Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 42
Filtrar
1.
Heliyon ; 10(15): e35395, 2024 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-39170158

RESUMEN

Waste-to-energy (WtE) power plants, supplied mainly with municipal solid waste (MSW) and refuse-derived fuel (RDF), which convert waste into electricity, have emerged as a solution to Thailand's waste management problems. This study focused on identifying and studying the critical success factors (CSFs) that influence the success of MSW and RDF power plants in Thailand. This study employed interpretive structural Modelling and cross-impact matrix multiplication applied to a classification analysis to evaluate the impact of these CSFs on the development of WtE projects. The results showed that, for MSW, most CSFs were related to energy and waste management policies, followed by waste quality for electricity generation. In addition, strong financial resources and appropriate power plant locations are important for MSW management success. Conversely, for RDF, most CSFs were sufficient waste quality for electricity generation and performed well according to licensing conditions. In this study, high-level CSFs indicated that these factors were crucial for MSW and RDF development. CSFs differ based on specific technologies and regulations. However, sufficient waste quality (heating value and moisture content) is a common CSF in the MSW and RDF technologies. This study provides valuable insights into the CSFs that affect the development of WtE. Understanding and addressing these CSFs is essential for the development and operation of WtE power plants in Thailand and other countries with similar conditions. Thus, policy-makers and other stakeholders can make informed decisions to ensure the success of WtE projects.

2.
Waste Manag ; 177: 278-288, 2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38354635

RESUMEN

Smart bins can increase transparency and accuracy in monitoring waste characteristics such as weight, volume, and disposal times. This information can aid in enforcing waste reduction policies, including the pay-as-you-throw (PAYT) system. However, the public's response to this technology remains uncertain. Despite Japan's reputation for high waste separation compliance and collection rates, it has one of the world's highest per capita rates of plastic and packaging waste generation. This study surveyed 1000 Japanese individuals regarding their perception of smart bin features and their potential to encourage waste reductions. Multiple correspondence analysis (MCA) was used to explore the relationships between respondents' social attributes and their responses. The findings indicate a slightly higher responses from younger respondents (above 85 % of those age 10-29 compared to around 75 % of those aged 60 and older) who were in favour of smart bin technology functions such as unscheduled waste pick up and automatized waste separation. On the other hand, there was a strong unwillingness (0.57 count ratio) to reduce plastic waste even if a smart bin assisted PAYT is introduced from those who did not engage in waste separation and cleaning in the first place. Finally, an open-ended question about strategies to reduce plastic waste resulted in a large portion of mindset change ideas (24.8 % of the female respondents) and technology innovations proposals (24 % of male respondents). Although development of a smart-bin prototype is taking place, behavioral change strategies to foster a willingness to reduce waste must take place along with technological interventions.


Asunto(s)
Políticas , Opinión Pública , Humanos , Femenino , Masculino , Persona de Mediana Edad , Anciano , Niño , Adolescente , Adulto Joven , Adulto , Japón , Embalaje de Productos , Tecnología
3.
Artículo en Chino | WPRIM (Pacífico Occidental) | ID: wpr-1029984

RESUMEN

Objective:To identify the strengths and weaknesses of hospital development through the application of individual scientific research performance assessment, thereby providing a basis for the formulation of science and technology policies.Methods:We established a research performance assessment system and conducted research performance assessments across the hospital for three consecutive years. The assessment results were analyzed in-depth, utilizing the Kruskal-Wallis test to determine if there were differences in the overall level of assessment scores between years and series; the Mann-Whitney test to analyze differences between the promoted and non-promoted groups; the χ2 test to analyze whether age, degree, gender, and maternity situations affected assessment grades. Results:From 2020 to 2022, the individual scientific research performance assessment scores showed an overall upward trend, with the average per capita assessment score increasing significantly from 35.26 points in 2020 to 74.04 points in 2022. There were statistical differences in the assessment scores of different professional titles, indicating that the senior professionals > the associate senior professionals > the intermediates. There was no significant difference between the promoted and non-promoted groups. Additionally, age, degree, gender, and maternity factors affected assessment grades.Conclusions:It has been preliminarily established that the assessment of individual scientific research performance can effectively steer the scientific innovation activities of researchers, and play a positive role in enhancing the overall scientific research strength. The findings from the data analysis indicate that the hospital is expected to continuously enhance its scientific research performance by focusing on newly recruited doctoral personnel, establishing a system of support and guidance, and providing preferential support to female researchers. The assessment results serve as a " benchmark" for management departments and provide data-driven insights for the development of science and technology policies.

