introduces a novel similarity measure,global similarity interaction profile(GSIP),which goes beyond typical similarity measures by unifying user and service profiles for all attributes types into a coherent representation,thereby clarifying its novelty and contribution.It applies multiple filtering criteria related to user attributes,accessed services,and interaction patterns.Experimental comparisons against Louvain,Hierarchical Agglomerative Clustering,Label Propagation and Infomap show that CDBS reveals the higher performance as it achieves 0.74 modularity,0.13 conductance,0.77 coverage,and significantly fast response time of 9.8 s,even with 10,000 users and 400 services.Moreover,community discoverybased service consistently detects a larger number of communities with distinct topics of interest,underscoring its capacity to generate detailed and efficient structures in complex networks.These results confirm both the efficiency and effectiveness of the proposed method.Beyond controlled evaluation,communities discovery based service is applicable to targeted recommendations,group-oriented marketing,access control,and service personalization,where communities are shaped not only by user links but also by service engagement.展开更多
Understanding how ecological engineering influences the trade-offs and synergies among regional ecosystem services can provide valuable insights for enhancing ecosystem functionality and promoting a virtuous and susta...Understanding how ecological engineering influences the trade-offs and synergies among regional ecosystem services can provide valuable insights for enhancing ecosystem functionality and promoting a virtuous and sustainable ecological cycle.This study focuses on the Changbai Mountain region,a key ecological conservation area in northeastern China.It employs global spatial autocorrelation analysis and bivariate spatial correlation methods to explore the spatial patterns of five key ecosystem services—soil retention,carbon sequestration,water purification,habitat quality,and water yield—as well as the spatial heterogeneity of the trade-offs and synergies among them.The results indicate that:(1)Forest land is the dominant land-use type in the study area,with land-use changes primarily occurring among grassland,forest,and cropland.(2)The implementation of the“Mountain-River Project”has significantly enhanced ecosystem service capacities.Specifically,the average habitat quality has remained stable at 0.97;average water yield increased from 716 mm to 743 mm;average nitrogen purification rose from 0.025 to 0.028;and total soil retention increased from 8.7×10^(7)tons to 5.09×10^(8)tons.(3)Synergistic relationships dominate the interactions among individual ecosystem services in the Changbai Mountain region.The implementation of ecological engineering has further strengthened synergies—particularly among soil retention,water yield,and other services.However,the short-term impacts of the project have somewhat weakened the synergies between water purification and other ecosystem services.These findings offer a novel perspective for understanding the effects of ecological engineering on ecosystem services and provide a scientific basis for future ecological restoration planning and management.展开更多
Cervical cancer is the second most common cancer among women and the leading cause of deaths among women worldwide. In Kenya, uptake of screening services is at 3.2% below the targeted of 70%. Therefore, there is need...Cervical cancer is the second most common cancer among women and the leading cause of deaths among women worldwide. In Kenya, uptake of screening services is at 3.2% below the targeted of 70%. Therefore, there is need to study the factors that lead to low uptake of the screening services. One way of increasing the uptake of the screening services is its integration with other routine services, thus leading to a reduction in morbidity and mortality rates associated with the disease. The objective of this study was to review and examine the importance of integrating cervical cancer screening services in the routine examinations offered in the Kenyan health facilities. A retrospective study design was adopted by this study. The review of articles, journals, strategic plans was done from the year 2012 to 2017. Data sources included Medline, PMC, Library, Pubmed, Google scholar, cancer prevention plans and strategies. About 28 data sources were reviewed with 78.5% indicating that increased knowledge and creation of awareness on cervical cancer would greatly improve the utilization of the screening services. More than 87% of the information collected among published work in Kenya demonstrated that knowledge on importance cervical cancer screening is inadequate. The primary results of this study suggest that all women of reproductive age (WRA) should undergo cervical cancer screening as a routine service. An integration approach should be adopted, to enhance knowledge on cervical cancer and the importance of screening, causes, preventive and treatment options. The study recommends that, the Government of Kenya through the Ministry of health should include cervical cancer screening as a routine procedure for all WRA.展开更多
