Administrative Issues Research Articles

Advances in Migraine Treatment: A Comprehensive Clinical Review.

Migraine is a neurological disease that, while not inherently causing "chronic headaches," can evolve into a chronic condition over time including major symptoms such as nausea, and light, sound, and allodynia, particularly in cases of frequent episodic migraine or due to factors such as medication overuse or inadequate management. This condition's complex pathophysiology makes treatment difficult. Genetics, trigeminovascular system activation, and cortical spreading depression are involved. Epidemiological research estimates that one in seven persons worldwide are affected, mostly women. Migraine prevalence has increased dramatically in recent decades; however, it varies by demographic and location. This review covers pharmaceutical and non-pharmacological migraine therapy methods and their future. Second-generation triptans have reduced side effects and administration issues, however, Zolmitriptan and Sumatriptan still treat migraines. Monoclonal antibodies that target calcitonin gene-related peptides may prevent migraines; however, their accessibility and safety are problems. Antiepileptics, beta-blockers, and neuromodulation devices are also available. Wearable technology offers customized monitoring and intervention. Precision medicine and gene-based medicines provide hope for tailored migraine treatments, but access, privacy, and informed consent raises ethical concerns. Stakeholder engagement must promote patient autonomy and well-being, responsible implementation, and equal access to novel therapies. A holistic and multidisciplinary approach is needed to manage migraines, taking into consideration present and future therapy developments and new challenges. Research, collaboration, and ethics can improve migraine outcomes and quality of life.

Postmarketing safety evaluation of belimumab: a pharmacovigilance analysis

ObjectiveThe present study aimed to provide a comprehensive evaluation of the postmarketing safety of belimumab based on the Food and Drug Administration Adverse Event Reporting System (FAERS) database.MethodsAdverse event (AE)...

Navigating choices: understanding the decision-making journey of patients with localised kidney cancer.

To explore patients' experience of decision making regarding treatment of localised kidney cancer. A total of 21 patients with localised kidney cancer, across three countries, participated in either four focus groups or seven semi-structured interviews that lasted on average 2 h. Focus groups and interviews were all conducted in the participants' native language, recorded, transcribed and (if applicable) translated into English. Thematic analysis was used to develop a codebook and identify themes. All participants expressed a desire to be actively involved in the treatment decision-making process. However, due to the emotional toll of the cancer journey, which often necessitates quick decisions, actively engaging in the decision-making process was described as challenging. The study revealed 12 key themes. These themes included the impact of diagnostic paths, patient characteristics, patient empowerment, health literacy, source of support, fear of recurrence, trust in treatment and healthcare providers, shared decision making (SDM), professional interaction, personal belief system, and organisational and administrative issues. The findings highlight the complexity of decision making, underscoring the desire for patient involvement, SDM, and clear communication. We reveal a significant gap between research recommendations and clinical practice, emphasising the need to translate research findings to clinical application to enhance patient-centred care.

Administrative Issues and Challenges Faced by Higher Education Institutions (HEIs)

Higher Education Institutions (HEIs) play a crucial role in the development of any nation by contributing to the workforce, knowledge economy, and social transformation. In India, as in many other countries, HEIs face numerous administrative challenges that hinder their ability to achieve academic excellence, innovation, and organizational efficiency. These challenges include complex governance structures, inadequate funding, political interference, rigid regulatory frameworks, and a lack of autonomy. This paper explores the primary administrative issues faced by HEIs in India, analyses the causes of these challenges, and offers potential solutions for creating a more effective and autonomous administrative framework within these institutions.

Clinical Confidence, Certification, and Connectedness: Impact of a Journal Club for Inpatient Psychiatry Faculty.