4.
Heliyon ; 9(11): e22692, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-38074858

RESUMEN

In the modern world, plastic trash has been recognized as a global issue, and studies on microplastics (MPs) in the marine and inland environments have previously been conducted. Marine ecosystems act as a bio-diverse ecosystem where coral reefs contribute to make a sound living of the coastal people by gathering natural resources. The current study indicates that MPs and heavy metals (HMs) accumulation to biofilm and organic matter through sedimentation, precipitation, adsorption, and desorption that may have potential effect on growth and development of coral reefs in the marine ecosystems. However, the knowledge of distribution, impact, mechanism, degradation, and association mechanisms between MPs and HMs in the natural environment may open a new window for conducting analytical research from an ecological viewpoint. The current study thus summarizes the types of marine samples with the analytical techniques, polymers of MPs, and their impact on corals and other marine biota. This study also identifies existing knowledge gaps and recommends fresh lines of inquiry in light of recent developments in MPs and HMs research on the marine ecosystems. Overall, the present study suggests a sustainable intervention for reducing MPs and HMs from the marine ecosystems by demonstrating their existence in water, sediment, fish, corals, and other biota, and their impending ecotoxicological impacts on the environment and human health. The impacts of MPs and HMs on coral reefs are critically assessed in this study in light of the most recent scientific knowledge, existing laws, and new suggestions to minimize their contamination in the marine ecosystems.

5.
Conserv Biol ; 37(5): e14072, 2023 10.
Artículo en Inglés | MEDLINE | ID: mdl-36748394

RESUMEN

Mass media worldwide has contributed to increasing awareness of the illegal wildlife trade and its significant impact on wildlife conservation. We used mass media coverage as a proxy for macro-level public opinion to analyze the media framing of elephant ivory in 6394 Chinese newspaper articles published from 2000 to 2021 and thus determine the effects of wildlife policies on public opinion. We focused on 2 events: the Convention on International Trade in Endangered Species of Wild Fauna and Flora (CITES) approval of China as a trading partner in the purchase and import of ivory stockpiles from Africa in July 2008 and the Chinese government's announcement of a domestic ivory ban in December 2016. Using latent Dirichlet allocation topic modeling, we identified 8 topics about elephant ivory and grouped them into 3 frames: ivory arts and culture, ivory crimes, and elephant conservation. Over the last 2 decades, topics related to ivory crimes remained the most prevalent in news articles. Topics about ivory arts and culture showed a significant shift in media salience before and after the 2 events (from 0.44 to 0.19 and from 0.08 to 0.15, respectively, p < 0.05), whereas the other 2 frames did not change significantly. Contrary to popular belief, our results indicated that Chinese macro-level public opinion on ivory had become more negative following the CITES approval of ivory importation and less negative after the ivory ban announcement, at least for certain periods. The relationship between mass media, public opinion, and wildlife trade policies is complex and requires further examination of the sociopolitical dynamics that influence media narratives. Our results showed the value of topic modeling in monitoring and assessing media representations of wildlife issues in the era of big data. Conservationists should remain vigilant of mass media coverage and collaborate with media practitioners to produce comprehensive narratives on wildlife issues if resources permit.


