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 operational performance of container ports is crucial for efficient logistics and trade. However, there is limited understanding of how external integration through Customer and Supplier Integration (SCI-CI and SCI-SI) impacts port operational performance (POP), particularly in emerging markets like Oman. This study addresses this gap by examining the relationship between SCI-CI, SCI-SI, and POP, and explores the mediating role of supply chain management (SCM) practices in this context. Using the Resource-Based View (RBV) as the theoretical framework, the study employed a quantitative cross-sectional survey method. A total of 377 questionnaires were distributed to managers at Sohar and Salalah ports, with 331 usable responses obtained, representing an 88 percent response rate. The data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The results indicate that SCI-CI and SCI-SI have significant direct and indirect positive effects on POP, and they directly influence SCM practices. SCM practices, in turn, significantly enhance POP. Notably, SCM practices partially mediate the relationship between SCI-CI and SCI-SI with POP. These findings underscore the strategic importance of external integration and SCM practices as internal resources for improving port performance. This research provides valuable insights for decision-makers and policymakers in optimizing port operations.

The goal of this research is to focus on the impact of HR agility on Jordanian pharmaceutical manufacturing companies’ innovative performance. The study population of the study consists of managers at different levels of pharmaceutical companies listed on the Amman Stock Exchange. Convenience sample consists of 450 questionnaires was sent. PLS-SEM was employed in this work to assess the measurement model and to verify the study theories. The findings revealed that human resource agility has a positive impact on innovative performance. The implications of the research as this analysis have shown, a variety of factors influence the agility of human resources, allowing organizations to create and implement strategies that lead to better adaptability in a rapidly changing environment. Significant ramifications could arise from this review for organizations that prioritize fostering employee confidence, refining strategies to gain a competitive edge, enhancing employee skills, and adapting to both internal and external shifts in the work environment.

This article investigates how green logistics influences Vietnam’s trade balance with Association of Southeast Asian Nations (ASEAN) countries. By using the gravity model, the article applies fixed effects (FEM) and random effects (REM) to analyze panel data on trade balance, GDP, population, trade openness, and the green logistics index of Vietnam with ASEAN countries from 2012 to 2018. The research findings indicate that green logistics has not significantly affected Vietnam’s export trade balance with ASEAN countries. The article suggests solutions for the Vietnamese government and export businesses to enhance Vietnam’s trade balance with ASEAN countries by integrating green logistics activities. By following these recommendations, Vietnam can ensure that international trade aligns with environmental conservation, laying the groundwork for sustainable and inclusive economic development in Vietnam.

Financial literacy and financial intermediation are vital tools for all businesses, particularly women micro-entrepreneurs. Even with modest means, they have been shown to considerably contribute to economic independence at the family, national, and international levels. Since Indonesian women microentrepreneurs still have trouble getting bank loans (being unbanked), the majority of them join cooperatives. Cooperatives are without doubt the financial intermediation institutions of choice for micro-communities; nonetheless, research on the subject is still scarce, particularly in developing nations. In order to bridge this gap, this study looks at the role of cooperatives as financial intermediation organizations. Examining the impact of financial literacy through cooperative financial intermediation on the financial performance of Indonesian women microentrepreneurs is the main goal of the study. The cross-sectional data were identified using purposive approaches and processed with the use of Smart PLS as part of an explanatory research approach. The direct influence test results demonstrate that enhancing financial performance and financial intermediation are directly impacted by financial literacy. Additionally, financial intermediation (cooperatives) was successful in influencing the impact of financial literacy on the financial performance of micro-entrepreneurs in Indonesia, according to the findings of the mediation effect test.