Support Facilities Research Articles

Prolong Submersion in the Swimming Pool without Neurological Outcome

Abstract Drowning can be defined as a chain of events of respiratory disability due to submersion or immersion in liquid with sequelae such as irreversible brain damage, heart failure, and death. The main organ in a drowning subject is the brain, which has almost zero energy and oxygen stores and hence needs a continuous supply of blood to fulfill its need for oxygen and loss of laryngospasm. This leads to massive aspiration, lung atelectasis, and edema. This unique and miracle case was a child submerged in a swimming pool for a prolonged period without receiving CPR, traveling from the drowning place to the present hospital around 30 km. The patient came from a small village where there were no facilities of ambulance inbuilt basic facilities or advanced life support. He was on a mechanical ventilator in the pediatric intensive care unit in the present institute. He was unconscious on admission. Recovered from all complications and was discharged without any neurological abnormalities. A 13-year-old boy was admitted to the pediatric emergency department with a history of drowning in a swimming pool; he was a nonswimmer and went with his friends who were swimmers, where he accidentally fell into the water without notice from other friends. After not finding him around, his friends searched for him. They found him immersed in water at the bottom of the pool for about 10–15 min, not receiving cardiopulmonary resuscitation (CPR) as nobody was trained. The primary diagnosis was drowning without neurological complications. Therapeutic interventions included a mechanical ventilator, intravenous antibiotics, intravenous steroids, chest physiotherapy. On discharge patient had no neurological complication except limping of right foot. After 1 month of follow up, central nervous system examination was within the normal limits. No limping was seen. No neurological deficit was observed. Drowning is a common etiology of accidental mortality in the pediatric age group. Most victims not treated with CPR at the site develop permanent neurological deficits. Proper and effective management can improve many complications caused due to drowning. Guidelines should be strictly followed in private/public swimming pools to have all duties of lifeguards who are trained in CPR. Drowning patients should be managed in hospitals with well-equipped mechanical ventilators, including trained staff.

Ab. No. 37 Exploring the Perceptions about Exercises Among Women With Infertility: A Qualitative Study

Introduction: Although there is evidence to support the importance of exercise to improve the chances of conception, poor exercise adherence has been reported in this population. Understanding the perception of exercises will aid in designing exercise programs that may facilitate better adherence. Infertility is a rising global issue and women face greater stigma and consequences of infertility in developing countries. This qualitative study aimed to explore the perceptions about exercises among women with infertility. Methods: Face-to-face semi-structured in-depth interviews were conducted among twenty women with infertility aged between 18-45 years. Women with unstable physical or mental conditions were excluded. The primary investigator conducted in-depth face-to-face interviews using a validated interview guide. Data collection was continued until thematic saturation was attained. The data was managed using ATLAS ti software. Two steps were carried out for thematic data analysis. Relevant codes were grouped based on their similarity into code families. Result: Women often sought information about exercises from social media, doctors, and family members. Preferred types of exercises were brisk walking and yoga. Supportive family and facilities were the main facilitators and lack of awareness, lack of time, lack of motivation, and lack of family support were identified as barriers. Conclusion: Individual perception of health and fitness, the preferred mode of exercise, barriers, and facilitators to perform exercise should be considered before planning an exercise intervention for women with infertility. In our study, the perception of exercise practices among overweight/obese women with infertility remains understudied. Future research could focus on obese or overweight women with infertility (both in rural and urban settings) as it would provide unique perspectives about their perception of exercise Implications: This study warrants the necessity to implement health education and awareness programs regarding the benefits of exercise in this population.

University Rankings in Sport Science: A True Reflection of Excellence?

