Attention To Management Research Articles

The Effectiveness and Application of Transcutaneous Electrical Acupoint Stimulation in the Prevention of Postoperative Nausea and Vomiting

Background: Effective management of postoperative nausea and vomiting (PONV) is crucial for enhancing postoperative recovery and improving the quality of life. Transcutaneous electrical acupoint stimulation (TEAS) is an innovative non-pharmacological intervention that has gained significant attention in PONV management, especially following thoracic surgery. Methods: This systematic review aims to evaluate the effectiveness and application potential of TEAS in alleviating PONV and promoting postoperative recovery. The review includes a detailed analysis of recent randomized controlled trials (RCTs) and observational studies that investigate the use of TEAS in various surgical procedures, with a particular focus on video-assisted thoracoscopic lobectomy (VATSL). The principles, procedures, and safety aspects of TEAS are comprehensively discussed. Results: The analysis of the included studies demonstrates that TEAS is effective in reducing the incidence of PONV and improving postoperative recovery outcomes across different types of surgeries, including VATSL and other common surgical procedures. The effectiveness of TEAS in PONV management is supported by evidence from multiple RCTs and observational studies, which report a significant reduction in nausea and vomiting rates, as well as improved recovery indicators. Conclusion: TEAS shows promising potential as a non-pharmacological intervention for managing PONV and enhancing postoperative recovery. However, the current evidence highlights several limitations and controversies that require further investigation. Future research should focus on addressing these gaps and exploring new directions for the application of TEAS. Practical recommendations are provided for the clinical application of TEAS, emphasizing its role in effective PONV management to promote better postoperative outcomes.

The impact of health policy and organisational models on Italian hospital productivity growth

AbstractThe rapid increase in healthcare costs has drawn the attention of managers and policymakers towards regulating health expenditures: many countries have implemented deep reforms to improve efficiency and productivity in the provision of health services. In Italy, the central government has introduced austerity measures, called recovery plans, to force the administrative regions to reduce healthcare deficits. In this study, we first evaluate the impact of these recovery plans on hospitals’ productivity by calculating the Malmquist productivity index using data envelopment analysis. Next, we regress the obtained productivity index and its components on a set of explanatory variables to capture the impact of the austerity measures, the moderating role of the regional organisational models, the variation in hospitals’ size and management autonomy and the capital intensity. The data used to estimate productivity were for an extensive period – from 2006 to 2018. The results could contribute to assessing the increase in the productivity of hospitals and the influence of government policies on the same.

Predicting the Global Distribution of Gryllus bimaculatus Under Climate Change: Implications for Biodiversity and Animal Feed Production

The potential range and distribution of insects are greatly impacted by climate change. This study evaluates the potential global shifts in the range of Gryllus bimaculatus (Orthoptera: Gryllidae) under several climate change scenarios. The Global Biodiversity Information Facility provided the location data for G. bimaculatus, which included nineteen bioclimatic layers (bio01–bio19), elevation data from the WorldClim database, and land cover data. For the near future (2021–2040) and far future (2081–2100) under low (SSP1-2.6) and high (SSP5-8.5) emission scenarios, the Beijing Climate Center Climate System Model (BCC-CSM2-MR) and the Institute Pierre-Simon Laplace Coupled Model Intercomparison Project (IPSL-CM6A-LR) were used. Assessing habitat gain, loss, and stability for G. bimaculatus under potential scenarios was part of the evaluation analysis. The results showed that the main environmental parameters affecting the distribution of G. bimaculatus were mean temperature of the driest quarter, mean diurnal temperature range, isothermality, and seasonal precipitation. Since birds, small mammals, and other insectivorous insects rely on G. bimaculatus and other cricket species as their primary food supply, habitat loss necessitates management attention to the effects on the food web. The spread of G. bimaculatus as a sentinel species in the food chain and its use in animal feeds are both impacted by habitat loss and gain.

