Aspects Of Implementation Research Articles

The knowledge gaps in social media marketing for the agriculture industry

Abstract By applying the PZB gap theorem and its extension of knowledge gap model, this study explores the gaps between the knowledge capabilities needed for social media marketing and what agricultural organizations such as cooperatives or family farms have done from the strategic perception aspect, planning aspect to implementation aspect. This study employs a case study approach combined with a structured questionnaire distributed to top agricultural organizations in Taiwan, focusing on social media marketing within the knowledge management framework. The results of empirical analysis exhibit two gaps significantly impact the corporate performance, namely: the gap between the obtained knowledge capabilities after implementing the social media marketing plan and the actually required ones for the enhancement of corporate competitiveness in social media marketing; the gap between the knowledge capabilities for enhancing corporate competitiveness in social media marketing perceived by senior managers and perceived by employees. Based on the findings, this study suggest the agricultural organizations could try to improve by reducing these two gaps of implementation aspect to improve their performance. Finally, the in-depth interviews with two agricultural organizations could establish a practical understanding of the relationship between these empirical findings and business practices.

Model-informed precision dosing of vancomycin in clinical practice: an intervention development study

Abstract Background Current guidelines recommend dosing vancomycin based on the area under the concentration time curve (AUC) to maximise efficacy and minimise the risk of nephrotoxicity. The preferred approach to AUC-guided therapy is to apply model-informed precision dosing (MIPD). However, the adoption in clinical practice has been slow. Aim We aimed to develop an intervention, including a standardised MIPD workflow and an implementation plan for vancomycin AUC-guided dosing, in a Swedish tertiary hospital. Method The intervention was developed in a framework-guided process. The design phase included stakeholder feedback (nurses, pharmacists, physicians), local data collection and feasibility testing of intervention components with parallel consideration of implementation aspects. The hypothesised relationships between the different components, implementation strategies and the mechanism of action resulting in expected outcomes were represented by a logic model. Results The final intervention consisted of a workflow for MIPD, with defined roles and responsibilities, as well as processes for data and information transfer. Details were provided in supportive documents; an instruction on therapeutic drug monitoring (TDM) sampling and documentation for nurses, and a detailed dosing software instruction for MIPD consultants and clinical pharmacists. Activities to facilitate implementation included the development of a local clinical routine for vancomycin dosing, staff training and recurring MIPD rounds. Conclusion An intervention for MIPD, with an implementation plan for AUC-guided dosing of vancomycin, was developed for a tertiary hospital setting. The process can be used as guidance for other institutions with similar context wishing to initiate MIPD.

Event-Driven Data Pipelines : A Cloud-Based Approach to Real-Time Data Processing

This article comprehensively analyzes event-driven data pipelines in cloud computing environments, examining their architecture, implementation considerations, and real-world applications. The article explores the fundamental components of event-driven systems, from event sources and message brokers to processing layers, while evaluating their performance characteristics and reliability mechanisms. Through detailed analysis of system architectures, we investigate the integration of various cloud services and their role in enabling scalable, real-time data processing. The article demonstrates how modern event-driven architectures achieve sub-millisecond processing times and handle millions of events per second while maintaining system resilience. Our findings reveal significant improvements in operational efficiency across various industries, including financial services, marketing automation, and IoT monitoring solutions. The article also addresses critical implementation aspects, including security frameworks, integration protocols, and best practices for system optimization. These insights provide valuable guidance for organizations leveraging event-driven architectures in their digital transformation initiatives. The article concludes that event-driven data pipelines represent a crucial advancement in data processing technology, offering unprecedented capabilities in handling real-time data streams while maintaining scalability, reliability, and cost-effectiveness.

