Influence Of External Factors Research Articles

How clinicians make decisions for patient management plans in telehealth.

This systematic integrative literature review explores how clinicians make decisions for patient management plans in telehealth. Telehealth is a modality of care that has gained popularity due to the development of digital technology and the COVID-19 pandemic. It is recognized that telehealth, compared to traditional clinical settings, carries a higher risk to patients due to its virtual characteristics. Even though the landscape of healthcare service is increasingly moving towards virtual systems, the decision-making process in telehealth remains not fully understood. A systematic integrative review. Databases include CINAHL, APA PsycInfo, Academic Search Complete, PubMed, Web of Science and Google Scholar. This systematic integrative review method was informed by Whittemore and Knafl(2005). The databases were initially searched with keywords in November 2022 and then repeated in October 2023. Thematic synthesis was conducted to analyse and synthesize the data. The search identified 382 articles. After screening, only 10 articles met the eligibility criteria and were included. Five studies were qualitative, one quantitative and four were mixed methods. Five main themes relevant to decision-making processes in telehealth were identified: characteristics of decision-making in telehealth, patient factor, clinician factor, CDSS factor and external influencing factor. The decision-making process in telehealth is a complicated cognitive process influenced by multi-faceted components, including patient factors, clinician factors, external influencing factors and technological factors. Telehealth carries higher risk and uncertainty than face-to-face encounters. CDSS, rather than bringing unification and clarity, seems to bring more divergence and ambiguity. Some of the clinical reasoning processes in telehealth remain unknown and need to be verbalized and made transparent, to prepare junior clinicians with skills to minimize risks associated with telehealth. Not applicable.

Study of the possibility of application of optically transparent epoxy resins for restoration of vitric enamels

Objects of decorative and applied arts of historical value, over time, undergo physical and mechanical changes caused by the influence of external factors. For example, vitreous enamels can lose their luster, crack, and archaeological objects can also suffer due to the corrosion processes of glass and metal base. Therefore, it seems an important task to develop approaches to the restoration of products with vitreous enamels. In the work on the results of the use of studies of optically transparent epoxy resins as a restoration material when working with objects of cultural investigation, which consists in the restoration of vitreous enamels. To assess the admissibility of using the material as a restorative, an accelerated test method was also developed and tested.

Effects of external influencing factors on the microstructure and physico-mechanical characteristics of glass-reinforced polymer composite material based on polyimide binder

The article presents the results of experimental studies of the effects of external influencing factors (natural exposure in climatic zones, such as a temperate climate and a climate with an industrial atmosphere, during accelerated climatic tests in a thermal humidity chamber, during thermal aging, exposure in technical environments) on the microstructure and physical and mechanical characteristics of a glass-reinforced polymer composite material grade VPS-72 based on polyimide binder grade VS-51. The state of the surface of fiberglass samples after exposure was studied for one year.

Influence of unfavorable climatic factors characteristic of the arctic zone on the properties of polymeric materials and composites: a review

The paper reviews studies of the influence of external influencing factors characteristic of the Arctic zone on the properties of polymer materials and polymer composites. In the cited works, the influence of factors such as low temperatures, thermal cycling, high humidity, and other aggressive environmental conditions on the strength properties of a number of thermosetting and thermoplastic matrices, as well as composites based on them, has been studied. A comparative analysis of resistance of various materials to unfavorable climatic factors typical for the Arctic climate has been carried out. This review can be used when choosing materials for work in the Arctic and subarctic zones, as well as in other regions where the described factors may affect the operation of products, machines and structures.

Preparation of Samples for the Study of Rheological Parameters of Digested Pulps in a Bioreactor of an Agricultural Biogas Plant

The studies of the rheology of digested pulp from agricultural biogas plants have often been fragmentary and non-standardised due to their complexity and time-consuming nature. As a result of measurements, it was possible to develop a procedure and range of measurements for the correct determination of the parameters of the carrier substance. The applicability of the coaxial cylinder measurement system was demonstrated for assessing the rheological parameters of digested pulp from a fermenter that utilises agricultural biomass. To determine the characteristics of solid particles, the Zingg diagram was used, inter alia, allowing the comparison of particles from each fraction. The analysis of the shape and size of solid particles may help to describe the onset of motion of this phase, flow type, or sedimentation type. The authors propose a completely new research approach to obtain an appropriate, repeatable test conditions of medium, which is the carrier liquid from the biogas plant reactor. The proposed methodology and the scenario of the entire study make it possible to achieve scalable and comparable test results in any laboratory. The proposed solution eliminates the influence of most external factors on the sample and rheological measurements, and the effectiveness of the presented procedure was confirmed in tests.

