The “Pay-as-you-throw” scheme, PAYT, is an economic instrument of waste management that implements the “polluter pays” principle by charging inhabitants of municipalities according to the amount of residual, organic and bulky waste they send for third-party waste management. When combined with well-developed infrastructure to collect the different waste fractions (residual waste, paper and cardboard, plastics, bio waste, green cuttings, many recyclables) as well as with a good level of citizen’s awareness, its performance has frequently been linked to high collection rates of recyclables. However, the establishment and operation of PAYT systems can require significant resource inputs from municipalities. In this paper, PAYT is analysed through a case study from the German County of Aschaffenburg, covering nearly 20 years of implementation across 173,000 inhabitants. Key performance indicators applied include temporal trends in the county’s recyclables collection rate, waste treatment fees for residents and municipal waste management costs, benchmarked against German municipalities not implementing PAYT.

Background and Objectives: Chronic pain is a prevalent condition that is frequently complicated by mood and anxiety disorders. Purpose of the present article is to identify differences in the management of patients with chronic pain and anxiety/mood disorders depending on the physiotherapists’ gender. Materials and Methods: An ad-hoc questionnaire was developed and sent to 327 physiotherapists by e-mail. The two groups identified by gender were compared by unpaired sample t tests for continuous variables and χ2 tests for qualitative ones. A binary logistic regression was then performed with factors resulted statistically significant at univariate analyses as independent variables and gender as dependent one. Results: Female physiotherapists exhibited a higher level of confidence than male physiotherapists in administering continued physiotherapy for patients affected by Generalized Anxiety Disorder (GAD) (p=0.01), as well as for individuals who had previously engaged with a mental health professional (p=0.01). Furthermore, female physiotherapists believed that pharmacotherapy was less associated with motor side effects (p<0.01) and more frequently recognized the importance of a training to identify affective disorders (p=0.01) and the need of more education in mental health (p=0.01). The binary logistic regression model confirmed that female professionals were less likely to work as freelance (p=0.015) and were more confident in the prosecution of physiotherapy by patients with GAD (p=0.05). Conclusions: Female physiotherapists compared to male ones seem to be more comfortable with patients affected by mental conditions and to be more aware of the need of training on mental health. Further studies are needed to confirm the results of the present study.

Risk modelling along with multi-objective optimization problems have been at theepicenter of attention for supply chain managers. In this paper, we introduce a datasetfor risk modelling in sophisticated supply chain networks based on formal mathematical models. We have discussed the methodology and simulation tools used to synthesize the dataset. Additionally, the underlying mathematical models are discussed in granular details along with providing directions to conducting statistical analyses or neural machine learning models. The simulation is performed using MATLAB ™Simulink and the models are illustrated as well.

This scoping review examines global strategies and enterprises for sustainable solid waste management, with a focus on alternative landfilling approaches. The study collected and analyzed a significant number of documents from different regions, revealing Asia as the major contributor (for the collected documents) (48.7%), followed by North America (24.3%) and Europe (15.8%). Recycling emerged as the most effective alternative waste treatment method, representing 52.3% of the documented approaches, with industrial recycling (22.6%) and residential/non-residential recycling (20.2%) as prominent categories. Food waste was a significant concern across regions, constituting 21.4% of the collected documents. Composting was widely adopted (15.4%) due to its simplicity and benefits for gardening and soil improvement. Other methods like biogas extraction, reusing, raising awareness, incinerating, redistributing, reducing, and fermentation accounted for 13.1% cumulatively. The study highlights the need for tailored waste management solutions based on regional challenges and successful practices. Promoting recycling infrastructure, composting, and waste reduction approaches are crucial to achieving sustainable waste management aligned with SDGs. Collaboration and knowledge-sharing between regions are essential to improve inefficient waste management mechanisms. Integrating the findings into policymaking and industry practices can lead to a more sustainable future with reduced environmental impact.

Offsite construction is increasingly being presented as a way to increase housing delivery and reduce the housing crisis. Housing Associations play a pivotal role in the delivery of affordable homes and therefore offsite construction could be beneficial in alleviating the crisis. For offsite construction uptake to increase, the conceptual and pragmatic advantages and challenges surrounding offsite housing in relation to evolving social domestic needs to be explored and understood. The purpose of this paper is to discuss the viability of offsite construction as not only a full-service solution to social housing provision, but an integral strategic partner for meeting the range of specialised fabrication needs for these new properties. A literature review is carried out to explore the conceptual and pragmatic advantages and challenges encountered by HAs adopting offsite construction methods. The paper also investigates which the housing tenures are most suited to offsite construction technology. The paper highlighted that whilst individual case studies and example homes offer one mode of justification for Housing Associations to move forward, it is the cumulative effect of cost savings, sustainability, specialised skill sets, labour reduction, structural innovation, and rate of construction that should be weighed and incorporated into this consideration-making process.

Introduction: Data on peri-operative management of direct-acting oral anticoagulants (DOACs) during transcatheter pacing leadless system (TPS) implantation remain limited. This study aimed to evaluate a standardized DOAC management regime consisting in interruption of a single dose prior to implantation and reinitiation within 6-24 hours; also, patient clinical characteristics associated with this approach were identified. Method Consecutive patients undergoing standard TPS implantation procedure from two Swiss tertiary centers were included. DOAC peri-operative management included the standardized approach (Group 1A) or other different approaches (Group 1B). Results Three hundred and ninety two pts (mean age 81.4±7.3 years, 66.3% male, left ventricular ejection fraction 55.5±9.6%) underwent TPS implantation. Two hundred and eighty two pts (71.9%) were under anticoagulation therapy: 192 pts were treated with DOAC; 90 pts were under vitamin-K antagonist. Patients treated with DOAC less often had structural heart disease, diabetes mellitus, and advanced renal failure. The rate of major peri-procedural complications did not differ between Groups 1A (n=115) and 1B (n=77) (2.6% and 3.8%, p=0.685). Compared to 1B, 1A patients were implanted with TPS for slow ventricular rate atrial fibrillation (AF)(p=0.002), were in better overall clinical status, and were implanted electively (<0.001). Conclusions Standardized peri-procedural DOAC management was more often implemented for elective TPS procedure and did not seem to increase bleeding or thromboembolic adverse events.

The exponential growth in the consumption of electronics, in combination with the reduction in their useful life, leads to a significant increase in the volume of electronic material discarded. Printed Circuit Boards (PCBs) are modules composed of ceramic, polymer and metallic materials of high economic value and with a great potential for damage to biotic and anthropic environments when inadequately discarded. The aims of this work was to study the main environmental impacts and the efficiency of mechanical operations in the electronic waste recycling process in optimizing the concentration of metallic copper. For this, the samples obtained were characterized according to their morphology and chemical composition, and subjected to physical and mechanical treatments: dismantling, grinding, separation by granulometry, density and magnetic property. The environment impacts were estimated by the Life Cycle Assessment of the pre-treatment processes, associated with copper extraction operations in WPCBs. According to the results obtained, it is possible to infer that the NM +1mm Concentrated product presents in its metallic composition around 78% of copper, which contributes to the efficiency of the hydrometallurgical extraction processes. It is noteworthy that the Concentrated class represents about 14% of copper (wt) taking into account the amount of 3.789 kg of PCB waste input material. The potential for reinsertion of the dust in the material recovery process is highlighted, given that the chemical composition of this particulate has a significant presence of metals. In general, it was found that due to the higher concentration (wt %) of the sample being allocated in the range of - 0.15mm + 0.05mm, the elements Fe (18.30%), Si (10.73%), Ca (9.21%) and Cu (8.89%) stand out regarding the participation of the elemental composition of this fraction and also regarding the general composition of the sample. Furthermore, the generation of dust during the fragmentation process, can be associated with occupational respiratory diseases when not managed. About the Life Cycle Assessment, in seven of the nine categories evaluated, crushing and screening activities accounted for more than 90% of the recorded impact values. In general, it is estimated that in the pre-treatment phase be generated 15.4 kg CO2 eq.

Lombok earthquake that occurred in July 2018 has three large magnitude earthquakes that caused huge losses; 564 victims died, 1684 injured, 445 343 refugees, and 215 628 houses were damaged. The role of anesthesiology is very important to give prompt therapy for injured victims. This research gave an overview of the important role of Anesthesiologist and the selection of anesthesia techniques during the natural disasters’ victims’ management. This study was conducted by collecting data of all earthquake victims treated at the emergency room (ER) of RSUD NTB on August 6^th and 7^th 2018 and all victims operated during August 5 – 25^th 2018. All data were recorded, analyzed, and presented in descriptive form using frequency, pie chart, and bar diagrams. The result shown that the highest number of patients treated in ER are during the first seven days after the earthquake and reduced to several weeks. The majority of patients treated are trauma patients who need orthopedic surgery. Since limited number of anesthesiologist should be considered with the right selection of anesthesia techniques, so that the disaster preparedness could be prepared well and the disaster management could run well. General anesthesia was widely used than regional anesthesia, but the different is not significant. The type of regional anesthetic drug usually used is lidodex in combination with catapres. The role of anesthesiologist during disaster is important to handle a safe and optimal surgical condition.

Responsible innovation combines philanthropic and economic aspects and it is common to refer to entrepreneurs who lead it as "social entrepreneurs". The present study of 100 Mexican SMEs, provides knowledge of exploratory nature about what the models of organization are conducive to SMEs in the generation and development of responsible innovations. Through the statistical technique of cluster analysis, this study identified and characterized four models of organization according to the level of social entrepreneurship reached: (1) “The techno-scientific organization”, (2) “The techno-social organization”, (3) “The capitalist-social organization” and (4) “The capitalist organization”. While in Europe the dominant discourse about responsible innovation focuses on the control of the risk of social rejection of the advance of science and technology; in contexts such as the Mexican, the phenomenon is configured as the mechanism through which entrepreneurs articulate its technological and scientific capabilities to solve priority and specific problems of the society, however, the social impact does not crucially affect their business initiatives. The techno-scientific organization (50% of studied SMEs) is proposed as the model of organization with greater viability for Mexican entrepreneurs.

Urban governance and sanitation in the peri-urban commune of Agoè-Nyvé 6 in Togo: Diagnosis of the sanitation system in Adétikopé.

The contribution deals with the selection of progressive methods and technologies to improve the management of production processes in the industrial area. The first chapter of the contribution summarises the theoretical starting points for the management of production processes and their progressive concepts. Chapter 2 deals with the analysis of the current state of play in the use of methods and technologies in production management and summarise its problem areas. Chapter 3 presents the design of a system for selecting the appropriate method and technology to improve the management of the production process. The system presented is designed from data collection blocks, a benchmark for the performance of industrial enterprises' production processes, and data mining to gain knowledge of the impact of the methods and technologies used on the performance of production processes. The last block of the system allows the presentation of the obtained results, which sets out the recommendation for the choice of progressive method and technology. The system is partially verified in the last chapter of the contribution.

There has been a growing call for reform of the U.S. biomedical community in recent years. As a community, we face a growing list of issues including excessive waste, reproducibility, bias, inadequate training, and the absence of sustainable long-term planning that detract from the overall goal of advancing human health. In response to this debate, biomedical stakeholders have taken positive steps forward to remedy these issues. However, we must continually improve upon these steps to promote the long-term stability of the biomedical enterprise. Given the widespread interest of the scientific community in addressing these issues, there exists a unique opportunity to come together and create a new era of biomedical discovery. The completion of this exciting task requires reflection on our view and management of the system, and what the best route to sustainable change may be. Importantly, a coordinated approach that considers the collective make-up of the biomedical system and how processes and people influence collective output and create value for patients is needed. Here, these three areas and the concepts of systems theory, total quality management, and organizational development and their contribution to the management and effectiveness of biomedical discovery are discussed. Importantly recommendations are made concerning overall management strategy, process efficiency and quality research, administrative tasks, organizational cultural challenges, individual and team development, and funding strategy.