In this study, accessibility and location-allocation models have been integrated into GIS to improve spatial planning and environmental sustainability of health services in Al-Madinah Al-Munawwarah. This integration p...In this study, accessibility and location-allocation models have been integrated into GIS to improve spatial planning and environmental sustainability of health services in Al-Madinah Al-Munawwarah. This integration provides a planning framework in order to check the efficiency of the spatial allocation of health services and to generate alternatives either by proposing an active service or to improve an existing one. To achieve these objectives, the accessibility to the service area was analyzed within the analysis of health services networks, which are divided into eight types: public hospitals, specialized hospitals, health units, healthcare centers, infirmaries, clinic complexes, the Red Crescent Center, and ambulance facilities, with time intervals of (5 minutes - 10 minutes - 15 minutes) to access coverage ranges, and the location-allocation model was used based on the maximum coverage model within a response time not exceeding 15 minutes, The results of the study revealed the poor distribution of health services Al-Madinah Al-Munawwarah suffers from weak accessibility to health services coverage areas and is unable to meet the needs of its population at present. The current need for health services reached twenty-four locations, including two public hospitals, three specialized hospitals, two health centers, three ambulance facilities, four infirmaries, three clinic complexes, four health units, and three Red Crescent centers.展开更多
The Guangdong,Jiangxi and Fujian(GJF)provinces,located in the subtropical region of southeastern China,is one of the national key regions for soil erosion control and ecological restoration.This region is characterize...The Guangdong,Jiangxi and Fujian(GJF)provinces,located in the subtropical region of southeastern China,is one of the national key regions for soil erosion control and ecological restoration.This region is characterized by extensive red soil development and high rainfall erosivity,making it a representative landscape for exploring the interactions between land use change(LUC)and ecosystem services(ES).Despite the recognized importance of ES in hilly regions,comprehensive assessing the impacts of LUC on ES remain limited.This study investigates five key ES:water yield,soil conservation,carbon conservation,food supply,and habitat quality in GJF region from 2000 to 2020.By applying the InVEST model and the Geodetector method,we assessed the trade-offs,synergies,and transitions among ES,identified the natural and social drivers of ES dynamics,and quantified the contribution of LUC to ES changes using the ecosystem service contribution index.The results showed that cropland and woodland were the dominant land use types.Ecological restoration efforts positively influenced ES,with synergies intensifying and trade-offs diminishing over time.Land use conversions,particularly among woodland,grassland,and cropland,exerted significant impacts on ES.In particular,the conversion of woodland to other land uses had markedly negative effects on soil conservation,carbon conservation,and habitat quality.Forest cover was identified as a major driver of ES dynamics.These findings highlight the importance of maintaining and expanding forest and grassland cover,strengthening red soil conservation,and optimizing land use structure to achieve coordinated ecological protection and socioeconomic development in the subtropical hilly regions of southern China.展开更多
The Amazonian economic occupation over the last forty years has been extremely harmful to the environment and to the traditional populations. One of the strategies to overcome this difficulty, dealing with sustainable...The Amazonian economic occupation over the last forty years has been extremely harmful to the environment and to the traditional populations. One of the strategies to overcome this difficulty, dealing with sustainable development, is the development of productive units—starting with non-timber forest products (NTFP)—and the Payment for Environmental Services (PES) for the residents and/or owners of forest areas. The main problem which the literature demonstrates is that the estimated values paid for the PES are rather high, because they use the opportunity cost as reference, not considering the family reproduction social cost. The main aim of this study is to provide an alternative forecast of the value to be paid for the environmental services (PES) for the Amazon forest, based on the real costs of the forest communities maintenance, as based on the real economic needs of rural family production in the “Chico Mendes” Extractive Reserve (RESEX), in Xapuri (Acre state), Brazil. It was used a specific methodology, developed regionally, which measured and provided indicators to evaluate and to analyze the economic evolution of those families over the last decade. Based on the needs of family reproduction, the calculations require that the minimum value for PES should be US$13 per hectare, a far lower and more appropriate value than the literature’s average propositions that is around US$50 per hectare. The present paper estimates that the costs of the PES in the Chico Mendes RESEX would be approximately US$5,767,000 per year—taking into account the average area per family.展开更多
