High Level Of Compliance Research Articles

The performance of arabica coffee farmers in implementing good agricultural practices in Aceh Tengah, Indonesia

Abstract A significant portion of the population in Aceh Tengah Regency is engaged in the cultivation of Gayo Arabica coffee, which has profoundly affected the local economy. The people of Aceh Tengah Regency rely heavily on producing Arabic coffee. In order to enhance the yield of Arabica coffee, the farmer must implement Good Agricultural Practices (GAP). This research uses a purposive sampling technique, a qualitative descriptive analysis method to determine the level of implementation of GAP, multiple linear regression analysis to determine the factors that influence the productivity of Gayo Arabica coffee in Central Aceh Regency, the F test, R Square, and t-test are used to determine differences in the application of GAP between coffee farmers. Those who implement GAP well and those who don’t. The study results show that the level of GAP implementation in Arabica coffee in Central Aceh District reached 80.23%, which indicates a high level of compliance with recommended practices. The multiple linear regression test shows that several variables have a significant influence on the productivity of Gayo Arabica coffee in terms of GAP. These variables include land preparation, irrigation systems, seed preparation, planting, and nurturing. Meanwhile, the harvesting and post-harvesting processes have a small impact.

Do 360-Character Wireless Emergency Alert (WEA) Messages Work Better than 90-Character Messages? Testing the Risk Communication Consensus.

Based on early evidence, risk communication scholars have come to believe that longer (360-character maximum) mobile public warning messages generate more compliance than shorter (90-character maximum) messages. This study used an experimental design to test that premise. The study measured participants' (N = 481) likelihood of compliance in response to a mock Wireless Emergency Alert (WEA) message, as well as alternatives to immediate compliance: seeking additional information, taking non-recommended action, or ignoring the message. The study found that both longer and shorter messages generated relatively high levels of compliance, but longer messages did not generate higher levels of compliance. Rather than message length, risk personalization and hazard experience were stronger differentiators of WEA message response outcomes. Results included a moderation effect: Shorter messages produced slightly greater compliance than longer messages among people who reported lower levels of risk personalization. The study concluded that 90-character messages may be more effective than previously believed. Consequently, the authors recommend renewed focus on public safety communication related to risk personalization and hazard experience. (169 words).

Results and Future of Disaster Management Research in the System of Law Enforcement Sciences

Aim: The purpose of this study is to analyse and evaluate the main results and experiences of disaster management research and development activities, on the basis of which to determine future development directions. Methodology: The impact assessment prepared in the framework of the study presents the characteristics of disaster management research and development activities, and also makes structured proposals for solving the appeared research problems. Findings: The results of disaster management scientific activity carried out as part of law enforcement researches provide an opportunity to modernise the legal regulatory, professional and technical bases of disaster management administration in a manner appropriate to recent scientific development. Value: The disaster management research and development experiences processed in the framework of the study provide a suitable basis for a high level of compliance with the relevant social needs.

A katasztrófavédelmi kutatások eredményei és fejlesztése a rendészettudomány rendszerében

Aim: The purpose of this study is to analyse and evaluate the main results and experiences of disaster management research and development activities, on the basis of which to determine future development directions. Methodology: The impact assessment prepared in the framework of the study presents the characteristics of disaster management research and development activities, and also makes structured proposals for solving the appeared research problems. Findings: The results of disaster management scientific activity carried out as part of law enforcement researches provide an opportunity to modernise the legal regulatory, professional and technical bases of disaster management administration in a manner appropriate to recent scientific development. Value: The disaster management research and development experiences processed in the framework of the study provide a suitable basis for a high level of compliance with the relevant social needs.

#1817 Decrease in hospital-acquired blood stream infection by using automated sensor technology to improve and keep a high level of hand hygiene compliance

