Evaluation Of Compliance Research Articles

Compliance Evaluation in Post-anesthesia Care Units at Teaching Hospitals in Alborz Province, Iran

Compliance Evaluation in Post-anesthesia Care Units at Teaching Hospitals in Alborz Province, Iran

Personalized management of hepatic glycogen storage disorders: The role of continuous glucose monitoring.

Glycogen storage disorders (GSD), inherent disorders of carbohydrate metabolism, feature hypoglycemia as a hallmark. Normoglycemia and glucose monitoring are pivotal in disease management. Conventional glucometer-based monitoring may overlook hypoglycemic trends. This study assesses glycemic control in Asian Indian GSD children using continuous glucose monitoring (CGM) and its role in facilitating dietary adjustments. A pre-post study enrolled molecularly confirmed GSDI, GSDIII, GSDVI, and GSDIX patients for baseline dietary compliance and CGM-based glycemic status evaluation. Hypoglycemic patients were stratified into diet-compliant and diet-noncompliant groups. Noncompliant patients received dietary reinforcement; compliant individuals underwent dietary adjustments. Repeat CGM (rCGM) was performed 6 weeks to 6 months postadjustments. Clinical and metabolic parameters were re-evaluated at 6 months. Of the 20 patients assessed at baseline, 11 were diet compliant. Six among these exhibited hypoglycemia, prompting diet adjustments. Among nine noncompliant patients, eight experienced hypoglycemia and received diet reinforcement. rCGM in 10 patients (five GSDI, three GSDIII, and two GSDIXc) showed a significant reduction in hypoglycemia duration in all. An improvement in height and body mass index was observed in all GSDI and GSDIII patients. Triglyceride levels, raised at baseline in two GSDI and one GSDIII, showed a substantial decline in one GSDI patient. Hepatic transaminase levels decreased in both GSDIXc patients. Plasma lactate levels decreased in all GSDI patients. CGM is an efficacious adjunct in the personalized management of hepatic GSD patients, in the Asian Indian population. The study also underscores the need for long-term follow-up to determine the role of glycemic management in growth, general well-being, and metabolic control in the GSD subtypes.

Evaluating Compliance of Randomized Controlled Trial Abstracts in Plastic Surgery Journals with CONSORT Guidelines Using GPT-4 AI

Background: The quality of reporting in randomized controlled trials (RCTs) is crucial for accurate interpretation and synthesis of evidence. The Consolidated Standards of Reporting Trials (CONSORT) guidelines provide a standardized framework for reporting RCT abstracts. This study aimed to evaluate the adherence of RCT abstracts published in three major plastic surgery journals to the CONSORT tool guideline for reporting abstracts, utilizing Generative Pre-trained Transformer 4 artificial intelligence (GPT-4 AI) technology. Methods: Abstracts of RCTs published between 2010 and 2023 were collected. The GPT-4 AI model was utilized to assess the abstracts based on the CONSORT criteria. Descriptive statistics were used to report the compliance scores and identify areas where abstracts lacked compliance. Results: Of the initially identified 500 abstracts, a total of 371 RCT abstracts met the inclusion criteria and were analyzed. The mean CONSORT score was 10.05 (±2.22), with a median score of 10.72. Specific areas where abstracts lacked compliance included trial design (39.6%), participant details (28.8%), intervention descriptions (15.6%), randomization process (25.3%), and the number of participants analyzed (33.4%). Trial registration (18.3%) and funding information (15.1%) were also frequently missing. Conclusions: Our study’s innovative use of the GPT-4 AI model for analysis demonstrated the potential of AI technology in streamlining and enhancing the evaluation of research compliance. We advocate for heightened awareness and more rigorous application of CONSORT guidelines among authors, reviewers, and journal editors. Emphasizing the role of AI technology in the evaluative process can further improve the reporting quality of future RCTs in plastic surgery, contributing to more reliable and transparent research in the field.

