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Journal articles on the topic 'Knowledge Availability Systems Center'

Author: Grafiati

Published: 25 July 2024

Last updated: 19 July 2025

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Pelesai, Fostina, Edet Okon Umoh, and Augustina Chikaodili Isabu. "Knowledge, Attitude, and Use of Telemedicine among Health Care Professionals in Federal Medical Center, Bayelsa State, Nigeria." GPH - International Journal of Health Sciences and Nursing 7, no. 05 (2024): 62–140. https://doi.org/10.5281/zenodo.14237894.

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Background: Telemedicine systems are essential in addressing the shortage of competent medical specialists as well as the availability of healthcare delivery in underdeveloped nations. However, the question is whether medical professionals would use this technological advancement, which has improved medical practice everywhere. The study aims to evaluate the attitude, knowledge and usage of telemedicine services among healthcare personnel in Bayelsa State. Method: 150 clinicians at Federal Medical Centre (FMC), Yenagoa, were chosen in a cross-sectional descriptive study employing a standardized questionnaire. Statistical analysis was performed on the collected questionnaire data using SPSS, Chi-square, and Pearson correlation. Results: According to the findings of this survey, there were 150 respondents in total, most female. Furthermore, the majority of responses were nurses. Moreover, most responders had 6 to 10 years of work experience. Again, 23.3% of respondents had high awareness of telemedicine services, compared to 69.3% who had moderate understanding and 7.3% who had low awareness. The mean score of all categories was more significant than the standard mean score of 0, indicating that a large proportion of participants had a favourable attitude response towards telemedicine. According to the survey, most study participants do not deliver telemedicine services. Conclusion: In conclusion, while a large majority of respondents had strong knowledge and a positive attitude towards telemedicine, more needs to be done in the areas of use and awareness for the technology to be fully implemented.

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Lemos, Daniela Lucas da Silva, and Renato Rocha Souza. "Knowledge Organization Systems for the Representation of Multimedia Resources on the Web: A Comparative Analysis." KNOWLEDGE ORGANIZATION 47, no. 4 (2020): 300–319. http://dx.doi.org/10.5771/0943-7444-2020-4-300.

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The lack of standardization in the production, organization and dissemination of information in documentation centers and institutions alike, as a result from the digitization of collections and their availability on the internet has called for integration efforts. The sheer availability of multimedia content has fostered the development of many distinct and, most of the time, independent metadata standards for its description. This study aims at presenting and comparing the existing standards of metadata, vocabularies and ontologies for multimedia annotation and also tries to offer a synthetic overview of its main strengths and weaknesses, aiding efforts for semantic integration and enhancing the findability of available multimedia resources on the web. We also aim at unveiling the characteristics that could, should and are perhaps not being highlighted in the characterization of multimedia resources.

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Nmadu, AG, S. Boka, AA Gobir, NO Usman, F. Adiri, and AI Ahmad. "Knowledge and Utilization Pattern of Referral Systems among Primary Healthcare Workers in a Community in North-West Nigeria." J Res Bas Clin Sci 2 (March 27, 2022): 61–69. https://doi.org/10.5281/zenodo.6387762.

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ABSTRACT A functional referral system is vital for the delivery of continuous and effective patient care from primary healthcare to secondary or tertiary level of care. This study assessed knowledge and utilization of referral systems among primary health care workers in Jema'a Local Government Area of Kaduna State. A cross-sectional descriptive study was conducted among 100 primary healthcare workers selected through a multistage sampling technique from five primary health centres in Jema'a. Data were collected on sociodemographic characteristics, knowledge about and pattern of utilization of referral systems. Data was analysed using SPSS version 20 software package. Bivariate analysis was performed and variables with a p value less than 0.05 were considered statistically significant. Most of the respondents (50.6%) had low knowledge, 25.3% had moderate knowledge and 24.1% had high knowledge about referral systems. Referral practices were poor among primary health care workers and common factors identified as affecting referrals were the lack of availability of referral forms and communication networks, the distance of the health facilities from one another and the lack of awareness of the health workers about the referral system. Knowledge about referral systems was relatively low with poor utilization practices of referrals among health workers. Appropriate training programs need to be implemented by local government and state health authorities to enhance health worker knowledge on referrals. Referral materials and communication equipment required for referrals need to be provided to health facilities to enhance the efficient utilization of referral systems.  

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Metson, Ralph. "Image-Guided Sinus Surgery: Lessons Learned from the First 1000 Cases." Otolaryngology–Head and Neck Surgery 128, no. 1 (2003): 8–13. http://dx.doi.org/10.1067/mhn.2003.40.

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OBJECTIVE: To study physician utilization and experience with image-guidance technology for sinus surgery. STUDY DESIGN AND SETTING: Retrospective review of the first 1000 image-guided sinus operations performed by 42 surgeons at an academic medical center. RESULTS: Utilization of image-guidance systems showed a dramatic increase in both number of cases performed and surgeons who used this equipment (70.6% and 92.8%, respectively) during the first 2 years of its availability. Surgical volume subsequently decreased by a mean of 9.3% per year, whereas the number of surgeons using this technology plateaued. The majority of surgeons continued to perform image-guided surgery throughout the study period for selected cases. The knowledge base gained from this experience can best be summarized as a series of lessons learned. CONCLUSION: It is likely that the availability and utilization of image-guidance systems for sinus surgery will continue to increase in the future. Physicians who learn to use this new technology must do so with an appreciation for both its potential benefits and pitfalls.

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Safriana, Siska, Raihan Raihan, Anidar Anidar, Teuku Muhammad Thaib, Eka Yunita Amna, and Nora Sovira. "Factors Influencing Officer Compliance in the Implementation of Integrated Management of Childhood Illness (IMCI) at Community Health Center in Banda Aceh City." Asian Journal of Healthy and Science 3, no. 11 (2024): 290–307. http://dx.doi.org/10.58631/ajhs.v3i11.164.

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Integrated Management of Sick Toddlers (IMCI) is an integrated approach to improving child health and well-being, which aims to reduce morbidity and mortality and promote growth and development of children under five. Despite its importance, challenges in the quality of IMCI implementation in PHC centers still exist. This research aimed to identify factors that influence staff compliance in implementing IMCI at health centers in Banda Aceh city. This research method used an analytic observational research with a cross-sectional design, involving 64 IMCI service providers from November 2023 to June 2024. Data were collected using questionnaires and analyzed using the chi-square test and multivariate logistic regression. The results showed that staff compliance in implementing IMCI was 39%. Internal factors that significantly influenced compliance were motivation (OR=14.3, 95% CI: 3.039-67.505) and knowledge (OR=8.63, 95% CI: 1.694-43.978). External factors included the availability of complete logistics facilities (OR=8.05, 95% CI: 1.706-38.04). This research identified Ulee Kareng Health Center as having the highest number of PIA service providers (17%), while Banda Raya Health Center had the lowest number (7%). Most of the PIA service providers were aged 19-44 years (68.8%), mostly female (96.9%), and had high educational qualifications (93.7%). The implications of this research underscore the important role of motivation, knowledge, and logistical support in improving staff adherence to IOP protocols. The results of this research have implications for strengthening health care systems and improving the quality of IYCF implementation to meet the health needs of children under five in Banda Aceh city.

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Liu, Liu. "AI and big data-driven decision support for fostering student innovation in music education at private underground colleges." Journal of Information Systems Engineering and Management 8, no. 2 (2023): 23646. http://dx.doi.org/10.55267/iadt.07.13840.

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This study investigates the transformative impact of AI-based Decision Support Systems (DSS) and Big Data Analytics (BDA) on student innovation and employability skills in an era of rapid technological advancement, with a focus on the mediating role of technological acceptance and the moderating role of resource availability. This study, which draws on a wide range of educational contexts and data sources, gives complete knowledge of the complex links between technology adoption, student results, and contextual factors. The results of this study show how AI-based DSS and BDA have a significant impact on musical education. These technological advancements enable tailored instruction and foster students' creative thinking. In order to prepare students for a work market that is rapidly changing, they act as a catalyst for improving employability skills. The study, however, emphasizes the complicated dynamics at work. Technological Acceptance emerges as a major mediating component, underlining the significance of students and instructors freely and effectively accepting technological tools. Furthermore, as a moderating factor, Resource Availability takes center stage, emphasizing the need for equitable access to educational resources to ensure that technology-driven advantages are accessible to all. The results of this study have broad repercussions. The adoption of AI and BDA by educational institutions is encouraged as transformative technologies for enhancing the learning process. Policymakers must create regulations that support equal access to technology and promote an innovative culture in the classroom. This study highlights for students how important it is to adopt new technologies, realizing how important they are in determining both their academic and career paths.

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Andrade, Manuel A., Susan A. O’Shaughnessy, and Steven R. Evett. "ARSPivot, A Sensor-Based Decision Support Software for Variable-Rate Irrigation Center Pivot Systems: Part A. Development." Transactions of the ASABE 63, no. 5 (2020): 1521–33. http://dx.doi.org/10.13031/trans.13907.

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HighlightsThe ARSPivot software seamlessly integrates site-specific irrigation scheduling methods with weather, plant, and soil water sensing systems in the operation of variable-rate irrigation (VRI) center pivot systems.ARSPivot embodies an Irrigation Scheduling Supervisory Control and Data Acquisition (ISSCADA) system that incorporates site-specific irrigation scheduling methods and automates the collection and processing of data obtained from sensing systems supporting them.ARSPivot incorporates a friendly graphical user interface (GUI) that assists in the process of setting up a computerized representation of a coupled ISSCADA VRI center pivot system and simplifies the review of irrigation prescriptions automatically generated based on sensor feedback.ARSPivot’s GUI includes a geographic information system (GIS) that relates sensed data and imported GIS data to specific field control zones.Abstract. The commercial availability of variable-rate irrigation (VRI) systems gives farmers access to unprecedented control of the irrigation water applied to their fields. To take full advantage of these systems, their operations must integrate site-specific irrigation scheduling methods that in turn should be supported by a network of sensing systems. An Irrigation Scheduling Supervisory Control and Data Acquisition (ISSCADA) system patented by scientists with the USDA-Agricultural Research Service (ARS) at Bushland, Texas, incorporates site-specific irrigation scheduling methods informed by weather, plant, and soil water sensing systems. This article introduces a software package, ARSPivot, developed to integrate the ISSCADA system into the operation of VRI center pivot systems. ARSPivot assists the operation and integration of a complex network of sensing systems, irrigation scheduling methods, and irrigation machinery to achieve this end. ARSPivot consists of two independent programs interacting through a client-server architecture. The client program is focused on automatically collecting and processing georeferenced data from sensing systems and communicating with a center pivot control panel, while the server program is focused on communicating with users through a friendly graphical user interface (GUI) involving a geographic information system (GIS). The GUI allows users to visualize and modify site-specific prescription maps automatically generated based on sensor-based irrigation scheduling methods, and to control and monitor the application of irrigation amounts specified in these recommended prescription maps using center pivots equipped for VRI zone control or VRI speed control. This article discusses the principles and design considerations followed in the development of ARSPivot and presents tools implemented in the software for the virtual design and physical operation of a coupled ISSCADA VRI center pivot system. This article also illustrates how the ISSCADA system and ARSPivot constitute a comprehensive sensor-based decision support system (DSS) for VRI management that is accessible to users without in-depth knowledge of sensing systems or irrigation scheduling methods. Keywords: Center pivot irrigation, Decision support system, Precision agriculture, Sensors, Site-specific irrigation scheduling, Software, Variable rate irrigation.n

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Randa, Gadalla, and Ahmed Mahmoud. "Health Information System and Their Impact on The Quality of Healthcare at Benghazi Medical Center." AlQalam Journal of Medical and Applied Sciences 4, no. 1 (2020): 69–72. https://doi.org/10.5281/zenodo.4392973.