Optimal Design and Dynamic Characteristic Analysis of Double-Link Trapezoidal Suspension for 3WPYZ High Gap Self-Propelled Sprayer

A fast spraying speed, wide working area, and easy operation are the operational advantages of high-clearance boom sprayers. To address the issue of spray boom mechanical vibration affecting the spraying effect, a double-link trapezoidal boom suspension is designed for the 3WPYZ sprayer. This suspension can achieve passive vibration reduction, active balance, and ground profiling. The kinematic model of the boom suspension is established based on D’Alembert’s principle and the principle of multi-body dynamics, and the design factors affecting the stability of the boom are determined. Through orthogonal experimental design and virtual kinematics simulation, the influence of the boom length and orifice diameter of each part on the swing angle and the natural frequency of the boom suspension is investigated. Design-Expert 8.0.6 software is used to analyze and optimize the test results. The optimization results show that, when the connecting boom length LAB is 265 mm, the inner boom suspension boom length LAD is 840 mm, the outer boom suspension boom length LBC is 1250 mm, and the throttle hole diameter d is 4 mm; the maximum swing angle of the boom suspension is reduced by 53.02%. In addition, the natural frequency of the boom is reduced from 1.3143 rad/s to 1.1826 rad/s, and the dynamic characteristic optimization effect is remarkable. The modal analysis results show that the first sixth-order vibration test frequency of the boom sprayer suspension designed in this paper meets the requirements and avoids the influence of external factors. Field tests show that, when the sprayer is excited by the environment at 3.5° to 4°, the boom suspension can reduce the vibration transmitted by the body to a reasonable range. The static analysis shows that the structural design of this study reduces the stress at the connection of the end boom suspension, the maximum displacement, and the maximum stress of the inner boom suspension. The test results of the dynamic characteristics of the implement are basically consistent with the virtual model simulation test results, thus achieving the optimization objectives.

Free will: Philosophical views on the nature of human choice and limitations

The need to explore free will arises from continuous reflection and discussion about the nature of human existence and the ability of humans to make free decisions. This need is compounded by ambiguity in views and approaches to this concept and its meaning for various aspects of life. The examination of free will becomes relevant due to the need to understand the causes of actions, moral responsibility, and the possibilities of human influence on the world. This study was devoted to the disclosure of key aspects of free will through the analysis of historical and modern theories. In the course of the study, a literary analysis was involved, which included work with papers on related subjects. The conceptual analysis allowed defining and understanding the main concepts and terms of the subject under study. Comparative analysis was applied to the papers of other researchers who worked on the same or similar subjects to identify similarities and differences and determine prospects for future research in this area. The study shows that there are two main directions in this discussion: determinists believe that all events, including human actions, are predetermined, and compatibilists state that free will is compatible with determinism. The study provides a detailed analysis of deterministic and compatibilist concepts of free will. Arguments for and against free will, which indicate the influence of external factors on human choice, are considered. Through the analysis of historical and modern theories, the examination of various concepts and argumentation, this study identifies the main approaches to the interpretation of the concept of free will in the context of philosophical thought. The main results indicate the complexity and versatility of the concept of free will and the importance of considering various factors that influence human choice

Analysis of factors influencing Chinese vocabulary learning level based on big data technology

In recent years, significant progress has been made in the study of Chinese vocabulary acquisition, and the research content and scope have gradually expanded. Chinese vocabulary is the foundation for understanding and using language, and any language has developed on the basis of Chinese vocabulary. Many studies have shown that there are many factors that affect the acquisition of Chinese vocabulary, and the impact on Chinese vocabulary acquisition is also different. Among them, the influencing factors of Chinese vocabulary acquisition have gradually become a research hotspot, and a large number of related empirical studies have emerged. Based on the big data technology and the random effect model, this paper comprehensively analyzes whether the influencing factors of Chinese vocabulary acquisition as a second language are significant and investigates the effects of internal and external influencing factors, delayed post-test, specific factors and experimental interval time on the learning effect. External factors significantly impact Chinese vocabulary acquisition, including learning style, input factors and input methods. Through the subgroup analysis of the experimental interval, we find that the effect of Chinese vocabulary acquisition decreases with the extension of the experimental interval. Therefore, this paper holds an inverse relationship between the experimental interval and the development of Chinese vocabulary acquisition.

