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S2 Open Access 2021
KDIGO 2021 Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease.

A. Cheung, T. Chang, W. Cushman et al.

Chapter 1: Blood pressure measurement Recommendation 1.1 We recommend standardized office BP measurement in preference to routine office BP measurement for the management of high BP in adults (1B). • Practice Point 1.1: An oscillometric BP device may be preferable to a manual BP device for standardized office BP measurement; however, standardization emphasizes adequate preparations for BP measurement, not the type of equipment.

780 sitasi en Medicine
S2 Open Access 2018
Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association.

R. Carey, D. Calhoun, G. Bakris et al.

Resistant hypertension (RH) is defined as above-goal elevated blood pressure (BP) in a patient despite the concurrent use of 3 antihypertensive drug classes, commonly including a long-acting calcium channel blocker, a blocker of the renin-angiotensin system (angiotensin-converting enzyme inhibitor or angiotensin receptor blocker), and a diuretic. The antihypertensive drugs should be administered at maximum or maximally tolerated daily doses. RH also includes patients whose BP achieves target values on ≥4 antihypertensive medications. The diagnosis of RH requires assurance of antihypertensive medication adherence and exclusion of the "white-coat effect" (office BP above goal but out-of-office BP at or below target). The importance of RH is underscored by the associated risk of adverse outcomes compared with non-RH. This article is an updated American Heart Association scientific statement on the detection, evaluation, and management of RH. Once antihypertensive medication adherence is confirmed and out-of-office BP recordings exclude a white-coat effect, evaluation includes identification of contributing lifestyle issues, detection of drugs interfering with antihypertensive medication effectiveness, screening for secondary hypertension, and assessment of target organ damage. Management of RH includes maximization of lifestyle interventions, use of long-acting thiazide-like diuretics (chlorthalidone or indapamide), addition of a mineralocorticoid receptor antagonist (spironolactone or eplerenone), and, if BP remains elevated, stepwise addition of antihypertensive drugs with complementary mechanisms of action to lower BP. If BP remains uncontrolled, referral to a hypertension specialist is advised.

799 sitasi en Medicine
S2 Open Access 2021
Impact of Covid-19 on field and office workforce in construction industry

A. Pamidimukkala, Sharareh Kermanshachi

The COVID-19 outbreak is the greatest global health crisis in many years. It has had a dramatic effect on workforces and workplaces all around the world, as it has spawned a massive change in the working atmosphere and raised the level of employees’ concerns about their mental health and physical wellbeing. The construction industry has been significantly affected by the COVID-19 pandemic and has been challenged to improve the safety and wellbeing of its workforce. The objectives of this study are to identify the health and safety issues that construction workers have encountered during the pandemic and to recommend management strategies to combat them. A thorough literature search on recently published literature, industry experiences, reports, and other related documents was performed to collect and categorize the required data. Seventeen COVID-19 challenges were identified and classified into five categories, and the results revealed that the lack of a safe environment in the workplace, heavy workloads, home situations, and concerns about job stability often contribute to anxiety, depression, and even suicide. Eleven strategies were identified to overcome these challenges, and the results demonstrated that redefining worksite safety by placing signs, ensuring a safe distance between workers, providing sanitizers and washing stations in the fields, and utilizing effective technologies would enhance project productivity while keeping workers safe. The findings of this study will help the project managers and authorities in the construction industry understand the challenges of the pandemic and adopt effective strategies that will improve the health and safety of their workforce.

188 sitasi en Medicine
S2 Open Access 2021
Hourly energy consumption prediction of an office building based on ensemble learning and energy consumption pattern classification

Zhenxiang Dong, Jiangyan Liu, B. Liu et al.

