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1.
Article in English | MEDLINE | ID: mdl-38963629

ABSTRACT

Water scarcity in arid regions poses significant livelihood challenges and necessitates proactive measures such as rainwater harvesting (RWH) systems. This study focuses on identifying RWH sites in Dera Ghazi Khan (DG Khan) district, which recently experienced severe water shortages. Given the difficulty of large-scale ground surveys, satellite remote sensing data and Geographic Information System (GIS) techniques were utilized. The Analytic Hierarchy Process (AHP) approach was employed for site selection, considering various criteria, including land use/land cover, precipitation, geological features, slope, and drainage. Landsat 8 OLI imagery, GPM satellite precipitation data, soil maps, and SRTM DEM were key inputs. Integrating these data layers in GIS facilitated the production of an RWH potential map for the region. The study identified 9 RWH check dams, 12 farm ponds, and 17 percolation tanks as suitable for mitigating water scarcity, particularly for irrigation and livestock consumption during dry periods. The research region was classified into four RWH zones based on suitability, with 9% deemed Very Good, 33% Good, 53% Poor, and 5% Very Poor for RWH projects. The generated suitability map is a valuable tool for hydrologists, decision-makers, and stakeholders in identifying RWH potential in arid regions, thereby ensuring water reliability, efficiency, and socio-economic considerations.

2.
BMC Complement Med Ther ; 24(1): 251, 2024 Jul 02.
Article in English | MEDLINE | ID: mdl-38956573

ABSTRACT

BACKGROUND: Ancient classic prescription play a crucial role in the preservation and advancement of traditional Chinese medicine (TCM) theories. They represent a significant milestone in the ongoing development and transmission of TCM knowledge and practices and are considered one of the breakthroughs in the development of TCM inheritance. In the process of developing ancient classic prescriptions, many problems may still arise in ensuring quality consistency between traditional methods and modern production processes, among which the extraction process poses major challenges. This paper introduces a practical approach extracting an ancient classic prescription using a modern extraction process. The technique is demonstrated through the study of the extraction process of Shenshou Taiyi powder (STP). METHODS: This study focuses on optimising the STP extraction process to ensure consistency in the quality of the product obtained through ancient and modern processes using the standard relation and fuzzy analytic hierarchical process (FAHP) and criteria importance through intercriteria correlation (CRITIC) method integrated weights combined with the Box-Behnken response surface test. Using the contents of rosmarinic acid, isoimperatorin, puerarin, as well as the extract yield and fingerprint similarity as evaluation indexes of STP, the Box-Behnken response surface method was employed to examine the varying extraction parameters, including water addition ratio, extraction duration, and number of extractions. The weighted coefficients for each parameter were calculated by combining the benchmark correlation and FAHP-CRITIC method, deriving a comprehensive score. RESULTS: The optimal extraction process for STP consisted of a two extractions, each using at a tenfold quantity of water, performed for one hour. Process verification across three separate batches yielded a comprehensive score of 94.7, with a relative standard deviation of 0.76%. CONCLUSIONS: The application of the Box-Behnken response surface method combined with standard relation and FAHP-CRITIC approach proved to be stable and feasible for optimising the extraction process of STP.


Subject(s)
Drugs, Chinese Herbal , Medicine, Chinese Traditional , Powders , Drugs, Chinese Herbal/standards , Drugs, Chinese Herbal/chemistry , Medicine, Chinese Traditional/standards , Research Design , Humans , Fuzzy Logic
3.
Heliyon ; 10(11): e32347, 2024 Jun 15.
Article in English | MEDLINE | ID: mdl-38961995

