Systematic Management Research Articles

Exploring The Impact of Digital Technology Transformation in Islamic Education: The Islamic Education Teachers Perspective

The empowerment of digital education is one of the government’s reforms to ensuring that Malaysia’s education system remains relevant. However, some teachers still do not recognise the significance of adopting digital technology, resulting in the rejection of a few Islamic education teachers. Thus, the purpose of this study is to investigate how Islamic education teachers perceive the impact of digital technology use in the classroom. Using a case study design and a qualitative research approach, the study included five Islamic education teachers who are proficient in digital technology and were chosen by a snowball sampling process. Interviews, in-person observations, and audio-visual analysis were used to gather data. Using NVIVO 14 software, the data was subjected to a thematic analysis. Credibility, transferability, and dependability are ensured for qualitative research data by triangulation, member check and peer review, rich and thick audit trail, and inter-rater. The study’s aims, which include improved productivity in the classroom; problem-solving efficacy; quick access to information; and more systematic data management, are addressed via four main themes and eight sub-themes. It is intended that this study will offer a viewpoint that encourages Islamic education teachers to make the most of digital technology in the classroom and in day-to-day operations.

A novel case-finding strategy based on artificial intelligence for the systematic identification and management of individuals with osteoporosis or at varying risk of fragility fracture.

Osteoporotic fractures represent a major cause of morbidity and, in older adults, a precursor of disability, loss of independence, poor quality of life and premature death. Despite the detrimental health impact, osteoporosis remains largely underdiagnosed and undertreated worldwide. Subjects at risk for osteoporosis-related fractures are identified either via organised screening or case finding. In the absence of a population-based screening policy, subjects at high risk of fragility fractures are opportunistically identified when a fracture occurs or because of other clinical risk factors (CRFs) for osteoporotic fracture and areal bone mineral density (aBMD) measured by dual-energy X-ray absorptiometry (DXA). This paper describes the development of a novel case-finding strategy, named Osteoporosis Diagnostic and Therapeutic Pathway (ODTP), which enables to identify subjects with osteoporosis or at varying risk of fragility fracture. This strategy is based on a specifically designed software tool, named "Bone Fragility Query" (BFQ), which analyses the electronic health record (EHR) databases of General Practitioners (GPs) to systematically identify individuals who should be prescribed DXA-BMD measurement, vertebral fracture assessment (VFA) and anti-osteoporosis medications (AOM). The ODTP through BFQ tool is a feasible, convenient and time-saving osteoporosis model of care for GPs during routine clinical practice. It enables GPs to shift their focus from what to do (clinical guidelines) to how to do it in the primary health care setting. It also allows a systematic approach to primary and secondary prevention of fragility fractures, thereby overcoming clinical inertia and contributing to closing the gap between evidence and practice for the management of osteoporosis in primary care.

Progress towards the elimination of trachoma in Nigeria.

Trachoma is targeted for elimination as a public health problem worldwide by 2030. In Nigeria, elimination activities are implemented at the local government area (LGA) level. They started in 2002 by conducting baseline population-based prevalence surveys (PBPSs), which continued in a systematic manner with engagement from the Global Trachoma Mapping Project in 2013, and subsequently Tropical Data. The results led to the development of Nigeria's first trachoma action plan and its subsequent revision with additional information. Following 449 baseline PBPSs, 122 LGAs had an active trachoma prevalence above the elimination threshold, requiring interventions, while 231 LGAs required community-based interventions for trichiasis management. By 2021, >34 million antibiotic treatments had been provided in 104 LGAs, with 89 LGAs eliminating active trachoma. Nationally, water and sanitation coverages increased by 3% and 18%, respectively, in 7y. Systematic trichiasis case finding and management were carried out in 231 LGAs, resulting in the management of 102527 people. Fifty-four LGAs decreased trichiasis prevalence unknown to the health system to <0.2% in persons ≥15y of age. Where this elimination prevalence threshold was reached, trichiasis services were transitioned to routine eye/healthcare systems. Such progress relied on strong leadership and coordination from the national trachoma program and tremendous support provided by partners. Attaining elimination of trachoma as a public health problem in Nigeria by 2030 is feasible if funding support is sustained.

