The development of traditional Chinese medicine(TCM) preparations as an incubator for new drugs in medical institutions has flourished, while an evaluation index system remains to be established for comprehensively assessing the development value of these prescriptions. This study established an item pool through literature research, employed the Delphi method to determine the content of evaluation indexes, and adopted the superiority chart to determine the weight of each index. Two-level evaluation index system for the development value of TCM preparations in medical institutions was established, which included 7 first-level items and 36 se-cond-level items, demonstrating scientific validity. The first-level items(weight) were inheritance(10.61%), effectiveness(23.22%), safety(22.71%), innovation(13.21%), economy(10.00%), suitability(8.57%), and accessibility(11.68%). The top three second-level items in terms of weight distribution were adverse reaction monitoring(6.73%), evidence of therapeutic effect(5.71%), and clinical response rate(4.75%). The bottom three second-level items were production advantages(0.86%), medicinal dosage(0.48%), and medicinal smell or taste(0.18%). The content validity of the established system was assessed, which revealed that the index system was reliable, with the overall and average content validity indexes of 0.47 and 0.90, respectively. Furthermore, the established evaluation index system was used to evaluate six TCM preparations in a city-level hospital of TCM in Sichuan Province, which demonstrated that the system had operability. The results indicate that the evaluation index system is scientific, reliable, and operable, providing a reference for developers to selectively develop TCM preparations in medical institutions. In practical application, the system can be adjusted regarding the index weights according to actual conditions.

In the context of China\'s efforts to combat climate change and promote sustainable development, the solid waste treatment industry\'s environmental, social, and corporate governance (ESG) performance is receiving significant attention. To comprehensively assess the ESG performance of the solid waste treatment industry and identify company types, this study constructs a targeted ESG evaluation index system based on existing literature, SASB industry standards, and company reports and utilizes a random forest approach combined with K-means clustering to determine indicator weights. Based on this index system, the paper evaluates the ESG performance of 71 solid waste disposal companies (SWDCs) from 2013 to 2021 and identifies their ESG types from static and dynamic perspectives. In the static view, company types are determined based on annual ESG performance, while the dynamic view considers time-series changes to observe the evolution of company ESG types. The results show that the overall ESG performance of SWDCs falls within the 2-8-point range, indicating a noticeable high-low imbalance. Key initiatives to improve ESG performance in this industry include enhancing waste management measures, developing emergency plans, and reinforcing ESG disclosure. From a static perspective, this paper can identify companies into three categories: delayed development, single-wheel-driven, and coordinated development. Finally, from a dynamic perspective considering the time factor, companies are further subdivided into five types: continual leading, growth catch-up, slow progress, fluctuating change, and retrogressive inertia. This study not only provides targeted recommendations for different types of ESG companies but also helps various sectors of society better understand the ESG conditions of this high environmental risk industry, thereby enhancing the regulation and support for its sustainable development.

UNASSIGNED: The competencies of college senior students in general practice medicine have attracted attention. This study aimed to construct an evaluation index system of competencies for college senior students in general practice medicine and to promote the reform and optimization of training programs for general medicine talent in colleges.
UNASSIGNED: The two-round Delphi method was used to determine the evaluation index system of competencies for college senior students in general practice medicine, and the analytic hierarchy process (AHP) was used to calculate the weights of all levels of elements.
UNASSIGNED: The evaluation index system of competencies for college senior students in general practice medicine was established with 3 primary factors, 9 secondary factors and 32 tertiary factors. The Delphi results revealed that the active coefficient of experts was 1 and the authority coefficient was 0.858. The 3 primary factors were knowledge level, job skills and professionalism with weights of 0.1532, 0.4207 and 0.4261, respectively. Among the secondary factors, the top three weight coefficients were professional ethics (0.2614), community practice (0.1526) and communication skills (0.1308). Among tertiary factors, \"scientific research\" exhibited the lowest value with a weight coefficient of 0.0049.
UNASSIGNED: In this study, we constructed an evaluation index system of competencies for college senior students in general practice medicine. The consensus on the content of the competencies of college senior students in general practice medicine suggests that these elements are necessary for those who will become general practitioners. This system can be used as the basis to evaluate the ability of college senior students in general practice medicine and provide guidance for the cultivation and evaluation of general medicine talent.

