Resolution Of Issues Research Articles

A Patient Safety Rounds Pilot Program at Clinics Affiliated With a Large Research and Education Institution.

In 2012, a 6-month Patient Safety Rounds pilot program was conducted to examine the provider perspective of patient safety and to educate personnel about national patient safety goals at clinics associated with a large research and education institution. The Patient Safety Rounds (PSR) team, consisting of 3 to 4 rotating members from executive leadership, physician and nursing groups, and administrative staff, identified contacts within clinical departments and made arrangements for monthly visits. Patient safety issues were preselected by committee for presentation and discussion at a premeeting held with supervisors and administrators during the first few minutes of PSR. After the premeeting, the PSR team split up and met individually with care providers, between patient visits, to review the monthly safety topic and any patient safety concerns that they wanted to discuss during the visit. Approximately 37 patient safety issues were identified, recorded, and classified during these PSR team visits. If the issues could not be immediately addressed, they were either addressed shortly thereafter or referred to appropriate personnel for resolution. This PSR pilot program was viewed as a success by participants because it identified provider perspective concerns, which led to the identification and resolution of numerous patient safety issues. This interesting pilot program, however, was discontinued owing to the departure of key leadership and the reorganization and reprioritization of resources.

Horticultural and horticultural-gardening associations as a kind of a consumer cooperative in the USSR

For the first time, horticultural and horticultural-gardening associations received their legislative consolidation in the domestic legal system in the 20s of the last century, since the first horticultural cooperative societies emerged on unoccupied lands near industrial centers. In practice, activities of horticultural and horticultural-gardening associations were regulated by special laws on horticulture, gardening, cooperation in the USSR that were further specified in the model statutes of 1956, 1966, 1985, and their formation was carried out in compliance with the situation in the country.In the author’s view, horticultural and horticultural-gardening associations under the legislation of the Soviet period were not independent legal entities, they were referred to the consumer cooperative associations and organizations. Each cooperative association of the Soviet period was formed under the influence of a uniform economic, political and ideological situation existing in the USSR.At present, the resolution of many legal issues still depends on the approaches applied during the Soviet period, which necessitates the introduction of significant legislative changes from January 1, 2019.

Approaching Authenticity Issues in Fish and Seafood Products by Qualitative Spectroscopy and Chemometrics.

The intrinsically complex nature of fish and seafood, as well as the complicated organisation of the international fish supply and market, make struggle against counterfeiting and falsification of fish and seafood products very difficult. The development of fast and reliable omics strategies based on spectroscopy in conjunction with multivariate data analysis has been attracting great interest from food scientists, so that the studies linked to fish and seafood authenticity have increased considerably in recent years. The present work has been designed to review the most promising studies dealing with the use of qualitative spectroscopy and chemometrics for the resolution of the key authenticity issues of fish and seafood products, with a focus on species substitution, geographical origin falsification, production method or farming system misrepresentation, and fresh for frozen/thawed product substitution. Within this framework, the potential of fluorescence, vibrational, nuclear magnetic resonance, and hyperspectral imaging spectroscopies, combined with both unsupervised and supervised chemometric techniques, has been highlighted, each time pointing out the trends in using one or another analytical approach and the performances achieved.