ABSTRACT

Generally, drought is influenced by both spatial characteristics and anthropogenic activities within an area. Drought vulnerability assessment is a critical tool that can be effectively used to develop proper drought mitigation strategies to prevent avoidable losses. To develop suitable drought mitigation strategies, the overall drought vulnerability must be assessed, and the interaction among drought-influencing factors in the area should be considered. Consequently, this study aimed to investigate the interactions among critical drought-influencing factors and drought vulnerability in the Lam Ta Kong Watershed via spatial analysis with the analytical hierarchy process (AHP) and geographical information system (GIS) technology. Ten drought-influencing factors were considered in the vulnerability assessment: slope, elevation, soil texture, soil fertility, stream density, precipitation, temperature, precipitation days, evaporation, and land use. The results indicated that the critical drought-influencing factors were precipitation, precipitation days, and land use, resulting in most of the watershed experiencing high drought vulnerability (35.1% of the watershed or 1810.83 km2). Moreover, this research highlighted the interactions among the critical drought-influencing factors. Precipitation interacted with precipitation days to cause drought vulnerability across the watershed, with a p-value <0.05. Similarly, the interactions between precipitation and land use and between precipitation days and land use, with p-values <0.05, showed that they were associated with and influenced by drought in the Lam Ta Kong Watershed. This study further indicated that appropriate drought mitigation strategies for this watershed must consider the interactions among these drought-influencing factors, as well as their specific interactions across the watershed.

4.
Acta Biotheor ; 72(3): 8, 2024 Jun 29.
Article in English | MEDLINE | ID: mdl-38949721

ABSTRACT

Plants are capable of a range of complex interactions with the environment. Over the last decade, some authors have used this as evidence to argue that plants are cognitive agents. While there is no consensus on this view, it is certainly interesting to approach the debate from a comparative perspective, trying to understand whether different lineages of plants show different degrees of responsiveness to environmental cues, and how their responses compare with those of animals or humans. In this paper, I suggest that a potentially fruitful approach to these comparative studies is provided by automata theory. Accordingly, I shall present a possible application of this theory to plant communication. Two tentative results will emerge. First, that different lineages may exhibit different levels of complexity in response to similar stimuli. Second, that current evidence does not allow to infer great cognitive sophistication in plants.


Subject(s)
Plant Physiological Phenomena , Plants , Humans , Animals , Cognition/physiology
5.
Article in English | MEDLINE | ID: mdl-38951398

ABSTRACT

Selection of a suitable alternative material from a pool of alternatives with many conflicting criteria becomes a Multi-Criteria Decision Making (MCDM) problem. In the present study, ternary blended mortars were prepared using ceramic tile dust waste (CTD), fly ash (FA), and ground granulated blast furnace slag (GGBFS) as binder components. Crusher dust (CD) was used as a fine aggregate component. Binder to aggregate ratios of 1:3 and 1:1 were prepared considering suitable flow. A total of 16 mortar mixes were cast. These mortars were tested for various conflicting criteria compressive strength, flexural strength, porosity, water absorption, bulk density, thermal conductivity, specific heat, thermal diffusivity, and thermal effusivity whose weightages obtained were 29.09%, 20.08%, 12.77%, 10.60%, 8.74%, 6.74%, 5.54%, 4.47%, and 1.97%, respectively, as per AHP analysis. Later, considering these different criteria and alternate mortars, it was observed that a 1:1 mortar with 20% CTD, 30% FA, and 50% GGBFS (RC20F30G50) is found to be the suitable mortar with the highest relative closeness coefficient of 0.861 and the highest net outranking flow of 0.316 with respect to MCDM techniques: technique for order of preference by similarity to ideal solution (TOPSIS) and preference ranking organization method for enrichment of evaluations (PROMETHEE-II), respectively. The ranking of the mortar in both methods complies with the relative weightages of the criteria and the performance of the mortars with respect to the above criteria.

6.
Front Cell Dev Biol ; 12: 1406199, 2024.
Article in English | MEDLINE | ID: mdl-38989061

ABSTRACT

In this review, we consider the multipotency of neural crest cells (NCCs), Schwann cell precursors (SCPs), and their role in embryogenesis base on genetic tracing and knock out model animals and single cell transcriptomic analysis. In particular, we summarize and analyze data on the contribution of NCCs and SCPs to the gland development and functions.