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Background and objectives. The quality of health care delivery or the effectiveness of health planning and policy making depend on the availability of accurate and timely information to support decision-making. Broadly, Hospital Information System (HIS) is any form of structured repository of data, information, or knowledge that can be used to support health care delivery or to promote health development.  The aim of this study was to examine the role of hospital information systems in improvement of health care outcomes for patients at Benghazi Medical Center. Methods: A questionnaire-based study was conducted in Benghazi Medical center over the period from March to June 2019. Data were descriptively analyzed and presented as counts and percentages. Results: Regarding the improvement of health outcomes, 31.7 % of the responded not agree that the electronic health information system helps to improve the follow-up of patients' health outcomes. Conclusions: There is need for increases the awareness about the benefits of information system, and develop a database to collect factors affecting the HIS failures. There is also need for implementing such application for enhancing communication between all health care providers.

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Al-Bugami, Abdullah, and Othman Aqeeli. "Requirements for Applying Knowledge Management to Improve Electronic Management in Educational Institutions in Light of Digital Transformation: An Analytical Study." International Journal of Educational Sciences and Arts 3, no. 4 (2024): 85–152. http://dx.doi.org/10.59992/ijesa.2024.v3n4p2.

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The study aimed to reveal the requirements for applying knowledge management to improve electronic management in educational institutions in light of digital transformation. The study followed the deductive approach and the descriptive analytical approach by referring to previous studies and deriving concepts related to knowledge management applications in the context of educational institutions, and analyzing statistical reports for the Information Technology Department at the Ministry of Education. The study concluded that to apply knowledge management (discovery, generation, sharing, implementation and sustainability) to improve electronic management in educational institutions: Organizational requirements: include strategic planning for the transformation process towards the digital world, leadership and administrative support, and the commitment of senior management to support... The electronic administration project and the flexible organizational structure were adopted, and legislative frameworks were established and updated in accordance with developments, and the material and technical requirements: such as infrastructure, the availability of programs and applications, the design of database system software such as “Oracle”, the presence of communication networks, service centers, and the availability of electronic means necessary to benefit from the services provided by the administration. Electronic and human requirements: educating and training employees to develop the skills of applications of knowledge management processes in electronic administration. Attracting the best qualified individuals in the fields of information systems and software, creating effective systems to retain, develop and motivate individuals, and financial requirements: providing financial support and security requirements: represented in information security, ensuring and protecting the database, and providing privacy and confidentiality to protect the information, and recommended the importance of achieving the requirements by relying on practical methods. Which requires the availability of leading expertise and specializations for digital transformation, and the use of knowledge management to manage the use and activation of technologies to provide opportunities for digital transformation.

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Shah, Aditya, John OHoro, Varun Shah, Taru Dutt, Sanjiv Shah, and Rahul Kashyap. "India Antimicrobial Stewardship and Resistance (INTEREST): A Needs Assessment Survey." Infection Control & Hospital Epidemiology 41, S1 (2020): s297—s298. http://dx.doi.org/10.1017/ice.2020.878.

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Background: The emergence and spread of antimicrobial resistance is a major problem in India with significant knowledge on whether this is a systems–based, prescriber and patient characteristic based or diagnostic technologies–based issue. Methods: An electronic survey was sent to select distribution list of intensive care units (ICU) and hospital inpatient (medicine ward) providers from India. Survey questions included antimicrobial clinical practice data, access to electronic medical records, microbiological diagnostic techniques, and access to microbiology data. The survey focused on antimicrobial prescription trends and their association with diagnostic techniques. Results: There were 90 responses from 18 states in 65 ZIP codes. They had median of 187.5 beds (IQR, 40–470). Representative responders had a median age of 40 years (IQR, 31–53). Among the responders, 73 (81%) were men. Of the 90 responses, 48 providers (52%) practiced solely in ICUs (medical and surgical) and 40 providers (45%) practiced solely on the medical ward or floor, with the rest practicing in other units. In total, 31 centers (34%) reported full access to electronic medical records, and 53 centers (59%) had access to wi-fi or Internet. Interestingly, 27 centers (30%) needed to use personal provider phone data for Internet access. Only 26 centers (29%) had electronic microbiological data. Also, 63 respondents (70%) agreed to de-escalation behavior after receiving microbiological data. In addition, 55 respondents (61%) agreed that patients have easy access to outpatient antibiotics without an appropriate prescription, over the counter. Furthermore, 58 responders (64%) said that antibiotic resistance was a major problem at their center, and 61 responders (68%) were familiar with antimicrobial stewardship programs. Among the centers, 69 (77%) had no access to formal infectious disease programs at their center. Only 27 centers (30%) had a formal Clostridium difficile–associated infection reporting and control program. Only 28 centers (31%) had a formal occupational health program. Conclusions: In a large-scale, semistructured, online survey, most issues related to easy availability of antibiotics and lack of “electronization” of medical and microbiological records. It was reassuring that most providers expressed knowledge of the existing antimicrobial stewardship program.Funding: NoneDisclosures: None

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Ahmed, Abdelrahman Mohamed. "Integrating ICT in Teaching and Learning at Sultan Qaboos University: Current Status and Future Recommendations." International Journal of Information and Education Technology 10, no. 12 (2020): 897–904. http://dx.doi.org/10.18178/ijiet.2020.10.12.1476.

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The present study investigated the current status of integrating ICT into teaching and learning at Sultan Qaboos University (SQU). A sample of 220 faculty members from six different colleges and four administrators from the Center of Educational Technology (CET) and the Center for Information Systems (CIS) at SQU in Oman were chosen, and quantitative qualitative design using a semi-structured questionnaire, interviews and checklists was employed. The findings show that SQU had a high availability of ICT infrastructure in terms of hardware, software and support services, as well as adequate computer labs for educational purposes. However, the results also indicated that, although SQU provided a series of professional development workshops related to using ICT in teaching, few faculty members were interested. Furthermore, the finding indicated that, the degree of ICT integration into teaching at SQU was at a medium level. Given the importance of ICT integration in teaching and learning, it is recommended that SQU should recognise and acknowledge the faculty members’ role in ICT integration. Therefore, it should provide ways to support faculty members in developing their ICT skills and knowledge and increasing capability in performing their role.

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Asriani, Asriani, Lili Eky Nursia N, Kiswanto Kiswanto, T. Alamsyah T. Alamsyah, and Ernawati Ernawati. "Analisis Hubungan Sanitasi Dasar Rumah dengan Resiko Kejadian Diare pada Balita." Jurnal Syntax Admiration 5, no. 7 (2024): 2541–48. http://dx.doi.org/10.46799/jsa.v5i7.1242.

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Public health is affected by environmental health. Poor sanitation conditions will have a bad impact on human life, ranging from a decrease in the quality of the community's environment to the pollution of drinking water sources, which can lead to an increase in cases of diarrhea and other diseases. Clean water sources, healthy latrines, and standardized Wastewater Treatment Systems (SPAL) are essential. The purpose of this study is to analyze the relationship between basic sanitation conditions in households and the risk of diarrhea in toddlers. A quantitative method with a cross-sectional design was used in this study to identify the relationship between basic home sanitation, which includes the availability of clean water, the availability of healthy latrines, and the management of SPAL RT, and the possibility of diarrhea in toddlers. In this study, 63 samples of mothers from 74 populations had babies. To get information, questionnaires are distributed. The data were tested with chis-quare, and an error rate of 0.05% was taken into account. The results showed that the availability of clean water had a correlation with the possibility of diarrhea with a P_value of 0.004, the management of household waste sewers had a correlation with P_value 0.008, and the availability of good latrines had no correlation with the possibility of diarrhea with a P_value of 0.262. The results show that the Ujong Fatihah Health Center must continue to make efforts and socialization to increase public knowledge. Health staff must be educated by village officials on the importance of maintaining daily hygiene.

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Edmiston, Melissa, Solomon Atinbire, Ernest O. Mensah, et al. "Evaluating the availability and quality of services for lymphatic filariasis morbidity in Ghana." PLOS Neglected Tropical Diseases 17, no. 6 (2023): e0010805. http://dx.doi.org/10.1371/journal.pntd.0010805.

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Background and methodology In districts where lymphatic filariasis (LF) is endemic, the goal is to provide 100% geographical coverage of the essential package of care. Additionally, countries seeking elimination status must document the availability of services for lymphoedema and hydrocele in all endemic areas. To do this, the WHO recommends conducting assessments of the readiness and quality of services provided to identify service delivery and quality gaps. This study used the recommended WHO Direct Inspection Protocol (DIP), which consists of 14 core indicators related to LF case management, medicine and commodities, staff knowledge and patient tracking. The survey was administered in 156 health facilities across Ghana designated and trained to provide LF morbidity management services. Patient and health provider interviews were also conducted to assess challenges and feedback. Principal findings The highest performing indicators across the 156 surveyed facilities were related to staff knowledge; 96.6% of health workers correctly identified two or more signs and symptoms. The lowest scoring indicators concerned medication availability, with the two lowest scoring indicators in the survey being availability of antifungals (26.28%) and antiseptics (31.41%). Hospitals performed best with an overall score of 79.9%, followed by health centers (73%), clinics (67.1%) and CHPS compounds (66.8%). The most commonly reported challenge from health worker interviews was lack of medications and supplies, followed by a lack of training or poor motivation. Conclusions and significance The findings from this study can help the Ghana NTD Program identify areas of improvement as they seek to achieve LF elimination targets and continue to improve access to care for those with LF-related morbidity as part of overall health systems strengthening. Key recommendations include prioritizing refresher and MMDP training for health workers, ensuring reliable patient tracking systems, and integrating lymphatic filariasis morbidity management into the routine healthcare system to ensure medicine and commodity availably.

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Bavuso, K., G. Zuccotti, R. A. Rocha, and S. A. Collins. "Lessons Learned for Collaborative Clinical Content Development." Applied Clinical Informatics 04, no. 02 (2013): 304–16. http://dx.doi.org/10.4338/aci-2013-02-cr-0014.

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SummaryBackground: Site-specific content configuration of vendor-based Electronic Health Records (EHRs) is a vital step in the development of standardized and interoperable content that can be used for clinical decision-support, reporting, care coordination, and information exchange. The multi-site, multi-stakeholder Acute Care Documentation (ACD) project at Partners Healthcare Systems (PHS) aimed to develop highly structured clinical content with adequate breadth and depth to meet the needs of all types of acute care clinicians at two academic medical centers. The Knowledge Management (KM) team at PHS led the informatics and knowledge management effort for the project.Objectives: We aimed to evaluate the role, governance, and project management processes and resources for the KM team’s effort as part of the standardized clinical content creation.Methods: We employed the Center for Disease Control’s six step Program Evaluation Framework to guide our evaluation steps. We administered a forty-four question, open-ended, semi-structured voluntary survey to gather focused, credible evidence from members of the KM team. Qualitative open-coding was performed to identify themes for lessons learned and concluding recommendations.Results: Six surveys were completed. Qualitative data analysis informed five lessons learned and thirty specific recommendations associated with the lessons learned. The five lessons learned are: 1) Assess and meet knowledge needs and set expectations at the start of the project; 2) Define an accountable decision-making process; 3) Increase team meeting moderation skills; 4) Ensure adequate resources and competency training with online asynchronous collaboration tools; 5) Develop focused, goal-oriented teams and supportive, consultative service based teams.Conclusions: Knowledge management requirements for the development of standardized clinical content within a vendor-based EHR among multi-stakeholder teams and sites include: 1) assessing and meeting informatics knowledge needs, 2) setting expectations and standardizing the process for decision-making, and 3) ensuring the availability of adequate resources and competency training.Citation: Collins SA, Bavuso K, Zuccotti G, Rocha RA. Lessons learned for collaborative clinical content development Appl Clin Inf 2013; 4: 304–316http://dx.doi.org/10.4338/ACI-2013-02-CR-0014

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Poprawski, Dagmara Magdalena. "Budget poor, but outcomes rich: How to set up tele-assisted systems in a regional and rural cancer center." Journal of Global Oncology 5, suppl (2019): 4. http://dx.doi.org/10.1200/jgo.2019.5.suppl.4.