The aim of the review was to synthesise the best available evidence regarding attitude of health care providers towards adolescent sexual and reproductive health services in developing countries. The review was conduc...The aim of the review was to synthesise the best available evidence regarding attitude of health care providers towards adolescent sexual and reproductive health services in developing countries. The review was conducted following qualitative research method. An online search of Cumulative Index to Nursing and Allied Health Literature (CINAHL), British Nursing Index (BNI), EMBASE and MEDLINE databases was conducted to identify relevant studies for the review. There were nine studies that met the inclusion criteria and these were critically assessed by two independent reviewers using the standardised Joanna Briggs Institute (JBI) critical appraisal forms. Data were extracted using the standardised JBI data extraction forms. A narrative synthesis was done on the findings. Key findings from the review indicate that unprofessional attitude of health care professionals and lack of youth friendly reproductive health services, inhibit adolescents from gaining access to sexual and reproductive health services in developing countries. It is recommended that youth friendly reproductive health services be provided to increase uptake of re-productive health services by adolescents.展开更多
This article identifies the role of library and information science (LIS) education in the development of community health information services for people living with HIV/AIDS (PLWHA). Preliminary findings are present...This article identifies the role of library and information science (LIS) education in the development of community health information services for people living with HIV/AIDS (PLWHA). Preliminary findings are presented from semi- structured qualitative interviews that were conducted with eleven directors and managers of local branches in the Knox County Public Library (KCPL) System that is located in the East Tennessee region in the United States. Select feedback reported by research participants is summarized in the article about strategies in LIS education that can help local public librarians and others in their efforts to become more responsive information providers to PLWHA. Research findings help better understand the issues and concerns regarding the development of digital and non-digital health information services for PLWHA in local public library institutions.展开更多
文摘Multitarget stool DNA(mt-sDNA) testing was approved for average risk colorectal cancer(CRC) screening by the United States Food and Drug Administration and thereafter reimbursed for use by the Medicare program(2014).The United States Preventive Services Task Force(USPSTF) October 2015 draft recommendation for CRC screening included mt-s DNA as an "alternative" screening test that "may be useful in select clinical circumstances",despite its very high sensitivity for early stage CRC.The evidence supporting mt-s DNA for routine screening use is robust.The clinical efficacy of mt-s DNA as measured by sensitivity,specificity,life-years gained(LYG),and CRC deaths averted is similar to or exceeds that of the other more specifically recommended screening options included in the draft document,especially those requiring annual testing adherence.In a population with primarily irregular screening participation,tests with the highest point sensitivity and reasonable specificity are more likely to favorably impact CRC related morbidity and mortality than those depending on annual adherence.This paper reviews the evidence supporting mt-s DNA for routine screening and demonstrates,using USPSTF's modeling data,that mt-s DNA at three-year intervals provides significant clinical net benefits and fewer complications per LYG than annual fecal immunochemical testing,high sensitivity guaiac based fecal occult blood testing and 10-year colonoscopy screening.
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.
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.
基金supported by the Tianchi Talent Introduction Program of Xinjiang Uygur Autonomous Region(2024000104)the National Key Research and Development Program of China(2023YFF0805603).
文摘Northwest China serves as a critical ecological barrier region for maintaining national water,energy,and food security,as well as transboundary ecological governance.However,under the dual pressures of climate change and human activities,ecosystem services(ESs)are facing severe challenges in this region.Based on multi-source remote sensing and statistical data during 2000–2020,this study investigated the spatiotemporal evolution characteristics of four key ESs(water yield,habitat quality,carbon storage,and food provisioning)in Northwest China using the Integrated Valuation of Ecosystem Services and Tradeoffs(InVEST)model.Integrating morphological spatial pattern analysis(MSPA)and circuit theory,we identified ecological sources,corridors,pinch points,and barriers,and further designed three optimization scenarios(bottleneck optimization,high-resistance corridor buffering,and barrier removal optimization)to enhance landscape connectivity.The results revealed that ES supply and demand exhibited marked spatial heterogeneity,with high-supply areas concentrated in the southeastern sectors.Ecological sources primarily distributed in the southeastern and northern sectors,and ecological resistance surfaces continuously intensified.Water yield and habitat quality demands were increasing,food provisioning demand was decreasing,and carbon storage demand was surging.A total of 61 ecological sources(8%of the study area),142 ecological corridors(24,957 km in total length),237 ecological pinch points,and 89 barrier zones were identified.Among the three optimization scenarios,barrier removal achieved optimal connectivity improvement across all distance thresholds,with the probability of connectivity index improvement reaching up to 4%.This study provides scientific foundations and spatial decision support for ecological network optimization and sustainable governance in arid and semi-arid areas.
基金supported by the Natural Science Foundation of Xinjiang Uygur Autonomous Region(2022D01B109)the Tianchi Doctoral Program of Xinjiang Uygur Autonomous Region(BS2021007).
