How does climate change risk affect energy poverty? International evidence

Based on cross-country data from 2002 to 2019, we explore the impact of climate change risk (CCR) on energy poverty (EP), and the moderating role in the CCR-EP nexus is also discussed. The empirical results suggest that CCR can exacerbate EP, especially for rural areas. Moderating effect analysis shows that financial development, technological innovation, and adaptation readiness can modify the negative impacts of CCR on EP to some extent. Moreover, the impact of CCR on EP is heterogeneous, demonstrating that CCR is more likely to exacerbate EP in countries with low economic development, low economic freedom, high carbon intensity, and the Africa region. Our findings emphasize the challenge of balancing EP alleviation with climate change response and provide the policy guidance to promote coordinated development of CCR management and energy supply security.

A new era in the treatment of wide necked bifurcation aneurysms: Intrasaccular flow disruption

Wide-necked bifurcation aneurysms (WNBAs) are challenging lesions to treat via both open surgical and endovascular techniques. Presently, there are 3 intrasaccular devices available to address many of the limitations of prior techniques, all of which are at different phases of approval for human use around the world. These devices include the Woven EndoBridge (WEB®) made by MicroVention, the Artisse™ Embolization Device made by Medtronic, and the Contour Neurovascular System™ made by Cerus Endovascular. Although heterogenous in design, these devices rely on the principle of using fine mesh overlying the aneurysm neck to slow blood inflow, promoting stagnation and thrombosis that ultimately leads to healing across the neck and exclusion from the circulation. While our understanding improves as long-term occlusion rates from these devices continue to be studied, the safety profiles and short-term success rates demonstrated in recent studies provide optimism for these innovative intrasaccular devices for the treatment of WNBAs. In this paper, we review these 3 intra-saccular flow disruption devices for use in WNBAs and summarize recent literature and studies of their effectiveness and safety.

User Requirements in Developing a Novel Dietary Assessment Tool for Children: Mixed Methods Study

BACKGROUND

The prevalence of childhood obesity and comorbidities is rising alarmingly, and diet is an important modifiable determinant. Numerous dietary interventions in children have been developed to reduce childhood obesity and overweight rates, but their long-term effects are unsatisfactory. Stakeholders call for more personalized approaches, which require detailed dietary intake data. In the case of primary school children, caregivers are key to providing such dietary information. However, as school-aged children are not under the full supervision of one specific caregiver anymore, data are likely to be biased. Recent technological advancements provide opportunities for the role of children themselves, which would serve the overall quality of the obtained dietary data.

OBJECTIVE

This study aims to conduct a child-centered exploratory sequential mixed methods study to identify user requirements for a dietary assessment tool for children aged 5 to 6 years.

METHODS

Formative, nonsystematic narrative literature research was undertaken to delineate initial user requirements and inform prototype ideation in an expert panel workshop (n=11). This yielded 3 prototype dietary assessment tools: FoodBear (tangible piggy bank), myBear (smartphone or tablet app), and FoodCam (physical camera). All 3 prototypes were tested for usability by means of a usability task (video analyses) and user experience (This or That method) among 14 Dutch children aged 5 to 6 years (n=8, 57% boys and n=6, 43% girls).

RESULTS

Most children were able to complete FoodBear's (11/14, 79%), myBear's (10/14, 71%), and FoodCam's (9/14, 64%) usability tasks, but all children required assistance (14/14, 100%) and most of the children encountered usability problems (13/14, 93%). Usability issues were related to food group categorization and recognition, frustrations owing to unsatisfactory functioning of (parts) of the prototypes, recall of food products, and the distinction between eating moments. No short-term differences in product preference between the 3 prototypes were observed, but autonomy, challenge, gaming elements, being tablet based, appearance, social elements, and time frame were identified as determinants of liking the product.

CONCLUSIONS

Our results suggest that children can play a complementary role in dietary data collection to enhance the data collected by their parents. Incorporation of a training program, auditory or visual prompts, reminders and feedback, a user-friendly and intuitive interaction design, child-friendly food groups or icons, and room for children's autonomy were identified as requirements for the future development of a novel and usable dietary assessment tool for children aged 5 to 6 years. Our findings can serve as valuable guidance for ongoing innovations in the field of children's dietary assessment and the provision of personalized dietary support.

Understanding the Role of Technology in Asian Economies: The Environmental Impact of Remittances and Economic Complexity

In recent years, scholars have determined various determinants of environmental degradation using the panel and time-series studies. However, technological innovations (TI) and remittances, among the financial system's essential components, are relatively ignored. In addition, nations' economic progress and environmental performance also depend upon the nature of their economic structure. This empirical research investigates the effects of TI, remittances and economic complexity (EC) on CO2 controlling economic growth and trade openness (TR) in the selected 15 Asian nations. The study collected panel data of 15 Asian countries from 1990 to 2019 and employed the panel quantile regression and augmented mean group methods to unveil the impacts of variables on CO2 emissions. The empirical findings established that remittances are negatively linked with CO2 emissions. Similarly, EC reduces CO2 emissions in the context of Asian countries. In addition, EC and remittances Granger cause CO2 emissions. These findings indicate that remittances and EC positively contribute to environmental quality in Asian countries. Conversely, TI, economic growth, and TR intensify CO2 emissions in Asian countries. Finally, the study recommended policies to enhance remittances and EC in Asian countries to curb environmental degradation.

Human-centered design of a smartphone-based self-test for HIV viral load monitoring

Background/Objective

HIV viral load self-testing could enable people living with HIV (PLHIV) to monitor their viral suppression status more easily, potentially facilitating medication adherence and safe behavior decision-making. Smartphone-based viral load testing innovations have the potential to reach resource-limited and vulnerable communities to address inequities in access to HIV care. However, successful development and translation of these tests requires meaningful investigation of end-user contexts and incorporation of those context-specific needs early in the design process. The objective of this study is to engage PLHIV and HIV healthcare providers in human-centered design research to inform key design and implementation considerations for a smartphone-based HIV viral load self-testing device prototype in development.

Methods

Semi-structured in-depth interviews were conducted with PLHIV (n = 10) and HIV providers (n = 4) in Indiana, a state with suboptimal viral suppression rates and marked disparities in access to HIV care. Interview guides were developed based on contextual investigation and human-centered design frameworks and included a demonstration of the device prototype with feedback-gathering questions.

Results

Thematic analysis of interview transcripts revealed important benefits, concerns, and user requirements for smartphone-based HIV VL self-testing within the context of PLHIV lived experience, knowledge, and barriers to care in Indiana.

Conclusion

End-user needs and preferences were identified as key design specifications and implementation considerations to facilitate the acceptability and inform ongoing development and ultimately real-world translation of the HIV VL monitoring device prototype.

Current Status of Korea's Industry-Academia Cooperation in Materials and Future Policy Directions

The current status and policy directions of Republic of Korea's industry-academia cooperation in materials research are introduced. Industry-academia cooperation has various forms, such as contract research, joint research, technology transfer, technology assistance, as well as talent development between universities and industry. The actual characteristics of industry-academia cooperation are differentiated, depending on research models such as curiosity-driven research, market-driven research, and scenario-driven research. In addition, there are diverse forms of cooperation, ranging from attaining one-off cooperation goals, to implementing a series of cooperation, to forging sustainable partnership through sharing of values. The efforts and tasks supporting industry-academia cooperation, and the diverse industry-academia cooperative activities, are considered herein from the perspective of the Korean government's policy. Policy recommendations for the industry-academia cooperation, based on the current state and tasks of materials field, are also suggested.

