This article analyses the complex factors contributing to rising medical expenses, focusing on the senior citizen demographic in Malaysia. With the global aging population, notably in lower and middle-income countries, the study highlights the escalating medical and health insurance costs, driven by age, income source, modern healthcare, and geographical residence. The research draws on an extensive literature review, demographic analysis, and quantitative methods to examine these determinants. It critically analyzes Malaysia’s healthcare system, which operates on a dual-tier model, and the financial burden placed on senior citizens. The findings indicate that age, source of income, and geographical residence significantly influence medical expenses, whereas modern healthcare’s impact is not statistically significant. The study calls for government intervention, insurance industry adjustments, and private sector support to mitigate the financial strain on senior citizens. Recommendations include tax relief adjustments, National Health Insurance Scheme implementation, and employment sustainability for seniors. This research provides some recommendations to policymaking, the insurance industry, and academia by providing insights into managing the healthcare needs of an aging population sustainably.

An extensive assessment index system was developed to evaluate the integration of industry and education in higher vocational education. The system was designed using panel data collected from 31 provinces in China between 2016 and 2022. The study utilized the entropy approach and coupled coordination degree model to examine the temporal and spatial changes in the level of growth of the integration of industry and education in higher vocational education, as well as the factors that impact it. In order to examine how the integration of industry and education in higher vocational education develops over time and space, as well as the factors that affect it, we utilized spatial phasic analysis, Tobit regression model, and Dagum’s Gini coefficient. The study’s findings suggest that between 2016 and 2022, the integration of industry and education in higher vocational education showed a consistent improvement in overall development. Nevertheless, there are still significant regional differences, with certain areas showing limited levels of integration, while the bulk of regions are either in a state of low integration with high clustering or low integration with low clustering. Most locations showed either a “low-high” or “low-low” level of agglomeration, indicating a significant degree of spatial concentration, with a clear trend of higher concentration in the east and lower concentration in the west. The progress of industrial structure and the degree of regional economic development have a substantial impact on the amount of integration of industry and education in higher vocational education. There is a notable increase in the amount of integration between industry and education in higher vocational education, which has a favorable effect. Conversely, the local employment rate has a substantial negative effect on this integration. Moreover, the direct influence of industrial structure optimization is restricted. The Gini coefficient of the development level of integration of industry and education in higher vocational education exhibits a slight rising trend. Simultaneously, there is a varying increase in the Gini coefficient inside the group and a decrease in the Gini coefficient between the groups. The disparities in the level of integration between Industry and Education in the provincial area primarily stem from inter-group variations across the locations. To promote the integration of industry and education in higher vocational education, it is recommended to strengthen policy support and resource allocation, address regional disparities, improve professional configuration, and increase investment in scientific and technological innovation and talent development.

All sectors have an increasing interest in smart phone applications based on their many advantages that support business, especially the medical sector, which is constantly competing to develop the medical services provided, and accordingly in this research study we industrialized a mobile medical supplies and equipment ordering application (mobile medical app) classic and make an effort to authenticate it factually. When clients (hospitals doctors) create consumptions on the application, three dimensions can be identified: platform emotion stage, fear effect, and familiarity with product. This research designed to reinforce and brighten the most important magnitudes that improve a physician’s judgment of mobile medical app and the purpose to usage. Furthermore, this study inspected the availability of the model between hospital physicians in UAE. The classic ideal was observed by means of a model of 340 UAE clinic physicians and their personal assistant who utilize mobiles facilities in overall. The review technique, a calculable method, was applied; the fractional smallest cubes organizational calculation exhibiting systems was owned to inspect the planned agenda. The platform emotion dimension, especially fear and resistance to change, and the familiarity with the products were evaluated, and it was discovered that these factors positively influenced the objective to use the application. And the other side, the first dimension of emotion, fear, manifested as “apparent threat”, had no outcome on the purpose to using. These discoveries recommended that scholars should emphasis more on the facilities, merchandises, and the key task of the mobile medical app to control their inspirations on clients’ ordering purpose. This will progress the purchasing ways associated to acquiring medicinal materials utilizing mobile medical app and/or on other operational stages in unambiguously in UAE and the Central East at great.

This paper analyzes the impact of wage subsidies on lower-skilled formal workers in the Democratic Republic of Congo (DRC). It employs a multi-sectoral, empirically-calibrated general equilibrium model to capture the economy-wide transactions between the formal and informal sectors and assess policy simulations in the DRC. The simulations, both in the short and long run, indicate that when the government provides wage subsidies to lower-skilled workers, it significantly improves the real disposable incomes of both formal and informal households. There is a general increase across formal and informal sectors in real household disposable incomes due to the wage subsidy. The results show that subsidy allocation narrows the income gap between high and low-income households, as well as between formal and informal sectors. The findings are insightful for wage policy simulations, as the wage subsidy targeting lower-skilled formal workers increases real GDP from the expenditure side by 1.19% and 3.19% in the short and long run, respectively, from the baseline economy.

Previous studies support the direct relationship between outdoor physical activity and natural spaces in cities. The Active City and Nature concept explores the relationship between urban, green and active environments; it aims to demonstrate the scientific evidence for the need for action to be taken to increase participation in active living and sport, leading to healthier cities and communities. Our research seeks to analyse the city’s natural spaces as scenarios to encourage physical activity and sport, through a combined study of qualitative research techniques: the use of a digital webGIS platform, collaborative maps made by citizens, and surveys conducted with citizens and the local government. This methodology has been tested in the city of Malaga, the European City of Sport 2020. The study of the city’s main sport areas, the waterfront and natural green spaces provided data on the types of physical activity taking place in each of these areas and the physical activity needs of citizens. This research argues that it is important to know the criteria of local communities for physical activity and/or sport in natural environments, as well as the main demands expressed. This will provide valuable information to design and manage natural public spaces as a means of promoting physical activity and healthy habits.

The authors’ decision to “read” and semiotically analyse the city’s text based on travelogues stems from their aesthetic, historical and informational value, the possibility of incorporating them “into the network” of other texts about Padua, thus shaping city image. The authors’ research on Slovak literature and culture also determined the choice. As a time frame, the nineteenth century is not accidental; the Slovak cultural environment (the territory of present-day Slovakia) witnessed the development of the travelogue genre and journeys to Italy. By interpreting and semiotic analysis of the selected authors’ travelogues and works, the paper draws attention to the uniqueness of Padua, the ways of its representation and the grasping of the urban space, which until now despite its importance in education, sciences and art has remained unnoticed in literary studies. Considering that only four Slovak travellers included Padua in their writings during the studied period, all of their works were reviewed to uncover their texts’ semantic potential. Interpretive immersions thus reflect the experiential reception of the author’s city image and perceiving its architectural structure. Through this, the authors develop a network of texts about Padua and support the typological classification according to its specific function or image. This paper articulates a variant of the Slovak phenomenon of Italian travel and a view of the meanings associated with urban spaces and places. It reflects the importance of travel writing for understanding the (literary) cityscape and its transformations and opens space for further research on the subject.