scholarly journals Impact of the gate-keeping policies of China’s primary healthcare model on the future burden of tuberculosis in China: a protocol for a mathematical modelling study

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e048449
Author(s):  
Xinyi You ◽  
Jing Gu ◽  
Dong Roman Xu ◽  
Shanshan Huang ◽  
Hao Xue ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
Service Providers ◽  
Deterministic Model ◽  
Status Quo ◽  
Data Set ◽  
The Future ◽  
The Status ◽  
Gate Keeping ◽  
Incident Cases ◽  
The Impact

IntroductionIn the past three decades, China has made great strides in the prevention and treatment of tuberculosis (TB). However, the TB burden remains high. In 2019, China accounted for 8.4% of global incident cases of TB, the third highest in the world, with a higher prevalence in rural areas. The Healthy China 2030 highlights the gate-keeping role of primary healthcare (PHC). However, the impact of PHC reforms on the future TB burden is unclear. We propose to use mathematical models to project and evaluate the impacts of different gate-keeping policies.Methods and analysisWe will develop a deterministic, population-level, compartmental model to capture the dynamics of TB transmission within adult rural population. The model will incorporate seven main TB statuses, and each compartment will be subdivided by service providers. The parameters involving preference for healthcare seeking will be collected using discrete choice experiment (DCE) method. We will solve the deterministic model numerically over a 20-year (2021–2040) timeframe and predict the TB prevalence, incidence and cumulative new infections under the status quo or various policy scenarios. We will also conduct an analysis following standard protocols to calculate the average cost-effectiveness for each policy scenario relative to the status quo. A numerical calibration analysis against the available published TB prevalence data will be performed using a Bayesian approach.Ethics and disseminationMost of the data or parameters in the model will be obtained based on secondary data (eg, published literature and an open-access data set). The DCE survey has been reviewed and approved by the Ethics Committee of the School of Public Health, Sun Yat-sen University. The approval number is SYSU [2019]140. Results of the study will be disseminated through peer-reviewed journals, media and conference presentations.

scholarly journals The Coronavirus Effect: Building Strategic Alliances in Today’s Universities and Colleges

2020 ◽  
Vol 6 (3) ◽  
pp. 1-6
Author(s):  
Daryl D Green ◽  
Jack McCann
Keyword(s):  
Strategic Alliances ◽  
Business Models ◽  
Short Communication ◽  
Status Quo ◽  
Business Leaders ◽  
Universities And Colleges ◽  
The Future ◽  
The Status ◽  
The Impact ◽  
Current Business

Due to disruptive changes such as COVID-19, universities can no longer afford to tackle these turbulent forces solely. In today’s hyercompetitive environment, companies that want to compete in the future understand that the status quo will not do. According to Accenture, 76% of business leaders surveyed agree that current business models will be “unrecognizable” in the next 5 years. Businesses that attempt to move forward against the backdrop of uncertainty and unpredictability with little or no partnerships will find it difficult to be successful. In this short communication, researchers examine how to build strategic alliances in a disruptive world marked by uncertainty and unpredictability, given the impact of COVID-19.

The Futurists. Experts in World Futures

2018 ◽  
Author(s):  
Jenny Andersson
Keyword(s):  
Cold War ◽  
Status Quo ◽  
The Other ◽  
Futures Studies ◽  
The Future ◽  
The Status ◽  
The One ◽  
The Cold War ◽  
Images Of The Future ◽  
The Way

Alvin Toffler’s writings encapsulated many of the tensions of futurism: the way that futurology and futures studies oscillated between forms of utopianism and technocracy with global ambitions, and between new forms of activism, on the one hand, and emerging forms of consultancy and paid advice on the other. Paradoxically, in their desire to create new images of the future capable of providing exits from the status quo of the Cold War world, futurists reinvented the technologies of prediction that they had initially rejected, and put them at the basis of a new activity of futures advice. Consultancy was central to the field of futures studies from its inception. For futurists, consultancy was a form of militancy—a potentially world altering expertise that could bypass politics and also escaped the boring halls of academia.

