Organizational Approach Research Articles

How I Do It: Madrid posterior component separation in 10 steps, with special consideration of its anatomy.

The Madrid Posterior Component Separation technique (Madrid PCS) is an approach for abdominal wall reconstruction that leverages anatomical landmarks to optimize outcomes. This manuscript describes ten essential steps for performing the Madrid PCS, focusing on technique, safety, and efficiency. A comprehensive step-by-step approach is outlined, beginning with the initial incision and adhesiolysis, progressing through retromuscular dissection, and concluding with lateral release and subxiphoid dissection. Emphasis is placed on key anatomical landmarks, tissue planes, and surgical maneuvers critical for each phase. Detailed tips and tricks, challenging scenarios, and potential risks are provided to enhance the reproducibility and safety of the procedure. Applying these ten steps provides an organized and methodical approach to the Madrid PCS. The focus on anatomical landmarks minimizes the risk of complications such as nerve injury, peritoneal tears, and inadvertent organ damage, while ensuring for the optimal placement of prosthetic materials. Adherence to these ten steps, based on anatomical landmarks, significantly improves the safety and effectiveness of the Madrid PCS technique. By understanding the nuances of the procedure, surgeons can achieve consistent and reproducible results in complex abdominal wall reconstructions.

Analysing the impact of gamification training on reinforcing the relationship of ISA employee engagement and employee task performance – empirical study

Purpose This paper aims to examine the effect of gamification training on employee task performance within the context of intellectual, social and affective (ISA) employee engagement in India. The use of gamification in training as a possible precursor to increased employee engagement is a fascinating research topic, especially as employee engagement is becoming an increasingly important factor in workplace success. Design/methodology/approach To achieve the aim of this study, 300 responses were obtained from employees in an Indian company using online surveys to quantitatively assess levels of employee engagement and task performance. Statistical tests like SPSS 20.0 and Smart PLS 3.0 were run on the collected data to see if gamification training led to significantly higher levels of employee engagement and if this engagement had an effect on task performance. Findings Result tells that social and affective engagement mediates the relationship between gamification training and employee task performance in gamification-using organisations, relative to intellectual engagement. As social and affective engagement has considerable positive effects on employee job performance and gamification training, gamification training is a critical approach for organisations to implement to increase employee engagement and, consequently, performance. Originality/value Using an innovative variable of employee engagement – specifically, ISA employee engagement – the authors have sought to establish a mediating link between gamification and employee task performance. Therefore, the study’s designs have practical value for organisations because they incorporate the ISA engagement scale into a game-based learning environment.

The role of industry 4.0 and ambidexterity on the SCM-SME performance link: Australia evidence

PurposeThis paper aims to investigate the relationships amongst supply chain management (SCM) implementation, Industry 4.0 technologies, organisational ambidexterity and SMEs’ performance in Australia. It further examines whether Industry 4.0 technologies and organisational ambidexterity have mediating effects on such relationships.Design/methodology/approachResearch data were collected through a cross-sectional survey of a sample of 204 SMEs from different industries in Australia. The overall model fit and hypotheses were tested through confirmatory factor analysis (CFA) and structural equation modelling (SEM).FindingsThe statistical results reveal that successful SCM implementation, Industry 4.0 technologies and organisational ambidexterity approach through exploiting existing competencies and exploring new opportunities improve SMEs' performance in Australia. In addition, Industry 4.0 technologies and organisational ambidexterity are found to mediate the relationship between SCM implementation and SMEs’ performance.Originality/valueThe coexisting impacts of SCM implementation, Industry 4.0 technologies and organisational ambidexterity on SMEs’ performance, and how Industry 4.0 technologies and organisational ambidexterity mediate and affect the relationship of SCM implementation and SMEs’ performance have not been addressed previously in Australia. This study, thus, addresses these research gaps, which are expected to be beneficial to managerial practices to support SMEs in their strategic planning and performance enhancement goals.

