Management and efficiency have a fundamental impact on the performance of public hospitals, as well as on their philanthropic mission. Various studies have shown that the financial weaknesses of these entities affect the planning, setting of goals and objectives, monitoring, evaluation and feedback necessary to improve health systems and guarantee accessibility as an inalienable right. This study aims to analyze the management and efficiency of third-level and/or high-complexity hospitals in Colombia, through a statistical model that uses financial analysis and key performance indicators (KPIs) such as ROA, ROE and EBITDA. A non-experimental cross-sectional design is used, with an analytical-synthetic, documentary, exploratory and descriptive approach. The results show financial deficiencies in the hospitals evaluated; hence it is recommended to make adjustments in the operating cycle to increase efficiency rates. In addition, the use of the KPIs ROA and ROE under adjusted models is suggested for a more precise analysis of the financial ratios, since these adequately explain the variability of each indicator and are appropriate to evaluate hospital management and efficiency, but not in EBITDA ratio, hence the latter is not recommended to evaluate hospital efficiency reliably. This study provides relevant information for public health policy makers, hospital managers and researchers, in order to promote the efficiency and improvement of health services.

This study investigated the influence of infrastructure spending, government debt, and inflation on GDP in South Africa from 1995 to 2023. Motivated by the need for sustainable growth amid fiscal and inflationary pressures, this research addresses gaps in understanding how these factors shape economic performance. The primary objective was to assess these variables’ individual and combined effects on GDP and offer policy recommendations. Using an ARDL model, the study explored long- and short-term relationships among the variables. Results indicate that infrastructure spending positively impacts GDP, promoting long-term growth, while government debt hinders GDP in both short and long runs. Moderate inflation supports growth, but excessive inflation poses risks. These findings imply the need for targeted infrastructure investments, strict debt management practices, and inflation control measures to sustain economic stability and growth. Policy recommendations include expanding public investment in productive infrastructure, implementing fiscal rules to prevent unsustainable debt levels, and maintaining inflation within a controlled range. Ultimately, these policies could help South Africa build a resilient, balanced economy that addresses both immediate growth needs and long-term stability.

The internationalization of higher education began to take shape during the period of the Republic of China. This trend manifested in various forms and encompassed a rich array of activities, including the construction of teaching staffs, the exchange of international students, and the presence of overseas scholars giving lectures in China. Between 1899 and 1945, Japanese institutions sent nearly 200 academic overseas students to China. With the establishment and improvement of the internal system of universities in the Republic of China, these students were able to study and interact with Chinese scholars. The forms of communication were diverse, the content was rich, and the channels were smooth, making the process lively and interesting with distinct characteristics of the era. Consequently, this group became both participants and witnesses in the internationalization process of universities in the Republic of China. However, the full-scale Anti-Japanese War disrupted the internationalization of universities, causing it to deviate from its normal trajectory. Some Japanese academic overseas students who had previously studied in China became instruments of Japanese imperialism’s cultural invasion and educational colonization. These students played a significant role in promoting the “alternative internationalization” of universities in the Republic of China. In short, examining the involvement of Japanese academic overseas students providing us a unique insight into the general situation and processes of internationalization at universities in the Republic of China during different historical periods.

Open-source software (OSS) has emerged as a transformative tool whose implementation has the potential to modernise many libraries around the world in the digital age. OSS is a type of software which permits its users to inspect, share, modify, and enhance through its freely accessed source code. The accessibility and openness of the source code permits users to manipulate, change, and improve the way in which a piece of software, program, or application works. OSS solutions therefore provide cost-effective alternatives that enable libraries to enhance their technological infrastructure without being constrained by proprietary systems. Hence, many countries have initiated and formulated policies and legislative frameworks to support the implementation and use of OSS library solutions such as DSpace, Alfresco, and Greenstone. The purpose of the study reported on was to investigate the leveraging of OSS to modernise public libraries in South Africa. Content analysis was adopted as the research methodology for this qualitative study, which was based on a literature review integrating insights from the researchers’ experiences with the use of OSS in libraries The findings of the study reveal that the use of OSS has the potential to modernise public libraries, especially those located outside cities or urban areas. These libraries are often less well equipped with the necessary technology infrastructure to meet the demands of the digital age, such as online books and open access materials. The study culminated in an OSS framework that may be implemented to modernise public libraries. This framework may help public libraries to integrate OSS solutions and further allow users access to digital services.