Faith as Taking the Risk

1968 ◽  
Vol 25 (2) ◽  
pp. 201-210 ◽  
Author(s):  
Wyatt T. Walker
Keyword(s):  
Status Quo ◽  
Prisoners Of War ◽  
The Future ◽  
The Status ◽  
Two Measures ◽  
The City

“Then Elisha said to those people who were assembled in the main square, in the midst of a terrible famine, with the Syrian army at the gate: ‘In about twenty-four hours you will be able to buy a measure of fine flour for a shekel and two measures of barley for a shekel.’ And the captain upon whose arm the king leaned looked at him and spoke in derision: ‘Ha! What's God going to do? Open up a hole in the sky and pour out food upon all of these hungry people?’ And Elisha turned to him and said: ‘You have a big mouth. You will see it with your own eyes, but you will not eat thereof.’ And there were four lepers sitting at the entering in of the gate of Samaria, and they held a conversation amongst themselves that had to do with what the future might hold for them. And they said one to another: ‘What good is it for us to sit here until we die? If we go into the city, there is a famine there, and we shall die. If we sit here, if we maintain the status quo, if we hold what we've got, we shall die also. Come on, let us go out to meet the Syrian hosts, let's try something that we never tried before, and perhaps we shall be taken prisoners of war, and, if so, at least we'll survive. And if not, what have we got to lose?’” (II Kings 7: 1–20; the “Walker” translation).

The Predicament of Europe’s ‘Last Dictator’

2021 ◽  
pp. 223386592110183
Author(s):  
Yuliya Brel-Fournier ◽  
Minion K.C. Morrison
Keyword(s):  
Social Contract ◽  
Presidential Election ◽  
Status Quo ◽  
Political Crisis ◽  
Modern History ◽  
Electoral Fraud ◽  
The Future ◽  
The Status ◽  
History Of

Belarusian citizens elected their first president in 1994. More than 20 years later, in October 2015, the same person triumphantly won the fifth consecutive presidential election. In August 2020, President Lukashenko’s attempt to get re-elected for the sixth time ended in months’ long mass protests against the electoral fraud, unspeakable violence used by the riot police against peaceful protesters and the deepest political crisis in the modern history of Belarus. This article analyzes how and why the first democratically elected Belarusian president attained this long-serving status. It suggests that his political longevity was conditioned by a specific social contract with the society that was sustained for many years. In light of the recent events, it is obvious that the contract is breached with the regime no longer living up to the bargain with the Belarusian people. As a result, the citizens seem unwilling to maintain their obligation for loyalty. We analyze the escalating daily price for maintaining the status quo and conclude considering the possible implications of this broken pact for the future of Belarus.

Perspectives of a European Law of Succession

2007 ◽  
Vol 14 (2) ◽  
pp. 147-178 ◽  
Author(s):  
Paul Terner
Keyword(s):  
European Commission ◽  
Status Quo ◽  
Green Paper ◽  
European Law ◽  
The Future ◽  
The Status ◽  
Law Of Succession

The article analyses the latest developments in the process of harmonisation in the area of succession law in Europe. The status quo of harmonisation is described and the plans to harmonise this area in the future – which have not been given much consideration in the jurisprudential literature so far – are examined in detail. Particular attention is drawn to the Green Paper ‘Succession and Wills’ which the European Commission has issued recently (COM(2005) 65 final). The preparatory works, the development and the content of the Green Paper are described, and the reactions to it, as well as its possible outcomes, are analysed.

scholarly journals Decentering the Status Quo : The Rhetorically Sanctioned Political Engagement of Groen van Prinsterer

2020 ◽  
Vol 29 (2) ◽  
pp. 141-159
Author(s):  
Jan Adriaan Schlebusch
Keyword(s):  
Nineteenth Century ◽  
Political Engagement ◽  
Status Quo ◽  
Political Activity ◽  
Narrative Approach ◽  
Constitutional Democracy ◽  
Strategic Framework ◽  
The Past ◽  
The Future ◽  
The Status

Abstract In his strategic political positioning and engagement in the nineteenth century, Groen van Prinsterer looked towards both the past and the future. Rhetorically, he appealed to the past as a vindication of the truth and practicality of his anti-revolutionary position. He also expressed optimism for the success of his convictions and political goals in the future. This optimism was reflected in the confidence with which he engaged politically, despite experiencing numerous setbacks in his career. Relying on the phenomenological-narrative approach of David Carr, I highlight the motives and strategies behind Groen’s political activity, and reveal that the past and the future in Groen’s narrative provide the strategic framework for his rhetoric, and the basis for his activism. I accentuate how the emphasis of his narrative shifts away from the status quo and thus enables a type of political engagement that proved historically significant for the early consolidation of the Dutch constitutional democracy.

