bluuebunny/crossref_metadata_2025 huggingface dataset:
Electronic Immunization Registry in Improving Vaccine Supply Chain Availability in Tanga City Council, Tanzania
Authors: Yohana Emmanuel , Mitiku Shiferaw , Kayumba P. Claver , Swalehe Omary
Published: September 2021

BackgroundDespite the advantages of the electronic registry which has been explained in other areas of health and other parts of the world, there has been no empirical research conducted with the aim of assessing the impact of the electronic immunization registry practices on the availability of immunization commodities.ObjectivesTo assess the effect of electronic immunization registry practices on the availability of immunization commodities.MethodsA cross-sectional study was carried out to health facilities providing vaccination services in Tanga City Council. A total of 27 health care workers in 27 health facilities were interviewed for availability of vaccines and their experience in using electronic immunization system in supply chain system functioning using structured questionnaires. The data from the vaccines manual ledger and electronic TImR system were also collected administered in April-June, 2019 specifically for Bacillus-Calmette Guerin (BCG), Diphtheria-Pertussis-Tetanus-Hepatis B-Haemophilus influenza type b (DPT-HepB-Hib), bi-oral polio vaccine (bOPV), Measles-Rubella and Human Papilloma Virus Vaccine (HPV). These data were analyzed by statistical software SPSS using one sample T test and 95% confidence interval.ResultsThe study affirmed that the mean numbers of children registered at the health facilities using electronic immunization registry was 1.5-3 times higher than the target population for the three months preceding the study given by the National Bureau of Statistics (NBS). The number of doses for the studied vaccines (DPT-HepB-Hib, measles rubella, HPV, BCG and bOPV) were found to be different in the manual and electronic TImR systems. Also, the number of doses available at the health facilities increased significantly with the number of the electronic system registered children.ConclusionThis study found that the adoption of Electronic immunization registry has improved the health supply chain in terms of improving the vaccines availability. Rwanda J Med Health Sci 2021;4(2): 223-236
Stocking Density, Growth and Survival Rate of Post-Settled Juveniles of Holothuria scabra (Jaeger 1833) Reared in an Ocean-Based Floating Hapa
Authors: Yussuf Yussuf S , Yahya Saleh AS
Published: September 2021

Ocean-based nursery system using floating hapa have proved to be the best option for raising early sandfish juveniles. However, the nursery system can be further improved by providing key information that will support their application. The present study provides information on the effect of stocking density on growth and survival of sandfish juveniles reared in floating hapa (1 x 0.5 x 1 m). Three densities were tested, 100, 200 and 400 early juveniles (5 mm; 0.093 g) per hapa net in a randomized set-up. Initial density of 100 and 200 showed significant higher growth rate and final size (0.082–0.074 g/day; 3.76–3.42 g) compared to 400 (0.045 ± 0.002 g/day; 2.11 ± 0.07 g). Moreover, at 100 and 200 densities, > 95% of all juveniles attained release size (2 g) and only 74% for 400 density after 45 days of rearing. Sandfish juveniles showed negative allometric growth and their survival did not display any pattern (100 = 91%; 200 = 35%; 400 = 51.3%). The coefficient of variation for weight of juveniles showed strong positive relationship with initial density (R2 = 0.99, p = 0.039) with CV values of (100 = 48.6%; 200 = 49.8%; 400 = 50.1%). It is therefore concluded that, 100 stocking density should be opted for optimum results, however, 200 can also be considered provided that, the survival is improved.  

Keywords: Sea cucumber; Ocean-based Nursery; Stocking density; Survival rate; Growth rate
Facets of Fit, Flourishing and Organisational Commitment as Explanatory Mechanisms of Talent Retention in the Hospitality Industry
Authors: Ferreira Nadia , Potgieter Ingrid
Published: September 2021

The objective of the study was to explore the relationship between the concepts, “fit”, “flourishing” and “organisational commitment”, in order to inform talent retention within the hospitality industry. In addition, the study aimed to determine whether demographic variables and the facets of “fit” and “flourishing” can predict organisational commitment of employees. The study utilised a non-probability convenience sampling method (N = 389) to select employees from the hospitality industry across the Indian Ocean (Maldives, Seychelles, Mauritius and Madagascar). The sample was mostly local Mauritian males. Bivariate correctional analysis revealed positive relationships between the facets, “fit”, “flourishing” and “organisational commitment”, in the hospitality industry and further indicated that the demographic variables, and the facets of “fit” and “flourishing” can positively and significantly predict organisational commitment. The findings contribute new insights into the constructs of “fit”, “flourishing” and “organisational commitment” and extends research on antecedents of organisational commitment. These findings provide valuable talent retention recommendations for the hospitality industry. Organisations in the hospitality industry could apply these results and recommendations to effectively develop interventions for retaining their employees by taking into consideration the aspects of fit, flourishing and organisational commitment of their employees.
A autonomia como estratégia política e territorial entre os movimentos sociais no Brasil: entrevista com a Teia dos Povos da Bahia
Authors: Alkmin Fábio Márcio , Sánchez Waldo Lao Fuentes
Published: September 2021

