Aspects Of Management Research Articles

Dynamic Changes in Intestinal Microorganisms and Hematological Indices in Giraffes of Different Ages, and the Effect of Diarrhea on Intestinal Microbiota

This study employed high-throughput sequencing to explore bacterial diversity and hematological variations across different age groups of giraffes, as well as the impact of diarrhea on their intestinal microbiota. Additionally, the correlation between intestinal flora and hematological indices was examined for the first time. Firmicutes, Bacteroides, and Proteobacteria were the predominant bacterial groups in the giraffe’s intestinal flora. The α-diversity analysis indicated significant variations in microbial diversity among giraffes of varying ages (p < 0.05). Furthermore, giraffes suffering from diarrhea exhibited significant alterations in the abundance of Proteobacteria and Actinobacteriota at the phylum level (p < 0.05). At the genus level, Rikenellaceae_RC9_gut_group, Monoglobus, and Prevotellaceae_UCG-004 had significant differences compared to healthy counterparts (p < 0.05). Hematological parameters such as lymphocyte count (Lym), red blood cell count (RBC), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), platelet count (PLT), and plateletcrit (PCT) varied significantly across different age groups (p < 0.05). A substantial correlation was observed between the intestinal microbiome composition and hematological parameters (p < 0.05). In conclusion, this study highlights significant differences in both the intestinal microbiome composition and hematological indices among giraffes of different ages. Diarrhea was found to significantly alter the abundance and composition of the intestinal microbial community. These insights provide a valuable theoretical foundation for the microbiological and hematological aspects of giraffe health management and breeding practices.

Assessing the Economic Impact of Forest Management in the Brazilian Amazon Through Real Options Analysis

Reduced-impact logging is a key aspect of sustainable forest management in the Brazilian Amazon. Real Options Analysis (ROA) improves the evaluation of certified projects, increases their value, and supports investor confidence. This study evaluates the economic viability of a forest management investment project in certified areas of the Brazilian Amazon, using ROA to incorporate uncertainty and managerial flexibility into the decision-making process. The analysis focused on an Ombrophilous Dense Forest in its first cutting cycle, with 30 species of diameter at breast height ≥ 50 cm and a projected activity period of 30 years. Timber value was modeled using the mean reversion motion, and a binomial decision model was applied, incorporating options such as deferral, abandonment, and interruption. The deferral option should be exercised with a 100% probability, both in the joint calculation scenario and in separate analyses, highlighting the significant value of this managerial flexibility. In addition, when analyzed using ROA, the value of the project increased by 105% (USD 91,784,176) compared to the traditional net present value approach. The forest management investment project in the Brazilian Amazon is economically viable and the application of ROA reveals significant value added, demonstrating the importance of incorporating flexibility into investment decisions.

Attitudes and Experiences of Patients Regarding Gender-Specific Aspects of Pain Management.

Biological, pharmacological, and socio-cultural aspects influence gender-specific effects in pain management. Gender-specific aspects of pain management were assessed in a rural outpatient center via semi-structured patient interview: (i) general gender aspects (total population) from 1 = "fully disagree" to 5 = "fully agree"; and (ii) individual pain (matched pairs) via numeric analog scale (NAS) from 0 = "no pain" to 10 = "maximum pain". Patient charts were assessed for pain management (WHO-ladder). In total, 113 patients were enrolled (59.18 [SD: 12.76] years, 46% female, 54% male, 0% diverse), and 42 were matched into female-male pairs. (i) Women and men agreed that men and women should be treated equally despite biological differences (median: 5 [women] vs. 5 [men]; p = 0.789). As a reason for gender-specific aspects, "medication concentration" was reported more frequently by women (p = 0.038) and "no answer" by men (p = 0.014). (ii) Mean value (SD) of pain (NAS) was 4.0 (SD 2.3) for women and 3.3 (SD 2.6) for men (p = 0.215) with a positive correlation between pain management escalation (WHO-ladder) and the pain score (NAS) only in men (r = 0.704, p = 0.001). Women rather reported an influence of adverse drug reactions on treatment contentment than men (p = 0.042). Although patients pleaded for gender-independent equal treatment, gender-specific differences in pain therapy were found.