Analysis of the influence of the COVID-19 outbreak on household solid waste management: An empirical study using PLS-SEM

The global increase in solid waste pollution due to economic growth and population growth has led to severe ecological deterioration. This situation is exacerbated by the ongoing coronavirus disease (COVID-19) pandemic, which has significantly impacted consumer behavior and consumption habits. Proper management of solid waste has thus become critical in mitigating environmental degradation. In this study, we aim to examine the relationship between the outbreak of COVID-19, environmental attitudes (EATT), social norms (SN), environmental knowledge (EK), technological innovation (TI), and solid waste management (SWM) in Ecuadorian households during the pandemic. We collected data from 426 households in Ecuador using an online questionnaire and analyzed it using the Partial Least Squares Structural Equation Model method to test the hypotheses. Likewise, we validated the measurement and structural model. The results are novel about SWM, considering a developing country severely affected during the pandemic. Our findings suggest that COVID-19 has a negative impact on SWM, while EATT, SN, and TI have a positive influence on SWM. However, we found that EK does not significantly affect SWM.

Eyes for Ears: Usage and Efficacy of a Podcast for Ophthalmic Education

Purpose

To characterize listenership and perceived educational impact of the ophthalmic podcast "Eyes for Ears".

Methods

A cross-sectional, internet-distributed, 9-question Qualtrics survey was made available to podcast listeners. Listenership metrics were analyzed from the podcast host platform.

Results

From January 10, 2019 to September 2, 2021, the podcast was downloaded over 422,000 times, averaging about 4442 downloads per episode. 209 Qualtrics survey responses were analyzed from podcast listeners with backgrounds in eye care including medical students, residents, fellows, clinicians and technicians. The majority were residents (60.3%), representative of the target audience of the podcast. Listeners reported using the podcast while commuting (81.3%), felt it increased the time they could spend on self-care (63.2%), and thought it improved their fund of knowledge (99.0%). Respondents recalled feeling better prepared for the OKAP or written boards after using this podcast (before median = 50/100 on Likert Scale, IQR 30-65 vs median = 70/100, IQR 56-81, p <0.001). Respondents identified question banks as the most helpful for OKAP studying, followed by podcasts. Podcasts were preferred over articles and lectures in terms of helpfulness (p < 0.001).

Conclusion

The Eyes for Ears podcast has achieved a robust international audience. The surveyed audience felt the podcast was useful for their education and well-being.

Technological Innovations and Data-Driven Support for Older Adults

Entering a new digital era where novel devices and emerging technologies, including artificial intelligence, are playing an incredible role with significant impact on health and health care delivery, JMIR Aging commits to supporting the community of patients and families, clinicians, and scientists to improve the efficiency, equity, and effectiveness of older adult care through the dissemination of cutting-edge evidence.

Political uncertainty and high-quality economic development: Evidence from China

We manually collated data on the turnover of party secretaries and mayors in 285 Chinese cities from 2003 to 2016 and calculated the quality of city economic development represented by environmental total factor productivity growth. We find that the political uncertainty caused by official turnover could significantly promote the improvement of the quality of economic development, and this positive can explained by the progress of production technology and government intervention. Moreover, the political uncertainty caused by the turnover of more educated officials, those with local hukou, promoted officials, and experienced officials could better promote high-quality economic development.

Greening China's Growth: Assessing the Synergistic Impact of Financial Development and Technological Innovation on Environmental Pollution Reduction-A Spatial STIRPAT Analysis

To achieve sustainable economic development in China, it is crucial to balance economic growth and environmental protection. Financial capital and technology can contribute positively to environmental pollution control. This study employs the Cournot model to examine the impact of financial development and technological innovation on environmental pollution at the micro level. It utilizes the spatial STIRPAT model to analyze inter-provincial panel data from China between 2005 and 2020. The results show that China's ecological environment pollution exhibits significant spatial dependence, and heavily polluted areas tend to agglomerate. While improving financial development can increase regional environmental pressure, positive spatial spillover improves environmental quality in neighboring areas. Conversely, technological innovation reduces local ecological pressure, with negative spatial spillover effectively curbing environmental pollution in surrounding regions. The results support the environmental Kuznets curve (EKC) hypothesis, which posits an inverted U-shaped relationship between economic growth and environmental pressure, while population growth increases environmental pressure. The findings are robust and have important policy implications.

The Opening of High-Speed Railways, the Improvement of Factor Allocation Efficiency between Regions, and the City's Environmental Quality Improvement

Based on the panel data of prefecture-level cities in China from 2006 to 2019, this paper uses the PSM-DID method to empirically test the internal impact mechanism among high-speed railway opening, inter-regional factor allocation efficiency, and urban environmental governance. The research results show that: (1) There is a serious factor-misallocation problem among prefecture-level cities in China. From 2006 to 2019, the factor misallocation between prefecture-level cities led to an average annual loss of total factor productivity in China's economy of 52.5%, an average labor misallocation of 23.16%, and an average capital misallocation of 18.69%. Since 2013, capital misallocation has exceeded labor misallocation as the main reason for factor misallocation among prefecture-level cities in China. (2) The opening of high-speed railways can promote the efficiency of urban factor allocation through the technological innovation effect, the foreign investment attraction effect, and the population agglomeration effect. The improvement of urban factor allocation efficiency can promote the improvement of urban environmental quality through the effects of industrial structure optimization, income enhancement, and human capital agglomeration. Therefore, the opening of a high-speed railway can improve urban environmental quality through the intermediary effect of improving the efficiency of urban factor allocation; that is, the opening of a high-speed railway has a dual positive effect of economic efficiency and environmental quality improvement. (3) The optimization effect of factor allocation and the environmental governance effect of the opening of high-speed railways have strong urban scale heterogeneity, urban characteristic heterogeneity, and regional heterogeneity. The research content of this paper has important guiding significance for the construction of China's new development paradigm, accelerating the construction of "a unified national market," and green and low-carbon development.

Modeling the Impact of Fiscal Decentralization on Energy Poverty: Do Energy Efficiency and Technological Innovation Matter?

As an important factor affecting economic and social development, energy poverty (EP) has received widespread concern, and many countries have actively proposed policies to eliminate energy poverty. The purpose of this paper is to clarify the current situation of energy poverty in China, explore the factors that affect energy poverty, find sustainable and effective approaches to alleviate energy poverty, and provide empirical evidence for eliminating energy poverty. This research investigates the effect of fiscal decentralization (FD), industrial structure upgrading (ISU), energy efficiency (EE), and technological innovation (TI), as well as urbanization (URB) on energy poverty using a balanced dataset of 30 provinces in China from 2004 to 2017. The empirical outcomes revealed that fiscal decentralization, industrial upgrading, energy efficiency, and technological innovation significantly reduce energy poverty. Moreover, urbanization is positively and significantly correlated with energy poverty. The outcomes further revealed that fiscal decentralization significantly increases the residents' access to clean energy and drives energy management agencies and infrastructure. In addition, the heterogeneity analysis results indicate that the effect of fiscal decentralization in reducing energy poverty is greater in regions with high economic development. Finally, mediation analysis denotes that fiscal decentralization indirectly reduces energy poverty by promoting technological innovation and energy efficiency. Finally, based on the results, policy suggestions for eradicating energy poverty are proposed from the perspective of implementing targeted energy alleviation policies reasonably dividing the rights and responsibilities of local and central governments and encouraging scientific and technological innovation.

The Effect of Energy Use Rights Trading Policy on Environmental Performance: Evidence from Chinese 262 Cities

This study provides empirical evidence and policy inspiration for China to implement the energy use rights trading policy. Using 262 cities in China from 2005 to 2019 as samples, we employed the double difference method and mediation analysis to empirically measure the impact of energy use rights trading policy on environmental performance. First, energy use rights trading policy can improve urban environmental performance. This conclusion is valid as per the endogeneity test, parallel trend test, PSM-DID test, placebo test, and triple difference method. Second, heterogeneity analysis shows that the effect of the energy use rights trading policy on urban environmental performance will be different by the size of population. Energy use rights trading policy has the greatest effect on the environmental performance of resource-based cities. Meanwhile, compared to non-industrial base, the effect of the energy use rights trading policy on environmental performance is more pronounced in cities with older industrial base. Third, the mechanism test using the mediation effect model proved that the impact of energy use rights trading policy on environmental performance is achieved by improving the level of marketization and technological innovation.

