Food sharing is a prosocial behavior consisting of the unresisted transfer of monopolizable food from a possessor to another individual(Feistner and McGrew 1989;Stevens and Gilby 2004).Despite the cost for donors(i.e....Food sharing is a prosocial behavior consisting of the unresisted transfer of monopolizable food from a possessor to another individual(Feistner and McGrew 1989;Stevens and Gilby 2004).Despite the cost for donors(i.e.,loss of the food),intraspecifc food sharing occurs in various insects,fsh,birds,and aquatic,terrestrial,and arboreal mammals(Liévin‐Bazin et al.2019;Carter et al.2020).By far,most food sharing is intraspecifc,and takes place while possessors are in the process of eating.Here,we describe the remarkable case of a captive chimpanzee,Pan troglodytes,regularly dispensing food to another primate species(baboons,Papio hamadryas)in a neighboring enclosure.We discuss likely causes and functions of this interspecifc altruistic act.Observations were made in Xi’an Qinling Wildlife Park,Shaanxi Province,China(34°02ʹ56.22″N,108°51ʹ48.60″E),where two adult chimpanzees and a group of around 40-50 baboons lived in adjacent enclosures.The female chimpanzee(AiAi)was the elderly mother of the male(DuoDuo,or DD).At feeding times,AiAi usually ate near the door to the chimpanzees’indoor area,and she almost never interacted with the baboon group.The baboon group consisted of two one-male units.We recorded behaviors using focal-animal sampling(for information about subjects and methods,see Supplementary Materials).展开更多
Firms are embedded in complex networks,where diverse ideas combine and generate new ideas.Shareholders of firms are of-ten seen as critical external resources that have significant influence on firm innovation.The cur...Firms are embedded in complex networks,where diverse ideas combine and generate new ideas.Shareholders of firms are of-ten seen as critical external resources that have significant influence on firm innovation.The current literature tends to focus on the rela-tionship between firms and their shareholders,while paying less attention to the connections between firms with the same shareholders.This article identifies two types of network spillover effects,intra-city network effect and inter-city network effect,by visualizing the co-ownership networks in China’s electric vehicle(EV)industry.We find that firms with the same shareholders,which are defined as co-owned EV firms,are more innovative than non-co-owned ones.Furthermore,there are two dominant types of firm co-ownership ties formed by corporate and financial institution shareholders.While corporate shareholders help exploiting local tacit knowledge,financial institutions are more active in bridging inter-city connections.The conclusion is confirmed at both firm and city levels.This paper theor-izes the firm co-ownership network as a new form of institutional proximity and tested the result empirically.For policy consideration,we have emphasized the importance of building formal or informal inter-firm network,and the government should further enhance the knowledge flow channel by institutional construction.展开更多
In clustering algorithms,the selection of neighbors significantly affects the quality of the final clustering results.While various neighbor relationships exist,such as K-nearest neighbors,natural neighbors,and shared...In clustering algorithms,the selection of neighbors significantly affects the quality of the final clustering results.While various neighbor relationships exist,such as K-nearest neighbors,natural neighbors,and shared neighbors,most neighbor relationships can only handle single structural relationships,and the identification accuracy is low for datasets with multiple structures.In life,people’s first instinct for complex things is to divide them into multiple parts to complete.Partitioning the dataset into more sub-graphs is a good idea approach to identifying complex structures.Taking inspiration from this,we propose a novel neighbor method:Shared Natural Neighbors(SNaN).To demonstrate the superiority of this neighbor method,we propose a shared natural neighbors-based hierarchical clustering algorithm for discovering arbitrary-shaped clusters(HC-SNaN).Our algorithm excels in identifying both spherical clusters and manifold clusters.Tested on synthetic datasets and real-world datasets,HC-SNaN demonstrates significant advantages over existing clustering algorithms,particularly when dealing with datasets containing arbitrary shapes.展开更多
Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a quali...Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a qualitative study with older rural Australians to explore barriers to and facilitators of SDM in local general practices.Methods:We conducted a patient-oriented research,partnering with older rural Australians,families,and health service providers in research design.Participants who visited general practices were purposively sampled from five small rural towns in South Australia.A semi-structured interview guide was used for interviews and reflexive thematic coding was conducted.Results:Telephone interviews were held with 27 participants.Four themes were identified around older rural adults’involvement in SDM:(1)Understanding of"patient involvement";(2)Positive and negative outcomes;(3)Barriers to SDM;and(4)Facilitators to SDM.Understanding of patient involvement in SDM considerably varied among participants,with some reporting their involvement was contingent on the“opportunity to ask questions”and the“treatment choices”offered to them.Alongside the opportunity for involvement,barriers such as avoidance of cultural care and a lack of continuity of care are new findings.Challenges encountered in SDM implementation also included resource constraints and time limitations in general practices.Rural knowledge of general practitioners and technology integration in consultations were viewed as potential enablers..Conclusion:Adequate resources and well-defined guidelines about the process should accompany the implementation of SDM in rural general practices of South Australia.Innovative strategies by general practitioners promoting health literacy and culturally-tailored communication approaches could increase older rural Australians'involvement in general.展开更多
This study examines the influencing factors of rural tourism in promoting shared prosperity among households,using the case study of Yinan County in Shandong province,China.The research aims to provide insights into t...This study examines the influencing factors of rural tourism in promoting shared prosperity among households,using the case study of Yinan County in Shandong province,China.The research aims to provide insights into the economic benefits experienced by low-income households in the context of rural tourism development.Based on field research conducted from April 8,2023,to May 17,2023,including interviews and site visits,the study constructs an evaluation index system to assess the influencing factors.Through expert scoring and the application of a weighted set-valued mathematical statistical model,the importance and quantification of each factor are determined.The results indicate that the current stage of promoting shared prosperity through rural tourism in Yinan County is primarily influenced by the scale of tourist consumption of external visitors.This factor outweighs others such as the participation capacity and willingness of low-income households,the capacity of investment enterprises,and the policies and financial allocation of the local government.The findings emphasize the significance of external visitor spending and highlight the need to address the obstacles faced by low-income households in accessing economic benefits.The evaluation index system and measurement model presented in this study offer a scientific basis for assessing and improving the income situation of low-income households in rural tourism development initiatives.However,it is crucial to note that the importance of these influencing factors may evolve with the lifecycle of the tourism destination.Future research should include long-term tracking and consider a broader range of indicators to deepen our understanding of their mechanisms and significance.Furthermore,alternative approaches and theories may provide valuable perspectives for further exploration in this field.展开更多
Contemporary World Magazine,which is affiliated to the International Department of the CPC Central Committee(IDCPC),held an exchange act ivi ty themed on“Harmony for Shared Prosperity”in Beijing on May 7,2024.
Wherever people live together in or near homelands that harbour joint natural resources such as forest, water, minerals, oil etc., they must collaborate, co-exist and share these resources irrespective of their geneti...Wherever people live together in or near homelands that harbour joint natural resources such as forest, water, minerals, oil etc., they must collaborate, co-exist and share these resources irrespective of their genetic, social, cultural, and political peculiarities. This is not always the case when self-interest, ethnic divisions, elitist politics, economic interest and power tussle set in. The Nso and Oku people who reside in the Ngongbaa Forest area constitute an example of joint management of resources where at one period, their relationship over the management of the Oku Mountain Forest was cordial and at another, the relationship became conflictive. This study was designed to study the influence of the KIFP forest management policies on the Nso indigenous forest Management system in Ngongbaa Forest, and its implications. The data collected for the study was secured through the administration of a questionnaire to residents of 10 villages adjacent to the Ngongbaa Forest, and forest users who carried out livelihood activities there between 1963 and 2015. These forest user groups include