Briefing for Circularity. Translating EU policies into operational guidelines for the building project

Abstract The current EU interest in Circular Economy offers novel opportunities to move towards more sustainable production and consumption practices. Literature confirms that building stakeholders are expressing a growing demand of common references and tools to support the integration of circular principles in building processes. The paper introduces a methodological approach meant as an information support tool to translate EU circularity policies into guidelines for building design and management. Indeed, the challenge is to translate circularity objectives and targets into specific requirements expressed from one stakeholder to another, up to the last operator involved in the supply chain. The requests along the different levels of the supply chain must be consistent with each other and with the initial circularity objectives expressed at the origin by the client. Hence, starting by outlining the complexity of the fragmented building supply-chain, the paper identifies the proper level of detail for expressing circularity requirements and, therefore, for communicating mutually consistent circularity objectives at the different levels of the supply chain. Supporting the integration of circularity requirements within Project Briefs (design phase) and Invitations to Tender (management phase), the proposed tool lays the foundations for the experimentation of circular building practices and for the systemic evaluation of compliance with EU circularity objectives.

Just in Time Port Call Optimisation: Preliminary Regulatory Compliance Evaluation and Environmental Performance Assessment

Abstract Just in Time (JIT) arrival, as an operational measure towards shipping decarbonisation, promises increased energy savings and reduced emissions. Integrated digital systems targeting the optimisation of the port call process allow vessels to adapt their speed to avoid the “hurry-up-and-wait” syndrome, and thus, reduce their fuel consumption at a certain extend. However, there are a lot of concerns and challenges ahead for a wide adoption of such a solution, that are either related to the regulatory and standardisation frameworks, or to the realisation of the actual benefits of a JIT optimisation system. Thus, this paper attempts to shed light on some of these challenges, by focusing on the maritime regulatory framework around JIT operations and on emission reduction potential from speed adaptation. Results provide a baseline for regulatory compliance evaluation for such a system, and a preliminary environmental performance assessment from JIT arrival applied on an actual ship case. These insights and early results will be further explored within the EU-funded MISSION project towards a full appreciation of the JIT concept benefits and regulatory compliance, which will lead to its wide implementation.

Implementation of a Secret and Verifiable Personal Remote Electronic Election of an Agrarian Organization per the Recommendation of the Council of Europe

Lockdowns and social progress have increased hours of work from home, often requiring remote methods of communication. Agricultural organizations from associations to cooperatives to joint stock companies must prepare to carry out more activities online. This article proposes a procedure for the possible implementation of a remote electronic election in personnel matters of the organization using the Belenios system, based on an evaluation of expectations from a questionnaire survey of agricultural college students and graduates. The proposed procedure is subsequently verified based on an evaluation of compliance with the Council of Europe recommendation on standards for electronic voting.

Safety and efficacy of CyTisine for smoking cessation in a hOSPital context (CITOSP): study protocol for a prospective observational study.

Tobacco addiction is the primary preventable factor contributing to global mortality, and nicotine is one of the substances with the greatest potential for addiction. With a strong affinity for the α4β2 subtype receptor, cytisine (CYT) functions as a partial agonist of the acetylcholine nicotinic cholinergic receptor. It counteracts the effects of nicotine without causing any withdrawal symptoms. These features, combined with its limited mild adverse effects and minimal drug-drug interactions, make cytisine a cost-effective treatment for smoking cessation. The current protocol describes a prospective observational study on the safety and efficacy of CYT administered to inpatient smokers of the Integrated University Hospital of Verona (IUHVR), Veneto (Italy). This is a monocentric, observational, and prospective study on both sex smokers over the age of 18 years admitted to the IUHVR who meet the criteria for recruitment and have given their consent. Eligible participants will be assigned to the CYT intervention based on the West dosing schedule and will be followed up for 12 months from treatment initiation. Evaluation of safety, efficacy, and compliance will be assessed at 7 and 25 days, with follow-up at 3, 6, and 12 months from the start of the treatment (quit day). During each visit, any adverse events or adverse reactions reported by patients following the intake of CYT will be evaluated. This study will contribute, for the first time, to the knowledge about the use of CYT for smoking cessation in a hospital setting.

