There is increasing demand from stakeholders for tools to support outcome-based approaches in environmental management. For such tools to be useful, understanding user requirements is key. In Scotland, UK, stakeholders were engaged in the development of an Environmental Decision Support System (EDSS) to support the management of land and freshwater resources for multiple policy outcomes. A structured participatory engagement process was employed to determine stakeholder requirements, establish development principles to fulfil these requirements and road-test prototypes. The EDSS specification that emerged from this bottom-up process was spatially-explicit, free at the point of use, and touch and mobile device compatible. This application, which is under development, does not closely resemble most existing published EDSS. We suggest that there is a mismatch between the way scientists typically conceptualise EDSS and the kinds of applications that are likely to be useful to decision-makers on the ground. Interactive mobile and web-based geospatial information services have become ubiquitous in our daily lives, but their importance is not reflected in current literature on EDSS. The current focus in environmental management on adaptive, stakeholder-centred strategies based on outcomes offers an opportunity to make better use of these new technologies to aid decision-making processes.

Information and telecommunications technology (ITT) have expanded into many aspects of modern life and have positively affected human life even in the most remote areas of developing countries. The rapid growth in ITT has led to an improvement in the capacity of computers but simultaneously to a decrease in the product’s lifetime as a result of which increasingly large quantities of e-waste are generated annually. It contains hazardous components that if it is not properly managed, can have adverse environmental and health effects. The management of e-waste poses significant challenges in developing countries. Due to the lack of adequate infrastructure, e-waste is burned or dumped in open areas. Informal and inefficient recycling practices are generally employed which further exacerbate pollution and health risks. So, the implementation of e-waste management, adequate recycling, and waste disposal facilities have become crucial concerns. This article reviews the concept of e-waste generation, challenges, disposal, and its impact on human health & environment in detail.

Non-alcoholic fatty liver disease (NAFLD) has gained attention in the last few years due to its increasing prevalence worldwide becoming a global epidemic. This review aims to discuss the latest recommendations regarding diagnosis and treatment of NAFLD-associated HCC and the remaining challenges. Thus, there is a high amount of data derived from basic and clinical studies that revealed the molecular pathways which drive NAFLD-associated hepatocellular carcinoma (HCC). Based on these findings, new prevention, surveillance and treatment strategies are emerging. However, current data on treatment modalities in NAFLD-associated HCC are still scarce, but based on subgroup analysis results from non-NAFLD HCC studies are promising and could provide a basis for future research agenda to address NAFLD/NASH patients. Conclusion: Due to the pandemic proportions that NAFLD gained in the last few years, there is a high amount of data derived from basic and clinical studies that revealed the molecular path-ways which drive NAFLD-associated HCC. Based on these findings, new prevention, surveillance and treatment strategies could be developed at an individual level.

The flooding phenomenon in Pekanbaru City is an interrelated problem between socio-economic and environmental problems. Changes or conversion of land from non-built areas to residential areas or other uses result in the area of water catchment areas being reduced. Another no less important factor is socio-economic factors. One of the socio-economic problems that causes flooding every year in Pekanbaru City is waste management. Garbage thrown carelessly by Pekanbaru people obstructs drainage channels and river flows and causes flooding. Another socio-economic problem is water use behavior. The majority of water used for daily needs, bathing and washing toilets comes from groundwater. The use of groundwater in large and continuous quantities results in land subsidence and contributes to an increase in flood inundation. Analysis of spatial planning strategies and community behavior towards flood control efforts using Participatory Prospective Analysis (PPA). Prospective analysis in this study was used to determine the dominant variables that influence strategy determination. This method is a tool designed to find out or investigate and anticipate changes with the participation of experts or stakeholders. The prospective method is a tool used for policy analysis, especially in research involving sustainable development, because it can facilitate the anticipation of change in an unstable environment. The results of the research show that spatial planning strategies and community behavior in flood control are carried out with the coordination of technical stakeholders related to flood control, flood management includes before a disaster occurs, during a disaster and after a disaster, flood plain management, includes determining flood boundaries, determining zoning, supervision and monitoring as well as community involvement.

(1) Background: Show caves are unique natural attractions and touristic traffic can trigger their degradation within a very short time. There are no universal solutions to counter the effects of the touristic impact upon cave environment and both protection protocols and management plans have to be established on a case-by-case basis; (2) Methods: The study includes four show caves from the Romanian Carpathians, where monitoring of the number of visitors, paralleled by the monitoring of the main physico-chemical parameters of the air and water (CO2, temperature, humidity, drip rate, conductivity, and pH) was implemented; (3) Results and Conclusions: The results of the study has: (i) established a monitoring protocol to be applied to each of the four show caves; (ii) established a set of basic principles to be enforced by the management of show caves; (iii) issued a set of preventive measures and instructions to be followed by the personnel and stakeholders of the caves.

The management of existing water distribution system (WDS) is challenged by ageing of infrastructure, population growth, increasing of urbanization, climate change impacts and environmental pollution. Therefore, there is a need for integrated solutions that support decision makers to plan today, while taking into account the effect of these factors in the mid and long term. The paper is part of a more comprehensive project, where advanced hydraulic analysis for WDS is coupled with a dynamic resources input-output analysis model. The proposed modeling solution can be used to optimize the performance of a water supply system while considering also the energy consumption and consequently the environmental impacts. Therefore, as a support tool in the management of a water supply system also in the intervention planning. Here a possible application is presented for rehabilitation/replacement planning while maximizing the network mechanical reliability and minimizing risk of unsupplied demand and pressure deficit, under given economic constraints.

Diopatra neapolitana (Delle Chiaje, 1841) is one of the most exploited polychaete species in European waters, particularly in Ria de Aveiro, a coastal lagoon in mainland Portugal, where the overexploitation of this resource has led to a generalized decline of local populations. In an attempt to reduce the impact of harvesting, several management actions were implemented, but, illegal poaching still fuels a parallel economy that threats the sustainable use of this marine resource. The present study evaluated the combination of fatty acid profiles and elemental fingerprints of the whole body and jaws, respectively, of D. neapolitana collected from four harvesting locations within Ria de Aveiro in order to determine if their geographic origin could be correctly assigned post-harvesting. Results showed that both fatty acid profiles and elemental fingerprints differ significantly among locations, discriminating the geographic origin with higher accuracy when combining these two natural barcodes than when employing each individually. The present work can therefore contribute for the implementation of an effective management plan for the sustainable use of this marine resource, making possible to detect if D. neapolitana was sourced from no take zones and if it was collected from the place of origin claimed by live baits traders.

Although energy management of a microgrid is generally performed using a day-ahead scheduling method, its effectiveness has been questioned by the research community due to the existence of high uncertainty in renewable power generation, power demand and electricity market. As a result, real-time energy management schemes are recently developed to minimise the operating cost of a microgrid while high uncertainty presents in the network. This paper develops modified particle swarm optimisation (MPSO) algorithms to solve optimisation problems of energy management schemes for a community microgrid and proposes a scheduling approach after taking into consideration high uncertainty to effectively minimise the operational cost of the microgrid. The optimisation problems are formulated for real-time and scheduling approaches, and solution methods are developed to solve the problems. It is observed that the scheduling program demonstrates superior performance in all the cases, including uncertainty in prediction, as compared to the other energy management approaches, although solutions have significant deviations due to prediction errors.

The main aim of this study is to examine the effects of Total Quality Management (TQM) practices (leadership of management, decision making, continuous improvement, customer focus, employee involvement, process management and relations with suppliers) on the financial and operational performance of hospitals in service industry. The data of the study were collected by the questionnaire prepared in the light of published studies and the suggestions of medical and administrative staff. Medical and administrative staff were chosen as target participants that reflect perspectives of hospitals. 1069 questionnaires were answered in 6 private and 26 public hospitals in the Marmara region in Turkey. The results claim that “customer focus” affects both operational performance as well as the financial performance of hospitals more than other TQM practices. While “process management” and “customer focus” explain the variance of financial performance significantly. “Process management” does not explain variance of operational performance.

The global coronavirus (COVID-19) pandemic has created a whole new set of risks in construction industries generating unprecedented delays, disruptions, and uncertainty on construction projects, and has forced the industries in adopting more sophisticated technologies while combating the reduced workforce on job sites. Further, the post-pandemic era of construction is expected to be a lot different as the industries will embrace the technology as the augmentation and collaboration strategy. Thus, it will be extremely hard to sustain for construction industries in the absence of effective risk management. The existing risk plans need to be inspected for their capability of handling new risks arising from COVID-19 and the project managers will need to make the necessary revisions as needed. This paper discusses on past (NORM), present (NEW NORM), and future (Post COVID-19 NORM) of the construction industry and highlights key strategies for managing projects and construction risks during and post COVID-19 pandemic.

Climate change affects water resources through the decrease of rainfall and the increase in temperatures and evapotranspiration. An indirect impact of climate change is also the increase of water uses by human activities. In this review, 320 papers were retrieved, of which 134 spanning five continents impacts and solutions to be used to better understand the effects of climate change on water resources, ecosystems, human health, security and socio-economic aspects were selected. Here, suggestions and proposals by scientists from around the world towards solutions, tips and ideas to deal with climate change and the best solutions for future water management were presented. The main solutions highlighted concern integrated water resources management, political direction, policies, increase in knowledge and new technologies. Furthermore, most of the papers analyzed underline that water resources management needs to incorporate protection and restoration of ecosystems and their services. Nature-based solutions need to be the starting point of new scientific and innovative ways to deal with climate change and towards future climate adaptation. In this complex evolution of the water resource, where is the management of the water resource in Italy going?

In January 2020, the World Health Organization declared a public health emergency and announced a new coronavirus disease (COVID-19), which would later go on to be declared as a pandemic, changing the global sphere and placing the economies of almost all countries under heavy stress. The airline industry, that had just begun recovering after facing crises one after another in the last two decades, from early 2000 due to 9/11, to the global financial crisis later, is now oce again facing an enormous challenge of closed borders and greater lockdowns due to the pandemic. Borders are closed, with very few planes are in the air, while the rest are grounded. The purpose of this paper is to give a conceptual understanding of the current pandemic situation and its consequences on the airline industry. The paper takes a unique perspective of human resource management (HRM) that is rarely used in the airline industry.

Considering the increasing number of women entering the accounting profession; it is timely to explore inequalities that still exist; and consider what policy processes continue to forge inequalities between men and women. Through a SLR of accounting and management journals during the period 1994-2017 we assess the different dynamics that have shaped inequalities between men and women, presenting both employee and employer perspectives of professional enhancement. The study is framed around conceptualizations of gendered organizations and highlights how cultural and social practices impact men and women differently. Our study finds there are still arrays of organization practices that have profound gendered effects. Our study shows that there are commonalities in research which include HR practices of recruitment, selection, and advancement; perceptions of women's visibility and invisibility at work; motherhood and childcare responsibilities; and discourses of the glass ceiling that constitute barriers to women's progression. Most importantly we reveal that constraints nowadays are similar to those identified in the 90s. We explored these gendered constructions and suggest relevant HR strategies that can aid women's advancement.

The circumstances arising from the exceptional situation caused by the COVID-19 pandemic have affected all socioeconomic areas in the last two years. The field of Education has not been an exception and the management of the situation seems to have caused an increase in the level of perceived stress of university students. On this basis, this research that aims, first, to analyze the student’s level of perceived stress during the de-escalation and return to normality period, secondly, to evaluate its relationship with life satisfaction and, finally, to detect the students' needs in stress management, has been developed. An exploratory-descriptive study of quantitative and cross-sectional nature has been carried out. 222 university students of the Childhood and Primary Education Degrees of the University of Jaén (Spain) have participated. The instruments, Perceived Stress Scale (PSS) and Satisfaction with Life Scale (SWLS) have been used. The results show a moderate and partial relationship among the dimensions of the used instruments. The obtained coefficients of determination are, Academic Performance (r² = .019) and Life Satisfaction (r² = .402), with a mean square error (SRMR) of .079. These findings show the need to develop actions within the university training program in effective stress management strategies.

This study provides an insightful overview of community-participatory governance and conflict management as instruments for utilizing resources for development in Sub-Saharan Africa (SSA). SSA is a region rich in natural resources but prone to conflict. The study is conceptual and critically engages the application of community governance and conflict management strategies that SSA countries need to adopt. The study praises the notion that community governance is characterized by recognizing and accepting intercultural diversity and creating a democratic institution for promoting good governance and conflict management in SSA. The study recommends that good community governance is required to drive local communities' development, growth, and transformation into a sturdy, innovative, and productive society capitalizing on opportunities. The study voice for the amalgamation of appropriate models and theories of governance cogently in the context of SSA due to the heterogeneity of communities. Therefore, to resolve conflict, conflict management, resolution, and transformation strategies are necessarily needed to accomplish a viable peace to maintain and sustain development.