신규위탁 원장의 국공립어린이집 운영에서의 공공성 저해 요인 탐색

Objectives The purpose of this study is to find out the motivation and background for consignment support of new entrusted public child care center to support consignment, and to exploration of disturbance factors of publicness in the new entrusteded directors’s public child care centers management. Methods The participants in this study were three directors who entrusted a new public child care center in H-si, Gyeonggi-do. Data were collected through a total of three sessions of in-depth interviews, data on the experi-ences of in the new entrusteded directors’s were transcribed, read repeatedly, extracted with meaningful key-words, and analyzed qualitatively to derive research results. Results The results of this study are as follows. First, the motivation and background of the director of the new entrusted public child care center for fostering support was found to be support for entrustment to a stable public child care center due to changes in child care policy and anxiety about operating private daycare centers. Second, the directors of a newly entrusted public child care center found that the factors disturbance the publicness of run-ning the child care center after being appointed include concerns about systematic management of the newly en-trusted public child care center, recruiting and managing teachers, difficulties for parents trying to resolve com-plaints, found that the factors disturbance the and difficulties responding to related organizations. Conclusions In order to ensure the publicness of the management of public child care centers, it is necessary to continuously investigate the factors disturbance that the director of a newly entrusted public child care centers finds difficult, establish a system and training course to provide systematic support from new entrustment. A edu-cation program for new directors should be developed to overcome the difficulties that new directors face when running a public child care center for the first time and to solve the problems that directors face.

Health Disparities: Differences in Veteran and Non-Veteran Populations using Generative AI

Introduction: This study investigated self-reported health status, health screenings, vision problems, and vaccination rates among veteran and non-veteran groups to uncover health disparities that are critical for informed health system planning for veteran populations. Methods: Using public-use data from the National Health Interview Survey (2015-2018), this study adopts an ecologic cross-sectional approach to conduct an in-depth analysis and visualization of the data assisted by Generative AI, specifically ChatGPT-4. This integration of advanced AI tools with traditional epidemiological principles enables systematic data management, analysis, and visualization, offering a nuanced understanding of health dynamics across demographic segments and highlighting disparities essential for veteran health system planning. Findings: Disparities in self-reports of health outcomes, health screenings, vision problems, and vaccination rates were identified, emphasizing the need for targeted interventions and policy adjustments. Conclusion: Insights from this study could inform health system planning, using epidemiological data assessment to suggest enhancements for veteran healthcare delivery. These findings highlight the value of integrating Generative AI with epidemiological analysis in shaping public health policy and health planning.

No-Restraint Committed General Hospital Psychiatric Units (SPDCs) in Italy-A Descriptive Organizational Study.

This study describes and explores the application of no-restraint policies in General Hospital Psychiatric Units (GHPUs) in Italy, a country pioneering in deinstitutionalization and psychiatric reform. The research aims to assess the organizational characteristics and effectiveness of no-restraint practices, contributing to the global discourse on humane psychiatric care. Following a purposive sampling approach, a nationwide descriptive study was conducted involving a detailed online survey distributed to 24 GHPUs actively engaged in or aspiring toward no-restraint practices. The survey, comprising 60 items across seven sections, gathered comprehensive data on the structural, organizational, and operational dimensions of the units, along with the prevalence and management of restraint episodes. Results reveal a significant commitment to no-restraint policies, with 14 GHPUs reporting zero restraint incidents in 2022. Despite variations in infrastructure and staffing, a common thread was the implementation of systematic procedures and risk management training aimed at reducing coercive practices. The study identified a correlation between the use of exclusive garden spaces and an increased incidence of restraints, suggesting nuanced factors influencing restraint practices. The findings underscore the viability and ethical alignment of no-restraint practices within psychiatric care, highlighting the crucial role of organizational protocols and training. This research adds empirical weight to the advocacy for restraint-free environments in mental health settings, signaling a paradigm shift toward more humane and rights-respecting psychiatric care.

Analysis and Implementation of University Teacher Salary Prediction Based on Decision Tree Regression Model

This study is based on the decision tree regression model, utilizing the Python programming language and third-party libraries such as Scikit-learn, to mine and analyze data of university teachers over the past five years. A decision tree regression model is constructed, enabling the prediction and analysis of university teacher salaries. This achievement provides university administrators with a more scientific, objective, and efficient decision-making reference, aiding in the construction of a more scientific and systematic budget management system for universities.

