Stages Of Integration Research Articles

DIGITALISASI SISTEM INFORMASI ANJUNGAN PENDAFTARAN MANDIRI (APM) RAWAT JALAN BERBASIS WEBSITE MENGGUNAKAN METODE RAPID APPLICATION DEVELOPMENT (RAD) DI RSU HAJI MEDAN

In order to achieve faster and more accurate hospital services, hospitals need to establish and have an electronic based website. The problem that still exists at Medan Haji General Hospital is related to the absence of the use of a website based outpatient self-registration platform (APM) information system. This is because officers still lack understanding of the importance of website based information systems and the limitations of an IT person to design the application. The purpose of this research is to design a website based information system for self registration booths (APM) at the Haji General Hospital in Medan. The method in this study uses the Rapid Application Development (RAD) model. The results that were concluded from the respondents were to find out whether or not there were deficiencies in the website that had been designed, and to find out whether the website system that had been designed was accepted or not by the Medan Haji Hospital. Researchers created a website design using Microsoft Office Visio 2013 to create Entity Relationship Diagrams (ERD) and Data Flow Diagrams (DFD). The integration and system testing stages of each program unit are integrated with each other and tested as a total system. Then the system will be sent to the system user. Website testing that has been designed uses testing with the Blackbox technique. The conclusion is that it can facilitate the patient quickly and efficiently. It is suggested that this system can be developed for the future so that it can be done electronically and the system can cover not only old patients, but also new patients so that it can be more effective and efficient in reducing long queues during registration at the hospital.

Stage-wise green supply chain management and environmental performance: Impact of blockchain technology

In the era of globalisation, the use of technology and concerns for sustainability is eminent in the supply chain management practices. The current study focuses on sustainable and green supply practices in different stages of supply chain management and how they can be facilitated by blockchain technology (BT). The study has addressed the existing gaps in the area namely, the lack of research assessing stage-wise green supply chain for environmental performance focusing on BT. The current study aims to assess the impact of BT on different stages of the green supply chain and a firm's environmental performance. The study also focuses on analyzing the impact of green supply chain stages on environmental performance. The study uses PLS-based structural equation modelling approach to investigate the hypothesised relationships between BT adoption and stage-wise green supply chain practices. The data was collected from individuals from medium-sized enterprises from the manufacturing industry in India. The findings reveal a positive association between blockchain adoption and green supply chain management practices leading to enhancement in environmental performance. Furthermore, the study indicates a positive relationship between blockchain integration and different stages of the green supply chain, underscoring its multi-faceted impact on environmental performance. The findings imply that the BT adoption can facilitate the realization of sustainable supply chain practices and performance improvement.

Climate policy integration as a process: from shallow to embedded integration

ABSTRACT Across many policy areas, policymakers try to integrate new policy issues into old policy processes. This is challenging. Getting to net-zero greenhouse gas emissions requires radical change across a broad range of societal sectors; thus, climate policy integration is essential. This article develops a new processual perspective on climate policy integration, allowing assessment, classification, and comparison of various stages of integration across policy processes, and over time. The integration process can be shaped by differing institutional logics. In a study of Norwegian agricultural policy, we identify three logics: multifunctional, market failure, and socio-technological transition. These portray differing frames, objectives, instruments, and sector involvement as appropriate ways of linking climate concerns to agricultural policy. We suggest that a shallow integration process is characterized by a sector-specific logic that facilitates discussions of policy frames and goals. In an embedded integration process, multiple logics are mobilized, and a broader range of policy elements are discussed: frames, goals, instruments, and sector involvement in the process. Consistent and contested integration processes are intermediate categories. Climate integration in Norwegian agricultural policy had the hallmarks of a shallow process in 2006–2009 but changed to a contested process in 2016–2021.