Improving the Quality of Traditional Market Services Based on the Indonesian National Standard (SNI) in the Case of Rau Market, Serang City

Traditional markets have a strategic function as a driver of the local economy that can increase employment opportunities and local revenue (PAD). The low quality of service and competitiveness of traditional markets are the main problems that hinder their function and role. The purpose of this study is to determine the priority scale for improving the service quality attributes of traditional markets by referring to the Indonesian National Standard (SNI). This study took Rau Market in Serang City as a case. Research respondents were taken randomly from the population of traders in the market and were also strengthened by interviews with buyers and market managers. Data from interviews with trader and buyer respondents were analyzed using the Importance Performance Matrix (IPM) method. The results of this study indicate that there are nine service quality attributes that are considered very important by customers but their performance levels are considered still unsatisfactory, namely market cleanliness, waste collection, public facility conditions, market drainage, waste and garbage management, the ability of officers to supervise the conformity of goods prices with the facilities provided, the ability of officers to supervise the quality of goods, the ability of officers to give strict sanctions to violators of the rules, the ability of officers to supervise the price of goods. The results of the study can be a reference for the Regional Government in allocating budgets for traditional markets by prioritizing aspects of market management and maintenance. Keywords: Importance Performance Matrix, customer satisfaction, service quality

Perception, practice and associated factors of labour pain management among obstetric care providers in public health facilities in Harari Region, Ethiopia: a multicentre cross-sectional study.

Although providing relief from labour pain can improve the mother's satisfaction with the birthing process and lead to better reproductive outcomes. This study aims to evaluate the perceptions, practices and related aspects of labour pain management among obstetric care providers in public health institutions in the Harari Region of Ethiopia. A cross-sectional study was conducted in the labour and delivery wards of public health facilities in the Harari Region. Data were collected using a semi-structured and pretested self-administered questionnaire among systematically selected obstetrics care providers (OCPs). A multivariate logistic regression model was used to identify factors associated with the practice of labour pain management. Odds ratios (ORs) with 95% confidence intervals (CIs) were used to determine the strength of associations and a p-value <0.05 was considered significantly associated. Data from 234 OCPs were employed for analysis. A total of 70.9% of OCPs have positive perceptions and 69.7% practiced labour pain management in the past 4weeks. Being a female (adjusted OR [aOR] 2.33 [95% CI 1.06 to 5.15]), having a positive perception (aOR 7.76 [95% CI 3.21 to 18.72]), being a physician (aOR 6.35 [95% CI 1.94 to 20.82]), being a midwife (aOR 5.28 [95% CI 1.78 to 15.63]) and being a highly qualified OCP (aOR 17.89 [95% CI 5.22 to 61.30]) were associated with being more likely to practice labour pain management. Positive attitude (aOR 2.77 [95% CI 1.51 to 8.72]), being a physician (aOR 6.01 [95% CI 1.23 to 29.35]) and practicing labour pain management (aOR 12.89 [95% CI 4.57 to 36.38]) were associated with labour pain management perceptions. Seven of ten OCPs practiced labour pain relief methods and had a positive perception of managing labour pain. Therefore, facilitating training and improving the perceptions and attitudes of OCPs towards labour pain management should be encouraged.