This research paper is to analyze the planning and design techniques of the tourism complexes in the process of municipalities’ master planning. First, it explains the importance of the tourism industry with the help of theories of scholars and experts. Then, it emphasizes the link between the economic developments of cities/regions with the development of the tourism industry. The innovation of this work is to integrate tourism industry planning and comprehensive regional/ urban planning. The main way of doing this is to plan and design the tourism complexes in the early stages of the master planning of the municipality. Urban land-use policies and locating techniques are suggested through this research. Land-use policies and new urban design models for the regional/urban sustainable development are some of the other handouts in this paper. The outcome of this research is good assistance for engineers, planners, and students of urban and regional development.

Abstract: Floods can be defined as one of the most frequent and destructive disasters, that cause significant damage to people, while droughts present significant challenges in first place to most vulnerable communities. In consequence, state public policies are essential to manage the risk in the face of both phenomena and contribute to the construction of resilient communities. As a request of the National Water Commission of Mexico (CONAGUA) for the Regional Water Plan (PHR), we designed and applied a methodology based on virtual consultation fora in conjunction with digital survey tools to understand the population's perception of these phenomena. The workshops were organized in the five municipalities of Baja California Sur. Then, we performed an interdisciplinary analysis that combines hydrological considerations with the most critical social, economic, environmental, and law components, applying the PESTEL analysis. The results indicate that there is a clear and widespread awareness that floods and droughts increase the risk to the livelihoods of the population; however, there are deficiencies in different areas, which complicates risk management. Timely information and the inclusion of communities in mitigation and adaptation proposals would allow for achieving more successful cases with the efforts to minimize vulnerabilities and increase the resilience of the population in the face of a changing climate. This must be a collaborative work of the entire society, governmental, social, and private stakeholders.

The aim of this study was to evaluate soil properties and Eragrostis tef (teff) growth on Technosols produced from coarse and fine coal wastes from Moatize Mine, Mozambique. The experiment was performed in triplicate in 30 L containers filled with different substrate conditions, composed of fine coal waste, coarse coal waste, agricultural soil, and sewage sludge as an organic matter source. The soil analyses included bulk density, available water capacity, permeability, and fertility. Plant growth was monitored for biomass production and plant tissue composition. All the substrates presented a good available water capacity and a proper drainage condition. Regarding the soil fertility, there were shortages of potassium and boron in the substrates composed exclusively of coal wastes, which was reflected in the composition of the plant tissue. Even so, plant growth was statistically equivalent to the control in all conditions, except for the substrate produced exclusively with fine coal waste and sewage sludge, which presented a better performance. Technosols are an alternative for reducing the final mine waste volume, and Eragrostis tef used as a means for land use after the mining process, with social gains, and as a tool in an ecological process for restoring coal mining sites.

The lean supply chain of construction engineering projects is to achieve the maximum satisfaction of the owners' needs in order to effectively achieve the goal of supply chain management. This paper explores an effective method of lean supply chain cost management for construction engineering projects with target cost management, so that each participating unit on the supply chain node can fully utilizes its core competencies to minimize internal consumption and waste, and achieve the optimal overall efficiency of the supply chain. According to the requirements of the goal planning theory of the construction project company, establish a lean supply chain cost planning system for the construction project, realize the basic model of the lean supply chain cost management of the construction project, and set the target cost from the lean project of the construction project. The technical decomposition is established by the process of cost decomposition and cost pressure transmission and sub-target cost planning.

The cultivation systems of Coffea spp in a cooperative society in Puebla, Mexico, include rustic, traditional polyculture, commercial polyculture, unshaded monoculture and shaded monoculture. In this work, the properties of the soil were analyzed through physical, chemical, and biological analysis to determine its nutritional status. Composite sample analyses were conducted to determine physical, chemical and microbiological parameters (fungi, actinomycetes, mesophilic bacteria, nitrifying and denitrifying bacteria). Leaf nutrients were determined. Rustic was the cropping system with the highest amount of K (0.76 cmol kg-1) in soil and nutrient assimilation in leaf (N= 2.79%, P= 660.01, K= 17297.22 and Fe= 271.24 mg kg-1) (p= 0.001); in addition to presenting high populations of mesophilic bacteria, fungi and actinomycetes (30.16, 0.59 and 0.83 respectively, x10 6 CFU g-1 soil) and very low nitrification and denitrification rates. The principal component analysis (PCA) (>3.25%) indicated that actinomycetes and K in soil favor the assimilation of Fe, K and P. This Coffea spp cultivation system had a lower impact on soil health than the rest of the systems and favored forest ecosystem conservation.

Dams significantly impact the environment, industry, residential areas, and agriculture. Efficient dam management can mitigate negative impacts and enhance benefits such as flood and drought reduction, energy efficiency, water access, and improved irrigation. This study tackles the critical issue of predicting dam occupancy levels precisely within the framework of Integrated Water Resource Management (IWRM). Our research proposes that combining the physical model of evapotranspiration using the Penman–Monteith equation with data-driven models based on historical reservoir data, weather data, and consumption data is essential for accurately predicting occupancy levels. We implemented various prediction models, including Random Forest, Extra Trees, Long Short-Term Memory, Orthogonal Matching Pursuit CV, and Lasso Lars CV. To strengthen our proposed model with robust evidence, we conducted a statistical test on the MAPE values. We achieved a remarkable accuracy in predicting the occupancy level one month ahead, with an error margin of just 1% using Extra Trees. This study represents a pioneering effort in providing guidance and proposing a hybrid model in this field.

Syphilis continues to be a significant global health concern, and understanding the latest advancements in immunology and pharmacological treatment is crucial for effective disease management. This review article provides an in-depth exploration of these advancements, aiming to contribute to the growing body of knowledge on syphilis research. The epidemiology of syphilis sets the stage for this review, highlighting the persistent burden of the disease worldwide. Current trends and challenges in disease control are discussed, shedding light on the need for comprehensive prevention strategies and improved surveillance systems. The immunological aspects of syphilis are the focus of this review. The intricate interplay between the host immune response and the evasive strategies employed by Treponema pallidum, the causative agent of syphilis, are explored. These include the mechanisms of immune evasion, the role of adaptive and innate immunity, and the development of immune-mediated tissue damage. The article also highlights advancements in diagnostic methods, with emphasis on the importance of accurate and timely detection. From traditional serological tests to the emergence of novel molecular and point-of-care assays, these developments have significantly improved the efficiency and accuracy of syphilis diagnosis. In terms of pharmacological treatment, the review covers the current recommendations and emerging strategies for managing syphilis infections. The challenges posed by antimicrobial resistance are addressed, emphasizing the importance of appropriate treatment regimens and close monitoring of therapeutic efficacy. Looking to the future, this review highlights the potential of vaccine development as a preventive measure against syphilis. Promising vaccine candidates and ongoing research efforts are discussed, offering hope for an effective means of disease prevention. In conclusion, this comprehensive review explores the advancements in syphilis research, from the understanding of immunological complexities to the development of innovative treatment strategies. By collectively advancing our knowledge, we can strive towards better disease management and minimize the impact of syphilis on global public health.

FPGA-based data acquisition and processing systems play an important role in modern high-speed, multichannel measurement systems, especially in High-Energy and Plasma Physics. Such FPGA-based systems require an extended control and diagnostics part corresponding to the complexity of the controlled system. Managing the complex structure of registers while keeping the tight coupling between hardware and software is a tedious and potentially error-prone process. Various existing solutions aimed at helping that task do not perfectly match all specific requirements of that application area. The paper presents a new solution based on the XML system description, facilitating the automated generation of the control system’s HDL code and software components and enabling easy integration with the control software. The emphasis is put on reusability, ease of maintenance in case of system modification, easy detection of mistakes, and the possibility of use in modern FPGAs. The presented system has been successfully used in data acquisition and preprocessing projects in High-Energy Physics experiments. It enables easy creation and modification of the control system definition and convenient access to the control and diagnostic blocks. The presented system is an open-source solution and may be adopted by the user for particular needs.

This study is centred on Insecurity and Electoral Administration in Nigeria. Elections are the leading mechanism for selecting governments and a cardinal feature of democratisation. The quest for fair representation, development, good governance, inclusiveness and a true sense of belonging has been the driving force for election. The conduct of credible elections remains one of the thorny and fundamental issues in a democracy. The trajectory of electoral administration in Nigeria is long and tortuous; it precedes independence and is punctuated by the elite's scheming and cunning, electoral fraud, gimmicks and violence. Nigeria has had its fair share of insecurity from diverse sources such as banditry, insurgency, recurring violent religious crises, ethnic, resource and poverty-induced militancy, and crises occasioned by the clamour for self-determination. This has left the electoral management body in a quandary and has undoubtedly imperilled the administration of elections in Nigeria and equally accentuated the temerity for a holistic approach in reversing the trend and engendering the right atmosphere for the administration of elections. This study depends mainly on secondary sources and uses qualitative means in data analysis. It is revealed in this study that violence and various degrees of interruptions have taken the front burner in the democratisation process and are one of the dangerous dimensions in electoral administration; electoral politics remains one of the remarkable principal bases of clashes, political failure and social dislocation, Elections and their administration are some of the most complicated, time-sensitive activities undertaken by any country which will be exacerbated by insecurity. Democratic elections are successful when the electorate can make informed decisions; when faith in the process is sustained; when fraud is disincentivised, detected and punished. When insecurity is whittled down, mitigated or eradicated. The need for electoral security can never be overemphasised.

Since 2017 Cartagena UNESCO World Heritage has threatened to be categorized as "in Danger" by UNESCO. This research analyzes two main critical aspects, Governance and Current state of the Site. Regarding Governance, the study aims to identify strengths, weaknesses, opportunities and treats in the UNESCO Site. Exemplary heritage management systems are studied to propose an adaptable management approach specifically for Cartagena. On the other hand, a comprehensive analysis is conducted utilizing a photographic report that highlights the major issues arising from inadequate heritage management. Hyperspectral images obtained from a previous study are employed to identify vegetation and asbestos-cement roofs within the cultural heritage Site. The study reveals that the ambiguity surrounding decision-making authority for heritage management, distributed between the Mayor's Office and the Ministry of Culture, is a primary challenge. This fragmentation has resulted in duplicated efforts and a lack of coordinated action, significantly compromising the conservation and protection of the cultural heritage Site. Moreover, twelve current shortcomings of cultural heritage in Cartagena are identified through authors' five-year on-site regular visits, photographic reports and observation. To address the prevailing concerns, a new line of command for cultural heritage management is proposed as the most effective means of tackling these challenges. Additionally, general recommendations are presented to mitigate the existing problems and prevent the classification of Cartagena's heritage as "at risk" by UNESCO in the near future. This research provides a scientific perspective, drawing upon years of experience studying heritage and residing in the city, devoid of political influences or conflicts of interest.

Background: We aimed to evaluate the effect of early pelvic binder use in emergency management of suspected pelvic trauma, compared with the conventional stepwise approach. Methods: We enrolled trauma patients with initial stabilization using a pelvic binder for suspecting pelvic injury. Inclusion criteria were traumatic injury requiring a trauma team and at least one of the following: loss of consciousness or Glasgow coma score (GCS) < 13; systolic blood pressure < 90 mmHg; falling from ≥6 m; injury to multiple vital organs; and suspected pelvic injury. Various parameters, including gender, age, mechanism of injury, GCS, mortality, hospital stay, initial vital sign, revised trauma score, injury severity score, and outcome, were assessed and compared with historical controls. Results: A total of 204 patients with high-energy multiple-trauma from single level I trauma center in North Taiwan were enrolled in the study from August 2013 to July 2014. The two group baseline patient characteristics were all collected and compared. The trauma patients with suspected pelvic fractures initially stabilized with a pelvic binder had shorter hospital and ICU stays. The study group achieved statistically significantly improved survival and lower mean blood transfusion volume and mortality rate although they were more severe in the trauma score. Conclusions: We recommend prompt pelvic binder use for suspected pelvic injury before definitive imaging is available, as a cervical spine collar is used to protect the cervical spine from further injury prior to definitive identification and characterization of an injury.

