Ongoing Maintenance Research Articles

Nurses’ reported training needs for advanced cell therapies: a survey on behalf of the Nurses Group of the EBMT

Background Advanced Therapy Medicinal Products (ATMPs) for human use have advanced globally with the rapid adoption of Chimeric Antigen Receptor T-cell (CAR-T) therapies in haemato-oncology. CAR-T cell therapy and ATMPs have unique, significant acute and chronic toxicities, and appropriate patient care is crucial. Significant challenges, including the need for nurse education and training, accompany optimal patient success and benefits. Objectives This study aimed to describe nurses’ training needs in relation to ATMP management and patient care. Methods A cross-sectional online survey was performed by the European Society for Blood and Marrow Transplantation, based on a previously tested questionnaire developed in the UK. Findings 109 complete responses from 86 different centers from 24 countries were returned (1207 distributed). Over 1/3 reported experience delivering licensed ATMPs (CAR-T). High-priority training areas included a general introduction to ATMPs, toxicity management, product-specific information, and regulatory frameworks for ATMPs. A clear need for ATMP-specific training exists and is regarded as important. Training prior to implementation is key and should be supported by ongoing competency maintenance. Counseling, patient support, and long-term follow-up are identified for future training and opportunities for nurse experience sharing in this rapidly evolving field.

Comparative Study on Ground and Roof-Mounted Solar PV Systems

Solar photovoltaic (PV) systems are integral to sustainable energy solutions. The choice between ground-mounted and roof-mounted systems significantly impacts efficiency, cost, and installation feasibility. This study provides a comparative analysis of these two solar PV installation types to inform stakeholders and guide decision-making. This study aims to guide stakeholders, including policymakers, investors, and energy planners, in making informed decisions regarding solar PV system installations. By highlighting the strengths and weaknesses of each approach, this review contributes to the broader understanding of solar PV deployment strategies and their implications for sustainable energy development. A systematic literature review was conducted to gather data from various sources including academic journals, ScienceDirect, Google Scholar, PubMed, SpringerLink, Academia, and research gate. Key criteria for comparison included energy production efficiency, initial and ongoing costs, installation complexity, and long-term maintenance. The review revealed that ground-mounted systems generally offer higher energy production due to optimal tilt and orientation adjustments, and often result in lower maintenance costs due to easier access. Conversely, roof-mounted systems are usually less costly to install as they utilize existing infrastructure and may benefit from lower regulatory hurdles. However, they are constrained by roof space and orientation limitations and may face higher maintenance costs due to accessibility issues. Ground-mounted solar PV systems typically provide greater efficiency and easier maintenance but at higher installation costs. Roof-mounted systems are more cost-effective in terms of installation but may present limitations in energy production and maintenance. The choice between these systems should be guided by specific site conditions, budget constraints, and long-term energy goals.

Role of the dorsolateral prefrontal cortex in processing temporal anomalies retained in working memory

IntroductionTime is a crucial abstract construct, allowing us to perceive the duration of events. Working memory (WM) plays an important role in manipulating and storing the different features of environmental stimuli, including temporal features. Different brain structures, including the dorsolateral prefrontal cortex, are involved in time processing.MethodsHere we investigated the functional aspects of time processing by using functional near-infrared spectroscopy (fNIRS) to assess changes in DLPFC activity. A modified version of the “Times Squares Sequences” (TSS) task was used, in which participants are required to match sequences of squares that have fixed or variable durations.ResultsFindings showed that the DLPFC activates when information necessary for later comparison needs to be maintained online, as is common in visuo-spatial WM tasks. Importantly, the DLPFC deactivates when a temporal anomaly is detected.DiscussionThis deactivation occurs because the temporal anomaly does not require ongoing maintenance for later comparison, thus demanding fewer cognitive resources from the DLPFC. This seemingly counterintuitive effect can be attributed to the temporal aspects being irrelevant to the primary task goals. This finding highlights the crucial role of implicit temporal interference and establishes a strong connection between timing and executive cognitive processes.