Plasma-Jet-Driven Magneto-Inertial Fusion

Plasma-jet-driven magneto-inertial fusion (PJMIF) is the only embodiment of magneto-inertial fusion that has the unique combination of stand-off implosion and high implosion velocity (50 to 150 km/s). It uses inexpensive plasma guns for all plasma formation and implosion and has potential for a relatively high repetition rate from 1 to 2 Hz. Its configuration is compatible with the use of a thick liquid wall that doubles as a tritium breeding blanket as well as a coolant for extracting the heat out of the fusion reactor. The PJMIF operational parameter-space allows for the possibility of using a sufficiently dense target plasma for the target plasma to have a high . If such a high- plasma could be realized, it would help to suppress micro and magnetohydrodynamic instabilities, giving its target plasma classical transport and energy confinement characteristics. Its open geometry and moderate time and spatial scales provide convenient diagnostics access. Diagnostics accessibility, high shot rate, and low cost per shot should enable quick resolution of technical issues during development, thus the potential for enabling rapid research and development of PJMIF. There are a number of challenges for PJMIF, however, including being at a very early stage of development, developing the required plasma guns, dealing with potential liner nonuniformities, clearing the chamber of residual high-Z gas between shots, and developing the repetitive pulsed-power component technologies. Over the last 3 years, the development of the Plasma Liner Formation Experiment (PLX-) has been undertaken to explore the physics and demonstrate the formation of a spherical liner by the merging of a spherical array of plasma jets. Two- and three-jet merging experiments have been conducted to study the interactions of the jets. Six- and seven-jet experiments have been performed to form a piece of the plasma liner. A brief status report on this development is provided in this paper.

Developing Disposable Hair Washing Pad for Bedridden Patients Using Mixed Methods Research

In Japan, diapers are often used to wash bedridden patients’ hair by placing the diaper under the patient’s head for ease of use and efficiency. However, using diapers for the head is an ethical problem as diapers are originally used for elimination care. Developing better equipment to wash hair is necessary to comfort patients and reduce nurses’ workload. Our industry-academia-clinical collaboration team developed a disposable absorbent pad particularly for washing patients’ hair in bed. This study aimed to evaluate this pad developed for bedridden patients. The trial was conducted in five departments at a university hospital between May and August 2016. The post-trial cross-sectional survey for nurses contained demographic data, evaluation of the pad with rating score as quantitative data, free comments as qualitative data, and comparison with diaper used experience. As this study involved development of an equipment and thus to facilitate data triangulation, mixed methods were used. The results revealed that 36 nurses participated (90% response rate). Most were in their 20s (69%). The overall evaluation was “good” (91%). Good water absorption, no water leakage, and easy usage were reported. In a comparison with diapers using experience, the majority preferred the developed pad (81%). Better structure, usage, and resolution of ethical issues were also confirmed in a comparison with diapers. The developed disposable hair washing pad is an efficient tool for nurses to wash bedridden patients’ hair. As it is disposable, infections are also controlled well. Further manufacturing aspects need to be considered for mega production.

Resolution of Skin Contact Issue During Tawaf According to Shafi’iyyah Scholars and Hajj Advisory Committee of Tabung Haji

Resolution of Skin Contact Issue During Tawaf According to Shafi’iyyah Scholars and Hajj Advisory Committee of Tabung Haji

Implementing Daily Leadership Safety Huddles in a Public Hospital: Bridging the Gap.

A Leadership Safety Huddle was instituted in efforts to improve communication and make safety culture a priority at our institution. The Huddle is a transparent, regularly recurring forum of clinical and administrative hospital leaders, in which safety issues and concerns are identified, shared, and swiftly addressed. Metrics regarding huddle effectiveness in 3 areas are studied: information technology (IT) services ticket resolution time, bladder catheterization, and one-to-one inpatient monitoring. Analysis revealed effectiveness of the huddle on quality of inpatient care and cost savings. Survey revealed 75% or higher favorable responses to huddle improving communication, transparency, time to resolution of issues, ability to voice concerns, and patient safety. As a result of huddle implementation, metrics showed 46% reduction in IT ticket turnaround time (P = .0001), 28% reduction in non-intensive care unit bladder catheter days (P = .011), and 10% decrease in continuous observations (P = .008), allowing a 24% reduction in cost (P = .001) with quarterly savings of $139 107.00. These metrics demonstrate how huddles are instrumental in infusing and sustaining a culture of patient safety in hospitals.