Nurses’ caring behaviors are affected by several determinants. The aim of this study was to explore the factors affecting nurses’ caring behaviors. Nurses (N=309) from three public general hospitals in Greece completed the Factors of Nurses’ Caring Behaviors Scale. The data analysis was carried out with the Statistical Package for the Social Sciences (SPSS), version 26.0. Demographic and occupational data were, also, recorded. The statistical significance level was set at &lt;0.05. The total mean score on the FNCB Scale was 100.4 (SD±26). The dimensions of Workplace Circumstances (Mean: 24.6, SD±8.0) and Workload/Management (Mean: 24.5, SD±6.4) were the most important factors of caring behaviors. On the opposite, nurses perceived the dimensions of Patients’ Demographic Characteristics (Mean: 9.3, SD± 4.4) and Patients’ Clinical Characteristics (Mean: 12.5 SD±4.2) as the least important factors. Men scored higher than women in the dimension of Patients’ Demographic Characteristics (t=3.022, p=0.003). Secondary Education Graduates scored lower in the dimensions of Workplace Circumstances (Tukey, p=0.035) and Workload/Management (Tukey, p=0.033) than MSc/Ph.D. Graduates. Nurses of surgical departments scored lower in total score than ICU nurses (Tukey, p = 0.026). Workplace conditions, workload, and management seem to be the most important factors in nurses’ caring behaviors.

We examine how external triggers, including the digital imperative and the need for more sustainable resource and stakeholder employment, spark the development of transformative sustainable business models. Drawing on the resource-based view and the shared value approach we conceptualize a multifaceted framework that helps to identify key determinants and coherent layers of transformative sustainable businesses models. Our theoretical arguments integrate recent research findings on external dynamics, such as digital technological advances and rising global competitive dynamics, with internal capabilities on both the organizational and the individual level, allowing for a more complete understanding of transformative potentials on the firm level. We propose that key determinants of sustainable transformative business models adhere to both, innovative value-creating reconstructionist and sustainable shared-value logic, and include elements such as co-creation with customers, usage-based pricing, agile and adaptive behavior, closed-loop resource employment, asset-sharing, and collaborative business ecosystems. At the same time, organizational, economic, and environmental layers encompassing sustainable business models need to be both horizontally and vertically coherent to unfold their full potential.

The last decade was characterized by the reduction of hospital beds throughout Europe. When facing Covid pandemic, this has been an issue of major importance as hospitals were seriously overloaded with an unexpected growth in demand. The dichotomy formed by the scarcity of beds and the need for acute care was handled by the Bed Management (BM) function. This study explores how BM was able to help the solidness of the healthcare system, managing hospital beds at best and recruiting others in different set-tings as intermediate care, in a large Local Health Authority (LHA) in central Italy. Ad-ministrative data show how the provision of appropriate care was achieved recruiting approximately 500 beds belonging to private healthcare facilities affiliated with the re-gional healthcare system and exercising at best the BM function. The ability of the system to absorb the extra demand caused by Covid was made possible using intermediate care beds, which allowed to stretch the logistic boundaries of the hospitals, and by the promptness of Bed Management in converting beds in Covid beds and reconverting them and timely managing internal patient logistic, thus creating space according to the healthcare demand.

IKEA is a massive international conglomerate company, and the purpose of this exploratory qualitative research is to investigate how the burgeoning academic field known as "artificial intelligence" (AI) could assist IKEA in resolving some of the challenges that it is currently dealing with in relation to its efforts to source sustainable materials. According to the conclusions of this study, artificial intelligence has the potential to aid in the resolution of at least some of the issues associated with sustainable sourcing, at least to some degree. This was developed by mapping the issues, analyzing the potential for adopting artificial intelligence as a solution, and defining the components that are required for efficient adoption of the technology. A number of prerequisites need to be satisfied by businesses before artificial intelligence may be used in the area of sustainable sourcing. In addition, a number of artificial intelligence's constraints need to be addressed before the technology can be put into practice by the same businesses. In conclusion, the findings of this study offer some management implications and ideas for businesses that have the goal of sourcing in a way that is less harmful to the environment by making use of technological breakthroughs such as artificial intelligence. This can be accomplished through the utilization of innovative technologies.

Given the importance of the development of urban infrastructure and environmental impacts produced by the civil construction waste (CCW), it is important to correct the handling of CCW with objective solutions that are more environmentally friendly. In that sense the present study aimed to determine indicators that make it possible to estimate the amount of CCW generated from construction sites in the city of Londrina, Parana State, Brazil. The generation of CCW was estimated in a general way, regarding the composition of its mixture, correlated to the gross areas of the buildings studied and their generated volumes of RCC. This generating rate was evaluated in a general way and specifies two types of sites: the new residential and new non-residential constructions. The data required for the development of these indicators was obtained through extensive survey and interviews carried out at the environment secretariat of the City Hall. The generating rate of CCW obtained for non-residential buildings was 0.2052m3/m2 or 170.44kg/m2, for new residential sites was 0.2054m3/m2 or 170.60kg/m2 and for new commercial or non-residential construction sites, it was 0.20453 m3/m2 or 169.85kg/m2. It was also possible to estimate the amount generated annually per inhabitant in the municipality, which is 0.60m3/inhabit.year or 498.55kg/inhabit.year.

In this research, a new conceptual framework introduced to analysis of water security. Using the exponential, logistic growth model, and employing the historical population of Tabriz city from 1956 to 2016, the future period (2022-2100) population predicted. Pearson Correlation, Spearman's Rho and Kendall's rank coefficients were used for analyzing correlation between population and water consumption. In addition, the amount of city water demand in the future period predicted using the ordinary least square model. Then, water stress and water scarcity indices calculated for Tabriz city in the future period. Results indicated that the mathematical population growth models are very suitable for prediction of city population. There was a significant positive correlation between the city population and water demand. In addition, the amount of water demand will proportionally increase with rising number of population. Finally, linear and quadratic equations presented for city water demand based on the city population number. It can be concluded that Tabriz city will be faced with severe water stress in the future period. The proposed new method in this study can be used for other different cities of the world. Also, Results will be helpful for decision makers in optimum management of urban water resources.

This study investigates the impact of governance variables on the earnings quality based on the industry the firm is in. it has been identified that earnings management have been practised differently by different industries. Most of the research under earnings management have focussed on holistic impacts of corporate governance variables on discretionary accruals while this study has categorised the firms based on what industry they fall on while identifying the impacts of the variables of corporate governance on discretionary accruals. Initially, this paper has studied the estimation of the value of discretionary accruals and identified that performance matched discretionary accruals as the best model as per the explanatory power of the model is higher than other models. Hence, the estimation of the earnings management has been calculated based on performance matched discretionary accruals in this research. This research has studied the impacts of the governance attributes on the earnings management categorising the firms based on the industry they are in; hence, the value of earnings management has been categorically separated; hereafter, the impact of the corporate governance factors on the value of categorically separated earnings management have been statistically analysed. This study has considered the descriptive study to compare the means, medians and standard deviations of the earnings management of various industries. Moreover, Pearson correlations and Spearman rank correlation have been used as a research tool to examine the correlation coefficients.

The best business relationships are built as relationships between people and organizations that work together to achieve common goals. In the current digital era, B2B collaboration relationships are essential for business success. The response time to customer requests can be a key factor in maintaining these relationships and obtaining a competitive advantage. The use of VBA automation for repetitive tasks can help speed up this process, but it is important that computer operators have medium knowledge about using VBA macros. This work deals with issues related to improving response times to requests received by email, using a macro program for repetitive tasks. The empirical study was conducted on an average of 50 daily emails for order confirmation, with an average writing time of 68 s per email, resulting in a potential reduction in working time for the operator of approximately 1 h/day, only for order confirmation. The results show a significant improvement in working time for computer operators, using VBA buttons for repetitive tasks.

Design changes seem inevitable in engineering, procurement and construction EPC projects. Such changes create a need for a proactive approach to adjusting project scope, cost and time (the triple constraints) for efficiency and effectiveness in overall delivery. This study investigates the causes and implications of design changes in order to improve design change management practices. Data for the study was obtained through online interviews with New Zealand industry practitioners. Thematic analysis was used to collate the results into meaningful data. The study found that design changes were predominantly caused by clients' inadequate strategic planning, insufficient attention to design, EPC contractors' inadequate design ability, and on-site variations. There were three categories of such design changes: direct impact on the project, the reciprocal and complementary effect on stakeholders, and the far-reaching impact on the community. The study concludes by suggesting improvements, such as strengthening the integration of project teams to enhance design quality, strategic alignment of stakeholders at the planning stage, early contractor involvement (ECI) between the planning and design phases, and improving collaboration between design and construction teams. Further, a combination of high technical skills (e.g. design ability) and soft skills (can-do attitude, interpersonal skills, problem-solving skills, documentation skills, etc.) are needed to effect the desired improvement in design change management.

This article aims to investigate gaps in the law and policies on e-waste management in communi-ties of Thailand and suggests a guideline for improving, developing, and designing legal measures and state policies for more effective enforcement of the law on e-waste management in communities. The findings reveal that the currently applicable law of Thailand lacks effective approaches and rules for e-waste management. Also, there is not any implementation of key envi-ronmental principles for e-waste management in communities, such as the Polluter Pays Principle (PPP) that requires manufacturing companies to take part in being responsible for disposal ex-penses or the Public Participation principle that requires users, manufacturers, distributors, and government agencies to take parts in disposing e-waste. As a result, problems of e-waste in com-munities of Thailand have been continuously increasing. According to such problems, the authors suggest that legal measures on e-waste management in communities should be specifically de-signed by implementing key environmental principles as a basis in determining formats and guidelines of e-waste management, especially participation of all sectors that can help in solving and reducing e-waste in communities that is harmful to health, sanitation, and environment.

The population growth and its needs, has increasingly demanded water resources, requiring managers to adopt mechanisms to guarantee the availability and quality of water from springs. Among the instruments defined by law n. 9433/1997, water charges stand out. In this sense, the objective was to evaluate the evolution of charging for the use of water resources in Brazil, with emphasis on the channel of the Hydrographic Basin of the Paranaíba River. The methodology used was based on two phases, one of reviewing the articles available in Capes journals and the other, consulting the spreadsheets of the Araguari River Basin Agency with information on charges for the use of water within the competence of the Union in the Hydrographic Basin of the Paranaiba River. The results showed that charging for the use of water resources establish a relevant instrument for disciplining and raising financial resources that will enable improvements in the planning and management of water use. It should be noted that irrigation emerges as the main user of the flow captured from the Paranaíba River. However, the main source of funds for charging comes from the public supply. Among the Federation Units, the Federal District proved to be the largest source of contributions for charging the use of the Union's water resources in the Paranaíba River Basin.

Environmental perception is a powerful tool for identifying community needs and potential within their surroundings. This study assessed tourists' environmental perception regarding solid waste and its impact on the Hurtado balneary, located in Valledupar, Colombia. From May to July 2023, the investigation delved into the environmental attitudes and behaviors of 769 balneary users by employing a combination of observation, photographic documentation, and a comprehensive 21-question online survey. The findings unveiled compelling insights: an overwhelming 98.8% of participants acknowledged the adverse effects of solid waste on the environment, with an impressive 98% demonstrating a willingness to participate in waste management efforts. Alarmingly, 42.13% exhibited limited awareness of waste management practices, reflecting a lack of public interest and commitment (41.61%). Statistically significant disparities emerged: 59% of waste items were not appropriately disposed of in designated receptacles. Reasons for this included a lack of a sense of belonging (50.2%) and inadequate environmental education (45.6%). 96% expressed the need for river conservation signage, while 59.8% had not engaged in environmental training. The implications of these results extend beyond the Hurtado balneary, potentially informing solid waste management strategies in other aquatic environments. Furthermore, this investigation aligns with three critical Sustainable Development Goals: SDG 12, emphasizing responsible consumption and production; SDG 13, addressing climate action; and SDG 15, advocating for life on land and below water. Keywords: Tourism; solid waste; surface water; environmental management.

The resource curse indicates that economic growth performs poorly in countries with significant natural resources. Nevertheless, certain countries rich in energy managed to protect their resource riches in the long run. It is necessary to enforce effective policies in resource-rich countries to fully leverage the advantages which can come from the abundance of natural resources. This study aimed to evaluate how oil-rich countries would avoid resource flows by successful fiscal and management policies. By taking the guidance of Norway and implementing fiscal policy focused on tax rules on its oil management, it is proposed that oil-exporting countries benefit significantly. The framework attempts to mitigate this resource curse and utilise oil revenues in the interest of the country.

Telehealth has been playing a progressively major role in the management of the NCOVID-19 crisis. The enforcement of social distancing measures has had the consequence of reduced technology distance in almost every walk of life. In this paper, based primarily on the still unfolding experiences of deploying it during the current situation, we argue that telehealth has finally come of age and that it is time to move it from the peripheries to the center of the 21st century healthcare. To provide a live context to the discussion, several instances of how telehealth strengthened our healthcare systems during the NCOVID-19 crisis are presented.

