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Exploring the influences of education,intelligence and income on mental disorders 被引量:1
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作者 Ancha Baranova Hongbao Cao Fuquan Zhan 《General Psychiatry》 CSCD 2024年第1期64-72,共9页
Background Previous studies have shown that educational attainment(EA),intelligence and income are key factors associated with mental disorders.However,the direct effects of each factor on major mental disorders are u... Background Previous studies have shown that educational attainment(EA),intelligence and income are key factors associated with mental disorders.However,the direct effects of each factor on major mental disorders are unclear.Aims We aimed to evaluate the overall and independent causal effects of the three psychosocial factors on common mental disorders.Methods Using genome-wide association study summary datasets,we performed Mendelian randomisation(MR)and multivariable MR(MVMR)analyses to assess potential associations between the 3 factors(EA,N=766345;household income,N=392422;intelligence,N=146808)and 13 common mental disorders,with sample sizes ranging from 9907 to 807553.Inverse-variance weighting was employed as the main method in the MR analysis.Results Our MR analysis showed that(1)higher EA was a protective factor for eight mental disorders but contributed to anorexia nervosa,obsessive-compulsive disorder(OCD),bipolar disorder(BD)and autism spectrum disorder(ASD);(2)higher intelligence was a protective factor for five mental disorders but a risk factor for OCD and ASD;(3)higher household income protected against 10 mental disorders but confers risk for anorexia nervosa.Our MVMR analysis showed that(1)higher EA was a direct protective factor for attention-deficit/hyperactivity disorder(ADHD)and insomnia but a direct risk factor for schizophrenia,BD and ASD;(2)higher intelligence was a direct protective factor for schizophrenia but a direct risk factor for major depressive disorder(MDD)and ASD;(3)higher income was a direct protective factor for seven mental disorders,including schizophrenia,BD,MDD,ASD,post-traumatic stress disorder,ADHD and anxiety disorder.Conclusions Our study reveals that education,intelligence and income intertwine with each other.For each factor,its independent effects on mental disorders present a more complex picture than its overall effects. 展开更多
关键词 protective DIsORDERs income
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Cost of Medical Treatment for Primary Open-Angle Glaucoma in Relation to Patients’ Income and Its Impact on the Prognosis of the Disease, in Bouaké University Hospital
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作者 Yves Ouattara Liliane Ella Godé +5 位作者 Zana Diabaté Franck Hermann Koffi Mamadou Korka Diallo Philippe Emile France Koffi Bilé Diomandé François Gossé Ibrahim Abib Diomandé 《Open Journal of Ophthalmology》 2024年第1期8-17,共10页
Introduction: Medical treatment for POAG is continuous and lifelong treatment. The aim of this study was to evaluate the relationship between the cost of this treatment and patients’ income and the impact of this rel... Introduction: Medical treatment for POAG is continuous and lifelong treatment. The aim of this study was to evaluate the relationship between the cost of this treatment and patients’ income and the impact of this relationship on treatment compliance. Materials and Methods: Prospective cross-sectional study with a descriptive aim covering sociodemographic data, average incomes, and direct and indirect costs of treatment of 57 patients followed for POAG during the period from January 1, 2012, to December 31, 2016 (5 years). Results: The patients were aged 25 to 77 years (mean = 54.4 years) with a male predominance (sex ratio = 1.5). Retirees were the most represented (26.32%), followed by workers in the informal sector (14.04%) and housewives (12.28%). Patients who had an annual income less than or equal to 900,000 CFA francs (€1370.83) per year represented 56.14% and those who did not have health coverage represented 57.89%. The treatment was monotherapy (64.91%), dual therapy (31.58%) or triple therapy (3.05%) and the average ratio of “annual cost of treatment to annual income” was 0.56 with for maximum 2.23 and 0.02 as minimum. Patients who considered the cost of treatment unbearable for their income represented 78.95%. Conclusion: Prevention of blindness due to glaucoma requires early detection but also the establishment of health coverage mechanisms to improve compliance with medical treatment. In addition, consideration should be given to the development of glaucoma surgery in our country, the indication of which could be the first intention in certain patients, considering for those patients, the geographical and financial accessibility of medical treatment. . 展开更多
关键词 Primary Open-Angle Glaucoma Treatment Cost Medical Treatment income BLINDNEss
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Influence of Transportation Accessibility on Urban-rural Income Disparity and Its Spatial Heterogeneity
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作者 HUANG Xiaoyan KANG Chenchen +1 位作者 YIN Chun TANG Junqing 《Chinese Geographical Science》 SCIE CSCD 2024年第3期453-467,共15页