Impact of cardiac rehabilitation exercise frequency on exercise capacity in patients with coronary artery disease: a retrospective study

ABSTRACT Cardiac rehabilitation (CR) significantly improves cardiovascular outcomes in patients with coronary artery disease (CAD). International guidelines vary in the minimum recommended frequency of supervised exercise from 1 to 3 sessions per week. This is the first study in the Middle East and North African regions assessing the impact of 2 versus 3 days/week of supervised exercise on peak exercise capacity in patients with CAD. Single-center retrospective cohort study involving 362 patients enrolled in the only CR center in the State of Qatar. Only high-quality data was included by strict evaluation of compliance to the exercise intervention. Fifty patients who underwent a symptom-limited exercise test before and after CR were included (31 patients on 2 days/week, 19 on 3 days/week). No significant differences were observed in baseline characteristics between groups. Exercise intervention differed significantly between groups in exercise training frequency (2 days/week: 1.97 ± 0.2 vs. 3 days/week: 2.7 ± 0.3; p < 0.00). Peak exercise capacity as peak metabolic equivalents of task (MET) significantly increased in both groups (2 days/week: Pre 8.3 ± 2.4 vs. Post 9.4 ± 2.9, p-value 0.00; 3 days/week: Pre 7.4 ± 1.6 vs. Post 8.4 ± 2.0, p-value 0.00). No significant difference was observed between groups for change in Peak Exercise Capacity (2 days/week 1.1 ± 1.1 vs. 3 days/week 1.0 ± 0.9, p = 0.87). When the total number of exercise sessions is equal, supervised exercise frequencies of 2 and 3 days/week may significantly and equally improve peak exercise capacity in patients with CAD.

Evaluation of Compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines for Conducting and Reporting Systematic Reviews in Three Major Periodontology Journals

Evaluation of Compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines for Conducting and Reporting Systematic Reviews in Three Major Periodontology Journals

WP5.10 - Improving documentation of Surgical Site Infection Reduction Bundle (SSIRB) use in emergency laparotomies

Abstract Aims Surgical site infections (SSI) are associated with significant morbidity and mortality, substantial costs for hospitals due to increased length of stays, intensive care admissions and hospital re-admissions. NICE and the WHO support evidence based SSI reduction bundles (SSIRB). An evidence based SSIRB consisting of eight steps was implemented in the Surgical Emergency Unit (SEU) of a large teaching hospital to reduce SSI rates after emergency laparotomies. An audit was undertaken to assess documentation of SSIRB use. Methods The first audit cycle evaluated SEU laparotomies in January 2022 (n=31). The operation notes in patients’ electronic records were reviewed to extract SSIRB use. The intervention involved altering the electronic operation note to include a section on SSIRB use, which occurred in October 2022. The surgical team were educated about the importance of documenting SSIRB use and the updated operation note. A re-audit was completed for April 2023 (n=21). Results The first cycle showed that SSIRB documentation was poor (ranging from 0% to 55% for each step). After the operation note was updated, documentation of SSIRB use improved significantly for five of the eight steps. 48% of operation notes used the SSIRB section and documentation was higher for these laparotomies. Conclusions Documentation of SSIRB use improved after the intervention. Trusts are obliged to report accurate post-operative SSI rates. Improved documentation allows evaluation of SSIRB use compliance, enabling SSIRB steps with low compliance to be targeted. A high compliance rate to a SSIRB will reduce SSI rates, ultimately benefiting both patients and trusts.

The Interpretation Of Computed Tomography Pulmonary Angiography Evaluation Of Compliance Between Emergency Medical Assistants And Radiologists

SUMMARY lntroduction: Computed tomography pulmonary angiography (CTPA) is an effective method far the evaluation of patients with suspected pulmonary thromboembolism (PTE) and should be interpreted quickly and accurately. We aimed ta determine the agreement between emergency medicine assistants (EMAs) and radiology assistants (RA) and specialists (RS) in the evaluation of CTPA Materials and Methods: 11 EMAs, one RA and one RS participated in the study. 100 CTPA images were re-reported. The participating RA evaluated 100 CTPAs and 11 EMAs evaluated 20 randomised CTPAs aut of 100. The Kappa statistic was used ta assess agreement, and the Douglas G. Altman classifıcation (K

