Establishing a sense of ritual within tourism consumption scenarios offers tourists the opportunity for interactive engagement.Drawing upon the value co-creation theory,this study constructed an influence mechanism mo...Establishing a sense of ritual within tourism consumption scenarios offers tourists the opportunity for interactive engagement.Drawing upon the value co-creation theory,this study constructed an influence mechanism model to examine tourists'active engagement in the process of co-creating tourism experience values.It employed Partial Least Squares Structural Equation Modeling(PLS-SEM)to empirically test the proposed hypotheses.The findings demonstrate that the model constructed in the present study exhibits robust reliability,validity,and explanatory power.The perception of the sense of ritual in tourism exerts a significant positive influence on tourists’co-creation of tourism experience values,thereby significantly enhancing both the communitas and flow experienced by tourists during their travels.Moreover,such communitas and flow can mediate the influence of the sense of ritual in tourism on tourists’co-creation of tourism experience values.This study contributes to advancing the current research on tourists’co-creation of tourism experience values and the sense of ritual in tourism,thereby providing theoretical foundations for cultivating a sense of ritual within tourism consumption scenarios.展开更多
To illustrate how firms and customers co-create value in business to business （B2B） e-commerce, an integrated value co-creation model is proposed based on information systems （IS） application capabilities from the...To illustrate how firms and customers co-create value in business to business （B2B） e-commerce, an integrated value co-creation model is proposed based on information systems （IS） application capabilities from the relational view. IS application capabilities, relational assets, customer agility and relational value are constructed and tested by empirical analysis. The empirical research tests and verifies the mediating effect of customer agility, and the interactions of IS application capabilities and relational assets, as well as their effect on relational value. This model expands the research framework of value co-creation in service dominant logic, and reveals the mechanism of how f＇n＇ms and customers co-create value in B2B e-commerce based on IS application capabilities, which provides the basis for further theory development and a practice guide.展开更多
This study was carried out with the aim of investigating the effect of indigenous microorganism (IMO), effective (EM) and mineral fertilizers (NPK) on the yield and nutritional value of groundnut (Arachis hypogaea) in...This study was carried out with the aim of investigating the effect of indigenous microorganism (IMO), effective (EM) and mineral fertilizers (NPK) on the yield and nutritional value of groundnut (Arachis hypogaea) in Western Cameroon (Baboutcha-Fongam). The study was conducted during two consecutive years, using a completely randomized block design of 8 treatments repeated three times in each subblock. The sub-plots were enriched with 0, 10, 20 and 40 g corresponding to the treatment of EM and IMO respectively and 3.2 g of NPK in 2019. Subsequently, the best dose that resulted in excellent yields was repeated for the rest of the experiment in 2020. The yield parameters and nutritional value of the two varieties of Arachis hypogaea used in the two consecutive years increase with the contribution of the different doses compared to the control. Overall, a significant increase (p A. hypogaea plants fertilized with EM 20 g (2.15 ± 0.24 and 2.01 ± 0.23 t/ha) and plants fertilized with NPK 3.2 g (2.36 ± 0.65 and 2.04 ± 0.17 t/ha) was not significant. On the other hand, there was a significant difference (P ≤ 0.05) between plants fertilized with IMO 10 g (2.65 ± 0.17 and 2.24 ± 0.2 t/ha) and plants fertilized with EM 20 g and plants fertilized with NPK 3.2 g for both varieties during the two years combined. In addition to being local and therefore adapted to environmental conditions, IMOs could be a promising biological means for improving soil fertility in Cameroon.展开更多
We study the following modified transitional Korteweg-de Vries equation ut+f(t)upux+uxxx=0, (x,t)∈R+×R+, (p≥2is an even integer) with initial value u(x,0)=g(x)∈H4(R+)and inhomogeneous boundary value u(0,t)=Q(t...We study the following modified transitional Korteweg-de Vries equation ut+f(t)upux+uxxx=0, (x,t)∈R+×R+, (p≥2is an even integer) with initial value u(x,0)=g(x)∈H4(R+)and inhomogeneous boundary value u(0,t)=Q(t)∈C2([ 0,∞ )). Under the conditions either (i) f(t)≤0, f′(t)≥0or (ii) f(t)≤−αwhere α>0, we prove the existence of a unique global classical solution.展开更多
A substantial body of research has been conducted with the objective of enhancing the understanding of Non-Timber Forest Products (NTFP) in Central Africa. A significant proportion of the studies focus on medicinal pl...A substantial body of research has been conducted with the objective of enhancing the understanding of Non-Timber Forest Products (NTFP) in Central Africa. A significant proportion of the studies focus on medicinal plants, in contrast to those that examine food products. Nevertheless, studies on edible wild mushrooms as NTFPs and cultivated mushrooms, on their economic potential and value chains in the Great Lakes Region, remain scarce and largely absent for some NTFPs. In light of the aforementioned considerations, the present study aims to examine the economic potential and value chain of the production sector of wild edible mushrooms (WEM) and cultivated mushrooms (CM) within the Virunga National Park (PNVi) and its surrounding areas in North Kivu, Democratic Republic of the Congo (DRC). To this end, a sample of 432 respondents was selected, distributed equitably among the actors of the Goma-Kitshanga-Mweso value chain, the Goma-Rutshuru chain, the Beni-Mutwanga chain, and the Beni-Mangina chain. A digital questionnaire consisting of open and closed questions was administered, and observations were carried out concurrently. The quantities of mushrooms sold were weighed and photographed. The results demonstrated that, when the eight-month fruiting period of wild and cultivated mushrooms was considered as a single year for all actors within the value chain, a picker could sell 6.1 kg at $2 and earn $12. A seller could sell 16 kg at $4 and earn $64, while a grower could sell 502 kg at $3 and earn $1506. Consequently, the CM grower generates a significantly higher profit than other participants in the value chain, despite the expenses he incurs. Ultimately, the domestication of WEM, highly prized by the local population of the Virunga National Park, has the potential to enhance their household incomes, as evidenced by the findings of this study.展开更多