Abstract Background and Aims Hospital-acquired infection (HAIs) is a problem for 6-8% of hospitalized patients. HAIs has personal costs, prolongs the hospital stay, increasing the risk of morbidity, mortality, time and staff consuming. Hand hygiene (HH) is essential for preventing infections. World Health Organization (WHO) recommends hand hygiene compliance (HHC) as a key performance indicator. Manual observations of HHC are time consuming and may affect compliance by the physical presence of the observers (Hawthorne effect). There is a need to identify the most effective long-term intervention to improve HHC and reduce HAI. The Danish Ministry of Health have chosen blood stream infections (HA-BSI) as a national indicator for the overall risk of HAIs expecting an incidence of no more than 8 cases per 10,000 patient days. The aim of the present study was to examine the use of an automated sensor technology to improve HHC and prevent HAIs in an inpatient department for nephrology and intern medicine. Nephrology patients have a high number of invasive catheters, which may increases the risk of HAI. Method The study comprised a 2 year cohort with no specific HHC interventions (July 2018-June 2020), a baseline period (February 2020-June 2020) to investigate HHC level by an electronic hand hygiene measuring system (EHHMS) without ongoing HHC interventions followed by a 3 year cohort period (July 2020-June 2023) with various EHHMS-based feedback interventions to staff. Intervention consisted primarily of group feedback and later individual feedback. All caregivers and doctors carried an anonymous Sani ID tag (Sani Nudge, DK) fixed to their nametag throughout the study period. EHHMS-based Sani Sensors were located in designated locations in the clinical department with the purpose of continuously capturing the caregiver patient contact including staff use of liquid alcohol based hand rub (ABHR). In Denmark, the national hygiene guidelines also require that ABHR follow hand wash. Local hygiene mentors regularly presented anonymous group data on boards and in letters to the staff. Soon after there was a demand on individual data, which was then added by individual results forwarded in a personal email every week. HA-BSI was defined as the presence of a pathogen in the blood and the prescription of an appropriate concomitant antimicrobial treatment and classified as hospital-acquired if the patient has been hospitalized for >48 hours. Data were obtained from various electronic health care systems in the hospital. Results We collected HHC data by monitoring 203 caregivers and 50 doctors for a period of 40 months. Caregivers HHC improved after implementation of an electronic hand hygiene measuring system from baseline to group feedback and finally individual feedback (39% vs 50% vs 71%). For doctors, the improvement from baseline to group feedback and finally individual feedback was 30% vs. 32% vs 52%. The overall improvement curve reached a stable plateau after 20 months. An incidence rate of 14 HA-BSI cases per 10,000 patient days during a previous two years control period (95% CI 8.8-21.2) was during the intervention period markedly reduced to 5 HA-BSI cases per 10,000 patient days (95% CI 2.3-9.0). This difference was statistically significant, P = 0.004. Conclusion The use and feedback of the electronic hand hygiene monitoring system improved successfully hand hygiene compliance in the groups of both caregivers, doctors, and furthermore reduced the rate of HA-BSI significantly. We observed a significant stepwise increase in compliance after group feedback data and later after reporting individual data. There continue to be a need to find effective long-term interventions to improve and keep a high level of hand hygiene compliance and a sustained reduction in hospital-acquired bloodstream infection.

CREATION OF AN ALGORITHM FOR THE IDENTIFICATION OF ANALOGOUS OBJECTS IN CARBONATE RESERVOIRS OF THE VOLGA-URAL OIL AND GAS PROVINCE

For the conditions of deposits confined to the carbonate reservoirs of the Volga-Ural oil and gas province, an algorithm for searching for analogous objects based on the identification procedure is proposed. The principal boundaries of the search for analogous objects confined to various stratigraphic systems have been established through a comprehensive analysis of geological and commercial data. The significant influence of tectonic confinement on the formation of the features of the geological structure of deposits and their distribution in the axes of canonical discriminant functions is shown. The presence of uncertainty in the separation of objects using the tectonic factor is explained by the similarity of objects in the marginal zones of adjacent tectonic elements in both terrigenous and carbonate reservoirs, which in turn must be taken into account when implementing key aspects of field development design. During the simulation, a certain similarity of individual deposits in the carbonate reservoirs of the carboniferous system was established, confined not only to various tectonic elements, but also to various stratigraphic complexes, which makes it possible to expand the search for analogous objects and the possibility of solving various development management tasks in conditions of deterioration of the structure of oil reserves and low technical and technological indicators of well operation. When using pattern recognition methods, in particular, discriminant analysis, dependencies were obtained that make it possible to successfully adapt the accumulated experience of developing an object to other objects while maintaining a high level of compliance with the logical aspects of hydrodynamics and physics of reservoir systems. Further development of the algorithm presented in the work lies in the plane of using a minimum number of parameters for analysis, ensuring a high percentage of separation of objects, taking into account the heterogeneity of their values.

