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China’s Africa Policy:the Interplay Between Continent-Based Policy and Global Strategy
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作者 Li Anshan 《Contemporary World》 2024年第3期39-43,共5页
Valerie Hansen,a historian of Yale University,put forward in the book The Year 1000:When Explorers Connected the World and Globalization Began that the beginning of globalization was marked by the Vikings’landing in ... Valerie Hansen,a historian of Yale University,put forward in the book The Year 1000:When Explorers Connected the World and Globalization Began that the beginning of globalization was marked by the Vikings’landing in North America in A.D.1000.Why cannot the global expansion and continuous migration of Africans be defined as globalization? 展开更多
关键词 strategy VIKING global
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Evolution of United States Technology Alliance Strategy and Reshaping of International Strategic Landscape
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作者 Tang Xinhua 《Contemporary World》 2024年第4期20-24,共5页
Building a technology alliance is the main strategy for the United States to maintain its scientific and technological hegemony under its technopolitical strategic framework.After Joe Biden took office,the United Stat... Building a technology alliance is the main strategy for the United States to maintain its scientific and technological hegemony under its technopolitical strategic framework.After Joe Biden took office,the United States implemented“small yard with high fences”strategy for scientific and technological competition,as the first step toward building a technology alliance.The main goal is to restrict the flow of strategic emerging technologies and factors of innovation to rival countries. 展开更多
关键词 ALLIANCE MAINTAIN strategy
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Global strategy for prevention of gastric cancer
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作者 Sergey M Kotelevets 《World Journal of Clinical Cases》 SCIE 2024年第30期6353-6357,共5页
Global prevention of gastric cancer needs to increase its level of effectiveness.The prevention strategy should include all stages of primary and secondary prevention.The necessary steps to prevent gastric cancer are ... Global prevention of gastric cancer needs to increase its level of effectiveness.The prevention strategy should include all stages of primary and secondary prevention.The necessary steps to prevent gastric cancer are the following:Maintaining a healthy lifestyle and diet,avoiding smoking and alcohol;serological screening of Helicobacter pylori infections and eradication;serological screening of atrophic gastritis in the population over 45 years of age and identification of severe atrophic gastritis with a high risk of developing gastric cancer;verification of atrophic gastritis and precancerous changes in the gastric mucosa using modern endoscopic(confocal laser endomicroscopy,narrow-spectrum imaging,and magnifying endoscopy)and morphological methods among patients with severe atrophic gastritis who were identified using serological screening;treatment of patients with atrophic gastritis during diagnosis verification;annual endoscopic and morphological monitoring of patients with atrophic gastritis during permanent treatment;annual serological monitoring of patients with atrophic gastritis who refused endoscopic and morphological monitoring;and radical treatment of patients with verified early gastric cancer.Ways to implement the algorithm for the global strategy for the prevention of gastric cancer(protocol of practical recommendations)are:State,government,and municipal programs;departmental programs of health departments;family doctors for patients who have a contract at the initiative of the doctor;family doctors for patients with a contract at the patient’s initiative;and within private healthcare system where both doctors and patients can initiate the implementation of algorithm. 展开更多
关键词 PREVENTION Gastric cancer strategy Atrophic gastritis Serological screening Precancerous changes
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Zero-determinant strategies in iterated multi-strategy games
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作者 GUO Jinli 《纯粹数学与应用数学》 2024年第3期381-393,共13页