BACKGROUND Acute-on-chronic liver failure(ACLF)is a liver disease based on chronic liver disease,which is significantly influenced by clinical treatment regimen and disease status,and despite the existence of multiple...BACKGROUND Acute-on-chronic liver failure(ACLF)is a liver disease based on chronic liver disease,which is significantly influenced by clinical treatment regimen and disease status,and despite the existence of multiple prognostic assessment indicators for ACLF,the overall sensitivity and accuracy are relatively low.AIM To investigate the prognostic value of the combined detection of alpha-fetoprotein(AFP),plasma prothrombin activity(PTA),and serum prealbumin(PA)in ACLF.METHODS This retrospective study included 87 patients with ACLF admitted from February 2021 to February 2023 and categorized them into the survival(n=47)and death(n=40)groups according to their clinical outcomes 3 months posttreatment.All the participants underwent AFP,PTA,and PA level measurements upon admission.Baseline data,as well as AFP,PTA,and PA levels,were comparatively analyzed.Pearson correlation coefficients were utilized to analyze the correlations of AFP,PTA,and PA with different survival outcomes in patients with ACLF.Receiver operating characteristic(ROC)curves and areas under the curves were used to evaluate the predictive value of AFP,PTA,and PA for ACLF prognosis.RESULTS AFP,PTA,and PA levels were markedly decreased in the death group than in the survival group(P<0.05).Pearson analysis indicated a positive association of the AFP,PTA,and PA levels with the survival of patients with ACLF(P<0.05).ROC curve analysis determined the sensitivity and specificity of the combined diagnosis at 91.24%and 100.00%,respectively,both of which were notably increased compared to the single-index diagnosis.The ROC of their combined diagnosis was 0.989,significantly surpassing 0.907,0.849,and 0.853 of AFP,PTA,and PA,respectively.No statistically significant variance was determined in the sensitivity and specificity of the combined diagnosis vs the single detection(P>0.05).CONCLUSION The combined detection of AFP,PTA,and PA levels demonstrates favorable diagnostic value for the short-term prognosis of patients with ACLF,featuring high sensitivity and specificity.展开更多
Objective:To evaluate the predictive value of secreted phosphoprotein 1(SPP1)gene expression for postoperative survival in patients with advanced liver cancer undergoing hepatic artery interventional chemoembolization...Objective:To evaluate the predictive value of secreted phosphoprotein 1(SPP1)gene expression for postoperative survival in patients with advanced liver cancer undergoing hepatic artery interventional chemoembolization treatment.Method:Bioinformatics methods,including gene ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway analysis,were used to identify genes related to survival prognosis in hepatocellular carcinoma(HCC)patients.A retrospective analysis of 115 advanced liver cancer patients treated between January 2016 and October 2017 was conducted.Patients were categorized into SPP1 high-expression(n=89)and low-expression groups(n=26).Additionally,115 healthy individuals served as the control group.The relationship between SPP1 expression and clinical pathological features was analyzed.A 60-month follow-up and logistic regression analysis identified risk factors affecting survival.Results:SPP1 mRNA expression was significantly higher in liver cancer patients compared to healthy controls(P<0.05).SPP1 expression levels were significantly associated with tumor size,Child-Pugh grading,lymph node metastasis,and BCLC staging(P<0.05).High SPP1 expression,along with tumor size,Child-Pugh grading,lymph node metastasis,and BCLC staging,were independent risk factors for survival(P<0.05).The 60-month survival rate was 17.39%,with a median survival of 40 months in the low-expression group versus 18 months in the high-expression group(P<0.05).Conclusion:SPP1 expression is significantly upregulated in advanced liver cancer patients and has predictive value for postoperative survival following hepatic artery chemoembolization treatment.SPP1,combined with clinical indicators such as tumor size,Child-Pugh grading,lymph node metastasis,and BCLC staging,may serve as a prognostic biomarker for interventional treatment outcomes.展开更多
Objective:To analyze the burden of caregivers of CHF patients in the current environment,to explore the related burden and influencing factors of caring for patients with chronic heart failure,and to explore the impac...Objective:To analyze the burden of caregivers of CHF patients in the current environment,to explore the related burden and influencing factors of caring for patients with chronic heart failure,and to explore the impact of filial piety values on the burden of caring for patients.Methods:192 caregivers of CHF patients in the hospital were selected as the main objects of this study.The main method was convenient sampling.Through a questionnaire survey of 192 CHF patients'caregivers,a unified investigation was conducted from the aspects of patient"'s general condition,objective burden,anxiety and depression degree and relationship quality,etc.The structural equation model was constructed and adjusted by analyzing data entry and variable correlation.Finally,path analysis was used to conduct inferential research on the direct and indirect influencing factors of control burden.Results:More than half of the patients'caregivers had a caregiving burden,and the practical caregiving dimension had the highest score.The total effect values of patient-related factors,including anxiety degree,number of concomitant diseases and half-year readmission rate,were 0.36,0.31 and 0.20,respectively(P<0.05).The total effect values of filial piety,anxiety degree,average care time and understanding degree of disease directly derived from the caregivers themselves were-0.38,0.29,0.29 and-0.23,respectively(P<0.05).In addition,the influence of filial piety values on the caregiver burden was more obvious,and the direct effect value of the value was-0.41(P<0.001).Conclusion:Most caregivers of CHF patients have a certain objective burden of care,and there are many factors that affect it,among which the degree of filial piety value is the most important.This finding provides a clear goal for caregivers to develop measures to improve the caregiver burden.展开更多
This study aims to build a value assessment framework applicable to Chinese health-care institutions for antineoplastic agents in the context of diagnosis related group(DRG).This study constructed the value assessment...This study aims to build a value assessment framework applicable to Chinese health-care institutions for antineoplastic agents in the context of diagnosis related group(DRG).This study constructed the value assessment framework through literature research,Delphi expert consultation method,and analytic hierarchy process(AHP).This study used internal consistency reliability to test the reliability of the constructed framework.Exploratory factor analysis(EFA)and validation factor analysis were used for the validity test.Then,the level stratification of the indicators was set based on the literature data,and the value function of each indicator was constructed using the measuring attractiveness by a categorical based assessment technique method to construct a quantitative value assessment model.This study established a value assessment framework of 7 dimensions and 26 indicators.Reliability and validity analyses of these indicators made 4 indicators excluded.Then,the value functions were constructed for 17 indicators,establishing a quantitative value assessment model.This study constructed an antineoplastic drugs evaluation framework in the context of DRG with good validity and reliability and the corresponding quantitative value assessment model.展开更多
As a key sector in advancing China’s“carbon neutrality”goal,the machinery manufacturing industry has achieved remarkable development in recent years.Against this backdrop,the scientific and objective evaluation of ...As a key sector in advancing China’s“carbon neutrality”goal,the machinery manufacturing industry has achieved remarkable development in recent years.Against this backdrop,the scientific and objective evaluation of the financial performance of machinery manufacturing enterprises has become a pressing issue in financial research.This topic is not only crucial for optimizing enterprise management and improving operational efficiency but also essential for enhancing overall industry performance and promoting sustainable development.This paper first introduces the concept of financial performance,followed by an analysis of related financial performance evaluation theories.It then focuses on the application of the entropy method in evaluating the financial performance of machinery manufacturing enterprises,detailing its analytical steps.Finally,a financial performance evaluation index system is constructed based on four dimensions:profitability,solvency,operational efficiency,and growth potential.展开更多
