Implementation Of Effective Strategies Research Articles

The challenges of adopting emerging technologies in the AEC industry a literature review and bibliometric analysis

Purpose This paper aims to identify and provide a theoretical explanation for the barriers that hinder the adoption of emerging technologies in the architecture, engineering and construction industry, irrespective of the company’s size, specialization or geographical location. In addition, the paper proposes potential areas for future research in this domain. Design/methodology/approach A list of barriers hindering the adoption of emerging technologies was identified and clarified using a systematic literature review of various scientific sources. Findings Twenty-five barriers were recognized and explained and some suggestions for future research studies were provided. Research limitations/implications The barriers related to a specific country or region or to a specific technology were excluded. Originality/value By providing a deeper comprehension of the barriers hindering the adoption of emerging technologies, this review is expected to encourage their adoption in the industry. Furthermore, it could prove valuable in devising effective strategies for the successful implementation of these technologies.

The Relationship Between the Strategy of Russian Companies and Their Policies in the Field of Human Capital

In modern conditions of instability of the national economic system, the question of effective strategic planning and implementation of an organizational strategy covering all levels of the corporation becomes relevant. The post-pandemic period and the shock year 2022 for many Russian companies forced the top management of many corporations to respon3d flexibly to the current realities of the global market, changing previous strategies. Interesting in this regard are the factors that shape the organizational strategies of the corporations under study. The author presents an attempt to analyze the effectiveness of Russian companies from the chosen type of strategy in relation to the policy in the field of use of human capital. In particular, economically important companies using classical planned and classical process strategies are considered. Based on the study, it was revealed that there is a relationship between organizational strategy and management policy in the field of human capital; moreover, the higher it is, the more successful companies are (expressed in caring for employees). Also, as a distinctive factor shaping organizational strategies, the author identified the policy in the field of labor protection and industrial safety (which is a feature of companies with a classic process strategy).

A120 A HUMAN-CENTERED DESIGN APPROACH TO THE DEVELOPMENT OF A VACCINE IMPLEMENTATION STRATEGY IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE

Abstract Background Vaccination uptake amongst patients with inflammatory bowel disease (IBD) remains suboptimal. Our previous study assessed perceived barriers and solutions related to implementation of evidence-based guidelines for vaccine preventable illness (VPI). Barriers included limited time, lack of access to a family physician, and incomplete understandings of coverage/access to vaccines. Aims The aim of this study was to use human-centered design (HCD) to design a vaccine implementation program in patients with IBD. Methods The HCD approach consisted of multiple phases. Phase 1 (discovery and define) consisted of semi-structured interviews of healthcare providers. Phase 1 also included the development of a context-specific patient journey map of the processes involved in accessing vaccines. This map was developed in collaboration with a multidisciplinary IBD team. Phase 2 involved identifying common barriers and facilitators through thematic analysis and journey mapping. In Phase 3, these analyses were used to design an implementation strategy for evidence-based management of VPI in the local health system context. Results Twelve interviews (including 11 gastroenterologists and one IBD nurse practicing in Nova Scotia and New Brunswick) were conducted. Mean participant age was 45.1 years, with 63.6% identifying practice in an urban/academic setting compared to a rural/community setting (36.4%). Lack of access to a family physician, limited time, vaccine hesitancy, and incomplete understanding of coverage/access to vaccines were among the barriers identified. Using facilitator themes as well as the journey mapping process, a proposal for an early implementation strategy prototype was designed. Prototype development involved collaborative partnership with a third-party patient support program to overcome various barriers identified in our surveys. Conclusions Barriers to implementation of evidence-based guidelines for management of VPI are well documented. The use of HCD to design an effective implementation strategy that is sensitive to the local healthcare context holds potential to increase access to and uptake of high quality, evidence-based VPI management. In future studies, the implementation-effectiveness of the implementation strategy (model prototype) will be evaluated and compared to standard of care. Funding Agencies None