Using Horizon Scanning to Build Policy Resilience: Case of Waste Crime

ABSTRACTWaste crime is a pressing concern for the waste and resource industry as it is undermining investment, growth and jobs within the industry and threatening the natural environment. However, there is little knowledge of the scale of the problem, the types of criminality and motivations involved, and the precise nature of crime. Environmental regulators are building foresight capabilities to better understand the effect of current and future changes in markets, in technology and in the legislative environment on waste crime and associated behaviours. At the heart of this paper is the question: how can horizon scanning be adopted by environmental regulators to shape decision processes and build resilience to waste crime? We report our efforts to build a toolkit and guidance for conducting horizon scanning, aimed at supporting environmental regulators, investigators and intelligence analysts to build an understanding of—and interpretation of the consequences of—behavioural, market, technological and pollution trends in the waste sector. A review of the academic and grey literature provided insights to organisational approaches and design principles for public sector horizon scanning. Outputs guided discussion at a stakeholder workshop with waste regulators, criminal intelligence and industry professionals to explore institutional challenges and to agree broad design principles for a horizon scanning process. The toolkit supports environmental regulators in applying horizon scanning to policy and wider operational and delivery‐focused challenges; learning how to: (1) spot weak signals and emerging trends quickly, (2) examine the evidence around potential threats and opportunities for the future, and (3) take action on strategically important issues to minimise the impact of crime on the environment, society and business. The paper sets out further research needed to integrate horizon scanning with data analytics (e.g., predictive and hotspot analyses) to challenge assumptions about the patterns of change, based largely on historical trends, and to better manage these so there is greater adaptability to current and future trends.

Evaluating an Emergency Department Discharge Center: A Learning Organization Approach for Efficiency and Future Directions

Evaluating an Emergency Department Discharge Center: A Learning Organization Approach for Efficiency and Future Directions

Five Dimensions of AI Readiness (AIR-5D) Framework- A Preparedness Assessment Tool for Healthcare Organizations

Background: Artificial Intelligence (AI) has transformative potential in healthcare, and it is very useful in areas such as drug discovery, diagnostics, and patient management. However, there is a lack of tools to assess healthcare organizations’ readiness to adopt AI technologies. This study introduces the AI Readiness Five Dimension (AIR-5D) framework, addressing this gap. Methods: The AIR-5D framework was developed using a two-step process: identifying dimensions of AI readiness from literature and weighing these dimensions through expert focus groups. The Analytical Hierarchy Process (AHP) was employed to calculate weights, ensuring consistency and reliability. Results: The results identified five key dimensions: Opportunity Discovery (0.44), Data Management 90.22), IT Environment and Security (0.194), Risk Privacy and Governance (0.101), and Adoption of Technology (0.043). “Opportunity Discovery” was the most critical dimension, while “Adoption of Technology” ranked lowest. Six case studies demonstrated varying AI readiness (score between 3 and 4 on a scale of 5), highlighting challenges in moving beyond AI collaboration to optimization. Conclusions: The AIR-5D framework offers a structured approach for healthcare organizations to assess and enhance their AI readiness. It emphasizes the importance of understanding value, robust data management, and strategic alignment in successful AI adoption.

Cloud-Based Machine Learning : Opportunities and Challenges

This comprehensive article explores the transformative impact of cloud-based machine learning (ML) on modern enterprises, examining both opportunities and challenges in implementation. The article investigates the rapidly growing cloud computing market and its ML segment, revolutionizing how organizations approach data analytics and business intelligence. Through detailed analysis of enterprise implementations, the article demonstrates how cloud ML solutions have democratized access to advanced analytics, significantly reducing operational costs while improving data processing efficiency. The article examines key aspects, including scalability advantages, cost efficiencies, and technical complexities, while providing evidence-based best practices for successful implementation. Drawing from multiple industry studies and real-world deployments, the article presents a framework for organizations to navigate challenges in data privacy, vendor dependencies, and skill requirements while maximizing the benefits of cloud-based ML solutions.