Protected areas serve as an effective mechanism usually supported by a statute to conserve and protect wildlife-rich areas worldwide. Such extensive external management needs elaborate planning, regular monitoring, and periodic assessment of results. Thus, management effective evaluation (MEE) has emerged as one of the major tools for quantifying the performance of any protected area, globally since 2006. India has successfully conducted a complete round of management effectiveness evaluation of all its terrestrial protected areas (except conservation reserves and community reserves), with 25 such areas already undergoing a repeat assessment. Simultaneously, India biennially carries out a country-wide status of forest cover in all its states and union territories. This study has correlated the trend in change of forest cover for the states that contain those 25 repeat evaluated protected areas with their change in MEE scores over the same period. Our study found a positive correlation between the change in forest cover and the change in management effectiveness score from 2005-06 to 2018-19. Owing to increased protection regimes in the PAs including the degraded areas if they make part of such areas, the habitat often shows recovery. Effective habitat conservation is thus intertwined with the monitoring and preserving the wildlife populations in the protected areas, thereby, reduction in forest cover equally impacts the management scores. However, in states where the loss in forest cover has been reported, more protected areas need to be assessed to plan complementary strategies for both habitat and species conservation.

The distribution of zakat, which is still carried out directly through mosques or zakat amil bodies, can hinder the payment process due to inaccurate calculations and difficulties in finding zakat amil institutions. In the digital era, information technology is very important in the management of zakat, alms, and infaq. Therefore, a zakat information management system was created. The e-Zakat program, developed using the waterfall method, plays an important role in five main aspects of zakat management: muzaki and mustahiq data collection, zakat collection, zakat distribution, mustahiq development, and reporting. The use of information technology in this program is expected to increase efficiency, accountability, transparency, as well as the reach of zakat and muzaki involvement.

Expert system approach, although quite old, is still quite effective in scientific areas where experts are required to make diagnoses and predictions. One of those areas is fish disease diagnosis. It is an application domain that currently employs complicated processes, which require high level skills for making accurate diagnoses. On the other hand, complete datasets for full diagnosis to be able to use machine learning techniques are not available. Therefore, in aquaculture, now more than ever, fish farmers do not have the required expertise or equipment to accurately diagnose a fish disease. For that reason, expert systems that can help in the diagnosis, prevention and treatment of diseases have been developed. In this paper, we attempt to give an overview of the expert system approaches for fish disease diagnosis developed in the last two decades. Based on the analysis of their technical and non-technical characteristics, we propose an expert system architecture and a fish disease diagnosis process aiming at improving the deficiencies of existing such systems. The proposed system can handle all kinds of fish diseases based on image and non-image data as well as on molecular tests results and can provide explanations. The diagnosis process goes through four consecutive levels, where each next level considers an additional category of parameters and provides diagnoses with higher certainty.

The link between the world of communication and the world of racing is provided by telemetry systems in electric racing cars. These systems send real-time data about the vehicle’s behavior and systems to enable informed decisions during the race. The aim of this research was to integrate telemetry into the battery bank of a racing electric vehicle to find the optimal values of current and voltage that optimize the charging process, thus improving the vehicle’s performance in competition using Response Surface Analysis. Particularly, the telemetry system consisted of an Arduino Mega, a digital wattmeter, and temperature sensors, all installed in the vehicle. Once the telemetry data was obtained, a response surface design was adapted with current, voltage, and temperature as factors, varying from low to high values, with the objective function being to minimize the battery’s charging time. Applying the response surface methodology and the steepest descent algorithm, it was found that all factors significantly affect the charging time, with the minimum charge time being 6961 seconds, obtained with a current of 2.4 amps and voltages of 50.5 volts and 43.6 volts.

Owners and managers of small and medium-sized enterprises (SMEs) have changed their perspective on risk management due to the current global negative threats in the business environment. If they want to be successful and ensure the financial performance of their business, they must accept a proactive approach to reducing strategic risks in connection with operational risks. The aim of the article is to identify and quantify the differences in operational risk management and its effect on the financial management of SMEs between four Central European countries. The statistical sample of SMEs consisted of 1,090 owners and top managers. Data collection was carried out through a questionnaire in the period December 2022-January 2023. Statistical hypotheses were evaluated with the application of correlation analysis and linear regression modelling. Empirical findings have confirmed that operational risk management has a significant positive impact on improving the profitability of the enterprise; on reducing the enterprise's indebtedness as well as in the context of reducing the enterprise's inability to pay its obligations. However, there are disparities in the perception of this influence between owners/managers with regard to the country in which they carry out their business activities. The findings are important for both national and multinational organizations and entities dealing with risk management in the business environment of small and medium-sized enterprises.

Nitrogen and phosphorous loading drives eutrophication of aquatic systems. Lakes and reservoirs are often effective N and P sinks, but information is needed on the variability of their biogeochemical dynamics, especially for tropical systems. A long-term N and P mass balance (2003-2018) in a small tropical eutrophic reservoir lake, Valle de Bravo (VB), Mexico, showed it is a net sink of N (-41.7 g N m-2 y-1), and P (-2.7 g P m-2 y-1), mainly through net sedimentation, equivalent to 181% and 68% of their respective loading (23.0 g N m-2 y-1 and 4.2 g P m-2 y-1). N mass balance showed that VB has a high net N atmospheric influx (31.6 g N m-2 y-1), which was 1.3 times the external load, and likely dominated by N2 fixation. During a period of high water level fluctuations (WLF), the net N atmospheric flux decreased by half compared to high level years. WLF can be a useful management tool to improve the trophic status of water bodies by decreasing anoxic conditions and net atmospheric fluxes, possibly through decreasing nitrogen fixation and/or promoting denitrification and other microbial processes that alleviate the N load.

The Covid-19 health crisis and its related confinement measures and policies has had a significant impact on the telework adoptions rates, where many businesses were affected abruptly without being prepared, resulting in numerous ad-hoc applications especially while assessing employee’s performance and productivity while working remotely. The difficulties that have emerged with the pandemic have revealed the fragility of the traditional performance appraisal process and the unintentional existence of proximity bias. The Lebanese liquidity crisis is an ongoing financial crisis affecting Lebanon that became fully apparent toward late-2019 when large demonstrations erupted amid acute political instability and economic challenges. In light of the compounded simultaneous occurrence of recurring episodes of COVID-19 outbreaks and the ongoing country’s financial liquidity crisis, the standing of the Lebanese banking sector – who played key roles in the Lebanese economy and were long considered as financially sound and stable – has drastically changed. Faced with such a situation, Lebanese commercial banks started contracting both their branch network and human capital base, and thus they been forced to rethink their human capital strategies by implementing new practices allowing them to adapt to this context of crisis. It is in this perspective that the present research work is inscribed, where we explore the main managerial practices and processes implemented within top Lebanese banks to assess their employee’s performance during the compounded simultaneous crises. A thematic qualitative analysis method of an exploratory nature was adopted, and semi-structured interviews were conducted with senior managers from top Lebanese commercial banks. Results were processed using a deductive approach for themes identifications. Accordingly, it was concluded that in such times of acute crisis, Lebanese banks have altered the purpose of their Performance Appraisal Review (PAR) process and have implicitly or explicitly adopted a Forced Ranking method to primarily focus on retaining just the top performers, while placing those at the bottom on probation with the risk of termination.

High-resolution GPS/GSM dataloggers provide spatial information of the highest quality, which outperform previous tracking methods, such as Argos telemetry or conventional VHF ground-tracking. As a result, this has improved our knowledge of home-range behavior and spatial ecology of many species, including large raptors. In this paper, we use high-resolution GPS/GSM dataloggers to assess the home-range size and the role of sex, season (breeding or non-breeding season), and breeding status (reproductive or non-reproductive individuals) on the space use of Bonelli’s eagle (Aquila fasciata). To this end, 51 territorial individuals (25 females and 26 males) were equipped with GPS/GSM transmitters and were tracked over 7 years (2015–2021) in eastern Spain. Overall, we recorded 4,791,080 fixes that were analyzed through kernel density methods (50%, 75%, and 95% fixed kernels). The average individual home-range size according to the 95%, 75%, and 50% kernels was 54.84 ± 20.78 km², 24.30 ± 10.18 km², and 11.17 ± 4.90 km², respectively. Overall, the home-range size of individuals occupying the same territory was similar, mainly due to the cooperative hunting behavior exhibited by the species. We did not find interannual differences in the home-range size (95% fixed kernel) of the majority of individuals, showing a strong territorial fidelity of the breeding pairs. In general, females’ home-range size was slightly smaller than males’ size due to the decrease in activity in the breeding season as a result of laying, incubation, and chick attendance at nests. No seasonal variation in the 95% kernel was found, but it was found in the 75% and 50% kernels. In regard to the breeding status, higher home-range size was recorded in the non-reproductive individuals. Moreover, we found a low neighbor overlap among the territories (4.18% ± 3.06%), which evidences a high level of intraspecific competition in the Bonelli’s eagle. Finally, this study highlights the advantages of the use of accurate telemetry information to improve our understanding of the spatial ecology of the endangered Bonelli’s eagle, which ultimately will serve to better inform management actions for its conservation.

Ethiopia has decades of experience in implementing land and water management interventions. Nonetheless, there remains persisting challenges to follow an adaptive management (AM) approach in efforts of restoring and transforming agricultural landscapes. This review was carried out to synthesize evidences on the impact on agricultural landscapes following the implementation of land and water management practices and to evaluate the use of AM approaches. We explored how elements of the structures and functions of landscapes have been transformed, and how the components of AM, such as structured decision-making and learning processes, have been applied. Despite numerous environmental and economic benefits of land and water management interventions in Ethiopia, this review revealed gaps in AM approaches. These include: (i) insufficient efforts in relation to evidence based contextualization of interventions, (ii) insufficient efforts in monitoring of bio-physical and socio-economic processes and changes post implementation, (iii) lack of trade-off analyses, and (iv) inadequacy of local community engagement and provision of feedback. Given the many uncertainties we must deal with, efforts to restore and transform agricultural landscapes cannot follow a business-as-usual approach. Future investment, in AM approach, tailored to the needs and context would help to achieve the goals of sustainable agricultural landscape transformation. The success depends on three interdependent pillars of action: the ability to make a robust, co-developed plan of interventions, the ability to continuously monitor changes based on key variables, and to learn from the knowledge generated and apply the learning as implementation evolves.

Static and functional occlusal relationships are the well-defined objectives of orthodontic therapy. To accomplish it, the jaws must be positioned in centric relation (CR)/ Central occlusion (CO) and appropriately proportioned in three space planes. Orthodontists have well-established techniques when analyzing the skeletal connection between the maxilla and mandible in both sagittal and vertical planes. Although there exist multiple analyses for the skeletal transverse dimension (STD), their inclusion in conventional orthodontic diagnosis is not widely acknowledged. Transverse tooth compensations have been visually represented in prosthodontic literature using a crosshatch arch that passes through the buccal and palatal cusps of maxillary molars, known as the Wilson curve. An inflated Wilson curve has long been seen as a prosthetic maxim, increasing the possibility of working and non-working side interferences. Research has indicated a connection between higher masticatory muscle activity and posterior occlusal contacts or interferences. When skeletal transverse issues are concealed by dental expansion, there is an elevated susceptibility to gingival recession in orthodontic patients who have a small Maxilla or constricted upper jaw. The temporomandibular joints, muscles, periodontal tissue, and airway might all suffer in a susceptible patient with a transverse insufficiency brought on by a narrow maxilla. As for orthodontists, the objective is to create skeletal connections and functional occlusion that are as near ideal as feasible. This will reduce the likelihood of occlusion-related inconsistencies exacerbating the negative consequences on the dentition, periodontium, or joints. An accurate skeletal and dental diagnostic in all three space planes is required. Our goal is to explain all approaches to enable readers to use a transverse skeletal diagnostic in their practice regardless of the technological level at their disposal. The initial step is to ascertain the kind and presence of deficiencies in the maxilla. Since fewer soft tissue alterations are caused by maxilla hypoplasia in the transverse direction, skeletal transverse dimension (STD) assessment is a more significant challenge than vertical or sagittal discrepancy assessment. Model analysis, clinical assessments, radiographic measurements, and occlusograms have all proven successful in producing accurate assessments. Most of the time, surgically assisted maxillary expansion (SARME) is reported to have higher stability than orthopedic maxillary expansion (OME). We examine and discourse on possible research opportunities using the Collaborative Cross (CC) mouse model as a substitute research model.

