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1

Umar, Rusydi, Novita Ranti Muntiari, Ermin E, Iqbal Bustomi, and Fitriyani Tella. "Pengembangan Sistem Inventory Alat Tulis Kantor (ATK) Berbasis Web." J-SAKTI (Jurnal Sains Komputer dan Informatika) 4, no. 1 (March 30, 2020): 88. http://dx.doi.org/10.30645/j-sakti.v4i1.190.

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Developments in the technological era are increasingly developing and people's needs vary with the desire to accelerate a job in a systematic and more effective and efficient manner. The problems faced by PT. XYZ in supplies of office equipment are still poorly organized and there is no reporting on the use of office stationery (ATK) and inhibitors of employee productivity because there is no precise inventory information and delays in making reports. Facilitates the company in the process of inventory input Application of the method in this research is to use the classic life cycle (CLC) method, known as the process design, which is carried out sequentially, with the research stages beginning with analysis, design, coding and testing.From the several stages that have been carried out in this researcher can produce reports stock of goods and office stationery information updated to users or visitors.
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IBI, M. "Standard Coding on Medical Supplies and Equipment from Supplier's View Point." JAPANES JOURNAL OF MEDICAL INSTRUMENTATION 67, no. 9 (September 1, 1997): 395–99. http://dx.doi.org/10.4286/ikakikaigaku.67.9_395.

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Conner, Ramona. "OR documentation; discharging patients; color-coding tape; opening sterile supplies; cleaning equipment." AORN Journal 68, no. 4 (October 1998): 670–73. http://dx.doi.org/10.1016/s0001-2092(06)62573-8.

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4

Jiayu, Yao. "A method of coding for aerospace product quality DNA." MATEC Web of Conferences 151 (2018): 05006. http://dx.doi.org/10.1051/matecconf/201815105006.

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Aiming at the problem that the manufacturing process of our aerospace products is relatively discrete and the lack of appropriate quality monitoring and feedback mechanism, a method of coding for aerospace product quality DNA was proposed. Based on the structure of biological DNA and the theory of quality assessment, equipment diagnosis and quality traceability, the biological DNA structure was transformed into the structure of aerospace product quality DNA, and the concept of aerospace product quality DNA was defined, including the genetic and variation characteristics of aerospace product quality DNA. The coding rules of aerospace product quality DNA were designed, and the designed encoding rules are applied to the case of welding of wall panels in the manufacturing process of aerospace products. The results show that the coding method can monitor and feedback the core information related to quality in the manufacturing process of aerospace products.
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Izzani, Kanniya Maghfira, and Daniel Hermawan. "The Value of Innovation in Tobacco Processing Products: An Evidence from Bandung E-Cigarette Industry." International Journal of Creative Business and Management 1, no. 1 (February 27, 2021): 1. http://dx.doi.org/10.31098/ijcbm.v1i1.4262.

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This research analyzed Tobacco Processing Products (HPTL) industry and its value of innovation using dimensions of innovation approach. We used qualitative method with interviews, documentation, and observation as the data collection techniques. Later on, we employed several business strategy tools: IFE, EFE, CPM, SFAS, SWOT, SPACE, IE, Grand Strategy, and QSPM. We found out that innovation strategy for tobacco processing products lied on the product innovation, especially in the taste of liquid vape products. Furthermore, by investing in the process innovation, especially in equipment and supplies, is key to develop sustainable product innovation.
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Tang, Zhi Hong, Wen Jin Liu, and Guo Qiang Zhang. "Research on the Key Technology of PDM Applied to Office Chair Manufacturer." Applied Mechanics and Materials 532 (February 2014): 629–33. http://dx.doi.org/10.4028/www.scientific.net/amm.532.629.

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To propose technical difficulties of PDM applied in China office chair industry, and puts forward a solution for the coding problem: first presents a PDM-based classification method of office chair products and parts; Constructed the Office Chair Product Information Tree and base on it established Office Chair Enterprise Information Coding System framework; Base on the classification method and reference the relevant standards, introduce the Tabular Layouts of Article Characteristic, the office chair coding scheme is developed. The coding technology has been verified by applying on Kingdee WISE K/3 PLM system. For the problem of office chair non-digital product data digitization, puts forward the Office Chair Template Data Acquisition & Output Technology, to digitalise the non-digital data for facilitating the PDM system to manage, share to CAM equipment. The technology has been successfully applying to Landmega Furniture Co., Ltd.
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7

Sakovych, Lev, Heorhii Krykhovetskyi, Iurii Myroshnychenko, and Ivan Ihnatenko. "Diagnostics of secondary power supplies means of communication." Advanced Information Systems 5, no. 1 (June 22, 2021): 140–45. http://dx.doi.org/10.20998/2522-9052.2021.1.21.

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The article discusses an approach to technical diagnostics of secondary power supplies for communication facilities. Diagnostics is carried out during the current repair. This takes into account the features of the object being diagnosed, which affect the process of searching for defects. The purpose of the article is to analyze possible options for the development of diagnostic support for secondary power supplies. This takes into account the metrological reliability of measuring equipment. The probability of correct diagnosis is also calculated when searching for defects during routine repairs. Practically implemented recommendations for ensuring the required values of the indicators of the maintainability of communication facilities are substantiated. The possibility and expediency of using effective methods for diagnostics of secondary power supplies of communication facilities, which consider the sources as objects with many inputs, are shown. This allows the design to take into account the requirements for the maintainability of the product. During routine repairs, the time needed to search for defects is minimized. This is done through a rational choice of diagnostic procedures. When choosing, design features and conditions for restoring performance are taken into account. The proposed block diagram of the algorithm for choosing a diagnostic option minimizes the average recovery time of an object. A specific example of using the results obtained in the development of a conditional diagnostic algorithm for the power supply unit of the exciter and the radio receiver of an average power radio station is given. It is advisable to use the results obtained in the development of diagnostic support for promising communication facilities or in the improvement of existing communication facilities without additional costs.
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8

Niekurzak, Mariusz, and Ewa Kubińska-Jabcoń. "The influence of logistics of supplies on the process of modeling of combined transport systems in method." AUTOBUSY – Technika, Eksploatacja, Systemy Transportowe 19, no. 6 (June 30, 2018): 1087–91. http://dx.doi.org/10.24136/atest.2018.234.

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The object of the study is to strip mill hot-rolled steel mill in Huta ArcelorMittal Poland in Cracow. The paper presents a model rolling mill logistic system which incorporates the characteristic of its subsystems: the movement and storage of materials. System components are mill production equipment, transportation, storage interop and finished products. Logistic approach requires inter alia: minimizing the transition time of materials through the system, minimizing inventories to production and should have reduced energy consumption and production tools used to manufacture the final product. For the model should be the basis to formulate the logistic system of strip mill, taking into account both the technological and economical operation of the test mill. To accomplish the task of material flow simulator was used Dosimis-3.
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9

Tanwar, Sukarma, Lauren Tanz, Ana Bardossy, Christine Szablewski, Nicole Gualandi, Matthew Brian Crist, Paige Gable, et al. "A Large Outbreak of Peritonitis Among Patients on Peritoneal Dialysis (PD) Following Transition in PD Equipment." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s95—s96. http://dx.doi.org/10.1017/ice.2020.595.