7.
Cureus ; 16(6): e61672, 2024 Jun.
Article in English | MEDLINE | ID: mdl-38966465

ABSTRACT

Background This study aimed to identify sustainability priorities within Oman's healthcare sector using the analytical hierarchy process (AHP) methodology. Mainly, it focused on assessing the relative importance of economic, environmental, and social factors and their sub-elements in sustaining Oman's healthcare system. Methodology A semi-quantitative, cross-sectional design was employed to collect data from 23 Omani healthcare experts with at least 10 years of experience in five different public hospitals in Oman. The AHP methodology was used to analyze pairwise comparisons of sustainability factors and derive their priorities. The consistency ratio was calculated to ensure the reliability of the analysis, and the transitivity rule was applied to address inconsistencies in pairwise comparisons. Results The findings revealed a strong emphasis on environmental and social sustainability, with economic considerations ranking comparatively lower. Circular practices emerged as a key priority within the environmental domain, while patient satisfaction stood out within the social domain. The analysis showed the integration between healthcare, environmental health, and societal well-being, emphasizing the need for holistic approaches to sustainability. Conclusions This study contributes to the understanding of healthcare sustainability by providing empirical evidence of stakeholder preferences within Oman's healthcare system. By quantitatively assessing the relative importance of economic, environmental, and social factors, it informs decision-making and resource allocation toward sustainable healthcare development. The findings also support the argument for integrated approaches to healthcare sustainability that balance economic efficiency with environmental protection and social inclusion.

8.
Article in English | MEDLINE | ID: mdl-38969884

ABSTRACT

How to address climate risks and achieve green transformation has become a critical issue that businesses urgently need to consider. We apply growth option theory and prospect theory to examine the impact of corporate climate risk perceptions on green outward foreign direct investment (GFDI) using a research sample of heavily polluting listed companies in China from 2009 to 2022. Our findings reveal that companies with higher perceived climate risks tend to increase their inclination towards GFDI, and the informal hierarchy of boards reinforces the positive effect of both. Supplementary analyses indicate that through GFDI, corporations can exert positive effects on their own environmental performance and future green innovations. The positive impact is notably more visible in nonstate-owned companies and sample units from provinces along the Belt and Road. These findings extend the economic consequences of climate risk at the firm level from the perspective of international business research and provide empirical references for firms to promote their own green transformation from a practical perspective.

9.
Molecules ; 29(11)2024 Jun 06.
Article in English | MEDLINE | ID: mdl-38893586

ABSTRACT

Hemerocallis L. possesses abundant germplasm resources and holds significant value in terms of ornamental, edible, and medicinal aspects. However, the quality characteristics vary significantly depending on different varieties. Selection of a high-quality variety with a characteristic aroma can increase the economic value of Hemerocallis flowers. The analytic hierarchy process (AHP) is an effective decision-making method for comparing and evaluating multiple characteristic dimensions. By applying AHP, the aromatic character of 60 varieties of Hemerocallis flowers were analyzed and evaluated in the present study. Headspace solid-phase microextraction gas chromatography-mass spectrometry (HS-SPME-GC-MS) was employed to identify volatile components in Hemerocallis flowers. Thirteen volatile components were found to contribute to the aroma of Hemerocallis flowers, which helps in assessing their potential applications in essential oil, aromatherapy, and medical treatment. These components include 2-phenylethanol, geraniol, linalool, nonanal, decanal, (E)-ß-ocimene, α-farnesene, indole, nerolidol, 3-furanmethanol, 3-carene, benzaldehyde and benzenemethanol. The varieties with better aromatic potential can be selected from a large amount of data using an AHP model. This study provides a comprehensive understanding of the characteristics of the aroma components in Hemerocallis flowers, offers guidance for breeding, and enhances the economic value of Hemerocallis flowers.


