In the face of fierce market competition,enterprises must ensure the competitiveness of their products or services through technological innovation.However,the complexity of technology often surpasses the capabilities...In the face of fierce market competition,enterprises must ensure the competitiveness of their products or services through technological innovation.However,the complexity of technology often surpasses the capabilities of individual enterprises,leading them to deepen cooperation with other organizations.The entities within the enterprise innovation ecosystem depend on each other,collaborate closely,and rely on core enterprises to integrate resources,thereby creating system value and enhancing competitiveness.The purpose of this paper is to explore the process of selecting appropriate ecosystem partners.It begins by providing an overview of relevant concepts,characteristics,selection factors,and methods.Subsequently,it analyzes the roles,resources,and synergy evolution of the entities within the ecosystem.An evaluation system encompassing operation,core,synergy,and development capability is then established.This system comprises 16 indicators,including organization scale and reputation,and is accompanied by a hierarchical evaluation model.Finally,the validity of the evaluation system is confirmed through empirical analysis,utilizing the Analytic Hierarchy Process(AHP)and the fuzzy comprehensive evaluation method.展开更多
BACKGROUND The efficacy of mesenchymal stem cells(MSCs)in treating liver fibrosis has been demonstrated in several clinical studies.However,their low survival and liver implantation rates remain problematic.In recent ...BACKGROUND The efficacy of mesenchymal stem cells(MSCs)in treating liver fibrosis has been demonstrated in several clinical studies.However,their low survival and liver implantation rates remain problematic.In recent years,a large number of studies in animal models of liver fibrosis have shown that MSCs combined with drugs can improve the efficacy of MSCs in the treatment of liver fibrosis alone and inhibit its progression to end-stage liver disease.This has inspired new ways of thinking about treating liver fibrosis.AIM To investigate the effectiveness and mechanisms of MSCs combined with drugs in treating liver fibrosis.METHODS Data sources included four electronic databases and were constructed until January 2024.The subjects,interventions,comparators,outcomes,and study design principle were used to screen the literature,and the quality of the literature was evaluated to assess the risk of bias.Relevant randomised controlled trials were selected,and the final 13 studies were included in the final study.RESULTS A total of 13 studies were included after screening.Pooled analysis showed that MSCs combined with drug therapy significantly improved liver function,promoted the repair of damaged liver tissues,reduced the level of liver fibrosis-related indexes,and effectively ameliorated hepatic fibrosis by modulating the hepatic inflammatory microenvironment,promoting the homing of MSCs,and regulating the relevant signaling pathways,and the treatment efficacy was superior to MSCs alone.However,the combined treatment statistics showed no amelioration in serum albumin levels(standardized mean difference=0.77,95%confidence interval:-0.13 to 1.68,P=0.09).CONCLUSION In conclusion,MSCs combined with drugs for treating liver fibrosis effectively make up for the shortcomings of MSCs in their therapeutic effects.However,due to the different drugs,the treatment mechanism and effect also differ.Therefore,more randomized controlled trials are needed to compare the therapeutic efficacy of different drugs in combination with MSCs,aiming to select the“best companion”of MSCs in treating hepatic fibrosis.展开更多
This article presents the history and challenges of patient graduation,positioning it as a means of supporting patient engagement and user involvement in the healthcare system.A set of laws related to patient rights a...This article presents the history and challenges of patient graduation,positioning it as a means of supporting patient engagement and user involvement in the healthcare system.A set of laws related to patient rights and healthcare quality allows for the integration of patients into the healthcare system,but they face the unpreparedness of institutions in this new field of practices.Patient graduation requires transformations in the modes of reception and financing of universities,as well as in the pedagogical methods that need to be tailored to the reception and training of individuals in vulnerable situations.The article provides a detailed description of the example,history,and effects of the creation of the first open diploma in oncology for patient partners in France and concludes by emphasizing the need for concrete mechanisms for social recognition of user engagement in the healthcare system.展开更多