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4 Background: Tyranny of distance in Australia has motivated oncologists to try innovations in oncology care to improve cost efficiency, access, and compliance. This is often done with little budget availability as health funds are metrocentric. The aim is to bring novel approaches to utilisation of oncology care and show its applicability to most countries even with financial constraints. Methods: Mt Gambier Hospital is a regional hospital in South Eastern South Australia (SE SA). The data collected from clinics was commenced in January 2016, to gain knowledge of epidemiology of cancer in the region, and numbers of patients seen. Despite gold standard cancer care being performed in consultations which are face-to-face, we rolled out telemedicine consultations. We also, implemented a Survivorship Care Model, and entered into a Teletrials Project which sets up a regional trials centre with support from a tertiary hospital, Flinders Medical Centre. Results: Telemedicine has been made in Mt Gambier Hospital’s cancer service a part of every day practice to save patients from unnecessary travel. From January 2016, until May 2019, there were 812 consultations with nurse practitioner, 2542 consultations with consultant in clinic, and 246 telemedicine consultations. Survivorship clinic has been implemented according to South Australian Framework for Survivorship with no extra funding. Since 2017, 49 patients were seen with curative therapy. A re-alignment of appointment scheduling will see 6 patients in the next 2 months, thus increasing clinic potential. Teletrials Project was born from collaboration with Flinders Medical Centre, and gained funding by Beat Cancer South Australia. We are now entering into final stages of Governance agreement for our 1st trial, 18 months from commencing the project. Since then, we also got 2 more collaboration grants from Beat Cancer SA. Conclusions: With limited resources, regional cancer centres are able to maximise their patient outcomes by applying novel strategies. These novel ways of doing things, may be able to be implemented on either existing budgets or through collaboration with metropolitan cancer centres to attract financial grants to improve patient outcomes.

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Kopanieva, V. O., L. I. Kostenko, О. V. Novytskyi, and V. A. Reznichenko. "The task of digital transformation of the scientific information environment." PROBLEMS IN PROGRAMMING, no. 1 (January 2023): 03–10. http://dx.doi.org/10.15407/pp2023.01.003.

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The article discusses the issues of building interoperable scientific and informational structures based on the use of modern information technologies. Tasks related to the creation of theoretical and methodological foundations for the development of the Ukrainian fragment of the global digital interoperable environment of scientific knowledge are defined. The importance of permanent and unambiguous identification of digital resources to ensure their availability and reusability is noted. A synergistic approach to building an integrated digital environment of publishing houses and libraries is proposed. Attention is paid to the need to create a cooperative cataloging center in Ukraine to ensure one-time entry of scientific data and their subsequent multiple and multifaceted use by all interested institutions. The need for a fundamental solution to the problem of functional interaction of the conglomerate of scientific and information structures is emphasized, which will require the development of a new generation of information systems in which the problem of interoperability will be considered one of the main ones. Ukraine’s successes in creating electronic repositories are noted.

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Shah, Monika, Amit Kothari, and Samir Patel. "A Comprehensive Survey on Energy Consumption Analysis for NoSQL." Scalable Computing: Practice and Experience 23, no. 1 (2022): 35–50. http://dx.doi.org/10.12694/scpe.v23i1.1971.

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During the last few years, we are witnessing increasing development in the Internet of Things (IoT) and big data. To address increasing workload complexity with better performance and to handle scalability issues of such applications, non-relational (NoSQL) has started taking the place of relational databases. With increasing load, it is challenging to maintain NoSQL’s performance, scalability, and availability without expanding the capacity of hosts and power budget of computing resources. Future scaling of data center capabilities depends on the improvement of server power efficiency. Considering the rise of energy costs and environmental sustainability, we can not ignore this high energy consumption caused by NoSQL. Despite the increasing popularity and share of NoSQL in the software market, little is still known about its energy footprint. To the best of our knowledge, there are no comprehensive studies that analyze the energy consumption by various modules of NoSQL. This article, therefore, conducts a comprehensive survey on the energy consumption analysis of NoSQL. There are limited proposals to reduce the energy consumption of NoSQL. This paper also provides a brief description of these little efforts on reducing the energy consumption of NoSQL. Based on the review, this paper discusses the research scope and opportunities for researchers to improve the energy conservation of NoSQL systems.

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Lee, Jinsu, and Eunji Lee. "Concerto: Dynamic Processor Scaling for Distributed Data Systems with Replication." Applied Sciences 11, no. 12 (2021): 5731. http://dx.doi.org/10.3390/app11125731.

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A surge of interest in data-intensive computing has led to a drastic increase in the demand for data centers. Given this growing popularity, data centers are becoming a primary contributor to the increased consumption of energy worldwide. To mitigate this problem, this paper revisits DVFS (Dynamic Voltage Frequency Scaling), a well-known technique to reduce the energy usage of processors, from the viewpoint of distributed systems. Distributed data systems typically adopt a replication facility to provide high availability and short latency. In this type of architecture, the replicas are maintained in an asynchronous manner, while the master synchronously operates via user requests. Based on this relaxation constraint of replica, we present a novel DVFS technique called Concerto, which intentionally scales down the frequency of processors operating for the replicas. This mechanism can achieve considerable energy savings without an increase in the user-perceived latency. We implemented Concerto on Redis 6.0.1, a commercial-level distributed key-value store, demonstrating that all associated performance issues were resolved. To prevent a delay in read queries assigned to the replicas, we offload the independent part of the read operation to the fast-running thread. We also empirically demonstrate that the decreased performance of the replica does not cause an increase of the replication lag because the inherent load unbalance between the master and replica hides the increased latency of the replica. Performance evaluations with micro and real-world benchmarks show that Redis saves 32% on average and up to 51% of energy with Concerto under various workloads, with minor performance losses in the replicas. Despite numerous studies of the energy saving in data centers, to the best of our best knowledge, Concerto is the first approach that considers clock-speed scaling at the aggregate level, exploiting heterogeneous performance constraints across data nodes.

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Zandiatashbar, Ahoura, and Shima Hamidi. "Impact of Transit Quality on Anchor-Mediated Knowledge Economies Across Large U.S. Cities." Transportation Research Record: Journal of the Transportation Research Board 2676, no. 4 (2022): 763–75. http://dx.doi.org/10.1177/03611981211065440.

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Universities, medical centers, and headquarters are the driving forces behind cities’ innovation productivity and anchor-based urban revitalization efforts, such as innovation districts. As a result, there is increasing competition for corporate anchors, as well as emerging partnerships and conflicts. In each case, transit has a major role to play. Yet we know little about precisely how transit fits into the dynamics of anchor-based revitalization. To address this empirical gap, this study employed structural equation modeling to grasp both the direct and indirect impacts of transit on the knowledge-intensive firm location in 500 large U.S. cities. We conceptualized the indirect impact of transit as mediated by anchors with a composite value that we developed to quantitatively represent the presence and size of major innovation anchors in each city. According to our findings, the positive impact of transit on a city’s overall knowledge economy occurred through its role in supporting anchor institutions, a role that, in turn, significantly increased the likelihood of knowledge-based firms locating in the city. In short, transit quality was positively associated with larger and more established anchors, as well as the availability of more employees, which expands the city’s talent pool, a critical driver of knowledge-intensive employers’ location decisions. These findings call for greater attention to be paid to transit in cities’ anchor-based urban revitalization plans and to partnerships between cities, metropolitan organizations, and anchors in planning future transit systems.

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Prof., Dr. Attia Hussien Gomaa. "Optimizing Asset Integrity for Critical Manufacturing Systems Using Advanced Proactive Maintenance Strategies." International Journal of Emerging Science and Engineering (IJESE) 13, no. 4 (2025): 21–33. https://doi.org/10.35940/ijese.B2026.13040325.

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Abstract: Asset Integrity Management (AIM) is fundamental for optimizing asset performance by improving reliability, availability, maintainability, and safety (RAMS), while minimizing operational risks and costs. Failures in critical assets can result in substantial financial losses, safety hazards, and environmental consequences, highlighting the need for proactive maintenance strategies. This study introduces an innovative AIM framework that seamlessly integrates advanced technologies with proven methodologies to address these challenges. The framework combines Machine Learning (ML) for predictive analytics, enabling early fault detection, and Digital Twins (DT) for real-time asset monitoring and simulation. It also incorporates established approaches such as Risk-Based Inspection (RBI), Reliability-Centered Maintenance (RCM), Total Productive Maintenance (TPM), and Lean Six Sigma (LSS). This integration forms a holistic, datadriven approach to decision-making, operational optimization, risk reduction, and continuous improvement. A comprehensive literature review identifies critical gaps in traditional AIM practices, particularly the limited integration of emerging technologies and methodologies. The proposed framework bridges these gaps, enhancing asset performance, safety, and sustainability. This research highlights the transformative potential of combining advanced technologies with established AIM methodologies. It offers a strategic roadmap for industries to improve asset integrity, achieve operational excellence, and foster long-term sustainability. To the author’s knowledge, this is the first study to unify these six methodologies into a cohesive framework, providing valuable insights for implementing advanced maintenance strategies in complex industrial environments.

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Rugchatjaroen, Krish. "Approach of Electronic Government to Closing the Gap between Public and Citizens." Journal of Social and Development Sciences 5, no. 3 (2014): 130–37. http://dx.doi.org/10.22610/jsds.v5i3.813.

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Electronic government uses ICT to improve public activities, bringing also greater organizational efficiency and effectiveness. The aim of this research is to study electronic government in Thailand to move towards success. The questionnaire obtained information on the current status of electronic government in Thailand which intendeds to investigate factors relating to information technology by interviewing state employees in National Electronics and Computer Technology Center: NECTEC. The results reveal 6 conclusion based upon the following area of study; 1) Investment: budget allocations for the integration of ICT in the public sector by considering the national strategic plan and the ASEAN community strategies, to increase the competitiveness and investigate in infrastructure and logistics. 2) Officialsâ€™ knowledge and understanding: involving the full cooperation from government agencies workshops on the development of information systems for public sector officials to allow implementation of the projects to restructure more efficiently the form of electronic government. 3) Citizensâ€™ understanding: which investigated the public sectors acceptance of public participation and people-centered government services? There are wide gaps between those used in municipal and non-municipal area. 4) Networking: the form of networking through a collaborative network of TOT and CAT in the core layer, which makes the network redundancy and high availability. 5) Promoting: using website to promote activities and disseminate knowledge about technology in electronics and computer project or training. and 6) Policies: the manner the Ministry of Information and Communication Technology, allocates resources in their expansion of telecommunications infrastructure and communication channels and the way they encourage full access to ICT that will lead to close the gap.

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Scientific Council, National. "Excessive stress disrupts the development of brain architecture." Journal of Children's Services 9, no. 2 (2014): 143–53. http://dx.doi.org/10.1108/jcs-01-2014-0006.