文摘Within the context of global climate change and rapid urbanization,increasing urban resilience(UR)is especially important in the arid region of Northwest China(ANC),where fragile ecosystems and an uneven water distribution create significant sustainability challenges.In this study,a coupled UR-water ecosystem services(WESs)framework was developed on the basis of 1-km resolution remote sensing data for the 2000–2020 period obtained from the Landsat series,Defense Meteorological Satellite Program(DMSP)/Operational Linescan System(OLS),and Global Precipitation Measurement(GPM),among other sources.Within the framework,the Integrated Valuation of Ecosystem Services and Tradeoffs(InVEST)model was incorporated to provide a WES indicator system.Moreover,entropy weighting was employed to quantify both UR and WES indicators;the coupling coordination degree(CCD)model was used to measure the coupled relationship between UR and WESs;an extreme gradient boosting(XGBoost)-SHapley Additive exPlanations(SHAP)interpretation approach was adopted to identify key drivers and underlying mechanisms;and Geographically Weighted Regression(GWR)was applied to capture spatial distribution characteristics of major driving factors.The results indicated that UR steadily increased from 4.60×10^(-3) to 10.24×10^(-3),whereas WESs followed an inverted V-shaped trend,with a peak value observed in 2010(11.84×10^(-3)).The CCD remained consistently low(mean:0.0166–0.0246)and exhibited considerable spatial heterogeneity.Notably,the degree of coordination was greater in the oasis and mountain core areas but significantly lower at desert areas.XGBoost-SHAP model analysis revealed six key drivers influencing various states of the CCD between UR and WESs systems.The contributions of these factors could be ranked as follows:water yield(WY;24.30%)>farmland area per capita(FP;21.10%)>gross domestic product(GDP)per capita(GDPC;19.00%)>soil retention(SR;14.90%)>population density(PD;5.42%)>water purification(WP;4.40%).In contrast,in UR system,WP(53.66%)and SR(31.62%)served as the dominant drivers.Moreover,the dominant drivers shifted from a combination of natural and socioeconomic factors in StateⅠ(sustainable high resilience)to primarily socioeconomic factors in StateⅢ(unsustainable low resilience).SR and WP exerted positive moderating effects,whereas socioeconomic factors such as GDPC and PD exerted inhibitory effects on the coordination relationship.This research highlights that UR in the ANC region is limited mainly by water scarcity,weak feedback loops,and spatial variability,emphasizing the need for tailored intervention strategies.
文摘This study explored beliefs and actual practices of young women on utilization of Prevention of Mother to Child Transmission (PMTCT) of HIV services in Balaka district of Southern Malawi. The study design wascross sectional which utilized qualitative data collection and analysis methods. In-depth interviews were conducted on 12 young mothers of 15 to 24 years old. The respondents were drawn from 6 health centres in the district during their visits to either the under-five clinic, HIV and AIDS support groups or HIV follow up clinics. Data were analyzed using thematic analysis approach. Overall the respondents had positive beliefs on utilization of PMTCT services. They believed that adherence to PMTCT guidelines such as condom use, taking of Nevirapine (NVP) and exclusive breastfeeding protected the baby from contracting the virus. Nevertheless, all respondents believed that HIV testing was mandatory and that early weaning caused malnutrition and death of babies. Actual practice was very low. Very few young mothers breastfed exclusively, weaned their babies abruptly and took NVP as recommended. Not all positive beliefs translated into positive behavior. Lack of male support, inability of the midwives to provide comprehensive care to HIV infected mothers and their infants, and fear of stigma and discrimination were other factors that hindered utilization of PMTCT services. Culture was also a major barrier because traditionally babies are expected to be breastfed and supplements are fed to babies too. Therefore, there is a need to mobilize communities on PMTCT of HIV. Education programmes in HIV should emphasize behavior change interventions and should focus on both men and women and significant others. There is also need to intensify monitoring and evaluation of health workers’ activities to ensure that beliefs translate into positive behavior.
文摘Identifying the community structure of complex networks is crucial to extracting insights and understanding network properties.Although several community detection methods have been proposed,many are unsuitable for social networks due to significant limitations.Specifically,most approaches depend mainly on user-user structural links while overlooking service-centric,semantic,and multi-attribute drivers of community formation,and they also lack flexible filtering mechanisms for large-scale,service-oriented settings.Our proposed approach,called community discovery-based service(CDBS),leverages user profiles and their interactions with consulted web services.The method introduces a novel similarity measure,global similarity interaction profile(GSIP),which goes beyond typical similarity measures by unifying user and service profiles for all attributes types into a coherent representation,thereby clarifying its novelty and contribution.It applies multiple filtering criteria related to user attributes,accessed services,and interaction patterns.Experimental comparisons against Louvain,Hierarchical Agglomerative Clustering,Label Propagation and Infomap show that CDBS reveals the higher performance as it achieves 0.74 modularity,0.13 conductance,0.77 coverage,and significantly fast response time of 9.8 s,even with 10,000 users and 400 services.Moreover,community discoverybased service consistently detects a larger number of communities with distinct topics of interest,underscoring its capacity to generate detailed and efficient structures in complex networks.These results confirm both the efficiency and effectiveness of the proposed method.Beyond controlled evaluation,communities discovery based service is applicable to targeted recommendations,group-oriented marketing,access control,and service personalization,where communities are shaped not only by user links but also by service engagement.