Los medios masivos han contribuido a una mayor conciencia mundial del mercado ilegal de fauna y el impacto significativo que tiene sobre la conservación. Usamos la cobertura de los medios masivos como sustituto de la opinión pública a nivel macro para analizar el encuadre mediático que le dan al marfil 6,394 artículos publicados en periódicos chinos entre el 2000 y 2021 para así determinar los efectos que tienen las políticas de fauna sobre la opinión pública. Nos enfocamos en dos eventos: la autorización que dio la Convención sobre el Comercio Internacional de Especies Amenazadas (CITES) a China como socio comercial en la compra e importación de reservas de marfil desde África en julio de 2008 y la prohibición doméstica de marfil anunciada por el gobierno chino en diciembre de 2016. Usamos el modelado de asignación latente de Dirichlet para identificar ocho temas sobre el marfil y los agrupamos en tres encuadres: arte y cultura del marfil, crimen del marfil y conservación de elefantes. Durante las últimas dos décadas, los temas relacionados con los crímenes del marfil fueron los más prevalentes en los artículos periodísticos. Los temas relacionados al arte y cultura del marfil mostraron un cambio significativo en la relevancia mediática antes y después de los dos eventos (de 0.44 a 0.19 y de 0.08 a 0.15, respectivamente, p<0.05), mientras que los otros dos encuadres no cambiaron significativamente. Contrario a las creencias populares, nuestros resultados indicaron que la opinión pública a nivel macro sobre el marfil en China se ha vuelto más negativa después de la autorización de CITES y menos negativa después de la prohibición del marfil, al menos durante ciertos periodos. La relación entre los medios masivos, la opinión pública y las políticas del comercio de fauna es compleja y requiere un análisis más profundo de las dinámicas sociopolíticas que influyen sobre las narrativas mediáticas. Nuestros resultados muestran el valor del modelado de temas en el monitoreo y evaluación de la representación en medios de los temas sobre fauna en tiempos de los macrodatos. Los conservacionistas deberían permanecer atentos a la cobertura de los medios masivos y colaborar con los profesionales de los medios para producir narraciones completas sobre la fauna si los recursos lo permiten.


Asunto(s)
Elefantes , Animales , Conservación de los Recursos Naturales , Comercio , Internacionalidad , Animales Salvajes
6.
Animals (Basel) ; 13(3)2023 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-36766345

RESUMEN

The management of stray cats is often contentious because public perceptions about these animals are different. Using user-generated content from Weibo, this study investigated Chinese citizens' opinions on stray cats on a large scale. Through the techniques of natural language processing, we obtained each Weibo post's topics and sentiment propensity. The results showed that: (1) there were some irresponsible feeding behaviors among citizens; (2) public perceptions of the ecological impacts caused by stray cats were unlike; (3) the trap-neuter-return (TNR) method served high support in public discussion; (4) knowledge about stray cats' ecological impacts was positively correlated with support for the lethal control methods in management. Based on these findings, we suggested that management policies should be dedicated to (1) communicating to the (potential) cat feeders about the negative aspects of irresponsible feeding behaviors; (2) raising "ecological awareness" campaigns for the public as well as highlighting the environmental impacts caused by stray cats; (3) understanding citizens' perceptions toward different management scenarios and making decisions accordingly. In addition, this study also suggested that social media data can provide useful information about people's opinions on wild animals and their management. Policies would benefit by taking this source of information into the decision-making process.

7.
Waste Manag ; 157: 279-289, 2023 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-36580883

RESUMEN

China's household solid waste recycling system has long faced the challenge of recycling formalization. This process is affected by the complexity of the interdependence of the recycler and resident decisions. The aim of this study was to gain a better understanding of the coevolution of residents' and recyclers' recycling decisions. To this end, this study applied agent-based modeling and network-based evolutionary game methods to construct evolutionary game models based on a two-layer social network. The two layers of heterogeneous social networks depicted the connections between residents and recyclers, respectively. Residents and recyclers choose either formal or informal recycling strategies within layers according to evolutionary game theory. Waste flows and cash flows underlie the interdependent coevolution between the two layers. Using this model, the effects of resident subsidies, recycler subsidies, and regulatory policies on the coevolution of residents and recyclers were simulated. The results showed that the impact of policies on recycling systems relies on long-term social interaction. The trends in the strategic evolution of residents and recyclers were similar, and emerged from their interdependence and mutual influence. Resident-oriented subsidy incentives can promote formal recycling stably and positively. However, recycler subsidies and regulatory policies have opposite marginal promotion effects, as is reflected by the fact that the evolution of formal recycling is insensitive to high recycler subsidies and sensitive to high-intensity regulatory policies. These findings provide a more comprehensive insight into the development of recycling systems and inform the design of waste management policies.