As organizações indígenas na América Latina vêm cada vez mais desenvolvendo estratégias de autonomia como forma de autodeterminação e defesa de seus territórios. Ainda que com grandes particularidades locais e regionais, a autonomia enquanto práxis destes povos busca basicamente a organização das comunidades a partir de mecanismos de territorialização e autogoverno, criando sistemas horizontais de deliberação política e apoio mútuo, além de formas de sociabilização autônomas às influências dos partidos políticos ou da tutela do Estado. O presente artigo busca oferecer uma reflexão sobre a autonomia no contexto brasileiro, a partir de uma entrevista com a Teia dos Povos da Bahia, articulação criada em 2012 pela união de indígenas, quilombolas e distintos movimentos camponeses que lutam pela terra e território no país.
Paulo Ribeiro: um cavaleiro da utopia
Authors: Murta Laura
Published: September 2021

Homenagem ao sociólogo Paulo F. Ribeiro (29/06/1962 - 24/04/2021).
Integration of Vision and Vestibular Therapy for Vestibulo-Ocular Post-Concussion Disorder – A Case Study
Authors: Ziaks Lauren , Giardina Rosemary , Kloos Anne
Published: September 2021

Purpose: The purpose of this case study was to examine the effectiveness of integrated vision and vestibular therapy for an individual with oculomotor and vestibular system impairments secondary to a concussion further defined as vestibulo-ocular post-concussion disorder. A secondary purpose was to suggest an appropriate timeline to introduce vision therapy and integrate vestibular rehabilitation therapy based on protocol used in an outpatient concussion rehabilitation clinic. Method This was a case study on a 16-year-old female with protracted concussion recovery. Treatment consisted of 9 in-clinic visits for vision therapy with the final 6 visits addressing vision and vestibular deficits. A home exercise program supplemented the weekly clinic sessions. Outcomes measures included the Activity-Specific Balance Confidence Scale (ABC Scale), Brain Injury Vision Symptom Survey (BIVSS), Convergence Insufficiency Symptom Survey (CISS), Dizziness Handicap Inventory (DHI), and Post-Concussion Symptom Scale (PCSS). Improvements in vision and vestibular function were assessed with a comprehensive visuo-vestibular re-evaluation at discharge and 5 month follow up. Results:Improvements in oculomotor control, vergences, vestibular function, and symptomology were reported and measured at discharge and corresponded with clinically meaningful functional outcome improvements. The patient improved from 68% to 96.88% on the ABC ( Conclusion: Results from this case study suggest integrated vision and vestibular therapy, when done in the appropriate timeline, may be used to efficiently and effectively manage vestibulo-ocular post-concussion disorder.
Cultivating Acute Care Rehabilitation Team Collaboration Using the Kawa Model
Authors: Ober Jayme , Lape Jennifer
Published: September 2021

Purpose: Effective healthcare team collaboration is imperative for quality client-centered care, job satisfaction, and overall morale. Rehabilitation team collaboration can be impacted by high productivity demands, differing backgrounds of individual team members, and the unpredictable healthcare environment. The Kawa (river) model, a culturally-neutral model of occupational therapy practice, has been shown to improve communication and collaboration with its use of metaphors, but its utility in various contexts to enhance collaborative practice is still being explored. The purpose of this study was to implement an evidence-based teambuilding intervention with use of the Kawa model to investigate the impact on acute care rehabilitation team collaboration. Method: A 5-week pretest-posttest study was completed with a group of eight rehabilitation team members, consisting of occupational therapists, physical therapists, and a speech language pathologist, in an acute care setting. Pre and post-surveys were utilized to gather quantitative and qualitative data on perceptions of team collaboration, knowledge of the Kawa model, and the model’s utility for collaboration. Results: Outcomes showed overall mean improvements in agreement that the Kawa model provides a common method of communication, and 100% of the participants agreed or strongly agreed that use of the Kawa model can improve acute care rehabilitation team collaboration. Qualitative post-survey responses indicated an enhanced understanding of the components of effective team collaboration. Conclusions & Recommendations: Team collaboration was cultivated with use of the Kawa model. The model provided a successful method for the acute care team to openly discuss and collaboratively problem-solve how to maximize their team flow. Further study of the Kawa model’s utility to improve collaboration in various contexts with broader participant groups is recommended, as well as study of longitudinal effects of a teambuilding intervention with use of the Kawa model.
Interprofessional Role Clarity, Case-Based Learning, and Perceptions of Group Effectiveness Among Athletic Training and Physical Therapy Students in a Shared Professional Course
Authors: Sniffen Katie , Briggs Erick , Hinyard Leslie , Breitbach Anthony
Published: September 2021