Factors Influencing Occupational Health and Safety among Nursing Students in Their Clinical Placements: A Cross-Sectional Study.

Occupational health and safety aims to promote and maintain optimal physical, mental, and social health for workers in their occupations. Within Saudi Arabia, adequate information must be gathered to address the various factors influencing occupational health and safety among nursing students to minimize occupational health hazards and ensure a safe clinical environment. This cross-sectional study was conducted in Riyadh, Saudi Arabia, between April and September 2023, involving 150 nursing students. Data collection included questions to gather sociodemographic information, and contained an instrument assessing the participants' knowledge of occupational health and safety and evaluation of risk control in clinical environments. Blood and other bodily fluids, workplace violence, needle-stick injuries, and injuries caused by sharp instrument tools were identified as the most prevalent occupational risks among the participants. Most nursing students were aware of occupational health and safety, with a high level of compliance with occupational health and safety measures and personal protective equipment use. We also identified a statistically significant correlation between occupational health and safety knowledge and risk control evaluation among nursing students. To ensure a safe and beneficial clinical training area, student nurses must complete extensive occupational health and safety courses before moving to clinical areas to reduce potential hazards that may affect their lives.

COMPLIANCE OF HOSPITAL HEALTHCARE PROFESSIONALS WITH CONTACT LENS USE AND CARE

Objective: The study aimed to assess if healthcare professionals who wear contact lenses in hospitals comply with the rules for contact lenses use and care. Material and Methods: A survey consisting of questions about contact lenses use and care was distributed to healthcare professionals. The survey investigated the following: a) Demographic data, b) Routines related to the use of contact lenses (type, indication, duration, overnight use), c) Routines related to contact lenses maintenance and cleaning (solution usage habit, exposure to water, hygiene of hands and lens cases). Results: The average age of the participants was 28.35±5.58; 76% were women, and 87.3% were doctors. Contact lenses usage duration was 8.16 years. Most of them wore soft contact lenses for myopia that was changed monthly. 95.8% of participants were prescribed contact lenses by an ophthalmologist. To clean the contact lenses, 93.3% of the participants used multi-purpose solutions, and 7.3% reported that they rarely washed the contact lenses with tap water. A high level of compliance was observed with overnight use, washing hands before putting on and taking off contact lenses, expiration date, and filling the solution into the box or sharing it. Moderate compliance rates were noted for swimming and showering with contact lenses, cleaning, and changing the lens case and contact lenses. Conclusion: Although healthcare professionals are compliant with the use and care of the contact lenses, it is thought that some of them still need training on avoiding contact with water while wearing the contact lenses, never using tap water, and cleaning the lens case and the contact lenses effectively.

A Study of the Factors Affecting Rental Income Tax Administration Effectiveness in Zambia

Even the largest tax plan in the world is useless if it is not implemented well. Efficient tax administration ensures a high level of tax compliance. However, measuring the effectiveness of tax administration based solely on the amount of taxes collected is overly simplistic. Instead, a much stronger criterion for assessing the effectiveness of tax administration is taking into account the size of the compliance gap. The goal of this study is to determine the effectiveness of rental income tax administration by examining the characteristics of the tax system that influence it, such as diversity, equality, convenience, simplicity, and security. Both primary and secondary data were used in this study. Primary data was collected from taxpayers in Kabulonga Main, Lusaka, while secondary data was collected from various sources including the Zambia Revenue Authority, State Valuation Department, Lusaka City Council, and selected real estate agencies. Descriptive statistics were used to analyze the data. The study aimed to determine whether taxpayers' perceptions of the characteristics of the tax system, as identified in the theoretical and empirical literature, could influence the effectiveness of the administration of the rental income tax. The Zambia Revenue Authority was found to have perpetuated phenomena that encourage non-compliance behavior among aggrieved taxpayers, which was indirectly used as a measure of tax administration effectiveness in this study. The results showed that the characteristics of the tax system, particularly equality, diversity, convenience, simplicity, and security, have a positive impact on the effectiveness of tax administration. Based on these findings, the study recommends that the Zambia Revenue Authority work more closely with all stakeholders, incorporate user-friendly features into its tax filing website to promote inclusivity and compliance, improve the authority's ethical profile, increase taxpayer trust in the system, and reduce the tax rate on rental income to alleviate the tax burden. Additionally, active taxpayer education and enforcement of tax laws and policies should be implemented to reduce tax evasion and improve tax compliance.