On the vertical structure of non-buoyant plastics in turbulent transport

Plastic pollution is overflowing in rivers. A limited understanding of the physics of plastic transport in rivers hinders monitoring, the prediction of plastic fate and restricts the implementation of effective mitigation strategies. This study investigates two unexplored aspects of plastic transport dynamics across the near-surface, suspended and bed load layers: (i) the complex settling behaviour of plastics and (ii) their influence on plastic transport in river-like flows. Through hundreds of settling tests and thousands of 3D reconstructed plastic transport experiments, our findings show that plastics exhibit unique settling patterns and orientations, due to their geometric anisotropy, revealing a multimodal distribution of settling velocities. In the transport experiments, particle-bed interactions enhanced mixing beyond what established turbulent transport theories (Rouse profile) could predict in low-turbulence conditions, which extends the bed load layer beyond the classic definition of the bed load layer thickness for natural sediments. We propose a new vertical structure of turbulent transport equation that considers the stochastic nature of heterogeneous negatively buoyant plastics and their singularities.

Land-use and its implication on physicochemical parameters of groundwater: Evidence from Ikenne Local Government Area, Ogun State

Groundwater is essentially the major source of fresh water and used widely for drinking purpose. In any given area, groundwater within an aquifer, or groundwater produced by a well, has some vulnerability to contamination from human activities. Therefore, information on human activities that leads to contamination of groundwater is important. Such information can aid in the choice of proper locations for certain activities, so that the adverse effects on groundwater are minimized and protection of groundwater achieved. Against this background, the study examines land-use and its implications on physiochemical properties of groundwater in Ikenne Local Government Area, Ogun State, Nigeria. The study obtains and analyses the existing land-use maps. Water samples were collected for laboratory test to benchmark physicochemical parameters based on World Health Organisation standards. Water Quality Index (WQI) was used to determine groundwater quality. Findings from analyses of land-use map show that residential landuse has highest percentage in Iperu (79.9%) and Ilishan (52.8%) towns, while industrial land-use constitutes the least, representing for 0.6% and 1.9% in Iperu and Ilishan respectively. The study found that WQI for Ilishan I (39.4), II (33.5), III (43.8) and Iperu I (32.9), II (31.4) was of good quality, while Iperu III (19.4) was excellent. ANOVA results of F = 0.596 and p > 0.05 established that there is no statistical significant variation in the physiochemical properties of groundwater. It can be concluded that absence of land-uses that generate contaminants reduce the likelihood of groundwater contamination. Therefore, strategies for effective implementation of zoning regulations should be put in place by relevant government agency.

Soft-Shell Production of the Invasive Atlantic Blue Crab Callinectes sapidus in the Lesina Lagoon (SE Italy): A First Assessment

The current invasion of the Mediterranean Sea by the Atlantic blue crab Callinectes sapidus requires the implementation of effective strategies of control and management. In native areas, the species is highly appreciated as a hard- and soft-shell seafood, and hard-shell fisheries are developing in a number of invaded countries. Here, to verify alternative approaches for enhancing the commercial value of the species, we carried out a pilot experiment to test a flow-through system for the production of soft-shell blue crabs. Fifty crabs were collected in the Lesina lagoon (Adriatic Sea, Italy) and inspected for the coloration of the line on the distal edge of the fifth pereiopod. Accordingly, they were grouped into three groups showing no, white, and red lines, symptomatic of the progression of the pre-molt phase, and maintained for 31 days in a flow-through pond system. The overall mortality rate determined during the trial was similar across the three groups and ranged between 10 and 20%, indicating that the flow-through system was effective for rearing the crabs. In addition, the molting rate was 10%, 65%, and 85% for individuals at an early, intermediate, and advanced pre-molt stage, confirming that the line coloration can be used as an effective indicator of the advancement of the molting process. Our study provides the first contribution towards the introduction in the Mediterranean fishery sector of novel procedures and practices for the production of soft-shell blue crabs, which may represent a cost-effective strategy to enhance the capture and commercialization of this invasive species as a high-quality and valuable shellfish product.

