Objective: This study investigated the effect of the hierarchical medical system under the national health insurance program on resident’s healthcare-seeking behavior in Taiwan. Background: Healthcare authorities in Taiwan initiated the allowance reduction of outpatient visits at regional hospitals and higher hierarchical hospitals from 2018. The ultimate goal is to implement a hierarchical medical system and provide the residents accessible as well as consistent medical services. Methods: This research was conducted through the questionnaire survey method and data were collected between August and December 2018 from the records of subjects who had recently sought medical attention. A total of 1,340 valid questionnaires were returned. Results: Regarding the effect on healthcare-seeking behavior, the following factors were significant: being aged between 40 to 49 (p＜.1), subjects with an educational background of junior high school (p＜.05), those who were not aware of the policy (p＜.001), and an awareness about both the hierarchical medical system and the policy to reduce outpatient visits to large hospitals (p＜.001). Conclusion: The public should be made aware about the hierarchical medical system to improve healthcare.

Here we report recent evidence of the presence of Eurasian otter (Lutra lutra) in the Mercure-Lao River valley, an area of great ecological interest situated in South Italy for which the last otter reports referred to spraints collected in 2002. This work contains information and a selection of photographs of otter footprints and spraints found from October 2005 to January 2019, and photographs of both a cub and an adult otter from the Mercure-Lao River area.

An identification key to twenty-nine species of Porina known from the country is provided. In addition, new records of Porina interstes, P. nuculastrum, and P. rhaphidiophora are described from the protected rain forests in southern Vietnam. A detailed taxonomic account of each species is provided and supported by its ecology, distribution, and illustrations.

The annual budget for the United States National Park Service was roughly three billion dollars in 2016. This is distributed amongst 405 National Parks, 23 national scenic and historic trails, and 60 wild and scenic rivers. Entrance fees and concessions generate millions of dollars in income for the National Park Service; however, this metric fails to account for the total value of the National Parks. In failing to consider the value of the ecosystem services provided by the National Parks we fail to quantify and appreciate the contributions our parks make to society. This oversight allows us to continue to underfund a valuable part of our natural capital and consequently damage our supporting environment, national heritage, monetary economy, and many of our diverse cultures. We explore a simple benefits transfer valuation of the United States national parks using National Land Cover Data from 2011 and ecosystem service values determined by Costanza (et al). This produces an estimate suggesting the parks provide $84 billion / year in ecosystem service value. If the natural infrastructure 'asset' that is our national park system had a budget comparable to a piece of commercial real estate of this value, the annual budget of the National Park Service would be roughly an order of magnitude larger at something closer to $30 billion rather than $3 billion.

Despite a global push in the development and implementation of widespread alternative energy use, significant disparities exist across given nation-states. These disparities reflect both technical and economic factors, as well as the social, political, and ecological gaps between how communities see energy development and national/global policy goals. Known as the “local-national gap,” many nations struggle with fostering meaningful conversations about the role of alternative energy technologies within communities. Mitigation of this problem first requires understanding the distribution of existing alternative energy technologies at the local level of policymaking. Using the State of Georgia, U.S.A. as a case study, we present a model for analyzing how existing adoption trends enable/limit conversation at the scale of local governance (i.e., county governments). Leveraging existing work on the Gini Coefficient as a metric for measuring energy inequity, we argue these tools can be applied to analyze where gaps exist in ongoing solar adoption trends. As we demonstrate, communities that adopt solar tend to be concentrated in a few counties, indicating existing conversations are limited to a circumscribed set of social networks. This information and the model we demonstrate can enable focused qualitative analyses of existing solar trends, not only amongst high-adoption areas but within communities where little to no adoption has occurred.

The Western ‘discovery’ of Japanese cinema in the 1950s prompted scholars to articulate essentialist visions understanding its singularities as a result of its isolation from the rest of the World and its close links to local aesthetic and philosophical traditions. Recent approaches however, have evidenced the limitations of this paradigm of ‘national cinema’. Higson (1989) opened a critical discussion on the existing consumption, text andproduction-based approaches to this concept. This article draws on Higson´s contribution and calls into question traditional theorising of Japanese film as a national cinema. Contradictions are illustrated by assessing the other side of the ‘discovery’ of Japanese cinema: certain gendaigeki works that succeeded at the domestic box office while jidaigeki burst into European film festivals. The Taiyōzoku and subsequent Mukokuseki Action created a new postwar iconography by adapting codes of representation from Hollywood youth and western films. This article does not attempt to deny the uniqueness of this film culture, but rather seeks to highlight the need to reformulate the paradigm of national cinema in the Japanese case, and illustrate the sense in which it was created from outside, failing to recognise its reach transnational intertextuality.