Comprehensive Management of Water Resources: A Step-By-Step Path Towards a Sustainable Campus At The U.D.C.A (Bogotá, Colombia)

Universities are recognized as essential agent of change since future decision-makers related to sustainability are going and will pass through their classrooms. This circumstance becomes an excellent opportunity to demonstrate, with example, and instill in the students how these types of organizations control and approach implementing practices that guarantee sustainability and the appropriate use of resources over time. The Universidad de Ciencias Aplicadas y Ambientales has undertaken different actions related to the Integrated Water Resources Management (IWRM) on campus since 1990. This work focuses on the actions carried out by the Integrated Environmental Management System (latest institutional management model) between the 2014-2016 period to improve the university campus's IWRM (drinking water and wastewater management) from a systemic point of view. The actions implemented were part of the project: Reusing treated water at the University's Wastewater Treatment Plant (WWTP). This project included the following objectives: 1) Reduce the volume and economic costs of sludge water disposal; 2) Reduce drinking water consumption; and 3) Promote environmental education about water resources in students of the different programs of the University. The results were: 1) A decrease of 68.3% in volume and 69.5% in costs of sludge water disposal; 2) A 41.2% saving in drinking water consumption; and 3) 2,475 members of the university community impacted by issues related to the management of water resources.

Development of artificial intelligence-based teaching factory in vocational high schools in Central Java Province

The objective of this study is to examine and assess the progress of utilizing artificial intelligence (AI) in teaching factory learning to enhance the digital skills of vocational high school (SMK) students in the province of Central Java. This study employed a qualitative approach utilizing metaethnography, as well as a quantitative approach employing Aiken’s V formula and strength, weakness, opportunity, threat (SWOT) analysis to identify and analyze the issues that arise. The present study examines the locations of SMKN 2 Purbalingga and SMKS Telkom in Central Java. Furthermore, relevant documentation was also utilized as a source of data. The research findings indicate that the implementation of AI in teaching manufacturing learning has effectively facilitated the development of an online learning management system. This system is characterized by its organized and integrated approach inside the online learning management system. The administration of teaching materials may be conducted autonomously and facilitated by the utilization of diverse information and communication technology or e-learning functionalities, including chat, email, blogs, and social media platforms. The creation of new enterprises within the domain of AI. It is imperative for educational institutions to align their policies with the demands and requirements of the business.

Digital risk: a systematic multivocal literature review

ABSTRACT Crime rates in digital spaces are rising each year, involving increasingly innovative attack methods that organizations are unable to handle, or prepare for, with their obsolete management structures. This paper presents a Multivocal Literature Review in which expertise is collected from the academia and industry on how Digital Risk is perceived, interpreted and handled. Findings from the analysis of 82 selected works, out of an initial set of 519, support the necessity of a paradigm shift in Risk Management to appropriately counter the vulnerabilities specific to digitalization and to abolish the existing siloed organizational approach in favor of a more holistic, cooperative system where individuals are empowered to make decisions and oversight is specialized and dedicated. After analyzing the definitions, compositions, domain contextualizations and organizational structurings attributed to Digital Risk in the literature, a new definition for this concept is proposed, accompanied by a conceptual map and a diagram for structural changes in organizations, to provide an understanding of the area and a contribution to the theoretical foundations of Digital Risk, so that better solutions can be pursued in the future, improving the effectiveness of Risk Management practices in modern organizations.

Central Asia in Regional and Global Policies of Russia and China

From a realist perspective, there is a power competition between China and Russia and the US-led West. Russian rulers felt that the very existence of Russia was seriously threatened by the advancement of the West in an anarchic system, and they reacted by launching military intervention in Georgia and Ukraine. The efforts of Russian rulers to firmly bind Central Asian countries to Russia through bilateral economic and military relations as well as regional organizations have also been shaped by their struggle to preserve Russian existence against the West. China’s efforts to bind regional countries to itself through the SCO and the BRI is a power accumulation reaction given by a state that has emerged as a power pole vis-a-vis the dominant power to the possibility of being prevented from strengthening itself within the system. Russia and China’s efforts to act together in regional initiatives have emerged as an effort of balancing the West. Accordingly, China’s becoming more influential in the region has been managed by the two states with the same concern and this has served the interests of regional countries. In this study, Russia and China’s policies towards regional countries and their approaches in regional organizations have been explained and analyzed from the realist perspective.