Meta-Analysis of Open-Heart Surgery Pain Relief Using Transversus Thoracic Plane Blocks

Background. Severe postoperative pain is commonly reported following open-heart surgery, necessitating the implementation of effective pain management strategies to facilitate patient recovery. The benefits of the transverse thoracic muscle plane (TTMP) block for open-heart surgery remain unclear. Therefore, a meta-analysis was conducted to systematically evaluate the effect of TTMP on postoperative analgesia and recovery in patients undergoing open-heart surgery. Methods. A computer search was performed in PubMed, Cochrane, Embase, CNKI, and Wangfang databases. The primary outcome was 24-hour postoperative opioid consumption, and the secondary outcomes were 12- and 24-hour postoperative resting and motor pain scores, time of first analgesia demand, extubation time, length of stay in the intensive care unit (ICU), time of first feces, incidence of nausea and vomiting, and length of hospitalization. Results. Thirteen randomized controlled trials (RCTs) involving a total of 766 patients were included in this meta-analysis. Compared with the control group, the TTMP group showed a significant reduction in opioid consumption within 24 h postoperatively (mean difference = −41.88 mg; 95% confidence interval: −51.99, −31.77; p<0.001; and I2 = 98%). However, the 12- and 24-hour postoperative resting and moment VAS pain scores were significantly lower in the TTMP group. In addition, the TTMP group had a longer time of first analgesic demand; shorter endotracheal intubation time, ICU stay duration, time of first feces, and length of hospital stay; and a lower incidence of nausea and vomiting. Conclusions. Perioperative TTMP block can reduce the use of opioids in patients undergoing open-heart surgery for 24 h postoperatively, decrease the early postoperative pain scores, prolong the time of first analgesic demand, shorten the time of extubation and the length of ICU stay and hospitalization, and reduce the incidence of nausea and vomiting, which are all conducive to the recovery of patients. Registration. This trial is registered with PROSPERO database (CRD42022312435).

Strategi Pengelolaan Sumber Daya Manusia pada Generasi Z Tantangan dan Peluang di Era Digital Untuk Meningkatkan Kematangan Karir

The importance of adapting human resource management (HRM) strategies becomes increasingly fundamental in the rapid development of technology and changing workforce needs in this digital era. The objective of this research is to explore how HRM strategies can be adapted to meet the challenges and opportunities faced by Generation Z in the digital era, with a focus on enhancing career maturity. Additionally, the aim is to identify key factors in the effective implementation of HRM strategies for Generation Z that contribute positively to career maturity in the digital era. In the research titled "Human Resource Management Strategies for Generation Z: Challenges and Opportunities in the Digital Era for Career Maturity Enhancement," a qualitative approach can be a highly relevant method to provide in-depth understanding of the dynamics between HRM strategies, challenges faced by Generation Z, and career maturity improvement. The research findings indicate that personalized career development plans are an effective strategy to meet the individual needs of Generation Z, considering their preference for recognition of each individual's uniqueness. Through this personalization, organizations can build stronger bonds with employees and create more meaningful experiences.

Mapping Landslide Vulnerability using Machine Learning Approach along the Taba Penanjung-Kepahiang Road, Bengkulu Province

Landslides occur when masses of rock, debris or soil move due to various factors and processes that cause land movement. The Taba Penanjung-Kepahiang route is one of the areas in Bengkulu Province that is highly prone to landslides. This causeway is the only fastest land route connecting the Bengkulu-Kepahiang area. In recent years, the road area has often been cut off due to landslides and fallen trees, which have caused road access to be cut off and obstructed and claimed lives. This study uses a Machine Learning (ML) and GIS approach with Variable Frequency Ratio using 16 independent factors obtained from the spatial database and DEM, which correlate with landslide events. This research aims to gain an in-depth understanding of the factors that cause landslides. In addition, the research focus is the development of a Disaster Mitigation Model to design and implement effective strategies to reduce the risk and impact of landslide disasters through in-depth analysis The dependent factor is the location of the landslide from the historical landslide area for the last five years, with a distribution of 70/30%. Furthermore, frequency ratio is used to analyze the correlation between conditioning factors and historical landslides. Then, the independent and dependent factors were normalized to create a landslide susceptibility map. Frequency Ratio (FR) indicates the likelihood of an event occurring, with drainage density (FR= 0.69), shear wave velocity (Vs30) (FR= 0.66), slope (FR= 0.60), and rainfall (FR= 0.55). The output of the processed data is in the table below.

