scholarly journals Peculiarities of effective management of products assortment depending on different sizes of pharmacy chains

Author(s):  
Olga Posilkina ◽  
Iryna Bondarieva ◽  
Volodymyr Malyi ◽  
Iryna Timanyuk ◽  
Zhanna Mala

The aim of the work is to study the features of effective management of product's assortment in small, medium and large pharmacy chains. Materials and methods. The study of the features of the assortment policy of pharmacies that are part of pharmacy chains of different sizes was conducted using a questionnaire of 421 heads of pharmacies. The relationship between the size of the pharmacy chain and the approaches used to form the product's assortment is studied and the presence of the procedure of product's assortment formation in pharmacies is analyzed using Pearson's criteria c2 and c2 maximum likelihood (M-L c2). The importance of the influence of the size of the pharmacy network on the scores of the efficiency of the business process of forming the product range, as well as its width and intensity of updating using non-parametric analysis of variance Kraskal-Wallis; Manfer-Whitney test with Bonferroni correction for pairwise comparisons of pharmacy network clusters and correlation analysis. The presence of drugs in treatment protocols was analyzed using the Z-test to compare the frequency of drug administration. Peculiarities of introduction and withdrawal of drugs and medical products to the range of different size pharmacy chains criteria c2 Pearson's and maximum likelihood (M-L c2) are determined. System and logical analysis is used to systematize the existing approaches to product's assortment management in pharmacy chains of different sizes. Results. It is established that with the increase in the size of pharmacy chains the tendency to use a centralized approach to the analysis and formation of the range in chains increases, when the list of assortment items is fully created and approved at the head office of the chain. The importance of the relationship between the breadth of the assortment of pharmacies and the size of the chain, which includes a pharmacy. Thus, large and mega-chains support the assortment, which on average includes up to 8.5 thousand items of medicines and medical devices, medium - 4-5 thousand assortment's items, and in half of the establishments of small pharmacy chains the range may include from 2,5 to 3 thousand names of medicines and medical devices. It is established that regardless of the size of the pharmacy chain, the inclusion of medicines / medical products in the range of pharmacies most often takes into account the factor of seasonality of demand and taking into account the core range, i.e. the list of 100-150 most popular items in the pharmaceutical market. When withdrawing medicines or medical products from the assortment of pharmacies from all three clusters are often guided by indicators of low profitability of sales and lack of orders for goods for more than three months. Conclusions. The analysis of the assortment policy of pharmacy chains of different sizes showed that in most of the studied institutions it is quite effective. The obtained results allow us to conclude that the effectiveness of the formation and analysis of the assortment is achieved through the use of different approaches to the centralization of this business process depending on the size of the pharmacy chain

Author(s):  
Vitus S. W. Lam

Originating from a pragmatic need to document strategies for modelling recurrent business scenarios, collections of workflow patterns have been proposed in the business process management community. The concrete applications of these workflow patterns in forward engineering have been extensively explored. Conversely, the core concern of business process archaeology is on recovering business process models from legacy systems utilizing reverse engineering methods. Little attention is given to the relationship between business process recovery and workflow patterns. This chapter aims to give a compact introduction to workflow control-flow patterns, workflow data patterns, workflow exception patterns, and service interaction patterns. In particular, the feasibility of combining workflow patterns with business process archaeology is examined by drawing on the research results of the MARBLE framework.


2019 ◽  
Vol 28 (2) ◽  
pp. 245-250
Author(s):  
Ann E. Perreau ◽  
Richard S. Tyler ◽  
Patricia C. Mancini ◽  
Shelley Witt ◽  
Mohamed Salah Elgandy

Purpose Audiologists should be treating hyperacusis patients. However, it can be difficult to know where to begin because treatment protocols and evidence-based treatment studies are lacking. A good place to start in any tinnitus and hyperacusis clinic is to incorporate a group educational session. Method Here, we outline our approach to establishing a hyperacusis group educational session that includes specific aspects of getting to know each patient to best meet their needs, understanding the problems associated with hyperacusis, explaining the auditory system and the relationship of hyperacusis to hearing loss and tinnitus, describing the influence of hyperacusis on daily life, and introducing treatment options. Subjective responses from 11 adults with hyperacusis, who participated in a recent clinical group education session, were discussed to illustrate examples from actual patients. Conclusions Due to the devastating nature of hyperacusis, patients need to be reassured that they are not alone and that they can rely on audiologists to provide support and guidance. A group approach can facilitate the therapeutic process by connecting patients with others who are also affected by hyperacusis, and by educating patients and significant others on hyperacusis and its treatment options. Supplemental Material https://doi.org/10.23641/asha.8121197