Prevention of venous thromboembolism after right heart-sided electrophysiological procedures: results of an EHRA survey

Abstract Background Limited data are available regarding venous thromboembolism (VTE), specifically deep vein thrombosis (DVT) and pulmonary embolism (PE), following right-sided ablations and electrophysiological (EP) studies. Compared to left-sided procedures, no guidelines on antithrombotic management strategies for the prevention of DVT and PE are available. Purpose The main purpose of the present European Heart Rhythm Association (EHRA) survey is to report the current management of right-sided EP procedures, focusing on anticoagulation and prevention of VTE. Methods An online survey was conducted using the EHRA infrastructure. A total of 244 participants answered a 19-items questionnaire on the periprocedural management of EP studies and right-sided catheter ablations. Results The right femoral vein is the most common access for EP studies and right-sided procedures. An ultrasound-guided approach is employed by more than 2/3 of respondents. Intravenous heparin is not commonly given by the majority of participants. About 1/3 of participants (34%) routinely prescribe VTE prophylaxis during (mostly aspirin and low molecular weight heparin) and 1/4 of respondents (25%) commonly prescribe VTE prophylaxis after discharge (mostly aspirin). Of note, respectively 13% and 9% of participants observed at least one DVT and one PE related to right-sided ablation or EP study within the last year in their center. Conclusion The present survey shows that only a minority of operators routinely gives intraprocedural intravenous heparin and prescribes VTE prophylaxis after right-sided EP procedures. Compared to left-sided procedures like AF ablation, there are no consistent systematic antithrombotic management strategies.

Potential determinants of nocturnal hypoxemic burden and its association with atrial fibrillation recurrence after catheter ablation

Abstract Background Sleep-disordered breathing (SDB) is present in approximately half of patients with atrial fibrillation (AF) scheduled for catheter ablation (CA) and coincides with an elevated nocturnal hypoxemia. Purpose To evaluate determinants of nocturnal hypoxemic burden metrics and its association with AF recurrence after CA in patients undergoing a systematic SDB management and treatment pathway. Methods Consecutive AF patients scheduled for CA without history of SDB and/or SDB screening were included. Patients were referred to a virtual SDB management pathway including mobile health supported overnight home sleep test. An apnoea-hypopnoea index (AHI) of 5 to &amp;lt;15 and ≥ 15 were interpreted as mild and moderate-to-severe SDB, respectively. Oximetry data from home sleep tests were analyzed by a computer algorithm to evaluate metrics of nocturnal hypoxemic burden: time spent below 90% oxygen desaturation (T90) based on acute desaturations (T90 desat) or non-specific drifts in oxygen desaturation (T90 non-spec). Patients were monitored for AF recurrences through standard 12-lead ECG or Holter ECG and/or smartphone-based photophletysmography (PPG) performed at 3- and 12-month follow up. Multiple regression analysis was employed to (1) evaluate determinants of nocturnal hypoxemic burden metrics and (2) identify predictors of AF recurrence during 12 months after CA (excluding 3 months blanking period). Results The analysis included 210 patients (42% female, mean age 64± 9 years). Median AHI was 14.7 [6.7-24.7], median T90desat was 0.25 [0.03-1.42] minutes, T90non-spec 0.26 [0.08-0.78] minutes. Overall, 101 (48%) patients were diagnosed with moderate-to-severe SDB and 68 (32%) had mild SDB. Of patients with moderate-to- severe SDB and mild SDB, 87% and 46%, respectively, received a SDB therapy recommendation. Multiple linear regression analysis identified diabetes mellitus (B 8.611 95%CI 1.350-15.871, p=0.020) and AHI ≥ 15 (B 5.886, 95%CI 1.793-9.979, p= 0.005) as predictors of T90non-spec. Thyroid dysfunction (B 1.849, 95%CI 0.623-3.075, p=0.003) and AHI ≥ 15 (B 2.161, 95%CI 1.320-3.001, p&amp;lt;0.001) were significant predictors of T90desat. During 12 months after CA, 65 (31%) patients had experienced at least one AF recurrence after the blanking period. After multiple Cox-regression, age (HR 1.032, 95%CI 1.002-1.063, p= 0.035) and BMI ≥ 25 (HR 2.029, 95%CI 1.032-3.989, p=0.040) remained predictors for AF recurrences. Conclusions In AF patients scheduled for CA, SDB (AHI ≥ 15) and thyroid dysfunction were predictors for nocturnal hypoxemic burden with repetitive desaturations (T90desat). SDB and diabetes mellitus were predictors for nocturnal hypoxemic burden without repetitive desaturations (T90non-spec). In patients with AF who followed a virtual SDB management and treatment pathway, SDB presence and nocturnal hypoxemic burden metrics did not emerge as predictors, whereas age and BMI (≥25) remained significant predictors for AF recurrence.