Subject(s)
Flowers , Gas Chromatography-Mass Spectrometry , Solid Phase Microextraction , Volatile Organic Compounds , Volatile Organic Compounds/analysis , Volatile Organic Compounds/chemistry , Solid Phase Microextraction/methods , Flowers/chemistry , Odorants/analysis , Acyclic Monoterpenes/chemistry , Acyclic Monoterpenes/analysis , Oils, Volatile/chemistry , Oils, Volatile/analysis , Sesquiterpenes/analysis , Phenylethyl Alcohol/analogs & derivatives , Phenylethyl Alcohol/analysis , Phenylethyl Alcohol/chemistry , Alkenes , Indoles
10.
Neuroimage ; 296: 120687, 2024 Aug 01.
Article in English | MEDLINE | ID: mdl-38871038

ABSTRACT

Even though actions we observe in everyday life seem to unfold in a continuous manner, they are automatically divided into meaningful chunks, that are single actions or segments, which provide information for the formation and updating of internal predictive models. Specifically, boundaries between actions constitute a hub for predictive processing since the prediction of the current action comes to an end and calls for updating of predictions for the next action. In the current study, we investigated neural processes which characterize such boundaries using a repertoire of complex action sequences with a predefined probabilistic structure. Action sequences consisted of actions that started with the hand touching an object (T) and ended with the hand releasing the object (U). These action boundaries were determined using an automatic computer vision algorithm. Participants trained all action sequences by imitating demo videos. Subsequently, they returned for an fMRI session during which the original action sequences were presented in addition to slightly modified versions thereof. Participants completed a post-fMRI memory test to assess the retention of original action sequences. The exchange of individual actions, and thus a violation of action prediction, resulted in increased activation of the action observation network and the anterior insula. At U events, marking the end of an action, increased brain activation in supplementary motor area, striatum, and lingual gyrus was indicative of the retrieval of the previously encoded action repertoire. As expected, brain activation at U events also reflected the predefined probabilistic branching structure of the action repertoire. At T events, marking the beginning of the next action, midline and hippocampal regions were recruited, reflecting the selected prediction of the unfolding action segment. In conclusion, our findings contribute to a better understanding of the various cerebral processes characterizing prediction during the observation of complex action repertoires.


Subject(s)
Brain Mapping , Magnetic Resonance Imaging , Humans , Magnetic Resonance Imaging/methods , Male , Female , Adult , Young Adult , Brain Mapping/methods , Brain/physiology , Brain/diagnostic imaging , Psychomotor Performance/physiology
11.
Comput Biol Med ; 178: 108575, 2024 May 10.
Article in English | MEDLINE | ID: mdl-38861893

ABSTRACT

Although identifying human skin types is essential in dermatology, cosmetology, and facial recognition, the classification of human skin types is challenging due to the complex nature, varied characteristics, and the influence of external factors. Traditional methods for skin type identification often rely on subjective assessments, leading to inconsistent and inaccurate results. Therefore, this paper proposes a novel method named a distance-based integration method to identify skin types based on the Fitzpatrick skin scale, also known as the Fitzpatrick skin type. This study focuses on the objective distance measurement, integrated with the Fuzzy Analytic Hierarchy Process (AHP). The objective distance was utilized to determine the distance between each HEX color code for a clinical image and each target skin type. The Fuzzy AHP algorithm was employed to calculate the total score for each target class to identify human skin type. For this study, 1,022 images of human skin were used in the experiment. The results indicated that the proposed method achieved a high average accuracy of 93 %, precision of 80 %, and specificity of 96 %.

