Department Staff Research Articles

Experience with the implementation of central venous catheters by medical oncologists in a non-surgical setting

Totally implantable central venous catheters (CVCs) are widely used in the management of patients with malignant diseases. Conventionally, port implantations were carried out by general surgeons and vascular radiologists. In recent years, the medical staff of the Medical Oncology department at the Central University Hospital of Asturias (HUCA) has developed a simplified methodology for the routine implantation of these devices. The aim of this study was to review our experience of CVCs and analyze the outcomes regarding catheter duration, complications, and cost comparison with respect to conventional port implantation by vascular radiologists. An observational epidemiological study was conducted, analyzing the methodology performed in a non-surgical, outpatient setting utilizing the Seldinger technique, without fluoroscopic control. A thorax X-ray was performed after each procedure and no prophylactic antibiotics were required. From January 2015 to March 2019, five hundred port systems were implanted, with a median age of 62 years (range 18–81), male 286/female 214. Most patients had a digestive tumor (79.4%). The right jugular vein was the most accessed in 345 patients (69%), followed by right subclavian in 144 (29%). Complications were observed in 49 patients (9.8%), immediate in 16 (3.2%), and late in 33 (6.6%). Thirty-nine devices were removed (7.8%). The cost incurred for port implantations by medical oncologists was lower (994.38 € cheaper for each device) compared to those implanted by vascular radiologists. Our experience suggests that implantation of port devices by medical oncologist in a non-surgical environment is safe and cost saving regarding conventional procedures.

INFORMATION AND COMMUNICATION COMPETENCY DEVELOPMENT IN EDUCATION SYSTEM: MODERN STUDIES AND PROSPECTS

The article shows the results of international and Ukrainian experience on the development of information and communication competency of secondary education process participants, based on research and scientific achievements of academic staff of the Comparative Studies Department for Information and Education Innovations of the Institute of Information Technologies and Learning Tools of NAES of Ukraine. The main obstacles for school teachers towards the formation of computer-based learning process are underlined. The article justifies actuality, significance and necessity for creation, development and evaluation of the ICT competency in education, as well as it further investigation in order to make substantial recommendations on the improvement of education system.

Determinants of job satisfaction and motivation among community forest workers: insights from the Hindu Kush Himalaya, Pakistan

ABSTRACT To restore the forest landscape and improve livelihoods, the Government of Pakistan has implemented significant efforts under the Billion Tree Afforestation Project, with Community Forest Workers playing a key role. This study explores the factors influencing job satisfaction and motivation among these workers in the Hindu Kush Himalayan region of Pakistan. Data were collected through a survey of 362 workers and 15 interviews with village elders. The results show that low wages and agricultural landholdings reduce job satisfaction, while adequate training, timely funding for projects, prompt salary payments, and strong cooperation from stakeholders improve it. Additionally, respectful treatment by forest department staff enhances job satisfaction, while financial struggles, poor communication, and a lack of educational programmes negatively affect it. Our findings emphasise the need for the government to prioritise worker training, motivation, and foster better stakeholder collaboration to effectively involve workers in landscape restoration efforts.

Understanding good communication in ambulance pre-alerts to the emergency department: findings from a qualitative study of UK emergency services

ObjectivesPrehospital notifications (pre-alerts) enable emergency department (ED) staff to prepare for the arrival of patients requiring a time-critical response. Effective communication of the pre-alert is key to enabling the ED...

Exploring knowledge of first aid in epistaxis-25 years on.

