scholarly journals A Preliminary Study on the Abnormal Deaths and Work Burden of Chinese Physicians: A Mixed Method Analysis and Implications for Smart Hospital Management

2022 ◽  
Vol 9 ◽  
Author(s):  
Jun Liang ◽  
Yunfan He ◽  
Linye Fan ◽  
Mingfu Nuo ◽  
Dongxia Shen ◽  
...  

Background: The population of Chinese physicians is frequently threatened by abnormal death, including death by overwork or homicide. This is not only a health problem, but also a social problem that has attracted the attention of both hospitals and the government.Objective: This study aims to analyze the characteristics of abnormal death in physicians in Chinese hospitals from 2007 to 2020 and to investigate the relationship between abnormal death and physician workload, in order to provide information for policy makers and request improvement technologies.Methods: A mixed research method was used. In order to ensure accuracy and completeness, a relatively comprehensive search was conducted using multiple heterogeneous data sources on the abnormal death of physicians in Chinese hospitals from 2007 to 2020. The collected cases were then descriptively analyzed using the work-related overwork death risk concept framework and the deductive grounded theory approach. In addition, the workload of physicians was calculated between 2007 and 2019 based on three important workload indicators.Results: Between 2007 and 2020, 207 abnormal death events of physicians on the Chinese mainland were publicly reported. Among the 207 victims, the majority (~79%) died from overwork or sudden death. The number of victims who were men was 5.5 times higher than that of women, and victims were between the ages of 31–50 years. These physicians mainly belonged to the departments of surgery, anesthesiology, internal medicine, and orthopedics. Further analysis of the direct causes of death in cases of overwork death showed that 51 physicians (31.1%) died from cardiogenic diseases. Additionally, the per capita workload of physicians in China increased drastically by about 42% from 2007 to 2019, far exceeding physician workloads in Europe, Asia, and Australia (number of inpatients per physician in 2017: 72 vs. 55, 50, 45). The analysis revealed that there was a strong correlation between the number of abnormal deaths of physicians in China and the number of inpatients per physician (r = 0.683, P = 0.01).Conclusion: High-intensity working conditions may be positively correlated with the number of abnormal deaths among physicians. Smart hospital technologies have the potential to alleviate this situation.

2017 ◽  
Vol 9 (2) ◽  
pp. 407-424
Author(s):  
Jamaluddin Jamaluddin

Indonesian reformation era begins with the fall of President Suharto. Political transition and democratic transition impact in the religious life. Therefore, understandably, when the politic transition is not yet fully reflects the idealized conditions. In addition to the old paradigm that is still attached to the brain of policy makers, various policies to mirror the complexity of stuttering ruler to answer the challenges of religious life. This challenge cannot be separated from the hegemonic legacy of the past, including the politicization of SARA. Hegemony that took place during the New Order period, adversely affected the subsequent transition period. It seems among other things, with airings various conflicts nuances SARA previously muted, forced repressive. SARA issues arise as a result of the narrowing of the accommodation space of the nation state during the New Order regime. The New Order regime has reduced the definition of nation-states is only part of a group of people loyal to the government to deny the diversity of socio-cultural reality in it. To handle the inheritance, every regime in the reform era responds with a pattern and a different approach. It must be realized, that the post-reform era, Indonesia has had four changes of government. The leaders of every regime in the reform era have a different background and thus also have a vision that is different in treating the problem of racial intolerance, particularly against religious aspect. This treatment causes the accomplishment difference each different regimes of dealing with the diversity of race, religion and class that has become the hallmark of Indonesian society.


1987 ◽  
Vol 26 (4) ◽  
pp. 401-417
Author(s):  
Sarfraz K. Qureshi

Intersectoral terms of trade play a cruc1al role in determining the sectoral distribution of income and resource allocation in the developing countries. The significance of intra-sectoral terms of trade for the allocation of resources within the agricultural sector is also widely accepted by research scholars and policy-makers. In the context of planned development, the government specifies production targets for the agricultural sector and for different crops. The intervention of government in the field of price determination has important implications for the achievement of planned targets. In Pakistan, there is a feeling among many groups including farmers and politicians with a rural background that prices of agricultural crops have not kept their parities intact over time and that prices generally do not cover the costs of production. The feeling that production incentives for agriculture have been eroded is especially strong for the period since the early 1970s. It is argued that strong inflationary pressures supported by a policy of withdrawal of government subsidies on agricultural inputs have resulted in rapid increases in the prices paid by agriculturists and that increases in the prices received by farmers were not enough to compensate them for the rising prices of agricultural inputs and consumption goods.


Mining ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 19-34
Author(s):  
Tiyamike Haundi ◽  
Gift Tsokonombwe ◽  
Steven Ghambi ◽  
Theresa Mkandawire ◽  
Ansley Kasambara

In the recent years, there has been a surge in artisanal and small-scale gold mining (ASGM) in various districts of Malawi. Reports of a gold rush have emerged in various districts, including Mangochi, Lilongwe, Balaka, and lately in Kasungu. There has been persistence by many indigenous communities participating in ASGM activities, yet little is being done by the government to formalize and support the sub-sector. The purpose of this study was to investigate the benefits of artisanal small-scale gold mining in Malawi and expose the shortfalls so that key stakeholders and policy makers are well informed. A quantitative approach which used semi-structured questionnaires was used and the data was analyzed using Microsoft excel and Statistical Packages for the Social Sciences (SPSS). The study shows that ASGM is characterized by people with low literacy levels, who use traditional tools (low-tech) and use methods fueled by lack of capital, and deficiency of basic knowledge of mining and geology. The study found that the government could achieve substantial socio-economic development from the sector by: (1) revising the current artisanal and small-scale mining (ASM) legislation so that it embraces the customary practices whilst safeguarding the environment and improving the tax collection base; (2) providing support in form of mining related training and education to these communities; (3) leading in transfer of modern technologies for improved extraction; (4) supporting ASM cooperatives in securing credit facilities from financial institutions; and (5) closing the existing knowledge gap for ASM related issues through introduction of mining desk officers in district councils.