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Background: Peritoneal dialysis is a type of dialysis performed by patients in their homes; patients receive training from dialysis clinic staff. Peritonitis is a serious complication of peritoneal dialysis, most commonly caused by gram-positive organisms. During March‒April 2019, a dialysis provider organization transitioned ~400 patients to a different manufacturer of peritoneal dialysis equipment and supplies (from product A to B). Shortly thereafter, patients experienced an increase in peritonitis episodes, caused predominantly by gram-negative organisms. In May 2019, we initiated an investigation to determine the source. Methods: We conducted case finding, reviewed medical records, observed peritoneal dialysis procedures and trainings, and performed patient home visits and interviews. A 1:1 matched case–control study was performed in 1 state. A case had ≥2 of the following: (1) positive peritoneal fluid culture, (2) high peritoneal fluid white cell count with ≥50% polymorphonuclear cells, or (3) cloudy peritoneal fluid and/or abdominal pain. Controls were matched to cases by week of clinic visit. Conditional logistic regression was used to estimate univariate matched odds ratios (mOR) and 95% confidence intervals (CIs). We conducted microbiological testing of peritoneal dialysis fluid bags to rule out product contamination. Results: During March‒September 2019, we identified 157 cases of peritonitis across 15 clinics in 2 states (attack rate≍39%). Staphylococcus spp (14%), Serratia spp (12%) and Klebsiella spp (6.3%) were the most common pathogens. Steps to perform peritoneal dialysis using product B differed from product A in several key areas; however, no common errors in practice were identified to explain the outbreak. Patient training on transitioning products was not standardized. Outcomes of the 73 cases in the case–control study included hospitalization (77%), peritoneal dialysis failure (40%), and death (7%). The median duration of training prior to product transition was 1 day for cases and controls (P = .86). Transitioning to product B (mOR, 18.00; 95% CI, 2.40‒134.83), using product B (mOR, 18.26; 95% CI, 3.86‒∞), drain-line reuse (mOR, 4.67; 95% CI, 1.34‒16.24) and performing daytime exchanges (mOR, 3.63; 95% CI, 1.71‒8.45) were associated with peritonitis. After several interventions, including transition of patients back to product A (Fig. 1), overall cases declined. Sterility testing of samples from 23 unopened product B peritoneal dialysis solution bags showed no contamination. Conclusions: Multiple factors may have contributed to this large outbreak, including a rapid transition in peritoneal dialysis products and potentially inadequate patient training. Efforts are needed to identify and incorporate best training practices, and product advances are desired to improve the safety of patient transitions between different types of peritoneal dialysis equipment.Funding: NoneDisclosures: None
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Amico, F., G. Healy, M. Arvaneh, D. Kearney, E. Mohedano, D. Roddy, J. Yek, A. Smeaton, and J. Brophy. "Multimodal validation of facial expression detection software for real-time monitoring of affect in patients with suicidal intent." European Psychiatry 33, S1 (March 2016): S596. http://dx.doi.org/10.1016/j.eurpsy.2016.01.2225.

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Facial expression is an independent and objective marker of affect. Basic emotions (fear, sadness, joy, anger, disgust and surprise) have been shown to be universal across human cultures. Techniques such as the Facial Action Coding System can capture emotion with good reliability. Such techniques visually process the changes in different assemblies of facial muscles that produce the facial expression of affect.Recent groundbreaking advances in computing and facial expression analysis software now allow real-time and objective measurement of emotional states. In particular, a recently developed software package and equipment, the Imotion Attention Tool™, allows capturing information on discreet emotional states based on facial expressions while a subject is participating in a behavioural task.Extending preliminary work by further experimentation and analysis, the present findings suggests a link between facial affect data to already established peripheral arousal measures such as event related potentials (ERP), heart rate variability (HRV) and galvanic skin response (GSR) using disruptively innovative, noninvasive and clinically applicable technology in patients reporting suicidal ideation and intent compared to controls. Our results hold promise for the establishment of a computerized diagnostic battery that can be utilized by clinicians to improve the evaluation of suicide risk.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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11

MEER, R. R., J. BAKER, F. W. BODYFELT, and M. W. GRIFFITHS. "Psychrotrophic Bacillus spp. in Fluid Milk Products: A Review." Journal of Food Protection 54, no. 12 (December 1, 1991): 969–79. http://dx.doi.org/10.4315/0362-028x-54.12.969.

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Psychrotrophic bacteria have been recognized as a recurring problem in the refrigerated storage and distribution of fluid milk and cream and other perishable dairy products for several decades. Much emphasis has been focused on postpasteurization contaminants that are psychrotrophic, (e.g., Pseudomonas, Flavobacterium, and Alcaligenes spp.). Common sources of these gram-negative, non-sporeforming organisms are equipment surfaces and water supplies. Although these organisms are generally heat sensitive, many of their associated proteinases and lipases can withstand moderate to severe heat treatments and cause product deterioration. With the advance of improved control of postpasteurization contamination by nonheat-resistant psychrotrophs, more recent attention has been directed at psychrotrophic sporeformers and their potential impact on milk quality and shelf life properties. Heat-resistant psychrotrophs include members from the genera Clostridium, Arthrobacter, Microbacterium, Streptococcus, Corynebacterium, and Bacillus. However, the predominant microorganisms which comprise this category are Bacillus species. These bacteria can be introduced into milk supplies from water, udder and teat surfaces, or from soil and milkstone deposits on farm bulk tanks, pumps, pipelines, gaskets, and processing equipment. There is speculation that they can also be postpasteurization contaminants. When in the spore state, these microorganisms easily survive the typical range of pasteurization conditions with subsequent germination and outgrowth of vegetative cells. These organisms produce degradative enzymes (e.g., proteinases, lipases, and phospholipases) similar to those of non-sporeforming psychrotrophs. Enzymatic activity results in the development of objectionable flavor and quality defects in dairy products. The unique combination of both heat-resistant and psychrotrophic properties with the same microorganism represents substantial potential for causing spoilage of perishable milk products. Recent trends of higher pasteurization temperatures and extended refrigerated storage time of both raw and pasteurized milk and cream products exacerbates the significance of this group of microorganisms for the dairy foods industry.
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12

Agustin, Devi, Bambang Ismanto, and Destri Sambara Sitorus. "Penyusunan dan Pelaksanaan Anggaran dalam Konteks Pengembangan Usaha (Studi pada Bakso dan Mie Ayam Mas Hadi "Asli Solo")." Jurnal Samudra Ekonomi dan Bisnis 12, no. 1 (August 30, 2020): 35–45. http://dx.doi.org/10.33059/jseb.v12i1.2240.