12.
Article in English | MEDLINE | ID: mdl-38877223

ABSTRACT

Building on Fircks (2023), who aims at integrating the theoretical and historical roots of mindfulness into psychology through a bridge between Taoism, relying on the polarity of life and wu wei (the principle of not-forcing) and Mead's Social Psychology, this commentary seeks to further explore how mindfulness, meditation and self-transcendence plays a role in the personal needs hierarchy of the human organism. This is done in the framework of Abraham Maslow's theory of human motivation and his hierarchy of needs, where a model that introduces a new layer in the hierarchy of needs, the need for self-transcendence, is presented. This model containing the new hierarchy of self-transcendence is based on Maslow's own notion of peak-experiences, as well as related to William James' notion of mystical experiences. Fircks' (2023) autoethnographic meditative experience is conceptualized as a peak-experience and analyzed to show how human beings strive to experience this state of being.

13.
Neuroimage Clin ; 43: 103628, 2024 Jun 02.
Article in English | MEDLINE | ID: mdl-38850833

ABSTRACT

OBJECTIVE: Benign childhood epilepsy with centrotemporal spikes (BECTS) affects brain network hierarchy and cognitive function; however, itremainsunclearhowhierarchical changeaffectscognition in patients with BECTS. A major aim of this study was to examine changes in the macro-network function hierarchy in BECTS and its potential contribution to cognitive function. METHODS: Overall, the study included 50 children with BECTS and 69 healthy controls. Connectome gradient analysis was used to determine the brain network hierarchy of each group. By comparing gradient scores at each voxel level and network between groups, we assessed changes in whole-brain voxel-level and network hierarchy. Functional connectivity was used to detect the functional reorganization of epilepsy caused by these abnormal brain regions based on these aberrant gradients. Lastly, we explored the relationships between the change gradient and functional connectivity values and clinical variables and further predicted the cognitive function associated with BECTS gradient changes. RESULTS: In children with BECTS, the gradient was extended at different network and voxel levels. The gradient scores frontoparietal network was increased in the principal gradient of patients with BECTS. The left precentral gyrus (PCG) and right angular gyrus gradient scores were significantly increased in the principal gradient of children with BECTS. Moreover, in regions of the brain with abnormal principal gradients, functional connectivity was disrupted. The left PCG gradient score of children with BECTS was correlated with the verbal intelligence quotient (VIQ), and the disruption of functional connectivity in brain regions with abnormal principal gradients was closely related to cognitive function. VIQ was significantly predicted by the principal gradient map of patients. SIGNIFICANCE: The results indicate connectome gradient disruption in children with BECTS and its relationship to cognitive function, thereby increasing our understanding of the functional connectome hierarchy and providing potential biomarkers for cognitive function of children with BECTS.

14.
Cell ; 187(12): 3039-3055.e14, 2024 Jun 06.
Article in English | MEDLINE | ID: mdl-38848677

ABSTRACT

In the prevailing model, Lgr5+ cells are the only intestinal stem cells (ISCs) that sustain homeostatic epithelial regeneration by upward migration of progeny through elusive upper crypt transit-amplifying (TA) intermediates. Here, we identify a proliferative upper crypt population marked by Fgfbp1, in the location of putative TA cells, that is transcriptionally distinct from Lgr5+ cells. Using a kinetic reporter for time-resolved fate mapping and Fgfbp1-CreERT2 lineage tracing, we establish that Fgfbp1+ cells are multi-potent and give rise to Lgr5+ cells, consistent with their ISC function. Fgfbp1+ cells also sustain epithelial regeneration following Lgr5+ cell depletion. We demonstrate that FGFBP1, produced by the upper crypt cells, is an essential factor for crypt proliferation and epithelial homeostasis. Our findings support a model in which tissue regeneration originates from upper crypt Fgfbp1+ cells that generate progeny propagating bi-directionally along the crypt-villus axis and serve as a source of Lgr5+ cells in the crypt base.