BACKGROUND Postpartum depression(PPD)not only affects the psychological and physiological aspects of maternal health but can also affect neonatal growth and development.Partners who are in close contact with parturien...BACKGROUND Postpartum depression(PPD)not only affects the psychological and physiological aspects of maternal health but can also affect neonatal growth and development.Partners who are in close contact with parturient women play a key role in communication and emotional support.This study explores the PPD support relationship with partners and its influencing factors,which is believed to establish psychological well-being and improve maternal partner support.AIM To explore the correlation between PPD and partner support during breastfeeding and its influencing factors.METHODS Convenience sampling was used to select lactating women(200 women)who underwent postpartum examinations at the Huzhou Maternity and Child Health Care Hospital from July 2022 to December 2022.A cross-sectional survey was conducted on the basic information(general information questionnaire),depression level[edinburgh postnatal depression scale(EPDS)],and partner support score[dyadic coping inventory(DCI)]of the selected subjects.Pearson’s correlation analysis was used to analyze the correlation between PPD and DCI in lactating women.Factors affecting PPD levels during lactation were analyzed using multiple linear regression.RESULTS The total average score of EPDS in 200 lactating women was(9.52±1.53),and the total average score of DCI was(115.78±14.90).Dividing the EPDS,the dimension scores were:emotional loss(1.91±0.52),anxiety(3.84±1.05),and depression(3.76±0.96).Each dimension of the DCI was subdivided into:Pressure communication(26.79±6.71),mutual support(39.76±9.63),negative support(24.97±6.68),agent support(6.87±1.92),and joint support(17.39±4.19).Pearson’s correlation analysis demonstrated that the total mean score and individual dimension scores of EPDS during breastfeeding were inversely correlated with the total score of partner support,stress communication,mutual support,and cosupport(P<0.05).The total mean score of the EPDS and its dimensions were positively correlated with negative support(P<0.05).Multiple linear regression analysis showed that the main factors affecting PPD during breastfeeding were marital harmony,newborn health,stress communication,mutual support,negative support,cosupport,and the total score of partner support(P<0.05).CONCLUSION PPD during breastfeeding was associated with marital harmony,newborn health,stress communication,mutual support,negative support,joint support,and the total DCI score.展开更多
China has remained Africa’s largest trading partner for 15 consecutive years,with bilateral trade reaching a record$282.1 billion in 2023,Ministry of Commerce official Jiang Wei said at a press conference on 31 Janua...China has remained Africa’s largest trading partner for 15 consecutive years,with bilateral trade reaching a record$282.1 billion in 2023,Ministry of Commerce official Jiang Wei said at a press conference on 31 January.Economic and trade cooperation is the ballast and propeller of China-Africa relations,he said.展开更多
The three levels optimizing strategy is put forward for the networked manufacturing resources optimizing configuration, namely, the optimizing of a logical manufacturing process, the optimizing of simulation-based int...The three levels optimizing strategy is put forward for the networked manufacturing resources optimizing configuration, namely, the optimizing of a logical manufacturing process, the optimizing of simulation-based integration of process planning and scheduling, and the optimizing of networked production scheduling. Then, the web services-based architecture of networked manufacturing resources optimizing configuration is brought forward. Finally, the key algorithm of the networked manufacturing resources optimizing configuration is discussed, namely, the two phases manufacturing partners selection method, which including the group technology-based manufacturing resources pre-configuration and the genetic algorithm-based executable manufacturing process optimizing.展开更多
In Portugal, over the last 20 years, we have seen great strides in addressing intimate partner violence against women by their male partners. Measuring and understanding progress, and achieving sustainable systems cha...In Portugal, over the last 20 years, we have seen great strides in addressing intimate partner violence against women by their male partners. Measuring and understanding progress, and achieving sustainable systems change is a major challenge and to achieve this aim we need to identify events, persons and settings that contribute for the critical factors that create long term transformations in the systems and the creation of new resources [1]. Since the healthcare system is one of the main actors of intervention with survivors, the goal of this project was to interview key stakeholders from the healthcare system in order to understand the main changes they perceive have happened over the past two decades. Based on interviews with key stakeholders, our study explores the evidences of the changes that occurred in the healthcare system, the intersections with other systems and their visions for the future.展开更多