Inpatient psychiatry faculty manage complex clinical, administrative, and legal issues amid increasing mental health service utilization rates, limiting time for (1) focusing on lifelong learning and (2) connecting. We examined the impact of a monthly journal club on inpatient psychiatry faculty's (1) confidence that their practice is evidence informed, (2) stress related to board recertification, and (3) sense of connectedness with peers. We employed a primarily qualitative approach using semi-structured interviews and brief survey questions to elicit input from inpatient psychiatry faculty at an academic medical center on their experience participating in a monthly journal club, including perceived changes in one's practice of evidence-based medicine, recertification stress, and connectedness with peers. Thirteen faculty who participated in the journal club responded to at least one survey or interview. Many faculty reported feeling more confident that their clinical practice was evidence informed, less stressed about board recertification, and more connected to peers at 6 and 12 months following the commencement of the journal club. Following in-person attendance, video-based learning (an innovative method of participating in the journal club) was found to be the second most preferred method of participation among respondents. All respondents noted that the journal club was a valuable use of their time and enjoyable. A monthly journal club has the potential to increase hospital psychiatry faculty confidence in evidence-based clinical practice, reduce board recertification stress, and improve sense of peer connectedness. Future research should examine the journal club experience and impact among a larger number of faculty and incorporate additional measures of learning outcomes.

NURSE WAGES IN NURSING HOMES: ANTECEDENTS AND CONSEQUENCES

Abstract A substantial body of research has established that nurse staffing intensity and skill mix have a consequential impact on nursing home (NH) care quality. Unfortunately, NH staffing has been marked by multitudes of challenges including high levels of turnover and absenteeism. The literature suggests that an important reason why NHs have struggled with nurse staffing is the relatively lower wages vis-à-vis other important areas of the U.S. healthcare system, such as hospitals. These challenges underscore the importance of examining nurse wages within the NH setting, as wages not only affect staff retention and satisfaction but overall performance. Despite the apparent need for competitive wages to attract and retain skilled nurses, NHs operate in a resource-constrained environment, making wage increases a complex issue for administrators. The overarching goal of this symposium is to explore the antecedents and consequences of nurse wages in NHs. As part of the symposium, we include studies examining nurse wages and quality, the organizational and market-level factors associated with nurse wages, and the impact of nurse wages on financial performance. The findings and discussions may offer valuable insights for both managerial decision-making and policy formulation, aiming to address the systemic challenges of nurse staffing in NHs and improve NH performance, particularly quality of care.

Two Pieces of Imperial Correspondence from the Collectio Thessalonicensis: Issues of Their Authenticity and Contents

Introduction. The Collectio Thessalonicensis is a collection of documents compiled in the 9th century, in which, in addition to papal letters to the bishops of Illyricum and to the Patriarchs of Constantinople, Proclus and Anatolius, two lengthy fragments have been preserved, representing a letter from the Western Emperor Honorius (395–423) to the Eastern Emperor Theodosius II (408–450) and the latter’s response. The correspondence apparently took place in 422 and is devoted to the privileges of the Roman see in Eastern Illyricum, which shortly before had become a prefecture of the Eastern Roman Empire with its capital at Thessalonica. The authenticity of these letters has long been rejected in the scholarly literature. As a consequence, the task of the article is to present the arguments of the old literature, provide new evidence of the authenticity of both fragments, and highlight the ecclesiastical-political and ecclesiastical-administrative situation that they reflect. Analysis. The arguments of J. Friedrich, Th. Mommsen, and E. Chrysos in favour of the forgery of these fragments are considered. These arguments range from complete denial to partial acceptance of their authenticity, with speculation about the motives for the falsification and the timing of its implementation. The author of the article points out the inconsistency of these arguments. The newest casual arguments of P. Riedlberger, which deny their authenticity, are also refuted. Based on ascertaining the authenticity of these documents, the author reconstructs the circumstances of the correspondence between the two emperors and the motives of both correspondents in recognising the authority of the Roman see in Eastern Illyricum. The text of the messages and their connections with other similar imperial documents are analysed, and the factor of influence on their composition of the ecclesiastical circles of the West and the East is determined. Results. Contrary to the old literature, the authenticity of fragments of correspondence between Honorius and Theodosius II on the issue of church and administrative affiliation of Eastern Illyricum has been put beyond doubt. The letters fit well into the context of other surviving imperial documents that did not have a legislative nature but related to issues of church policy and church governance. From them it is clear that church and administrative issues were entirely under the jurisdiction of the emperors: neither the Pope nor the Patriarch of Constantinople had the means to obtain jurisdiction in a particular region, bypassing the opinion of the emperors.

