Climate change is an alarming global challenge, particularly affecting the least developed countries (LDCs) including Liberia. These countries, located in regions prone to unpredictable temperature and precipitation c...Climate change is an alarming global challenge, particularly affecting the least developed countries (LDCs) including Liberia. These countries, located in regions prone to unpredictable temperature and precipitation changes, are facing significant challenges, particularly in climate-sensitive sectors such as mining and agriculture. LDCs need more resilience to adverse climate shocks but have limited capacity for adaptation compared to other developed and developing nations. This paper examines Liberia’s susceptibility to climate change as a least developed country, focusing on its exposure, sensitivity, and adaptive capacity. It provides an overview of LDCs and outlines the global distribution of carbon dioxide emissions. The paper also evaluates specific challenges that amplify Liberia’s vulnerability and constrain sustainable adaptation, providing insight into climate change’s existing and potential effects. The paper emphasizes the urgency of addressing climate impacts on Liberia and calls for concerted local and international efforts for effective and sustainable mitigation efforts. It provides recommendations for policy decisions and calls for further research on climate change mitigation and adaptation.展开更多
Urbanization is the inevitable path of national economic development,and the level of urbanization development in most African countries is still low.By analyzing five typical developed countries in the United States,...Urbanization is the inevitable path of national economic development,and the level of urbanization development in most African countries is still low.By analyzing five typical developed countries in the United States,Britain,France,Germany,and Japan,this paper discusses the promoting factors and problems of the rapid urbanization development in their specific years,as well as the experiences and lessons that Africa can learn,so as to prevent Africa from taking the detour in the urbanization process of Western developed countries and promote the balanced regional development of various African countries.展开更多
Nowadays, globalization has become an essential tool for cooperation in the world and it is remarkable in many aspects, characterized by economic interdependence of states. Economical diplomacy became a precious eleme...Nowadays, globalization has become an essential tool for cooperation in the world and it is remarkable in many aspects, characterized by economic interdependence of states. Economical diplomacy became a precious element in foreign mutual relation. This paper discusses the evidence of modern economic diplomacy within an environment of economic interdependence and how it is seen in third world countries. The paper investigates also the relation between Africa continent and the rest of the world as well. The predominant actors in this modern economic diplomacy are developed countries. As we may all expect, countries will expect that their economic diplomacy and commercial diplomacy will serve their national interest in the economic and business sphere. With the increasing complexity of international economic relation, the traditional state-to-state diplomacy is no longer accurate and has been fragmented making more complex due to the growth of non-state actors in the international economic relations. What is the role of those non-state actors in international economic and diplomatic cooperation? The participation of these non-state actors in the modern economic diplomacy will be discussed in this paper as well.展开更多
This paper examines the nutrition impacts of using non-solid cooking fuel on under-five children in developing countries.We draw on data from more than 1.12 million children in 62 developing countries from the Demogra...This paper examines the nutrition impacts of using non-solid cooking fuel on under-five children in developing countries.We draw on data from more than 1.12 million children in 62 developing countries from the Demographic and Health Surveys(DHS).Results from both fixed effects(FE)and instrumental variable(IV)estimates show that using non-solid cooking fuel significantly improves the nutrition outcomes of under-five children.Compared with their peers from households mainly using solid fuel,children from households mainly using non-solid fuel exhibit a lower probability of experiencing stunting(by 5.9 percentage points)and being underweight(by 1.2 percentage points).Our further investigation provides evidence for several underlying mechanisms,such as improved indoor air quality,induced reduction in children’s respiratory symptoms,benefits on maternal health,and reduction in maternal time spent on fuel collection or cooking.Heterogenous analyses suggest that the nutrition benefits of using non-solid cooking fuel are more prominent among boys,children above three years old,and those from households of lower socioeconomic status,rural areas,and Southeast Asia.展开更多
