scholarly journals The Framework of Competency Facilities Manager in Pre-Construction Hospital in Malaysia

2020 ◽  
Vol 9 (3) ◽  
pp. 3949-3952
Keyword(s):  
Descriptive Analysis ◽  
Hospital Staff ◽  
Public Hospitals ◽  
Construction Stage ◽  
Relative Value ◽  
Facility Manager ◽  
Hospital Construction ◽  
Questionnaire Method ◽  
Almost All ◽  
The Cost

This paper distinguishes was conducted on the importance of the facility mnager's competence for a complex construction project such as hospital construction. There is thus a need to study the competence of facilities managers at the level of hospital construction. Directly, the involvement of the facility manager at the construction stage can reduce the cost of operating the building. This paper study was carried out using two methods, namely questionnaire method and interview method. The study involved the construction of architects, engineers, quantity surveyors, public hospital staff and facilities managers directly involved in the construction of public hospitals in Malaysia. The data obtained were analyzed using descriptive analysis techniques, relative value index (RII) and analysis using SEM Smart PLS method. The findings found that almost all respondents felt that leadership factors, communication factors, operating and maintenance factors, human factors, property and property management factors, and business preparedness and business balance factors were factors influencing facility manager competence at the construction stage.

scholarly journals An explanatory study of the use of e-mail investor communication by South African listed companies

2016 ◽  
Vol 18 (1) ◽  
Author(s):  
Roelof Baard ◽  
George Nel
Keyword(s):  
Listed Companies ◽  
Future Research ◽  
Contact Method ◽  
Interactive Communication ◽  
Handling Performance ◽  
Corporate Websites ◽  
Use Of Social Media ◽  
Almost All ◽  
The Cost ◽  
E Mail

Background: Although research shows that almost all listed companies have corporate websites with dedicated investor relations (IR) sections that enable companies to ‘push’ information to investors, it was argued that such an asymmetrical approach to communication is insufficient for companies wishing to exercise good IR. The purpose of this study was to test the effectiveness of the Internet to act as a mechanism to achieve more interactive communication between companies and investors.Objectives: The objectives of the study were to measure the responsiveness, timeliness and relevance of companies’ responses to e-mail requests, and to test for the determinants (size, market-to-book ratio, profitability, leverage and liquidity) thereof.Method: The mystery investor approach and a content analysis were used to study the e-mail handling performance of companies. The associations between company-specific characteristics were statistically tested.Results: It was found that the e-mail handling performance of companies in this study was poor compared with previous studies. Significant relationships between company size and responsiveness and relevance, and between market-to-book ratio and relevance were reported, as well as between the contact method used to request information and relevance and the use of social media and timeliness.Conclusion: Specific areas where companies could improve their investor communications were identified. The need for further research was discussed to explain some of the relationships found, as well as those not found, in contrast to what was expected. Future research is warranted to examine the relationship between the e-mail handling performance of companies and information asymmetry and the cost of equity of companies.

scholarly journals Seasonal Influenza and Low Flu Vaccination Coverage as Important Factors Modifying the Costs and Availability of Hospital Services in Poland: A Retrospective Comparative Study

2021 ◽  
Vol 18 (10) ◽  
pp. 5173
Author(s):  
Robert Susło ◽  
Piotr Pobrotyn ◽  
Lidia Brydak ◽  
Łukasz Rypicz ◽  
Urszula Grata-Borkowska ◽  
...  
Keyword(s):  
Influenza Season ◽  
Influenza Infection ◽  
Hospital Staff ◽  
University Hospital ◽  
Control Group ◽  
Admission Rates ◽  
Risk Of Death ◽  
The Mean ◽  
Retrospective Comparative Study ◽  
The Cost