Transportation accessibility has been treated as an important means of reducing the urban-rural income disparity.However,only a few studies have examined the effects of different types of transportation accessibility ... Transportation accessibility has been treated as an important means of reducing the urban-rural income disparity.However,only a few studies have examined the effects of different types of transportation accessibility on urban-rural income disparity and their spatial heterogeneity.Based on data from 285 prefecture-level(and above)Chinese cities in 2000,2005,2010,2015,and 2020,this study uses spatial econometric models to examine how highway accessibility and railway accessibility influence the urban-rural income disparity and to identify their spatial heterogeneity.The result reveals that highway accessibility and railway accessibility have‘coreperiphery’ring-like circle structures.The urban-rural income disparity exhibits strong spatial clustering effects.Both highway accessibility and railway accessibility are negatively associated with urban-rural income disparity,and the former having a greater effect size.Moreover,there is a substitution effect between highway accessibility and railway accessibility in the whole sample.Furthermore,these associations differ in geographic regions.In the central region,highway accessibility is more important in reducing the urban-rural income disparity,but its effect is weakened with the increase of railway accessibility.In the western region,railway accessibility has a larger effect on narrowing the urban-rural income disparity,and this effect is strengthened by the increase of highway accessibility.We conclude that improving transportation accessibility is conducive to reducing the urban-rural income disparity but its effect is spatial heterogenetic.Highways and railways should be developed in a coordinated manner to promote an integrated transport network system. 展开更多
关键词 transport accessibility income gap regional divergence spatial heterogeneity urban and rural areas China
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Digitalization’s Effects on Income Growth and Distribution-Evidence from the CHDES Database
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作者 Huang Yanghua Zhang Jiajia +1 位作者 Cai Yuhan Zhang Jinshuo 《China Economist》 2024年第4期37-56,共20页
Using the CHDES database,we created the CIDI to comprehensively quantify digital adoption at the individual level and examine digitalization’s impact on individual income.Empirical analysis results indicate that incr... Using the CHDES database,we created the CIDI to comprehensively quantify digital adoption at the individual level and examine digitalization’s impact on individual income.Empirical analysis results indicate that increasing the CIDI by one standard deviation(0.13)improves individual income by 5.93 percentage points,which remains true after a series of endogeneity and robustness tests.In the heterogeneity analysis,we discovered that when digital adoption grows,residents in the countryside and county seats can earn more money through internet business operations and other channels.This helps to decrease the urban-rural income divide,but it has also pushed those digitally skilled into high-paying sectors,widening the income gaps between sectors.In the mechanism analysis,we developed an income function that takes into account the individual level of digitalization to show that digitalization can boost income by increasing working hours or labor participation and adjusting the portfolio of individual material,human,and social capital.In this paper,we have expanded the system for measuring the individual levels of digitalization by offering basic data,research methodology,and policy suggestions for the digital economy’s inclusive development. 展开更多
关键词 Digital economy level of digitalization digital empowerment income function
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First experience in laparoscopic surgery in low and middle income countries: A systematic review
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作者 Rebekka Troller Jasmine Bawa +1 位作者 Olivia Baker James Ashcroft 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第2期546-553,共8页
BACKGROUND Laparoscopic surgery has reduced morbidity and mortality rates,shorter post-operative recovery periods and lower complication rates than open surgery.It is routine practice in high-income countries and is b... BACKGROUND Laparoscopic surgery has reduced morbidity and mortality rates,shorter post-operative recovery periods and lower complication rates than open surgery.It is routine practice in high-income countries and is becoming increasingly common in countries with limited resources.However,introducing laparoscopic surgery in low-and-middle-income countries(LMIC)can be expensive and requires resour-ces,equipment,and trainers.AIM To report the challenges and benefits of introducing laparoscopic surgery in LMIC as well as to identify solutions to these challenges for countries with limited finances and resources.METHODS MEDLINE,EMBASE and Cochrane databases were searched for studies reporting first experience in laparoscopic surgery in LMIC.Included studies were published between 1996 and 2022 with full text available in English.Exclusion criteria were studies considering only open surgery,ear,nose,and throat,endoscopy,arthro-scopy,hysteroscopy,cystoscopy,transplant,or bariatric surgery.RESULTS Ten studies out of 3409 screened papers,from eight LMIC were eligible for inclusion in the final