Telemetric ICP monitoring in children: a national questionnaire-based study.

Telemetric monitoring of intracranial pressure (ICP) facilitates long-term measurements and home monitoring, thus potentially reducing diagnostic imaging and acute hospital admissions in favour of outpatient appointments. Especially in paediatric patients, telemetric ICP monitoring requires a high level of collaboration and compliance from patients and parents. In this study, we aim to systematically investigate (1) patient and parent perception of telemetric ICP system utility and (2) hospital contact history and thus the potential cost-benefit of telemetric ICP monitoring in paediatric patients with a cerebrospinal fluid disorder. We conducted a nationwide questionnaire study, including paediatric patients with either a current or previous telemetric ICP sensor and their parents. Additionally, a retrospective review of electronic health records for all included children was performed. We included 16 children (age range 3-16 years), with a total of 41 telemetric ICP sensors implanted. Following sensor implantation, the frequency of telephone contacts and outpatient visits increased. No corresponding decrease in hospital admissions or total length of stay was found.The telemetric ICP sensor provided most parents with an improved sense of security and was seen as a necessary and valuable tool in treatment guidance. The size and shape of the sensor itself were reported as disadvantages, while the external monitoring equipment was reported as easy to use but too large and heavy for a child to carry. Though, in quantitative terms, there was no cost-benefit of the telemetric ICP sensor, it contributed to extended parental involvement and a sense of improved safety.

Analysis of clinical treatment of acute respiratory distress syndrome assisted by artificial intelligence

To evaluate the clinical practice of intensive care unit (ICU) physicians at Hebei General Hospital in identifying patients meeting the diagnostic criteria for acute respiratory distress syndrome (ARDS) and the current status of invasive mechanical ventilation management and adjunctive therapy in these patients, and to analyze the incidence and clinical outcomes of ARDS. A retrospective cohort study was conducted. The patients who were hospitalized in the ICU of Hebei General Hospital from April 10, 2017 to June 30, 2022 and met the Berlin definition diagnostic criteria for ARDS were enrolled as study subjects. Artificial intelligence (AI) technology was applied to search the basic information (age, gender, height, body weight, etc.), auxiliary examination, electronic medical record, non-drug doctor's advice, drug doctor's advice, critical report, scoring system, monitoring master table and other data of the above medical records in the electronic medical record system of the hospital. The first set of laboratory indicators sequentially retrieved from the system daily from 05:00 to 10:00 and vital signs and mechanical ventilation-related parameters recorded in the "critical care report" at 06:00 daily were extracted, and outcome indicators of the patients were collected. After screening and analysis, a total of 255 patients who met the ARDS diagnostic criteria were finally enrolled. The overall incidence of ARDS in the ICU accounted for 3.4% (255/7 434) of the total number of ICU patients, of which mild, moderate and severe ARDS accounted for 22.4% (57/255), 49.0% (125/255), and 28.6% (73/255), respectively, while the recognition rates of clinical doctors were 71.9% (41/57), 58.4% (73/125) and 71.2% (52/73), respectively. During the ICU stay, 250 patients (98.0%) received only invasive mechanical ventilation, while 5 patients (2.0%) received both non-invasive and invasive mechanical ventilation. The tidal volume/ideal body weight of ARDS patients was 7.64 (6.49, 9.01) mL/kg, and the positive end-expiratory pressure (PEEP) was 8.0 (5.0, 10.0) cmH2O (1 cmH2O ≈ 0.098 kPa). In addition, during the diagnosis and detection of ARDS, only 7 patients were recorded the platform pressure and 6 patients were recorded the drive pressure. Regarding adjunctive therapies, 137 patients (53.7%) received deep sedation, 26 patients (10.2%) underwent lung recruitment, 55 patients (21.6%) received prone ventilation, 42 patients (16.5%) were treated with high-dose steroids, 19 patients (7.5%) were treated with neuromuscular blockade, and 8 patients (3.1%) were treated with extracorporeal membrane oxygenation (ECMO). Finally, 70 patients (27.5%) were discharged automatically, while 50 patients (19.6%) died in the ICU, of which the ICU mortality of mild, moderate, and severe ARDS patients were 15.8% (9/57), 22.4% (28/125), and 17.8% (13/73), respectively. After follow-up, it was found that all 70 patients discharged automatically died within 28 days after discharge, and the overall ICU mortality adjusted accordingly was 47.1% (120/255). The overall incidence of ARDS in ICU patients at Hebei General Hospital is relatively low, with a high recognition rate by clinical physicians. Despite the high level of compliance and implementation of lung protective ventilation strategies and auxiliary treatment measures, it is still necessary to further improve the level of standardization in the implementation of small tidal volume and respiratory mechanics monitoring. For the implementation of auxiliary measures such as prone ventilation, it is necessary to further improve the enthusiasm of medical staff. The mortality in ICU is relatively low in ARDS patients, while the rate of spontaneous discharge is relatively high.