Student project management is becoming increasingly important in various settings such as technical clubs, planning clubs, and research laboratories. However, effective methodologies for managing student-led projects have not yet been established. This study aims to address key issues related to cost and motivation in student-led projects and propose effective improvement plans. The significance of this study lies in its potential to identify challenges faced in current student project management practices and offer solutions to mitigate risks. By sharing our findings, we aim to encourage further research on this topic and promote the adoption of effective methodologies for managing student-led projects.

NUMMI was one of the most analyzed case studies in terms of joint ventures, management dysfunction, and international globalization. NUMMI is an acronym for New United Motor Manufacturing, Inc. This manufacturer was a joint venture between automotive US titan GM and Toyota of Japan. GM wanted to further monetize its Fremont factory, but also had limited opportunities during a US economical recession. Toyota wanted to expand manufacturing operations in the US for the very first time, creating an intriguing collaborative partnership between the two. However, various problems lead to dysfunction through cultural, organizational, or managerial differences. This case study is analyzed through its historical analogical scope, ultimately leading to hypothesizing remediation through an ethical data-driven and total quality management (TQM) approach.

The aim of this study was to develop, implement, and evaluate a new auxiliary enterprise risk management framework and process to serve as an enabler to the global ISO 31000 risk framework and ISO 31010 processes. This framework has been designed particularly for use within high-risk environments and those characterized by volatility, uncertainty, complexity, and ambiguity (VUCA). This paper proposes a methodology for optimization of structured sharing and grass-roots management of all available risk-sentience information with the assessed potential to develop into an identifiable risk in the future. The author introduces new risk terminology including risk-sentience, risk-sentience information, and risk-sentience management. The process involved the development of the Theory of Risk-Sentience (ToRS), Risk-Sentience Auxiliary Framework (RSAF) and a risk-sentience management process referred to as LUOMEAR (Learning from Uncertainties, Others Mistakes, Experiences and Anecdotal Reporting). Manchester Patient Safety Framework (MaPSaF), SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis, and a newly developed Risk-Sentience Fertility Checklist were used to conduct pre and post-trial evaluations. The findings include positive adjustments in safety culture, components of commitment to quality, communication and team-working around safety issues, access to evolving risk-information, and efficient sharing and management of recorded risk-information. Recommendations are made for more extensive application of both the proposed auxiliary risk framework and process within high-risk sectors to further explore its effectiveness and scope.

Introduction: At the end of 2019 the Covid-19 pandemic caused a huge amount of restrictions across the world which affected teaching around the world as it was not prepared to move from traditional face-to-face to an online conversion overnight, so the aim of this paper is to determine the changes in undergraduate anatomy teaching strategies post-pandemic compared to pre-pandemic. Methods: A systematic review was conducted based on the PRISMA statement. Data were retrieved from the searches conducted in the different databases, and the articles to be retrieved were selected with the help of the Rayyan platform. Using the OPMER and JBI tools, the quality of evidence was assessed for the selection of the articles included in the review. Results: The teaching of medicine, specifically anatomy, presented serious problems due to the fact that throughout history it has been taught in the classroom by means of cadaveric dissection and when this ceased to be available, new methods arose through the use of digital resources to try to make up for the needs of the lack of dissection laboratories which lost a great deal of content in this restructuring, which have been improving with the passing of the courses taught and the development of new material that has been better adapted to the needs of the students. Discussion: The authors agree that in the future the best way to teach anatomy will continue to be face-to-face dissection without neglecting the strategies developed during this pandemic and to be taken if necessary to restructure curricula in the future to improve teaching.

Bacillus thuringiensis (Bt) is a spore-forming bacterium that produces insecticidal proteins and other virulence factors and is considered one of the most successful bioinsecticides available to control pests in agriculture. Bt strains have been reported as endophyte or rhizospheric bacteria, but little is known about the implications of this property of Bt in crop protection. Here, we review if Bt can establish as an endophyte/rhizobacterium and evaluate if Bt as an endophyte/rhizobacterium can simultaneously act against different phytopathogens (fungi, bacteria, insects and viruses) plus promote plant growth. The implications of the proposed review will broaden our understanding of Bt as a versatile entomopathogen by exhibiting differential behavior depending on context.

Gliomas are central nervous system (CNS) derived tumors that originate from glial cells and affect six per 100,000 people in the United States. They are the most common form of CNS neoplasm and are highly diffusely infiltrative to surrounding brain tissue. Gliomas of diffusive nature are classified into different subcategories: astrocytomas, oligodendrogliomas, and ependymomas. Computed tomography (CT) and Magnetic Resonance Imaging (MRI) are used to determine tumor category and spread which may dictate treatment options. This paper focuses on emerging treatments of chemotherapy management with temozolomide and Avastin as well as emerging immune modulation treatment with vaccinations, manipulation of cellular checkpoints CTLA-4 and PD-1, co-receptor modulation of neuropilin-1, CAR-T cell therapy, and CRISPR-Cas9 gene editing. The employment of TMZ and BEV has been supported in the literature, however, more research is necessitated to fully optimize regimens and to avoid immune- and toxicity-related effects of these drugs. Moreover, an even closer consideration is warranted for current immunotherapies as they are in their infancy compared to TMZ and BEV. Thus, although promising emerging treatment options, therapies involving cancer vaccines, ICIs, immune modulation of neuropilin-1, CAR-T, and CRISPR-Cas9 technology require further investigation into their long-term efficacy and utility in treating gliomas.

(1) Background: Show caves are unique natural attractions and touristic traffic can trigger their degradation within a very short time. There are no universal solutions to counter the effects of the touristic impact upon cave environment and both protection protocols and management plans have to be established on a case-by-case basis; (2) Methods: The study includes four show caves from the Romanian Carpathians, where monitoring of the number of visitors, paralleled by the monitoring of the main physico-chemical parameters of the air and water (CO2, temperature, humidity, drip rate, conductivity, and pH) was implemented; (3) Results and Conclusions: The results of the study has: (i) established a monitoring protocol to be applied to each of the four show caves; (ii) established a set of basic principles to be enforced by the management of show caves; (iii) issued a set of preventive measures and instructions to be followed by the personnel and stakeholders of the caves.

The COVID-19 pandemic affected the perinatal emotional landscape in Italy, a country with high mortality and strict lockdown. This study explored the emotions and challenges of pregnant and post-partum women during the pandemic, using AI-based mixed-methods. The study analyzed 1774 women from the national survey COVID-ASSESS: 1136 pregnant and 638 post-partum. The survey had qualitative questions on emotions and feelings related to birth, communication with healthcare professionals, media, and peers and family. We used natural language processing and machine learning to classify emotions, identify themes, and extract citations from the data. Fear and anxiety replaced joy as dominant emotions during the pandemic: trust and joy decreased by 49.3% and 36.4%, respectively, while sadness and fear increased by 52.3% and 49.3%, respectively. The pandemic also induced loneliness, isolation, frustration, and anger. Women faced challenges related to birth, communication with HCPs, media, and peers and family. They also used coping strategies such as self-care, news limitation, and tried to cultivate gratitude and hope. The study provides a comprehensive exploration of the perinatal emotional landscape of Italian women during the pandemic. The findings underscore the significant psychological impact of the pandemic, and also highlights women’s resilience and coping strategies.

Purpose: To evaluate nursing leaders' perception towards communication and relationship management competencies while using digital platforms during the COVID-19 pandemic. Background: Communication and relationship management competencies among nursing leaders will ensure healthcare models are successfully implemented. Nursing leaders can achieve effective leadership by mastering these competencies leading to an overall improvement in the quality of nursing care. However, digital platforms have been rapidly evolving in the healthcare ecosystem and have been significant during the battle with COVID-19. It is crucial to ensure that nursing leaders can use digital platforms to communicate and practice efficient management in their op-erations, especially during a crisis when their services are vital. Design: Descriptive, comparative study. Methods: The study was conducted between February to March 2021. A 5-item Linkert-type questionnaire was adopted from the American Organization for Nursing Executives (2005) and was sent to identified nursing leaders in Hamad Medical Corporation through the official email. Results: Two hundred fifty nurse leaders were invited to participate, but only 116 responded positively, translating to a response rate of 46.4%. The male participants represented a larger proportion of 64.10%, while the female was 35.90%. Regarding the questionnaire, the Cronbach alpha was α ˃ 0.987, indicating that all items revealed a sufficient level of internal consistency. The respondents had a minimum of 0 and a maximum of 52.6n in the communication and relationship management items. Influencing behavior, relationship management, and effective communica-tion had the lowest scores, which indicate low competency. The F value in ANOVA analysis was close to 1.0, implying that the null hypothesis is true. The significance value is <0.5 implying that there is a difference in response on effective communication proficiency of nurse leaders. Conclusions: Digital platforms are communication tools that are widely adopted to engage and reach nurses on numerous topics. Nurse leaders should capitalize on their benefits and generate critical discussions. The continued need to research nursing leadership competencies is critical as healthcare continues to change and evolve. Educational institutions and healthcare organizations must understand that nursing leaders should strive for professional development and knowledge acquisition to improve their communication and management.

The thyroid gland secretes essential hormones for the growth regulation and the metabolic activity of the body. Thyroid dysfunction includes many conditions that can indirectly affect dental treatments. Therefore, the practitioner must be aware of these pathologies and their signs and symptoms in order to elaborate specific dental treatment plans, thus avoiding any per- and/or postoperative complications. Moreover, the dentist can help in the screening of undiagnosed thyroid dysfunction among patients.

The complex systems that require safety are the Safety Critical Systems. Maintaining these systems is a big challenge. Now a days, safety is a very critical requirement for the latest systems. Safety critical systems must be safe. Different approaches to ensure quality and safety in safety critical systems has been discussed in this paper. A comparison is also conducted between these various approaches. Safety critical systems must remain more influential in future.

The predominant management approach for municipal solid waste (MSW) remains disposal, given significant increases in generation and disposal rates of MSW in recent decades. In addition to the well-documented carbon emissions from disposal sites, these sites accumulate numerous elements, the masses of which are substantial globally yet inadequately quantified. The unique combinations of waste constituents, elements, diverse environments, and confined spaces in disposal sites create distinct biogeochemical conditions, setting them apart from any other infrastructure or geological feature on Earth. This review first presents a global summary of the cumulative masses and disposal rates of MSW constituents and associated elements. The five dominant transformation and transport processes influencing disposed elements are examined: biochemical degradation, physicochemical transformation, gas migration, leachate migration, and solid spillage. The magnitudes and rates of the processes corresponding to major disposed elements, including carbon, nitrogen, sulfur, chlorine, and several metals, are systematically summarized. We examine and quantify the potential environmental impacts and health risks associated with element transformation and transport. We also explore the existing knowledge and techniques for resource recovery and site remediation of disposal sites. The distilled compilation of measurements and insights herein serves as a valuable primer for researchers, practitioners, and decision-makers involved in MSW management.

In January 2020, the World Health Organization declared a public health emergency and announced a new coronavirus disease (COVID-19), which would later go on to be declared as a pandemic, changing the global sphere and placing the economies of almost all countries under heavy stress. The airline industry, that had just begun recovering after facing crises one after another in the last two decades, from early 2000 due to 9/11, to the global financial crisis later, is now oce again facing an enormous challenge of closed borders and greater lockdowns due to the pandemic. Borders are closed, with very few planes are in the air, while the rest are grounded. The purpose of this paper is to give a conceptual understanding of the current pandemic situation and its consequences on the airline industry. The paper takes a unique perspective of human resource management (HRM) that is rarely used in the airline industry.