Low-and middle-income countries(LMICs)bear the greater share of the global mental health burden but are ill-equipped to deal with it because of severe resource constraints leading to a large treatment gap.The remote p...Low-and middle-income countries(LMICs)bear the greater share of the global mental health burden but are ill-equipped to deal with it because of severe resource constraints leading to a large treatment gap.The remote provision of mental health services by digital means can effectively augment conventional services in LMICs to reduce the treatment gap.Digital psychiatry in LMICs has always lagged behind high-income countries,but there have been encouraging developments in the last decade.There is increasing research on the efficacy of digital psychiatric interventions.However,the evidence is not adequate to conclude that digital psychiatric interventions are invariably effective in LMICs.A striking development has been the rise in mobile and smartphone ownership in LMICs,which has driven the increasing use of mobile technologies to deliver mental health services.An innovative use of mobile technologies has been to optimize task-shifting,which involves delivering mental healthcare services in community settings using non-specialist health professionals.Emerging evidence from LMICs shows that it is possible to use digital tools to train non-specialist workers effectively and ensure that the psychosocial interventions they deliver are efficacious.Despite these promising developments,many barriers such as service costs,underdeveloped infrastructure,lack of trained professionals,and significant disparities in access to digital services impede the progress of digital psychiatry in LMICs.To overcome these barriers,digital psychiatric services in LMICs should address contextual factors influencing the delivery of digital services,ensure collaboration between different stakeholders,and focus on reducing the digital divide.展开更多
Since 1976, eradicating hunger has become one of the priority objectives of the United Nations, which is included in the Charter of Human Rights;the right to get adequate food. The qualification of food security in ti...Since 1976, eradicating hunger has become one of the priority objectives of the United Nations, which is included in the Charter of Human Rights;the right to get adequate food. The qualification of food security in time and space must analyze not only the three components it covers but also the relationships that these three components maintain. Climate change contributes to food insecurity, but it is not the only factor. To address food insecurity in various forms, greater food security must be combined with improved sustainable agricultural practices with minimal strain on the environment. This review of literature insists on the principles of food security, which in particular allows a better understanding of food insecurity in developing countries and favors a greater contribution of agriculture and food systems in general to nutritional progress.展开更多
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...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.展开更多
Given developments in urbanization, agricultural, and technological practices, the diet and lifestyle of developed countries has changed dramatically over the course of the last century[1].
Childbirth experience is one of the most intense pain that majority of women will endure during their lifetime. Concerns about pain in labor remain a hot topic, and its popularity gets more common day by day as more w...Childbirth experience is one of the most intense pain that majority of women will endure during their lifetime. Concerns about pain in labor remain a hot topic, and its popularity gets more common day by day as more women become aware of their rights to achieve a better quality of care during labor. There are various non-pharmacologic (transcutaneous electrical nerve stimulation, hydrotherapy, intradermal water injections and acupuncture) and pharmacologic treatments (nitrous oxide, opioids and regional analgesia techniques: spinal, epidural and combined epidural analgesia) available today. Among these, epidural analgesia offers the most effective form of pain relief and is considered to be the gold standard of labor analgesia. Despite having labor analgesic services, most women still go through painful labor due to lack of knowledge regarding it, particularly in developing countries. The main source of information regarding pain reliefs is from friends and relatives, revealing the lack of information from caregiver’s side. So this study reflects that there is a wide gap in the communication between pregnant women and obstetricians. It supports the fact that obstetricians through the practice of routinely offering labor analgesia can significantly improve the maternal and perinatal outcomes of pregnancy. Provision of standardized epidural analgesia information at an appropriate time in their pregnancy may benefit them by the practice of mutual decision-making. Thus, it may prevent women from making a difficult choice of cesarean section to avoid the fear of painful labor.展开更多
Educational investment is the material basis for developing intelligence and educational cause and also an important factor for the development of economic and society.This paper argues that educational investment is ...Educational investment is the material basis for developing intelligence and educational cause and also an important factor for the development of economic and society.This paper argues that educational investment is an important strategy to solve the problem of disadvantaged groups in our country,and hopes that through the analysis of the structure and the trend for educational investment in developed countries,and it can provide reference and valuable suggestions for our country.展开更多
Construction of talent training system in marine cultural industry in developed countries was introduced firstly,and then the enlightenment of talent training in marine cultural industry in developed countries to Chin...Construction of talent training system in marine cultural industry in developed countries was introduced firstly,and then the enlightenment of talent training in marine cultural industry in developed countries to China was analyzed,such as changing the development consciousness of marine cultural industry,strengthening the construction of professional teaching staff in marine cultural industry,and innovating the talent training modes of marine cultural industry.展开更多