Addressing Supply Chain Administration Challenges in the Construction Industry: A TOPSIS-Based Evaluation Approach

A multitude of Supply Chain Administration issues could make it difficult for commodities, information, and services to move effectively within the construction sector. Poor collaboration and communication may be the outcome of several stakeholders and the fragmented nature of the building industry. This dispersion makes it difficult to coordinate tasks effectively, which can cause delays and ineffectiveness. Additionally, a lack of transparency regarding material availability, location, and status can lead to miscommunication and poor decision-making. Unreliable lead times for materials and equipment, along with inventory management complexities, further exacerbate supply chain issues. Inefficient transportation and logistics, quality control and inspection problems, project complexity, and environmental sustainability concerns are other key challenges. Overcoming these obstacles requires proactive planning, effective communication, and the implementation of technologies to enhance visibility and coordination throughout the chain of supply in construction. The research significance of studying Construction Supply Chain Administration Issues lies in its potential to address critical industry challenges. By identifying and understanding the specific issues faced in construction supply chains, researchers can develop strategies and solutions to enhance efficiency, reduce costs, and minimize delays in construction projects. Improved Supply Chain Administration can lead to streamlined operations, optimized inventory management, better coordination among stakeholders, and enhanced sustainability practices. This research contributes to the advancement of the construction industry by enabling more effective decision-making, improved project outcomes, and increased competitiveness for construction companies. Since TOPSIS is a multi-criteria decision-analytical method, it is given priority. A decision-making technique called TOPSIS (Technique for Order of Preference by Similarity to Ideal Solution) ranks alternatives according to how closely they resemble the ideal solution and how far they are from the unfavorable ideal answer. Alternative Parameters taken as Supllier1, Supllier2, Supllier3, Supllier4. Evaluation parameters taken as Quality, reputation, technology, level, compatibility, cost, distance. The highest-ranking Supply Chain Administration Issues in the Construction Industry utilizing the TOPSIS Analysis approach is shown in Table 5 along with the preference score. Supplier 1 is in first place, followed by Supplier 2 in second, Supplier 3 in third, and Supplier 4 in last. The TOPSIS approach is used to produce the end product. Construction Supply Chain Administration Issues pose significant challenges in the modern era. Embracing technology, fostering collaboration, and optimizing logistics are vital for tackling issues like supplier reliability, cost control, quality assurance, and distance-related inefficiencies. By addressing these challenges head-on, the construction industry can achieve improved project outcomes, cost-effectiveness, and sustainability. It is imperative to prioritize transparency, agility, and innovation to transform the supply chain and adapt to the evolving needs of the modern construction landscape. This will drive industry-wide progress, foster resilience, and ensure successful project delivery in an increasingly complex and competitive environment.

IJSIE ABSTRACTS

The International Journal of Studies in Inclusive Education (IJSIE) is a double-blinded, peer-reviewed, fully open-access journal providing an advanced platform and opportunities for inclusive education-related research outputs. The Editorial Board welcomes empirical, conceptual, academic, and theoretical articles critically analysed and interpreted in all its holistic approach to inclusive education: inclusive education, learning barriers, learners, or students with special needs, etc. The scholarly articles must be prepared, treated, and interpreted with the same academic rigor expected of academic research. The IJSIE aims to provide an interdisciplinary forum for scholars, publishing professionals, librarians, and others to communicate original research that addresses current issues informed by the best practices. Scholarly publishing has only recently begun to exploit the full potential of networked digital technologies, which affects the broader process of research communication, including public access to and engagement with research. Influential trends towards responsible research and innovation, the globalisation of research, the emergence and inclusion of new or previously excluded stakeholders, and the advent of open science are reshaping scholarly publishing's scope and nature. The social, legal, and ethical dimensions of publications continue to co-evolve with these changes. Publications aim to provide an interdisciplinary forum for scholars, publishing professionals, librarians, and others to communicate original empirical and theoretical research on these and related topics to address current issues and inform best practices. The IJSIE publishes research, reviews, scholarly writings, and reports concerning the inclusion of learners (students) with special learning needs in mainstream classrooms (schools) . The IJSIE is focused on inclusion issues in all educational endeavours, such as research, administrative issues, teaching and learning in classrooms, and inclusion of students at higher institutions. The IJSIE defines inclusive education within the broad context of the Salamanca statement guidelines. Special Education has within its heritage the perspectives of advocating for persons with exceptionalities and embracing individual differences. The IJSIE is an inclusive education publication in the GAERPSY. It relies on vast theoretical, practical, and thematically scholarly inclusive education, including unpublished research in human behavioural issues. These include at-risk learners, mental well-being, psycholinguistics, and inclusive education.