Green Finance and Technological Innovation in Heavily Polluting Enterprises: Evidence from China

There is an urgent need for countries worldwide to promote the green transformation of their economies and reduce environmental pollution. Based on China's Green Credit Guidelines policy in 2012 and the data of Chinese listed companies from 2007 to 2021, we conducted an empirical test using the difference-in-differences method. The results showed that green finance policies inhibit technological innovation in heavily polluting enterprises, and the stronger the enterprise's operating capacity, the weaker this inhibiting effect. The study also shows that bank loan, loan term, corporate management motivation, and business confidence have intermediation effects. Therefore, countries should improve green financial policies and promote technological innovation in heavily polluting enterprises in order to reduce environmental pollution and promote green growth.

Asymmetric impact of renewable energy consumption and technological innovation on environmental degradation: designing an SDG framework for developed economy

Many European nations, including Spain, are having difficulties achieving their Sustainable Development Goals (SDGs) objectives. Resultantly, the current research discusses the development of an SDG framework for Spain, which can be utilized as a model for other EU nations. This research examines whether GDP growth, technological innovation, and energy sources (renewable and non-renewable) have any effect on CO₂ emissions utilizing data from 1980 to 2018. The study applied the non-linear ARDL (NARDL) to investigate these interrelations. The outcomes from the NARDL revealed that positive (negative) shocks in renewable energy improve environmental quality in Spain. Furthermore, positive (negative) shocks in technological innovation lead to a decrease (increase) in CO₂. Lastly, positive (negative) shocks in energy consumption lead to an increase (decrease) in CO_2. The results reveal that Spain is on the right path towards decarburization. This research has important policy ramifications for the policymakers and government of Spain as well as neighbouring countries.

The Effects of Population Aging on Sports Industry Development: The Mediating Effect of Technological Innovation

It is of great practical significance to rationally formulate a development strategy for the sports industry to deeply understand and comprehensively grasp the impact of population aging on the development of the sports industry. To study the impact of population aging on the development of the sports industry, panel data at the provincial level in China from 2014 to 2020 are selected, and a mediation effect model is established to test how the aging of the population affects the development of the sports industry through technological innovation. The results show that technological innovation can explain 59.87% of the impact of population aging on the development of the sports industry without considering the control variables, and the impact of population aging on labor productivity through technological innovation is positive. Under the condition of considering the control variables, technological innovation can explain 56.74% of the impact of population aging on the development of the sports industry, and the impact of population aging on the development of the sports industry through technological innovation is positive. The proportion of the population aged 65 and above in the total population was used as a proxy variable for population aging to test the robustness test, and the impact of technological innovation on the development of the sports industry was positive without considering the control variables. In the robustness test considering the control variables, the impact of technological innovation on the development of the sports industry is positive.

Environmental Governance Goals of Local Governments and Technological Innovation of Enterprises under Green Performance Assessment

The current study empirically estimates the impact of local government environmental governance on enterprise technological innovation from the perspective of a green political performance assessment of local governments with Chinese characteristics. Fourteen years of data (from 2006 to 2019) on pollutant emissions, and the patents of A-share listed companies were collected from 230 cities in China. A fixed effect model and tool variable method were applied to empirically analyze the objectives of the study. The results show that the environmental governance formulated by the local government has regional differences, which are shown as lower governance indicators for underdeveloped areas and higher governance indicators for developed areas. Environmental governance has a greater promotion effect on technological innovation in enterprises in developed regions, as well as in large and private enterprises. Moreover, mechanism analysis showed that the local governments preferred the path of financial subsidies to promote the level of technological innovation in enterprises. This study provides a foundation for attaining the "win-win" scenario of local government environmental stewardship and high-quality green economic growth.

Research on the efficiency evaluation of the integration of technology and finance in China's strategic emerging industries

The combination of technology and finance has a great potential impact on regional social and economic development, and strategic emerging industries are the convergence of technological innovation and financial support, the development of which have great significance for industrial structure adjustment and industrial quality improvement. The geographical distribution of emerging strategic industries in China is uneven. We selected 18 provinces with relatively concentrated emerging industries. 206 STI board enterprises in 2020 were collected. A three-stage DEA model was used to measure the input-output efficiency of the integrated development of science and technology finance. Also, we used a regression model to examine the path of integrated development of science and technology innovation and financial support. The research finds that the development of strategic emerging industries has a large demand for financial support and obvious regional differences, and the government plays a strong guiding role in their development as well. At the end of the research, countermeasures and suggestions for the development of strategic emerging industries are given.

The association between information technology sophistication and patient portal use: A cross sectional study in Eastern North Carolina

Even with the extolled benefits of patient portals, there has been some challenges to ensuring patient portal use. This study examines if a patient's level of information technology (IT) sophistication, defined as the degree of use of diverse information technologies by an individual, is associated with their use of a patient portal. Patients previous experience and exposure to other similar technologies like desktop computer, laptop, internet, smart phone, or social media explains their willingness to use information technology for their health. Data on a cross-sectional survey of 565 individuals in Eastern NC was available for analysis. Multinomial regression analyses revealed that IT sophistication is important in determining whether patients will use a patient portal. It specifies that patients with low IT sophistication compared to those with high IT sophistication were more likely to have never activated their patient portals (RRR = 2.2155, p < 0.009), or to have activated but never used a patient portal (RRR = 3.5869, p < 0.010). The findings of this study should aid healthcare leaders as they strive to improve patient engagement. They should continue to promote the benefits of the patient portal and consider offering personalized support programs for patients with low IT sophistication.

Insurers' intervention, separation of two rights and firm's technology innovation

This paper takes insurers' intervention as the entry point, and sets insurers' intervention, separation of two rights and firms' technological innovation in a specific context to study the transmission mechanism and economic consequences using panal model. The results show that there is a positive relationship between insurers' intervention and firm's technological innovation, and the degree of separation of two rights has a negative moderating effect on the relationship between insurers' intervention and technological innovation, and this effect is more obvious in the sample of state-owned enterprises. Therefore, the state should formulate relevant policies to guide the equity investment behavior of insurance companies so as to improve the operational efficiency of market resources.

A Narrative Review of Innovative Responses During the COVID-19 Pandemic in 2020

Objectives: The coronavirus disease 2019 (COVID-19) pandemic presented unprecedented challenges to healthcare systems worldwide. While existing studies on innovation have typically focused on technology, health providers still only have a vague understanding of the features of emergency responses during resource exhaustion in the early stage of a pandemic. Thus, a better understanding of innovative responses by healthcare systems during a crisis is urgently needed. Methods: Using content analysis, this narrative review examined articles on innovative responses during the COVID-19 pandemic that were published in 2020. Results: A total of 613 statements about innovative responses were identified from 296 articles and were grouped under the following thematic categories: medical care (n = 273), workforce education (n = 144), COVID-19 surveillance (n = 84), medical equipment (n = 59), prediction and management (n = 34), and governance (n = 19). From the four types of innovative responses extracted, technological innovation was identified as the major type of innovation during the COVID-19 pandemic, followed by process innovations, frugal innovation, and repurposing. Conclusion: Our review provides insights into the features, types, and evolution of innovative responses during the COVID-19 pandemic. This review can help health providers and society show better and quicker responses in resource-constrained conditions in future pandemics.