The influence of enterprise dormitories on the urban integration of migrant workers in China: an exploration of two distinct migration stages of individual and family migration and the differences between them

The role of enterprise dormitories as the main living arrangements of Chinese migrant workers who are registered as rural residents but make their living in cities in pursuit of urbanisation cannot be ignored. However, the existing research on living spaces and the urban integration of migrant workers lacks sufficient focus on enterprise dormitories. Using the logit model to examine representative data on the Pearl River Delta and Yangtze River Delta areas and applying a national dataset taken from the China Migrants Dynamic Survey, we analyse how enterprise dormitories affect the urban integration of migrant workers across the different migration stages in this paper. The research results reveal that there are two migration stages in the urban integration of migrant workers. In the individual migration stage, based on the production target, enterprises accommodate migrant workers as a means of reducing their labour costs by increasing the labour time input of migrant workers. Moreover, in the family migration stage, enterprise dormitories are conducive to the low-cost integration of migrant workers into urban society, but they negatively affect further family migration because of the insufficient family living space that they provide. This research offers the intellectual foundation required for not only resolving the contradiction between the family reunification of migrant workers and their employment situation but also for the optimisation of housing policy.

Current State and Prospects for Developing Carbon Integration in the Eurasian Space

The processes of decarbonisation of the world economy, expressed among other things in the increasing use by states of carbon pricing mechanisms and the strengthening of the role of green protectionism in international trade, create certain challenges for the competitiveness of the economies of the Eurasian Economic Union (EAEU) countries, setting them the task of harmonizing national approaches within the framework of the climate agenda and subsequent carbon integration. This article, based on a comprehensive analysis of the economic and legal aspects of national and supranational climate regulation, examines factors that can contribute to the development of such integration in the Eurasian space, and identifies existing and potential challenges that could have an impact on it. We propose a definition of carbon integration as one of the areas of climate integration, analyzed the current conditions for its development, and identified potential measures for its further improvement and regulation in the EAEU. The authors come to the conclusion that, despite such factors as the initial stage of climate integration in the Eurasian space, the existing differences in the climate regulation regimes of the countries of the association (manifested among other things in the heterogeneity of the development of institutional and legal frameworks for the application of carbon pricing mechanisms), the scale of the consequences of introducing the European CBAM (Carbon Border Adjustment Mechanism) for the national economies of the countries under consideration, opportunities and conditions for investing in green projects and greening of production, carbon integration remains one of the necessary conditions for the successful development of trade and economic relations of the EAEU member states at both regional and global levels.

Research on the Path of Dependent Upgrading of Industrial Digital Service Providers

In the era of Industry 4.0, characterized by the rapid evolution of the Internet and modern digital innovation technologies, the digital economy is experiencing steady growth. The acceleration of digital technology innovation and iteration not only enhances social productivity and optimizes resource allocation but also introduces new challenges. This article takes Zhejiang Juyang Technology Co., LTD. as the research object, mainly analyzing the path of Juyang's digital transformation relying on Alibaba platform. The team summarizes the development process and successful digital transformation experience of Juyang through field research, online and offline data collection, questionnaire survey and other methods, based on literature analysis. Based on the three stages of integration, symbiosis and autonomy, the article explores the path of "integration-symbiosis-autonomy" in the process of enterprise transformation and upgrading, and summarizes some valuable experience and enlightenment, hoping to provide reference for the digital transformation of enterprises.

Organisational transformation toward circular economy in SMEs. The effect of internal barriers

This study investigates the dynamic process of circular economy (CE) implementation in small and medium enterprises (SMEs). We draw on an integrated theoretical framework that combines environmental literature and strategic orientation to explore the interplay between barriers, organisational transformation, and different stages of CE integration. Through a comprehensive empirical analysis, based on an EU database of 16,365 SMEs, we confirm the presence of feasibility barriers and resource related barriers that affect the CE implementation process. Our findings reveal a twofold pattern: initial feasibility barriers, primarily perceived by senior managers, and subsequent resource-related barriers that SMEs encounter during implementation. Moreover, our findings reveal that successful organisational transformation pivots on the SME's capacity to transform these barriers from deterrents into challenges to be overcome. We highlight the significance of a gradual integration approach, emphasizing the role of diverse environmental activities.