Implementation of an Advance Care Planning Intervention in Nursing Homes: An International Multiple Case Study.

The inability of individuals in the advanced stage of dementia to communicate about preferences in care at the end-of-life poses a challenge for healthcare professionals and family carers. The proven effective Family Carer Decision Support intervention has been designed to inform family carers about end-of-life care options available to a person living with advanced dementia. The objectives of the mySupport study were to adapt the application of the intervention for use in different countries, assess impact on family satisfaction and decision-making, and identify costs and supportive conditions for the implementation of the intervention. A multiple-case study design was chosen where the nursing home was the case. Nursing homes were enrolled from six countries: Canada, Czech Republic, Italy, Netherlands, Republic of Ireland, and United Kingdom. Seventeen cases (nursing homes) participated, with a total of 296 interviews completed including family carers, nursing home staff, and health providers. Five themes relevant to the implementation of the intervention were identified: supportive relationships; committed staff; perceived value of the intervention; the influence of external factors on the nursing home; and resource impact of delivery. There is a commonality of facilitators and barriers across countries when introducing practice innovation. A key learning point was the importance of implementation being accompanied by committed and supported nursing home leadership. The nursing home context is dynamic and multiple factors influence implementation at different points of time.

Progress and evolution of hotspots in butterfly diversity research in green spaces.

Ecosystems depend on biodiversity; therefore, protecting biodiversity is beneficial for the development of ecosystems. Butterflies are indicator species that respond quickly to environmental changes and reflect environmental conditions. Butterfly diversity is a crucial evaluation indicator of habitat quality in green spaces. We used CiteSpace and Bibliometrix to conduct a bibliometric analysis of research relating to butterfly diversity in green spaces. Based on 538 papers published from 2002-2022, we systematically reviewed the status, frontiers, and hotspots for research on butterfly diversity in green spaces. Our results showed that: (1) Research on butterfly diversity in green spaces has consistently demonstrated an upward trend between 2002-2022. Studies on this subject have garnered attention from researchers worldwide, with notable interest and contributions from scholars in the United States. (2) Early studies focused on butterfly habitat preferences and extinction concerns, and later articles appeared on the influence of external environmental factors (land use, climate change, plants, etc.). (3) Three main research topics received much attention between 2002 and 2022: biodiversity conservation, butterfly habitats, and the relationship between butterfly diversity and its influencing factors. (4) The relationship between green spaces and butterfly diversity (landscape features, vegetation features, and human activities) was discussed; these factors on butterfly communities should be considered in the planning and constructing of future green spaces. (5) Two significant future directions have been identified: more research on the impact of external factors and a need for more technical integration with the big data field. Future research on butterfly diversity in green spaces should adopt a more multi-scale, multi-disciplinary approach and aim to enhance the practicality and guidance of research findings.

Attitudes of the Lithuanian Population toward COVID-19 Vaccination and Evaluation of Its Effectiveness: A Cross-Sectional Study.

Background and Objectives: This study delves into the attitudes, beliefs and determinants influencing the uptake of the COVID-19 vaccine among the Lithuanian population. Materials and Methods: Utilizing a cross-sectional study design, a total of 3166 respondents were surveyed. Results: The findings reveal a significant disparity in vaccination rates based on socio-demographic factors, with higher uptake observed among individuals with a university degree, urban residents and those in higher income brackets. Personal beliefs, particularly regarding the vaccine's efficacy in pandemic management, played a pivotal role in vaccination decisions. This study also highlights the influence of external factors, such as the activity of the "anti-vaxxer" movement and the introduction of vaccination certificates. Conclusions: The results emphasize the need for targeted educational interventions and comprehensive public health campaigns to address vaccine hesitancy and promote widespread immunization.