Environmental, Social and Governance Performance on Brand Value in the Context of “Dual Carbon”: The Mediating Effect of R&D Innovation

As an important asset of an enterprise, brand value reflects its competitive position in the market. With the proposed goal of “carbon peak” and “carbon neutrality”, the development of enterprises is paying more and more attention to ESG performance (that is, the performance of enterprises in environmental, social and governance aspects), and the attention of brand management is slowly shifting away from traditional products and markets into being green and sustainable. In order to verify the relationship between ESG performance and brand value, this study takes Chinese A-share listed enterprises from 2012 to 2021 as research samples to reveal the mechanism of ESG performance’s impact on brand value. The results show that ESG performance can significantly improve brand value, indicating that the investment in ESG will ultimately affect brand value. The mediation mechanism analysis shows that R&D innovation plays a mediating role in the relationship between the two. A heterogeneity analysis shows that the ESG performance of state-owned enterprises and large enterprises has a stronger promoting effect on brand value, while small enterprises do not show heterogeneity. The research results provide new evidence to reveal the impact of ESG performance on brand management, and have reference significance for ESG construction, brand marketing innovation, and corporate green innovation.

Anesthetic Challenges in A Heart Failure Patient for Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy: A Case Report

CRS-HIPEC is a procedure for the treatment of peritoneal malignancies. It is a multi-step procedure consisting of initial tumor debulking, followed by heated application of chemotherapy. Throughout the procedure multiple physiologic changes occur: large fluid losses and shifts, hemodynamic derangements, extremes of temperatures. Knowledge of the physiologic changes during each phase is essential in forming an anesthetic plan for this case. For this particular case, the patient has an ejection fraction of 35%. The reduced ejection fraction requires careful attention and modification in management. Thus, a tailored anesthetic plan is of particular importance. There is a scarcity of studies regarding anesthetic management in a heart failure patient for CRS-HIPEC, hence it is important to explore the implications of this disease process on anesthetic management.

Freezing‐Assisted Direct Ink Writing of Customized Polyimide Aerogels with Controllable Micro‐ and Macro‐ Structures for Thermal Insulation

AbstractPolyimide (PI) aerogels have attracted attention in thermal management due to their low thermal conductivity, high porosity, and robust mechanical properties. However, building PI aerogels with elaborately tailored micro‐ and macro‐ structures for optimized thermal insulation performance in specific scenarios remains a challenge. Here, a scalable approach is reported to prepare PI aerogels with controllable micro‐ and macro‐ structures by freezing‐assisted direct ink writing (FADIW) of poly(amic acid) (PAA) inks. This FADIW strategy can enable continuous ink deposition and transient low‐temperature‐induced gelation, contributing to the facile construction of spatially free geometries with structural complexity and shape fidelity. Importantly, controllable construction of microstructures of the aerogels is achieved by controlling the extrusion substrate temperature. The resulting customized PI aerogels show good thermal insulation owing to the porous microstructure and customized macrostructure, enabling good thermal management for portable electronics. In addition, this FADIW strategy is universal and allows for multi‐material integration, broadening the functionality of PI aerogels. Significantly, such FADIW approach can be promisingly applied to realize on‐demand design of PI aerogels and other polymer aerogels with targeted micro‐ and macro‐structures, offering an alternative avenue for the manufacture of customized aerogels toward widespread applications.

Institutional Imprinting as a Source of Managerial Attention Priority: A Behavioral Theory of Hybrid Organizations

Institutional Imprinting as a Source of Managerial Attention Priority: A Behavioral Theory of Hybrid Organizations

The impact of urban soccer events on carbon emissions: Panel threshold analysis for Chinese cities

The holding of soccer events has an important impact on modern urban activities, which is conducive to the economic development, social harmony, cultural integration and regional integration of cities. However, massive energy is consumed during the event preparation and infrastructure construction, resulting in an increase in the city’s carbon emissions. For the sustainable development of cities, it is important to explore the theoretical mechanism and practical effectiveness of the relationship between soccer events and urban carbon emissions, and to adopt appropriate policy management measures to control carbon emissions of soccer events. With the development of green technology, digitalization, and public transportation, the preparation and management methods of soccer events are diversified, and the possibility of carbon reduction of the event is further increased. This paper selects 17 cities in China from 2011 to 2019 and explores the complex impact of soccer events on urban carbon emissions by using green technology innovation, digitalization level and public transportation as threshold variables. The results show that: (1) Hosting soccer events increases carbon emissions with an impact coefficient of 0.021; (2) There is a negative single-threshold effect of green innovation technology, digitalization level and public transportation on the impact of soccer events on carbon emissions, with the impact coefficients of soccer events decreasing by 0.008, 0.01 and 0.06, respectively, when the threshold variable crosses the threshold. These findings will enhance the attention of city managers to the management of carbon emissions from soccer events and provide guidance for reducing carbon emissions from soccer events through green technology innovation, digital means and optimization of public transportation.