Introduction: Influenza infection is associated with potential serious complications, increased hospitalization rates, and a higher risk of death. Materials and Methods: A retrospective comparative analysis of selected indicators of hospitalization from the University Hospital in Wroclaw, Poland, was carried out on patients with confirmed influenza infection in comparison to a control group randomly selected from among all other patients hospitalized on the respective wards during the 2018–2019 influenza season. Results: The mean laboratory testing costs for the entire hospital were 3.74-fold higher and the mean imaging test costs were 4.02-fold higher for patients with confirmed influenza than for the control group; the hospital expenses were additionally raised by the cost of antiviral therapy, which is striking when compared against the cost of a single flu vaccine. During the 2018–2019 influenza season, influenza infections among the hospital patients temporarily limited the healthcare service availability in the institution, which resulted in reduced admission rates to the departments related to internal medicine; the mean absence among the hospital staff totaled approximately 7 h per employee, despite 7.3% of the staff having been vaccinated against influenza at the hospital’s expense. Conclusions: There were significant differences in the hospitalization indicators between the patients with confirmed influenza and the control group, which markedly increased the hospital care costs in this multi-specialty university hospital.

scholarly journals Improving the experience of facility-based delivery for vulnerable women through obstetric care navigation: a qualitative evaluation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kirsten Austad ◽  
Michel Juarez ◽  
Hannah Shryer ◽  
Patricia L. Hibberd ◽  
Mari-Lynn Drainoni ◽  
...  
Keyword(s):  
Health Workers ◽  
Positive Impact ◽  
Qualitative Evaluation ◽  
Obstetric Care ◽  
Hospital Staff ◽  
Public Hospitals ◽  
Future Research ◽  
Care Seeking ◽  
Structured Interviews ◽  
The Impact

Abstract Background Global disparities in maternal mortality could be reduced by universal facility delivery. Yet, deficiencies in the quality of care prevent some mothers from seeking facility-based obstetric care. Obstetric care navigators (OCNs) are a new form of lay health workers that combine elements of continuous labor support and care navigation to promote obstetric referrals. Here we report qualitative results from the pilot OCN project implemented in Indigenous villages in the Guatemalan central highlands. Methods We conducted semi-structured interviews with 17 mothers who received OCN accompaniment and 13 staff—namely physicians, nurses, and social workers—of the main public hospital in the pilot’s catchment area (Chimaltenango). Interviews queried OCN’s impact on patient and hospital staff experience and understanding of intended OCN roles. Audiorecorded interviews were transcribed, coded, and underwent content analysis. Results Maternal fear of surgical intervention, disrespectful and abusive treatment, and linguistic barriers were principal deterrents of care seeking. Physicians and nurses reported cultural barriers, opposition from family, and inadequate hospital resources as challenges to providing care to Indigenous mothers. Patient and hospital staff identified four valuable services offered by OCNs: emotional support, patient advocacy, facilitation of patient-provider communication, and care coordination. While patients and most physicians felt that OCNs had an overwhelmingly positive impact, nurses felt their effort would be better directed toward traditional nursing tasks. Conclusions Many barriers to maternity care exist for Indigenous mothers in Guatemala. OCNs can improve mothers’ experiences in public hospitals and reduce limitations faced by providers. However, broader buy-in from hospital staff—especially nurses—appears critical to program success. Future research should focus on measuring the impact of obstetric care navigation on key clinical outcomes (cesarean delivery) and mothers’ future care seeking behavior.

The use of natural conditions of the high alpine province of Dagestan for reproduction of prospective varieties and hybrids of potato

2021 ◽  
pp. 34-37
Author(s):  
В.К. Сердеров ◽  
Д.В. Сердерова
Keyword(s):  
Field Experiments ◽  
Climatic Conditions ◽  
High Yield ◽  
Potato Varieties ◽  
Caspian Lowland ◽  
The Republic ◽  
High Yielding Varieties ◽  
Almost All ◽  
The Cost ◽  
Mountain Province