Renal replacement therapy(RRT) resources are scarce in India, with wide urban-rural and interstate disparities. The burden of end-stage renal disease is expected to increase further due to increasing prevalence of ris...Renal replacement therapy(RRT) resources are scarce in India, with wide urban-rural and interstate disparities. The burden of end-stage renal disease is expected to increase further due to increasing prevalence of risk factors like diabetes mellitus. Renal transplantation, the best RRT modality, is increasing in popularity, due to improvements made in public education, the deceased donor transplantation(DDT) programme and the availability of free and affordable transplant services in government hospitals and certain non-governmental philanthropic organizations. There are about 120000 haemodialysis patients and 10000 chronic peritoneal dialysis patients in India, the majority of them waiting for a donor kidney. Shortage of organs, lack of transplant facilities and high cost of transplant in private facilities are major barriers for renal transplantation in India. The DDT rate in India is now 0.34 per million population, among the lowest in the world. Infrastructural development in its infancy and road traffic rules not being strictly implemented by the authorities, have led to road traffic accidents being very common in urban and rural India. Many patients are declared brain dead on arrival and can serve as potential organ donors. The DDT programme in the state of Tamil Nadu has met with considerable success and has brought down the incidence of organ trade. Government hospitals in Tamil Nadu, with a population of 72 million, provide free transplantation facilities for the underprivileged. Public private partnership has played an important role in improving organ procurement rates, with the help of trained transplant coordinators in government hospitals. The DDT programmes in the southern states of India(Tamil Nadu, Kerala, Pondicherry) are advancing rapidly with mutual sharing due to public private partnership providing vital organs to needy patients. Various health insurance programmes rolled out by the governments in the southern states are effective in alleviating financial burden for the transplantation. Post-transplant immunological and pathological surveillance of recipientsremains a challenge due to the scarcity of infrastructure and other facilities.展开更多
Introduction: In developed countries, HIV care is mostly provided by trained specialist healthcare professionals. Due to the increasing demand for HIV care, pressure on healthcare providers to reduce cost and the curr...Introduction: In developed countries, HIV care is mostly provided by trained specialist healthcare professionals. Due to the increasing demand for HIV care, pressure on healthcare providers to reduce cost and the current global economic constraints, many developed countries are searching for alternative HIV care models. This review aims to consider whether HIV treatment and care can be provided as effectively and safely by doctors and nurses with no HIV-specialist training compared to those with HIV-specialist training. Methods: Three electronic bibliographic databases MEDLINE, EMBASE and the Cochrane Library were searched for studies conducted between January 1996 and March 2015. Manual searches of reference lists of all relevant reports retrieved from the electronic databases were conducted. All comparative studies examining the quality of HIV care provided by different types of healthcare providers in developed countries were included. Results: Nine observational studies involving 27,015 patients were included in the review. Eight studies were conducted in the USA and one study in Switzerland. Healthcare providers with HIV-related expertise and or training and those without HIV-related expertise or training who collaborated with providers with HIV-related expertise and or training outperformed other healthcare providers in many virological, immunological and ART-related outcomes. Conclusion: This review found moderate quality evidence that HIV care can be provided effectively by non-HIV specialists if they have access to HIV specialists or experts for advice and support.展开更多
Since the developments regarding the economic regime in developed countries follow a different path as opposed to those in developing countries, in this article, these two groups of countries will be examined separate...Since the developments regarding the economic regime in developed countries follow a different path as opposed to those in developing countries, in this article, these two groups of countries will be examined separately. Priority will be given to investigate the economic regime in developed countries due to historical and theoretical reasons. Today, both in developed and developing countries the economic activities basically are taken up by the private sector, nevertheless the government contributes to these activities through intervention, guidance, protectionism, and investment. Still the level of government intervention, protection and public investments in developed countries appears to be at the minimum. The role of government in developing countries, however, seems to be more significant. The gravity of the government's role depends on the degree of development for the countries concerned In the countries where the level of development is low, the role of government increases, in other words, the improvement in development decreases the role government.展开更多