analysis,totaling 2497 patients.Most reported challenges were related to costs of equipment and training programmes,equipment pro-blems such as faulty equipment,and access to surgical kits.Training-related challenges were reliance on foreign trainers and lack of locally trained surgeons and theatre staff.The benefits of introducing laparoscopic surgery were economic and clinical,including a reduction in hospital stay,complications,and morbidi-ty/mortality.The introduction of laparoscopic surgery also provided training opportunities for junior doctors.CONCLUSION Despite financial and technical challenges,many studies emphasise the overall benefit of introducing laparoscopic surgery in LMICs such as reduced hospital stay and the related lower cost for patients.While many of the clinical centres in LMICs have proposed practical solutions to the challenges reported,more support is critically required,in particular regarding training. 展开更多
关键词 Laparoscopic surgery Low and middle income country First experience Training in laparoscopic surgery
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The pain of inequality:Income gap and carbon intensity of well-being
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作者 LIU Guo-ping 《Ecological Economy》 2024年第3期202-218,共17页
The 2030 Agenda for Sustainable Development of the United Nations sets out 17 sustainable development goals(SDGs)that call for global action to end poverty,protect the planet,and improve the lives and futures of all p... The 2030 Agenda for Sustainable Development of the United Nations sets out 17 sustainable development goals(SDGs)that call for global action to end poverty,protect the planet,and improve the lives and futures of all people,including reducing inequality and taking climate action.The academic and policy issues corresponding to these two goals are income distribution and low-carbon development respectively.This paper makes a connection between the two and examines the impact of income gap on carbon intensity of well-being(CIWB)based on panel data of 40 countries around the world,which has important theoretical significance and empirical reference value.The main conclusions are as follows:(1)During the sample period,the carbon intensity of well-being of 36 in the 40 countries showed a downward trend,indicating that the pressure brought by the increase of unit well-being level on carbon emission space was gradually decreasing.The biggest drop in carbon intensity of well-being is in Estonia.(2)According to the average value of the past years,the income gaps are large in Colombia,Costa Rica,Paraguay,Ecuador and Peru,and the five countries with the smallest income gap are Ukraine,Slovenia,Belarus,the Czech Republic and Kyrgyzstan Republic.(3)The regression results of the econometric model with carbon intensity of well-being as the dependent variable,income gap as the independent variable,and urbanization rate,energy consumption structure and export trade as the control variables show that the increase of income gap will increase carbon intensity of well-being,and the increase of urbanization rate,renewable energy consumption and export dependence will reduce carbon intensity of well-being.Finally,according to the research conclusions,the policy implications for China's future high-quality development are extracted. 展开更多
关键词 income gap carbon intensity of well-being(CIWB) low-carbon development ecological economics
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Effect of nutrition-related infodemics and social media on maternal experience: A nationwide survey in a low/middle income country
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作者 Marwa M Zein Noha Arafa +1 位作者 Mortada H F El-Shabrawi Nehal Mohammed El-Koofy 《World Journal of Clinical Pediatrics》 2024年第1期93-106,共14页
BACKGROUND Undernutrition is a crucial cause of morbidity and mortality among children in low-or middle-income countries(LMICs).A better understanding of maternal general healthy nutrition knowledge,as well as misbeli... BACKGROUND Undernutrition is a crucial cause of morbidity and mortality among children in low-or middle-income countries(LMICs).A better understanding of maternal general healthy nutrition knowledge,as well as misbeliefs,is highly essential,especially in such settings.In the current era of infodemics,it is very strenuous for mothers to select not only the right source for maternal nutrition information but the correct information as well.AIM To assess maternal healthy nutritional knowledge and nutrition-related misbeliefs and misinformation in an LMIC,and to determine the sources of such information and their assessment methods.METHODS This cross-sectional analytical observational study enrolled 5148 randomly selected Egyptian mothers who had one or more children less than 15 years old.The data were collected through online questionnaire forms:One was for the general nutrition knowledge assessment,and the other was for the nutritional myth score.Sources of information and ways of evaluating internet sources using the Currency,Relevance,Authority,Accuracy,and Purpose test were additionally analyzed.RESULTS The mean general nutrition knowledge score was 29±9,with a percent score of 70.8%±12.1%(total score:41).The median myth score was 9(interquartile range:6,12;total score:18).The primary sources of nutrition knowledge for the enrolled mothers were social media