Diamond Limbong, Astriwati, Ayuningtyas Putri Mumpuni
et al.
This study aims to analyze the effect of women’s distinctive knowledge on the development of Micro, Small, and Medium Enterprises (MSMEs), with the micro-franchise concept serving as a mediating variable in Kendari City. The research employs a quantitative approach using a survey method. The population consists of women-owned MSMEs in Kendari City, with a sample of 32 respondents selected through purposive sampling based on criteria that the MSMEs utilize local knowledge in their business activities. Data analysis techniques include validity and reliability testing, multiple linear regression analysis, and the Sobel test to examine the mediating role of the micro-franchise concept. The results indicate that women’s distinctive knowledge has a positive and significant effect on the adoption of the micro-franchise concept, but does not have a significant direct effect on MSME development. In contrast, the micro-franchise concept has a positive and significant effect and is able to mediate the relationship between women’s distinctive knowledge and MSME development. These findings suggest that women’s distinctive knowledge requires a structured business management mechanism in order to generate a tangible impact on the development strategies of women-owned MSMEs based on local potential
BackgroundThe fertility level has declined to below replacement level in many countries. Hence, evaluating the fertility policies is crucial for policy intervention to achieve sustainable development. However, research on assessing fertility policies remains limited.Objective/methodologyThis study introduces a Policy Maturity and Consistency (PMC) index model based on text mining techniques to analyze 22 fertility policy documents. The analysis model aims to identify policy deficiencies and provide actionable insights for improving future policy frameworks.ResultsOur study shows that, despite a comprehensive design and high consistency, significant gaps remain in areas such as policy objectives and thematic focus. Specific recommendations are proposed to enhance policy effectiveness, including fostering multi-stakeholder collaboration, integrating economic and policy-based support mechanisms, and promoting a shift in reproductive culture.
This paper establishes the Ningbo Marine New Quality Productivity Index from six aspects, namely the strength of the marine economy, characteristic marine industries, marine scientific and technological innovation, marine ecological environment, internal and external circulation of the marine economy, and marine common prosperity, and conducts a quantitative assessment of the development level of marine new-quality productivity from 2020 to 2023. The research results show that the level of Ningbo’s marine new quality productivity has been rising at an accelerated pace, with an average annual growth rate of 17.2%. Both the quantity and quality of the scale of the marine economy, industries, science and technology, ecology, and people’s livelihood have been improved. Based on the construction requirements of a modern marine city and the actual situation of Ningbo’s marine economic development, it is found that Ningbo still faces bottlenecks and constraints in the modern marine industrial system, marine scientific and technological innovation, the transformation of scientific and technological achievements and capital market services. Given this, this paper puts forward a series of policy recommendations, such as giving full play to industrial and locational advantages and continuously optimizing the development ecology of marine talents, to support the construction of Ningbo as a modern marine city.
Patikorn SRIPHIROM, Amnat CHIDTHAISONG, Wanlee AMORNPON
et al.
Greenhouse gas (GHG) emissions and their mitigation in food crop production, particularly in tropical regions such as Thailand, remain a knowledge gap in advancing sustainable agricultural systems. This study used a 47-year field experiment to assess the effects of diverse fertilizer application practices on GHG emissions, soil properties and cassava yield. The results revealed that carbon inputs from crop residues (CR) and compost (CP) significantly elevated carbon dioxide emissions, primarily due to enhanced soil microbial respiration. Nitrogen applications, whether from mineral or organic sources, significantly stimulated nitrous oxide (N2O) emissions, with greater N inputs leading to higher N2O releases. At equivalent N application rates, mineral N fertilizers induced greater N2O emissions, having a mean emission factor (EF) of 0.75% compared to CR-derived N with an EF of 0.56%. Additionally, mineral fertilizers led to soil acidification and nutrient accumulation. CR and CP inputs increased soil organic carbon stocks by 42.1% and 53.3%, respectively, relative to the control. CP addition also improved soil pH and significantly enhanced phosphorus and potassium availability. Notably, the combined inputs of NPK fertilizers and CR achieved the lowest GHG emissions per unit yield, highlighting the potential of integrated fertilizer application strategies to mitigate GHG emissions while sustaining crop productivity.
