Experience In Management Research Articles

Present Situation and Challenge of BlM Development in Construction Cost Industry

This paper analyzes the construction cost situation, BIM technology development, cost measurement methods, cost pricing system, cost control practice and cost management experience of our country and the United Kingdom, the United States and Japan. Finally, the outlook for the future development of engineering cost industry in our country is concluded. and the relevant suggestion is given, which provides a useful reference for the development of engineering cost industry in our country.

The Surgical Management of Intracranial Metastasis Secondary to Follicular Cell-Derived Thyroid Carcinoma.

Intracranial metastases (ICM) from follicular cell-derived thyroid carcinoma (FCDTC) are rare and are associated with a poor prognosis. The objective of this study is to report our experience in the surgical management of patients with ICM secondary to FCDTC. Patients with FCDTC who underwent surgical resection of an ICM were identified at our institution from 1998 to 2018. Thirty-two patients were included in this study. Nineteen patients (59%) had involvement of the brain parenchyma only, 8 (25%) had a dural-based metastasis, 3 (9%) had a calvarial metastasis with dural extension, and 2 (6%) had a skull base metastasis with dural extension. In patients who had an R0-1 resection, the estimated lesional control at the site of resection was 91% at 3 years. However, overall ICM control was 37% at 3 years due to the progression of other ICM lesions. The 1-year disease-specific survival (DSS) was 87% and 5-year DSS was 37%. ICM management in FCDTC is based on the size, number, and location of metastatic lesions. Complete resection of ICM may provide lesional control at the site of resection, however, DSS is poor due to the presence of other ICMs and metastases at multiple distant sites.

Digital Transformation and Social Change: Leadership Strategies for Responsible Innovation

The intersection of digital transformation and social change presents a complex landscape for contemporary business leaders. This study explores the experiences of managers from innovative start-ups in Italy, focusing on their strategies for responsible innovation. Through in-depth interviews, key challenges such as rapid technological change, scalability issues, and ethical considerations are identified. The findings highlight the importance of continuous learning, agile business models, and stakeholder engagement. Future scenarios, including the rise of tech-driven social enterprises and decentralized systems, are discussed, emphasizing the need for collaborative partnerships. This research provides practical insights for integrating technological advancement with societal impact.

Experience in the Treatment of Male Prolactinomas: A Single-Center, 10-Year Retrospective Study

Introduction: Male prolactinomas are uncommon and typically macroadenomas with difficult treatment and management. The purpose of this study was to summarize the treatment and management experiences of 254 male prolactinoma patients at a single center. Methods: This was a 10-year retrospective study conducted at a single center. A total of 254 male prolactinoma patients were included. Clinical data for all subjects were collected using an electronic medical record system. Results: A total of 254 male patients with prolactinoma were studied. Their median age at onset was 28.8 years, and median disease duration was 28.5 months. The median PRL levels were 582.0 ng/mL at diagnosis. Their median maximum tumor diameter was 23.0 mm, with macroadenoma accounting for the majority (76.7%). After treatment, the biochemical remission rate with monotherapy was 36.6%, but significantly increased to 60.6% with multidisciplinary treatment (p < 0.001). Knosp 0–2 patients had significantly higher rates of biochemical remission compared to Knosp 3–4 (all p < 0.05). In addition, the maximum diameter of adenoma (B = −0.110, p = 0.008) and cavernous sinus invasion (B = −1.741, p = 0.023) were negatively correlated with postoperative biochemical remission. The maximum diameter of the adenoma (B = − 0.131, p < 0.001) was a negative correlation factor, while treatment duration (B = 0.034, p = 0.002) was a positive correlation factor for biochemical response to medication. Conclusion: Male prolactinoma has a low biochemical remission rate when treated alone, but multitherapy can improve it even more. Surgery may also be considered for male prolactinoma with a micro, and noninvasive tumor after a thorough evaluation.