Abstract Accurate building energy consumption prediction plays an important role in building energy management and energy policy. However, traditional prediction methods of building energy consumption fail to consider the running conditions of buildings in different periods, which results in the failure of best forecasting effect. This study presents a prediction strategy of building energy consumption based on ensemble learning and energy consumption patterns classification. Hourly meteorological data from a meteorological station and energy consumption data from an office building in New York City are used for this work. First, decision tree is employed to mining energy consumption patterns and classify energy consumption data into corresponding categories. Then, the ensemble learning method is employed to establish energy consumption prediction models for each pattern. Finally, the prediction accuracy of the proposed method is comparatively analyzed with other three methods, i.e., ensemble learning without energy consumption patterns classification, SVR and ANN. Also, the robustness of various methods is investigated by comparing their prediction performance under different training data amounts. Results show that there are four classified energy consumption patterns of the building and significant differences among each other. The ensemble learning model with energy consumption patterns classification achieves the best prediction with 17.7%, 16.1%, 15.4%, 15.8%, 15.6% of CVRMSE under 20%, 40%, 60%, 80% and 100% data availability, respectively. It illustrates that the proposed strategy is reliable and effective. Additionally, this strategy can obtain acceptable performance with less training data, which is helpful to the application of energy consumption prediction.

177 sitasi en Computer Science
DOAJ Open Access 2025
Impact of Clostridium butyricum HADIG-CB003 dietary supplementation on the gut microbiota of Kunming mice

Yilin Pang, Xianxian Xu, Daizhi Li et al.

Abstract Clostridium butyricum is a key anaerobic probiotic due to its ability to produce butyric acid and form spores. In this study, four strains were isolated from pig feces using tryptose sulfite cycloserine (TSC) plates and specific primers sequentially. The optimal strain, C. butyricum HADIG-CB003, identified via gas chromatography and enzyme tests, produced 1.54 g/L of butyric acid, with cellulase and amylase activities of 20.88 ± 1.27 U/mL and 16.04 ± 0.46 U/mL, respectively. In reinforced clostridial medium, it produced 2.48 L of gas per liter, with hydrogen making up 59.68% (1.48 L). The adhesion rate to porcine intestinal epithelial cells (IEC-J2) was 9.16% in vitro. Twelve 3-week-old male Kunming mice were split into two groups and fed a basal diet with or without 1 × 1010 CFU (colony-forming unit)/kg HADIG-CB003 for 2 weeks. The HADIG-CB003 diet did not significantly affect body weight or the feed-to-gain ratio but reduced harmful bacteria like Salmonella enterica and increased beneficial gut bacteria, elevating the Firmicutes/Bacteroidetes ratio (p < 0.05). Moreover, the HADIG-CB003 diet significantly increased fecal butyric acid levels and decreased microbial species richness (Chao1 index) in the cecal contents of the mice. The study shows that a TSC double-layer plate, PCR screening, and 16S rRNA sequencing effectively screen C. butyricum in pig feces. Additionally, adding HADIG-CB003 to Kunming mice diets significantly changed their gut microbiota in 2 weeks.

Microbiology, Biotechnology
DOAJ Open Access 2025
The institutional independence comparative analysis of the supreme audit institutions

Y.M. Denysovets

The article conducts a comprehensive study of the institutional independence of supreme audit institutions (SAIs) using quantitative analysis methods and international comparison. Based on data from the Global Synthesis Report on SAIs covering 131 countries, the level of independence is assessed according to 12 key indicators, including: financial autonomy, transparency of management appointments, the right to determine the scope of the audit, access to information, and publication of reports. The analysis and clustering of countries by the level of independence of supreme audit institutions is carried out, as a result of which four types of institutional independence models are identified. Ukraine belongs to the cluster with a fragmented independence architecture, with strengths in operational autonomy and the mandate to publish reports, but with a significant lag in financial and legal parameters. A method for assessing the institutional gap between Ukraine and the group of leading countries is proposed, which allows for identifying weaknesses (financial autonomy, personnel stability, range of audits, constitutional basis). Strengthening the institutional independence of the SAI is a key condition for the transition from a punitive audit model to a strategic efficiency audit. The need to consolidate the autonomy of the State Audit Office at the constitutional level, improve the budget procedure, introduce risk-based planning, and integrate audit results into the process of state policy formation is substantiated. The presented analytical tools can be used to develop a roadmap for institutional reform of the state audit system in Ukraine.