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The budget presents information about expenditure and income plans expressed in rupiah units for the coming period. This study aims to analyze the process of preparing and implementing the budget in developing the business of Meatballs and Chicken Noodles Mas Hadi “Asli Solo". This qualitative-descriptive research was collecting data through observation, documentation and interviews. Data analysis was carried out through the stages of reduction, display and data verification. To increase the confidence (triangulation) of data, a repeat research and cross-check of research sources was conducted. The results showed that the purpose of business development was carried out to introduce the product to the community and obtain as much profit as possible. There are several stages of preparation and implementation process of budget in the context of business development that are appropriate, but some are not yet in accordance with. Budget components of the research object include place, equipment and supplies
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13

Bugaev, Yu V., L. A. Korobova, I. S. Tolstova, and Yu A. Demina. "Multicriteria model of the process of crushing rock." Proceedings of the Voronezh State University of Engineering Technologies 80, no. 4 (March 21, 2019): 111–15. http://dx.doi.org/10.20914/2310-1202-2018-4-111-115.

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The article deals with the modernization and adjustment of the fine chalk grinding process. The crushing process is an energy-consuming procedure, annually spent about 5% of all energy produced on Earth, including the energy of internal combustion engines. This indicates its great importance. In addition to the cost of electricity, large expenses go to repair the equipment. The greatest replacements are made on the main working parts of machines. In the course of substitutions a lot of time is spent, in order not to spend this rather important resource, it is necessary to approach this procedure from a scientific point of view. The organization and conduct of research on the replacement of the main working parts of crushers and mills will increase the productivity of the main equipment, improve the quality of the finished product and reduce production costs in terms of energy saving. Modernization and adjustment of technological equipment in order to improve the production process of fine chalk significantly increase the service life of the main equipment. For this purpose, it is proposed to conduct an active experiment. Before carrying out the experiment, it is necessary to set the model. The classical regression analysis is based on the assumption that the model type is a priori specified with accuracy to the parameters, and that an experiment has already been implemented that supplies the initial data for the regression construction. Hence, the problem is to choose the best method of data processing. In this paper, we propose a fundamentally new approach-automatic evaluation of the model options on a set of indicators, the calculation of which is based on a set of pareto-optimal variants of the model.The proposed method made it possible to identify two best alternatives out of 16384. Obviously, this approach can be easily modified for any other set of regression model quality criteria.
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Erjalia, Dela, and Rizma Adlia Syakurah. "Barriers and challenges for primary care service in the COVID-19 pandemic." International Journal of Public Health Science (IJPHS) 10, no. 3 (September 1, 2021): 600. http://dx.doi.org/10.11591/ijphs.v10i3.20857.

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The COVID-19 pandemic is such a barrier for health systems around the world including Indonesia. Primary care is the first-line in controlling the pandemic at the community level, but there are many barriers and challenges faced by doctors during the service that are not fully recognized. This aimed to distinguish barriers and challenges in health centers and/clinics amid the COVID-19 widespread. This was qualitative study with a phenomenological approach. As much 44 health centers/clinical specialists interviewed in October 2020. Then, the data categorization method/coding and content analysis used. There were three themes related to the barriers and challenges confronted by specialists in health centers/clinics, specifically barriers and challenges based on service management, environment, and individuals. The barriers and challenges confronted are related to changes within the consultation flow, a diminished number of patient visits, limited supplies of personal protective equipment (PPE), patient states of mind and behavior within the confront of a pandemic, and progressively heavier burdens and duties for doctors. It is necessary to provide specific, valid, and right-on-target knowledge in improving community behavior in efforts to prevent COVID-19 infection and the government's important role to be more concerned about the future of health workers.
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Jeong, In Wha. "DC-Link Capacitor Voltage Balancing Control of a Five-Level Regenerative AC Electronic Load Using One-Cycle Control." Energies 14, no. 19 (September 24, 2021): 6101. http://dx.doi.org/10.3390/en14196101.

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High voltage electric power equipment requires rigorous regulation testing to specific standards which ensure proper and safe operation in the grid. Manufacturers conduct these tests in order to prove standard compliance and product liability. Variable linear or nonlinear loads are necessary for testing medium voltage (MV) high power AC power converters. Generally, those AC power converters or power supplies require performance validation, burn-in and/or lifetime testing under different load conditions, defined by the end-user or standards for the given applications. For flexible and efficient MV verification testing, this paper presents a five-level multilevel converter-based MV regenerative AC electronic load with one-cycle control (OCC), which is based on five-level diode-clamped multilevel converters with back-to-back structure and can emulate any impedance load. In this paper, especially the dc-link capacitor voltage balance of the proposed multilevel MV regenerative AC load is deeply analyzed. Simulation and experimental results are presented to verify the dc-link voltage balance performance of the proposed multilevel MV regenerative AC electronic load.
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Ahmed, Aaheli, Debashis Chakraborty, and Ranajoy Bhattacharyya. "The Recent Coronavirus (COVID-19) Pandemic: A Review of Issues for Indian Pharmaceutical Exports." Foreign Trade Review 55, no. 3 (May 29, 2020): 418–35. http://dx.doi.org/10.1177/0015732520926329.

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The world today is facing a major challenge in adjusting to the adverse effects of the Coronavirus (COVID-19) spread. Meeting the demand for several key drugs and preventive medical supplies has emerged as major concern in many countries. India has over the years consolidated its position as a major producer and exporter of not only bulk drugs and formulations but also other medical provisions and equipment. The present commentary makes an attempt to understand the possible trade opportunities for India’s pharmaceutical sector in light of the recent export policy interventions. An analysis of the recent export policy adjustments reflects the evolving attitude of the country towards domestic risk perception and commitment to support other countries. The trade opportunities for India are analysed next with the help of select trade indices, and it appears that there is significant scope for enhancing India’s global competitiveness in several product groups. The evolving trends have then been judged by exploring their plausible implications from a theoretical standpoint. It has been concluded that in order to meet the growing world demands for these products, India needs to enhance productivity of the upstream segments through a rigorous policy framework. JEL: F10, F13, I18
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Timoshenko, Igor. "Developing automatic identification technologies at RNPLS&T: From the past into the future." Scientific and Technical Libraries, no. 12 (December 27, 2018): 64–72. http://dx.doi.org/10.33186/1027-3689-2018-12-64-72.

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The author examines the problems of automatic identification and publicizes RNPLS&T’s designing equipment and technologies of bar-coding and radiofrequency identification for libraries. He discusses the possibility for developing library automation systems through implementing radiofrequency identification and developing the concepts of Electronic Product Code and Internet of Things. The author argues that this would significantly increase integration of traditional library collections and digital documents into the modern information environment. He also discusses the possibility for using biometric identification systems which would enable to organize library space more flexibly and at the same time to exercise control of access to the building and reading rooms. The author concludes that new technologies would increase availability of library services for users and facilitate the global system of library and information support of human activities. This would enable libraries integration into the information space at the latest round of technological advancement.
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Hall, Charles R., Alan W. Hodges, Hayk Khachatryan, and Marco A. Palma. "Economic Contributions of the Green Industry in the United States in 20181." Journal of Environmental Horticulture 38, no. 3 (September 1, 2020): 73–79. http://dx.doi.org/10.24266/0738-2898-38.3.73.