Currently, beach nourishment projects are undergoing rapid development. Nourished beaches are distributed from northern temperate zone to southern tropical zone along China’s sandy coastline. Nourished beaches can strengthen the coastal protection, provide entertainment areas and restore the ecological habitats. The macrobenthic fauna and recovery level play an important role in assessing nourishment benefits. The paper introduces the state and gap of nourished beaches monitoring and assessment, and the methodology and results of international research. Furthermore, the paper presents the hypothesis and research area of the effects of nourished beaches on the macrobenthic fauna for Chinese researchers. The paper aims to provide theoretical guidance and technical support for scientific sand nourishment and beach protection, and promote the development of the interdisciplinary fields of marine geology and marine biology.
Amy E. Cramer, Linda S. King, Michael T. Buckley
et al.
Background: eSource software that transfers patient electronic health record data into a clinical trial electronic case report form holds promise for increasing data quality while reducing data collection, monitoring and source document verification costs. Integrating eSource into multicenter clinical trial start-up procedures could facilitate the use of eSource technologies in clinical trials. Methods: We conducted a qualitative integrative analysis to identify eSource site start-up key steps, challenges that might occur in executing those steps, and potential solutions to those challenges. We then conducted a value analysis to determine the challenges and solutions with the greatest impacts for eSource implementation teams. Results: There were 16 workshop participants: 10 pharmaceutical sponsor, 3 academic site, and 1 eSource vendor representative. Participants identified 36 Site Start-Up Key Steps, 11 Site Start-Up Challenges, and 14 Site Start-Up Solutions for eSource-enabled studies. Participants also identified 77 potential impacts of the Challenges upon the Site Start-Up Key Steps and 70 ways in which the Solutions might impact Site Start-Up Challenges. The most important Challenges were: [1] not being able to identify a site eSource champion and [2] not agreeing on an eSource approach. The most important Solutions were: [1] eSource vendors accepting electronic data in the Health Level 7 Fast Healthcare Interoperability Resources (HL7® FHIR®) standard, [2] creating standard content for eSource-related legal documents, and [3] creating a common eSource site readiness checklist. Conclusions: Site start-up for eSource-enabled multi-center clinical trials is a complex socio-technical problem. This study's Start-Up Solutions provide initial steps for scalable eSource implementation.
Paola Gobbi, Silvia Pavone, Massimiliano Orso
et al.
Small ruminant lentiviruses (SRLVs) are responsible for chronic and progressive multisystemic clinical forms, which significantly reduce flocks’ productivity and have a considerable economic impact on the small ruminant industry. Due to the increase in genetic analysis studies and the potential for misclassification of certain strains, owing to the high genetic variability of these viruses, a systematic review was deemed necessary. This review explores the types of matrices used for molecular detection and phylogenetic studies, the genomic regions selected as targets, and the software utilized for phylogenetic analysis, assessing the geographical distribution of identified genotypes and subgenotypes over time. A thorough comparison of the diagnostic approaches highlights the strengths and limitations of each method, identifying gaps that need to be addressed. Additionally, recombination events and compartmentalization are examined to provide an updated, detailed, and comprehensive overview of SRLV phylogenesis.
Graciela Guerrero, Daniel Avila, Fernando José Mateus da Silva
et al.
Background: Anxiety in university students can lead to poor academic performance and even dropout. The Adult Manifest Anxiety Scale (AMAS-C) is a validated measure designed to assess the level and nature of anxiety in college students. Objective: The aim of this study is to provide internet-based alternatives to the AMAS-C in the automated identification and prediction of anxiety in young university students. Two anxiety prediction methods, one based on facial emotion recognition and the other on text emotion recognition, are described and validated using the AMAS-C Test Anxiety, Lie and Total Anxiety scales as ground truth data. Methods: The first method analyses facial expressions, identifying the six basic emotions (anger, disgust, fear, happiness, sadness, surprise) and the neutral expression, while the students complete a technical skills test. The second method examines emotions in posts classified as positive, negative and neutral in the students' profile on the social network Facebook. Both approaches aim to predict the presence of anxiety. Results: Both methods achieved a high level of precision in predicting anxiety and proved to be effective in identifying anxiety disorders in relation to the AMAS-C validation tool. Text analysis-based prediction showed a slight advantage in terms of precision (86.84 %) in predicting anxiety compared to face analysis-based prediction (84.21 %). Conclusions: The applications developed can help educators, psychologists or relevant institutions to identify at an early stage those students who are likely to fail academically at university due to an anxiety disorder.