Global differences in changes in the numbers of population-adjusted daily test-positive cases (NPDP) and deaths (NPDD) by COVID-19 were analyzed for 49 countries, including developed and developing countries. The changes as a proportion of national population were compared, adjusting by the beginning of test-positive cases increase (BPI) or deaths increase (BDI). Remarkable regional differences of more than 100 fold in NPDP and NPDD were observed. The trajectories of NPDD after BDI increased exponentially within 20 days in most countries. Machine learning analysis suggested that NPDD on 30 days after BDI was the highest in developed Western countries (1180 persons per hundred million), followed by countries in the Middle East (128), Latin America (97), and Asia (7). Furthermore, in Western countries with positive rates of the PCR test of less than 7.0%, the increase in NPDP was slowing-down two weeks after BPI, and subsequent NPDD was only 15% compared with those with higher positive rates, which suggested that the situation of testing might have affected the velocity of COVID-19 spread. The causes behind remarkable differences between regions possibly include genetic factors of inhabitants because distributions of the race and of the observed infection increasing rates were in good agreement globally.

The city of Lisbon, has any other capital of a European country, has a large number of issues while managing the waste and recycling containers spread throughout the city. This document presents the results of a study promoted by the Lisbon City Council for trialing LPWAN technology on the waste management vertical under the Lisbon Smart City initiative. Current waste management is done using GSM sensors, and the aim is to use LPWAN to reduce the costs, improve range and reduce provisioning times when changing the communications provider. After an initial study, LoRa was selected as the LPWAN of choice for the trials. The study is composed of multiple use cases at different distances, types of recycling waste containers, placements (underground and surface) and different kinds of waste level measurement LoRa sensors, deployed in order to assess the impact of the different use cases on the LoRa sensor usage. The results shown that the underground waste containers present the most difficult challenge, where the container itself imposes attenuation levels of 26dB on the link budget. The results promoted the deployment of a city wide LoRa network available to all departments inside the Lisbon City Council, and considering the network capacity the network, the network is also available to citizens to be used freely.

Introduction and Objective: Caudal block has been used in children for many years and is considered the gold standard for multimodal analgesia in the pediatric age group. Caudal block belongs to the category of central neuraxial blocks, which can provide both visceral and somatic analgesia. With the introduction of ultrasound into the clinical practice of anaesthesia, the caudal block is now performed under USG guidance. In our study, we aimed to compare the efficacy of a single caudal block in postoperative acute pain management, the need for additional analgesics, the incidence of side effects, the timing of initial analgesic administration, and the need for rescue analgesic administration (paracetamol 10 mg/kg) in circumcision surgery. Materials and Methods: 120 patients undergoing circumcision surgery were divided into 3 groups. The caudal block was performed in all cases under USG guidance. Only the caudal block was applied for cases in the Caudal group (Group C). The Caudal + paracetamol group (Group CP) received paracetamol 10 mg/kg intravenously (i.v.) and the caudal block. Patients in the Caudal + meperidine group (Group CM) received 1 mg/kg meperidine intravenously. The caudal block was performed in each case with a 0.5 ml/kg volume of 0.125% bupivacaine. Results: As a result of our study, it was found that the least postoperative pain occurred in 12.50% of the CM group (p=0.011). Significant results were obtained when weight and age variables were analyzed according to the groups (p-values p=0.011 and p=0.003, respectively). Significant differences were found between the input pulse values, 5-minute pulse values, 15-minute pulse values, and input SpO2 values (p values p < 0.001, p < 0.001, p=0.011, p=0.037, respectively). Only Wong-Baker pain scores at the 24th hour differed significantly from the periods measured after the groups (p < 0.001). There was no significant difference between the FLACC and Wong-Baker pain scores in the other periods. There was no difference between the groups regarding the time when postoperative analgesics were administered and the total amount of analgesics administered (rescue analgesic 10 mg/kg oral paracetamol) (p=0.408, p=0.238). Conclusion: Caudal block can be safely applied during circumcision. Ultrasound guidance increases the chances of success and reduces the complication rate. Caudal block can be safely used in pediatric surgery since it does not cause serious complications, has low postoperative pain scores, and reduces the number of postoperative analgesics.

The increasing occurrence of widespread drought phenomena is a global environmental emergency, especially for the effects of ongoing climate change on groundwater availability. Dry years and extreme temperatures are common drivers of current climate impacts all over the world, including, for example, freshwater supply for drinking and agriculture purposes, ecosystems, forestry, health, etc.. In this frame, to ensure temporal water availability in water-stressed areas, a sustainable groundwater management is an increasing challenge. Most of groundwater in the South-East Latium Region, Central Italy, as in the whole Apennine Mountains chain, is stored in karst aquifers. In this area important water resources are present, but even here in the last decades they are affected by groundwater depletion as a consequence of occurring drought events, the upward trend in the globally average temperature and the increasing of anthropogenic activities. Due to the lack of flow rates data of springs in many areas of Italy, the spring response modeling could be a useful tool for supporting a proper water resource management. Several research studies proposed methods based on relationships between spring discharges and rainfall data. The goal of this paper is to propose a model, based on rainfall-discharges cross correlations, in order to assess the spring flow rate patterns of Capodacqua di Spigno Spring, which is the main one in the study area. The results obtained using the developed model has been compared to an existing method that uses the SPI index for the estimation of the minimum annual spring discharge.

Primocane-fruiting (PF) blackberries are adaptable to different production systems. To increase yields in PF blackberries, their primocanes are typically tipped or topped in summer to encourage branch formation from axillary buds below the cut. In this study, we determined in PF ‘Prime-Ark Traveler’ whether early emerging primocanes were more productive than those that emerged later in the season and the effect of primocane bending and defoliation on flowering. The primocanes that emerged in April produced 64% more flower shoots than those that emerged after May. Also, these findings indicate the alternative primocane management practices of selecting the early emerging primocanes and bending to orient primocanes horizontally and leaf removal increase budbreak and flower shoot emergence. The present work contributes toward a better understanding of primocane emergence time and orientation-flowering relations and how they mediate crop performance in PF blackberry.

Research topics surrounding the giraffe have been subject to recent disagreement, with work focusing on taxonomy over ecological phenomena such as behavioural thermoregulation. Much interest in taxonomy arises around the existence of distinct local populations of giraffes, often enclosed in small, fenced reserves, preventing natural gene flow. Targeted management of reserves may act as a buffer for declining populations, providing landscape that minimises requirements for thermoregulatory behaviours. Notable behaviours include shade-usage via trees and other giraffes, and positioning of the body towards the sun, employing an individual’s own neck as a shade source. Breeding programmes and translocation of individuals away from large communities on fenced reserves may increase giraffe population numbers across their range; however, the genetic diversity of large populations in enclosed spaces may be called into question. 55 of the 57 giraffes from the population on the Mogalakwena River Reserve (MRR) were observed over eight months, recording thermoregulatory behaviours such as body positioning in response to sun exposure, and shade usage; behaviours both noted in secondary works. These behaviours were compared across identities, such as sex and age, to assess how thermoregulation varies per individual. The population on the MRR spent more time facing the sun during high temperature days, with adults, sub-adults, males, and dark-coated individuals prioritising the behaviour beyond other individuals. Body positioning behaviours of individuals were also found to be more important in thermoregulation than shade-seeking, with shade usage decreasing on hotter days. Positional behaviour, disregarding identity, was also observed across wet and dry seasons, with a clear contrast; giraffes face the sun significantly more during the hotter wet season. The behaviours observed in this work provide an insight into the direction conservational strategies may take on closed reserves. However, further work is required on other reserves with varied population structures, to determine whether one strategy may be implemented across the giraffe's range, or whether specialised strategies are required in individual locations.

Modern forestry systems are based upon typologies of forest types (FT). Many proposals were developed in Argentina, but without following unified criteria. The objective was to compare different approaches based on (i) functional forests (phenoclusters), and (ii) forest canopy-cover composition by tree species. We employed data of National Forest Inventories, forest models and climate data, comparing the proposals using univariate analyses. We test the performance of phenoclusters to differentiate the variability of native forests (proxy: forest structure), biodiversity (proxy: indicator species) and environment (proxies: soil carbon stock, elevation, climate). We proposed a simple forest type classification methodology based on species composition, considering basal area of tree species. Finally, we compared the performance of both proposals. In regions where monospecific forests are predominant, the classifications based on forest canopy-cover composition are feasible, but phenoclusters allowing to increase the complexity at landscape level. In those regions were predominant multi-specific stands, the classifications based on forest canopy-cover composition are useless, and phenoclusters allowing to decrease the complexity at landscape level. These results allowing to harmonize national FT classifications by using criteria and indicators to achieve sustainable forest management and conservation proposals.

Conclusions: Molecular classification could provide reliable supplementary information for evaluating prognostic and contribute to treatment option decision-making in EEC patients. Fertility-sparing treatment is not recommended for EEC patients with CNH and MSI-H. Furthermore, fertility-sparing treatment can be attempted in EEC patients with CHL, but regular follow-up should be carried out to early detection of EC relapse and prevention of disease progression.

Effective management of water distribution systems requires an integrated approach, but none of the available frameworks for one are in broad use in the water supply industry. Frameworks developed include a management standard of the American Water Works Association and Distribution System Optimization, a methodology for physical, hydraulic, and water quality performance assessment. The intelligent systems framework also offers a pathway to integration, but it lacks a definite structure. The voluntary aspect of adopting innovations within the fragmented and unregulated nature of the water utility industry poses a barrier to adoption of such innovations. Another barrier is the uncoordinated arrangements of water research stakeholders with different incentive structures. Intelligent water systems offer a way to incentive utilities to encourage implementation. They can provide a bottom-up approach where utilities see advantages, as opposed to a top-down approach where they are expected to adopt a method without seeing clear benefits. Research to develop new and improved tools is needed, but the research roadmap should prioritize implementation.

Chronic liver diseases stimulate a degree of hepatocyte injury. This previously mentioned modifications, alters the known liver architecture and finally ends in cirrhosis. Liver pathology as cirrhosis develops after a long period of pathological alterations. The management of this liver pathology, is centred on the treatment of the causes and complications. Liver transplantation can be required in some cases. The aim of this article is to identify the best available evidences analyzing liver samples, normall and pathological. Normal liver with hepatocytes, Kiernann space, connective septa, observations using lens x10 and samples colored with Goldner Szekely trichrome stains. Beside, for comparisions, ill liver images, classic stain H&E. Inflammation is a great point that results in replacement of the healthy liver parenchyma with fibrotic tissue and regenerative nodules. In addition, progressive portal hypertension, systemic inflammation, and liver failure drive cirrhosis outcomes. All this previously mentioned factors, area great impact on the health-related quality of life of adult patients with liver cirrhosis. The management of this liver pathology, is centred on the treatment of the causes and complications. Liver transplantation can be required in some cases.

Nano-emulsions of essential oils (EO) and their chemical constituents are promising raw materials for the ecological control of Tribolium castaneum. Curcuma longa Linn is a plant known for the properties of its rhizome which is used in food, health and hygiene products. Its leaves are by-products with no commercial value, but with unexplored bioactive volatile constituents. This study aims to evaluate the repellency of nano-emulsions containing the EO from leaves of C. longa or its three main chemical constituents against T. castaneum. The representative mixture of EO extracted in four different months showed p-cymene (26.0%), 1,8-cineole (15.1%) and terpinolene (15.5%) as major compounds. Nano-emulsions of EO (HLB 16.7), terpinolene (HLB 15.0), 1,8-cineole (HLB15.0) and p-cymene (HLB 15.0) were repellent at concentrations of 11 μg/cm2 (EO, terpinolene and p-cymene) and 1.1 μg/cm2 (1,8-cineole). The EO nano-emulsion droplet size increased linearly over time, remaining below 300 nm for 35 days and below 600 nm for 80 days. The EO nano-emulsion proved to be a green alternative to synthetic pesticides, as it was safe against the bioindicator Chlorella vulgaris. Terpinolene, 1,8-cineol and p-cymene were able to inhibit the enzyme telomerase from T. castaneum in an in silico assay, which may explain the repellency of these samples. This study provides ideas for the utilization of EO from leaves of C. longa as raw material of new environmentally friendly plant-derived nanobiopesticides.

In the fast-paced internet world that we live in today, internet technologies and tools that enable us to connect online are rapidly changing and improving. To adapt to the changing environment, many game developers are changing their business models to adjust to this online environment by developing games that are centred around online gaming. As such, the internet demands of consumers such as gamers are increasing because of the need for quality internet connection for optimal gameplay. There are too many factors that can affect online gameplay. Moreover, not all gamers are equipped with the network knowledge and skills to diagnose and troubleshoot any internet issues that may arise during their gameplay session. The main contribution of this research was to gather insights from Malaysian broadband internet consumers, mainly from gamers and general users regarding their opinions of their ISP service experience in gaming, general use and service quality. A 1-click solution is presented as a smart autonomous network monitoring tool that can autonomously monitor, diagnose, and troubleshoot network problems with minimal input from the user. This research was conducted using a mixed-mode research methodology where the participants were asked to fill up a questionnaire regarding the user experience of their Internet Service Provider (ISP), and their perception of the 1 click-automated networking tool for their personal use. It is shown that there is a market demand for a 1 click-automated networking tool as gamers and general users both agree that such a tool would be beneficial to them by improving the internet quality of a network.