Self-serving,rational agents sometimes cooperate to their mutual benefit.The two-player iterated prisoner′s dilemma game is a model for including the emergence of cooperation.It is generally believed that there is no... Self-serving,rational agents sometimes cooperate to their mutual benefit.The two-player iterated prisoner′s dilemma game is a model for including the emergence of cooperation.It is generally believed that there is no simple ultimatum strategy which a player can control the return of the other participants.The zero-determinant strategy in the iterated prisoner′s dilemma dramatically expands our understanding of the classic game by uncovering strategies that provide a unilateral advantage to sentient players pitted against unwitting opponents.However,strategies in the prisoner′s dilemma game are only two strategies.Are there these results for general multi-strategy games?To address this question,the paper develops a theory for zero-determinant strategies for multi-strategy games,with any number of strategies.The analytical results exhibit a similar yet different scenario to the case of two-strategy games.The results are also applied to the Snowdrift game,the Hawk-Dove game and the Chicken game. 展开更多
关键词 prisoner′s dilemma zero-determinant strategy multi-strategy game symmetric game
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On the Strategic Paths of the Going Global Strategy of Chinese Literature
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作者 He Hongli 《学术界》 CSSCI 北大核心 2018年第8期259-267,共9页
The going global strategy of Chinese literature is a vital part of the going global strategy of Chinese culture. In recent years,the Chinese government has launched and strongly supported a series of activities and pr... The going global strategy of Chinese literature is a vital part of the going global strategy of Chinese culture. In recent years,the Chinese government has launched and strongly supported a series of activities and projects to promote this strategy,but little effect has been produced. Starting from analyzing the predicament and reasons of the current strategy,the essay suggests four strategic paths: enhancing the overall strength of the country to promote the international influence of Chinese culture,strengthening cultural awareness and cultural introspection,integrating the nationality and cosmopolitan of literature and establishing a market-oriented literary translation mechanism. 展开更多
关键词 GOING global of CHINESE LITERATURE strategic path international influence of CHINESE culture CULTURAL AWARENESS and INTROSPECTION translation mechanism
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Oruxmaps软件结合Global Mapper软件在矿产资源行业并购中的应用
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作者 赵辉 张国志 《矿产与地质》 2024年第3期578-582,共5页
纸质地质图结合手持GPS,采用手工方式野外记录的传统地质调查工作方式已不能适应数字化和信息化的要求,在矿产资源并购项目中,运用Oruxmaps、Global Mapper等软件,可以制作适应地质调查工作所特需的离线地质图,实现地质图、GPS定位、路... 纸质地质图结合手持GPS,采用手工方式野外记录的传统地质调查工作方式已不能适应数字化和信息化的要求,在矿产资源并购项目中,运用Oruxmaps、Global Mapper等软件,可以制作适应地质调查工作所特需的离线地质图,实现地质图、GPS定位、路线轨迹记录、文字记录、影像记录等的有机结合,形成了一套行之有效的工作流程,极大地提高了路线地质调查工作的质量和效率。 展开更多
关键词 Oruxmaps global Mapper 矿产资源并购项目 离线地质图 路线地质调查
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Global Mapper在水库库容计算及淤积分析中的应用研究
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作者 朱晓江 《城市勘测》 2024年第4期61-64,共4页
基于快捷精准计算水库库容,并与原始库容对比分析库容淤积的目的,使用Global Mapper软件的库容计算和DEM叠加分析功能,通过水库库容复核工程实例进行应用试验,结果表明使用Global Mapper计算库容的结果精度与等高线法的库容结果相当,计... 基于快捷精准计算水库库容,并与原始库容对比分析库容淤积的目的,使用Global Mapper软件的库容计算和DEM叠加分析功能,通过水库库容复核工程实例进行应用试验,结果表明使用Global Mapper计算库容的结果精度与等高线法的库容结果相当,计算高效、结果可靠,DEM叠加分析成果可以直观展示库容淤积分布,有助于为管理单位冲淤冲沙提供决策。 展开更多
关键词 global Mapper 库容计算 DEM 淤积分析
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A Strategy for Merging Objective Estimates of Global Daily Precipitation from Gauge Observations, Satellite Estimates, and Numerical Predictions 被引量:3
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作者 Suping NIE Tongwen WU +5 位作者 Yong LUO Xueliang DENG Xueli SHI Zaizhi WANG Xiangwen LIU Jianbin HUANG 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2016年第7期889-904,共16页
This paper describes a strategy for merging daily precipitation information from gauge observations, satellite estimates (SEs), and numerical predictions at the global scale. The strategy is designed to remove syste... This paper describes a strategy for merging daily precipitation information from gauge observations, satellite estimates (SEs), and numerical predictions at the global scale. The strategy is designed to remove systemic bias and random error from each individual daily precipitation source to produce a better gridded global daily precipitation product through three steps. First, a cumulative distribution function matching procedure is performed to remove systemic bias over gauge-located land areas. Then, the overall biases in SEs and model predictions (MPs) over ocean areas are corrected using a rescaled strategy based on monthly precipitation. Third, an optimal interpolation (OI)-based merging scheme (referred as the HL-OI scheme) is used to combine unbiased gahge observations, SEs, and MPs to reduce random error from each source and to produce a gauge--satellite-model merged daily precipitation analysis, called BMEP-d (Beijing Climate Center Merged Estimation of Precipitation with daily resolution), with complete global coverage. The BMEP-d data from a four-year period (2011- 