Addressing contemporary issues in public administration: Effective strategies for improving efficiency and transparency in public services

In contemporary global public administration challenges, the interaction mechanism between civil society and government authorities becomes extremely important to ensure sustainable development and social well-being. Therefore, the relevance of this research is driven by the need to find an effective strategy to enhance efficient and transparent communication between the public and local government authorities. This work aims to analyse and assess the effectiveness of public administration mechanisms in the context of government-public interaction based on international experience and to develop effective ways and strategies for further application of participation tools. The study employs various methods, such as statistical data analysis, comparative methods, and population surveys. Firstly, it was established that government and local authorities should create favourable conditions for the development of public initiatives, avoid interference in the formation and activities of civil society institutions, use transparent mechanisms to support their work and involve the public in making and implementing government decisions. Thus, such communication will ensure the development of our state, strengthening its economic potential and defence capability. Particular attention was paid to the mechanisms for involving the public in decision-making in the Mykolaiv City Council, and practical advisory councils and their functions were identified. This allowed for the proposal of modern forms of participation to support the functioning of public services in the studied community. The practical significance of this work lies in the fact that the research results can serve as a basis for developing and implementing effective strategies and public administration programs in the context of communicative interaction between the government and the public, which will contribute to their sustainable social and economic development.

A Study of UNIMEN Students' Perspectives on Cross-Cultural Adaptation in Thailand

This study explores the perspectives of Universitas Muhammadiyah Enrekang (UNIMEN) students on cross-cultural adaptation during their international internship in Thailand. Community service programs, which are mandatory for Indonesian tertiary students, offer practical experiences that bridge the gap between academic learning and real-world application. This research focuses on the challenges and adaptation strategies employed by students participating in teaching practices at private Thai schools. Using a qualitative methodology and thematic analysis, data were collected through interviews with eight fifth-semester students majoring in English Language Education. The findings identify eight key challenges: administrative issues, health problems, psychological stress, social integration difficulties, teaching challenges, culture shock, language barriers, and inadequate facilities. Cultural barriers, such as differences in the education system and social norms, led to experiences of homesickness and stress. Language difficulties were particularly pronounced due to limited Thai and English proficiency among locals. To address these challenges, students adopted several strategies, including seeking social support, engaging in cultural learning, using sign language, and fostering communication with locals. These strategies helped alleviate culture shock, improve cross-cultural understanding, and enhance teaching effectiveness. The study underscores the importance of adequate preparation, including cultural learning modules, and provides valuable insights for universities to better support future participants in international community service programs.

PERAN KUA DALAM MENGATASI NIKAH SIRI DI KECAMATAN BALIKPAPAN TIMUR KOTA BALIKPAPAN

This study examines the role of the Office of Religious Affairs (Kantor Urusan Agama or KUA) in East Balikpapan in addressing unregistered marriages (nikah siri). The occurrence of nikah siri is primarily attributed to the lack of public awareness regarding the negative impacts that may arise after such marriages, as well as administrative issues that do not comply with the regulations established by the KUA. Therefore, the KUA consistently strives to conduct public outreach and coordinate with subdistrict and village heads, as well as neighborhood heads (RT) in the local area. Additionally, Islamic religious counselors play a significant role in supporting the KUA by providing education and information to the public regarding KUA programs, particularly the socialization of the potential consequences of nikah siri.

THE PUBLIC ADMINISTRATION OF INFORMATION TECHNOLOGIES IN HEALTH CARE FIELD UNDER THE CONDITIONS OF MARTIAL STATE

In the conditions of martial state, the need for fast and accurate processing of large volumes of information, especially in the field of health care, is increasing. This is due to a lack of resources, an increase in the number of victims of military operations, displaced persons, the complication of access to medical services in connection with hostilities, the loss of individual specialists and information arrays, as well as increased risks for information security and the entire process of public management of information technologies in the health care field. The public administration of information technologies in health care is becoming critical to ensure the stability of healthcare services, support communications between healthcare facilities and government agencies, and effectively process and protect healthcare data. The analysis of scientific works on the issue of the public administration of information technologies in health care under the conditions of martial state is insufficiently researched. The article highlights the main challenges of the industry related to the war: ensuring the continuity of medical services, the appropriateness of public administration decision-making in conditions of limited access to open information, problems with logistics, and stable power supply, information protection and cyber security, shortage of qualified personnel; adopted management decisions, and information technology tools, which were used by authorities at the state and regional levels to respond to new challenges, were investigated. In the article, we are offered some recommendations for the further development and management of information technologies in the healthcare field. The main ones are further measures to strengthen cybersecurity, namely the widespread implementation of the Digital Competency Framework for Healthcare Workers in various areas, the implementation of modern information protection systems, the implementation of an information security policy, measures to legalize and update software, deepening the integration of mHealth into the existing eHealth system to enable rapid and remote collection of medical information and the introduction of artificial intelligence elements into healthcare management processes.