ОПТИМІЗАЦІЯ ІННОВАЦІЙНИХ БІЗНЕС-ПРОЦЕСІВ В СИСТЕМІ УПРАВЛІННЯ ЛАНЦЮГАМИ ВАРТОСТІ

The article examines applied aspects of implementing the strategy of clustering the national economy based on the optimization of integrated value chains in the context of globalization challenges. The peculiarities of organizational-procedural and communicative-network support of business processes under the conditions of clustering of socio-economic systems are determined. The components of managing the processes of administration and implementation of the innovative potential of integrated production chains in the context of digital development and the format of optimization parameters were formed: intellectual capital; entrepreneurial potential; dominant technologies (level and possibilities of technology development in this area); industry localization (industry environment, market segments); information innovation infrastructure (environment of targeted integrated interaction). The evolution of the concept of integrated value chains in the context of their application in partnership activities of enterprises was considered, their mutual influence and combination, features and advantages were studied. The expediency of using the theory of digital business process management systems in business network structures and value chains is substantiated. The prospects for the use of integrated solutions are outlined, which allow creating a significant synergy of innovative network concepts, ensuring the overcoming of information asymmetry, and moving to an emergent level of business process management. Thus, the integrated value chain gradually expands from the production area to system processes in marketing, scientific and technical activities, financial support, sales process and service activities. A positive characteristic of this is the acquisition of invaluable experience in the systematic management of business processes and the implementation of innovative solutions to optimize the processes of increasing the value of enterprises in the strategic sector of the economy. Therefore, taking into account the current trends in the manifestation of innovative business processes in the digital administration system, one should possess the tools of the analog and digital management model when determining the profile of the business processes of filling the integrated value chain.

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Introduction: Collaboration with relatives and volunteers is important to maintain the quality of life in times of growing care demands and rising staff shortages. It requires finding new ways of working. The aim of this study was to explore the experiences of care professionals, managers and coaches in taking care together with relatives and volunteers. Methods: Semi-structured online interviews were conducted with 17 respondents, including 6 care professionals, 4 managers and 7 coaches. The transcripts were then thematically analysed in MAXQDA in three phases: open -, axial -and selective coding. Results: Ten themes were identified and categorized on micro-, meso- and macro level. Themes of micro level concern the roles and alignment from care professionals, relatives and volunteers. Mesos level comprise themes on team-, department level and organisational level. Themes on macro level transcend individual care organisations. Discussion: The findings emphasize the relevance of the collaboration between care professionals, relatives and volunteers. Also the need for support and agreements on policy level were underlined. The results show that a cultural change is really needed to provide care together with relatives, volunteers and care professionals as one team.

Characterizing medical decision-making in sickle cell disease during childhood: Qualitative perspectives of caregivers.

Sickle cell disease (SCD) is the most common genetic disorder among children. As the most common type of SCD, sickle cell anemia (SCA) is associated with severe complications across the lifespan. As parents/caregivers hold primary disease management responsibility during childhood, their involvement in disease management activities, including medical decision-making, is critical to successful and timely management of pediatric SCD. However, the processes through which caregivers make SCD-related decisions remain unknown. The current paper examined caregivers' decision-making processes and priorities when managing their child's SCD. Parents and primary caregivers (N=27) of children with SCA (ages 0-12) completed individual semi-structured qualitative interviews exploring links between caregivers' decision-making and both daily and ongoing SCA management practices. Data were transcribed verbatim, cleaned, systematically coded, and analyzed using applied thematic analysis. Participating caregivers were primarily Black or African American (88.9%), mothers (81.5%), publicly insured (55.6%), and single (51.9%). Caregivers described medical decision-making across acute symptom response, preventive disease management, and treatment initiation and/or discontinuation. Across these contexts of disease management, caregivers overarchingly prioritized protecting and improving their child's quality of life. Caregivers' medical decision-making processes were influenced by their SCA management experience, acquisition of SCA knowledge, and trust in medical providers. The extent to which these influences impacted caregivers' decision-making varied based on disease severity, disease management experience, and time since diagnosis. Findings highlight how processes underlying caregivers' decision-making are directly influenced and informed by caregivers' lived experiences. Future work should develop provider-initiated collaborative interventions to support medical decision-making.