Большое значение в увеличении продуктивности картофеля имеет внедрение в производство перспективных высокоурожайных сортов и гибридов, приспособленных к местным природно-климатическим условиям возделывания, от чего зависят эффективность отрасли и себестоимость продукции. Цель работы – изучить влияние климатических условий на продуктивность и качественные показатели сортов и гибридов картофеля, а также использование ими благоприятных почвенно-климатических условий высокогорья Республики Дагестан, для размножения и внедрения в производство новых перспективных, высокоурожайных, приспособленных к условиям среды выращивания сортов картофеля с комплексом хозяйственно-ценных признаков. Объектом изучения послужили сорта картофеля раннего, среднераннего и среднего сроков созревания российской, белорусской и иностранной селекции. Полевые опыты закладывали в 2014–2017 годах на высоте 2000–2200 м, на землях горного опорного пункта «Курахский» Курахского района и на равнинной провинции (Прикаспийской низменности) на территории дачного массива «Наука» Махачкалинского района Республики Дагестан. Схема посадки – 70×30 см, повторность – четырехкратная. Технология выращивания картофеля – гребневая. При проведении полевых опытов использовали общепринятые методики. Практически все сорта картофеля, выращенные на равнинной провинции, сформировали высокий урожай в первый год и при дальнейшем размножении в результате развития вирусных болезней резко снизили свои продуктивные качества. Наиболее высокая урожайность в среднем за три года отмечена у сортов Жуковский ранний (20,8 т/га), Импала (20,5 т/га), Невский (17,8 т/га), Предгорный (16,9 т/га) и Удача (16,3 т/га). В свою очередь, горная провинция Дагестана характеризовалась благоприятными почвенно-климатическими условиями для возделывания как продовольственного картофеля, так и для организации первичного семеноводства на безвирусной основе и размножения перспективных сортов этой культуры. В среднем за годы исследований в горной провинции по урожайности выделились сорта Сильвана (37,4 т/га), Удача (37,6 т/га), Рокко (33,3 т/га), Импала (31,7 т/га), Жуковский ранний (29,0 т/га), Предгорный (27,7 т/га) и Примобелла (27,7 т/га), а также гибриды № 12.40/17 (43,1 т/га) и № 13.61/61 (38,8 т/га). The introduction of promising high-yielding varieties and hybrids adapted to the local natural and climatic conditions of cultivation is of great importance in increasing the productivity of potatoes, which determines the efficiency of the industry and the cost of production. The aim of the work is to study the influence of climatic conditions on the productivity and quality indicators of potato varieties and hybrids, as well as their use of favorable soil and climatic conditions in the highlands of the Republic of Dagestan, for breeding and introducing into production new promising, high-yielding, adapted to the growing environment of potato varieties with a complex of economically valuable characteristics. The object of the study was potato varieties of early, mid-early and medium maturation periods of Russian, Belarusian and foreign selection. Field experiments were conducted in 2014–2017 at an altitude of 2000–2200 m, on the lands of the mountain stronghold Kurakhsky of the Kukhar district and on the plain province (the Caspian lowland) on the territory of the suburban area Nauka of the Makhachkala district of the Republic of Dagestan. The landing scheme is 70×30 cm, the repeatability is four times. The technology of growing potatoes is combed. When conducting field experiments, generally accepted methods were used. Almost all potato varieties grown in the lowland province formed a high yield in the first year and, with further propagation, as a result of the development of viral diseases, sharply reduced their productive qualities. The highest yield on average for three years was observed in the varieties Zhukovskiy ranniy (20.8 t/ha), Impala (20.5 t/ha), Nevsky (17.8 t/ha), Predgornyy (16.9 t/ha) and Udacha (16.3 t/ha). In turn, the mountain province of Dagestan was characterized by favorable soil and climatic conditions for the cultivation of both food potatoes, and for the organization of primary seed production on a virus-free basis and the reproduction of promising varieties of this crop. On average, over the years of research in the mountain province, the varieties Silvana (37.4 t/ha), Udacha (37.6 t/ha), Rocco (33.3 t/ha), Impala (31.7 t/ha), Zhukovskiy ranniy (29.0 t/ha), Predgornyy (27.7 t/ha) and Primobella (27.7 t/ha), as well as hybrids No.12.40/17 (43.1 t/ha) and No.13.61/61 (38.8 t/ha) were distinguished by yield.