Epistaxis is the most common acute disorder managed by ENT services. A 1998 survey (Strachan and England) demonstrated widespread ignorance of correct first aid amongst the public with only 11% of respondents applying correct first aid techniques. Here we repeated and expanded the 1998 study to investigate whether understanding of correct first aid in epistaxis amongst the public and emergency department staff has improved in the last 25 years. Posters with links to surveys were displayed in ED waiting rooms, anticoagulation clinics and ED staff rooms in multiple UK centres. Responders were asked three first aid questions: pinch position, head position, and plugging nostrils. A prospective audit was carried out in a single centre over four weeks recording the first aid was being applied at the point of ENT review for patients referred with epistaxis. 129 members of public responded. 83% do not have correct first aid technique including 77% of those on anticoagulants or aspirin. 116 ED staff responded. 64% do not use correct first aid. Over four weeks 19 patients were referred to ENT with epistaxis and of these, nine were bleeding at the point of ENT review. Adequate first aid was not being applied in 56% of those cases. Despite the morbidity of epistaxis, and the simplicity of first aid steps, there is concerning lack of understanding amongst the public and ED staff. Education (particularly for staff and the anticoagulated) may reduce emergency attendance in epistaxis patients.

Communication Strategy of the Ogan Ilir Regency Department of Transmigration and Manpower in Increasing Participation in the Job Skills Training Program in Ogan Ilir Regency

This study aims to analyze the communication strategies implemented by the Department of Transmigration and Manpower in Ogan Ilir Regency to increase public participation in skills training programs. Low participation rates present a significant challenge requiring effective and targeted communication approaches. The study employs a descriptive qualitative approach, collecting data through in-depth interviews, observations, and document reviews. Research participants include department staff, program participants, and the general public targeted by the program. The findings reveal that communication strategies utilized include printed media, digital platforms, and direct engagement through community leaders and community-based socialization. However, constraints such as budget limitations, technological infrastructure, and public awareness of program benefits hinder effectiveness. Effective strategies involve a combination of personal and digital approaches, such as leveraging social media to reach younger generations and actively involving local village officials in disseminating information. The study recommends enhancing internal staff training on public communication, optimizing the use of information technology, and strengthening collaborations with local stakeholders. With more targeted communication strategies, public participation in skills training programs is expected to improve, supporting efforts to reduce unemployment in Ogan Ilir Regency.

Effectiveness Of Financial Performance Through Cash Flow Ratio Analysis (Study Case At PT Furniture Gresik)

This study analyzes the cash flow management of PT Furniture Gresik using a quantitative descriptive approach. The focus of this research is to evaluate the effectiveness of the company's fund management through the analysis of financial statements, including cash flow statements, balance sheets, and profit and loss. Data was collected through interviews with the Head of Administrative Manager and Finance Department Staff, documentation, such as the company's daily financial and cash reports. The results showed that PT Furniture Gresik has largely complied with the GENERAL SAK in the preparation of financial statements, with several appropriate components, such as the balance sheet, profit and loss, and cash flow. However, there are some shortcomings, such as unrecorded liabilities that require estimation and incomplete financial disclosures. The cash flow ratio analysis shows fluctuations between 2022 and 2023, with a decrease in the operating cash flow and fund flow coverage ratios, despite an increase in cash to interest. These findings provide an important insight into the company's financial condition and the importance of efficient cash flow management to support the continuity and growth of the company.

Stochastic model for physician staffing and scheduling in emergency departments with multiple treatment stages

Stochastic model for physician staffing and scheduling in emergency departments with multiple treatment stages

EFFECT OF EXTERNAL AUDIT OPINION ON THE TRANSPARENCY OF FINANCIAL REPORTING QUALITY OF SELECTED NIGERIAN DEPOSIT MONEY BANKS

The growing complexity of business transactions brought about by globalization of capital markets have made it mandatory for regulators, and auditing firms to see the need for common standards in all areas of financial reporting. Despite these positive developments, the extent to which external audit opinion influences transparency of Financial Reporting Quality of selected Nigerian deposit money banks remains a subject of concern among participant in Nigerian Deposit Money Banks (NDMBs) sector. This study examined the nexus between external audit opinion and transparency of Financial Reporting Quality of selected Nigerian deposit money banks The study employed survey research design using structured questionnaire. The population of the study comprised of senior staff of accounting departments of selected NDMBs from where a sample of seven (7) banks were purposively selected based on ease of data collection. The respondents include twelve (12) senior staffs in the account departments of each of the sampled banks to give 84 respondents. Both descriptive and inferential statistics were employed for the purpose of the data analysis. Descriptive statistics include frequency tables and percentage count while inferential statistics such as multiple regression analysis was used to examine the effect of external audit opinion on transparency of FRQ of NDMBs. Findings from the multiple regression analysis showed that two of the five explanatory variables were significant in explaining variation in transparency of financial reporting quality. These are External Audit Firm Reputation (p= .000) and Perception of Financial Restatements (p=.035). The study concluded that there is a significant relationship between external audit opinion and transparency of FRQ of NDMBs. It is therefore recommended that NDMBs should continue to engage reputable external audit firms known for their stringent audit standards and independence. The significant positive impact of audit firm reputation on financial transparency underscores the need for high-quality audits.