DOAJ Open Access 2025
Students' Perceptions of The Four Indicators of Religious Moderation in Arabic Textbooks: Corpus-based Critical Discourse Analysis

Fakron Jamalin

A contextual Arabic textbook was compiled as a religious moderation program in UIN Maulana Malik Ibrahim, Indonesia. The moderation program was initiated by the Ministry of Religious Affairs. A textbook showing Indonesian culture was developed to differentiate Arabic textbooks from other countries, such as Germany and Saudi Arabia. The textbook contains four distinct indicators.  This study explores the concordance and collocation of four indicators of religious moderation in Arabiyah Lil Hayah (ALH). It also investigated students’ perceptions of the four indicators. Employing corpus-based critical discourse analysis, this study collected a corpus from the ALH book on student perceptions in txt form. This study identified that the indicator of National Commitment is present in several contexts, such as August 17, Islamic organizations, and elections. The Tolerance indicator is represented by the different opinions of the four madzhabs and the motto of Bhinneka Tunggal Ika. The teaching of non-violence was described in the Hajar Aswad incident in Makkah. Local culture was introduced in the context of culture, ethnicity, and traditional food. Students use a variety of sentences to express their perceptions, including cause-and-effect, supposition, and rhetorical forms. When the discourse is personally relevant, pronouns are used to reflect this connection, with their expression of identity often aligned with their social community or gender, such as affiliations with NU (Nahdlatul Ulama) or their identity as women.

Office management, Education (General)
DOAJ Open Access 2025
Validating the accuracy of Omron J760 electronic blood pressure monitor in the general population according to AAMI/ESH/ISO (ISO 81060-2:2018) + AMD1:2020

Bihua Chen, Guorong Chen, Hong Jiang et al.

Purpose The accuracy of the Omron J760 electronic blood pressure (BP) monitor for upper arm BP measurement in the adult general population was validated following the AAMI/ESH/ISO (ISO 81060-2:2018) + Amd1:2020 protocol. We expect that this device can be used for home blood pressure monitoring, with its measurements serving as a clinical reference.Methods Subjects meeting the age, gender, BP, and cuff distribution criteria as specified by the AAMI/ESH/ISO (ISO 81060-2:2018) + Amd1:2020 were recruited. BP measurements were conducted using the same-arm sequential method. The test device cuff was suitable for arm circumferences ranging from 22.0 cm to 42.0 cm.Results Eighty-nine participants were initially recruited, 85 were evaluated after excluding 4 participants. The mean age of the participants was 48.5 ± 15.17 years. For validation criterion 1, the mean ± standard deviation (SD) of the differences between the test device and the reference BP measurements were 0.2 ± 5.74 mmHg for systolic BP and −0.9 ± 4.69 mmHg for diastolic BP. These results met the AAMI/ESH/ISO (ISO 81060-2:2018)+Amd1:2020 standard, which requires differences of ≤5 ± ≤8 mmHg. For validation criterion 2, the mean differences between the test device and the reference device were 0.2 ± 5.10 mmHg for systolic BP and −0.9 ± 4.30 mmHg for diastolic BP. This criterion was satisfied with criterion 2 of ≤6.95 mmHg for systolic BP and ≤6.88 mmHg for diastolic BP.Conclusion The Omron J760 electronic BP monitor meets the requirements of the AAMI/ESH/ISO (ISO 81060-2:2018)+Amd 1:2020 validation standard.

Diseases of the circulatory (Cardiovascular) system
DOAJ Open Access 2024
Increased risks of retinal vascular occlusion in patients with migraine and the protective effects of migraine treatment: a population-based retrospective cohort study

Kuan-Yun Ho, Chia-Der Lin, Tzu-Ju Hsu et al.