Implementation of the Standard Inpatient Class Policy at RSUP Dr. Tadjuddin Makassar

Background: Based on Presidential Regulation No. 59 of 2024, which replaces Presidential Regulation No. 82 of 2018 on Health Insurance, the implementation of the Standard Inpatient Class (KRIS) is mandated for four types of hospitals in Indonesia, including RSUP Dr. Tadjuddin Chalid Makassar. The KRIS policy must be implemented in all hospitals in Indonesia cooperating with BPJS Health by June 30, 2025. However, the current implementation of KRIS primarily focuses on adjusting medical facilities and infrastructure toward a single class. To analyze the implementation of the KRIS policy at RSUP Dr. Tadjuddin Chalid Makassar in 2024 based on Input and Process aspects. Method: This study employed descriptive research with a qualitative approach, using interviews, observations, and document reviews conducted from February to March 2024 at RSUP Dr. Tadjuddin Chalid Makassar. Eleven informants were selected using purposive sampling. Result: The "Man" input is adequate but faces obstacles. There is no specific budget allocation ("Money") and no difference in financial management before and after policy implementation. "Material" needs are not fully met, and there are established "Methods" or rules for implementing the KRIS policy. Conclusion: Overall, the implementation of KRIS at RSUP Dr. Tadjuddin Chalid Makassar, as a pilot hospital for KRIS, has been successful. However, several variables still need improvement. It is recommended that the hospital enhance its strategies in various aspects of KRIS policy implementation.

Managerial Challenges in Implementing European Rail Traffic Management System, Remote Train Control, and Automatic Train Operation: A Literature Review

This paper explores the management of digitalization projects within the railway industry. It aims to increase and understand the opportunities presented by digitalization and automation in rail operations. Employing a scoping review methodology, this research investigates the execution of European Rail Traffic Management System (ERTMS), remote train control (RTC), and automatic train operation (ATO) projects spanning from 2005 to 2023, with a particular emphasis on metro automation, the remote control of freight and passenger trains, fully automated trains, and highly assisted driving. The refined selection process yielded 30 papers. The analysis of the retrieved papers identified managerial issues, with stakeholder management, change management, and organizational management emerging as recurring themes. Despite the increasing trend in publications, the limited representation managerial issues in ERTMS, RTC, and ATO projects in scientific research persists, with implications for the industry’s advancement. This research sheds light on the critical intersection of change management and digitalization within the railway industry by showing the impact of ERTMS, RTC, and ATO on organizational and scope dynamics. The need for human-centered systems is highlighted, showing the necessity of involving every echelon of the organization in the change management process. These findings provide insights for practitioners, researchers, and policymakers, emphasizing the need for understanding and addressing managerial aspects for successful and sustainable digitalization implementations.

Exploring the Predictors of Successful Learning Action Cell Practices of Special Education Teachers

Learning Action Cells (LACs) have emerged as a powerful tool for fostering professional development among educators. By creating collaborative learning communities, LACs empower teachers to share knowledge, reflect on practice, and implement innovative strategies. This study aimed to explore the factors influencing the effective implementation of LACs among Elementary Special Education (SPED) teachers in Davao City. Specifically, the study investigated the extent of LAC session practices and the level of self-efficacy of SPED teachers. A regression analysis was employed to examine the relationship between these variables. The findings revealed a significant positive correlation between LAC session practices and teachers' self-efficacy. SPED teachers demonstrated strong performance in various aspects of LAC implementation, including contextualization, process adherence, and content delivery. Similarly, they exhibited high levels of self-efficacy in classroom management, student engagement, instructional practices, and commitment. These results underscore the effectiveness of LACs in enhancing the professional capabilities of SPED teachers and ultimately improving student outcomes. The study recommends the continued implementation of LACs, with a focus on integrating 21st-century skills and assigning specific roles to team members to maximize their expertise. Future research could explore the long-term impact of LACs on teacher retention, student achievement, and overall school improvement.

What do college students think about artificial intelligence? We ask them

Abstract Artificial Intelligence (AI) is transforming different aspects of the economy and society of countries. There are diverse effects when comparing the impact in developed versus developing countries. In the educational sector, efforts to incorporate AI have largely ignored the input from those directly impacted by it. This document presents results from a survey about AI to university students in Latin America. The information presented comes from a survey conducted in November 2023 to college students with ages between 18 and 25 years in four Latin American countries: Mexico, Argentina, Peru, and Ecuador. The results indicate that, in general, youth have a positive view about the potential of AI, though limited knowledge in the topic. Moreover, university students in the region do not want to be passive recipients of AI. They want to participate directly in conversations about this very current topic and have concerns about different aspects of AI implementation in the region. These findings highlight the need for universities, governments, civil society and international organizations and the private sector to work together to create spaces for inclusive dialogue where the youth could directly participate in conversations that crucially matter for their lives.