This paper analyzes the state of the art of partner selection and enumerates the advantage of partner selection based on gray relation analysis comparing to the other algorithms of the partner selection. Furthermore, ...This paper analyzes the state of the art of partner selection and enumerates the advantage of partner selection based on gray relation analysis comparing to the other algorithms of the partner selection. Furthermore, partner selection system based on gray relation for an Agile Virtual Enterprise(AVE) is analyzed and designed based on the definition and characteristics of the AVE. According to J2EE mode, the architecture of the partner selection system is put forward and the system is developed t^ing JSP, EJB and SQL Server. The paper lays emphasis on a gray relational mathematic model, AVE evaluation infrastructure, a core algorithm of partner selection and a multi-layer gray relation selection process.展开更多
Population health intervention research(PHIR)was initiated in the field of primary prevention by proposing a research paradigm focusing on intervention and the theory of solutions.The intervention was coconstructed wi...Population health intervention research(PHIR)was initiated in the field of primary prevention by proposing a research paradigm focusing on intervention and the theory of solutions.The intervention was coconstructed with the stakeholders as part of a global approach until its deployment in the local area.The development of PHIR raises the question of its application to tertiary prevention.This study proposes some initial thoughts on the similarities and specificities of PHIR projects-funded by the French National Cancer Institute(INCa)-of support systems for people affected by cancer and their families,which were based on a descriptive analysis.The selected projects were obtained from the databases of PHIR projects funded from 2010 to 2021,which included 72 projects to which the inclusion and exclusion criteria were applied.A descriptive analysis was carried out for each project using the application files and the interim or final reports sent to INCa.A total of 30 projects were selected,half of which were in the public health field.Almost all of the projects involved a university–hospital partnership,and one-third involved healthcare professionals and patients in the research process.Patient involvement was classified into four types,which were linked to the supporting structure and the target population.The main themes of the projects were quality of life and adapted physical activity,which were assessed in hospitals through randomized controlled trials targeting specific cancers.Research has revealed several specificities and similarities between support systems for people affected by cancer and their families developed in PHIR projects;however,these support systems vary widely,and PHIR in tertiary prevention can be conducted in several ways.Any modeling of the systems is complicated;PHIR is evolving in its application and is the subject of research and evaluation.展开更多
Background: Intimate partner violence is a serious public health concern worldwide and is linked with serious mental and physical health consequences. Despite its commonality and attendant consequences, proper public ...Background: Intimate partner violence is a serious public health concern worldwide and is linked with serious mental and physical health consequences. Despite its commonality and attendant consequences, proper public healthcare intervention is rudimentary. The aim of this study was to assess the relationship between quality of life associated with intimate partner violence among females attending the HIV Clinic at Jos University Teaching Hospital, Jos, Plateau, Nigeria. Methods: This study employed a cross-sectional design and data was collected from 174 female patients attending the HIV Clinic who met the inclusion criteria with the aid of a 73-item semi-structured interviewer-administered questionnaire. This captured socio-demographic characteristics, knowledge and attitude towards intimate partner violence and their experiences of violence and quality of life using the World Health Organization Quality of Life Scale-Brief version (WHOQOL-BREF). Results: Almost half of the respondents, 85 (48.9%) rated their quality of life as good. Respondents experiencing IPV reported poorer quality of life compared to those not experiencing partner violence in all the domains and it was statistically significant in the physical health (p Conclusion: IPV is common among females attending the HIV/AIDS Clinic and those affected reported significantly poorer quality of life.展开更多
The 10th anniversary of the Belt and Road Initiative(BRI)marks its coming of age amid rising geopolitical tensions.The ambitious mega endeavor weathered through its first decade of inception with vigor.The multitude o...The 10th anniversary of the Belt and Road Initiative(BRI)marks its coming of age amid rising geopolitical tensions.The ambitious mega endeavor weathered through its first decade of inception with vigor.The multitude of orchestrated disinformation designed to discredit it with such malicious labels as“debt trap”fails to impede the BRI momentum worldwide as the initiative snowballs into more areas,notably in the developing Global South.展开更多
