Over the last two decades, governance for global health has garnered more attention from policymakers, decision-makers, and scholars from several disciplines. The health sector has also become more dynamic and complicated as a result of several factors that have influenced organizational development. The issue of sustainability is clearly raised with specific emphasis and urgency in the context of the global healthcare system. Some countries have been altering their healthcare systems to improve healthcare performance. University hospitals as the main providers of high-quality healthcare services in China, have an irreplaceable role in promoting the construction of healthy China. This study strategic triangle as an analytical framework to identify the key factors that influence university hospital in China and better comprehend how public value is conceptualized and implemented in practice. The study was conducted by qualitative method, five university hospitals designated as “Grade A tertiary hospitals” and semi-structed interviews were carried out with 33 participants, including experts, university hospital leadership level, and basic level. The study revealed that there are eight (8) major factors influencing the development of university hospitals in China. University hospital administrators must be prepared to assess and respond to factors that enhance or hinder implementation continuously and methodically. These insights can be used to improve early preparedness, but additional study in this area is required to better understand the driving factors, action models, and techniques for achieving sustainable development in university hospitals.
This study explores the impact of technology effectiveness, social development, and opportunities on higher education accessibility in Myanmar, focusing on private higher education institutions. Utilizing a sample of 199 respondents, with an average age of X (SD = Y), the research employs standardized questionnaires and descriptive statistics, correlation analysis, and multiple regression analysis to examine the relationships between these variables. The findings indicate that technology effectiveness significantly enhances higher education accessibility, with strong positive correlations (r = 0.752, p < 0.001) and substantial impacts on educational outcomes (β = 0.334, p = 0.001). Social development also plays a crucial role, demonstrating that supportive social norms and community engagement significantly improve accessibility (β = 0.405, p < 0.001). Opportunities provided by technological advancements further contribute to enhanced accessibility (β = 0.356, p < 0.001), although socio-political and economic challenges pose significant barriers. The study highlights the interconnectedness of these factors and their collective influence on educational accessibility. Practical implications include the need for strategic investments in technological infrastructure, promotion of supportive social environments, and innovative solutions to leverage opportunities. Future research directions suggest longitudinal studies, broader demographic scopes, and in-depth analyses of specific technological and infrastructural challenges. By addressing these areas, stakeholders can develop effective strategies to improve higher education accessibility, ultimately contributing to the socio-economic development of Myanmar.
Objective: Sleep-wake disorders is a common disease in children and adolescents. In recent years, there has been an increasing number of studies on the intervention of exercise therapy in sleep-wake disorders. This study aims to systematically review the development status, research frontiers, research hotspots and development trends of exercise therapy in the through bibliometric methods. Methods: The data comes from the Web of Science Core Collection database. Select all the original data from the establishment of the database to 26 April 2024. Summarize the external characteristics of the literature through Web of Science, Use Excel 2021, Origin 2021, VOS viewers 1.6.20 and Cite Space 6.3.R1 to visually analyze countries/regions, institutions, journals, authors, co-cited references and co-occurrence keywords, use the bibliometric online analysis platform (https://bibliometric.com/) to analyze the changes of keywords and extended keywords over the years. Results: We received a total of 775 publications. The works were sourced from 1429 institutions in 75 countries/regions, published in 113 journals, and written by 4332 authors. The number of publications peaked in 2012, 2018, 2019 and 2021 respectively. In the United States, Harvard University and Children (Basel) have the highest number of publications in this field. The analysis of co-cited references shows that there are three main research frontiers in this field, including 24-hour exercise behavior guidelines for children and adolescents, COVID-19 lockdown and cardiometabolic risk. Screen time, mental health, validity, depression, guidelines, stress, and mediterranean diet are still the current research hotspots in the field, and may become potential research hotspots in the future. Conclusion: The development of research in the field of exercise therapy for children and adolescents with sleep-wake disorders is relatively slow, and there is still a lack of cross-regional scientific research collaborations between countries/regions, institutions and individuals. Our research suggests that it may be a worthwhile research direction to promote the establishment of healthy lifestyle behaviors in the gathering environment of children and adolescents, formulate targeted policies for disease prevention, diagnosis and management, strictly implement preventive measures, improve the level of diagnosis, and dig deep into the precise treatment plan of diseases.
This study constructs and empirically validates a Creative Activity Chain (CCA) structure model tailored for innovation in sustainable infrastructure development. In today’s competitive environment, fostering innovation is crucial for maintaining the relevance and effectiveness of infrastructure projects. The research underscores that a significant portion of a project’s long-term value is established during its initial concept and planning stages, highlighting the critical role of creativity in infrastructure development. The CCA model is developed through theoretical frameworks and empirical data, encompassing three key dimensions: creative subject chain, creative action chain, and creative operation chain. The model’s validity is tested with data from five large infrastructure development firms in China, involving 768 R&D staff as respondents. Rigorous statistical methods, including exploratory factor analysis (EFA), confirmatory factor analysis (CFA), structural equation modeling (SEM), and regression analysis, confirm the model’s robustness. The findings reveal significant positive correlations between the creative activity chain’s dimensions and the successful development of sustainable infrastructure projects. Additionally, the study examines the mediating effect of link strength within the creative activity chain, demonstrating its substantial impact on project outcomes. Implications for management include promoting diverse creative teams, systematic process management, and leveraging varied operational tools to enhance creativity in infrastructure development. This research contributes to the literature by introducing an integrated model for managing creative activities in sustainable infrastructure development, offering practical insights for improving innovation processes.
This research paper aims to examine the association between financial development and environmental quality in 31 European Union (EU) countries from 2001 to 2020. This study proposed an estimation model for the study by combining regression models. The regression model has a dependent variable, carbon emissions, and five independent variables, including Urbanization (URB), Total population (POP), Gross domestic product (GDP), Credit to the private sector (FDB), and Foreign direct investment (FDI). This research used regression methods such as the Fixed Effects Model, Random Effects Model, and Feasible generalized least squaresThe findings reveal that URB, POP, and GDP positively impact carbon emissions in EU countries, whereas the FDB variable exhibits a contrary effect. The remaining variable, FDI, is not statistically significant. In response to these findings, we advocate for adopting transformative green solutions that aim to enhance the quality of health, society, and the environment, offering comprehensive strategies to address Europe’s environmental challenges and pave the way for a sustainable future.
The Mass Rapid Transit (MRT) Purple Line project is part of the Thai government’s energy- and transportation-related greenhouse gas reduction plan. The number of passengers estimated during the feasibility study period was used to calculate the greenhouse gas reduction effect of project implementation. Most of the estimated numbers exceed the actual number of passengers, resulting in errors in estimating greenhouse gas emissions. This study employed a direct demand ridership model (DDRM) to accurately predict MRT Purple Line ridership. The variables affecting the number of passengers were the population in the vicinity of stations, offices, and shopping malls, the number of bus lines that serve the area, and the length of the road. The DDRM accurately predicted the number of passengers within 10% of the observed change and, therefore, the project can help reduce greenhouse gas emissions by 1289 tCO2 in 2023 and 2059 tCO2 in 2030.
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