This study aims to summarize the literature on sustainable global supply chain management so that researchers and practitioners can see the trends in the area in a single place. Systematic literature review (SLR) or Content analysis is used as a methodology of this literature review, studies that are published within the time frame of 2010 to 2020 are included in this literature. Dimensions to analyze each article includes; year of publications, methodology of research, data collection type, unit of analysis, industry, a country in which data is being collected, respondents’ types, the theory that is used in the study, dimensions of the sustainability and finally the purpose of study either it is to test the already existing theory or building up a new theory. I found that sustainable global supply chain management is an emerging field and there is potential in the area for researchers to explore the area.

Anemia is a condition of decreased red blood cell number or hemoglobin concentration, or of disturbance in their function, ultimately leading to decreased oxygen transport to tissues. Many factors and diseases may lead to anemia, with wide manifestations systemically as well as orally. Therefore, a sound understanding of this condition is essential for the dental practitioner, with emphasis on alerting signs, dental management and proper communication with patient’s physician.

Projects are rarely executed exactly as planned. Often, the actual durations of a project’s activities differ from the planned ones, resulting in costs stemming from the inaccurate estimation of the activities’ completion dates. While monitoring the project at various inspection points is pricy, it can lead to better estimation of the project completion time, hence saving on costs. Nonetheless, identifying the optimal inspection points is a difficult task, as it requires evaluating a large number of the project’s path options, even for small-scale projects. This paper proposes an analytical method for identifying the optimal project inspection points by using Information Theory measures. We search for monitoring (inspection) points that can maximize the information about the estimated project’s duration or completion time. The proposed methodology is based on a simulation-optimization scheme using a Monte Carlo engine that simulates potential activities’ durations. An exhaustive search is performed of all possible control points to find those with the highest expected information gain on the project duration. The proposed algorithm’s complexity is not affected the number of activities, and can address large projects with hundreds or thousands of activities. Numerical experimentation and analysis of various parameters are presented.

In the Republic of Serbia, no comprehensive scientific multimethod research has been conducted to identify weaknesses and opportunities for improving the disaster risk management system. Regarding that, in the paper, author presents project description ,,Strengthening Integrated Disaster Risk Management System in Serbia - DISARIMES” which shall enable strengthening the disaster risk management system through research, development and innovative solutions implementation in the preparation, mitigation, response, remediation and post-disaster phases. The scientific importance of the projected research is reflected in the creation of assumptions for the advancement of theoretical and empirical knowledge in the scientific field of disaster risk management, bearing in mind that it is a relatively young scientific discipline in Serbia. The results of the project research will make it easier for decision makers in Serbia to understand the shortcomings of the system, but also provide innovative opportunities to improve their functioning in conditions of increasingly frequent and serious disasters. Establishing a scientific and professional society in the field of disaster risk management will create sustainable and necessary conditions for the transfer and improvement of knowledge and experience of importance for raising the level of operability of the system of protection and rescue of the Republic of Serbia in the event of disasters. A key contribution of the research findings will be to create a sustainable knowledge base that will be supported by the relevant amount of information regarding innovative capabilities and solutions identified as necessary to raise social resilience to a much higher level. In order to achieve the set goals, DISARIMES makes it possible, through a large number of SWOT analyses and other multimethod studies, to clearly identify and systematize the objective deficiencies and barriers encountered by the disaster risk management system in Serbia in all its stages before, during and after disasters, to identify and implement the appropriate solutions based on this. The objectives of the project are: to assess and identify strengths (advantages), weaknesses (disadvantages), opportunities (innovation potential) and threats for the disaster risk management system in Serbia; to develop and update RDI (research, development, innovation) Roadmap – knowledge databases with innovative solutions and other relevant information for improvement of the disaster risk management system; to fully deploy the DISARIMES scientific-professional network involving a broad range of the disaster risk management scientists and civil protection professions and organisations; to prepare the ground for the disaster risk management policy innovations.

Governance is one of the most essential instruments for environmental management. Biodiversity is in the core field of environmental governance. Yet environmental authorities are persistently challenged the loss of biodiversity as a very important global issue for several years due to high dependent exposure to risks. The study attempts to relook at the key governance tools that strengthen policies towards managing biodiversity within and around the national park’s survey in Moulvibazar district. The study showed that biodiversity related legislation amended was the highest in Bangladesh for the period of 2010 to 2016. The growth of policy instruments maximized at but in low environmental governance services within the same period. The study assessed that the existing environmental policy instrument is inadequate and sluggish for effective conservation, compared with several others governance tools and various performances are still below par. Governance knowledge is indispensable for biodiversity management but such knowledge is poorly identified. These results reflect the importance of effective governance for transparency that the State provides. The research is to represent a dynamic and adaptable framework that can be applied for collective governance relevant to policy integration, participation and enforcement in order to foster environmental conservation sustainability.

The study aimed to showcase how implementing a patient blood management (PBM) program effectively cut unnecessary red blood cell (RBC) transfusions in a New York City urban community teaching hospital. Analyzing seven years from 2013 to 2019, a retrospective review of RBC transfusions was conducted. Following PBM introduction, considerable improvements were observed annually. These included a drop in mean pretransfusion hemoglobin levels from 7.26g/dL (2013) to 6.58g/dL (2019), a 34% reduction in yearly RBC unit transfusions, and fewer units given to patients with pre-Hgb levels ≥7g/dL (1210 units in 2013 to 310 units in 2019). Furthermore, the study noted a decline in two-unit RBC orders when Hgb levels were ≥7g/dL from 65 orders in 2013 to merely 3 in 2019. The estimated total cost-savings attributed to the six-year PBM program duration after full implementation in 2014 amounted to $2.1 million US dollars. Overall, PBM implementation significantly decreased RBC transfusions and enhanced transfusion practices. The findings emphasize that successful PBM strategies don't always necessitate extensive resources or increased budgets but instead rely on the application of intuitive methods, as evidenced by this study.

This essay review explores the concept of climate-smart forestry as an approach to mitigating and adapting to climate change. It highlights the need for a holistic approach to forestry that considers regional differences and synergies between ecosystem services. The essay discusses various management strategies at different scales, including species selection, mixed species cultivation, and the promotion of the bioeconomy. It also examines the trade-offs and synergies between different forest uses and the effects of forest management on ecosystem services. Furthermore, the review addresses major abiotic and biotic damage risks to forests, such as wildfires, windstorms, and bark beetle attacks, and proposes risk management strategies. Lastly, the review delves into the management of peatland forests, discussing the role of drainage, the impact of ditch network maintenance, and the challenges of peat ash fertilization. Overall, the review provides valuable insights into climate-smart forestry and its potential to contribute to climate change mitigation and adaptation.

Energy storage has become a fundamental component in renewable energy systems, especially those including batteries. However, during the charging and the discharging process, there are some parameters that are not controlled by the user. That uncontrolled working leads to aging of the batteries and a reduction of their life cycle. Therefore, it causes an early replacement. Different control methods have been developed with the goal of protecting the battery and extending its life expectancy, being the most used the constant current-constant voltage. However, several studies show that charging time can be reduced by using Fuzzy Logic Control or Model Predictive Control. Other benefits are; temperature control and an extension of life expectancy. For all these reasons, FLC and MPC have proven to be more efficient than traditional charge control methods.

The UK aviation industry is committed to achieving net zero emissions by 2050 through sustainable measures, and one of the key aspects of this effort is the implementation of Unmanned Traffic Management (UTM) systems. These UTM systems play a crucial role in enabling the safe and efficient integration of unmanned aerial vehicles (UAVs) into the airspace. As part of the Airspace of the Future (AoF) project, the development and implementation of UTM services have been prioritized. The paper aims to create an environment where routine drone services can operate safely and effectively. To facilitate this, a digital twin of the National Beyond Visual Line of Sight Experimentation Corridor has been created. This digital twin serves as a virtual replica of the corridor and allows for the synthetic testing of unmanned traffic management concepts. The implementation of the digital twin involves both simulated and hybrid flights with real drones. Simulated flights allow for the testing and refinement of UTM services in a controlled environment. Hybrid flights, on the other hand, involve the integration of real drones into the airspace to assess their performance and compatibility with the UTM systems. By leveraging the capabilities of UTM systems and utilizing the digital twin for testing, the AoF project aims to advance the development of safer and more efficient drone operations. Experimentation Corridor has been developed to simulate and test concepts related to managing unmanned traffic. The paper provides a detailed account of the implementation of the digital twin for the AoF project, including simulated and hybrid flights involving real drones.

Preoperative assessment is crucial in surgical care, traditionally relying on physical examinations and paper-based questionnaires. The emergence of digital tools like Pathpoint® ePOA represents a significant advancement, aiming to enhance the efficiency, accuracy, and standardisation of preoperative evaluations. Pathpoint® ePOA is a cloud-based platform designed to integrate seamlessly with Electronic Health Records (EHRs), providing a comprehensive, data-driven approach to preoperative assessments. It supports improved risk stratification, optimised resource allocation, and enhanced patient engagement through features such as customisable templates and real-time data integration.Current research highlights that digital preoperative tools like ePOA offer notable advantages, including increased clinical capacity, better complexity stratification, and improved patient follow-up. Despite these benefits, gaps remain in comparative studies, detailed clinical outcomes, and patient engagement strategies, indicating areas for further exploration. Pathpoint® ePOA adheres to rigorous safety standards and risk management protocols, ensuring reliability and data security while contributing to improved surgical outcomes. The benefit-risk ratio for ePOA is favourable, underscoring its potential to advance preoperative care by optimising clinical workflows and enhancing patient safety.

The Circular Economy is matter of recent discussions and quite popular, however the meaning has not been understood by most Business stakeholders. This Case study proposes to illustrate the Circular Economy importance and its status now. The contribution that UAE education sector can make to the Circular Economy is immense and is the focus of this study. Circular Economy awareness and its inner meaning can be only spread by the education sector and the author emphasizes the role of the education can play in implementing the Circular Economy. The study shows the way for the future Managers and Business stakeholders to participate in this crucial endeavor of Businesses to follow the Circular Economy. The ADKAR change management can be adopted to inspire the CE initiatives of the UAE Education sector.

Transportation electrification has been identified as a crucial shift to be made for achieving energy security and emission reduction targets. Electric Vehicles (EVs) play a significant role in achieving these targets; therefore, there is a growing trend to develop new EV technologies and associated infrastructure. Along with these developments, EVs' Quality of Service (QoS) aspects should be enhanced to increase the number of EVs on the road. Various QoS factors are defined to assess the QoS of EVs, and one of the two aims of this paper is to provide a comprehensive review of these factors. The other aim is to review recent developments of associated communication technologies which are essential for exchanging information between EVs and charging stations. This paper serves as a comprehensive review and useful reference for researchers working on QoS aspects of EVs and associated communication systems aiming to enhance the QoS.

Demand-Side Management (DSM) is an essential tool to ensure power system reliability and stability. In future smart grids, certain portions of a customer’s load usage could be under the automatic control of a cyber-enabled DSM program, which selectively schedules loads as a function of electricity prices to improve power balance and grid stability. In this scenario, the security of DSM cyberinfrastructure will be critical as advanced metering infrastructure and communication systems are susceptible to cyber-attacks. Such attacks, in the form of false data injections, can manipulate customer load profiles and cause metering chaos and energy losses in the grid. The feedback mechanism between load management on the consumer side and dynamic price schemes employed by independent system operators can further exacerbate attacks. To study how this feedback mechanism may worsen attacks in future cyber-enabled DSM programs, we propose a novel mathematical framework for (i) modeling the nonlinear relationship between load management and real-time pricing, (ii) simulating residential load data and prices, (iii) creating cyber-attacks, and (iv) detecting said attacks. In this framework, we first develop time-series forecasts to model load demand and use them as inputs to an elasticity model for the price-demand relationship in the DSM loop. This work then investigates the behavior of such a feedback loop under intentional cyber-attacks. We simulate and examine load-price data under different DSM-participation levels with three types of random additive attacks: ramp, sudden, and point attacks. We conduct two investigations for the detection of DSM attacks. The first studies a supervised learning approach, with various classification models, and the second studies the performance of parametric and nonparametric change point detectors. Results conclude that higher amounts of DSM participation can exacerbate ramp and sudden attacks leading to better detection of such attacks, especially with supervised learning classifiers. We also find that nonparametric detection outperforms parametric for smaller user pools, and random point attacks are the hardest to detect with any method.

