Log Sheets Research Articles

Prediction of Water Production Rate Using Fuzzy Logic Approach

Abstract—this paper describes a fuzzy expert system approach for prediction of water production rate in a desalination plant. The goal of the study is to predict water production rate based on several inlet variables determined by steam flow, steam pressure, seawater temperature, and seawater flow. The data used were collected from plant history records of the operation department log sheets. These data were analyzed and a model was constructed using fuzzy expert system. In the proposed model, both input and output variables are parameterized and classified into several fuzzy sets. A set of fuzzy rules are constructed based on the knowledge extracted from the data collected. Once the rules are evaluated, the variables are defuzzified and converted into corresponding output variable (water production rate). The results showed that inlet variables of the plant could predict water production rate with 95% prediction accuracy.

Development and Evaluation of an Optimized Energy Recovery System from Excess Heat of a Compressed Air System

The aim of this study is to build a bounded optimized energy recovery system from the compressed air system’s excess heat. It is important to concentrate on the use of products that satisfy the requirements for performance and sustainability, as well as the need for energy that will be optimized. Purposive sampling is used to select the respondents, using quantitative research, specifically both descriptive and developmental methods. The researcher utilized a decision support tool developed by Kolaitis et al., (2020) as the primary research instrument of the study. The adopted tool was slightly modified to suit the assessment needs of the developed energy utilization system. All the main criteria components are interpreted as highly sustainable. The researcher utilized log sheets to determine the performance of the study. Finally, paired t-test was used to determine whether there was a significant difference in the performance of the study. The performance of the optimized energy after the implementation of the project was statistically higher than the performance of the optimized energy before the implementation of the project. The researcher concluded that the performance of the optimized energy recovery system from excess heat of a compressed air system after the installation and operation was effective and efficient based on the ratings of respondents and descriptive measures on the log sheet. For this kind of innovation, the manufacturing company with the same equipment should adopt and sustain it for potential energy savings and protect mother nature.

Feasibility Study of an Assistive Garment for Providing Kangaroo Mother Care to Preterm Neonates

Objective of the study: This study was undertaken to test the feasibility and acceptability of an assistive garment for providing Kangaroo mother care (KMC) among mothers of preterm neonates. Study design: An interventional case series design was planned and eight mothers and their babies were recruited using convenience sampling. Feasibility outcomes were assessed using a validated log sheet. Acceptability outcomes were collected by a five-point attitude scale, from the mothers. Results: The garment supported the baby’s weight and maintained the position of the baby during KMC in all the sessions. Six mothers could express breast milk using a breast pump while using the garment. Most of the mothers voiced positive opinions about the garment.

Analysis of Wet Pack Incidence in Steam Sterilization: A Study in a Chinese Medical Center.

BACKGROUND Central sterile supply departments (CSSDs) play a vital role in hospital infection control. We investigate the factors associated with wet pack occurrence after steam sterilization. MATERIAL AND METHODS We designed a log sheet to record information concerning sterilized packs. The data included the type of sterilized pack; outside weather (sunny, overcast, or rainy); the item in the sterilized pack; packaging material; whether the item had been packaged in compliance with guidelines; whether the pack had been laid flat, upright, or leaning at an acute angle; which sterilizer was used for sterilization of the pack; whether the pack had been placed on the top or bottom shelf inside the sterilizer chamber; whether the pack had been loaded in compliance with guidelines; the drying time following sterilization; and cooling time after sterilization. The sterilized packs in our study were selected from all of the packs that were sterilized in the CSSD of the authors' institution during June to December 2021. RESULTS Factors associated with wet pack occurrence after steam sterilization include: outside weather on the day of sterilization; the item in the sterilized pack; packaging material; whether the item had been packaged in compliance with guidelines; whether the pack had been placed on the top or bottom shelf; and cooling time after sterilization. Statistically significant differences (P<0.05) in wet pack incidence were identified for all of these factors. CONCLUSIONS Various factors are associated with wet pack occurrence after steam sterilization. Recommendations for reducing the risk of wet packs include regular maintenance of the steam pipeline, regular replacement of thermal insulation materials for the steam pipeline, and extension of the drying time.

