Research on micro governance path of high-level professional group construction

Under the background of “double high plan”, higher vocational colleges combine the industrial background, strengthen the connection between industrial chain and professional chain. Therefore, colleges and universities delegate power to secondary colleges. Secondary colleges independently improve the grass-roots governance mechanism according to the logic of professional groups, which will help to optimize the power allocation mode, and strengthen the construction of professional organizations. The functions of professional resource allocation, power distribution and operation mechanism, so as to provide management guarantee for the construction of high-level professional groups.

Konten Kurikulum Akuntansi Perguruan Tinggi Dan Kesesuaiannya Dengan Standar Kompetensi Lulusan

Changing trends in business and finance have an impact on accounting learning and curriculum. This study aims to see how the college accounting curriculum produces competent graduates and their conformity with the IQF competency standards, the competencies needed to prepare graduates to enter the accounting profession and the competencies expected by users (employers). This study uses a mix-method with a sequential exploratory model (content analysis and descriptive statistical analysis). The results of this study show that colleges provide graduates with competencies in accounting, business, general competencies and other competencies that can support graduates' careers. The compatibility between graduates competencies based on the college accounting curriculum and the IQF competency standards has been appropriate, while the compatibility between graduates competencies with the professional organizations competency and user expectations competency has not been appropriate. In their curriculum, some college have included courses related to digital technology. We hoped there will be further harmonization and adjustment between the accounting curriculum and graduate competency standards to improve graduates work ability.

Management of occupational exposure for pregnant employee in diagnostic radiology

Occupational exposure to ionizing radiation can occur in a range of industries, medical institutions, educational and research establishments. Most radiation protection programs, regulations and guidance apply specific restrictions to the occupational exposure of pregnant workers. Both worker and the employer carry responsibility towards safety. The pregnant worker and her conceptus are best protected in a facility that uses best practices for radiation safety. This article reviews was aimed to notify radiology managers and technologists in their management with pregnant workers. The paper describes conceptus doses for worker that are associated with radiology practice, reviews the risks and effects of in utero irradiation, and summarizes the current international and professional organizations policies, guidelines and practical aspects regarding the diagnostic radiologic examinations. Conclusion: careful planning, and minimization of radiation dose by engaging proper radiation safety measures as needed, can allow medical staff to perform duties and normal activities without incurring significant risks to the fetus.

Predict A Person's Personality Based On The Shape of Handwriting of The Letters "i", "o", and "t" Using The Levenberg Marquardt Backpropagation Method

Abstract-The literature shows that Graphology is common and relatively useful in our life. For example, as one of the job requirements. Professional organizations hire a professional handwriting analyst called Graphologist to analyze the characteristic traits of the candidates by identified their handwriting. However, the accuracy of handwriting analysis depends on how skilled the graphologist is, two graphologists which predict the same handwriting may give us a different result of the prediction. To improve the accuracy, we develop a system that can automatically predict a person’s personality based on the shape of the handwriting of the letters "i", "o", and "t" using the Levenberg Marquardt Backpropagation method. Based on this research we got the maximum accuracy by using 2 hidden layers. We got 71,42% of accuracy for the letter “i”, 76,92% of accuracy for the letter “o”, and 60% of accuracy for letter the “t”.

Decreasing drug waste, reducing drug costs, and improving workflow efficiency through the implementation of automated chemotherapy dose rounding rules in the electronic health record system

