Production Management: Analyzing the alignment of knowledge management with production management

The development of new information in the field of project management has had a significant effect on the manufacturing industry. As a result, it is critical that service development procedures be optimized in every project. The rise in cement manufacturing production was supposed to be accomplished through the utilization of knowledge management principles and knowledge management as a mediator, which was the purpose of this research. The research was carried out across a number of different cement-producing sites in the Kurdistan area of Iraq. The researchers looked at four different aspects of knowledge management in order to determine how much production could be increased by using knowledge management. These aspects were knowledge creation, knowledge storage management, knowledge sharing, and knowledge application, with knowledge management acting as a mediator. The researchers utilized a quantitative research methodology in the form of a survey in order to carry out the current analysis that is being presented. The questionnaire was handed out in a randomized fashion to around one hundred and forty administrative staff members working for a variety of cement production enterprises in the Kurdistan area. However, the researchers did manage to gather a total of 128 completed surveys. The study employed hierarchical multiple regression analysis as well as the Sobel test in order to evaluate the research hypotheses that had been created. According to the findings, each component of knowledge management—knowledge creation, knowledge storage development, knowledge sharing, and knowledge application—had a distinct and significant positive relationship with increased production at carpet manufacturers in the Kurdistan region of Iraq. This was the case regardless of which component of knowledge management was examined. In addition, the findings indicated that all knowledge management concepts with a mediator (a project management development program) had an indirect positive and significant relationship with increased production at cement manufacturing facilities in the Kurdistan region of Iraq. The mediator in this case was the project management development progra

Consumer Purchasing decision: Choosing the Marketing Strategy to influence consumer decision making

The purpose of this study was to investigate the role that marketing strategy plays as a determining element in the decision-making process of consumers. The current study made use of the quantitative research approach by customizing a questionnaire based on information gleaned from academic sources. This particular study had a sample size of 162 participants, all of whom were selected at random throughout the selection process. According to the findings, penetration pricing exerts a substantial and beneficial impact on the decision-making process of consumers at the 5% level. According to the findings, price skimming has a substantial and favorable effect on the decision-making process of consumers at the 5% level. According to the findings, marketing sharing websites have a considerable beneficial impact on the decision-making process of consumers at the 5% level. The findings indicate that blogs have a considerable and beneficial effect on the decision-making process of consumers at the 5% level. According to the findings, competitive pricing has a substantial and favorable impact on the choice-making process of consumers at the 5% level. Furthermore, every beta value exceeds the.001 threshold. All of the models have extremely high adjusted R2, which indicates that the models are very capable of explaining the variance in consumer decision-making that is caused by the variation in the independent variables. The F-value demonstrates that the explanatory variables are jointly statistically significant in the model, and the Durbin-Watson (DW) statistics demonstrate that there is autocorrelation in the models. Both of these findings are supported by the model\u27s positive autocorrelation

Organizational effectiveness: Educational leadership and its impact on organizational effectiveness

This paper aims to explore the link between educational leadership and organizational effectiveness, Erbil was selected as the place to carry out the research at small and medium-sized businesses. current studies are assessing the impact of strategic absorbency (ability), capacity to adjust strategies, and managerial wisdom on small and medium-sized companies in the Kurdistan region of Iraq\u27s educational leadership a separate regression analysis was used to quantify the impact of each independent variable on organizational effectiveness in the researchers applied a straight line of reasoning to small and medium-sized businesses in the Kurdistan region of Iraq. this ended up being a total of 175 questionnaires that were completed, as 152 of the 152 participants answered them correctly The study discovered that the greatest impact was found in the absorptive capability, with regard to sustainability, but on the least effect in terms of management expertise

The evolving role of social media in enhancing quality of life: a global perspective across 10 countries

Background: Excessive or inappropriate use of social media has been linked to disruptions in regular work, well-being, mental health, and overall reduction of quality of life. However, a limited number of studies documenting the impact of social media on health-related quality of life (HRQoL) are available globally. Aim: This study aimed to explore the perceived social media needs and their impact on the quality of life among the adult population of various selected countries. Methodology: A cross-sectional, quantitative design and analytical study utilized an online survey disseminated from November to December 2021. Results: A total of 6689 respondents from ten countries participated in the study. The largest number of respondents was from Malaysia (23.9%), followed by Bangladesh (15.5%), Georgia (14.8%), and Turkey (12.2%). The prevalence of social media users was over 90% in Austria, Georgia, Myanmar, Nigeria, and the Philippines. The majority of social media users were from the 18–24 age group. Multiple regression analysis showed that higher education level was positively correlated with all four domains of WHOQoL. In addition, the psychological health domain of quality of life was positively associated in all countries. Predictors among Social Media Needs, Affective Needs (β = -0.07), and Social Integrative Needs (β = 0.09) were significantly associated with psychological health. Conclusion: The study illuminates the positive correlation between higher education levels and improved life quality among social media users, highlighting an opportunity for policymakers to craft education-focused initiatives that enhance well-being. The findings call for strategic interventions to safeguard the mental health of the global social media populace, particularly those at educational and health disadvantages

The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase 1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age  6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score  652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc = 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N = 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in Asia and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Outcome of wearing high heel shoes in young generation