The personnel support of the long-turn care system in the Russian Federation

In Russia, over the past few years, long-term care system is developing as pilot project. Its main goal is to maintain habitual lifestyle of citizens of retirement age and the disabled who have functional impairments and who need help in household chores, sanitary hygienic procedures performance, medications intake, medical procedures execution and and physician prescriptions following in general. According to approved standard model of long-term care main sources of long-term care services are social security system, health care system, relatives and friends of service addressees. However, full-fledged and systemic implementation of program requires not only definition of these components, but also establishment of mechanism of interaction between them. For this, in most cases, elimination of normative inconsistencies impeding care and consideration of interests of elder citizens and the disabled is required. At the same time, it is necessary to foresee personnel staffing for long-term care, since this area is labor-intensive and is based on people interaction, model of person-to-person care. The problems with personnel staffing in medical and social sphere were present earlier, prior to development of long-term care system and without their elimination it is impossible to implement program in accordance with approved road-map. The training of medical specialists to working with older people, training of junior medical personnel to perform sanitary hygienic and medical procedures, provision with social and medical personnel rural areas are among tasks to be implemented. The article presents evaluation of compliance of components of long-term care system with program tasks, including medical personnel staffing and compliance of standards in force with interests of citizens.

PELAYANAN SAFETY RISK MANAJEMEN PESAWAT UDARA TANPA AWAK (PUTA) OLEH PERUM LEMBAGA PENYELENGGARA PELAYANAN NAVIGASI PENERBANGAN INDONESIA (LPPNPI) AIRNAV INDONESIA CABANG PEMBANTU PADANG

Unmanned Aerial Vehicles (PUTA) or drones have increasingly dominated various sectors, from surveillance mapping to sending goods from one place to another. The sustainability and operational security of PUTA requires effective and efficient safety assessment services. This research aims to evaluate the safety assessment service for unmanned aircraft or drones at Perum LPPNPI AirNav Indonesia Padang Sub-Branch. The research methodology involves analysis of operational data, interviews with related parties and evaluation of compliance with safety standards. The research results show that safety risk management services for unmanned aerial vehicles or drones at the Padang Sub-Branch have experienced significant development, however there are still challenges in managing PUTA operational safety risks as a whole. In implementing the Safety Risk Management Service, several aspects were found that needed further attention, including the development of a monitoring system and increased involvement of related parties, as well as understanding the operational characteristics of PUTA in the Padang Sub-Branch work area. It is hoped that the results of this research can provide an important contribution in improving the safety of unmanned aircraft operations at the Padang sub-branch and provide a basis for developing better safety assessment services in the future.

Electromigration in Nano-Interconnects: Determining Reliability Margins in Redundant Mesh Networks Using a Scalable Physical-Statistical Hybrid Paradigm.

This paper presents a hybrid modelling approach that combines physics-based electromigration modelling (PEM) and statistical methods to evaluate the electromigration (EM) limits of nano-interconnects in mesh networks. The approach, which is also compatible with standard Place and Route (P&R) tools and practises, takes into account the positive impact of network redundancy on EM current limits. The numerical simulations conducted in this study show that conventional methods underestimate the EM current limits of a power delivery network (PDN) unit-cell by 80% due to their lack of consideration for redundancy. Additionally, the time-to-failure (TTF) distributions of a PDN unit-cell obtained by the developed modelling framework adhered to a lognormal distribution, where the lognormal sigma, σlogn, exhibits a 55% reduction compared to that of the single constituent interconnects. The study also found the negative voltage (i.e., ground or Vss) grid to be more susceptible to EM than the positive voltage, i.e., Vdd grid. In the examined grid unit-cell design, both the number of interconnect sites prone to voiding and also the magnitude of the peak tensile stress within the nano-interconnects were found to be two times as high in the Vss case compared to Vdd. The lognormal sigma of TFF for the grid unit-cells, σlogn-tile, show a marked reduction compared to the lognormal sigma of the constituent single interconnects, σlogn, with a 50% and 66% decrease compared to single interconnects, for downstream (Vss) and upstream (Vdd), respectively. In addition, σlogn-tile was three times higher for downstream (Vss) compared to upstream (Vdd), whilst, in contrast, this difference was only 2-fold at the single interconnect level. TTF50% was predicted to be 4.13-fold higher at the grid unit-cell level for the upstream compared to downstream operation, which was also more pronounced than in the single interconnect level where the difference was only 2-fold. This research provides valuable insights into the EM ageing of nano-interconnects in mesh networks and could pragmatically enhance the accuracy of EM compliance evaluation methods.