Focus Strategy on the Performance of Level Four Public Hospitals in Nairobi County, Kenya

Kenya's healthcare sector confronts a formidable and competitive landscape, necessitating the implementation of effective strategies by hospitals to attain sustainable performance. In this era of intense market competition, organizations must continuously assess their practices and outcomes to enhance their performance. This study aimed to investigate the effect of focus strategy on the performance of four public-level hospitals in Nairobi County. The study employed a descriptive research design and structured questionnaires for data collection. The study found compelling evidence of the positive effect of focus strategy (r= 0.219, p<0.05) on hospital performance. Furthermore, the results underscored the ability of public level four hospitals to establish a distinctive market niche, with the goal of securing a significant market share while mitigating competition.

MARKETING STRATEGY OF BANANA BUSINESS IN PANGKAJENE AND ISLANDS REGENCY

The primary objective of this research is to comprehensively identify and recommend an effective business marketing strategy tailored to enhance product sales through digital platforms for Juragan Banana, a business located in Pangkep Regency. The research methodology employed is descriptive qualitative research, encompassing data collection techniques such as observation, interviews, and documentation of the research subject. The gathered data is subsequently subjected to a thorough analysis utilizing the SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis framework. Upon delving into the outcomes of the study, it becomes evident that Juragan Banana Business has strategically positioned itself in the Aggressive quadrant through the application of a growth-oriented strategy. This positioning is deemed highly favorable, as indicated by the SWOT analysis. The business has leveraged its strengths to overcome weaknesses, seize opportunities, and mitigate potential threats. The execution of a Marketing Strategy has played a pivotal role in aligning with the growth-oriented strategy, creating a conducive environment for the business to thrive. By continuing to implement and fine-tune this strategic approach, Juragan Banana Business is well-positioned to not only sustain its current growth trajectory but also to expand its reach, fostering an environment conducive to achieving maximum progress. The growth-oriented strategy, coupled with the effective implementation of marketing strategies, provides a solid foundation for ongoing success and development within the dynamic landscape of digital platforms and sales optimization.

A novel hybrid sustainable healthcare supply chain model for patient safety: A case study of Cambodia

This research focuses on elucidating the attributes of a Sustainable Healthcare Supply Chain (SHSC) that play a pivotal role in enhancing patient safety, particularly in developing nations. Patient safety in healthcare supply chains is paramount, particularly in the face of inherent risks and vulnerabilities associated with disruptions and uncertainties. A hybrid selection model, integrating factor analysis, structural equation modeling (SEM), and the Fuzzy Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS), is introduced to rank these attributes. Twenty-two SHSC attributes are categorized into four facets: social, environmental, economic, and technological. A survey conducted across five Cambodian provinces gathered 361 valid responses from healthcare professionals, forming the basis for a structural SHSC model. This model is subsequently implemented in a Phnom Penh tertiary hospital. The findings underscore the imperative of incorporating patient safety considerations into healthcare supply chains. The hybrid selection model helps healthcare leaders figure out what factors are most important for patient safety and rank them. This gives them information they need to come up with effective strategies and long-lasting projects. The study's outcomes provide actionable insights for healthcare stakeholders. The multi-analytical approach of the model offers a comprehensive perspective to address supply chain challenges, reduce extraneous costs, and minimize environmental footprints. In essence, the effective implementation of sustainable healthcare supply chain strategies not only enhances care quality and fortifies patient safety but also aligns with the broader objectives of healthcare entities.

The Relationship between Personnel Behavior and Work Effectiveness with the Ability to Adapt to Disruptive Situations as Mediation

This research aims to investigate the relationship between personnel behavior and the job effectiveness of Bhabinkamtibmas (Non-Commissioned Officers responsible for Community Security and Order Maintenance) with adaptability as a mediating variable in disruptive situations. The research methodology involved 310 samples out of a total of 1369 Bhabinkamtibmas personnel distributed within the research area. The research findings indicate that personnel behavior does not have a direct significant influence on job effectiveness. However, an interesting finding is the presence of a positive and significant influence between personnel behavior and adaptability. Furthermore, adaptability has a positive and significant influence on the job effectiveness of Bhabinkamtibmas. Mediation analysis reveals that adaptability acts as a partial mediator in the relationship between personnel behavior and job effectiveness. This research significantly contributes to understanding the factors affecting the job effectiveness of Bhabinkamtibmas in the midst of disruptive situations. Research recommendations encompass the need to enhance training and development focusing on improving the adaptability of Bhabinkamtibmas personnel, as well as the implementation of effective behavioral management strategies in their work context. Thus, the results of this research have practical implications for enhancing the quality of security and community order services provided by Bhabinkamtibmas in the face of dynamic and challenging situations.