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Abstract The economic contributions of the green industry in the United States were estimated for 2018 using information on industry employment and wages, and economic multipliers from a U.S. IMPLAN economic model. Direct industry output for all sectors was estimated at $159.57 billion (B), and total output contributions, including indirect and induced regional economic multiplier effects of export sales, were $348.08 B. The total value added contribution to the Gross Domestic Product (GDP) was $190.98 B, including labor income contributions of $121.55 B, other property income contributions of $16.01 B and business taxes paid to local, state and federal governments of $25.84 B. The industry had direct employment of 1,599,662 fulltime and part-time individuals, and total employment contributions of 2,315,357 jobs in the broader economy. The largest individual industry sectors in terms of employment and GDP contributions were landscaping and horticultural services (1,460,669 jobs, $221.89 B), greenhouse, nursery and floriculture production (217,574 jobs, $28.69 B), and lawn and garden equipment and supplies stores (292,614 jobs, $43.80 B). The top ten states in terms of employment contributions were California (264,913 jobs), Florida (203,482), Texas (161,151), Ohio (90,406), Pennsylvania (90,075), New York (90,266), Illinois (87,595), North Carolina (78,766), Michigan (77,719), and Georgia (66,527). Since 2013, green industry contributions in 2018 increased by 16.2% for employment and 17.3% for GDP in inflation-adjusted terms. Growth in the industry was highest for wholesale and retail trade, while production and manufacturing declined. Although the green industry has grown slowly in recent years, it remains an important contributor to national, state and local economies. Index words: Sales, industry output, employment, value added, Gross Domestic Product, production, manufacturing, landscaping services, wholesale, retail, lawn and garden product line.
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Handy, Lori, Orysia Bezpalko, Hillary Hei, Carly Ehritz, Sara Townsend, and Julia Shaklee Sammons. "1152. Leveraging Human Factors Engineering to Optimize Low-level Disinfection of Bedside Medical Tools." Open Forum Infectious Diseases 5, suppl_1 (November 2018): S346. http://dx.doi.org/10.1093/ofid/ofy210.985.

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Abstract Background Inadequate cleaning and disinfection of shared medical equipment can lead to healthcare-associated infections and outbreaks. Stethoscopes were identified as the most commonly used piece of shared equipment at our institution, but cleaning practices were inconsistent among providers. We aimed to assess provider attitudes and practices around stethoscope disinfection and to subsequently implement a test of change (TOC) supported by human factors observations to improve cleaning consistency and frequency. Methods We conducted an anonymous electronic survey via SurveyMonkey paired with human factors observations in a free-standing children’s hospital. We surveyed physicians, nurses, and advanced practice providers to identify barriers to regular stethoscope cleaning. Quantitative results, human factors observations, and workflow simulations on a single unit were used to design an intervention to standardize low-level disinfection. Small mesh baskets holding alcohol prep pads labeled with brightly colored signage were installed by the exit of each patient room on one trial unit. Following implementation, a postsurvey and direct observations on the unit were conducted. Results Of those surveyed healthcare providers who completed the pre-survey (n = 383), 92% believed stethoscopes pose an infection risk to patients. However, only 38% of respondents reported cleaning their stethoscope between patient encounters. The most cited barrier to cleaning was a lack of easily accessible cleaning product (49%). After the unit-based TOC, alcohol from baskets were utilized by 80% of the 25 surveyed providers; 74% reported increased frequency of cleaning due to accessibility. Additionally, the brightly colored signage was a visual cue to disinfect equipment. Increased satisfaction of families reinforced the behavior. Direct observations revealed an increased frequency of cleaning while qualitative interviews elicited increased awareness from staff. Conclusion Leveraging human factors engineering to inform the placement and design of easily accessible disinfection supplies correlated with increased frequency of stethoscope cleaning by healthcare providers. Future steps include implementation in all inpatient care areas. Disclosures All authors: No reported disclosures.
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Anzai, Masahiro. "Special Issue on Die and Mold Technology." International Journal of Automation Technology 6, no. 4 (July 5, 2012): 521. http://dx.doi.org/10.20965/ijat.2012.p0521.

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Such mass-produced items as cars, consumer electronics equipment, precision instruments, office supplies, and daily necessities are inevitably connected to dies and molds – basic manufacturing technology whose quality determines product quality. The difficulties of die and mold production lie in the complexity of the structures and their requirements for high precision. Advances in both processing and basic technology such as machine tools and CAD/CAM software determine the results of die and mold acceptability and the level of productive techniques in the country of manufacture. This special issue focuses on advanced die and mold manufacturing technology. Included among the many interesting papers and reports are “The Influence Capitalize of Properties Improvement for Reinforced Plastics by Resin Flow Control Molding Method,” “Improving the Properties of Reinforced Plastics Using the Resin Flow Control Method of Molding – Evaluation of Sealing Performance of Molded Plastic Parts –,” “The Relation Between Mirror SurfaceMachining and Transcription Accuracy in the Nano Range – Molded Surface Transcription Through Accurate Mirror Surface Mold –,” and “High Precise Milling Process by cBN End Mills.” We are certain that you will find this issue both interesting and informative. We thank the authors for their generous cooperation and the editing staff for their invaluable assistance.
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Cardenas, Valeria, Anna N. Rahman, Mekiayla Singleton, YuJun Zhu, and Susan Enguidanos. "WHAT CONSUMERS SAY ABOUT HOSPICES IN ONLINE REVIEWS." Innovation in Aging 3, Supplement_1 (November 2019): S899—S900. http://dx.doi.org/10.1093/geroni/igz038.3287.

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Abstract Until recently, consumers have had limited resources to assess quality of hospices agencies, contributing to growing numbers of consumers turning to online review sites, such as Yelp. Yet little is known about the content of hospice Yelp reviews and how these relate to recently available Center for Medicare and Medicaid Services’ Hospice Compare site data. No study has examined Yelp hospice reviews and compared the themes identified in Yelp reviews to the topics addressed by CMS’s HC measures. To better understand how consumers perceive hospice care, we drew a purposeful sample of 67 hospices in California. Researchers used grounded theory to identify themes and categories within the hospice reviews. Each of two teams of two researchers independently coded the reviews and then met to compare coding and reconcile discrepancies until 100% consensus was reached. We coded a total of 692 consumer Yelp reviews, identifying 15 themes and grouping them under five overarching thematic categories: patient/caregiver-provider relationship; clinical care; agency competency; staff professionalism; and medical equipment and supplies. We found that overall Yelp comments were positive. The most frequently mentioned Yelp themes in hospice reviews were compassionate, caring staff; patient/family gratitude; and staff responsiveness. There was considerable overlap between the themes captured in HC caregivers survey items and Yelp. However, Yelp reviews cover a greater number and more diverse themes than those measures reported on the CMS Hospice Compare site. We recommend that consumers consider both HC and online review sites such as Yelp when evaluating a hospice.
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Parker, David, and Marc-Antoine Belaud-Rotureau. "Micro-cost Analysis of ALK Rearrangement Testing by FISH to Determine Eligibility for Crizotinib Therapy in NSCLC: Implications for Cost Effectiveness of Testing and Treatment." Clinical Medicine Insights: Oncology 8 (January 2014): CMO.S19236. http://dx.doi.org/10.4137/cmo.s19236.