Flat flexible school shoes for adolescents with patellofemoral pain: a randomised, assessor-blinded, parallel-group feasibility trial

ObjectivesTo determine the feasibility of conducting a large-scale randomised controlled trial on the efficacy of flat, flexible school footwear versus traditional school footwear in adolescents (aged 12–18 years) with patellofemoral...

You just want a break from the hatred of failure: the lived experience of being a student physiotherapist perfectionist and considerations for educators

Perfectionism is a personality orientation associated with mental health and adjustment problems. Recent evidence demonstrates that perfectionism is widespread among students and on the rise, with recent generations of students placing increasingly more importance on perfection. Whilst the extant literature is vast, it tends to focus on psychopathology and identification of perfectionism correlates rather than the experience of student perfectionism. Furthermore, the education literature is scant and there is a need to understand the deeper processes and nuances of perfectionism, particularly within health professions education where intense study demands, competition to gain entry to educational programmes, and professional cultures may nurture the problem. This phenomenological study explored the lived experiences of ten physiotherapy students as they wrestled with perfectionism in the various facets of their studies. Semi-structured interviews were undertaken, and participants completed log sheets to document perfectionism-related experiences. Idiographic profiles were composed and interview transcripts were analysed, drawing upon features of both phenomenological and thematic analysis. Perfectionism was found to have toxic consequences for the learning experience. Harmful phenomenological experiences included perpetual and excessive achievement striving, punitive self-criticism and health and wellbeing difficulties. A range of sabotaging learning behaviours such as self-handicapping and feedback avoidance was also illuminated, and cultural and organisational influences perceived to foster perfectionism emerged. Findings are discussed in relation to underlying processes and implications for educators. The prospect of findings transferring to other educational contexts is highlighted.

RELIABILITY, AVAILABILITY, AND MAINTAINABILITY (RAM) ANALYSIS FOR PERFORMANCE EVALUATION OF POWER GENERATION MACHINES

&lt;p&gt;This paper presents a reliability, availability, and maintenance (RAM) analysis framework to evaluate the performance of Power Generation Machines (MPL) as part of office infrastructure. MPL performance is evaluated by calculating maintenance performance, including Mean Time Between Failures (MTBF) to see reliability aspects, Mean Time to Repair (MTTR) to see maintainability aspects, and availability to see its operational availability. This research used data as maintenance log sheet data from three MPLs from January to September 2021. The results showed that MPL1 had the most optimal condition with an availability value of 93.48%, MPL2 was 82.19%, and MPL3 was 70.55%. Root cause analysis was carried out using Fishbone Diagram. It was able to identify the main problems in the machine's age and the procedure for submitting maintenance. Maintenance performance improvement is very much needed, especially the availability aspect for MPL2 and MPL3, as well as the valuation of existing preventive care. In addition, determining qualification standards for availability, MTBF, and machine MTTR needs to be carried out as a quantitative consideration in making MPL replacement decisions.&lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p&gt; &lt;/p&gt;

The effect of family-centered empowerment model on burden of care in parents and blood glucose level of children with type I diabetes family empowerment on burden of care and HbA1C

BackgroundParents play a critical role in caring for their children with diabetes and bear a significant burden of care. Health education has increasingly focused on empowering parents through new strategic methods. The present study aims to investigate the impact of a family-centered empowerment model on the burden of care in parents and blood glucose levels of children with type I diabetes.MethodsAn interventional study was conducted in Kerman, Iran, where 100 children with type I diabetes and their parents were randomly selected as participants. The study aimed to implement a family-centered empowerment model in the intervention group, which consisted of four stages (educational phase, increasing self-efficacy, improving self-confidence, and evaluation) over a period of one month. The control group received routine training. The Zarit Caregiver Burden questionnaire and HbA1c log sheet were utilized to evaluate the effectiveness of the intervention. Questionnaires were administered before, after, and two months post-intervention, and data were analyzed using SPSS 15. Non-parametric tests were employed, and statistical significance was set at p < 0.05.ResultsBefore the study, no significant differences in demographic variables, level of burden of care, or HbA1C levels were observed between the two groups (p < 0.05). After the intervention, the burden of care score in the intervention group was significantly lower than that in the control group, both immediately post-intervention and two months later (P < 0.0001). Additionally, the median HbA1C levels in the intervention group were significantly lower than those in the control group after two months (6.5 in the intervention group and 9 in the control group) (P < 0.0001).ConclusionThe findings of this study suggest that the implementation of a family-centered empowerment model is an effective strategy for reducing the burden of care on parents of children with type 1 diabetes and for controlling the HbA1C levels of these children. Based on these results, it is recommended that healthcare professionals consider incorporating this approach into their educational interventions.