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Purpose – Drawing on the scientific literature, the purpose of this paper is to elucidate the harmful effects of toxic stress on the developing brain. It explains how severe, chronic adversity during development, in the absence of responsive caregiving, can impair brain architecture. It also outlines policy implications for preventing or mitigating the effects of toxic stress in early childhood. Design/methodology/approach – The National Scientific Council on the Developing Child, based at the Center on the Developing Child at Harvard University, is a multidisciplinary, multiuniversity panel of scholars that seeks to bring science to bear on public decision making. Council members selected excessive stress as a topic meriting translation for a general audience and conducted extensive peer review in drafting the paper's key scientific concepts. Findings – The paper discusses how healthy development can be derailed by excessive or prolonged activation of the biological stress response systems and how that increases lifetime risk for certain behavioural and physiological disorders. It finds that supportive relationships with caregivers can help buffer the negative consequences of toxic stress. Social implications – The paper calls for improvements to family support programmes, mental health services, and the quality and availability of early care and education. Originality/value – This paper describes an original taxonomy of positive, tolerable, and toxic stress and demonstrates the need to translate scientific knowledge about the developing brain into actionable strategies for the prevention and treatment of the effects of adverse childhood experiences.

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Dupuy, P. M. M., M. Fernandino, H. F. F. Svendsen, and R. Westra. "CO2: One-Component Two-Phase System as Model Fluid for High-Pressure Hydrocarbon Systems." SPE Journal 16, no. 02 (2010): 482–88. http://dx.doi.org/10.2118/139606-pa.

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Summary In the process of performing either scientific experiments or research and development related to the design and optimization of high-pressure liquid-from-gas separator units, both laboratory experiments and tests in prototypes are needed. In order to emulate the low interfacial tensions often experienced in high-pressure hydrocarbon systems, the use of carbon dioxide (CO2) as model fluid is studied. This paper describes how the CO2 system behaves at saturation conditions. It describes this system and compares it with traditional laboratory systems and real fluids (from the field). CO2 at saturation pressure under normal temperatures presents an interesting system with low interfacial tension, below 3 mN/m, while the liquid/gas-density ratio is approximately 3. The availability of the fluid (CO2) in research centers and academia is high. When planning a matrix of experiments as part of a database of reproducible laboratory fluids, the present system is an independent base vector ideal for studying the high-Weber/low-Reynolds-number regime. This paper shows how a dispersed CO2-droplet phase, representative of a hydrocarbon-gas/condensate system, can be achieved in the laboratory and used for studying collision outcomes. Results show that it is possible to obtain streams of droplets for droplet experiments. The mean diameter in the studied regime with the particular nozzle used was on the order of 100 µm, while the smallest droplets possible to track with the presented technique were approximately 40 µm. Droplet/wall-collision experiments were focused in this work. Both coalescence and bouncing were observed on both dry and wet walls. The absence of real fluid experiments at laboratory conditions generates a lack of basic knowledge about what is happening in real scrubbers. This system is proposed to be representative for a part of the flow-property region of interest in real gas/liquid scrubbers. This basic knowledge is fundamental when designing separation units at high pressures for gas-processing stages such as subsea gas-separation concepts.

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Olthof, A. W., R. K. Shiraliyeva, R. R. Aliyev, A. K. Mammadbayli, P. M. A. van Ooijen, and J. C. de Groot. "NEURORADIOLOGY IN AZERBAIJAN AND THE NETHERLANDS: A HEALTHCARE ASSESSMENT FROM THE NEUROLOGIST’S PERSPECTIVE." National Journal of Neurology 2018, Special (2018): 61–70. http://dx.doi.org/10.61788/njn.spec.18.9.

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Background. Referring physicians are valuable sources of information for radiologist to improve quality in radiology. In different healthcare systems neuroradiology has developed differently. Healthcare in Azerbaijan is developing and investments take place both in infrastructure and knowledge. Tools to compare healthcare in Azerbaijan and western countries can help to guide these improvements by providing detailed information about a specific field resulting in a more focused approach. Methods. A survey covering the field of neuroradiology was developed, with a variety of items including the availability of equipment, the contentment with the radiological report, the experience of the neurologist, and factors omitting neurological imaging. Data was collected both in Azerbaijan and the Netherlands. Results. In both countries most neurologist do not receive formal neuroradiology training. The data demonstrate a higher availability of advanced computed tomography (CT) and magnetic resonance imaging (MRI) machines in the Netherlands compared with Azerbaijan, and a higher experience with requesting imaging and case reading for the Dutch respondents. The financial situation of the patient can be a reason for Azerbaijan neurologists to omit imaging (due to the establishment of CT and MRI in most cases in specialized and private centers). Conclusion. The presented survey allows comparison of neuroradiological healthcare between countries in general, and identification of required preconditions to improve collaboration between neurologists and radiologists. A future lower financial threshold for imaging and a future increase in availability of PACS (picture archiving and communication system) will facilitate the improvement of neuroradiological skills of Azerbaijan neurologists. Both Dutch and Azerbaijan neurologists consider weekly clinical neuroradiological conferences together with radiologists useful to improve their skills.

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B., Ajay Mallya, Praveen Kumar N., and Sridevi N. H. "Assessment of patient satisfaction of services in primary healthcare centers of Shivamogga: a cross-sectional study." International Journal Of Community Medicine And Public Health 8, no. 6 (2021): 3060. http://dx.doi.org/10.18203/2394-6040.ijcmph20212015.

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Background: India is the second most populous country in the world. Studies have shown that quality of primary health care in low to middle income countries is very poor. Patient’s perception of quality of health care service provided has strong relation with the utilization the services. Hence it’s important to monitor the health care delivery systems in the country to gain more knowledge about the health care delivery systems.Methods: A cross-sectional study was conducted in selected primary healthcare centres (PHCs) in Shimoga. 5 PHCs were selected by simple random sampling. 30 patients attending the facility were randomly chosen for exit interview. Data regarding patient’s perception of quality of health care provided by the facility was collected using a questionnaire.Results: Majority of the participants (68%) found the services provided by the facility to be satisfactory. Patients showed high satisfaction towards explanation provided the regarding problem by doctor (84%) and cleanliness of the facility (87.3%). Poor satisfaction was seen towards availability of medicines (54%) and behaviour of the paramedical staff (46%).Conclusions: There is a need to improve the quality of services provided by the primary healthcare centres to achieve better patient satisfaction and utilization.

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Rodrigues, Arthur de Souza, and Ediu Carlos Lopes Lemos. "Assessment of Groundwater Favorability in the Municipality of São Mateus-ES." Revista de Gestão Social e Ambiental 18, no. 2 (2023): e04440. http://dx.doi.org/10.24857/rgsa.v18n2-004.

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Purpose: Make an assessment regarding the favorability of exploring groundwater in the municipality of São Mateus.  Theoretical framework: Guaranteeing the availability of water regularly and with good quality for everyone, without threatening public health, remains a challenge for the semi-arid regions of the country, especially for diffuse communities in large centers, which do not have adequate water infrastructure. Method/design/approach: The methodology used in the research begins with a bibliographical review on the topic, as well as obtaining data relating to wells registered with SIAGAS E AGERH between the years 2019, 2020 and 2021; creation of cartographic products using ArcGisTM 10.1 software; characterization of aquifer systems in the region; definition of areas with greater favorability for the exploitation of groundwater, as well as the influence of the depth of drilled wells on the flow rates obtained.  Results and conclusion: The three aquifer systems defined for the study area were characterized, namely the fractured, Barreiras and Coberturas. The Barreiras aquifer system has wells with higher flows. However, the importance of adequate planning and control by the public authorities regarding the exploitation of water in this system must be highlighted, as, as a result of intensive pumping, salt water can advance into the freshwater zone of the aquifer.  Research implications: The advancement of studies regarding the availability and potential of groundwater contributes to the implementation of more efficient management of water resources, as well as promoting the expansion of specific knowledge on how reserves inherent to underground water dynamics are exploited locally.  Originality/value: Trazer reflexões a partir da avaliação quanto a favorabilidade hídrica no município de São Mateus, de forma a garantir uma segurança hídrica tanto quantitativa, quanto qualitativa para as comunidades desta região, encontra-se em conformidade com uma das metas da Agenda 2030 para o Desenvolvimento Sustentável.

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Dusengimana, Jean-Marie Vianney, Jean de Dieu Uwihaye, Amanda Fata, et al. "Abstract 1: A Learning Collaborative Model to Empower Rural Rwandan Health Centers to Improve the Quality of Screening for Women’s Cancers." Cancer Epidemiology, Biomarkers & Prevention 32, no. 6_Supplement (2023): 1. http://dx.doi.org/10.1158/1538-7755.asgcr23-abstract-1.

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Abstract Purpose: Screening and early detection initiatives for breast and cervical cancer are public health priorities in sub-Saharan Africa, but sustainable strategies to monitor screening quality in rural health facilities are not well-described. We sought to empower rural primary care clinicians to monitor and improve screening quality and integrate quality improvement (QI) into routine practice through a learning collaborative in 8 health facilities participating in a breast and cervical cancer screening initiative in Burera district, Rwanda. We evaluated the model’s impact on participant knowledge/attitudes and QI projects’ success. Methods: Two-day didactic sessions in March 2022 addressed quality measurement and QI implementation. QI knowledge/attitudes were assessed before and after training using a brief written survey and compared using paired t-tests. Participants (all nurses) then identified a cancer screening problem at their health facility that could be solved using QI methods and planned projects. All health center (HC) trainees focused on increasing the proportion of eligible women screened for cervical cancer in their sectors, via educational campaigns. District hospital (DH) team members aimed to reduce missed referral visits. At subsequent meetings, teams discussed projects and next steps. Results: Three clinicians from each of 7 HCs and 2 from the DH (n=23) participated in training; 22 took pre- and post-training surveys. Baseline mean knowledge scores (66.5%,SD 11.8) improved following training (82.4%,SD 12.0,p&lt;0.001). After training, 22(100%) reported interest in being more engaged in QI. In the 6 months following project implementation, HCs saw a 4.8-fold increase in the mean number of patients screened across 7 HCs (35.4,SD 17.1) compared to 6 months prior (7.5,SD 2.6). Efforts to reduce missed visits could not be assessed due to inability of the cancer screening electronic medical record to track patients across facilities. Conclusion: A learning collaborative model engaged rural primary care clinicians in evaluating and improving cancer screening practices. QI knowledge improved and HCs met initial project goals. Though projects focused on patient volume, future initiatives should examine other critical quality measures i.e., referral completion and time to cancer diagnosis. Improving data collection systems is essential to facilitate availability of follow-up data and patient tracking and empower clinicians to monitor care quality. Citation Format: Jean-Marie Vianney Dusengimana, Jean de Dieu Uwihaye, Amanda Fata, David Tuyisenge, Aphrodis Ndayisaba, Vestine Rugema, Marie Louise Uwineza, Lawrence N. Shulman, Cyprien Shyirambere, Lydia E. Pace. A Learning Collaborative Model to Empower Rural Rwandan Health Centers to Improve the Quality of Screening for Women’s Cancers [abstract]. In: Proceedings of the 11th Annual Symposium on Global Cancer Research; Closing the Research-to-Implementation Gap; 2023 Apr 4-6. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(6_Suppl):Abstract nr 1.

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Klemp, Jennifer R., Carol Bush, Ashley Spaulding, Hope Krebill, and Gary C. Doolittle. "Engaging a statewide network to expand survivorship care to rural and urban cancer survivors." Journal of Clinical Oncology 34, no. 3_suppl (2016): 23. http://dx.doi.org/10.1200/jco.2016.34.3_suppl.23.