14) demonstrate the ability of the merging strategy to provide global daily precipitation of substantially improved quality. Benefiting from the advantages of the HL-OI scheme for quantitative error estimates, the better source data can obtain more weights during the merging processes. The BMEP-d data exhibit higher consistency with satellite and gauge source data at middle and low latitudes, and with model source data at high latitudes. Overall, independent validations against GPCP-1DD (GPCP one-degree daily) show that the consistencies between B MEP-d and GPCP-1DD are higher than those of each source dataset in terms of spatial pattern, temporal variability, probability distribution, and statistical precipitation events. 展开更多
关键词 global daily precipitation multi-source merging strategy bias correction quantitative error estimation
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Update on global epidemiology of viral hepatitis and preventive strategies 被引量:15
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作者 Meryem Jefferies Bisma Rauff +2 位作者 Harunor Rashid Thao Lam Shafquat Rafiq 《World Journal of Clinical Cases》 SCIE 2018年第13期589-599,共11页
Viral hepatitis is one of the major public health concerns around the world but until recently it has drawn little attention or funding from global health policymakers.Every year 1.4 million people die from viral hepa... Viral hepatitis is one of the major public health concerns around the world but until recently it has drawn little attention or funding from global health policymakers.Every year 1.4 million people die from viral hepatitisrelated cirrhosis and liver cancer.However,the majority of the infected population are unaware of their condition.This population have significant obstacles to overcome such as lack of awareness,vulnerability,increased migration,disease stigma,discrimination,as well as poor health resources,conflict in policy development and program implementation.Despite implementing infection control measures over the last few decades eradication or significant disease reduction remains elusive.This study aims to present the current global prevalence status and examines potential elimination strategies.The information for this research were obtained through a systematic review,published scientific literatures,the official websites of various government organisations,international public health organisations and internationally recognised regulatory bodies over a period of 40 years between 1978 and2018. 展开更多
关键词 Cirrhosis global EPIDEMIOLOGY OUTREACH CLINIC Liver cancer Vaccination VIRAL hepatitis
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Global Analysis of an SEIR Epidemic Model with Infectious Force under Intervention Strategies 被引量:1
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作者 Minmin Zhou Tiansi Zhang 《Journal of Applied Mathematics and Physics》 2019年第8期1706-1717,共12页
In this paper, we investigate the global stability of an SEIR (Susceptible-Exposed-Infected-Remove) epidemic model with infectious force under intervention strategies. To address this issue, we prove that the basic re... In this paper, we investigate the global stability of an SEIR (Susceptible-Exposed-Infected-Remove) epidemic model with infectious force under intervention strategies. To address this issue, we prove that the basic reproduction number R0 plays an essential role in determining whether the disease extincts or persists. If , there is a unique disease-free equilibrium point of the model which is globally asymptotically stable and the disease dies out, and if , there exists a unique endemic equilibrium point which is globally asymptotically stable and the disease persists. 展开更多
关键词 SEIR EPIDEMIC Model INTERVENTION Strategies Basic REPRODUCTION NUMBER global Stability
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Metamorphosis in U. S. Global Strategy 被引量:1
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作者 Fu Mengzi is a Research Professor and Director at Division for American studies, China Institute of Contemporary International Relations. 《Contemporary International Relations》 2003年第9期38-43,共6页
Whether there is a global strategy in the U. S. or not is still an open question. Many Americans insist that since presidential election takes place every four years, it’s simply impossible for any President to work ... Whether there is a global strategy in the U. S. or not is still an open question. Many Americans insist that since presidential election takes place every four years, it’s simply impossible for any President to work out a global strategy in such a short time. Judged by the important factors such as strategy environment assessment, target formulation, strategy connotation expansion and effect evaluation, it is, in fact, very difficult to find out a country with a matured foreign, 展开更多