Purpose: Health professions students experience professional socialization during their program of study. Institutions have turned to interprofessional education as a means of preparing students for their role as collaborative health care professionals. This study examines the effect of case-based learning experiences in a shared professional Therapeutic Modalities course on student’s interprofessional role clarity as well as the relationship between interprofessional role clarity and measure of group effectiveness. Methods: 112 students (22 Athletic Training and 90 Physical Therapy) were assigned to one of 18 interprofessional and 18 uniprofessional teams and asked to complete four case-based learning activities. All students completed pre-test, retrospective pre-test, and post-test role clarity/ambiguity scales. Measures of team viability, team member satisfaction, and self-rated output were collected post-intervention. Results: Results suggest the experience of interacting with one another in this course, including during case-based learning activities, may lead to increased knowledge of other’s roles and responsibilities as shown in the retrospective pre-test and post-test role clarity differences. Additionally, role clarity has meaningful relationships with measures of perceived group effectiveness, particularly team viability and self-rated output. Conclusion: We suggest that health professions educators consider incorporating case-based learning activities into existing curricula to introduce other professions’ roles and engage students in teamwork.
Comparing the Perceptions of Interprofessional Socialization Among Health Profession Students
Authors: Aul Karen , Long Jody
Published: September 2021

Introduction: Based on a review of literature, there is a gap of knowledge on how students perceive the professional roles and responsibilities of other disciplines. The purpose of this study was to explore the perceptions of interprofessional socialization among health profession students. Subjects: Participants included 300 undergraduate and 114 graduate students from eight health disciplines: nursing, communication disorders, physical therapy, social work, radiological science, occupational therapy, clinical lab science, and nutritional science. Methods: Data were collected using the Interprofessional Socialization and Valuing Scale (ISVS-21). The participants rated 21 items about their beliefs, behaviors, and attitudes of interprofessional socialization on a Likert scale from 1-7, with 1 being not at all and 7 being to a very great extent. Data were analyzed using descriptive statistics and analysis of variance was conducted to compare the health disciplines for differences. Results: Descriptive analysis revealed that 95.2% of students perceived an awareness of interprofessional socialization as occurring from a fairly great extent to a great extent, with means of 5.12 or higher on the 1-7 scale. There were no significant differences between the health disciplines. Conclusion: Findings suggest that students have the readiness to understand each other’s professional roles and responsibilities. Although there are no standardized educational strategies to facilitate student collaboration between disciplines, considerations for future interprofessional collaborative activities are indicated.
Student Perceptions of Barriers to Professional Exam Success
Authors: Webster Kathryn
Published: September 2021

Purpose: Many Allied Health education programs have shifted attention toward program outcome measures, including professional exam pass rates. The purpose of this study was to solicit the opinions of students, in order to better understand how they perceive their barriers to professional exams, what resources have proved helpful for them, and ultimately what advice programs can give to students to increase exam success. Method: A survey was sent to 104 alumni of the Medical Laboratory Science (MLS) program at a large Midwestern university to determine what they perceived as barriers in preparing for and taking their certification exam(s), and the resources they identified as being the most or least helpful in the process. Results: Forty-two individuals responded to the survey, with two self-reporting having not passed a certification exam. Successful students reported the most beneficial tools included a purchased review manual and an online exam simulator. They reported that reviewing their own notes and materials were only somewhat helpful. The respondents, who had attempted the exam, but not yet passed, reported feeling unprepared, waiting too long after graduation and high stress levels, as the reasons for not being successful. The majority of respondents indicated the need for additional resources in preparing for professional exams. Conclusions: Educational programs can use this information to better mentor students to utilize additional resources that are available to them, design a meaningful timeline, and deal with stress before taking any professional exam.
Educational Impact on Therapists’ Knowledge, Beliefs, and Actions: A Pilot Study
Authors: Espiritu Elena , Michaels Natalie , Busby Steven
Published: September 2021