Asunto(s)
Residuos Sólidos , Administración de Residuos , Residuos Sólidos/análisis , Administración de Residuos/métodos , Reciclaje/métodos
8.
Artículo en Japonés | WPRIM (Pacífico Occidental) | ID: wpr-1007023

RESUMEN

Introduction: The purpose of this study was to clarify the relationship between the available service information on small-scale multifunctional in-home nursing care (KANTAKI) and its operational status via text mining.Methods: We obtained nationwide textual information on KANTAKI from the Nursing Care Service Information Disclosure System and the Ministry of Health, Labour, and Welfare, and analyzed the characteristics of the word usage using KH Coder. The number of users and employees and the implementation of services were compared among the facilities that used terms relating to medical dependency and end-of-life care, which are KANTAKI characteristics, and with other facilities.Results: The facilities that used terms relating to medical dependency and end-of-life care showed significantly more users requiring nursing care level 5 and more full-time nursing staff than those not using such terms. Moreover, regarding service provision, the rate of procedures was significantly higher in 11 of 12 items, except for stoma.Conclusion: The facilities that use terms relating to medical dependency and end-of-life care in their information have more users and provide a greater variety of services. In the future, educational support is required to enable facility managers to understand the services and translate them into their work.

9.
Expo Health ; : 1-15, 2022 Dec 12.
Artículo en Inglés | MEDLINE | ID: mdl-36530567

RESUMEN

Endocrine-disrupting chemicals (EDCs) are a prime concern for the environment and health globally. Research shows that in developing countries such as India both the environment and human populations are severely exposed to EDCs and consequently experience rising incidents of adverse health effects such as diabetes and cancers. In this paper, we discuss the current EDC management approach in India, critically assess its limitations, and describe opportunities for potential improvements. Foremost, current EDC management actions and interventions in India are fragmented and outdated, and far behind the modern and comprehensive approaches adopted in the European Union and other developed countries. Strong and well-planned actions are required on various fronts of science, policy, commerce, and public engagement. These actions include the adoption of a dedicated and modern regulatory framework for managing EDCs, enhancing capacity and infrastructure for EDC monitoring in the environment and human population, employing public-private partnership programs for not only managing EDCs but also in the sectors that indirectly contribute toward the mismanagement of EDCs in the country, and raising awareness on EDCs and promoting health-preserving consumption habits among the public. As India hosts a large proportion of the global human population and biodiversity, the success or failure of its actions will substantially affect the direction of global efforts to manage EDCs and set an example for other developing countries.

10.
J Korean Med Sci ; 37(31): e243, 2022 Aug 08.
Artículo en Inglés | MEDLINE | ID: mdl-35942556

RESUMEN

BACKGROUND: A chronic disease management program was implemented in April 2012 to lower out-of-pocket costs for repeat visits to the same clinic. The aim of this study was to investigate the association between participating in this program and the onset of complications among patients with hypertension using whole-nation claims data. METHODS: We used National Health Insurance Service data (2011-2018) and patients with newly detected hypertension from 2012 to 2014 were selected. Chronic disease management program reduces the out-of-pocket expenses of consultation fee from 30% to 20% when patients enroll in this program by agreeing to visit the same clinic for the treatment of hypertension or diabetes. As the dependent variable, acute myocardial infarction (MI), stroke, chronic kidney disease (CKD), and heart failure (HF) were selected. For analysis, cox proportional hazards model was used. RESULTS: Total participants were 827,577, among which 102,831(12.6%) subjects participated in the chronic disease management. Participants of the chronic disease management program were more likely to show lower hazard ratios (HRs) than those of non-participants in terms of all complications (MI: HR, 0.75; 95% confidence interval [CI], 0.68-0.82; stroke: HR, 0.75; 95% CI, 0.72-0.78; CKD: HR, 0.90; 95% CI, 0.85-0.96; HF: HR, 0.56; 95% CI, 0.52-0.61). CONCLUSION: The results showed that participants of the chronic disease management program were less likely to have hypertension complications compared to non-participants. Enhancing the participation rate may be related to better outcomes and reducing medical expenses among patients with chronic diseases.


Asunto(s)
Insuficiencia Cardíaca , Hipertensión , Infarto del Miocardio , Insuficiencia Renal Crónica , Accidente Cerebrovascular , Manejo de la Enfermedad , Insuficiencia Cardíaca/complicaciones , Insuficiencia Cardíaca/terapia , Humanos , Hipertensión/complicaciones , Infarto del Miocardio/complicaciones , Infarto del Miocardio/terapia , Modelos de Riesgos Proporcionales , Insuficiencia Renal Crónica/complicaciones , Insuficiencia Renal Crónica/terapia , Factores de Riesgo
11.
Water Res X ; 16: 100149, 2022 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-35873367