HIV status disclosure to partners is critical in improving the health and well-being of mother-infant dyad in the prevention of HIV transmission from mother to child (PMTCT) program. This study assesses the HIV disclo...HIV status disclosure to partners is critical in improving the health and well-being of mother-infant dyad in the prevention of HIV transmission from mother to child (PMTCT) program. This study assesses the HIV disclosure rate to intimate partners, associated factors, and outcomes among women in the PMTCT program in two large HIV clinics in Abuja, Nigeria. A descriptive cross-sectional study employed a multi-stage sampling technique in selecting 220 pregnant women enrolled in PMTCT care in two clinics. Outcomes measures include HIV status disclosure to intimate partner, women’s viral suppression status (suppressed < 1000 copies/mL, unsuppressed ≥ 1000 copies/mL), and previous MTCT experience. Exposure variables include the participant’s socio-demographic characteristics and HIV care history. Data were presented using frequency tables. Simple and multivariate logistic regression was done to ascertain the predictors of HIV status disclosure and assess the association between HIV disclosure, viral suppression, and MTCT experience at a p-value of less than 0.05. Only 205 (96.7%) entries were completed and analyzed A larger percentage of the participants were married women, 158 (77.1%), within the age group 26 - 35 years (53.3%). Women’s HIV status disclosure rate to intimate partners was 49.3% (101/205). Factors associated with HIV disclosure rate to intimate partners at the univariate level were the participant’s age, Christian religion [COR: 1.80, 95%CI: 1.04 - 3.21, p = 0.04], full employment [COR: 1.92, 95%CI: 1.10 - 3.34, p = 0.02], HIV positivity prior to PMTCT enrollment [COR: 2.88, 95%CI: 1.26 - 6.59, p < 0.01], duration on antiretroviral therapy [COR: 1.07, 95%CI: 1.01 - 1.13, p = 0.03], and knowledge of partner’s HIV status [COR: 0.20, 95%CI: 0.08 - 0.51, p < 0.01]. Only HIV positivity prior to PMTCT enrollment [AOR: 3.27, 95%CI: 1.23 - 8.70, p < 0.01] and awareness of the partner’s HIV status, [AOR: 0.17, 95%CI: 0.06 - 0.49, p < 0.01] were significant predictors of HIV status disclosure after controlling for confounder. The two study outcomes;women’s viral suppression and MTCT experience were not significantly associated with participants’ HIV status disclosure to intimate partners. Our study shows that HIV disclosure to intimate partners is still a big challenge among pregnant women in PMTCT settings in Nigeria, with awareness of the partner’s HIV status and the type of patient enrollment in the PMTCT setting being the two strong predictors of pregnant women’s HIV disclosure status to partners.展开更多
Intimate Partner Violence (IPV) is a form of Gender Base Violence (GBV) where an intimate partner perpetrates violence. In the HIV care continua which has the aim of achieving epidemic control based on the goals defin...Intimate Partner Violence (IPV) is a form of Gender Base Violence (GBV) where an intimate partner perpetrates violence. In the HIV care continua which has the aim of achieving epidemic control based on the goals defined by UNAIDS, 95% of people living with HIV (PLHIV) have to know their HIV status, 95% initiated ARV treatment and 95% are virally suppressed in order to achieve epidemic control. One of the evidence-based strategies used for achieving an optimal number of PLHIV who know their HIV status is the Index Case Testing Strategy (ICT). While the ICT strategy helps the achievement of epidemic control, its implementation increases the incidence of IPV among either serodiscordant or concordant couples. Tackling information about IPV is very sensitive. A review of the literature on the management of HIV patient information has shown that shifting from paper-based management of HIV patient information to computerized Electronic Medical Records (EMR) systems, using software such as OPEN MRS has significantly improved the management of HIV patient information with high-level confidentiality of patient information. The reviews showed that the EMR systems put in place to manage HIV patient information need to integrate the stages used for the management of IPV among PLHIV.展开更多
The necessity to achieve value for money(VFM)has been paramount during the current economic climate,with reductions in investment inducing Housing Associations(HAs)to minimise waste and pursue the maximisation of valu...The necessity to achieve value for money(VFM)has been paramount during the current economic climate,with reductions in investment inducing Housing Associations(HAs)to minimise waste and pursue the maximisation of value.Differing characteristics between HAs and private sector clients have a bearing on the pre-requisites associated with a successful partnering outcome.The purpose of this paper is to assist HAs maximise VFM by increasing the likelihood of a successful partnering outcome through gaining an understanding of the most important pre-requisites to be implemented into the arrangement from a HA perspective.A quantitative analysis was adopted to identify the level of importance placed by HA on the probabilistic pre-requisites that contribute to a successful partnering outcome.The results highlight the most important probabilistic pre-requisites from a HA perspective.The research concluded that the three most importantly ranked pre-requisites that contribute to a successful partnering arrangement,perceived exclusively by HAs,were mutual trust between parties;stakeholder commitment and mutual objectives.The plethora of construction partnering research is predominantly based on the construction industry generally.This research focuses on the specific needs of HAs.The findings therefore enable HAs to differentiate between the most and least important pre-requisites identified within the literature.This will increase the probability of a successful partnering arrangement through the unveiling of the pre-requisites that HAs should focus on implementing.Subsequently,the research will assist HAs maximise VFM during the challenging economic period where investment into social housing has been reduced.展开更多