Analysis of Class Management Strategies for Class Teachers: How to Achieve Order amidst Busy Activities

As the basic unit of school teaching activities, the management level of the class plays a crucial role in the healthy and comprehensive development of students, as well as the completion of various educational and teaching tasks. Class management is a complex and arduous task that requires the homeroom teacher to have the correct methods. For newly appointed class teachers, learning class management experience is particularly important. The author elaborates on the relevant strategies of class management for homeroom teachers from three aspects: preparation, adherence to routines, and good learning, focusing on the theme of "busy yet orderly new officials taking office", and puts forward practical and useful suggestions.

Analyzing China’s Marine Park Management System Under the Reform of National Institutions

Marine parks (MPs), a kind of multiple-use marine protected area (MPA), have been crucial in coordinating the relationship between marine ecosystem conservation and resource utilization, facilitating coastal sustainable development. However, an effective and sustainable approach to MP management in China is yet to be fully developed. In 2018, the Chinese government inaugurated the 2018 Reform to merge its MPAs and terrestrial protected areas into a new natural protected area (NPA) system under the unified management by the Ministry of Natural Resources. Therefore, it is an opportune moment to summarize management experience and propose new prospects for improving the management of MPs in China. In this study, we conducted a comprehensive review of China’s progress on its MPs and evaluated the management effectiveness, after which we identified the key issues hindering the effective conservation and management of China’s MPs. To address these challenges, we propose targeted strategic recommendations by examining new policy directives relating to the 2018 Reform. The results of this study have valuable theoretical and practical implications for China’s MP management. Furthermore, our findings may provide a potential empirical reference for related management research in other MPs, especially in developing countries.

Burn Care in the Street: A Survey of the Current Landscape of Burn Care Provided by Street Medicine Teams.

People experiencing homelessness are at increased risk for serious burn injuries and face additional barriers to care such as inability to perform wound care and difficulty with follow-up. Although not burn-specific, street medicine programs provide direct medical care to people experiencing unsheltered homelessness in their own environment and may be well positioned to bridge this gap in burn care for this population. We conducted a cross-sectional survey to characterize the burn care experience of street medicine teams with providing burn care for people experiencing homelessness. The 60 respondents included 18 (30%) physicians, 15 (25%) nurse practitioners or physician assistants, 15 (25%) registered nurses, and 6 (10%) medical students, and 6 (10%) other team members. The most common reported barriers to care were prior negative experiences with emergency departments, and transportation to burn centers. There was regional variability in frequency of providing burn care, which was reflected in respondent comfort with assessing and treating burns. Burns were most often dressed with daily dressings such as a non-adherent dressing over silver sulfadiazine or bacitracin. Silver-based contact dressings were rarely used. Street medicine teams in the United States are treating burn injuries among people experiencing homelessness, though management practices and experience treating burns was variable. As street medicine programs continue to grow, burn-related education, training, and connections to local burn centers for team members is important. Through strengthened partnerships between burn centers and street medicine teams, these programs may be well positioned to bridge the gap in burn care for people experiencing homelessness.

Cardiovascular disease management and healthcare delivery for people experiencing homelessness: a scoping review

BackgroundPeople experiencing homelessness have increased prevalence, morbidity, and mortality of cardiovascular disease (CVD), attributable to several traditional and non-traditional risk factors. While this burden is well-known, mainstream CVD management plans and healthcare delivery have not been developed with people experiencing homelessness in mind nor tailored to their unique context. The overall objective of this work was to explore and synthesize what is known about CVD management experiences, programs, interventions, and/or recommendations specifically for people experiencing homelessness.MethodsWe conducted a scoping review to combine qualitative and quantitative studies in a single review using the Arksey and O’Malley framework and lived experience participation. We performed a comprehensive search of OVID Medline, Embase, PsychINFO, CINAHL, Web of Science, Social Sciences Index, Cochrane, and the grey literature with key search terms for homelessness, cardiovascular disease, and programs. All dates, geographic locations, and study designs were included. Articles were analyzed using conventional content analysis.ResultsWe included 37 articles in this review. Most of the work was done in the USA. We synthesized articles’ findings into 1) barriers/challenges faced by people experiencing homelessness and their providers with CVD management and care delivery (competing priorities, lifestyle challenges, medication adherence, access to care, and discrimination), 2) seven international programs/interventions that have been developed for people experiencing homelessness and CVD management with learnings, and 3) practical recommendations and possible solutions at the patient encounter level (relationships, appointment priorities, lifestyle, medication), clinic organization level (scheduling, location, equipment, and multi-disciplinary partnership), and systems level (root cause of homelessness, and cultural safety).ConclusionsThere is no ‘one-size-fits all’ approach to CVD management for people experiencing homelessness, and it is met with complexity, diversity, and intersectionality based on various contexts. It is clear, however, we need to move to more practically-implemented, community-driven solutions with lived experience and community partnership at the core. Future work includes tackling the root cause of homelessness with affordable housing, exploring ways to bring cardiac specialist care to the community, and investigating the role of digital technology as an avenue for CVD management in the homeless community. We hope this review is valuable in providing knowledge gaps and future direction for health care providers, health services research teams, and community organizations.