Background: Covid-19 patients with any pre-existing cardio-vascular disease (CVD) are at highest risk for viral infection and for developing of severe disease. Pathophysiological mechanism is characterized by the viral link to Angioten-sin-Converting Enzyme 2 (ACE2) and the involvement of the endothelial system with the release of cytokines and direct damage on myocardium, micro throm-bosis, and alterations of oxygen diffusion. Aim of the study is to analyze clinical course, treatment and outcome in patients (gender stratified) with pre-existing CVD. Methods: Out of the 1299 (700 M/599 F) patients admitted to Internal Medicine COVID Unit of “Castelli Hospital”, Lazio, Italy, from 01/01/2021 to 31/12/2021, 278 patients (167 M/111 F), mean age 76 (76 M/ 75 F) had previous CVD. Demographic characteristics, length of the stay (LOS) and oxygen therapy were evaluated. Results: Most common CVD pathologies were Hearth Failure (HF): 131 (72 M/59 F), Atrial Fibrillation (AF): 45 (25 M/20 F), Myocardial Infarction (MI): 26 (19 M/7 F) and associations among them. 100% of CVD COVID patients under-went Non-Invasive Ventilation (NIV) and were treated with more than 5 drugs. HF was linked with increased LOS (23 days) compared to AF (21 days), MI (18 days) and no CVD (16 days). Overall mean LOS was 16,5 days. 21,4% of total pa-tients had CVD. Conclusions: Timely identification and evaluation of patients with pre-existing CVD are fundamental for adequate treatment based on gender, severity and state of illness and for risk reduction. Keywords: polypharmacy, gender medicine; COVID 19; Sars CoV 2; cardiovas-cular disease.

Risk management strategies protect the company as a whole as well as employees from unforeseen financial impacts. As in the case of personal finance, preparing for certain scenarios helps to face any difficulties that the company may encounter and allows it to get out of this impasse.For any project to be successful, the way the project executing agency will deal with potential risks must be determined so that it can identify, mitigate or avoid problems when it needs to do so. Successful project managers realize that risk management is important, because the achievement of project objectives depends on planning, preparation, results and evaluation that contribute to the achievement of strategic goals, especially the sustainable development of societies.Risk management strategies work to protect the company as a whole as well as employees from unexpected financial effects, and as is the case in personal finance, preparing for certain scenarios helps to face any difficulties that the company may face and allows it to get out of this impasse.To ensure the success of your project, determine how you will handle potential risks so that you can identify, mitigate or avoid problems when you need to do so. Successful project managers understand that risk management is important, because the achievement of project objectives depends on planning, preparation, results, and evaluation that contribute to the achievement of strategic objectives.

Bollworm poses a significant threat to cotton crops worldwide, including in the Fergana province of Uzbekistan. This study aims to explore innovative approaches to bollworm control and contribute to the global understanding of integrated pest management strategies (IPM). Using an extensive literature review and field observations, the study evaluates the effectiveness of an integrated protection system in reducing reliance on chemical inputs while increasing overall efficiency. The results highlight the multigenerational life cycle of bollworm, its impact on various crops, and the need for artificial biological control methods and targeted insecticide applications. In addition, the study highlights the need to adopt globally accepted IPM practices to ensure sustainable pest management. The findings underscore the importance of collaboration among researchers, farmers, policymakers, and industry representatives in developing and implementing advanced control measures. Through integrated approaches and the incorporation of scientific advances, bollworm infestations can be contained while safeguarding agricultural productivity and minimizing environmental risks.

Lake Rawapening, Semarang Regency, Indonesia, has incorporated a holistic plan in its management practices. However, despite successful target achievements, some limitations remain that a review of its management plan is needed. This paper identifies and analyzes existing lake management strategies as a standard specifically in Lake Rawapening by exploring various literature, both legal frameworks and scholarly articles indexed in Google Scholar and published in Water by MDPI about lake management in many countries. There are two major types of lake management, namely pillar-based and object-based. While the former is the foundation of a conceptual paradigm that does not comprehensively consider the roles of finance and technology in the lake management, the latter indicates the objects to manage so as to create standards or benchmarks for the implementation of various programs. Overall, Lake Rawapening management should include more programs on erosion-sedimentation control and monitoring of operational performance using information systems.

The compelling effects of climate change on forests may have been underestimated in the past few decades in practical forestry. Although the first attempts to draw attention to this complex problem appeared almost half a century ago, the debate has been conceptual rather than experimental and applicative. At first glance, the con-cerns were mainly related to sustainable forest management (SFM) issues, which obviously needed attention. Over time, the effects of climate change have been mainly considered in the context of the SFM; they started from various and somewhat different scales and goals. Over time, more research and awareness of the im-portance of SFM under the pressure of climate change have led to the development of a clearer field that can be defined as ‘adaptive forest management’ - to climate change. One of the characteristics of this discipline is to be featured by the absence of univocal methods and / or objectives to be pursued but to identify, verify, and adapt methods to the various climatic and forest types and conditions found in the field. Therefore, this work shows some phases of forest planning and management concepts and criteria over time and recalls some innovative and / or adaptive methods related to the approach to forest planning and management under climate change

This paper aims to explore the effect of humble leadership on project success by integrating the mediating role of employee creativity. Top management support moderates the direct relationship (humble leadership and project management effectiveness) and indirect relationships through employee creativity. Time-lagged data were obtained from 332 persons working in the matrix organization across the information technology. The results showed that humble leadership enhance project management effectiveness by mediating and moderating processes. This study provides a solution to an underlying research question that has gone unanswered in prior studies. What are the strategies proposed for humble leadership in fostering the effectiveness of the project?

Stormwater drainage and urban flooding are the popular issues in policy agendas and academia. Although the research on these title increases steadily an integrated review on stormwater drainage and urban flood with a focus on pluvial flooding has yet to be produced. This paper presents a critical review on stormwater drainage and urban flood based on 78 selected journal papers published over the period of 1990 to 2018. The review focus on pluvial flooding to relate urban stormwater drainage management and urban flood disaster management and to show the links between the two. The methods taken to manage urban stormwater drainage and urban flooding as well as the complexity of achieving a comprehensive urban flood disaster management are evaluated and discussed. To better understand the concepts behind urban flood and improve the urban flood risk management strategies, recommendation of future research directions are also provided.

Cloud infrastructure provides computing services where computing resources can be adjusted on-demand. However, the adoption of cloud infrastructures brings concerns like reliance on the service provider network, reliability, compliance for service level agreements (SLAs), etc. Software-defined networking (SDN) is a networking concept that suggests the segregation of a network’s data plane from the control plane. This concept improves networking behavior. In this paper, we present an SDN-enabled resource-aware topology framework. The proposed framework employs SLA compliance, Path Computation Element (PCE) and shares fair loading to achieve better topology features. We also present an evaluation, showcasing the potential of our framework.

Distribution System Operators (DSOs) are adapting to changing energy demands and the shift toward renewable and decentralized energy. Circularity is increasingly relevant for DSOs as their distribution systems age and need replacing. Taking circular action, however, is generally regarded as challenging as the current circular economy (CE) landscape is highly fragmented and rarely touches the implementation level. A longitudinal case study at Dutch DSO Liander on the circu-larity of distribution transformers was used to understand empirical success factors for taking circular action and to generate prescriptive knowledge on the operationalization of circularity. Six design propositions for circular action were formulated that suggest to 1) initiate small-scale cir-cularity experiments, 2) involve technical and strategic experts, 3) synergize circularity with more urgent, primary goals 4) translate circular initiatives bottom-up and top-down, 5) collaborate with other DSOs, and 6) create multidisciplinary teams. At DSO Liander, selecting the right interventions depending on the changing context contributed to operationalizing circularity for distribution transformers and achieving circularity targets. The generalizable design propositions could assist other DSOs in optimizing their strategy toward circular action.

MicroRNAs (miRNAs) play a pivotal role in important biological processes by regulating posttranscriptional gene expression and exhibit differential expression patterns during development, immune responses, and stress challenges. The diamondback moth causes significant economic damage to crops worldwide. Despite substantial advancements in understanding the molecular biology of this pest, our knowledge regarding the role of miRNAs in regulating key immunity-related genes remains limited. In this study, we leveraged whole transcriptome resequencing data from P. xylostella infected with Metarhizium anisopliae to identify specific miRNAs targeting the prophenoloxidase-activating protease1 (PAP1) gene through bioinformatic analysis. Seven miRNAs (pxy-miR-375-5p, pxy-miR-4448-3p, pxy-miR-279a-3p, pxy-miR-3286-3p, pxy-miR-965-5p, pxy-miR-8799-3p and pxy-miR-14b-5p) were identified and validated. Luciferase reporter assays confirmed that pxy-miR-279a-3p binds to the open reading frame (ORF) and pxy-miR-965-5p to the 3’ untranslated region (3’ UTR) of PAP1. Our experiments demonstrated that injecting a pxy-miR-965-5p mimic significantly reduced PAP1 expression in P. xylostella larvae, suppressing PO activity and increasing larval mortality rate. Conversely, the injection of inhibitors obtained opposite results. Furthermore, we identified four LncRNAs (MSTRG.32910.1, MSTRG.7100.1, MSTRG.6802.1, and MSTRG.22113.1) that potentially interact with pxy-miR-965-5p. Interference assays using antisense oligonucleotides (ASO) revealed that silencing MSTRG.7100.1 and MSTRG.22113.1 increased the expression of pxy-miR-965-5p. These findings shed light on the potential role of pxy-miR-965-5p in the immune response of P. xylostella to M. anisopliae infection and provide a theoretical basis for biological control strategies targeting the immune system of this pest.

This study investigates how the determinants including risk preference affect farmers’ decision to adopt SLM practices in upland areas of Vietnam. Empirical data collected through in-depth interviews with 200 farmers in Na Ri district, Bac Kan province were used. The factors affecting SLM adoption of farmers in Na Ri district were examined by the 2SLS or IV-Probit model. The estimated 2SLS regression indicated that there is a set of factors affecting SLM adoption, namely, relative risk aversion, farming experience, farm size, knowledge of SLM, membership in farmers’ organization, number of labors, and slope of farm land. Specifically, relative risk aversion had a negative effect on SLM practices adoption. The farmers who are less risk averse are more likely to adopt more SLM practices. This implies that reducing farmer’ risk exposure could promote SLM practices. This result is also helpful for policymakers to understand farmers’ behaviors and promote the diffusion of SLM practices across regions on a large scale.

The aim of this paper is to study changes in land use and the evolution of vegetation in Cacheu River Mangroves Natural Park in the Republic of Guinea-Bissau. To do this, we will study variations in the NDVI, Normalized Difference Vegetation Index. In order to perform the calculations and subsequent analysis, images from three years— 2010, and 2017—were used, all corresponding to the same time of year so that the phenological stage is the same. To perform a more reliable analysis, the park was divided into five classes based on the main use of the land: mangals, palm forest, paddy fields, savannahs and others. Using a statistical sample, same areas were selected for each class and the corresponding NDVIs were calculated for the years in which ASTER images were available. The study made it possible to conclude that at present, management of the park is not the most suitable, given that the changes in land use observed represent a decrease in mangrove swamps, despite the fact that these forests constitute the most important ecological area of all those that make up the park. Mangals are being replaced by other land uses.

Good governance in natural resource management (NRM) is one of the most challenging issues in developing countries that often inappropriately embedded in national policies and political agendas. It is, in fact, even more important for countries like Bangladesh with exceptionally high pressure and dependence on its natural resources for sustaining rural livelihoods. Globally, nowadays, good governance is considered as one of the key factor for achieving the goal of sustainable development and biodiversity conservation. Bangladesh, of late has responded to that global zeal by involving local communities in the management of country’s declining forest and other natural resources. The colonial legacy of the forestry sector of Bangladesh was planned and, managed as interim projects through donors’ prescriptions. Thus, institutions, management processes and conservation outcomes were problematic. The conventional approach adopted by colonial and post-colonial regimes for forest management also proved to be inefficient due to its top-down management system. The absolute dependency on donor support, and their prescription sometimes worsened the situation both ecologically and socially. Global, regional and local trends supported the need for a different dimension in the governance paradigms. The introduction of a pluralistic approach, known as co-management in protected areas (PAs) is an example of an attempt whereby shared governance mechanism are implemented to attain the desired goals of conservation that will also address the livelihoods and aspirations of communities living in and around PAs of the country. However, in designing future forest and PA regimes the concern of the external aid support and attached conditions remain a reality that needs to be addressed. Adequate attention should be given to our vanishing biodiversity, culture and community livelihoods through devising an appropriate governance mechanism recognizing and supporting local rights, access and participation in the environmental management. It is now time to mainstream the adhoc nature of governance according to our national conservation strategy and policy frameworks in order to achieve the goals and objectives of the Bangladesh NRM sector addressing the human and community right of people in the specific context of forest protected areas management.