Subject(s)
Intestinal Mucosa , Receptors, G-Protein-Coupled , Receptors, G-Protein-Coupled/metabolism , Animals , Mice , Intestinal Mucosa/metabolism , Intestinal Mucosa/cytology , Stem Cells/metabolism , Stem Cells/cytology , Cell Lineage , Regeneration , Cell Proliferation , Epithelial Cells/metabolism , Epithelial Cells/cytology , Mice, Inbred C57BL , Homeostasis
15.
Disasters ; : e12643, 2024 Jun 13.
Article in English | MEDLINE | ID: mdl-38867590

ABSTRACT

In the autumn of 2014, with the 2013-16 West Africa Ebola epidemic spiralling out of control, the United Kingdom announced a bespoke military mission to support-and in some ways lead-numerous Ebola response functions in Sierra Leone. This study examines the nature and effect of the civil-military relationships that subsequently developed between civilian and military Ebola response workers (ERWs). In total, 110 interviews were conducted with key involved actors, and the findings were analysed by drawing on the neo-Durkheimian theory of organisations. This paper finds that stereotypical opposition between humanitarian and military actors helps to explain how and why there was initial cooperative and collaborative challenges. However, all actors were found to have similar hierarchical structures and operations, which explains how and why they were later able to cooperate and collaborate effectively. It also explains how and why civilian ERWs might have served to exclude and further marginalise some local actors.

16.
Microbiol Spectr ; : e0028424, 2024 Jun 13.
Article in English | MEDLINE | ID: mdl-38869268

ABSTRACT

Pseudomonas bharatica CSV86T displays the unique property of preferential utilization of aromatic compounds over simple carbon sources like glucose and glycerol and their co-metabolism with organic acids. Well-characterized growth conditions, aromatic compound metabolic pathways and their regulation, genome sequence, and advantageous eco-physiological traits (indole acetic acid production, alginate production, fusaric acid resistance, organic sulfur utilization, and siderophore production) make it an ideal host for metabolic engineering. Strain CSV86T was engineered for Carbaryl (1-naphthyl-N-methylcarbamate) degradation via salicylate-catechol route by expression of a Carbaryl hydrolase (CH) and a 1-naphthol 2-hydroxylase (1NH). Additionally, the engineered strain exhibited faster growth on Carbaryl upon expression of the McbT protein (encoded by the mcbT gene, a part of Carbaryl degradation upper operon of Pseudomonas sp. C5pp). Bioinformatic analyses predict McbT to be an outer membrane protein, and Carbaryl-dependent expression suggests its probable role in Carbaryl uptake. Enzyme activity and protein analyses suggested periplasmic localization of CH (carrying transmembrane domain plus signal peptide sequence at the N-terminus) and 1NH, enabling compartmentalization of the pathway. Enzyme activity, whole-cell oxygen uptake, spent media analyses, and qPCR results suggest that the engineered strain preferentially utilizes Carbaryl over glucose. The plasmid-encoded degradation property was stable for 75-90 generations even in the absence of selection pressure (kanamycin or Carbaryl). These results indicate the utility of P. bharatica CSV86T as a potential host for engineering various aromatic compound degradation pathways.IMPORTANCEThe current study describes engineering of Carbaryl metabolic pathway in Pseudomonas bharatica CSV86T. Carbaryl, a naphthalene-derived carbamate pesticide, is known to act as an endocrine disruptor, mutagen, cytotoxin, and carcinogen. Removal of xenobiotics from the environment using bioremediation faces challenges, such as slow degradation rates, instability of the degradation phenotype, and presence of simple carbon sources in the environment. The engineered CSV86-MEC2 overcomes these disadvantages as Carbaryl was degraded preferentially over glucose. Furthermore, the plasmid-borne degradation phenotype is stable, and presence of glucose and organic acids does not repress Carbaryl metabolism in the strain. The study suggests the role of outer membrane protein McbT in Carbaryl transport. This work highlights the suitability of P. bharatica CSV86T as an ideal host for engineering aromatic pollutant degradation pathways.