Dual-Mode Stretchable Emitter with Programmable Emissivity and Air Permeability.

Materials with anisotropic emission characteristics have attracted considerable attention for thermal management. Although many dual-mode emitters have been developed for this purpose in the form of textiles, multilayer films, and photonic structures, multiple functionalities are essential for their versatile applications. Herein, a highly stretchable dual-mode emitter with programmable emissivity and air permeability is presented. The emitter comprises a planar Ge2Sb2Te5 (GST) cavity on one side of a perforated elastomer substrate and an infrared-reflecting metal layer on the other side. With a laser-induced phase transition from amorphous to crystalline GST, the emitter exhibits a large emissivity difference of 0.52 between both sides. The dual-mode emitter remains highly stable without mechanical failure after repeated stretching cycles to a strain of 50%. This air-permeable and stretchable emitter can be attached to any curved surface, including the human body. The GST-side emissivity can be programmed into an arbitrary emissivity pattern using a spatially modulated laser beam, ultimately enabling the printing of mutually independent visible and thermal images in a single emitter. This study provides a promising structure for multispectral optical security as well as thermal management.

Can the Inclusiveness of Foreign Capital Improve Corporate Environmental, Social, and Governance (ESG) Performance? Evidence from China

Foreign direct investment (FDI) has become an important factor influencing corporate operational strategies, yet the impact of its inclusiveness on corporate environmental, social, and governance (ESG) performance remains unclear. In this study, the correlation of city-level FDI inclusiveness with corporate-level ESG performance was investigated based on data from 1258 Chinese A-share listed companies between 2011 and 2021. The effects of FDI inclusiveness on corporate ESG performance and its underlying mechanisms were investigated. The findings indicate that an increase in FDI inclusiveness significantly improves corporate ESG performance. Additionally, the moderating role of corporate competitive advantage and urban entrepreneurial vitality was analyzed, and the findings indicate that an increase in urban FDI inclusiveness significantly improves corporate ESG performance. Managerial green attention and corporate innovation capability play intermediary roles in the overall impact, with the total impact being positively moderated by investor attention. Furthermore, the influence of FDI inclusiveness on corporate ESG performance exhibits significant heterogeneity resulting from variations in digital policies, environmental policies, and ownership structures.

The impact of managerial goal attention alignment on dynamic capabilities: Insights from Taiwanese social enterprises

ABSTRACT This study adopts an attention-based view (ABV) to examine how a congruent and an incongruent managerial attention focus between social and commercial goals influences the development of dynamic capabilities (DCs) in social enterprises (SEs). We examine the effects of managerial attention structures on DCs by using a polynomial regression and response surface methodology on survey data from 169 SEs in Taiwan. The results highlight that DCs are higher when attention in SEs is congruently focused on both social and commercial goals. Additionally, SEs with lower levels of attention focus congruence show a higher degree of DCs. Finally, attention focus incongruence between the dual goals fosters DCs, especially when the attention focus on social goals is higher than on commercial goals. Hence, the research framework connecting ABV to DCs in SEs enriches the existing literature, offering insight into reinforcement by SEs of DCs amidst dual-goal tensions.

Distribution patterns of Calonectria (Ascomycota, Sordariomycetes, Hypocreales, Nectriaceae) species complexes related to diseased leaves and soil habitats during leaf blight outbreak season in Eucalyptus plantations in southern China.