beekeepers, rat trappers, grazers, mushroom gatherers, ground honey/tree honey harvesters, carvers, etc. The investigation also extended to the traditional leaders of Nso and Oku who are in charge of the land tenure systems. The findings show that the Oku Mountain Forest is jointly owned by the Nso and Oku people. The Nso own the eastern half of the forest known as Ngongbaa Forest while the Oku own the western half, known as the Kilum Forest. The cordial relationship that existed between these people ensured the conservation of the forest. But the conflicts that later set in, especially due to the creation of the Kilum Mountain Forest Project in 1987 later changed to the Kilum Ijim Forest Project (KIFP) in 1992 sidelined the local communities which was contrary to the dispositions of the new Cameroon forest law enacted in 1994. Thus, the indigenous conservation practices became ignored which the local population never digested well. This seriously jeopardized the wellbeing of the forest in general.展开更多
The idea of a human community with a shared future was proposed by the Communist Party of China(CPC)Central Committee with Comrade Xi Jinping at its core for the future development of human beings to face up to the mo...The idea of a human community with a shared future was proposed by the Communist Party of China(CPC)Central Committee with Comrade Xi Jinping at its core for the future development of human beings to face up to the most important question in today's world:“What is happening to the world and what should we do?”It profoundly answers the question of the world,history,and the times.The theory of a human community with a shared future is an innovative theory with a multidimensional formation logic that guides humanity toward continually seeking common interests and values.This paper dives into the profound motivations behind building a human community with a shared future from historical,cultural,and practical dimensions and analyzes its epochal value from both domestic and international perspectives.This not only helps exert China's role in the international community,contributing Chinese strength to the construction of a peaceful,stable,and prosperous human society,but also enhances the influence of the idea of a human community with a shared future in the international community,accelerating the building of a human community with a shared future that considers the legitimate concerns of all countries,and aiding in solving the crises facing the world.展开更多
This paper studies the web third-person effect (WTPE) hypothesis in the context of news websites and social media. Specifically, the study examines the role of social media metrics (i.e., shares and likes of news a...This paper studies the web third-person effect (WTPE) hypothesis in the context of news websites and social media. Specifically, the study examines the role of social media metrics (i.e., shares and likes of news articles) in shaping users' opinion about the websites. Users' news sharing intention in social media is also investigated. Based on a structured online questionnaire (N = 7,404), the results confirm that WTPE can be found in social media metrics without the presence of specific message content. It should be noted that the effect was found at three perceptual levels, self, friends, and other users. Regarding intention for news sharing, text was indicated as the most important reason among Internet users. Finally, the work demonstrates significant correlations between WTPE and article characteristics that influence people's attitudes to share news online.展开更多
Based on improved Cournot model and Stackelberg model,this paper analyzes the firstmover advantage of China Mobile which is in a dominant position;then,by using complete information dynamic game,this paper analyzes th...Based on improved Cournot model and Stackelberg model,this paper analyzes the firstmover advantage of China Mobile which is in a dominant position;then,by using complete information dynamic game,this paper analyzes the market shares of the oligarchic monopoly market of the mobile communications industry before the restructuring of the telecom industry and tests the analysis conclusion;at the same time,this paper analyzes the market shares in initial stage and mature stage of the mobile communications market after the restructuring.According to the analysis of this paper,China Mobile's market share will drop after the restructuring,the restructuring has a certain effect,but China Mobile is still in a leading position.Whether the duopoly market before the restructuring or the three oligopoly market after the restructuring,every mobile operator has a relatively fixed market share under stable condition.This shows that mobile operators in China should cooperate on the basis of competition when developing the domestic market,and explore the international market to achieve greater development.展开更多