Microeukaryotic communities diversity with a special emphasis on protozoa taxa in an integrated wastewater treatment system

This study developed an integrated wastewater treatment system that combines an upflow anaerobic sludge blanket (UASB), downflow hanging non-woven fabric (DHNW), and anaerobic baffled reactor (ABR) to explore the effect of treatment stages on the diversity of microeukaryotic communities. This study aimed to bridge the knowledge gap regarding the influence of integrated system stages on microeukaryotic community diversity. Through 18S rRNA amplicon sequencing, we identified unique microeukaryotic communities across different stages, with the aerobic phase hosting 35.77% of unique amplicon sequence variants (ASVs). The results of principal component analysis (PCA) and non-multidimensional scale analysis (nMDS) demonstrated the significant influence of wastewater treatment on both environmental factors and the microeukaryotic communities. Ciliophora was notably abundant in the effluent (42.09%) and sludge (17.11%). The aerobic stage was dominated by Ochrophyta, a diverse group of algae instrumental in nutrient removal, such as nitrogen and phosphorus, through biological processes. A redundancy analysis (RDA) revealed a positive correlation between chemical and biochemical oxygen demand and Cryptomycotina, highlighting its potential as a bioindicator for treatment efficacy. The detection of protozoan species, such as Acanthamoeba castellanii and Vermamoeba vermiformis, in the outlet stage poses health risks, whereas Cryptosporidium sp. was found in both the inlet and aerobic stages but not in the outlet. Our study reveals the complex nature of microeukaryotic diversity in the wastewater treatment system and its implications for treatment performance and public health.

Basic stages of integration and social inclusion of migrants, refugees and forcibly displaced persons: stage 3 «acceptance and stability»

Basic stages of integration and social inclusion of migrants, refugees and forcibly displaced persons: stage 3 «acceptance and stability»

Neural correlates of individual differences in multimodal emotion recognition ability

Studies have reported substantial variability in emotion recognition ability (ERA) – an important social skill – but possible neural underpinnings for such individual differences are not well understood. This functional magnetic resonance imaging (fMRI) study investigated neural responses during emotion recognition in young adults (N = 49) who were selected for inclusion based on their performance (high or low) during previous testing of ERA. Participants were asked to judge brief video recordings in a forced-choice emotion recognition task, wherein stimuli were presented in visual, auditory and multimodal (audiovisual) blocks. Emotion recognition rates during brain scanning confirmed that individuals with high (vs low) ERA received higher accuracy for all presentation blocks. fMRI-analyses focused on key regions of interest (ROIs) involved in the processing of multimodal emotion expressions, based on previous meta-analyses. In neural response to emotional stimuli contrasted with neutral stimuli, individuals with high (vs low) ERA showed higher activation in the following ROIs during the multimodal condition: right middle superior temporal gyrus (mSTG), right posterior superior temporal sulcus (PSTS), and right inferior frontal cortex (IFC). Overall, results suggest that individual variability in ERA may be reflected across several stages of decisional processing, including extraction (mSTG), integration (PSTS) and evaluation (IFC) of emotional information.

Transformative experiences: a conceptual analysis of the integration process

ABSTRACT Transformative experiences are becoming an important economic offer in various service contexts. Current research primarily focuses on what triggers transformation. However, what is much less known is the aftermath and integration of such experiences. A transformative experience can only be considered complete when glimpses of new insights are accommodated, new knowledge structures emerge, and epistemic expansion occurs. This renders the integration stage one of the most critical parts of the transformative process. This conceptual research paper aims to zoom in on transformative experience integration by proposing a multi-phasic process model. The paper is novel and advances transformation theory and practice in that it focuses on the overlooked mechanisms of integration. By bridging the fields of transformative service research, positive psychology, and experience design, the paper contributes an original model as a missing puzzle piece to intentionally design and guide life-changing and long-term personal development experiences in a service setting.