Introduction/ Background:- High heels increase the heel height ,thus increasing the pressure under the metatarsal head in forefoot, they push the center of mass of the body forward taking the hips and spine out of alignment moreover the altered posture of walking in high heels places excessive forces on the inside of the knee joint. All these factors contribute in causing deleterious pathologic deformities. The studies carried out previously were more focused on the adult population furthermore there isn’t much work done to investigate the effect of heels in Pakistan therefore, this was a non-invasive study the purpose of which was to evaluate these complications particularly targeting the medical students of medical colleges, Karachi. Methods: A total of 220 respondents aged between 15 to 25 years were selected as potential respondents meeting the criteria for selection. A convenience based randomized sampling method was adopted, where the participants were required to fill questionnaires and give their demographic details.The data obtained was analyzed through SPSS and the graphs of frequency for all the complications were computed. Results: After analyzing the 220 participants it was found that 7.8% were males while 92.2% were females, and 63% were found to be within 21 to 23 years of age. After the analyses of data for the complications it was found that out of the total participants 18.8% experience foot swelling, 19.4% blisters, 16.4% foot numbness, 12.3% foot callosities, 42.8% heel spur , and 3.7% experience bunions. Conclusion: From this study conducted on the students of medical colleges it was found that wearing high heel shoes is not associated with any significant complications among most of the students. Keywords: high heels, heel spur, bunion, callosite

A buffer-Based Baseband Analog Front End for CMOS Bluetooth Receivers

A CMOS low-power baseband analog front end (BAFE) for an integrated bluetooth receiver is presented. The BAFE is designed using a new fully differential buffer (FDB) circuit that can effectively implement filters with gain/filtering interleaved operations. The BAFE utilizes five FDB circuits to implement a sixth-order low noise high linear prefilter, a sixth-order MOS-C tunable filter and a variable gain amplifier (VGA). The distribution of gain and filtering between the various blocks simplifies the design of the VGA stages and allows a good compromise between the input referred noise and the overall linearity. The analog front end is fabricated using a regular 1.2-/spl mu/m CMOS process and occupies an area of 1.7 mm /spl times/ 1.7 mm. Measurements results indicate that the total standby current consumption is less than 2.4 mA while providing a gain control range from 12-30 dB in 6-dB step. The input referred noise is less than 42 nV//spl radic/(Hz) and the out-of-band IIP3 of more than 12 dBm

A buffer-Based Baseband Analog Front End for CMOS Bluetooth Receivers

A CMOS low-power baseband analog front end (BAFE) for an integrated bluetooth receiver is presented. The BAFE is designed using a new fully differential buffer (FDB) circuit that can effectively implement filters with gain/filtering interleaved operations. The BAFE utilizes five FDB circuits to implement a sixth-order low noise high linear prefilter, a sixth-order MOS-C tunable filter and a variable gain amplifier (VGA). The distribution of gain and filtering between the various blocks simplifies the design of the VGA stages and allows a good compromise between the input referred noise and the overall linearity. The analog front end is fabricated using a regular 1.2-/spl mu/m CMOS process and occupies an area of 1.7 mm /spl times/ 1.7 mm. Measurements results indicate that the total standby current consumption is less than 2.4 mA while providing a gain control range from 12-30 dB in 6-dB step. The input referred noise is less than 42 nV//spl radic/(Hz) and the out-of-band IIP3 of more than 12 dBm

30. Predictors for prolonged mechanical ventilation in children undergoing cardiac surgery

Prolonged mechanical ventilation (PMV) has been associated with deleterious clinical outcomes. Characteristics of the patient and various peri-operative factors can predispose individuals to PMV leading to prolonged hospitalization, increasing costs, morbidity and mortality. We investigated specific predictors of PMV in children who underwent cardiac surgery in a tertiary care centre in Riyadh, Saudi Arabia. Method: Retrospective analysis of 413 pediatric cardiac surgeries performed during a 12 months period. Cases were divided in group-A (MV > 7 days) and group- B (MV < 7 days). Patient demographics, pre-operative, intra-operative and post-cardiac surgery variables including complications were reviewed. Continuous and Categorical variables were compared using Student’s t-test and Chi-square. Univariate and multivariate analyses were performed to identify predictors of PMV. Results: In total, 47 (11.4%) of the 413 children had PMV post-cardiac surgery. Group-A patients were younger [mean age: 7.6 months (SD 17.1) vs 23.4 months (SD 29.3), p < 0.0001], and lighter [mean weight: 4.5 kg (SD 3.7) vs 9.4 kg (SD 6.5), p < 0.0001] than Group-B. The mean duration of mechanical ventilation in Group-A was 21.6 days (SD 16.2) compared to 1.8 days (SD 1.5) in Group-B (p < 0.0001). On univariate analyses, significant predictors of PMV included younger age, low body weight, higher surgical risk category, delayed sternal closure, prolonged bypass and cross-clamp times, higher frequency of acute kidney injury, presence of surgical wound and blood stream infections, pneumonia, and UTI [p < 0.0001 for all analyses]. On multivariate analysis, younger age, low body weight, and higher surgical risk category and delayed sternal closure were significant for PMV. Conclusion: Post-operative infections and delayed sternal closure proved to be the most important factors determining the duration of ventilation. Aggressive efforts to ameliorate infection would facilitate successful early extubation after surgery