RESUMEN

Water residence time, which is affected by increasing water demands and climate change, plays a crucial role in lakes and reservoirs since it influences many natural physical and ecological processes that eventually impact the water quality of the waterbody. Thus, accurate quantification of the water residence time and its distribution is an important tool in lake management. In this study we present a novel approach for assessing the residence time in lakes and reservoirs. The approach is based on the Leslie matrix model that was originally developed for the analysis of age-structured biological population dynamics. In this approach the water in the lake is divided into different age classes each representing the time since the "parcel" of water entered the lake and provides an overall picture of the water age structure. The traditional approach for calculating residence times, which relies only on the lake volume and annual inflow or outflow volumes thereby disregarding any previous information, is very sensitive to large interannual variation. While the proposed approach produces the fraction and volume distribution curves of all age classes within the lake for each simulated timestep. Thus, in addition to mean residence time, the fraction of young water (FYW), quantifying the "young" fraction of water in the lake can be analyzed. The same is true for any other age class of water. The approach was applied to Lake Kinneret (Sea of Galilee) historical data collected over 32 years (1987-2018) and for prediction of long-term time series based on several future scenarios (inflows and outflows). It offers a more accurate quantification of the mean residence time of water in a lake and can easily be adapted to other waterbodies. Comparison of simulation results may serve as basis for determining the lake's management policy, by controlling the inflows and outflows, that will affect both the mean residence time and the fraction of "young/old" age classes of water.

12.
Indian J Public Health ; 66(2): 109-112, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35859490

RESUMEN

Background: Access to pain management has been recognized as a fundamental human right. Inadequate pain relief hampers the quality of life and has a physiological and psychosocial impact on the patient and caregivers. Inadequate pain relief remains the leading cause of suffering in hospitalized patients worldwide. Objective: The objective of this article is to provide adequate pain relief to hospitalized patients through proper assessment, treatment, and monitoring of pain by the trained health-care workers through a sustainable and effective institutional pain management policy. Methods: The formulation of pain management policy at a tertiary care teaching institute was conducted in three phases - Phase 1: need assessment by an open-label, uncontrolled, prospective observational study over 1 month period, Phase 2: teaching, training, and awareness of health-care workers, and Phase 3: constitution of the committee at the institute level with the formation of pain resource teams. Results: An open-label, prospective observational study conducted over 1 month revealed that among 814 hospitalized patients, 108 out of 235 (46%) patients in medical and 385 out of 579 (66.5%) patients in the surgical cohort had NRS score of ≥3, implying an inadequate pain relief even at 24 h following medical or surgical intervention, respectively. Conclusion: The provision of effective and adequate pain relief to hospitalized patients requires trained health-care workers and a uniform and structured pain management policy at the institutional level. Recognition and addressal of the barriers and challenges while framing an institutional pain policy is of utmost importance.


Asunto(s)
Hospitales de Enseñanza , Política Organizacional , Manejo del Dolor , Centros de Atención Terciaria , Humanos , India , Estudios Prospectivos
13.
Sci Total Environ ; 843: 156894, 2022 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-35777571

RESUMEN

Microplastics (MPs) in freshwater environments have been recognized as one of the important sources of plastic contamination in marine ecosystems. Reducing the amount and spatial distribution of MPs reaching the sea through accumulation behind dams remains unclear. In this study we analyzed the spatial distribution of sediment and surface water MPs in the Aras Dam and from nineteen upstream and downstream locations of the Dam in the Aras River. The MPs abundance ranged from 32 to 528 items/kg dry weight (mean 217.8 ± 132.6) and 1 to 43 items/m3 (mean 12.8 ± 10.5) in the sediment and surface water stations, respectively. MPs abundance in surface waters collected within the Dam reservoir was significantly higher than those found either upstream or downstream (P < 0.05). For sediments, reservoir MPs concentration was generally higher than upstream and downstream, although their differences were not significant. High MPs concentration was observed in the vicinity of urban areas. Moreover, MPs abundance was positively correlated with total organic carbon (TOC) and clay content (P < 0.01). GAM analysis revealed that clay is the most important variable with lowest Akaike information criterion (AIC) and explained 61.3 % of deviance (R-sq.(adj) = 0.344) in MPs abundance. MP particles ranged from 0.1 to 5 mm in size and were dominated by fibers (53.5 %), black color (24 %) and PE polymer (36.6 %). Our results highlight the high MPs distribution in the Aras River and demonstrate that they accumulate in the surface waters behind the Dam. Consequently, the fate and effects of MPs in international rivers is one of the most politicized issues between countries with a common boundary and therefore needs joint management policies that help mitigate this insidious problem.