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Break-apart fluorescence in situ hybridization (FISH) is the gold standard test for anaplastic lymphoma kinase ( ALK) gene rearrangement. However, this methodology often is assumed to be expensive and potentially cost-prohibitive given the low prevalence of ALK-positive non-small cell lung cancer (NSCLC) cases. To more accurately estimate the cost of ALK testing by FISH, we developed a micro-cost model that accounts for all cost elements of the assay, including laboratory reagents, supplies, capital equipment, technical and pathologist labor, and the acquisition cost of the commercial test and associated reagent kits and controls. By applying a set of real-world base-case parameter values, we determined that the cost of a single ALK break-apart FISH test result is $278.01. Sensitivity analysis on the parameters of batch size, testing efficiency, and the cost of the commercial diagnostic testing products revealed that the cost per result is highly sensitive to batch size, but much less so to efficiency or product cost. This implies that ALK testing by FISH will be most cost effective when performed in high-volume centers. Our results indicate that testing cost may not be the primary determinant of crizotinib (Xalkori®) treatment cost effectiveness, and suggest that testing cost is an insufficient reason to limit the use of FISH testing for ALK rearrangement.
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Musasizi, Benon, Elizabeth Ekirapa Kiracho, Saul Kamukama, and Geoffrey Babughirana. "Assessment of Public Health Units’ Capacity to Manage Under-Five Malnutrition: A Case Study of Kamuli District, Uganda." International Journal of Studies in Nursing 3, no. 3 (July 30, 2018): 100. http://dx.doi.org/10.20849/ijsn.v3i3.511.

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Malnutrition is a major public-health problem throughout the developing world and is an underlying factor in over 50% of the 10-11 million children under 5 years of age who die each year of preventable causes. Uganda loses US$310 million worth of productivity per year due to the high levels of stunting, iodine-deficiency disorders, iron deficiency, low birth weight, and malnutrition contributes to a loss of about 4.1% of the gross domestic product per year. This paper provides the findings of an assessment conducted in Kamuli district to determine the capacity of public health units to manage under-five malnutrition focusing on the six building blocks of the health system. This was a descriptive cross sectional study that employed both qualitative and quantitative methods of data collection, analysis and presentation. This involved interviewing health workers using a semi structured questionnaire and checklist for health facilities. Supplement qualitative data was collected using key informant interviews (KIIs). Results indicate that the capacity of health facilities to manage under-five malnutrition in Kamuli district was found to be low at 36.6% only. Capacity of health facilities was based on; Nutrition leadership and human resource development, health worker knowledge, availability of equipment and supplies, physical infrastructure, availability of infant and young child nutrition policy guidelines and planning and budgeting at health facility level.
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Gorin, Evgeniy A., and Aleksandr A. Zolotarev. "Export Potential of the National Economy: Opportunities and Limitations." Economics of Contemporary Russia, no. 3 (October 12, 2020): 103–16. http://dx.doi.org/10.33293/1609-1442-2020-3(90)-103-116.

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Authors consider export opportunities and the structure and dynamics of industrial export and import in the Russian Federation, Northwest Russia and St. Petersburg. The article studies structural changes in sectors of St. Petersburg economy resulting from ongoing innovation processes and their impact on export potential. It provides the results of assessing the impact of organizational, economic and production factors on export opportunities of various economic entities. Export opportunities, structure and dynamics of export and import of industrial products in the Russian Federation, the North-West region and St. Petersburg are considered. Volume of exports, imports and trade turnover in Russia in 2019, as well as the dynamics of changes in recent years are discussed. In the structure of Russia's exports in recent years, the bulk of supplies (60%) were mineral products, imports the main share of exports (over 40%) occurred in the machinery, equipment and vehicles. The high needs of the national market and the significant export potential of Russian enterprises engaged in the production of medicines and modern medical equipment are noted, which makes it possible to make a real contribution to solving important social problems and developing the national economy. The structure of exports and imports of North-West Federal district and St. Petersburg by major commodity groups, there is a saving in purchases of imported equipment combined with constant growth of exports of fuel and energy products are discussed. Structural changes in the economic sectors of St. Petersburg as a result of ongoing innovation processes and their impact on export potential are studied. The results of the assessment of the impact of organizational, economic and production factors on the export opportunities of various economic entities are presented. It is revealed that for industrial enterprises, the quality and cost of components becomes a problematic factor that hinders their development both in improving the product range and in their own technological modernization. For small and medium-sized businesses in industrial production, problems related to timely receipt of high-quality materials and products of the element base from suppliers and related companies, in most cases located abroad, are added. The role of the “Russian export center” as a state institute for supporting non-commodity exports and facilitating export operations was noted.
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Ribeiro, André, Joana Carvalho, Joana Castro, Jorge Araújo, Cândida Vilarinho, and Fernando Castro. "Alternative Feedstocks for Biodiesel Production." Materials Science Forum 730-732 (November 2012): 623–29. http://dx.doi.org/10.4028/www.scientific.net/msf.730-732.623.

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The increasing in the world population has continuously increased the energy demand. As an effective fuel, petroleum has been serving the world to meet its energy needs. Continued use of petroleum sourced fuels is widely recognized as unsustainable because of depleting supplies and all the environmental issues around its use could be responsible for a major deficit in the future. Thus, the development of alternative energy sources, are to be welcomed. Biodiesel, as an alternative fuel, has many benefits. It is biodegradable, non-toxic and compared to petroleum-based diesel, has a more favorable combustion emission profile, such as low emissions of carbon monoxide, particulate matter and unburned hydrocarbons. In brief, these merits make biodiesel a good alternative to petroleum based fuel. The use of alternative feedstock as waste cooking oils (WCO), bovine fats and microalgae oil for biodiesel production has some advantages. It is cheaper than edible vegetable oils and it is a way to valorize a sub-product. Nevertheless, these oils has some contaminants, which can reduce the quality of biodiesel, a problem that was solved by testing different operating conditions and equipment designs for each stage of processing. The technological assessment of this process was carried out to evaluate their technical benefits, limitations and quality of final product. In this work biodiesel was produced by an alkali-catalyzed transesterification, a reaction involving the WCO feedstock and an alcohol to yield fatty acid alkyl esters (biodiesel) and glycerol. The evaluation of quality from raw materials and final biodiesel was performed according to standard EN 14214. Results show that all parameters analyzed meet the standard and legislation requirements. This evidence proves that in those operating conditions the biodiesel produced from WCO, bovine fats and microalgae can substitute petroleum-based diesel.
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Hodges, Alan W., Charles R. Hall, and Marco A. Palma. "Economic Contributions of the Green Industry in the United States in 2007–08." HortTechnology 21, no. 5 (October 2011): 628–38. http://dx.doi.org/10.21273/horttech.21.5.628.