BACKGROUND:To promote the shared decision-making(SDM)between patients and doctors in pediatric outpatient departments,this study was designed to validate artificial intelligence(AI)-initiated medical tests for childre...BACKGROUND:To promote the shared decision-making(SDM)between patients and doctors in pediatric outpatient departments,this study was designed to validate artificial intelligence(AI)-initiated medical tests for children with fever.METHODS:We designed an AI model,named Xiaoyi,to suggest necessary tests for a febrile child before visiting a pediatric outpatient clinic.We calculated the sensitivity,specificity,and F1 score to evaluate the efficacy of Xiaoyi’s recommendations.The patients were divided into the rejection and acceptance groups.Then we analyzed the rejected examination items in order to obtain the corresponding reasons.RESULTS:We recruited a total of 11,867 children with fever who had used Xiaoyi in outpatient clinics.The recommended examinations given by Xiaoyi for 10,636(89.6%)patients were qualified.The average F1 score reached 0.94.A total of 58.4%of the patients accepted Xiaoyi’s suggestions(acceptance group),and 41.6%refused(rejection group).Imaging examinations were rejected by most patients(46.7%).The tests being time-consuming were rejected by 2,133 patients(43.2%),including rejecting pathogen studies in 1,347 patients(68.5%)and image studies in 732 patients(31.8%).The difficulty of sampling was the main reason for rejecting routine tests(41.9%).CONCLUSION:Our model has high accuracy and acceptability in recommending medical tests to febrile pediatric patients,and is worth promoting in facilitating SDM.展开更多
不幸消息告知(breaking bad news,BBN)是医务工作者必备且极具挑战的重要医患沟通技能,应用恰当的沟通模式进行BBN操作,可以有效提高癌症患者对病情的正确认知、治疗依从性和满意度,同时缓解不幸消息对患者情绪的不良影响等。国内外近...不幸消息告知(breaking bad news,BBN)是医务工作者必备且极具挑战的重要医患沟通技能,应用恰当的沟通模式进行BBN操作,可以有效提高癌症患者对病情的正确认知、治疗依从性和满意度,同时缓解不幸消息对患者情绪的不良影响等。国内外近年来开展了大量BBN相关研究及实践,并形成了多种沟通模式,其中SHARE模式被认为相对更适用于我国医疗环境繁忙及家属参与决策的文化背景。为了更好地适应当前我国知情权和决定权逐渐回归患者自身的趋势,提高我国医务工作者的医患沟通能力,本研究概述了SHARE模式在我国癌症患者BBN中的应用,重点阐述了其在我国的沟通对象,以及BBN对癌症患者心理状态等方面的影响。展开更多
Since the Third Plenary Session of the 18 th Central Committee of the Communist Party of China, the concept of the mixed ownership economy has received extensive attention from all sectors of society, which has effect...Since the Third Plenary Session of the 18 th Central Committee of the Communist Party of China, the concept of the mixed ownership economy has received extensive attention from all sectors of society, which has effect on a coming new round of reformation on enterprise property. However, in order to take control of the state-owned shares in the end making the state ownership economy become the principal position and to enlarge the scale of state-owned shares, which guides the common development with the non-public sectors of the economy, how to determine the proportion of state-owned shares? Under the background of the mixed ownership reformation, the article explains the mixed ownership by explaining how to enlarge the state-owned assets controlling scale and how to improve the stateowned company 'economic effi ciency and how to protect the interests of small shareholders. The final conclusion is that the SASAC should use the thinking of relative holdings, instead of the absolute control thinking, and should make use of the games among the large shareholders and the pyramidal ownership structure to make the pattern of ownership diversify.展开更多
基金supported by the Strategic Priority Research Program of the Chinese Academy of Sciences(XDB31020302)the Natural Science Foundation of China(32271564,31730104)“Western Young Scholars”Project of the Chinese Academy of Sciences(XAB2020YW02).
文摘Food sharing is a prosocial behavior consisting of the unresisted transfer of monopolizable food from a possessor to another individual(Feistner and McGrew 1989;Stevens and Gilby 2004).Despite the cost for donors(i.e.,loss of the food),intraspecifc food sharing occurs in various insects,fsh,birds,and aquatic,terrestrial,and arboreal mammals(Liévin‐Bazin et al.2019;Carter et al.2020).By far,most food sharing is intraspecifc,and takes place while possessors are in the process of eating.Here,we describe the remarkable case of a captive chimpanzee,Pan troglodytes,regularly dispensing food to another primate species(baboons,Papio hamadryas)in a neighboring enclosure.We discuss likely causes and functions of this interspecifc altruistic act.Observations were made in Xi’an Qinling Wildlife Park,Shaanxi Province,China(34°02ʹ56.22″N,108°51ʹ48.60″E),where two adult chimpanzees and a group of around 40-50 baboons lived in adjacent enclosures.The female chimpanzee(AiAi)was the elderly mother of the male(DuoDuo,or DD).At feeding times,AiAi usually ate near the door to the chimpanzees’indoor area,and she almost never interacted with the baboon group.The baboon group consisted of two one-male units.We recorded behaviors using focal-animal sampling(for information about subjects and methods,see Supplementary Materials).