Research of opportunities for the ecosystem approach to career planning by students at the State University of Management

The article presents the results of studying the possibilities of an ecosystem approach to career planning by students at the State University of Management (hereinafter referred to as SUM). At first, the gap between the level of practical training of graduates of Russian universities and the requirements of employers has been actualised. Then, the need for joint efforts of all interested labour market participants to create conditions for students’ conscious planning of career growth at all stages of education is emphasised. The experience of intra-university cooperation using the STC (student team consulting) method between the marketing department and practical training department in 2022–2023 has showed that solving this problem involves integrating, on an ecosystem basis, activities for the study of professional academic disciplines, project-based learning, practical training, and employment. As an experiment, 6 student consulting teams have solved a set of interrelated tasks, including the creation and ongoing maintenance of the Career Centre page in the VK social network, advertising campaigns and interviews at “Career Day in Transport and Logistics”, surveys on the employment of graduates and assessment of student satisfaction with practical training, analytical review of the labour market in Russia in 2020–2023 with a report at the All-Russian scientific and practical conference, examination of 5 ideas for marketing research projects in the field of career planning by students of the SUM with testing in social networks and assessments of the influence of actors in its ecosystem. In conclusion, based on the results of the research, the directions for the ecosystem approach to career planning by students at the SUM are formulated.

Staff shortages in hospitality and tourism industries: how technology influences?

PurposeThis paper offers an introduction and sets the stage for the theme issue. It describes the methodology used and highlights the articles that address the strategic question of how hospitality and tourism industries can minimize the effects of labor shortages by embracing advanced technologies.Design/methodology/approachThis special issue explores the potential of automation, artificial intelligence, robotics and advanced data analytics in mitigating staff shortages. Automation streamlines operations, AI enhances customer interactions, robotics reimagines service delivery and data analytics informs strategic decisions. The study addresses a strategic question by combining literature reviews, data analysis, expert insights from practitioners and practical solution recommendations.FindingsThe theme issue presents research that explores how advanced technologies can be effectively utilized to mitigate labor shortages in the hospitality and tourism industries. Automation streamlines operations, AI enhances customer interactions, robotics reimagines service delivery and data analytics informs strategic decisions. However, successful integration of technology requires careful planning, training and ongoing maintenance to ensure a balance between technology and human interaction. By embracing these technologies, businesses can better cope with staffing deficits and position themselves for long-term success in a rapidly evolving environment.Originality/valueThis special issue explores the ways in which advanced technologies, such as automation, AI and robotics, can be leveraged to alleviate the labor shortage crisis faced by the hospitality and tourism industries worldwide. From developed to developing countries, these industries are grappling with severe labor shortages, particularly in terms of skilled workers. The articles presented in this issue offer valuable insights and strategies for addressing this pressing issue.

Trainee's Perceptions on Simulation-Based Education and Its Impact on Transitioning to the Role of Medical Registrar: A Qualitative Study.