Management of Penicillin Allergy in the Perioperative Setting.

The selection of perioperative antibiotic prophylaxis is challenging in patients with a history of penicillin allergy; as such, we present a literature review exploring current best practices and the associated supporting evidence, as well as areas for future research. Guidelines recommend the use of alternative agents in patients with an IgE-mediated hypersensitivity reaction, but those alternative agents are associated with worse outcomes, including an increased risk of surgical site infection, and higher cost. More recent data suggest that the risk of cross-reactivity between penicillins and cephalosporins, particularly cefazolin, is extremely low, and that cefazolin can be used safely in most penicillin-allergic patients. Studies have therefore explored how best to implement first-line cefazolin use in patients with a penicillin allergy label. A variety of interventions, including preoperative allergy de-labeling with incorporation of penicillin skin testing, use of patient risk-stratification questionnaires, and utilization of clinician algorithms to guide antibiotic selection intraoperatively, have all been shown to significantly increase cefazolin utilization without a corresponding increase in adverse events. Further studies are needed to clarify the most effective interventions and implementation strategies, as well as to evaluate whether patients with severe delayed hypersensitivity reactions to penicillin should continue to be excluded from receipt of other beta-lactams.

Empowering Panchayati Raj: Role of Ict in Strengthening Grassroots Governance

The article explores the important role of Information and Communication Technology (ICT) in bolstering grassroots governance within India's Panchayati Raj Institutions (PRIs). Panchayati Raj, a decentralized form of administration, empowers local governance through elected bodies at the village, block, and district levels, aiming for participatory decision-making and local development. ICT, comprising digital tools and technologies, revolutionizes governance by enhancing communication, transparency, service delivery, and citizen engagement. Despite the transformative potential, PRIs face challenges such as resource constraints, limited infrastructure, and privacy concerns. The integration of ICT empowers PRIs through capacity building, transparency, accountability, and citizen engagement while offering policy recommendations and collaborative strategies for effective implementation. The article underscores the significance of leveraging ICT to foster inclusive, responsive, and accountable governance tailored to the needs of local communities within PRIs.

Use of mHealth in promoting maternal and child health in "BIMARU" states of India "A health system strengthening strategy": Systematic literature review.

Low-middle income countries like India bear a heavier burden of maternal, childcare, and child mortality rates when compared with high-income countries, which highlights the disparity in global health. Numerous societal, geopolitical, economic, and institutional issues have been linked to this inequality. mHealth has the potential to ameliorate these challenges by providing health services and health-related information with the assistance of frontline workers in the provision of prepartum, delivery, and postnatal care to improve maternal and child health outcomes in hard-to-reach areas in low- and middle-income countries (LMICs). However, there is limited evidence to support how mHealth can strengthen maternal and child health in India. The scoping review guideline in the Cochrane Handbook was used to retrieve studies from 4 international databases: CINAHL, Embase, Medline Ovid, and PubMed. This search strategy used combined keywords (MeSH terms) related to maternal and child healthcare, mHealth, and BIMARU in conjunction with database-controlled vocabulary. Out of 278 records, 8 publications were included in the review. The included articles used mHealth for data collection, eLearning, communication, patient monitoring, or tracking to deliver maternal and neonatal care. The results of these papers reflected a favourable effect of mHealth on the target population and found that it altered their attitudes and behaviours about healthcare. Higher job satisfaction and self-efficiency were reported by mHealth user care providers. Multiple barriers to the acceptance of mHealth exist, but the majority of the evidence points towards the feasibility of the intervention in a clinical setting. The mHealth has positive potential for improving maternal and child health outcomes in low-resource settings in India's BIMARU states by strengthening the healthcare system. The results of the study could be used in the tailoring of an effective mHealth intervention and implementation strategy in a similar context. However, there is a need for economic evaluation in the future to bridge the knowledge gap regarding the cost-effectiveness of mHealth interventions.