关键词 in on that Metamorphosis in U global strategy of been for
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A Multi-Stage Green Barrier Strategy for the Control of Global SARS-CoV-2 Transmission via Cold Chain Goods 被引量:4
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作者 Xu He Xinwang Liu +6 位作者 Pan Li Panpan Wang Haijun Cheng Wenqian Li Boda Li Ting Liu Jun Ma 《Engineering》 SCIE EI 2022年第2期13-16,共4页
1.The object-to-human transmission route of SARS-CoV-2 At the time of writing,coronavirus disease 2019(COVID-19),which is caused by the severe acute respiratory syndrome coron-avirus 2(SARS-CoV-2),has been a global pa... 1.The object-to-human transmission route of SARS-CoV-2 At the time of writing,coronavirus disease 2019(COVID-19),which is caused by the severe acute respiratory syndrome coron-avirus 2(SARS-CoV-2),has been a global pandemic for more than a year.As of 22 September 2021,the global cumulative incidence exceeds 229 million cases,and the number of deaths has exceeded 4.75 million[1].The current situation of epidemic prevention and control within the countries around the world can be roughly divided into two stages:the pandemic stage that the United States,the United Kingdom,and India are still experiencing(as of 23 September 2021,newly reported cases in the last 24 h in the United States,United Kingdom,and India are 202840,31095,and 26964,respectively[1]);and the normalized epidemic pre-vention and control stage that countries such as China and New Zealand are currently in. 展开更多
关键词 PREVENTION strategy CHAIN
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Japan-UK Security Cooperation in the Context of the Convergence of the Indo-Pacific Strategy and Global Britain 被引量:1
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作者 Meng Xiaoxu 《Contemporary International Relations》 2020年第3期75-103,共29页
Japan-UK security cooperation has been deepening as the Indo-Pacific Strategy has converged with Global Britain,which has become strongly Indo-Pacific-oriented.In terms of their cooperation on security,the two countri... Japan-UK security cooperation has been deepening as the Indo-Pacific Strategy has converged with Global Britain,which has become strongly Indo-Pacific-oriented.In terms of their cooperation on security,the two countries have close security interactions,high-level security consultations,numerous mechanisms on security cooperation,frequent defense cooperation and exchanges between forces,and cooperation geared at a response to the Korean nuclear issue.In particular,Japan and the UK regard Indo-Pacific security as the strategic focus of their cooperation,and this underscores the rules-based international order.There are multiple motivations for Japan and the UK to strengthen their security cooperation,and the deepening of their security cooperation in the Indo-Pacific region is to a great extent due to strategic factors,including responding to the US strategic adjustment,Japan and Britain’s respective proactive strategic demands,the improving strategic positions of the Indopacific region,their seeking to shape the regional order in the Indo-Pacific,and so on.Despite facing challenges,Japan-UK security cooperation is continuously strengthening against a background of deepening strategic convergence between the two countries and great power competition. 展开更多
关键词 Indo-Pacific strategy global Britain Japan-UK relations security cooperation
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Global Value Chain Restructuring:Challenges,Opportunities and Strategies for China 被引量:15
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作者 Dai Xiang Zhang Yu 《China Economist》 2021年第5期132-160,共29页
Global value chains(GVCs)have entered a new stage of restructuring characterized by trends towards localization,regionalization and diversification.These trends can be attributed to the evolution of the international ... Global value chains(GVCs)have entered a new stage of restructuring characterized by trends towards localization,regionalization and diversification.These trends can be attributed to the evolution of the international division,irrational responses to crisis shocks,and trade protectionism.In this context,China’s industrial and supply chain upgrades face both opportunities and challenges which require navigating the adverse effects of industrial re-shoring,unfair technology competition,and changes in the global industrial layout.Yet,such challenges may create pressures for China to accelerate innovation,overcome the low-end lock-up effect by creating regional value chains,and broaden international cooperation.China needs to explore an effective strategy to defuse risks and seize opportunities.On one hand,China should influence the restructuring of GVCs evolution and strengthen its supply chains by playing an active role in economic globalization and the international division.On the other hand,China should proactively respond to GVCs restructuring amid rising trade protectionism,defuse risks from trade protectionism by opening wider to the outside world,and strive to upgrade industrial and supply chains while enhancing the security and stability of their nation. 展开更多
