Challenges to establishing and maintaining kidney transplantation programs in developing countries:What are the coping strategies?

Kidney transplantation(KT)is the optimal form of renal replacement therapy for patients with end-stage renal diseases.However,this health service is not available to all patients,especially in developing countries.The deceased donor KT programs are mostly absent,and the living donor KT centers are scarce.Single-center studies presenting experiences from developing countries usually report a variety of challenges.This review addresses these challenges and the opposing strategies by reviewing the single-center experiences of developing countries.The financial challenges hamper the infrastructural and material availability,coverage of transplant costs,and qualification of medical personnel.The sociocultural challenges influence organ donation,equity of beneficence,and regular follow-up work.Low interests and motives for transplantation may result from high medicolegal responsibilities in KT practice,intense potential psychosocial burdens,complex qualification protocols,and low productivity or compensation for KT practice.Low medical literacy about KT advantages is prevalent among clinicians,patients,and the public.The inefficient organizational and regulatory oversight is translated into inefficient healthcare systems,absent national KT programs and registries,uncoordinated job descriptions and qualification protocols,uncoordinated on-site investigations with regulatory constraints,and the prevalence of commercial KT practices.These challenges resulted in noticeable differences between KT services in developed and developing countries.The coping strategies can be summarized in two main mechanisms:The first mechanism is maximizing the available resources by increasing the rates of living kidney donation,promoting the expertise of medical personnel,reducing material consumption,and supporting the establishment and maintenance of KT programs.The latter warrants the expansion of the public sector and the elimination of non-ethical KT practices.The second mechanism is recruiting external resources,including financial,experience,and training agreements.

Research on the Development Strategy of Smart Tourism in Hainan Under the Background of Big Data

Hainan is a major tourist province.It is urgent to promote the transformation and upgrading of Hainan’s tourism industry from a traditional service industry to a modern service industry by means of informatization.Smart tourism is a brand-new tourism form and operation mode of tourism transformation and upgrading.Integrating big data technology will make smart tourism more accurate in three aspects:tourism management,tourism service,and tourism marketing,and further enhance the satisfaction of the tourism experience.This paper studies the development status of smart tourism in Hainan,deeply summarizes its existing problems and causes,and puts forward the development strategy of smart tourism in Hainan to promote the healthy development of the tourism industry in Hainan.

Exploration of Teaching Development Strategies for Double-Qualified Teachers in University- Affiliated Hospitals Based on Role Conflict Theory

This study draws on the classic theories and research achievements of university teacher development,and from the perspective of role conflict in social psychology,proposes policy recommendations for the development of clinical teachers in medical colleges,including following different stages of teacher development and designing teaching development strategies at different levels;designing the content and form of teaching development activities to meet the temporal and spatial needs of clinical teachers;and building an academic community for clinical teachers to promote the creation of teaching development behaviors.

Analysis of Innovative Paths for Enterprise Marketing Management Development Strategy under the Background of New Media

From the perspective of enterprise marketing strategy planning,innovative research should be conducted based on the current trends in new media.The findings should be applied to practical activities within enterprises to achieve innovation in marketing strategy decision-making in the new media environment.Enterprises should adopt advanced communication transmission technologies and big data processing capabilities to effectively leverage the hidden value and promotional planning advantages of network media platforms.This approach can enhance customer loyalty and increase demand for new products.Enterprises should integrate into the continuously evolving new media landscape,explore their potential business characteristics,and innovate promotional methods.By effectively combining product information with digital media content,companies can ultimately achieve significant increases in corporate interests.

Development Strategy of Sichuan Sports Museum under the Background of Cultural and Tourism Integration

Through conducting a SWOT analysis of the Chengdu Sports Institute Museum,and utilizing the 4M management,5W display,and 4P marketing theoretical models,this study explores effective strategies suitable for Sichuan sports museums in terms of functionality,display,and marketing.

Research on strategic risk identification method of equipment system development based on system dynamics

Strategic management of equipment system develop-ment must attach importance to effective strategic risk manage-ment.Aiming at the identification of strategic risk of equipment system development,firstly,the source of strategic risk of equip-ment system development is analyzed and classified.Based on this,a causal loop diagram of strategic risk of equipment sys-tem development based on system dynamics is established.The system dynamics analysis software Vensim PLE is used to carry out the risk influencing factors analysis,risk consequences ana-lysis,risk feedback loop identification and corresponding pre-control measures,and achieves a good risk identification effect.