Tourism is one of the important areas of the Belt and Road exchange and cooperation.Since China proposed the Belt and Road Initiative(BRI)in 2013,the tourism exchanges between BRI partner countries have been close and...Tourism is one of the important areas of the Belt and Road exchange and cooperation.Since China proposed the Belt and Road Initiative(BRI)in 2013,the tourism exchanges between BRI partner countries have been close and the cooperation has achieved remarkable results.With the accelerated recovery of China's outbound travel market this year,BRI partner countries are becoming popular destinations for Chinese tourists.展开更多
The textile market has been quite buoyant,in part due to the world eCo-nomic challenges that have seen sourcing in the UK as both competitive and rich in desirable sustainable products.The ever-widening sector in tech...The textile market has been quite buoyant,in part due to the world eCo-nomic challenges that have seen sourcing in the UK as both competitive and rich in desirable sustainable products.The ever-widening sector in technical textiles as driven innovation strongly here in the UK which has seen an increase in activ-ity in the machine building industry.展开更多
基金The 2022 Sichuan Tourism Development Research Center General Project“A Study on the Perceived Evaluation and Differences of Tourism Supply between Tourists and Local Residents along the Sichuan Tibet Railway”(Project number:LY22-25)。
文摘In the face of fierce market competition,enterprises must ensure the competitiveness of their products or services through technological innovation.However,the complexity of technology often surpasses the capabilities of individual enterprises,leading them to deepen cooperation with other organizations.The entities within the enterprise innovation ecosystem depend on each other,collaborate closely,and rely on core enterprises to integrate resources,thereby creating system value and enhancing competitiveness.The purpose of this paper is to explore the process of selecting appropriate ecosystem partners.It begins by providing an overview of relevant concepts,characteristics,selection factors,and methods.Subsequently,it analyzes the roles,resources,and synergy evolution of the entities within the ecosystem.An evaluation system encompassing operation,core,synergy,and development capability is then established.This system comprises 16 indicators,including organization scale and reputation,and is accompanied by a hierarchical evaluation model.Finally,the validity of the evaluation system is confirmed through empirical analysis,utilizing the Analytic Hierarchy Process(AHP)and the fuzzy comprehensive evaluation method.
基金Supported by the National Natural Science Foundation of China,No.32060232Jiangxi Provincial Natural Science Foundation,No.20212BAB206075.
文摘BACKGROUND The efficacy of mesenchymal stem cells(MSCs)in treating liver fibrosis has been demonstrated in several clinical studies.However,their low survival and liver implantation rates remain problematic.In recent years,a large number of studies in animal models of liver fibrosis have shown that MSCs combined with drugs can improve the efficacy of MSCs in the treatment of liver fibrosis alone and inhibit its progression to end-stage liver disease.This has inspired new ways of thinking about treating liver fibrosis.AIM To investigate the effectiveness and mechanisms of MSCs combined with drugs in treating liver fibrosis.METHODS Data sources included four electronic databases and were constructed until January 2024.The subjects,interventions,comparators,outcomes,and study design principle were used to screen the literature,and the quality of the literature was evaluated to assess the risk of bias.Relevant randomised controlled trials were selected,and the final 13 studies were included in the final study.RESULTS A total of 13 studies were included after screening.Pooled analysis showed that MSCs combined with drug therapy significantly improved liver function,promoted the repair of damaged liver tissues,reduced the level of liver fibrosis-related indexes,and effectively ameliorated hepatic fibrosis by modulating the hepatic inflammatory microenvironment,promoting the homing of MSCs,and regulating the relevant signaling pathways,and the treatment efficacy was superior to MSCs alone.However,the combined treatment statistics showed no amelioration in serum albumin levels(standardized mean difference=0.77,95%confidence interval:-0.13 to 1.68,P=0.09).CONCLUSION In conclusion,MSCs combined with drugs for treating liver fibrosis effectively make up for the shortcomings of MSCs in their therapeutic effects.However,due to the different drugs,the treatment mechanism and effect also differ.Therefore,more randomized controlled trials are needed to compare the therapeutic efficacy of different drugs in combination with MSCs,aiming to select the“best companion”of MSCs in treating hepatic fibrosis.