Housing-industry transformation development and rural revitalization path based on complex adaptive system in Three Gorges Reservoir Area of China

The core of dual circulation in the Three Gorges Reservoir Area (TGRA) and the greening Yangtze River is sustainable development. Reservoir housing-industry coordinate sustainable is extremely important to ensuring a more sustainable TGRA. Here, we investigate the overall characteristics of housing-industry transformation development and rural revitalization path in the TGRA at microscopic perspective. Taking Wutu village (WTV), a historical and cultural rural in the TGRA, as case study area, we also analyze the evolution, stage characteristics, and trends of housing-industry system (HIS) using theoretical analysis and empirical research from the perspective of spatio-temporal-development and complex adaptability system model. The findings reveal that: (1) In the traditional housing-industry separation stage(1978–1998), the development of villagers' self-organization and the positive and correct leadership of the village party branch are the dominant forces for the evolution of HIS in WTV. The adaptive behavior of the main body and the strength of the housing-industry effect are limited, and the evolution of the HIS is in the accumulation stage of quantitative change. (2) In the stage of cooperative transformation of housing-industry (1999–2018), the positive and correct leadership of the village party branch is the dominant force of the evolution of HIS in WTV, and the government's policy support is the main force of the evolution of HIS in WTV. (3) In the stage of modern housing-industry integration (2019 to present), the interaction of multiple subjects is the dominant force in the evolution of HIS in WTV. Multiple entities further adapt to various changes in the external environment, and the system structure and level have taken a qualitative leap. Overall, the evolution of HIS in WTV is a dynamic and continuous process. Based on the evolution stage and driving mechanism of HIS, it is necessary to improve the self-organization and adaptive response and ability of the complex adaptive system in WTV, adapt to the general law of system evolution, and effectively regulate the transformation and upgrading of HIS in WTV. Our research outcomes offer valuable insights for fostering rural transformation, enhancing the housing-industry environment, and ultimately propelling the TGRA towards a more sustainable and prosperous future.

Exploring AI-driven Innovations in Image Communication Systems for Enhanced Medical Imaging Applications

Artificial intelligence (AI) has emerged as a promising avenue for enhancing medical imaging systems and improving clinical workflows. This research explores innovative applications of AI and deep learning for image communication networks in healthcare. Specifically, we develop an intelligent image compression framework that optimizes data transmission and speeds interpretation of radiology scans. Our approach combines convolutional neural networks, generative adversarial networks, and specialized image filters to balance communication efficiency, diagnostic accuracy, and system latency. Rigorous experiments validate superior performance over traditional methods and commercial products across modalities including MRI, CT, and ultrasound. Crucially, the proposed methods demonstrate expert-level precision in anatomy labeling and pathology detection. By intelligently streamlining image transfer and analytics, this AI-powered system could facilitate ubiquitous, real-time diagnostics via telemedicine. Enhanced connectivity between imaging devices and clinical specialists can improve patient outcomes and reduce healthcare costs. Our solutions set the stage for more advanced AI integration in imaging networks and data-intensive medicine

DEVELOPMENT OF QUALITY CONTROL METHODS FOR A FINISHED IODINE- CONTAINING MEDICINAL PRODUCT IN THE STUDY OF THE DISCIPLINE "CHEMISTRY OF MEDICINAL PRODUCTS"

The paper highlights the main issues related to the development of methods of quality control of input materials (methods of control of input raw materials), active and auxiliary substances of raw materials, quality control of the ready-to-use veterinary medicinal product "Iodozol", when studying the discipline "Chemistry of medicinal products" by students of higher education. The main questions that may arise for students when developing appropriate specifications for ready-made medicinal products are analyzed. The study was based on the study of the materials of the registration dossier for the veterinary medicine "Iodozol" (solution for intrauterine use, aerosol), obtained from the author's own experience. The article presents the main aspects of the development of quality control methods for the veterinary preparation "Iodozol", an integral stage of which is, in fact, the development of methods for controlling the active and auxiliary substances of the medicine. The analysis and introduction of theoretically based quality control methods for the veterinary medicinal product "Iodozol" into pedagogical activities will allow students to systematize the acquired knowledge, practical skills and their use in future professional activities

Model for integration of information and communication technologies in resource sharing practices for enhanced service delivery in academic libraries in southeast Nigeria