An Analysis of the Application of Target Cost Management in Enterprise Economic Management

Target cost management, as an important management method, can optimize the effect of economic management through effective systematic management procedures and structures in enterprise economic management, to strengthen cost control and promote the effective improvement of enterprise management level. The purpose of this paper is to discuss the application of target cost management in enterprise economic management, by analyzing the importance of target cost management, application dilemma, and application strategy, put forward the key points that need to be paid attention to in the implementation of the target cost management, the enterprise should set up an effective goal-setting mechanism, strengthen the cost control and efficiency enhancement, and strengthen the performance evaluation and incentive mechanism, to realize the cost control and efficiency enhancement, and to improve the enterprise's competitiveness and profitability.

Can multi-stakeholder platforms and dialogues facilitate the meaningful and effective participation of Indigenous Peoples in managing natural resource conflicts?

Indigenous Peoples have important roles and contributions in the systematic and sustainable management of natural resources; however, their full and effective participation in the related processes, mechanisms including related multi-stakeholder platforms, and dialogues (MSPDs) are not always ensured at the national and global levels. This article focuses on the review and analysis of the published and online papers, reports on Indigenous Peoples, and their contributions and conflicts related to natural resources, especially concerning power, politics, and policies with specific examples in the Asian context. The interest-based “power sharing” and “power with governance” model is appropriate for the effective engagement of Indigenous Peoples in multi-stakeholder dialogue on natural resources.

The Challenges and Countermeasures of Entrepreneurial Enterprise Strategic Planning

The main challenges faced by entrepreneurial enterprises in strategic planning include the lack of experience and capabilities of entrepreneurs themselves, affecting the professionalism of strategic decision-making; limitations in resources such as funding and talent, constraining strategic execution; and misjudgment of market conditions and external policy changes, increasing decision-making risks. These challenges seriously impede the effectiveness of strategic implementation for entrepreneurial enterprises. In response, businesses can take three key measures: improving the systematic nature of strategic planning and execution, establishing flexible strategic adjustment mechanisms, and introducing external professional services. Firstly, establishing a scientific and systematic strategic management framework to accurately recognize market trends and proactively control risks. Secondly, setting up regular review mechanisms based on market and policy changes and making strategic adjustments when necessary. Lastly, collaborating with professional organizations to address the lack of experience and perspectives and minimize risks. Through the integrated application of these strategies, entrepreneurial enterprises can ensure the effectiveness of strategic planning and implementation in a complex and ever-changing environment, and gain momentum for sustained growth.

Chlorin e6 and BLZ945 Based Self-Assembly for Photodynamic Immunotherapy Through Immunogenic Tumor Induction and Tumor-Associated Macrophage Depletion.

Immunotherapeutic effect is restricted by the nonimmunogenic tumor phenotype and immunosuppression behaviors of tumor-associated macrophages (TAMs). In this work, a drug self-assembly (designated as CeBLZ) is fabricated based on chlorin e6 (Ce6) and BLZ945 to activate photodynamic immunotherapy through tumor immunogenic induction and tumor-associated macrophage depletion. It is found that Ce6 tends to assemble with BLZ945 without any drug excipients, which can enhance the cellular uptake, tumor penetration, and blood circulation behaviors. The robust photodynamic therapy effect of CeBLZ efficiently suppresses the primary tumor growth and also triggers immunogenic cell death to reverse the nonimmunogenic tumor phenotype. Moreover, CeBLZ can deplete TAMs in tumor tissues to reverse the immunosuppression microenvironment, activating abscopal effect for distant tumor inhibition. In vitro and in vivo results confirm the superior antitumor effect of CeBLZ with negligible side effect, which might promote the development of sophisticated drug combinations for systematic tumor management.