Strategic Thinking on Developing Petroleum Substitutes in China

The continual growth of Chinese economy indicates that the oil demand in China will maintain a strongly rising tendency in the future. With increasing oil consumption, the contradiction between supply and demand will become more and more serious, which can be resolved by developing petroleum substitutes. This paper analyzes different influence factors, displays the development trend and probes into the strategy in developing petroleum substitutes in China.

Connotation and Strategies of High-quality Development of Farmers' Cooperatives in Ethnic Minority Areas : A Case Study of Guizhou Province

During the "14^(th) Five-Year Plan" period, consolidating the achievements of poverty alleviation, promoting rural revitalization and the high-quality development of farmers' cooperatives will overlap at the same time in the spatial field of ethnic minority areas, and they have consistency in content and commonality in value. The high-quality development of farmers' cooperatives in ethnic minority areas is an important organizational way to realize the modernization of agricultural industry, and it is also the key to consolidating the achievements of poverty alleviation and promoting rural revitalization at this stage. Because there is a gap between ethnic minority areas and developed areas in key factors of production such as capital, market, labor and technology, the development of farmers' cooperatives in ethnic minority areas faces more difficulties. This paper takes the development status and outstanding problems of farmers' cooperatives in Guizhou Province as the research object, discusses the connotation and significance of the high-quality development of farmers' cooperatives, and puts forward some strategies and suggestions on the governance of hollowing cooperatives, the allocation of key production factors, and the improvement of the quality of cooperatives.

Development Strategy of Urban Cultural Scene to Promote the Upgrading of Regional Cultural Consumption in Shaanxi

Regional cultural patterns and characteristics play a positive role in economic and social development.By planning and constructing cultural amenities and creating cultural scenes,the spatial quality and quality of life in a region can be enhanced,facilitating the expansion of cultural consumption.Shaanxi,with its rich historical and cultural resources,positions the capital city of Xi’an as a“world historical city”,boasting a vast number of cultural amenities represented by“cultural facilities”,“cultural activities”,“cultural experiences”,and“cultural services”.The development of urban cultural scene,with the aim of promoting the upgrading of regional cultural consumption in Shaanxi,requires comprehensive planning and a multifaceted approach,particularly in integrating provincial cultural scenes,clarifying the positioning of cultural scenes,innovating cultural scene experience projects,creating cultural scene intellectual property(IP),and empowering cultural scenes through the application of science and technology.

Publishers’Development Strategies in Response to Changes in National Reading-Analysis Based on the 16th to 20th National Reading Survey Report

Since 2014,nationwide reading has been included in the government work report for 10 consecutive times,and twice into the country’s five-year development plan.The importance of reading for individuals,society,and the country has become increasingly prominent.National reading has flourished,and throughout the 2018 to 2022 National Reading Survey Report,there have been welcome changes in national reading in China.This study compares and analyzes the relevant reading indicators of adult nationals from 2018 to 2022,and summarizes the five changes and new trends in national reading.That is,national reading awareness has increased,paper-book reading habits have returned,digital reading has become more diversified,the listening group has grown,and the voice of national reading activities has continued to rise.Accordingly,it provides relevant development strategies for publishers.

Diverity evalution and developing strategies of forestry view of scenic spots:taking Lushan as an example

Diversity indexes of current forestry view, such as dominance degree, fragmentation degree and overcast degree, were evaluated by the software ARCVIEWGIS. And developing strategies to improve diversity were put forward in this paper, that is, combining with the items of forestry tour and enhancing scientific management, and choosing typical trees to change forestry structure on the basis of general conditions of dominance degree, fragmentation degree and overcast degree.