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Economic contributions of the green industry in each state of the United States were estimated for 2007–08 using regional economic multipliers, together with information on horticulture product sales, employment, and payroll reported by the U.S. Economic Census and a nursery industry survey. Total sales revenues for all sectors were $176.11 billion, direct output was $117.40 billion, and total output impacts, including indirect and induced regional economic multiplier effects of nonlocal output, were $175.26 billion. The total value added impact was $107.16 billion, including employee compensation, proprietor (business owner) income, other property income, and indirect business taxes paid to state/local and federal governments. The industry had direct employment of 1.20 million full-time and part-time jobs and total employment impacts of 1.95 million jobs in the broader economy. The largest individual industry sectors in terms of employment and value added impacts were Landscaping services (1,075,343 jobs, $50.3 billion), Nursery and greenhouse production (436,462 jobs, $27.1 billion), and Building materials and garden equipment and supplies stores (190,839 jobs, $9.7 billion). The top 10 individual states in terms of employment contributions were California (257,885 jobs), Florida (188,437 jobs), Texas (82,113 jobs), North Carolina (81,113 jobs), Ohio (79,707 jobs), Pennsylvania (75,604 jobs), New Jersey (67,993 jobs), Illinois (67,382 jobs), Georgia (66,042 jobs), and Virginia (58,677 jobs). The total value added of the U.S. green industry represented 0.76% of U.S. Gross Domestic Product (GDP) in 2007, and up to 1.60% of GDP in individual states. On the basis of a similar previous study for 2002 (Hall et al., 2006), total sales of horticultural products and services in 2007–08 increased by 3.5%, and total output impacts increased by 29.2%, or an average annual rate of 5.8% in inflation-adjusted terms.
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Zhang, Shaqing, Jinhui Liao, Shuangcheng Wu, Junrui Zhong, and Xiaoping Xue. "A Traceability Public Service Cloud Platform Incorporating IDcode System and Colorful QR Code Technology for Important Product." Mathematical Problems in Engineering 2021 (June 8, 2021): 1–15. http://dx.doi.org/10.1155/2021/5535535.

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At present, the epidemic situation of COVID-19 is raging rampantly in the whole world, affecting the hearts of billions of people. The new coronavirus has been detected in many foods and agricultural products. At the same time, vaccines and medicines to prevent or treat COVID-19 are also stepping up research and development and gradually put into use. The quality and safety of foods, medicines, and agricultural products are directly related to the lives and health of people. There are many potential dangers and hidden risks of accidents in the production, sale, and transportation of dangerous goods and special equipment. Therefore, it is necessary to effectively monitor and record the workflow of the above productions or goods. In this paper, we developed an important product traceability public service cloud platform (IPTPSCP) based on batch identification and record keeping with International Two-Dimensional Code Object Identifier System (IDcode) coding rules. Through a case study of the tea factory that produces and sells Xinyang Maojian tea, a test and implementation of IPTPSCP was shown by designing a colorful QR code to prevent the traceability information from being forged in batches. Judging from the overall effect of the practical application of more than a dozen settled enterprises, IPTPSCP has improved the efficiency of data collection and monitoring by about 13%. The results show that the IPTPSCP can be considered as an effective tool to guarantee the quality and safety of products. Besides, since it is not required for the enterprise to invest much money and manpower to develop software, IPTPSCP reduces the cost of implementing product traceability by about 36%.
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Podoba, Z. S., and M. M. Smirnova. "Russia’s Export Specialization in Africa." Outlines of global transformations: politics, economics, law 12, no. 3 (November 24, 2019): 109–28. http://dx.doi.org/10.23932/2542-0240-2019-12-3-109-128.

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The paper is devoted to the study of Russia’s export specialization in the countries of Africa in the period from 2001 to 2017. A comprehensive analysis of the dynamics, the commodity and geographical structure of Russian exports to the African continent has been carried out. Using bilateral trade data for product groups at the level of two digits of the Harmonized Commodity Description and Coding System (HS), this study examines the main patterns of comparative advantage in Russia’s trade with the countries of the region in the early 21st century. Based on the calculation results of the bilateral revealed comparative advantage index (RCA), authors identified a group of Russia’s trade partners in Africa, characterized by the largest number of export specialization product groups: Algeria, Angola, Guinea, Egypt, South Africa. Comparative analysis of Russia’s export specialization in Africa with the main partners in terms of trade turnover indicates, that Russia has more diverse comparative advantages in trade with some African countries (17 product groups), than with European ones, such as Germany (9 product groups) and Netherlands (8 groups). The study shows that Russia has export specialization in the following main product groups in African countries: HS 84 ‘Nuclear reactors, boilers, machinery and mechanical appliances; parts thereof ’, HS 85‘Electrical machinery and equipment and parts thereof ’, HS 87 ‘Vehicles other than railway or tramway rolling-stock, and parts and accessories thereof ’, HS 48‘Paper and paperboard’ and HS 10‘Cereals’. The authors revealed, that the intensity of Russia’s export specialization in African countries increases with the augmentation of the technical complexity of products exported. It proves that Russian industrial products have competitive advantages in the African market. The development and strengthening of economic cooperation with Africa is one of the most important direction of non-commodity and non-energy exports expansion and geographical diversification of Russian trade. The paper concludes by discussing the promising avenues for the future Russian-African export partnership.
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Radish, Alexander J., Chad Smith, Ann M. Parks, and Anne Graff LaDisa. "A Financial Evaluation of the Centralized Repackaging of Intracameral Moxifloxacin for Cataract Surgery and Its Impact on Cost Reduction." Hospital Pharmacy 53, no. 5 (February 12, 2018): 321–25. http://dx.doi.org/10.1177/0018578718757516.

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Background: Extensive evidence-based literature supports the use of intracameral (IC) moxifloxacin for the prevention of postoperative endophthalmitis after cataract surgery. The Aurora Pharmacy Packaging Center (APPC) has developed a process for centrally preparing IC moxifloxacin. Purpose: The aim of this study was to evaluate the centralized preparation of IC moxifloxacin production for quality assurance and to quantify a potential reduction in costs. Methods: The APPC’s compounding procedure of IC moxifloxacin was evaluated using United States Pharmacopeia (USP) Convention 797 standard and compared with practices described in evidence-based literature. Patients who received IC moxifloxacin intraoperatively from one of 3 ophthalmologists during cataract surgery performed between February 15, 2016, and August 15, 2016, were identified using electronic health records. Cost savings were calculated by reviewing costs associated with drug supplies used by the APPC. Results: The APPC process for the centralized preparation of IC moxifloxacin was deemed compliant with USP 797’s sterile compounding standards. USP 797 validation criteria included proper sterile technique, equipment, room sterility and pressure, beyond use dating, and storage. Implementation of the centralized production of moxifloxacin reduced the direct product cost per surgery from $140 to $20 (a cost savings of $120 per surgery). There were 459 cataract surgeries analyzed during the study period, resulting in a savings of $55 080 over 6 months. Conclusion: The APPC’s centralized compounding procedure was found to be compliant with pharmacy compounding standards and to yield significant cost savings.
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Jefferson, Osmat Azzam, Simon Lang, Kenny Williams, Deniz Koellhofer, Aaron Ballagh, Ben Warren, Bernard Schellberg, Roshan Sharma, and Richard Jefferson. "Mapping CRISPR-Cas9 public and commercial innovation using The Lens institutional toolkit." Transgenic Research 30, no. 4 (March 15, 2021): 585–99. http://dx.doi.org/10.1007/s11248-021-00237-y.