Purpose: Collaborative goal setting has been shown to be an effective way to promote client engagement leading to improved outcomes; however, healthcare professionals face challenges when implementing collaborative goal setting into their clinical practice. The purpose of this study was to evaluate the effectiveness of educational workshops to 1) increase a therapist’s knowledge of motivational interviewing and action planning, 2) promote collaboration between therapists and their patients/clients, 3) promote collaboration between therapists and their interdisciplinary team and 4) increase the ease of implementation of motivational interviewing and action planning skills into a therapist’s clinical practice. Method: A mixed-methods design was utilized. Occupational therapists and physical therapists were recruited via email to participate. Data were collected via online surveys at three different times (before the first educational workshop, after the second workshop, and three months after the second workshop) consisting of quantitative related survey questions assessing the participants’ knowledge, beliefs, actions, and perceived self-efficacy related to motivational interviewing and action planning and qualitative questions focused on typical goal development processes, level of collaboration and challenges associated with developing goals with clients and interdisciplinary team members and anticipated/resultant impact and meaning of participation in the educational workshops. Results: The sample included 19 participants. Quantitative data demonstrated a statistically significant increase in self-scoring related to knowledge, beliefs, and actions when comparing all the pre-education to the post-education scores, except for one (collaboration with interdisciplinary team members). A follow-up analysis on this criterion demonstrated no statistically significant changes over the three-month period, potentially indicative of retention of the material covered. The qualitative data provided further insight into the challenges faced by participants and the perceived benefits of participating in the educational workshops. Conclusion: The educational workshops appeared to be effective in addressing some of the barriers to collaborative goal setting (e.g. lack of time, knowledge/skills, appropriate patients, concern for duplication of services) found in the literature, most notably providing the participants with the knowledge and skills needed, which is the first step when implementing collaborative goal setting into clinical practice. Further research in this area is recommended.
Predicting PANCE Outcomes from First Year Evaluative Measures in a PBL Curriculum
Authors: Goreczny Anthony , Hawkins Susan , Laird John
Published: September 2021

Purpose: Previous research has explored various Physician Assistant (PA) student evaluative measures to see if they have predictive validity with regard to Physician Assistant National Certifying Exam (PANCE) scores. Recent literature has begun to evaluate how measures from the first year of didactic education might be helpful in identifying at-risk individuals early in the program. The purpose of this paper was to extend work in that area within a problem-based learning (PBL) curriculum. Method: Participants included 140 students from two consecutive PA classes. Data were imported regarding each student’s evaluative measures of multiple choice question (MCQ) examinations, patient management assessments (PMA), a form of modified essay question (MEQ) examination, and facilitator evaluation ratings (FERs) from the end of each of six curricular units that comprise the didactic year. Results: Correlational analyses revealed all MCQ and MEQ (PMA) scores correlated significantly with PANCE scores. Regression analyses revealed that scores from two specific MCQ unit exams and one specific MEQ unit exam produced a three-factor model that accounted for 57% of variance in PANCE scores. FERs, though significantly correlated with PANCE scores, did not add to the predictive power. Conclusions: Use of MCQ and MEQ scores from the first year of didactic training in PA programs can successfully predict PANCE scores and may therefore be helpful in identifying students who are at risk for poor PANCE performance on their first attempt. Having such information available can direct faculty to students who need extra help early in their educational programs to increase likelihood of their success. With the significant correlations between FERs and PANCE scores, it is clear that faculty who facilitate PBL are also able to identify students who might be at risk based on their interactions during PBL sessions and can also utilize this information to assist student
Lived Clinical Education Experiences of Professional Master’s Athletic Training Program Graduates
Authors: Wamsley Laura , Brown Kimbery , Nolan Jill
Published: September 2021

Purpose: Clinical education has been identified as a key aspect in the professional preparation of athletic trainers. The literature, however, has focused on clinical education at the undergraduate level rather than the graduate level, which is the future population of all CAATE-accredited athletic training programs. This study sought to describe the experiences of those who have completed athletic training clinical education at the master’s level, specifically focusing on the type of learning experiences they were granted and what influence the preceptor and the setting played in the overall experience. Method: This was a phenomenology study. Twelve graduates of CAATE-accredited professional master’s athletic training programs served as participants. All participants graduated after Spring 2014 and completed clinical education as a degree requirement. Three methods of data collection were utilized, including semi-structured interviews, prompted journaling and asynchronous online focus group discussion boards. Data was analyzed using a phenomenological reduction approach. Credibility of the data was confirmed with member checking, peer review and data triangulation. Results: Clinical education was determined to be a significant contributor to professional preparation of professional master’s athletic training students. Hands on-experiences, active preceptors and variety in clinical setting and opportunity were all cited as contributors to the success of clinical education. Participants described their experience as a significant commitment but valuable. Conclusions: Our findings suggest that clinical education should continue to be a requirement at the graduate level and that the clinical education curriculum should be designed to encourage hands-on learning and variety.
Interprofessional Peer Teaching: Assistive Device Training and Medications Impacting Safe Ambulation
Authors: Tunney Niamh , Chesson Melissa , Ryan Gina
Published: September 2021