Boundary-work of primary care physicians using telemedicine technologies for communication.

Implementing telemedicine technologies (TT) for patient-physician communication leads to the emergence of new structures of boundaries. Hence, boundary work theory can provide a useful lens for examining how primary care physicians (PCPs) experience TT. The objective of this research was to examine the experiences of PCPs in using TT in their communication with patients. During 2023 in-depth interviews were conducted with 20 Israeli PCPs: family physicians and pediatricians. The concept of boundary work emerged as a focal point, with three forms of boundary work identified in the PCPs' descriptions of their TT experiences: collaborative, competitive, and configurational. Interviewees described improved collaboration with patients who find it difficult to get to the clinic and better service for administrative issues. However, they reported constant power struggles to maintain their authority. They expressed concern about treatment failure and suggested that healthcare organizations reconfigure TT so that it can be used to provide optimal care. They suggested that healthcare organizations should instruct physicians how to best manage TT consultations and regulate its usage. This article demonstrates that while implementing TT in primary care has many advantages, it uncovers boundary work for maintaining power and authority that both PCPs and healthcare organizations should take into account in practice as well as in policy.

The Morbidity and Mortality Review: A crucial tool for improving patient safety and quality

Institutional mortality rates can be used to monitor the quality of hospital care. Morbidity and Mortality (M&M) review is crucial to the hospital’s quality and patient safety initiatives. A multi-disciplinary forum to discuss M&M better lends itself to the discussion that balances physician error and system failure. It is crucial to afford attendees opportunities for introspection/reflection while holding those responsible accountable without apportioning blame. This review was undertaken at the M&M conference conducted by the Department of Surgery at The Aga Khan University Hospital Nairobi, a tertiary teaching and referral hospital. All surgical residents and faculty attend the M&M conference. A standard reporting format is used for every case discussed at the departmental level and shared at the institutional level. Morbidities and Mortalities that are analyzed as being due to a system or administrative process failure or having potential medico-legal implications are subjected to a Root Cause Analysis. Recommendations from individual cases focus on measures that can prevent similar outcomes or adverse incidents or improve the care processes provided to this group of patients. These recommendations should resist the temptation to apportion blame to individuals. The department needs to construct the meetings to integrate the system and administrative issues underlying unexpected outcomes and discuss technical/clinical-related issues. Physicians who feel they work in a ‘safe’ environment are likelier to self-report events and offer them for discussion.

Community Service Program for the Munsalo Farmers Group, Kuansing Regency, Riau

Purpose: The primary aim of this community service initiative is to address the lack of bookkeeping among farmers in the Munsalo Kopah Farmers Group and the inadequate packaging of their rice, currently sold in used sacks and black plastic bags. This research is significant as it seeks to enhance the farmers' administrative practices and product presentation, improving income management and marketability.Method: The initiative employs training sessions on administrative management and effective packaging. Workshops focus on bookkeeping techniques and creating appealing packaging. Additionally, administrative tools and branded sacks for the Munsalo Kopah Farmers Group's rice are provided.Practical Applications: The initiative's outcomes have practical implications, enabling farmers to manage their finances better and enhance their product presentation. Improved packaging increases market competitiveness, providing significant advantages for better sales and customer engagement.Conclusion: This community service initiative effectively resolves key issues in administration and product packaging for the Munsalo Kopah Farmers Group. The positive feedback received highlights its importance, contributing to a better understanding of the need for enhanced practices in agricultural communities and promoting the farmers' economic well-being.