关键词 global value chains LOCALIZATION REGIONALIZATION DIVERSIFICATION
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Port Logistics in West and Central Africa: A Strategic Development under Globalization 被引量:5
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作者 Regine Adele Ngono Fouda Nana Darcis Romeo +1 位作者 Muhammad Azizi S. Rick Fernandez 《Open Journal of Applied Sciences》 2014年第2期76-84,共9页
The main idea of this study is to provide help to West and Central Africa port logistics authorities in making, evaluating and realizing their decisions on port development/management, all in an effort to guaranty por... The main idea of this study is to provide help to West and Central Africa port logistics authorities in making, evaluating and realizing their decisions on port development/management, all in an effort to guaranty port efficiency and operational brilliance to profit the different ports, their hinterlands and their related clients. Consequently, an examination is made as far as port sector is concerned, with an ever more demanding enhancement in operational efficiency. Moreover, a past research on West and Central Africa Ports, as well as an overview on port logistics was made, making it possible to determine what has been done (prospects) and what is still to be done (ineffectiveness), in prospective of a more reformed and efficient port. One of the principles of this paper is also to confer all the aspects that operate as obstacles to the WCA port’s improvement and development;using thus the evaluation model called EWCA (Evaluation of West and Central Africa Ports), which gives a descriptive analysis of the present situation of the latter’s port logistics, including the aid of multiple regression model to determine an impact of explanatory variables on the study probability. Applying the method of strategic development, this paper thus deals with exploring typical problems and quandaries of West and Central Africa ports. The findings suggested how to fight back or overcome the constrictions and strangulations;enabling West and Central Africa port logistics attain their desired strategic development aims, despite the ineffectiveness. Tremendous efforts were made, giving a vital shoot on African economy and development;even though there is still a lot to do, for the data and variables showed how the port logistics augment and descend frequently without a long period of stability. 展开更多
关键词 Port LOGISTICS WEST & Central AFRICA Multiple Regression Analysis strategy DEVELOPMENT
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China's Global Energy Strategy: from Energy Strength to Energy Power 被引量:1
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作者 Xu Qinhua 《China Oil & Gas》 CAS 2017年第2期9-16,81-88,共16页
Since the founding of the People's Republic of China in 1949, China's global energy strategy has experienced three stages: "infancy", "growth" and "maturity". Chinese foreign ener... Since the founding of the People's Republic of China in 1949, China's global energy strategy has experienced three stages: "infancy", "growth" and "maturity". Chinese foreign energy cooperation has also gone through three periods chronologically, which include(1) the period when China got rid of its high dependence on oil imports from the Soviet Union, achieved self-reliance and even became a net exporter;(2) the period when China first focused on "bringing in" and then turned itself into a net importer of crude oil and refined oil; and(3) the period when China "went global" to engage in energy cooperation in diverse areas, gradually shifting into a leading role before launching the Belt and Road Initiative, which marked the full establishment of the Chinese global energy strategy. The objective of the Chinese global energy strategy has gradually changed from merely pursuing "energy strength" to transforming "energy strength" into "energy power"; the mission is mainly to "promote energy cooperation and energy revolution"; to implement this mission, China will provide international public goods to global and regional energy governance through energy diplomacy and services; and the areas covered by the strategy are countries and regions along the "Silk Road Economic Belt". 展开更多
关键词 global Energy strategy Energy strength Energy power
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Performance of global look-up table strategy in digital image correlation with cubic B-spline interpolation and bicubic interpolation 被引量:4
