Compliance on Patient’s Admission Protocol of Birth Center Personnel in the 5th District of Camarines Sur, Philippines

This study utilized the descriptive method of research. The researchers used the questionnaire checklist as the main data gathering tool. It was supplemented by an informal interview and records review to support the data gathered. To quantify and interpret the data, appropriate statistical tools was used such as percentage technique and weighted mean. The main goal of this research is to assess the level of compliance on patients’s admission protocol of birth center personnel in the 5th District of camarines Sur, Philippines.. Results of the study showed majority of the Respondents are Single, from 21-30 years old, on a job order/contractual employment status, Roman Catholic and College graduate. Further, data shows that birth center personnel are moderately complied on the indicators under Admission but complied on the indicators under Active Labor, Fully Dilated and Effaced Stage, Postpartum and Newborn Care, And on Referral. In addition, there are some factors that greatly affect the compliance of birthing facility personnel on Admission Protocol. Three top most factors that affects the compliance of birthing facility personnel on admission protocol are financial stability of the patient, transportation resources, and the distance of the hospital from the birthing facility. And lastly, the proposed plan would help strengthen the compliance of the birthing facility personnel on admission protocol. The proposed plan was formulated taking into account the results on the compliance and factors affecting the compliance of birthing facility personnel on admission protocol

Strategic inventory management of externally sourced medical devices

Thesis (M. Eng. in Logistics)--Massachusetts Institute of Technology, Engineering Systems Division, 2013.Cataloged from PDF version of thesis.Includes bibliographical references (p. 59).The purpose of this research was to determine inventory strategies for externally sourced medical devices. In the medical device industry, the desire for high levels of customer service often results in less than optimal inventory levels. In this study, we analyzed the details of the current inventory model utilized by the medical device company. In assigning appropriate inventory levels, we determined that key inputs were not regarded. When evaluating inventory levels, it was determined that pipeline inventory should be removed from the target on hand inventory levels if inventory ownership occurs upon receipt. When calculating safety stock, we determined that supply variability should be incorporated into the safety stock formula and extra buffers currently in place should be removed. In addition, a more robust measure of demand variability such as the Root Mean Squared Error (RMSE) or the Mean Absolute Percent Error (MAPE) should be incorporated into the formula instead of the use of the maximum of standard deviation of demand and standard deviation of forecast. Also, a gap was identified between the customer service safety factor used in the safety stock formula and the measurement of customer service by the company. Following the analysis of the current inventory modeling approach, we segmented the medical device SKU's based on key factors that drive inventory: demand, lead time, criticality and customer service. We also redefined the model used to determine slow moving inventory levels by incorporating the lead time of the part in setting cycle and safety stock levels and simulating the results to validate the relationships between the various inventory drivers. The application of the methodologies, concepts and findings in this research covering externally sourced medical devices can be extended to other subsidiaries and other industries.by Nichole L. Hillstrom and Renato A. Malabanan.M.Eng.in Logistic

An evaluation of MAAP’s Train the Simulator Trainer and Assessor (IMO Model Course 6.10): trainees’ perspectives and reverberations

The study aims to analyze how the trainees evaluate the “Train the simulator trainer and assessor” (IMO Model Course 6.10) provided by the Maritime Academy of Asia and the Pacific (MAAP) for free in cooperation with the Maritime Industry Authority (MARINA) and the Commission on Higher Education (CHED). The training is regularly rendered as one of the extension services of MAAP. The study utilized the data from the evaluation form accomplished by the eight batches corresponding to 94 trainees in 2019. Results showed that the trainees regarded the training as “Excellent” in terms of the General Information. The trainees likewise rated the training as “Excellent” in terms of the Topics/Exercises. Statistics showed that there was no significant difference between the evaluation of the trainees on the training on IMO Model Course 6.10 when they are grouped according to batches both in General Information and Topics/Exercises