Asunto(s)
Microplásticos , Contaminantes Químicos del Agua , Arcilla , Ecosistema , Monitoreo del Ambiente/métodos , Sedimentos Geológicos/análisis , Irán , Plásticos , Agua/análisis , Contaminantes Químicos del Agua/análisis
14.
J Environ Manage ; 318: 115547, 2022 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-35767921

RESUMEN

Global warming and climate change are gaining traction in recent years. As a major cause of global warming, carbon emissions were centered to China's climate change policy initiatives. Nevertheless, the existing policy discourse has yet reached a consensus on the optimal modeling method for carbon emissions prediction that is well-informed of both policy goals and the time-series pattern of carbon emissions. This paper fills the gap by promoting a novel data-driven decision model for carbon emissions prediction that is based on the extended belief rule base (EBRB) inference model. The new decision model consists of three components: 1) an indicator integration method, which aims to generate a few group indicators from a large number of statistical indicators; 2) a new EBRB construction method, which aims to consider the management policy goals for constructing EBRB; 3) a new ER-based inference method, which aims to predict carbon emissions based on time series change of relevant factors. The effectiveness of the proposed decision model has been tested against carbon emissions management data from 30 provinces in China. Experimental results demonstrate that the model will offer powerful reference value in the policy decision-making process, which will help to meet policy requirements for carbon emissions.


Asunto(s)
Dióxido de Carbono , Carbono , Carbono/análisis , Dióxido de Carbono/análisis , China , Cambio Climático , Calentamiento Global
15.
Inquiry ; 59: 469580221095799, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35471925

RESUMEN

Background: Efficiency evaluation is an integral part of new medical reform and is necessary to solve the problem of limited and unbalanced medical resources. This study evaluated the efficiency of municipal-level Traditional Chinese Medicine hospitals by Data Envelopment Analysis application after a hierarchical medical treatment policy was implemented. We propose solutions to the problems existing in hospital operations and promote the utilization efficiency of medical resources in those hospitals. Methods: The sample included all municipal-level TCM hospitals in Gansu province from 2017 to 2019. The DEA-BCC model was employed to evaluate the relative efficiency of hospital operations, and the Manny-Whitney test was used to compare the input and output variables of technical efficiency efficient and inefficient hospitals. Results: From 2017 to 2019, the growth in the number of staff in secondary hospitals (25.88%) was lower than that in tertiary hospitals (31.98%). However, the increase in the number of beds (16.52%) in secondary hospitals was higher than that in tertiary hospitals (-0.30%). 5 (38.46%) achieved DEA efficient in secondary hospitals and 2 (40.00%) in tertiary hospitals. The means of technical efficiency, pure technical efficiency, and scale efficiency in secondary hospitals were 0.812, 0.887, and 0.908, respectively. The means in tertiary hospitals were 0.868, 0.926, and 0.935, respectively. The hospital areas were statistically different between the TE efficient and inefficient hospitals (P<0.05) in secondary hospitals. However, the number of outpatients between the two groups was statistically different (P<0.05) in tertiary hospitals. Conclusion: In this study, the medical and health services of municipal TCM hospitals in Gansu Province have made great progress. Due to the backward economy of Gansu Province, the classification of diagnosis and treatment of diseases was still based on Western medicine, resulting in the slow medical development of some municipal TCM hospitals. TCM hospitals should improve management efficiency, optimize hospital operation scale, improve the utilization efficiency of medical resources and promote efficient hospital development.