platforms(55%).Half of the mothers managed information for currency and authority,except for considering the author's contact information.More than 60%regularly checked information for accuracy and purpose.The mothers with significant nutrition knowledge checked periodically for the author's contact information(P=0.012).The nutrition myth score was significantly lower among mothers who periodically checked the evidence of the information(P=0.016).Mothers dependent on their healthcare providers as the primary source of their general nutritional knowledge were less likely to hold myths by 13%(P=0.044).However,using social media increased the likelihood of having myths among mothers by approximately 1.2(P=0.001).CONCLUSION Social media platforms were found to be the primary source of maternal nutrition information in the current era of infodemics.However,healthcare providers were the only source for decreasing the incidence of maternal myths among the surveyed mothers. 展开更多
关键词 Nutrition Infodemics Maternal knowledge MYTH Low/middle income country
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Research on the Influence of Digital Economy on the Income Gap between Urban and Rural Areas in China
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作者 Limei Fu 《Proceedings of Business and Economic Studies》 2024年第5期194-199,共6页
In recent years,with the rapid advancement of information technology and the widespread proliferation of the Internet,digital technology has been reshaping the value chains of traditional industries and giving rise to... In recent years,with the rapid advancement of information technology and the widespread proliferation of the Internet,digital technology has been reshaping the value chains of traditional industries and giving rise to entirely new business models and industrial forms.Technologies such as the Internet,big data,and artificial intelligence are being applied across various sectors,while new formats like e-commerce,the sharing economy,and online education are flourishing.These developments have driven new consumption patterns and employment methods.The rapid rise of the digital economy not only boosts production efficiency and economic growth but also influences the income distribution between urban and rural areas to some extent.This paper begins by examining the current state and characteristics of the digital economy and then analyzes its impact on the urban-rural income gap.Additionally,it offers countermeasures and recommendations for narrowing this gap,providing theoretical support for promoting common prosperity. 展开更多
关键词 Digital economy Urban-rural income gap IMPACT COUNTERMEAsUREs
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Study on the Influence of the Coordinated Development of Resident Income and GDP on Local Economic Development:Take Shandong Province as an Example
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作者 Yamin Sun 《Proceedings of Business and Economic Studies》 2024年第4期195-201,共7页
With the rapid development of China’s economy,the coordinated development of resident income and GDP has become an important indicator to measure local economic development.How to realize the synergistic growth of th... With the rapid development of China’s economy,the coordinated development of resident income and GDP has become an important indicator to measure local economic development.How to realize the synergistic growth of the two in the new era is of great significance for promoting the sustainable development of the local economy.Based on the theory of the coordinated development of resident income and GDP,this paper will take Shandong Province as an example to analyze the interaction between resident income growth and GDP,find out the influencing factors that restrict the coordinated development of resident income and GDP,and explore the impact of the coordinated development of resident income and GDP on local economic development.Finally,relevant policies will be studied.How to effectively increase residents’income,promote the sustainable and healthy development of the local economy,and put forward relevant suggestions to promote the coordinated development of residents’income and GDP. 展开更多
关键词 Household income Gross domestic product Coordinated development Influence mechanism
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Taxation Models and Improvement Proposals for Personal Income Tax in the Sharing Economy
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作者 Xinyao Ruan 《Proceedings of Business and Economic Studies》 2024年第3期220-226,共7页
As an innovative economic model,the sharing economy has seen rapid growth globally in recent years.It has not only brought a profound impact on traditional economies but also injected new vitality and momentum into th... As an innovative economic model,the sharing economy has seen rapid growth globally in recent years.It has not only brought a profound impact on traditional economies but also injected new vitality and momentum into the sustainable development of the social economy.However,for the sharing economy,the process of collecting personal income tax is facing several issues,such as the ambiguity of tax policies regarding personal income,challenges in identifying taxpayers,and difficulties in defining income.To achieve the fairness and efficiency of personal income tax collection in the sharing economy,this study proposes optimized regulatory mechanisms and conducts in-depth discussions on the adjustment of personal income tax policies,innovation in tax management technology,and improvement in the quality of personal income tax services. 展开更多