Artificial intelligence and clinical guidance in male reproductive health: ChatGPT4.0's AUA/ASRM guideline compliance evaluation.

Male infertility is defined as the inability of a male to achieve a pregnancy in a fertile female by the American Urological Association (AUA) and the American Society for Reproductive Medicine (ASRM). Artificial intelligence, particularly in language processing models like ChatGPT4.0, offers new possibilities for supporting clinical decision-making. This study aims to assess the effectiveness of ChatGPT4.0 in responding to clinical queries regarding male infertility, which is aligned with AUA/ASRM guidelines. This observational study employed a design to evaluate the performance of ChatGPT4.0 across 1073 structured clinical queries categorized into true/false, multiple-choice, and open-ended. Two independent reviewers specializing in reproductive medicine assessed the responses using a six-point Likert scale to evaluate accuracy, relevance, and guideline adherence. In the true/false category, the initial accuracy was 92%, which increased to 94% by the end of the study period. For multiple-choice questions, accuracy improved from 85% to 89%. The most significant gains were seen in open-ended questions, where accuracy rose from 78% to 86%. Initially, some responses did not fully align with the AUA/ASRM guidelines. However, by the end of the 60 days, these responses had become more comprehensive and clinically relevant, indicating an improvement in the model's ability to generate guideline-conformant answers (p<0.05). The depth and accuracy of responses for higher difficulty questions also showed enhancement (p<0.01). ChatGPT4.0 can serve as a valuable support tool in managing male infertility, providing reliable, guideline-based information that enhances the accuracy of clinical decision-making tools and supports patient education.

A critical review of test methods and alternative scientific approaches to compliance and safety evaluation of paper and board for food contact.

Paper and board are widely used as food contact materials. For such sensitive applications, consumer safety regarding the transfer of chemical components and contaminants to the food needs to be established. Such safety assessments are becoming increasingly challenging not only due to intentionally added substances but also non-intentionally added substances. In the European Union, compliance testing and safety evaluation of paper in food contact are largely based on national legislation and standards. The underlying tests are conventional methods, often overestimating and sometimes underestimating the migration into food. In this article, the relevant standard test methods are contrasted with currently available scientific knowledge. The scientific approaches to develop and identify suitable test methods are critically reviewed. Furthermore, theoretical predictions via mathematical modeling, with the aim to realistically simulate transfer to food, are presented and discussed in comparison with available migration studies with foods. Objectives are to (i) summarize the actual scientific knowledge in the field and draw conclusions regarding the potential and limitations of the existing test methods and (ii) identify research gaps toward a better qualitative and quantitative understanding of transport processes of volatile and non-volatile substances from paper and board into foods.

Evaluation of compliance of emergency severity index triage levels and demographic characteristics with the outcome of patients referred to the emergency department: A retrospective study

This research sought to examine the relationship between emergency severity index (ESI) triage levels, demographic factors, and patient outcomes. A total of 350 patient cases were analyzed from the emergency department (ED) of Khoy University of Medical Sciences and Health Services Hospital, where ESI triage was systematically implemented. A simple random sampling method was employed for selection. The study identified key variables including age, gender, outcomes, and triage levels, categorizing levels 1 and 2 as high-priority triage and levels 3, 4, and 5 as low priority. Data were retrospectively gathered from the medical records of all patients involved. The outcomes assessed included hospitalization, discharge from the hospital, patient satisfaction, and mortality. Statistical analysis was conducted using SPSS software version 20, employing non-parametric chi-square tests, analysis of variance (ANOVA), and multiple regression, with a significance threshold set at 0.05. The findings revealed a statistically significant correlation between ESI triage levels, demographic characteristics, and the outcomes of patients presenting to the ED (P&lt;0.0001). The results indicate that the ESI triage system demonstrates high accuracy in prioritizing patients and effectively predicting outcomes, thereby serving as a valuable tool in hospital triage processes.