The synergistic effect of carbon performance and technological innovation on corporate financial performance

In order to further implement the goal of "dual carbon" proposed by China's government, and promote energy enterprises to carry out low-carbon economic transformation, this paper takes listed companies in China's A-share energy industry from 2014 to 2019 as samples to conduct descriptive statistics, correlation test and regression analysis, and empirically studies the impact of carbon performance and technological innovation on financial performance of China's energy industry as well as their roles under different property rights. At the same time, the variables were delayed for one period to investigate the sustainability of carbon performance and technological innovation on financial performance and to weaken the endogeneity of the reverse causality between financial performance, carbon performance and technological innovation. The results show that good carbon performance and technological innovation in the energy industry can positively affect the financial performance of enterprises. During the research of interactive relationship, we find that carbon performance and technological innovation have synergistic effect on energy firm's financial performance, which means technology innovation can significantly positive to adjust the action of carbon performance on financial performance,and carbon performance at the same time can also be positive to adjust the action of technology innovation on financial performance. They mutually promote energy enterprise's financial performance. Further experimental research among different property- rights-owned enterprises, we found that the synergistic effects of carbon performance and technological innovation on corporate financial performance is much more significant in non-state-owned enterprises, possibly due to private firms' capital profit-seeking nature. The results will guide and inspire China's energy enterprises' low carbon development strategy formulation and implementation under the background of "dual carbon" goal.

Reflection on the transdisciplinary approach involving students in educating communities about COVID-19

Introduction

The disruption brought about by the COVID-19 pandemic to higher education teaching and learning, as well as to the community engagement opportunities, has also brought about some new learning opportunities. The purpose of the research was to explore the views and to describe their thoughts of the School of Healthcare Sciences (SoHCS) and the Faculty of Engineering, Built Environment and Information Technology (EBIT) undergraduate students' on the use of robotics and technology in educating the communities about COVID-19.

Methods

Participatory Action Research (PAR) was used for this study since the students from SoHCS and EBIT were invited to be active participants as future professionals. A total of 27 students volunteered and participated in in-depth interviews. The responses were analysed using ATLAS.ti from nine data sets for qualitative content. Data reduction, coding, and decoding analytic processes were used to analyse and interpret each of these qualitative data forms. Ethical approval was obtained from the research ethics committees in the Faculty of Health Sciences as well as the Faculty of Engineering, Built Environment and Information Technology.

Results

Five themes that emerged from this study are namely: COVID-19 and community challenges and behaviour; COVID-19 communication; COVID-19 knowledge and understanding; COVID-19 myths and COVID-19 robotics and technology education.

Conclusion

COVID-19 has proven to be a driver of technology innovation and can create new high-touch and high-quality services. Using information technology and robotics in health sciences or in community engagement projects would minimizes the exposure of health care workers and members of the communities to possible infections. These findings also reflect on the importance of engaging the students when interventions are planned because they play an important role as members of the community within the university and outside the university.

Impact of technological innovation on corporate leverage in China: The moderating role of policy incentives and market competition

Due to its capital-related nature, corporate leverage is highly exposed to financial risk, and optimizing corporate leverage is an effective method of mitigating financial risk to maximize corporate value. We use a two-way fixed effects model to examine the impact of technological innovation on corporate leverage using panel data of A-share listed companies in the Chinese manufacturing sector from 2012 to 2020. The results show that technological innovation and corporate leverage exhibit significant heterogeneity in cross-sectional, spatial and temporal dimensions. By further distinguishing between the effects of policy incentives and market competition, we find that the former exerts an "investment crowding out" effect and the latter an "innovation spillover" effect. These factors mitigate the negative relationship between technological innovation and corporate leverage. In general, this study provides empirical evidence for the rational allocation of resources by the Chinese government, the development of innovation capabilities, and the adjustment of leverage by firms from various regions.

Spatio-temporal effect of provincial technological innovation on environmental pollution in China

The relationship between technological innovation (TL) and environmental pollution (EP) and its action mechanisms are complex and controversial aspects of discussion. Using the spatial autocorrelation analysis, standard deviation ellipse analysis, kernel density function, spatial econometric model, this study analyzed the spatial distribution, evolution characteristics, and influencing factors of the EP and TL from 2000 to 2020 in China. Results found there was a significant spatial autocorrelation between the EP and TL in 2000-2020. The standard deviation ellipse of EP was broadly distributed in the "southwest-northeast" direction, indicating that EP presented a trend of concentration in the direction of "southwest-northeast." The moving trajectory of the center of gravity for the EP in 2000-2020 was essentially moved from the northeast to southwest. Overall, the national level of TL exhibited a "north-south change, high in the east, and low in the west" trend. Regional differences were gradually expanding, and the polarization was evident. Regardless of using least squares method (OLS) or quantile regression (QR) models, TL, human capital (HC), and industrial structure (IS) all had an inhibitory effect on the EP at the effective significance level. Total population (TP), foreign direct investment (FDI), and local fiscal expenditure (LFE) were positively related to the EP.

Sensitivity of a Dynamic Model of Air Traffic Emissions to Technological and Environmental Factors

In this study, we introduce a sensitivity analysis of modelled CO2 aviation emissions to changes in the model parameters, which is intended as a contribution to the understanding of the atmospheric composition stabilization issue. The two variable dynamic model incorporates the effects of the technological innovations on the emissions rate, the environmental feedback, and a non-linear control term on the passengers rate. The model parameters, estimated from different air traffic sources, are subject to considerable uncertainty. The stability analysis of Monte Carlo simulations revealed that, for certain values of the non-linear term parameter and depending on the type of flight, the passengers number at some equilibrium points exceeded its initial value, while the emissions level was below the initial corresponding one. The results of two global sensitivity analyses indicated that the influence of the non-linear term prevailed on the passengers number rate, followed distantly by the environmental feedback. For the emissions rate, the non-linear term contribution dominated, with the technological term influence placing second.

Impact of Artificial Intelligence on Regional Green Development under China's Environmental Decentralization System-Based on Spatial Durbin Model and Threshold Effect

Artificial intelligence (AI) is the core technology of digital economy, which leads the transition to a sustainable economic growth approach under the Chinese-style environmentally decentralized system. In this paper, we first measured the green total factor productivity (GTFP) of 30 Chinese provinces from 2011 to 2020 using the super-efficiency slacks-based measure (SBM) model, analyzed the mechanism of the effect of AI on GTFP under the environmental decentralization regime, and secondly, empirically investigated the spatial evolution characteristics and the constraining effect of the impact of AI on GTFP using the spatial Durbin model (SDM) and the threshold regression model. The findings reveal: a U shape of the correlation of AI with GTFP; environmental decentralization acts as a positive moderator linking AI and GTFP; the Moran index demonstrates the spatial correlation of GTFP; under the constraint of technological innovation and regional absorptive capacity as threshold variables, the effect of AI over GTFP is U-shaped. This paper provides a useful reference for China to accelerate the formation of a digital-driven green economy development model.

Medical biology in France: evolution and issues]

Medical biology is an essential part of patient care, both for the diagnosis and monitoring of diseases and for certain therapeutic advances. However, in recent years, it has been confronted with fundamental questions concerning its future. This report is the follow-up to the one published in 2018 by the National Academies of Medicine and Pharmacy and unfortunately only confirms a strong deterioration at all levels. The public authorities do not assume their role of regulator, thus allowing the excessive financialization of Medical Biology to grow considerably and lead to disproportionate groupings of Medical Biology Laboratories (MBL), destructive and sources of health risks. The result is that the Medical Biology Laboratories in towns, which are already known to be poorly distributed, are gradually becoming simple sampling sites, with patients finding themselves alone, often anxious, with their results sent to them by Internet without interpretation. Moreover, although progress in the field of Medical Biology is incredible and should constitute a major pole of attraction for young people, the disaffection of the discipline is total and worrying. Finally, innovation, in the context of current technological progress: connected devices, artificial intelligence and big data, represents a major challenge for the future. Here again, little or nothing is being done, even though the challenges are immense. After these alarming observations, the report will end with a series of recommendations aimed at optimizing the entry of MBL into a new era.