关键词 sharing economy Personal income tax Taxation models
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Study on the Impact of Collective Commercial Construction Land Entering the Market on Rural Residents’Income:Taking Deqing County,Zhejiang Province as an Example
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作者 Panpan He Haolong Zhao 《Proceedings of Business and Economic Studies》 2024年第4期53-59,共7页
The entry of collective construction land for business purposes is an important measure for deepening the reform of the rural land system,promoting the flow of urban and rural factors,and realizing rural revitalizatio... The entry of collective construction land for business purposes is an important measure for deepening the reform of the rural land system,promoting the flow of urban and rural factors,and realizing rural revitalization.Since the production of the first batch of pilot projects in 2015,33 county-level cities have participated in the pilot policy by 2023.Deqing County,Zhejiang Province,as the first area to participate in the pilot project,aims to achieve more fruitful results.This paper first examines how promoting farmers’income through the market entry of agricultural land can be achieved,then uses the synthetic control method to quantitatively study the impact of collective operational construction land on farmers’income using panel data from 2011 to 2019,and finally proposes relevant suggestions from the perspective of system reform. 展开更多
关键词 Collective operational construction land into the market Farmersincome synthetic control method
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Epidemiological, Clinical Aspects and Outcome of Measles in a Low-Income Country in 2023
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作者 Sime Tchouamo Arielle Annick Enyama Dominique +7 位作者 Noukeu Diomède Atyam Ekotto Marie Christine Abouame Palma Haoua Epee Ngoue Jeannette Kago Tague Daniel Armand Touka Eric Brice Tasse Simo Nathalie Ines Nguéfack Félicité 《Open Journal of Pediatrics》 2024年第1期139-148,共10页
Introduction: Measles remains a worrying health problem in sub-Saharan African countries. There have been measles outbreaks in Cameroon with the most recent occurring between October 2022 and September 2023. The Centr... Introduction: Measles remains a worrying health problem in sub-Saharan African countries. There have been measles outbreaks in Cameroon with the most recent occurring between October 2022 and September 2023. The Centre region of Cameroon was the most affected in the country and being at the frontline of the fight against this illness, we conducted this study in order to determine the epidemiological and clinical characteristics as well as the outcome of children who contracted the measles and were hospitalized at the Yaoundé Gynaeco-Obstetric and Pediatric Hospital. Methodology: We conducted a cross-sectional descriptive and prospective study for one year from October 2022 to November 2023 corresponding to the duration of the outbreak. We included all children admitted in the pediatric unit for measles and its complications during this period. Results: In total, 60 children were enrolled. Their caregivers were mostly their mothers who had a mean age of 34.71 ± 9.55 years living in significant precarious conditions for the majority. The median age of children was 16 months (09 - 30 months). Twenty six percent of children (16) were less than 9 months. Girls were predominant (55%). Most children were not up to date with their routine EPI vaccination (80%) and most did not receive the measles and Rubella vaccine (76.67%). Clinical manifestations, included fever, conjunctivitis, and cough. Skin rash and catarrh (98.33% and 86.67% respectively) are the case definition signs of measles. The outcome was unfavorable for 4 children. One had a neurological disorder: coma and three presented with pneumonia and severe respiratory distress (6.67%). Conclusion: Measles is still being a reality and claiming lives in our context, emphasis should be made on immunization coverage and if possible, advocacies should be formulated to decrease the age of measles vaccine administration. 展开更多
关键词 MEAsLEs COMPLICATIONs Low-income Countries
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Key Factors to Consider When Introducing a New Vaccine in Low-Income Settings: Lessons from Malawi Expanded Program on Immunization
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作者 Samuel Mpinganjira Kimberly Konono +5 位作者 Joseph Mwaka Adidja Amani Habtamu Anteneh Michael Ngigi Boston Zimba Atupele Kapito 《World Journal of Vaccines》 CAS 2024年第1期1-23,共23页