Highway traffic safety is an issue confronting developing countries and those of industrialized nations. Nigeria, as a developing country, has been experiencing unusually high traffic related injury and fatality rates...Highway traffic safety is an issue confronting developing countries and those of industrialized nations. Nigeria, as a developing country, has been experiencing unusually high traffic related injury and fatality rates. In order to commence combating highway safety problems in Nigeria, the first task is to identify the major contributing factors; however, Nigeria has no reliable and comprehensive database of traffic accidents and casualties. Consequently, the Delphi technique was utilized in generating the required data such as number of registered automobiles, number of licensed drivers, and annual fatality count for modeling and forecasting accident rates in Nigeria. A Bayesian network model was developed and used, with the data obtained from Delphi process, to demonstrate possible traffic safety responses to different scenarios of changes in the Nigerian socio-political culture. Although the Delphi technique and the Bayesian network model only estimate the accident and safety data, those methods can be a realistic option when those data are not available, especially for the developing countries. As a result, the major accident contributors have been identified and the top three contributors-road condition, DUI (driving under the influence) and reckless driving-are policy related. The Nigerian traffic safety outlook would improve significantly if the existing laws and policies can be enforced, even at a very moderate level.展开更多
Growing client population, ever-increasing service demand, and complexity of services are the driving factors for the mobile operators for a paradigm shift in their core technology and radio access networks. 5G mobile...Growing client population, ever-increasing service demand, and complexity of services are the driving factors for the mobile operators for a paradigm shift in their core technology and radio access networks. 5G mobile network is the result of this paradigm shift and currently under deployment in many developed countries such as United States, United Kingdom, South Korea, Japan, and China—to name a few. However, most of the Least Developed Countries (LDCs) have very recently been implemented 4G mobile networks for which the overall role out phase is still not complete. In this paper, we investigate how feasible it is for LDCs to emphasize on a possible deployment of 5G networks at the moment. At first, we take a holistic approach to show the major technical challenges LDCs are likely to face while deploying the 5G mobile networks. Then we argue that various security aspects of 5G networks are an ongoing issue and LDCs are not technologically competent to handle many security glitches of 5G networks. At the same time, we show that most of the use cases of 5G networks are not applicable in the context of many LDCs (at least at the present time). Finally, this paper concludes that the start of the 5G network deployment in LDCs would take much longer time than expected.展开更多
This paper applies the Pairwise Panel Granger Causality test to examine the relationship between ICT (information and communication technology) expenditure and the rate of growth of GDP (gross domestic product) pe...This paper applies the Pairwise Panel Granger Causality test to examine the relationship between ICT (information and communication technology) expenditure and the rate of growth of GDP (gross domestic product) per capita. This is accomplished by using cross-country time-series data for a total of 70 developed and developing countries for the period from 2003 to 2008. The study reveals that the existence of causality and its direction differ across different income-group of countries and over the number of lags included. ICT investment expenditure as a percentage of GDP appears to cause the rate of growth of GDP per capita for the high income group and all income groups combined with lags higher than one year. However, for the upper- and lower-middle income groups, the study detects causality in neither direction. Also, when only one lag is included, the study suggests no causality in either direction for any of the income-groups of countries.展开更多
For a long time, China has adhered to the identity of a developing country and made strengthening solidarity and cooperation with developing countries an important part of its foreign policy. Since the late 1990s, Ch...For a long time, China has adhered to the identity of a developing country and made strengthening solidarity and cooperation with developing countries an important part of its foreign policy. Since the late 1990s, China’s relations with developing countries have become increasingly diverse and added many new elements. The report of the 19th National Congress of the Communist Party of China used partnerships to guide China to build positive relations with various types of countries and stressed that China has expanded the way for developing countries to modernize.展开更多
One of the fundamental issues in developing countries is how to evolve tax policies that can generate sufficient revenue for government activities.Consequent upon the above,this study examined tax policies and plannin...One of the fundamental issues in developing countries is how to evolve tax policies that can generate sufficient revenue for government activities.Consequent upon the above,this study examined tax policies and planning in developing sub-Saharan African countries.It adopted table content analysis and descriptive statistics in its methodology.The study observed that aggressive tax planning which the Multi-National Corporations execute through royalty payment,interest payment,strategic transfer pricing and treaty shopping,among others,has caused countries around the globe huge revenue losses annually and has become a matter of serious concern to both the developed and developing economies.The implication of this is that achievement of objectives of tax policies and their reforms will remain a mirage in sub-Saharan African countries.The study concluded that the prevalence of illicit financial outflows in the form of tax evasion and avoidance in the guise of aggressive tax planning by multinational corporations,however,makes Africa’s tax policies worse.It was recommended that the Organization for Economic Corporation and Development,and the G-20 should involve developing countries in the Base Erosion and Profit Shifting project as they are the worst victims of these activities.展开更多