PurposeThis study aims to develop a model for integration of information and communication technologies (ICTs) in resource sharing practices for enhanced service delivery in academic libraries in Southeast Nigeria. Seven objectives guided the study; ICT-based resource sharing practices in academic libraries in Southeast Nigeria; ICT infrastructure for resource sharing; ICT needs of librarians for resource sharing practices; stages of ICT integration in resource sharing; perception of librarians towards ICT-based resource sharing; challenges to integration of ICT in resource sharing practices; design a model for the integration of ICT into resource sharing; all in academic libraries in Southeast Nigeria.Design/methodology/approachThe research design adopted for this study is the mixed research design containing the “descriptive survey” research design and the “research and development, R&D.” The population of the study is 164, comprising all of the librarians in federal universities in Southeast Nigeria. All of the librarians of the five federal universities will be involved in the study. Hence, there was no sampling. The instrument for data collection is a structured questionnaire.FindingsThe findings of the study revealed that 88.8% of the librarians use ICT to boost the volume of resources; while 74% of the librarians were positive in all responses pertaining to ICT-based resource sharing practices in the libraries. The study also revealed that ICT infrastructures in the library for resource sharing are highly available and applicable; while computers and internet networks are the most needed gadgets for the operations. Libraries in Southeast Nigeria are in the applying and transforming stages of ICT adoption at a 69.7% response rate; while the librarians have a strong belief and understanding that a lot can be achieved in resource sharing through ICT; and would recommend such. Poor electrification, inadequate funding and unavailability of some ICT technologies were equally identified as challenges. The study conclusively developed a resource sharing model, the Southeast Federal University Library Connect; accessible at https://southeastfeduniconnect.njh.com.ngOriginality/valueThe research study is one of the few types of research that has developed a functional model for resource sharing in academic libraries in Southeast Nigeria.

Large language models could change the future of behavioral healthcare: a proposal for responsible development and evaluation

Large language models (LLMs) such as Open AI’s GPT-4 (which power ChatGPT) and Google’s Gemini, built on artificial intelligence, hold immense potential to support, augment, or even eventually automate psychotherapy. Enthusiasm about such applications is mounting in the field as well as industry. These developments promise to address insufficient mental healthcare system capacity and scale individual access to personalized treatments. However, clinical psychology is an uncommonly high stakes application domain for AI systems, as responsible and evidence-based therapy requires nuanced expertise. This paper provides a roadmap for the ambitious yet responsible application of clinical LLMs in psychotherapy. First, a technical overview of clinical LLMs is presented. Second, the stages of integration of LLMs into psychotherapy are discussed while highlighting parallels to the development of autonomous vehicle technology. Third, potential applications of LLMs in clinical care, training, and research are discussed, highlighting areas of risk given the complex nature of psychotherapy. Fourth, recommendations for the responsible development and evaluation of clinical LLMs are provided, which include centering clinical science, involving robust interdisciplinary collaboration, and attending to issues like assessment, risk detection, transparency, and bias. Lastly, a vision is outlined for how LLMs might enable a new generation of studies of evidence-based interventions at scale, and how these studies may challenge assumptions about psychotherapy.

Georgian Aristocracy in the Politics of the Russian Empire: Mechanisms and Stages of Integration

This article examines the process of integration of the Georgian elite into the social and political space of the Russian Empire in the first half of the nineteenth century. In this case, integration should be understood as confirmation of the class rights of the Georgian nobility. This process lasted for half a century. The first part of the article analyses the efforts of the Russian authorities aimed at finding an optimal format for confirming the class rights of the Georgian elite. The class guarantees of the Georgian aristocracy were recorded in several documents, most notably in the Treaty of Georgievsk in 1783 and the Manifesto to the Georgian People in 1801. In addition, the rights of the noble Georgian class were guaranteed in several official proclamations of the regional Russian administration. However, the “nobilisation” of the Georgian elite encountered several legal obstacles and was delayed. Another problem of the Russian government was the unauthorised issuance of princely and noble letters by Georgian princes, who, after the liquidation of the royal house of Bagration, were resettled to Russian capitals. The government was not immediately successful in stopping this illegal practice. All these difficulties led to the fact that by the middle of the nineteenth century, most representatives of the Georgian nobility had not received recognition of their class rights at the imperial level. The second part of the article examines the activities of the first Caucasian Viceroy, Mikhail Vorontsov, aimed at completing the process of the “nobilsation” of the Georgian nobility. In 1846, at the proposal of the Viceroy, two special temporary commissions were created in Tiflis and Kutais to examine the class rights of the Georgian nobility. The commissions consisted of representatives of the Georgian nobility and Russian officials. The work of the commissions was completed in 1849, and a year later the lists of Georgian princes and nobles received the approval of Emperor Nicholas I. The Confirmation of rights made the Georgian nobility part of the imperial elite and motivated Georgians to take an active part in empire-building.