Introduction: As new vaccines become available, countries must assess the relevance to introduce them into their vaccination schedules. Malawi has recently introduced several new vaccines and plans to introduce more. ... Introduction: As new vaccines become available, countries must assess the relevance to introduce them into their vaccination schedules. Malawi has recently introduced several new vaccines and plans to introduce more. This study was conducted to identify key factors that need to be considered when deciding to introduce a new vaccine and current challenges faced by low and middle income countries using Malawi as an example. Methodology: The study employed a desk review approach, examining published literature from various sources such as PubMed, Medline, and Google Scholar. Policy documents from organizations like the World Health Organization, GAVI the Alliance, and the Ministry of Health for Malawi were also included. A total of 99 articles and documents on new vaccine introduction, challenges of immunization, policy documents in immunization and health systems strengthening were included. The review focused on addressing five key areas critical to new vaccine introduction namely: the need for a vaccine, availability of the vaccine, safety and effectiveness of the vaccine, demand for the vaccine, and the prudent use of public or private funds. Results: Malawi considered the burden of cervical cancer and the significance of malaria in the country when introducing the HPV and malaria vaccines. The country opted for vaccines that can be handled by the cold chain capacity and available human resources. Despite that malaria vaccine and Typhoid Conjugate Vaccine trials were done in country, there are limited vaccine safety and efficacy trials conducted in Malawi, leading to a reliance on WHO-prequalified vaccines. Demand for newly introduced vaccines varied, with high demand for Oral Cholera Vaccine during a cholera outbreak, while demand for COVID-19 vaccines decreased over time. Although cost-effectiveness studies were limited in the country, 2 studies indicated that Typhoid Conjugate Vaccine and malaria vaccine would be cost effective. All these have been implemented despite having challenges like lack of accurate surveillance data, inadequate cold chain capacity, limited safety and efficacy vaccine clinical trials, political influence, and limited funding. Conclusion: Despite several challenges Malawi set a good example of the careful considerations required before introducing a new vaccine. The process involves data review, priority setting, precise planning, and consultation with stakeholders. Low-income countries should invest in vaccine safety, efficacy, and cost-effectiveness trials. 展开更多
关键词 VACCINE Introduction Implementation Expanded Program on Immunization LOW-income sTAKEHOLDERs
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Characteristics of Infertile Clientele Attending a Public in Vitro Fertilization Clinic: Appraising Priorities in a Low-Income Country
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作者 Gbolahan O. Obajimi Olugbenga O. Saanu +2 位作者 Ayodeji S. Adeyanju Ademola S. Olutoye Mofiyinfoluwa M. Adeyeye 《Open Journal of Epidemiology》 2024年第2期343-352,共10页
Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing ... Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing nations emphasis is placed on childbirth and inability to fulfill this role can be very distressing. There is an unmet need for assisted reproductive technology (ART) in many developing countries and where facilities exist, they are mostly privately owned, expensive and concentrated in urban areas. To bridge this gap, public fertility clinics have been established to provide subsidized care. Evaluating the characteristics and peculiarities of clientele presenting at these public facilities will aid planning and prioritization of care. Methodology: A descriptive retrospective study of 116 infertile patients presenting to the fertility clinic of the University College Hospital, Ibadan, Nigeria from inception on the 14<sup>th</sup> of February 2019 and 31<sup>st</sup> of December 2022.Data was analyzed using the Statical Package for Social Sciences (IBM, SPSS, New York) version 23. Descriptive statistics were used to summarize the results which were presented with the aid of bar charts and frequency tables. Result: The mean age of the patients was 40.70 ± 6.62 years. Post-menopausal patients accounted for about one-fifth of the study population while 80.2% (93 women) were older than 35 years. The mean duration of infertility was 9.39 ± 6.11years and nine patients (7.8%) had a duration greater than 2 decades. Secondary infertility occurred in 67.2% of the women. Twenty-nine women (25%) had undergone myomectomy prior to presentation. Hypertension (11.2%) was the most prevalent comorbidity. Nineteen patients (16.4%) had used contraceptives in the past with the male condom (36.8%)being the most preponderant. Sixty-seven patients had experienced pregnancy losses before 28 weeks of gestation while just 16 patients (13.8%) had undergone ART, and none was successful. Conclusion: Secondary infertility was the prevalent type of infertility and may not be unconnected with the low contraceptive usage and high risk of sexually transmitted infection. Late presentation coupled with a large proportion of post-menopausal clientele suggests delayed health-seeking behavior most probably due to the prohibitive cost of ART. The need to streamline services offered in public fertility clinics is paramount in low-income countries grappling with scarce resources. A pragmatic approach will involve the provision of low-cost ART, while enhancing gamete donation programs through the implementation of gamete sharing policies. This will invariably bridge the unmet need and skewed access to ART in developing countries. 展开更多
关键词 INFERTILITY Assisted Reproductive Technology LOW-income Priorities.