Assessment of Hospital Anxiety and Depression Scale in Emergency Department in Iraq

Depression is (a serious medical condition that affects a person’s feelings, thought, and how to behaves. It causes sadness, hopelessness, and helplessness, interfering with daily activities) (1). Anxiety is a normal emotion that anyone experiences from time to time that range from mild to severe of worry or fear. The study's objective was to assess anxiety and depression in a sample of worker in an emergency Department worker in middle and south of Iraq. The workers in an emergency department in hospitals of middle and south of Iraq who deal with a lot of stress and under pressure most of day are sample of this study which designs to assess anxiety and depression in these workers, surely who accepted to participate in this study between Jan to May 2023 by using Hospital anxiety and depression scale (HADs) in Arabic was employed. The workers in an emergency department were more than half of them associated with significant anxiety and depression due to their works under pressure in hospitals. In conclusion, this study showed elevated risk of depression and anxiety among the emergency Department staff, and this elevated directly proportional to nature of work, Economic status, age and Level of education for worker.

Expense management for green transition in businesses for sustainability: Factors affecting electric vehicles depreciation management in transportation enterprises in Vietnam

The study’s goal is to analyse the factors influencing the effectiveness of expense management, particular devaluation expense, for means of transport in transportation enterprises as they transition to greener modes of transport, notably electric modes of transport; in other words, to investigate the Effectiveness of Depreciation Management for Electric Vehicles (EDMEV). The study conducted a survey of 36 transportation enterprises in Vietnam and discovered that 23/36 planned to transition to green modes of transportation, specifically electric vehicles. However, the process of establishing financial planning, particularly involving depreciation cost accounting and management for fixed assets, continues to present both objective and subjective challenges. In-depth interviews with ten experts (including accounting staff, managers, and planning department staff) were conducted to determine the main factors that have a substantial impact on EDMEV. From there, the study used the previous interview content to conduct additional interviews with 110 accounting staff, managers, and planning department staff from businesses operating in this field. The research used the EFA method to identify some factors influencing the EDMEV, as well as regression analysis to assess the level of influence of these factors on EDMEV in related financial projects. The study tested 7 groups of factors (Legal, Human, Software, System, Characteristic, Age, Size) and found out 2 groups of factors that had less statistically significant impact: Software and Age. From there, the study proposed a number of groups of solutions for businesses in the industry.

Система управления профессиональным развитием НПР на основе мотивации их научной активности

Most universities in the world use a motivational model in which research and teaching staff (R&P) receive degrees and titles necessary for career growth. However, objective (lack of vacancies, lack of finances) and subjective (lack of interest in research) factors can slow down their professional development. World practice shows that subjective factors can be minimized by introducing effective motivation systems for research assistants, focused on conducting high-quality research that contributes to career growth. The article presents an improved system for managing the professional growth of academic staff at universities in the Republic of Kazakhstan, based on the motivation of their scientific activity. An important criterion is documents confirming the implementation of scientific developments, such as funding agreements, joint projects and publications with practitioners. A methodology for assessing the activities of academic staff and university departments is proposed, which allows us to develop a flexible list of activities to stimulate their qualifications. This creates a synergistic effect that helps increase the professionalism and productivity of the research team.

