This study examines the economic feasibility of the environment-friendly farmland use policy to improve water quality. Conventional highland farming, polluting the Han River basin in South Korea, can be converted into environment-friendly farming through land acquisition or application of pesticide-free or organic farming practices. We estimate the welfare measures of improvement in water quality and the costs of policy implementation for economic analysis. To estimate the economic benefit of improvement in water quality experienced by the residents residing in mid-and-downstream areas of the Han River, the choice experiment was employed with a pivot-style experimental design approach. In the empirical analysis, we converted the household perception for water quality grades into scientific water quality measures using Water Quality Standard to estimate the value of changes in water quality. To analyze the costs required to convert conventional highland farmlands into environment-friendly farmlands, we estimated the relevant cost of land acquisition and the subsidy necessary for farm income loss for organic agricultural practice. We find that the agri-environmental policy is economically viable, which suggests that converting conventional highland farming into environment-friendly farming would make the improvement in water quality visible.
Background: Despite China’s 1.4 billion population and massive investment in improving medical education, there is no transformational national or international course focused on emergency trauma care. In order to overcome recognized deficiencies, we developed an affordable knowledge and skills workshop called Essential Trauma Critical Care China (ETCCC). Methods: Pre-course and post-course MCQs were used to test knowledge and simulation scenarios quantified clinical competence. Structured feedback was obtained. To evaluate the effect of ETCCC on staff performance, we analyzed the clinical records and questioned resuscitation team peers for trauma patients requiring resuscitation room intervention in the 10 consecutive patients before and after the workshops. Results: During 2022–2023, five workshops were delivered to participants from six hospitals in two Chinese provinces. Cost per participant did not exceed US$125. Fifty-eight doctors and 37 nurses participated. For all delegates pre-course knowledge scores increased from mean 35% to 70% post-course. 99% (n = 82/83) participants reached the required standard in the post-course written test. Post-course skills tests scores were mean 67% for doctors and 84% for nurses. Nurses demonstrated significant improvements in the rate and quality of trauma history acquisition as well as triage skills after the course (all p < 0.01). Doctors scored significant improvement in the areas of leadership and teamwork, care of cervical spine, circulation assessment and fluid resuscitation (all p < 0.02). Conclusion: Essential Trauma Critical Care China (ETCCC) is the first economically developed medical educational tool shown to improve performance of emergency room staff. Its success may have relevance for trauma-care education in similar medium-resource environments.
The study, taking China as an example, employs a mixed-method approach of questionnaire surveys and in-depth interviews to explore the differing perspectives of disabled and non-disabled individuals on how to improve the social integration and quality of life of disabled people in developing countries. The study finds that the vicious cycle created by severe accessibility issues in developing countries is the root cause of the disabled’s difficulty in integrating into society. The impersonal barrier-free facilities suppress the desire of the disabled to travel, resulting in fewer disabled people on the streets and less visibility and attention, which leads to poorer accessibility facilities. Secondly, the study also finds that non-disabled people unconsciously show excessive sympathy and compassion when helping the disabled, which affects their self-esteem due to being patronized and helped. This creates two separate “social circles” between the disabled and the healthy. To address these issues, we have designed an application called “AbleMind” where the disabled can share experiences, make friends, seek help, and better integrate into society.
This study investigates the public’s perceptions of digital innovations in pharmacy, with a focus on health informatics and medication management. Despite the rapid development of these technologies, a comprehensive understanding of how various demographics perceive and interact with them is lacking hence, this research aims to bridge this gap by offering insights into public attitudes and the factors influencing the adoption of digital tools in pharmacy practice, as KSA population and healthcare professionals after Covid-19 has observed the significant potential of digital health. A cross-sectional survey involving 1132 participants was conducted, employing SPSS for data analysis to ensure precise and reliable results. The findings indicate general optimism about the potential of digital innovations to enhance healthcare outcomes but concerns about data privacy and usability significantly affect user acceptance. The researchers recommended tailored educational programs and user-centered design to facilitate the adoption of digital pharmacy innovations. Key contributions include the identification of ‘Ease of Use’ and ‘Data Security and Privacy’ as predominant factors in the adoption of digital health tools.
This study aims to: (1) analyze the need for digital marketing capabilities in Thai MSME; (2) develop an online digital marketing course; and (3) enhance Thai MSME’s digital marketing capabilities, particularly in Thailand’s manufacturing sectors. The survey was conducted using questionnaires distributed to a sample group of 400 digital marketing staff, executives, or business owners, complemented by in-depth interviews with marketing experts, business managers, and owners, totaling 10 participants. The research findings reveal a significant demand for digital marketing skills among MSME entrepreneurs in the manufacturing sector. The top three skills identified as most crucial for enhancement are: (1) communication and marketing information presentation skills; (2) brand building and public relations; and (3) video marketing execution. The study further revealed that the design of the digital marketing course, along with the developed online learning platform, attracted and successfully enrolled 104 MSMEs who participated in the online program. The pre- and post-training assessment results demonstrated a statistically significant difference in test scores, with a mean post-training score of 16.10 ( Mean = 16.10, S.D. = 1.396), representing a notable increase from the pre-training mean score of 6.47 ( Mean = 6.47, S.D. = 3.634) at the 0.05 significance level. Furthermore, the results of the follow-up evaluation on the application of acquired knowledge revealed that the overall level of knowledge and skills application is at its highest, with an average score of 4.64. This indicates that the developed course and online learning platform effectively enhance learners’ knowledge.
LEED (Leadership in Energy and Environmental Design) is a certification program for quantitatively assessing the qualifications of homes, non-residential buildings, or neighborhoods in terms of sustainability. LEED is supported by the U.S. Green Building Council (USGBC), a nonprofit membership-based organization. Worldwide, thousands of projects received one of the four levels of LEED certification. One of the five rating systems (or specialties) covered by LEED is the Building Design and Construction (BD + C), representing non-residential buildings. This rating system is further divided into eight adaptations. The adaptation (New Construction and Major Renovation) or NC applies to newly constructed projects as well as those going through a major renovation. The NC adaptation has six major credit categories, in addition to three minor ones. The nine credit categories together have a total of 110 attainable points. The Energy and Atmosphere (EA) credit category is the dominant one in the NC adaptation, with 33 attainable points under it. This important credit category addresses the topics of commissioning, energy consumption records, energy efficiency, use of refrigerants, utilization of onsite or offsite renewable energy, and real-time electric load management. This study aims to highlight some differences in the EA credit category for LEED BD + C:NC rating system as it evolved from version 4 (LEED v4, 2013) to version 4.1 (LEED v4.1, 2019). For example, the updated version 4.1 includes a metric for greenhouse gas reduction. Also, the updated version 4.1 no longer permits hydrochlorofluorocarbon (HFC) refrigerants in new heating, ventilating, air-conditioning, and refrigeration systems (HVAC & R). In addition, the updated version 4.1 classifies renewable energy into three tiers, differentiating between onsite, new-asset offsite, and old-asset offsite types.
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