Limb salvage and systemic management of gouty tophi: Case series.

Gout is a chronic disease characterized by deposition of monosodium urate crystals. Tophi develop in some individuals with untreated or uncontrolled gout, which leads to ulcerations, cosmetic problems, mechanical obstruction of joint movement, joint damage and musculoskeletal disability. Currently, the treatment of gouty tophi is controversial and challenging. Both surgical and internal medical treatments have limitations and require further exploration in clinical practice. In Case 1, we treated a patient with severe infection of diabetic foot ulcers with concomitant multiple gouty tophi in the same limb. A systematic management strategy was formulated to close the wound and save the limb. The ulcers healed successfully after half a year. In Case 2, a giant gouty tophi located in the first metatarsophalangeal joint of the left foot was removed by surgical treatment and vancomycin-loaded bone cement implantation. In Case 3, we present a case of gouty tophi that was resolved by standardized systemic medical management. Three patients were all diagnosed with gout accompanied by gouty deposition, although there were other different comorbidities. In case 1, we used debridement to gradually remove gouty tophi. In case 2, the giant gouty tophi was removed by surgical operation. In case 3, the gouty tophi disappeared after standardized treatment with medicine, diet and lifestyle management. Three patients underwent different treatment therapies to remove gouty tophi based on their specific conditions. We explored effective interventions for tophi in gout by surgical or other interventions in combination with pharmacotherapy.

Impact of green construction procurement practices on the success of circular economy in Ghana

PurposeThis paper investigates the impact of green construction procurement practices (GCPPs) on circular economy (CE) success by identifying environmentally sustainable procurement practices that can promote a CE in the construction industry. The goal was to promote circularity in construction through GCPPs.Design/methodology/approachA quantitative research approach was adopted and purposively selected 100 respondents for a cross-sectional questionnaire survey. Data from the questionnaire survey were analysed using mean score ranking, One-sample t-test and regression analysis.FindingsThe study found that using on-site systematic waste management, project stakeholder commitment and support for green practices and environmental requirements in technical specifications, significantly impact CE success in construction, with a 12.8% variance in CE when green procurement is practised. This implies that GCPPs have positive repercussions on CE success, where the CE success is expected to change as GCPPs levels increase.Practical implicationsThe study provides insights into green procurement, promoting its use in infrastructure development and aiding clients, particularly in the government sector with insights into the challenges and practices involved in green procurement. Practitioners can also benefit from better implementing CE strategies to draft and manage contracts for infrastructure projects that prioritize circularity.Originality/valueThe limited impact of GCPPs on advancing CE principles in construction suggests policy and practice must strengthen procurement requirements to fully leverage spending and drive the sector’s transition towards a circular model. Also, novel insight is provided into the most effective types of GCPPs for promoting CE success, aiding policymakers in optimizing construction procurement strategies.

Information System for Operational Goods Management at the Career Guidance and Entrepreneurship Center Malikussaleh University

Managing operational goods manually leads to slow and inefficient work performance, hence the design and implementation of an information system that can efficiently manage operational goods needs to be done in a structured manner and work optimally. Analysis of operational goods needs is conducted through observation and interviews with relevant parties to discuss the problems faced and identify the required features. Some key features implemented in this system include complaint management for operational goods needs, which can be managed and utilized for effective procurement or requests for goods according to requirements. This system is designed using the PHP programming language with the Codeigniter framework and MySQL database for database management. With this system in place, it is expected to assist in the more effective and systematic management of operational goods needs at the Career Guidance and Entrepreneurship Center of Malikussaleh University.