Objectives: To analyse and detail surgical process improvement activities that achieve the highest economic impact. Methods: Over 4 years, a team of technicians and healthcare professionals implemented a set of Lean surgical process improvement projects at Vall d’Hebron University Hospital (VHUH), Barcelona, Spain. These projects now form part of the daily routine in the surgical process. The economic impact on the hospital's surgical activity budget was analysed. Results: Process improvements have led to annual operational savings of over € 8.5 million. These improvements include better patient flow, better management of information between healthcare professionals, and improved logistic circuits. Conclusions: The current cultural shift towards process management in large hospitals implies shifting towards results-based healthcare, patient-perceived value (VBHC) and value-added payment. A Lean project implementation process requires long-term stability. The reason a considerable number of projects fail to complete process improvement projects is the difficulty involved in establishing the project and improving management routines. Few studies in the literature have investigated the economic impact of implementing Lean management a posteriori, and even fewer have examined actual cases. In this real case study, changes to surgical block management were initiated from zero. After being carefully thought through and designed, changes were carried out and subsequently analysed.

Aquaculture assumes a pivotal role in meeting the escalating global food demand, and shrimp farming, in particular, holds indispensable significance for the global economy and food security, providing a rich source of nutrients for human consumption. Nonetheless, the industry faces formidable challenges, primarily attributed to disease outbreaks, and the diminishing efficacy of conventional disease management approaches, such as antibiotic usage. Consequently, there is an urgent imperative to explore alternative strategies to ensure the sustainability of the industry. In this context, the burgeoning field of epigenetics emerges as a promising avenue for combating infectious diseases in shrimp aquaculture. Epigenetic modulations entail chemical alterations in DNA and proteins, orchestrating gene expression patterns without modifying the underlying DNA sequence by utilizing DNA methylation, histone modifications, and non-coding RNA molecules. Exploiting epigenetic mechanisms presents an opportunity to enhance immune gene expression and bolster disease resistance in shrimp, thus revolutionizing disease management strategies and optimizing shrimp health and productivity. Additionally, the concept of epigenetic inheritability in marine animals holds immense potential for the future of the shrimp farming industry. To this end, this comprehensive review thoroughly explores the dynamics of epigenetic modulations in shrimp aquaculture, with a particular emphasis on its pivotal role in disease management. It accentuates the significance of harnessing advantageous epigenetic changes to ensure the long-term viability of shrimp farming while deliberating on the potential consequences of these interventions. Overall, this appraisal highlights the promising trajectory of epigenetic applications, propelling the field toward strengthening sustainability in shrimp aquaculture.

A Water demand per capita will rise in the Arab world as a result of climate change and population expansion. One of the most important aims in coping with population increase around the world is to conserve water supplies. As a result, the Kingdom of Saudi Arabia constructed Al Wajeed Water Treatment System to meet the demands of the southern population. This research aims to assess the drinking water quality produced from the AlWajeed Water Treatment System. Monthly water samples were collected (January 2018 to January 2021) from the Al Wajeed Water Treatment Framework (4sites), extending to governorates; Bishah`s distribution system (5sites) and Tathleeth`s distribution system (7sites). Water quality criteria, such as physical, chemical, and microbiological parameters, revealed that the majority of water samples collected from the Al Wajeed Water Framework and its environs are of a good quality matched the national and international standards. Few sites showed water quality criteria, such turbidity, fluoride and total coliform did not comply with national and global standards. The obtained results explained the importance of monitoring and follow-up programs for drinking water criteria. In addition, they can help the authorities and stakeholders in the sustainable development.

Lemongrass (Cymbopogon flexuosus) is an aromatic perennial grass grown extensively for its essential oil. Lemongrass oil is chiefly a mixture of various cyclic and acyclic bioactive monoterpenes. We reviewed lemongrass oil and its biosynthesis in the present chapter along with its biochemical composition. Furthermore, we attempted to explore both the possible routes for essential oil biosynthesis in lemongrass, i.e. mevalonate and non-mevalonate pathways and how these pathways interwind with each other. Lemongrass oil has high commercial potential in medicinal, cosmetic, food and energy industries. Regarding the pharmacological properties, a wide array of biological activities has been observed in lemongrass oil such as antimicrobial, insecticidal, analgesic and anti-cancer properties as well as its efficacy as insect-repellent. The later sections were dedicated for the analysis of insecticidal property of the lemongrass oil and the mechanism working behind this phenomenon where it was observed that in addition to synergistic effects, various components of lemongrass oil can also induce specific neurotoxic and cytotoxic responses in the insects.

: This study investigates the workplace experiences of mothers of children with intellectual disabilities. These mothers may face challenges in balancing motherhood, disability, and employment. Therefore, it is important to understand the challenges they are facing and the mechanisms they use to cope with caregiving and work responsibilities in managing the stress that develops throughout this ongoing experience. The purpose of this research was to investigate the workplace experiences of single mothers of children with intellectual disabilities. A review of the literature was conducted. For this research, a qualitative methodology was adopted to gain an in-depth understanding of the mothers’ experiences. A narrative method was used for data collection. Thematic analysis was utilized to obtain a clear understanding. The findings suggest that mothers of children with intellectual disabilities face difficulties in balancing between caregiving for their child with a disability and their job responsibilities, in addition to showing that there is a lack of flexibility in the workplace, less awareness from colleagues and bosses of the challenges these mothers face, and a lack of organizational legislation that supports these mothers. According to our findings, workplaces should provide assistance to mothers of children with intellectual disabilities in order to ensure that they are not disadvantaged in their employment.

The notion of hierarchy is widely used in many academic disciplines but is also rather ambiguous, because there are many ways to define it. In this review paper, I explore which notions of hierarchy are being used in the field of management and organization studies. Four distinct types of hierarchy are identified: a ladder of formal decision-making authority, a ladder of achieved status, a self-organized ladder of responsibility, and an ideology-based ladder. A social mechanism-based perspective serves to define and distinguish these four types. Subsequently, the typology is further developed by comparing the four hierarchy types in terms of their tacit/explicitness, (in)transitivity, and behavior- versus cognition-centeredness. This review paper contributes to the literature by dissecting the general metaphor of hierarchy into four different constructs and their social mechanisms, which serves to create a typology of the various ways in which hierarchy is being used in the domain of organization and management. This typology can inform future research drawing on any type of hierarchy, also in other domains.

Watermelon fusarium wilt caused by Fusarium oxysporum f.sp. niveum (FON) is a destructive soil-borne disease throughout the world leading to serious economic losses and limit watermelon production. Cuminic acid, extracted from the seed of Cuminum cyminum L., belongs to benzoic acid analogues. In this study, the median effective concentration (EC₅₀) values for cuminic acid in inhibiting mycelial growth of FON was 22.53μg/mL. After treatment with cuminic acid, mycelial morphology was seriously influenced; cell membrane permeability and glycerol content were increased markedly, but pigment and mycotoxin (mainly fusaric acid) were significantly decreased. Synthesis genes of bikaverin and fusaric acid both were down regulated compared with the control confirmed by quantitative RT-PCR. In greenhouse experiments, cuminic acid at all concentrations displayed significant bioactivities against FON. Importantly, significant enhancement of activities of SOD, POD, CAT and decrease of MDA content after cuminic acid treatment in watermelon leaves were observed in vivo. These indicated that cuminic acid not only showed high antifungal activity, but also could enhance the self-defense system of the host plant. Above all, cuminic acid showed the potential as a biofungicide to control FON.

This study examined carbon footprint as an indicator of soil health at spatiotemporal scales with different land use types and varying soil depths in Morogoro, representing the eastern agroecological zone of Tanzania. Soils are highly weathered and acidic. The specific objectives were twofold: (1) To quantify soil organic carbon (SOC) at varying soil depths (0–15 cm, 15–30 cm) in contrasting land use types, including tractor cultivated, hand-hoe cultivated, ranch land, and reserved/bare land type; (2) To predict carbon management indices (CMI) of the studied land use types through regresses SOC, carbon pool index (CPI), and lability index (LI) at varying soil depths. Composite soil samples were based on transects of three main plots each (replicates) of 20 m by 50 m. Results showed that land use types and soil depths significantly (P <0.001) affected SOC (3.4%) and CMI (126.3). Hand hoe cultivated land at 0–15 cm recorded CMI of 259.8. Regression analysis showed an increase in CMI ranging from 97% to 99%, with standard error ranging from 2.177 to 46.096. Similar trends, but with disparity magnitudes in regressed parameters provide useful insight into transformations of organic carbon in contrasting land use types.

Water scarcity is significantly increasing water stress in Africa and some parts of the world. This is due to human induced factors such as climate change, increase of human population that raises demand which outstrips food availability, and put great changes of land use which results in changes of hydrological mechanics and water availability as whole. The investigation was through literature review and it tries to examine the criticality of water scarcity in Africa regions, and the major factors that mastermind this menace. Also possible strategies that can be promptly used to manage water scarcity at domestic level and in agriculture are described in this paper, not with standing the fact that agriculture sectors in Africa and the rest of the world remain the utmost vulnerable enterprise to water scarcity and withdrawal on the planet earth.

Waste recovery is an important aspect towards human and environmental health protection. Unfortunately, proper food waste management is among the serious challenges in the field of solid waste management worldwide. Therefore, it is of great importance to conduct studies towards achieving efficient and cost-effective approaches for food waste management. This study investigated the potential of recovering food waste through maggots’ production as animal feed. The influence of fly attractant application on maggot production was also investigated. The study also investigated the potential of maggot production for waste recovery and reduction. Four different types of food waste (starch food leftovers, rotten bananas and peels, rotten pineapple and peels, and rotten oranges) were used in the investigation process. From the results, it was observed that the application of fly attractants had a significant effect on the production of maggots as determined by the weights after harvesting. Average weight of 94 g/kg of maggot was achieved from banana materials with an application of fly attractant during the 8th day of the cultivation; which is equivalent to a 32.4% increase from the same day when the material was cultured without applying fly attractant. Also, from the starch materials, about 77 g/kg of maggot weight was achieved; which is a 54.6% increase from the same day and the same material but without application of fly attractant. Moreover, the relative dry weight reduction in the trials varied from 52.5% to 82.4%.

Energy management, especially in communities, is attracting growing interest, but is often marred by confusion between the terms "Energy Information System" (EIS) and "Energy Man-agement System" (EMS). This ambiguity hinders understanding of their use and role in improv-ing energy performance. Our objective is to clarify these terms and their contribution to energy management. We used a mixed qualitative and quantitative approach to evaluate and compare the criteria of definition, objective, functionality, role, as well as correlated elements such as or-ganizational structure, responsibilities, planning and policy, according to the requirements of ISO 50001, in addition to criteria specific to the two systems. The study reveals differences in the roles of the EIS and the SME, with a complementarity of 40% between the two systems, depend-ing on the positioning of the EIS in relation to the elements of the SME process. The EIS plays a crucial role in facilitating the implementation of the EMS according to ISO 50001. This clarifica-tion contributes to a better understanding of the respective roles of these systems in energy management, thus helping communities to improve their energy performance in an effective manner.

Traditional shipping ships abbreviated as Pelra have a different character from conventional ships. Hypothetically, the application of Safety Management System (SMS) on Pelra is influenced by technical and non-technical factors. These factors are control variables and determinants of action priorities if SMS is applied to the safety of traditional shipping, so that it has implications as a basis for formulating and developing safety policies for traditional shipping transportation in an effort to reduce the risk of accidents. This research uses Structural Equation Modeling by analyzing expert opinions. The results of the analysis show that technical and non-technical factors have a direct and interconnected effect on Pelra safety management. The dominant influences are non-technical factors of authority and responsibility of the company and crew as well as the feasibility of ship construction as technical and environmental factors..

Lung cancer remains the leading cause of cancer-related mortality worldwide. The main issue is the absence of a screening test available in clinical practice; the identification of non-invasive biomarkers is thus an urgent clinical necessity. Currently, low-dose computed tomography (LD-CT) demonstrates a 20% reduction of lung cancer mortality. However, it is not particularly suitable for clinical practice because of the costs, radiation, and the false positive rate. Several studies have therefore focused on research into biomarkers in body fluids. Despite the power of certain molecules to distinguish lung cancer patients from healthy subjects, no biomarker has yet been shown to significantly and reliably influence clinical decisions or to be translated from the laboratory to clinical practice. We performed an overview of the peer-reviewed biomedical literature published in the last 10 years on the research regarding biomarkers for the early diagnosis of lung cancer via a comprehensive analysis of the reviews published this past year. Our main aim was to bring to light the limitations and strengths of the research already conducted. Furthermore, future prospectives have been explored, bearing in mind the management of clinical trials and their integration into clinical practice.