Background and aim In 2019, a three-year internal medicine training (IMT) program replaced the two-year core medical training program in the United Kingdom, incorporating the first year of medical registrar (MR) training into the same curriculum. In light of the considerable evidence supporting the effectiveness of simulation-based education (SBE) and the challenges inherent in transitioning, the design and delivery of SBE are now ideally positioned to facilitate this transition process and assess its impact. However, trainees' perceptions regarding the effectiveness of SBE in the IMT curriculum for transitioning to the MR role are not well-documented. This study aimed to explore and examine trainees' views on SBE in the IMT curriculum to prepare them to transition to the role of the MR. It sought to identify the critical qualities and skills that IMT trainees believe SBE should address to enable them to successfully fulfill the MR role, as well as to assess the extent to which internal medicine year three trainees perceive that SBE in its current form within the IMT curriculum has prepared them for the role of MR. Methods This qualitative study employed focus groups to explore individuals' perspectives on SBE in the IMTcurriculum and its role in preparing them for the transition to the MR position. Four focus groups were conducted, two with core trainees (CTs) and two with MRs. Sessions were recorded, transcribed verbatim, and analyzed using a thematic analysis approach. Results Eleven trainees participated in the study. Seven of them were CTs, with the remaining four in their first year as a MR. Six main themes emerged from the data, grouped into two main headings. The heading titled "Perceptions of SBE" included the themes "Valuable Teaching Tool," "A Squandered Resource," and "Avoid Over-Reliance." In contrast, the heading "Areas/Suggestions for Improving SBE" included the themes "Quantity and Scheduling," "Feedback," and "Draw on Others' Experiences." Conclusion The value of SBE was recognized, alongside the vital role of high-quality feedback. Other medical specialties and industries were highlighted for their effective implementation of SBE, offering a possible standard for educators involved in the IMT curriculum to pursue. There was a perception that SBE did not adequately supportthe ongoing maintenance of skills, placing considerable reliance on real-world clinical practice to fulfill this need. The limitations inherent in SBE were acknowledged, and educators are encouraged to explore ways to optimize the use of all educational tools at their disposal, which may include the formal introduction of a shadowing period for trainees.

Maintenance Therapy Post-Stem Cell Transplantation for Patients with T-Cell Lymphomas.

Given the poor outcomes for peripheral T-cell lymphomas (PTCL), stem cell transplant (SCT) remains an important therapeutic approach. Post-SCT relapse is common and maintenance therapy post-SCT is increasingly being utilized. Here we review the use of post-SCT maintenance therapy for PTCL patients. Maintenance therapy is increasingly utilized to decrease post-SCT relapse and improve outcomes in PTCL. Ongoing and completed post-SCT maintenance trials utilizing agents such as romidepsin, brentuximab vedotin, duvelisib, and pembrolizumab have shown efficacy in decreasing relapse. Further, additional agents with efficacy in PTCL have emerged that may inform future maintenance approaches. Maintenance therapy is a promising approach to maintain response after SCT in PTCL. While several trials are ongoing to evaluate maintenance therapy in PTCL, current data suggests this may be an effective method to decrease post-SCT relapse.

A comparative study of the secondary benefits of stormwater ponds in economically distinct neighborhoods of Tampa, Florida USA

Stormwater ponds manage urban runoff and mitigate storm-event flooding. Stormwater ponds also offer various secondary advantages such as filtering pollutants, providing a habitat for wildlife, and adding recreational value and access to green spaces to communities. However, stormwater pond features and their potential to offer secondary benefits can vary based on the initial construction and the ongoing maintenance practices. This study developed an assessment tool for evaluating stormwater ponds’ expected functioning for secondary benefits, including potential for pollutant filtering by shoreline vegetation, safety, and access by people for activities like walking or wildlife viewing. We used the tool to compare stormwater ponds in East Tampa and Riverview, Florida, communities with contrasting socioeconomic backgrounds. The overall pond functioning was consistent between both communities; however, several distinctions emerged between specific pond attributes. Suburban ponds exhibited narrower buffer zones, lower bank stability, and less lighting. Conversely, ponds in the lower-income East Tampa had lower accessibility due to a higher number of fences, more litter, and inferior water appearance. This study uncovered a need for consideration of stormwater pond secondary benefits in both communities and an untapped potential to transform stormwater ponds into vibrant green spaces.

Maintenance Challenges in Maritime Environments and the Impact on Urban Mobility: Machico Stayed Bridge

This article investigates the challenges of maintaining the Machico Cable-Stayed Bridge in a marine environment, focusing on its implications for urban mobility. The primary problem addressed is the impact of harsh marine conditions on the structural integrity of the bridge, which poses significant challenges for ongoing maintenance and safety. The research highlights unique aspects such as the effects of saltwater exposure on materials and the interplay between infrastructure and urban transit dynamics. By emphasizing these critical issues, this study aims to provide insights into effective maintenance strategies and contribute to the broader discourse on urban mobility in coastal regions.