The cultivation systems of Coffea spp in a cooperative society in Puebla, Mexico, include rustic, traditional polyculture, commercial polyculture, unshaded monoculture and shaded monoculture. In this work, the properties of the soil were analyzed through physical, chemical, and biological analysis to determine its nutritional status. Composite sample analyses were conducted to determine physical, chemical and microbiological parameters (fungi, actinomycetes, mesophilic bacteria, nitrifying and denitrifying bacteria). Leaf nutrients were determined. Rustic was the cropping system with the highest amount of K (0.76 cmol kg-1) in soil and nutrient assimilation in leaf (N= 2.79%, P= 660.01, K= 17297.22 and Fe= 271.24 mg kg-1) (p= 0.001); in addition to presenting high populations of mesophilic bacteria, fungi and actinomycetes (30.16, 0.59 and 0.83 respectively, x10 6 CFU g-1 soil) and very low nitrification and denitrification rates. The principal component analysis (PCA) (>3.25%) indicated that actinomycetes and K in soil favor the assimilation of Fe, K and P. This Coffea spp cultivation system had a lower impact on soil health than the rest of the systems and favored forest ecosystem conservation.

Background: Chronic, non-cancer pain represents a serious public health and economic issue affecting approximately 20% of the global population. Chronic pain can affect many aspects of patient’s lives, including mental health, employment, and relationships. Current medical management is largely focussed on investigating and managing acute pain. Patients and clinicians are now increasingly aware of the potential benefits of combined treatments or complex interventions in alleviating chronic pain. These approaches include both physical interventions, such as exercise or yoga, as well as psychological support including cognitive behavioural therapy (CBT) and talking therapies. Methods: This study used network meta-analyses to explore the prevalence of complex interventions in pain management, and the effects of these interventions on quality of life, using outcome measures including intensity of chronic pain, assessment of functional disability and participant’s psychological state. Results: Psychological interventions were associated with improvements in pain intensity and depression. Exercise and manipulation technique-based treatments provided a statistically significant reduction in pain intensity. This effect was enhanced when exercise and CBT were combined. Mensendieck somatocognitive therapy (MSCT) plus standard gynaecological treatment (STGT) treatments appeared to have a better effect on chronic pain than multimodal exercise plus CBT treatment. Combined MSCT and STGT treatment, and multimodal exercise plus CBT treatments, reduced pain intensity, whilst MSCT+STGT treatments had a slightly better effect than exercise plus CBT treatment.Conclusions: Complex interventions have become more popular with patients as the risks associated with other interventions including surgery and pharmacological management have become better understood. These interventions can have a significant positive effect both on the physical and psychological health of patients. The analysis presented in this study suggests that further work is warranted in this area and that additional studies are required, both in more geographically diverse locations, and with larger cohorts.

Backyard chickens are the most popular poultry in Bangladesh due to their production potential, and income generation. However, this farming can be a factor in zoonotic disease transmission. This study aimed to assess the knowledge, attitudes, and practices (KAP) related to biosecurity and management among backyard chicken households in Bangladesh. A cross-sectional survey was conducted among 295 households in six sub-districts of different six divisions of Bangladesh. The study used a convenient sampling technique to choose the divisions, then the districts and sub-districts. A well-structured pre-tested questionnaire was used to interview randomly selected households. In this study, most of the respondents relied on agriculture crop production (n=128) as their primary source of income, relied on scavenging for their birds’ feeding (34%), or fed their chickens whole or broken rice (32%), used tube well water (58%), used ash (38%) or sand (28%) as litter material. A significant proportion of households (40%) did not use any nest box at all. Results also showed that the most reported poultry diseases among backyard poultry farmers were Newcastle disease (49%), followed by coccidiosis (30%), fowl cholera (12%), and fowl pox (9%). In the multivariate logistic regression model, knowledge of biosecurity was associated with the household type (OR=1.4, p=0.04), knowledge of vaccination (OR=3.7, p=0.02), don’t know category (OR=4.2, p=<0.001), provision of the nest box (OR=9.5, p<0.001), training (OR=0.1, p=0.04), and air pollution (OR=0.1; p=0.04). The study found a huge knowledge gap on management and biosecurity practices present among backyard chicken farmers, which can negatively impact public health for instance in the outbreak of zoonotic diseases. Increasing farmers' biosecurity awareness through education and outreach activities could minimize the risk of disease transmission and improve both public and poultry health.

Cellular automata (CA) models have emerged as a valuable tool in corrosion management. This manuscript provides an overview of the application of cellular automata models in corrosion research, highlighting their benefits and contributions to understanding the complex nature of corrosion processes. Cellular automata models offer a computational approach to simulate corrosion behavior at the microscale, capturing the intricate interactions between electrochemical reactions, material properties, and environmental factors generating a new vision of predictive maintenance. It discusses the key features of cellular automata, such as the grid-based representation of the material surface, the definition of state variables, and the rules governing cell-state transitions. The ability to model local interactions and emergent global behavior makes cellular automata particularly suitable for simulating corrosion processes. Finally, cellular automata models offer a powerful and versatile approach to studying corrosion processes, expanding models that can continue to enhance our understanding of corrosion and contribute to the development of effective corrosion prevention and control strategies.

Despite of being an exceptionally biodiversity rich country, the forest coverage of Bangladesh is declining at an alarming rate. Declaration and management of protected areas in this regard is one of the efforts from government side to tackle the loss of biodiversity. The limited numbers of forest-protected areas (FPA), established to conserve the dwindling forest biodiversity of the country with high pressure on them for timber, non-timber forest products, and fuelwood - makes their management challenging. Moreover, most of the FPAs of the country declared only in the recent decades with very limited infrastructure, manpower and policy support for monitoring and governance. Some people-centred approaches for the management of FPAs and alternative livelihood and income generation subsidies although made available through a few project interventions, their number are still inadequate and performance remains less than satisfactory. This chapter provides a critical review of the FPAs of Bangladesh looking at their role in biodiversity conservation, management challenges, and key lessons from previous management interventions with recommendations for the future. It has been revealed that the FPA system of Bangladesh still poorly represents the diverse forest ecosystems with relatively small forest size and lack of corridors for the movement of wildlife. There are ample opportunities to render co-management of FPAs an effective strategy to minimize the conflicts in FPAs management in the country. It is, however, important to ensure the access of local forest-dependent people to different alternative income generating options that may adequately support their livelihoods.

Cork oak mortality has reached alarming proportions in the last decades, exacerbated by climate change. Understanding this phenomenon is crucial in finding mitigation or adaptation strategies. This study conducts a diachronic analysis of cork oak mortality over 10 years using GIS tools, focusing on Portugal's Tagus Lezíria region. Topographic, edaphic and climatic variables were employed to create maps of edaphoclimatic aptitude for cork oaks. Dead trees were identified using remote sensing techniques and crown coverage was determined to calculate the mortality index. The diachronic analysis aimed to explore climate change effects on cork oak mortality. A decrease in precipitation was observed, significantly impacting stands with canopy cover below 40%. Furthermore, a negative effect of solar radiation identified only in stands with canopy cover of 40% suggested its role in cork oak decline. This study introduces a novel perspective, highlighting the protective effect of denser canopy cover (above 40%) against excessive solar radiation and the impact of reduced precipitation. The integrated and diachronic approach provides valuable information for adapting management strategies to climate change challenges.

Due to the impacts from climate change, the allocation of water resources must urgently be optimized worldwide to ensure that the needs of both water managers and farmers are balanced. In this study, manager-oriented and farmer-oriented assessment models were developed for irrigation water optimization and allocation. The distance from water sources and hydraulic head were the main factors in the manager-oriented assessment model; crop value, water demand of crops, and soil type were additional factors in the farmer-oriented assessment model. The developed assessment models were used to assess irrigation water allocation in five villages in Neimen District. Cadasters at high elevation were discovered to not be suitable for cultivation of crops because of the difficulties in constructing irrigation facilities and the loss of irrigation water during transportation. The result obtained from the manager-oriented assessment system was related to the costs involved in the construction and maintenance of irrigation facilities, which indicated that cadasters located at long distances from water sources and at high elevation are unsuitable for cultivation. By contrast, the result obtained from the farmer-oriented assessment system was related to the profits of farmers and revealed that more cadasters would be suitable for cultivation if suitable crops were chosen.

Abstract Background: Chronic pain is common among older adults and is associated with adverse physical and psychological outcomes. Given the expected burden and limited healthcare resources, an innovative and cost-effective method to manage chronic pain should be developed. Peer volunteers (PVs) have been used as an affordable alternative to professional services to help patients manage their chronic conditions including pain with success and acceptance. The aim of this paper is to explore the experiences and perceptions of PVs in a peer-led pain management program among nursing home residents. Methods: This longitudinal study formed part of a wider research study, a clustered randomised controlled trial, which investigates the effectiveness of a 12-week peer-led pain management program (PAP) in relieving chronic pain and enhancing pain self-efficacy among nursing home residents. Quantitative data were collected from questionnaires (demographics, pain situation and pain knowledge) for all PVs. Qualitative data (PVs’ experiences in leading the PAP, their perceived benefits, limitations and barriers encountered, its usefulness to the participants and recommendations for improving the PAP) were collected from focus group for a selected sample at baseline (before attending the training) and at week 12 (upon completion of the PAP). Data were analysed using the Statistical Package for Social Sciences and NVivo 8. Results: A total of 46 PVs were recruited (34 female, 74%), with mean±SD age of 61.0±5.1 years. Thirty-one PVs reported to have chronic pain. Before the training, self-rated pain knowledge was 39.1±20.4 (maximum 100 points). When actual pain knowledge was assessed, a mean pain knowledge score of 86.1±10.6 points was found. There was a significant difference between the self-rated pain knowledge and the pain knowledge score (p<0.001). PVs reported to have improvement in their knowledge and skills. No PVs reported negative comments regarding their role in the PAP, although experienced barriers such as communication, space and privacy were reported. Conclusions: This study provides further evidence that peer-led pain management program is feasible. Barriers identified may benefit the design and planning of future PAP. Trial registration: ClincalTrials.gov (NCT03823495), 30 January 2019. (Retrospectively registered).

The fact that individuals are spatially close to each other in the urban environment increases the potential number of encounters between them. Thus, theoretically speaking, the probability of interaction and social intercourse among people increases as they get closer to each other spatially. This reduction in spatial distance and propensity for larger networks can offer advantages in lower communication and transaction costs. However, there is also the possibility of entropy in a single (organizational) urban subsystem, characterized by reduced spatial distances between individuals that can lead to more toxic outcomes and the possibility of generalized deconstruction in an urban system as a whole. The current paper considers, through a theoretical model and secondary data analysis, how reductions in spatial distance between individuals in urban business organizations can lead to withdrawals of energy through toxic forms of entropic citizenship behavior, and lead to the development of toxic organizations. Such toxic organizations can ‘infect’ the urban system and lead to systematic entropic urban deconstruction. Practical, implications for management of the theoretical explanatory heuristic of toxic forms of organizational entropy and toxic organizations are briefly discussed in the paper.

Productivity has been modest in construction due to many reasons, especially project-specific operations and fragmentation. The main aim of this research is to map the challenges towards industrialization in construction through a comparative study of the manufacturing industry. An inductive approach and a qualitative method are followed by applying semi-structured inter-views, and node-based thematic analysis. The key elements of industrialization in mature man-ufacturing companies are benchmarked. The findings indicate a specific order of steps for indus-trialization in construction. Data and information management with achieved systematization have been sources of productivity in manufacturing companies. However, the systematization starts from the offering, construction companies need to define their offering, that is the products, and define their respective data. Only accurate and good quality data on products enables the systematization of order delivery processes, which are the engine for a company’s success or failure. Continuous efficiency improvement is only possible with systematized processes and respective data related to the processes. The originality involves clarifying the industrialization of construction companies via products, respective data, and processes considering industrialized manufacturing companies.

The paper's objectives are to identify the main benefits, limitations, and challenges facing using Blockchain technology in the Supply Chain Management (SCM). To explore the factors that affect the adoption and application of Blockchain technology in SCM. The study uses a systematic literature review methodology to analyze and compare selected related articles published between 2016 and 2022 on the usage of Blockchain technology in the SCM. Several studies showed that there are many benefits to using Blockchain technology in SCM such as enhanced security, confidentiality, traceability, transparency, data accuracy, privacy, efficiency, accountability, and trust. At the same time, there are many limitations and challenges like scalability, interoperability, legal (regulatory) issues, high implementation and maintenance costs, standardization and information, lack of trust in technology, high energy consumption, limited awareness, integration with current systems, and privacy. Blockchain technology has the potential to revolutionize various industries, but there are still several issues that need to be addressed to fully realize its potential. Understanding the benefits and difficulties of applying Blockchain technology in different industries, including the SCM, is essential in determining its effectiveness and the different strategies needed to assess its application and implementation.