Designing Innovative Assistive Technology Devices for Tourism

Active tourism improves human health and well-being regardless of age or disabilities. The paper analyses and describes current issues concerning the tourism of people with disabilities. The starting point is the currently insufficient availability of tourist offers for individuals with considerable motor dysfunctions. One of the causes for these limitations stems from deficiencies in transport means for people with disabilities. It was found that for a disabled passenger using public transport, it is crucial to consider its accessibility in the context of the entire transport system. Another cause is the limited popularity of innovative, atypical assistive equipment for people with disabilities. Those insights point out that novel assistive technologies need to be developed, as it is necessary to more effectively support the activity of people with disabilities in all areas of life, including tourism, as this enhances their social rehabilitation. This paper indicates the needs and describes and analyses examples of own original, innovative devices supporting the areas mentioned above of activity for people with disabilities. These analyses resulted in developing an algorithm to design innovative equipment, considerably expanding the tourism potential of people with motor disabilities. This design process focuses on the needs of people with disabilities and facilitates the development of novel classes of assistive technologies, thus promoting new areas of activity for all.

Study of the Impact of Industrial Restructuring on the Spatial and Temporal Evolution of Carbon Emission Intensity in Chinese Provinces-Analysis of Mediating Effects Based on Technological Innovation

Global warming caused by greenhouse gas emissions seriously threatens a region's sustainable environmental and socioeconomic development. Promoting industrial restructuring and strengthening technological innovation have become an important path to achieving pollution and carbon reduction as well as the green transformation of economic structure. This paper explored the mechanism of the mediating effect of technological innovation on industrial restructuring and carbon reduction while accounting for the direct effect of industrial restructuring on carbon emissions. Then, based on China's provincial panel data from 2001 to 2019, we estimated the carbon emission intensity using the Intergovernmental Panel on Climate Change (IPCC)'s methods and analyzed its spatiotemporal evolution characteristics. Finally, we constructed a fixed-effect model and a mediating effect model to empirically analyze how industrial restructuring and technological innovation affect carbon emission intensity. The results are as follows: (1) From 2001 to 2019, China's carbon emission intensity showed a continuous downward trend, with a pronounced convergence trend; there were obvious differences in carbon emission intensity between eastern, central, and western regions (western region > central region > eastern region) due to the unbalanced industrial structure. (2) In terms of direct effects, industrial restructuring can significantly reduce carbon emission intensity. The intensity of the effect is inversely proportional to the level of industrial restructuring, and the results of sub-regional tests are similar. Nevertheless, there is an obvious regional difference in the size of the carbon emission reduction effect of industrial restructuring in the east, central, and western regions. (3) In terms of indirect effects, industrial restructuring can reduce carbon emission intensity by enhancing technological innovation, and it acts as a mediating variable in the process of industrial restructuring to reduce carbon emission. Finally, we put forward recommendations for promoting industrial restructuring, strengthening green technological innovation, and properly formulating carbon reduction measures to provide a reference for countries and regions to achieve the goals of carbon neutrality, carbon peaking, and high-quality economic development.

How Does Environmental Regulation Affect the Green Growth of China's Citrus Industry? The Mediating Role of Technological Innovation

Exploring suitable types and intensities of environmental regulations to promote technological innovation and guide industrial green growth is an essential goal for China. This paper uses the SBM super-efficiency model with the GML index to measure the level of green growth in China's citrus industry from 2008 to 2019, and examines the impact generated by heterogeneous environmental regulations and the mediating effect of technological innovation using a panel Tobit model. The study found that: (1) From 2008 to 2019, the green growth level of the citrus industry has gradually improved, with an average annual growth rate of 2.7%, and the contribution of technical efficiency is more significant than technological progress. (2) The green growth of the citrus industry is closely related to the intensity and type of environmental regulation. The impact of market-incentive environmental regulation has an inverted U-shape, the impact of guidance-based environmental regulation is U-shaped, and the command-and-control environmental regulation has no significant effect. (3) The mediating effect suggests that guidance-based environmental regulation promotes green growth in the citrus industry by stimulating technological innovation. In contrast, market-incentive environmental regulation inhibits technological innovation and thus discourages green growth in the citrus industry. According to the study results, the government should strive to ensure the effective implementation of environmental laws and regulations, optimize the channels and amounts of investment in environmental governance, strengthen environmental protection-related media campaigns, and guide the citrus industry to break through technological bottlenecks to promote green growth.

Would Financial Development Help China Achieve Carbon Peak Emissions?

China has committed to reaching carbon peak before 2030. To realize the carbon peak goal, financial development plays an essential role in developing a green economy. Based on the panel data of 30 provinces in China from 2006 to 2019, this paper explores the impact of financial development on carbon intensity both theoretically and empirically. A financial development index system is constructed and computed using the entropy method. A spatial lag panel data model is employed to empirically test the interaction effect of financial development on carbon intensity. Moreover, the mediating effects of industrial upgrading and technological innovation are further investigated. The results show that: first, carbon intensity generates strong spatial spillover effects between provinces in China. Second, financial development significantly reduces carbon intensity, and is most pronounced in central China, followed by western and eastern China. Third, industrial upgrading and technological innovation are important channels to assist financial development in cutting down carbon intensity, and both produce positive spatial spillover effects. These findings suggest that inter-regional cooperation and coordination on financial development, industrial upgrading, and technological innovation are conducive to achieving low-carbon development targets. This research not only has practical significance to China, but also provides global reference value to other countries.

The impact of technological innovation on transport carbon emission efficiency in China: Spillover effect or siphon effect?

It is currently unknown whether technological innovation will have spillover or siphon effects on transport carbon emission efficiency (TCEE). Therefore, this paper creates a spatial econometric model to explore the spatial effect of technological innovation on TCEE. Taking 30 provinces in China as examples, we find that the TCEE and the technical innovation index have similar evolution characteristics (numerical value grows, the gap widens), and that both have a spatial distribution that decreases from the eastern coast to the western inland. Further research reveals that TCEE has a considerable siphon effects in China. The siphon effect gets stronger the higher the TCEE. Although technology innovation has the potential to improve TCEE in local province, the siphon effect hinders TCEE improvement in surrounding provinces. Furthermore, heterogeneity research reveals that excessive government intervention will inhibit the promotion of technological innovation on TCEE. Greater levels of government intervention in the middle and western regions than in the eastern region have more obvious inhibitory impacts. The results demonstrate that economic growth and transport structure have played a mediating role in the process of technological innovation promoting TCEE. Regional collaboration and less local protectionism can help the government achieve the dual goals of technological innovation development and TCEE promotion.

Towards Sustainable Development: How Digitalization, Technological Innovation, and Green Economic Development Interact with Each Other

Green technological innovation is one of the endogenous drivers of green economic growth, and digitalization can promote green economic development in the form of industrial empowerment. The interactive relationship and the degree of influence between digitalization, technological innovation, and green economic development is thus an urgent issue to be addressed. Based on the panel data of 30 Chinese provinces from 2011 to 2019, we measured digitalization, technological innovation, and green economic development for the first time using the entropy method and included them in the same analytical framework by constructing a PVAR model to empirically test their interrelationship and degree of influence. Our findings suggest that: (1) There is an inertial development and self-reinforcing mechanism among the three variables. (2) The impact of digitalization on green economic development has a positive promotion effect, while the impact of technological innovation on green economic development is not significant. (3) The impact of green economic development on technological innovation has a positive promotion effect in the short term, but this effect gradually declines and tends to zero in the long term. Finally, based on the findings, several practical suggestions are made.