한반도 평화 프로세스 구현에서 러시아 변수 고찰

The purpose of this study is to clarify that Russia is an important geopolitical variable for the stable implementation of the peace process on the Korean peninsula pursued by Moon Jae In government, to analyze that 1) Kremlin`s recognition of the unstable security situation on the Korean Peninsula, 2) Russia`s various roles that have contributed to peace and stability on the Korean Peninsula, 3) the peace process and policy goals of the Korean Peninsula that Russia is envisioning, and 4) the opportunity factors to strengthen Russia`s leadership role and the constraint factors to suppress it in the process of problem-solving on the Korean Peninsula, and to suggest implications for Korea`s policy toward Russia in the future.BR It is a matter of fact that Russia, as well as the US and China, are important participants in the international force game around the Korean peninsula. Therefore, without the cooperation and consent of Russia, the peace settlement of the Korean Peninsula and the process of unification can never be smooth, as well as the amicable resolution of the North Korean nuclear issue. The recent annexation of the Crimea in Ukraine and the intervention of the Syrian Civil War, in which Russian interests are roughly reflected, have many implications for the Korean government. It is essential to have wisdom to recognize Russia as a strategic asset for the stable promotion of the peace process on the Korean peninsula and to utilize it as a diplomatic resource, in which the geopolitical and geoeconomic interests in the various issues and areas surrounding the Korean Peninsula and Northeast Asia are quite consistent.

Payment Tracking System

Payment Tracking System is a web-based application for tracking and managing the payments for various vendors. It provides a single point of contact that consolidates payment requests from the accounts department to the top management to deliver the supplier payments on time, using integrated best practices to manage operations and services. It offers integrated Transaction Management capabilities like Ledger view and Hold/Release Payments. It ensures visibility, insight, isolation and faster resolution of Payment related issues for any type of organization by providing the right information at the right time as required by the user. For both models, we design incentive resource allocation mechanisms to maximize the social welfare. Theoretically analysis shows that the proposed mechanisms are truthful for general monotonic pro?t functions and the worst-case performance on the social welfare are well-bounded within a constant factor of the optimal solution for linear pro?t functions. Simulation results also demonstrate that the performances of the proposed mechanisms are very close to the optimal solution, in terms of maximizing the social welfare.

Legal Protection for Village Credit Institutions as a Financial Business Entity Exploited to Resolve the Bad Credits in the Customary Village of Kerobokan

The existence of customary rule sanctions in the resolution of the issues of bad credits within village credit institutions in the customary village of Kerobokan has been included as one of banking laws that is legally entitled to receive legal. This research aimed to the positioning of customary law sanctions in resolving bad loans at VCI Kerobokan Customary Village and to know the forms of legal protection for VCI and how are the bad loans of customers from outside the traditional villages in Kerobokan. The method used in this research is normative legal research, namely to conduct library research by reviewing literature and analyzing statutory regulations relating to applicable provisions on VCI. This research found the settlement of the bad credit at the customary village of Kerobokan is manifested into ways. The first through preventive legal efforts, that is to say, the very moment of signing the contracts, the customers are sure to have all their incumbencies. The second is through repressive efforts that must be made on the basis of good faith. The implementation of the civil law is that the form of retribution and customary law from the customary village. Keywords: Bad Credits; Legal Protection; Village Credit Institutions; Village-Owned Enterprises

Managing safety and mission completion via collective run-time adaptation

Abstract Mobile Multi-Robot Systems (MMRSs) are an emerging class of systems that are composed of a team of robots, various devices (like movable cameras, sensors) which collaborate with each other to accomplish defined missions. Moreover, these systems must operate in dynamic and potentially uncontrollable and unknown environments that might compromise the safety of the system and the completion of the defined mission. A model of the environment describing, e.g., obstacles, no-fly zones, wind and weather conditions might be available, however, the assumption that such a model is both correct and complete is often wrong. In this paper, we describe an approach that supports execution of missions at run time. It addresses collective adaptation problems in a decentralized fashion, and enables the addition of new entities in the system at any time. Moreover, it is based on two adaptation resolution methods: one for (potentially partial) resolution of mission-related issues and one for full resolution of safety-related issues.