Probing the proposition of"Chinese Approaches for Expanding the Choice of Paths for Modernization in Developing Countries"is of great theoretical and practical significance.To comprehend its great theoretica...Probing the proposition of"Chinese Approaches for Expanding the Choice of Paths for Modernization in Developing Countries"is of great theoretical and practical significance.To comprehend its great theoretical and practical significance is a demonstration of the global significance of Chinese approaches.The design of world economic issues and the direction of globalized development and governance can be directed through Chinese approaches and the prosperous development of scientific socialism in the 21st century can be realized by applying Chinese experience,wisdom and strength via Chinese approaches for building a community of shared interest and a shared future for mankind.The historical inevitability,realistic possibility and internal logic for expanding the path to modernization for de veloping countries with Chinese approaches can be revealed by analyzing the options for modernization in developing countries,comparing the three paths to modernization,displaying the significance of modernization through Chinese approaches and demonstrating their effects.Moreover,the ideological connotations,spiritual essence and basic values of Chinese solutions are expounded following the principle of integrity in Marxism thus demonstrating the true meaning and vitality of the integrity of time,space,practice and theories of the Chinese approaches.展开更多
文摘Climate change is an alarming global challenge, particularly affecting the least developed countries (LDCs) including Liberia. These countries, located in regions prone to unpredictable temperature and precipitation changes, are facing significant challenges, particularly in climate-sensitive sectors such as mining and agriculture. LDCs need more resilience to adverse climate shocks but have limited capacity for adaptation compared to other developed and developing nations. This paper examines Liberia’s susceptibility to climate change as a least developed country, focusing on its exposure, sensitivity, and adaptive capacity. It provides an overview of LDCs and outlines the global distribution of carbon dioxide emissions. The paper also evaluates specific challenges that amplify Liberia’s vulnerability and constrain sustainable adaptation, providing insight into climate change’s existing and potential effects. The paper emphasizes the urgency of addressing climate impacts on Liberia and calls for concerted local and international efforts for effective and sustainable mitigation efforts. It provides recommendations for policy decisions and calls for further research on climate change mitigation and adaptation.
文摘Urbanization is the inevitable path of national economic development,and the level of urbanization development in most African countries is still low.By analyzing five typical developed countries in the United States,Britain,France,Germany,and Japan,this paper discusses the promoting factors and problems of the rapid urbanization development in their specific years,as well as the experiences and lessons that Africa can learn,so as to prevent Africa from taking the detour in the urbanization process of Western developed countries and promote the balanced regional development of various African countries.
文摘Nowadays, globalization has become an essential tool for cooperation in the world and it is remarkable in many aspects, characterized by economic interdependence of states. Economical diplomacy became a precious element in foreign mutual relation. This paper discusses the evidence of modern economic diplomacy within an environment of economic interdependence and how it is seen in third world countries. The paper investigates also the relation between Africa continent and the rest of the world as well. The predominant actors in this modern economic diplomacy are developed countries. As we may all expect, countries will expect that their economic diplomacy and commercial diplomacy will serve their national interest in the economic and business sphere. With the increasing complexity of international economic relation, the traditional state-to-state diplomacy is no longer accurate and has been fragmented making more complex due to the growth of non-state actors in the international economic relations. What is the role of those non-state actors in international economic and diplomatic cooperation? The participation of these non-state actors in the modern economic diplomacy will be discussed in this paper as well.
基金This work was supported by the National Natural Science Foundation of China(71861147003 and 71925009).
文摘This paper examines the nutrition impacts of using non-solid cooking fuel on under-five children in developing countries.We draw on data from more than 1.12 million children in 62 developing countries from the Demographic and Health Surveys(DHS).Results from both fixed effects(FE)and instrumental variable(IV)estimates show that using non-solid cooking fuel significantly improves the nutrition outcomes of under-five children.Compared with their peers from households mainly using solid fuel,children from households mainly using non-solid fuel exhibit a lower probability of experiencing stunting(by 5.9 percentage points)and being underweight(by 1.2 percentage points).Our further investigation provides evidence for several underlying mechanisms,such as improved indoor air quality,induced reduction in children’s respiratory symptoms,benefits on maternal health,and reduction in maternal time spent on fuel collection or cooking.Heterogenous analyses suggest that the nutrition benefits of using non-solid cooking fuel are more prominent among boys,children above three years old,and those from households of lower socioeconomic status,rural areas,and Southeast Asia.
