Study of Increasing Business Performance Through the SiFATI Approach and Its Implications in Business Conditions (Study of the Food Industry in Southeast Sulawesi Province)

Empirical facts prove that a lot of the food industry in Southeast Sulawesi Province is unable to maintain its business continuity. Based on data from the Department of Industry and Trade of Southeast Sulawesi Province, in 2012 the number of food industries was recorded at 463 business units. This number became 452 business units, down 2.38 percent in 2013. Furthermore, in 2014 the number of food industries was recorded at 465 business units or an increase of 2.88 percent. Then in 2015 it became 417 business units or fell 10.32 percent and in 2016 it became 339 business units or down 18.71 percent. This means that there are 124 food industries unable to maintain their business continuity. Therefore this study aims to improve business performance through the SiFATI approach, namely: (1) Effect of business morals on the performance of the food industry. (2) Implications of business performance on business continuity. (3) The moderating effect of the policy of the Regional Government of Southeast Sulawesi in strengthening the influence of business morals on business performance. The method used in this study is the survey method, which is conducting a field survey of the food industry that was used as the research respondent in the Southeast Sulawesi Province with a sample of 150 business actors distributed in Kendari City and Baubau City. The data analysis technique uses (1) qualitative descriptive, (2) quantitative analysis with PLSSmart program tools. The results of the study concluded that business performance can be optimized or improved through the SiFATI approach. In this case: (1) Business morals have a significant positive effect on the performance of the food industry. (2) Business performance has significant positive implications for business continuity. (3) Southeast Sulawesi Regional Government policies can moderate the influence of business morals on business performance. Thus the factors that cause the inability of businesses to maintain the viability of their business are business morals, government policies, and business performance. Therefore the right approach model is the SiFATI model (Sidig, Fathanah, Amanah, Tabliq, Istiqamah). Keywords: Business performance, SiFATI approach, business continuity DOI: 10.7176/EJBM/12-3-01 Publication date: January 31st 202

Identification and Analysis of Regional Economic Growth Patterns in The New Autonomic Area of the South Sulawesi Province

Economic growth in Southeast Sulawesi Province is 6.57% per year with an increase of 0.04% during 2014-2018. Specifically for the New Autonomous Region, East Kolaka Regency is 6.73% with a decrease of 0.69%. Muna Barat 6.96% with a declining development of 0.24%. Likewise, Central Buton's economic growth 5.88% with a with a declining developmen of 0.05% (Central Statistics Agency of Southeast Sulawesi, 2019). These conditions are real conditions that occur, so that requires improvement through regulation. Research objective: (1) Provide solutions for new autonomous regions that are potentially left behind or left behind to become developed regions.(2) Providing solutions for underdeveloped economic sectors and becoming development priorities in the New Autonomous Region.(3) Providing solutions for increasing the contribution of the New Autonomous Region's Gross Regional Domestic Product.(4) Providing solutions for increasing the value of the New Autonomous Region's economic interaction with the surrounding areas. The location of this study was determined purposive, in three Autonomous Regions namely West Muna Regency, Central Buton Regency, and East Kolaka Regency. Data collection techniques use Document Study, Interview Guidelines and Focus Group Discussion. Data analysis techniques used are Klassen Typology analysis, Location Quetient Analysis, Shift Share, percentage contribution and gravity analysis. The results of the study concluded: (1) Typology of the New Autonomous Region in Southeast Sulawesi Province was generally lagging. For West Muna Regency, it has the potential to be left behind, Central Buton is left behind. Nevertheless, East Kolaka Regency is included in the typology of prosperous regions. (2) The economic sectors that are still underdeveloped and become a priority of development in the New Autonomous Region

Giant cell temporal arteritis: a clinicopathological study with emphasis on unnecessary biopsy