Potential of existing online 24-hour dietary recall tools for national dietary surveys

2021 ◽  
pp. 1-62
Author(s):  
Rozenn Gazan ◽  
Florent Vieux ◽  
Ségolène Mora ◽  
Sabrina Havard ◽  
Carine Dubuisson
Keyword(s):  
Grey Literature ◽  
Quality Data ◽  
High Quality Data ◽  
Require Time ◽  
Dietary Recall ◽  
Dietary Surveys ◽  
Almost All ◽  
The Cost ◽  
Web Platform ◽  
Country Specific

Abstract Objective: To describe existing online 24-hour dietary recall (24hDR) tools in terms of functionalities and ability to tackle challenges encountered during national dietary surveys, such as maximizing response rates and collecting high-quality data from a representative sample of the population, while minimizing the cost and response burden. Design: A search (from 2000 to 2019) was conducted in peer-reviewed and grey literature. For each tool, information on functionalities, validation and user usability studies, and potential adaptability for integration into a new context was collected. Setting: Not country-specific Participants: General population Results: Eighteen online 24hDR tools were identified. Most were developed in Europe, for children ≥10 years old and/or for adults. Eight followed the five multiple-pass steps, but used various methodologies and features. Almost all tools (except three) validated their nutrient intake estimates, but with high heterogeneity in methodologies. User usability was not always assessed, and rarely by applying real-time methods. For researchers, eight tools developed a web platform to manage the survey and five appeared to be easily adaptable to a new context. Conclusions: Among the eighteen online 24hDR tools identified, the best candidates to be used in national dietary surveys should be those that were validated for their intake estimates, had confirmed user and researcher usability, and seemed sufficiently flexible to be adapted to new contexts. Regardless of the tool, adaptation to another context will still require time and funding, and this is probably the most challenging step.

scholarly journals An Experiential Community Orientation to Improve Knowledge and Assess Resident Attitudes Toward Poor Patients

2013 ◽  
Vol 5 (1) ◽  
pp. 119-124 ◽  
Author(s):  
Erik A. Wallace ◽  
Julie E. Miller-Cribbs ◽  
F. Daniel Duffy
Keyword(s):  
Descriptive Analysis ◽  
Quality Health Care ◽  
Resident Attitudes ◽  
Community Orientation ◽  
Knowledge And Attitudes ◽  
Underserved Patients ◽  
Quality Health ◽  
Care Training ◽  
The Cost ◽  
Positive Effect

Abstract Background Future physicians may not be prepared for the challenges of caring for the growing population of poor patients in this country. Given the potential for a socioeconomic “gulf” between physicians and patients and the lack of curricula that address the specific needs of poor patients, resident knowledge about caring for this underserved population is low. Intervention We created a 2-day Resident Academy orientation, before the start of residency training, to improve community knowledge and address resident attitudes toward poor patients through team-based experiential activities. We collected demographic and satisfaction data through anonymous presurvey and postsurvey t tests, and descriptive analysis of the quantitative data were conducted. Qualitative comments from open-ended questions were reviewed, coded, and divided into themes. We also offer information on the cost and replicability of the Academy. Results Residents rated most components of the Academy as “very good” or “excellent.” Satisfaction scores were higher among residents in primary care training programs than among residents in nonprimary care programs for most Academy elements. Qualitative data demonstrated an overall positive effect on resident knowledge and attitudes about community resource availability for underserved patients, and the challenges of poor patients to access high-quality health care. Conclusions The Resident Academy orientation improved knowledge and attitudes of new residents before the start of residency, and residents were satisfied with the experience. The commitment of institutional leaders is essential for success.

Effective quality systems: implementation in Australian public hospitals

2018 ◽  
Vol 31 (8) ◽  
pp. 1044-1057 ◽  
Author(s):  
Sandra G. Leggat ◽  
Cathy Balding
Keyword(s):  
Quality Improvement ◽  
Quality Care ◽  
Hospital Staff ◽  
Public Hospitals ◽  
Quality Systems ◽  
High Quality ◽  
Content Type ◽  
High Quality Care ◽  
Self Evaluation ◽  
Focus Group Data