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Impact of Plastic Waste on the Human Health in Low-Income Countries: A Systematic Review
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作者 Ramde Wendkoaghenda Sophie Gbandama Koffi Kouame Pacome +5 位作者 Gansore Aminata Camara Kelety Tolno Barthélemy Assogba Ange Wenceslas Vinciale Niare Boubacar Patrice Ngangue 《Journal of Environmental Protection》 2024年第5期572-595,共24页
Background: Plastic pollution is the accumulation of waste composed of plastic and its derivatives all over the environment. Whether in the form of visible garbage or microparticles, as it slowly degrades, plastic pol... Background: Plastic pollution is the accumulation of waste composed of plastic and its derivatives all over the environment. Whether in the form of visible garbage or microparticles, as it slowly degrades, plastic pollution poses significant threats to terrestrial and aquatic habitats and the wildlife that call them home, whether through ingestion, entanglement or exposure to the chemicals contained in the material. Unfortunately, there is a lack of documentation on the impact of plastic waste on human health in low- and middle-income countries (LMICs). Methods: We searched five electronic databases (PubMed, Embase, Global Health, CINAHL and Web of Science) and gray literature, following the preferred reporting elements for systematic reviews and meta-analyses (PRISMA), for the impact of plastic waste on human health in developing countries. We included quantitative and qualitative studies written in English and French. We assessed the quality of the included articles using the Mixed Methods Appraisal tool (MMAT). Results: A total of 3779 articles were initially identified by searching electronic databases. After eliminating duplicates, 3167 articles were reviewed based on title and abstract, and 26 were selected for full-text review. Only three articles were retained. The three articles dealt with practices likely to lead to oral exposure to plastic chemicals in human health, as well as the level of awareness of participants concerning the possible impact of plastic on human health, namely, the use of plastic baby bottles, the use of microwaves to cook food and reheat precooked food, the use of plastic bottles to store water in the refrigerator, water purifier containers with plastic bodies and plastic lunch boxes, the reuse of plastic bags and the inadequacy of treatment facilities. Conclusion: Plastic waste poses different risks to human health at every stage of its life cycle. Hence, strategies must be adopted to raise public awareness of the dangers of plastic waste to their health. Trial registration: The review protocol is registered in the PROSPERO international prospective register of systematic reviews (ID = CRD42023409087). 展开更多
关键词 Human Population Plastic Waste Health Impact Low-income-Countries (Humans Iatrogenic Disease PLAsTICs POLICY RECYCLING Waste Management)
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数字技术赋能农户增收的理论机制与实证检验:基于CRRS 2022农户调查数据 被引量:2
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作者 马翠萍 刘文霞 方燕 《中国软科学》 CSSCI CSCD 北大核心 2024年第7期69-78,共10页