Enhancing Inventory Control through Compliance Evaluation of an Android Cashier Application

This study evaluates an android-based cashier application (Applicationr) at Toko Berkah Abadi in accordance with PSAK No. 14 guidelines for inventory management. Using qualitative descriptive methods including interviews, observation, and documentation, the research finds that the application adequately meets standards for inventory assessment, recording methods, and categorization. However, areas for improvement include implementing a stock book feature for better goods monitoring and setting minimum order thresholds to streamline product ordering. These findings highlight opportunities to enhance the application's effectiveness in controlling merchandise inventory, thereby potentially improving overall business efficiency and regulatory compliance in retail settings. Highlights: Compliance evaluation with PSAK No. 14 for inventory accuracy. Identification of strengths and areas for inventory management enhancement. Improving merchandise control for enhanced retail efficiency and compliance. Keywords: Android-based cashier application, PSAK No. 14, inventory management, qualitative research, retail efficiency

Evaluation of Hand Hygiene Compliance among Health Care Workers of ICU at Tertiary Care Hospital Chandkheda, Gujarat (India)

Evaluation of Hand Hygiene Compliance among Health Care Workers of ICU at Tertiary Care Hospital Chandkheda, Gujarat (India)

Compliance with Centers for Medicare &amp; Medicaid Services (CMS) 2021 price transparency requirements among proton therapy centers.

e23034 Background: Since 2019, the Centers for Medicare &amp; Medicaid Services (CMS) has required hospitals to publish gross charges for all goods and services provided. In 2021, CMS amended this requirement to include publishing standard charge files, which include cash and payer-negotiated prices for all goods and services provided. This was enacted in an attempt to reduce healthcare prices by reducing information asymmetry and generating competition among both insurers and hospitals. Since complex proton therapy is one of the most expensive modalities of cancer treatment, we aimed to determine proton therapy center compliance with CMS price transparency requirements. Methods: We searched for online standard charge files for the 44 proton therapy centers in the United States. To assess compliance with the nine CMS price transparency criteria, we obtained prices for proton therapy using keyword searches and billing code 77525, the CPT code for the per fraction technical charge billed for complex proton treatment delivery. Results: Out of 44 operating proton therapy centers, 5 (11.4%) are free-standing private practice centers that are not affiliated with a hospital system, and thus not required to publish standard charge files per CMS policy. Of the 39 centers required to publish, 39 (100%) published their standard charge files free of charge with appropriately named files, thus meeting Criteria 1-3. Twenty-seven (69.2%) centers met Criteria 4 by including data on complex proton therapy (CPT code 77525) and Criteria 5a by including the gross charge for the service. One (2.6%) center partially met Criteria 4. Seventeen (43.6%) centers included negotiated prices for commercial insurers, thus meeting Criteria 5b, while 3 (7.7%) partially met this criterion. Twenty-two (56.4%) centers met Criteria 5c and 5d by including the deidentified minimum and maximum negotiated commercial prices, respectively. Twenty-six (66.7%) centers met Criteria 5e by listing the cash price for complex proton therapy, which is typically paid out-of-pocket by patients. One (2.6%) center partially met Criteria 5c-e. In total, 17 (43.6%) out of 39 proton therapy centers were in complete compliance with the 2021 CMS price transparency requirements. Conclusions: In summary, 17 out of 39 eligible proton centers were fully compliant with the 2021 CMS price transparency requirements in regard to complex proton radiation therapy. This suggests that deficiencies exist among hospital compliance and the CMS review process used to identify non-compliance. Future directions are aimed at expanding this analysis to include evaluation of proton center compliance with other billing codes, such as simple and intermediate proton treatment delivery. [Table: see text]