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作者 Zhiwei Pan Wei Chen +3 位作者 Zhenyu Jiang Liqun Tang Yiping Liu Zejia Liu 《Theoretical & Applied Mechanics Letters》 CAS CSCD 2016年第3期126-130,共5页
Global look-up table strategy proposed recently has been proven to be an efficient method to accelerate the interpolation, which is the most time-consuming part in the iterative sub-pixel digital image correlation (... Global look-up table strategy proposed recently has been proven to be an efficient method to accelerate the interpolation, which is the most time-consuming part in the iterative sub-pixel digital image correlation (DIC) algorithms. In this paper, a global look-up table strategy with cubic B-spline interpolation is developed for the DIC method based on the inverse compositional Gauss-Newton (IC-GN) algorithm. The performance of this strategy, including accuracy, precision, and computation efficiency, is evaluated through a theoretical and experimental study, using the one with widely employed bicubic interpolation as a benchmark. The global look-up table strategy with cubic B-spline interpolation improves significantly the accuracy of the IC-GN algorithm-based DIC method compared with the one using the bicubic interpolation, at a trivial price of computation efficiency. 展开更多
关键词 Digital image correlation Inverse compositional Gauss-Newton algorithm Cubic B-spline interpolation Bicubic interpolation global look-up table
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Influence of social capital on the livelihood strategies of farmers under China's rural revitalization strategy in poor mountain areas: A case study of the Liangshan Yi autonomous prefecture 被引量:4
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作者 HE Ren-wei GUO Shi-li +1 位作者 DENG Xian ZHOU Kui 《Journal of Mountain Science》 SCIE CSCD 2022年第4期958-973,共16页
Social capital in the form of social resources or social networks is one of the most important livelihood capital of farmers, which can increase the labor productivity of poor households and increase income. It is imp... Social capital in the form of social resources or social networks is one of the most important livelihood capital of farmers, which can increase the labor productivity of poor households and increase income. It is important to explore the reasons underlying the livelihood strategy choices of farmers from the perspective of social capital under China’s rural revitalization strategy. In this study, the Liangshan Yi Autonomous Prefecture, a povertystricken mountainous area in southwestern China, was selected as the case study area, and multivariable linear regression models were constructed to analyze the influence of social capital on livelihood strategies.The results are as follows:(1) Individual social capital had a positive effect on non-agricultural livelihood strategies. On average, with a one-unit increase in individual social capital, the ratio of farmers’ nonagricultural income to total productive income(Income_Rto) increased by 0.002% and 0.062%,respectively. Collective social capital, with the Peasant Economic Cooperation Organization(PECO) as the carrier, had a negative effect on the non-agricultural livelihood strategies of farmers;on average, with a oneunit increase in PECO, Income_Rto decreased by approximately 0.053%. However, this effect was only significant in the river valley area.(2) The income differences among the different livelihood strategy types were explained by the livelihood strategy choices of farmers. As non-agricultural work can bring more benefits, the labor force exhibited one-way migration from villages to cities, resulting in a lack of the subject of rural revitalization. It is necessary to implement effective measures to highlight the role of PECO in increasing agricultural income for farmers. Finally,based on the above conclusions,policy recommendations with respect to livelihood transformation of farmers and rural sustainable development are discussed. 展开更多
关键词 Social capital Livelihood strategies Village types Rural revitalization Poor mountain areas Liangshan Yi Autonomous Prefecture
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The Expanded Presence of Chinese Companies on the European Market as a Practical Realization of the "Go Global" Strategy
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作者 Karolina Lopacifiska 《International Relations and Diplomacy》 2017年第5期270-279,共10页