Quantitative Analysis of Sulfur Dioxide Emissions in the Yangtze River Economic Belt from 1997 to 2017, China

Economic development is responsible for excessive sulfur dioxide (SO₂) emissions, environmental pressure increases, and human and environmental risks. This study used spatial autocorrelation, the Environmental Kuznets Curve (EKC), and the Logarithmic Mean Divisia Index model to study the spatiotemporal variation characteristics and influencing factors of SO₂ emissions in the Yangtze River Economic Belt (YREB) from 1997 to 2017. Our results show that the total SO₂ emissions in the YREB rose from 513.14 × 10⁴ t to 974.00 × 10⁴ t before dropping to 321.97 × 10⁴ t. The SO₂ emissions from 11 provinces first increased and then decreased, each with different turning points. For example, the emission trends changed in Yunnan in 2011 and in Anhui in 2015, while the other nine provinces saw their emission trends change during 2005-2006. Furthermore, the SO₂ emissions in the YREB showed a significant agglomeration phenomenon, with a Moran index of approximately 0.233-0.987. Moreover, the EKC of SO₂ emissions and per capita GDP in the YREB was N-shaped. The EKCs of eight of the 11 provinces were N-shaped (Shanghai, Zhejiang, Anhui, Jiangxi, Sichuan, Guizhou, Hunan, and Chongqing) and those of the other three were inverted U-shaped (Jiangsu, Yunnan, and Hubei). Thus, economic development can both promote and inhibit the emission of SO₂. Finally, during the study period, the technical effect (approximately -1387.97 × 10⁴-130.24 × 10⁴ t) contributed the most, followed by the economic (approximately 27.81 × 10⁴-1255.59 × 10⁴ t), structural (approximately -56.45 × 10⁴-343.90 × 10⁴ t), and population effects (approximately 4.25 × 10⁴-39.70 × 10⁴ t). Technology was the dominant factor in SO₂ emissions reduction, while economic growth played a major role in promoting SO₂ emissions. Therefore, to promote SO₂ emission reduction, technological innovations and advances should be the primary point of focus.

Evaluating Patients' Experiences with Healthcare Services: Extracting Domain and Language-Specific Information from Free-Text Narratives

Evaluating patients’ experience and satisfaction often calls for analyses of free-text data. Language and domain-specific information extraction can reduce costly manual preprocessing and enable the analysis of extensive collections of experience-based narratives. The research aims were to (1) elicit free-text narratives about experiences with health services of international students in Poland, (2) develop domain- and language-specific algorithms for the extraction of information relevant for the evaluation of quality and safety of health services, and (3) test the performance of information extraction algorithms’ on questions about the patients’ experiences with health services. The materials were free-text narratives about health clinic encounters produced by English-speaking foreigners recalling their experiences (n = 104) in healthcare facilities in Poland. A linguistic analysis of the text collection led to constructing a semantic−syntactic lexicon and a set of lexical-syntactic frames. These were further used to develop rule-based information extraction algorithms in the form of Python scripts. The extraction algorithms generated text classifications according to predefined queries. In addition, the narratives were classified by human readers. The algorithm-based and the human readers’ classifications were highly correlated and significant (p < 0.01), indicating an excellent performance of the automatic query algorithms. The study results demonstrate that domain-specific and language-specific information extraction from free-text narratives can be used as an efficient and low-cost method for evaluating patient experiences and satisfaction with health services and built into software solutions for the quality evaluation in health care.

Modeling for Insights: Does Fiscal Decentralization Impede Ecological Footprint?

In recent years, the debate on environmental issues has become a hot topic. Fiscal decentralization is believed to be a crucial driver of environmental sustainability. However, the discussion on the effect of fiscal decentralization (FD) on environmental sustainability has not reached a unanimous conclusion. In this study, we inspect the effect of fiscal decentralization, economic development, technological innovation, economic globalization, and energy use on environmental quality in eight Asia-Pacific Economic Cooperation (APEC) member countries. In addition, we analyze the mechanisms through which fiscal decentralization influences the ecological footprint (EF) through the channels of technological innovation and economic growth. Using the STIRPAT framework, this study employed the CS-ARDL method for short-run and long-run analyses that deal with slope heterogeneity and cross-sectional dependence. The empirical results show that fiscal decentralization and technological innovation mitigate ecological footprint, while economic development, energy consumption, and urbanization negatively affect environmental quality. However, economic globalization is not related to the EF in the sample economies. The results further reveal that FD enhances environmental quality through the channel of technological innovation, while it does not affect the EF through the channel of economic growth. Finally, it is recommended to make a reasoned division between the rights and responsibilities of local government and central government in environmental pollution management, and optimize the environmental system. At the same time, policymakers should encourage technological innovation to reduce the adverse impacts of economic development and energy consumption on the environment.

Emission Trading System, Carbon Market Efficiency, and Corporate Innovations

Taking China's emission trading system (ETS) pilot in 2013 as a quasi-natural experiment, this paper uses the difference-in-differences (DID) models to study whether the regional pilot ETS can promote technological innovation in enterprises. In addition, this paper examines the influence mechanism of the ETS innovation effect, with a focus on three key dimensions of the carbon market efficiency: market price effectiveness, market product diversity, and market order normativity. The results show that the pilot ETS has significantly promoted the technological innovation of regulated enterprises, specifically, 1.405*** for the total R&D investment, and 2.783*** for the number of patent applications. Moreover, the regional carbon price has a positive moderating effect on the innovation effect of ETS. Meanwhile, the innovation effect is more significant when the gap between the carbon price and the marginal abatement cost (MAC) of CO₂ is smaller, when the carbon financial derivatives are more abundant, or when the local market supervision is stronger. This study provides empirical evidence for the improvement of the national unified market and provides useful policy implications for developing countries to design ETS suitable for their national conditions.

The Spatiotemporal Distribution and Drivers of Urban Carbon Emission Efficiency: The Role of Technological Innovation

Urban agglomerations have become the core areas for carbon reduction in China since they account for around 75% of its total emissions. Beijing-Tianjin-Hebei (BTH), Yangtze River Delta (YRD), and the Pearl River Delta (PRD), which are its most important poles of regional development and technological innovation, are key to achieving China’s carbon peak emissions target. Based on the panel data of these three major urban agglomerations from 2003 to 2017, this study estimated the carbon emission efficiency (CEE) by the super-efficiency slacks-based measure (super-SBM) model and analyzed its spatiotemporal distribution pattern. The Dagum Gini coefficient was used to evaluate the difference in CEE between the three major agglomerations, while panel data models were established to analyze the impact of technological innovation on the three agglomerations. The overall CEE showed an upward trend during the study period, with significant spatial and temporal variations. Additionally, the main source of urban agglomeration difference in CEE evolved from inter-regional net differences to intensity of transvariation. While technological innovations are expected to significantly improve CEE, their effect varies among urban agglomerations. These results provide policymakers with insights on the collaborative planning of urban agglomerations and the low-carbon economy.