The article deals with human resource management and selected personnel indicators in 10 sustainable development. The main goal of this paper is to analyse and describe human resource 11 management focused on audit of workload, motivation of employees, the competence of staff, their 12 knowledge and experience. The article shows how the selected personnel indicators are examined 13 in selected establishments of multinational company in Slovakia, as an attractive employer inter-14 ested in growth of its employees, thus employer branding. For research methods, a case study meth-15 odology is used. Data collection was carried out through a questionnaire survey with employees in 16 the company as well as an interview with sale advisors and managers. The research aimed to point 17 out a case study of the investigation of selected personnel indicators in human resources manage-18 ment in a selected company and to examine the perception of the performance of employees in 19 connection with their financial evaluation and their satisfaction in the selected company with an 20 impact on employees´ performance. Furthermore, the research aimed to determine whether there 21 was a dependence between the subjectively perceived performance of the employees and selected 22 aspects. Further indicators were calculated, such as employment rate, proportion of wasted time 23 and labour productivity.

The article deals with human resource management and selected personnel indicators in sus-tainable development. The main goal of this paper is to analyse and describe human resource management focused on audit of workload, motivation of employees, the competence of staff, their knowledge and experience. The article shows how the selected personnel indicators are examined in selected establishments of multinational company in Slovakia, as an attractive em-ployer interested in growth of its employees, thus employer branding. For research methods, a case study methodology is used. Data collection was carried out through a questionnaire survey with employees in the company as well as an interview with sale advisors and managers. The research aimed to point out a case study of the investigation of selected personnel indicators in human resources management in a selected company and to examine the perception of the per-formance of employees in connection with their financial evaluation and their satisfaction in the selected company with an impact on employees´ performance. Furthermore, the research aimed to determine whether there was a dependence between the subjectively perceived performance of the employees and selected aspects. Further indicators were calculated, such as employment rate, proportion of wasted time and labour productivity.

The present work analyzes university students' perceptions on cyberbullying. More specifically, the main objective was to understand the level of concern displayed by young students in teacher training programs regarding cyberbullying; our analysis includes their degree of self-confidence and their commitment when faced with this problem, their self-reported training on the subject, and the measures they consider adequate to approach it in the educational context. Using a survey research design, 408 students from Early Childhood Education, Primary Education Degrees, and the Master’s Degree in Secondary Education, and Vocational Training from national public universities participated. The results shed light upon the coexistence of three differentiated profiles of teachers in training when faced with cyberbullying. However, although there is clear evidence of the high level of concern regarding this problem in every case, they placed more importance on raising awareness of the issue with families, prevention, management and training as basic pillars for re-directing the worrisome reality experienced in educational centers. The need to include these contents in the initial training of future education professionals, for overcoming cyberbullying, and the importance of collaborative work between parents and educators are the conclusions of this research study that are in agreement with other studies.

The objectives of this article are to examine whether the application of digitalization in enterprise budgeting affects the fulfilment of budgeting functions and their qualitative characteristics, and to investigate whether the realization of budgeting functions brings benefits. The research was conducted from the perspective of contingency theory, both internal and external conditions. The study used an online survey targeting company budgeting staff. Structural Equation Modelling was utilized to validate the structural model (PLS-SEM technique). The conclusions confirm that the application of digitalization, which particularly pertains to ERP, Business Intelligence systems and accounting systems with budgeting solutions, positively impacts the fulfilment of budgeting functions and most of their qualitative characteristics, while Blockchain makes a minor contribution. Our research suggests that contingency variables, particularly internal ones such as company size, the quality of the organizational structure, and support for competitive strategy, continue to affect budgeting implementation even with the participation of digitalization in budgeting. Budgeting functions and their qualitative aspects are notably correlated with the advantages derived from budgeting, including financial performance, sustainable development and budget task execution.

Marfan syndrome is an autosomal dominant genetic connective tissue disorder that results from mutations in the fibrillin-1 gene located on chromosome band 15q 15–21. Fibrillin, a glycoprotein, is widely expressed throughout the body and contribute to elasticity and force-bearing capacity of connective tissue. In the eye, fibrillin is a key constituent of the ciliary zonules, which suspend the crystalline lens in place. The zonular defect leads to ectopia lentis that is hallmark of Marfan ocular abnormalities and occurs in 60 to 80% of cases. Other less common ocular features of Marfan syndrome are increased axial length, astigmatism, and flat cornea. Visual function in Marfan syndrome could be affected in several ways: ectopia lentis, refractive error, amblyopia, retinal detachment, cataract, and glaucoma. Management of subluxated lens starts with correction of refractive error with eyeglasses in mild cases. In more severe cases, especially when lens bisects the pupil, complete correction of refractive error is impossible without removing subluxated lens. The best method for visual rehabilitation after lens extraction is still debated. Aphakic Artisan implantation at the time of subluxated lens removal results in good visual outcomes with acceptable safety profile. Studies with longer term follow up and larger sample populations are needed to evaluate the safety of this procedure in patients with Marfan syndrome.

Background and Objectives: Elders’ needs are rarely examined beforehand, and thus, although technology-based tools can enhance self-management, acceptability rates are still low. This study aimed to examine and compare self-reported needs, priorities, and preferences of elders with heart failure (HF), diabetes mellitus (DM), and chronic obstructive pulmonary disease (COPD) toward technology use to enhance self-management. Materials and Methods: A convenience sample of 473 participants over 60s (60.5% females), diagnosed with HF (N=156), DM (N=164), or COPD (N=153) was recruited. They were administered a questionnaire about the usefulness of technology in general and in specific areas of disease management. Results: Most participants (84.7%) admitted that technology is needed for better disease management. This was equally recognized across the three groups both for the overall and specific areas of disease management (in order of priority: ‘Information’, ‘Communication with Physicians &amp; Caregivers’, and ‘Quality of Life &amp; Wellbeing’). Sociodemographic differences were found. Cell phones and PCs were the devices of preference. The four common features prioritized by all three groups were related to ‘information about disease management’ (i.e., monitoring symptoms, reminders for medication intake, management and prevention of complications), whereas the fifth one was related to ‘communication with physicians and caregivers (i.e., in case of abnormal or critical signs). The top disease-specific feature was also monitoring systems (of respiratory rate or blood sugar or blood pressure, oxygen), whereas other disease-specific features followed (i.e., maintaining normal weight for HF patients, adjusting insulin dose for DM patients, and training on breathing exercises for COPD patients). Conclusions: Elders in these three samples seem receptive to technology in disease management. mHealth tools, incorporating both common and disease-specific features and addressing different chronic patients, and being personalized at the same time, could be cost-saving and useful adjuncts in routine clinical care to improve self-management.

Monkeypox virus infection is a recognized public health emergency. Little research has been done on treatment options for this disease. Until recently, there was not a single published work describing the usage of specific drugs in human patients with monkeypox virus infection. This paper gives the first bibliometric analysis of monkeypox treatment options based on data available on PubMed and Scopus. It also reviews the specific drugs used in the treatment of monkeypox. That includes data on Tecovirimat, Cidofovir, Brincidofovir, and Vaccinia Immune Globulin. Tecovirimat is a promising option in progressive disease in terms of efficacy and safety. However, Brincidofovir has been associated with discontinuation of treatment. Cidofovir is also not the preferred drug among physicians. Currently, Tecovirimat can be further used for the management of aggravating cases. More studies should be conducted on Tecovirimat to treat this condition, mainly through controlled trials.

A large amount of data is produced every day by stakeholders of the Air Traffic Management (ATM) system, in particular airline operators, airports, and air navigation service provider (ANSP). Most data is kept private for many reasons, including commercial and security concerns. More than data, shared information is precious, as it leverages intelligent decision-making support tools designed to smooth daily operations. We present a framework to detect, identify and characterise anomalies in past aircraft trajectory data. It is based on an open source of ADS-B based aircraft trajectories, and extracted information can benefit a wide range of stakeholders: Air Traffic Control (ATC) training centres could play more realistic simulations; ANSP may improve capacity indicators; academics improve safety models and risk estimations; and commercial stakeholders, like airlines and airports, may use such information to improve short-term predictions and optimise their operations. The technique is based on autoencoding artificial neural networks applied on flows of trajectories, which provide a useful reading grid associating cluster analysis with quantified level of abnormality. In particular, we find that the highest anomaly scores correspond to poor weather conditions, whereas anomalies with a lower score relate to ATC tactical actions.

The utilization of fuel cells (FC) in automotive technology has experienced significant growth in recent years. Fuel cell hybrid electric vehicles (FCHEVs) are powered by a combination of fuel cells, batteries, or/and ultracapacitors (UCs). By integrating power converters with these power sources, the FCHEV system can overcome the limitations of using them separately. The performance of an FCHEV is influenced by the efficiency of the power electronics converter controller, as well as the technical efficiency of the power sources. FCHEVs need intricate energy management systems (EMSs) to function effectively. Poor EMS can lead to low efficiency and accelerated fuel cell and battery degradation. The literature discussed various types of EMSs, such as equivalent consumption minimization strategy, classical PI controller, fuzzy logic controller, and Mutative Fuzzy Logic Controller (MFLC). However, comparing different EMSs can be challenging due to the varying vehicle and system parameters, which might lead to false claims being made regarding system performance. This research aims to categorize and discuss the various topologies of FCHEVs, highlighting their pros and cons, and comparing several EMSs based on performance metrics such as State of Charge (SOC) and FC deterioration.

The study is an attempt to enquire into the preference of undergraduate students, after a considerable and over a year-long experience with Online Teaching and Learning (OTL), under the emergency preventive measure of switching from the traditional face-to-face classes to online. The study followed an exploratory approach, with a quantitative survey followed by a qualitative one, and a convenient sampling method to collect responses from a substantial sample size. The study is positioned after more than a year of remote classes by the undergraduate student, and hence represents highly experienced reflections and preferences from these students, as compared to other studies conducted last year. The study has profound implications in considering, and questioning, the importance of on-campus classes, and significance of the physical presence of a tutor in the class, and its effect on the learning experience of undergraduate students.

Lean is one of the systematic approach to achieve higher value for organizations through eliminate non-value-added activities. It is an integrated set of tools, techniques, and principles designed to optimize cost, quality and delivery while improving safety. In Vietnam, industry waste management and treatment has become serious issue. The aim of this research is to present the effective of Lean application for industrial wastes collecting and delivery improvement. Through a case study, this paper showed the way of Lean tools and principles applied for wastes management and treatment such as Value Stream Mapping, Pull system, Visual Control, and Andon.... to get benefit on both economic and environment. In addition, the results introduced a good experience for Vietnamese enterprises in cost saving and sustainable development in waste management.

The paper discusses the experience of implementing an efficient economic management system at the University of Vigo in Spain. This system, which focuses on managing secondments, aims to minimize bureaucracy and standardize economic procedures for various staff groups. By adopting a qualitative methodology and utilizing content analysis, the study compares the University of Vigo's fully digital administrative procedure with other universities in the CRUE network. The results show significant time and cost savings due to this implementation. The improved traceability and information for users support the administrative change, and the positive environmental impacts highlight the commitment to a more sustainable approach. The paper's originality lies in demonstrating how this approach enhances efficiency, reduces costs, and improves sustainability within a Spanish public administration setting.

This study is a two-phase hybrid study on the behavioral activities of undergraduate students during the COVID-19 pandemic lockdown. A questionnaire survey of students during the whole school period and a semistructured interviews with 13 undergraduates of different majors were conducted. First, we found that compared with primary and secondary school students, undergraduates showed many problems with self-time management. Second, the behavior of undergraduates at home may result from multiple factors, such as past experience, professional identity and behavioral habits. When secondary school provided a relatively relaxed learning environment or secondary school teachers placed more emphasis on continuous effort, and when students had a strong sense of the social value of their undergraduate major, students worked harder and achieved more during the pandemic. Otherwise, it was easier for students to slack off and be passive during the pandemic. Altogether, this study deepens our understanding of undergraduates' self-management of free time, and the differences in the values underlying different behaviors and the formation process of various behaviors.