BACKGROUND Gastric cancer is the most common malignancy of the digestive system and surgical resection is the primary treatment.Advances in surgical technology have reduced the risk of complications after radical gast...BACKGROUND Gastric cancer is the most common malignancy of the digestive system and surgical resection is the primary treatment.Advances in surgical technology have reduced the risk of complications after radical gastrectomy;however,post-surgical pancreatic fistula remain a serious issue.These fistulas can lead to abdominal infections,anastomotic leakage,increased costs,and pain;thus,early diagnosis and prevention are crucial for a better prognosis.Currently,C-reactive protein(CRP),procalcitonin(PCT),and total bilirubin(TBil)levels are used to predict post-operative infections and anastomotic leakage.However,their predictive value for pancreatic fistula after radical gastrectomy for gastric cancer remains unclear.The present study was conducted to determine their predictive value.AIM To determine the predictive value of CRP,PCT,and TBil levels for pancreatic fistula after gastric cancer surgery.METHODS In total,158 patients who underwent radical gastrectomy for gastric cancer at our hospital between January 2019 and January 2023 were included.The patients were assigned to a pancreatic fistula group or a non-pancreatic fistula group.Multivariate logistic analysis was conducted to assess the factors influencing development of a fistula.Receiver operating characteristic(ROC)curves were used to determine the predictive value of serum CRP,PCT,and TBil levels on day 1 postsurgery.RESULTS On day 1 post-surgery,the CRP,PCT,and TBil levels were significantly higher in the pancreatic fistula group than in the non-pancreatic fistula group(P<0.05).A higher fistula grade was associated with higher levels of the indices.Univariate analysis revealed significant differences in the presence of diabetes,hyperlipidemia,pancreatic injury,splenectomy,and the biomarker levels(P<0.05).Logistic multivariate analysis identified diabetes,hyperlipidemia,pancreatic injury,CRP level,and PCT level as independent risk factors.ROC curves yielded predictive values for CRP,PCT,and TBil levels,with the PCT level having the highest area under the curve(AUC)of 0.80[95%confidence interval(CI):0.72-0.90].Combined indicators improved the predictive value,with an AUC of 0.86(95%CI:0.78-0.93).CONCLUSION Elevated CRP,PCT,and TBil levels predict risk of pancreatic fistula post-gastrectomy for gastric cancer.展开更多
This study investigated the spatio-temporal variation characteristics of ecosystem service value(ESV)alongside its driving influencing factors,thereby offering valuable theoretical insights for the sustainable develop...This study investigated the spatio-temporal variation characteristics of ecosystem service value(ESV)alongside its driving influencing factors,thereby offering valuable theoretical insights for the sustainable development of Jingzhou City,Hubei Province.Based on the land use data for Jingzhou City from 2000 to 2020,this study quantified the value of the ecological environment using the equivalent factor method.Furthermore,it analyzed and elucidated the spatio-temporal heterogeneity and driving mechanisms of ecosystem services in Jingzhou City.The results indicated that between 2000 and 2020,cultivated land(66.40%)and water area(18.82%)were the predominant land use types in Jingzhou City.The areas of water area and construction land exhibited a growth trend during this period.Construction land had the highest rate of land use change,followed by water area and cultivated land.Land use transitions primarily occurred between cultivated land and water area,as well as between cultivated land and construction land.The total value of ecosystem services in Jingzhou City increased by 165.07%from 2000 to 2020.ESV exhibited an upward trend from 2000 to 2015,followed by a gradual decline from 2015 to 2020.The ranking of individual ecosystem services,in descending order,was as follows:regulation services,supporting services,provisioning services,and cultural services.High-value ESV areas were predominantly situated in the water area of Lake Honghu,while low-value regions were mainly found in the cultivated land in the central and western parts of Jingzhou City.The spatial differentiation of ESV in Jingzhzou City was influenced by both natural and socio-economic factors,with natural factors exerting a more significant impact than socioeconomic factors.Specifically,the Normalized Difference Vegetation Index(NDVI)was the dominant environmental factor,while GDP plays a synergistic role.展开更多
Investigating the ecological impact of land use change in the context of the construction of national water network project is crucial,as it is imperative for achieving the sustainable development goals of the nationa...Investigating the ecological impact of land use change in the context of the construction of national water network project is crucial,as it is imperative for achieving the sustainable development goals of the national water network and guaranteeing regional ecological stability.Using the Danjiangkou Reservoir Area(DRA),China as the study area,this paper first examined the spatiotemporal dynamics of natural landscape patterns and ecosystem service values(ESV)in the DRA from 2000 to 2018 and then investigated the spatial clustering characteristics of the ESV using spatial statistical analysis tools.Finally,the patch-generating land use simulation(PLUS)model was used to simulate the natural landscape and future changes in the ESV of the DRA from 2018 to 2028 under four different development scenarios:business as usual(BAU),economic development(ED),ecological protection(EP),and shoreline protection(SP).The results show that:during 2000-2018,the construction of water facilities had a significant impact on regional land use/land cover(LULC)change,with a 24830 ha increase in watershed area.ESV exhibited an increasing trend,with a significant and growing spatial clustering effect.The transformation of farmland to water bodies led to accelerated ESV growth,while the transformation of forest land to farmland led to a decrease in the ESV.Normalized difference vegetation index(NDVI)had the strongest effect on the ESV.ESV exhibited a continuous increase from 2018 to 2028 under all the simulation scenarios.The EP scenario had the greatest increase in ESV,while the ED scenario had the smallest increase.The findings suggest that projected land use patterns under different scenarios have varied impacts on ecosystem services(ESs)and that the management and planning of the DRA should balance social,economic,ecological,and security benefits.nomic,ecological,and security benefits.展开更多