Integral and Surface Treatment Method of Waterproofing: A Review and Comparative Analysis

Water seepage into concrete can cause deterioration and other aesthetic issues that limit the life of concrete constructions. This paper examines and contrasts the various kinds of waterproofing techniques. There are essentially two types: surface treatment method and integral method. Water repellents, crystalline admixtures, and densifiers are examples of integral methods. Surface treatment methods encompass pore-blocking, hydrophobic impregnation, surface coating, and multifunctional surface treatment. The processes of various approaches are examined in this article, followed by a comparison of their durability and mechanical properties. We discuss several properties, such as sulfate attack, chloride penetration, carbonation, reinforcement corrosion, water absorption and permeability, compressive, flexural, and tensile strength. The findings indicate that each has merits and demerits of their own. The inclusion of an integral admixture to concrete offers a number of advantages over surface protection, including convenience of application, the removal of the need for ongoing maintenance, and minimal to no deterioration over time. While surface treatment methods significantly reduce water permeability and porosity. In conclusion, we give a succinct summary of certain issues regarding the present state of research and future directions for the hydrophobic modification of concrete.

The impact of expiratory muscle strength training on voluntary cough effectiveness in Huntington's disease.

Dysfunction of the airway defence system in Huntington's disease (HD) is a significant but often overlooked problem. Although expiratory muscle strength training (EMST) is frequently utilized in cough effectiveness treatment, its specific impact in HD patients has not yet been explored. This study investigated the effects of EMST on voluntary peak cough flow (vPCF) in HD patients and evaluated the retention of potential gains post-intervention. In this prospective case-controlled trial, 29 HD patients completed an 8-week wait-to-start period, which served to identify the natural development of expiratory muscle strength and vPCF. This was followed by 8 weeks of EMST training and an additional 8 weeks of follow-up. The study's outcome parameters, vPCF and maximum expiratory pressure (MEP), were measured against those of age- and sex-matched healthy controls. Huntington's disease patients had significantly lower MEP (p < 0.001) and vPCF (p = 0.012) compared to healthy controls at baseline. Following the EMST, significant improvements in MEP (d = 1.39, p < 0.001) and vPCF (d = 0.77, p = 0.001) were observed, with HD patients reaching the cough performance levels of healthy subjects. However, these gains diminished during the follow-up, with a significant decline in vPCF (d = -0.451, p = 0.03) and in MEP (d = -0.71; p = 0.002). Expiratory muscle strength training improves expiratory muscle strength and voluntary cough effectiveness in HD patients, but an ongoing maintenance programme is necessary to sustain the improvements.

Subsidence Prediction Method Based on Elastic Foundation Beam and Equivalent Mining Height Theory and Its Application

Grouting technology in overburden separation is recognized as an effective method to prevent surface subsidence and reuse solid waste. This study used mechanical analysis to explore deflection characteristics of key strata and accurately predict and control surface subsidence. Conceptualizing the coal–rock mass beneath the key strata as an elastic foundation, we developed a method to calculate the elastic foundation coefficients for various regions and established an equation for key strata deflection, validated through discrete element numerical simulations. This simulation also examined subsidence behavior under different grout injection–extraction ratios. Additionally, combining the equivalent mining height theory with the probability integral method, we formulated a predictive model for surface subsidence during grouting. Applied to the 8006 working face of the Wuyang Coal Mine, this model was supported by numerical simulations and field data, which showed a maximum surface subsidence of 546 mm at a 33% injection–extraction ratio, closely matching the theoretical value of 557 mm and demonstrating a nominal error of 2%. Post-grouting, the surface tilt was reduced to below 3 mm/m, meeting regulatory standards and eliminating the need for ongoing surface structure maintenance. These results confirm the model’s effectiveness in forecasting and controlling surface subsidence with grouting. The study can provide a basis for determining the grouting injection–extraction ratios and evaluating the effectiveness of surface subsidence control in grouting into overburden separation projects.