University rankings often serve as benchmarks for excellence in academic evaluation. For example, ShanghaiRanking data from 2016 to 2023 for the Global Ranking of Sport Science Schools and Departments reveal consistent dominance by Australia (23.1%), Canada (18.0%), and the United States (12.0%), collectively counting over half of the top 50 universities worldwide. Nevertheless, there is uncertainty about how the methodology behind these rankings shapes a reality as much as it reflects one. Our intention is to discuss the complexity of university rankings, using ShanghaiRanking as an example, to highlight how these rankings reflect academic excellence within the field of sport science. Current Evidence: When ranking universities in sport science, several aspects of academic excellence could be considered in addition to research metrics currently considered in ShanghaiRanking (publication, citation, citations per publication, top 25% journal publications, and internationally collaborated publications). These aspects may include (1)teaching quality, (2)practical training, (3)industry links and employability, (4)support services, (5)facilities and equipment, (6)international network, (7)community engagement, (8)sustainability and ethical practices, and (9)interdisciplinary approach. Altogether, they could provide a more comprehensive view of the quality and effectiveness of a sport-science program. The ranking of sport-science institutions poses a complex challenge due to diverse factors influencing academic excellence. Engaging in a broader dialogue and refining internationally relevant evaluation methodologies are crucial. These steps enable comparability between countries and provide a holistic understanding of the multidimensional nature of academic excellence in sport science.

Accountability Mechanisms In Result Based Financing And Their Implementation In Lira District, Northern Uganda

Introduction: Results based financing has been proposed as an innovative reform to enhance systems performance in Uganda. Lira District is one of the districts implementing the national results-based financing (RBF) scheme under the Uganda Reproductive Maternal and Child Health services Improvement Project (URMCHIP). The diversity of relationships among various actors in RBF implementation underscores the need for mechanisms to ensure accountability among them. This was a case study which aimed at exploring the RBF accountability mechanisms, their implementation, and related factors in Lira District. Methodology: The study was a descriptive case study employing qualitative methods. The data collection methods included a) focus group discussions with the health workers from RBF facilities, b) key informant interviews with key actors in the RBF program at the MOH as well as in the district including district managers, health facility in charges, verifiers, members of the health facility management committees, c) document review of RBF documents, annual progress and audit reports. were analyzed thematically guided by a framework that explored the relationships and related accountability arrangements in RBF. Results: Several accountability relationships do exist among actors in RBF program and each relationship has associated accountability mechanisms for example, accountability mechanisms between MOH and the district include MOUs and business plans, while between the district and facilities mechanisms include reporting, data verifications, financial audits while display of results on notice boards, complaint boxes are mechanisms between the facility and the community. Regular support supervision and facility innovations such as meetings complimented RBF-specific designs. Challenges hindering smooth implementation of accountability mechanisms included infrequent financial support to enable regular support supervision/verification visits by Expanded District Health Management Team (EDHMT) and corruption tendencies. Conclusion: Implementation of accountability mechanisms in RBF in Lira is suboptimal due to the various RBF design and implementation challenges. There is need to support the EDHMT and facility managers’ in terms of capacity building and facilitation to do their work. Additionally, efforts need to be undertaken to address delayed disbursement of funds and corruption impeding the implementation of accountability mechanisms in the district.

Examining the Building Blocks of Health Behavior Change in Rheumatology Rehabilitation: A Theory-Driven Qualitative Study.

To identify and describe behavior change techniques (BCTs) used in rehabilitation for patients with rheumatic and musculoskeletal diseases (RMDs), according to their own perceptions. Further, to examine patients' descriptions of their capability, opportunity, motivation, and readiness for health behavior change. Patients were adults in need of specialized, multidisciplinary rehabilitation services due to inflammatory rheumatic disease, systemic connective tissue disease, or fibromyalgia / chronic widespread pain. Semi-structured interviews of 21 patients were analyzed with deductive qualitative content analysis applying three theoretical frameworks: the Behavior Change Technique Taxonomy, the transtheoretical model and stages of change, and the capability, opportunity, and motivation model of behavior. Forty-six BCTs aggregated within 14 BCT groups were identified used by either patients, healthcare professionals (HPs), or both. Goals and planning, feedback and monitoring, social support, shaping knowledge, repetition and substitution were most frequently used to facilitate behavior change. Twenty patients had reached the action stage and made specific lifestyle changes concerning more than half of their goals. Concerning other goals, 6 of these patients reported to be contemplating behavior change and 15 to be preparing for it. The rehabilitation process appeared to strengthen capability, opportunity, motivation, and the desired behaviors. Patient-reported barriers to behavior change were connected with restrictions in physical capability resulting from an unpredictable and fluctuating disease course, weakened motivation, and contextual factors, such as lack of access to healthcare support and training facilities, and high domestic care burden. The rehabilitation process seemed to strengthen individual and contextual prerequisites for behavior change and facilitate the use of required techniques and engagement in the desired behaviors. However, patients with RMDs may need prolonged support from HPs to integrate healthy lifestyle changes into everyday life. The findings can be used to optimize rehabilitation interventions and patients' persistent engagement in healthy behaviors.