Purpose The purpose of this paper is to review the implementation of seven components of quality systems (QSs) linked with quality improvement in a sample of Australian hospitals. Design/methodology/approach The authors completed a systematic review to identify QS components associated with measureable quality improvement. Using mixed methods, the authors then reviewed the current state of these QS components in a sample of eight Australian hospitals. Findings The literature review identified seven essential QS components. Both the self-evaluation and focus group data suggested that none of the hospitals had all of these seven components in place, and that there were some implementation issues with those components that were in use. Although board and senior executives could point to a large number of quality and safety documents that they felt were supporting a vision and framework for safe, high-quality care, middle managers and clinical staff described the QSs as compliance driven and largely irrelevant to their daily pursuit of safe, high-quality care. The authors also found little specific training in quality improvement for staff, lack of useful data for clinicians on the quality of care they provide and confusion about how organisational QSs work. Practical implications This study provides a clearer picture of why QSs are not yet achieving the results that boards and executives want to achieve, and that patients require. Originality/value This is the first study to explore the implementation of QSs in hospitals in-depth from the perspective of hospital staff, linking the findings to the implementation of QS component identified in the literature.

scholarly journals ANALISIS SISTEM PENGENDALIAN INTERNAL ATAS PEMBIAYAAN MURABAHAH PADA BRI SYARIAH KC MANADO

2018 ◽  
Vol 13 (04) ◽  
Author(s):  
Ummu Almaas Khoirunnisaa ◽  
Hendrik Manossoh ◽  
Dhullo Afandi
Keyword(s):  
Control System ◽  
Internal Control ◽  
Descriptive Analysis ◽  
Internal Controls ◽  
Selling Price ◽  
Internal Control System ◽  
The Cost ◽  
Document Review ◽  
Rules Set ◽  
Collection Methods

            Murabaha is a sale and purchase agreement with the selling price of goods at cost plus an agreed profit which the seller must disclose the cost of the goods to the buyer. The purpose of this research is to analyze the internal control system applied to BRI Syariah KC Manado whether it has been effective and in accordance with the principles of COSO (Committee Of Sponsoring Organizations). Data analysis method of this research is using descriptive analysis that compares the results of observations, interviews, document analysis established by the company with existing theory. Data collection methods in this study are interviews, observation, and document review. The results shows that internal controls applied for murabahah financing at BRI Syariah KC Manado include rules set by management, organizational structure, forms and documents used in murabahah financing, recording of legitimate financing transactions, and monitoring of financing. Internal control of murabahah financing at BRI Suyariah KC Manado has been running quite well. But in application still found weaknesses that can hinder the implementation of internal controls in the company. Still found employees who do double job. This is not in accordance with the principle of COSO, where Commitment in the Competence of employees should be improved and more qualified in various areas of specialization. BRI Syariah KC Manado in applying internal controls can be affirmed and in accordance with the principles of COSO.Keywords: COSO, murabahah financing, internal control system.

scholarly journals Model Teaching Factory bagi Pembelajaran Merencana dan Menginstalasi Sistem Audio

2017 ◽  
Vol 2 (2) ◽  
Author(s):  
Mustari Mustari ◽  
I Made Sudana ◽  
Eko Supraptono
Keyword(s):  
Descriptive Analysis ◽  
Control Design ◽  
Skill Score ◽  
Learning Model ◽  
Test Reliability ◽  
Model Design ◽  
Analysis Model ◽  
Soft Skill ◽  
Hard Skills ◽  
Questionnaire Method