Revisiting Sentiment Analysis for Software Engineering in the Era of Large Language Models

Software development involves collaborative interactions where stakeholders express opinions across various platforms. Recognizing the sentiments conveyed in these interactions is crucial for the effective development and ongoing maintenance of software systems. For software products, analyzing the sentiment of user feedback, e.g., reviews, comments, and forum posts can provide valuable insights into user satisfaction and areas for improvement. This can guide the development of future updates and features. However, accurately identifying sentiments in software engineering datasets remains challenging. This study investigates bigger large language models (bLLMs) in addressing the labeled data shortage that hampers fine-tuned smaller large language models (sLLMs) in software engineering tasks. We conduct a comprehensive empirical study using five established datasets to assess three open-source bLLMs in zero-shot and few-shot scenarios. Additionally, we compare them with fine-tuned sLLMs, using sLLMs to learn contextual embeddings of text from software platforms. Our experimental findings demonstrate that bLLMs exhibit state-of-the-art performance on datasets marked by limited training data and imbalanced distributions. bLLMs can also achieve excellent performance under a zero-shot setting. However, when ample training data is available or the dataset exhibits a more balanced distribution, fine-tuned sLLMs can still achieve superior results.

Optimizing the Utilization of Online Public Access Catalog as a Means of Information Retrieval in Libraries

This study aims to explore the optimization of the Online Public Access Catalogue (OPAC) as an information retrieval tool in the Library of SMA Negeri 3 Medan, focusing on identifying the challenges and barriers to its effective use. A qualitative descriptive approach was employed, utilizing interviews, observations, and documentation as data collection methods. Interviews were conducted with a librarian and three students, while observations focused on the practical issues related to OPAC usage. The findings reveal that the use of OPAC in the library is not optimal, with challenges including system integration difficulties, insufficient librarian training, and limited user familiarity. Efforts to enhance OPAC usage involve promoting OPAC awareness, increasing computer access points, and ongoing system maintenance. However, the effectiveness of these measures is hindered by technical and educational constraints, highlighting the need for targeted interventions to fully leverage OPAC's potential in improving library services.

Life-Cycle Analysis of Natural Treatment Systems for Wastewater (NTSW) Applied to Municipal Effluents

The objective of the described activity is to develop technologies or proposals that can be implemented within the cycle to enhance the relationship between climate change, water, energy, and food. The focus is on analyzing natural treatment systems for wastewater (NTSW) within the context of Macaronesia, considering factors such as life-cycle assessment (LCA), carbon footprint, impacts, and mitigation capacity. The analysis of real case data from the Canary Islands and Cape Verde will inform the development of appropriate technologies tailored to different areas and scales within Macaronesia. This work includes a comprehensive life-cycle analysis of the Santa Catarina (Cape Verde) NTSW. This analysis encompasses: (a) Inventory analysis of the construction phase: This involves the assessment of inputs and outputs associated with the construction of the NTSW, including materials, energy consumption, transportation, and waste generation. The maintenance and operation phases are then evaluated, with a focus on the ongoing maintenance and operation activities required for the NTSW, including energy consumption, water usage, chemical inputs (if any), labor, and equipment maintenance. (b) Finally, the impacts of the NTSW are evaluated. The environmental, social, and economic impacts generated by the NTSW are assessed. This includes an analysis of factors such as carbon emissions, water usage, land use, ecosystem impacts, human health effects, and economic costs. By conducting a comprehensive analysis of the Santa Catarina NTSW, the document aims to provide insights into the environmental performance and sustainability of the system. This information can then be used as a tool and experience of educational innovation for final-year undergraduate students to identify areas for improvement, develop mitigation strategies in the water sector, and inform decision-making processes regarding wastewater treatment technologies in Macaronesia. Furthermore, lessons learned from real case studies in the Canary Islands and Cape Verde can be applied to similar regions within the Macaronesia archipelago (IDIWATER project).