Current Status of the Disaster Health, Medical, and Welfare Coordination in Japan

Introduction:Non-coordinated support during disasters has negative effects on affected communities and people. From the 2004 Indian Ocean Tsunami, the United Nations introduced a cluster approach to avoid gaps and duplication of aid. Japan's disaster coordination of support for health and medical care was organized after the 2017 Kumamoto earthquake. The Ministry of Health, Labour and Welfare (MHLW) announced and issued the notice that the prefectures need to establish a system related to health and medical activities in the event of a large-scale disaster. In July 2022, welfare content was added. This study investigated the current status of health sector organizational coordination among health, medical, and welfare responders during 2022 the Large-Scale Earthquake National Exercise (LSENE).Method:The 2022 LSENE was conducted on October 1, 2022 with participation from the Disaster Medical Assistant Team (DMAT) and responders from each prefecture's health and welfare divisions and organizations. Each responder's exercise log sheet and the exercise controller's evaluation were reviewed.Results:Even though there was a notice from the MHLW, organized coordination was conducted only by several medical and health teams. DMAT is the only team with a system to dispatch teams from non-affected prefectures and coordinate well to allocate teams. Some other health and welfare organizations did not have a dispatching system. They had difficulty sending teams to affected areas, especially due to a lack of a systematic response system, training, coordination headquarters, and information sharing. It was suggested that information sharing and coordination among responders is necessary, although information gathering and request judgments related to dispatch coordination are different for each organization.Conclusion:In order to smoothly coordinate support teams for health, medical, and welfare in the event of a disaster, it is necessary not only to improve the coordination headquarters for health, medical, and welfare but also to verify its operation through training.

RANCANG BANGUN SISTEM MONITORING SUHU COLD STORAGE BERBASIS IOT MENGGUNAKAN WEMOS D1 R2 DI PT. AEROFOOD ACS DENPASAR

Monitoring temperature and humidity in cold storage is very important to prevent damage to food raw materials. Checking the temperature in the cold storage is carried out every 4 hours with the results manually written on the log sheet by the working staff and also sometimes there are staff who do not close the cold storage door tightly so that it causes an increase in temperature. Therefore an IoT-based cold storage temperature monitoring system is created using Wemos D1 R2 in real time which is very necessary. The design of this prototype uses hardware, namely the WeMos D1 R2 microcontroller because it is based on ESP8266 which can be connected to WiFi, DHT22 temperature sensor, and HC-SR501 PIR sensor. The software used is blynk and google spreadsheet. The results of this prototype design are being able to read the cold storage temperature and humidity properly which can be seen in the blynk application on a smartphone by displaying the temperature and humidity values. This prototype also has a feature that sends notifications to smartphones when the temperature is read more than 5°C and has temperature data stored on Google spreadsheets. The conclusion of this study has succeeded in designing and making a prototype of an IoT-based cold storage temperature monitoring system. The testing of the prototype can work well. The results of applying the prototype to cold storage Room 21 obtained an average temperature of 2.9°C and an average humidity of 86%.

An audit on patient safety in a community pharmacy using DATIX: reporting near misses