”An Appraisal studies on moral deviation and It’s therapy through Manfalouti’s book “Al- Nazaraat: تقويم الاعوجاج الخلقي والدّعوة إلى الأخلاق الحميدة في كتاب (النّظرات) للمنفلوطي

Manfalouti’s literary works are recognized in addressing social issues. This is because the stories and articles are critical in the descriptions of reality. Most of these descriptions are found in his book ‘Al- nazarat”, where the author enlightens and motivates the public toward the independence of minds and respect as well as love with dignity and talent. The author focuses on the criticism of writers, journalists, poets, linguists, and the aspects of politics, social corruption resulting from the influence of western civilization, and resolution of marital and educational issues, as well as evaluation of moral deviations and call for good morals. This study highlights the evaluation of moral deviations and call for good morals using descriptive and analytical methods, by relating the similarities of the issues covered in the book, drawing conclusion based on the thoughts advocated by the author under each issue. The study discovered eight moral deviations which the author avoids and disregards those who practice them in different ways: theft, laziness, envy, arrogance, miserliness, dishonesty, alcohol, gambling. In addition, the author calls for five good morals: righteousness, integrity, patience, loyalty, and compassion.

The Implementation of an Innovative Hydration Monitoring App in Care Home Settings: A Qualitative Study.

BackgroundIn response to marked concern regarding inadequate fluid intake recording in care homes, an innovative mobile hydration app was collaboratively developed. “Hydr8” aimed to facilitate accurate recording and communication of residents’ fluid intake and ultimately increase care quality and patient safety.ObjectiveThe aim of this study was to examine the implementation of Hydr8 in a sample of care homes in one area in England.MethodsThe principles of Realist Evaluation and Action research were drawn upon throughout the study. Overall, 5 care homes participated in this study, 3 interview-only sites and 2 case-study sites, where interviews and observations were conducted at 3 time-points. Furthermore, 28 staff members participated, including care staff, management, a registered nurse, and administrative staff.ResultsFindings suggest that Hydr8 benefits practice, enhancing the understanding of hydration and person-centered care and improving staff communication. However, technical glitches hindered the seamless embedding of Hydr8 into everyday practice, and enthusiasm for long-term use was dependent on the resolution of issues. In addition, Hydr8 heightened perceptions of personal accountability, and while managers viewed this as positive, some staff members were apprehensive. However, individuals were enthusiastic about the long-term use and potential of Hydr8.ConclusionsUtilizing the findings of this study to further develop and adapt Hydr8 indicates the long-term use of Hydr8 as promising. Although perceptions of Hydr8 were primarily positive, setbacks in its implementation and use created difficulties in normalizing the solution into everyday practice. This study highlights the need for education related to hydration practice and a change of infrastructure in care home settings to implement technical solutions and changes to care.

What do subjective workload scales really measure? Operational and representational solutions to divergence of workload measures

We examine the continuing use of subjective workload responses to index an operator’s state, either by themselves or as part of a collective suite of measurements. Lack of convergence of subjective scales with physiological and performance-based measures calls into question whether there is any unitary workload construct that underpins conscious experience, physiological state and the individual’s profile of task-related performance. We examine philosophical and measurement perspectives on the divergence problem, and we consider three possible solutions. First, difficulties in reliable and valid measurement of workload may contribute to divergence but do not fully explain it. Second, workload may be treated operationally: use of specific measures is justified by demonstrating their pragmatic utility in predicting important outcomes. Third, further efforts may be made to develop representational workload measurements that correspond to real empirical phenomena. Application of formal standards for test validity can identify multiple latent constructs supporting subjective workload, including those defining self-regulation in performance contexts. Physiological and performance-based assessments may define additional, distinct constructs. A resolution of the diversity issue is crucial for ergonomics since the invalid application of workload measurement will threaten exposed operators as well as many others who are served by the complex technological systems they control.