Maize value-added products play a crucial role in reducing post-harvest losses, enhancing food security, and generating income. While extensive research has focused on maize production in Cameroon, the exploration of ...Maize value-added products play a crucial role in reducing post-harvest losses, enhancing food security, and generating income. While extensive research has focused on maize production in Cameroon, the exploration of its value-added products and their profitability in the North-West Region remains underexplored. This study examined the profitability of maize value-added products in Mezam Division, with the objectives to: 1) identify various maize-based products, 2) assess the diversity of these products, 3) conduct a cost-benefit analysis of selected products, 4) examine the relationship between profitability and product diversity, and 5) identify key constraints impacting profitability. To achieve these objectives, structured questionnaires were administered to 500 small-scale maize entrepreneurs randomly selected from five subdivisions. Descriptive statistics were used to analyze objective 1 and 5, while the Shannon Diversity Index was employed to assess product diversity. Additionally, a cost-benefit analysis was conducted on four selected products namely pap, parched corn, peeled parboiled corn, and corn beer, and a correlation analysis was used to examine objective 4. In total, 13 maize value-added products were identified, with a diversity index of 4.4. The total cost of processing the four selected products per entrepreneur using 18 kg of maize per product was FCFA 83631.5 (US $132.75), while the total revenue was FCFA 121864.5 (US $193.43), resulting in an economic profit of FCFA 38,233 (US $60.69). Pap emerged as the most profitable product, with an economic profit of FCFA 27,875 (US $44.24), while corn beer was the least profitable, with an economic profit of FCFA 2133.46 (US $3.39). The correlation analysis revealed a strong negative relationship between product diversity and profitability (r = −0.91), indicating that entrepreneurs can maximize profitability by focusing on a few high-demand products like pap and parched corn. Key constraints to profitability included fluctuating market prices, high production costs, limited access to finance, and inadequate storage facilities. Despite these challenges, our findings indicate that maize value addition is profitable in Mezam Division. Entrepreneurs can leverage this data for informed decision-making and future investments. It is recommended that the government promote maize value addition and provide financial support for modern processing equipment to boost profitability and income generation.展开更多
Under the background of public-private cooperation in environmental governance,there are conflicts in the value of governance subjects based on differences in objectives and behavior heterogeneity.From the perspective...Under the background of public-private cooperation in environmental governance,there are conflicts in the value of governance subjects based on differences in objectives and behavior heterogeneity.From the perspective of value co-creation theory,the questionnaire data and correlation structure measurement linked list are used to investigate the internal mechanism of value co-creation behavior affecting government performance.The results of the study show that value co-creation behavior has a significant positive impact on government performance,and partnership plays a mediating role in value co-creation behavior and government performance.The study reveals that whether value co-creation behavior can affect government performance depends on the partnership among the government,enterprises and the public,and the participants realize the interest demands to form value co-creation behavior,and innovate the realization path to improve government performance.This paper expands the research perspective of the influencing factors of value co-creation behavior,deepens the value cognition of multi-subject behavior,and provides a theoretical reference for environmental governance and improving government performance.展开更多
Today,the e-commerce live broadcast industry has formed a huge market,and it has become one of the important ways for most netizens to purchase goods.Live streaming has brought new opportunities for e-commerce and new...Today,the e-commerce live broadcast industry has formed a huge market,and it has become one of the important ways for most netizens to purchase goods.Live streaming has brought new opportunities for e-commerce and new growth for brand value.The interaction between brands and customers has gradually expanded,in this case,the importance of value co-creation has become more and more prominent.This article will take e-commerce live broadcast marketing as the research object,and the brand value co-creation as the research perspective,then provide a direction based on the value co-creation perspective for the healthy and long-term development of e-commerce live broadcast marketing by studying and analyzing the cases of brand value co-creation.展开更多
Compared with common intelligent service,full-scene intelligent service has its uniqueness in high integration,synergy,and technological spillover.However,the traditional service or business model theories cannot prec...Compared with common intelligent service,full-scene intelligent service has its uniqueness in high integration,synergy,and technological spillover.However,the traditional service or business model theories cannot precisely elaborate its sociotechnical contextual nature and value creation logic.To fill this knowledge gap,we provide initial insights into the value co-creation logic in full-scene intelligent service by exploring the value co-creation elements using a data-driven text mining approach.We analyzed 171 business reports on the full-scene intelligent service by the topic modeling using the Latent Dirichlet Allocation(LDA).The findings reveal three main clusters:value proposition,participants,and connection platform.This study presents a theoretical framework for a further exploratory case study and quantitative research on full-scene intelligent service.This study also helps small and medium-sized enterprises to explore and exploit value co-creation opportunities.展开更多
BACKGROUND Gastric cancer is a global health concern that poses a significant threat to human well-being.AIM To detecting serum changes in carcinoembryonic antigen(CEA),carbohydrate antigens(CA)724,CA242,and CA19-9 ex...BACKGROUND Gastric cancer is a global health concern that poses a significant threat to human well-being.AIM To detecting serum changes in carcinoembryonic antigen(CEA),carbohydrate antigens(CA)724,CA242,and CA19-9 expression among patients with gastric cancer.METHODS Eighty patients diagnosed with gastric cancer between January 2020 and January 2023 were included in the observation group,while 80 patients with benign gastric diseases were included in the control group.Both groups were tested for tumor markers(CA724,CEA,CA242,and CA19-9].Tumor marker indicators(CA724,CEA,CA242,and CA19-9)were compared between the two groups,assessing positive rates of tumor markers across various stages in the observation group.Additionally,single and combined detection of various tumor markers were examined.RESULTS The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value observed for the combined detection of CA724,CEA,CA242,and CA19-9 were higher than those of CA724,CEA,CA242,and CA19-9 individually.Therefore,the combined detection of CA724,CEA,CA242,and CA19-9 has a high diagnostic accuracy and could reduce the occurrence of missed or misdiagnosed cases,facilitating the early diagnosis and treatment of patients.CONCLUSION CA724,CEA,CA242,and CA19-9 serum levels in gastric cancer patients significantly surpassed those in non-gastric cancer patients(P<0.05).Their combined detection can improve the diagnostic accuracy for gastric cancer,warranting clinical promotion.展开更多
基金This study was supported by the Humanities and Social Sciences Project of the Ministry of Education(No.23YJA790070)the Graduate Innovation Research Project of Southwest Minzu University(No.YB2022621)the Research Project of BCIMY(No.BCIMY1910).