The Adequacy of Physical Learning Facilities Supporting Students with Physical Disabilities (SWPDs) In Tanzania Secondary Schools

The goal of this study was to determine the suitability of the available physical learning facilities for students with physical limitations (SWPDs) in Tanzania Secondary Schools. The study was conducted in Dodoma region where two district councils were involved, namely Chamwino district council and Dodoma city council. The study covered classrooms, ramps, toilets, and laboratory and sports grounds facilities. The study took a quantitative approach and used a descriptive survey research design. A total of 327 people, comprising 294 teachers and 33 SWPDs, were randomly selected and asked to participate in the survey by responding to the questionnaires. It used questionnaires as a data collection instrument and a multistage procedure was also employed to get the participants who were teachers and students with physical disabilities. Frequencies and mean were used in a descriptive data analysis technique. Validity and reliability issues were well considered in this study in order to ensure achievement of the intended goals, dependability and consistency of the results. On the other hand, the study adhered to the ethical issues by considering privacy and confidentiality an act that ensured voluntarily and privacy participation of the respondents. The study discovered that the majority of schools lacked suitable basic physical facilities, resulting in a lot of children with special needs in the society being denied their right to attend and participate in learning activities at school. This implies that educational stakeholders ought to work hard ensuring availability of adequate and suitable supportive physical learning facilities for SWPDs in secondary schools.

Optimalisasi Pelayanan Publik Bidang Administrasi dalam Pembayaran Tagihan Perusahaan Daerah Air Mineral (PDAM) (Studi di Kantor Pos Delivery Center Sekejati Kota Bandung)

Public service is an absolute thing that happens in human social life. This makes public services one of the aspects that must be considered in governance for the purpose of creating satisfaction in the process of social interaction. One of the institutions that has not been able to provide maximum public services to the community is the Sekejati Post Office, Bandung City. The Sekejati Post Office in Bandung City provides several services to the community, one of which is the PDAM bill payment service. In the service process for paying PDAM bills, it was found that there are still service support facilities that have been unable to operate properly. This study aims to determine how to provide bill payment services for PDAM Post Office Sekejati Delivery Center Bandung City. The research process was carried out using qualitative research methods where in-depth interviews and observation methods carried out the data collection process. From the research that has been done, it was found that the obstacles that occur in the process of optimising the PDAM bill payment service at the Sekejati Post Office in Bandung City are systems that often have errors and there is a buildup of queues when one of the counter officers is unable to attend due to health reasons.

Research on Deepening Reform of Urban Infrastructure Supporting Facilities Management System in Tianjin City

Research on Deepening Reform of Urban Infrastructure Supporting Facilities Management System in Tianjin City

An Analysis of the Competency-Based Assessment Process in Mathematics Education at the Senior Secondary Level in Sri Lanka

Background: Sri Lanka has a long history of having an examination-based education system that caters to three main examinations conducted nationally. After over a decade, the country has yet to achieve its objective of the competency-based education system introduced in 2007. Sri Lanka practices an eight-year curriculum cycle reform, which is presently overdue. The current study analyses the existing situation of the competency-based assessment process, which will provide information from the classroom level. The research will address three questions: 1. What assessment methods are used? 2. What are the challenges teachers face in the application? 3. What types of training and support are given by the authorities for applying CBE-based mathematics assessments at the senior secondary level? Methods: The study employed a quantitative approach, using a stratified random sampling method. A questionnaire was used to collect data from 276 mathematics teachers who teach grades ten and eleven in the Western Province. Results: The results revealed that the challenges were a lack of support facilities and resources, long working hours, overcrowded classrooms, and a low understanding of CBE concepts among teachers. Paper-and-pencil tests and questioning are the most common evaluation methods used in classrooms. Conclusion: It is recommended that the Department of Education, with the help of the school authorities, monitor the assessment process and provide adequate training for the teachers to integrate assessment with classroom activities, and provide necessary resources. A school-based assessment method must be integrated with the end-of-term examination, giving it equal weight.