文摘This article presents the history and challenges of patient graduation,positioning it as a means of supporting patient engagement and user involvement in the healthcare system.A set of laws related to patient rights and healthcare quality allows for the integration of patients into the healthcare system,but they face the unpreparedness of institutions in this new field of practices.Patient graduation requires transformations in the modes of reception and financing of universities,as well as in the pedagogical methods that need to be tailored to the reception and training of individuals in vulnerable situations.The article provides a detailed description of the example,history,and effects of the creation of the first open diploma in oncology for patient partners in France and concludes by emphasizing the need for concrete mechanisms for social recognition of user engagement in the healthcare system.
基金Supported by Medical Health Science and Technology Project of Huzhou City,No.2022GY41.
文摘BACKGROUND Postpartum depression(PPD)not only affects the psychological and physiological aspects of maternal health but can also affect neonatal growth and development.Partners who are in close contact with parturient women play a key role in communication and emotional support.This study explores the PPD support relationship with partners and its influencing factors,which is believed to establish psychological well-being and improve maternal partner support.AIM To explore the correlation between PPD and partner support during breastfeeding and its influencing factors.METHODS Convenience sampling was used to select lactating women(200 women)who underwent postpartum examinations at the Huzhou Maternity and Child Health Care Hospital from July 2022 to December 2022.A cross-sectional survey was conducted on the basic information(general information questionnaire),depression level[edinburgh postnatal depression scale(EPDS)],and partner support score[dyadic coping inventory(DCI)]of the selected subjects.Pearson’s correlation analysis was used to analyze the correlation between PPD and DCI in lactating women.Factors affecting PPD levels during lactation were analyzed using multiple linear regression.RESULTS The total average score of EPDS in 200 lactating women was(9.52±1.53),and the total average score of DCI was(115.78±14.90).Dividing the EPDS,the dimension scores were:emotional loss(1.91±0.52),anxiety(3.84±1.05),and depression(3.76±0.96).Each dimension of the DCI was subdivided into:Pressure communication(26.79±6.71),mutual support(39.76±9.63),negative support(24.97±6.68),agent support(6.87±1.92),and joint support(17.39±4.19).Pearson’s correlation analysis demonstrated that the total mean score and individual dimension scores of EPDS during breastfeeding were inversely correlated with the total score of partner support,stress communication,mutual support,and cosupport(P<0.05).The total mean score of the EPDS and its dimensions were positively correlated with negative support(P<0.05).Multiple linear regression analysis showed that the main factors affecting PPD during breastfeeding were marital harmony,newborn health,stress communication,mutual support,negative support,cosupport,and the total score of partner support(P<0.05).CONCLUSION PPD during breastfeeding was associated with marital harmony,newborn health,stress communication,mutual support,negative support,joint support,and the total DCI score.
文摘China has remained Africa’s largest trading partner for 15 consecutive years,with bilateral trade reaching a record$282.1 billion in 2023,Ministry of Commerce official Jiang Wei said at a press conference on 31 January.Economic and trade cooperation is the ballast and propeller of China-Africa relations,he said.
基金This paper is supported by National High-Tech R&D Program for CIMS, China (Grant No. 2003AA411110) theNational Research Foundation for Doctoral Program of Higher Education, China (Grant No. 20040699025).
文摘The three levels optimizing strategy is put forward for the networked manufacturing resources optimizing configuration, namely, the optimizing of a logical manufacturing process, the optimizing of simulation-based integration of process planning and scheduling, and the optimizing of networked production scheduling. Then, the web services-based architecture of networked manufacturing resources optimizing configuration is brought forward. Finally, the key algorithm of the networked manufacturing resources optimizing configuration is discussed, namely, the two phases manufacturing partners selection method, which including the group technology-based manufacturing resources pre-configuration and the genetic algorithm-based executable manufacturing process optimizing.
文摘In Portugal, over the last 20 years, we have seen great strides in addressing intimate partner violence against women by their male partners. Measuring and understanding progress, and achieving sustainable systems change is a major challenge and to achieve this aim we need to identify events, persons and settings that contribute for the critical factors that create long term transformations in the systems and the creation of new resources [1]. Since the healthcare system is one of the main actors of intervention with survivors, the goal of this project was to interview key stakeholders from the healthcare system in order to understand the main changes they perceive have happened over the past two decades. Based on interviews with key stakeholders, our study explores the evidences of the changes that occurred in the healthcare system, the intersections with other systems and their visions for the future.