Design and simulation of reconfigurable modular snake robots with bevel gear transmission

With the advancement of technologies, robotics is playing an increasingly important role in various fields. The snake robot has attracted widespread academic attention due to its efficient and flexible movement characteristics. Nevertheless, its popularity and application range are constrained by complex control, low durability, and high cost. Given this, this study proposed a modular design framework based on the concept of modular design and a reconfigurable modular snake robot using bevel gear transmission. The snake robot consists of several basic module units with the same structure, which are restructured and reconfigured to achieve different shapes and functions. A standardized interface and communication protocol were optimized and designed, with each module containing an autonomous control unit and several execution units. The robot realized motion and tasks through the collaborative work of multiple modules to adapt to various work and environmental requirements. In addition, the research analyzes distributed control, improved motion control (using PID algorithm), energy management, safety design and other aspects, based on the cost data, improvement measures were proposed. At the same time, the work risks of the robot are analyzed, such as mechanical damage to the human body, adverse environment and electromagnetic interference, and corresponding solutions are proposed, and problems are found through durability testing and material improvement measures are proposed. Finally, based on SolidWorks software, a three-dimensional modeling and simulation analysis was conducted on the robot to verify its correctness. This study can provide inspiration for the design and research of snake robots.

The Role of Universities in the Development of “Smart Cities”: Foreign and Russian Experience

The “Smart city” concept was introduced in 1994 and since then has been actively implemented in city management, including in the Russian Federation. Despite the fact that a large part of researchers reduces a smart city to the modernization of aging infrastructure through digitalization, practice shows that technology in itself is rarely a solution to urban problems; it is necessary to develop, first of all, the social aspects of management simultaneously with the introduction of appropriate technological solutions. The development of a sociocentric dimension of management of urban systems involves the involvement of various actors in the development and implementation of initiatives of public authorities, including universities. The purpose of this study is based on the study of foreign and domestic cases, to highlight the forms of interaction between universities and local governments and determine the role of universities in the formation and development of smart cities.The work used the method of analysis and synthesis, comparison and synthesis of information, the method of induction and deduction. The information base for the study was the materials of the Urban Digitalization Index “IQ of Cities”, regulations aimed at the development of smart cities in the Russian Federation, and the authors’ own research.Based on the data, the role of universities in the formation and development of smart cities in Russia and foreign countries was determined, the main forms of cooperation between universities and other actors in the process of developing smart cities were identified, recommendations were developed for the development of cooperation between universities and public authorities in the implementation of the departmental project “Smart City”.The experience of Russian and foreign cities shows the existence of a relationship between the degree of involvement of universities in the implementation of the smart city project and the results of intellectualization and digitalization of the urban economy. The critical role of universities is to promote socially oriented management, as opposed to the chaotic digitalization of individual processes of urban management and data collection, without further analysis. To expand the practice of involving universities in the development of Smart Cities, a number of recommendations are proposed.

Manajeman Pendidikan Karakter dalam Membina Akhlak Siswa: Studi Kasus di MA Al Zaytun Indramayu

This study examines character education management at MA Al-Zaytun Indramayu, recognized as a pioneer of character education in Indonesia since 1999. Using a qualitative descriptive approach, this research explores four management aspects: planning, organizing, implementation, and supervision. The findings reveal that character education planning at MA Al-Zaytun was formulated by a dedicated team led by AS Panji Gumilang and realized through a modern boarding school system with a “one pipe system” approach. Organizing involves the Indonesian Pesantren Foundation (YPI), the Board of Teachers, and all teaching staff, utilizing modern education management principles. Implementation is conducted comprehensively through formal, non-formal, and informal channels, such as the study of Statecraft and Human Rights (KHAM) and extracurricular activities. Supervision is systematically carried out through observation, direct inspections, and regular discussions, led by AS Panji Gumilang. This study highlights the critical role of management in the successful implementation of character education based on values of peace and tolerance.

Partial Enteral Nutrition in the Management of Crohn's Disease: A Systematic Review and Meta-Analysis.