Coupling Relationship Among Technological Innovation, Industrial Transformation and Environmental Efficiency: A Case Study of the Huaihai Economic Zone, China

The 14th Five-Year Plan period is a critical period for China to achieve high-quality development. Based on super-efficiency slacks-based measure (SBM) model, grey-related analysis (GRA) and other models, this paper studies the heterogeneity of the coupling relationship among technological innovation, industrial transformation and environmental efficiency in the Huaihai Economic Zone during the period of 2005-2019. In addition, it analyzes the coupling mechanism of single and binary systems to the ternary system, which is of great significance for the collaborative symbiosis among systems. The findings are as follows. 1) The technological innovation, industrial transformation and environmental efficiency (TIE) systems of the Huaihai Economic Zone had significant spatial-temporal heterogeneity. Although their evaluation value fluctuated, the development trends are all positive. Ultimately, technological innovation is characterized by being high in the northeast and low in the southwest around Xuzhou, while other systems are relatively staggered in space. 2) The coupling of TIE systems is in transition, lack of orderly integration and benign interaction. However, the developing trend of interaction is also upward, and a spatial pattern driven by Xuzhou and Linyi as the dual cores has gradually formed. Moreover, the coupling is mostly manifested as outdated technological innovation and industrial transformation. Except for the final coordination of regenerative cities, the other resource types are all in transition. Cities in all traffic locations are still in transition. The overall system interaction of cities on Longhai Line (Lanzhou-Lianyungang Railway) is relatively optimal, and cities on Xinshi Line (Xinxiang-Rizhao Railway) are accelerating toward synergy. 3) The coupling status of TIE systems depends on the development of the single system and the interaction of the binary (2E) system. The coupling is closely related to technological innovation and Technology-Industry system, and is hindered by the inefficient interaction of Technology-Environment system. Specifically, the synergy of regenerative cities is attributed to the advantage of a single system and the effective integration of 2E systems. Beneficial from the advantages of environmental efficiency, the cities on Xinshi Line promote the synergy of the 2E and TIE systems. Therefore, while the Huaihai Economic Zone stimulates the development potential of the single and 2E systems, it is necessary to amplify the superimposition effect of systems in accordance on the basis of resource and location.

Does Corporate Social Responsibility Heterogeneity Affect Corporate Financial Performance Through Technological Innovation? The Moderating Effects of Advertising Intensity

In this study, we examine the effects of firms' corporate social responsibility (CSR), technological innovation, and advertising intensity on corporate financial performance (CFP). Prior research has shown mixed findings for the CSR-CFP relationship. To provide additional evidence and alternative explanations for these mixed findings, we built a moderated mediating model by combining the knowledge-based view with the stakeholder theory. We use this model to examine whether CSR influences CFP by affecting technological innovation, and whether such mediating effects are moderated by advertising intensity. We classify heterogeneous CSR activities into technical and institutional activities. Using data from 2010 to 2018 on Chinese listed firms, we find that superior technical CSR performance can enhance CFP by promoting technological innovation and that it promotes technological innovation to a greater extent when advertising intensity is higher. However, institutional CSR does not affect technological innovation or CFP. The findings suggest that to improve the firm's financial position, its resources should be allocated effectively to technical CSR activities as well as to innovation and advertising.

Governance Quality, Public Health, Education, and Innovation: Study for Novel Implications

Pandemic or worldwide disease is the greatest issue of all time that not only affects human health but also influences the economic, educational, and other activities of the countries, since malaria is among the leading health disease that disrupts the economic system of the country. Therefore, this study aimed to analyze whether educational expenditure and technological innovation influence malarial incidence in emerging economies. This study also examined the role of government effectiveness, government health expenditure, gross domestic growth, human capital, and research and development during the period 2000-2018. Employing panel data approaches, including the slope heterogeneity and cross-sectional dependence, the second-generation unit root test reveals the stationarity of all variables. The study also validated the existence of a long-run relationship between the variables. Based on the asymmetrical distribution properties, this study employed the quantile regression approach. The empirical results asserted that education and technological innovation significantly reduce malarial incidents in the panel economies. Also, government effectiveness, research and development, and human capital adversely affect incidences of malaria. In contrast, gross domestic product is the only factor found that increases malarial incidents during the selected period. Based on the empirical results, this study suggested policy measures that could benefit the governors, policymakers, and scholars.

Spatial Pattern of Technological Innovation in the Yangtze River Delta Region and Its Impact on Water Pollution

The impact of technological innovation on water pollution is an important parameter to determine and monitor while promoting and furthering a region’s economic development. Here, exploratory spatial data analysis was used to analyze: the spatial patterns of technological innovation and water pollution in the Yangtze River, the changes in technical innovation and the resulting changes in water pollution, and the impact of technological innovation on water pollution. The following major inferences were drawn from the obtained results: (1) The spatial pattern of innovation input has a single-center structure that tends to spread. The patent innovation output has evolved, from a single spatial pattern with Shanghai as the core to a diffusion structure with three cores-Hangzhou, Shanghai, and Nanjing. (2) The aggregation mode of water pollution has evolved from the original “Z” mode to a new mode of core agglomeration, and water pollution is constantly being reduced. (3) The trends of change in patent innovation output and innovation input are roughly the same, while the trends of both and that of water pollution are contrary to each other. (4) The correlations between innovation input, patented innovation output, and water pollution are relatively low. From the perspective of spatial distribution, the number of cities with medium and high levels of gray correlation with water pollution is the same.

The Impact of Coordinated Development of Ecological Environment and Technological Innovation on Green Economy: Evidence from China

Promoting the coordinated development of ecological environment and technological innovation is significant to the development of a green economy. In this study, we construct an index system of ecological environment, technological innovation, and green economy based on the panel data of 30 provinces and cities in China from 2005 to 2016, using the entropy weight method, the coupling coordination model, and the panel vector autoregressive model (PVAR) to calculate the comprehensive development levels of ecological environment, technological innovation, and green economy and the coordination degree between ecological environment and technological innovation, and then further explore the impact of the coordinated development level of ecological environment and technological innovation on the development of a green economy. The research results include: First, from 2005 to 2016, the comprehensive development levels of ecological environment, technological innovation, and green economy in China’s 30 provinces and cities achieved different degrees of improvement as a whole. Among them, the comprehensive development level of green economy was the highest, followed by the development level of technological innovation, and the comprehensive development level of ecological environment was the lowest. Second, from 2005 to 2016, the coordination degree between ecological environment and technological innovation in China’s provinces and cities increased year by year, but on the whole, the coordination degree between ecological environment and technological innovation in various regions was in a state of imbalance. Third, there was a long-term equilibrium relationship among the coordinated development levels of ecological environment, technological innovation, and green economy. Fourth, through pulse analysis and Monte Carlo simulation, we found that the coordinated development level of ecological environment and technological innovation had a lagging positive impact on green economy. Finally, we provide a summary of the results of this study.

Innovative Strategies for Talent Cultivation in New Ventures Under Higher Education

This study aims to help enterprises enhance their innovation capabilities in the environment of knowledge economy globalization and stand out in the fierce industry competition. Firstly, data on existing higher education theories and innovation theories are analyzed. Secondly, two companies in the sample data are selected for detailed analysis. Finally, research conclusion and corresponding talent management strategies are presented. The results show that the cumulative contribution value of employees is 87.496%. The cumulative contribution value of human capital is 70.322%. The contribution value of cumulative innovation performance is 61.658%. The cumulative contribution value of R&D investment is 45.306%. The coefficient for the overall sample size is 0.509. The employee quality coefficient is 0.452. The correlation coefficient for educational attainment is 0.598. The high-tech service industry has the highest correlation coefficient at 0.504. The auto industry has the highest coefficient at 0.669. The experimental research has drawn the following conclusion: (1) Talents positively affect enterprise innovation performance; (2) Research and Development (R&D) investment has a positive correlation with enterprise innovation performance; (3) R&D investment has a positive correlation with talents. Through experimental research, the education level of employees is measured by academic qualifications, but the essence of academic qualification measurement is the level of knowledge and skills that employees have. In summary, the study can extend the strategic analysis of the cultivation of innovative talents and play a valuable auxiliary role in cultivating innovative talents.

