Waste Management Practices of Beach Resorts in Biliran Province

A beach resort is a tourist spot, which is excellent for family outings and friends. It is a great place to relax and enjoy. Biliran has known for several different tourist spots, especially the beaches. Beach is one of the famous tourist spots, and those beaches are a haven for scuba divers because of the abundance of marine life. The study’s goal was to find out how beach resorts in Almeria, Biliran, dealt with waste. A descriptive research design was adopted in this study. It's descriptive in the sense that it describes beach resort trash management procedures. Leaves and seaweeds are the most general rubbish found at resorts, according to the findings of the study. According to the results, management should provide more training to employees to improve their knowledge of work and how to become more effective workers in their respective fields.

MANAGEMENT OF FINANCIAL RESULTS OF THE ENTERPRISE IN THE CONDITIONS OF DIGITALIZATION OF THE ECONOMY

This article considers the scientific problem of managing the financial results of an enterprise, presents the procedure for forming the financial results of an enterprise. The concept of financial results management at the enterprise and its main components are defined. The economic significance of profit and the features of its impact on the activities of enterprises are analyzed. The essence, role and features of the process of forming financial results as an element of the general enterprise management system and its main goals are determined. The principles and methods of managing financial results in order to optimize the profitability of modern enterprises are described. The methods of improving the indicators of financial results of the enterprise in the conditions of digitalization of the economy are disclosed.

Clinical and Microbiological Characteristics of Infective Endocarditis at a Cardiac Center in Saudi Arabia

Background Infective endocarditis (IE) is a serious disease with complex pathology and significant mortality. Little information is known regarding clinical and microbiological characteristics in Saudi Arabia. This study surveyed these characteristics at a Cardiac Center in Riyadh, Saudi Arabia over a period of 5 years. Methods This retrospective study was done on all infective endocarditis (IE) patients admitted to Prince Sultan Cardiac Center between January 1, 2015, and December 31, 2019. Clinical characteristics, microbiological results, management, and outcomes were assessed. Result A total of 340 cases of infective endocarditis were identified over the study period. Most patients (64%) were 50 years old or above, and 67% were males. Fever was the most common clinical presentation, and a murmur was audible in a fifth of patients. Blood cultures were positive in 177 (52%) cases. The most common organisms were Staphylococcus aureus, coagulase negative Staphylococcus and viridans group Streptococcus. Most common microbiological organisms causing native valve endocarditis were viridans group Streptococcus (32%) followed by methicillin-susceptible Staphylococcus aureus (21%), and for prosthetic valve endocarditis they were coagulase negative Staphylococcus (32%) followed by methicillin-susceptible Staphylococcus aureus (23%), the most common causes of culture negative endocarditis were Q-fever and brucellosis. Predisposing cardiac conditions were present in 127 (37%) patients, most commonly rheumatic heart disease and congenital heart disease. Surgical intervention was done in 26% of cases, with an overall in-hospital mortality rate of 6.76%. Conclusion We demonstrate the epidemiological, clinical, and microbiological profile of infective endocarditis in a tertiary care cardiac center in Saudi Arabia. It gives information concerning the prevalence of responsible organisms. This information will be helpful in assessing patients with suspected IE and in planning management of cases knowing the relative frequency of types of microorganisms encountered.

Water quality and management of Citepus River, Bandung, Indonesia

Citepus River is one of the urban rivers that pass through Bandung City, Indonesia. Visually, the Citepus River water shows relatively poor condition. This study aims to examine the water quality of the Citepus River, the results of which are used to recommend river management efforts. This research was conducted using secondary data obtained from the Bandung City Environmental Agency for the 2018-2020 time duration. Assessment of river water quality is carried out by comparing water quality monitoring results with the applicable quality standards. In addition, indexation was also carried out using the Storet method. The study results show that almost all parameters exceed the Class 2 of maximum water quality standard based on Government Regulation No. 82 of 2001 concerning Water Quality Management and Pollution Control. The results of calculations using the Storet method stated that the water quality in the Citepus River from the upstream segment to the downstream segment was classified as class D, which means heavily polluted, with the highest score in the middle segment at -54 and the lowest score in the upstream segment at -42, while the downstream segment, the score obtained is -52. Based on these results, management efforts can be recommended by determining the capacity, identification and inventory of wastewater sources, determining requirements and procedures for waste disposal, prohibiting waste disposal into rivers, monitoring river water quality, and monitoring wastewater quality.