Exclusive enteral nutrition is an established treatment for active Crohn's disease (CD) but the role of partial enteral nutrition (PEN) in the broader management of the disease is less clear. This systematic review and meta-analysis reviewed the literature on the role of PEN in CD management. This review was conducted following Cochrane recommendations. The protocol was registered on PROSPERO. Findings were reported following the PRISMA guidelines. Sixty-four articles were identified, of which 11 reported data from randomised control trials. Good quality evidence suggests that PEN may be used as a maintenance and induction therapy, particularly at high dosages and/or alongside exclusion diets. A higher dosage of PEN is associated with a lower risk of subsequent disease relapse, with benefits observed at intakes above 35% of energy requirements (35-50% PEN: OR [95% CI]: 0.42 [0.27-0.65]; >50% PEN: OR [95% CI]: 0.27 [0.08-0.88]). Low quality evidence suggests that post-operative use of PEN may prevent disease recurrence or enhance treatment outcomes when used as adjunct therapy to biologics. PEN can improve nutritional parameters, showing efficacy comparable to EEN in paediatric patients (weight: OR [95% CI]: -0.04 [-0.32, 0.25]). The effect of PEN on improving patients' quality of life is comparable to that of EEN and anti-TNFα therapies. Partial enteral nutrition may help in various aspects of CD management but much of the current evidence is of low quality. Well-designed RCTs are required to confirm findings from current literature and before clinical recommendations can be made.

Green hydrogen energy revolution: unleashing India’s competitiveness

Learning outcomes This case can be used to highlight aspects of strategic management, such as industry analysis as well as country competitiveness. After working through the case and assignment questions, the students will be able to analyse the competitiveness of – the green hydrogen industry in India – while comparing key structural elements with international benchmarks with European Union and China; examine the strategy of India’s Ministry of New and Renewal Energy an anchor entity implementing India’s National Green Hydrogen mission; assess the recent strategy of India’s ministry of new and renewal energy implementing Indian Government’s National Green Hydrogen Mission to contribute to India’s sustainability and climate goals including net zero targets, and motivations for the shift and its fit with the broader external environment; and suggest recommendations that might help Indian Government in achieving its strategic goals of improving India’s competitiveness in green hydrogen energy industry. Case overview/synopsis This case, based on actual events, described a situation faced by Raj Kumar Singh, the Cabinet Minister for Power &amp; New &amp; Renewable Energy, Government of India. The “National Green Hydrogen Mission”, launched by the Government of India in January 2023, is seen as a strategic endeavour to position India at the forefront of green hydrogen production globally. The budget allocated for the mission is $2.4bn (INR 19,744 Cr) until FY 2029–2030, and it aspires to stimulate the paradigm shift in India’s energy landscape. The mission seeks to reduce India’s dependence on its energy imports by capitalizing green hydrogen’s potential, lowering the production cost to $1 per kg by 2030, and develop a formidable 5 million metric tons (MMT) annual production capacity with potential expansion to 10 MMT. The success of the mission is dependent of several key factors like decrease in production costs, advancements in electrolyser technology, support system of the government and the strategic collaborations. However, the path towards mission’s success faces challenges such as infrastructure development, storage and distribution. Despite these challenges, the government is determined in its commitment to scale up green hydrogen production, positioning India as a global center for this sustainable energy source. This case provides a rich context for discussions on how policy, technical and economic factors will interact for shaping the future of green hydrogen industry in India. Complexity academic level Case applicable for management classes preferably in MBA class. Supplementary material Teaching notes are available for educators only. Porter, Michael E. (1990–03 - 01). “The Competitive Advantage of Nations”. Harvard Business Review. No. March–April 1990. ISSN 0017–8012. Subject code CSS 11: Strategy.