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AbstractCRISPR-Cas9 is a revolutionary technology because it is precise, fast and easy to implement, cheap and components are readily accessible. This versatility means that the technology can deliver a timely end product and can be used by many stakeholders. In plant cells, the technology can be applied to knockout genes by using CRISPR–Cas nucleases that can alter coding gene regions or regulatory elements, alter precisely a genome by base editing to delete or regulate gene expression, edit precisely a genome by homology-directed repair mechanism (cellular DNA), or regulate transcriptional machinery by using dead Cas proteins to recruit regulators to the promoter region of a gene. All these applications can be for: 1) Research use (Non commercial), 2) Uses related product components for the technology itself (reagents, equipment, toolkits, vectors etc), and 3) Uses related to the development and sale of derived end products based on this technology. In this contribution, we present a prototype report that can engage the community in open, inclusive and collaborative innovation mapping. Using the open data at the Lens.org platform and other relevant sources, we tracked, analyzed, organized, and assembled contextual and bridged patent and scholarly knowledge about CRISPR-Cas9 and with the assistance of a new Lens institutional capability, The Lens Report Builder, currently in beta release, mapped the public and commercial innovation pathways of the technology. When scaled, this capability will also enable coordinated editing and curation by credentialed experts to inform policy makers, businesses and private or public investment.
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Adini, Bruria, Avishay Goldberg, Danny Laor, Robert Cohen, Roni Zadok, and Yaron Bar-Dayan. "Assessing Levels of Hospital Emergency Preparedness." Prehospital and Disaster Medicine 21, no. 6 (December 2006): 451–57. http://dx.doi.org/10.1017/s1049023x00004192.

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AbstractIntroduction:Emergency preparedness can be defined by the preparedness pyramid, which identifies planning, infrastructure, knowledge and capabilities, and training as the major components of maintaining a high level of preparedness.The aim of this article is to review the characteristics of contingency plans for mass-casualty incidents (MCIs) and models for assessing the emergency preparedness of hospitals.Characteristics of Contingency Plans:Emergency preparedness should focus on community preparedness, a personnel augmentation plan, and communications and public policies for funding the emergency preparedness. The capability to cope with a MCI serves as a basis for preparedness for non-conventional events. Coping with chemical casualties necessitates decontamination of casualties, treating victims with acute stress reactions, expanding surge capacities of hospitals, and integrating knowledge through drills. Risk communication also is important.Assessment of Emergency Preparedness:An annual assessment of the emergency plan is required in order to assure emergency preparedness. Preparedness assessments should include: (1) elements of disaster planning; (2) emergency coordination; (3) communication; (4) training; (5) expansion of hospital surge capacity; (6) personnel; (7) availability of equipment; (8) stockpiles of medical supplies; and (9) expansion of laboratory capacities. The assessment program must be based on valid criteria that are measurable, reliable, and enable conclusions to be drawn. There are several assessment tools that can be used, including surveys, parameters, capabilities evaluation, and self-assessment tools.Summary:Healthcare systems are required to prepare an effective response model to cope with MCIs. Planning should be envisioned as a process rather than a production of a tangible product. Assuring emergency preparedness requires a structured methodology that will enable an objective assessment of the level of readiness.
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32

J.E., Ibebuike,, Onyeneke, U.J., and Chinedu-Eleonu, P. "Reproductive Health Services in Owerri West Local Government Area, Imo State, Nigeria: Youths and Providers’ Perspective." International Journal of Science and Healthcare Research 6, no. 3 (August 11, 2021): 208–15. http://dx.doi.org/10.52403/ijshr.20210736.

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Reproductive health is central to human identity and imperative for health and well-being. This study was carried out in Owerri West Local Government Area of Imo State, Nigeria to investigate the perspective of youths and providers of reproductive health services toward its utilization and challenges. The study was a descriptive cross sectional study of which the multistage sampling technique was adopted to select samples for the study. A well-structured questionnaire was used to interview the subjects all of gave an informed consent to be part of the study. Results showed that the youth’s view on impending factors of RHS include attitude of RHS workers, cost of provision of RHS, poor keeping of secret about one’s health, lack of confidentiality among workers, parental influence, poor environment and poor road accessibility and lack of confidentiality. The providers generally identified the role RHS play in terms of family planning, antenatal care services, treatment of unsafe abortion, referral services, treatment and prevention of sexually transmitted infections, etc. They were of the view that some of the impediments affecting quality RHS in their communities were poor environment, lack of privacy, poor maintenance of the buildings for health care, fear of the elderly, poor attitude of some of the health workers, lack of accessible roads leading to health centers, poor availability of equipment and product supplies, treatment cost, etc. It was recommended that health awareness campaigns concerning RHS and its associating risk factors should be made more pronounced in the society especially among youths. Keywords: Reproductive Health Services, Sexual and Reproductive Health, Youths, Providers, Sexually Transmitted Infections.
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33

Hodges, Alan W., Charles R. Hall, Marco A. Palma, and Hayk Khachatryan. "Economic Contributions of the Green Industry in the United States in 2013." HortTechnology 25, no. 6 (December 2015): 805–14. http://dx.doi.org/10.21273/horttech.25.6.805.

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Economic contributions of the green industry in the United States were estimated for 2013 using information on industry output, value added, employment and domestic/international exports, retail sector lawn and garden product sales, and economic multipliers from Impact Analysis for Planning (IMPLAN) regional economic models for each state. Direct industry output for all sectors was estimated at $136.44 billion (B), and total output contributions, including indirect and induced regional economic multiplier effects of export sales, were $196.07 B. The total value-added contribution to gross domestic product (GDP) was $120.71 B, including labor income contributions of $82.47 B, other property income contributions of $28.91 B and business taxes paid to local, state, and federal governments of $9.30 B. The industry had direct employment of 1,599,662 full-time and part-time jobs, and total employment contributions of 2,035,636 jobs in the broader economy. The largest individual industry sectors in terms of employment and GDP contributions were landscaping and horticultural services (1,105,526 jobs, $54.70 B); greenhouse, nursery, and floriculture production (240,809 jobs, $20.36 B); and lawn and garden equipment and supplies stores (217,798 jobs, $12.87 B). The top 10 states in terms of employment contributions were California (245,267 jobs), Florida (197,073), Texas (149,364), Ohio (77,664), Pennsylvania (77,569), Illinois (76,254), New York (73,676), North Carolina (72,014), Georgia (64,066), and Michigan (63,189). Green industry contributions represented 0.72% of U.S. GDP and 1.11% of total workforce employment, and it contributed over 1.0% of GDP in five states, and over 1.25% of employment in 10 states. Employment contributions averaged 0.6 jobs/mile2 of land area and 6.4 jobs per 1000 persons in the U.S. population, while GDP contributions averaged $34,176/mile2 and $382 per capita. Since 2007–08, green industry contributions in 2013 increased by 4.4% for employment and 2.7% for GDP in inflation-adjusted terms. Growth in the industry was highest for wholesale and retail trade, whereas production and manufacturing declined. Although the green industry has grown slowly in recent years, it remains an important contributor to national, state, and local economies.
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Yupanqui-Lozno, Hernan, Raul A. Bastarrachea, Maria E. Yupanqui-Velazco, Monica Alvarez-Jaramillo, Esteban Medina-Méndez, Aida P. Giraldo-Peña, Alexandra Arias-Serrano, et al. "Congenital Leptin Deficiency and Leptin Gene Missense Mutation Found in Two Colombian Sisters with Severe Obesity." Genes 10, no. 5 (May 7, 2019): 342. http://dx.doi.org/10.3390/genes10050342.