Proposal for temporary safety facilities for fall protection using 4DBIM to meet OSHA standards

Temporary Safety Facilities (TSFs) constitute a vital support infrastructure ensuring the safety of workers throughout construction operations, with the overarching goal of averting accidents onsite; However, the schedule and location of installation and dismantling of technical support facilities is still based on work experience, and is often omitted from official drawings or documents. This leads to thousands of accidents in the construction sector, especially in small and midsize construction enterprises construction firms due to many limiting factors; Therefore, this study proposes automatic workspace planning for temporary safety facilities (in our case guardrails for fall protection) based on construction activities, which is a structured approach for SMEs working in construction to practice Occupational Health and Safety (OHSA). By employing Building Information Modeling (BIM), safety facilities can be simulated and visually incorporated into the assigned workspace. Utilizing 4D-BIM, the devised system facilitated the installation of temporary safety features, such as fall protection railings, which underwent validation via a case study involving a mall project. The results indicated that integrating temporary safety facilities with the model enhances comprehension of safety protocols throughout project execution. Additionally, temporary facility workspace planning provides an affordable approach that stimulates safety practices; Thus, significantly enhancing the management effectiveness of construction safety measures

Exploration of Factors Influencing the Satisfaction of Liberal Arts Education in the Organizing and Operating of Liberal Arts Education in a Junior College

This study aims to determine how the college-authorities level variables such as the development, organization, operation, and facilities of liberal arts education affect students' satisfaction of liberal arts education courses through their class participation attitude and the degree of their competency improvement. For this purpose, a survey was conducted among students at a vocational college. The questionnaire covered of demand reflection, curriculum organization, course composition, teaching and learning and evaluation methods, support facilities, class participation attitude, perception of competency improvement, and satisfaction. To check the relationship between these variables, we examined the fitting and validity of the measurement model and structural model, and then analyzed them using the structural equation model. The results showed that teaching and learning and evaluation methods, support facilities, and perception of competency improvement were variables that directly affected student satisfaction of liberal arts education. At the same time, the results also showed that demand reflection, curriculum organization, course composition, and instructional attitude were indirectly affected. Teaching and learning, and assessment methods and support facilities, which are directly related to students, seem to have a relatively large impact on student satisfaction with liberal arts education. Nevertheless, in order to improve liberal arts education, more attention to its overall operation practices at the college-authorities level is necessary.

여성폭력 피해자 보호·지원시설 종사자의 성인지 교육 요구와 맥락

This study investigates the needs and context of gender equality training for workers at the protection and support facilities for women affected by gender violence. We employed focus group interviews (FGI) with 20 field workers from various support facilities, exploring the specific contexts in which they need gender training and the particular contents and training methods needed. The findings indicate workers agreed on the importance of continuous gender training, emphasizing the necessity of training that encourages critical reflection on practices that contribute to gender discrimination. They sought knowledge and attitudes to approach victim support with the understanding of social structure. They also desired an open learning community for discussion due to the tension among colleagues and the need for more conversation on the gender-sensitive approach. In terms of method of education, they expected participatory and self-directed learning. Based on this, the study suggests gender equality training that brings the content from the actual experiences of their field. It explores participatory training that uses voices collected from the field as both material and direction for education and analyzes and discusses the social structures underlying the cases. This research provides foundational data for developing professional training programs for the workers that enables more comprehensive support of gender violence victims and offers meaningful insights for social transformation toward gender equality.

Management of the 4 A’s of Tourism: Addressing Shortcomings and Enhancing Services in Gebong Memarong Traditional Village

Air Abik hamlet, situated in Gunung Muda village, Belinyu Sub-District, Bangka Regency, Bangka Belitung Islands Province, Indonesia, is renowned for its rich cultural heritage embodied by the Lom tribe, holding immense potential for tourism development as a vibrant tourist village. However, the management of Gebong Memarong, a traditional accommodation facility in the area, faces challenges hindering its optimal operation. This research adopts a descriptive qualitative approach, utilizing observation, interviews, and documentation analysis to understand the management practices surrounding Gebong Memarong comprehensively. The findings reveal deficiencies in amenities and ancillary services, indicating a critical need for stakeholders’ attention to bolstering support facilities within the tourism village. Furthermore, this research advocates for enhanced managerial competencies to address operational gaps and ensure the sustainable management of homestay facilities. It offers valuable insights into improving accommodation management within culturally significant tourism destinations, with implications for sustainable tourism development strategies in similar contexts.