Abstract Introduction Pharmacy contractors are required to log patient safety events and report them to a national system, currently, the Learn From Patient Safety Events (LFPSE) system.1 Professional guidance recommends that pharmacy staff record, learn, discuss, act and analyse both dispensing errors and near misses.2 The National Pharmacy Association defines a near miss as a “patient safety incident that is detected before the patient or patient’s representative is handed the dispensed prescription preventing any unintended/unexpected harm”.3 This audit from a single community pharmacy in the West Midlands region, provides baseline data on the accuracy of the DATIX system (a web-based platform) to record near miss incidents. Aim This audit aimed to establish if the number of near miss incidents recorded on a paper log equated to the number of incidents recorded on DATIX over a 4 week period. A standard of 100% was set i.e. all incidents logged on paper should be entered onto DATIX. In addition, the record of near misses in the pharmacy were analysed and compared with national data over the same four week period for the previous five years. Methods Established company near miss log sheets were used for data collection. For four weeks in November 2021, the responsible pharmacist manually recorded all near miss incidents that occurred in the pharmacy. At the end of each week, a staff member volunteered to input the data onto DATIX. At the end of the audit period, data from paper logs were compared with that recorded on DATIX. In addition, the company Head Office provided national company archived data covering the same time period for the previous five years. Data was analysed descriptively using MicroSoft Excel®. Ethical approval was not required as this was an audit. Results The percentage of near misses from log sheets input into DATIX was 72%, therefore the audit standard was not met (n = 46 on paper log versus n = 33 on DATIX). When the paper-based data collected in store over the four month period was analysed, it was found that the number of near misses recorded (n = 46) equated to 0.29% of all prescriptions dispensed. Near misses occurred most frequently on a Monday and Tuesday and least on a Wednesday. Analysis of the types of near miss incidents identified picking the wrong formulation as most frequent, followed by wrong strength and wrong medicine. Four of the errors were ‘look alike sound alike’ switches. Analysis of store data recorded in DATIX over the previous five years showed a positive trend with the number of incidents reported increasing from 19 in 2017 to 33 in 2021. This compared favourably with the average number of near miss incidents reported per store across the company; this store reported approximately double the average number year on year. Discussion/Conclusion Although a small audit in a single community pharmacy, this study highlights the importance of accurate recording of data so that lessons can be learned. Recommendations include further staff training on use of the DATIX system and a reaudit to assess impact.

Desk based prompts to replace workplace sitting with stair climbing; a pilot study of acceptability, effects on behaviour and disease risk factors

BackgroundProlonged sitting is associated with increased risk of obesity, type 2 diabetes and cardiovascular disease. Occupational sitting accounts for up to 50 h/week for employees. This pilot study assessed the acceptability of stair climbing as an interruption to sitting throughout working hours, and provided preliminary data of the effects on glucose and lipid profiles.MethodsA quasi-experimental design was conducted involving 16 sedentary office workers (five females and 11 males) for intervention (n = 8) and control groups (n = 8) with mean age of 36.38 (5.58). For the eight-week intervention, a continuous four-floor stair climb and descent was performed eight times/day spread evenly over the working day. A prompt to climb was presented on the participant’s computer eight times/day. Participants in the experimental group recorded daily floors climbed and steps (measured using pedometers) in a weekly log sheet. Blood samples were collected pre and post intervention to test effects on fasting glucose and 2 h plasma glucose, triglycerides, and total (TC), LDL and HDL cholesterol. Experimental participants were interviewed at the end of the study. The Wilcoxon signed rank test was used to compare the median changes (pre-post) of the dependent variables.ResultsOn average, the experimental group climbed 121 floors/week when prompted. There were significant reductions in fasting blood glucose, TC and LDL, as well as the derived measures of ‘bad’ cholesterol and the TC/HDL ratio in the experimental group. Post-experimental interviews indicated that the interruption to sitting was well tolerated.ConclusionPrompted stair climbing activity had impacts on health outcomes and was found acceptable to employees at work.Trial registrationEthics for this study was approved by Science, Technology, Engineering and Mathematics Ethical Review Committee, University of Birmingham with ethics reference number ERN_15_0491.

Contemporary Data Management for Biodiversity Observation Networks leading to Linked Open Data Publishing through Distributed Techniques applying RO-Crate and GitHub Actions

Contemporary Data Management for Biodiversity Observation Networks leading to Linked Open Data Publishing through Distributed Techniques applying RO-Crate and GitHub Actions

The utility of lighted magnification and borescopes for visual inspection of flexible endoscopes