A Comparative Analysis of Key Integration Blocks

Why is integration progressing successfully in some parts of the world but not in others? Why are only some integration blocks hugely important for member countries? And why this is not the case globally? This article provides a comparative analysis of international economic structures, aiming to identify the factors that contribute to the validity and effectiveness of integration.
 The article examines eight economic blocks: the European Union, the Agreement between the United States of America, the United Mexican States and Canada, the Southern Common Market, the Association of Southeast Asian Nations, the Euroasian Economic Union, the South Asian Association for Regional Cooperation, the African Union, and the Regional Comprehensive Economic Partnership. We take into account five stages of integration: free trade area, customs union, single market, economic union, and monetary union. To understand the progress of integration, one must consider a number of developments and indicators. The coefficient of economic gravity, which we describe in this paper, is a convenient method to find out how important integration structures are for contracting states.

THE DETERRITORIALIZATION CULTURE OF ISLAMIC BOARDING SCHOOLS: A NETNOGRAPHY STUDY OF LIVE STREAMING USERS OF KULIAH IHYA' TEMATIK AND NGARIKSA ON FACEBOOK

The teaching tradition of Islamic boarding schools has encountered deterritorialization. Islamic boarding schools that used to be distinguished by traditionality have transformed the management, financial, and learning traditions following digital developments. This article aims to examine the substantial shift in Islamic boarding school intellectual traditions from traditional to digital, which will then be called 'online recitation’, through live Facebook streaming content of Kuliah Ihya' Tematik (Ihya' Thematic Lectures) and Ngariksa (Questioning). The data were collected through documentation, surveys, and in-depth interviews involving kyai, production teams, and online santri (student) of two Facebook accounts: Ulil Abshar Abdalla (Ihya' Thematic Lectures) and Oman Fathurahman (Ngariksa). Data was analyzed using netnography through investigation, interaction, immersion, integration, and incarnation stages. The results showed values, rituals, heroes, and symbols in the deterritorialization culture of Islamic boarding schools. Followers of the online recitation get a social experience (becoming more sensitive to social issues) and a ritual experience (calmness in living life) after participating in the Ngaji online through live streaming or recorded playback. Research contributes to the development of Islamic communication science where Islamic boarding schools as the oldest Islamic educational institutions in Indonesia can communicate to the wider community about learning activities in Islamic boarding schools through social media which is of great interest to the public.

Modern Methods of Obtaining Immune Dendritic Cells With Anti-Tumor Potential

Dendritic cells (DCs) initiate and shape both innate and adaptive immune responses. They specialize in presenting antigens to naïve T cells, thereby directing T cell immune responses and contributing significantly to the maintenance of antitumor immunity. In both human and animal bodies, these cells are present in limited quantities, posing challenges in their procurement. Hence, the quest for obtaining DCs with antitumor properties in vitro from progenitor cells for clinical or experimental use remains pertinent. This research aims to consolidate existing studies on deriving immune DCs from progenitor cells for application in anticancer therapy. Analysis of published reports reveals that monocytes from peripheral blood, mononuclear cells from bone marrow, and cord blood can serve as precursor cells of immune DCs. Protocols for generating immature DCs from progenitor cells involve the addition of various combinations of cytokines to the culture, including granulocyte-macrophage colony-stimulating factor, interleukin-4, and other cytokines. The extensive range of cytokines and conditions influencing the differentiation and functional activity of DCs results in considerable heterogeneity in the phenotypic and functional characteristics of these cells. Sources of tumor antigen for DC-based vaccines encompass tumor lysates, indivi­dual tumor proteins, peptides, and tumor cells in a state of immunogenic apoptosis. This paper delves into the use of maturation factors and cryopreservation as integral stages in obtaining immune DCs. A comprehensive understanding of the parameters involved in obtaining immune DCs is imperative for the development of DC-based vaccines to unleash their full antitumor potential.