Diabetic retinopathy (DR) is a major cause of blindness globally. Effective screening programs are essential to mitigate this burden. This review outlines key principles and practices in implementing DR screening programs, emphasizing the roles of technology, patient education, and healthcare system integration. Our analysis highlights key principles for establishing successful screening initiatives, including the importance of regular screenings, optimal intervals, recommended technologies, and necessary infrastructure. We emphasize the roles of healthcare providers, patients, and policymakers in ensuring the effectiveness of these programs. Our recommendations aim to support the creation of robust policies that mitigate the impact of DR, ultimately improving public health outcomes and reducing the incidence of blindness due to diabetic retinopathy.

Land use or land cover (LU/LC) mapping serves as a kind of basic information for land resource study. Detecting and analyzing the quantitative changes along the earth’s surface has become necessary and advantageous because it can result in proper planning, which would ultimately result in improvement in infrastructure development, economic and industrial growth. The LU/LC pattern in Madurai City, Tamil Nadu, has undergone a significant change over the past two decades due to accelerated urbanization. In this study, LU/LC change dynamics were investigated by the combined use of satellite remote sensing and geographical information system. To understand the LU/LC change in Madurai City, different land use categories and their spatial as well as temporal variability have been studied over a period of seven years (1999-2006), by analyzing Landsat images for the years 1999 and 2006 respectively with the help of ArcGIS 9.3 and ERDAS Imagine 9.1 software. This results show that geospatial technology is able to effectively capture the spatio-temporal trend of the landscape patterns associated with urbanization in this region.

Improving the competitiveness of tourism destinations is crucial for driving local economies and achieving income growth. In light of this evidence, numerous government departments strive to assess specific factors that impact the competitiveness of tourism destinations, enabling them to issue appropriate new tourism policies that promote more effective forms of tourism business. Therefore, the primary objective of this paper is to investigate how various elements such as tourism resources, tourism support, tourism management, location conditions, and tourism demand influence regional competitiveness in the Northern Bay region of Guangxi Province in China. To accomplish this goal, an online survey was conducted to collect data from 420 visitors who had experienced North Gulf Tourism; yielding an impressive response rate of 95 percent. The findings reveal that all aforementioned factors—namely: Tourism resources, tourism support, tourism management, location conditions and tourist demand—significantly impact destination competitiveness. Notably though, it was found that among these factors influencing destination competitiveness; it is primarily determined by effective local-level management (β = 0.345). Following closely behind are tourist demand (β = 0.133) as the second most influential factor affecting destination competitiveness; followed by location conditions (β = 0.116) ranking third; then comes tourist support (β = 0.03) as fourth in line impacting destination competitiveness; finally with least impact being exerted by available tourist resources (β = 0.016). Consequently, highlighting that regional competitiveness within Guangxi’s Northern Bay area predominantly hinges on efficient local-level management practices thus strongly recommending relevant authorities formulate novel work policies aimed at enhancing levels of local-level competitive advantage within the realm of regional touristic offerings.

This paper proposes an incentive model to involve communities and industries in effectively managing coastal waste in Makassar, Indonesia. The model seeks to incentivize stakeholders to invest in waste management solutions and enable public stakeholders to monitor and evaluate the progress of waste management activities. The model actively encourages participation from all stakeholders and builds upon existing efforts to promote environmental accountability. The proposed model includes several key components. It focused on public and private partnerships that should be fostered to coordinate stakeholder approaches and provide capital investment. It also focused on a financial reward scheme that should be adopted to incentivize businesses and individuals that invest in waste management initiatives. Performance bonus awards and tax incentives are proposed as possible incentive schemes. Lastly, a regulatory framework should be developed to ensure environmental standards are met and regulated. The framework should include regular reporting and auditing requirements and the implementation of penalties for those who fail to comply. The proposed incentive model seeks to engage stakeholders in effectively managing coastal waste in Makassar, Indonesia, through public and private incentive schemes.

The Public-Private Partnerships management model (PPP) in Portugal was initially applied to the highways sector. Recently, this model began to spread to the health sector for hospital management. The recent growth of patient’s knowledge and expectations regarding the quality of healthcare services is compelling service providers to pursue new ways of delivering this care to meet users’ expectations. One wonders if the increase in patient access to knowledge may indicate a growth in health literacy, particularly regarding PPP Hospitals. This study assesses the Portuguese population’s literacy level regarding the PPP Hospital model, using a quantitative research approach based on a survey of the Portuguese population served by PPP hospitals and a Public Hospital Management (PHM) model. It was found that the Portuguese population has a low literacy concerning the PPP model, which can cause feelings of injustice. It was found that PPP users tend to have a favourable opinion regarding private involvement since they are also more satisfied compared to PMH users. These results may impact political decision-making concerning the renewal of new contracts for private management of public services.

With the development of college education and the increasing demand of students' comprehensive quality training, the second classroom in colleges and universities has attracted much attention as an important form of education. The purpose of this study is to investigate and analyze the development of the second classroom in colleges and universities, and put forward corresponding countermeasures and suggestions. Through mixed research methods, including questionnaire survey, interview and literature research, we have a comprehensive understanding of the type and quantity of college second classroom projects, student participation, project quality and effectiveness, and organization and management. On this basis, we put forward a series of targeted countermeasures and suggestions, including strategies and measures to improve student participation, suggestions to improve the quality and effect of the project, and optimize the program of organization and management. The results of this study have important theoretical and practical significance for universities to improve the level of the second classroom and promote the all-round development of students.