IntroductionTemporal artery (TA) biopsy is commonly used for the diagnosis of giant cell arteritis (GCA). However, a positive biopsy is no longer mandatory for diagnosis. This study aims to correlate the histopathological findings of TA biopsies in suspected cases of GCA to the clinical presentation in an ophthalmic tertiary eye care center to draw useful conclusions and advocate the possible implementation of guidelines for TA biopsy.MethodsData was collected from patients’ medical records including, demographics, clinical data, and histopathological findings and diagnosis. The 2022 American College of Rheumatology/ European Alliance of Associations for Rheumatology (ACR/EULAR) criteria have been used and partially adopted as a guide to compare the variables between TA biopsy-positive and negative groups as well as the TA biopsy-positive group and the group of patients with TA biopsy showing atherosclerosis.ResultsOut of the total 35 patients who underwent a TA biopsy during the period of 23 years, 22.9% of patients had histopathological findings consistent with GCA and 42.9% had TA atherosclerotic changes, while the remaining 34.3% had histologically unremarkable TA. The mean age of all patients was 66 ± 10.9 years. Slightly more than half were females (54.3%) and the remaining were males (45.7%). In the group with positive TA biopsies, the mean age was 71 ± 8.4 years with a higher female predominance (female-to-male ratio of 5:3). The mean diagnostic clinical score used in our study was higher (7.5 ± 2.33) in the GCA-positive group when compared to the other groups with statistical significance (mean of 4.85 ± 2.01 in patients with overall GCA-negative biopsies and 5.13 ± 2.10 in the group with atherosclerosis). Other three clinical variables that were found to be statistically significant in the GCA biopsy-positive group were scalp tenderness, jaw claudication, and optic nerve pallor.DiscussionThe mean age (71 ± 8.4 years) and the female predominance of GCA in our group of patients with positive TA biopsy (62.5%) was like other reports. In our study 22.9% of performed TA biopsies over the period of the study were positive confirming the diagnosis of GCA on histological exam, which was similar to another report and is considered to be relatively low. The incorporation of increased clinically focused assessments and algorithms, with the aid of the ACR/EULAR criteria, may decrease the frequency of TA biopsies that carries unnecessary cost and risk of procedure-related morbidity. We highly recommend applying the age of ≥ 50 years as an initial criterion for diagnosis, followed by the consideration of the statistically significant clinical features: scalp tenderness, jaw claudication, and optic nerve pallor

Effect of flour particle size and emulsifiers on quality of cakes made with cake flour of varying extraction

Typescript (photocopy).Digitized by Kansas Correctional Industrie

Current concepts in pediatric inflammatory bowel disease; IL10/IL10R colitis as a model disease

Inflammatory bowel disease (IBD) is a heterogeneous group of disorders composed mainly of ulcerative colitis (UC) and Crohn's disease (CD) and undetermined IBD. The peak incidence of occurrence is mainly beyond the pediatric age group. Recent knowledge about genetic factors had been strongly linked to pediatric IBD (PIBD). Recent advances in genomic technologies have prompted the identification of genetic defects underlying rare, very early-onset IBD (VEO-IBD) as a disease subgroup noted especially in populations with higher consanguinity rates. A better understanding of key players in the complex homeostasis of the immune system in the gut and illustrating the relationships between intestinal microbiome, systemic immune dysregulation and primary immunodeficiency have received growing recognition over the years. In this article, we provide a review of the key players of the immunity of the gut, compare between adult and pediatric IBD as an interesting module to investigate the relationship between monogenic and multifactorial/polygenic diseases, list genetic mutations confirmed to be linked to VEO IBD and summarize the scientific work that led to the discovery of one of the monogenic mutations related to infantile colitis, namely IL10 and IL10 receptor defects. Keywords: Pediatrics, Immunology, Interleukin 10 (IL10), Immunodeficiency, T-cell, Inflammatory bowel disease (IBD), Pediatrics inflammatory bowel disease (PIBD), Early-onset inflammatory bowel disease (EO-IBD), Very-early-onset inflammatory bowel disease (VEO-IBD), Ulcerative colitis (UC), Crohn's disease (CD

Door to Disposition Key Performance Indicator in Three Saudi Arabian Hospitals’ Emergency Departments during COVID-19 Pandemic