文摘Low-and middle-income countries(LMICs)bear the greater share of the global mental health burden but are ill-equipped to deal with it because of severe resource constraints leading to a large treatment gap.The remote provision of mental health services by digital means can effectively augment conventional services in LMICs to reduce the treatment gap.Digital psychiatry in LMICs has always lagged behind high-income countries,but there have been encouraging developments in the last decade.There is increasing research on the efficacy of digital psychiatric interventions.However,the evidence is not adequate to conclude that digital psychiatric interventions are invariably effective in LMICs.A striking development has been the rise in mobile and smartphone ownership in LMICs,which has driven the increasing use of mobile technologies to deliver mental health services.An innovative use of mobile technologies has been to optimize task-shifting,which involves delivering mental healthcare services in community settings using non-specialist health professionals.Emerging evidence from LMICs shows that it is possible to use digital tools to train non-specialist workers effectively and ensure that the psychosocial interventions they deliver are efficacious.Despite these promising developments,many barriers such as service costs,underdeveloped infrastructure,lack of trained professionals,and significant disparities in access to digital services impede the progress of digital psychiatry in LMICs.To overcome these barriers,digital psychiatric services in LMICs should address contextual factors influencing the delivery of digital services,ensure collaboration between different stakeholders,and focus on reducing the digital divide.
文摘Since 1976, eradicating hunger has become one of the priority objectives of the United Nations, which is included in the Charter of Human Rights;the right to get adequate food. The qualification of food security in time and space must analyze not only the three components it covers but also the relationships that these three components maintain. Climate change contributes to food insecurity, but it is not the only factor. To address food insecurity in various forms, greater food security must be combined with improved sustainable agricultural practices with minimal strain on the environment. This review of literature insists on the principles of food security, which in particular allows a better understanding of food insecurity in developing countries and favors a greater contribution of agriculture and food systems in general to nutritional progress.
文摘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.
文摘Given developments in urbanization, agricultural, and technological practices, the diet and lifestyle of developed countries has changed dramatically over the course of the last century[1].
文摘Childbirth experience is one of the most intense pain that majority of women will endure during their lifetime. Concerns about pain in labor remain a hot topic, and its popularity gets more common day by day as more women become aware of their rights to achieve a better quality of care during labor. There are various non-pharmacologic (transcutaneous electrical nerve stimulation, hydrotherapy, intradermal water injections and acupuncture) and pharmacologic treatments (nitrous oxide, opioids and regional analgesia techniques: spinal, epidural and combined epidural analgesia) available today. Among these, epidural analgesia offers the most effective form of pain relief and is considered to be the gold standard of labor analgesia. Despite having labor analgesic services, most women still go through painful labor due to lack of knowledge regarding it, particularly in developing countries. The main source of information regarding pain reliefs is from friends and relatives, revealing the lack of information from caregiver’s side. So this study reflects that there is a wide gap in the communication between pregnant women and obstetricians. It supports the fact that obstetricians through the practice of routinely offering labor analgesia can significantly improve the maternal and perinatal outcomes of pregnancy. Provision of standardized epidural analgesia information at an appropriate time in their pregnancy may benefit them by the practice of mutual decision-making. Thus, it may prevent women from making a difficult choice of cesarean section to avoid the fear of painful labor.
文摘Educational investment is the material basis for developing intelligence and educational cause and also an important factor for the development of economic and society.This paper argues that educational investment is an important strategy to solve the problem of disadvantaged groups in our country,and hopes that through the analysis of the structure and the trend for educational investment in developed countries,and it can provide reference and valuable suggestions for our country.
基金Supported by Educational Science Research Project of Shanghai City(C16064)Key Teaching Reform Project for Undergraduate Education of Colleges and Universities in Shanghai City “Research and Practice of Training Modes of Shipping Professionals Based on Collaboration among Different Domains from a Perspective of Innovation and Entrepreneurship Education”
文摘Construction of talent training system in marine cultural industry in developed countries was introduced firstly,and then the enlightenment of talent training in marine cultural industry in developed countries to China was analyzed,such as changing the development consciousness of marine cultural industry,strengthening the construction of professional teaching staff in marine cultural industry,and innovating the talent training modes of marine cultural industry.