2019 ◽  
pp. 246-256
Author(s):  
A. K. Zholkovsky

In his article, A. Zholkovsky discusses the contemporary detective mini-series Otlichnitsa [A Straight-A Student], which mentions O. Mandelstam’s poem for children A Galosh [Kalosha]: more than a fleeting mention, this poem prompts the characters and viewers alike to solve the mystery of its authorship. According to the show’s plot, the fact that Mandelstam penned the poem surfaces when one of the female characters confesses her involvement in his arrest. Examining this episode, Zholkovsky seeks structural parallels with the show in V. Aksyonov’s Overstocked Packaging Barrels [Zatovarennaya bochkotara] and even in B. Pasternak’s Doctor Zhivago [Doktor Zhivago]: in each of those, a member of the Soviet intelligentsia who has developed a real fascination with some unique but unattainable object is shocked to realize that the establishment have long enjoyed this exotic object without restrictions. We observe, therefore, a typical solution to the core problem of the Soviet, and more broadly, Russian cultural-political situation: the relationship between the intelligentsia and the state, and the resolution is not a confrontation, but reconciliation.


Author(s):  
Juan Alfredo Lino-Gamiño ◽  
Carlos Méndez-González ◽  
Eduardo José Salazar-Araujo ◽  
Pablo Adrián Magaña-Sánchez

In the value chain it is important to keep in mind the core business of the company, since it depends largely on the competitiveness of the company and its overall performance, bearing in mind that all business indicators depend on it. In this work we will study the washing process within the company WASH CONTAINERS SA DE CV, to improve the washing processes and in this way reduce times and movements in the process leading the company to reduce costs considerably within the operations company daily, having a more competitive operation and with greater profit margin in its business process. Goals: It Improve the logistics of the movement of containers for washing and with it the core business of the company. Methodology: The action research will be applied applying Business Process Management for the improvement of processes in situ, it will be developed in a certain period of time and with that it will establish an improvement projection. Contribution: The improvement of the times for the disposal of the containers and their subsequent use, allows a better competitiveness and with it the income of the company, on the other hand, the transport companies improve in performance in quantity, quality of disposition and with it their income.


Author(s):  
А.В. Мацук

В статье исследуются события бескоролевья 1733 г. в Речи Посполитой. Согласно «трактату Левенвольде» компромиссным кандидатом на избрание монархом Речи Посполитой был португальский инфант дон Мануэль, которого предложила Австрия. Россия больше склонялась к кандидатуре «пяста». Россия оказалась не подготовленной к началу бескоролевья. Бывшие российские союзники магнаты ВКЛ рассорились с российским послом Фридрихом Казимиром Левенвольде и перешли на сторону Франции. В конце февраля 1733 г. в ВКЛ направили Юрия Ливена, который от имени российской царицы предложил поддержку в получении короны Михаилу Вишневецкому и Павлу Сангушке. Принятое на конвокационном сейме решение об избрании королем «пяста» и католика показало популярность Станислава Лещинского. В результате вслед за Австрией Россия поддержала кандидатом на корону Фридриха Августа. Магнаты ВКЛ до последнего оставались конкурентами о короне. Оппозиция Лещинскому объединилась под лозунгом защиты «вольного выбора» и поэтому в ней остались кандидаты «пясты», которые не могли уступить друг другу, и согласились на компромисс – кандидатуру Фридриха Августа. Для противодействия возможному избранию Лещинского Россия создала в ВКЛ новоградскую конфедерацию. Ее организатором стал новоградский воевода Николай Фаустин Радзивилл. Эта конфедерация становится основой Генеральной Варшавской конфедерации, которая 5 октября 1733 г. избирает королем саксонского курфюрста. The article examines the events of the «kingless» year of 1733 in the Polish-Lithuanian Commonwealth. According to the Levenwolde Treaties the compromise candidate for the Commonwealth’s throne was the Portuguese Infante Don Manuel, who’s candidacy was proposed by Austria. Russia, in turn, leaned towards the «pyasta» candidate. The Russian Empire was clearly unprepared for the start of the kingless period. Russia’s former allies – magnates of the Grand Duchy of Lithuania – came into conflict with the Russian ambassador Frederick Kazimir Levenwolde and sided with France. In late February of 1733, Empress Anna Ioanovna of Russia sent Yuri Liven to the Grand Duchy of Lithuania, who offered official support in the struggle for the crown to Mikhail Vishnevetsky and Pavel Sangushka. The electoral decision made at the Sejm proved the popularity of the «pyast» and Catholic candidates, specifically – Stanislaus Leschinsky. In turn, Russia – following Austria – showed its support for the candidacy of Frederick August. The magnates of the Grand Duchy of Lithuania remained in opposition in the crown issue until the very last. Opposition to Leschinsky was united under the motto of «free choice». For that reason, it was comprised of «pyasta» candidates, who were in a deadlock with one another, and were now ready for the compromise candidacy of Frederick Augustus. In order to counter the possible election of Leschinsky, Russia created the Novograd Confederation in the Grand Duchy of Lithuania. It was organized by the Novograd Voevoda Faustin Radzivill. This confederation became the core of the General Warsaw Confederation that – on October 5th 1733 – elected the Saxon King to the throne of the Polish-Lithuanian Commonwealth.