Sustainable Development Goals (SDGs): The nexus of fintech and water productivity in 11 BRICS countries

In the context of a global water crisis, enhancing water productivity is becoming increasingly crucial. While previous research has predominantly addressed technical and policy aspects of water management, the role of fintech in improving water productivity has not been sufficiently explored. This research investigates the impact of fintech on water productivity, considering the moderating effect of education level. Using panel data from new BRICS countries spanning 2011 to 2021, we employ a partially linear functional model to analyze how fintech influences water productivity and assess how education levels moderate this relationship. Our findings reveal that: (i) Fintech holds significant potential for improving water productivity; (ii) The effect of fintech on water production varies with the education level; (iii) There is considerable spatial variation in how education level affects the impact of fintech, with a more pronounced effect observed in countries with higher education levels. Specifically, the impact of fintech on water productivity becomes substantially more significant when the education level index exceeds 2.3. These results remain robust across various tests. Based on these insights, the paper proposes policy recommendations to enhance water productivity through the integration of fintech and education improvements.

Enabling On-Device Inference of Large Language Models : Challenges, Techniques, and Applications

This comprehensive article explores the cutting-edge techniques and challenges associated with on-device inference of Large Language Models (LLMs), a transformative approach that brings advanced AI capabilities directly to mobile and edge devices. The article delves into the intricate balance between the computational demands of LLMs and the resource constraints of mobile hardware, presenting a detailed analysis of various strategies to overcome these limitations. Key areas of focus include model compression techniques such as pruning and knowledge distillation, quantization methods, and the development of efficient model architectures. The article also examines the role of specialized hardware accelerators, including Neural Processing Units (NPUs), FPGAs, and ASICs, in enhancing on-device performance. Additionally, the article addresses critical aspects of memory management and optimization strategies crucial for efficient LLM deployment. Through a rigorous evaluation of performance metrics, the article offers insights into the trade-offs between model size, inference speed, and accuracy. It further explores diverse applications and use cases, from real-time language translation to privacy-preserving text analysis, highlighting the transformative potential of on-device LLM inference. The article concludes with an examination of ongoing challenges and future research directions, including improving energy efficiency, enhancing model adaptability, and addressing privacy and security concerns. This comprehensive article provides researchers, developers, and industry professionals with a thorough understanding of the current state and future prospects of on-device LLM inference, underlining its significance in shaping the next generation of AI-powered mobile and IoT applications.

DESIMINASI PEMBERIAN TANDA PADA TERNAK SAPI POTONG DI DESA LIANG KECAMATAN SALAHUTU MALUKU TENGAH

Cattle farming in rural areas is often considered a form of investment or living savings. Farmers maintain cattle as assets that can be sold at any time when they need urgent funds, such as for healthcare, education, or other expenses. Liang Village, located in Salahutu District, Central Maluku, has great potential for the development of beef cattle farming. However, its productivity remains low, partly due to a lack of proper livestock management. One important aspect of livestock management is individual identification. Without proper identification, it is difficult for farmers to track the growth of livestock, control diseases, and increase the market value of the cattle. This community service activity aims to raise awareness among farmers in Liang Village about the importance of livestock identification and technical assistance in the implementation of appropriate tagging methods. The desired outcome is that farmers will be able to manage their operations more effectively, especially in terms of livestock identification systems. Farmers have responded positively, as they view this as a beneficial and innovative approach. It is recommended that ongoing support be provided in the form of training on cattle tagging so that farmers can effectively monitor their livestock.

Sustainability of Indigenous Solid Waste Management Practices in Rural Communities of South Africa