Profile of Primary Care Managers in A Municipality in Northern Brazil and their Leadership Styles

Objective: Know the profile and leadership style of managers of Basic Health Units (BHU). Theoretical Framework: The 2017 National Primary Care Policy (NPCP) suggested the inclusion of managers in BHU to perform technical-managerial functions, based on the manager's assessment and according to the needs of the territory and coverage of Basic Care (BC). Method: Descriptive, cross-sectional and quantitative research, carried out in the municipality of Barcarena, in the state of Pará. The sample was 22 AB managers, carried out from October 2022 to May 2023. The data obtained from a questionnaire with sociodemographic and of experiences in Primary Health Care (PHC) and another on leadership style, the Multifactorial Leadership Questionnaire (MLQ). Results and Discussion: Most BC managers are female (86.4%), aged 20 to 39 (54.5%), married (59.1%), with higher education (90.9%) in Nursing (59 .1%) and 50.0% have a postgraduate degree at Lato sensu level and have a temporary employment relationship (59.1%). They had previous experience in management (59.1%) and had experience in PHC (72.7%). Regarding leadership styles, transformational leadership was more self-perceived (m=3.33) and was statistically significant (p=0.020), as an attribute, motivational inspiration (m=3.67). Research Implications: This study is one of the few works involving research focused on the leadership profile of BC managers. Originality/Value: This study contributes to the literature by understanding the aspects associated with the leadership style of BC managers, and the relationship between leadership and the guidance suggested by the 2017 NPCP.

The Influence of Machine Learning on Enhancing Rational Decision-Making and Trust Levels in e-Government

The rapid growth in the use of AI techniques, mainly machine learning (ML), is revolutionizing different industries by significantly enhancing decision-making processes through data-driven insights. This study investigates the influence of using ML, particularly supervised and unsupervised learning, on rational decision-making (RDM) within Jordanian e-government, focusing on the mediating role of trust. By analyzing the experiences of middle-level management within e-government in Jordan, the findings underscore that ML positively impacts the rational decision-making process in e-government. It enables more efficient and effective data gathering, improves the accuracy of data analysis, enhances the speed and accuracy of evaluating decision alternatives, and improves the assessment of potential risks. Additionally, this study reveals that trust plays a critical role in determining the effectiveness of ML adoption for decision-making, acting as a pivotal mediator that can either facilitate or impede the integration of these technologies. This study provides empirical evidence of how trust not only enhances the utilization of ML but also amplifies its positive impact on governance. The findings highlight the necessity of cultivating trust to ensure the successful deployment of ML in public administration, thereby enabling a more effective and sustainable digital transformation. Despite certain limitations, the outcomes of this study offer substantial insights for researchers and government policymakers alike, contributing to the advancement of sustainable practices in the e-government domain.