Purpose: An interprofessional peer teaching activity was designed and implemented to provide students with an opportunity to practice interprofessional education collaborative (IPEC) competencies while improving student knowledge of assistive devices for gait and medications impacting safe ambulation. Method: During the activity, second year physical therapy students instructed third year pharmacy students in the accurate fit and counseling for use of canes, crutches, and walkers. Pharmacy students then demonstrated these skills and were checked off on their ability to accurately fit and instruct consumers on basic gait patterns. The pharmacy students in turn educated the physical therapy students about medications that impact safe ambulation and gait training. The activity was designed to meet the interprofessional competencies of roles and responsibilities, interprofessional communication, teams and teamwork, in addition to specific course objectives. Students completed a 15-item pre- and post-knowledge assessment and a perceptions survey to evaluate the effectiveness of the peer teaching activity. Results: Significant improvements in knowledge and performance were demonstrated following participation in the activity, and students reported positive perceptions of the activity and its impact on their learning about assistive devices and medications reviewed during the session. Our results indicate that physical therapy and pharmacy students can effectively teach each other and learn about assistive devices and medications impacting safe ambulation through an interprofessional peer teaching activity. Conclusion: Peer teaching across disciplines can help prepare students to communicate and collaborate with other healthcare providers.
The Use of Tinkertoys® for Teaching Hip Anatomy and Alignment
Authors: Wendland Deborah
Published: September 2021

Background: Health education can require an emphasis on potentially difficult concepts in anatomy and alignment. Purpose: The purpose of this study is to describe the effect of active use of Tinkertoys® to promote understanding of alignment and to report its effectiveness for knowledge acquisition among students according to spatial ability. Methods: Two cohorts of physical therapy (PT) students (n=70) participated in this project over two years. Thirty-four students (second cohort) rated their math and spatial abilities on a survey. Following a traditional lecture on femoral torsion and angle of inclination, all participants took a pre-test. Then, a Tinkertoys® model of the lower limb was used along with a pelvic bone to simulate the hip anatomy and alignment. Only students in the second cohort received the opportunity to simultaneously manipulate similar models at their desks. At the end of the class period, a post-test was given. Four days later, a similar quiz was given. Descriptive statistics and repeated measures with pairwise comparisons were used to analyze the data. Results: Quiz means improved from pre-test (32.1%) to post-test (74.6%, p=0.023). Differences were not evident between people who self-reported stronger versus weaker spatial abilities (p=0.186). Conclusions: Tinkertoys® model use, with or without simultaneous model manipulation, facilitated learning, regardless of self-reported spatial ability.
A Survey to Guide the Emerging Role of Allied Health Teams in a Regional Tertiary Hospital Emergency Department
Authors: Ashley Bede , Pain Tilley , Clark Heidi , O'Connor Ellen , Schnierer Liana , Laspina Kathryn , Fitzpatrick Meghan
Published: September 2021

Purpose: A multidisciplinary allied health team has worked in The Townsville Hospital Emergency Department for seven years. Patients are referred to the allied health team by medical and nursing staff with the aim of reducing patient admission and improving patient outcomes. However, the type and number of referrals received by the allied health team suggest there is a lack of detailed interdisciplinary knowledge by the referrers. Therefore, the Emergency Department Allied Health Team surveyed other emergency department health professionals to ascertain their knowledge of allied health roles. The results will be used to develop education sessions to fill gaps in knowledge. Methods: A cross-sectional survey consisting of 22 true/false statements and demographic questions was developed by the Emergency Department Allied Health Team. Questions described some of the common triggers for referral to physiotherapy, occupational therapy, social work, and pharmacy staff in the emergency department at the Townsville Hospital. The survey was distributed opportunistically to nursing, medical and physician assistant staff at handover or education sessions. Descriptive statistics were used to describe the data and comparisons used chi squared tests. Results: The response rate for the survey was 63% (n=154), including 52 doctors (65%), 95 (59%) nursing staff, 3 physician assistants (100%), and 4 who did not state their discipline. Preferred responses were low for questions about occupational therapy’s ability to do home visits up to four weeks post emergency department discharge (37.7%), physiotherapists’ necessity to perform mobility assessments (24.7%), identifying APINCH acronym as mnemonic for high risk drugs (35.7%) and the correct application of “close the gap” prescriptions (27.9%). Staff with more experience and prescribers were more likely to give the preferred response. Conclusions: Some gaps exist in doctors’, nurses’, and physician assistants’ knowledge of the roles of allied health in an emergency department. The knowledge gap decreases as staff experience in emergency departments increases. Therefore, for the allied health team in our emergency department to work at full scope of practice, these knowledge gaps need to be addressed. Our challenge now is to provide sustainable education on the role of allied health in a busy emergency department full of shift working and rotating staff being pulled by a myriad of contrasting priorities.
Zigzags in Cultural Policy of the Soviet Union in the Cold War Epoch
Authors: Soloshenko V.
Published: September 2021