文摘This paper analyzes the state of the art of partner selection and enumerates the advantage of partner selection based on gray relation analysis comparing to the other algorithms of the partner selection. Furthermore, partner selection system based on gray relation for an Agile Virtual Enterprise(AVE) is analyzed and designed based on the definition and characteristics of the AVE. According to J2EE mode, the architecture of the partner selection system is put forward and the system is developed t^ing JSP, EJB and SQL Server. The paper lays emphasis on a gray relational mathematic model, AVE evaluation infrastructure, a core algorithm of partner selection and a multi-layer gray relation selection process.
文摘Population health intervention research(PHIR)was initiated in the field of primary prevention by proposing a research paradigm focusing on intervention and the theory of solutions.The intervention was coconstructed with the stakeholders as part of a global approach until its deployment in the local area.The development of PHIR raises the question of its application to tertiary prevention.This study proposes some initial thoughts on the similarities and specificities of PHIR projects-funded by the French National Cancer Institute(INCa)-of support systems for people affected by cancer and their families,which were based on a descriptive analysis.The selected projects were obtained from the databases of PHIR projects funded from 2010 to 2021,which included 72 projects to which the inclusion and exclusion criteria were applied.A descriptive analysis was carried out for each project using the application files and the interim or final reports sent to INCa.A total of 30 projects were selected,half of which were in the public health field.Almost all of the projects involved a university–hospital partnership,and one-third involved healthcare professionals and patients in the research process.Patient involvement was classified into four types,which were linked to the supporting structure and the target population.The main themes of the projects were quality of life and adapted physical activity,which were assessed in hospitals through randomized controlled trials targeting specific cancers.Research has revealed several specificities and similarities between support systems for people affected by cancer and their families developed in PHIR projects;however,these support systems vary widely,and PHIR in tertiary prevention can be conducted in several ways.Any modeling of the systems is complicated;PHIR is evolving in its application and is the subject of research and evaluation.
文摘Background: Intimate partner violence is a serious public health concern worldwide and is linked with serious mental and physical health consequences. Despite its commonality and attendant consequences, proper public healthcare intervention is rudimentary. The aim of this study was to assess the relationship between quality of life associated with intimate partner violence among females attending the HIV Clinic at Jos University Teaching Hospital, Jos, Plateau, Nigeria. Methods: This study employed a cross-sectional design and data was collected from 174 female patients attending the HIV Clinic who met the inclusion criteria with the aid of a 73-item semi-structured interviewer-administered questionnaire. This captured socio-demographic characteristics, knowledge and attitude towards intimate partner violence and their experiences of violence and quality of life using the World Health Organization Quality of Life Scale-Brief version (WHOQOL-BREF). Results: Almost half of the respondents, 85 (48.9%) rated their quality of life as good. Respondents experiencing IPV reported poorer quality of life compared to those not experiencing partner violence in all the domains and it was statistically significant in the physical health (p Conclusion: IPV is common among females attending the HIV/AIDS Clinic and those affected reported significantly poorer quality of life.
文摘The 10th anniversary of the Belt and Road Initiative(BRI)marks its coming of age amid rising geopolitical tensions.The ambitious mega endeavor weathered through its first decade of inception with vigor.The multitude of orchestrated disinformation designed to discredit it with such malicious labels as“debt trap”fails to impede the BRI momentum worldwide as the initiative snowballs into more areas,notably in the developing Global South.