文摘Establishing a sense of ritual within tourism consumption scenarios offers tourists the opportunity for interactive engagement.Drawing upon the value co-creation theory,this study constructed an influence mechanism model to examine tourists'active engagement in the process of co-creating tourism experience values.It employed Partial Least Squares Structural Equation Modeling(PLS-SEM)to empirically test the proposed hypotheses.The findings demonstrate that the model constructed in the present study exhibits robust reliability,validity,and explanatory power.The perception of the sense of ritual in tourism exerts a significant positive influence on tourists’co-creation of tourism experience values,thereby significantly enhancing both the communitas and flow experienced by tourists during their travels.Moreover,such communitas and flow can mediate the influence of the sense of ritual in tourism on tourists’co-creation of tourism experience values.This study contributes to advancing the current research on tourists’co-creation of tourism experience values and the sense of ritual in tourism,thereby providing theoretical foundations for cultivating a sense of ritual within tourism consumption scenarios.
基金The National Science&Technology Pillar Program of China(No.2012BAH29F01)the Innovation Project for Postgraduate Education of Jiangsu Province(No.3214003911)
文摘To illustrate how firms and customers co-create value in business to business （B2B） e-commerce, an integrated value co-creation model is proposed based on information systems （IS） application capabilities from the relational view. IS application capabilities, relational assets, customer agility and relational value are constructed and tested by empirical analysis. The empirical research tests and verifies the mediating effect of customer agility, and the interactions of IS application capabilities and relational assets, as well as their effect on relational value. This model expands the research framework of value co-creation in service dominant logic, and reveals the mechanism of how f＇n＇ms and customers co-create value in B2B e-commerce based on IS application capabilities, which provides the basis for further theory development and a practice guide.
文摘This study was carried out with the aim of investigating the effect of indigenous microorganism (IMO), effective (EM) and mineral fertilizers (NPK) on the yield and nutritional value of groundnut (Arachis hypogaea) in Western Cameroon (Baboutcha-Fongam). The study was conducted during two consecutive years, using a completely randomized block design of 8 treatments repeated three times in each subblock. The sub-plots were enriched with 0, 10, 20 and 40 g corresponding to the treatment of EM and IMO respectively and 3.2 g of NPK in 2019. Subsequently, the best dose that resulted in excellent yields was repeated for the rest of the experiment in 2020. The yield parameters and nutritional value of the two varieties of Arachis hypogaea used in the two consecutive years increase with the contribution of the different doses compared to the control. Overall, a significant increase (p A. hypogaea plants fertilized with EM 20 g (2.15 ± 0.24 and 2.01 ± 0.23 t/ha) and plants fertilized with NPK 3.2 g (2.36 ± 0.65 and 2.04 ± 0.17 t/ha) was not significant. On the other hand, there was a significant difference (P ≤ 0.05) between plants fertilized with IMO 10 g (2.65 ± 0.17 and 2.24 ± 0.2 t/ha) and plants fertilized with EM 20 g and plants fertilized with NPK 3.2 g for both varieties during the two years combined. In addition to being local and therefore adapted to environmental conditions, IMOs could be a promising biological means for improving soil fertility in Cameroon.
文摘We study the following modified transitional Korteweg-de Vries equation ut+f(t)upux+uxxx=0, (x,t)∈R+×R+, (p≥2is an even integer) with initial value u(x,0)=g(x)∈H4(R+)and inhomogeneous boundary value u(0,t)=Q(t)∈C2([ 0,∞ )). Under the conditions either (i) f(t)≤0, f′(t)≥0or (ii) f(t)≤−αwhere α>0, we prove the existence of a unique global classical solution.
文摘A substantial body of research has been conducted with the objective of enhancing the understanding of Non-Timber Forest Products (NTFP) in Central Africa. A significant proportion of the studies focus on medicinal plants, in contrast to those that examine food products. Nevertheless, studies on edible wild mushrooms as NTFPs and cultivated mushrooms, on their economic potential and value chains in the Great Lakes Region, remain scarce and largely absent for some NTFPs. In light of the aforementioned considerations, the present study aims to examine the economic potential and value chain of the production sector of wild edible mushrooms (WEM) and cultivated mushrooms (CM) within the Virunga National Park (PNVi) and its surrounding areas in North Kivu, Democratic Republic of the Congo (DRC). To this end, a sample of 432 respondents was selected, distributed equitably among the actors of the Goma-Kitshanga-Mweso value chain, the Goma-Rutshuru chain, the Beni-Mutwanga chain, and the Beni-Mangina chain. A digital questionnaire consisting of open and closed questions was administered, and observations were carried out concurrently. The quantities of mushrooms sold were weighed and photographed. The results demonstrated that, when the eight-month fruiting period of wild and cultivated mushrooms was considered as a single year for all actors within the value chain, a picker could sell 6.1 kg at $2 and earn $12. A seller could sell 16 kg at $4 and earn $64, while a grower could sell 502 kg at $3 and earn $1506. Consequently, the CM grower generates a significantly higher profit than other participants in the value chain, despite the expenses he incurs. Ultimately, the domestication of WEM, highly prized by the local population of the Virunga National Park, has the potential to enhance their household incomes, as evidenced by the findings of this study.