Use of Standardized Dosing Sheets in Pediatric Emergency Care: Experience in a Third-Level Hospital.

Medication errors are one of the main causes of avoidable injuries in health care. With the aim of reducing them, a set of sheets with precalculated doses (by weight intervals) and preparation guidelines of the most common drugs in emergencies (Farmacards) was implemented in a Pediatric Emergency Department, replacing the previous manual calculation system. The aim of the study is to assess the staff's perception of safety and usefulness of the new dosing system. Pre-post intervention comparative analysis was performed by distributing an opinion questionnaire to pediatric emergency department staff in 2017 (manual calculation in situ) and 2023 (Farmacards). We obtained 60 and 55 responses, respectively, and analyzed the characteristics of the sample and the perception of the new method. Five years after its introduction, 88.5% were aware of its existence, 86.9% knew where to find it, and 76% used it "always or almost always" for critically ill patients. Greater use was observed among personnel with more years of work experience (Spearman, P = .057) and among nurses (Mann-Whitney, P < .001). The new method improved the level of perceived safety, especially for nurses (Mann-Whitney, P = .008). Standardized medication dosing systems in emergency situations aim to reduce medical errors and minimize iatrogenesis, participating in safety culture. According to the results of our study, the implementation of Farmacards shows a good acceptance by the staff and in the perception of patient safety, which is a good starting point to further optimize the quality of care. specialties: emergency medicine, general pediatrics, toxicology, and critical care.

A020: Study on the Media Image of Guizhou Village Super League Based on the Grounded Theory

Background: The report of the 20th CPC National Congress emphasizes that Chinese-style modernization entails the harmonious development of material and spiritual civilization, with the rural masses' spiritual and cultural well-being serving as a crucial indicator for rural revitalization and broader economic and social progress. In this context, "VBA", "village super" and other rural sports events are popular throughout the Internet, enriching people's spiritual and cultural life, injecting new vitality and vitality into the cause of national fitness, and contributing new ideas to rural revitalization and ethnic integration development. Guizhou village Super League refers to the Rongjiang (Sanbao Dong Village) and the United States Rural Football Super League in Qiandongnan, Guizhou Province. This competition will start on May 13, 2023, and finish on July 29 of the same year. After that, a series of football matches will be held regularly in the host place of the United States Rural Football Super League, also known as Guizhou village Super League by the masses. Method: This paper used Grounded Theory to encode text data related to Guizhou village Super League, and constructed a theoretical model of media images of Guizhou village Super League. The research data came from the news text reports, news video texts, journal articles, and interview texts of 7 people, including staff of local functional departments in Rongjiang. Result: The findings revealed that the media image of the Guizhou Village Super League is characterized by its vibrant atmosphere, pure sporting competition, inclusive celebration involving all members of society, and fusion with local customs. The ethnic diversity and cultural richness exhibited in this competition are identified as key drivers shaping its media representation. Conclusion: Based on these findings, suggestions for advancing rural sports events in China included: 1) integrating superior resources to establish distinctive stadiums; 2) preserving local characteristics while organizing authentic competitions; 3) promoting coordinated governance among functional departments to safeguard people's autonomy; 4) transforming such events into platforms for cultural exchange aimed at bolstering confidence in Chinese culture.

Analysis of Infection Prevention Control Management of Central Sterile Supply Department (CSSD) Staff

Background: The Central Sterilization Supply Department’s (CSSD) main function is to clean, disinfect and provide sterile items for subsequent use by healthcare professionals in various hospital departments, including the ambulance. Materials and Methods: A survey of infection prevention control (IPC) knowledge, practice, and infrastructure adherence was conducted in a selected government super-speciality hospital's central sterilisation supply department (CSSD). The data were analysed, and a report with recommendations was presented to the institution's head. Results: The overall response showed good knowledge and practices with hospital environmental adherence to infection prevention control protocol with few infrastructure modifications facilitating the unidirectional flow pattern. Conclusion: This study was able to bring insights into the staff knowledge and practice towards IPC adherence

Effectiveness of a locally developed cultural responsiveness tool for Australian teachers.