Pacemaker remote monitoring challenges in pediatric population: Single center long term experience.

Remote monitoring (RM) of cardiac implantable electronic devices for adults offers improved treatment efficacy and, consequently, better patient clinical outcomes. There is scant data on the value and prognosis of RM in the pediatric population. The goal of this study was to determine the efficacy of RM by analyzing the connectivity of bedside transmitters, adherence to planned automatic follow-ups, and occurrence of alert-based events. We evaluated the pediatric population with implanted pacemakers for congenital AV block or after surgically corrected congenital heart diseases. A total of 69 patients were included in our study. The median (Q1-Q3) patient age was 6.0 (2.0-11.0) years. All patients received bedside transmitters and were enrolled in the RM system. Among them, 95.7% of patients had their first scheduled follow-up successfully sent. Patients were followed up remotely over a median time of 33.0 (13-45) months. Only 42% of patients were continuously monitored, and all scheduled transmissions were delivered on time. Further analysis revealed that 34.8% of patients missed transmissions between June and September (holiday season). Alert-based events were observed in 40.6% patients, mainly related to epicardial lead malfunction and arrhythmic events. Overall compliance was also compromised by socioeconomic factors. Our findings are in concordance with recently published results by PACES regarding a high level of compliance in patient enrollment to RM and time to initial transmission. However, a lower level of adherence was observed during the holiday season due to interrupted connectivity of bedside transmitters. Importantly, a relatively low occurrence of alert transmissions was observed, mainly related to epicardial lead malfunction and arrhythmic events.

The Impact of External Pressure on Companies’ Responses to Sanctions – an International Comparative Study

What explains the strategies firms adopt in response to economic sanctions? Our study argues that different types of external pressure, such as public shaming, the nature of companies’ business relationships, and national-level legal-regulatory environments affects how firms respond to the sanctions imposed against Russia after its 2022 invasion of Ukraine. We develop a suite of hypotheses about how external pressure affects firms’ compliance behaviors and whether firms adopt reactive and/or proactive strategic responses. We test our hypotheses by analyzing results from a survey of 610 medium-sized companies operating in Germany, Poland, and the United States. Using structural equation modeling (SEM), we find that external pressure is associated with higher levels of compliance and overcompliance with sanctions but is also associated with undercompliant behavior. We also find that compliance with sanctions is associated with a high degree of proactive response, which suggests compliant firms may often seek out legal means of circumventing sanctions. We further observed variation in the effects of external pressure, compliance behavior, and strategic responses on US firms compared to those in European Union members Germany and Poland.

Vulnerability assessment of hydrological ecosystem services under future climate and land use change dynamics

Hydrological Ecosystem Services (HESs), as an important part of ecosystem services, are those services that depend on hydrological processes. HESs vulnerability assessment at the watershed scale is used to explore highly vulnerable areas for management and protection measures. This study aimed at developing a method for HESs vulnerability assessment and achieve a quantitative integrated index under future climate and land use change scenarios. We focused on three regulating HESs, including water flow regulation, erosion regulation, and local climate regulation (LC). An integrated model of Markov chain and automatic cells was used to predict land use changes. Future climate data were estimated using the Climate Change Toolkit (CCT). The Soil and Water Assessment Tool (SWAT) model was developed for HESs vulnerability assessment in the Taleghan Watershed in Iran. The model was calibrated by river discharge using the Sequential Uncertainty Fitting (SUFI-2) and the Parallel Processing option. The results show that sub-watersheds with higher precipitation (PCP) and lower evapotranspiration (ET) are more efficient in water flow and local climate regulation. However, sub-watersheds with lower PCP and higher ET are more vulnerable to erosion. Changes in water flow regulation services and local climate regulation were more consistent with climate changes, and conversely, changes in erosion and sediment regulation services had a very high level of compliance with land use changes. The method applied in this study can easily be adapted to other regions to identify areas with more vulnerability and less resilience in improving the water and soil structure and function in the watershed.