Cluster Dimensions of the Space of a New Residential District of Ukrainian ‘Post-Socialist’ City

The article presents research material devoted to new dimensions of the spatial organization of residential areas of Ukrainian “post-socialist” city. He is currently faced with the challenges of military actions aimed at destroying the urban environment of Ukrainian cities. Residential areas of the micro-district type of the “post-socialist” city are mostly built on the basis of the postulates of functionalism. In the theory and practice of urban planning, they did not foresee the vulnerability of objects of necessary and social infrastructure. The criteria of centrality, as focus of concentration of functions of the spatial organization of the city, are currently being transformed into criteria of dispersion. Functional zoning acquires the multiplicative nature of multidimensional functional zoning. Fractal urbanism methodology assumes local freedom and global cohesion of individual urban planning elements. New exponential organizational structures with innovative digital technologies create “breakthrough” models of development. One of which is the urban planning cluster. The new residential area “Levada-2” in the city of Poltava (Ukraine) is presented, which demonstrates the latest approaches in the cluster organization of living space.

Waist-to-Height Ratio as a Key Predictor for Diabetes and Hypertension in Lao PDR National Health Survey.

This study aimed to determine the potential predictive value of four noninvasive anthropometric indices in screening for the risk of diabetes and hypertension in the Lao population. The data used for this study were collected as part of the National Health Survey which used the World Health Organization's stepwise approach, covered 17 provinces and Vientiane capital, and had a representative sample of 3240 participants above 18 years old. Among the anthropometry indices tested, waist-to-height ratio (WHtR) had the highest predictive power for the prevalence of diabetes (area under the curve [AUC] = 0.73) and hypertension (AUC = 0.70). It is suitable for use in urban or rural areas and for fieldwork. The WHtR can serve as a public health and clinical screening tool, as there are no differences between sexes, ages, and ethnicities when monitoring diabetes and hypertension risk in Lao PDR, using the optimal cutoff point of 0.5 for both diabetes and hypertension.

Artificial intelligence: how have Learning Developers engaged?

The ALDinHE Artificial Intelligence (AI) Community of Practice (CoP) was established in the summer of 2023. It has an international membership of over 200 Learning Developers. The CoP meets monthly to discuss an AI-related topic. Since its inception, topics have included organisational approaches to AI, AI in assessment, maths and statistics, and the use of AI in Learning Development tutorials. The group is keen to create an opportunity to share current projects, approaches, and thinking. This wildcard session replicated a world café-style event on a smaller scale. It required a large room. Tables were hosted by colleagues from Abertay University, Bournemouth University, De Montfort University, the University of Manchester, the University of Northampton, and Spurgeon’s College. Each host led a 15-minute session, sharing their AI-related project with delegates seated around the table, which included a short presentation followed by an opportunity for delegates to share their views and exchange ideas. After 15 minutes, the delegates moved to another table. Within the hour, the delegates rotated around three tables. It was hoped that delegates would attend the session to expand their understanding of AI. Delegates who use AI in their day-to-day work had an opportunity to share their experiences, while delegates who were less experienced could expand their understanding and discuss with their peers the challenges and opportunities that AI brings to Learning Development.

Cluster Dimensions of the Space of a New Residential District of Ukrainian ‘Post-Socialist’ City

The article presents research material devoted to new dimensions of the spatial organization of residential areas of Ukrainian “post-socialist” city. He is currently faced with the challenges of military actions aimed at destroying the urban environment of Ukrainian cities. Residential areas of the micro-district type of the “post-socialist” city are mostly built on the basis of the postulates of functionalism. In the theory and practice of urban planning, they did not foresee the vulnerability of objects of necessary and social infrastructure. The criteria of centrality, as focus of concentration of functions of the spatial organization of the city, are currently being transformed into criteria of dispersion. Functional zoning acquires the multiplicative nature of multidimensional functional zoning. Fractal urbanism methodology assumes local freedom and global cohesion of individual urban planning elements. New exponential organizational structures with innovative digital technologies create “breakthrough” models of development. One of which is the urban planning cluster. The new residential area “Levada-2” in the city of Poltava (Ukraine) is presented, which demonstrates the latest approaches in the cluster organization of living space.

