Management Activities Research Articles

Traditional Chinese Medicine as the preventive and therapeutic remedy for COVID-19.

The coronavirus disease 2019 (COVID-19) pandemic still has tremendous impacts on the global socio-economy and quality of living. The traditional Chinese Medicines (TCM) approach showed encouraging results during previous outbreaks of Severe Acute Respiratory Syndrome-related coronavirus (SARS-CoV) and the Middle East Respiratory Syndrome Coronavirus (MERS-CoV). With limited treatment availability, TCM herbs and formulations could be viable to reduce COVID-19 symptoms and potential sources for discovering novel therapeutic targets. We reviewed 12 TCM herbs and formulations recommended for COVID-19 management by the National Health Commission and National Administration of Traditional Chinese Medicine, the People's Republic of China. This article explored the Chinese national authorities' guidelines from 2003 to 2020, the scientific data in public databases for the recommended TCM remedies, and their potential mechanistic actions in COVID-19 management. Several TCM herbs and formulations could potentially benefit COVID-19 management. The recommended TCM oral preparations list are Huoxiang zhengqi, Jinhua Qinggan, Lianhua Qingwen, and Shufeng jiedu; the recommended injection preparations comprise Xiyanping Xuebijing, Re-Du-Ning, Tanreqing, Xingnaojing, Shenfu, Shengmai, and Shenmai. TCM remedies are viable options for symptom alleviation and management of COVID-19. The current SARS-CoV-2 pandemic presents an opportunity to find novel therapeutic targets from TCM-active ingredients. Despite the recommendations in Chinese National guidelines, these remedies warrant further assessments in well-designed clinical trials for their efficacies in COVID-19.

A thorough assessment of various forest management planning initiatives and development of improvement strategies towards an ecosystem-based planning

Management planning for forests in Turkey has undergone gradual evolution over the last century. Developing and implementing a comprehensive management planning framework present significant challenges. This paper evaluates the effectiveness of various forest management planning approaches implemented across the country over different time periods, with overarching planning principles. It formulates a robust planning framework and proposes improvements grounded in scientific advancements and international standards. The assessment indicated that the management plans were developed using reputable scientific methods and principles aimed at ensuring the sustainable management of forest resources with certain strengths and opportunities presented by SWOT analysis. All management plans shared a common planning concept primarily focused on maximizing wood production through the area-control harvest scheduling method (except for continuous cover forest, which employed the single tree selection method). Each management plan established its unique vision, targets, policies, objectives, and planning guidelines. Forest inventory data were gathered through a combination of ground surveys and remotely sensed data to characterize and stratify the landscape. A robust in-house management authority and governance system with appropriate technical capacity and guidelines were developed and implemented, fostering a sound common working culture and tools. However, some notable drawbacks were identified, including political pressure, biomass/carbon accounting, growth-yield modelling, economic analysis, limited characterization of the full range of ecosystem services, risk and uncertainty analysis, food security and, particularly, long-term sustainability and scenario analysis with the appropriate decision-making tools and methods. Despite a few strengths, these limitations may raise concerns about the far-sighted design and application, potentially jeopardizing the sustainable management of forest ecosystems. Proposed improvement strategies for an efficient forest ecosystem management planning system include characterization of ecosystem services, modelling their productivity, scenario analysis with a decision support system, stakeholder involvement, balancing utilization and conservation targets, conducting risk and uncertainty analysis and economic analysis of management actions.

Ứng dụng GIS và tư liệu viễn thám đánh giá biến động lớp phủ rừng tại vùng đệm Vườn Quốc gia Cát Tiên thuộc địa phận huyện Tân Phú, tỉnh Đồng Nai.

The Cat Tien National Park in the South of Vietnam represents a protected ecological area, it is located in tropical rainforest zone. For assessment of forest cover change in three buffer zones of Cat Tien National Park, namely Nam Cat Tien, Nui Tuong and Phu An at Tan Phu district, satellite images (Landsat 5 TM and Landsat 8 OLI) take in 1990, 2000, 2010 and 2020 were used. Land use/land cover were classified by 5 categories using maximum likelihood classifier (MLC) method, result of constructing a key for image classification showed that images without reference data for classification have over 83.50% of map accuracies. After classification, differentiation of forest land use/landcover was analysied in each year. Deforestation and agricultural area reduction took place in 1990 - 2020 period. Besides, study has quantified changes in forest cover during periods: 1990 - 2000, 2000 - 2010 and 2010 - 2020. As a result, findings show that the extents of forest cover have decreased from 5522.22 ha to 2620.98 ha during the period of 1990 - 2020. Maps of forest status as well as changes in forests can be used for forest resource management activities under the Cat Tien National Park management.