Human Security Implications of Foreign Military Bases in Djibouti

The principles of sovereignty and non-interference have historically shaped China's foreign policy, serving as fundamental tenets to safeguard the nation from external interventions, particularly during and after the Cold War. However, in recent times, there has been a noticeable shift in China's foreign policy as it embarks on an unprecedented expansion of its military presence beyond its borders. This shift is exemplified by the establishment of a permanent military base in Djibouti, situated in the Middle East and North African (MENA) region, which China refers to as "support facilities" or "logistical facilities." This marks China's inaugural venture into maintaining a permanent military presence outside its territorial boundaries. This study delves into the motivations behind China's adjusted foreign policy stance and examines the implications of this new approach on human security. While acknowledging the critical human insecurity implications associated with China's military presence in Djibouti, the analysis reveals a multifaceted strategy encompassing economic, political, ideological, and security interests. This strategic move positions China as a significant global player, shaping its role on the world stage.

ANALISIS MODEL KEPUASAAN CIVITAS AKADEMIKA TERHADAP PELAYANAN PERPUSTAKAAN DI FAKULTAS SAINS DAN TEKNOLOGI UNIVERSITAS JAMBI DENGAN METODE STRUCTURAL EQUATION MODELING (SEM)

Service quality comes from a comparison between customer expectations about the service they should receive with the service they actually get. An important service unit in state universities such as the University of Jambi is the library service. The library is a service unit that provides services in the field of literature. The needs of library users, especially students, for science and other educational media are difficult to separate. Therefore, the library is one of the academic support facilities needed by library users such as students and lecturers. Based on the results of observations, various efforts have been made by the FST UNJA’s Library to improve services, but these improvements are still not optimal. Therefore, it is necessary to analyze the factors that influence service quality to assist the FST UNJA’s Library in reviewing the factors that affect service quality. The Structural Equation Modeling (SEM) method is a multivariate statistical method that can be used to look at the factors that influence the quality of the service. SEM is an appropriate analysis used in social research. In this study, there are two exogenous variables used, the first is employee competency which has manifest variables to measure it, such as knowledge, understanding, ability and attitude. The second is library facilities that have manifest variables to measure them, namely library space, library equipment and reading book collections. As well as the endogenous variables used in this study is the quality of service which has five manifest variables of reliability, responsiveness, assurance, empathy and tangible. The research data is primary data obtained by researchers by distributing questionnaires to visitors to the FST UNJA’s library

Implementation of Web Based E-Monitoring for Student Activities Record in SMK Swasta Medan Area 1

SMK Medan Area 1 is one of the educational facilities that want to produce the best students to be able to become the best human resources in the future. The school is one of the secondary schools located in the city of Medan, North Sumatra province. The school provides various educational support facilities for its students so that they can learn to the fullest. For the sake of education progress, this Medan Area 1 Vocational School wants to take advantage of the available facilities and infrastructure, one of which is the internet. The school's need to quickly and easily supervise student activities and the curiosity of parents/guardians for information related to their sons and daughters makes a new need to continue to be able to unite all their children's activities at the school. These activities include attendance, tuition payments, notification of grades and violations committed by their sons and daughters. Therefore, a web-based monitoring application is needed to unify student activities that can be seen from anywhere, especially by parents/guardians. aims to provide convenience to teachers, especially counseling guidance (BK) teachers and web-based students in unifying several student activities including attendance, tuition payments, value notifications, and the method used in making applications carried out through five stages, namely: development problems , data collection for system requirements, system analysis and design, system implementation and implementation, and system testing

Perspectives on Nurse Retention in Hospitals in the Netherlands: A Qualitative Study