A strategic IT policy implementation model for enhancing customer satisfaction in digital markets

In the increasingly competitive landscape of digital markets, customer satisfaction is paramount for sustained business success. This paper proposes a Strategic IT Policy Implementation Model aimed at enhancing customer satisfaction by aligning IT policy development with customer-centric strategies. The model serves as a framework that integrates technological advancements with customer expectations, ensuring that IT policies effectively support business objectives and improve operational reliability. The proposed model emphasizes a holistic approach to IT policy formulation, incorporating stakeholder input, market analysis, and performance metrics. It identifies key areas where IT policies can directly influence customer experiences, including data management, service delivery, and communication channels. By focusing on these elements, organizations can develop IT policies that not only comply with regulatory standards but also enhance user engagement and satisfaction. Central to the model is the concept of continuous feedback loops, which facilitate the ongoing evaluation and refinement of IT policies based on customer insights. This adaptive mechanism enables businesses to remain responsive to changing customer needs and technological advancements, fostering a culture of innovation and customer-centricity. Moreover, the model advocates for cross-departmental collaboration, ensuring that IT policies are harmonized with marketing, sales, and customer service strategies. Implementation of the model is illustrated through case studies of leading technology firms that have successfully aligned their IT policies with customer-centric approaches. These examples highlight the tangible benefits of improved customer satisfaction, increased loyalty, and enhanced operational reliability. Furthermore, the model addresses common challenges faced during implementation, such as resistance to change and resource constraints, offering practical solutions to overcome these obstacles. In conclusion, the Strategic IT Policy Implementation Model provides a structured approach for organizations aiming to enhance customer satisfaction in digital markets. By aligning IT policies with customer-centric strategies, businesses can achieve greater operational efficiency and foster long-term relationships with their customers.

A Case Report on Anti-N-Methyl-D-Aspartate Encephalitis

Aim: The case study aims to describe and evaluate the initial neuropsychiatric symptoms, therapeutic methods, and diagnostic criteria, of a 3-year-old girl who had been diagnosed with anti-N-Methyl-D-Aspartate Receptor (NMDAR) encephalitis. This case study implies the importance of early detection and treatment in pediatric autoimmune encephalitis, highlighting its diagnostic challenges and the successive use of immunotherapy and outcomes. Presentation of Case: A 3-year-old developmentally normal girl child was brought to the hospital with C/O fever for 2 days. Following this she had seizures lasting for around 2 minutes and followed by shivering movements in the right leg for 15 minutes and then she regained consciousness after 25 minutes. CSF analysis showed pleocytosis. Serological tests (Typhoid IgM, Rapid Malaria, Scrub IgM, Dengue IgM, Japanese Encephalitis, and Herpes Simplex Virus IgM) were negative. MRI indicated diffuse encephalopathy, and EEG detected epileptic activity. Further antibody testing in serum and CSF revealed positive Anti-NMDAR antibodies. The patient was treated with amoxicillin-clavulanate(400mg), ceftriaxone(750mg), and acyclovir(130mg) intravenously initially. Once the definitive diagnosis was made, she was treated with IVIG(26g), methylprednisolone(390mg), and levetiracetam(280mg). Discussion: Anti-N-Methyl-D-Aspartate Receptor Encephalitis is an autoimmune encephalitis characterized by complicated neuropsychiatric symptoms and immunoglobulin G (IgG) antibodies against the NR1 subunit of the NMDA receptors in the central nervous system. Conclusion: The appropriate diagnosis and treatment of autoimmune encephalitis necessitate an organized approach. A wide range of autoantibody tests can be performed to identify or rule-out specific autoimmune causes. Patients may relapse and require appropriate follow-up care.