Abstract Associations between migraine and retinal vascular occlusion have been reported, but there is no large-scale and comprehensive study. Therefore, we aimed to determine risks of retinal vascular occlusion in patients with migraine. Using the Taiwan National Health Insurance Research Database from 2009 to 2020, we enrolled 628,760 patients with migraine and 628,760 matched individuals without migraine. Study outcomes were diagnoses of retinal vascular occlusion, including retinal artery occlusion (RAO) and retinal vein occlusion (RVO). Adjusted hazard ratio (aHR) of retinal vascular occlusion related to migraine was estimated. The cumulative incidences of subsequent retinal vascular occlusion, RAO, and RVO were significantly higher in migraine patients compared with controls (0.31% vs. 0.21%; 0.09% vs. 0.05%; 0.22% vs. 0.17%; all p < 0.001). The hazards of retinal vascular occlusion, RAO, and RVO were significantly greater in the migraine group (aHR, 1.69 [95% CI, 1.57, 1.83], 2.13 [95% CI, 1.84, 2.48] and 1.53 [95% CI, 1.40, 1.68], respectively). Risks of retinal vascular occlusion were significantly higher in migraine both with aura (MA) and without aura (MO) (aHR, 1.77 [95% CI, 1.58, 1.98], and 1.92 [95% CI, 1.64, 2.25]). Among patients with migraine, nonsteroidal anti-inflammatory drugs, propranolol, and flunarizine significantly reduce their risks of retinal vascular occlusion (aHR, 0.19 [95% CI, 0.16, 0.22], 0.73 [95% CI, 0.62, 0.86], 0.84 [95% CI, 0.76, 0.93]). Migraine, MA and MO are independently associated with higher risks of retinal vascular occlusion, RAO, and RVO.

Medicine, Science
DOAJ Open Access 2024
Integration and Application of Ocean and Coastal Zone Database Development and Data Visualization

WANG Lixuan, LI Ruiqiang, CAO Xiaoli et al.

In response to a large amount of marine and coastal geological data, the Yantai Center of Coastal Zone Geological Survey has designed and developed a marine and coastal database management and visualization system. This paper introduces the development environment and functional modules of the database system. The development and use of this system have achieved the integration of data aggregation, processing, and display of geological data, which is of great significance for improving the value and utilization rate of geological information resources.

Oceanography
DOAJ Open Access 2024
A field and modeling study of subsurface stormflow for Huanggou Hillslope

Yuanxin Song, Yanjun Zhang, Ningyue Chen et al.

Study region: The Huanggou Hillslope in China Study focus: The study of the threshold behavior and nonlinear characteristics of subsurface stormflow is not only essential for hydrology theory but also for flash flood disaster prevention. However, the formation mechanism and determination method of the thresholds have received little attention. Firstly, this study proposed the three-stage subsurface stormflow mechanism hypothesis. Secondly, based on in-situ observation, this study utilized the piecewise regression method and the soil moisture accounting method to analyze the threshold behavior and verify the three-stage mechanism hypothesis. And found that at the Huanggou Hillslope, the thresholds are related to the soil characteristic water content, and the sum of the thresholds of stratified runoff is approximately equal to the threshold of total runoff. Finally, this study developed the three-stage subsurface stormflow-based model (TSSM) and applied it to the Huanggou Hillslope and the Huanggou Watershed. New hydrological insights for the region: The results show that TSSM performed well, with NSEs of 0.82 and 0.67 in the calibration and verification periods of the Huanggou slope, and NSEs of 0.76 and 0.74 in the calibration and verification periods of the Huanggou Watershed, respectively. This study elucidated the three-stage subsurface stormflow mechanism and developed an effective simulation model, which contributes to increasing our understanding of three-stage subsurface stormflow and is beneficial for hydrologists to develop more realistic hydrological models.