Calonectria leaf blight caused by Calonectria species is one of the most important diseases associated with Eucalyptus plantations in Asia and South America. This study aimed to clarify the distribution patterns of Calonectria species residing in different species complexes associated with diseased trees and soils during leaf blight outbreak season in Eucalyptus plantations in southern China. In this study, 482 Calonectria isolates obtained from diseased Eucalyptus trees and soils under these trees in eight sampling sites in three provinces were identified by DNA sequence analyses of tef1, tub2, cmdA, and his3 gene regions. Six species residing in three species complexes were identified: Calonectriapseudoreteaudii and C.acaciicola in the Calonectriareteaudii species complex; C.hongkongensis, C.aconidialis, and C.chinensis in C.kyotensis species complex; and C.auriculiformis in C.cylindrospora species complex. The habitats of Calonectria in different species complexes differed, C.reteaudii species complex inhabits in both diseased trees and soils, C.kyotensis species complex only in soils. The Calonectria leaf blight in the sampled regions was caused by species in the C.reteaudii species complex but not by the species in the C.kyotensis species complex. These findings suggest that the species in the C.reteaudii species complex should receive more attention in disease management, as they are the primary cause of the disease in the sampled regions.

Evaluation of the quality of physiotherapy service in university of Gondar comprehensive specialized hospital, northwest Ethiopia: A mixed method evaluation.

Currently, the number of people with physical disability and impairment is increasing significantly in Ethiopia, especially in the northern part. In that regard, the Ethiopian government has been providing physical rehabilitation services to recover patients. However, due to the widespread problem of healthcare service and the increase in patients seeking physiotherapy service, the quality of the service might be compromised, and the evidence is limited. Thus, this study aimed to evaluate the quality of physiotherapy services at the University of Gondar Comprehensive Specialized Hospital, northwest Ethiopia. A single case study with concurrent mixed method research design was conducted from June 02- August 10, 2022. The evaluation used patient-centeredness, timeliness, compliance and availability dimensions with 27 indicators. A total of 415 systematically selected patients who came for physiotherapy service for exit interviews, 9 service providers and managers for key-informant interviews, and 8 patients for in-depth interviews participated in the study. Approximately 176 patient medical charts were reviewed, and direct observation of 14 patient-provider interactions was performed. Binary logistic regression analysis was computed to identify factors associated with patient-centeredness. In the final model, variables with a p value < 0.05 and adjusted odds ratio (AOR) with 95% confidence interval (CI) were used to declare statistical significance. Thematic analysis for the qualitative data using OPEN CODE version 4.03 was performed. Finally, the dimensions and overall quality of physiotherapy service were judged using predetermined criteria. The overall quality of the physiotherapy service was found to be fair or intermediate (66.5%), computed from the availability of resources 63.4%, compliance of service providers 68.6%, timelines 64.2%, and patient centeredness 73.1%. Qualitative findings also revealed that insufficient staffing and heavy workload, lack of resources, inconvenient facilities, relocation of resources in the academic division of physiotherapy department, lack of training and continuous professional development opportunities, lack management attention and institutional support and nonexistence of multidisciplinary approaches leads to significant gaps in quality service delivery. Attending primary school (AOR = 3.22, 95% CI: 1.56, 6.61), secondary (AOR = 4.24, 1.91, 9.41), and higher education (AOR = 4.79, 1.94, 11.84) and being a private employee (AOR = 0.34, 95% CI: 0.16, 0.76) were significantly associated with patient centeredness. The overall quality of physiotherapy service was deemed intermediate and needs further improvement. The required resources, such as clinical assessment tools, therapeutic exercise equipment, electrotherapy modalities and infrastructure, were not adequate. Educational level and occupation were significantly associated with patient centeredness.

Imaging of Upper Tract Urothelial Carcinoma.