Management Efficiency: Necessity and Possibility of Assessing the Process and Result

The practice and theory of modern management associates the assessment of efficiency with the results of the company's work or changes in the level of use of individual resources. The criteria are results such as profit, profitability, labor productivity, the level of financial independence and others. We judge about the effectiveness of management by changes in these criteria. The number of criteria varies, and the results often show opposite conclusions about the level of effectiveness. This approach is not relevant in market conditions since the external environment, in which the company operates, remains beyond the assessment zone: with a shrinking market, profit may decrease but this is not evidence of deterioration in management. The second methodological problem is the lack of assessment of the management process itself as a set of certain actions. The purpose of the study was to develop a scientific approach to assessing the effectiveness of management in a competitive environment. The article presents a methodology for assessing efficiency not only in terms of results (management efficiency) but also actions (process efficiency). The research methodology is based on critical analysis and synthesis of theoretical and practical approaches to management assessment. The unity of the assessment of the management process and its results is the scientific novelty of the proposed methodology. The methodology was illustrated by the example of the Irkutsk Oil Company.

DEVELOPMENT OF THE THEORETICAL BASIS AND PRACTICAL EVALUATION OF RESULTS MANAGEMENT OF STAKEHOLDERS IN PROJECTS

Problem statement. The paper proposes a solution to the current scientific and applied problem – improving the efficiency and quality of concepts of territorial development through the use of objective methods to justify the objectives, content and boundaries of projects. It is shown that the complex reconstruction of residential areas should be considered as a natural process of renewal and improvement of urban planning and development, improving the quality of habitat and human life support system, efficiency of use of territories and housing. The ability to correctly determine the goals, size of the project, the coordination of the developer's own interests with the interests of future owners leads to maximum results and efficiency. It is shown that in the development of development and management of development projects there are still a number of unresolved issues, including: integration of development companies with the environment and the needs of the environment, and not yet sufficiently developed objective methods of substantiation of concepts, content and boundaries of multifaceted development projects. Conceptual solutions of development projects are considered as an object of research. The object of the study is to increase the efficiency and quality of development projects through objective methods of substantiation of the content and boundaries of projects. As a purpose of the study the following tasks were identified and solved: an analysis of the environment of development projects was performed and the main categories of stakeholders and their range of interests were identified; the system of the purposes and priorities at development and an estimation of possible alternatives of projects is defined; algorithms of actions and tools for substantiation of the maintenance and borders of development projects on the basis of uniform system of the purposes and priorities are offered. The results of the study will increase the efficiency of development projects and increase the profitability of land use.

811 Management of Patients with HPV-associated Oropharyngeal Cancer: A Units' Experience

Aim The low positive predictive value (PPV) of initial post-therapy PET-CT in patients with Human papillomavirus (HPV-) associated oropharyngeal squamous cell carcinoma (OPSCC) presents a challenge for teams managing residual disease after initial treatment. We aimed to investigate current management, post treatment surveillance protocols and outcomes of these patients within our unit. Method A retrospective review was performed of p16 positive OPSCC patients treated in 2018. Their primary treatment modality (radiotherapy (RT) or chemoradiotherapy (CRT), neck dissection), post-therapy PET-CT results, management decisions and final clinical outcomes were recorded. Results 38 patients with p16 positive OPSCC were included in the study. 36 (94.7%) received primary CRT or RT, and 2 (5.3%) had primary neck dissections with adjuvant RT. 21 patients were found to have residual disease on the 3-month post-treatment PET-CT. Of these, 9 underwent further PET-CT surveillance, all showing no residual disease. 8 patients received ultrasound +/- fine needle aspiration, from which 1 showed incurable residual and distant metastasis. 2 underwent clinical surveillance, showing no residual disease. 1 had immediate salvage surgery, with further recurrence. 1 patient with persistent disease and lung metastasis received palliative immunotherapy. Conclusions 31 patients were disease free at the end point of this study. This study explores the need for further investigation into features of residual disease in post treatment PET-CT that would indicate initial treatment failure and possible further early intervention. A surveillance strategy following initial post treatment PET-CT needs to be developed to aid in making this decision as early as possible in the post treatment phase.