A novel operational protocol for the establishment of a medical facility for receiving returning hostages: structure, process and outcomes

BackgroundOn October 7, 2023, Hamas carried out an unprecedented attack on the State of Israel and kidnapped 251 people into captivity to the Gaza Strip. Several months later, as part of a humanitarian exchange deal, 105 hostages were released in five phases and admitted to one of six hospitals throughout the country for treatment. Shamir Medical Center (SMC) was one of these facilities. This study aims to describe the structure, process and outcomes of establishing a comprehensive, multi-step, operational protocol for receiving hostages returning from captivity.MethodThe process of preparing SMC as a receiving center, the establishment of procedures for implementation of the medical protocol, and the assessment of multi-disciplinary team preparedness and implementation and outcomes in an institutional protocol are described.Results24 returning hostages were received at SMC. Social workers, dietitians and translators were used by 100% of the majority group of returning hostages from the same country of origin and the sole individual from the other country of origin utilized a dietitian, social worker, ENT consultations, and a hearing test. Among the majority group, orthopedic and dermatological consultations were utilized by 17.4% and 13% received an ENT consultation. Of the administered imaging, 13% received a chest X-ray, 8.7% received a limb X-ray, 17.4% received a head CT scan, and 4.3% received an abdominal CT. In addition, 21.7% were provided antibiotic therapy. Protocol efficacy was measured by assessing time to various operational aspects of protocol implementation and medical procedures such as mean hours to room assignment, primary physician evaluation and social worker session. No correlation between age and operational variables was found.ConclusionThis novel operational protocol was successfully implemented and may serve as a framework for managing similar unpredictable sensitive events in the case of future need.

The cardiovascular polypill strategy (acetyl salicylic acid, atorvastatin, ramipril) as baseline treatment after a cardiovascular event supported by compelling evidence: a global expert consensus

Abstract Background The SECURE trial demonstrated that the CV-polypill strategy (acetylsalicylic acid [ASA]+atorvastatin+ramipril) reduces CV mortality by 33% in patients with acute myocardial infarction (MI) compared to standard care over 3 years (median). The 2023 ACS ESC Guidelines recommend the polypill strategy to improve outcomes and treatment adherence. The CV-polypill inclusion in the 2023 World Health Organization's essential medicines list signifies its effective and affordable response to a global secondary prevention healthcare requirement. Purpose To reach consensus among medical experts from various countries regarding key implementation aspects of the CV-polypill strategy (ASA+atorvastatin+ramipril) as baseline preventive treatment after a CV event (CVe) in routine clinical practice. Methods A two-round modified Delphi method was employed. A questionnaire consisting of 30 evidence-based statements was developed and validated with input from 8 distinguished cardiologists. The Delphi panel, 50 physicians from 19 countries across Europe, Latin America, and Asia, used a three-point Likert scale to establish their agreement and perceived importance of the statements. Consensus was reached when ≥80% agreed or deemed statements 'very important' or 'important. Statements without consensus in the first round underwent refinement based on evidence and panellists’ feedback in the second round. Persistent disagreements were resolved in a face-to-face meeting with experts. Descriptive statistics were applied. Results 38/50 panellists participated in round 1, and 37/50 in round 2. 31/38 were cardiologists. 28/38 routinely prescribed the CV-polypill strategy. 97.4% of panellists believed that the 24% relative risk reduction in major CVe over 3 years (median), attained with the CV-polypill strategy (ASA+atorvastatin+ramipril) compared to standard care could replicate in clinical practice while maintaining equal safety (97.4%). Unanimous consensus (100%) supported initiating the CV-polypill strategy as baseline preventive treatment upon hospital discharge or at first follow-up. Its efficacy and safety were also acknowledged for stroke (94.7%), peripheral artery disease (92.1%), and both genders (84.2%). 89.5% supported CV-polypill affordability for preventing CHD events and strokes. Algorithms for initiation (97.3%) and transition (97.4%) to the CV-polypill strategy from cardioprotective drugs, considering patient preferences (97.5%), were confirmed. A unanimous consensus (100%) affirmed the positive impact of the simplified CV-polypill treatment on patient satisfaction, with 94.7% recognizing its convenience (Figure 1). Conclusions Skilled medical experts across continents reached consensus on critical implementation aspects and strongly endorse the early use of the CV-polypill strategy (ASA+atorvastatin+ramipril). This adoption aims to reduce CVD recurrence, improve prognosis, and potentially enhance affordability in CVD treatment after a CVe.Consensus on CV polypill implementation