Creation of an Evidence-Based Implementation Framework for Digital Health Technology in the Intensive Care Unit: Qualitative Study

Background

Digital health technologies such as continuous remote monitoring and artificial intelligence–driven clinical decision support systems could improve clinical outcomes in intensive care medicine. However, comprehensive evidence and guidelines for the successful implementation of digital health technologies into specific clinical settings such as the intensive care unit (ICU) are scarce. We evaluated the implementation of a remote patient monitoring platform and derived a framework proposal for the implementation of digital health technology in an ICU.

Objective

This study aims to investigate barriers and facilitators to the implementation of a remote patient monitoring technology and to develop a proposal for an implementation framework for digital health technology in the ICU.

Methods

This study was conducted from May 2018 to March 2020 during the implementation of a tablet computer–based remote patient monitoring system. The system was installed in the ICU of a large German university hospital as a supplementary monitoring device. Following a hybrid qualitative approach with inductive and deductive elements, we used the Consolidated Framework for Implementation Research and the Expert Recommendations for Implementing Change to analyze the transcripts of 7 semistructured interviews with clinical ICU stakeholders and descriptive questionnaire data. The results of the qualitative analysis, together with the findings from informal meetings, field observations, and previous explorations, provided the basis for the derivation of the proposed framework.

Results

This study revealed an insufficient implementation process due to lack of staff engagement and few perceived benefits from the novel solution. Further implementation barriers were the high staff presence and monitoring coverage in the ICU. The implementation framework includes strategies to be applied before and during implementation, targeting the implementation setting by involving all ICU stakeholders, assessing the intervention’s adaptability, facilitating the implementation process, and maintaining a vital feedback culture. Setting up a unit responsible for implementation, considering the guidance of an implementation advisor, and building on existing institutional capacities could improve the institutional context of implementation projects in the ICU.

Conclusions

Implementation of digital health in the ICU should involve a thorough preimplementation assessment of the ICU’s need for innovation and its readiness to change, as well as an ongoing evaluation of the implementation conditions. Involvement of all stakeholders, transparent communication, and continuous feedback in an equal atmosphere are essential, but leadership roles must be clearly defined and competently filled. Our proposed framework may guide health care providers with concrete, evidence-based, and step-by-step recommendations for implementation practice, facilitating the introduction of digital health in intensive care.

Trial Registration

ClinicalTrials.gov NCT03514173; https://clinicaltrials.gov/ct2/show/NCT03514173

Role of Technological Innovation in Achieving Social and Environmental Sustainability: Mediating Roles of Organizational Innovation and Digital Entrepreneurship

Innovation has been a major growing driver of sustainability. The topic addressed in this study is a much-required transition to environmental and social sustainability considering the role of innovation in pacing up those changes. Digital evolution has greatly helped in dealing with climatic changes and promoting sustainability. This has helped the entrepreneurial organizations to adopt innovative approaches to tackle the inflexible challenges. Few developed and developing countries are at the forefront regarding technological innovation that encounter significant challenges in terms of innovation and adoption of new technologies and there is still a study vacuum as to whether the influence of technical innovation on achieving social and environmental sustainability differs depending on the stage of sustainability. This quantitative study has explored these effects collecting data from the SME's (small and medium enterprises). The findings of the study show that attitude toward technological innovation has a strong role to play in organizational innovation, digital entrepreneurship, environmental and social sustainability. Organizational innovation has been found a strong mediator between technological innovation and sustainability while digital entrepreneurship could not find significant results as mediator. This study will be useful for the countries and organizations involved in adopting new technologies considering their organization's role in achieving an overall eco-friendly and social sustainability.

A Remote Patient-Monitoring System for Intensive Care Medicine: Mixed Methods Human-Centered Design and Usability Evaluation

Background

Continuous monitoring of vital signs is critical for ensuring patient safety in intensive care units (ICUs) and is becoming increasingly relevant in general wards. The effectiveness of health information technologies such as patient-monitoring systems is highly determined by usability, the lack of which can ultimately compromise patient safety. Usability problems can be identified and prevented by involving users (ie, clinicians).

Objective

In this study, we aim to apply a human-centered design approach to evaluate the usability of a remote patient-monitoring system user interface (UI) in the ICU context and conceptualize and evaluate design changes.

Methods

Following institutional review board approval (EA1/031/18), a formative evaluation of the monitoring UI was performed. Simulated use tests with think-aloud protocols were conducted with ICU staff (n=5), and the resulting qualitative data were analyzed using a deductive analytic approach. On the basis of the identified usability problems, we conceptualized informed design changes and applied them to develop an improved prototype of the monitoring UI. Comparing the UIs, we evaluated perceived usability using the System Usability Scale, performance efficiency with the normative path deviation, and effectiveness by measuring the task completion rate (n=5). Measures were tested for statistical significance using a 2-sample t test, Poisson regression with a generalized linear mixed-effects model, and the N-1 chi-square test. P<.05 were considered significant.

Results

We found 37 individual usability problems specific to monitoring UI, which could be assigned to six subcodes: usefulness of the system, response time, responsiveness, meaning of labels, function of UI elements, and navigation. Among user ideas and requirements for the UI were high usability, customizability, and the provision of audible alarm notifications. Changes in graphics and design were proposed to allow for better navigation, information retrieval, and spatial orientation. The UI was revised by creating a prototype with a more responsive design and changes regarding labeling and UI elements. Statistical analysis showed that perceived usability improved significantly (System Usability Scale design A: mean 68.5, SD 11.26, n=5; design B: mean 89, SD 4.87, n=5; P=.003), as did performance efficiency (normative path deviation design A: mean 8.8, SD 5.26, n=5; design B: mean 3.2, SD 3.03, n=5; P=.001), and effectiveness (design A: 18 trials, failed 7, 39% times, passed 11, 61% times; design B: 20 trials, failed 0 times, passed 20 times; P=.002).

Conclusions

Usability testing with think-aloud protocols led to a patient-monitoring UI with significantly improved usability, performance, and effectiveness. In the ICU work environment, difficult-to-use technology may result in detrimental outcomes for staff and patients. Technical devices should be designed to support efficient and effective work processes. Our results suggest that this can be achieved by applying basic human-centered design methods and principles.

Trial Registration

ClinicalTrials.gov NCT03514173; https://clinicaltrials.gov/ct2/show/NCT03514173

A Roadmap toward Achieving Sustainable Environment: Evaluating the Impact of Technological Innovation and Globalization on Load Capacity Factor

Technological innovations have been a matter of contention, and their environmental consequences remain unresolved. Moreover, studies have extensively evaluated environmental challenges using metrics such as nitrogen oxide emissions, sulfur dioxide, carbon emissions, and ecological footprint. The environment has the supply and demand aspect, which is not a component of any of these indicators. By measuring biocapacity and ecological footprint, the load capacity factor follows a certain ecological threshold, allowing for a thorough study on environmental deterioration. With the reduction in load capacity factor, the environmental deterioration increases. In the context of the environment, the interaction between technological innovation and load capacity covers the demand and supply side of the environment. In light of this, employing the dataset ranging from 1980 to 2017 for the case of South Africa, the bound cointegration test in conjunction with the critical value of Kripfganz and Schneider showed cointegration in the model. The study also employed the ARDL, whose outcome revealed that nonrenewable energy usage and economic growth contribute to environmental deterioration, whereas technological innovation and globalization improve the quality of the environment. This study validated the hypothesis of the environmental Kuznets curve for South Africa, as the short-term coefficient value was lower than the long-term elasticity. Furthermore, using the frequency-domain causality test revealed that globalization and economic growth predict load capacity in the long term, and nonrenewable energy predicts load capacity factors in the long and medium term. In addition, technological innovation predicts load capacity factors in the short and long term. Based on the findings, we propose that policymakers should focus their efforts on increasing funding for the research and development of green technologies.