Prosthetic Fitting Concepts after Major Amputation in the Upper Limb - an Overview of Current Possibilities

The upper extremity and particularly the hands are crucial for patients in interacting with their environment, therefore amputations or severe damage with loss of hand function significantly impact their quality of life. In cases where biological reconstruction is not feasible or does not lead to sufficient success, bionic reconstruction plays a key role in patient care. Classical myoelectric prostheses are controlled using two signals derived from surface electrodes in the area of the stump muscles. Prosthesis control, especially in high amputations, is then limited and cumbersome. The surgical technique of Targeted Muscle Reinnervation (TMR) offers an innovative solution: The major arm nerves that have lost their target organs due to amputation are rerouted to muscles in the stump area. This enables the establishment of cognitive control signals that allow significantly improved prosthesis control. A selective literature review on TMR and bionic reconstruction was conducted, incorporating relevant articles and discussing them considering the clinical experience of our research group. Additionally, a clinical case is presented. Bionic reconstruction combined with Targeted Muscle Reinnervation enables intuitive prosthetic control with simultaneous movement of various prosthetic degrees of freedom and the treatment of neuroma and phantom limb pain. Long-term success requires a high level of patient compliance and intensive signal training during the prosthetic rehabilitation phase. Despite technological advances, challenges persist, especially in enhancing signal transmission and integrating natural sensory feedback into bionic prostheses. TMR surgery represents a significant advancement in the bionic care of amputees. Employing selective nerve transfers for signal multiplication and amplification, opens up possibilities for improving myoelectric prosthesis function and thus enhancing patient care. Advances in the area of external prosthetic components, improvements in the skeletal connection due to osseointegration and more fluid signal transmission using wireless, fully implanted electrode systems will lead to significant progress in bionic reconstruction, both in terms of precision of movement and embodiment.

Evaluasi Layanan Jasa di Pusat Pemotongan Hewan di Banyumelek, Kabupaten Lombok Barat

This study aims to analyze the suitability of service activity activities with the Standard Operating Procedure (SOP) to analyze the influence of infrastructure, professionalism of workers, and speed of service on service quality according to service users, as well as formulate efforts to improve service quality at RPH Banyumulek, West Lombok Regency. The data used in this study are primary data from field observations and interviews with the help of questionnaires and secondary data from Banyumulek RPH and other studies. The samples used were 30 service users. Methods of analysis using descriptive qualitative and SEM-PLS. The results showed that 88.9% of service activities were by the SOP, so they were at a high level of compliance. Of the three variables analyzed, infrastructure and service speed positively and significantly affect the service quality of Banyumulek RPH services. Meanwhile, the variable of worker professionalism has no significant impact on service quality according to service users.

Is social sustainability relevant for food consumers? Evidence from Chile

Aim of study: To examine consumer preferences in Chile, an emerging market, for cheese that emphasizes social sustainability features. Area of study: Chilean consumers. Material and methods: Three characteristics were included in the choice experiment: price, social sustainability (adherence to labor laws), and cheese type (Gouda, Chanco, and Artisanal cheese), each with three levels. A face-to-face questionnaire was administered to a representative sample of Chilean customers in order to collect data. To evaluate the effect, relevance, and main determinants of choice, a conditional logit model was employed. Main results: The more attributes are at their most desirable levels, the more likely the cheese will be chosen. Therefore, the most sought-after cheese is that which is inexpensive, conforms to all labor laws, and is of the Chanco variety. When one or more of these three attributes are not at their most desirable level, then price (the lowest) is the attribute that governs the choice, followed by the social sustainability attribute (higher levels of compliance with labor legislation) and, finally, the type of cheese. In terms of socioeconomic variables, older consumers and those with higher education explain a greater preference for the social sustainability attribute over the type of cheese. Research highlights: These results highlight the importance that social sustainability can have on companies to make their products preferred by consumers. This is the first study to examine the Chilean food industry's social sustainability attribute.