A large variety of remote sensing-based land use/land cover (LULC) products are currently available on national and global scales. This literature review and in-situ validation study evaluates the suitability of these products for local scale applications in the complex terrain of the Ethiopian mountains. For the review, 146 research papers were analyzed. Most studies (73%) have been published since 2013 and are based on individually computed maps. Not a single study relied on readily available LULC products. Nine readily available LULC products with 20, 30, 300, 500 and 1,000 m spatial resolution have been identified at national and global scales. To complement and extend this body of research, the recent (since 2013) LULC products were validated using 185 ground truth points collected in the Bale Mountains National Park between 1,500 and 4,385 m a.s.l. The results indicate a rather poor overall accuracy (<50%).

The Science-Sustainability poses an interdisciplinary paradox. On the one hand, the science for sustainability has increased in OECD economies in and in China as well as in the US in particular; on the other hand; the sustainability situation has worsened (Co2 emission has risen). On the face value, the adverse correlation shows a paradox. However, without explicating the science-sustainability relationship, it leads to a premature conclusion. In this study, we have drawn on three concrete questions for concrete answers. First, whether and how interdisciplinary sciences—energy science and environmental science—contribute to the sustainability. Second, whether and how the Sino-US inter-institutional analysis varies in the science-sustainability paradox. The empirical analysis from a panel data in the interdisciplinary and inter-institutional context show mixed patterns in three ways. First, the increase in the environmental science shows an improvement in the sustainability; the energy science shows a decline in the sustainability. Second, the Chinese environmental science has a comparative advantage to American environment science for the sustainability development, and the Chinese energy science has a comparative disadvantage to the US in the sustainability development. Third, the environmental science mediates the energy science in the science-sustainability relationships. Standing alone, the increase in the energy science harms sustainability; mediated by environmental science, it benefits sustainability. The study explains the adverse role of energy science in Jevons Paradox. The study also offers some policy paths for further research how capitalisms differently innovate, form strategies, and implement the practice.

Over the last few decades, urban expansion and population shifts have modified the existing landscape throughout the U.S. Protected areas and development are compatible lenses, yet stakeholders’ involvement in decision-making is often missing from environmental governance. We examine how stakeholders living and working in proximity to Everglades National Park (EVER) perceive environmental and social changes to the park and community park relations. EVER was selected as a study site for several reasons: proximity to urban areas, rich biological diversity, largest subtropical wilderness in the U.S., International Biosphere Reserve, World Heritage Site, and prominence as a tourist destination for the region. Forty-one semi-structured interviews were conducted with neighborhood groups, representatives from gateway communities, and conservation organizations. An analysis of the interview data generated six research themes: loss of native species, urban development, a shortage and contamination of water, hurricanes, climate change, and increased recreation use. The results of this study add to the literature by providing a better understanding of the relationships stakeholders have with national parks. The results will provide useable knowledge that may help stakeholders and public land managers design strategies related for sustainable plans for the park and its surrounding communities.

Prescribed burning and other active forest management treatments have been proven to be essential for maintaining suitable habitat conditions for many wildlife species, including the federally endangered red-cockaded woodpecker (RCW). This study examines the perception of forest management treatments of recreation users participating in various activities (hunting, hiking/backpacking, camping, off-highway vehicle riding, and canoeing/kayaking) in terms of scenic beauty and recreation satisfaction. We used photographic images to capture various forest management treatments of different intensity levels and times after treatments, and assessed users’ perception of scenic beauty and recreation satisfaction. Results indicated variation among users participating in different recreation activities, but that good quality RCW habitat offered both higher scenic beauty and higher recreation satisfaction than poor quality habitat for most user groups. Finally, recreation satisfaction was statistically equal to perceived scenic beauty from both good and poor-quality RCW habitats for most of the user groups, thus suggesting the importance of scenic beauty on forest sites in determining recreation users’ attainment of visit satisfaction. Findings conclude that forest sites developed as good quality RCW habitat in the present state also offer quality experience to recreation users, thus supporting multi-objective forestry practices in public forests.