Do Foreign Investors Make Firms More Transparent? Evidence from Korea

In this study, we investigate whether foreign equity participation enhances the level of transparency in Korean listed firms’ accounting information. Using panel data on the Korean listed firms during the 1999-2019 period, we find that foreign ownership has a positive effect on the accounting transparency of firms. This suggests that foreign investors effectively monitor the earnings management activities of a firm and contribute to increasing the quality of accounting information. In addition, this positive impact of foreign equity ownership is more pronounced in non-chaebol firms than in chaebols. We further show that foreign investors reinforce the effect of changes in accounting systems on the transparency of Korean firms. Finally, firms with enhanced transparency by foreign investors perform better in the future. Overall, our study highlights the importance of foreign investors for enhancing accounting transparency in the Korean stock market. (JEL F21, F65, G15, G30, M40)

Treatment for intracerebral hemorrhage: Dawn of a new era.

Intracerebral hemorrhage (ICH) is a devastating disease, causing high rates of death, disability, and suffering across the world. For decades, its treatment has been shrouded by the lack of reliable evidence, and consequently, the presumption that an effective treatment is unlikely to be found. Neutral results arising from several major randomized controlled trials had established a negative spirit within and outside the stroke community. Frustration among researchers and a sense of nihilism in clinicians has created the general perception that patients presenting with ICH have a poor prognosis irrespective of them receiving any form of active management. All this changed in 2023 with the positive results on the primary outcome in randomized controlled trials showing treatment benefits for a hyperacute care bundle approach (INTERACT3), early minimal invasive hematoma evacuation (ENRICH), and use of factor Xa-inhibitor anticoagulation reversal with andexanet alfa (ANNEXa-I). These advances have now been extended in 2024 by confirmation that intensive blood pressure lowering initiated within the first few hours of the onset of symptoms can substantially improve outcome in ICH (INTERACT4) and that decompressive hemicraniectomy is a viable treatment strategy in patients with large deep ICH (SWITCH). This evidence will spearhead a change in the perception of ICH, to revolutionize the care of these patients to ultimately improve their outcomes. We review these and other recent developments in the hyperacute management of ICH. We summarize the results of randomized controlled trials and discuss related original research papers published in this issue of the International Journal of Stroke. These exciting advances demonstrate how we are now at the dawn of a new, exciting, and brighter era of ICH management.

STUDY ON THE IMPACT OF THE MARKET SITUATION ON THE ECONOMIC RESULTS OF A COMPANY SPECIALIZED IN THE SALE OF JEWELRY

The economic performance of any society/company depends on the decisions made in organizing its entire activity (in all aspects, including marketing), as well as its ability to ensure an outward orientation. From a marketing perspective, understanding the multitude of connections, relationships that each company develops, and being aware of the importance of their impact on its activity, have led to an increased interest in studying the external environment. Anticipating the future evolution of external environment components and potential implications for the company's activity are important concerns for marketing activity management. This article presents a study based on the analysis and interpretation of the economic results achieved by a Romanian company during the Covid-19 pandemic. The aspects identified and conclusions drawn from this study highlight the fact that the change in market conditions has been an important element/factor for the company's performance and image.

Highly Crystalline Copper Aluminum-Layered Double Hydroxides with Intrinsic Fenton-Like Catalytic Activity for Robust Oral Health Management.