The Use and Reprocessing of Endodontic Files in Saudi Arabia: A Cross-Sectional Study.

Objectives This study aimed to assess the awareness, implementation, and compliance with the infection control policy recommended by the Saudi Ministry of Health (MOH) for the use and reprocessing of endodontic files and to examine the association between compliance and gender, experience, clinical ranks, and workplace sector. Methods This was a cross-sectional study conducted using a validated self-administered electronic questionnaire created and distributed to dentists who perform endodontic treatment in Saudi Arabia. Data were collected between June and July 2023. Descriptive statistics were reported as counts and percentages. Comparisons among the demographic groups were done using the Kruskal-Wallis and Mann-Whitney tests. Results A total of 402 dentists completed the survey. The results showed that 76.1% (n=306) of respondents claimed that they were aware of the infection control policy recommended by the Saudi MOH for the use and reprocessing of endodontic files in dental clinics. Only 13.2% (n=53) of dentists used single-use endodontic files, and 36.6% (n=147) did not use an endodontic box in their dental clinics. The most commonly reported method of tracing the number of uses of endodontic files was to write the ID of the patient or the number of uses on the sterilization pouch as reported by 37.6% of participants (n=151). The average compliance score percentage was 63.5 ± 16.7. Most of the respondents showed moderate to high levels of compliance (51.7% (n=208) and 42.0% (n=169) of dentists, respectively). Dentists with less than 5 years of experience showed significantly less compliance than dentists with more than 10 years of experience (p = 0.005). Gender, clinical rank, and workplace sector were not significantly associated with the extent of adhering to the evaluated infection control policy. Conclusions Our findings indicate a relatively high level of compliance with the Saudi MOH policy of using and reprocessing endodontic files. However, critical measures such as the single-use of endodontic files, sterilizing new endodontic files, and using the sterilized endodontic box for each patient need improvement. Hence, this study recommends enhancing awareness through continuous education and training.

Relationship between compliance with the use of personal protective equipment (PPE) and occupational health and safety behavior (K3) on the performance of PT Enam Prakarsajaya Mandiri

This research aims to analyze the relationship between compliance with the use of PPE and K3 behavior on employee performance at PT. Enam Prakarsajaya Mandiri. This research uses primary data obtained through interviews and filling out questionnaires for 123 permanent and temporary employees at PT. Enam Prakarsajaya Mandiri were selected through a purposive sampling method using SPSS 25 to quantitatively measure compliance with the use of PPE, K3 behavior and employee performance in the company. The research results show that K3 behavior and compliance with the use of PPE have a significant effect on employee performance. Compliance with the use of PPE has a significant influence on employee performance and K3 behavior has a significant influence on employee performance. This research will be input for PT. Enam Prakarsajaya Mandiri to continue to be committed to improving K3 training and facility quality to achieve good K3 behavior and compliance with the use of PPE. Because high levels of K3 behavior and compliance with the use of good PPE will improve employee performance, which is the ticket to the success of all businesses.

Hubungan Lama Kerja dan Pengetahuan dengan Tindakan Pencegahan Infeksi Nosokomial di RSUD I Lagaligo Kecamatan Wotu Kabupaten Luwu Timur

Because infection can produce inflammation and injury that may disrupt the function of tissues and organs, it is one of the causes of many diseases. There are several locations where this health problem may arise, one of which is nosocomial infections that occur in hospitals. This study aims to analyze the relationship between length of work and knowledge with measures to prevent nosocomial infections at RSUD I Lagaligo. The type of research used in this research is quantitative research with a cross sectional study design. The population and sample in this study refers to all medical personnel who work at RSUD I Lagaligo. This research uses a questionnaire. The data analysis test used was the chi square test. The results of the analysis test found that there was a relationship between length of work and knowledge with measures to prevent nosocomial infections at RSUD I Lagaligo, Wotu District, East Luwu Regency with a p value smaller than the ? value of 0.05. Hospitals should prioritize implementation and maintenance of nosocomial infection prevention measures. This includes regular training for healthcare staff on hygiene practices and prevention protocols. Hospital management also needs to ensure the availability of equipment and facilities that support effective hygiene practices. Regular audits and monitoring of the implementation of preventive measures can help maintain high levels of compliance.