The Impact of Server-Side Rendering on UI Performance and SEO

This article explores the impact of Server-Side Rendering (SSR) on UI performance and Search Engine Optimization (SEO) in modern web development. It examines how SSR addresses the challenges faced by Single-Page Applications (SPAs) and content-rich websites by improving initial page load times, enhancing crawlability, and facilitating faster indexing. The article delves into the technical aspects of SSR implementation, discussing popular frameworks like Next.js, Nuxt.js, and Angular Universal. It also analyzes the performance benefits of SSR, including reduced Time to First Contentful Paint (FCP) and improved SEO scores across various web application types and network conditions. The article further explores optimization techniques such as code splitting, caching strategies, and streaming SSR, providing a comprehensive overview of SSR's role in creating faster, more discoverable, and user-friendly web applications.

Driving policy changes: RISE-Vac lessons learnt and recommendations

Abstract The RISE-Vac project consortium applied evidence-based public health methods to collate, assess, and analyze all the evidence generated through project activities, including literature review and prospective data collection on quantitative and qualitative aspects of vaccine services implementation in prison settings. A multi-sectorial and inter-disciplinary group of experts was set-up including health professionals, statisticians, social scientists and people with lived experience from civil society organisations, health services, prison administrations, academia and international agencies. A set of recommendations, advice, and policy options on how to increase vaccine uptake, targeted to people in prison and using a citizen-centred approach, were developed and tailored to specific needs profiles of different prison population subgroups. Vaccinations to be considered in prison settings were grouped according to target population and/or public health objective into: Seasonal vaccinations and vaccination during outbreak; Childhood life-course vaccinations (booster doses); Vaccinations for cancer prevention; Vaccination for older population groups and people with chronic conditions. In consideration of the diversity of the countries participating in the project, their epidemiological context and available resources and infrastructures, a multi-tiered approach for the development and implementation of models for vaccination services implementation in prison settings was devised, encompassing core vaccinations, such as HBV, Flu, COVID-19 and tetanus, as well as expanded vaccination offer to respond to enhanced health needs and to promote equity of health outcomes, including e.g. HPV vaccination.

Positive Behavioral Interventions and Supports and Substance Misuse in Secondary Schools

Amid a proliferation of highly potent opioids, school systems have sought to invest in programs for preventing substance misuse. School teams often prioritize early screening and intervention to prevent student substance misuse; however, given the limited resources of many schools, it is crucial to understand the extent to which commonly available data and existing frameworks are relevant for prevention efforts. In this study, we examined (a) how commonly available data on substance misuse (office discipline referrals [ODRs]) relate to self-reported substance misuse and (b) how positive behavioral interventions and supports (PBIS) implementation across tiers relates to these substance-related outcomes. We found that self-reported substance misuse is significantly related to substance-related ODRs, but that self-report rates are much higher than ODR rates. We also found that Tier 2 PBIS implementation was associated with significantly lower rates of both self-reported substance misuse and substance-related ODRs. These findings suggest that aspects of PBIS implementation could be beneficial in preventing substance misuse, but more research is needed to understand what specific school-based practices best address these student behavioral health needs.

Development of E-LKPD Based on 7E Learning Cycle to Stimulus Students’ Complex Problem-Solving and Self-Efficacy

The research conducted aims to describe e-LKPD based on the 7E learning cycle that is valid, practical, and effective in stimulating complex problem-solving (CPS) and student self-efficacy (SE). The research method used is Design and Development Research (DDR) consisting of analysis, design, development, and evaluation. After the e-LKPD was designed based on the results of an analysis of teacher and student needs, a product feasibility test was carried out with three experts and obtained valid results in aspects of media and design, content, and construction. Furthermore, the e-LKPD was tested for practicality with aspects of learning implementation, readability tests, and student responses which obtained very practical results. Furthermore, the effectiveness test using the N-Gain test, difference test, and paired test showed that there was a significant difference in the increase in CPS and SE in the experimental class and the control class and there was a significant increase in CPS and SE in the experimental class which was categorized as quite effective. Therefore, the e-LKPD based on the 7E learning cycle that has been developed has obtained valid, practical, and effective results for stimulating students' CPS and SE.