As the main challenge of dental healthcare, oral infectious diseases are highly associated with the colonization of pathogenic microbes. However, current antibacterial treatments in the field of stomatology still lack a facile, safe, and universal approach. Herein, we report the controllable synthesis of copper aluminum-layered double hydroxides (CuAl-LDHs) with high Fenton-like catalytic activity, which can be utilized in the treatment of oral infectious diseases with negligible side effects. Our strategy can efficiently avoid the unwanted doping of other divalent metal ions in the synthesis of Cu-contained LDHs and result in the formation of binary CuAl-LDHs with high crystallinity and purity. Evidenced by experimental and theoretical results, CuAl-LDHs exhibit excellent catalytic ability toward the ·OH generation in the presence of H2O2 and hold strong affinity toward bacteria, endowing them with great catalytic sterilization against both Gram-positive and Gram-negative bacteria. As expected, these CuAl-LDHs provide outstanding treatments for mucosal infection and periodontitis by promoting wound healing and remodeling of the periodontal microenvironment. Moreover, toxicity investigation demonstrates the overall safety. Accordingly, the current study not only provides a convenient and economic strategy for treating oral infectious diseases but also extends the development of novel LDH-based Fenton or Fenton-like antibacterial reagents for further biomedical applications.

Using Financial Statements Analysis as a Tool on Identifying the Solvency of SMES And Its Relation with Forensic Accounting; Evidence from Albania

Objective: The study aims to determine the impact of e-learning on learning outcomes in the Jordanian Objective: Accounting professionals who are directly responsible for the preparation of the reports must use the principles and techniques of Forensic Accounting which help them to investigate legitimate financial activity and conduct due diligence reviews to properly assess the activity of economic entities. This paper identifies the importance of financial statement analysis tools and techniques in this process, being identified as Fraud Indicators of financial statements indicators. Theoretical Framework: Business development plays a vital role in economic development, so the effective and efficient management of activities carried out by businesses is to a great importance. But their identification in financial report is also object of fraud activities, a phenomen, which is turning into a headline of the day, especially for developing countries and also in Albania. Method: In the study are been taken into consideration the financial statement of 70 SMEs that carry out commercial activity and that through financial statements reports it was studied how “red flags” can be identified in financial reporting indicators to further investigate whether fraud conditions are met or not. The paper tests the relationship between two important indicators for every economic entity, which are liquidity and profitability as the most studied indicators. Results and Discussion: Data analysis showed that there was a significant statistical relationship between liquidity and performance indicators, which serve as a starting point for going into further use of technical forensic accounting techniques by professionals. Originality/Value: This study contributes to the literature with an empirical study on techniques and principles of Forensic Accounting and Financial Statements Analysis. Solvency analysis helps us to identify those transactions for which accounting professionals and not only should focus to further deepen the investigations based on the techniques and principles of forensic accounting. Based on the findings of this study as well as those of other researchers, we recommend to professionals that the use of financial statement analysis instruments in the investigation process is a key factor.

Alien plant species distribution in Romania: a nationwide survey following the implementation of the EU Regulation on Invasive Alien Species

Biological invasions pose an increasing risk to nature, social security and the economy, being ranked amongst the top five threats to biodiversity. Managing alien and invasive species is a priority for the European Union, as outlined in the EU Biodiversity Strategy for 2030 and the Kunming-Montreal Global Biodiversity Framework. Alien plant species are acknowledged to impact the economy and biodiversity; thus, analysing the distribution of such species provides valuable inputs for the management and decision-making processes. The database presented in the current study is the first consolidated checklist of alien plant species that are present in Romania, both of European Union concern and of national interest. This database complements a prior published distribution, based only on records from literature, bringing new information regarding the occurrence of alien plants in Romania, as revealed by a nationwide field survey. We consider this database a valuable instrument for managing biological invasions at both national and regional levels, as it can be utilised in further research studies and in drafting management and action plans, assisting stakeholders in making informed decisions and implementing management actions. We present the results of the first nationwide survey of alien plant species in Romania, conducted between 2019 and 2022, in the framework of a national project coordinated by the Ministry of Environment, Waters and Forests and the University of Bucharest. The present database complements and updates the database published by Sirbu et. al (2022), which included occurrence records published until 2019. The new database includes 98323 occurrence records for 396 alien plant species in 77 families, with most species belonging to the Asteraceae family. One alien plant species in our database, the black locust Robinia pseudoacacia L., had more than 10,000 occurrence records. The distribution database also includes information on newly-reported invasive alien plant species of European Union concern in Romania (i.e. the floating primrose-willow Ludwigia peploides (Kunth) P.H.Raven) and documents the presence of plants in 44 additional families compared to Sirbu et al. (2022). Each entry includes information on species taxonomy, location, year, person who recorded and identified the alien plant, geographical coordinates and taxon rank.