文摘BACKGROUND Acute-on-chronic liver failure(ACLF)is a liver disease based on chronic liver disease,which is significantly influenced by clinical treatment regimen and disease status,and despite the existence of multiple prognostic assessment indicators for ACLF,the overall sensitivity and accuracy are relatively low.AIM To investigate the prognostic value of the combined detection of alpha-fetoprotein(AFP),plasma prothrombin activity(PTA),and serum prealbumin(PA)in ACLF.METHODS This retrospective study included 87 patients with ACLF admitted from February 2021 to February 2023 and categorized them into the survival(n=47)and death(n=40)groups according to their clinical outcomes 3 months posttreatment.All the participants underwent AFP,PTA,and PA level measurements upon admission.Baseline data,as well as AFP,PTA,and PA levels,were comparatively analyzed.Pearson correlation coefficients were utilized to analyze the correlations of AFP,PTA,and PA with different survival outcomes in patients with ACLF.Receiver operating characteristic(ROC)curves and areas under the curves were used to evaluate the predictive value of AFP,PTA,and PA for ACLF prognosis.RESULTS AFP,PTA,and PA levels were markedly decreased in the death group than in the survival group(P<0.05).Pearson analysis indicated a positive association of the AFP,PTA,and PA levels with the survival of patients with ACLF(P<0.05).ROC curve analysis determined the sensitivity and specificity of the combined diagnosis at 91.24%and 100.00%,respectively,both of which were notably increased compared to the single-index diagnosis.The ROC of their combined diagnosis was 0.989,significantly surpassing 0.907,0.849,and 0.853 of AFP,PTA,and PA,respectively.No statistically significant variance was determined in the sensitivity and specificity of the combined diagnosis vs the single detection(P>0.05).CONCLUSION The combined detection of AFP,PTA,and PA levels demonstrates favorable diagnostic value for the short-term prognosis of patients with ACLF,featuring high sensitivity and specificity.
基金Medical Research Project of Xi’an Science and Technology Bureau“Molecular Mechanism of miR-1305 Competitive Endogenous circRNA in the Development of Liver Cancer”(Project No.22YXYJ0134)General Project of Key Research and Development Program of Shaanxi Provincial Department of Science and Technology“Mechanism Study on the Inhibition of Liver Cancer Invasion and Metastasis by Downregulating METTL3 and Reducing the m6A Modification Level of MMP3 with Honokiol”(Project No.2023-YBSF-631)。
文摘Objective:To evaluate the predictive value of secreted phosphoprotein 1(SPP1)gene expression for postoperative survival in patients with advanced liver cancer undergoing hepatic artery interventional chemoembolization treatment.Method:Bioinformatics methods,including gene ontology(GO)and Kyoto Encyclopedia of Genes and Genomes(KEGG)pathway analysis,were used to identify genes related to survival prognosis in hepatocellular carcinoma(HCC)patients.A retrospective analysis of 115 advanced liver cancer patients treated between January 2016 and October 2017 was conducted.Patients were categorized into SPP1 high-expression(n=89)and low-expression groups(n=26).Additionally,115 healthy individuals served as the control group.The relationship between SPP1 expression and clinical pathological features was analyzed.A 60-month follow-up and logistic regression analysis identified risk factors affecting survival.Results:SPP1 mRNA expression was significantly higher in liver cancer patients compared to healthy controls(P<0.05).SPP1 expression levels were significantly associated with tumor size,Child-Pugh grading,lymph node metastasis,and BCLC staging(P<0.05).High SPP1 expression,along with tumor size,Child-Pugh grading,lymph node metastasis,and BCLC staging,were independent risk factors for survival(P<0.05).The 60-month survival rate was 17.39%,with a median survival of 40 months in the low-expression group versus 18 months in the high-expression group(P<0.05).Conclusion:SPP1 expression is significantly upregulated in advanced liver cancer patients and has predictive value for postoperative survival following hepatic artery chemoembolization treatment.SPP1,combined with clinical indicators such as tumor size,Child-Pugh grading,lymph node metastasis,and BCLC staging,may serve as a prognostic biomarker for interventional treatment outcomes.
文摘Objective:To analyze the burden of caregivers of CHF patients in the current environment,to explore the related burden and influencing factors of caring for patients with chronic heart failure,and to explore the impact of filial piety values on the burden of caring for patients.Methods:192 caregivers of CHF patients in the hospital were selected as the main objects of this study.The main method was convenient sampling.Through a questionnaire survey of 192 CHF patients'caregivers,a unified investigation was conducted from the aspects of patient"'s general condition,objective burden,anxiety and depression degree and relationship quality,etc.The structural equation model was constructed and adjusted by analyzing data entry and variable correlation.Finally,path analysis was used to conduct inferential research on the direct and indirect influencing factors of control burden.Results:More than half of the patients'caregivers had a caregiving burden,and the practical caregiving dimension had the highest score.The total effect values of patient-related factors,including anxiety degree,number of concomitant diseases and half-year readmission rate,were 0.36,0.31 and 0.20,respectively(P<0.05).The total effect values of filial piety,anxiety degree,average care time and understanding degree of disease directly derived from the caregivers themselves were-0.38,0.29,0.29 and-0.23,respectively(P<0.05).In addition,the influence of filial piety values on the caregiver burden was more obvious,and the direct effect value of the value was-0.41(P<0.001).Conclusion:Most caregivers of CHF patients have a certain objective burden of care,and there are many factors that affect it,among which the degree of filial piety value is the most important.This finding provides a clear goal for caregivers to develop measures to improve the caregiver burden.
基金supported by grants from the National Natural Science Foundation of China(Grant No.:71804025)the Development Center for Medical Science&Technology,National Health Commission of the People's Republic of China(Grant No:WKZX2023CX210005).