Role of Vena Cava Filter in the Prophylaxis and Treatment of Venous Thromboembolism in Injured Adult Patients: A Systematic Review, Meta-Analysis, and Practice Management Guideline from the Eastern Association for the Surgery of Trauma [RETRACTED

Injured patients are at an increased risk of developing deep vein thrombosis (DVT) and pulmonary embolism (PE). Inferior vena cava (IVC) filters have been used in injured patients to prevent venous thromboembolism (VTE), but current evidence-based guidelines are lacking. Questions regarding IVC filter use in injured patients with clearly defined Population(s), Intervention(s), Comparison(s), and appropriately selected Outcomes (PICO) were formulated. The study sought to understand the evidence behind use of ultra short term IVC filters and use of IVC filters in injured patients with and without known VTE who are unable to receive therapeutic anticoagulation and chemoprophylaxis, respectively. A literature search and review was conducted, followed by meta-analysis. The quality of evidence was assessed per Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology. There were twenty-one studies that were analyzed. Three studies were randomized controlled trials (RCTs), three were observational studies, and fifteen studies were retrospective studies. In injured patients without known acute VTE who cannot receive chemoprophylaxis, we recommend against placement of an IVC filter due to associated higher rate of mortality, DVT, PE, and length of stay. The quality of evidence was assessed to be low. In injured patients with known DVT who cannot receive chemoprophylaxis we conditionally recommend against placement of an IVC filter. The quality of evidence was assessed to be very low. No recommendations can be made with respect to placement of ultra short term IVC filters based upon available data. IVC filters should not be placed routinely for prophylaxis in injured adult patients without known VTE who cannot receive chemoprophylaxis. The taskforce conditionally recommends against the placement of IVC filter in injured adult patients with known DVT who cannot receive chemoprophylaxis. Guideline; Systematic review/meta-analysis, level IV.

Role of Vena Cava Filter in the Prophylaxis and Treatment of Venous Thromboembolism in Injured Adult Patients: A Systematic Review, Meta-Analysis, and Practice Management Guideline from the Eastern Association for the Surgery of Trauma: Retraction.

Role of Vena Cava Filter in the Prophylaxis and Treatment of Venous Thromboembolism in Injured Adult Patients: A Systematic Review, Meta-Analysis, and Practice Management Guideline from the Eastern Association for the Surgery of Trauma: Retraction.

Guidelines for Packaging, Transport, and Storage of Source Cells for Organoids.

This paper presents guidelines for the systematic management of packaging, storage, transportation, and traceability of source cells used for organoid research. Given the important role of source cells in organoid studies, it is important to ensure the preservation of their quality and integrity throughout transportation and distribution processes. The proposed guidelines, therefore, call for a cohesive strategy through these stages to minimize the risks of contamination, deterioration, and loss-threats that significantly compromise the safety, efficacy, and efficiency of source cells. Central to these guidelines is the quality control measures that include roles and responsibilities across the entire supply chain, with recommendations specific to packaging materials, transportation facilities, and storage management. Furthermore, the need for an integrated management system is emphasized, spanning from source cell collection to the final application. This system is crucial for maintaining the traceability and accountability of source cells, facilitating the sharing, distribution, and utilization on a global scale, and supporting to advance organoid research and development.

Identification of Key Areas for Ecological Conservation and Restoration based on Multi-source Data and Remote Sensing Time Series Analysis

Abstract. Ecological conservation and restoration of national land space is an important aspect for implementing the national ecological civilization strategy, and an important measure for establishing the national ecological security pattern and coordinating the systematic management of mountains, water, forests, fields, lakes, grass and sand. The identification of key areas for ecological conservation and restoration is a precondition to spatially and temporally laying out ecological conservation and restoration planning, which is crucial for the ecological conservation and restoration of national land space. Therefore, this paper considers Henan Province as the study area and carries the research and practice of identifying key areas for ecological conservation and restoration by integrating multi-source data and remote sensing time series analysis. Firstly, based on the Google Earth Engine (GEE) cloud platform and MOD13A1 data, the Mann-Kendall method is used to analyze the trend of time series NDVI in the study area from 2011 to 2020. Secondly, based on multi-source data such as meteorological, soil, topographic, net primary production (NPP), etc., an ecosystem health analysis and assessment based on ecosystem service trade-off and synergy is used to select ecological source. Finally, based on the results of time series NDVI analysis and ecological source selection, fusion analysis is used to identify key areas for ecological conservation and restoration. The results show that this proposed research framework not only considers the “static” ecosystem services and ecosystem health attributes, but also measures the “dynamic” ecosystem change trends. It can effectively identify key areas for ecological conservation and restoration in national space. The results of the study can provide technical support for the background survey, problem identification, planning and engineering layout of ecological conservation and restoration in the national land space.