Physical geography, Geology
S2 Open Access 2020
The COVID-19 office in transition: cost, efficiency and the social responsibility business case

L. Parker

This study aims to critically evaluate the COVID-19 and future post-COVID-19 impacts on office design, location and functioning with respect to government and community occupational health and safety expectations. It aims to assess how office efficiency and cost control agendas intersect with corporate social accountability.,Theoretically informed by governmentality and social accountability through action, it thematically examines research literature and Web-based professional and business reports. It undertakes a timely analysis of historical office trends and emerging practice discourse during the COVID-19 global pandemic's early phase.,COVID-19 has induced a transition to teleworking, impending office design and configuration reversals and office working protocol re-engineering. Management strategies reflect prioritisation choices between occupational health and safety versus financial returns. Beyond formal accountability reports, office management strategy and rationales will become physically observable and accountable to office staff and other parties.,Future research must determine the balance of office change strategies employed and their evident focus on occupational health and safety or cost control and financial returns. Further investigation can reveal the relationship between formal reporting and observed activities.,Organisations face strategic decisions concerning both their balancing of employee and public health and safety against capital expenditure and operation cost commitments to COVID-19 transmission prevention. They also face strategic accountability decisions as to the visibility and correspondence between their observable actions and their formal social responsibility reporting.,Organisations have continued scientific management office cost reduction strategies under the guise of innovative office designs. This historic trend will be tested by a pandemic, which calls for control of its spread, including radical changes to the office at potentially significant cost.,This paper presents one of few office studies in the accounting research literature, recognising it as central to contemporary organisational functioning and revealing the office cost control tradition as a challenge for employee and community health and safety.

127 sitasi en Business
DOAJ Open Access 2023
Vulnerability Assessment and Obstacle Degree Analysis of Marine Economic System in Shandong Province Based on Entropy Weight TOPSIS Model

Zhen LI

In the context of constructing a powerful marine country, the research on the vulnerability of the marine economic system in Shandong Province is of great significance for the sustainable development of the marine economy. This paper constructed an index system of marine economic system vulnerability from four aspects: coping capability, sensitivity, coercion and elasticity, and calculated the index weight based on the entropy weight method. The vulnerability of the system was analyzed, and combined with the obstacle degree model, the first five obstacles affecting the vulnerability of the marine economic system were studied in detail from the index level. The study found: First, the vulnerability of the marine economic system in Shandong Province experienced obvious fluctuations from 2007 to 2014, and since 2014, the degree of system vulnerability of the marine economy in Shandong Province has shown a downward trend; overall, the sensitivity showing a gradual upward trend, the coping ability and coercion have experienced the initial big ups and downs, and have shown upward momentum since 2009 and 2013, respectively. Except for the extremely high value in 2013, the other years showed relatively stable elasticity. Finally, through the analysis of the obstacle degree of the standard layer in each year, it was found that the coping ability (R) and sensitivity (S) played a major role, and through the obstacle degree analysis of the index layer, it was found that the total industrial wastewater discharge (10, 000 tons) ), foreign exchange income from inbound tourism (10, 000 US dollars), investment in fixed assets of the whole society (100 million yuan), passenger throughput (10, 000 person-times), marine industrial structure diversification index, per capita urban road area (square meters), marine tertiary industry accounted for ratio (%) and number of protected areas (pieces) was the main obstacle.

Oceanography
DOAJ Open Access 2022
Compound Kushen injection inhibits EMT of gastric cancer cells via the PI3K/AKT pathway

Luo Li, Keshan Wang, Zhenguo Liu et al.