文摘This study aims to build a value assessment framework applicable to Chinese health-care institutions for antineoplastic agents in the context of diagnosis related group(DRG).This study constructed the value assessment framework through literature research,Delphi expert consultation method,and analytic hierarchy process(AHP).This study used internal consistency reliability to test the reliability of the constructed framework.Exploratory factor analysis(EFA)and validation factor analysis were used for the validity test.Then,the level stratification of the indicators was set based on the literature data,and the value function of each indicator was constructed using the measuring attractiveness by a categorical based assessment technique method to construct a quantitative value assessment model.This study established a value assessment framework of 7 dimensions and 26 indicators.Reliability and validity analyses of these indicators made 4 indicators excluded.Then,the value functions were constructed for 17 indicators,establishing a quantitative value assessment model.This study constructed an antineoplastic drugs evaluation framework in the context of DRG with good validity and reliability and the corresponding quantitative value assessment model.
文摘As a key sector in advancing China’s“carbon neutrality”goal,the machinery manufacturing industry has achieved remarkable development in recent years.Against this backdrop,the scientific and objective evaluation of the financial performance of machinery manufacturing enterprises has become a pressing issue in financial research.This topic is not only crucial for optimizing enterprise management and improving operational efficiency but also essential for enhancing overall industry performance and promoting sustainable development.This paper first introduces the concept of financial performance,followed by an analysis of related financial performance evaluation theories.It then focuses on the application of the entropy method in evaluating the financial performance of machinery manufacturing enterprises,detailing its analytical steps.Finally,a financial performance evaluation index system is constructed based on four dimensions:profitability,solvency,operational efficiency,and growth potential.
文摘BACKGROUND Gastric cancer is the most common malignancy of the digestive system and surgical resection is the primary treatment.Advances in surgical technology have reduced the risk of complications after radical gastrectomy;however,post-surgical pancreatic fistula remain a serious issue.These fistulas can lead to abdominal infections,anastomotic leakage,increased costs,and pain;thus,early diagnosis and prevention are crucial for a better prognosis.Currently,C-reactive protein(CRP),procalcitonin(PCT),and total bilirubin(TBil)levels are used to predict post-operative infections and anastomotic leakage.However,their predictive value for pancreatic fistula after radical gastrectomy for gastric cancer remains unclear.The present study was conducted to determine their predictive value.AIM To determine the predictive value of CRP,PCT,and TBil levels for pancreatic fistula after gastric cancer surgery.METHODS In total,158 patients who underwent radical gastrectomy for gastric cancer at our hospital between January 2019 and January 2023 were included.The patients were assigned to a pancreatic fistula group or a non-pancreatic fistula group.Multivariate logistic analysis was conducted to assess the factors influencing development of a fistula.Receiver operating characteristic(ROC)curves were used to determine the predictive value of serum CRP,PCT,and TBil levels on day 1 postsurgery.RESULTS On day 1 post-surgery,the CRP,PCT,and TBil levels were significantly higher in the pancreatic fistula group than in the non-pancreatic fistula group(P<0.05).A higher fistula grade was associated with higher levels of the indices.Univariate analysis revealed significant differences in the presence of diabetes,hyperlipidemia,pancreatic injury,splenectomy,and the biomarker levels(P<0.05).Logistic multivariate analysis identified diabetes,hyperlipidemia,pancreatic injury,CRP level,and PCT level as independent risk factors.ROC curves yielded predictive values for CRP,PCT,and TBil levels,with the PCT level having the highest area under the curve(AUC)of 0.80[95%confidence interval(CI):0.72-0.90].Combined indicators improved the predictive value,with an AUC of 0.86(95%CI:0.78-0.93).CONCLUSION Elevated CRP,PCT,and TBil levels predict risk of pancreatic fistula post-gastrectomy for gastric cancer.
文摘This study investigated the spatio-temporal variation characteristics of ecosystem service value(ESV)alongside its driving influencing factors,thereby offering valuable theoretical insights for the sustainable development of Jingzhou City,Hubei Province.Based on the land use data for Jingzhou City from 2000 to 2020,this study quantified the value of the ecological environment using the equivalent factor method.Furthermore,it analyzed and elucidated the spatio-temporal heterogeneity and driving mechanisms of ecosystem services in Jingzhou City.The results indicated that between 2000 and 2020,cultivated land(66.40%)and water area(18.82%)were the predominant land use types in Jingzhou City.The areas of water area and construction land exhibited a growth trend during this period.Construction land had the highest rate of land use change,followed by water area and cultivated land.Land use transitions primarily occurred between cultivated land and water area,as well as between cultivated land and construction land.The total value of ecosystem services in Jingzhou City increased by 165.07%from 2000 to 2020.ESV exhibited an upward trend from 2000 to 2015,followed by a gradual decline from 2015 to 2020.The ranking of individual ecosystem services,in descending order,was as follows:regulation services,supporting services,provisioning services,and cultural services.High-value ESV areas were predominantly situated in the water area of Lake Honghu,while low-value regions were mainly found in the cultivated land in the central and western parts of Jingzhou City.The spatial differentiation of ESV in Jingzhzou City was influenced by both natural and socio-economic factors,with natural factors exerting a more significant impact than socioeconomic factors.Specifically,the Normalized Difference Vegetation Index(NDVI)was the dominant environmental factor,while GDP plays a synergistic role.
基金Under the auspices of National Natural Science Foundation of China(No.42371315,41901213)Natural Science Foundation of Hubei Province(No.2020CFB856)Project of Changjiang Survey,Planning,Design and Research Co.,Ltd(No.CX2022Z23)。
文摘Investigating the ecological impact of land use change in the context of the construction of national water network project is crucial,as it is imperative for achieving the sustainable development goals of the national water network and guaranteeing regional ecological stability.Using the Danjiangkou Reservoir Area(DRA),China as the study area,this paper first examined the spatiotemporal dynamics of natural landscape patterns and ecosystem service values(ESV)in the DRA from 2000 to 2018 and then investigated the spatial clustering characteristics of the ESV using spatial statistical analysis tools.Finally,the patch-generating land use simulation(PLUS)model was used to simulate the natural landscape and future changes in the ESV of the DRA from 2018 to 2028 under four different development scenarios:business as usual(BAU),economic development(ED),ecological protection(EP),and shoreline protection(SP).The results show that:during 2000-2018,the construction of water facilities had a significant impact on regional land use/land cover(LULC)change,with a 24830 ha increase in watershed area.ESV exhibited an increasing trend,with a significant and growing spatial clustering effect.The transformation of farmland to water bodies led to accelerated ESV growth,while the transformation of forest land to farmland led to a decrease in the ESV.Normalized difference vegetation index(NDVI)had the strongest effect on the ESV.ESV exhibited a continuous increase from 2018 to 2028 under all the simulation scenarios.The EP scenario had the greatest increase in ESV,while the ED scenario had the smallest increase.The findings suggest that projected land use patterns under different scenarios have varied impacts on ecosystem services(ESs)and that the management and planning of the DRA should balance social,economic,ecological,and security benefits.nomic,ecological,and security benefits.