Presented article has been written based on the report, which was delivered at the International Workshop “The Cultural and Academic Relations between the Eastern Bloc Countries and the West during the Cold War Period” organized by the Ohara Institute for Social Research/Hosei University (Tokyo, Japan) in cooperation with the State Institution “Institute of World History of the National Academy of Sciences of Ukraine” (Kyiv, Ukraine) and Jagielonian University (Krakow, Poland).In order for reading this article to be more accessible for the scholars of post-Soviet countries, far and near abroad, the author, on exceptional basis, used Russian as the language of her research. Because exactly Russian was the language of learning of the author’s Japanese colleagues, professors from the Hosei University / Tokyo and other universities during their studying in the USSR in the Cold War years.The article underlines that accession of Ukraine to the Soviet Union as the Union Republic-co-founder and its commitment to the establishment of the new social and economic system involved a series of public transformations. In the Soviet Union, the industrialization, collectivization, and cultural revolution were conducted, numerous universities, scientific institutions, theatres, and other culture centers were opened. Soviet culture, as officially defined, served the purpose of construction of a socialist society. At the same time, the cultural policy of the Soviet Union had not only the objectives of changing public consciousness, covered the principles of liquidation of private property and repudiation of religion, but also, on the base of communist ideology, it was intended to provide a formation of the «New Soviet Man». The author demonstrated the Cold War influence on the culture of the USSR. The research highlighted that the development of new industries and scientific discoveries of global significance by the Soviet scientists enabled to use to a greater extent of human achievements for further progress and cultural wealth accumulation. The article deals with the achievements and loses in the process of Ukrainian national identity assertion.
Interaction of cationic antiseptics with cardiolipin-containing model bacterial membranes
Authors: Kholina EG , Bozdaganyan ME , Strakhovskaya MG , Kovalenko IB
Published: September 2021

Plasma membrane is one of the major targets for cationic antiseptics (CA). The study was aimed to assess molecular effects of CAs of different chemical classes on cardiolipin-containing regions of bacterial plasma membranes. The study was carried out using coarse-grained molecular modeling. Interaction of CAs, such as miramistin, chlorhexidine, picloxidine, and octenidine, with cardiolipin-containing bilayer was assessed based on the CA coarse-grained models. CAs reduced lipid lateral diffusion coefficients and increased the membrane area per lipid. All CAs, except miramistin, reduced the lipid fatty acid chain order parameters. Adding octenidine at a CA : lipid ratio of 1 : 4 resulted in cardiolipin clustering with subsequent pulling the neutral phosphatidylethanolamine molecules out of the model bilayer. It was found that CАs have the potential for sorption to lipid bilayer, causing clustering of negatively charged lipids. Antiseptic octenidine causes formation of cardiolipin microdomains. Abnormal lateral lipid distribution together with pulling out phosphatidylethanolamine molecules can result in increased lipid bilayer permeability. The most significant reduction of cardiolipin lateral diffusion coefficient by 2.8 ± 0.4 times was observed in the presence of CA chlorhexidine at an antiseptic : lipid ratio of 1 : 4.
Analysis the Ease of Shareholder Suits Index through Doing Business 2020
Authors:   Beijing Wuzi University, Beijing, China, Zhihui Wang
Published: September 2021

This article starts with the Doing Business 2020, focusing on the interest-related indicators of small and medium shareholders, especially the issues related to the litigation facilitation system, and discussing the reasons for China’s low score in this indicator, that is, the qualification threshold for the plaintiff of small and medium shareholders. Too high, and the lack of reporting statistics. After that, through the jurisprudence analysis of the problem, corresponding improvement suggestions are put forward to optimize the business environment for small and medium investors.
Establishment of Elements and Principles of High Reliability Organizations in Neonatal Intensive Care Unit of de Soyza Maternity Hospital, Colombo, Sri Lanka.
Authors:   Ministry of Health, Sri Lanka., Wijegunasekara J.L. Himali R.
Published: September 2021

Introduction: “High Reliability Organizations (HRO)” is an innovative safety management concept. An effort to transform a health care setting in Sri Lanka to a HRO – management structure is worthwhile to experience the outcomes of this model in Sri Lankan hospital context. Objective: To establish a HRO - management structure in the Neonatal Intensive Care Unit of De Soyza Maternity Hospital Colombo. Design: Pre / post interventional study design was used. Functional status of HRO structure in the NICU was assessed; using 5 HRO principles (ie. Pre occupation with failure, Resistance to simplify, Sensitivity to operations, Commitment to resilience and Deference to expertise) and 5 HRO elements (ie. Process auditing, Rewarding, Avoidance of quality degradation, Risk perception, and Command and control), at pre and post interventional levels. Methods: Practice of HRO principles was assessed using a Self - Administered Questionnaire with a rating scale, with the participation of all the NICU staff. Practice of HRO elements was assessed by a facility survey using a check list. Intervention consisted of a managerial plan with activities to establish the HRO concept. Results: Results showed a statistically significant increase of “response scores” of participants towards HRO structure and the facility survey showed the establishment of planned activities. Conclusion: It was concluded that implementation of this plan, is gradually establishing the HRO management structure in NICU of DMH.
The Impact of Psychological Contract on Employees’ Loyalty of Private Higher Education Institutions: A Case Study of the Arab Academy for science, Technology, and Maritime Transport (AASTMT)
Authors:   The Arab Academy for Science and Technology & Maritime Transport, Alexandria, Egypt., Ismail Hatem
Published: September 2021