基金Under the auspices of Natural Science Foundation of China(No.42122006,41971154)。
文摘Firms are embedded in complex networks,where diverse ideas combine and generate new ideas.Shareholders of firms are of-ten seen as critical external resources that have significant influence on firm innovation.The current literature tends to focus on the rela-tionship between firms and their shareholders,while paying less attention to the connections between firms with the same shareholders.This article identifies two types of network spillover effects,intra-city network effect and inter-city network effect,by visualizing the co-ownership networks in China’s electric vehicle(EV)industry.We find that firms with the same shareholders,which are defined as co-owned EV firms,are more innovative than non-co-owned ones.Furthermore,there are two dominant types of firm co-ownership ties formed by corporate and financial institution shareholders.While corporate shareholders help exploiting local tacit knowledge,financial institutions are more active in bridging inter-city connections.The conclusion is confirmed at both firm and city levels.This paper theor-izes the firm co-ownership network as a new form of institutional proximity and tested the result empirically.For policy consideration,we have emphasized the importance of building formal or informal inter-firm network,and the government should further enhance the knowledge flow channel by institutional construction.
基金This work was supported by Science and Technology Research Program of Chongqing Municipal Education Commission(KJZD-M202300502,KJQN201800539).
文摘In clustering algorithms,the selection of neighbors significantly affects the quality of the final clustering results.While various neighbor relationships exist,such as K-nearest neighbors,natural neighbors,and shared neighbors,most neighbor relationships can only handle single structural relationships,and the identification accuracy is low for datasets with multiple structures.In life,people’s first instinct for complex things is to divide them into multiple parts to complete.Partitioning the dataset into more sub-graphs is a good idea approach to identifying complex structures.Taking inspiration from this,we propose a novel neighbor method:Shared Natural Neighbors(SNaN).To demonstrate the superiority of this neighbor method,we propose a shared natural neighbors-based hierarchical clustering algorithm for discovering arbitrary-shaped clusters(HC-SNaN).Our algorithm excels in identifying both spherical clusters and manifold clusters.Tested on synthetic datasets and real-world datasets,HC-SNaN demonstrates significant advantages over existing clustering algorithms,particularly when dealing with datasets containing arbitrary shapes.
基金financed by the Flinders University College of Business,Government and Law Large Project Grant(Grant number:100031.21).
文摘Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a qualitative study with older rural Australians to explore barriers to and facilitators of SDM in local general practices.Methods:We conducted a patient-oriented research,partnering with older rural Australians,families,and health service providers in research design.Participants who visited general practices were purposively sampled from five small rural towns in South Australia.A semi-structured interview guide was used for interviews and reflexive thematic coding was conducted.Results:Telephone interviews were held with 27 participants.Four themes were identified around older rural adults’involvement in SDM:(1)Understanding of"patient involvement";(2)Positive and negative outcomes;(3)Barriers to SDM;and(4)Facilitators to SDM.Understanding of patient involvement in SDM considerably varied among participants,with some reporting their involvement was contingent on the“opportunity to ask questions”and the“treatment choices”offered to them.Alongside the opportunity for involvement,barriers such as avoidance of cultural care and a lack of continuity of care are new findings.Challenges encountered in SDM implementation also included resource constraints and time limitations in general practices.Rural knowledge of general practitioners and technology integration in consultations were viewed as potential enablers..Conclusion:Adequate resources and well-defined guidelines about the process should accompany the implementation of SDM in rural general practices of South Australia.Innovative strategies by general practitioners promoting health literacy and culturally-tailored communication approaches could increase older rural Australians'involvement in general.
基金This research is supported by the National Social Science Fund of China(Grant No.21BGL150).