Solid waste disposal methods within indigenous communities present unique challenges and opportunities for sustainable development. However, the current knowledge on solid waste management focuses on formal waste collection systems, neglecting the practices and sustainability aspects of solid waste management in indigenous communities. Thus, it becomes imperative to undertake research studies that evaluate the sustainability of these practices as they play a pivotal role in ensuring sustainable development. The current study systematically evaluates the views and judgments associated with the sustainability aspects of indigenous waste management practices in the rural communities of South Africa using the Analytic Hierarchy Process (AHP) model. The data analysis was carried out using the AHP model. The findings of this study showed that the rural communities of Bushbuckridge Local Municipality prioritize the sustainability of the environment (weight: 0.590) over the economic (weight: 0.240) and social sustainability (weight: 0.165) based on the AHP evaluative framework. The validity of the priorities was tested through the computed degree of consistency (&lt;10%) and an eigenvalue of 5.107. Furthermore, according to the assessment in the current study, the AHP evaluative framework dominantly prioritizes the sub-criteria of environmental sustainability (composting) at a responding rate of over 70% almost across all indigenous communities except for Acornhoek (30%), Casteel (25%), and Mambumbu (24%). Likewise, the sub-criterion of social sustainability, which is associated with communal cleaning labor, was found to be of extreme importance (60%), outperforming taboos (10%) that are anchored in cultural and spiritual beliefs. With a response rate &gt; 50%, waste trading proved to be of economic efficacy. Using the AHP model to evaluate the sustainability aspects associated with indigenous solid waste management practices addresses a substantial gap in the comprehension of the role of indigenous knowledge towards sustainability in the discipline of solid waste management. However, it also offers a valuable sustainability perception that is associated with indigenous waste disposal methods that local governments and policymakers should include for consideration in integrated waste management plans. This can lead to the development of waste disposal programs that are well-coordinated and in accordance with indigenous sustainable waste management practices that advance the circular economy and promote environmental protection.

Navigating the Landscape of Organizational Process Mining Setups

AbstractProcess mining (PM) technology evolves around the analysis, design, implementation, and ongoing improvement of business processes. While it has experienced a lot of attention and significant technological advancements, contributions to the field have mostly revolved around technical matters, neglecting managerial and organizational aspects. Thus, researchers have called for a more holistic view of the application and adoption of PM in enterprises. To address this gap, this paper presents a taxonomy for organizational PM setups. Its applicability and usefulness are shown in three exemplary cases. This study extends the descriptive knowledge at the intersection of PM and business process management governance, highlighting the unique governance requirements associated with PM that cannot be effectively addressed through traditional governance approaches. The taxonomy provides practitioners with orientation when developing an effective PM setup and helps to characterize existing setups.

A clinical audit of hypomagnesaemia management at Scarborough General Hospital

BackgroundHypomagnesaemia is a common electrolyte disturbance that can lead to severe complications, including cardiac dysrhythmias and neuromuscular instability. Despite established guidelines by the York and Scarborough Teaching Hospitals NHS Foundation Trust, there is concern that these protocols are not consistently followed, potentially compromising patient outcomes. Objective: This audit aimed to evaluate the management of hypomagnesaemia at Scarborough General Hospital, focusing on adherence to trust guidelines and identifying areas for improvement in clinical practice. MethodsA retrospective analysis was conducted on 98 patients diagnosed with hypomagnesaemia between May and December 2023. Data on patient demographics, severity of hypomagnesaemia, ECG monitoring, treatment modalities and correction times were collected and analysed. The audit compared current practices against trust guidelines, specifically assessing the frequency of ECG monitoring, daily serum magnesium level checks, and the use of parenteral versus oral magnesium supplementation. ResultsThe audit revealed that 67% of patients had mild, asymptomatic hypomagnesaemia, while 33% presented with moderate to severe forms. ECGs were performed in 66% of cases, with 13.7% showing abnormalities. Despite guidelines recommending daily magnesium level monitoring, only 66% of patients received this care. Severe hypomagnesaemia was corrected within 3.5 days on average, while mild cases required 4.5 days. The frequent use of proton pump inhibitors was identified as a significant contributor to hypomagnesaemia. Notably, only half of the severe cases received the full recommended course of intravenous magnesium sulphate, with many being switched to oral supplementation prematurely. ConclusionWhile some aspects of hypomagnesaemia management at Scarborough General Hospital align with trust guidelines, significant gaps remain, particularly in monitoring practices and adherence to treatment protocols. These findings highlight the need for targeted educational initiatives and potential revisions to existing guidelines to improve patient outcomes.