IntroductionInfections have been linked to damaged or contaminated endoscopes with visible defects. Endoscope processing standards and guidelines state endoscopes should be visually inspected every time they are used. This study evaluated a new visual inspection program using magnification and borescopes in an endoscopy department that had not previously utilized these tools. MethodsSite personnel were given visual inspection tools and training before systematically examining fully processed endoscopes twice during a 2-month period. A risk assessment protocol was used to determine whether endoscopes required recleaning, repair, or other action. Findings were documented using log sheets, photographs, and videotapes. ResultsVisible damage and residue or debris were observed in 100% of 25 endoscopes at both assessments, and 76% required repair. Defects at baseline included scratches (88%); channel shredding or peeling (80%); adhesive band disintegration (80%); residual soil or debris (white 84%; black 68%; brown 40%; yellow/green 36%; and orange/red 8%); retained fluid (52%); and dents (40%). Findings were similar at follow-up. Discussion/ConclusionsVisual inspection with magnification and borescopes identified actionable defects that could interfere with processing effectiveness in 100% of endoscopes. Infection preventionists have a critical role to play in supporting processing personnel now that standards, guidelines, and manufacturer instructions recommend enhanced visual inspection of every endoscope, every time.

Indonesian load prediction estimation using long short term memory

Prediction of electrical load is important because it relates to the source of power generation, cost-effective generation, system security, and policy on continuity of service to consumers. This paper uses Indonesian primary data compiled based on data log sheet per hour of transmission operators. In preprocessing data, detrending technique is used to eliminate outlier data in the time series dataset. The prediction used in this research is a long-short-term memory algorithm with stacking and time-step techniques. In order to get the optimal one-day forecasting results, the inputs are arranged in the previous three periods with 1, 2, 3 layers, 512 and 1024 nodes. Forecasting results obtained long short-term memory (LSTM) with three layers and 1024 nodes got mean average percentage error (MAPE) of 8.63 better than other models.

Trauma Resuscitation Room Organization Using 5S Methodology: A Quality Improvement Initiative.

Trauma centers are required to have immediate availability of resources to stabilize traumatic injuries. However, maintaining trauma room organization can be challenging in the fast turnaround environment of trauma care. Implementation of 5S methodology has shown success in standardizing processes to maintain organized, efficient workspaces. The purpose of this study was to assess the implementation of 5S methodology on trauma resuscitation room organization, efficiency, and cost-effectiveness. This quality improvement pre- and postintervention study assessed the impact of 5S methodology on trauma resuscitation room organization. A 20-question survey was developed and administered to emergency department technicians before and after a multiphase intervention that included strategies for room reorganization, improved signage, creation of workstations, education, and implementation of a log sheet system. A final cost analysis was evaluated upon completion. Emergency department technicians completed n = 26 presurveys and n = 19 postsurveys. Room organization improved from preintervention 31% to postintervention 89%. Restocking with a checklist improved from 46% preintervention to 63% postintervention. A cost analysis summary identified 130 overstocked items equaling a total cost savings of $4,026.82. The 5S methodology improved trauma bay organization by sorting, organizing, standardizing, labeling, and color coding resuscitation supplies based on the ABCDE (airway, breathing, circulation, disability, and exposure) of the primary survey. Additional strategies included improved signage, workspace reorganization, staff education, and checklist restocking accountability. The 5S implementation resulted in significant cost savings.

Energy Analysis of Diesel Engine With B30 at PLTD Selat Panjang

Many efforts have been made in energy efficiency in power plants. One way to improve the efficiency of energy use is to conduct analysis. The purpose of this study was to analyze the thermal efficiency of a diesel engine with B30 at PLTD Selat Panjang unit 4. The data were collected using a daily operation report log sheet for Caterpillar 3512B diesel with duration 3x24. From the calculation carried out, the average thermal efficiency of diesel engine with B30 as fuel at PLTD Selat Panjang was 47.52%.

Stroke Patients' Free-Time Activities and Spatial Preferences During Inpatient Recovery in Rehabilitation Centers.

Objectives:To investigate which spaces stroke patients visit in their free time while undergoing inpatient recovery in rehabilitation centers, what activities they engage in, and what kind of spaces they want.Background:Research studies consistently show that stroke patients are highly inactive during rehabilitation. Much remains unknown about what patients do in their free time and how the built environment might affect their behavior and activities.Methods:Patients’ free-time activities were recorded via patient shadowing (n = 70, 840 hr), and their spatial preferences were collected using a survey (n = 60) in seven rehabilitation centers. Each participant was observed over one typical day (12 consecutive hours). Their activities, durations, and locations were recorded using floor plans and time log sheets.Results:Six main themes emerged from the analysis of shadowing data and patient surveys: (1) spending most free time in their room, (2) corridor as the overlooked activity hub, (3) food and beverage stations as triggers of activity, (4) wanting to socialize, (5) variety of common spaces for different activities is desired, and (6) common room’s atmosphere, comfort, style, and view are important. Even though socializing with other patients was mentioned as a primary reason for visiting common spaces in the survey, patients spent most of their free time alone.Conclusions:Corridor emerged as a space with great potential to motivate and support various activities of patients. Patients’ free-time activities could contribute to their recovery, and the built environment may play a role in facilitating and supporting these activities.