Abstract The delivery of dermatology services has undergone dramatic changes in the past century. The goals and timelines of care have evolved as have the diagnostic and therapeutic tools, resulting in the need to capture and manage information differently, both qualitatively and quantitatively. The predominant and basic office-based ambulatory care model has remained relatively unchanged. Patients and providers interact with minimal pre-visit preparation using the “agenda-less” meeting model. This care model is ill-suited to manage the vastly expanded data capture and processing requirement of twenty-first century dermatology. We have developed novel tools to automate pre-visit data collection which allows for more robust information capture which moves data capture outside of the time-constrained clinic visit. These tools capture structured data, integrate into electronic health records, and create summary reports in real time to assist decision-making. These tools, if scaled, can facilitate the information management needs of dermatology care.
Based on research and discussion of this study, the researcher provides advice relating to management that is practical. In this case maximizing the risk management function in improving the company's performance. If any risk can be mitigated properly, it can minimize the impact caused, protect from risks that can hamper the achievement of company goals. The research used is quantitative research with descriptive methods and causality. This aims to describe research in accordance with reality without subjectivity. With a sample of 200 respondents. Testing using SEM analysis, where obtained for the value of R2 functions to indicate how much each independent variable is able to explain the dependent variable. Performance Management has R2 of 0.92. This figure shows that Risk Management, Internal Control and Good Corporate Governance can explain 92% of variants of performance management, while the rest is explained by other factors. For the value of R2 functions to show how much each independent variable is able to explain the dependent variable. Internal control has R2 of 0.82. This figure shows that risk management can explain 82% of variants of internal control, while the rest is explained by other factors. For the value of R2 functions to show how much each independent variable is able to explain the dependent variable. Good Corporate Governance has R2 of 0.82. This figure shows that risk management can explain 82% of variants of good corporate governance, while the rest is explained by other factors.
Police dramas are one of the most important genres on television, both to represent social issues and reflect ideological changes. Spanish crime dramas peaked in the 2000s and boasted huge, home-grown success stories, achieving higher ratings than US imports. However, after the economic crisis in 2008 and subsequent cuts to television budgets, Spain’s TV producers had to seek international opportunities. Creating a virtue out of necessity, an increasing number of drama producers were going global and beginning to reap the rewards of international ventures. One such venture is 'Los misterios de Laura/The Mysteries of Laura' (2009–14), a wonderfully light-hearted crime comedy about Police Inspector Laura Lebrel, a divorced mother of twins with a chaotic personal and professional life. This article examines the Televisión española and the American NBC productions 'Los misterios de Laura' and 'The Mysteries of Laura', respectively, in order to explore the dis/continuities of this transnational success formula, focusing on three key issues: female police officers, office politics, and working mothers. Central to my discussion will be the significance of humour in the workplace as a meaning-making cultural practice. I use humour theories from TV and Critical Management studies to ascertain the main and sometimes subtle differences in the representations of a working mother’s life.
<div class="WordSection1"><p><em>The purpose of this study was to determine: 1) Whether eWOM has a positive effect on purchase decisions, 2) Does Ease of Use have a positive effect on purchase decisions, 3) Does trust have a positive effect on purchase decisions. Data collection in this study was carried out using a questionnaire distributed online to Blibli users. The number of respondents used in this study is 100 respondents. The sampling technique used in this study is non-probability sampling by relying on judgmental sampling. Partial least square-structural equation modeling (PLS-SEM) analysis was performed using the SmartPLS 3.0 program to analyze the data. The findings of this study are that eWOM, Ease of Use and Trust have a positive effect on purchase decisions. The contribution of this research can provide input to the Blibli company to better maintain and manage ease of use, trust and electronic word of mouth so that Blibli users can use Blibli more freely and comfortably so that transactions carried out in Blibli can run more smoothly and safely, which is then will give Blibli an advantage as a player in Internet-based transaction systems because it is a fast paced industries that can change in a matter of time.</em></p></div><em><br clear="all" /></em>
Caitlin M Wolfe, Esther L Hamblion, Emmanuel K Dzotsi
et al.