Regional aspects of forest management and reforestation

Subject. This article discusses the role of the forest complex' development in the advancement of industry and the economy as a whole, and the problem of maintaining a balance between deforestation and reforestation. Objectives. The article aims to analyze the trends in reforestation and changes in timber reserves in the Arkhangelsk Oblast. Methods. For the study, we used the general scientific research methods. Results. The article highlights the advantages of the site method of forest management and finds that the size of the allowable cutting area and the volume of timber harvesting in the Arkhangelsk Oblast are increasing, which has a positive impact on the economy of the Oblast. Conclusions. Thanks to the use of an intensive model of forestry, the forest complex of the Arkhangelsk Oblast is characterized by positive development dynamics. The practices of the Arkhangelsk Oblast can be used in other forest resourced regions of Russia, which will contribute to the preservation of the forest ecosystem as a whole.

Introduction: confronting the challenges of adopting algorithmic management in China: employee innovation and proactive behaviour and leader management transparency

ABSTRACT Algorithmic management (AM) has become a vital aspect of organizational and people management across industries. However, organizational research about AM and its impact is still at an infancy stage. Existing studies tend to result in potential biases when estimating their effects and miss important implications. Drawing on the relevant literature, this introductory piece to this collection presents a brief review of the emerging literature on the employee responses towards AM, especially investigating its impact on employee innovative behaviour. It also shows how the contributions included respond to the literature and how they add to our understanding of the implications of AM for organizations and employees. Finally, we propose an agenda for future research to further investigate the impact of AM on employee behaviour.

Expert opinion on the prescription practice of a combination of rabeprazole and domperidone for managing nighttime heartburn in GERD among Indian patients

The synergistic effect of Rabeprazole and Domperidone suggested a more comprehensive treatment strategy, targeting both acid suppression and motility enhancement in GERD management in several clinical studies. However, studies regarding their prescription practices of this combination is scarce. This study aimed to gather comprehensive insights into various aspects of gastroesophageal reflux disease (GERD) management in Indian settings.This cross-sectional study was conducted from June 2023 to December 2023 using a 24-item structured questionnaire distributed via email and online platforms. Clinicians completed the survey independently, with the option to skip questions and provided written informed consent. The questionnaire covered GERD management aspects, including patient demographics, clinical challenges, treatment preferences, efficacy of treatment combinations, patient adherence, use of guidelines, comorbidities, risk factors and patient education methods.According to 39% of clinicians, 31-40 GERD patients per month report nighttime heart burn, while another 39% reported it as 21-30 cases monthly. Majority of the clinicians (95.65%) preferred rabeprazole for its longer action in managing nighttime heartburn in GERD. According to 96% and 89% of the clinicians, respectively, the combination of rabeprazole and domperidone was favored for managing nighttime heartburn and was more effective than other PPI combinations. Nearly 93% stated that this combination provides the fastest relief. The recommendation for taking the combination once a day was made by 67% of clinicians and 59% reported that their patients felt relieved within 1-2 weeks. Helirab D was preferred due to its advanced release profile 2 (ARP2) technology by 50% of clinicians.There was a strong clinical preference for using a combination of rabeprazole and domperidone to manage nighttime heartburn in patients with GERD. This combination seems to have advantages in terms of effectiveness, quick onset of action and relief for patients. The once-daily dosing schedule and formulation technology (ARP2) may be contributing factors to its popularity among clinicians.

Observation of patients after cardiac surgery, surgical aspects for pediatricians

The article discusses the practical aspects of caring for children after heart surgery. It provides information on the timing of follow-ups, the frequency of pediatrician visits, and describes the most important aspects of patient management for different groups. The article identifies several groups of patients based on their postoperative risks and follow-up needs. Purpose of the article is to present the observation features of patients who have undergone surgery for congenital heart defects, from the perspectives of surgeons and pediatricians.