As environmental issues on a global scale continue to worsen, all regions are pursuing ecological management and sustainable development strategies. The coordinated development of the \"vegetation-air-water\" environment is one of the most essential research topics in ecological governance. The purpose of this paper is to develop an evaluation system for the development of environmental governance in Shaanxi Province, as well as to evaluate the benefits of environmental governance in Shaanxi Province from 2012 to 2021 and its influencing factors. An index system for the coordinated development of \"vegetation-atmosphere-water\" is constructed, and the benefits and influencing factors of environmental governance are comprehensively analysed by using comprehensive analysis methods such as the coupled coordination model of the system and entropy weight TOPSIS. The results indicate that the development trend of the coupling coordination degree has evolved through the stages of \"uncoordinated development at the early stage of governance, transformed development at the middle stage of governance, and coordinated development at the first success stage of governance.\" In addition, we identify the obstacles to the coordinated development of the environment and suggest appropriate countermeasures. The efficacy of environmental policy governance provides recommendations for future enhancements. It is important to note that ecological governance is influenced by both policy and nature; political influences, such as the switch from \"returning farmland to forests\" to \"returning forests to farmland,\" will result in the destruction of the original good vegetation growth, which will significantly reduce the coordinated benefits of ecological governance. The original coordinated system will also be fractured, which is a problem worth contemplating. And policymakers, researchers, and practitioners can use the evaluation system and analysis method proposed in this paper as an effective tool to promote sustainable development and ecological governance.

With economic development, the health of river ecosystems is becoming severely threatened because of the increasing effects of human activities on river ecosystems. Here, 101 sites along regional river systems in Beijing rivers were investigated from autumn 2020 to summer 2021. A total of 34 metrics, including aquatic organisms, hydrology, water quality, and habitat, were calculated to be the candidate indicators. Principal component and correlation analyses were used to select the core metrics from the candidate indicators, and the weight of each core metric was estimated using the entropy method. The integrated index of stream ecological health was constructed to assess the health condition of the Beijing rivers. The results of the PCA and correlation analyses revealed that eleven metrics were selected as the core metrics to construct the integrated index of stream ecological health, including water temperature, flow velocity, BOD5, NH4+-N, Cu, the density of phytoplankton and zooplankton, the Shannon-Wiener diversity index of macroinvertebrates and fish, the BMWP index, and the qualitative habitat evaluation index. According to the health assessment results, 4.95% of the sampling sites were healthy, 23.76% were subhealthy, and 71.29% were in a fair or below healthy state. The river health status showed strong spatial heterogeneity, and the river health statuses in the northern and western regions were relatively good, whereas the river health status in the central and southeastern regions were relatively poor. The results of four aspects stream ecosystem assessment showed that the overall water quality of the rivers was \"subhealthy\" and the aquatic organisms and habitat were \"general poor,\" but the hydrology was \"poor.\" The evaluation results of five water systems demonstrated that the Chaobai River had the best health status, followed by that of the Yongding River, Daqing River, and Jiyun River, and the Beiyun River had the worst health status. Maintaining river ecological baseflow, ensuring river system connectivity, and improving and restoring the river habitat environment are the key aspects of river ecological restoration and protection in Beijing in the future.

At the current stage, >100 cities in China are in the process of constructing \"Zero-waste Cities\" (ZCs). However, the absence of a unified quantitative evaluation method hinders the real-time display, assessment, and analysis of the progress and effectiveness of construction in various cities. Based on China\'s \"Zero-waste City\" (ZC) construction index system, a five-dimensional evaluation approach of transforming the city\'s construction index system into an evaluation index system is proposed, and an evaluation method for examining the construction of China\'s ZCs is developed. Meanwhile, the obstacle analysis model is employed to identify ZC\'s advantages and weaknesses. Following this evaluation framework, empirical research was conducted on Shenzhen. Results showed: 1) Shenzhen\'s ZC scoring result increased significantly from 58.9 to 108.3 by implementing the pilot project; 2) The dimensions of Management Measure, Support Capacity, and City Characteristic had achieved or approached full scores, but the dimension of Management Level still need improvement. 3) While industrial waste management reached an excellent level and agricultural waste proved manageable, domestic waste landfill and construction waste disposal still existed challenges. This method takes into account the uniformity of evaluation methods in nationwide and the diversity of solid waste environmental issues in cities. It can achieve a quantitative assessment of the ZC construction level for all cities in China, and providing a scientific basis for the horizontal comparison of the construction effectiveness of each city.