17.
JMIR AI ; 3: e51834, 2024 Apr 23.
Article in English | MEDLINE | ID: mdl-38875562

ABSTRACT

BACKGROUND: The world has witnessed increased adoption of large language models (LLMs) in the last year. Although the products developed using LLMs have the potential to solve accessibility and efficiency problems in health care, there is a lack of available guidelines for developing LLMs for health care, especially for medical education. OBJECTIVE: The aim of this study was to identify and prioritize the enablers for developing successful LLMs for medical education. We further evaluated the relationships among these identified enablers. METHODS: A narrative review of the extant literature was first performed to identify the key enablers for LLM development. We additionally gathered the opinions of LLM users to determine the relative importance of these enablers using an analytical hierarchy process (AHP), which is a multicriteria decision-making method. Further, total interpretive structural modeling (TISM) was used to analyze the perspectives of product developers and ascertain the relationships and hierarchy among these enablers. Finally, the cross-impact matrix-based multiplication applied to a classification (MICMAC) approach was used to determine the relative driving and dependence powers of these enablers. A nonprobabilistic purposive sampling approach was used for recruitment of focus groups. RESULTS: The AHP demonstrated that the most important enabler for LLMs was credibility, with a priority weight of 0.37, followed by accountability (0.27642) and fairness (0.10572). In contrast, usability, with a priority weight of 0.04, showed negligible importance. The results of TISM concurred with the findings of the AHP. The only striking difference between expert perspectives and user preference evaluation was that the product developers indicated that cost has the least importance as a potential enabler. The MICMAC analysis suggested that cost has a strong influence on other enablers. The inputs of the focus group were found to be reliable, with a consistency ratio less than 0.1 (0.084). CONCLUSIONS: This study is the first to identify, prioritize, and analyze the relationships of enablers of effective LLMs for medical education. Based on the results of this study, we developed a comprehendible prescriptive framework, named CUC-FATE (Cost, Usability, Credibility, Fairness, Accountability, Transparency, and Explainability), for evaluating the enablers of LLMs in medical education. The study findings are useful for health care professionals, health technology experts, medical technology regulators, and policy makers.

18.
Front Public Health ; 12: 1269704, 2024.
Article in English | MEDLINE | ID: mdl-38915748

ABSTRACT

Background: The National Health Commission and the other relevant departments in China have initiated testing of the Diagnosis Related Groups (DRGs) system in 30 pilot locations since 2019. In the process of DRG payment reform, accounting for the costs of diseases has become a highly challenging issue. The traditional method of disease accounting method overlooks the compensation for the knowledge capital value of medical personnel. Objective: The primary objective of this study is to analyze the cost accounting scheme of China's Diagnosis Related Groups (C-DRG), focusing on the value of knowledge capital. Methods: The study initially proposes a measurement index system for the value of knowledge-based capital, including the difficulty of disease treatment, labor intensity of disease treatment, risk of disease treatment, and operation/treatment time for diseases. The Analytic Hierarchy Process (AHP) is then utilized to weigh the features of medical workers' knowledge capital value. First, pairwise comparisons are conducted in this stage to develop a two-pair judgment matrix of the primary indicators. Second, the eigenvectors corresponding to the maximum eigenvalues of the matrix are calculated to generate the weight coefficient of each feature. The consistency test is carried out after this stage. An empirical analysis is conducted by collecting data, including the full costs of treating three types of diseases-hip replacement, acute simple appendicitis, and heart bypass surgery-from one public medical institution. Results: The empirical analysis examines whether this DRG costing accounting can address the issue of neglecting the value of medical workers' knowledge capital. The methods reconfigure the positive incentive mechanism, stimulate the endogenous motivation of the medical service system, foster independent changes in medical behavior, and achieve the goals of reasonable cost control. Conclusion: In the cost accounting system of C-DRG, the value of medical workers' knowledge capital is acknowledged. This acknowledgment not only boosts the enthusiasm and creativity of medical workers in optimizing and standardizing the diagnosis and treatment process but also improves the transparency and authenticity of DRG pricing. This is particularly evident in the optimization and standardization of the diagnosis and treatment processes within medical institutions and in monitoring inadequate medical practices within these institutions.