Disclaimer In an effort to expedite the publication of articles related to the COVID-19 pandemic, AJHP is posting these manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose To decrease drug waste and cost by implementing automated chemotherapy dose rounding rules in the electronic health record (EHR). Dose rounding of chemotherapy is a recognized method for reducing drug waste, and professional organizations have published guidelines recommending dose rounding when possible. Summary On the basis of current literature and guideline recommendations, Mayo Clinic developed system-wide consensus to allow dose rounding for biologic and chemotherapy agents to the nearest vial size if rounding resulted in the dose being within 10% of the originally calculated dose or to a convenient measurable volume, based on concentration of the drug, if rounding to the nearest vial size resulted in the dose being outside the 10% range. Oncology pharmacists reviewed and analyzed all drugs listed in the EHR used in injectable form for the treatment of cancer and developed dose rounding rules. The rules were implemented and applied at the dose calculation stage before provider signature. From January to June 2019, approximately 40,000 cancer treatment doses were administered. The rounding rules saved a total of 9,814 vials of drug, of which 5,329 were for biologic agents and 4,485 were for oncolytic drugs. This resulted in a total 6-month cost savings of $7,284,796 (in 2019 dollars; biologics, $5,727,402; oncolytics, $1,557,394). Conclusion Systematic implementation of dose rounding rules utilizing the EHR can result in significant reduction of drug waste and realization of savings.

Lower Respiratory Tract Infections in Primary Care, Review Article

Any infectious illness of the upper or lower respiratory tract is classified as a respiratory tract infection (RTI). Acute bronchitis, bronchiolitis, pneumonia, and tracheitis are examples of lower respiratory tract infections (LRTIs). The most prevalent cause of death from lower respiratory infections is pneumococcal pneumonia. Pneumonia is a major cause of death globally. new advances in pneumonia diagnosis and treatment have been made, identification of new pathogens as well as the development of newer therapeutic agents like fluoroquinolones, macrolides, streptogramins, oxazolidinones, and –actam antibiotics. Despite these advancements, respiratory tract infections continue to be a challenge in both the diagnostic and therapeutic domains. Because detecting and treating pneumonia may be difficult, a number of professional organizations have created treatment recommendations. In this review we’ll be looking at LRTIs and pneumonia epidemiology, etiology, diagnosis and treatment.

Practitioners' learning about healthcare supply chain management in the COVID-19 pandemic: a public procurement perspective

PurposeThe procurement and supply of crucial healthcare products in the early stages of the COVID-19 emergency were chaotic. To prepare for future crises, we must be able to describe what went wrong, and why, and map out ways to build agility and resilience. How can this be done effectively, given the highly complex and diverse network of actors across governments, care providers and supply chains, and the extreme uncertainty and dynamism in the procurement system and supplier markets? The purpose of this study was to capture learning from practitioners in “real time” in a way that could frame and inform capacity building across healthcare systems with varying procurement and supply management maturity.Design/methodology/approachThis exploratory study involved interviews with 58 senior public procurement practitioners in central and regional governments, NGOs and leaders of professional organizations from 23 countries, very early in the COVID crisis. Following the first, inductive phase of analysis leading to five descriptive dimensions, the awareness-motivation-capability (A-M-C) framework was applied in a further round of coding, to understand immediate challenges faced by procurement practitioners, how the complex, multi-level procurement system that shaped their motivations to respond and critical capabilities required to face these challenges.FindingsDevelopments across 23 countries and practitioners' learning about procurement and supply in the pandemic crisis can be captured in five overarching themes: governance and organization, knowledge and skills, information systems, regulation and supply base issues. Together these themes cover the strengths and gaps in procurement and supply capability encountered by procurement leaders and front-line personnel. They highlight the various facets of structure, resource and process which constitute organizational capability. However, to account better for the highly dynamic situation characterized by both unprecedented rivalry and cooperation, analysts must also pay attention to actors' emerging awareness of the situation and their rapidly changing motivations.Originality/valueThe application of the A-M-C framework is unique in the healthcare supply chain and disaster management literature. It enables a comprehensive overview of healthcare procurement from a system perspective. This study shows how increasing system preparedness for future emergencies depends both on developing critical capabilities and understanding how awareness and motivation influence the effective deployment of those capabilities.