文摘This study examines the influencing factors of rural tourism in promoting shared prosperity among households,using the case study of Yinan County in Shandong province,China.The research aims to provide insights into the economic benefits experienced by low-income households in the context of rural tourism development.Based on field research conducted from April 8,2023,to May 17,2023,including interviews and site visits,the study constructs an evaluation index system to assess the influencing factors.Through expert scoring and the application of a weighted set-valued mathematical statistical model,the importance and quantification of each factor are determined.The results indicate that the current stage of promoting shared prosperity through rural tourism in Yinan County is primarily influenced by the scale of tourist consumption of external visitors.This factor outweighs others such as the participation capacity and willingness of low-income households,the capacity of investment enterprises,and the policies and financial allocation of the local government.The findings emphasize the significance of external visitor spending and highlight the need to address the obstacles faced by low-income households in accessing economic benefits.The evaluation index system and measurement model presented in this study offer a scientific basis for assessing and improving the income situation of low-income households in rural tourism development initiatives.However,it is crucial to note that the importance of these influencing factors may evolve with the lifecycle of the tourism destination.Future research should include long-term tracking and consider a broader range of indicators to deepen our understanding of their mechanisms and significance.Furthermore,alternative approaches and theories may provide valuable perspectives for further exploration in this field.
文摘Contemporary World Magazine,which is affiliated to the International Department of the CPC Central Committee(IDCPC),held an exchange act ivi ty themed on“Harmony for Shared Prosperity”in Beijing on May 7,2024.
文摘Wherever people live together in or near homelands that harbour joint natural resources such as forest, water, minerals, oil etc., they must collaborate, co-exist and share these resources irrespective of their genetic, social, cultural, and political peculiarities. This is not always the case when self-interest, ethnic divisions, elitist politics, economic interest and power tussle set in. The Nso and Oku people who reside in the Ngongbaa Forest area constitute an example of joint management of resources where at one period, their relationship over the management of the Oku Mountain Forest was cordial and at another, the relationship became conflictive. This study was designed to study the influence of the KIFP forest management policies on the Nso indigenous forest Management system in Ngongbaa Forest, and its implications. The data collected for the study was secured through the administration of a questionnaire to residents of 10 villages adjacent to the Ngongbaa Forest, and forest users who carried out livelihood activities there between 1963 and 2015. These forest user groups include beekeepers, rat trappers, grazers, mushroom gatherers, ground honey/tree honey harvesters, carvers, etc. The investigation also extended to the traditional leaders of Nso and Oku who are in charge of the land tenure systems. The findings show that the Oku Mountain Forest is jointly owned by the Nso and Oku people. The Nso own the eastern half of the forest known as Ngongbaa Forest while the Oku own the western half, known as the Kilum Forest. The cordial relationship that existed between these people ensured the conservation of the forest. But the conflicts that later set in, especially due to the creation of the Kilum Mountain Forest Project in 1987 later changed to the Kilum Ijim Forest Project (KIFP) in 1992 sidelined the local communities which was contrary to the dispositions of the new Cameroon forest law enacted in 1994. Thus, the indigenous conservation practices became ignored which the local population never digested well. This seriously jeopardized the wellbeing of the forest in general.
文摘The idea of a human community with a shared future was proposed by the Communist Party of China(CPC)Central Committee with Comrade Xi Jinping at its core for the future development of human beings to face up to the most important question in today's world:“What is happening to the world and what should we do?”It profoundly answers the question of the world,history,and the times.The theory of a human community with a shared future is an innovative theory with a multidimensional formation logic that guides humanity toward continually seeking common interests and values.This paper dives into the profound motivations behind building a human community with a shared future from historical,cultural,and practical dimensions and analyzes its epochal value from both domestic and international perspectives.This not only helps exert China's role in the international community,contributing Chinese strength to the construction of a peaceful,stable,and prosperous human society,but also enhances the influence of the idea of a human community with a shared future in the international community,accelerating the building of a human community with a shared future that considers the legitimate concerns of all countries,and aiding in solving the crises facing the world.
文摘This paper studies the web third-person effect (WTPE) hypothesis in the context of news websites and social media. Specifically, the study examines the role of social media metrics (i.e., shares and likes of news articles) in shaping users' opinion about the websites. Users' news sharing intention in social media is also investigated. Based on a structured online questionnaire (N = 7,404), the results confirm that WTPE can be found in social media metrics without the presence of specific message content. It should be noted that the effect was found at three perceptual levels, self, friends, and other users. Regarding intention for news sharing, text was indicated as the most important reason among Internet users. Finally, the work demonstrates significant correlations between WTPE and article characteristics that influence people's attitudes to share news online.