Improving WLCG Networks Through Monitoring and Analytics

WLCG relies on the network as a critical part of its infrastructure and therefore needs to guarantee effective network usage and prompt detection and resolution of any network issues, including connection failures, congestion and traffic routing. OSG Networking Area in partnership with WLCG has focused on collecting, storing and making available all the network related metrics for further analysis and discovery of issues that might impact network performance and operations. In order to help sites and experiments better understand and fix the networking issues, WLCG Network Throughput working group was formed, which works on the analysis and integration of the network-related monitoring data collected by the OSG/WLCG infrastructure and operates a support unit to help find and fix the network performance issues. This paper describes the current state of the OSG network measurement platform and summarises the activities taken by the working group, including updates on the higher level services that were recently developed, network performance incidents investigated as well as past and present analytical activities related to networking and their results.

An ANFIS-based Optimized Fuzzy-multilayer Decision Approach for a Mobile Robotic System in Ever-changing Environment

In robotics, resolution of several difficult issues requires process intelligence. In many applications, the environment of a robot changes with time in a manner that has not been foreseen by its designer. Additionally, information on the environment is commonly inaccurate and incomplete, which is attributed to the restricted sensory activity of sensors. A new online sensor-based motion planning algorithm, which employs a fuzzy multilayer decision controller, is proposed in this study to enhance the quality of the next position in terms of safety and optimality. Fuzzy logic controller (FLC) utilizes the prediction and priority rules of multilayer approach for an effective and intelligent proposed method. Moreover, an adaptive neuro-fuzzy inference system (ANFIS) is designed, which constructs and optimizes an FLC using a given dataset of input/output variables. The ANFIS shortens the high runtime of fuzzy system, optimizes the parameters of the membership functions of inputs and outputs of the fuzzy-multilayer decision controller, and rearranges the rules to enhance the efficiency of the overall approach. The simulation and comparison results indicate the superiority of the proposed path planning algorithm from other well-known algorithms.

Comparison of Several DPM Field Monitors for Use in Underground Mining Applications

ABSTRACT To improve worker health protection and support engineering applications in underground mines, such as ventilation-on-demand, capabilities are increasingly sought for continuous monitoring of diesel particulate matter (DPM). For near real-time monitoring over periods up to a full workshift, the FLIR Airtec handheld monitor was developed and calibrated to the NIOSH Standard Method 5040 measure of elemental carbon (EC), which is commonly used as an analytical surrogate for DPM. However, needs still exist for autonomous monitoring over longer periods (e.g., weeks to months). To meet those needs, two commercially available instruments are considered here, the Magee Scientific AE33 Aethalometer and the Sunset Laboratory Semi-continuous OC-EC Field Analyzer. Along with a prototyped monitor called the Airwatch, these were tested head-to-head against the Method 5040 EC and the Airtec in a controlled laboratory setting; and against one another in a field study at an underground mine. Key findings include: the OC-EC field analyzer performed well across a wide range of EC concentrations; the AE33 performed well at relatively low concentrations, but modifications or additional data corrections are likely needed at higher concentrations; and the Airwatch showed good potential, though significant improvements will be required if this instrument is to be further developed, including resolution of several mechanical issues and selection of an appropriate filter material and development of robust data corrections. Moreover, the relative advantages and disadvantages associated with each instrument (e.g., in terms of data quality, complexity and maintenance) must be considered in the context of the intended application and sampling environment.