Harnessing AI and Predictive Analytics: Transforming the Electric Vehicle Market in India

The electric vehicle (EV) market in India is undergoing a transformative phase, driven by growing environmental concerns, government incentives, and the rapid integration of advanced technologies such as Artificial Intelligence (AI) and Predictive Analytics. These technologies are proving essential in optimizing various aspects of EV development, including battery management, predictive maintenance, and customer experience personalization. This research article investigates the influence of AI and Predictive Analytics on the Indian EV market, highlighting their roles in improving operational efficiency, reducing costs, and enhancing safety and user satisfaction. Statistical data and case studies of leading Indian EV companies, such as Tata Motors, Ola Electric, and Ather Energy, illustrate the impact of these technologies on market growth and performance. Despite facing challenges like high initial costs and regulatory barriers, AI and Predictive Analytics are poised to play a pivotal role in the future expansion of the EV market in India. The findings suggest that with increased adoption and ongoing technological advancements, AI and Predictive Analytics will significantly contribute to the growth and sustainability of the EV sector in India. Keywords: Electric Vehicles (EVs), Artificial Intelligence (AI), Predictive Analytics, Battery Management Systems (BMS), Predictive Maintenance

국내 주요 대학의 핵심역량 혁신 사례 연구

Objectives Factors such as a decrease in the school-age population, the 4th Industrial Revolution, and the emphasis on social responsibility of universities have forced universities to establish their own core competencies to overcome the crisis. Therefore, this study aims to investigate the core competencies of major domestic universities and derive implications for the innovation of core competencies. Methods For this study, universities were selected from all regions of the country, including two from the metropolitan area, one from the Chungcheong area, two from the Gyeongsang area, and one from the Jeolla area. These universities were chosen based on their experience in core competency management. The study then conducted research by collecting academic papers, articles, surveys from each university's website, and conducting expert interviews. Results According to the survey results, major universities prioritize basic competencies required to demonstrate expertise, rather than job-specific skills, when it comes to talent development. Moreover, these universities focus on 2-6 core competencies related to talent. Finally, the measurement of these core competencies is done through a self-report questionnaire consisting of approximately 50 to 100 questions. Conclusions The findings of this study have important implications for other universities that aim to improve the competence of their students by establishing core competencies. Firstly, universities can look to other institutions for examples of effective core competency management and innovation, but should avoid excessive imitation. Secondly, in order to ensure the reliability and validity of the analysis of the university's core competency indicators, a balance between school and student perspectives is necessary. Thirdly, the results of core competency measurement should be used to develop student careers and strengthen their employment capabilities. Finally, strong leadership and management from the university's top management is required to bring about any necessary changes.

Digital Transformation: A Challenge for the Romanian Health System

This study analyzes the current status of the digitalization of the Romanian Health System (RHS). Data were collected from 135 active public and private health professionals using an online questionnaire with 102 items. The results of the analysis show that, if the qualification level and the experience of managers are high, seniority in management positions is an essential factor in the adoption of digital technologies, the digitalization of health services increases the efficiency and quality of medical and management services, and the success of the implementation of digital technologies is conditioned by the harmonization of a variety of factors because there are differences between the public and private sectors in terms of the economic efficiency determined by the adoption of digital technologies. There are also differences in the implementation of digital technologies between the national and worldwide levels, there are specific technologies that positively influence managerial performance, and the innovation process is conditioned by the management level. Because Romanian health service managers are updated with new technologies, they can ensure the implementation of digital technologies, considering that economic efficiency and managerial performance are directly related to the level of adoption and the type of technologies implemented.

ON THE IMPLEMENTATION BY THE PEOPLE’S COMMISSARIAT OF LIGHT INDUSTRY OF THE USSR OF THE RESOLUTIONS OF THE STATE DEFENCE COMMITTEE IN THE 2ND HALF OF 1941

This article examines the process of implementation by the People’s Commissariat of Light Industry of the USSR of the resolutions of the State Defence Committee on the production of clothing and equipment for the acting army. At the same time, the most difficult period for the Soviet state is covered – the 2nd half of 1941. The resolutions are examined in chronological order, as they were adopted, which allows us comprehending the progressive formation of the experience of state management of the economy of various industries and, above all, light industry. Moreover, they allow us getting an idea of the needs of the Red Army during that period, state measures aimed not only at replenishing military equipment lost in the first months of the battles, but also increasing production of uniforms, primarily winter ones. The article reflects the problems that arose during the implementation of the Committee’s resolutions, their overcoming, as well as the first actions to unite the efforts of the People’s Commissariats to solve priority tasks. It also provides information on the example of the Ukraine SSR about the loss of the entire light industry as a result of the occupation of virtually all the economic potential, which was to be replaced by enterprises in Central Russia and the eastern regions of the Soviet Union. The article presents the results of the work of the People’s Commissariat of Light Industry of the USSR for the 2nd half of 1941. The article is addressed to specialists in the field of the history of light industry, graduate students, undergraduates and students of higher educational institutions.