The Construction of Social Practice Appraisal Mechanism for Graduate Students

As a chief pillar of higher education and technological innovation, universities have been enhancing national innovative capacity and promoting the social and economic development of the nation. Graduate education is an important channel of nurturing high-level talents, of which the cultivation of graduate students' practical ability is at the core. However, there are still some problems existing in the social practice appraisal mechanism for graduate students in most Chinese universities, such as the limited assessment scope, overgeneralized standards, inefficient communication during the social practice process and imperfect incentive mechanism. These deficiencies have made negative impacts on the effectiveness of the assessment of graduate students’ practical ability, the quality of graduate students’ practice, and the enthusiasm of graduate students involving in social practice. In order to promote the present social practice appraisal mechanism for graduate students, this paper attempts to construct a new graduate student appraisal system through the use of OKR (Objectives and Key Results) management approach and a more comprehensive incentive mechanism, in the hope of contributing to the improvement of the whole graduate student social practice evaluation mechanism.

Differences in Inflammatory Marker Kinetics between the First and Second Wave of COVID-19 Patients Admitted to the ICU: A Retrospective, Single-Center Study

Background: We sought to determine if there was a difference in the longitudinal inflammatory response measured by white blood cell count (WBC), C-reactive protein (CRP), procalcitonin (PCT), and ferritin levels between the first and the second COVID-19 wave of ICU patients. Methods: In a single-center retrospective observational study, ICU patients were enrolled during the first and second waves of the COVID-19 pandemic. Data were collected on patient demographics, comorbidities, laboratory results, management strategies, and complications during the ICU stay. The inflammatory response was evaluated using WBC count, CRP, PCT, and Ferritin levels on the day of admission until Day 28, respectively. Organ dysfunction was measured by the SOFA score. Results: 65 patients were admitted during the first and 113 patients during the second wave. WBC and ferritin levels were higher in the second wave. CRP and PCT showed markedly different longitudinal kinetics up until day 28 of ICU stay between the first and second wave, with significantly lower levels in the second wave. Steroid and immunomodulatory therapy use was significantly greater in the second wave. Mortality was similar in both waves. Conclusions: We found that there was a significantly reduced inflammatory response in the second wave, which is likely to be attributable to the more widespread use of immunomodulatory therapies.

COMPUTER ADAPTIVE LANGUAGE TESTING ACCORDING TO NATO STANAG 6001 REQUIREMENTS

The article deals with the innovative, cutting age solution within the language testing realm, namely computer adaptive language testing (CALT) in accordance with the NATO Standardization Agreement 6001 (NATO STANAG 6001) requirements for further implementation in foreign language training of personnel of the Armed Forces of Ukraine (AF of Ukraine) in order to increase the quality of foreign language testing. The research provides the CALT method developed according to NATO STANAG 6001 requirements and the CALT algorithm that contains three blocks: “Starting point”, “Item selection algorithm”, “Scoring algorithm” and “Termination criterion”. The CALT algorithm has an adaptive ability, changing a complexity level, sequence and the number of items according to the answers of a test taker. The comparative analysis of the results of the CALT method piloting and the paper-and-pencil testing (PPT) in reading and listening according to the NATO STANAG 6001 requirements justifies the effectiveness of the three-level CALT method. It allows us to determine the following important benefits of CALT: test length reduction, control of measurement accuracy, objective assessment, improved test security, generation of a unique set of items, adaptive ability of the CALT algorithm, high motivation of the test takers, immediate score reporting and test results management. CALT is a qualitative and effective tool to determine test takers’ foreign language proficiency level in accordance with NATO STANAG 6001 requirements within the NATO Defence Educational Enhancement Programme. CALT acquires a special value and relevance in the context of the global COVID 19 pandemic.