文摘Based on improved Cournot model and Stackelberg model,this paper analyzes the firstmover advantage of China Mobile which is in a dominant position;then,by using complete information dynamic game,this paper analyzes the market shares of the oligarchic monopoly market of the mobile communications industry before the restructuring of the telecom industry and tests the analysis conclusion;at the same time,this paper analyzes the market shares in initial stage and mature stage of the mobile communications market after the restructuring.According to the analysis of this paper,China Mobile's market share will drop after the restructuring,the restructuring has a certain effect,but China Mobile is still in a leading position.Whether the duopoly market before the restructuring or the three oligopoly market after the restructuring,every mobile operator has a relatively fixed market share under stable condition.This shows that mobile operators in China should cooperate on the basis of competition when developing the domestic market,and explore the international market to achieve greater development.
基金This study was supported by the Science and Technology Innovation-Biomedical Supporting Program of Shanghai Science and Technology Committee(19441904400)Program for artificial intelligence innovation and development of Shanghai Municipal Commission of Economy and Informatization(2020-RGZN-02048).
文摘BACKGROUND:To promote the shared decision-making(SDM)between patients and doctors in pediatric outpatient departments,this study was designed to validate artificial intelligence(AI)-initiated medical tests for children with fever.METHODS:We designed an AI model,named Xiaoyi,to suggest necessary tests for a febrile child before visiting a pediatric outpatient clinic.We calculated the sensitivity,specificity,and F1 score to evaluate the efficacy of Xiaoyi’s recommendations.The patients were divided into the rejection and acceptance groups.Then we analyzed the rejected examination items in order to obtain the corresponding reasons.RESULTS:We recruited a total of 11,867 children with fever who had used Xiaoyi in outpatient clinics.The recommended examinations given by Xiaoyi for 10,636(89.6%)patients were qualified.The average F1 score reached 0.94.A total of 58.4%of the patients accepted Xiaoyi’s suggestions(acceptance group),and 41.6%refused(rejection group).Imaging examinations were rejected by most patients(46.7%).The tests being time-consuming were rejected by 2,133 patients(43.2%),including rejecting pathogen studies in 1,347 patients(68.5%)and image studies in 732 patients(31.8%).The difficulty of sampling was the main reason for rejecting routine tests(41.9%).CONCLUSION:Our model has high accuracy and acceptability in recommending medical tests to febrile pediatric patients,and is worth promoting in facilitating SDM.
文摘不幸消息告知(breaking bad news,BBN)是医务工作者必备且极具挑战的重要医患沟通技能,应用恰当的沟通模式进行BBN操作,可以有效提高癌症患者对病情的正确认知、治疗依从性和满意度,同时缓解不幸消息对患者情绪的不良影响等。国内外近年来开展了大量BBN相关研究及实践,并形成了多种沟通模式,其中SHARE模式被认为相对更适用于我国医疗环境繁忙及家属参与决策的文化背景。为了更好地适应当前我国知情权和决定权逐渐回归患者自身的趋势,提高我国医务工作者的医患沟通能力,本研究概述了SHARE模式在我国癌症患者BBN中的应用,重点阐述了其在我国的沟通对象,以及BBN对癌症患者心理状态等方面的影响。
文摘Since the Third Plenary Session of the 18 th Central Committee of the Communist Party of China, the concept of the mixed ownership economy has received extensive attention from all sectors of society, which has effect on a coming new round of reformation on enterprise property. However, in order to take control of the state-owned shares in the end making the state ownership economy become the principal position and to enlarge the scale of state-owned shares, which guides the common development with the non-public sectors of the economy, how to determine the proportion of state-owned shares? Under the background of the mixed ownership reformation, the article explains the mixed ownership by explaining how to enlarge the state-owned assets controlling scale and how to improve the stateowned company 'economic effi ciency and how to protect the interests of small shareholders. The final conclusion is that the SASAC should use the thinking of relative holdings, instead of the absolute control thinking, and should make use of the games among the large shareholders and the pyramidal ownership structure to make the pattern of ownership diversify.