Author(s):  
Peter Lake ◽  
Michael Questier

This volume revisits the debates and disputes known collectively in the literature on late sixteenth- and early seventeenth-century England as the ‘Archpriest Controversy’. We argue that this was an extraordinary instance of the conduct of contemporary public politics and that, in its apparent strangeness, it is in fact a guide to the ways in which contemporaries negotiated the unstable later Reformation settlement in England. The published texts which form the core of the arguments involved in this debate survive, as do several caches of manuscript material generated by the dispute. Together they tell us a good deal about the aspirations of the writers and the networks that they inhabited. They also allow us to retell the progress of the dispute both as a narrative and as an instance of contemporary public argument about topics such as the increasingly imminent royal succession, late Elizabethan puritanism, and the function of episcopacy. Our contention is that, if one takes this material seriously, it is very hard to sustain standard accounts of the accession of James VI in England as part of an almost seamless continuity of royal government, contextualized by a virtually untroubled and consensus-based Protestant account of the relationship between Church and State. Nor is it possible to maintain that by the end of Elizabeth’s reign the fraction of the national Church, separatist and otherwise, which regarded itself or was regarded by others as Catholic had been driven into irrelevance.


2021 ◽  
pp. 109963622199386
Author(s):  
Tianshu Wang ◽  
Licheng Guo

In this paper, a shear stiffness model for corrugated-core sandwich structures is proposed. The bonding area is discussed independently. The core is thought to be hinged on the skins with torsional stiffness. The analytical model was verified by FEM solution. Compared with the previous studies, the new model can predict the valley point of the shear stiffness at which the relationship between the shear stiffness and the angle of the core changes from negative correlation to positive correlation. The valley point increases when the core becomes stronger. For the structure with a angle of the core smaller than counterpart for the valley point, the existing analytical formulations may significantly underestimate the shear stiffness of the structure with strong skins. The results obtained by some previous models may be only 10 persent of that of the present model, which is supported by the FEM model.


2021 ◽  
Vol 1 ◽  
pp. 3199-3208
Author(s):  
Emanuel Balzan ◽  
Pierre Vella ◽  
Philip Farrugia ◽  
Edward Abela ◽  
Glenn Cassar ◽  
...  

AbstractResearch funded projects are often concerned with the development of proof-of-concept products. Consequently, activities related to verification and validation testing (VVT) are often not considered in depth, even though various design iterations are carried out to refine an idea. Furthermore, the introduction of additive manufacturing (AM) has facilitated, in particular, the development of bespoke medical products. End bespoke products, which will be used by relevant stakeholders (e.g. patients and clinicians) are fabricated with the same manufacturing technologies used during prototyping. As a result, the detailed design stage of products fabricated by AM is much shorter. Therefore, to improve the market-readiness of bespoke medical devices, testing must be integrated within the development from an early stage, allowing better planning of resources. To address these issues, in this paper, a comprehensive VVT framework is proposed for research projects, which lack a VVT infrastructure. The framework builds up on previous studies and methods utilised in industry to enable project key experts to capture risks as early as the concept design stage.


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