<h4>Background</h4>The WHO African region frequently experiences outbreaks and epidemics of infectious diseases often exacerbated by weak health systems and infrastructure, late detection, and ineffective outbreak response. To address this, the WHO Regional Office for Africa developed and began implementing the Integrated Disease Surveillance and Response strategy in 1998.<h4>Objectives</h4>This systematic review aims to document the identified successes and challenges surrounding the implementation of IDSR in the region available in published literature to highlight areas for prioritization, further research, and to inform further strengthening of IDSR implementation.<h4>Methods</h4>A systematic review of peer-reviewed literature published in English and French from 1 July 2012 to 13 November 2019 was conducted using PubMed and Web of Science. Included articles focused on the WHO African region and discussed the use of IDSR strategies and implementation, assessment of IDSR strategies, or surveillance of diseases covered in the IDSR framework. Data were analyzed descriptively using Microsoft Excel and Tableau Desktop 2019.<h4>Results</h4>The number of peer-reviewed articles discussing IDSR remained low, with 47 included articles focused on 17 countries and regional level systems. Most commonly discussed topics were data reporting (n = 39) and challenges with IDSR implementation (n = 38). Barriers to effective implementation were identified across all IDSR core and support functions assessed in this review: priority disease detection; data reporting, management, and analysis; information dissemination; laboratory functionality; and staff training. Successful implementation was noted where existing surveillance systems and infrastructure were utilized and streamlined with efforts to increase access to healthcare.<h4>Conclusions and implications of findings</h4>These findings highlighted areas where IDSR is performing well and where implementation remains weak. While challenges related to IDSR implementation since the first edition of the technical guidelines were released are not novel, adequately addressing them requires sustained investments in stronger national public health capabilities, infrastructure, and surveillance processes.
Mohammed Asserraji, Abdelmajed Bouzerda, Safia Soukrate
et al.
Among patients with chronic kidney disease (CKD), hypertension (HTN) is very common and widely recognized to accelerate the progression of CKD and increase the risk for cardiovascular events. Accumulated data indicate that ambulatory blood pressure monitoring (ABPM) is better in detecting HTN than office blood pressure (BP) measurement. The goal of this study is to describe the ABPM characteristics in a group of CKD and hypertensive patients. A transversal study was conducted over a period of six months, to evaluate the ABPM patterns among a group of hypertensive patients with CKD (Group 1) and compared the data with a control group (Group 2). ABPM was performed with measurement rate every 15 min during daytime and 30 min at night. Nondipping BP patterns were defined as the absence of fall in nocturnal systolic and diastolic BP >10% of daytime values. Masked HTN was defined as controlled office BP (<140/90 mm Hg) with an elevated overall average BP by 24-h ABPM (>125/75 mm Hg), and white-coat HTN was defined as association of elevated BP readings (>140/90 mm Hg) in a clinical setting and normal 24-h average BP levels (<130/80 mm Hg). Fifty patients were included in each group. HTN was much longer in duration among hypertensive patients with CKD and frequently associated with obesity, dyslipidemia, and diabetes (64% vs. 39.60%). Positive proteinuria was present in 82% of CKD patients with HTN. CKD patients with HTN received more antihypertensive drugs than Group 2 patients. HTN was much more uncontrolled among CKD patients (60% vs. 24%), more serious with higher daytime and nighttime SBP, and loss of physiologic dipping during nighttime BP measurement (80%). Out-of-office BP monitoring by ABPM may improve the assessment and the successful management of HTN in patients with CKD. Standardized definitions for the diagnosis of masked and white-coat HTN would facilitate research.
P Brandon Bookstaver, Phillip L Mohorn, Ansal Shah
et al.