基金supported by the coupling mechanism and system restoration modes of Mountains-Rivers-Forests-Farmlands-Lakes-Grasslands,National Key Research and Development Program of the 14th Five-Year,China(2022YFF1303201).
文摘Understanding how ecological engineering influences the trade-offs and synergies among regional ecosystem services can provide valuable insights for enhancing ecosystem functionality and promoting a virtuous and sustainable ecological cycle.This study focuses on the Changbai Mountain region,a key ecological conservation area in northeastern China.It employs global spatial autocorrelation analysis and bivariate spatial correlation methods to explore the spatial patterns of five key ecosystem services—soil retention,carbon sequestration,water purification,habitat quality,and water yield—as well as the spatial heterogeneity of the trade-offs and synergies among them.The results indicate that:(1)Forest land is the dominant land-use type in the study area,with land-use changes primarily occurring among grassland,forest,and cropland.(2)The implementation of the“Mountain-River Project”has significantly enhanced ecosystem service capacities.Specifically,the average habitat quality has remained stable at 0.97;average water yield increased from 716 mm to 743 mm;average nitrogen purification rose from 0.025 to 0.028;and total soil retention increased from 8.7×10^(7)tons to 5.09×10^(8)tons.(3)Synergistic relationships dominate the interactions among individual ecosystem services in the Changbai Mountain region.The implementation of ecological engineering has further strengthened synergies—particularly among soil retention,water yield,and other services.However,the short-term impacts of the project have somewhat weakened the synergies between water purification and other ecosystem services.These findings offer a novel perspective for understanding the effects of ecological engineering on ecosystem services and provide a scientific basis for future ecological restoration planning and management.
文摘Cervical cancer is the second most common cancer among women and the leading cause of deaths among women worldwide. In Kenya, uptake of screening services is at 3.2% below the targeted of 70%. Therefore, there is need to study the factors that lead to low uptake of the screening services. One way of increasing the uptake of the screening services is its integration with other routine services, thus leading to a reduction in morbidity and mortality rates associated with the disease. The objective of this study was to review and examine the importance of integrating cervical cancer screening services in the routine examinations offered in the Kenyan health facilities. A retrospective study design was adopted by this study. The review of articles, journals, strategic plans was done from the year 2012 to 2017. Data sources included Medline, PMC, Library, Pubmed, Google scholar, cancer prevention plans and strategies. About 28 data sources were reviewed with 78.5% indicating that increased knowledge and creation of awareness on cervical cancer would greatly improve the utilization of the screening services. More than 87% of the information collected among published work in Kenya demonstrated that knowledge on importance cervical cancer screening is inadequate. The primary results of this study suggest that all women of reproductive age (WRA) should undergo cervical cancer screening as a routine service. An integration approach should be adopted, to enhance knowledge on cervical cancer and the importance of screening, causes, preventive and treatment options. The study recommends that, the Government of Kenya through the Ministry of health should include cervical cancer screening as a routine procedure for all WRA.
文摘In this study, accessibility and location-allocation models have been integrated into GIS to improve spatial planning and environmental sustainability of health services in Al-Madinah Al-Munawwarah. This integration provides a planning framework in order to check the efficiency of the spatial allocation of health services and to generate alternatives either by proposing an active service or to improve an existing one. To achieve these objectives, the accessibility to the service area was analyzed within the analysis of health services networks, which are divided into eight types: public hospitals, specialized hospitals, health units, healthcare centers, infirmaries, clinic complexes, the Red Crescent Center, and ambulance facilities, with time intervals of (5 minutes - 10 minutes - 15 minutes) to access coverage ranges, and the location-allocation model was used based on the maximum coverage model within a response time not exceeding 15 minutes, The results of the study revealed the poor distribution of health services Al-Madinah Al-Munawwarah suffers from weak accessibility to health services coverage areas and is unable to meet the needs of its population at present. The current need for health services reached twenty-four locations, including two public hospitals, three specialized hospitals, two health centers, three ambulance facilities, four infirmaries, three clinic complexes, four health units, and three Red Crescent centers.