Insights from international environmental legislation and protocols for the global plastic treaty

Plastic pollution has emerged as a global challenge necessitating collective efforts to mitigate its adverse environmental consequences. International negotiations are currently underway to establish a global plastic treaty. Emphasizing the need for solution-orientated research, rather than focusing on further defining the problems of widespread environmental occurrence and ecological impacts, this paper extracts insights and draws key patterns that are relevant for these international negotiations. The analysis reveals that (i) environmental rather than human health concerns have been the predominant driving force behind previous regulations targeting pollutants, and (ii) the decision to ban or discontinue the use of harmful pollutants is primarily affected by the availability of viable substitutes. These two key findings are relevant to the discussions of the ongoing Intergovernmental Negotiating Committee (INC) on the global plastic treaty and underscore the recognition of environmental consequences associated with plastic pollution while emphasizing the need to enhance the knowledge base of potential human health risks. Leveraging the availability of substitutes can significantly contribute to the development and implementation of effective strategies aimed at reducing plastic usage and corresponding pollution.

Teachers’ attitudes on gamification: The Greek EFL context

This article explores teachers' attitudes towards the perceived usefulness and intention of using gamification in the English as a Foreign Language (EFL) classroom. The study examines the impact of age, teaching experience, and educational background on teachers' attitudes towards gamification. The literature review highlights the potential benefits of gamification in enhancing student engagement, motivation, and positive learning behavior, as well as its potential to address affective factors and language skills. This quantitative study employed a correlational research design, involving a sample of 70 language instructors from five language schools in Greece. Data collection was conducted using a structured questionnaire adapted from the Technology Acceptance Model (TAM). The research indicates that younger teachers are more willing to incorporate gamification into their lessons, while older teachers may require additional support. Teaching experience negatively influences teachers' intention to use gamification, indicating that less experienced teachers are more open to experimentation. Educational background, however, does not significantly impact teachers' intention to use gamification. Additionally, the study finds that the perceived usefulness of gamification is influenced by age, teaching experience, and attitudes towards control and student approval. The article concludes that while gamification can enhance student engagement and learning outcomes, its effectiveness depends on various factors. Recommendations include tailored training programs and support networks for older teachers and the promotion of collaborative communities to facilitate the integration of gamification in EFL classrooms. Further research is encouraged to explore public school EFL teachers' attitudes and develop effective strategies for gamification implementation.

Tackling the challenge of cardiovascular diseases and diabetes across Europe: a joint action by more than 300 public health professionals. Commentary.

Cardiovascular diseases (CVD) and diabetes pose significant health challenges in Europe, affecting millions and burdening healthcare systems. The recent EU4Health Programme places reducing the burden of non-communicable diseases (NCD) at the forefront, through a Joint Action focused on CVD and diabetes (JACARDI, Joint Action on CARdiovascular diseases and DIabetes). This initiative unites 21 European countries, including Ukraine, and over 300 experts. Employing an innovative approach and standardised methodology, JACARDI implements 142 pilot projects covering the entire "patient" journey. Particular focus will be given to improvement of data availability and quality. Additionally, JACARDI will emphasise transversal and intersectional aspects, such as health equity, determinants of health, and social, cultural, and ethnic diversity, while pioneering gender-transformative leadership. Committed to evidence-based interventions, JACARDI aims to harmonise strategies and disseminate knowledge for enhanced CVD and diabetes prevention and management. The goal is to identify effective strategies for wider implementation, fostering cross-national collaboration and fortifying Europe's health resilience.

Pengenalan Nilai Seni Nusantara Pada Anak Usia Dini Melalui Tari Kreasi Wonderland

Art education in early childhood has an important role in shaping the foundation of their development. One aspect that should not be missed is the introduction of Nusantara art values, which is an inseparable part of Indonesia's cultural heritage. The purpose of this study is to add insight and children's ability to dance. This research discusses the introduction of Nusantara art values in early childhood through Wonderland Creation Dance, a concept that combines traditional dance elements with children's imagination. This study highlights the potential of Kreasi Wonderland Dance in introducing Nusantara art values, its impact on early childhood character development, and effective implementation strategies in the context of early childhood education. Through the introduction of Nusantara art through Kreasi Wonderland Dance, it is hoped that children can gain a fun art experience while building their appreciation for the nation's cultural heritage from an early age, forming positive character and personality, and maintaining the sustainability of Nusantara art and culture in the future.