Aim. To explore hospital nurses’ perceptions of working conditions that affect their retention and to identify preconditions for retention across nursing subgroups and informants directly involved in the work that nurses do. Introduction. Understanding why nurses want to stay in their job is essential for hospitals to improve retention and develop policies to combat nursing shortages. Retention barriers are known, but mostly pre-COVID-19 and in specific nursing subgroups, while nursing teams are diverse in life phase, education, and expertise. Materials and Methods. A qualitative study with semistructured focus group interviews with nurses from different hospitals. We held interviews with nursing students and with newly graduated, experienced, specialized, and master-educated nurses. In addition, we held interviews with informants directly involved in the work that nurses do. Results. Three themes concerning the perceptions of working conditions and retention preconditions were identified among subgroups: (1) nurses finding their personal pathway, indicating work that fits individual challenges during the life course and work that matches personal motives and authority and control over professional practice; (2) constructive collaboration within the nursing team and with their manager and physicians; and (3) availability of supportive facilities, e.g., development, professionalization, working environment, and rewards. Conclusion. Elements for retention occur at individual, team, and organizational levels. Nurses find it important that their profession aligns with their personal pathway and are motivated by constructive collaboration in a stimulating team. They emphasized organizational support in realizing career tracks and in active participation in decision-making. These themes are consistent across subgroups and encompass multiple interacting elements. Implications for Nursing Management. By recognizing and understanding what takes place at these different levels, policymakers and managers can develop effective strategies to promote nurse retention and improve healthcare quality. While implementing and monitoring a broad retention program, managers must remain attentive to nurses’ perceptions of retention preconditions amidst changing demographics and the impact of COVID-19.

Optimization of Airline Support Facility Space at Non-Major Airports of India Using Goal Programming

Optimization of Airline Support Facility Space at Non-Major Airports of India Using Goal Programming

Legal Protection Copyright of Non-Fungible Token-Based Painting Works (NFT) in Indonesia

In the midst of increasingly massive digitalization and modernization, the use of technology and information in producing masterpieces has brought new problems, one of which is related to digital-based copyright protection. In the background of this, this research then produces 2 (two) problem formulations that need to be researched, namely: how is the protection of copyright of Non-Fungible Token (NFT) based paintings in Indonesia? And what are the obstacles in the protection of copyright of Non-Fungible Token (NFT) based paintings in Indonesia?. This research is empirical research, with a sociological approach research method. The results showed that, Non-Fungible Token (NFT) as a digital work of art, civilly categorized as "rights" according to article 499 of the Civil Code, by Law Number 28 of 2014 concerning Copyright, is still recognized as one of the protected objects. More than that, the obstacles found by researchers related to copyright protection of digital-based paintings, based on the results of interviews at the Ministry of Law and Human Rights of the Special Region of Yogyakarta and the Special Criminal Investigation Directorate of the Yogyakarta Police, among others: Regulatory Factors, Law Enforcement Factors, Supporting Facilities and Facilities, Individual, Environmental and Community Factors.
 Keywords: Non-Fungible Token, copyright protection, technology

Pendampingan Guru Madrasah Diniah dalam Meningkatkan Kualitas Keagamaan Siswa di SMA Nurul Jadid

Nurul Jadid Senior High School (SMA NJ) is one of the schools under the auspices of the Nurul Jadid Paiton Probolinggo Islamic Boarding School. This institution not only emphasizes formal lessons but also emphasizes religious lessons which are highly emphasized to the point of growing madrasah diniyah in the institution. In the current era, new breakthroughs are needed so that Madin can survive in the increasingly tight competition in the education services business. The institution's steps in making changes must of course be adjusted to the condition of its human resources. That's why at Madin educational institutions it is carried out every 2 days a week. In an effort to increase Madrasah Diniyah activities in schools, several methods have been implemented so that the activities at Madrasah Diniah which are carried out at Nurul Jadid High School often change and the implementation of the current activity method is by dividing the days with formal schools which were originally one week for full school. So Seka has now been changed to four days of formal school and two days of Madrasah Dinah school. Nurul Jadid High School provides various educational support facilities for students. There are many teachers who are competent in their fields, learning support activities such as Madrsah Diniyah, extracurriculars, student organizations, learning communities, sports teams and libraries, but at NJ High School, apart from studying formal science, NJ High School is very There is also emphasis on religious education carried out by Madin (Madrasah Diniyah) which is carried out 2 days a week so that the institution also increases students whose religion is broad and can be applied in daily activities.