Interactions between runoff volume, timing, and annual temperatures shape migration phenology of a threatened adfluvial sucker

AbstractMigratory fish species have been particularly impacted by changes to the hydrologic and climatic cues to which migration and spawning behaviours have been adapted across generations. While conservation and recovery programs increasingly implement flow management actions to promote successful migration and spawning, uncertainty regarding how spawning migration phenology responds to changing environmental conditions can limit the ability to effectively target such recovery actions. Here, we use a Bayesian hierarchical modelling framework to analyse spawning migration phenology of individually tagged June suckers (Chasmistes liorus) – a federally threatened, long‐lived, iteroparous, adfluvial species endemic to Utah Lake (Utah, USA) and its tributaries. We then examine how annual hydrologic and thermal conditions relate to different components of annual migration phenology, including peak migration date, in‐stream residence time, and among‐individual variation in migration timing. Peak migration date occurred earlier in years with warmer spring air temperatures (a proxy for water temperatures), though this effect interacted with peak runoff timing. Both residence time and among‐individual variation in migration timing were greater in years with larger spring discharge and later peak flows. Residence time was also longer in warmer years. These results highlight how natural and anthropogenic changes to river flow and thermal regimes are likely to impact June sucker migration timing and duration, and our approach can be applied to other migratory species to identify the external drivers of the different components of migration phenology.

Does managerial myopia exacerbate firms excessive financialization? Evidence from Malaysia

Purpose This study aims to examine the influence of managerial myopia on the excessive financialization behavior of listed firms on Bursa Malaysia. Design/methodology/approach Through a sample of 313 firms from 2015 to 2021, the author examine whether managerial myopia promotes or inhibits corporate financialization. The author uses ordinary least squares and Logit as the baseline models and addresses potential endogeneity through the dynamic-panel generalized method of moments. The results are also robust to alternative measures of financialization and managerial myopia. Findings The results show a significant positive effect of managerial myopia on the excessive financialization of enterprises. Furthermore, the findings indicate that the impact of managerial myopia on the over-financialization of enterprises is more prominent in periods of low economic policy uncertainty. However, the relationship between excessive financialization and managerial myopia is weakened in the presence of female chief executive officers. Practical implications The empirical results have useful policy implications. First, firms should establish scientific managerial assessment and supervision systems to avoid excessive financial investment behavior by myopic managers caused by assessments that place too much emphasis on short-term performance. Second, regulators and policymakers should encourage firms to appoint women to top management positions, which may inhibit short-sighted financialization behavior. Finally, the regulatory authorities should undertake the necessary measures driving companies to disclose the investment direction of the funds so that shareholders and investors can understand the use direction of the funds in a timely manner, which can effectively prevent the economy “from the real to the virtual” and promote the development of the real economy. Originality/value This paper expands the existing research on corporate financialization behavior and provides a new theoretical basis for the underlying factors of excessive financialization. It studies the influence of corporate financialization from the perspective of short-run managerial actions and deepens the understanding of managerial myopia and companies’ financialization levels.

Transfer pricing, earnings management and corporate governance among listed firms: Evidence from Ghana

Purpose This study aims to examine the prevalence of transfer pricing and earnings management activities, and how they are impacted by corporate governance mechanisms. Design/methodology/approach Using the political cost theory, the study provides insights into how opportunistic managerial behaviours which have a strong link to profit shifting and tax evasion are driven by corporate governance using data from 16 listed firms for the period 2008–2020. Findings The results reveal that the transaction-based transfer pricing model is better than the index-based model and the accrual-based earnings management model suits the political cost theory more than the real earnings management metric. Board size and female CEO increase transfer pricing aggressiveness but board independence, CEO tenure, CEO nationality and female Board Chairwomanship reduce transfer pricing aggressiveness. The findings also reveal the role of multinational enterprise status, private ownership, industry type, firm size, financial leverage, asset tangibility and firm age. For accrual-based earnings management, board independence, CEO tenure, and female Board Chairwomanship significantly decrease earnings management. Other factors include private ownership, firm size, and firm age. Practical implications The findings of the study are relevant for shaping industry-level policies on earning management, transfer pricing and related-party transactions. Since these opportunistic managerial behaviours are the foremost drivers of tax avoidance and profit shifting, the findings of this study provide relevant insights for practitioners, tax and other regulatory authorities, policymakers and the academic community alike. Originality/value This is among the premier studies on the transfer pricing and earnings management nexus with corporate governance factors using the political cost theory, especially in the developing country context. It also reveals the significant impact of gender and suggests the need for gender diversity in corporate management.