BACKGROUND: Increasing women\'s health literacy is the key to preventing cervical cancer, and various tools have been developed to assess women\'s cancer health literacy. However, many of these tools come from other countries and have not been adapted to Chinese requirements. Furthermore, a system for evaluating cervical cancer health literacy among Chinese women has not been developed. Therefore, we sought to establish an evaluation index system for cervical cancer health literacy among Chinese women and to provide an effective evaluation tool for tertiary prevention of cervical cancer in China.
METHODS: We invited 20 recognized experts to participate in two rounds of Delphi expert consultation, and the modified Delphi process with percentage weighting and multiplication was used. A literature review identified 67 potential indicators. Subsequent discussions within our research team led to the retention of 48 indicators following a rigorous screening process. On this basis, two rounds of Delphi expert consultation were conducted to rate and screen the indexes. Percentage weighting and multiplication were used to determine index weights.
RESULTS: Twenty experts participated in the first-round Delphi consultations (95.23% recovery rate). In the second-round Delphi consultations, 20 questionnaires were returned (100%), and the expert authority coefficient was 0.93 ± 0.02. After both rounds of Delphi consultation, 4 first-level indicators, 9 second-level indicators, and 32 third-level indicators were identified for cervical cancer literacy among Chinese women. On a five-point scale, importance ratings ranged from 3.76 to 4.95 points, with variation coefficients ranging from 0.06 to 0.25, while sensitivity ratings ranged from 3.71 to 4.83 points, with variation coefficients ranging from 0.08 to 0.24. Across both rounds, Kendall\'s W coefficients ranged from 0.168 to 0.248. The weights of first-level indicators of basic knowledge and attitudes about cervical cancer, primary prevention of cervical cancer literacy, secondary prevention of cervical cancer literacy, and tertiary prevention of cervical cancer literacy were 0.257, 0.249, 0.251, and 0.243, respectively.
CONCLUSIONS: We have developed the first tertiary prevention-based, comprehensive evaluation index system for cervical cancer literacy among Chinese women, which will provide theoretical support for cervical cancer prevention and health education programs.

This research aims to combine the pursuit of literacy cultivation with a focused investigation into the evidence of game-based teaching (GBT). To achieve this, the study employs a mixed-methods approach including the interview method, Delphi method, and network hierarchical analysis (ANP) to analysis Expert opinions and construct a comprehensive GBT evaluation index system. The results indicated that a comprehensive GBT evaluation index system is comprised of five primary indicators: teaching objectives, game-based teaching methods, teaching content, game-based teaching processes, and game-based teaching characteristics. Additionally, there are 19 secondary indicators, such as objective content, game presentation, context construction, and flow experience. This study expects to effectively capture the unique attributes of game-based classes and to assist teachers in improving the design of GBT activities in practical applications.

UNASSIGNED: Infectious skin diseases are a type of inflammatory skin lesions caused by pathogenic microorganisms. Because of the uncertainty of methodology, the skin infection model usually have low replication rate and lack of good evaluation system. We aimed to establish multi-index and comprehensive evaluation method for Staphylococcus aureus (S.aureus) skin-infection models through Analytic hierarchy process (AHP) and Delphi method, and screen high quality animal models through it.
UNASSIGNED: Firstly, the evaluation indicators of skin infection were collected basing on literature research. The weight of the evaluation indicators were decided according to AHP and Delphi method. Then different ulcer models (mouse or rat) infected by S. aureus were selected as the research objects.
UNASSIGNED: The evaluation indicators were classified into four groups of criteria (including ten sub-indicators) and given different weights, physical sign changes (0.0518), skin lesion appearance (0.2934), morphological observation (0.3184), etiological examination (0.3364). Through the evaluation system, we screened and found that the mouse ulcer model which caused by a round wound and 1.0 × 1010 CFU/mL (0.1 mL) bacterial concentration got the highest comprehensive score, and also found that the model which caused by a 1.5 cm-round wound and 1.0 × 1010 CFU/mL (0.2 mL) maybe the best rat ulcer model.
UNASSIGNED: This study has established an evaluation system based on AHP and Delphi method, also provided the best skin ulcer models selected by this system, the models are suitable for disease research and drug development research of skin ulcer.

The construction of the Yangtze River Delta ecological green development demonstration area aims to take the lead in exploring an eco-friendly development model, demonstrating and leading the higher quality integrated development of the Yangtze River Delta in China.
Through literature research, expert inquiries, and policy documents as the guidance, this study builds an ecological green high-quality development evaluation system for the demonstration area, including building an index system composed of 4 first-class indicators, 16 second-class indicators and 42 third-class indicators derived from economy, society and environment system, determining the index weight through the network analytic hierarchy process, and establishing the comprehensive evaluation index (CEI) and differential diagnosis index (DDI) of high-quality development, which is based on the relevant theory of statistical comprehensive index.
The establishment of this system provides a complete theoretical support and scientific guidance for the comprehensive evaluation of high-quality ecological green development and more balanced development of the demonstration area; and it can point out the development direction for the subsequent development of the Yangtze River Delta.
However, due to the availability of data, there is still room for further improvement in this paper. In the future research, the model can be used to evaluate the high-quality development level of the demonstration area through the relevant data of the demonstration area.