Purpose – The purpose of this paper is to examine the relationship between psychological contract, employee's loyalty and organizational trust. Moreover, the study clarified the moderating effect of organizational culture on the relationship between psychological contract and employee's loyalty. Finally, the study shows the mediating effect of organizational trust on the relationship between psychological contract and employee's loyalty. Design/methodology/approach – This study is based on questionnaire method distributed on employees working at a private education institution; which is Arab Academy for Science, Technology and Maritime Transport (AASTMT). Findings – Results based on a structural equation modeling for data analysis indicated that psychological contract has significant effect on both employee’s loyalty and organizational trust and there was a significant relationship between Organizational Trust and Employees Loyalty. Furthermore, the significant moderator role of organizational culture and organizational trust. Practical implications – The findings are important to enable decision makers to Studying this topic will lead to necessary understanding of the root cause of psychological contract violation in the Egyptian environment, enable organizations to build and maintain the necessary mutual trust with employees. As well as open, the research field to others to study the variables and other aspects that contribute to maintaining the success of the organizations and institutions operating in Egypt. Research limitations– The primary limitation of this study is the scope of its sample.
Value Analysis and Value Engineering on the Sustainability of Global Sourcing Competitiveness
Authors: Lee Cheng-Wen , Wang Chi-Hsi
Published: September 2021

Abstract

In this research, the sustainability and global sourcing competitiveness of
international cruise ships is studied. The sustainability and competitiveness is just
like two sides of a coin. On one hand, reducing the pollution and raw material waste
is not only to protect our precious nature resources, but also to bring the cost down.
On the other hand, a good global sourcing decision could deliver the cost saving
and also keep the cruise ship industry towards the sustainable way. Therefore, in
order to reach the goals of sustainability and competitiveness, the cruise ships may
apply the current common practice of value analysis and value engineering to identify the possible global sourcing opportunity. This short exploratory paper outlines
some of the characteristics of value analysis and value engineering, as illustrated by
sustainability of global sourcing competitiveness. Eventually, the discussion of this
paper provides some implications for international cruise ship companies.

JEL classification numbers: F16, F60, Q23.
Keywords: Value Analysis, Value Engineering, Sustainability, Global Sourcing.
Van patiëntenrechten naar patiëntenwaarden
Authors: GOFFIN T. , WALRAET P.
Published: September 2021

From patients' rights to patients' values

In 2022, the Patient’s Rights Act will be 20 years old. This Act has created a permanent recognition of the central position of the patient and his autonomy within the Belgian healthcare system. The Act did undergo some limited changes, but generally remained the same. Nevertheless, the evolution of the healthcare reveals new points of interest and demands attention to so-called patient values, namely quality, care innovation and patient participation. These patient values also reflect the critics formulated on the Patient’s Rights Act.

The Belgian patient’s rights framework today consists of a number of other regulations besides the Patient’s Rights Act itself. All these regulations currently form a diffuse patient’s rights framework.

In order to guarantee the central position of patient’s rights in our health care system for the next 20 years, a new approach of patient’s rights protection through the patient values is suggested in this article, focusing on quality, care innovation and patient participation and based on the existing legal patient’s rights framework.
O PAPEL DO FISIOTERAPEUTA NO TRATAMENTO DE PACIENTES COM TRANSTORNOS MENTAIS
Authors: Tzortzato Almeida Marina , Bolzani Gabriel Larissa , Brandão Amorim Patrícia
Published: September 2021

Diante do aumento no número de doentes em Saúde Mental e da especial atenção demandada poresse tipo de paciente, tanto no contexto físico, como mental e social, se mostra pertinente a elaboraçãodeste estudo, cuja principal finalidade é apresentar aos leitores a abordagem do fisioterapeuta diantedas principais patologias que afetam tais enfermos, além de tratarmos como um todo, de maneirasucinta, do papel desse importante profissional. Os procedimentos metodológicos aqui adotados sefundamentam em revisões bibliográficas de trabalhos dessa área, cuja divulgação se encontram emartigos científicos, manuais, portarias, critérios e diretrizes estabelecidas pelo Ministério da Saúde,sobre os quais nos debruçamos, fato que sustenta e dá credibilidade para o desenvolvimento desteestudo. Além disso, foi aplicado um questionário aos profissionais de Fisioterapia da cidade deNanuque - MG que atuam junto a pacientes com transtornos mentais. Concluímos que o fisioterapeutanecessita ter habilidades, conhecimentos, preparo emocional, além de organização para lidar comesse tipo de paciente, pois quando frente a essa particularidade não se pode pensar no indivíduosomente pela parte física, deve-se considerar, sobretudo, parte mental, emocional. Para além, há umanecessidade permanente de aquisição de novos conhecimentos, reflexão e constante reavaliaçãosobre as práticas terapêuticas aplicadas nesse tipo de paciente da Fisioterapia, pois além dosresultados do tratamento, os sentimentos e alternativas para aperfeiçoar e melhorar a qualidade no cuidado prestado a esse paciente é o que deve nortear o profissional de saúde.
A COMPLEXIDADE DA VIOLÊNCIA DOMÉSTICA DURANTE A PANDEMIA DO COVID-19.
Authors: Lopes da Silva Almeida Gabriela , Gatti Machado Gabriela , Casagrande dos Santos Igor , Ferraço Boldrini Luiz Fernando , Brum dos Reis Marcela , Serapião Rebelin Mariana , De Almeida Schittini Matheus , Estaquioti Rizo Renan , Cunha da Silva Stephen , Oliveira Lourenço André de
Published: September 2021