Asunto(s)
Eficiencia Organizacional , Medicina Tradicional China , China , Hospitales , Humanos , Políticas
16.
Int J Biometeorol ; 66(5): 927-943, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-35211787

RESUMEN

Freshwater catfishes are regarded primarily as a source of food and sport, so they are highly valuable economically. We comprehensively studied life history features of Mystus vittatus, including sex ratio (SR), population structure, growth pattern, condition, form factor (a3.0), sexual maturity (Lm), spawning season, fecundity, mortality (i.e., total mortality (Z), natural-mortality (MW), and fishing mortality (F)), optimum catchable length (Lopt), length at first capture (Lc), and environmental factors (temperature and rainfall) with management policies from the Ganges River during July 2017 to June 2018. SR (1:1.48) differed noticeably from the expected 1:1 ratio (p < 0.05). Total length (TL) ranged from 6.80-16.00 cm for males and 6.53-18.80 cm for females. The growth was negative allometric for both sexes. Fulton's condition factor was the best one and mean relative weight showed no significant difference from 100 for both sexes that indicates balanced population. Lm was 9.60, 9.70, and 8.80 cm based on the gonadosomatic index (GSI), logistic, and maximum length (Lmax), respectively. Spawning season was April to September and the peak was May to July. Fecundity varied from 5942 to 49,852 (mean ± SD, 11,898 ± 5028) and a positively correlated with TL and BW. Z was 1.80 year-1, Mw was 0.97 year-1, and F was 0.83 year-1. Lopt was 11.14 cm (TL) and Lc was ~ 8.47 cm (TL). Temperature and rainfall both were significantly related with GSI and suitable range of temperature and rainfall for spawning of M. vittatus was 28-34 °C and 200-390 mm, respectively. Long data series pointed that average air temperature was increasing and rainfall was decreasing. By considering all of the above parameters, we can take the proper management actions for M. vittatus and other freshwater catfishes on the Indian sub-continent, to ensure long-term self-sustainability and sustainable harvest for the benefit of fishers and communities.


Asunto(s)
Bagres , Rasgos de la Historia de Vida , Animales , Bangladesh , Cambio Climático , Femenino , Masculino , Reproducción , Ríos
17.
J Environ Manage ; 309: 114686, 2022 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-35189513

RESUMEN

Plastic is one commonly used polymer material to support our daily lives. However, once the plastic waste enters the environment, it slowly degrades, which causes long-term and deep ecological environmental problems. As the world's largest plastic producer and consumer, China generated around 26.74 million tons of plastic waste in 2019, and has made ambitious policies to cope with the plastic waste issues. This study predicts the generation trends and management costs of plastic waste in China from 2020 to 2035 under three different scenarios (Business as usual-BAU, Current policy scenario -CPS, and Target policy scenario-TPS), in which China is divided into three regions for specific policy implications. In addition, the scenario analysis and Monte Carlo simulations are used to obtain confidence interval of assessments. The results show that the plastic waste emission will be 34.82 million tons under BAU, 13.49 million tons under CPS and 2.63 million tons under TPS in 2035, respectively, and there will be significant changes in regional contributions in plastic waste emission (e.g., Eastern region: 45.7% to 9.7%; Central region:25.2% to 30.9%; Western region: 29.1% to 59.4% from 2019 to 2035 under TPS). In addition, the environmental and economic benefits increase with the rigor of plastic waste management policy as there will generate a net income of US$3.01 billion under TPS compared to the cost of US$ 2.61 billion under BAU and US$120 million under CPS. In view of this, it is vital that China develop appropriate plastic management policies based on the status of various regions, attempt to achieve economic development while reducing plastic waste emissions, and finally achieving a "win-win" situation of economy and environment.


Asunto(s)
Gases de Efecto Invernadero , Administración de Residuos , China , Plásticos
18.
Rev. latinoam. cienc. soc. niñez juv ; 19(2): 368-392, mayo-ago. 2021. tab, graf
Artículo en Español | LILACS | ID: biblio-1347591

RESUMEN

Resumen (analítico) Se presentan los resultados de una investigación cualitativa realizada desde una perspectiva interpretativa-histórica, para comprender la construcción de relaciones intersectoriales en el programa de atención a la primera infancia de Medellín entre el 2004 y el 2014. Se recurrió al análisis documental y a la observación participante en espacios de gestión de políticas públicas y se implementaron entrevistas semiestructuradas a funcionarios gubernamentales y no gubernamentales. La información se analizó desde tres dimensiones interdependientes: ideológica, política y administrativa. Según los resultados, las acciones intersectoriales se ven favorecidas por la adopción del enfoque de derechos, la implementación de instrumentos de política pública y la búsqueda del posicionamiento de los servicios en la comunidad; sin embargo, estos aspectos están atravesados por tensiones derivadas del intento de articular diferentes miradas, relaciones de poder y acciones administrativas.