Analysis of Standardized Nursing Languages Application in the Context of Nursing Diagnosis in Hospital in Indonesia

Background. Documentation of nursing care is important in applying care to patients, in terms of their workload coming into the context of indirect nursing care. The focus of his study is to assess the application of nursing diagnoses in hospitals. The phenomenon that occurs in the order of nursing services was found that nurses only focused on documenting nursing assessments, but formulating nursing diagnoses was not clearly illustrated and there are still different perceptions in relation to writing a nursing diagnosis phrase. Objective. The purpose of this study is to identify the application of Standardized Nursing Languages in the context of nursing diagnoses in hospitals in Indonesia. Method. This study uses a descriptive correlation design using simple random sampling and obtained 132 nurse respondents. Closed questions (with answer choices prepared by the researcher) and open questions (in the form of frequently used diagnostic questions) were used. The instrument was first tested for validity and content validity with a CVI (0.9) and CVR (0.85) value, which means that the instrument is relevant and important to use. Results. It was found that almost half of the respondents (48.49%) nurses did not use a standard diagnosis. Only the level of education has a relationship with the application of the use of standard language nursing in Indonesia (p-value = 0.006) where the higher the education of nursing will have an impact on accuracy in diagnosing. Whereas for other variables such as gender, career ladder level and position in nursing were found no relationship with the ability in the accuracy of writing diagnoses. Conclussion. As the results shows that the use of the standard language of nursing is not fully used by nurses in Indonesia. Standardization and equalization of perception by nursing professional organizations are needed to be a guide for all nurses in carrying out documentation of nursing care

How a Nutritional Deficiency Became Treated with Fluoride

Ignoring evidence on causes of disease such as smoking can harm public health. This report explores how public health experts started to ignore evidence that pediatric vitamin D deficiencies are associated with dental caries. Historical analyses show that an organization of clinical specialists, the American Dental Association (ADA), initiated this view. The ADA was a world-leading organization and its governing bodies worked through political channels to make fluoride a global standard of care for a disease which at the time was viewed as an indicator of vitamin D deficiencies. The ADA scientific council was enlisted in this endeavor and authorized the statement saying that “claims for vitamin D as a factor in tooth decay are not acceptable”. This statement was ghost-written, the opposite of what the ADA scientific council had endorsed for 15 years, and the opposite of what the National Academy of Sciences concluded. Internal ADA documents are informative on the origin of this scientific conundrum; the ADA scientific council had ignored their scientific rules and was assisting ADA governing bodies in conflicts with the medical profession on advertising policies. The evidence presented here suggests that professional organizations of clinical specialists have the power to create standards of care which ignore key evidence and consequently can harm public health.

What Influences Health Professionals’ Recommendations for Non-Scheduled Childhood Vaccinations? A Qualitative Study of Health Professionals’ Perspectives in Three Provinces of China

Recommendations by health professionals are important for vaccines that are not included in national schedules. This study explored health professionals’ perspectives on recommending non-scheduled (user-fee) childhood vaccinations in China, identifying key influences on professionals’ interactions with caregivers. We conducted individual semi-structured interviews with 20 health professionals from three provinces in China and analyzed data thematically using deductive and inductive coding. Health professionals from all three provinces were uncomfortable about being perceived to encourage parents to accept vaccines that incurred a fee. They provided information about non-scheduled vaccines but emphasized parental autonomy in decision-making. Rural parents were less aware of unscheduled vaccines and health professionals were more likely to encourage parents living in more affluent areas to consider these vaccines; varicella vaccine was preferred by parents as a way of preventing school absence. Economic incentives for unscheduled vaccines were given to staff at most study sites, although the amount given varied widely. These variations meant that staff receiving lower incentives were not motivated to promote non-scheduled vaccines if their workload was high; on the contrary, those receiving higher incentives were more likely to promote these vaccines. Health professionals need more guidance on how to recommend unscheduled vaccines in an informative, positive and appropriate manner. It is evident that parents’ awareness of these vaccines, and their economic circumstances, influence vaccinators recommendation practice. Economic incentives prompted health professionals to recommend non-scheduled vaccines; however, the application of such staff incentives varied widely in China. To adopt appropriate economic incentives, professional organizations should develop protocols for the use of incentives that account for their influence on recommendation practices. Suitable recommendation policy needs to balance basic salaries with performance-based incentives, consider overall workload, and include monitoring and evaluation of economic incentives.