Telemedicine has been increasingly considered an effective strategy to support patients with several diagnosis and therapies, avoiding the on-site visit and drastically reducing the risks to share infections. In the recent years, a number of different technologies have been developed and applied to clinical studies, with the aim to investigate new ways for increase the early diagnoses and monitor the clinical evolution of the most predictable diseases directly from the patients’ home. Telemedicine refers to all those technological interfaces used to remotely perform clinical procedures. Telemedicine applications could be useful in several medical fields, such as preventive medicine, home patient care, education for healthcare professionals and patients, research, public health, and health management. On the other hand, the synergy of these different technologies has a significant impact on the clinical risks analysis, particularly useful in frail patients. Although Telemedicine shows to have important advantages, undoubtedly important issues still remain. The present work aims to shed light on the main advantages and disadvantages related to of each application’s features, which may serve as a useful tool for researchers.

In Burkina Faso, the infant flours produced are intended for weaning-age and malnourished children. This study was to evaluate the management of infant flour production in Ouagadougou. A survey was conducted among the production units to determine the raw materials used in the production of infant flours, the production processes, the methods of conservation of raw materials and infant flours, the types of infant flours produced as well as their packaging. The results showed that 45.45% of the production units surveyed were of the semi-industrial type against 54.54% from the artisanal and CREN types. Among the raw materials, the most used cereals were millet, sorghum and maize. As for legumes, peanuts and soybeans were the most used at respectively 35% and 31%. For the conservation of raw materials, 85.71% of infant flour producers had storage warehouses and 66% used storage pesticides. These flours produced were intended for children of wean age (37.14%) and children in nutritional recovery (62.86%). Flours were stored in an airy (94.29%), dry area/environment (88.57%) and in the presence of light (91.43%). All the results of this survey reflect that efforts are still expected to further improve the nutritional and sanitary quality of the infant flours produced.

Aquaculture assumes a pivotal role in meeting the escalating global food demand, and shrimp farming, in particular, holds indispensable significance for the global economy and food security, providing a rich source of nutrients for human consumption. Nonetheless, the industry faces formidable challenges, primarily attributed to disease outbreaks, and the diminishing efficacy of conventional disease management approaches, such as antibiotic usage. Consequently, there is an urgent imperative to explore alternative strategies to ensure the sustainability of the industry. In this context, the burgeoning field of epigenetics emerges as a promising avenue for combating infectious diseases in shrimp aquaculture. Epigenetic modulations entail chemical alterations in DNA and proteins, orchestrating gene expression patterns without modifying the underlying DNA sequence by utilizing DNA methylation, histone modifications, and non-coding RNA molecules. Exploiting epigenetic mechanisms presents an opportunity to enhance immune gene expression and bolster disease resistance in shrimp, thus revolutionizing disease management strategies and optimizing shrimp health and productivity. Additionally, the concept of epigenetic inheritability in marine animals holds immense potential for the future of the shrimp farming industry. To this end, this comprehensive review thoroughly explores the dynamics of epigenetic modulations in shrimp aquaculture, with a particular emphasis on its pivotal role in disease management. It accentuates the significance of harnessing advantageous epigenetic changes to ensure the long-term viability of shrimp farming while deliberating on the potential consequences of these interventions. Overall, this appraisal highlights the promising trajectory of epigenetic applications, propelling the field toward strengthening sustainability in shrimp aquaculture.

Identifying and assessing risk is one of the most important processes in managing complex systems and requires careful consideration. The need for an effective, efficient approach to risk management is considerably more important for defense industries, because they are exposed to risk already in early stages of development. This paper uses Heterogeneity and Homogeneity analysis between risk factors with Cochran’s Q test and Multidimensional scaling in order to present the complexity of the risk factors relevant to defense SoS, and proposes a methodology for identifying, analyzing and monitoring the risks that they face. Findings from an in-depth analysis of 46 classified defense SoS shows a need to focus on three main risks faced by defense projects: insufficient human resources, changes in the original specifications, and lack of other (non-human) resources. The paper also presents some recommendations for minimizing risk factors in defense SoS.

Identifying and assessing risk is one of the most important processes in managing complex systems and requires careful consideration. The need for an effective, efficient approach to risk management is considerably more important for defense projects based on systems of systems (SoS), because they are exposed to risk already in early stages of development. This paper uses advanced data science tools to present the complexity of the risk factors relevant to defense systems, and proposes a methodology for identifying, analyzing and monitoring the risks that they face. Findings from an in-depth analysis of 46 classified defense projects based on SoS shows a need to focus on three main risks faced by defense projects: uncertainty, the lack of clearly defined goals, and managing a system under constrained conditions. The paper also presents some recommendations for minimizing risk factors in SoS for defense projects.

The need to consider sustainability has substantially increased the complexity of implementing construction and infrastructure projects and new management practices have emerged during the past decade to tackle the global sustainability challenges, where the engagement and coordination of broader competences from stakeholders throughout the supply chain is required. This new project management paradigm has been accompanied by greater attention to the concept of collaborative business arrangements, often called partnering, that has emerged in construction and infrastructure projects to improve project deliveries. However, there are uncertainties about the optimal strategy to foster, integrate and maintain the required collaboration, particularly in sustainable management practices in infrastructure maintenance projects. This paper addresses these uncertainties, based on a single case study of an infrastructure maintenance contract involving an extensive collaborative business arrangement. The findings reveal that different collaborative practices affect diverse aspects of sustainable project management. Further, the extensive collaborative business arrangement has promoted sustainable deliveries based upon organizational learning and continuous improvements. Thus, this study offers an encouraging example of how extensive collaboration can be fostered and play a key role in sustainable project management practices.

The specialisation and intensification in agriculture have increased the productivity but have also led to the spread of monocultural systems, simplifying production and reducing genetic diversity. The purpose of this study was to propose crop diversification as a tool to increase biodiversity and achieve sustainable and resilient intensive agriculture, particularly in areas with water scarcity. In this paper, a combined Life Cycle Assessment (LCA) and Life Cycle Costing (LCC) was applied to evaluate the environmental and economic sustainability of a differentiated system of cultivation (pomegranate, almond and olive), according to modern intensive and superintensive cropping systems. Based upon the results obtained, it is deduced that pomegranate cultivation generated the highest environmental load, followed by almond and olive. From the financial analysis, it emerged that almond is the most profitable, followed by pomegranate and olive.

Household waste is the primary source of environmental pollution due to global population growth compared to other sources of waste. This research aims to develop a smart and integrated household waste management system framework. The resulting framework not only focuses on dimensions of information technology but also links it with other integrated dimensions. This research attempts to conduct a Systematic Literature Review (SLR) using the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) protocol to produce a smart and integrated household waste management framework. The framework's design is carried out by identifying the type of household waste management process based on the Integrated Sustainable Waste Management (ISWM) framework, dimensions that support smart household waste management, and stakeholders involved. The SLR results, namely dimensions and subdimensions that support the framework of a smart and integrated household waste management system, were validated by a resource person from the Indonesian Ministry of Environment and Forestry. The smart and integrated household waste management framework that has been developed in this research contains five main dimensions: Information Technology, Operational Infrastructure, Governance, Economy, and Social-culture. This framework also addresses stakeholder engagement to support smart household waste management systems and identifies waste management processes based on the ISWM framework. This research uses the PRISMA technique to provide a framework for smart and integrated household waste management systems in the initial stage. The proposed framework has been validated and can be further developed as a smart and integrated household waste management system. This research also contributes to the involvement of various dimensions identified to deal with waste problems.

This paper addresses pastoral resilience by drawing out the coping strategies and mechanisms utilized by the Maasai Pastoralists through a food system approach, based on the study findings of an anthropological study of pastoralism in Laikipia County, Rift Valley, Kenya. This paper is guided by the specific objectives aimed at establishing actors and their roles, and describing the institutional settings and changes in pastoralism. Using a new institutionalism approach, the paper focuses not only on the actors and their roles in pastoralism but also on how internal and external forces regulate access and use of common pool resources (CPRs) resulting in sustainability of the food system. We argue that this has an impact on the practice of pastoralism that continually defines and redefine the actors’ roles as well as elicit the value of pastoral economies and benefits accrued to a wide range of actors hence reinforcing pastoral resilience. The study also identified institutional settings and changes that lead to pastoral survival resulting from the country’s devolved system of governance. Data collection was through in-depth interviews, key informant interviews, focus group discussions and unstructured observations in the pastoral regions. The findings reveal that actors at the household, state, non-state, and service providers have developed varied coping strategies and mechanisms that sustain pastoralism. The study also identified institutional settings and changes that promote pastoral resilience; notably, private land ownership patterns, co-management of livestock markets, commercialization of herding, decentralization of livestock services, holistic management of pasturelands and the use of water-shed management plans. As a result, increased scholarship and advocacy in regards to the concept of co-management of livestock markets, is recommended as a means of understanding pastoral resilience that the food system exhibits.

The American leafhopper Erasmoneura vulnerata, detected in Europe in early 2000s, has recently become a pest in North-Italian vineyards. Issues were recorded in organic and conventional vine-yards despite the application of insecticides devoted to the control of other pests. Erasmoneura vulnerata completes three generations, and the second generation is frequently associated to large populations. The selection of appropriate active ingredients and the timing of their application is crucial for effective pest control. Field trials were carried out in North-eastern Italy, using a randomized design, to evaluate the impact of insecticides applied against other grapevine leafhoppers on E. vulnerata populations. The beginning of the second generation was selected as best timing for insecticide application. For a number of natural products, two applications were planned. Among the selected insecticides, the most effective were acetamiprid, flupyradifurone and lamb-da-cyhalothrin. Regarding natural products, the most effective was kaolin that could represent an alternative to pyrethrins in organic vineyards. The identification of pest threshold levels and the evaluation of side effects of the most effective insecticides on key natural enemies occurring in vineyards are required

This paper is introducing KABADA (Knowledge Alliance of Business Idea Assessment: Digital Approach) unique tool, together with opinions of young people about entrepreneurship, their skills and experience with this tool. The focus is on non-business students who study natural sciences, engineering and other areas at the Faculty of Forestry and Wood Technology at Mendel University in Brno, Czech Republic. KABADA tool has been developed and tested by a team of international experts. It can be used to improve forester management. This structured, Web-based, platform which is based on theoretical research, relevant statistics, and artificial intelligence insights, guides entrepreneurs through every step of the way including what challenges and opportunities lie ahead. The research included survey answers from 60 university students before and after using KABADA tool. The results show that students are interested in entrepreneurship but do not have the knowledge, experience and support from curriculum. Majority of students had no or very low experience with entrepreneurship nor any entrepreneurship training or study course before. After using the tool, students declared to have higher knowledge of entrepreneurship and the number of students who intended to become an entrepreneur increased. The tool is available on-line, free of charge.

Social sustainability is the major concern of planners and local officials when urban renewal projects are being conducted. Extreme individualism can potentially cause conflicts of interest, making urban renewal in Western cities fraught with various types of social risks. As a country with deep-rooted socialist tradition, urban renewal projects in China are influenced by collectivist culture and show different features from those of the West. The objective of this research is to investigate how different stakeholders in urban redevelopment projects, including local residents, social organizations, the local state, and developers, interact with each other and how the associated social risks are hedged against. Using a recent well-known project in the city of Guangzhou, the authors attempt to present the latest progress in social risk management in China. With the support from a government-sponsored project, the authors have conducted a questionnaire-based survey and year-long follow-up fieldwork. Using ATLAS.ti software, we found that that “residents’ demand”, “status of collaboration”, and “degree of trust” are the keys to risk management. The results of an ordered probit model show that residents are worried about the overall planning, the relocation timetable, and whether their personal needs are taken into account. It is also indicated that the timely disclosure of project information, high-quality public participation, and a reasonable compensation plan can possibly boost the support rate. The authors suggest that utilizing China’s collectivist culture could be an effective way to mitigate social risks, and residents’ personal interests should also be respected.