Abstract Background The effective components contained in compound Kushen injection (CKI) and the genes and signalling pathways related to gastric cancer (GC) were analyzed through the network pharmacology method of traditional Chinese medicine, and various possible mechanisms by which CKI affects the proliferation, differentiation, survival, and metastasis of GC cells were discussed. The PI3K/AKT signalling pathway is considered to be one of the most important pathways targeted by CKI in the regulation of GC cells. The implementation of related cell experiments also confirmed the information we revealed. Methods Effective drug components of Kushen and Baituling in CKI were identified from the Traditional Chinese Medicine Systems Pharmacology Database (TCMSP). Genes related to GC were identified using the GENECARD and OMIM databases. The common target genes related to the effective components of the drug and GC were identified using the intersection method and visualized using software. A protein–protein interaction network (PPI) was established using STRING online software to confirm the key genes. Gene Ontology (GO) enrichment analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analyses were performed to predict the key pathways of CKI in GC treatment. BGC-803 and MKN-28 GC cells were used to verify the signalling pathway. Cell proliferation, apoptosis, migration ability, and invasion ability were assessed using CCK8, flow cytometry, scratch, and transwell assays. Immunofluorescence assays and western blotting were used to detect the expression of related proteins. Results CKI regulated GC cells through 35 effective drug components of GC-related target genes. In total, 194 genes were common targets of CKI and GC. The most significant function of the enriched genes was DNA-binding transcription activator activity as demonstrated by GO enrichment analysis. The metabolic pathway with the highest enrichment was the PI3K/AKT signalling pathway as demonstrated by KEGG enrichment analysis. Our cell experimental evidence also shows that CKI inhibits GC cell growth and migration and induce GC cell apoptosis. In addition, CKI inhibits the EMT process in GC cells through the PI3K/AKT signalling pathway. Conclusion AKT1 is a key gene for CKI treatment of GC. CKI inhibited GC cell growth and migration and induced GC cell apoptosis. In addition, CKI regulated the EMT process in GC cells through the PI3K/AKT signalling pathway.

Surgery, Neoplasms. Tumors. Oncology. Including cancer and carcinogens
DOAJ Open Access 2022
Patterns and Trends of the Mortality From Bone Cancer in Pudong, Shanghai: A Population-Based Study

Gui-Fen Ma, Gui-Fen Ma, Qi-Yuan Bao et al.

IntroductionThe burden of cancer-related mortality of common malignancies has been reported worldwide. However, whether bone cancer (BC), as a highly aggressive and heterogeneous group of rare cancers, followed a similar or distinct epidemiological pattern during such process remains largely unknown. We aimed to analyze the mortality and the temporal trends of BC in relation to gender, age, and premature death in Shanghai, China.MethodsWe conducted a population-based analysis of the mortality data of BC in Shanghai Pudong New Area (PNA) from 2005 to 2020. The epidemiological characteristics and long-term trends in crude mortality rates (CMRs), age-standardized mortality rates worldwide (ASMRWs), and rate of years of life lost (YLL) was analyzed using the Joinpoint regression program. The demographic and non-demographic factors affecting the mortality rate were evaluated by the decomposition method.ResultsThere are 519 BC-specific deaths accounting for 0.15% of all 336,823 deaths and 0.49% of cancer-specific death in PNA. The CMR and ASMRW of BC were 1.15/105 person-year and 0.61/105 person-year, respectively. The YLL due to premature death from BC was 6,539.39 years, with the age group of 60–69 years having the highest YLL of 1,440.79 years. The long-term trend of CMR, ASMRW, and YLL rate significantly decreased by −5.14%, −7.64%, and −7.27%, respectively, per year (all p &lt; 0.05) in the past 16 years. However, the proportion of BC-specific death within the total cancer-specific death dropped to a plateau without further improvement since 2016, and a remarkable gender and age disparity was noticed in the observed reduction in mortality. Specifically, the elderly benefited less but accounted for a larger percentage of BC population in the last decades. Although the overall mortality of BC decreased, there was still a significant upward trend toward an increased mortality rate caused by the aging of the BC patients.ConclusionOur study provides novel insights on the epidemiological characteristics and longitudinal dynamics of BC in a fast urbanization and transitioning city. As a rare disease affecting all ages, the burden of BC among the elderly emerged to form an understudied and unmet medical need in an aging society.

Neoplasms. Tumors. Oncology. Including cancer and carcinogens
DOAJ Open Access 2022
The Relationship of Breathing and COVID-19 Anxiety When Using Smart Watches for Guided Respiration Practice: A Cross-Sectional Study

Yu-Feng Wu, Mei-Yen Chen, Jian-Hong Ye et al.