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23 Background: Advances have been made in elevating cancer survivorship as a public health priority and defining elements needed to deliver high-quality follow-up care to survivors. However, a lack of research on how best to care for survivors and the most effective and efficient strategies for delivering survivorship care in the community setting still exists. We report our assessment of the current state of practice, knowledge and professional development, and plan to increase access to care of urban and rural practices across the state of Kansas. Methods: In 2014, the Midwest Cancer Alliance (MCA), a membership-based outreach arm of The University of Kansas Cancer Center, convened an educational summit and survey to assess the survivorship landscape in Kansas. Post-summit, individual interviews were conducted. Survey and interviews included questions regarding health records, treatment summaries, survivorship care plans (SCP), availability of survivorship programs and resources, access to primary care and specialists, distress screening, community support, and educational needs. Results: Ten MCA member health systems were invited to participate and 7 indicated interest in participating in the project. Only one organization provided an SCP to survivors. Barriers included lack of an integrated approach and knowledge. A majority of survivorship care could be delivered close to home, however, services including fertility preservation, genetic counseling, oncology rehab, sexual health, and second opinions, required travel of more than 50 miles. Identified educational needs focused on comprehensive survivorship care across the health care team. Conclusions: Survivorship care remains fragmented across the state of Kansas. Based on this project, we have secured a CDC survivorship grant that will facilitate clinical and technical assistance related to process improvement and electronic health record integration focused on survivorship care and delivery of an SCP. Next steps include engaging primary care providers and survivors to assure the SCP meets the needs of stakeholders. This work will focus on a translational process to meet the growing needs of the survivors and complex health care organizations.

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Prof., Uzochukwu Onyeizugbe Chinedu, Amaka Francisca Maduka, and Isaac Akinroluyo (PhD) Bankole. "Resource Allocation and Performance of Primary Health Care Centres in Anambra State, Nigeria." International Journal of Advanced Academic Research 11, no. 3 (2025): 1–12. https://doi.org/10.5281/zenodo.15079851.

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Resource allocation plays a critical role in the performance of Primary Health Care (PHC) centers, particularly in Anambra State, Nigeria, where these facilities serve as the primary access points for healthcare. This study examines the relationship between resource allocation and PHC performance, with a focus on staff development and hospital equipment availability. Employing a descriptive survey research design, data were collected from 309 respondents across 1,360 PHCs in the state. Regression analysis revealed significant associations between resource allocation and mortality rates. Specifically, enhanced staff development correlated with a 0.48 reduction in mortality rates, while improved hospital equipment availability led to a 0.68 decrease. These findings underscore the importance of adequate training for healthcare personnel and access to functional medical equipment in improving patient outcomes. The study aligns with the Resource-Based View (RBV) theory, which emphasizes the strategic use of resources to enhance organizational performance. The study concluded that adequate investment in staff development and hospital equipment significantly reduces mortality rates, improving overall healthcare quality. Addressing resource gaps can strengthen PHC systems and contribute to better health outcomes. The study recommends that continuous professional training and development programs should be implemented to equip healthcare staff with updated skills and knowledge. Improved staff competence enhances healthcare quality and operational efficiency, which can reduce mortality and improve patient outcomes.

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Lin, Kuo-Ping, Chun-Min Yu, and Kuen-Suan Chen. "Production data analysis system using novel process capability indices-based circular economy." Industrial Management & Data Systems 119, no. 8 (2019): 1655–68. http://dx.doi.org/10.1108/imds-03-2019-0166.

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Purpose The purpose of this paper is to establish mechanisms for process improvement so that production efficiency and product quality can be expected, and create a sustainable development in terms of circular economy. Design/methodology/approach The authors obtain a critical value from statistical hypothesis testing, and thereby construct a process capability indices chart, which both lowers the chance of quality level misjudgment caused by sampling error and provides reference for the processes improvement in poor quality levels. The authors used the bottom bracket of bicycles as an example to demonstrate the model and methods proposed in this study. Findings This approach enables us to plot multiple quality characteristics, despite varying attributes and specifications, onto the same process capability analysis chart. And it therefore increases accuracy and precision to reduce rework and scrap rates (reduce), increase product availability, reduce maintenance frequency and increase reuse (reuse), increase the recycle rates of components (recycle) and lengthen service life, which will delay recovery time (recovery). Originality/value Parts manufacturers in the industry chain can upload their production data to the cloud platform. The quality control center of the bicycle manufacturer can utilized the production data analysis model to identify critical-to-quality characteristics. The platform also offers reference for improvement and adds the improvement achievements and experience to its knowledge management to provide the entire industry chain. Feedback is also given to the R&D department of the bicycle manufacturer as reference for more robust product designs, more reasonable tolerance designs, and selection criteria for better parts suppliers, thereby forming an intelligent manufacturing loop system.

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Sumbodo, B. Tresno, Sardi Sardi, Sunarya Sunarya, and Hermawan Prasetyanto. "Penguatan Desa Wisata Berbasis Kampung Iklim: Menuju Terwujudnya Ketahanan Pangan di Desa Pandowoharjo Sleman Yogyakarta." PATRIA 2, no. 1 (2020): 69. http://dx.doi.org/10.24167/patria.v2i1.2589.

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Every household always hopes to have enough food available. While fertile agricultural land is decreasing, food needs increase with increasing population. The use of the yard is expected to help improve food availability for the community.In realizing a climate village tourism village in Pandowoharjo Village, a series of activity programs are designed to be carried out continuously for three years. In Year I of the program, community education activities focused on harvesting and using rainwater for vegetable cultivation in the yard. The design of rainwater harvesting facilities is carried out in the form of IPAH, infiltration wells and dead-end channels (Rorak) in six padukuhan which have been designated as the center of tourism village development namely: Brayut, Temon, Pajangan, Dukuh, Karangtanjung and Plalangan.This method of mentoring the PPDM scheme in Pandowoharjo was carried out in three stages, namely program socialization, training and implementation. The mentoring process is carried out with two approaches, namely theoretical training and skills improvement with practice in the field.The results of the activities in Year I of the PPDM program have benefited partners directly, including: a) Increasing number of people who understand, and have skills in responding to climate change; b) Number of facilities for IPAH, infiltration and rorak wells increased by 15 units; c) The number of people who harvest and utilize rainwater increases by 15KK; d) The number of members of the farmer group of women who use the yard for the cultivation of vegetables with vertikulture and hydroponic systems increases by 20 people.Some achievements that are non-physical such as: network of rainwater harvesters, improvement of knowledge and skills of community members, and pilot cooperation partnerships that integrate several productive economic business groups with BUMDes.

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Prihatini, Ike Johan, Sri Achadi Nugraheni, and Sutopo Patria Jati. "Bottleneck Pelayanan Nifas pada Upaya Penurunan Risiko Kejadian Kematian Ibu di Wilayah Dinas Kesehatan Kota Semarang." Jurnal Manajemen Kesehatan Indonesia 5, no. 3 (2017): 28–35. http://dx.doi.org/10.14710/jmki.5.3.2017.28-35.

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Maternal and child health was a priority of health program in Indonesia. Maternal Mortality Rate in Semarang was ranked second highest in Central Java. The highest proportion of maternal deaths occurred during puerperium. That’s indicates, there was a problem in a process of maternal health services during puerperium period in health facilities. This study was conducted to examine constraints on health systems that limit range of interventions or health services that were important for postpartum, bottlenecks related to postpartum services in Public Health Center (PHC), especially infrastructure, human resources, access to PHC, post partum visits (KF1 and KF3), as well as quality of post partum services on risk reduction of maternal mortality. This case study used a qualitative approach. Data collection through interviews to five midwives as main informants, 5 midwives coordinator and 5 heads of PHC as informant triangulation. Data analsyis used content analysis method, then assigned priority bottleneck through MCUA (Multiple Criteria Utility Assessment) techniques. WHO's scale-up BNA plan to analyze bottleneck causes. Results showed, there was a bottleneck on childbirth services in PHC. The causes of bottleneck risk reduction efforts of maternal mortality incidence in puerperium period has never been analyzed workload of health personnel in PHC, lack of monitoring and evaluation of an availability infrastructure facilities in PHC, there has not been regular training, especially on delivery until puerperium services, and PHC has not received more detailed and operational information about puerperium so their maternal knowledge about puerperium has not increased much and couldn’t raise mother's awareness to do so. Semarang Public Health Office (Dinas Kesehatan Kota Semarang) needs to conduct periodic monitoring and evaluation implementation of postpartum services and improve quality of childbirth services in PHC.Keywords: Bottleneck analysis, health services, post partum, Primary Health Care, Puskesmas, Maternal Mortality Rate

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Alzahrani, Ali M., Baraa S. Quronfulah, Holly C. Felix, and Asim A. Khogeer. "Facilitators for Routine Medical Checkups Use from the Perspective of Primary Care Providers: A qualitative study." Pakistan Journal of Medical Sciences 41, no. 4 (2025): 1023–29. https://doi.org/10.12669/pjms.41.4.10649.

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Objective: To identify facilitators to routine medical checkups (RMCs) use among Saudi adults from the perspectives of primary care providers (PCPs). Methods: A qualitative phenomenological study design was conducted at five primary health care centers (PHCs) in Makkah, Saudi Arabia. Data was collected between December 2020 and February 2021 using semi-structured interviews with 19 PCPs. Descriptive statistics were performed to characterize participants, and a direct content analysis was conducted to identify major themes. Results: A number of factors were identified as facilitators for RMCs use among Saudi adults. Those facilitators were classified into three main themes related to patients, providers, and healthcare systems. Patients’ knowledge about the importance of RMCs and their awareness of the service availability were identified as key facilitators under patients-related theme. Providers’ knowledge, skills, and awareness of RMCs were identified as facilitators under provider-related themes. Lastly, improving the supply of providers and enhancing access were the facilitators identified under the healthcare system-related theme. Conclusion: This study provided insights into the facilitators for RMCs use among Saudi adults from the perspective of PCPs. This could contribute to the knowledge and inform future research, policy, and decision-making related to increasing the use of RMCs among Saudis. doi: https://doi.org/10.12669/pjms.41.4.10649 How to cite this: Ali M. Alzahrani, Baraa S. Quronfulah, Holly C. Felix, Asim A. Khogeer. Facilitators for Routine Medical Checkups Use from the Perspective of Primary Care Providers: A qualitative study. Pak J Med Sci. 2025;41(4):1023-1029. doi: https://doi.org/10.12669/pjms.41.4.10649 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Navis, MD, Allison, Mary Catherine George, PhD, Maya Scherer, MPH, Linda Weiss, PhD, Yosuke Chikamoto, PhD, and Jessica Robinson-Papp, MS, MD. "What physicians need to implement safer opioid prescribing: A qualitative study." Journal of Opioid Management 15, no. 6 (2019): 479–85. http://dx.doi.org/10.5055/jom.2019.0538.

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Introduction: In response to the US opioid epidemic, the Centers for Disease Control and Prevention issued a guideline (CDCG) for prescribing opioids for chronic pain. Successful implementation of the CDCG requires identification of the information, skills, and support physicians need to carry out its recommendations. However, such data are currently lacking.Methods: The authors performed one-on-one interviews with nine practicing physicians regarding their needs and perspectives for successful CDCG implementation, including the perceived barriers, focusing on communication strategies. Interviews were audio recorded, transcribed, and a thematic qualitative analysis was performed.Findings: Three major themes were identified: communication, knowledge, and information technology (IT). Physicians reported that open communication with patients about opioids was difficult and burdensome, but essential; they shared their communication strategies. Knowledge gaps included patient-specific topics (eg, availability of/insurance coverage for non-opioid treatments) and more general areas (eg, opioid dosing/equivalencies, prescribing naloxone). Finally, physicians discussed the importance of innovation in IT, focusing on the electronic medical record for decision support and to allow safer opioid prescribing within the time constraints of clinical practice.Discussion: These qualitative data document practical issues that should be considered in the development of implementation plans for safer opioid prescribing practices. Specifically, healthcare systems may need to provide opioid-relevant communication strategies and training, education on key topics such as naloxone prescribing, resources for referrals to appropriate nonpharmacologic treatments, and innovative IT solutions. Future research is needed to establish that such measures will be effective in producing better outcomes for patients on opioids for chronic pain.