O isolamento social instituído como forma de estreitar a transmissão do Covid-19 está intimamente relacionado ao aumento dos casos de violência doméstica. O artigo elaborado objetiva evidenciar fatores que favorecem os atos violentos na pandemia, sem o mínimo intuito de justificar qualquer tipo de crime. Os grupos mais afetados com o contexto de confinamento e violência são as crianças, mulheres e idosos, pois a fragilidade já existente ganhou elementos suscetíveis às opressões, dentre eles, o distanciamento da rede de apoio. A metodologia englobou buscas bibliográficas em diversas bases de dados principalmente em artigos publicados a partir de 2020 associados ao Covid-19. Em suma, destaca a necessidade de informações sobre ações capazes de minimizar ou extinguir atos abusivos nas populações vulneráveis.
STRATEGIC ADOPTION OF CORPORATE SOCIAL RESPONSIBILITY ON PERFORMANCE OF PLASTIC MANUFACTURING FIRMS IN KENYA
Authors: Ojuando Calvince , Kihara Allan
Published: September 2021

Purpose: The current study sought to establish the strategic adoption of corporate social responsibility on performance of plastic manufacturing firms in Kenya.

Methodology: The study adopted a descriptive survey research design and targeted plastic manufacturing firms registered by Kenya Association of Manufactures. A total of 23 firms were targeted where one manager, two supervisors and two junior staff from the strategic department of the respective firms were involved in the study making a total of 115 respondents.  A 5 - point Likert scale questionnaire containing close ended questions was used for collecting data. The data collected was analyzed by employing both inferential analysis and descriptive statistics using MS Excel and SPSS software V22. A pilot study was conducted on three firms to assess the validity and reliability of the data collection instrument.

Results: The results and findings of the analysis were presented in form of tables and figures. The study established that Environmental Conservation Initiatives, Ethical Labor Practices, Business Operators Involvement positively and significantly affects performance of plastic manufacturing firms in Kenya as depicted by Beta values of 2.874, 0.167 and 0.251 respectively. This implies that increase in one unit of each of the variables results to an increase in the performance levels with the respective beta values. Philanthropic initiatives however was found to influence performance but to insignificant levels.

Unique contribution to theory, practice and policy: The study recommended that there is a need for plastic manufacturing firm to enhance their environmental conservation initiatives as an CSR activity, to promote ethical labor practices as an CSR activity, to enhance the level of involvement of business operators in CSR activities and to promote philanthropic initiatives as an CSR activity since the practices positively influences the performance levels of the firms.
Optimized Gaming based Multipath Routing Protocol with QoS Support for High-Speed MANET
Authors: Venkatasubramanian S.
Published: September 2021

Mobile ad hoc (MANET) network is a multitude of adaptable nodes communicating without a set physical structure. MANET nodes usually have processing, partial power and memory capabilities as well as great degrees of mobility. Because of the low contact rate, several wireless network nodes are normally required for a server to share data with any other network node. Therefore, routing is a key challenge for the building of a MANET. In this article, we explicitly address multipath routing difficulties in MANETs. In addition, MANETs can also be built into upcoming technologies, such as IoT and machine-learning to fulfil Industry 4.0 vision. All delicate real-time requests based on MANET need secure and dependable data transfer to deliver the quality of service required (QoS). A safe and energy efficient transfer of data is an extremely difficult task in MANET. To achieve this difficult goal, a safe multi-way routing protocol must be designed to improve the QoS of the MANET. We have proposed in this article the optimized multi-way gaming-driven protocol to improve the overall performance of MANET. It addresses several elements such as congestion control, the loss of packets, malicious detection of nodes, and safe data transfer to strengthen the MANET QoS as the key strength of the projected protocol. Simulation in the NS2 evaluates the performance of the suggested protocol.