文摘HIV status disclosure to partners is critical in improving the health and well-being of mother-infant dyad in the prevention of HIV transmission from mother to child (PMTCT) program. This study assesses the HIV disclosure rate to intimate partners, associated factors, and outcomes among women in the PMTCT program in two large HIV clinics in Abuja, Nigeria. A descriptive cross-sectional study employed a multi-stage sampling technique in selecting 220 pregnant women enrolled in PMTCT care in two clinics. Outcomes measures include HIV status disclosure to intimate partner, women’s viral suppression status (suppressed < 1000 copies/mL, unsuppressed ≥ 1000 copies/mL), and previous MTCT experience. Exposure variables include the participant’s socio-demographic characteristics and HIV care history. Data were presented using frequency tables. Simple and multivariate logistic regression was done to ascertain the predictors of HIV status disclosure and assess the association between HIV disclosure, viral suppression, and MTCT experience at a p-value of less than 0.05. Only 205 (96.7%) entries were completed and analyzed A larger percentage of the participants were married women, 158 (77.1%), within the age group 26 - 35 years (53.3%). Women’s HIV status disclosure rate to intimate partners was 49.3% (101/205). Factors associated with HIV disclosure rate to intimate partners at the univariate level were the participant’s age, Christian religion [COR: 1.80, 95%CI: 1.04 - 3.21, p = 0.04], full employment [COR: 1.92, 95%CI: 1.10 - 3.34, p = 0.02], HIV positivity prior to PMTCT enrollment [COR: 2.88, 95%CI: 1.26 - 6.59, p < 0.01], duration on antiretroviral therapy [COR: 1.07, 95%CI: 1.01 - 1.13, p = 0.03], and knowledge of partner’s HIV status [COR: 0.20, 95%CI: 0.08 - 0.51, p < 0.01]. Only HIV positivity prior to PMTCT enrollment [AOR: 3.27, 95%CI: 1.23 - 8.70, p < 0.01] and awareness of the partner’s HIV status, [AOR: 0.17, 95%CI: 0.06 - 0.49, p < 0.01] were significant predictors of HIV status disclosure after controlling for confounder. The two study outcomes;women’s viral suppression and MTCT experience were not significantly associated with participants’ HIV status disclosure to intimate partners. Our study shows that HIV disclosure to intimate partners is still a big challenge among pregnant women in PMTCT settings in Nigeria, with awareness of the partner’s HIV status and the type of patient enrollment in the PMTCT setting being the two strong predictors of pregnant women’s HIV disclosure status to partners.
文摘Intimate Partner Violence (IPV) is a form of Gender Base Violence (GBV) where an intimate partner perpetrates violence. In the HIV care continua which has the aim of achieving epidemic control based on the goals defined by UNAIDS, 95% of people living with HIV (PLHIV) have to know their HIV status, 95% initiated ARV treatment and 95% are virally suppressed in order to achieve epidemic control. One of the evidence-based strategies used for achieving an optimal number of PLHIV who know their HIV status is the Index Case Testing Strategy (ICT). While the ICT strategy helps the achievement of epidemic control, its implementation increases the incidence of IPV among either serodiscordant or concordant couples. Tackling information about IPV is very sensitive. A review of the literature on the management of HIV patient information has shown that shifting from paper-based management of HIV patient information to computerized Electronic Medical Records (EMR) systems, using software such as OPEN MRS has significantly improved the management of HIV patient information with high-level confidentiality of patient information. The reviews showed that the EMR systems put in place to manage HIV patient information need to integrate the stages used for the management of IPV among PLHIV.
文摘The necessity to achieve value for money(VFM)has been paramount during the current economic climate,with reductions in investment inducing Housing Associations(HAs)to minimise waste and pursue the maximisation of value.Differing characteristics between HAs and private sector clients have a bearing on the pre-requisites associated with a successful partnering outcome.The purpose of this paper is to assist HAs maximise VFM by increasing the likelihood of a successful partnering outcome through gaining an understanding of the most important pre-requisites to be implemented into the arrangement from a HA perspective.A quantitative analysis was adopted to identify the level of importance placed by HA on the probabilistic pre-requisites that contribute to a successful partnering outcome.The results highlight the most important probabilistic pre-requisites from a HA perspective.The research concluded that the three most importantly ranked pre-requisites that contribute to a successful partnering arrangement,perceived exclusively by HAs,were mutual trust between parties;stakeholder commitment and mutual objectives.The plethora of construction partnering research is predominantly based on the construction industry generally.This research focuses on the specific needs of HAs.The findings therefore enable HAs to differentiate between the most and least important pre-requisites identified within the literature.This will increase the probability of a successful partnering arrangement through the unveiling of the pre-requisites that HAs should focus on implementing.Subsequently,the research will assist HAs maximise VFM during the challenging economic period where investment into social housing has been reduced.
文摘Tourism is one of the important areas of the Belt and Road exchange and cooperation.Since China proposed the Belt and Road Initiative(BRI)in 2013,the tourism exchanges between BRI partner countries have been close and the cooperation has achieved remarkable results.With the accelerated recovery of China's outbound travel market this year,BRI partner countries are becoming popular destinations for Chinese tourists.
文摘The textile market has been quite buoyant,in part due to the world eCo-nomic challenges that have seen sourcing in the UK as both competitive and rich in desirable sustainable products.The ever-widening sector in technical textiles as driven innovation strongly here in the UK which has seen an increase in activ-ity in the machine building industry.