Achieving Societal Impact Through Community-Engaged Learning: Strategic Recommendations For Integrating AACSB Societal Impact Standards Into Marketing Courses

ABSTRACT In the context of integrating the 2020 Association to Advance Collegiate Schools of Business International (AACSB) revised standards on societal impact and the United Nations Development Goals (UN SDGs), this paper provides a detailed guide for developing and implementing four societal impact projects showcasing the design, implementation, student engagement, and impact aspects of these projects through the framework of community-engaged learning. The authors share their combined experiences designing and implementing a variety of marketing courses with the hope of guiding and encouraging marketing instructors to educate the next generation of business leaders in a manner that will contribute to a positive societal impact. The authors conclude with a discussion of the inherent challenges of such societal impact projects and suggestions for addressing several challenges so that business schools and marketing departments can succeed in making the paradigm shift necessary to shift to a societal well-being mind-set.

IMPLEMENTATION OF INTERNATIONAL EXPERIENCE OF STATE PROTECTION OF NATIONAL VALUES IN UKRAINE

The author of the article reveals the purpose of implementing the international experience of the system of state protection of national values through the prism of two important trends that should be implemented and and enshrined in the practice of state-building processes in modern Ukraine. One of them stipulates that national values are the central core of the national security system security system, they define the triad of ‘values-interests-goals’. The second trend defines the system of creating mechanisms for legislative support of guaranteeing and protecting of national values, which is embodied in the systemic nature of the state policy on national development and is the actual consolidation of the civilisational civilisational choice of the Ukrainian nation at the level of legal acts. The purpose of the article is to analyse practical aspects of implementation of the state mechanisms for protection of national values in foreign countries and their implementation in the Ukrainian State. The author emphasises that national values of of modern Ukraine should not be subject to political bargaining, speculation, etc. They are are always an element of political struggle. Without this, political processes are impossible, and therefore, national values should be defined and prohibited for political speculation on them, which, by the way, requires the development of an institution of for their criminal law protection; and - to have its own system of mechanisms of legislative protection. It is determined that the first step towards the implementation of the experience of foreign countries in protecting national values should be the introduction of an all-Ukrainian analytical study of the system of national values. It should should be based on long-term and medium-term forecasts of domestic development and the development of the system of world politics, its specific regional and functional subsystems. This means that the full potential of national research institutes in the field of public opinion, civil society, and sociological research should be used to society, and sociological research should be directed within the framework of a single state policy to study and define national values.

War veterans’ retraining: development of educational programmes for economic recovery in Ukraine

ABSTRACT This article aims to analyse the world experience of retraining war veterans in order to restore the economy and consider possible ways of implementing the acquired knowledge and practices in the context of Ukraine. A study was conducted to identify the basic needs and challenges faced by veterans and examine the key aspects of the challenges that war veterans experience when entering the civilian labour market. The authors analyse effective approaches and programmes already applied in various countries, including the United States, in order to overcome these difficulties and promote veterans’ integration into society and the economy. These include at the local level, or with the patronage of non-governmental organisations, educational programmes for retraining veterans in Ukraine. The authors offer specific recommendations for the development and implementation of specialised educational programmes for retraining veterans in Ukraine at the state level, mainly based on advanced world practice and existing local experience. Finally, particular attention is paid to the aspects of adaptation and implementation of these programmes in Ukrainian realities at the national level.

Program Evaluation of Pancasila Student Profile Strengthening Project Using the CSE-UCLA Model