Viruses are a common cause of central nervous system (CNS) infections with many host, agent, and environmental factors influencing the expression of viral diseases. Viruses can be responsible for CNS disease through a variety of mechanisms including direct infection and replication within the CNS resulting in encephalitis, infection limited to the meninges, or immune-related processes such as acute disseminated encephalomyelitis. Common pathogens including herpes simplex virus, varicella zoster, and enterovirus are responsible for the greatest number of cases in immunocompetent hosts. Other herpes viruses (eg, cytomegalovirus, John Cunningham virus) are more common in immunocompromised hosts. Arboviruses such as Japanese encephalitis virus and Zika virus are important pathogens globally, but the prevalence varies significantly by geographic region and often season. Early diagnosis from radiographic evidence and molecular (eg, rapid) diagnostics is important for targeted therapy. Antivirals may be used effectively against some pathogens, although several viruses have no effective treatment. This article provides a review of epidemiology, diagnostics, and management of common viral pathogens in CNS disease.
Lúcia Alves da Silva Lara, Sandra Cristina Poerner Scalco, Júlia Kefalás Troncon
et al.
Abstract Introduction Sexual pleasure is fundamental for the maintenance of health and well-being, but it may be adversely affected by medical and psychosocial conditions. Many patients only feel that their health is fully restored after they resume normal sexual activities. Any discussion of sexuality in a doctor's office is typically limited, mainly because of a lack of models or protocols available to guide the discussion of the topic. Objectives To present a model designed to guide gynecologists in the management of female sexual complaints. Methods This study presents a protocol used to assess women's sexual problems. A semi-structured interview is used to assess sexual function, and the teaching, orienting and permitting (TOP) intervention model that was designed to guide gynecologists in the management of sexual complaints. Results The use of protocols may facilitate the discussion of sexual issues in gynecological settings, and has the potential to provide an effective approach to the complex aspects of sexual dysfunction in women. The TOP model has three phases: teaching the sexual response, in which the gynecologist explains the physiology of the female sexual response, and focuses on the three main phases thereof (desire, excitement and orgasm); orienting a woman toward sexual health, in which sexual education is used to provide information on the concept and healthy experience of sexuality; and permitting and stimulating sexual pleasure, which is based on the assumption that sexual pleasure is an individual right and is important for the physical and emotional well-being. Conclusion The use of protocols may provide an effective approach to deal with female sexual dysfunction in gynecological offices.
This research presents a proposal for the implementation of an environmental management system in the Ministry of Mines and Energy, based on the fulfillment of the requirements established in the standard ISO 14001:2015. The research process is framed within the concepts of systemic thinking, environmental management and the integration of management systems. For the preparation of the proposal, it was necessary, firstly, to carry out an initial environmental review, under the parameters of GTC 93, secondly, with the
results obtained from the environmental review, the gaps were established between what the standard calls for and what the entity currently has, so that in the last place a proposal that fits the context of the Ministry of Mines and Energy could be constructed. This proposal has a scope to the activities that are developed in the administrative area, such as the maintenance, cleaning, management of the car park and above all the office activities that generate consumption of energy and water, and that in turn produce waste.
Elin Cahyaningsih, Dieny Sukmiati, Nur Chasanah
et al.
Knowledge Management (KM) became a new concept of organizational development. Many organization starts to implement knowledge management including government. First step for implementing KM in organization is defining KM strategy. This research aims to define KM strategy byKM assessment from organization vision, mission and goals using balanced scorecard (BSC) methods to find KM performance indicator in each aspect of balanced scorecard variable. This study constructs SPSS (Statistical Package for the Social Sciences) for processing and data analysis. The authors spread questionnaire at Head Office of Badan Kepegawaian Negara, Jakarta. The result of this research are KM strategies for implementing KM in Indonesian Government case study at Badan Kepegawaian Negara are monitoring program performance in order to create a working relationship and good personnel management as a learning activity for increasing organizational performance, raise up a teamwork culture within organization in to support business process in order to reach organizational performance and competitive advantage, increasing timeliness of service target achievement and standard time of customer service in order to increase organizational performance, and increasing the coordination effectiveness of program planning and budget as to increase the accountability of the organization, performance achievement and organizational performance.