Upper tract urothelial carcinoma (UTUC) originates in the renal pelvis or ureters and typically affects elderly patients, with its incidence increasing over the past few decades. UTUC is a distinct clinical entity with more aggressive clinical behavior than that of lower tract urothelial carcinoma. Due to the significant challenge of acquiring an adequate tissue sample for biopsy, comprehensive risk stratification is required for treatment planning, including radical nephroureterectomy and kidney-sparing management. Imaging plays an important integrated role in risk assessment along with endoscopy and pathologic examination. Lifelong surveillance is required after treatment due to the high incidence of recurrent and metachronous tumors. Lynch syndrome is a frequently unrecognized genetic disorder associated with UTUC that warrants specific attention in patient management. UTUC may manifest with diverse imaging findings, including filling defects, wall thickening, and mass-forming lesions. CT urography is the preferred modality for diagnosis and staging or restaging of UTUC, with numerous technical variations. Efforts have been made to optimize image quality and radiation exposure. Due to its poor sensitivity for small lesions, use of MR urography is limited to special clinical scenarios (eg, when patients have contraindications to iodinated contrast agents). Fluorine 18 fluorodeoxyglucose PET helps to detect metastatic lesions. Image-guided biopsy may be considered for uncertain lesions. Radiologists need to be familiar with the imaging findings and their differential diagnoses. ©RSNA, 2024 Supplemental material is available for this article.

Risk Management of Green Bean Farming Production in Gluranploso Village, Gresik District

Green beans are the most important food crop in Indonesia and production continues to increase to meet domestic demand. However, production is still insufficient due to several risks faced by farmers. This research analyzes the risk management of green bean production in Gluranploso Village using the Coefficient of Variation (KV) and Failure Mode and Effect Analysis (FMEA) methods. The results showed that yield variation was relatively low with a KV value of 17%, indicating good yield stability. The FMEA analysis identified four main sources of risk affecting production: seed aspect with an RPN value of 5.808, weather with an RPN value of 7.04, pests and diseases with an RPN value of 12.936, and technical aspects with an RPN value of 47.88, particularly delays in pest and disease control spraying. In addition, the market aspect is also a source of risk with the largest value in the increase in production input prices at 12.288. These sources require special attention in risk management. The study concludes that the implementation of appropriate risk management strategies, focusing on the identified key risk sources, can help farmers improve yield stability and farm profitability. These strategies include improving seed quality, mitigating weather risks, controlling pests and diseases, and improving technical procedures in cultivation and market risks. Thus, effective risk management can be key in increasing the productivity and sustainability of green bean farming in Gluranploso village.

Too much of a good thing: Addressing the shape of relationship between positive media sentiment and IPO performance

The influence of mass media sentiment on the IPO performance of newly listed firms has received increasing research attention in management and entrepreneurship research. However, prior literature assumes the beneficial role of positive media sentiment in investors’ evaluation of the firm yet overlooks the potential downside of too much positive media sentiment. Based on two theories, dual processing theory and celebrity theory, we develop and test a curvilinear relationship between positive media sentiment and newly listed firms’ IPO performance. Further, we suggest that IPO market conditions, offering an important information cue, moderate this curvilinear relationship. Drawing a representative sample of newly listed U.S. firms in recent decades, we find support for the proposed inverted U-shape relationship and a moderating effect of market conditions.

How Climate Change Will Shape Pesticide Application in Quebec’s Golf Courses: Insights with Deep Learning Based on Assessing CMIP5 and CMIP6

The accelerating impact of climate change on golf course conditions has led to a significant increase in pesticide dependency, underscoring the importance of innovative management strategies. The shift from Coupled Model Intercomparison Project Phase 5 (CMIP5) to the latest CMIP6 phase has drawn the attention of professionals, including engineers, decision makers, and golf course managers. This study evaluates how climate projections from CMIP6, using Canadian Earth System Models (CanESM2 and CanESM5), impact pesticide application trends on Quebec’s golf courses. Through the comparison of temperature and precipitation projections, it was found that a more substantial decline in precipitation is exhibited by CanESM2 compared to CanESM5, while the latter projects higher temperature increases. A comparison between historical and projected pesticide use revealed that, in most scenarios and projected periods, the projected pesticide use was substantially higher, surpassing past usage levels. Additionally, in comparing the two climate change models, CanESM2 consistently projected higher pesticide use across various scenarios and projected periods, except for RCP2.6, which was 27% lower than SSP1-2.6 in the second projected period (PP2). For all commonly used pesticides, the projected usage levels in every projected period, according to climate change models, surpass historical levels. When comparing the two climate models, CanESM5 consistently forecasted greater pesticide use for fungicides, with a difference ranging from 65% to 222%, and for herbicides, with a difference ranging from 114% to 247%, across all projected periods. In contrast, insecticides, growth regulators, and rodenticides displayed higher AAIR values in CanESM2 during PP1 and PP3, showing a difference of 28% to 35.6%. However, CanESM5 again projected higher values in PP2, with a difference of 1.5% to 14%.

Carbon footprints of incineration, pyrolysis, and gasification for sewage sludge treatment

Thermal technologies have gained increasing attention in sludge management. This study applied life cycle assessment to assess the impacts to climate change of ten technological configurations (TCs) treating sludge with incineration, gasification, and pyrolysis. We used distributions of process parameters for quantifying the associated uncertainties and considered different energy exchanges. In a 55 %-fossil energy system, the TCs with various thermal processes showed impacts to climate change in a wide range of −2000 to 2000 kg CO2 eq/t total solid. A probabilistic comparison indicated that with a 10 %-fossil energy system, TCs with gasification and pyrolysis showed a > 95 % probability of performing better than TCs with incineration. Energy consumption and dewatering parameters contributed significantly to the uncertainty due to their large variation and sensitivity. This study emphasized the potential of optimizing key parameters and provided evidence from a climate change perspective for better technological selection and development in sludge management.

OTHR-04 PATIENT SATISIFACTION WITH NURSING CARE AMONG PEDIATRIC CANCER PATIENTS ATTENDING UGANDA CANCER INSTITUTE MULAGO KAMPALA UGANDA

Abstract PURPOSE To assess the level of patients’ satisfaction with nursing care among pediatric cancer patients attending Uganda Cancer Institute in order to improve the quality of oncology services provided by the nurses to the pediatric patients at UCI. INTRODUCTION Patient satisfaction is significant and usually used as an indicator for measuring the degree of excellence in health care. Patient satisfaction is the patient’s perception of care received compared with the care expected. A survey carried out by the Ministry of Health (MoH) in 2020 showed that more than half of the patients who visit Ugandan hospitals have to wait for more than an hour before they can see a health worker only to be told there’s no medicine or equipment to assist in their diagnosis. A number of studies have been conducted, however, there was little information on patients’ satisfaction with nursing care among pediatric cancer patients attending Uganda Cancer Institute and this left grey area for the researcher to conduct the study in this health facility. METHODS The study was done among sample size of fifty-six (56) respondents who were the caregivers of children between 0-17 years getting treatment at UCI. A cross sectional study design was used for this research, quantitative method of data collection using a questionnaire. RESULTS The study findings showed the respondents largely were satisfied with nursing care but problems of accessing clean water for drinking (52%), failure to give diagnostic talk (68%), no comfortable rooms for privacy (52%), nurse patient ratio at (63%) and nurses’ failure to give follow up calls (84%) were among the dissatisfactions. CONCLUSION The researcher concluded majority of respondents were satisfied with nursing care at UCI pediatrics nursing care. However, they expressed dissatisfactions in some crucial areas that need immediate attention of the hospital management.

A Systematic Literature Review on Energy Efficiency Analysis of Building Energy Management

Government agencies, energy consumers, and other societal groups have all shown concern and attention for the energy management of buildings. Relevant statistical data, however, indicate that most public buildings continue to consume large amounts of energy overall and that the issues of low energy usage and energy waste have not materially improved. As a result, this study reviewed the state of progress and potential directions for future research in the field of building energy management in public buildings using a data-driven approach. Relevant studies were obtained from three databases—Web of Science, Scopus, and China National Knowledge Infrastructure—based on certain search phrases. The text mining program VOS viewer was then used to examine the material. We provide a thorough examination of the study techniques and material, as well as a visual representation of the keywords and current state of the field. According to this study, the range of data processing outcomes; the flexibility of research system standards; and the availability of a comprehensive, unified assessment system are the main factors contributing to the practical issues facing building energy management today. Based on the geographic distribution and state of energy development, this study is the first to examine possible research avenues for building energy management in public buildings through cross-fusion research on passive energy-saving design and subjective behavioral energy-saving. It offers a foundation for developing the building energy management system best practice model in the future.