This paper seeks to explain the rapid growth of the Islamic State of Iraq & Syria (ISIS) and approach the question of “what is” the Islamic State? The paper offers several contributions. First is the proposal of a dynamic hypothesis that ISIS is an emerging-state actor and differs notably from traditional non-state actors and insurgencies. The theory consists of both a causal loop diagram and key propositions. A detailed system dynamics simulation (E-SAM) was constructed to test the theory. The propositions of emerging-state actor theory are constructed as synthetic experiments within the simulation and confirm evidence of emerging-state actor behavior. E-SAM’s novelty is its combination of combat simulation with endogenous geospatial feedback, ethnographic behavior in choosing sides in conflict, and details internal simulation of key actor mechanisms such as financing, recruiting and governance. E-SAM can be loaded with scenarios to simulate non-state actors in different geospatial domains: ISIS in Libya, Boko Haram in Nigeria, Taliban in Afghanistan and even expatriated ISIS fighters returning to pursue new conflicts such as in Indonesia.

Whitebark pine (Pinus albicaulis Engelm.) is a key component of subalpine and alpine ecosystems in the northern Cascades. The species survival is threatened by white pine blister rust, mountain pine beetles, fire exclusion, and climate change. Trees were monitored in permanent plots in two national parks three times between 2004 and 2016. The proportion of trees showing signs of blister rust infection increased in North Cascades National Park Service Complex from 32% in 2004 to 51% in 2016 and from 18% to 38% in Mount Rainier National Park. Mortality increased from 7% to 21% in North Cascades National Park Service Complex and 38% to 44% in Mount Rainier National Park. Annual mortality rates were calculated for three time periods: 2004-2009, 2009-2015/2016, and 2004-2015/2016. Mortality rates, annualized across the entire study period, were 1.47% in Mount Rainier National Park and 2.27% in North Cascades National Park Service Complex; these rates decreased between the first time period and the second, which could reflect blister rust resistance. Signs of mountain pine beetle were rare and limited to a few trees in individual plots. Although reproductive trees were found in most stands, densities were low and regeneration was dominated by subalpine fir.

This paper considers two types of Protestant ethnic groups of some areas of Urals and Western Siberia. The first type consist of representatives of members of different ethnic groups consisting of well-educated professionals, incorporated into industrial society and associated with the intellectualism of Protestantism. The second type is represented by the indigenous peoples of the Polar Urals and Western Siberia, who use the Protestant religious organizations as tool for restoring life-sustaining elements of the native peoples’ traditional economy. I employed the inductive approach and the comparison method; during the fieldwork I used ethnographic participant observations, sociological structured interviews and closed-ended questionnaires. The empirical data have been collected in the Southern, Middle and Polar Urals and Western Siberia.

The creation of the National Muslims Women’s Advisory Group (NMWAG) in 2008 by Britain’s New Labour Government was part of a strategy which sought to engage different levels of Muslim communities beneath an overarching focus on reducing ‘Islamic extremism’. To do so however, Government acknowledged that it would need to support Muslim women to overcome some of the constraints it believed were placed on Muslim women in contemporary Britain. Deeming theology and religious interpretation to be one of those constraints, Government saw the need to empower Muslim women to ‘influence and challenge’ religious and theological discourses as a priority. This article therefore offers a case study on a project that was commissioned by Government that sought to empower Muslim women to ‘influence and challenge’ theological interpretations in collaboration with the NMWAG. Having gained unprecedented access to the NMWAG, its activities and engagement with Government, this article presents previously unpublished findings from that project to focus on two key themes: Muslim women, their identity and position; and theology, leadership and the participation of women. Having explored these in detail, this article concludes by critically reflecting on the way in which Government engaged and interacted with Muslim women, the role and relative success of the NMWAG and, most importantly, the extent to which the NMWAG was able to ‘influence and challenge’ interpretations of Islamic theology.

This paper presents a thermal runaway prognosis scheme based on the big-data platform and entropy method for battery systems in electric vehicles. It can simultaneously realize the diagnosis and prognosis of thermal runaway caused by the temperature fault through monitoring battery temperature during vehicular operations. A vast quantity of real-time voltage monitoring data was collected in the National Service and Management Center for Electric Vehicles (NSMC-EV) in Beijing to verify the effectiveness of the presented method. The results show that the proposed method can accurately forecast both the time and location of the temperature fault within battery packs. Furthermore, a temperature security management strategy for thermal runaway is proposed on the basis of the Z-score approach and the abnormity coefficient is set to make real-time precaution of temperature abnormity.

In the second half of the 19th century new methods for quarrying and processing natural stone are developed. In the Nordic countries Sweden, Norway and Finland this technological pro­gress goes hand in hand with a systematic geological mapping and large-scale exploitation of natural stone deposits. As a result, new constructions are developed—changing the building practice in these countries. With the end of historicism a new architecture arises that particularly in Norway and Finland acquires a national-romantic character. This paper examines the interaction between geological exploration, commercial development, technical inventions and the development of a national-romantic architecture.