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Wilson, Kate, Amir Juya, Ahmed Abade, et al. "Evaluation of a New Field Epidemiology Training Program Intermediate Course to Strengthen Public Health Workforce Capacity in Tanzania." Public Health Reports 136, no. 5 (2021): 575–83. http://dx.doi.org/10.1177/0033354920974663.

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Objectives Sub-Saharan Africa faces a shortage of skilled epidemiologists to prevent, detect, and respond to health threats. Tanzania has implemented one of the first Centers for Disease Control and Prevention Field Epidemiology Training Program (FETP) Intermediate courses in Africa. This course aims to strengthen health workforce capacity in surveillance system assessment, outbreak investigation, and evaluation, prioritizing HIV control. We conducted an outcome evaluation of this new course. Methods We used a pre/post evaluation design using data from 4 cohorts of trainees who took the FETP Intermediate course from 2017 to 2020. We conducted knowledge assessments before and after each cohort and combined those results. Outcomes included knowledge and self-rated competency and trends in integrated disease surveillance and response (IDSR) data. We collected data through tests, field assignments, exit interviews, and data audits. We compared the mean change in pre-/posttest scores using linear regression and 95% CIs. We used content analysis to summarize exit interviews. Results Fifty-three FETP trainees from 10 regions enrolled in the FETP Intermediate course, and 52 (99.0%) completed the course. We found substantial increases in mean knowledge (44.0 to 68.0 points) and self-rated competency (4.14 to 4.43) scores before and after the course. Trainees evaluated 52 surveillance systems and 52 district HIV care programs, and 39 (75.0%) trainees participated in outbreak investigations. From before to after cohort 1, timeliness and completeness of IDSR reports increased from 4.2% to 52.1% and from 27.4% to 76.5%, respectively. Course strengths were quality of instruction, individualized mentoring, and practical skills gained. Challenges were mentor availability, limited time for data analysis practice, and balancing work and field assignments. Conclusions The Tanzania FETP Intermediate course substantially improved trainee knowledge and helped to improve local data quality and reporting. This course is a promising model to strengthen subnational capacity to prevent, detect, and respond to public health threats in Africa.

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OH, Chaekun. "The Acceptance of Yuan China Medicine and the Response of the Koryŏ Medical Community: Utilization of Local Herbs and Simple Prescriptions." Korean Journal of Medical History 34, no. 1 (2025): 1–36. https://doi.org/10.13081/kjmh.2025.34.001.

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In this study, I examine how Chinese medicine, particularly from the Song 宋 and Yuan 元 dynasties, was received during the late Koryŏ 高麗 dynasty, along with the responses of the Korean peninsula’s medical community. Previous discussions of Koryŏ medicine have primarily focused on hyangyak 鄕藥, local herbs that were readily available. To move beyond these limitations, this study explores how the medical systems of the Song and Yuan were conceptualized as central, representing universal medicine, while Koryŏ’s and its medical practices were positioned as peripheral, characterized as local medicine. The broader field of medicine is examined across four categories: medical principles, diagnostic methods or pathological explanations, formulas, and herbs.Situated on the eastern periphery of the Chinese continent, Koryŏ regarded Song medicine as advanced and central. In response, Koryŏ actively sought to study Song medical knowledge by importing comprehensive, government-compiled medical texts and petitioning for the establishment of medical education. Following the fall of Song, the Mongol (Yuan) dynasty emerged as the new ruling power and invaded Koryŏ nine times over a 30-year period. In 1259, the Koryŏ king succumbed to the Mongols (Yuan), and Koryŏ remained under the political influence of the Yuan Empire until 1356. As a result, Yuan medicine was adopted in Koryŏ, both semi-compulsorily and organically.Evidence of Yuan influence can be found in surviving Koryŏ texts, which reflect the impact of the Comprehensive Record of Sagely Benefaction 聖濟總錄, a key text emphasized in the Yuan dynasty’s medical civil service examinations, as well as the new formulas introduced by the renowned physician Li Gao 李杲, Luo Tianyi 羅天益. Moreover, among the writings left by Yi Saek 李穡, a Koryŏ writer, are anatomical records derived from Yuan texts and correspondence with Yang Jongjin 楊宗眞, who is believed to be a Chinese medical practitioner. These records indicate that Koryŏ intellectuals made contact with Yuan medicine through various channels. However, effective clinical implementation of such newly acquired medical knowledge required access to specific medicinal herbs. While Koryŏ was under the Yuan rule, the close political relationship provided relatively easy access to valuable medicinal herbs, but this access was limited. As Koryŏ increasingly adopted Yuan medical practices, challenges surrounding the supply and demand of herbs became increasingly significant, prompting local medical practitioners to seek practical solutions.To Koryŏ medical scholars and practitioners residing in the periphery, the medicine of Song and Yuan represented universal medicine. While they were able to acquire the knowledge of medical principles, diagnostic methods or pathological explanations, formulas, and herbs from this universal medicine, the political and geographical distance between the center and the periphery restricted the availability of medicinal herbs in Koryŏ. The most viable response was to establish a material foundation rooted in local herbs and to compile formularies that documented local herbs and simple prescriptions 單方 composed of only a few accessible herbs. This process reveals the conflict, compromise, and adaptation that occurred as Koryŏ’s local medicine confronted and adopted the universal medicine of the Chinese center.

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Lysenko, M. "DEVELOPMENT OF AN ALGORITHM FOR SEARCHING FOR THE OPTIMAL ROUTE IN INDOOR PREMISES." Mechanics And Mathematical Methods 7, no. 1 (2025): 125–37. https://doi.org/10.31650/2618-0650-2025-7-1-125-137.

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The development of an inclusive environment is a crucial aspect of modern society, particularly in the field of indoor navigation systems. Many existing shortest path algorithms, such as the classic Dijkstra’s algorithm, do not take into account the specific needs of users with disabilities. This can lead to the creation of routes that are unsuitable or inconvenient for wheelchair users, individuals with visual or hearing impairments, and those with temporary mobility difficulties. This issue is especially critical in medical facilities, where the speed and accessibility of movement can directly impact the quality of service and patient safety. This paper presents a modification of Dijkstra’s algorithm that allows for the dynamic adaptation of graph weights according to the specific needs of users and the current environmental conditions. The proposed approach integrates a production knowledge model, enabling the algorithm to make decisions based on formalized rules that consider accessibility parameters such as the availability of elevators, ramps, doorway widths, lighting, tactile markings, and other factors. The adaptive navigation system, built on the basis of the modified Dijkstra’s algorithm, offers several key advantages: the ability to personalize routes according to the user’s profile, automatic exclusion of inaccessible or unsuitable paths, and dynamic route adjustment in response to environmental changes (e.g., construction work or elevator malfunctions). The proposed algorithm can be used to optimize navigation not only in medical facilities but also in shopping centers, educational institutions, transportation hubs, and other buildings with high pedestrian traffic. The results of the study indicate that implementing an adaptive approach to route searching significantly enhances accessibility and convenience for all categories of users. Future system development may include the integration of artificial intelligence technologies for real-time analysis of environmental changes, as well as extending the algorithm for use in open spaces, particularly in urban navigation systems.

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Mikulina, Maryna, and Igor Ryzhov. "Heuristic methods and pedagogical conditions for their implementation in the practice of the state security competency forming." Information Security of the Person, Society, State. 2022. № 1–3 (34–36), no. 34-36 (December 12, 2022): 91–103. http://dx.doi.org/10.51369/2707-7276-2022-(1-3)-11.

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The activity of the state in forming state security competence is the implementation of a system of means for anticipating and planning, organization, regulation, coordination, and monitoring activities of those authorized to introduce relevant competencies for the training courses of state security at different levels of the state security system. That is why the basic competencies of state security professionals are desirable, and for the managerial staff it is compulsory, firstly, they have to be able to creative and innovative in their activity, be open minded to promote new and diverse perspectives; secondly, critical thinking and problem-solving are indispensable skills, taking into account cause-effect relationships, understanding the relationships between systems and system elements; skillful, responsible thinking, which enables quick and objective determination of the problem and generate unique algorithms for solving it. In modern conditions, the center of gravity in the implementation of counterintelligence or anti-terrorist measures is shifting to the practices of social and informational counteraction and social prevention, and knowledge management requires new models of military and civil (hybrid) confrontation with new types of aggression where a significant proportion is intangible assets (socio-political, technological, informational, financial and others), which are a consequence of the effective use of intellectual capital of the state (social system). Accordingly, the role of effective management of intellectual resources is growing, since their availability and degree of development determine the ability of the national security system to innovation and progress in its development. The overwhelming majority of social systems managers do not tend to out-of-the-box thinking, but to formalized decision algorithms and are unable to find effective solutions due to the uncertainty and variability of conditions. That is why a prerequisite for the development and effective implementation of state security is the availability of specialists who are able not only to solve closed tasks, but also to perform creative tasks. Another problem-matter is the formation of pedagogical conditions to outline their professional competencies, which gives grounds to raise the issue of the need to form acmeological fundamentals of the state security system as a technology. The practice of using security forces shows a direct proportional dependence of the effectiveness of their operational-combat missions on the degree of readiness of the leadership and personnel. The degree of readiness is an integrated component of the status parameters, the main of which is the level of professional preparedness of the employee. The degree of readiness is an integrated component of the status parameters, the main of which is the level of professional preparedness of the employee. Therefore, the thesis that professionally trained personnel are and will be the system-forming element of the state security forces is and will be peremptory. The impact on the processes of formation of competence of state security specialists is regulatory, decisive for the ability of the system to perform key responsibilities – protection of the state from criminal encroachments. Key words: heuristics, educational process, theory of solving inventive problems, TRIZ-pedagogy, state security, algorithm of social management, competence, terrorism.

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Ellisman, Mark H., Gabriel E. Soto, and Maryann E. Martone. "The merger of microscopy and advanced computing: A new frontier for the 21st century." Proceedings, annual meeting, Electron Microscopy Society of America 52 (1994): 10–11. http://dx.doi.org/10.1017/s0424820100167780.

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Establishing and maintaining state-of-the-art national resources such as HVEM, IVEM and supercomputing centers involves considerable initial cost and continued support of staff with special skills and knowledge. The increased availability of high performance computing and communications offers scientists the potential for effective remote interactive use of such centralized, specialized, and expensive facilities. Anticipating improvements in computing and communications infrastructure, a collaborative computational environment, or “Collaboratory for Microscopic Digital Anatomy” (CMDA), is being developed that will provide a researcher at a remote site distributed interaction with unique instrumentation for the acquisition and manipulation of biological images. The prototype outlined in figure 1 was developed at the San Diego Microscopy and Imaging Resource. The CDMA integrates remote interactive acquisition and analysis of 2- and 3-dimensional electron microscopic data from state-of-the-art digital image acquisition systems such as a computer-controled IVEM. A software system has been developed that provides interactive control of image acquisition from the IVEM from a remote laboratory (and eventually any laboratory on the Internet). Sophisticated software tools for image analysis, visualization, and data management of these digital images are also under development. The system design will provide transparent distribution of tasks that require extensive computation to high performance computers accessible on the network. These tasks include the derivation of 3-dimensional structure using electron microscope tomography, automatic feature extraction for serial section reconstructions as well as manipulation and exploration of 3-dimensional biological datasets.

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Ndagire, Emma, Yoshito Kawakatsu, Hadija Nalubwama, et al. "Examining the Ugandan health system’s readiness to deliver rheumatic heart disease-related services." PLOS Neglected Tropical Diseases 15, no. 2 (2021): e0009164. http://dx.doi.org/10.1371/journal.pntd.0009164.