The susceptibility of rare and threatened NSW species to the root-rot pathogen Phytophthora cinnamomi: 2. The identification of species requiring protection or further research

Context The response of most native plant species in New South Wales (NSW) to infection by the oomycete pathogen Phytophthora cinnamomi Rands is unknown, which makes decisions about disease management difficult. Aims We aim to improve knowledge about the potential threat from P. cinnamomi by testing a further 32 threatened species for their response to the pathogen and developing a method for prioritising management and susceptibility testing. Methods Susceptibility to infection and host response were evaluated in glasshouse experiments where the pathogen was introduced to pots containing the threatened species, and the results were compared with control uninoculated pots. Our prioritisation used modelled habitat suitability for P. cinnamomi, proximity to known P. cinnamomi occurrences, and numbers of plant species populations at least 1 km apart to rank 928 rare and threatened plant species native to NSW for either management or susceptibility testing. Key results Phytophthora cinnamomi was re-isolated from the roots of 10 of the 32 species assessed, most of which also showed significant mortality or disease symptoms. Darwinia peduncularis B.G.Briggs, Hibbertia circinata K.L.McDougall & G.T.Wright, Isopogon fletcheri F.Muell., Phebalium speciosum I.Telford, Pultenaea baeuerlenii F.Muell. and Pultenaea parrisiae J.D.Briggs & Crisp were the most severely affected species. The effect of P. cinnamomi is known for only 63 rare and threatened species in NSW. The Greater Sydney region is a hotspot for rare and threatened plant species with a high priority for susceptibility testing. Conclusions The prognosis in the wild for rare and threatened plant species affected by P. cinnamomi depends on (1) habitat suitability for the pathogen, with subalpine and arid-zone species unlikely to be affected, (2) the number of unaffected populations, with two severely affected species that occur only on infested sites (Hibbertia circinata and Prostanthera marifolia R.Br.) facing extinction in the near future and (3) climate, with some species (e.g. Pomaderris delicata N.G.Walsh & Coates) apparently affected only in unusually wet years. Further susceptibility testing of rare and threatened species is required. This should be supported by taxonomic studies of genera (e.g. Hibbertia, Pultenaea) commonly affected by the pathogen. Implications Many more plant species in NSW are likely to be severely affected by P. cinnamomi than currently known, and may require active management of the disease for their long-term survival.

Multi-Energy Load Collaborative Optimization of the Active Building Energy Management Strategy

Multi-Energy Load Collaborative Optimization of the Active Building Energy Management Strategy

Manajemen Dakwah Takmir Masjid Jogokaryan dalam Membangun Peradaban Islam di Mantrijeron Yogyakarta

This paper describes the management of the preaching of the takmir of the Jogokaryan mosque in building Islamic civilization. The background is about the empirical condition of the mosque which is not functioning according to expectations as was the time of the prophet Muhammad SAW and his companions. The mosque is only used as a place for ritual worship activities, even having the impression that the mosque is only a symbol of the existence of Muslims in an area and not a solution for the people. The purpose of this study was to determine the management of preaching takmir at the Jogokaryan mosque in building Islamic civilization in Jogokaryan Mantrijeron, Yogyakarta. The research method used is descriptive qualitative method. While the data analysis used in this study is the method of analysis of Mile and Huberman. The results of the study concluded that the management of the Jogokaryan Mosque can be categorized as having a level of success in building Islamic civilization, namely by carrying out da'wah management functions, namely: 1) Da'wah planning which includes da'wah mapping, service, empowerment and coaching. 2) Organizing da'wah activities. 3) implementation by moving the person in charge of the activity. 4) Supervision of da'wah, namely monitoring or monitoring da'wah activities. The Da'wah management activities are carried out continuously and continuously.