Attributes of Biothic Indicators as an Instrument for Assessing Ecosystem Integrity

The biotic indicators, or bioindicators, constitute a reference that con-tributes to the resolution of different issues associated with the state and evolution of the natural habitats where they are located. The information they provide can be interpreted mainly in terms of sensitivity, tolerance to different types of stress and the integrity of a forest ecosystem. The objective is (commentary 1) to present the characteristics of the bioin-dicators, which are capable of reflecting the ecosystemic integrity and provide valuation references in forest habitats. The attributes were re-ported thanks to the methodological strategy of bibliographic review through a theoretical sampling, taking into account 44 bibliographical sources that covered a time lapse between 1985 and 2016. As a result of the review, there were obtained a total of seventeen prevalent attributes in bioindicator species. Part of the discussions focus on recognizing that the study of bioindicators, and in general the principles associated with bioindication, provide potential criteria to resolve concerns beyond fully biological or ecological aspects and that are relevant in scenarios of environmental economic and/or ecological valuation. Finally, this review concludes that it has been possible to present a consensus of attributes and, at the same time, show some emerging attributes associated with biotic indicators that contribute to the analysis of the selection of bioin-dicator species in different studies.

WIZJA UKRAINY I POLSKO-UKRAIŃSKICH STOSUNKÓW W POLSKIEJ MYŚLI POLITYCZNEJ W LATACH 1945-1964

The relevance of the study of the evolution of the vision of Polish-Ukrainian relations in Polish political thought today lies in the fact that this process led to a peaceful resolution of the issue of the border in 1991, when the first Polish- Ukrainian settlements were concluded. According to some authors, the concept of ULB, also called the »doctrine of Giedroyc», has kept the entire Eastern European region from the scenario that occurred in the Balkans. In addition, in articles from the period of common communist captivity, we find many theses about the possibility of solving complicated difficult historical problems, which looks particularly active in the times of today’s next crisis in Polish- Ukrainian relations. The context of today’s Polish-Ukrainian relations is particularly important in this regard, because the crisis in the bilateral relations of our countries does not consist in any new topics, but in those that were often described by Polish and Ukrainian political journalists on emigration before the collapse of the Soviet Union. At the same time, by shaking up two directions of political thought, we can find both how common ideas and problems that the Polish and Ukrainian authors talk about, as well as the differences that today have created new problems in the relations of our countries. The scientific elaboration of the subject is diverse. If on the Polish side we find many editions of how to shape Polish Eastern policy in general, and the evolution of Polish-Ukrainian relations, then similar publications and books on the Ukrainian side are missing. And this is also the timeliness of this work. The hypothesis of the work is that the issues in which there was no complete agreement reached in these times are today partly responsible for the crisis in Polish-Ukrainian relations. At the same time, in some of the theses described in those times, many beneficial arrangements can be found now. It is worth highlighting the territorial and chronological framework to define the scope of work. The chronological work will cover the period 1945-1967. The choice of this period is conditioned by the fact that after the Second World War a new Polish-Ukrainian border was formed, which posed a number of new problems in bilateral relations. In addition, the Volyn tragedy was also a topic that needed an effort to find an agreement between the two nations.

AGRICULTURAL POLICY OF THE WEST UKRAINIAN PEOPLE’S REPUBLIC GOVERNMENT

The article covers the preconditions and features of the agrarian reform in Western Ukraine. The land question is characterized since it demanded quick actions of the government in the legislative field because of the war with Poland. In the article, the regulatory framework is investigated, which regulated the powers of the authority and administration in the agricultural sphere. Legislative resolution of the land issue for farmers would help to rebuild the destroyed farms, which would be extremely important for the future state. The purpose of the study is to justify the preconditions for land reform, its significance for the Galician peasantry, and the adoption of a legislative framework. The agrarian reform was in charge of the State Secretariat of Land Affairs, and its responsibilities included the preparation and control of land tenure reform. He was subordinated to the district referendums at the state county commissariats, who gradually grew into the land division. The methodological basis for scientific research is the principles of scientific cognition, historicism, and objectivity; both general scientific and special methods of cognition were used to study the main methodological principles and aspects of this theme. It is shown the content of the agrarian reform and its ethnopolitical direction, highlighted the role of the land management system in the economic development of the village, considered the policy of the leading Ukrainian parties concerning the agrarian question. Keywords West Ukrainian People’s Republic, agrarian reform, Ukrainian National Council, agricultural legislation.