基金funded by the National Natural Science Foundation of China(42377326 and 42201267)National Research-Development Support Plan Projects of China(Grant No.2017YFC05054)the Fujian Provincial Water Resources Department Science and Technology Project(MSK202308)。
文摘The Guangdong,Jiangxi and Fujian(GJF)provinces,located in the subtropical region of southeastern China,is one of the national key regions for soil erosion control and ecological restoration.This region is characterized by extensive red soil development and high rainfall erosivity,making it a representative landscape for exploring the interactions between land use change(LUC)and ecosystem services(ES).Despite the recognized importance of ES in hilly regions,comprehensive assessing the impacts of LUC on ES remain limited.This study investigates five key ES:water yield,soil conservation,carbon conservation,food supply,and habitat quality in GJF region from 2000 to 2020.By applying the InVEST model and the Geodetector method,we assessed the trade-offs,synergies,and transitions among ES,identified the natural and social drivers of ES dynamics,and quantified the contribution of LUC to ES changes using the ecosystem service contribution index.The results showed that cropland and woodland were the dominant land use types.Ecological restoration efforts positively influenced ES,with synergies intensifying and trade-offs diminishing over time.Land use conversions,particularly among woodland,grassland,and cropland,exerted significant impacts on ES.In particular,the conversion of woodland to other land uses had markedly negative effects on soil conservation,carbon conservation,and habitat quality.Forest cover was identified as a major driver of ES dynamics.These findings highlight the importance of maintaining and expanding forest and grassland cover,strengthening red soil conservation,and optimizing land use structure to achieve coordinated ecological protection and socioeconomic development in the subtropical hilly regions of southern China.
文摘The Amazonian economic occupation over the last forty years has been extremely harmful to the environment and to the traditional populations. One of the strategies to overcome this difficulty, dealing with sustainable development, is the development of productive units—starting with non-timber forest products (NTFP)—and the Payment for Environmental Services (PES) for the residents and/or owners of forest areas. The main problem which the literature demonstrates is that the estimated values paid for the PES are rather high, because they use the opportunity cost as reference, not considering the family reproduction social cost. The main aim of this study is to provide an alternative forecast of the value to be paid for the environmental services (PES) for the Amazon forest, based on the real costs of the forest communities maintenance, as based on the real economic needs of rural family production in the “Chico Mendes” Extractive Reserve (RESEX), in Xapuri (Acre state), Brazil. It was used a specific methodology, developed regionally, which measured and provided indicators to evaluate and to analyze the economic evolution of those families over the last decade. Based on the needs of family reproduction, the calculations require that the minimum value for PES should be US$13 per hectare, a far lower and more appropriate value than the literature’s average propositions that is around US$50 per hectare. The present paper estimates that the costs of the PES in the Chico Mendes RESEX would be approximately US$5,767,000 per year—taking into account the average area per family.
文摘The aim of the review was to synthesise the best available evidence regarding attitude of health care providers towards adolescent sexual and reproductive health services in developing countries. The review was conducted following qualitative research method. An online search of Cumulative Index to Nursing and Allied Health Literature (CINAHL), British Nursing Index (BNI), EMBASE and MEDLINE databases was conducted to identify relevant studies for the review. There were nine studies that met the inclusion criteria and these were critically assessed by two independent reviewers using the standardised Joanna Briggs Institute (JBI) critical appraisal forms. Data were extracted using the standardised JBI data extraction forms. A narrative synthesis was done on the findings. Key findings from the review indicate that unprofessional attitude of health care professionals and lack of youth friendly reproductive health services, inhibit adolescents from gaining access to sexual and reproductive health services in developing countries. It is recommended that youth friendly reproductive health services be provided to increase uptake of re-productive health services by adolescents.
文摘This article identifies the role of library and information science (LIS) education in the development of community health information services for people living with HIV/AIDS (PLWHA). Preliminary findings are presented from semi- structured qualitative interviews that were conducted with eleven directors and managers of local branches in the Knox County Public Library (KCPL) System that is located in the East Tennessee region in the United States. Select feedback reported by research participants is summarized in the article about strategies in LIS education that can help local public librarians and others in their efforts to become more responsive information providers to PLWHA. Research findings help better understand the issues and concerns regarding the development of digital and non-digital health information services for PLWHA in local public library institutions.