Computer systems that operate in remote locations such as satellites, remote weather stations and autonomous robots are highly limited in the availability of energy for their operation. This work aims to employ artificial intelligence algorithms in energy management in order to obtain the maximum energy yield and the prediction of energy availability to the system. The work presents the main types of algorithms used in artificial intelligence and presents the creation of a prototype that will operate as a low power system powered by batteries and a small solar plate, the prototype will perform inferences on the LSTM neural network algorithm in order to predict the future availability of energy, consequently the management system will carry out the energy distribution in order to obtain the maximum operation of the prototype without total discharge of the batteries. So that the artificial intelligence system could be embedded in the prototype, the TensorFlow Lite framework was used, which allows the inference to be carried out in devices with low consumption and limited processing power.

Flash flooding is one of the most devastating natural events that leads to enormous and recurring loss of life. Kuwait was subjected to severe rainstorms in the winter of 2018 and 2020 followed by an extreme violent flood that had not been known in Kuwait since 1976. It resulted in several geomorphological and environmental impacts in urban and desert areas. This produced some positive results, such as geomorphological activity in landforms, the flow of some valleys and the prosperity of wildlife in the Kuwaiti desert. Negative results included some problems in the metropolitan area and destruction of some road networks that intersect the main valleys, and which were not equipped with crossings for avoiding floods. There was also the emergence of some problems in the infrastructure. Study of flash floods requires the involvement of all scientific and executive bodies to avoid environmental risk. The study aims to: 1- Monitor geomorphological and environmental changes. 2- Assess the impact of floods in the urban areas and on infrastructure. 3- Modeling the impact. 4- Creating solutions and adaptions to the flash flood. The study uses several methods such as remote sensing (RS), geographic information systems (GIS), hydrologic modeling and fieldwork to evaluate the impact of flash flood hazards on the sustainable urban development of Kuwait state. This approach is rarely used in Kuwait. We propose a novel method that could help decision-makers and planners in determining inundated flood zones before planning future urban developments in Kuwait, and help them to manage flood water, by identifying the most appropriate places for storage to exploit water in agriculture and drinking.

Lake Chapala is a natural ecosystem of Mexico, declared Ramsar site, currently, is an area with importance in the agricultural sector, tourism, and important source of drinking water in the Metropolitan area of Guadalajara, considered as a thermo regulatory body. This study used tools such as Rhtest, as well as analyzing extreme climate indices using RClimdex. In addition, the relationship with the change in water surface of Lake Chapala was assessed through the NDWI index, using Landsat images, between 1985 and 2018. According to the obtained results, the signs of climatic variability are detected in the study region, which, directly affects the basin runoff and water levels in the lake, as well as, the factor of water overexploitation in the basin, so it is considered that the lake conditions mostly depend on the type of management that is given to the resource. Finally, the results will help the understanding of climate variability and its water resources influence of the Lerma Chapala basin, which will assist in future research.

Introduction and Objective: Caudal block has been used in children for many years and is considered the gold standard for multimodal analgesia in the pediatric age group. Caudal block belongs to the category of central neuraxial blocks, which can provide both visceral and somatic analgesia. With the introduction of ultrasound into the clinical practice of anaesthesia, the caudal block is now performed under USG guidance. In our study, we aimed to compare the efficacy of a single caudal block in postoperative acute pain management, the need for additional analgesics, the incidence of side effects, the timing of initial analgesic administration, and the need for rescue analgesic administration (paracetamol 10 mg/kg) in circumcision surgery. Materials and Methods: 120 patients undergoing circumcision surgery were divided into 3 groups. The caudal block was performed in all cases under USG guidance. Only the caudal block was applied for cases in the Caudal group (Group C). The Caudal + paracetamol group (Group CP) received paracetamol 10 mg/kg intravenously (i.v.) and the caudal block. Patients in the Caudal + meperidine group (Group CM) received 1 mg/kg meperidine intravenously. The caudal block was performed in each case with a 0.5 ml/kg volume of 0.125% bupivacaine. Results: As a result of our study, it was found that the least postoperative pain occurred in 12.50% of the CM group (p=0.011). Significant results were obtained when weight and age variables were analyzed according to the groups (p-values p=0.011 and p=0.003, respectively). Significant differences were found between the input pulse values, 5-minute pulse values, 15-minute pulse values, and input SpO2 values (p values p < 0.001, p < 0.001, p=0.011, p=0.037, respectively). Only Wong-Baker pain scores at the 24th hour differed significantly from the periods measured after the groups (p < 0.001). There was no significant difference between the FLACC and Wong-Baker pain scores in the other periods. There was no difference between the groups regarding the time when postoperative analgesics were administered and the total amount of analgesics administered (rescue analgesic 10 mg/kg oral paracetamol) (p=0.408, p=0.238). Conclusion: Caudal block can be safely applied during circumcision. Ultrasound guidance increases the chances of success and reduces the complication rate. Caudal block can be safely used in pediatric surgery since it does not cause serious complications, has low postoperative pain scores, and reduces the number of postoperative analgesics.

Background: Assessing the impact of bone health clinical management in breast cancer (BC) patients receiving adjuvant endocrine therapy and designing a personalized clinical pathway to reduce bone loss, in an Italian research hospital. Methods: The primary endpoint was to assess (through the process improvement organizational method) the clinical pathway that post-surgical BC patients prescribed with endocrine therapy undergo to prevent bone loss. The secondary endpoint was to design a personalized clinical pathway for a prompt implementation of guidelines, to assess and possibly prescribe antiresorptive therapy. Results: During the first year of the new diagnostic therapeutic assistance pathway execution, an 60% increase in Dual-Energy X-ray Absorptiometry evaluations within 30 days and a 39.5% increase in antiresorptive therapy prescription within 90 days (since prescription of endocrine therapy) were shown, thus increasing patients’ compliance. Conclusion: Case managers and bone health specialists in this context can improve patients’ adherence to therapies and bone health, helping physicians to expand their collaboration.

Precision agriculture including camera-guided row detection and hydraulic steering are often used as an alternative because crop damage can be decreased and driving speed can be increased comparable to herbicide applications.The effects of different approaches as uncontrolled (UC), mechanical weed control (MWC), herbicide weed control (HWC) and mechanical + herbicide control (MWC+HWC) on weed density and yield of sugar beet were tested and evaluated in two trials (2021 and 2022) in South Transylvania at the tested intervals BBCH 19 and 31. Weed control efficacy (WCE) depends on the emergence of the weeds and a good timing of weed controls in all the trials and methods, though the highest yield of sugar beet roots was recorded in the treatment MWC+HWC, with an increase up to 12-15% (56.48 t ha-1) yield from HWC (50.22 t ha-1) and a yield increase of more than 35- 40% than MWC (42.34 t ha-1). Our trials show that is possible to increase yield and have less chemical applications with the introduction of the new precision technologies in agriculture included here the sensor-guided mechanical controls.

This document aims to adapt the dimension of the Socially Responsible Brand Personality (SRBP), proposed by Mayorga (2017), in the midst of the Covid-19 pandemic. The interest of this work is to contribute with the management of the CSR, contributing from a communicational perspective with a tool that optimizes the construction of a socially responsible image by the different stakeholders. The results allow us to conclude that there is a structural modification of the brand personality, which can be presumed to be generated by the current environment and can be established as a pillar of CSR management in the new normality.

Gelatin industry residues are increasingly used as fertilizer and soil conditioner. However, correct residue dosage is critical for grass development and minimizing environmental impacts. This randomized block design study determined adequate dosage of Mixed Gelatin Sludge (MGS) for Marandu grass production in wet/dry seasons in Brazil. Five MGS levels (0%–200% of required nitrogen) were compared to mineral fertilizer. Agronomic/productivity characteristics, bromatological composition, macro/micro-nutrient composition of leaves, and soil chemical attributes were evaluated. Agronomic/productivity characteristics were influenced by MGS dose in both dry/rainy seasons, except for leaf blade pseudostem ratio and percentage of leaves/pseudostem. Bromatological composition was influenced by MGS doses in dry/rainy seasons except for dry/mineral material quantities. Marandu leaf tissue chemical composition was significantly influenced by MGS dose, except for potassium, boron, and iron. Chemical composition of four soil layers between 0–50 cm influenced GMS dose, except for pH, organic matter, magnesium, copper, manganese, and zinc. GMS dose for Marandu production should be 200% of nitrogen (N) requirement. GMS application increased productivity/quality of Marandu grass. Macronutrients (N, phosphorus) and micronutrients (Ca, Mg, S, Cu, and Zn) increased in Marandu grass and in the soil (Ca, S, and Na). Increased sodium (Na) level was not limiting.

Enterprise risk management (ERM) was introduced in the 1990s and has become an expectation by boards of directors and regulators as a sign of good management and good corporate governance. However, many organizations struggle to implement ERM, and still seek practical ad-vice on ERM implementation. This article explains many of the reasons why organizations are unsuccessful in their efforts at implementation and provides practical solutions by an experienced risk manager and consultant, an ex-Chief Risk Officer, and an academic, all who has writ-ten extensively in the subject. This article should be of interest to practitioners involved in implementing ERM, to consultants in ERM, and to academics teaching courses on ERM, risk management, and related topics. This article also provides a base against which further future re-search can be done as ERM best practices continue to evolve.

Grasslands are at risk of degradation due to unsustainable management practices and climate change. Sustainable grassland soil management can promote ecosystem service delivery and improve the resilience of the entire grassland ecosystem to anthropogenic change. Here, we re-view the principal soil quality indicators (SQIs) and how they have been used to evaluate the sustainability of different grassland management practices globally. We then discuss sustainable grazing management practices, before reviewing some novel grassland species which may im-prove grassland resilience with relevance for grassland management in Europe and the UK. We also give an overview of current sustainable grassland management methods and their assessment at field scale. From this, we suggest that sustainable Grazing Management Plans (GMPs), together with the testing of drought-resistant grass species and appropriate SQIs monitoring, is key to increasing resilience of grassland ecosystems to anthropogenic change.

In the context of the pandemic caused by Covid-19, an important aspect that was affected and changed was the way people communicate. Communication efficiency can be improved by using modern technologies, for example: mobile devices, digital audio and video platforms, text platforms, social media and more. For further economic success, digital skills are needed not only for executives, but also for managers, in order to be able to lead teams and avoid situations of stress and tension in the virtual environment. This scientific paper includes a primary research of how the pandemic affected the communication at the workplace. For this a qualitative analysis was first performed, in which the interview was used as a working tool. Next, on the basis of a questionnaire, a hypothesis was formulated and validated afterwards through multiple linear regression. This research highlighted the particularly important role of communication and, in this context, the role of the remote team leader. In order to keep the team motivated and interested in the virtual environment, the manager must use modern tools to motivate, support and express his appreciation when the team, respectively the members of his team, achieve their goals successfully.

Solid-state lighting has been replacing conventional lighting in the market, raising concerns for implementing an efficient end-of-life management system. Since LED waste streams have not been quite dominant, characterization studies (product-level characteristics, component-wise information, bill of materials, diversity, and differences) are inconsistent and having substantial gaps. This study investigates the end-of-life LED lamp literature, focusing on the bill-of-materials, and reveals that the characterization procedure suffers from a severe lack of sample representativeness. Consequently, characterization results are widely varied and not generalizable. Moreover, most of the studies did not inform and document the detailed sample characteristics, precluding the possibility of identifying reasons for variation. Combining available information from the recent studies, we present a mass distribution at the component level, exemplifying the prospect for meeting EU regulatory limit and the need for more insight at the lamp and component level. To fill the disconnection between lamp level characteristics and component and material content, we propose a characterization protocol that carefully documents lamp, component, and material level information by establishing a lamp-component–material composition nexus. The protocol may help researchers, policymakers, and industrial stakeholders conduct a systematic characterization, analyze complexities and prepare for a sustainable solution.

Rapid technological advancements in information communication technologies have enabled water resource data collection at greater spatial and temporal scale. However, this water data is often limited to the purposes of its primary collection, and limits decisions made by stakeholders towards sustainable urban water management. This empirically focused research paper examines how water practitioners involved in strategic planning can capture additional values from integrating different water data. Furthermore, the perception of 22 urban water practitioners across Australia are presented, regarding the importance of and difficulty in using water data for strategic planning, and the necessary steps for achieving integrated water management practices. Interviewees perception revealed gaps in available water resource data (i.e. water quality, ground water, stormwater, and urban water use), and limitations of industry guidelines for operating within existing governance frameworks. Overall, the research highlights the Australian urban water sector’s perception of water data’s crucial role in representing stakeholders interest; however, changes made in water data’s collection are required for an integrated water management approach. Implications for future open water data standard are discussed.