scholarly journals Bodily abjection and the politics of resistance in Tom Paulin’s Greek tragedies

2020 ◽  
Author(s):  
Isabelle Torrance
Keyword(s):  
Open Channel ◽  
Radical Change ◽  
Status Quo ◽  
The Political ◽  
Northern Irish ◽  
The Status ◽  
Politics Of Resistance ◽  
The Impact ◽  
Political Groups ◽  
Political Actions

Abstract Tom Paulin’s Greek tragedies present extremes of bodily abjection in order to service of a politics of resistance that is tied, in each case, to the political context of the drama’s production. The Riot Act (1984), Seize the Fire (1989), and Medea (2010), share a focus on the degradation of oppressed political groups and feature characters who destabilize the status quo. Yet the impact of disruptive political actions is not ultimately made clear. We are left wondering at the conclusion of each tragedy if the momentous acts of defiance we have witnessed have any power to create systemic change within politically rigged systems. The two 1980s plays are discussed together and form a sequence, with The Riot Act overtly addressing the Northern Irish conflict and Seize the Fire encompassing a broader sweep of oppressive regimes. The politics of discrimination in Medea are illuminated by comparison with similar themes in Paulin’s Love’s Bonfire (2010). Unlike other Northern Irish adaptations of Greek tragedy, Paulin’s dramas, arrested in their political moments, present little hope for the immediate future. Yet in asking us to consider if individual sacrifice is enough to achieve radical change they maintain an open channel for political discourse.

scholarly journals The Impact and Empirical Analysis of the Development Level of E-commerce Industry on China’s Export Trade

2021 ◽  
Vol 235 ◽  
pp. 02046
Author(s):  
Chun Feng ◽  
Fei Lei ◽  
Zhijun Luo
Keyword(s):  
High Efficiency ◽  
Positive Impact ◽  
Low Cost ◽  
Status Quo ◽  
Export Trade ◽  
Empirical Methods ◽  
Existing Problems ◽  
Development Level ◽  
The Status ◽  
The Impact

With its advantages of low cost and high efficiency, e-commerce is not only favored by ordinary consumers, but also effectively promotes SMEs to find business opportunities and win the market. This article starts with the development scale of China’s e-commerce industry and the status quo of export trade, and measures the overall index of China’s e-commerce industry development level from 2008 to 2018 through empirical methods to analyze its impact on China’s export trade. The results show that the development level of the e-commerce industry has a significant positive impact on China’s export trade. Finally, it analyzes the existing problems in the development of China’s e-commerce industry.

scholarly journals Considerations on Armenian Political Elites, Diasporas and Armenian Economy in 1991-2019 Period

2021 ◽  
Author(s):  
Ersan Bocutoğlu
Keyword(s):  
Status Quo ◽  
Political Elites ◽  
Considerable Time ◽  
South Caucasus ◽  
The West ◽  
Mental Transformation ◽  
The Future ◽  
The Status ◽  
Short Run ◽  
Set Up

After the liberation of Dağlık Karabağ and close vicinity from the long-standing Armenian occupation by Azerbaijan in 2020, different scenarios concerning the future of Armenia and South Caucasus have come to fore. Therefore, there should be a realistic evaluation of status quo of Armenian political elites, diasporas and Armenian economy relations before taking into account of the scenarios. It is not difficult to estimate that since the realization of optimistic scenarios need a mental transformation of Armenian political elites and diasporas that takes considerable time, they are not likely to happen let alone in the short run but even in the medium run. The aim of this paper is to investigate the status quo of Armenian political elites, diasporas, and Armenian economy relations during 1991-2019 period so as to be able to set up a scientific base on which the evaluation of scenarios concerning the future of Armenia and South Caucasus is placed. The method adopted in the paper is a descriptive one and data are collected via internet. Paper suggests that the divergence of Armenian political elites and diasporas on fundamental issues such as Armenia-diaspora relations, Armenia-Russia relations, Armenia-the West Relations and Armenia-Turkey-Azerbaijan relations blackens not only the future of Armenia but also the future of South Caucasus.

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