Penelitian ini termasuk penelitian pengembangan ( R & D ) yang bertujuan : (1) Mendesain model pembelajaran Teaching Factory yang valid dan efektif untuk meningkatkan kecakapan vokasional Merencana dan Menginstalasi Sistem Audio. (2) Mengetahui tingkat kevalidan dan kelayakan model pembelajaran Teaching Factory, (3) mengetahui tingkat keefektifan model pembelajaran Teaching Factory. Penelitian dilakukan dengan empat tahapan yaitu analisis pendahuluan, mendesain model, validasi dan evaluasi serta hasil produk akhir dengan menggunakan one group pretest postest control design. Subjek peneliti SMKN 1 Ampelgading Pemalang. Sumber data untuk kevalidan model dilakukan dengan metode angket. Instrumen yang digunakan adalah instrumen kevalidan yang terdiri dari desain model, silabus, RPP, bahan ajar dan instrumen evaluasi. Data untuk keefektifan diambil dari aspek soft skill hard skill dan environment skill selama proses pembelajaran. Metoda pengumpulan data yang digunakan meliputi lembar penilaian soft skill hard skill dan environment skill. Sedangkan analisis data menggunakan uji validitas, uji reliabelitas, uji daya beda, uji tingkat kesukaran, uji t dan uji z. Berdasarkan hasil analisis deskritif diketahui bahwa model pembelajaran Teaching Factory Merencana dan Menginstalasi sistem Audio telah dinyatakan valid dan layak oleh pakar ahli untuk digunakan. Peningkatan kemampuan soft skill pada Teaching Factory dilakukan dengan lembar observasi tahap I dan II dan dianalisis dengan N Gain, hasilnya terdapat peningkatan secara klasikal 28,21 % dengan N Gain 56,4 % kategori sedang. Dalam hal ini dapat disimpulkan bahwa model pembelajaran Teaching Factory efektif untuk meningkatkan kecakapan vokasional Merencana dan Menginstalasi Sistem Audio. This research includes research development (R & D) that aims: (1) Designing Teaching Factory model that is valid and effective for improving vocational skills Planning and Installing Audio Systems. (2) To know the level of validity and feasibility of Teaching Factory learning model, (3) to know the effectiveness level of Teaching Factory learning model. The research was conducted with four stages: preliminary analysis, model design, validation and evaluation, and final product result by using one group pretest postest control design. Subject of researcher SMKN 1 Ampelgading Pemalang. The data source for the validity of the model is done by questionnaire method. The instrument used is a validation instrument consisting of model design, syllabus, RPP, teaching materials and evaluation instruments. The data for for effectiveness is taken from the aspects of hard skills skill and environmental skill during the learning process. The data collection methods used include hard skill soft skill and environmental skill score sheets. While the data analysis using validity test, reliability test, different power test, difficulty test, t test and z test. Based on the results of descriptive analysis, it is known that Teaching Factory Learning Model of Planning and Installing Audio

scholarly journals STRATEGI PENGEMBANGAN BUDIDAYA KENTANG (Solanum Tuberosum L) DI KECAMATAN NGABLAK KABUPATEN MAGELANG

2017 ◽  
Vol 13 (1) ◽  
pp. 53
Author(s):  
Mahkruf Joko Purwanto ◽  
Mohd. Harisudin ◽  
Aulia Qonita
Keyword(s):  
Agricultural Intensification ◽  
Swot Analysis ◽  
External Factor ◽  
Cropping Systems ◽  
Solanum Tuberosum L ◽  
Descriptive Analysis ◽  
Secondary Data ◽  
Internal Factor ◽  
Factor Evaluation ◽  
The Cost

This study aims to determine the cost, revenue and profit in potato cultivation in  Ngablak  subdistrict,  analyze  internal  and  external  factors,  formulate  strategic alternatives, prioritize strategies that can be applied in developing in potato cultivation in  the  Ngablak  subdistrict.  The  basic  method  of  research  is  descriptive  analysis.  The research location in Ngablak subdistrict  Magelang regency. The data used are primary and  secondary  data.  Analysis  of  the  data  were  used:  (1)  Cost,  Revenue,  Income  and Profit, (2) Analysis of Internal Factor Evaluation, (3) External Factor Evaluation, (4) SWOT  Analysis,  (5)  QSPM.  The  Results  showed,  the  cost  potato  cultivationis Rp.11,413,271.00,  revenue  is  Rp.18,631,117.00.  income  to  Rp.7,217,846.00  and  the profit received Rp.4,827,071.00. Internal Factor Evaluation (IFE) showed that there are four strengths and six weaknesses. External Factor Evaluation (EFE) shows that there are six opportunities and three threats. SWOT Analysis generate alternative strategies that  can  be  applied  is  to  maintain  the  quality  and  increase  the  quantity  of  potato cultivation  with  agricultural  intensification,  maximizing  land  for  planting  potato through  monoculture  cropping  systems  and  crop  rotation  as  well  as  utilizing  existing technology and marketing cooperation relationship with more than a middleman. QSPM analysis showed that the priority of strategy can be applied is to maintain the quality and increasing the quantity of potato cultivation with agricultural intensification.

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