Compartmentalization strategy for coastal flooding mitigation with application to a Northern Adriatic site

A method of compartmentalization has been developed to address the safety concerns of urban areas from coastal flooding, especially in situations where reinforcing the first line of defence (dunes, levees, etc.) is challenging due to, for instance, environmental limitations. Various compartmentalization options can be considered and evaluated in order to govern the flooding. Each option should be modelled with a suited numerical tool to better define the alternatives, determine the minimum height of the elements that bound the compartments and verify their effectiveness for the preliminary design, e.g. for the environmental screening stage. The methodology is demonstrated for a real case study, the flooding of Lido di Volano that occurred on November 22, 2022, using a simplified shallow water equations model designed for GPU computing to simulate large-scale flooding scenarios. Two compartmentalization schemes have been identified, both of which involve raising the existing road level. The maximum water levels in different zones of the study area are assessed as a function of crest height. These schemes have proven to be effective in protecting the urban settlement from flooding. Overall, the proposed method of compartmentalization, supported by a real case study analysis, offers a systematic approach to enhance the safety and the resilience of urban coastal areas. This type of solution capitalises on the experience of the local managers and technicians and may represent a shared solution among the coastal governance actors.

Experience of an interdisciplinary management for pediatric Moyamoya disease: application of a novel Hemispheric Surgical Score.

The primary purpose of this study was to develop and implement a novel Hemispheric Surgical Score to guide the treatment of pediatric patients with Moyamoya disease (MMD). Additionally, we aimed to describe a comprehensive flowchart for the evaluation, treatment, and follow-up of these patients and to share our experience with the interdisciplinary management of a large pediatric cohort at a referral pediatric hospital. We conducted a retrospective observational study using medical records of patients diagnosed with MMD at the Pediatric Hospital "Prof. Dr. Juan P. Garrahan" in Buenos Aires, Argentina, from July 2013 to July 2023. From July 2016 onward, data were analyzed prospectively following the implementation of the Hemispheric Surgical Score and the flowchart. Evaluations included clinical, MRI, and angiographic criteria, and patients were managed by an interdisciplinary team. Demographic, clinical, and neuroimaging data were collected and analyzed. Eighty hemispheres from 40 patients were analyzed, with cerebral revascularization performed on 72 hemispheres from 37 patients. The Hemispheric Surgical Score and flowchart standardized treatment decisions, and reduced the need for invasive studies like angiographies for follow-up. The majority of patients (79.1%) had favorable outcomes, with complete disease progression arrest and no worsening of imaging nor clinical scores during a median follow-up of 35.8months. The Hemispheric Surgical Score and the comprehensive flowchart have improved the management of MMD in pediatric patients by standardizing treatment and reducing unnecessary invasive procedures. This interdisciplinary approach has led to better patient outcomes, highlighting the need for further validation in larger studies and comparisons of different revascularization techniques through randomized clinical trials.

Video-Guided Optimization of Stimulation Settings in Patients with Parkinson's Disease and Deep Brain Stimulation.

Deep brain stimulation (DBS) for Parkinson's disease (PD) often necessitates frequent clinic visits for stimulation program optimization, with limited experience in remote patient management. Due to the resource-intensive nature of these procedures, we investigated a way to simplify stimulation optimization for these patients that allows for the continuous monitoring of symptoms while also reducing patient burden and travel distances. To this end, we prospectively recruited ten patients treated with DBS for PD to evaluate the feasibility of telemedicinal optimization in a home-based setting. Patients recorded daily videos of a modified Unified Parkinson's Disease Rating Scale (UPDRS) III, which experienced DBS physicians located at the clinic assessed to provide instructions on adjusting stimulation settings using a handheld programmer with previously set programs as well as patient amplitude control. This study concluded with significant improvements in participants' motor status as measured by the UPDRS-III (p = 0.0313) compared to baseline values. These findings suggest that remote video-guided optimization of DBS settings is feasible and may enhance motor outcomes for patients.