The move towards a new Circular Economy (CE) economic model has been advocated and supported in Portugal, however, there is limited research on this topic. To address this gap, a quantitative research based on an online survey was carried out among 99 Portuguese organizations, encompassing a wide range of sectors and sizes. The results show that CE is regarded as a strategic and relevant issue for profitability and value creation. Furthermore, the perception that it requires the adoption of new business models in addition to the classical “reduce, reuse, and recycle” approach is growing. Moreover, based on the hypotheses raised, results suggest that the level of CE adoption is positively impacted by the status of the EMS (Environmental Management System) certification and the willingness to improve the environmental performance and achieve a sustainable business model. However, CE activities are still relatively modest and a friendlier context (fiscal, legal, organizational, etc.) and the stronger support from supply chain agents and consumers are required. Future research should focus on how to design and shape the transition from a linear to a CE economy, and to ascertain if the positive attitude towards CE is materialized in changing the way business is done.

In the contemporary construction management, poor project performance, cost overrun, and low-quality construction have become a central point of attention for improving project performance including information, interaction and communication management. virtual design and construction and building information modelling play indispensable role in improving the project performance. The aim of this study is to propose a Virtual Information Modeling as a novel information and communication technology method with potential to overcome problems in the construction industry. Using one-sample t test with Kolmogorov-Smirnov approach, we analysed data collected from structured questionnaire survey involving project managers working at architecture, engineering and construction industries in Tehran, Iran. The results suggest that the most important benefits and challenges of using Virtual Information Modeling are related to the area of integration, and implementation of Virtual Information Modeling has the greatest impact on this area of project management knowledge. Thus, integration should be considered a top priority for construction companies implementing Virtual Information Modeling in their projects. Policymakers should understand that careful management of virtual information is essential for improving the performance of projects and enhancing the process efficiency.

Effective solid waste management is crucial for protecting public health and the environment. Global concentration on finding sustainable methods of handling waste continue to top the list of most governmental-related project checklists. This paper provides a case study on the management of municipal solid waste in the cities of Karlsruhe, Germany and Navrongo, Ghana as developed and developing countries respectively. This study aimed at comparing and drawing lessons from how these two different cities manage their solid waste. The waste management system in Karlsruhe prioritizes waste separation, recycling, and a pay-as-you-throw system has led to an efficient and sustainable waste management system that minimizes waste and protects the environment. Karlshrue's adoption of a continual developmental plan structure focused on integrated WM concepts is credited with safeguarding the long-term viability of waste management in the city. In contrast, Navrongo's waste management system faces several challenges, including inadequate resources and infrastructure, traditional waste disposal practices, and the lack of well-planned waste management strategies. To improve effective solid waste management systems in Ghana, a collaborative approach involving the government, local organizations, and the community is necessary. This can include investing in infrastructure, implementing waste separation and recycling programs, and educating the public on the benefits of sustainable waste management practices. Learning from successful models like Karlsruhe can help accelerate the development of sustainable waste management practices in Ghana, and ultimately protect public health and the environment.

In recent years the yield of fruits and vegetables have been decreasing in Colombia, threatening national food security. Analysis of crop production data may lead to identifying cropping systems that have shown better adaptability to changes in climatic and non-climatic factors associated with agricultural production. The open database AGRONET keeps data of the agricultural activities conducted in Colombia, allowing to find the information organized by crops, regions and years; each row of the database registers farm information in Colombia. Aiming to identify resilient crops systems, agricultural data of fruits and vegetables were analyzed. First, trends in crop production were studied by year and locations, detecting the regions and crops with highest yields in the period from 2006 until 2020. Then, mixed linear regression and principal components analysis were applied to elucidate the relation between non-climatic factors and crop yield. In Colombia, vegetable production was more efficient than fruits, observing yields of 10.23 and 13.33 t ha^-1, respectively. On the other hand, the Colombian central region showed high yields for vegetables, while for fruits this was exhibited in northern and eastern locations. In the present study, yield variation responded to changes in the location of crop systems, while years had no effect on vegetable production. Furthermore, the price of the agricultural product and the cost of fertilizers were associated with the yield of the analyzed crops systems. In Colombia, carrot, cabbage, tomato papaya and pineapple are resilient crops whose yield increases especially by the regions where they are cultivated.

This research was carried out with the objective of analyzing the principles of social and solidarity economy in the community funds of the rural sector of Pichincha, Ecuador. Small organizations promote microcredits for local, social and economic development, representing an alternative to those managed by traditional banks. The research was descriptive, non-experimental field research. The population analyzed consisted of 220 community funds, and the size of the representative sample was 49 community organizations that practice solidarity finance. The data were collected through online questionnaires using a Likert scale, and the validity of this approach was judged by experts; the reliability of the instrument obtained was 0.95 using the Cronbach’s alpha method. The results highlight that in these organizations, the following traits prevail: associativity, self-management and organization. However, autonomy and solidarity have a negative valuation, which shows that strategies must be rethought to achieve the empowerment of the financial service. This will allow them to be sustainable and to expand with more benefits that promulgate financial activity and promote structures in rural community networks that promote local development and strengthen deficient principles as a basis for generating a greater benefit to the partners.

Marfan syndrome is an autosomal dominant genetic connective tissue disorder that results from mutations in the fibrillin-1 gene located on chromosome band 15q 15–21. Fibrillin, a glycoprotein, is widely expressed throughout the body and contribute to elasticity and force-bearing capacity of connective tissue. In the eye, fibrillin is a key constituent of the ciliary zonules, which suspend the crystalline lens in place. The zonular defect leads to ectopia lentis that is hallmark of Marfan ocular abnormalities and occurs in 60 to 80% of cases. Other less common ocular features of Marfan syndrome are increased axial length, astigmatism, and flat cornea. Visual function in Marfan syndrome could be affected in several ways: ectopia lentis, refractive error, amblyopia, retinal detachment, cataract, and glaucoma. Management of subluxated lens starts with correction of refractive error with eyeglasses in mild cases. In more severe cases, especially when lens bisects the pupil, complete correction of refractive error is impossible without removing subluxated lens. The best method for visual rehabilitation after lens extraction is still debated. Aphakic Artisan implantation at the time of subluxated lens removal results in good visual outcomes with acceptable safety profile. Studies with longer term follow up and larger sample populations are needed to evaluate the safety of this procedure in patients with Marfan syndrome.

Analytical data platform have been used for decades for improving the organizational performance. Starting from the data warehouses used primarily for structured data processing, through the data lakes oriented for raw data storage and post-hoc data analyses, to the data lakehouses − a combination of raw storage and business intelligence pre-processing for improving the platform efficacy. But in recent years a new architecture called Data Mesh has emerged. The main promise of this architecture is to remove the barriers between operational and analytical teams in order to boost the overall value extraction from the big data. A number of attempts has been made to formalise and to implement it in existing projects. Although being defined as a socio-technical paradigm, data mesh still lacks the technology support for enabling its widespread adoption. To overcome this limitation, we propose a new view of the platform requirements alongside the formal governance definition that we believe can help in successful adoption of the data mesh. It is based on fundamental aspects such as decentralized data domains and federated computational governance. In addition, we also present a blockchain-based implementation of a mesh platform as a practical validation to our theoretical proposal. Overall, this article demonstrates a novel research direction of the information system decentralization technologies.

This study utilizes the Random Forest technique to investigate risk management practices and concerns in Islamic banks using survey data from 2016 to 2021. Findings reveal that larger banks provide more consistent survey responses, driven by their confidence and larger survey budgets. Moreover, a positive link is established between a country's development, characterized by high GDPs and low inflation and interest rates, and the precision of Islamic banks' survey responses. Analyzing risk-related concerns, the study notes a significant reduction in credit portfolio risk, attributed to improved risk management practices, global economic growth, stricter regulations, and diversified asset portfolios. Concerns related to terrorism financing and cybersecurity risks have also decreased due to better enforcement of anti-money laundering regulations and investments in cybersecurity infrastructure and education. This research enhances our understanding of risk management in Islamic banks, highlighting the impact of bank size and country development. Additionally, it emphasizes the need for ongoing analysis beyond 2021 to account for potential COVID-19 effects and evolving risk management and regulatory practices in Islamic banking.

Anomaly detection is an active area of research with numerous methods and applications. This survey reviews the state-of-the-art of data-driven anomaly detection techniques and their application to the the aviation domain. After a brief introduction to the main traditional data-driven methods for anomaly detection, we review the recent advances in the area of neural networks, deep learning and temporal-logic based learning. We cover especially unsupervised techniques applicable to time series data because of their relevance to the aviation domain, where the lack of labeled data is the most usual case, and the nature of flight trajectories and sensor data is sequential, or temporal. The advantages and disadvantages of each method are presented in terms of computational efficiency and detection efficacy. The second part of the survey explores the application of anomaly detection techniques to aviation and their contributions to the improvement of the safety and performance of flight operations and aviation systems. As far as we know, some of the presented methods have not yet found an application in the aviation domain. We review applications ranging from the identification of significant operational events in air traffic operations to the prediction of potential aviation system failures for predictive maintenance.

The study aimed to showcase how implementing a patient blood management (PBM) program effectively cut unnecessary red blood cell (RBC) transfusions in a New York City urban community teaching hospital. Analyzing seven years from 2013 to 2019, a retrospective review of RBC transfusions was conducted. Following PBM introduction, considerable improvements were observed annually. These included a drop in mean pretransfusion hemoglobin levels from 7.26g/dL (2013) to 6.58g/dL (2019), a 34% reduction in yearly RBC unit transfusions, and fewer units given to patients with pre-Hgb levels ≥7g/dL (1210 units in 2013 to 310 units in 2019). Furthermore, the study noted a decline in two-unit RBC orders when Hgb levels were ≥7g/dL from 65 orders in 2013 to merely 3 in 2019. The estimated total cost-savings attributed to the six-year PBM program duration after full implementation in 2014 amounted to $2.1 million US dollars. Overall, PBM implementation significantly decreased RBC transfusions and enhanced transfusion practices. The findings emphasize that successful PBM strategies don't always necessitate extensive resources or increased budgets but instead rely on the application of intuitive methods, as evidenced by this study.

The standard of care for nonoperative appendicitis patients involves ongoing antibiotic therapy. Yet, there is variability regarding the decision to continue outpatient parenteral antibiotic treatment (OPAT) or transition to oral (PO) antibiotics. Methods: In our single-center retrospective study, we reviewed 46 pediatric patients who underwent nonoperative management of perforated appendicitis with Interventional Radiology (IR) percutaneous drainage. We reviewed age, ethnicity, hospitalization length, antibiotic choice, route and duration, and culture data. Results. Thirty-eight [83%] patients went home on OPAT, 6[13%] on PO, and 2[4%] completed therapy while inpatient. Based on culture susceptibilities of the 38 OPAT patients, 29[76%] had oral antibiotics as an option. The three most common organisms in those sent home on OPAT included Enterococcus faecalis (38 [100%]), Bacteroides spp (33 [87%]) and Escherichia coli (27 [71%]). All patients who grew Pseudomonas aeruginosa had an oral antibiotic as a treatment option; similarly with 93% (25/27) of E. coli, 81% (13/16) of α-hemolytic Streptococcus spp, and 76% (29/38) of Enterococcus faecalis.  Conclusions:  Nearly 80% of patients sent home on OPAT had PO antibiotic regimens options based on the culture susceptibility profiles. This data indicates that using cultures and susceptibility data can help guide antibiotic management, significantly reducing PICC line placement and likely reduce healthcare costs and complications associated with central lines.

Rubbish in a forest environment is a great threat to this ecosystem, but this threat may also apply to the lost benefits for visitors to the forest. Previous studies proved that forest areas have a positive effect on obtaining psychological relaxation in the people visiting them. However, it was not known whether this restorative experience could be disturbed in any way by the presence of an open dump in the forest. To check how the presence of a landfill affects the visitors, an experiment was planned in which the respondents observed a forest area with a landfill and a forest landscape without a landfill for 15 minutes (control). The respondents then assessed the landscape using the semantic differential method and the Perceived Restorativeness Scale (PRS). An analysis of these observations showed that the presence of a landfill in the forest significantly changed the appreciation of the landscape by the respondents, the values of positive experiences decreased, and the negative experiences increased. Restorativeness was also reduced. Based on the results, it can be concluded that the presence of garbage in the forest may interrupt the restorative experience of its visitors.