Subject(s)
Diagnosis-Related Groups , Humans , China , Diagnosis-Related Groups/economics , Accounting , Health Care Costs/statistics & numerical data , Cost of Illness
19.
Clin Oral Investig ; 28(6): 352, 2024 Jun 01.
Article in English | MEDLINE | ID: mdl-38822874

ABSTRACT

BACKGROUND: The relationship between tooth colour and individual satisfaction in oral aesthetics has long been a topic of interest. In this study, we utilized the fuzzy analytic hierarchy process (FAHP) to investigate the impacts of sex and age on tooth colour preference. The findings of this study should provide a scientific basis for oral aesthetic practice. METHODS: In the current study, a random selection method was employed, and a survey was completed by 120 patients. To obtain tooth colour data, standard tooth colour charts were used. Smile photos were taken as template images using a single-lens reflex camera. The FAHP was utilized to conduct a weight analysis of tooth colour preferences among patients of different sexes and age groups. RESULTS: There were significant differences in tooth colour preference based on sex and age. Men tend to prefer the B1 colour, while women may prioritize the aesthetic effects of other colours. Additionally, as patients age, their preferences for tooth colour become more diverse. These findings offer valuable insights for oral aesthetics practitioners, enabling them to better address the aesthetic needs of patients across different sexes and ages. This knowledge can aid in the development of more personalized treatment plans that align with patients' expectations. CONCLUSION: In this study, we utilized scientific analysis methods to quantify the popularity of different tooth colours among various groups of people. By doing so, we established a scientific foundation for clinical practice. The findings of this study offer valuable insights for oral aesthetic research, enhancing our understanding of tooth colour. Additionally, these findings have practical applications in the field of oral medicine, potentially improving patients' quality of life and overall oral health.


Subject(s)
Esthetics, Dental , Humans , Female , Male , Adult , Middle Aged , Sex Factors , Age Factors , Color , Surveys and Questionnaires , Smiling , Aged , Adolescent , Photography, Dental , Tooth , Patient Preference
20.
Radiography (Lond) ; 30(4): 1210-1218, 2024 Jul.
Article in English | MEDLINE | ID: mdl-38905765

ABSTRACT

INTRODUCTION: Evidence based practice relies on availability of research evidence mostly through peer-reviewed journal publications. No consensus currently exists on the best hierarchy of research evidence, often categorised by the adopted research designs. Analysing the prevalent research designs in radiography professional journals is one vital step in considering an evidence hierarchy specific to the radiography profession and this forms the aim of this study. METHODS: Bibliometric data of publications in three Radiography professional journals within a 10-year period were extracted. The Digital Object Identifier were used to locate papers on publishers' websites and obtain relevant data for analysis. Descriptive analysis using frequencies and percentages were used to represent data while Chi-square was used to analyse relationship between categorical variables. RESULTS: 1830 articles met the pre-set inclusion criteria. Quantitative descriptive studies were the most published design (26.6%) followed by non-RCT experimental studies (18.7%), while Randomised Controlled Trials (RCT) were the least published (1.0%). Systematic reviews (42.9%) showed the highest average percentage increase within the 10-year period, however RCTs showed no net increase. Single-centre studies predominated among experimental studies (RCT = 88.9%; Non-RCT = 95%). Author collaboration across all study designs was notable, with RCTs showing the most (100%). Quantitative and qualitative studies comparatively had similar number of citations when publication numbers were matched. Quantitative descriptive studies had the highest cumulative citations while RCTs had the least. CONCLUSION: There is a case to advocate for more study designs towards the peak of evidence hierarchies such as systematic reviews and RCT. Radiography research should be primarily designed to answer pertinent questions and improve the validity of the profession's evidence base. IMPLICATION FOR PRACTICE: The evidence presented can encourage the adoption of the research designs that enhances radiography profession's evidence base.


Subject(s)
Bibliometrics , Periodicals as Topic , Radiology , Research Design , Humans , Radiography/statistics & numerical data
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