The standard of care for nonoperative appendicitis patients involves ongoing antibiotic therapy. Yet, there is variability regarding the decision to continue outpatient parenteral antibiotic treatment (OPAT) or transition to oral (PO) antibiotics. Methods: In our single-center retrospective study, we reviewed 46 pediatric patients who underwent nonoperative management of perforated appendicitis with Interventional Radiology (IR) percutaneous drainage. We reviewed age, ethnicity, hospitalization length, antibiotic choice, route and duration, and culture data. Results. Thirty-eight [83%] patients went home on OPAT, 6[13%] on PO, and 2[4%] completed therapy while inpatient. Based on culture susceptibilities of the 38 OPAT patients, 29[76%] had oral antibiotics as an option. The three most common organisms in those sent home on OPAT included Enterococcus faecalis (38 [100%]), Bacteroides spp (33 [87%]) and Escherichia coli (27 [71%]). All patients who grew Pseudomonas aeruginosa had an oral antibiotic as a treatment option; similarly with 93% (25/27) of E. coli, 81% (13/16) of α-hemolytic Streptococcus spp, and 76% (29/38) of Enterococcus faecalis.  Conclusions:  Nearly 80% of patients sent home on OPAT had PO antibiotic regimens options based on the culture susceptibility profiles. This data indicates that using cultures and susceptibility data can help guide antibiotic management, significantly reducing PICC line placement and likely reduce healthcare costs and complications associated with central lines.

Rubbish in a forest environment is a great threat to this ecosystem, but this threat may also apply to the lost benefits for visitors to the forest. Previous studies proved that forest areas have a positive effect on obtaining psychological relaxation in the people visiting them. However, it was not known whether this restorative experience could be disturbed in any way by the presence of an open dump in the forest. To check how the presence of a landfill affects the visitors, an experiment was planned in which the respondents observed a forest area with a landfill and a forest landscape without a landfill for 15 minutes (control). The respondents then assessed the landscape using the semantic differential method and the Perceived Restorativeness Scale (PRS). An analysis of these observations showed that the presence of a landfill in the forest significantly changed the appreciation of the landscape by the respondents, the values of positive experiences decreased, and the negative experiences increased. Restorativeness was also reduced. Based on the results, it can be concluded that the presence of garbage in the forest may interrupt the restorative experience of its visitors.

This research explores and analyzes the challenges and opportunities due to globalization's impact on sustainable strategic management. The research uses a mixed-method design, combining primary and secondary data collection methods. Secondary data is sourced from various credible publications and analyzed through an extensive literature review. A case study approach is adopted, involving semi-structured interviews with six experienced managers from Tazweed Venture Capital in Jordan. The study employs a qualitative, descriptive, and analytical approach to develop a conceptual framework by exploring managers' experiences and perspectives on Globalization and its impact on Sustainable Strategic Management. The findings identify challenges of environmental degradation, economic inequality, transportation and logistics pressures, and compliance challenges for sustainability. While implementing sustainable practices incurs upfront costs, accessing renewable energy markets and financial support presents opportunities. Tazweed successfully implements sustainable strategic management, emphasizing stakeholder engagement and collaboration across departments. This research offers valuable insights and guidance for companies navigating globalization's impact on sustainability strategic management.

There has been rampant fold-ups, merger and acquisitions occurring in the Ghanaian banking industry. Then, the questions arise: Is the Ghanaian Financial System in Crisis? This study was conducted to find answers to these problems unsolved with prior literature. A sample of seventy customers of the Royal Bank, 8 employees of the Royal Bank and 2 managers of the Royal Bank were selected for a case-survey. The study also monitored the Trend of the Ghanaian Financial System through the reading and monitoring of daily news on the Financial System and reports of banks. The data from the field and the secondary data from news and reports were analysed symmetrically. The study drew on Minsky’s Financial Crisis Theory to explain the phenomenon in the Ghanaian economy and to draw predictions of what would happen in other developing economies. The study found out that: (1) The Ghanaian financial system is fragile and it holds true for most developing economies; (2) The financial system suffers greatly when the confidence level of customers falls significantly; (3) Management information systems raises the confidence level of customers (borrowers and lenders) such that there is a greater fall and impact in times of instability in the economy; (4) The higher the level of MIS adoption in an unstable economy, the more fragile the Financial System becomes and (5) A higher adoption of Management Information Systems in a Fragile Financial System indirectly contributes to Financial Crisis of the Financial System.

This study aims to find a communication model of contingency plan for disaster risk management of Sinabung Volcano eruption, in North Sumatera. The object of the research is communication and coordination across the government, non-government organization, and community. This study used planning theory, the concept of communication planning, and types of disaster management plan as tools for analysing. Descriptive qualitative is used as the method. Data collection was obtained from the focus group discussion (FGD), in-depth interviews, observation, and study documentation. There are three stages in descriptive qualitative research that is data reduction, data presentation, and conclusion. An analysis was conducted qualitatively on the program and competence actors. The results found the communication model of disaster risk management through documents of contingency planning to overcome the threat of Mount Sinabung eruption. During the emergency response period a core model was used to reduce the impact of the Mount Sinabung eruption. The contingency plan becomes the Karo District Government’s document. This document were authorized by an authorized official and is ready to be applied to the Emergency Response Operation Plan. Plans for emergency response operations are carried out based on information regarding damage and the need to obtain results of a quick review. Contingency plans are submitted to the legislature for political commitment and support and budget allocation.

Severe combined immunodeficiency (SCID) is a primary inherited immunodeficiency that could be fatal, usually due to opportunistic infections caused by bacteria, viruses, fungi, and protozoa if left untreated. Opportunistic infections are the most common presentation of SCID these include viral, fungal, or intracellular bacteria, and infection should prompt immunological investigation. This review aimed to provide a comprehensive approach to the microrganisms associated with severe combined immunodeficiency (SCID) and its management. The authors described SCID as a syndrome and summarized the different microorganisms that affect children and how they are managed.

The purpose of this study was to investigate the relationships among student athlete’s identity and mental health during the COVID-19 pandemic. In addition, this study aimed to clarify the relationship between perceived social support from teammates and mental health in student-athletes. Two studies were conducted to investigate to clarify the mental health states of student-athletes in Japan during the COVID-19 pandemic. In Study 1 conducted in April 2020, the participants were 402 male student-athletes, and examined the relationships among student-athlete’s identity and mental health. The results of correlational analyses indicated that there were significant negative correlations between degree of student-athlete’s identity and depression and sports helplessness. In Study 2 conducted in March 2021, the participants were 136 male student-athletes, and examined the relationship between perceived social support from teammates, student-athlete’s identity and mental health. The results indicated that there was significant correlation among social support, student athlete’s identity and mental health. These results suggested that mental health may be improved if student-athletes are strongly aware of their social identity, which is their social role, when unforeseen events such as the COVID-19 pandemic occur. In addition, social support provided by significant others such as teammates may contribute to the improvement of mental health.

This study was undertaken to forecast waste generation rates of accommodation sector of North Cyprus as a case. Three predictor models including multiple linear regression (MLR), artificial neural networks (ANNs) and central composite design (CCD) were applied to predict the waste generation rate during the lean and peak seasons. ANN showed highest prediction performance, specifically, lowest values of the standard error of prediction (SEP = 2.153), mean absolute error (MAE=1.378) and highest R2 value (0.998) confirmed the accuracy of the model. The analysed wastes were categorised into recyclable, general waste and food residues. The authors estimated the total waste generated during the lean season as 2010.5 kg/day, in which large-sized hotel accounted for largest fraction (66.7%), followed by the medium hotels (19.4%) and guesthouse accounted for smallest part (2.6%). During the peak season, about 49.6% increases in the waste generation rates were obtained. Interestingly, 45% of the wastes were generated by the British tourists while the least waste was generated by African tourists (7.5%). The ANN predicted that the small and large hotels would produce 5.45 and 22.24 tons of waste by the year 2020, respectively. The findings herein are promising and useful in establishing a sustainable waste management system.

Effective household and individual disaster preparedness can minimize physical harm and property damage during catastrophic events. To assess the risk and vulnerability of affected areas, it is crucial for relief agencies to understand the level of public preparedness. Traditionally, government agencies have employed nationwide random telephone surveys to gauge the public’s attitudes and actions towards disaster preparedness. However, these surveys may lack generalizability in certain affected locations due to low response rates or areas not covered by the survey. To address this issue and enhance the comprehensiveness of disaster preparedness assessments, we develop a framework that seamlessly integrates machine learning and simulation. Our approach leverages machine learning algorithms to establish relationships between public attitudes towards disaster preparedness and demographic characteristics. Using Monte Carlo simulation, we generate datasets that incorporate demographic information of the affected location based on government-provided demographic distribution data. The generated dataset is then input into the machine learning model to predict the disaster preparedness attitudes of the affected population. We demonstrate the effectiveness of our framework by applying it to Miami-Dade County, where it accurately predicts the level of disaster preparedness. With this innovative approach, relief agencies can have a clearer and more comprehensive understanding of public disaster preparedness.

The paper summarizes in a step by step ‘recipe’ format a model of developing new ideas (Ideation) that can be used to form a new venture or develop a new product. The proposed ‘recipes’ are widely used and can be applied in tandem with other prevalently available models or tools. The intention of the paper is also to serve as a resource for entrepreneurs and innovators, and the links and references munificently used in the paper are serving this purpose. The author has used the outline and the tools described here in numerous Ideation classes taught for over a decade in several countries around the world. The paper’s intention is not to conduct a systematic review on the subject of new venture creation or propose new research agenda (for that, see for example Shepherd et al., 2021). The purpose is to provide an effective and efficient set of tools, models and techniques that can assist the entrepreneur in her journey to create and achieve her dreams. One such tool is the matrix of Reasonings-Outcomes introduced here for the first time.

The increasingly rapid flow of technological development is now a tool to improve backwardness, renew the system, as well as a means of improvement in various aspects of life. For companies, the development of information and communication technology is a new innovation or breakthrough to improve service quality. Various benefits provided by technology and information. However, if not handled properly, technology and information will become a boomerang for an organization. HRIS is the application of HRM functions in the application of information and communication technology. The concept of HRIS as a digital form of HRM is increasing along with the outbreak of the Covid-19 pandemic which has caused a large loss impact on all lines of life. The limitation of social interaction in an effort to prevent the wider spread of covid-19 and the higher number of casualties causes business activities to stall. This research uses quantitative methods with a study sample of 100 randomly selected. This study aims to see how clarity of high-tech goals in human resources management, perceived benefits, perceived ease of use, company conditions that can influence attitudes towards HRIS.

This paper presents a comprehensive and adaptive framework for orchid conservation programs illustrated with data from published and unpublished case studies. There is a specific focus on West Australian terrestrial orchids, but many of the approaches have universal relevance. Aspects of the framework include (1) setting appropriate objectives, (2) establishing effective collaborations between scientists, volunteers and regulators to fill knowledge and funding gaps, (3) use of survey and demographics data to determine extinction risks and management requirements for species, (4) effective habitat management to overcome threats such as grazing, (5) finding potential new habitats by modelling climate and site data, (6) investigating the effectiveness of pollinators and (7) using seed baiting to detect mycorrhizal fungi. The relative cost and effectiveness of different methods used to propagate orchids for translocation are compared. Methods known to be successful, in order of complexity, include placement of seed in situ, vegetative propagation, symbiotic germination in non-sterile organic matter, symbiotic germination in sterile culture, asymbiotic sterile germination and clonal division in tissue culture. These form a continuum of complexity, cost, time required, faculties needed, as well as the capacity to maintain genetic diversity and produce seedlings preadapted to survive in situ. They all start with seed collection and lead to seed storage, living collections used as tuber banks and seed orchards, as well as translocation for conservation. They could also lead to commercial availability and sustainable ecotourism, both of which are needed to reduce pressure on wild plants. Overall, there has been a strong preference to use relatively complex, expensive and time-consuming methods for orchid conservation, despite evidence that simpler approaches have also been successful. These simpler methods, which include in situ seed placement and non-sterile germination on inorganic substrates, should be trialled in combination with more complex orchid propagation methods as part of an adaptive management framework. It is essential that orchid conservation projects harness the unique biological features of orchids, such as abundant seed production and mycorrhizal fungi which are far more widespread than their hosts. This is necessary to increase the efficiency and coverage of recovery actions for the largest and most threatened plant family.

Comprehensive geriatric assessment, defined as an interdisciplinary assessment and development of an overall plan of treatment and follow-up, has become a fundamental part of clinical geriatric care. Since the 1970s, the Veterans Administration has encouraged the development of geriatric evaluation and management programs. Evolution of geriatric evaluation and management has occurred over time and many VA medical centers have transferred inpatient geriatric evaluation programs to long-term care Community Living Centers (CLC) and outpatient settings. Availability of resources and trained personnel across the continuum of care as well as administrative facilitation of collaboration between care components are critical to the efficient utilization of geriatric services. Facilities may need to prioritize their resources and utilize the most effective and relevant elements of geriatric evaluation and management according to patient population needs, available space, resources, and institutional priorities.