Effectiveness of Healthcare Interventions on Smoking Cessation in Adolescents in Low- and Middle-Income Countries: A Narrative Review.

The smoking epidemic is the greatest threat to global public health that has ever existed. Teenagers constantly perceive smoking as a way to communicate with friends and express their emotions. Adolescent smokers should be noticed immediately before the extended period of tobacco addiction and being resistant to the interventions. The aim of this study is to assess the effectiveness of healthcare interventions targeting smoking cessation in adolescents within low- and middle-income countries (LMICs) and to summarize the options, benefits, and affordability of interventions for quitting smoking that may be implemented in LMICs. The review highlights the effectiveness of various pharmacological interventions, such as nicotine replacement therapy (NRT), bupropion, nortriptyline, varenicline, and cytosine, shedding light on their respective success rates in aiding smoking cessation. Additionally, the study delves into the realm of behavioral interventions, emphasizing the significant impact of counseling, brief advice, and automated text messaging in promoting smoking cessation among adolescents. Furthermore, the review examines the influence of external factors, such as an increase in cigarette prices and changes in the smoking environment, on smoking habits. It underscores the importance of creating smoke-free areas and leveraging community involvement to enhance the effectiveness of interventions. The study also evaluates the affordability and sustainability of smoking cessation interventions, emphasizing the need for a balanced combination of pharmacotherapy and behavioral support. The advantages of quitting smoking will improve the nation's health and boost economic productivity.

Analisis Strategi Pemasaran dengan Menggunakan Metode SWOT pada Rumah Makan Griyo Semar Mesem

The restaurants in Tulungagung Regency has increased every year. Because of this increase, competition in the restaurant business become fierce. Businessman must have the right marketing strategy to obtain the desired target market. The right marketing strategy can be obtained from several analytical tools in marketing strategy. One of these analytical tools is to use SWOT analysis as used in this research. This research aims to understand the internal and external factors that influence the Griyo Semar Mesem Restaurant, as well as formulating marketing strategies that can be implemented by the restaurant. The research method used is descriptive qualitative, which describes in detail the influence of internal and external factors, as well as determining the marketing strategy for Griyo Semar Mesem Restaurant. This research was carried out through depth interviews and observation. The results of marketing strategy analysis using the SWOT method show placement in quadrant I, which supports the implementation of aggressive strategies. The aggressive strategy includes market penetration, product development, vertical integration, and diversification

Application of lean Management Principles in Hospitals in Slovakia

Introduction: Healthcare worldwide is struggling with many problems that have been escalated by the Covid-19 pandemic and the military conflict in Ukraine. The gap between the possibilities and the needs in the provision of health services is opening more and more. Therefore, it is necessary to look for ways to streamline processes at the level of the hospitals themselves and their management. Research aim and objectives: The aim of the research was to examine the mutual connections between the use of lean management principles and the ratings of hospitals in the Slovak Republic and to identify the influence of external and internal factors in this relationship. The sample consisted of 175 managers from 35 hospitals. Methods: To verify the hypotheses, the SEM method was used in the Smart Pls 3.3 software at a significance level of 0.05. Results: We discovered that there is a statistically significant connection between the use of lean principles and hospital ratings. If other variables enter the model, the overall effect of the mentioned variables is significantly increased. The stakeholder demands variable has a significant mediating effect (β = 0.470; p=0.000). The social lean climate variable has a lower indirect effect in the Slovak environment (β = 0.291; p=0.000). Conclusion: Our research shows the unequivocal importance of applying the principles of lean management in healthcare. There is ever-increasing pressure to increase quality and improve process efficiency from various stakeholders as well as pressure from within hospitals.