Consenso de expertos multidisciplinario para la calidad diagnóstica y uso de biomarcadores en cáncer de pulmón. Asociación Colombiana de Patología (ASOCOLPAT). 2023

Introduction: Lung cancer is the third cause of cancer worldwide of 2,200,000 and a mortality of approximately 35%. Diagnosis by a multidisciplinary team has become the most effective tool for early treatment. This is linked to the use of immunohistochemistry and immunomarkers that in the last decade have allowed us to strengthen the diagnosis and have involved target-directed therapies. Objective: To define by common agreement of experts, considerations for diagnostic quality and the use of biomarkers in lung cancer in Colombia. Methods: A formal consensus of experts, mixed type (Delphi/Nominal), was carried out with the participation of oncopathologists, pathologists, pulmonologists and chest surgeons by ASOCOLPAT. A group of questions and answers were graded, which were discussed in a nominal session. The information was consolidated in Excel and analyzed in STATA 14. Results: 12 questions and answers were structured and rated, addressing the following aspects: pathological diagnosis of lung cancer, description of the clinical centers, and some administrative and logistical issues in each region of Colombia. Conclusions: The consensus of experts defined 12 considerations by common agreement, for guidance in the pathological diagnosis of lung cancer, hoping to homogenize both medical and administrative aspects in order to generate an effective result and timely treatment.

Consenso de expertos multidisciplinario para la calidad diagnóstica y uso de biomarcadores en cáncer de pulmón. Asociación Colombiana de Patología (ASOCOLPAT). 2023

Introduction: Lung cancer is the third cause of cancer worldwide of 2,200,000 and a mortality of approximately 35%. Diagnosis by a multidisciplinary team has become the most effective tool for early treatment. This is linked to the use of immunohistochemistry and immunomarkers that in the last decade have allowed us to strengthen the diagnosis and have involved target-directed therapies. Objective: To define by common agreement of experts, considerations for diagnostic quality and the use of biomarkers in lung cancer in Colombia. Methods: A formal consensus of experts, mixed type (Delphi/Nominal), was carried out with the participation of oncopathologists, pathologists, pulmonologists and chest surgeons by ASOCOLPAT. A group of questions and answers were graded, which were discussed in a nominal session. The information was consolidated in Excel and analyzed in STATA 14. Results: 12 questions and answers were structured and rated, addressing the following aspects: pathological diagnosis of lung cancer, description of the clinical centers, and some administrative and logistical issues in each region of Colombia. Conclusions: The consensus of experts defined 12 considerations by common agreement, for guidance in the pathological diagnosis of lung cancer, hoping to homogenize both medical and administrative aspects in order to generate an effective result and timely treatment.

Kewarganegaraan Sebagai Hak Konstitusional: Penegak Hak Sipil dan Politik di Indonesia

This study examines citizenship as a constitutional right in Indonesia, focusing on the foundational principles of citizenship, the roles of state institutions, challenges in the enforcement of rights, and relevant case studies. The research employs a doctrinal legal methodology with a normative approach, incorporating legislative, case law, conceptual, historical, and comparative perspectives. Data is collected from primary, secondary, and tertiary legal sources through a literature review. The analysis reveals that the foundational principles of citizenship are enshrined in the 1945 Constitution of Indonesia (UUD 1945), which includes the right to participate in government, the right to decent work, and other social rights. State institutions such as the President, the People's Consultative Assembly (DPR), and the judiciary play crucial roles in the enforcement of constitutional rights. However, several challenges persist, including human rights violations, injustices within the legal system, and barriers to political participation. Case studies related to administrative issues in the 2024 elections, human rights violations in Papua, and the controversy surrounding the Omnibus Law on Job Creation illustrate practical issues in the implementation of constitutional rights.

Veterans’ health

Military veterans represent around 3.8% of the population, and may have specific needs that differ from the general population. The occupational demands of service life often lead to earlier onset of musculoskeletal problems, medical conditions and psychological sequalae from conflict zones. Most service personnel are fortunate to have a support network with easy access to medical care and sophisticated social prescribing. For many, the transition into civilian life is challenging and may disrupt support networks and continuity of medical care leading to the exacerbation of some physical and mental health conditions. The veteran may have a past medical history necessitating transfer to ‘civilian life’ this needs to be carefully explored. This article aims to cover specific mental health, physical health and administrative issues that may arise when dealing with the veteran and aims to inform and smooth the transition into civilian life from a medical perspective.