Objective: The COVID-19 pandemic impacted health systems and Emergency Departments (ED) services worldwide. This study attempts to assess the impact of COVID-19 on the performance of the emergency department during COVID-19 in three hospitals in Riyadh city, Saudi Arabia. Methods: Ada’a data was used for this retrospective cohort study. The hospitals included in this study were: a 300-bed maternity and children’s hospital; a 643-bed general hospital; and a 1230-bed tertiary hospital. All patients who visited the ED in the time period from September 2019 to December 2021 were included. The outcome variable was the Door to Disposition (DTD) which estimates the percentage of patients seen within 4 h from Door to Disposition. A two-way ANOVA test was used to examine the differences in the outcome variable by hospital and by the phase of COVID-19. Results: Both hospital and the phase of COVID-19 were significantly different in terms of the percentage of patients seen within four hours in the ED (DTD) (p-value < 0.05). On average, the DTD percentages dipped slightly in the early phase of COVID-19 (64.0% vs. 69.8%) and jumped sharply in the later phase (73.6%). Additionally, the average DTD score for the maternity and pediatric hospital (87.6%) was sharply higher than both general and tertiary hospitals (63.2%, and 56.5%, respectively). Conclusion: COVID-19 led to a significant drop in emergency department services performance in the early stage of the pandemic as patients spent more time at the ED. However, for the designated COVID-19 hospital, the ED performance improved as more patients spent less than 4 h at the ED in the early stages of COVID-19. This is a clear indication that careful planning and management of resources for ED services during a pandemic is effective

Effect of hard wheat flour cultivar grown in Saudi Arabia on performance of soft wheat flour and durum wheat semolina

Hard wheat flour cultivar grown in Saudi Arabia (yocorarojo) was used to replace soft wheat flour cultivar (Edwal) in cookies and cakes, and also to replace durum wheat semolina cultivar (Yovaros) in spaghetti at 0%, 25% and 50%, replacement levels. Performance properties of soft wheat flour was evaluated by cookie spread factor, cake volume measurement and sensory evaluation scores of cell wall thickness, grain and texture of cake crumb. Performances of durum wheat semolina was evaluated by spaghetti quality measurement, which included cooking loss, yellow pigment content and sensory evaluation scores of stickiness, bulkiness and firmness. On using hard wheat flour a real reduction was found in cake volume, which possessed a proportional relation with the added concentration of hard wheat flour. However, performances of soft wheat flour containing 25% hard wheat flour was similar to the 100% soft wheat flour control in all aspects, except in cake volume which was produced in relatively smaller volume. Results of physical tests indicated that hard wheat flour was characterized by higher volume of alkaline water retention capacity, sedimentation, falling number and amylogaph peak viscosity values than that of soft wheat flour. Hard wheat flour lead to a relatively higher spaghetti cooking loss value, which was increased with the increment of the concentration of hard wheat flour. Whoever, performances of durum wheat semolina containing 25% hard wheat flour, was similar to the 100% durum wheat semolina containing 25% hard wheat flour, was similar to the 100% durum wheat semolina control in all aspects, except in other values of both cooking loss and spaghetti yellow pigment which showed relatively higher and lower values respectively

The impact of COVID-19 pandemic on key performance indicators in three Saudi hospitals.

ObjectiveThe coronavirus disease (COVID-19) disrupted healthcare systems and medical care worldwide. This study attempts to assess the performance of three Saudi hospitals during COVID-19 by comparing waiting times for outpatient appointments and the volume of elective surgeries before and after COVID-19.MethodsWe used ADA'A data collected from three Saudi hospitals for this retrospective cohort study. The outcome variables were "Waiting Time for Appointment" and "Elective OR Utilization". The hospitals included in this study were: a 300-bed maternity and children's hospital; a 643-bed general hospital; and a 1230-bed tertiary hospital. We included all patients who visited the OPD and OR in the time period from September 2019 to December 2021. A two-way ANOVA test was used to examine the differences in the outcome variables by hospital and by the phase of COVID-19.ResultsFor the elective OR utilization rate, the results showed that both the hospital and the phase of COVID-19 were significantly different (p-value ConclusionThis study indicates that COVID-19 led to a significant impact on elective surgery rates and waiting time for OPD appointments in the early stage of the pandemic when the lockdown strategy was implemented in the country. Although the elective surgery rate had decreased at the designated COVID-hospital, the waiting time for OPD appointment had improved. This is a clear indication that the careful planning and management of resources for essential services during pandemic was effective

Correction: The impact of COVID-19 pandemic on key performance indicators in three Saudi hospitals.

[This corrects the article DOI: 10.1371/journal.pone.0285616.]