The research aims to evaluate the program of the Pancasila student profile strengthening project in elementary schools in Semarang Regency, Indonesia. This research method used the CSE-UCLA evaluation model with a qualitative approach that included the aspects of program assessment, program planning, program implementation, program improvement, and program certification. The data sources came from the school principal/curriculum teachers, classroom teachers, students, and the parents of students at Pangudi Luhur Ambarawa Elementary School and Tlompakan 1 Tuntang Elementary School in Semarang Regency. Data collection was through interviews, document studies, and observations. The data analysis technique used qualitative descriptive methods. The research results showed that in the Assessment program, P5 was implemented in accordance with the vision, mission, and objectives. The theme and project options were chosen based on environmental issues and the needs of the students, and the project was also supported by the parents; Program planning, both schools had goals to be achieved in P5 so that the project ran with a clear direction and purpose; Program implementation, teachers have good strategies in carrying out P5 but improvements were needed in the socialization of the P5 program; Program improvement, there needs to be enhancements in the documentation of monitoring and supervision results; Certification program, the goals of the P5 program were achieved and all parties were satisfied with the existence of the P5 program, which had a positive impact on the students. The P5 program was running well, and all stakeholders were satisfied. However, there was a need for improvement in documentation and communication with students' parents. In addition, it is necessary to broaden project options, support teachers, and encourage them to prioritize character development over tangible results.

A Place of Last Drink Initiative: Effects on Various Types of Crime

Background Place of last drink (POLD) is a law enforcement strategy designed to decrease the service of alcohol to intoxicated patrons (i.e., overservice). When officers respond to an alcohol-related incident, they inquire about and record the place where the involved individuals last drank alcohol; this information can help identify licensed alcohol establishments that show a pattern of overserving alcohol. We evaluated the effects of a POLD initiative on various types of crime. Methods The POLD initiative was conducted in the state of Minnesota (USA). We compared 26 intervention jurisdictions to 26 matched comparisons. Outcomes were six crime measures (e.g., driving under the influence, violent, nonviolent). Predictors were levels of participation and implementation of POLD. We fit a separate Poisson regression model for each crime outcome and each predictor. Results In all models, we found little difference in crime rates between intervention and comparison jurisdictions. No effect on crime was observed for either participation or implementation levels of POLD. However, we found implementation levels were relatively low across jurisdictions. Conclusion This study adds to a very limited literature addressing the effects of POLD on public health harms such as crime. The particular POLD initiative did not appear to affect crime rates. We found POLD implementation levels showed considerable room for improvement and could help to explain some of the lack of effects of POLD on crime. More research is needed in additional localities and to assess whether specific aspects of implementation could help to strengthen POLD efforts.

Assessing health technology implementation during academic research and early-stage development: support tools for awareness and guidance: a review.

For successful health technology innovation and implementation it is key to, in an early phase, understand the problem and whether a proposed innovation is the best way to solve the problem. This review performed an initial exploration of published tools that support innovators in academic research and early stage development with awareness and guidance along the end-to-end process of development, evaluation and implementation of health technology innovations. Tools were identified from scientific literature as well as in grey literature by non-systematic searches in public research databases and search engines, and based on expert referral. A total number of 14 tools were included. Tools were classified as either readiness level tool (n = 6), questionnaire/checklist tool (n = 5) or guidance tool (n = 3). A qualitative analysis of the tools identified 5 key domains, 5 innovation phases and 3 implementation principles. All tools were mapped for (partially) addressing the identified domains, phases, and principles. The present review provides awareness of available tools and of important aspects of health technology innovation and implementation (vs. non-technological or non-health related technological innovations). Considerations for tool selection include for example the purpose of use (awareness or guidance) and the type of health technology innovation. Considerations for novel tool development include the specific challenges in academic and early stage development settings, the translation of implementation to early innovation phases, and the importance of multi-disciplinary strategic decision-making. A remaining attention point for future studies is the validation and effectiveness of (self-assessment) tools, especially in the context of support preferences and available support alternatives.

Instilling social accountability into the health professions education curriculum with international case studies: AMEE Guide No. 175

This AMEE guide focuses on instilling social accountability (SA) concept and values into health professions education (HPE) curricula with the goal of producing competent, compassionate healthcare professionals who can act as change agents within the healthcare system. By incorporating SA, HPE schools will instil in their students a strong sense of accountability for addressing the health needs of the communities they serve. This AMEE guide presents a comprehensive framework for embedding SA into the HPE curriculum, covering various aspects in curriculum design, implementation, and evaluation. It also includes case studies of exemplary socially accountable curricula, highlighting the experiences of schools aspiring for SA. Acknowledging how curriculum is embedded in a larger institutional structure, and that SA requires institutional commitment in its governance structure and policies is also a critical component for consideration.