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Background In 2018, the World Health Assembly mandated Member States to take action on rheumatic heart disease (RHD), which persists in countries with weak health systems. We conducted an assessment of the current state of RHD-related healthcare in Uganda. Methodology/Principal findings This was a mixed-methods, deductive simultaneous design study conducted in four districts of Uganda. Using census sampling, we surveyed health facilities in each district using an RHD survey instrument that was modeled after the WHO SARA tool. We interviewed health workers with experience managing RHD, purposively sampling to ensure a range of qualification and geographic variation. Our final sample included 402 facilities and 36 health workers. We found major gaps in knowledge of clinical guidelines and availability of diagnostic tests. Antibiotics used in RHD prevention were widely available, but cardiovascular medications were scarce. Higher levels of service readiness were found among facilities in the western region (Mbarara district) and private facilities. Level III health centers were the most prepared for delivering secondary prevention. Health worker interviews revealed that limited awareness of RHD at the district level, lack of diagnostic tests and case management registries, and absence of clearly articulated RHD policies and budget prioritization were the main barriers to providing RHD-related healthcare. Conclusions/Significance Uganda’s readiness to implement the World Health Assembly RHD Resolution is low. The forthcoming national RHD strategy must focus on decentralizing RHD diagnosis and prevention to the district level, emphasizing specialized training of the primary healthcare workforce and strengthening supply chains of diagnostics and essential medicines.

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Shivgunde, Prashant P., and Archana D. Kodilkar. "Investigation of drug use at primary health centres in Nashik, Maharashtra, India." International Journal of Research in Medical Sciences 8, no. 1 (2019): 290. http://dx.doi.org/10.18203/2320-6012.ijrms20195925.

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Background: By recognizing the need to promote rational utilization of medicines, the World Health Organization (WHO) in collaboration with the International Network for Rational Use of Drugs (INRUD) developed a set of core indicators. This study aimed to investigate drug use based on it.Methods: The study was performed in Primary Health Centers (PHC) in Nashik District, Maharashtra, India. Prescriptions data for the last one year from PHCs were sampled out retrospectively. Outpatients from PHCs were selected, observed and interviewed for the patient-care indicators, prospectively. Pharmacy personnel was interviewed for the facility-specific indicators. The data were analyzed; results and conclusions were drawn.Results: The average number of drugs per prescription was 3.48 (SD=0.36). The percentages of drugs prescribed by generic name and from Essential Drug List or formulary were 83.98% and 68.97% respectively. The percentages of encounters with antibiotics and injections were 60.33% and 50.83% respectively. The average consultation and dispensing times were 3.89 minutes and 58.28 seconds respectively. 98.19% of the prescribed drugs were actually dispensed. 67.27% of the dispensed drugs were labelled. The percentage of patients’ knowledge of the correct dosage was 87.78%. The percentage availability of the EDL or formulary was 100% and of the key drugs in the stock was 85.71%.Conclusions: The need for improvement in prescribing practices can be encouraged by devising strategies such as training to physicians, rewards systems, etc. There should be plans to increase staff members for a particular working period and to educate patients with healthcare, hygiene, medicines’ compliance and common diseases.

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Wasserman, Richard C., and Daria F. Ferro. "Using Electronic Health Record Data to Support Research and Quality Improvement: Practical Guidance from a Qualitative Investigation." ACI Open 04, no. 01 (2020): e91-e101. http://dx.doi.org/10.1055/s-0040-1713421.

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Abstract Objective The aim of the study is to identify how academic health centers (AHCs) have established infrastructures to leverage electronic health record (EHR) data to support research and quality improvement (QI). Methods Phone interviews of 18 clinical informaticians with expertise gained over three decades at 24 AHCs were transcribed for qualitative analysis on three levels. In Level I, investigators independently used NVivo software to code and identify themes expressed in the transcripts. In Level II, investigators reexamined coded transcripts and notes and contextualized themes in the learning health system paradigm. In Level III, an informant subsample validated and supplemented findings. Results Level I analysis yielded six key “determinants”—Institutional Relationships, Resource Availability, Data Strategy, Response to Change, Leadership Support, and Degree of Mission Alignment—which, according to local context, affect use of EHR data for research and QI. Level II analysis contextualized these determinants in a practical frame of reference, yielding a model of learning health system maturation, over-arching key concepts, and self-assessment questions to guide AHC progress toward becoming a learning health system. Level III informants validated and supplemented findings. Discussion Drawn from the collective knowledge of experienced informatics professionals, the findings and tools described offer practical support to help clinical informaticians leverage EHR data for research and QI in AHCs. Conclusion The learning health system model builds on the tripartite AHC mission of research, education, and patient care. AHCs must deliberately transform into learning health systems to capitalize fully on EHR data as a staple of health learning.

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Shwetabh, Kumar, and Asha Ambhaikar. "Smart Health Monitoring System of Agricultural Machines: Deep Learning-based Optimization with IoT and AI." BIO Web of Conferences 82 (2024): 05007. http://dx.doi.org/10.1051/bioconf/20248205007.

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Implementing intelligent monitoring systems for Agricultural Machinery (AM) is hindered by the intricate and costly nature of the Internet of Things (IoT) sensor technologies. The heavy reliance on cloud and fog computing, the availability of network infrastructure, and the need for expert knowledge pose challenges in rural areas that lack network connectivity. Using edge devices, such as smartphones, which possess significant computational capabilities, is a potential solution that has not yet been fully realized in the commercial sphere. Furthermore, the increasing demand from users for economically viable and user-friendly technology serves as a driving force for transitioning away from expensive and intricate sensors towards more cost-effective alternatives. In the IoT era, there is anticipated to be a widespread network connection between a vast array of AM and service centers. Using smartphone applications has increased the potential for edge computation on smartphones to significantly aid in network traffic control. The development of an Artificial Intelligence (AI) - -based data analytic method poses a significant challenge due to the need to optimize for the limited computational capabilities of smartphones. However, the users’ demand for affordable technology renders it resistant to easy penetration. This paper uses IoT and AI to propose a Smart Health Monitoring System for Agricultural Machines with Deep Learning-based Optimization (SHMAM-DLO). This paper aims to propose a Fusion Genetic Algorithm (FGA) methodology and Artificial Neural Network (ANN) for optimization during monitoring the health of AM. The proposed approach enables cost-effective utilization of smartphone end devices by leveraging their built-in microphones instead of relying on expensive IoT sensors.

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Ręka, Gabriela, Karolina Paprzycka, and Halina Piecewicz-Szczęsna. "The knowledge and the opinion of patients on the government package called 'fast oncological therapy' – a pilot survey study." Journal of Education, Health and Sport 10, no. 7 (2020): 98–104. https://doi.org/10.12775/JEHS.2020.10.07.010.

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Ręka Gabriela, Paprzycka Karolina, Piecewicz-Szczęsna Halina. The knowledge and the opinion of patients on the government package called ‘fast oncological therapy’ – a pilot survey study. Journal of Education, Health and Sport. 2020;10(7):98-104. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2020.10.07.010 https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.07.010 https://zenodo.org/record/3950629                     The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2020; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper.   Received: 15.06.2020. Revised: 26.06.2020. Accepted: 18.07.2020.                                   The knowledge and the opinion of patients on the government package called ‘fast oncological therapy’ – a pilot survey study   Gabriela Ręka, Karolina Paprzycka, Halina Piecewicz-Szczęsna   1Gabriela Ręka gabrysia.reka@gmail.com https://orcid.org/0000-0001-9728-5281   1Karolina Paprzycka kpaprzyc007@interia.eu https://orcid.org/0000-0001-7875-429X   2Halina Piecewicz-Szczęsna halpiec@gmail.com https://orcid.org/0000-0002-0573-7226   1 Students’ Scientific Association of Chair and Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, Radziwiłłowska 11, 20-080 Lublin, Poland 2 Chair and Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin, Radziwiłłowska 11, 20-080 Lublin, Poland Abstract Introduction and purpose: The fast oncological therapy was introduced in 2015 by a set of legal arts called an oncology package. Its main assumption was to reduce malignant neoplasms by improving the availability of diagnostics and complex treatment. The aim of the study is to analyse the level of knowledge and to learn opinions of patients of the Center of Oncology of the Lublin Region on the fast oncological therapy. Material and methods: Material used in the analysis is the results of survey conducted on a group of patients from different hospital departments. An original anonymous questionnaire with 25 open and closed questions was used. Out of 130 distributed questionnaires, 44 items were returned completed. The program used to perform the statistical analysis was Statistica PL 10.0 2011 StatSoft. Results: The survey indicates that 43.2% of respondents have ever heard about fast oncological therapy, 27.3% declare knowledge of the therapy's basic aims. In a detailed knowledge test 1 point was awarded for every right answer. A maximum of 11 points could be obtained, with the average score being 2.3 points. 22.7% of patients surveyed did not answer any question correctly. No relationship has been found between age, place of residence or duration of the disease and the level of knowledge about the fast oncological therapy. 36.4% of respondents admit that they have been treated in accordance with the fast oncological therapy, but most of those who did (75%), evaluate its effect positively. Conclusions: The patients' knowledge about the package is extremely low. Only a minority of respondents are aware of the package's existence. However, the patients judge the changes introduced by fast oncological therapy as positive. Keywords: medical oncology; health legislation; health education

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Arzey, Ariella K., Helen V. McGregor, Tara R. Clark, et al. "Coral skeletal proxy records database for the Great Barrier Reef, Australia." Earth System Science Data 16, no. 10 (2024): 4869–930. http://dx.doi.org/10.5194/essd-16-4869-2024.

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Abstract. The Great Barrier Reef (GBR), Australia, has a long history of palaeoenvironmental coral research. However, it can be logistically difficult to find the relevant research and records, which are often unpublished or exist as “grey literature”. This hinders researchers' abilities to efficiently assess the current state of coral core studies on the GBR and thus identify any key knowledge gaps. This study presents the Great Barrier Reef Coral Skeletal Records Database (GBRCD), which compiles 208 records from coral skeletal research conducted since the early 1990s. The database includes records from the Holocene, from ∼8000 years ago, to the present day; records are from the northern, central, and southern GBR from inshore and offshore locations. Massive Porites spp. coral records comprise the majority (92.5 %) of the database, and the remaining records are from Acropora, Isopora, or Cyphastrea spp. The database includes 78 variables, with Sr/Ca, U/Ca, and Ba/Ca being the most frequently measured. Most records measure data over 10 or more years and are at monthly or lower resolution. The GBRCD is machine readable and easily searchable so that users can find records relevant to their research, e.g. by filtering for site name, time period, or coral type. It is publicly available as comma-separated values (CSV) data and metadata files with entries linked by the unique record ID and as Linked Paleo Data (LiPD) files. The GBRCD is publicly available from the NOAA National Center for Environmental Information World Data Service for Paleoclimatology at https://doi.org/10.25921/hqxk-8h74 (Arzey et al., 2024). The intention is to update the GBRCD annually, depending on the availability of relevant new GBR records or submission of legacy records to the GBRCD for archiving. The collection and curation of existing GBR coral research data provide researchers with the ability to analyse common proxies such as Sr/Ca across multiple locations and/or examine regional to reef-scale trends. The database is also suitable for multi-proxy comparisons and combination or composite analyses to determine overarching changes recorded by the proxies. This database represents the first comprehensive compilation of coral records from the GBR. It enables the investigation of multiple environmental factors via various proxy systems for the GBR, northeastern Australia, and potentially the broader Indo-Pacific region.