2020 ◽  
Vol 10 (1) ◽  
pp. 7
Author(s):  
Miguel R. Luaces ◽  
Jesús A. Fisteus ◽  
Luis Sánchez-Fernández ◽  
Mario Munoz-Organero ◽  
Jesús Balado ◽  
...  

Providing citizens with the ability to move around in an accessible way is a requirement for all cities today. However, modeling city infrastructures so that accessible routes can be computed is a challenge because it involves collecting information from multiple, large-scale and heterogeneous data sources. In this paper, we propose and validate the architecture of an information system that creates an accessibility data model for cities by ingesting data from different types of sources and provides an application that can be used by people with different abilities to compute accessible routes. The article describes the processes that allow building a network of pedestrian infrastructures from the OpenStreetMap information (i.e., sidewalks and pedestrian crossings), improving the network with information extracted obtained from mobile-sensed LiDAR data (i.e., ramps, steps, and pedestrian crossings), detecting obstacles using volunteered information collected from the hardware sensors of the mobile devices of the citizens (i.e., ramps and steps), and detecting accessibility problems with software sensors in social networks (i.e., Twitter). The information system is validated through its application in a case study in the city of Vigo (Spain).


2020 ◽  
Vol 12 (14) ◽  
pp. 5595 ◽  
Author(s):  
Ana Lavalle ◽  
Miguel A. Teruel ◽  
Alejandro Maté ◽  
Juan Trujillo

Fostering sustainability is paramount for Smart Cities development. Lately, Smart Cities are benefiting from the rising of Big Data coming from IoT devices, leading to improvements on monitoring and prevention. However, monitoring and prevention processes require visualization techniques as a key component. Indeed, in order to prevent possible hazards (such as fires, leaks, etc.) and optimize their resources, Smart Cities require adequate visualizations that provide insights to decision makers. Nevertheless, visualization of Big Data has always been a challenging issue, especially when such data are originated in real-time. This problem becomes even bigger in Smart City environments since we have to deal with many different groups of users and multiple heterogeneous data sources. Without a proper visualization methodology, complex dashboards including data from different nature are difficult to understand. In order to tackle this issue, we propose a methodology based on visualization techniques for Big Data, aimed at improving the evidence-gathering process by assisting users in the decision making in the context of Smart Cities. Moreover, in order to assess the impact of our proposal, a case study based on service calls for a fire department is presented. In this sense, our findings will be applied to data coming from citizen calls. Thus, the results of this work will contribute to the optimization of resources, namely fire extinguishing battalions, helping to improve their effectiveness and, as a result, the sustainability of a Smart City, operating better with less resources. Finally, in order to evaluate the impact of our proposal, we have performed an experiment, with non-expert users in data visualization.


Author(s):  
Amani Salem Alqahtani ◽  
Meshael Mohammed Alrasheed ◽  
Ada Mohammed Alqunaibet

This study aims to investigate public response attitude, anxiety, practices and trust in the authorities’ mitigation plan during the first wave of COVID-19 pandemic. A national cross sectional phone survey was conducted among Saudi residents aged 16 years and above. A total of 90,421 (45.2%) individuals participated in the study. Of those, the overall rate of COVID-19 correct knowledge was 82% (mean: 9.84); social media was the most reported source of knowledge. Younger age, low levels of education and foreign residents were associated with poor knowledge. Overall, 49.5% scored 5 or more on the GAD-7 test, indicating anxiety symptoms, 19.2% of them scored 10 and above, suggesting moderate to severe anxiety. Majority of participants (>78%) trusted and supported the interventions implemented by the government to control COVID-19. Social distancing practices among participants was as following, 72.5% stayed at home and avoid going out for nonessential business and 49.5% avoided attending social events and family gatherings. Trust in authorities, being anxious, worry and levels of knowledge about the disease, were the most common factors affecting adoption of the recommended practices. Continuous evaluation of public response about COVID-19, and the effectiveness of protective measures is essential to better inform policy-makers and identify ways of encouraging behaviour change among public during pandemic.


2021 ◽  
Vol 13 (6) ◽  
pp. 3179
Author(s):  
Minh Hieu Nguyen ◽  
Jimmy Armoogum

The rapid and widespread of COVID-19 has caused severe multifaceted effects on society but differently in women and men, thereby preventing the achievement of gender equality (the 5th sustainable development goal of the United Nations). This study, using data of 355 teleworkers collected in Hanoi (Vietnam) during the first social distancing period, aims at exploring how (dis)similar factors associated with the perception and the preference for more home-based telework (HBT) for male teleworkers versus female peers are. The findings show that 56% of female teleworkers compared to 45% of male counterparts had a positive perception of HBT within the social distancing period and 63% of women desired to telework more in comparison with 39% of men post-COVID-19. Work-related factors were associated with the male perception while family-related factors influenced the female perception. There is a difference in the effects of the same variables (age and children in the household) on the perception and the preference for HBT for females. For women, HBT would be considered a solution post-COVID-19 to solve the burden existing pre-COVID-19 and increasing in COVID-19. Considering gender inequality is necessary for the government and authorities to lessen the adverse effects of COVID-19 on the lives of citizens, especially female ones, in developing countries.


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