COVID-19 mortality rates are increasing worldwide, which has led to many highly restrictive precautionary measures and a strong sense of anxiety about the outbreak for many people around the world. There is thus an increasing concern about COVID-19 anxiety, resulting in recommending approaches for effective self-care. From a positive psychology perspective, it is also important for people to have positive affect when dealing with this pandemic. According to previous literature, respiration is considered to be an effective way to enhance people’s mental health. Among all the wearable devices, Apple Watch has the largest market share, so this study recruited Chinese users that use respiration exercise function on Apple Watch; a total of 316 valid data were retrieved. Meanwhile, to understand one approach related to using Apple Watch to practice respiration to reduce COVID-19 anxiety about being infected during the COVID-19 outbreak, this study used a web-based cross-sectional survey to examine anxiety about being infected by COVID-19 among Chinese people who had been using the Apple Watch to practice respiration during the period of the COVID-19 outbreak. The study was based on the Health Theoretical Model, and the model was developed with four dimensions and was validated with structural equation modeling. The results of this study showed that practicing few minutes had a positive relationship on positive attitude, and positive attitude had a negative relationship on pandemic anxiety and a positive relationship on continuance use intention. Anxiety about the pandemic had a negative relationship on the intention to continue using the function. This showed that respiration practice can help to suppress the increase in anxiety levels regarding this pandemic.

DOAJ Open Access 2021
The ABCs of Kidney Disease: Knowledge Retention and Healthcare Involvement

Daphne H. Knicely MD, MEHP, Kristina Rinaldi, Shani Snow et al.

Low health literacy in the chronic kidney disease population results in lower rates of pre-dialysis preparation and understanding of management to slow progression. The ABCs of Kidney Disease education class provided education in a more consistent manner outside of routine office visits. We aimed to study whether a structured education program would increase kidney disease-specific knowledge and healthcare involvement. Knowledge retention at least 6 months after the class assessed by the Kidney Disease Knowledge Surveys (KiKS) and healthcare involvement based on surveys sent to referring providers were found to have increased. Incorporation of a structured education program would be important for providers to improve long-term knowledge and lead to greater healthcare involvement. Providing an education class outside of the routine office visits will provide a greater impact on health literacy.

Medicine (General)
DOAJ Open Access 2021
The Corona Crisis and Development of Teleworking Process in the Iranian Administrative System: Experiences of the National Library and Archives of the Islamic Republic of Iran

