Objective: to determine the diagnostic performance of magnetic resonance hysterosalpingography (HSG-MRI), using laparoscopy as the reference method. Materials and methods: 22 patients were included. All underwent HSG-MRI with a 1.5 Tesla resonator and then laparoscopy with chromotubation. Two radiologists examined the MRIs, determining tubal patency by consensus. Descriptive and diagnostic performance analyses were performed. Results: HSG-MRI had a success rate of 91%. Study duration was 49 ± 15 minutes, volume injected 26 ± 16 cm³ and pain scale 30 ± 19 out of 100. Sensitivity and specificity of HSG-MRI were 100% for global and left Cotte test, and 25% and 93.3% for right Cotte test, respectively. There were 2 minor complications and no major complications. Discussion: our initial results demonstrated high sensitivity and specificity. Although other studies analyzed the ability of HSG-MRI to assess tubal patency with good results, the use of a flawed reference standard left room for reasonable doubt, preventing a recommendation based on solid evidence. However, when comparing our results with those published, we observed a high degree of concordance insofar as the positive effusion is correctly diagnosed with a specificity of 100% or with a percentage close to this figure.

This paper presents a quantitative exploration of the functionality of cost accounting systems and their determinants in social welfare organizations. We conducted a questionnaire survey of managers of social welfare organizations running special nursing homes for the elderly and conducted a cluster analysis based on the data collected. The questionnaire was created based on the scales used in previous studies, with some new scales developed. For data analysis, the statistical analysis environment R was used. The clValid package of R was used to assess the validity of the cluster analysis. Based on the results of the analysis in this paper, it is expected that social welfare organizations that pursue cost leadership strategies and have a strong public interest orientation will benefit greatly by being able to utilize a highly functional cost accounting system. Such organizations will be able to improve their business efficiency by utilizing cost information, and their social contribution activities based on the resulting resources will truly be a contribution to public welfare. The findings from this study are of practical significance because they can be used by business managers of social welfare organizations to review the functionality of their cost accounting systems. We also focus on the degree to which nonprofit organizations focus on social contribution activities (in this paper, we call this public interest orientation). The public interest orientation of an organization is thought to affect the functionality of the cost accounting system in the same way as the organization’s strategy, but there has not been enough quantitative research on this point. By focusing on the public interest orientation of social welfare organizations, this study contributes to deepening our knowledge in this area.

This research reviews the environmental, social, and governance (ESG) performance of corporate social responsibility (CSR) and technology innovation development, and analyzes the impact of technology innovation on ESG performance and its influencing mechanism. In additional, the main purpose of this study is to gain an understanding the relationships of ESG performance, CSR and technology innovation in Art industry. We found that technology innovation impact CSR of art firm, and ESG performance with the moderating variable of technology innovation has a significant and positive impact on CSR. Likewise, the study is based on primary panel data collected from 161 consumer, product and service manufacturing companies through an electronic questionnaire (Google, Microsoft online survey) with five-point Likert measurement scale. The exploratory factor analysis is proposed to be carried out using IBM SPSS 27.0 and the confirmatory factor analysis (CFA analysis) is proposed to be carried out using SmartPLS.4.0 analysis software, and this study investigate the measurement factors and the reliability of the construct items and to validate the factorial structure of the research variables. Moreover, digital technology and CSR has the potential to contribute to this impact. Based on these findings, we propose relevant ESG performance recommendations to improve technology innovation and CSR. Our findings offer an excited knowing and learning of the impact of ESG performance, CSR and technology innovation in Chinese art industry. Furthermore, this study extends stakeholders theory and Schumpeter’s Innovation Theory by proving their utility in the perspective of CSR, ESG performance.

This research focused on the design and implementation of the flipped classroom approach for higher mathematics courses in medical colleges. Out of 120 students, 60 were assigned to the experimental group and 60 to the control group. In the continuous assessment, which included homework and quizzes, the average score of the experimental group was 85.5 ± 5.5, while that of the control group was 75.2 ± 8.1 (P < 0.05). For the final examination, the average score in the experimental group was 88.3 ± 6.2, compared to 78.1 ± 7.3 in the control group (P < 0.01). The participation rate of students in the experimental group was 80.5%, significantly higher than the 50.3% in the control group (P < 0.001). Regarding autonomous learning ability, the experimental group spent an average of 3.2 hours per week on self-study, compared to 1.5 hours in the control group (P < 0.005). Other potential evaluation indicators could involve the percentage of students achieving high scores (90% or above) in problem-solving tasks (25.8% in the experimental group vs. 10.3% in the control group, P < 0.05), and the improvement in retention of key concepts after one month (70.2% in the experimental group vs. 40.5% in the control group, P < 0.01). In conclusion, the flipped classroom approach holds substantial promise in elevating the learning efficacy of higher mathematics courses within medical colleges, offering valuable insights for educational innovation and improvement.

In recent years, the construction of Jiafeng (家风)has become an important research topic in the field of street-level governance. A systematic literature review method is used to review 504 journal articles sourced from China National Knowledge Infrastructure (CNKI). The research overview is presented from the perspectives of overall research characteristics, highly cited literature, theoretical foundations, and research methods. The research systematically elaborates on the results of literature analysis from the perspective of the connotation and extension of Jiafeng, the practical mechanisms and related suggestions for Jiafeng construction. The research has found that the practical mechanisms of Jiafeng construction includes institutional support mechanism, theoretical consolidation mechanism, collaborative mechanism, social education mechanism, application innovation mechanism, and efficiency evaluation mechanism. On the basis of constructing a framework for the study of Jiafeng, this article provides prospects for future research: consolidating the theoretical foundation of Jiafeng construction, defining the connotation and extension of Jiafeng, refining the practical mechanism of Jiafeng construction, enriching the research methods of Jiafeng and measuring tools for governance effectiveness.