Analysis of the Potential for Tourism Development on Semau Island(Case Study at Liman Beach)

Semau Island has enormous potential to become a tourist destination in East Nusa Tenggara.Tourism potential is a variety of resources found in a particular area that can be developed into a tourist attraction.The potential of this island is in the form of natural potential,animal husbandry,maritime culture,and agriculture.This research aims to analyze and classify the level of potential of tourist attractions on Semau Island in improving the regional economy at tourist attractions on Semau Island.The data used is the result of direct interviews with respondents,namely village heads,tourist attraction managers,and local communities.The analytical method used is descriptive qualitative with the SWOT analysis method.The research results concluded that the tourist attraction on Semau Island has the potential to be developed as a superior tourist attraction in Kupang Regency.Strategies or steps that can be taken by managers or local governments to increase tourism development in the form of standard tourism facilities,improving the quality of human resources,and improving infrastructure.

Reflecting Teaching——An Effective Strategy of College English Teachers' Autonomous Development

Reflecing teaching is an effective way for college English teachers' autonomous development, college English teachers must concern about it. There are some Some specific ways of reflecting teaching for college English teachers, such as: Teaching journals, Surveys and questionnaire, Lesson reports, Audio or video recording of lesson, Observation. If these ways can be involved in the daily teaching, college English teachers' ability will be improved greatly.

Research on Strategies of Solar Water Heater Inclustry＇s Development in China at Present Stage

大力发展太阳能热水器产业，是我国推广可再生能源、实现传统能源替代的重要战略选择。通过对我国太阳能热水器产业发展现状、自身存在问题以及外部环境挑战的分析，提出了现阶段促进该产业发展的相关策略。

Development strategies for the sea cucumber industry in China

The sea cucumber, Apostichopus japonicus, is an important marine aquaculture species in China. After nearly thirty years of development, the production of A. japonicus has become commercially lucrative and successful. In this report, current advances in sea cucumber industry are addressed in terms of the basic biology, culturing methods, and health care bene?ts. Next, the challenges restricting development of the sea cucumber industry are discussed, including weaknesses in the basic biological research, the problem of germplasm degradation, environmental stress caused by global climate change, and food safety problems. Finally, several strategies are presented that might contribute to sustainable development of the sea cucumber industry. These strategies include advances in genome studies, behavioral studies, selective breeding, ecological culture technologies, reforms in food safety management, and the development of health care functions based on contemporary medical practices. Thus, our work provides new insights into how to explore the sustainable development of the sea cucumber industry in the future.

Environmental influence of Wuhan urban agglomeration development and strategies of environmental protection

In Wuhan urban agglomeration （WUA）, the population growth and concentration, the industrial development and urban sprawl have been affecting the environment ftmdamentally. Comparing with Yangtze delta metropolitan region, the level of urbanization and industrialization of WUA has lagged behind for about 10 years; but the problems in environmental protection and rehabilitation are commonly serious. In the future, WUA should avoid unnecessary mistakes and seek a win-win strategy for economy and environment in its large-scale development stage. Based on the analysis of the changing of main environmental pollutants and the coupled curves in past decades, the paper discussed the important links among the urban environmental pollutions, industry growth and urban sprawl in WUA. It is concluded that the integration of economic and environmental policies in urban development is more required and significant at the large urban agglomeration region. Four proactive and long-term strategies need to be adopted to provide prior guidance and better protection for the development of WUA.

Oil and Gas Supply and Demand in China and Its Development Strategy

The paper makes a comprehensive prediction of China＇s future demand for oil and gas with two methods, i.e. the prediction method based on the demand for individual oil and gas products and the method for predicting the total demand. According to the demand prediction of, and the historical data on, the oil and gas consumption, we conduct an analysis of the oil and gas consumption trends, which can be described as six different development periods. On the other hand, the paper makes a comprehensive analysis of the domestic oil and gas resources and, on this basis, makes a basic prediction of the domestic output of oil and gas. The supply and demand situation is also analyzed. By using the SWOT analysis method, the paper puts forward the development strategies for China＇s oil and gas industry and gives some related strategic measures.

Port Logistics in West and Central Africa: A Strategic Development under Globalization

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.

NATURAL LANDSCAPES AND STRATEGIES OF REGIONAL SUSTAINABLE DEVELOPMENT IN EBINUR LAKE REGION IN XINJIANG

Changes and natural landscape Characteristics in Ebinur lake region are described in this paper. Based on analybog limiting factors to affect sustainable development in Ebinur lake region, strategies of regional protection, resource exploitation , environmetal harnessing and sustainable developmental hamessing and sustainable development in future are put forward.