文摘Renal replacement therapy(RRT) resources are scarce in India, with wide urban-rural and interstate disparities. The burden of end-stage renal disease is expected to increase further due to increasing prevalence of risk factors like diabetes mellitus. Renal transplantation, the best RRT modality, is increasing in popularity, due to improvements made in public education, the deceased donor transplantation(DDT) programme and the availability of free and affordable transplant services in government hospitals and certain non-governmental philanthropic organizations. There are about 120000 haemodialysis patients and 10000 chronic peritoneal dialysis patients in India, the majority of them waiting for a donor kidney. Shortage of organs, lack of transplant facilities and high cost of transplant in private facilities are major barriers for renal transplantation in India. The DDT rate in India is now 0.34 per million population, among the lowest in the world. Infrastructural development in its infancy and road traffic rules not being strictly implemented by the authorities, have led to road traffic accidents being very common in urban and rural India. Many patients are declared brain dead on arrival and can serve as potential organ donors. The DDT programme in the state of Tamil Nadu has met with considerable success and has brought down the incidence of organ trade. Government hospitals in Tamil Nadu, with a population of 72 million, provide free transplantation facilities for the underprivileged. Public private partnership has played an important role in improving organ procurement rates, with the help of trained transplant coordinators in government hospitals. The DDT programmes in the southern states of India(Tamil Nadu, Kerala, Pondicherry) are advancing rapidly with mutual sharing due to public private partnership providing vital organs to needy patients. Various health insurance programmes rolled out by the governments in the southern states are effective in alleviating financial burden for the transplantation. Post-transplant immunological and pathological surveillance of recipientsremains a challenge due to the scarcity of infrastructure and other facilities.
文摘Introduction: In developed countries, HIV care is mostly provided by trained specialist healthcare professionals. Due to the increasing demand for HIV care, pressure on healthcare providers to reduce cost and the current global economic constraints, many developed countries are searching for alternative HIV care models. This review aims to consider whether HIV treatment and care can be provided as effectively and safely by doctors and nurses with no HIV-specialist training compared to those with HIV-specialist training. Methods: Three electronic bibliographic databases MEDLINE, EMBASE and the Cochrane Library were searched for studies conducted between January 1996 and March 2015. Manual searches of reference lists of all relevant reports retrieved from the electronic databases were conducted. All comparative studies examining the quality of HIV care provided by different types of healthcare providers in developed countries were included. Results: Nine observational studies involving 27,015 patients were included in the review. Eight studies were conducted in the USA and one study in Switzerland. Healthcare providers with HIV-related expertise and or training and those without HIV-related expertise or training who collaborated with providers with HIV-related expertise and or training outperformed other healthcare providers in many virological, immunological and ART-related outcomes. Conclusion: This review found moderate quality evidence that HIV care can be provided effectively by non-HIV specialists if they have access to HIV specialists or experts for advice and support.
文摘Since the developments regarding the economic regime in developed countries follow a different path as opposed to those in developing countries, in this article, these two groups of countries will be examined separately. Priority will be given to investigate the economic regime in developed countries due to historical and theoretical reasons. Today, both in developed and developing countries the economic activities basically are taken up by the private sector, nevertheless the government contributes to these activities through intervention, guidance, protectionism, and investment. Still the level of government intervention, protection and public investments in developed countries appears to be at the minimum. The role of government in developing countries, however, seems to be more significant. The gravity of the government's role depends on the degree of development for the countries concerned In the countries where the level of development is low, the role of government increases, in other words, the improvement in development decreases the role government.
文摘Highway traffic safety is an issue confronting developing countries and those of industrialized nations. Nigeria, as a developing country, has been experiencing unusually high traffic related injury and fatality rates. In order to commence combating highway safety problems in Nigeria, the first task is to identify the major contributing factors; however, Nigeria has no reliable and comprehensive database of traffic accidents and casualties. Consequently, the Delphi technique was utilized in generating the required data such as number of registered automobiles, number of licensed drivers, and annual fatality count for modeling and forecasting accident rates in Nigeria. A Bayesian network model was developed and used, with the data obtained from Delphi process, to demonstrate possible traffic safety responses to different scenarios of changes in the Nigerian socio-political culture. Although the Delphi technique and the Bayesian network model only estimate the accident and safety data, those methods can be a realistic option when those data are not available, especially for the developing countries. As a result, the major accident contributors have been identified and the top three contributors-road condition, DUI (driving under the influence) and reckless driving-are policy related. The Nigerian traffic safety outlook would improve significantly if the existing laws and policies can be enforced, even at a very moderate level.