Total Quality Management (TQM) for the development of future smart and integrated cities and sustainable development

Sustainable cities have been among governments prevailing approaches for promoting and achieving goal 11 of the United Nations in urban areas. However, development of sustainable cities policies and measures of cities does not follow an organized and consistent approach for planning, designing, applying, and evaluating a comprehensive sustainable cities system. In that context, the objective of this article is to propose and present total quality management (TQM) as a tool that would aid cities in systematically developing to achieve this goal, literature review of research publications analyze. The research fellow descriptive analysis method.the results obtained in this literature review to find total quality management related to sustainable cities. It was concluded that creating a sustainable city and transportation urban requires understanding the total quality management (TQM) tools by policymakers and practitioners and urban center managers with the implementation and management of this tool. The total management for sustainable cities can assist as a viable management tool to more efficient use of resources in order to develop sustainable cities and achieve sustainability and sustainable transportation.

Innovations in abortion care in France, Germany and the UK following the COVID-19 pandemic

Abstract Background Through an international comparison of health systems and policies, we aim at assessing the contextual and circumstantial characteristics of abortion care innovation in three European countries following the upheaval of the COVID-19 pandemic. The three contrasting care models pre-pandemic constitute an interesting baseline for observing different systems’ reaction to health crises. Methods We conducted a review of the recent (2020 onward) peer-reviewed and grey literature, including national policy documents and guidelines. We then carried a comparative analysis of innovations implemented during the pandemic and their sustainability post-crisis. Results In France and the UK, where abortion care was more accessible before the pandemic than in Germany, a series of innovations were officially introduced to facilitate access during the pandemic. They included teleconsultations and the mailing of abortion medication. Most changes have been sustained since then, contributing to addressing historic and systemic health inequities in terms of access (e.g. due to geography and the existence of “medical deserts”). In Germany, innovations during the pandemic have been crafted by the civil society through NGOs offering for the first time teleabortion services (e.g. Balance Berlin and Doctors for Choice). The legitimation of those practices by professional bodies is still in the making, highlighting the limitations of the catalyst role of crises in the face of cultural barriers and resistance of health systems to innovation. Conclusions The COVID-19 pandemic provoked or accelerated innovation in terms of abortion care in France, Germany and the UK. Yet, its sustainability, as well as its scaling up, remains fragile, especially in Germany, where the disruptive approach of civil society organisations has not yet found its way into mainstream health care services. Key messages • International comparison of health systems’ reaction to the COVID-19 pandemic in terms of abortion care shows different paths to innovation. • The sustainability of innovation beyond the first pandemic years pertains to the wider debate on equity in access to abortion care.

Dis-continuity in Continuity-of-Care: a pathway for more equal access to mental health care services?

Abstract Background Access to healthcare is core to achieving universal health coverage. Reaching and obtaining appropriate health care services requires engagement by health care organizations and users. For people with mental illness, access emerges as a continuous process, reflecting oscillating health conditions. This challenges aspirations of continuity of care (COC), but we know little about the experiences of users. Methods We carried out observations of interactions between professionals and users (n = 18) and semi-structured interviews with users, professionals, and managers (n = 33) in the specialised mental health services in Central Denmark Region and FACT-inspired teams in three municipalities. We also conducted 3 focus groups with regional and municipal professionals from these teams. Data was analysed through a qualitative thematic analysis. Results From the perspective of users, COC builds on the acknowledgment of their entire life situation. For users, this is about making connections between their past, present and future lives. Past experience affect their present abilities to follow treatment and influence future hopes and expectations. The acknowledgment of these connections often translates into spaces of discontinuity in continuity, where users need occasional breaks from treatment but worry about being excluded from treatment. Crucially, the organization of the FACT-inspired teams allows for flexibility in the intensity of visits and treatment. The norms of professionals also support users’ perspectives on COC, as the norms focus on building trust in the relations between users and professionals. Conclusions One important step to achieve more equal access is to integrate the social world of users. This requires organizational and professional approaches that allow for user needs for dis-continuity in COC. Key messages • For mental health service users, continuity-of-care includes breaks from treatment (discontinuity). • More equal health access requires adapting continuity-of-care to needs as perceived by users.