An analysis of the applications of mechatronics in intelligent manufacturing

With the continuous development of the social economy, countries increasingly pay more attention to mechatronics and put forward various relevant policies for the actual situation of mechatronics to promote mechatronics and achieve sustainable development. However, from the current actual situation of mechatronics, due to the influence of various external factors, its degree of development cannot meet the requirements of modern social development; therefore, the application of advanced intelligent technology to mechatronics design is inevitable. Based on this, this paper expounds the intelligent manufacturing technology and mechatronics system overview as the basis for analysing the actual situation of the development of modern mechanical and electrical equipment digital design, then analyses the advantages of intelligent technology from different aspects and applies them to the daily mechatronics design to bring huge economic benefits to enterprises, and concludes that the development level of social productivity in the future is closely related to the integration level of mechatronics and intelligent manufacturing.

Reassessment of the Stability Conditions in the Lignite Open Pits of Oltenia (Romania) in Relation to the New Local Seismic Context as an Imperative for Sustainable Mining

Responsible mining considers the three pillars of sustainability, namely the environment, the economy and social welfare. As a result, exploitation of deposits of useful mineral substances, as an economic activity, must be carried out taking into account several requirements, among which is the generation of a reduced impact on the environment and local communities. Sliding of open pits and waste dumps slopes represents a major risk, which endangers workers and machinery, as well as the components of the natural and built environment in the influenced area. In order to avoid such phenomena and their consequences, it is imperative to analyze the stability conditions whenever their possible triggering factors appear (such as earthquakes). Between February and March of 2023, the region of Oltenia (south-west Romania) was affected by intense seismic activity, out of normal patterns. Considering this series of seismic events, in this paper we aimed at reevaluating the stability conditions of the slopes of the working fronts and of the internal dumps in the lignite open pits located in the region in this new context. Research focused on three lignite open pits, namely Peșteana North (Rovinari mining perimeter), Jilț North (Jilț mining perimeter), Berbești–Alunu (Berbești mining perimeter). After describing the general geology and tectonics of the areas under study, the seismic episode that affected the region at the beginning of 2023 (which in fact extended until November) is highlighted, with increased attention given to the earthquakes of 13 and 14 February 2023, with a local magnitude ML ≥ 5. The most important part of the study is represented by the stability analyses, carried out for normal conditions (considering the characteristics of the rocks at natural humidity and in the absence of the influence of external factors) and under seismic conditions, characterized by a peak ground acceleration equal to the maximum acceleration considered for the location area of the mining perimeters taken into study. The results of the study showed that, for most of the analyzed situations, a renewal of the technical exploitation documentation is required, which, taking into account the results of this study, must adopt new geometries of the excavation and deposition fronts, so that the objectives in terms of operational and workplace safety imposed by legislation are respected.

From efficacy to effectiveness: a comprehensive framework for monitoring, evaluating and optimizing seasonal malaria chemoprevention programmes

BackgroundSeasonal Malaria Chemoprevention (SMC) is a highly effective intervention for preventing malaria, particularly in areas with highly seasonal transmission. Monitoring and evaluating (M&E) SMC programmes are complex due to the scale, time-sensitive delivery of the programme, and influence of external factors. This paper describes the process followed to develop a comprehensive M&E framework tailored specifically for the SMC context.MethodsThe Framework was developed through a literature and programme review, and stakeholder dialogues across three implementing countries—Burkina Faso, Chad, and Nigeria. Expert consultation further refined the Framework through an iterative approach drawing upon data collected through the three sources. The Framework was designed using the Logical Framework Approach incorporating external factors and intentionally aligned with global malaria M&E standards.ResultsAn overall aim and seven programme objectives were developed measured by 70 indicators. The indicators also capture the causal links between the implementation and results of the programme. The Framework leverages the use of current data sources and existing mechanisms, ensuring efficient data use without requiring a significant increase in resources for overall programme optimization. It also promotes the use of data triangulation, and stratification for a more nuanced understanding of factors affecting programme performance and timely data informed decision-making.ConclusionsThe SMC M&E Framework presented here provides a standardized approach for programme implementers to enhance decision-making for optimal programme performance. This is an essential tool as the scope of SMC programmes expands to new geographies and target age groups.