文摘Growing client population, ever-increasing service demand, and complexity of services are the driving factors for the mobile operators for a paradigm shift in their core technology and radio access networks. 5G mobile network is the result of this paradigm shift and currently under deployment in many developed countries such as United States, United Kingdom, South Korea, Japan, and China—to name a few. However, most of the Least Developed Countries (LDCs) have very recently been implemented 4G mobile networks for which the overall role out phase is still not complete. In this paper, we investigate how feasible it is for LDCs to emphasize on a possible deployment of 5G networks at the moment. At first, we take a holistic approach to show the major technical challenges LDCs are likely to face while deploying the 5G mobile networks. Then we argue that various security aspects of 5G networks are an ongoing issue and LDCs are not technologically competent to handle many security glitches of 5G networks. At the same time, we show that most of the use cases of 5G networks are not applicable in the context of many LDCs (at least at the present time). Finally, this paper concludes that the start of the 5G network deployment in LDCs would take much longer time than expected.
文摘This paper applies the Pairwise Panel Granger Causality test to examine the relationship between ICT (information and communication technology) expenditure and the rate of growth of GDP (gross domestic product) per capita. This is accomplished by using cross-country time-series data for a total of 70 developed and developing countries for the period from 2003 to 2008. The study reveals that the existence of causality and its direction differ across different income-group of countries and over the number of lags included. ICT investment expenditure as a percentage of GDP appears to cause the rate of growth of GDP per capita for the high income group and all income groups combined with lags higher than one year. However, for the upper- and lower-middle income groups, the study detects causality in neither direction. Also, when only one lag is included, the study suggests no causality in either direction for any of the income-groups of countries.
文摘For a long time, China has adhered to the identity of a developing country and made strengthening solidarity and cooperation with developing countries an important part of its foreign policy. Since the late 1990s, China’s relations with developing countries have become increasingly diverse and added many new elements. The report of the 19th National Congress of the Communist Party of China used partnerships to guide China to build positive relations with various types of countries and stressed that China has expanded the way for developing countries to modernize.
文摘One of the fundamental issues in developing countries is how to evolve tax policies that can generate sufficient revenue for government activities.Consequent upon the above,this study examined tax policies and planning in developing sub-Saharan African countries.It adopted table content analysis and descriptive statistics in its methodology.The study observed that aggressive tax planning which the Multi-National Corporations execute through royalty payment,interest payment,strategic transfer pricing and treaty shopping,among others,has caused countries around the globe huge revenue losses annually and has become a matter of serious concern to both the developed and developing economies.The implication of this is that achievement of objectives of tax policies and their reforms will remain a mirage in sub-Saharan African countries.The study concluded that the prevalence of illicit financial outflows in the form of tax evasion and avoidance in the guise of aggressive tax planning by multinational corporations,however,makes Africa’s tax policies worse.It was recommended that the Organization for Economic Corporation and Development,and the G-20 should involve developing countries in the Base Erosion and Profit Shifting project as they are the worst victims of these activities.
基金This paper is a phased achievement of“Study on Xi Jinping Thought on Socialism with Chinese Characteristics for a New Era”(18JZD001),a key project on major philosophy and social science subject of the Ministry of Education.
文摘Probing the proposition of"Chinese Approaches for Expanding the Choice of Paths for Modernization in Developing Countries"is of great theoretical and practical significance.To comprehend its great theoretical and practical significance is a demonstration of the global significance of Chinese approaches.The design of world economic issues and the direction of globalized development and governance can be directed through Chinese approaches and the prosperous development of scientific socialism in the 21st century can be realized by applying Chinese experience,wisdom and strength via Chinese approaches for building a community of shared interest and a shared future for mankind.The historical inevitability,realistic possibility and internal logic for expanding the path to modernization for de veloping countries with Chinese approaches can be revealed by analyzing the options for modernization in developing countries,comparing the three paths to modernization,displaying the significance of modernization through Chinese approaches and demonstrating their effects.Moreover,the ideological connotations,spiritual essence and basic values of Chinese solutions are expounded following the principle of integrity in Marxism thus demonstrating the true meaning and vitality of the integrity of time,space,practice and theories of the Chinese approaches.