Comparison of Markowitz Model and Index Model in Different Constraints

This paper reviews the application of Markowitz model and index model in portfolio optimization and focuses on comparing the performance under different constraints. The study covers the core concepts and theoretical framework of modern portfolio theory and the development of the two models. The Markowitz model employs quantitative analysis to consider the expected return and risk of assets and aims to maximize investor utility. The index model, on the other hand, achieves investment objectives by replicating the performance of a specific index. Comparative analysis shows that the Markowitz model is suitable for active management, while the index model is more suitable for passive investment. With the advancement of computing technology, the application of Markowitz model will be more accurate and extensive. Meanwhile, as the concept of passive investment becomes popular, the index model will continue to attract more investors. This study is of great significance to investors in choosing investment strategies, and will help academia and the industry to further optimize investment models.

The Influence of Employer Branding and Employee Value Proposition on Employee Retention with Employee Engagement as Mediation

Human resources are the most important aspect in carrying out management activities. In order to realize this, an employee retention level is needed in an organization. This research aims to test and analyze whether, Employee Value Proposition, and Employee Engagement have a significant effect on Employee Retention, as well as whether Employee Engagement can mediate the influence between Employer Branding and Employee Value Proposition on Employee Retention. The total population in this study was 47 respondents with a total sample taken using saturated sampling of 42 respondents, because there were several employees who were continuing their education. The respondents in the sample were employees of the Bank Indonesia Jember Regional Representative Office with permanent employee status. The type of data used is quantitative qualitative data. The data source used is primary data, where this data is obtained from the results of respondents' direct answers through research questionnaires and interviews. The data analysis method used in this research is Path Analysis with the help of IBM SPSS Statistics 26.0 software. The results of this research show that Employer Branding, Employee Value Proposition, and Employee Engagement have a significant effect on Employee Retention, and Employee Engagement can mediate the influence between Employer Branding and Employee Value Proposition on Employee Retention.

#2818 Clinical outcomes of a pre-dialysis cohort in a tertiary renal centre in the United Kingdom

Abstract Background and Aims Patients with advanced chronic kidney disease (CKD) require significant resources in order to manage the complications of CKD, and provide education and planning for renal replacement therapy (RRT). To better gauge the clinical trajectory of these patients, we aimed to provide a descriptive overview of patients who attended the multidisciplinary Advanced Kidney Care Service (AKCS) clinic over 8 years in a tertiary renal referral centre in the United Kingdom. Patients are typically referred to this clinic once their estimated glomerular filtration rate (eGFR) drops below 20 ml/min/1.73 m2. Method This was a retrospective study of consecutive patients who first attended the AKCS clinic in our centre between September 2011 and September 2018, and last follow-up was the end of September 2023. Patients with a prior renal transplant, those with acute kidney injury with subsequent recovery of renal function, and those lost to follow-up were excluded. Patient details and outcomes were extracted from the hospital Electronic Patient Record including demographics, decisions regarding active or conservative management, timing of RRT initiation, first modality of RRT, transplantation, and mortality. The primary outcomes of interest included time to RRT, first modality of RRT, and death. Results A total of 1 957 patients were included. Of these 1,136 (58%) were male and 821 (42%) female. Median age was 69 years at the time of first AKCS review. A large proportion (80%) identified as white British, 13% as Asian or Asian British, 2% as Black or Black British, and the remaining as other ethnicities. Median eGFR was 16 ml/min/1.73 m2 (IQR 4-25 ml/min/1.73 m2) at first AKCS clinic. A total of 1 087 patients (56%) initiated RRT during follow-up. The first modality was haemodialysis in 622 (57%), peritoneal dialysis in 298 (27%), and a renal transplant in 167 patients (15%). Median time to RRT commencement was 12.2 months (IQR 6.4-30). A further 240 patients received a transplant after dialysis. Of the 870 patients who did not initiate RRT, 350 (40%) were documented as opting for conservative management. 756 (38.6%) patients died either before RRT initiation (434) or on the conservative care pathway (322). A further 583 (29.8%) who commenced RRT died during follow up. Median time to death from first AKCS review was 38.5 months in the active management group (21.8 months in those who died without RRT and 51.0 months in those on RRT) compared to a median of 29.7 months in the conservative group. Conclusion This study presents a descriptive analysis of long-term outcomes in a high-risk group of patients. Two-thirds of patients died within 5 years of their first AKCS review, demonstrating the high mortality burden in this population. Of those who died prior to RRT, 57.4% had opted for RRT or were undecided, highlighting the substantial competing risk of death prior to reaching end stage kidney disease. We are planning further work with this dataset including risk prediction modelling. The ability to risk-stratify and profile patients, including consideration of co-morbidities and clinical frailty score, would be beneficial for patients and healthcare providers when making decisions regarding RRT and conservative care.