Elham Ebrahimi, Babak Zendedel Nobari, Ali Shoja

AbstractTeleworking was one of the main actions of organizations and companies around the world during the Covid 19 pandemic, which, of course, used to be done for various reasons, but not to the extent of the pandemic era.The National Library and Archives of the Islamic Republic of Iran, as one of the government agencies, has used telecommuting platform since the beginning of the signification of the telecommunications regulations in 2010 up tonow, due to the nature of its functional and quantitative nature of many of its specialized jobs. But the question is how this organization, despite having a decade of experience in implementing and managing the telecommuting process, has dealt with this issue during the Corona pandemic crisis, and in other words, what new lessons has it achieved from this emerging experience? The aim of this study was to answer this question with inductive approach and qualitative method. The target population of this study was employees and managers with a history of teleworking or decision makers in the teleworking process in the National Library and Archives of Iran. Sampling was unlike probability quota and continued until data saturation. The method of data collection was semi-structured interviews and the method of analysis was thematic analysis. Findings showed that the organization's experiences of telecommuting during the Corona pandemic are divided into five main themes and nineteen sub-themes resulting from them. In other words, to manage telecommuting in times of Corona crisis, proper confrontation was necessary in five main areas: 1. Organizational culture, 2. Organizational systems and infrastructure, 3. Perceptions, attitudes and skills of employees, 4. Adaptation of management styles and 5. Organizational strategies and functions. The requirements of each of these areas are presented in detail in the discussion and conclusion section and can add to the experience of organizations in dealing properly with the telecommuting phenomenon during the Corona pandemic.IntroductionAlthough interest in the idea of ​​telecommuting first emerged with the oil crisis and to avoid the costs imposed in the 1970s, presently in many industries and organizations, telecommuting is even considered a competitive advantage. On the other hand, the nature of work around the world has changed dramatically due to advanced communication tools. Organizations are increasingly turning from an absolute approacha to their physical locations. They are well aware of the importance of adapting to new changes and conditions in order to reduce costs and waste of time and on the other hand increase flexibility and efficiency. Researches related to telecommuting in the world have a history around its age and in Iran, researches on telecommuting has been conducted in the last decade. But in the current context of the world, given the pandamic of the Corona virus and its consequences for organizations, we are witnessing a change in the appearance and substance of telecommuting, both quantitatively and qualitatively. The tangible research gap in this area needs to be explored. The question is, from the point of view of the staff and executors of the telecommuting process in the National Archives and Library of Iran, what are the differences between this process and the telecommuting in the normal state of the organization and how was it? The present study was conducted to answer this question with an inductive approach and a qualitative method. The knowledge-enhancing contribution of the present study is the study of telework experience in one of the major government institutions in the field of culture in the country. Although the issue of telecommuting is not a new issue, so far this issue has been considered as option and has not been addressed in the current era due to the coercion of the Corona pandemic in the country.Case studyThe National Archives and Library of Iran was identified as suitable for this study; This is because the organization has a long history of telecommuting implementation, and its review of telecommuting management during the current Covid 19 pandemic crisis will bring valuable points.  Theoretical frameworkTelecommuting is used in many terms; these include: work from home, e-work, virtual work, telework, remote work, distance working, work shifting and flexible work. Of course, these different terms have many conceptual overlaps, and all of them refer in some way to the central nature of telecommuting. People use the concept in a variety of ways, extending it to a wide range of forms of work, including mobile work, work in any place other than the usual employer-accepted workplace, shared office centre or hub and home-based working. For example, Morganson, Major, Auburn, Verio, and Heelan (2010) have defined teleworking as working from anywhere, anytime. Also defined by Apgar (1998) telecommuting is doing work electronically wherever the employee chooses. This method of work is "moving the work towards the employee" instead of "moving the employee towards the work" (Ghanbari, 2011).Teleworking in Iran officially began in July 2010 with the announcement of telecommunications regulations by the government of the time to public agencies and has continued to this day. A decade after the official start of telecommuting in Iran, telecommuting is now practiced in many government ministries, organizations and departments.MethodologyThe present study is an applied research with a qualitative approach that is applied in terms of purpose and exploratory-inductive in terms of data collection. The target population of the present study was three groups of employees. Staff managers who have telecommute employees. Managers who have experience in the life cycle of telecommunicating like office of planning and supervision and general directorate of human resource, and also employees who have at least one six-month period of experience as a telecommuter. Sampling of the mentioned population was done by unlikely quota method until theoretical saturation was reached. The data collection tool in this study was semi-structured interviews and the data analysis method was thematic analysis.Discussion and ResultsBrown and Clark (2006) stepwise method was used for analysis in this study. During this process, after implementing and getting acquainted with the data and studying the information several times, the initial codes were created. Codes such as "temporary internet outages" and "telecommuting as unemployment". In the third step, the codes were matched to form potential themes, and all data related to each theme was collected. Then, by reviewing the themes and the relationship between them and the relationship between the themes and the code, the categoris were modified. In the next step, the formed themes were defined and named; Topics such as "psychological health and safety" were listed as sub-themes. Finally, 19 sub-themes were enumerated, which led to the formation of five main themes by increasing the degree of abstraction.ConclusionIn the current situation where the Crona epidemic disease has caused organizations to show more reception in telecommuting, it is necessary for government organizations to be flexible in policy-making and take appropriate measures to the current situation, while maintaining and improving the level of telecommunications capacity provide for government employees.

Political institutions and public administration (General)

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