从粮食单产与农业生产效率两方面构建种粮农户增收的理论框架,并借助CRRS 2022年农户调查数据样本,实证检验农业生产中数字技术采用对种粮农户的增收效应。基准回归结果显示:农业生产中数字技术采用显著促进了种粮农户收入增加。分别使... 从粮食单产与农业生产效率两方面构建种粮农户增收的理论框架,并借助CRRS 2022年农户调查数据样本,实证检验农业生产中数字技术采用对种粮农户的增收效应。基准回归结果显示:农业生产中数字技术采用显著促进了种粮农户收入增加。分别使用工具变量估计、倾向得分匹配估计和安慰剂检验进行稳健性检验,发现结论依然稳健。作用机制分析表明,农业生产中数字技术通过提高农业机械作业效率、农业机械作业水平,进而提高农业生产效率和粮食单产水平,实现种粮农户增收。进一步研究发现,数字技术采用对种粮农户增收具有异质性。数字技术对那些在村里担任职务、经营规模更大的种粮农户增收效应更明显。未来应通过夯实农业数字发展根基、培育高素质农民队伍等途径推动农业生产数字化转型,促进种粮农户增收。 展开更多
关键词 共同富裕 数字技术 农业生产 农户收入
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数字基础设施的家庭收入效应——基于中国家庭金融调查(CHFS)的实证研究 被引量:2
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作者 陈明生 王乾坤 《湘潭大学学报(哲学社会科学版)》 CSSCI 北大核心 2024年第2期46-53,共8页
数字基础设施建设践行与彰显共同富裕的本质要求。基于2011—2019年五轮中国家庭金融调查(CHFS)数据,借助“宽带中国”战略准自然实验,研究了数字基础设施建设与家庭收入之间的关系。研究发现,数字基础设施建设显著提高了家庭收入,而且... 数字基础设施建设践行与彰显共同富裕的本质要求。基于2011—2019年五轮中国家庭金融调查(CHFS)数据,借助“宽带中国”战略准自然实验,研究了数字基础设施建设与家庭收入之间的关系。研究发现,数字基础设施建设显著提高了家庭收入,而且还有效抑制了收入差距。从作用机制来看,数字基础设施建设通过增加创业机会、就业机会,提高家庭收入,具有显著的“创业效应”和“就业效应”。数字基础设施建设的家庭收入效应在城市、城镇化率高的地区,年龄中等、受教育程度高的群体中更为显著,表现出明显的地区差异和人力资本差异。 展开更多
关键词 数字基础设施 家庭收入 创业效应 就业效应 收入差距
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共同富裕背景下基本医疗保险的受益公平性研究——基于CHARLS数据的实证分析 被引量:1
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作者 周婷 高月霞 左学金 《华东师范大学学报(哲学社会科学版)》 CSSCI 北大核心 2024年第2期157-170,182,共15页
基于“中国健康与养老追踪调查”(CHARLS)2011—2018年四期数据,研究两类基本医疗保险参保者的城乡身份、所在地区与收入水平对基本医疗保险受益的影响及其公平性,发现城镇职工医疗保险的覆盖率较低,而城乡居民医疗保险的实际覆盖率超... 基于“中国健康与养老追踪调查”(CHARLS)2011—2018年四期数据,研究两类基本医疗保险参保者的城乡身份、所在地区与收入水平对基本医疗保险受益的影响及其公平性,发现城镇职工医疗保险的覆盖率较低,而城乡居民医疗保险的实际覆盖率超过政策覆盖率;城镇和东部地区、高收入参保者的受益水平较高;医疗自付费用对低收入人群形成较大负担;随着时间的推移,参保者在不同维度的受益水平和公平性有所改善。模型分析结果还表明,在城镇职工医保内部,地区差距显著,东部、中部、西部、东北地区的住院费用水平依次递减,西部地区参保人员的健康水平显著低于东部地区;在城乡居民医保内部,城镇居民的受益水平显著高于农村居民和进城农民,东部地区居民的健康水平最高,而西部地区最低;参保者收入越低则住院费用越少,健康水平也越差。上述发现与结论对于进一步缩小不同城乡、地区和收入身份特征的参保者的受益差距,促进社会公平公正,推动共同富裕,具有一定的政策启示。 展开更多
关键词 基本医疗保险 受益公平 城乡差距 地区差距 收入差距 共同富裕
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农业保险对农户种植业收入的影响研究——基于中国土地经济调查(CLES)数据的实证分析 被引量:1
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作者 刘妍 潘辉 王子源 《金融教育研究》 2024年第3期43-57,共15页
基于2020年中国土地经济调查(CLES)数据,采用中介效应及门槛效应模型,实证考察农户购买农业保险对其自身种植业收入的影响。研究结果显示:第一,农业保险能够增加农户种植业收入,其增收效应通过种植规模的扩大得以实现,且在影响过程中存... 基于2020年中国土地经济调查(CLES)数据,采用中介效应及门槛效应模型,实证考察农户购买农业保险对其自身种植业收入的影响。研究结果显示:第一,农业保险能够增加农户种植业收入,其增收效应通过种植规模的扩大得以实现,且在影响过程中存在遮掩效应。第二,农业保险的增收效应存在三重门槛,即农业保险、种植业规模与农户种植业收入之间存在非线性关系,当农户种植面积达到一定规模后,农业保险的增收效果显著提升。这有利于各级政府规范农村土地流转制度,鼓励农户通过土地流转合理规划种植规模,并推行差异化农业保险政策,同时为保险机构完善农业保险服务体系、扩大保障范围、丰富农业保险种类提供新的经验证据。 展开更多
关键词 农业保险 种植业收入 种植规模 生产行为
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企业ESG表现提升劳动收入份额实证研究——基于中国上市公司的经验证据 被引量:1
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作者 李增福 陈嘉滢 《中央财经大学学报》 CSSCI 北大核心 2024年第4期104-118,共15页
基于中国上市公司大样本数据检验证实:企业ESG表现提升劳动收入份额源自多种因素的共同作用。笔者依据相关公司治理理论,以2009—2021年中国沪深A股非金融类上市公司的样本有效数据,运用多元线性回归方法实证检验了企业ESG表现与劳动收... 基于中国上市公司大样本数据检验证实:企业ESG表现提升劳动收入份额源自多种因素的共同作用。笔者依据相关公司治理理论,以2009—2021年中国沪深A股非金融类上市公司的样本有效数据,运用多元线性回归方法实证检验了企业ESG表现与劳动收入份额之间的关系及其变化。检验结果证实:企业ESG表现与劳动收入份额正相关;资金支持、内部控制水平、技术升级中介企业ESG表现与劳动收入份额的相关性;以劳动密集程度和技术密集程度为代表的要素密集程度正向调节企业ESG表现对劳动收入份额的提升,而企业规模和劳动调整成本则发挥反向调节作用。本研究通过将公司内部治理和公司外部性等相关理论原理尝试性地运用于企业ESG表现与劳动收入份额关系的实证研究,从一系列检验诸多相关要素的有机联系上证实了企业ESG表现显著提升劳动收入份额,丰富了关于可持续发展研究领域的现有文献,研究结论有助于为企业以改善ESG表现方式实现高质量发展提供理论依据。 展开更多
关键词 企业EsG表现 劳动收入份额 资金支持 内部控制水平 技术升级
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