How destination attributes affect mountain bikers’ behavioral intention: The mediating roles of enduring involvement and place attachment

This research investigated the effects of destination attributes, enduring involvement, place attachment, and satisfaction on mountain bikers’ behavioral intentions by incorporating the Mehrabian-Russell model. A survey approach was employed to test this model. Data was collected from 682 mountain bikers in the Taiwan Bike Association and Taiwan Cyclist Federation from March 2022 to July 2022. This was analyzed using structural equation modeling. Our results indicate that the destination attributes of tourism attraction and accessibility and amenities and complementary services affect enduring involvement both positively and negatively. While tourism attraction and accessibility positively affect place attachment and satisfaction, amenities and complementary services positively affect place attachment but not satisfaction. Moreover, enduring involvement, place attachment, and satisfaction positively affect behavioral intentions. Enduring involvement, place attachment, and satisfaction had mediating effects on the relationship between tourism attraction and accessibility and behavioral intentions. Enduring involvement also played a mediating role in the relationship between amenities and complementary services and behavioral intentions. We discuss both the theoretical and managerial implications of these findings. Management implicationsThe findings of the current study have the following management implications.•Excellent natural resources and accessibility are essential for positive assessments of cycling routes.•Tourism attraction and accessibility is a strong predictor of enduring involvement, place attachment, and satisfaction.•Professional trail building and ongoing maintenance can mitigate adverse environmental impacts and improve the mountain biking experience.•An oversupply of amenities and services can diminish mountain bikers' sense of accomplishment and the pleasure and relaxation of the activity.

Does mindfulness-based cognitive therapy with tapering support reduce risk of relapse/recurrence in major depressive disorder by enhancing positive affect? A secondary analysis of the PREVENT trial.

Mindfulness-based cognitive therapy (MBCT) is a viable alternative to maintenance antidepressant medication (M-ADM) to reduce risk of relapse/recurrence (RR) in recurrent depression, but its mechanism of action is not yet fully articulated. This secondary analysis of the PREVENT trial examined if MBCT with support to taper medication (MBCT-TS) reduces risk of RR in part by enhancing positive affect (PA). In a single-blind, parallel, group randomized controlled trial, adults with ≥3 prior depressive episodes, but not currently in episode and who were taking M-ADM, were randomized to receive either MBCT-TS or ongoing maintenance M-ADM. The primary outcome was RR over 24-month follow-up. Levels of positive affect were assessed at intake and posttreatment. The original PREVENT trial was preregistered (ISRCTN 26666654), but this secondary analysis was not. Four hundred and twenty-four individuals (predominantly female and of White British ethnicity) were recruited, with 212 randomized to each arm. MBCT-TS led to significantly greater PA relative to M-ADM at posttreatment assessment (Δ = 2.78, 95% CI [1.47, 4.08], p < .001). RR was experienced during follow-up by 194 individuals (100 M-ADM; 94 MBCT-TS). Greater intake PA predicted a reduced hazard of RR across treatments (p < .001; hazard ratio = .96, 95% CI [0.94, 0.98]). In individuals who had not relapsed by posttreatment with complete data (121 M-ADM; 145 MBCT-TS), greater increase in PA from intake to posttreatment mediated reduced risk of subsequent RR (p = .04). These findings suggest that greater levels of PA predict reduced risk of RR and that MBCT-TS in part acts to protect from RR when withdrawing from M-ADM by increasing PA. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Assessing the transformative impact of cloud computing on software deployment and management