Synthesis of the neuro-fuzzy regulator with genetic algorithm

Real-acting objects are characterized by the presence of various types of random perturbations, which significantly reduce the quality of the control process, which determines the use of modern methods of intellectual technology to solve the problem of synthesis of control systems of structurally complex dynamic objects, allowing to compensate the influence of external factors with the properties of randomness and partial uncertainty. The article considers issues of synthesis of the automatic control system of dynamic objects by applying the theory of intelligent control. In this case, a neural network based on radial-basis functions is used at each discrete interval for neuro-fuzzy approximation of the control system, allowing real-time adjustment of the regulator parameters. The radial basis function is designed to approximate functions defined in the implicit form of pattern sets. The neuro-fuzzy regulator's parameter configuration is accomplished using a genetic algorithm, enabling more efficient computation to determine the regulator's set parameters. The regulator's parameters are represented as a vector, facilitating their application to multidimensional objects. To determine the optimal tuning parameters of the neuro-fuzzy regulator, characterized by high convergence and the possibility of determining global extrema, a genetic algorithm was used. The effectiveness of the neuro-fuzzy regulator is explained by the possibility of providing quality control of the dynamic object under random perturbations and uncertainty of input data.

Management of competitiveness of enterprises in the context of sustainable development

Introduction. The viability of enterprises' competitiveness is determined by the results of their production and sales activities in conditions of sustainable development. High competitiveness is the primary condition for modern enterprises' development and effective functioning in market conditions. Competition forces enterprises of various forms of ownership to constantly monitor changes in supply and demand and the cost of material resources, reduce production costs, improve the quality of their products and services offered on the market, and increase their competitiveness. Competitiveness is an indicator that reflects the effectiveness of the entire complex of economic mechanisms, considering all factors and mechanisms. Increasing competitiveness is a long-term process that is carried out by the chosen strategy of the company's development and ensures the achievement of competitive advantages: a reduction in the cost of production, increasing its priority; implementation of innovations, identifying the advantages of own goods compared to substitutes; use of price factors to increase competition; search for new areas of product use, etc. Goal. The purpose of the article is to analyze the management of enterprises' competitiveness in the conditions of sustainable development. Method (methodology). The research process applied the methods of comparison, analysis, and theoretical and logical generalization. The dialectical research method became the methodological basis. The results. The article examines the influence of external and internal factors on the management of the competitiveness of enterprises in the context of economic, social, and environmental components of sustainable development; problematic aspects of ensuring the competitiveness of enterprises in conditions of sustainable development are analyzed; it has been proven that the dynamism of competitive advantages requires constant monitoring of their development trends and systematic development of complex measures for the development of existing and formation of new competitive advantages of the enterprise; it was determined that fundamentally new management solutions and strategic alternatives must be used to improve the results of operations radically. The conditions for increasing the competitiveness of enterprises in the context of the components of sustainable economic development are proposed and substantiated. Keywords: enterprise competitiveness, management, sustainable development, factors, indicators of competitiveness.

Formation of an organizational and economic mechanism for increasing the economic stability of an enterprise in the management of intellectual property objects

The purpose of the study is to analyze the impact of macro- and microeconomic factors on the formation of the management system of intellectual property objects as a structural element of the organizational and economic mechanism of increasing the economic sustainability of the enterprise. The right of ownership of intellectual products is considered an institutional prerequisite for increasing the enterprise's sustainability on an innovative basis, and objects of intellectual property are determined as a critical factor of social production. In enterprise management's organizational and economic mechanism, attention is focused on goals and incentives. It is proposed to consider increasing the economic stability of the enterprise as a complex goal of management, the reengineering of which is initiated by disturbances of various etymologies with the dominant influence of external factors. As an adaptive tool for transforming the organizational and economic mechanism of enterprise management into an open system, the creation of conditions for the effective implementation of the formation, use, and distribution of intellectual property objects is proposed. The system's components of increasing the enterprise's innovative potential are highlighted, including strategic management of intellectual property, protection of intellectual property rights, management of the intellectual property portfolio, internal knowledge management, creation of an innovative culture, and optimization of financial management of intellectual assets. A comprehensive understanding of the prerequisites for protecting intellectual property rights in the context of the institutional system functioning at the national level is presented. It has been proven that the ability to transform intellectual property objects into an influential factor in acquiring sustainability by business entities depends on the quality of public-private partnerships in terms of relations between the government, businesses, and universities. Keywords: organizational and economic mechanism, economic stability, enterprise, intellectual property management, intellectual property objects, intellectual capital, national innovation system.