文摘Maize value-added products play a crucial role in reducing post-harvest losses, enhancing food security, and generating income. While extensive research has focused on maize production in Cameroon, the exploration of its value-added products and their profitability in the North-West Region remains underexplored. This study examined the profitability of maize value-added products in Mezam Division, with the objectives to: 1) identify various maize-based products, 2) assess the diversity of these products, 3) conduct a cost-benefit analysis of selected products, 4) examine the relationship between profitability and product diversity, and 5) identify key constraints impacting profitability. To achieve these objectives, structured questionnaires were administered to 500 small-scale maize entrepreneurs randomly selected from five subdivisions. Descriptive statistics were used to analyze objective 1 and 5, while the Shannon Diversity Index was employed to assess product diversity. Additionally, a cost-benefit analysis was conducted on four selected products namely pap, parched corn, peeled parboiled corn, and corn beer, and a correlation analysis was used to examine objective 4. In total, 13 maize value-added products were identified, with a diversity index of 4.4. The total cost of processing the four selected products per entrepreneur using 18 kg of maize per product was FCFA 83631.5 (US $132.75), while the total revenue was FCFA 121864.5 (US $193.43), resulting in an economic profit of FCFA 38,233 (US $60.69). Pap emerged as the most profitable product, with an economic profit of FCFA 27,875 (US $44.24), while corn beer was the least profitable, with an economic profit of FCFA 2133.46 (US $3.39). The correlation analysis revealed a strong negative relationship between product diversity and profitability (r = −0.91), indicating that entrepreneurs can maximize profitability by focusing on a few high-demand products like pap and parched corn. Key constraints to profitability included fluctuating market prices, high production costs, limited access to finance, and inadequate storage facilities. Despite these challenges, our findings indicate that maize value addition is profitable in Mezam Division. Entrepreneurs can leverage this data for informed decision-making and future investments. It is recommended that the government promote maize value addition and provide financial support for modern processing equipment to boost profitability and income generation.
基金supported by the Tianjin Philosophy and Social Science Planning Project(Grant No.TJGL17-010).
文摘Under the background of public-private cooperation in environmental governance,there are conflicts in the value of governance subjects based on differences in objectives and behavior heterogeneity.From the perspective of value co-creation theory,the questionnaire data and correlation structure measurement linked list are used to investigate the internal mechanism of value co-creation behavior affecting government performance.The results of the study show that value co-creation behavior has a significant positive impact on government performance,and partnership plays a mediating role in value co-creation behavior and government performance.The study reveals that whether value co-creation behavior can affect government performance depends on the partnership among the government,enterprises and the public,and the participants realize the interest demands to form value co-creation behavior,and innovate the realization path to improve government performance.This paper expands the research perspective of the influencing factors of value co-creation behavior,deepens the value cognition of multi-subject behavior,and provides a theoretical reference for environmental governance and improving government performance.
文摘Today,the e-commerce live broadcast industry has formed a huge market,and it has become one of the important ways for most netizens to purchase goods.Live streaming has brought new opportunities for e-commerce and new growth for brand value.The interaction between brands and customers has gradually expanded,in this case,the importance of value co-creation has become more and more prominent.This article will take e-commerce live broadcast marketing as the research object,and the brand value co-creation as the research perspective,then provide a direction based on the value co-creation perspective for the healthy and long-term development of e-commerce live broadcast marketing by studying and analyzing the cases of brand value co-creation.
基金The authors thank seminar participants at the China Academic Conference on Computer Simulation and Information Technology for their helpful comments.
文摘Compared with common intelligent service,full-scene intelligent service has its uniqueness in high integration,synergy,and technological spillover.However,the traditional service or business model theories cannot precisely elaborate its sociotechnical contextual nature and value creation logic.To fill this knowledge gap,we provide initial insights into the value co-creation logic in full-scene intelligent service by exploring the value co-creation elements using a data-driven text mining approach.We analyzed 171 business reports on the full-scene intelligent service by the topic modeling using the Latent Dirichlet Allocation(LDA).The findings reveal three main clusters:value proposition,participants,and connection platform.This study presents a theoretical framework for a further exploratory case study and quantitative research on full-scene intelligent service.This study also helps small and medium-sized enterprises to explore and exploit value co-creation opportunities.
文摘BACKGROUND Gastric cancer is a global health concern that poses a significant threat to human well-being.AIM To detecting serum changes in carcinoembryonic antigen(CEA),carbohydrate antigens(CA)724,CA242,and CA19-9 expression among patients with gastric cancer.METHODS Eighty patients diagnosed with gastric cancer between January 2020 and January 2023 were included in the observation group,while 80 patients with benign gastric diseases were included in the control group.Both groups were tested for tumor markers(CA724,CEA,CA242,and CA19-9].Tumor marker indicators(CA724,CEA,CA242,and CA19-9)were compared between the two groups,assessing positive rates of tumor markers across various stages in the observation group.Additionally,single and combined detection of various tumor markers were examined.RESULTS The sensitivity,specificity,accuracy,positive predictive value,and negative predictive value observed for the combined detection of CA724,CEA,CA242,and CA19-9 were higher than those of CA724,CEA,CA242,and CA19-9 individually.Therefore,the combined detection of CA724,CEA,CA242,and CA19-9 has a high diagnostic accuracy and could reduce the occurrence of missed or misdiagnosed cases,facilitating the early diagnosis and treatment of patients.CONCLUSION CA724,CEA,CA242,and CA19-9 serum levels in gastric cancer patients significantly surpassed those in non-gastric cancer patients(P<0.05).Their combined detection can improve the diagnostic accuracy for gastric cancer,warranting clinical promotion.