Cloud computing has fundamentally transformed the landscape of software deployment and management, offering significant benefits and reshaping traditional approaches. This review explores the transformative impact of cloud computing on these domains, highlighting key changes and advantages. Firstly, cloud computing has revolutionized software deployment by introducing scalable and flexible infrastructure solutions. Unlike traditional onpremises systems that require significant upfront investment and ongoing maintenance, cloud platforms offer ondemand resources and payasyougo models. This shift enables organizations to deploy software rapidly, adapt to changing needs, and scale resources efficiently without the constraints of physical hardware. Additionally, cloud computing enhances software management through centralized control and automation. Cloud environments provide integrated management tools that streamline the deployment, monitoring, and maintenance of applications. These tools facilitate automated updates, patch management, and system backups, reducing the burden on IT teams and minimizing downtime. Furthermore, cloudbased management systems offer realtime visibility and analytics, allowing for proactive performance monitoring and troubleshooting. The collaborative nature of cloud computing also fosters improved development and deployment practices. Cloud platforms support DevOps methodologies by enabling continuous integration and continuous delivery (CI/CD) pipelines. This integration accelerates software development cycles, enhances collaboration among distributed teams, and ensures consistent and reliable deployments. Moreover, the cloud's global reach and accessibility break down geographical barriers, allowing organizations to deploy software across multiple regions effortlessly. This geographic flexibility enhances the user experience and ensures high availability and performance, regardless of the user's location. Despite these advancements, the transition to cloud computing presents challenges, including data security and compliance concerns. Organizations must implement robust security measures and adhere to regulatory requirements to protect sensitive information and maintain trust. In conclusion, cloud computing has had a profound impact on software deployment and management, offering scalable, flexible, and efficient solutions. Its transformative effects include streamlined operations, improved collaboration, and global accessibility. As cloud technology continues to evolve, organizations must navigate associated challenges while leveraging its benefits to drive innovation and efficiency in software management. Keywords: Management, Impact, Cloud Computing, Software Deployment, Assessing

Improving financial management efficiency at BAHANA Ciawi Clean Water Facility via an Android-based mobile application

KSM SAB BAHANA in Ciawi, Bogor is a Community Self-Help Group (KSM) for Clean Water Facilities (SAB) BAHANA located in Kampung Tipar RT 01, RW 04 Ciawi. KSM SAB BAHANA was formed based on Decree Number 36 on December 31, 2019. Currently, there are significant problems in managing clean water services, especially in terms of customer registration and management of financial reports which are still done manually. This condition causes inefficiency and has the potential to cause recording errors. To overcome these challenges, community service is carried out by introducing an Android-based application designed to improve the efficiency and accuracy of financial management. The purpose of this service is to provide a technological solution that facilitates customer registration and management of financial reports effectively. The methods used include data collection, application design, socialization, implementation, evaluation, and ongoing maintenance to ensure the successful implementation of the application. The evaluation results show that 86 percent of the community strongly agree with the use of this application, which confirms that this program has succeeded in helping residents and SAB BAHANA officers manage customer reports and data better and more sustainably.

Vitamin D in the critically ill - update 2024.

This review aims to summarize the latest publications on vitamin D focused on critically ill patients. Vitamin D deficiency is common in critically ill patients (children and adults) and associated with a higher risk for mortality and morbidity as well as sepsis, acute respiratory failure, acute renal failure and prolonged ICU stay. As it is an inexpensive substance with a wide safety margin, acute treatment in form of a loading dose in addition to ongoing maintenance therapy is an interesting option in the ICU. The potential benefit of acute native (biologically inactive) vitamin D treatment has not fully been answered but even a small survival benefit demonstrable in very large analyses could be relevant to critical care. To date, less than 5000 patients cumulative have been enrolled in randomized controlled trials concerning vitamin D, with substantial heterogeneity in trial design regarding population (with or without deficiency, coronavirus disease 2019, different age groups, underlying illnesses), metabolite, dosing, outcome, and more. More research is needed, but vitamin D supplementation represents a simple intervention with an excellent safety profile. As adequate vitamin D is essential to the health of multiple organ systems, rapid normalization of deficiency states could translate to benefits across the wide range of diagnoses and organ dysfunctions experienced in the ICU setting. As a minimum, we recommend administering the standard daily dose of vitamin D3 in the critically ill patient.