The article presents the phenomenon of the Chinese companies' expansion in Europe as a result of the implementation of the government's strategy "Go Global", including the nature of this expansion, the scale, prem... The article presents the phenomenon of the Chinese companies' expansion in Europe as a result of the implementation of the government's strategy "Go Global", including the nature of this expansion, the scale, premises, as well as the possible consequences. The first part of the article is devoted to the analysis of assumptions and instruments of"Go Global" strategy used to strengthen the government's initiatives aimed at encouraging the national entrepreneurs to open up and conduct business internationally. Further in the article the dominant forms and directions of Chinese companies' expansion on the European market have been presented, followed by the analysis of the impact of Chinese economy on its major foreign investment partners during the current economic slowdown. The basis of the analysis made by the author was data obtained from the statistical bases (Eurostat) and reports of the Research Institutes for China Studies (Rhodium Group, Thomson Reuters). This is allowed to illustrate the development of Chinese expansion on the European market during the years 1999-2015. A significant increase in the activity of the Chinese capital in Europe could be seen in recent years. The development of relations between European countries and China is taking place not only in economic, but also in political and cultural dimension. This was reflected, among others, in activating of the trade activities between EU and China, the level of which increased greatly in years 1990-1999 from EUR 15,9 bn to EUR 72,2 bn, to reach a value of EUR 428,3 bn in 2011, making EU the most important trading partner of China. It should be emphasized that the European market has become the largest after Asian market, in terms of industry diversification of Chinese investment, where Chinese companies are investing in industries such as: raw materials, infrastructure automotive, chemicals and renewable energy. 展开更多
关键词 "Go global" strategy Chinese companies' expansion European market
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Global Strategies to Combat Antimicrobial Resistance: A One Health Perspective 被引量:1
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作者 Steward Mudenda Billy Chabalenge +6 位作者 Victor Daka Ruth Lindizyani Mfune Kyembe Ignitius Salachi Shafiq Mohamed Webrod Mufwambi Maisa Kasanga Scott Kaba Matafwali 《Pharmacology & Pharmacy》 2023年第8期271-328,共58页
Background: Antimicrobial resistance (AMR) is a global health challenge that has escalated due to the inappropriate use of antimicrobials in humans, animals, and the environment. Developing and implementing strategies... Background: Antimicrobial resistance (AMR) is a global health challenge that has escalated due to the inappropriate use of antimicrobials in humans, animals, and the environment. Developing and implementing strategies to reduce and combat AMR is critical. Purpose: This study aimed to highlight some global strategies that can be implemented to address AMR using a One Health approach. Methods: This study employed a narrative review design that included studies published from January 2002 to July 2023. The study searched for literature on AMR and antimicrobial stewardship (AMS) in PubMed and Google Scholar using the 2020 PRISMA guidelines. Results: This study reveals that AMR remains a significant global public health problem. Its severity has been markedly exacerbated by inappropriate use of antimicrobials in humans, animals, and the broader ecological environment. Several strategies have been developed to address AMR, including the Global Action Plan (GAP), National Action Plans (NAPs), AMS programs, and implementation of the AWaRe classification of antimicrobials. These strategies also involve strengthening surveillance of antimicrobial consumption and resistance, encouraging the development of new antimicrobials, and enhancing regulations around antimicrobial prescribing, dispensing, and usage. Additional measures include promoting global partnerships, combating substandard and falsified antimicrobials, advocating for vaccinations, sanitation, hygiene and biosecurity, as well as exploring alternatives to antimicrobials. However, the implementation of these strategies faces various challenges. These challenges include low awareness and knowledge of AMR, a shortage of human resources and capacity building for AMR and AMS, in adequate funding for AMR and AMS initiatives, limited laboratory capacities for surveillance, behavioural change issues, and ineffective leadership and multidisciplinary teams. Conclusion: In conclusion, this study established that AMR is prevalent among humans, animals, and the environment. Successfully addressing AMR calls for a collaborative, multifaceted One Health approach. Despite this, some gaps remain effectively implementing strategies currently recommended to combat AMR. As a result, it is essential to reinforce the strategies that are deployed to counter AMR across the human, animal, and environmental sectors. 展开更多
关键词 Antimicrobial Resistance Antimicrobial Stewardship AWaRe Classification One Health Approach One Health Perspective STRATEGIES SURVEILLANCE
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