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Background: Congenital leptin deficiency is a recessive genetic disorder associated with severe early-onset obesity. It is caused by mutations in the leptin (LEP) gene, which encodes the protein product leptin. These mutations may cause nonsense-mediated mRNA decay, defective secretion or the phenomenon of biologically inactive leptin, but typically lead to an absence of circulating leptin, resulting in a rare type of monogenic extreme obesity with intense hyperphagia, and serious metabolic abnormalities. Methods: We present two severely obese sisters from Colombia, members of the same lineal consanguinity. Their serum leptin was measured by MicroELISA. DNA sequencing was performed on MiSeq equipment (Illumina) of a next-generation sequencing (NGS) panel involving genes related to severe obesity, including LEP. Results: Direct sequencing of the coding region of LEP gene in the sisters revealed a novel homozygous missense mutation in exon 3 [NM_002303.3], C350G>T [p.C117F]. Detailed information and clinical measurements of these sisters were also collected. Their serum leptin levels were undetectable despite their markedly elevated fat mass. Conclusions: The mutation of LEP, absence of detectable leptin, and the severe obesity found in these sisters provide the first evidence of monogenic leptin deficiency reported in the continents of North and South America.
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35

Umoh, Edet Okon, and Blessing Oduenyi Opue. "KNOWLEDGE AND ATTITUDE OF MEDICATION ERROR AMONG NURSES IN FEDERAL NEURO-PSYCHIATRIC HOSPITAL, CALABAR." Cognizance Journal of Multidisciplinary Studies 1, no. 6 (June 30, 2021): 20–44. http://dx.doi.org/10.47760/cognizance.2021.v01i06.003.

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This study was conducted to assess knowledge and attitude of medication among Nurses in Federal Neuropsychiatric Hospital, Calabar. Three (3) research questions were raised and one hypothesis formulated to direct the study. The descriptive cross-sectional survey design was used to study a total of one hundred and two (102) nurses selected from the study area using the stratified random sampling technique. A well developed and structured questionnaire was used for data collection. The questionnaire was duly validated and its reliability ensured. Data collected were analyzed using descriptive statistics of frequency count, simple percentage, mean, weighted mean, and standard deviation. The study hypothesis was tested using Pearson Product Moment Correlation Coefficient analysis with its significance level set at 0.05. Findings of the study revealed that majority (73.6%) of the nurses used for the study had adequate knowledge of medication error, and majority (72.6%) had positive attitude towards prevention of medication error in the Hospital. Factors that affect safe medication practices among the nurses include: individual negligence, excessive workload, inadequate staff strength, poor working environment, lack of staff development and training, lack of equipment and supplies, non-regular review of patient’s drugs by doctors, and prescription of under dosage drug by doctors. There is a statistically significant and positive relationship between knowledge and attitude of nurses towards prevention of medication error. Based on these findings, it was recommended that government should employ more qualified nurses to increase the strength of nurses in the Hospital and improve the nurse-patient ratio to avoid excessive workload which is a strong and significant contributing factor to medication error among nurses in the Hospital.
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36

"Product showcase: Conveyor equipment & supplies." Metal Finishing 107, no. 1 (January 2009): 55. http://dx.doi.org/10.1016/s0026-0576(09)80015-9.

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37

"Product Briefs New Equipment and Supplies on the Market." Opflow 44, no. 1 (January 2018): 30. http://dx.doi.org/10.5991/opf.2018.44.0010.

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"Product Briefs New Equipment and Supplies on the Market." Opflow 44, no. 2 (February 2018): 30. http://dx.doi.org/10.5991/opf.2018.44.0022.

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39

"Product Briefs New Equipment and Supplies on the Market." Opflow 44, no. 3 (March 2018): 30. http://dx.doi.org/10.5991/opf.2018.44.0034.

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40

"Product Briefs New Equipment and Supplies on the Market." Opflow 44, no. 4 (April 2018): 34. http://dx.doi.org/10.5991/opf.2018.44.0047.

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41

"Product Briefs New Equipment and Supplies on the Market." Opflow 41, no. 6 (June 2015): 30. http://dx.doi.org/10.1002/j.1551-8701.2015.tb02565.x.

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42

"Product Briefs New Equipment and Supplies on the Market." Opflow 41, no. 7 (July 2015): 30. http://dx.doi.org/10.1002/j.1551-8701.2015.tb02578.x.

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43

"Product Briefs: NEW EQUIPMENT AND SUPPLIES ON THE MARKET." Opflow 41, no. 3 (March 2015): 30. http://dx.doi.org/10.1002/j.1551-8701.2015.tb01567.x.

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"Product Briefs: NEW EQUIPMENT AND SUPPLIES ON THE MARKET." Opflow 41, no. 4 (April 2015): 36. http://dx.doi.org/10.1002/j.1551-8701.2015.tb01582.x.

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45

"Product Briefs: NEW EQUIPMENT AND SUPPLIES ON THE MARKET." Opflow 41, no. 5 (May 2015): 30. http://dx.doi.org/10.1002/j.1551-8701.2015.tb01596.x.

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46

"Product Briefs New Equipment and Supplies on the Market." Opflow 41, no. 12 (December 2015): 30. http://dx.doi.org/10.1002/j.1551-8701.2015.tb02651.x.

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47

"Product Briefs: NEW EQUIPMENT AND SUPPLIES ON THE MARKET." Opflow 40, no. 12 (December 2014): 28. http://dx.doi.org/10.1002/j.1551-8701.2014.tb01527.x.

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48

"Product Briefs: NEW EQUIPMENT AND SUPPLIES ON THE MARKET." Opflow 41, no. 1 (January 2015): 30. http://dx.doi.org/10.1002/j.1551-8701.2015.tb01540.x.

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"Product Briefs: NEW EQUIPMENT AND SUPPLIES ON THE MARKET." Opflow 41, no. 2 (February 2015): 30. http://dx.doi.org/10.1002/j.1551-8701.2015.tb01553.x.

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"Product Briefs New Equipment and Supplies on the Market." Opflow 39, no. 1 (January 2013): 28. http://dx.doi.org/10.1002/j.1551-8701.2013.tb02473.x.

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