Australian Indigenous students are underperforming academically. Northern Territory students show the most significant underperformance. Few studies investigate resources for preparedness of teachers to cater to Indigenous students. This study aimed to test a teacher tool created to support teacher professional development. The study participants comprised of teachers, department staff, registration board representatives, and education lecturers. Most respondents believed the tool had potential to improve cultural competence and suggested other improvements. The low response rate from teachers could be considered a limitation of the study but findings contribute to literature on teacher efficacy and Australian teacher development in reducing Indigenous disadvantage.

Ionizing Radiation Safety Perception of Hospital Radiation Exposed Workers

Occupational health and safety have become essential pillars in the modern workplace, reflecting the growing emphasis on valuing employees within their work environments. As Turkey has seen a rise in occupational accidents and diseases, new legal regulations have become necessary. The goal of these regulations extends beyond merely preventing accidents and illnesses; they also aim to foster mental well-being through a safe working environment. A particular area of concern is the radiation risk in the healthcare sector. This study explores the potential hazards and risks faced by healthcare workers who are exposed to radiation by reviewing existing literature. It assesses the devices used by radiology department staff and their associated exposurelevels. Furthermore, the study proposes strategies to enhance risk awareness amongthese workers and to mitigate potential dangers.

Evaluation of the Safety Rate in the Diagnostic Radiology Departments in Alkhoms City, Libya

Diagnostic radiation such as X-rays and CT scans play a central role in the diagnosis of diseases. Excessive radiation exposure poses a high risk for healthcare providers as well as patients, which may cause serious diseases such as cancer. Providing protection requirements in the radiation departments and continuous inspection to prevent radiation leakage is the right way to provide human protection. The current study aimed to evaluate the safety rate in the diagnostic radiology departments in Alkhoms City. The questionnaire designed for the study in Arabic language, presented to experts for verification and review, then distributed to eleven medical centres in the Alkhoms region containing many relevant questions regarding the radiology department such as the name and address of a medical centre, in-formation about users and safety. Lead plates are present in 91% of health centres 36% of health centres installed lead plates for 1-5 years, 27% for 6-10 years, and 36% for 21 years or more. Lead plates are inspected once in 27%, three times in 9%, and four times or more in 9% of medical centres, on the other hand, 56% of medical centres didn’t inspect lead plates since installed. The lead plates last examined in 27% of medical centres a year ago, in 9% examined less than five years ago, and in 9% examined less than twenty years ago. On the other hand, 56% of medical centres have not performed any check-ups since installation. Protection glass and lead plates are present in 82% of medical centres, a radiation protection gown is present in 36%, and a dosimeter is present in 9% of medical centres only. Only 18% of health centres have organised a training programme for their radiology department staff. The safety rate in radiology departments in Alkhoms City- Libya is low because most medical centres lack protective equipment, and if they do, there is no regular inspection or testing of this equipment.

College Sport Communicator Leaders’ Perceptions of Sport Information Operations

Recent research indicates College Athletic Communicators (CACs) could benefit from more staff in the communication department (Elliott et al., 2023). However the request may not be supported by administration as additional staffing may not fit in the budget. Therefore, it appears imperative to evaluate no-cost options to alleviate the feelings of being under-appreciated and overworked. The College Sport Communicators (CSC) professional association may be a strong advocate for the profession and may have the ability to provide needed resources for those serving in CAC positions. Therefore, the research presented in this study aims to explore the perspective and experiences of CSC leaders to evaluate how to better serve the CAC profession with an understanding of limited resources. In this study, semi-structed interviews with CSC leaders were conducted. Data provided by the participants indicate ways for CACs to avoid burn out and how athletic administrators can work to support the profession.

Well-being interventions for emergency department staff: ‘necessary’ but ‘inadequate’ – a phenomenographic study

IntroductionStress and burnout are prevalent among emergency department (ED) staff in the UK. The concept of well-being interventions for ED staff is a growing area of interest and research worldwide....