Waste Bank Innovation Management Using Digital Innovation System Management in Cicadas Village, Gunung Putri District, Bogor Regency

Urbanization has led to a concomitant rise in population, giving rise to various socioeconomic and environmental issues. Consequently, trash problems frequently arise in numerous developing nations like Indonesia. Several cities in Indonesia continue to grapple with their deteriorating garbage issues due to heightened output. Therefore, to establish an optimal waste management framework in a given area, developing a comprehensive plan or strategy that becomes the standard for waste management practices is imperative. Waste professionals deem Indoneeds to be more accurate, reliable, and unreliable in terms of amount and composition. These findings have significance for the appropriate planning and decision-making processes in dealing with waste problems at the national, provincial, and city/regency levels. The waste issue in Bogor Regency has once again garnered attention following the inability to transfer 2,400 tons of waste. The escalating nature of this scenario is becoming more worrisome due to the projected rise in trash generation by 2023. This study aims to assess and appraise the operations of a waste bank by implementing novel advancements at the Green Cikeas waste bank, which serves as a trailblazing waste bank in Cigales Village. Efficient administration of digital innovation systems can enhance waste management activities, thereby contributing to community satisfaction. This innovation has the potential to become a standard for digitalization since it introduces a digital innovation system management idea that can be used in any location and significantly enhance job efficiency. One of the primary objectives of managing digital innovation systems is to attain efficiency and optimization in various areas, such as the management procedures of the bank. This study also considers other viewpoints, encompassing management, human resources, economics, social, and environmental dimensions.

Return to athletics after total knee arthroplasty: a survey study of 784 recreational athletes across 12 sports.

Postoperative return to recreational activity is a common concern among the increasingly active total knee arthroplasty (TKA) patient population, though there is a paucity of research characterizing sport-specific return and function. This study aimed to assess participation level, postoperative return to activity, sport function, and limitations for recreational athletes undergoing TKA. A survey of recreational sports participation among primary, elective TKA patients from a single academic center between June 2011 and January 2022 was conducted. Of the 10,777 surveys administered, responses were received from 1,063 (9.9%) patients, among whom 784 indicated being active in cycling (273 [34.8%]), running (33 [4.2%]), jogging (68 [8.7%]), swimming (228 [29.1%]), tennis (63 [8.0%]), skiing (55 [7.0%]), or high-impact team sports (64 [8.2%]) between two years preoperatively and time of survey administration, and were included for analyses. Cycling (62.3% at two years preoperatively vs. 59.0% at latest follow-up) and swimming (62.7% at two years preoperatively vs. 63.6% at latest follow-up) demonstrated the most favorable participation rate changes, while running (84.0% at two years preoperatively vs. 48.5% at latest follow-up) and skiing (72.7% at two years preoperatively vs. 45.5% at latest follow-up) demonstrated the least favorable participation rate changes. The majority of respondents were "satisfied" or "very satisfied" with their return across all sports, though dissatisfaction was highest among runners and joggers. For cycling, running, jogging, and swimming, respondents most commonly reported no change in speed or distance capacity, though among these cyclists reported the highest rates of improved speed and distance. The majority of returning skiers reported improved balance, form, and ability to put on skis. Return to sport is feasible following TKA with high satisfaction. Swimming and cycling represent manageable postoperative activities with high return-rates, while runners and joggers face increased difficulty returning to equal or better activity levels. Patients should receive individualized, sports-specific counseling regarding their expected postoperative course based on their goals of treatment.