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Kushi, Lawrence H., Jeffrey S. Brown, Diana S. M. Buist, Jessica Chubak, V. Paul Doria-Rose, and Kathleen M. Mazor. "Abstract IA23: Opportunities and lessons learned from the Cancer Research Network." Cancer Epidemiology, Biomarkers & Prevention 29, no. 9_Supplement (2020): IA23. http://dx.doi.org/10.1158/1538-7755.modpop19-ia23.

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Abstract Using health care systems data for research and care improvement is of intense interest. The now widespread availability of electronic health records (EHRs) holds great promise for population sciences cancer research. Founded in 1999, the Cancer Research Network (CRN) is a consortium of a dozen research groups affiliated with US integrated health care systems. CRN health care systems are pioneers in use of data systems to document and inform administrative and clinical aspects of health care. In addition to administrative (e.g., claims) data, the clinical databases of CRN health systems capture details of care that have generally not been available until the advent of EHRs. In most CRN health systems, such databases have been in use since at least the mid-1990s, with adoption of EHRs in the mid-2000s. CRN researchers developed the Virtual Data Warehouse (VDW) common data model to facilitate collaborative, multi-institution research. The VDW, with standardized data tables, variable names, and formats implemented at each participating research group, enables efficient multi-institution research collaborations. From a cancer research perspective, the VDW is also one of the only EHR-based common data models with tumor registry data of comparable quality to that of the SEER Program. Infusion medication data are also available in the VDW, and inclusion of results of clinical genetic and molecular tests is in development. The VDW is updated regularly, monthly or more frequently in most CRN institutions for most data domains. Advantages of conducting cancer research in the CRN setting include the ability to identify a “denominator” population, and the capture of primary and specialty care. Retention of health plan enrollees is high in CRN health systems, enabling longitudinal research. In most US health care settings, the population eligible to receive care cannot be identified, and data may be available for some, but not all, episodes of care. For example, tertiary-care cancer centers may have details on cancer treatment, but not information from primary care or other specialty care encounters. However, it is important to use caution because EHR data result from clinical encounters and associated activity and are not collected for research purposes; missingness is unlikely to be random and confounding by indication is an analytic and interpretational issue. Collaborative, efficient use of these data also requires navigating regulatory concerns. The federated nature of the VDW minimizes HIPAA-related privacy concerns, while agreed-upon human subjects and data use procedures facilitate collaborations. The CRN provides unparalleled opportunities for research across the full range of the cancer experience, from primary prevention to end of life, incorporating data from EHRs and other clinical and administrative databases. Use of these data and adherence to epidemiologic principles in the design of studies and their analysis and interpretation can greatly advance knowledge to decrease the burden of cancer. Citation Format: Lawrence H. Kushi, Jeffrey S. Brown, Diana S.M. Buist, Jessica Chubak, V. Paul Doria-Rose, Kathleen M. Mazor. Opportunities and lessons learned from the Cancer Research Network [abstract]. In: Proceedings of the AACR Special Conference on Modernizing Population Sciences in the Digital Age; 2019 Feb 19-22; San Diego, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(9 Suppl):Abstract nr IA23.

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Driller, Christine, Markus Koch, Giuseppe Abrami, et al. "Fast and Easy Access to Central European Biodiversity Data with BIOfid." Biodiversity Information Science and Standards 4 (October 9, 2020): e59157. https://doi.org/10.3897/biss.4.59157.

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The storage of data in public repositories such as the Global Biodiversity Information Facility (GBIF) or the National Center for Biotechnology Information (NCBI) is nowadays stipulated in the policies of many publishers in order to facilitate data replication or proliferation. Species occurrence records contained in legacy printed literature are no exception to this. The extent of their digital and machine-readable availability, however, is still far from matching the existing data volume (Thessen and Parr 2014). But precisely these data are becoming more and more relevant to the investigation of ongoing loss of biodiversity. In order to extract species occurrence records at a larger scale from available publications, one has to apply specialised text mining tools. However, such tools are in short supply especially for scientific literature in the German language.The Specialised Information Service Biodiversity Research*1 BIOfid (Koch et al. 2017) aims at reducing this desideratum, inter alia, by preparing a searchable text corpus semantically enriched by a new kind of multi-label annotation. For this purpose, we feed manual annotations into automatic, machine-learning annotators. This mixture of automatic and manual methods is needed, because BIOfid approaches a new application area with respect to language (mainly German of the 19th century), text type (biological reports), and linguistic focus (technical and everyday language).We will present current results of the performance of BIOfid's semantic search engine and the application of independent natural language processing (NLP) tools. Most of these are freely available online, such as TextImager (Hemati et al. 2016). We will show how TextImager is tied into the BIOfid pipeline and how it is made scalable (e.g. extendible by further modules) and usable on different systems (docker containers).Further, we will provide a short introduction to generating machine-learning training data using TextAnnotator (Abrami et al. 2019) for multi-label annotation. Annotation reproducibility can be assessed by the implementation of inter-annotator agreement methods (Abrami et al. 2020). Beyond taxon recognition and entity linking, we place particular emphasis on location and time information. For this purpose, our annotation tag-set combines general categories and biology-specific categories (including taxonomic names) with location and time ontologies. The application of the annotation categories is regimented by annotation guidelines (Lücking et al. 2020). Within the next years, our work deliverable will be a semantically accessible and data-extractable text corpus of around two million pages. In this way, BIOfid is creating a new valuable resource that expands our knowledge of biodiversity and its determinants.

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Somerville, Mary M., Anita Mirjamdotter, Edmond Harjizi, et al. "Curating knowledge, creating change:: University Knowledge Center, Kosovo national transition." IFLA Journal 46, no. 2 (2020): 151–62. http://dx.doi.org/10.1177/0340035219883897.

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A collaborative system design initiative at the University for Business and Technology in Kosovo aims to make local knowledge visible and to enhance local knowledge creation, within the university and throughout the country. Since its inception in 2015, design activities aimed to activate systems through modeling the global knowledge landscape, technology enabled systems, and human activity processes. Within the framework of Informed Systems, application of Informed Learning Theory and Information Experience Design (IXD) guided prototyping systems that informed building an institutional repository named the UBT Knowledge Center. The knowledge vision anticipates that sustained curation, organization, discovery, access, and usage processes will accelerate academic engagement, national development, and global visibility, over time and with practice to further theory-to-practice and practice-to-theory.

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Lapeña, José Florencio F. "Impact, Not Just Impact Factor: Responding to the Manila Declaration on the Availability and Use of Health Research Information." Philippine Journal of Otolaryngology-Head and Neck Surgery 30, no. 2 (2015): 4–5. http://dx.doi.org/10.32412/pjohns.v30i2.331.

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 The journal impact factor is defined as “the average number of times (citable) articles from the journal published in the past two years have been cited in the JCR (journal citation report) year.”1 An impact factor of 1.5 means that on average, articles published 1-2 years ago have been cited one and a half times in journals included in the Web of Science. The impact factor has been used, misused and abused to rank journals within a discipline (and by inference, rank authors who are published in these journals), to evaluate the scholarly worth of a journal (and by extension, the worth of articles published in it), to decide institutional journal subscriptions, and to guide authors in choosing where to aim to submit articles to. But as has been eloquently pointed out by Amit Joshi2 the impact factor of a journal is not the same as its impact, or the impact of individual journal articles: A high impact factor journal may have zero impact in a remote Pacific island, just as a low impact (or no impact factor journal) may have very high impact in the country where it is read. More importantly, an article may achieve awesome impact, even if it is published in a low (or no) impact factor journal.  “To achieve real impact, and not just impact factor,” the “Manila Declaration on the Availability and Use of Health Research Information in and for Low- and Middle-income Countries in the Asia Pacific Region” was launched at the 2015 Convention of the Asia Pacific Association of Medical Journal Editors (APAME 2015) held in Manila from 24 to 26 August 2015 in conjunction with the COHRED Global Forum on Research and Innovation for Health (FORUM 2015). It is concurrently published by Journals linked to APAME and listed in the Index Medicus of the South East Asia Region (IMSEAR) and the Western Pacific Region Index Medicus (WPRIM), and is published as a Special Announcement in this issue.3 It is also available online at http://www.wpro.who.int/entity/apame/publications/en/ at http://www.hifa2015.org/wp-content/uploads/Manila_Declaration_2015_FINAL_August_242.pdf and at http://www.equator-network.org/2015/08/28/the-manila-declaration/  The APAME 2015 convention in Manila was a meaningful and a memorable experience for the 500 editors, reviewers, authors, researchers, clinicians, scientists, students, librarians and publishers who joined us from all over the Philippines and around the world. Our participation in the New Leaders for Health Pre-Forum at the Philippine International Convention Center on August 22, our General Assembly and Joint Meeting with the Western Pacific Region Index Medicus and Index Medicus of the South East Asia Regions at the WHO Western Pacific Region Office on August 24, the Conjoint Sessions with the COHRED Global Forum on Research and Innovation for Health at the PICC from August 24-27 (broadcast on CNN Philippines), the APAME 2015 Convention at the Sofitel Philippine Plaza Hotel on August 25-26 (culminating in a HIFA Tweetchat), and 8th National Medical Writing Workshop and 1st Writeshop for Young Researchers at the Sofitel Philippine Plaza Hotel from August 27-28, comprised scientific sessions, workshops, discussions, special events and socials that were exemplary and inspiring.  Through the Manila Declaration launched at the APAME 2015, we committed “ourselves and our journals to publishing innovative and solution-focused research in all healthcare and related fields … particularly health research applicable to low- and middle-income countries;” and committed “ourselves and our publishers to disseminating scientific, healthcare and medical knowledge fairly and impartially by developing and using … indices … databases … and open data systems.”3  Thus the response of the Philipp J Otolaryngol Head Neck Surg “to explore new paradigms, trends and innovations, especially with regard the social media… and “to consider the transition to a full open access model and adopting Creative Commons licenses.”4 With this issue, we begin that transition, by aligning our journal with the requirements for indexing in the Directory of Open Access Journals (DOAJ), “an online directory that indexes and provides access to high quality, open access, peer-reviewed journals.”5 An important part of this transition involves replacing the copyright transfer the Philippine Society of Otolaryngology Head and Neck Surgery requires of all authors published in our journal, with a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) or related license.6  We are also activating our Facebook, Twitter, and LinkedIn pages, and encourage published authors, reviewers, editors and readers to “like,” “tweet,” and comment on our published material and the discussions, blogs and microblogs that will arise from these. To this end, we will initiate the practice of posting “laymanized abstracts” of published scientific material on our social media sites, by requesting authors of articles accepted for publication to submit such abstracts.  Meanwhile, we urgently need to improve our competencies in research, medical writing, and peer review – and this applies to young residents and senior consultants alike. While the quantity of manuscripts submitted to the journal has increased exponentially, the quality of these manuscripts leave much to be desired, as evinced by our tedious and thankless review and editing process. It is ironic that we are invited to speak on and conduct post-graduate courses and workshops in research, medical writing, peer review and editing by many other societies, colleges, academies, institutions, organizations and ministries around the country and abroad, but hardly within our very own Philippine Society of Otolaryngology Head and Neck Surgery. Be that as it may, our Fellows, Diplomates and Residents need regular medical writing and review workshops in order to improve the quality and impact of our journal articles, and consequently improve the impact of our journal. To this end, we all need to leave our comfort zones and welcome change.  Pace Heraclitus, “no man steps in the same river twice, for it’s not the same river and he’s not the same man,” because “Παντα Ρει (Panta Rei)—All is Change.”7 These transitions will not come easily, nor will they happen overnight. But they are imperative if we are to uphold our commitment “to achieve real impact, and not just impact factor, as we advance free and open access to health information and publication that improves global health-related quality of life.”3

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