Investigating academics' voluntary usage of a learning management system

This research investigates the voluntary usage of learning management system (LMS) in a blended learning environment used by academics. The problem this research seeks to answer is: how do academics use the LMS in a voluntary context? This investigation was conducted in Mindanao State University – Iligan Institute of Technology (MSU – IIT), a university based in Southern Philippines. Thirty-three academics from different disciplines and professional levels participated in this study. Two major processes were carried out in this investigation: one-on-one in-depth interview; and analysis of computer logs of each of these participants. The mixed data were analysed using a grounded theory approach. The overarching findings in this study suggest that academics have different levels of acceptance of using the LMS. The benefits they get from using the LMS are associated with their motivation and their own disposition to use the system. More importantly, the study has provided support that academic disciplines have crucial influences to the voluntary usage of the LMS. This research found that there are varied approaches for each course, and more specifically, on subject content that can best fit a blended delivery of instruction. This thesis is significant in two aspects: Firstly, a model has emerged that has incorporated the four concepts: the drivers’ concept and three environmental constraints concepts, which are: training, learning environment, and institutional level constraints. Secondly, this study has provided a solid groundwork for the proposed model of voluntary LMS usage presented in this study. A framework that highlights necessary measures to increase or improve the voluntary use of the LMS was proposed. It is important to consider that academics’ use of the LMS largely rely on the conditions they are in. Academics’ voluntary use of the system can be influenced by the socio-technological landscape of the learning environment. Thus, this thesis proposed a measure of voluntary LMS usage as an ‘extra rich’ measure described as: the extent and way to which the user employs the system to carry out tasks given the environmental conditions that the user is situated

Pre-service Teachers’ Readiness on Online Learning and their 21st Century Pedagogical Skills

This study looked at the online learning readiness and 21st century pedagogical skills among pre-service teachers of a state university in the Philippines during the school year 2021-2022. The descriptive-correlational method was applied through an adapted survey questionnaire administered to 28 pre-service teachers. The findings revealed that pre-service teachers were ready for online learning in terms of computer/internet self-efficacy, self-directed learning, learner control, motivation for learning, and online communication self-efficacy. They were also equipped with 21st century pedagogical skills such as information and communication technology skills, life-long learning skills, flexibility skills, creative problem-solving skills, and critical thinking skills. The findings also indicated a substantial relationship between the pre-service teachers’ readiness in online learning and their 21st century pedagogical skills. The study suggests that universities may create appropriate provisions to provide their faculty members with the necessary professional development training opportunities to raise awareness and improve e-pedagogical skills

25-Hydroxyvitamin D Threshold for the Effects of Vitamin D Supplements on Bone Density:Secondary Analysis of a Randomized Controlled Trial

Most trials of vitamin D supplementation have shown no benefits on bone density (BMD), though severe vitamin D deficiency causes osteomalacia which is associated with profound BMD deficits. Recently, the ViDA-BMD study from New Zealand demonstrated a threshold of baseline 25-hydroxyvitamin D (30 nmol/L) below which vitamin D supplementation did benefit BMD. We have now re-examined data from a similar trial in Aberdeen to determine whether a baseline 25-hydroxyvitamin D threshold of 30 nmol/L is also observed in that database. The Aberdeen study recruited 305 postmenopausal women in late winter and randomized them to receive placebo, vitamin D 400 IU/day or vitamin D 1000 IU/day over one year. As previously reported, BMD loss at the hip was reduced by vitamin D 1000 IU/day only, and there was no significant treatment effect of either dose at the lumbar spine. In the present analysis, when the trial participants were grouped according to whether their baseline 25-hydroxyvitamin D was ≤30 nmol/L or above this threshold, significant treatment effects were apparent at both the spine and hip in those with baseline 25-hydroxyvitamin D ≤30 nmol/L, but no significant effects were apparent in those with baseline 25-hydroxyvitamin D above this level. There was evidence of a similar threshold for effects on parathyroid hormone, but no groups showed changes in bone turnover markers during the study. It is concluded that vitamin D supplements only increase bone density in adults with nadir 25-hydroxyvitamin D ≤30 nmol/L. This moves us further towards a trial-based definition of vitamin D deficiency in adults with adequate calcium intakes, and suggests that supplement use should be targeted accordingly. Future trials of vitamin D supplementation should focus on individuals with 25-hydroxyvitamin D concentrations in this range

Hyperinsulinemic-euglycemic Clamps in Conscious, Unrestrained Mice

Type 2 diabetes is characterized by a defect in insulin action. The hyperinsulinemic-euglycemic clamp, or insulin clamp, is widely considered the "gold standard" method for assessing insulin action in vivo. During an insulin clamp, hyperinsulinemia is achieved by a constant insulin infusion. Euglycemia is maintained via a concomitant glucose infusion at a variable rate. This variable glucose infusion rate (GIR) is determined by measuring blood glucose at brief intervals throughout the experiment and adjusting the GIR accordingly. The GIR is indicative of whole-body insulin action, as mice with enhanced insulin action require a greater GIR. The insulin clamp can incorporate administration of isotopic 2[14C]deoxyglucose to assess tissue-specific glucose uptake and [3-3H]glucose to assess the ability of insulin to suppress the rate of endogenous glucose appearance (endoRa), a marker of hepatic glucose production, and to stimulate the rate of whole-body glucose disappearance (Rd)