Digitalization is transforming governments across the globe. At the national level, down to regional and multiple departments in the public institutions, unprecedented change is occurring exponentially as a result of ...Digitalization is transforming governments across the globe. At the national level, down to regional and multiple departments in the public institutions, unprecedented change is occurring exponentially as a result of massive digitalization. Digitalization is compelling governments at all levels to embrace voluminous data and institute appropriate multi-channel platforms to support digital transformation. While this is the case, most governments have been caught unprepared thwarting maximum benefits spurred by digitalization. Inherently, the social media and e-participation tools for generating huge amount of data have convoluted most governments’ appetite in Big Data management. This situation is further compounded with the slow pace of adoption of these technological tools by citizens and the public sectors. For enhanced e-citizen satisfaction and engagement, as well as e-participation processes, public institutions need to promote engagement and collaboration. In view of advancing benefits to their citizens, public institutions need to institute appropriate measures to collect citizen’s data. The information collected is vital for public institutions in actualizing what services the citizens want. Using literature reviews and cases, the authors examine Big Data benefits in counties and propose a Big Data model to improve efficiency of e-governance services and productivity in county governments. The authors demonstrate Big Data framework has the aptitude of molding citizen’s opinion in county decision making process. Better use of e-technologies is shown in the proposed model which illustrates sharing resources among various data analytics sources. Our proposed framework based on Big Data analytics is a viable initiative to progress effectiveness and productivity, strengthen citizen engagement and participation and encourage decision-making in e-governance services delivery in the counties.展开更多
目的观察双e疗法刺激董氏奇穴治疗2型糖尿病患者口服降糖药继发性失效的临床疗效及安全性。方法将120例口服降糖药继发性失效的2型糖尿病患者随机分为治疗组和对照组,每组60例,在口服基础降糖药的基础上,治疗组给予针挑结合放血刺激董...目的观察双e疗法刺激董氏奇穴治疗2型糖尿病患者口服降糖药继发性失效的临床疗效及安全性。方法将120例口服降糖药继发性失效的2型糖尿病患者随机分为治疗组和对照组,每组60例,在口服基础降糖药的基础上,治疗组给予针挑结合放血刺激董氏奇穴,对照组给予二甲双胍,并进行疗效评价。结果治疗后,两组患者的空腹血糖值(FPG)、2 h血糖值(2 h PG)、糖化血红蛋白(Hb A1c)等指标较治疗前都有明显下降(P<0.05),组间比较治疗组优于对照组(P<0.05);治疗后治疗组总有效率93.33%明显优于对照组85%(P<0.05)。结论双e疗法刺激董氏奇穴与二甲双胍对继发性磺脲类降糖药失效的2型糖尿病患者均有效,可以改善胰岛素抵抗,此外"双e疗法"的副作用小,绿色经济,有良好的临床推广前景。展开更多
文摘Digitalization is transforming governments across the globe. At the national level, down to regional and multiple departments in the public institutions, unprecedented change is occurring exponentially as a result of massive digitalization. Digitalization is compelling governments at all levels to embrace voluminous data and institute appropriate multi-channel platforms to support digital transformation. While this is the case, most governments have been caught unprepared thwarting maximum benefits spurred by digitalization. Inherently, the social media and e-participation tools for generating huge amount of data have convoluted most governments’ appetite in Big Data management. This situation is further compounded with the slow pace of adoption of these technological tools by citizens and the public sectors. For enhanced e-citizen satisfaction and engagement, as well as e-participation processes, public institutions need to promote engagement and collaboration. In view of advancing benefits to their citizens, public institutions need to institute appropriate measures to collect citizen’s data. The information collected is vital for public institutions in actualizing what services the citizens want. Using literature reviews and cases, the authors examine Big Data benefits in counties and propose a Big Data model to improve efficiency of e-governance services and productivity in county governments. The authors demonstrate Big Data framework has the aptitude of molding citizen’s opinion in county decision making process. Better use of e-technologies is shown in the proposed model which illustrates sharing resources among various data analytics sources. Our proposed framework based on Big Data analytics is a viable initiative to progress effectiveness and productivity, strengthen citizen engagement and participation and encourage decision-making in e-governance services delivery in the counties.
文摘目的观察双e疗法刺激董氏奇穴治疗2型糖尿病患者口服降糖药继发性失效的临床疗效及安全性。方法将120例口服降糖药继发性失效的2型糖尿病患者随机分为治疗组和对照组,每组60例,在口服基础降糖药的基础上,治疗组给予针挑结合放血刺激董氏奇穴,对照组给予二甲双胍,并进行疗效评价。结果治疗后,两组患者的空腹血糖值(FPG)、2 h血糖值(2 h PG)、糖化血红蛋白(Hb A1c)等指标较治疗前都有明显下降(P<0.05),组间比较治疗组优于对照组(P<0.05);治疗后治疗组总有效率93.33%明显优于对照组85%(P<0.05)。结论双e疗法刺激董氏奇穴与二甲双胍对继发性磺脲类降糖药失效的2型糖尿病患者均有效,可以改善胰岛素抵抗,此外"双e疗法"的副作用小,绿色经济,有良好的临床推广前景。