Determination of Geographical and Seasonal Variations of Heavy Metals in Swordfish (Xiphias gladius) and Yellowfin Tuna (Thunnus albacares)

Bioaccumulation of heavy metals in marine fish is a major concern worldwide and it leads to some economical burdens for the tropical fish exporters. However, data is yet to be unavailable in Sri Lanka in this regard. Hence this study was conducted to explore geographical variation of heavy metal accumulation in the Swordfish (Xiphias gladius) and Yellowfin tuna (Thunnus albacares) as they play a predominant role in the export fish market in Sri Lanka. Secondary heavy metal analysis data of Mercury, Led, Arsenic and Cadmium were collected from two major fish export companies in Sri Lanka during the period of 2015 to 2017. Particular points were traced with the aid of log sheets and heavy metal variations were mapped against fish species and heavy metal concentrations by using QGIS software. Heavy metal analysis data were concentrated between 64 to 70 longitudes and 0 to 8 latitudes, 76 to 80 longitudes and 0 to 8 latitudes, 88 to 92 longitudes and 14 to18 latitudes and 82 to 90 longitudes and 6 to 14 latitudes. Heavy metals such as Cd, As and Pb were not detected in the fish samples. Mercury was the major heavy metal accumulated among the tested and high concentration was detected in Swordfish. Mercury accumulation was highest in longitudes between 64 to 70 and latitudes of 0 to 8.This shows serious health issues that are challenging to humans and provides clear evidence on marine pollution. It is recommended to prevent fishing in these particular areas. Proactive measures and techniques need to be applied to fix safe limits of heavy metals in these natural aquatic ecosystems and protect the organisms in the environment.

Effectiveness of a Nursing Intervention Module on Adherence, Knowledge, Quality of Life, and Complications Among Patients Receiving Anticoagulation therapy-a Randomized Controlled Trial Protocol.

BackgroundCardiovascular diseases are one of the major causes of mortality at the global level. They account for approximately 17.9 million deaths per year. Warfarin and acenocoumarol are the commonly used oral anticoagulants to treat and prevent thromboembolic disorders in patients with cardiovascular diseases. In India, approximately 2–2.5 million patients with rheumatic heart disease are receiving oral anticoagulation therapy. Additionally, this therapy is provided for stroke prevention in the case of atrial fibrillation and the treatment of valvular heart disease, stroke, and deep vein thrombosis. As the therapeutic range of these drugs is narrow and is affected by many factors, their use is challenging. This study aims to evaluate the effectiveness of a nursing intervention module in terms of adherence to therapy, knowledge, quality of life, and complications among patients receiving oral anticoagulation therapy. Furthermore, this study will address factors that affect adherence and the risk for bleeding by using a randomized controlled trial design.MethodsThis single-blind, single-center, randomized controlled trial will focus on adherence to oral anticoagulation therapy. A total of 320 patients who are on oral anticoagulation therapy will be randomized into blocks and allocated to either the intervention or standard care group. The intervention will comprise the use of a nursing intervention module that includes a booklet, log sheet, and decision aid on oral anticoagulation therapy adherence. Outcome measures, that is, knowledge regarding oral anticoagulation therapy, adherence, complications, and quality of life, will be assessed at the baseline and during follow-ups.DiscussionPatient safety can be best achieved through patients’ adherence to medication dose and monitoring of blood test values. Thromboembolic and bleeding complications are likely to occur when either the patient does not adhere to the treatment or the therapeutic range of the international normalized ratio is not maintained. This study will assess the nonadherence behavior and the effectiveness of a nursing intervention module toward adherence behavior.Trial RegistrationThis research project is registered under the Clinical Trial Registry of India (CTRI/2019/06/019610).