Abstract (analytical) His paper presents the results of qualitative research carried out from an interpretative-historical perspective, to understand the construction of intersectoral relationships in the program of early childhood care in Medellin between 2004 and 2014. Documentary analysis and participant observation were used in public policy management spaces, and semi-structured interviews with government and non-government officials were implemented. The data was analyzed from three interdependent dimensions: ideological, political, and administrative. According to the results, intersectoral actions are favored by the adoption of the rights approach, the implementation of public policy instruments, and the search for the positioning of services in the community. However, these aspects are traversed by tensions derived from the attempt to articulate different views, power relations, and administrative actions.


Resumo (analítico) Este artigo apresenta os resultados da pesquisa qualitativa realizada desde uma perspectiva interpretativa-histórica, para entender a construção de relações intersetoriais no programa da atenção à primeira infância de Medellín entre o 2004 e o 2014. Recorreu-se à análise documental e à observação participante em espaços de gestão de políticas públicas e implementaram-se entrevistas semiestruturadas a funcionários governamentais e não governamentais. A informação foi analisada desde três dimensões interdependentes: ideológica, política e administrativa. Segundo os resultados, as ações intersetoriais se veem favorecidas pelo uso do enfoque de direitos, a implementação de instrumentos de política pública e a procura do posicionamento dos serviços na comunidade; mesmo assim, estes aspectos estão atravessados por tensões derivadas da tentativa de articular diferentes olhares, relações de poder e ações administrativas.


Asunto(s)
Política , Investigación Cualitativa , Política Pública
19.
Waste Manag ; 131: 433-442, 2021 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-34252693

RESUMEN

Changes in waste management policy affect the settlement characteristics of waste landfills in which the waste disposal is operated for decades. In this study, the waste settlements were calculated by using the data measured in two multi-staged landfills for 27 years. The relationship between the changes in waste management policies and settlement characteristics is analyzed. Sequentially launched waste management policies reduced the organic matters in municipal solid waste (MSW) of the landfill. This change in turn influenced the engineering properties of landfill waste, e.g. water content, unit weight, and initial void ratio, etc. Due to the reduction of food waste in landfills, the water content decreased and the unit weight increased. The initial void ratio declined by the decrease of water content and the increase of unit weight. The annual primary and secondary compression indices, Cc and Cα, of each lift also increased/decreased due to the change in waste composition. The Cc of Phase #1 increased from an average of 0.34 to an average of 0.51 because the percentage of coal ash in MSW drastically decreased and the percentage of food, paper, and plastic, which are highly compressible, increased. On the other hand, the Cc of Phase #2 declined from an average of 0.15 to an average of 0.025 due to the decrease of the waste compressibility from the reduction of organic matters. The Cα of Phase #1 and #2 decreased by the reduction of organic matter and moisture which are needed for biodegradation of wastes in the landfill.


Asunto(s)
Eliminación de Residuos , Administración de Residuos , Alimentos , Residuos Sólidos , Instalaciones de Eliminación de Residuos
20.
Artículo en Inglés | MEDLINE | ID: mdl-33809158

RESUMEN

Residents' behavior is the result of the combined effect of external environment factors and internal psychological factors. Based on the theory of planned behavior (TPB) and the attitude-behavior-condition (ABC) theory, this study aims to explore the impact of policy support on residents' psychological factors and proenvironmental behavior. This study developed an extended TPB and ABC model and replaced the behavioral intention in the TPB model with implementation intentions to enhance the ability of the variables to explain and predict proenvironmental behavior. The longitudinal research method was adopted to collect data through a two-stage questionnaire survey of 1145 Shanghai residents. Results demonstrated that perceived policy effectiveness has a significant and positive impact on attitude, implementation intention, and proenvironmental behavior. This means that proenvironmental behavior tends to appear in people with a high perception of policy effectiveness, positive attitude, and strong implementation intention. Moreover, this study points out for the first time that high waste management knowledge weakens the relationship between perceived policy effectiveness and attitude. For residents with high waste management knowledge, the effect of simple policy publicity is limited. The findings suggest that the government should increase the breadth and depth of policy support and policy publicity to cover the entire waste management process.


Asunto(s)
Actitud , Intención , China , Políticas , Teoría Psicológica , Encuestas y Cuestionarios
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA