Monitoring Team Research Articles

Implementation Of The Immigration Tri Functions At The Class Ii Immigratiosn Office Tpi Lhokseumawe

The three immigration functions regulate various matters regarding the movement of people leaving, entering, and staying in the territory of the Unitary State of the Republic of Indonesia and various matters concerning the supervision of foreigners within the territory of the Unitary State of the Republic of Indonesia. The implementation of the three immigration functions is one of the most important aspects to achieve or create national security in the immigration aspect, Law No. 6 of 2011 concerning immigration including a policy formed to realize better immigration. Explaining the three immigration functions, it is contained in Article 1 Paragraph (3) of Law Number 6 of 2011 which reads that "The Immigration function is part of the affairs of the state government in providing immigration services, law enforcement, state security, and facilitating community welfare development.. The implementation of the three immigration functions should be a support in order to make immigration in the city of lhokseumawe more optimal, but in reality the implementation of the three functions of immigration in the city of lhokseumawe has not been carried out optimally and is not in line with the policies in Article 1 Paragraph (3) of Law Number 6 Year 2011, and there are still many obstacles and other obstacles that cause the application of this tri-role of immigration to not take place optimally. The results of the study concluded that (1) the implementation of the tri-immigration functions in Lhokseumawe City had not been carried out optimally and had not been in line with Article 1 Paragraph (3) of Law Number 6 of 2011. (2) In the implementation of the tri-immigration functions, various obstacles were encountered, namely: : The area that is the responsibility of the Immigration Office Class II TPI Lhokseumawe covers 1 city and 2 regencies namely "Lhokseumawe City, North Aceh Regency and Biruen Regency", coordination factors where there is a lack of cooperation in two-way communication between immigration and the community and community role factors which is sometimes the lack of public awareness to report to the immigration office when there are foreigners living in their area, which has resulted in the three immigration functions in Lhokseumawe City not being optimal.(3) There are various efforts in the implementation, for example: immigration counseling which intends to provide an understanding of immigration, the implementation of the Foreigner Reporting Application (APOA) which is believed to be very supportive of the immigration authorities in terms of controlling foreigners in the work area of the immigration office in Lhokseumawe City, organizing The Immigration Administration (TAK) action which intends to reduce foreigners who can threaten security and order cannot exist in Indonesia, implementing cooperation with the relevant agencies is one of the right things to support the Lhokseumawe Immigration Office in carrying out its duties and create a Foreigner Monitoring Team (TIMPORA).

The effectiveness of a telemedical program for COVID-19 positive high-risk patients in domestic isolation

Abstract Background For almost two years, the Covid-19 pandemic has posed an enormous challenge to healthcare systems. Recurrent waves of disease brought the health systems to the limit of their resilience. Purpose The Tele-Covid telemedicine care program was installed in December 2020 to monitor high-risk patients in home isolation. Close monitoring allows early detection of disease deterioration and timely intensification of therapy, ideally avoiding intensive care. Conversely, if the course of the disease is stable, unnecessary hospitalisation can be avoided, thus reducing the burden on the healthcare system. Methods Patient acquisition was performed in collaboration with the local public health service and primary care physicians. Covid-19 positive high-risk patients (age >65 years and/or severe comorbidities) from the greater Innsbruck area were fitted with an ear sensor-based home monitoring system. The ear sensor measures SpO2, respiratory rate, body temperature and heart rate. The monitoring team (25 medical students supervised by 6 physicians) provided continuous monitoring of vital signs (24/7). After validation of the measurements, the collected parameters were evaluated using a specially developed risk score. If a defined risk score was exceeded, the patient was contacted by telephone. The combination of the clinical condition and the risk score determined the further course of action: (a) wait and see, (b) notify the primary care physician, or (c) refer for inpatient admission. The program was active from December 2020 to March 2022. In Summer 2021, the program was temporarily paused due to the epidemiological situation. Results A total of 132 patients (59.8% women) were monitored. The median age was 74 years (IQR: [67.3–80.8]). 91 patients (68.9%) had at least one relevant comorbidity. During the monitoring period, hospitalisation was required in 20 patients (15.2%), 3 of whom were transferred to the intensive care unit. Of the hospitalised patients, 3 (15%) patients died. During the same monitoring period, the Austrian Ministry of Health reported a mortality rate of 20.5% of all hospitalised patients in Austria aged 70–79 years. Subjectively, the patients felt safe due to close monitoring. Conclusion The Tele-Covid program is the successful implementation of a remote monitoring system in a pandemic situation. In the future, a broad application of the program is feasible. Funding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Funded by the Region of the Tyrol

POVERTY REDUCTION PUBLIC POLICY: A STUDY ON THE IMPLEMENTATION OF THE SMART INDONESIA PROGRAM IN KONAWE DISTRICT

This article reviews the public policy of the Smart Indonesia Program. Qualitative research approach with descriptive method. The data were processed by in-depth interviews, observations and document review. The data were analyzed descriptively with a phenemological case study. The results of the study show that as a public policy, the Smart Indonesia program is able to alleviate poverty in the field of education for the poor with the cooperation of related parties and equalization of education for students in Konawe Regency. The implementation of the Smart Indonesia Program was analyzed in terms of the dimensions of communication, resources, disposition and bureaucratic structure. Program effectiveness needs to be determined by the program monitoring team. The school continues to proactively carry out monitoring, evaluation and guidance as well as to parents and recipient students so that the program funds used are targeted and effective in assisting student education.

GOVERNMENT ENTERPRISE EMPOWERMENT PROGRAMME: ITS EFFECT ON WOMEN DEVELOPMENT IN RURAL COMMUNITIES IN AKWA IBOM STATE

The study investigated the effects of government enterprise empowerment programme on women development in rural communities in Akwa Ibom State using four selected local government councils namely; Abak, Ibiono Ibom, Uruan and Etinan as case studies. The study adopted the modernization and empowerment theories which promote women empowerment and establish a link between cultural modernity with a high value for gender equality. It also adopts a simple percentage method of data analysis, especially the use of frequency tables and convenient sampling technique to collect data from 399 respondents with the aid of a 12 item questionnaire. The respondents comprised rural women empowered by government based on marital status, mode of occupation and age. The findings revealed that most rural women have benefited from government empowerment programme where free fertilizers, sewing, knitting and hand craft training programmes have been provided to rural women. On the contrary, the findings revealed that most empowerment officials have diverted funds and facilities meant to develop rural women. This is why government should put monitoring team in place to assess how empowerment schemes are executed.

Urban Sustainability and Management: Critical Evaluation of Garbage Collection and Disposal in Port Harcourt Municipality

Garbage management is an organised and systematic channelling of garbage through the pathway to ensure that they are disposed of with good public health and environmental safety. The study aimed to critically evaluate the garbage collection and disposal in Port Harcourt Municipality to achieve urban sustainability and management. The objectives are to identify the methods of garbage collection and disposal in the study area, evaluate the efficiency of the method of garbage collection and disposal in the study area, identify the challenges faced in garbage collection and disposal in the study area, and identify sustainable physical planning measures for the collection and disposal of garbage in the study area. The study employed a Mixed Methods Research (MMR) approach and sequential explanatory design. The study employed stratified and simple random sampling techniques. The study identified 25 neighbourhoods in the study area and was grouped into three strata using a stratified sampling technique (high, medium, and low densities). 1 neighbourhood in each stratum (density) was selected randomly for sampling, including Diobu, D/Line and Old GRA, respectively. Taro Yamane’s formula was applied, and 100 respondents were selected for sampling using a simple random sampling technique. The study found that most garbage generated in the study area was plastic, metal/can, and paper/cartons stored in plastic bags, containers, and metals. The study revealed that garbage is collected by truck pushers/scavengers and government agencies and disposed of in designated authorised dumping sites, bush and burning. The study found that the strategies employed for garbage collection and disposal are efficient. The challenges faced in garbage collection and disposal from the study include indiscriminate dumping of garbage at unauthorised sites, non-compliance to schedule time for garbage disposal, lack of finance, inadequate human resources, and lack of an operational vehicle. Accordingly, the study recommends that; the waste management agency carry out a periodic survey of garbage collected and disposed of in their area of operation. The government should abolish the open dumpsite method of garbage disposal by households and eliminate indiscriminate dumping of garbage along streets. The waste management agency should ultimately adopt a house-to-house garbage collection in the neighbourhoods to achieve resource recovery and recycling and monitoring team that will ensure strict adherence to garbage collection and disposal regulations.

I’m not that Shallow – Different Zooplankton Abundance but Similar Community Composition Between Habitats in the San Francisco Estuary

Wetland restoration is a key management tool for increasing food availability for at-risk fishes in the San Francisco Estuary. To characterize the benefits of restoration sites, it is critical to quantify the abundance and composition of fish food resources in and near the wetlands. Characterization of zooplankton communities is considered particularly important, but accurate analysis of zooplankton samples is time-consuming and expensive. The recently established Fish Restoration Program (FRP) Monitoring Team assessed whether data from existing long-term monitoring surveys could be used to characterize shallow-water zooplankton communities before restoration. During the springs of 2017 to 2019, the FRP collected zooplankton samples near the mouth of tidal wetland sites, or immediately outside future restoration sites, and compared them to concurrent samples collected in deep water by existing long-term monitoring surveys. We found very few differences in community composition between shallow and deep samples, though a few taxa were more abundant in shallow water. Seasonal and interannual differences in composition and abundance showed that restoration sites provide varying food resources over time. There was significantly higher total abundance of zooplankton in deep versus shallow water, which may be a result of differences in zooplankton production, migration, or fish predation. Inconsistencies in towing speed and gear type may also be driving this result, rather than true habitat differences. This study indicates that monitoring of wetland restoration sites must rely on multiple years of data collected on the site—rather than relying on adjacent open-water sampling—and should include monitoring of epiphytic and epibenthic invertebrates as well as zooplankton.

Participatory Monitoring and Evaluation of the COVID-19 Response in the Africa Region.

As the COVID-19 pandemic swept throughout the world, it created a demand for information to help understand the public health response and its effects. Limited capacity to see and interpret data-"sensemaking" with measures of progress-affects the use of data for quality improvement. The World Health Organization Regional Office for Africa (WHO AFRO) supported partners from the Member States in using a participatory monitoring and evaluation system to document and systematically reflect on the COVID-19 response at the country level. The WHO AFRO's COVID-19 Response Monitoring and Evaluation (M&E) team captured and communicated response activities based on available reports from 35 of the 47 member countries. By reviewing reports and communications, the M&E team documented nearly 8,000 COVID-19 response activities during the study period (January 2020 through July 2021). A "sensemaking" protocol was used to support country partners in identifying factors associated with increases or decreases in both new cases and response activities. This report describes this participatory M&E approach and process of shared sensemaking. We illustrate with a country-level case study of the COVID-19 response in the Africa Region.

Is it feasible to outsource the remote monitoring of implantable cardiac defibrillators in a large tertiary hospital?

Aim To provide a detailed description of the workflow at our telecardiology centre and to analyse the workload of real-world remote monitoring with the aim to assess the feasibility to outsource this service. Methods A retrospective analysis was conducted on the telecardiology service provided at the University Hospitals of Leuven by extracting patient demographic data, general time usage and detailed information about the type of remote contacts. 10,869 contacts in 948 patients have been included. A 2-week prospective study was conducted on the same service by documenting and monitoring every action performed by specialised nurses when analysing and solving remote monitoring transmissions. 337 contacts in 262 patients were collected during this period. Results Both analyses indicated similar numbers of events and interventions. Unplanned transmissions were more challenging and required more interventions than planned transmissions. Relatively little time (retrospective median: 1.83 min; prospective median: 1.56 min, per event) was spent on incoming non-actionable ‘normal’ transmissions (retrospective: 46%; prospective: 40% of all events). Retrospectively 54% and prospectively 60% of transmissions showed abnormalities and were responsible for most of the time expended. Disease-related issues were the most frequent cause for these ‘abnormal’ alerts. Contacting patients and physicians were key interventions undertaken. Interaction initiated by patients mainly involved the installation process (42%) and bedside monitoring problems (32%). Conclusion External data centres could deal with 40% of the transmissions, but the decline in workload would be negligible for the in-hospital remote monitoring team, because very little time is spent dealing with the many ‘non-event’ transmissions whereas most of the time is spent solving clinical problems. Providing sufficient resources and optimising communication protocols is necessary to aid in managing the workload of the remote monitoring team. Implications for practice Contacting patients and physicians are key interventions for specialist nurses in remote monitoring centres. Detailed timing confirmed that most time was spent on relevant disease-related clinical problems. Despite dealing with ∼40% of transmissions, outsourcing to external data centres would decrease the workload only by 15–25%. Patient initiated contacts with questions concerning remote monitoring form a high burden and should be countered by scaling the service and creating communication protocols.

The effectiveness of a telemedical program for COVID-19 positive high-risk patients in domestic isolation

Abstract Background For almost two years, the Covid-19 pandemic has posed an enormous challenge to healthcare systems. Recurrent waves of disease brought the health systems to the limit of their resilience. Purpose The Tele-Covid telemedicine care program was installed in December 2020 to monitor high-risk patients in home isolation. Close monitoring allows early detection of disease deterioration and timely intensification of therapy, ideally avoiding intensive care. Conversely, if the course of the disease is stable, unnecessary hospitalisation can be avoided, thus reducing the burden on the healthcare system. Methods Patient acquisition was performed in collaboration with the local public health service and primary care physicians. Covid-19 positive high-risk patients (age >65 years and/or severe comorbidities) from the greater Innsbruck area were fitted with an ear sensor-based home monitoring system. The ear sensor measures SpO2, respiratory rate, body temperature and heart rate. The monitoring team (25 medical students supervised by 6 physicians) provided continuous monitoring of vital signs (24/7). After validation of the measurements, the collected parameters were evaluated using a specially developed risk score. If a defined risk score was exceeded, the patient was contacted by telephone. The combination of the clinical condition and the risk score determined the further course of action: (a) wait and see, (b) notify the primary care physician, or (c) refer for inpatient admission. The program was active from December 2020 to March 2022. In Summer 2021, the program was temporarily paused due to the epidemiological situation. Results A total of 132 patients (59.8% women) were monitored. The median age was 74 years (IQR: [67.3–80.8]). 91 patients (68.9%) had at least one relevant comorbidity. During the monitoring period, hospitalisation was required in 20 patients (15.2%), 3 of whom were transferred to the intensive care unit. Of the hospitalised patients, 3 (15%) patients died. During the same monitoring period, the Austrian Ministry of Health reported a mortality rate of 20.5% of all hospitalised patients in Austria aged 70–79 years. Subjectively, the patients felt safe due to close monitoring. Conclusion The Tele-Covid program is the successful implementation of a remote monitoring system in a pandemic situation. In the future, a broad application of the program is feasible. Funding Acknowledgement Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Funded by the Region of the Tyrol

Tepotinib: Management of Adverse Events in Patients With MET Exon 14 Skipping Non-Small Cell Lung Cancer.

Tepotinib, a highly selective, oral, once-daily MET inhibitor, has been approved for treatment of metastatic MET exon 14 skipping non-small cell lung cancer. This article provides nurse-specific recommendations for identification and management of tepotinib adverse events (AEs). Guidance on monitoring and proactive/reactive AE management was developed based on published literature and real-world nursing experience. Case studies of VISION trial participants were summarized to illustrate key principles. Tepotinib AEs are generally mild to moderate and manageable, and can include peripheral edema, hypoalbuminemia, nausea, diarrhea, and creatinine increase. Alongside supportive care, tepotinib interruption and dose reduction is recommended for grade 3 AEs. For peripheral edema, proactive monitoring is crucial, and treatment interruption (including frequent, short treatment holidays) should be considered early. Nursing management of tepotinib AEs includes proactive monitoring, patient education, and interprofessional team coordination.

Drivers and Barriers to Improved Data Quality and Data-Use Practices: An Interpretative Qualitative Study in Addis Ababa, Ethiopia.

An objective of the Information Revolution Roadmap of Ethiopia's Health Sector Transformation Plan was to improve health management information system (HMIS) data quality and data use at the point of health service delivery. We aimed to assess drivers of and barriers to improving HMIS data quality and use, focusing on key Information Revolution strategies including Connected Woreda, capacity building, performance monitoring teams, and motivational incentives. We conducted an interpretative qualitative study across all 11 health centers in 3 subcities of Addis Ababa, Ethiopia: Yeka, Akaki-Kaliti, and Ledeta. A total of 40 key informant interviews and 6 focus group discussions with a total of 43 discussants were conducted. We coded information gathered line-by-line and grouped responses under thematic codes as they emerged. Findings were triangulated and validated. Our findings indicate that the main drivers of data quality and use at the point of service delivery were the use of the Connected Woreda strategy and its tools, capacity-building activities including mentorship, performance monitoring-team activities that led to active leadership engagement, and motivational incentives for data producers and users. Barriers to optimal data-use practices were the use of duplicative data collection tools at health facilities, under-developed health information system infrastructure, inadequate health information technician staffing and capacity limitations at the health facility level, insufficient leadership commitment, and unfavorable health worker attitudes toward data. Improvements in quality and use of HMIS data at health facilities are expected to result in delivering better-quality health services to the community as data enable health workers to identify gaps in health care, fix them, and monitor improvements. Future investments should focus on strengthening the promising data-use practices, resolving bottlenecks caused by duplicative data collection tools, enhancing individual and institutional capacity, addressing suboptimal health worker attitudes toward data, and overcoming infrastructure and connectivity challenges.

Lessons Learned From the Capacity-Building and Mentorship Program to Improve Health Information Systems in 11 Districts of Ethiopia.

Health information systems (HIS) performance in Ethiopia is currently insufficient, and improvements are required to ensure that decision making is data driven. We share our experiences from the early-stage implementation of a package of HIS capacity-strengthening interventions as part of an innovative academic-government collaboration that addresses challenges in HIS performance. We used routine program data to assess HIS performance using the Performance of Routine Information System Management (PRISM) assessment tools. The assessment employed a pre-post design and was conducted in a total of 24 selected health facilities (6 hospitals and 18 health centers) from 11 districts in Ethiopia at project baseline (2018) and midline (2020). Source document completeness rate reached less than 80% for the majority of the assessed data elements. Improvements were observed in quarterly report completeness (26% vs. 83%) and timeliness (17% vs. 48%). Though data inaccuracies are noted for all assessed data elements in 2020, the majority (83%) of skilled birth attendance and HIV reports (68%) fall within the acceptable range of reporting accuracy. The identification of performance-related problems, using performance monitoring team (PMT) meetings, improved between 2018 and 2020 (67% vs 89%). Similar improvements were also observed in developing action plans to solve identified problems via the PMT (52% in 2018 vs. 89% in 2020). Data use for planning and target setting (65% in 2018 vs. 90% in 2020), reviewing performance (58% in 2018 vs. 60% in 2020), and supervision (51% in 2018 vs. 53% in 2020) all improved among assessed health facilities. This study showed that a capacity-building and mentorship program that engages experts from multiple disciplines and sectors can improve the quality and use of health data. This partnership enabled engagement between government and academic stakeholders and allowed for a more robust exchange of resources and expertise toward HIS improvement.

Panoramic quality assessment tool for investigator initiated trials.

ObjectivesQuality can be a challenge for Investigator initiated trials (IITs) since these trials are scarcely overseen by a sponsor or monitoring team. Therefore, quality assessment for departments managing clinical research grants program is important and urgently needed. Our study aims at developing a handy quality assessment tool for IITs that can be applied by both departments and project teams.MethodsThe framework of the quality assessment tool was developed based on the literature studies, accepted guidelines and the Delphi method. A total of 272 ongoing IITs funded by Shanghai non-profit organizations in 2015 and 2016 were used to extract quality indexes. Confirmatory factor analysis (CFA) was used to further evaluate the validity and feasibility of the conceptual quality assessment tool.ResultsThe tool consisted of 4 critical quality attributes, including progress, quality, regulation, scientificity, and 13 observed quality indexes. A total of 257 IITs were included in the validity and feasibility assessment. The majority (60.29%) were Randomized Controlled Trial (RCT), and 41.18% were multi-center studies. In order to test the validity and feasibility of IITs quality assessment tool, CFA showed that the model fit the data adequately. (CMIN/DF = 1.868, GFI = 0.916; CFI = 0.936; TLI = 0.919; RMSEA = 0.063; SRMR = 0.076). Different types of clinical studies fit well in the tool. However, RCT scored lower than prospective cohort and retrospective study in enrollment progress (7.02 vs. 7.43, 9.63, respectively).ConclusionThis study established a panoramic quality assessment tool based on the Delphi method and CFA, and the feasibility and effectiveness of the tool were verified through clinical research examples. The use of this tool can help project management departments effectively and dynamically manage research projects, rationally allocate resources, and ensure the quality of IITs.

Performance Management of The Regional Inflation Control Team Central Kalimantan Province In Inflation Control

Inflation control necessitates inter-institutional collaboration and coordination, particularly between Bank Indonesia and the government. To continue to increase cooperation, the Government and Bank Indonesia formed an Inflation Monitoring and Control Team (TPI) at the central level in 2005, followed by the establishment of a Regional Inflation Control Team (TPID) in 2008. It is vital to take strategic efforts to control and suppress inflation by forming the Central Kalimantan Regional Inflation Control Team with the collaboration of regional agencies (TPID). The goal of this article is to identify the performance management strategies used by TPID in Central Kalimantan to keep inflation under control. This study employs a qualitative descriptive method and is conducted in the field. The secretaries and members of the TPID in Central Kalimantan were the subjects of this investigation. The research data was gathered through observation, interviewing, and recording techniques, which were then validated through source triangulation and analyzed through simplification, presentation, and conclusion stages. The findings of this study show that TPID's administration of inflation control efforts in Central Kalimantan complies with Governor Regulation No. 10 of 2015's inflation control guidelines. Because the inflation control procedure carried out by the Central Kalimantan TPID is in accordance with the planning, organizing, executing, and regulating functions, the Central Kalimantan TPID indirectly performs a management function. The Central Kalimantan TPID's inflation control management was highly effective. The Central Kalimantan TPID's inflation control administration was fairly effective in keeping inflation in Central Kalimantan and Palangkaraya generally regulated and constant.

Making a meaningful difference through collaboration: The experiences of healthcare staff redeployed to a contact tracing and monitoring team as part of the COVID-19 response

ABSTRACT During the coronavirus disease 2019 (COVID-19) pandemic, the health care system experienced unprecedented demands with many health care workers being redeployed. Although there are emerging studies investigating redeployment to acute care, the experience of redeployment to roles outside of these settings, such as to contact tracing and monitoring (CTM) teams, has not been reported. This research was designed to explore health care workers’ experience of redeployment to a regional COVID-19 CTM team. Staff redeployed to this CTM team completed an anonymous online survey following the second wave of the COVID-19 pandemic in Victoria, Australia. The survey used open-ended questions to explore participants’ perceptions of what did and did not work well during their redeployment. Inductive template thematic analysis of the data found that during their redeployment to CTM teams, participants experienced a sense of collaboration, the opportunity for professional growth, and the perception of making a meaningful contribution to the pandemic. Redeployed CTM team members also described a need to adapt to constant change and felt that the redeployment took a personal toll on them. The findings from this research may be useful to support preparedness of health care workers for redeployment in future complex or crisis situations.

Disease surveillance in England and Wales, June 2022.

Disease surveillance in England and Wales, June 2022.

Perception towards Level of Job Commitment of Public Secondary School Teachers in Ogun State, Nigeria

This paper investigated the perceived decline of teachers’ job commitment as compared to the past in the late 80s and early 90s among the present public secondary schools teachers in Ogun State. The study adopted rational choice theory which helps to model teachers in decision making of choice and alternative (cost and benefits). Six former top retired education officers and former retired Teachers union officials were interviewed through Key Informant Interview and In-depth Interview respectively. The findings revealed 80s and 90s teachers were more committed to academic work unlike most present day teachers who do not have flair for teaching but rather majority live a flamboyant lifestyle. In addition, participants highlighted some reasons for the poor academic performance of public secondary school teachers such as government not strictly adherent to policies on education as well as low remuneration package which paved for teachers to engage in moonlighting. The study however recommends, however, for proper monitoring and inspection team to visit public secondary schools on a regular bases to discharge their duties appropriately and also total compliance of government with the recommendation of UNESCO policy of 26 percent budget on education.

Monitoring Budget Allocation on Performance of Socio-Economic Empowerment Projects: A case of Women and Law in Southern Africa Research and Education Trust Project

This study seeks to investigate the influence of the monitoring and evaluation (M&E) budget allocation on the performance of socio-economic empowerment projects. The overarching theoretical framework is the resource-based view theory. The study adopted quantitative approaches to gather an in-depth understanding of the research variables and to allow a researcher to make informed recommendations using both words and numbers. The research site for the study is Women and Law Southern Africa -Lesotho. The target population of 68 project team members. A census method was adopted and the researcher used questionnaires to collect data from 68 respondents. To test reliability the research tools were piloted before actual data collection. Further, Cronbach’s alpha coefficient was used to estimate instrument reliability using the pilot responses and it returned 0.818 which was fairly high. Content and face validity were adopted to test instrument validity. Proper authorizations were secured from relevant bodies to conduct the study and SPSS Version 23 data analysis software was deployed to analyze the collected data. The researcher further analyzed the data through descriptive analysis with means and standard deviation to measure central tendencies and dispersion of the data. The general findings of the study indicated that the response was higher than a composite mean of 4.37 with a standard deviation of 0.745, implying that the study objective; of monitoring budget allocation positively influences the performance of the socio-economic empowerment project. Findings implied that the team should, as part of best practice, maintain the M&E budget separately and promote transparency by issuing the M&E budget performance reports. The study made recommendations for improving M&E budgeting. The study suggests comparative studies to be conducted on other socio-economic empowerment projects and the usage of hybrid approaches of qualitative and quantitative approaches to gather as much information as possible. The study findings conformed to the principles of resource-based view theory that advocates for adequate allocation of resources to enable the monitoring and evaluation team to execute the activities according to plan.

Evaluation of the Effect of Refined Nursing Intervention on Coronary CT Imaging Microscopy.

The aim is to study the benefits of using advanced medical services for coronary CT angiography. From August 2019 to August 2020, 50 patients who underwent CT angiography were selected and divided into control groups and study groups, with 25 patients in each group. The monitoring team provides basic support, and the training team provides maximum support. Experimental results showed that the positive microscopic image of the study group after the intervention was better than that of the control group, and the stress score was lower than that of the control group (P < 0.05 s and30.73 ± 9.57 min) and are short (58.32 ± 13.15seconds and53.17 ± 11.84minutes) between control groups, with significant differences. The significance is (P < 0.05. Patient care is relevant to patients with coronary CT angiography, which has been shown to improve heart rate, reduce stress, improve microscopic imaging, and provide relevant liver function tests. It is recommended to promote the show.

Information System Design for Monitoring and Evaluation of Learning on Blended Learning

The Pandemic Covid-19 necessitates all activities to be network-based, including the collegiate learning process. Prior to the epidemic, instructors were mechanically or face-to-face evaluated for their learning. Monitoring and evaluation, on the other hand, are carried out online during the e-learning learning process. However, in the learning process through e-learning, monitoring and evaluation are carried out online. To facilitate the monitoring and evaluation of online learning by lecturers, it is necessary to build a web-based information system. The purpose of the research is the creation of an information system for monitoring and evaluating learning evaluation through blended learning. The research methodology used is a research and development research design using waterfall analysis with the stages of requirements analysis, system design, implementation, integration and testing, operation and maintenance. The object-oriented research target is the monitoring and evaluation assessment information system. The result of the research is the development of an application for monitoring and evaluating learning assessments there are: (1) Using the system, the monitoring and evaluation of learning carried out by the monitoring and evaluation team can be easily carried out during the evaluation process. (2) The system can display a description of the results of the evaluation of learning monitoring and evaluation, (3) The system developed is used at the college for monitoring and evaluating learning activities through blended learning.