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Organizational Change Management in the Digital Age: Utilizing New Technology for a Contemporary Workstyle
Full text linkIn the digital age, managing organizational change has become increasingly challenging. Leaders must balance visionary strategies with compassionate engagement to construct organizational resilience and adaptability. This paper examines how organizations can utilize new technologies, particularly blockchain, to enhance modern work styles while addressing the challenges of digital transformation. Technological advancements offer substantial benefits, such as improved efficiency, transparency, and competitiveness. However, they also present significant obstacles, including high implementation costs, resistance to change, cybersecurity risks, and regulatory complexities. Adequate leadership in this evolving landscape requires a structured change management approach that integrates technology and addresses the human aspects of transformation. Leaders can reduce resistance and foster organizational alignment by adopting people-centered strategies that promote collaboration and continuous learning. The study highlights that product innovation, processes, business models, and organizational structures can position companies for long-term success. Proactive leadership, strategic adaptability, and a commitment to ethical and sustainable practices are essential for navigating change and empowering organizations to become more resilient, competitive, and prepared for future disruptions. This research highlights the need to blend innovative solutions with firm leadership to manage organizational transitions effectively, ensuring sustainable growth in an increasingly dynamic global environment
Supply Chain Integration and Employee Productivity in Maritime Firms in Nigeria
Full text linkThis study investigated the effect of Supply Chain Integration (SCI) on Employee Productivity (EP) in maritime firms in Delta State, Nigeria. The study focused on three dimensions of SCI: Supply Chain Integration Index (SCII), Internal Integration (II), and External Integration (EI), examining how each relates to employee productivity outcomes in a developing regional context. The study was anchored on the Productivity Theory. A descriptive survey research design was adopted. The population of the study comprised 9,540 employees from selected maritime firms, with a sample size of 370 determined using Morgan�s table. Out of the 370 questionnaires distributed, 293 were validly returned, representing a response rate of 79.19%. The research instrument was a structured questionnaire validated by experts and tested for reliability, yielding a Cronbach�s alpha coefficient of 0.79. Data collected were analyzed using descriptive statistics, Pearson correlation, and multiple regression techniques. Findings revealed that SCII and II have significant positive effects on employee productivity, while EI showed a negative but significant effect. Specifically, the regression analysis showed that II had the strongest positive influence on EP (? = 0.749, p< 0.01), followed by SCII (? = 0.227, p< 0.01), while EI had a negative coefficient (? = -0.183, p< 0.05), suggesting possible inefficiencies or trust deficits in external collaboration. It recommends targeted investment in internal systems, enhanced collaboration across departments, and more strategic external partnerships. The findings provide practical insights for policymakers and organizational leaders seeking to optimize employee output through integrated supply chain strategies in similar developing economies
Impact of Minimum Wage on Income Distribution for the Period 2012-2018
Full text linkThe goal of this monograph is to measure the impact of minimum wage (MW) on income distribution between 2012 and 2018, whether positive or negative, following the steps adopted by Brito (2015) in chapter III, where the author analyzed the impact of MW on income distribution between 1995 and 2011. For this analysis, we performed the standard Blinder- Oaxaca decomposition method (mean) and the method proposed by FFL (2009), where we can use the Blinder-Oaxaca decomposition for other statistics besides mean (such as Gini index, percentiles and interquantile differences), based on the microdata of the Continuous National Sample Survey by Domicile (PNAD Cont�nua) of the years 2012, 2014, 2016 and 2018 conducted by the Brazilian Institute of Geography and Statistics (IBGE), which allows us to analyze the impact of different minimum wage strips on each statistic of our interest for different periods. The decomposition made by these two methodologies allows us to observe the inequality of income caused by the differences in characteristics of the two groups analyzed, in our case, pairs of years (2012-2018, for example). The results of this work show us that the minimum wage generally contributed to reduce inequality between 2012 and 2014, and especially between 2016 and 2018, but between 2014 and 2016, the minimum wage contributed to increase inequality. This contribution to increasing inequality between 2014 and 2016 can be explained by the reduction of income in the lower tail of the distribution plus the increase of income in the upper tail. As for the whole period between 2012 and 2018, both the direct effect of the minimum wage (captured by the strip from 0.9 to 1.1 MW) and the expanded effect (from 0.5 to 1.5 MW), which considers possible spillovers and cash effects, contributed to increasing inequality of income in Brazil
Evaluation of the Communication Skills Module for Future Health Care Administrators for Enhancing Patient Care in the Hospital Sector
Full text linkToday\u27s healthcare administrators are not just managers; they are innovators operating within a dynamic and creative environment. Their approaches elevate the healthcare management sector and significantly contribute to social security by acting as vital knowledge partners in transformational initiatives. The training programs are designed as an effective blend of academic rigor and industry-relevant insights, providing a critical understanding of corporate culture and amplifying the importance of healthcare managers in the evolving job market.
In response to the rapidly changing landscape, new skill sets identified include communication, collaboration, change management, team leadership, motivation, analytical thinking, and logical reasoning, have emerged that emphasize the need for ongoing learning, unlearning, and relearning. The curriculum is shaped by comprehensive competency mapping, ensuring alignment with the demands of modern healthcare
Atrial Flutter with 1:1 Atrioventricular Conduction
Full text linkIntroduction: Generally, atrial flutter leads 2:1 to the ventricles. It rarely leads 1:1, with states of cardiogenic shock. Due to the very fast ventricular rate.
Objetives: To present patients with atrial flutter, with 1:1 atrioventricular conduction. Explain diagnostic methods. Review production mechanisms. Define the causes of presentation in exposed. patients. Mention the behavior and treatment.
Methods: The following were taken in to account: Electrocardiogram with heart rate greater tan Identification of atrial flutter waves. Determination of 1:1 atrioventicular conduction. Typing of heart disease. Evaluation of hemodynamic status. Age and sex. Then we proceded to treatment and behavior.
Results: Ten patients were observed. Average age 57 (22-72). Ischemic heart disease 4; chronic rheumatic 2; chronic cor pulmonale 2; dilated cardiomyopathy 1 and pre-excitation syndrome 1. Average atrial rate 257 (240-270). Hemodynamic instablity 6. Treatment: electrical cardioversi�n 5; Amiodarone 2; Digoxin 1; descontinuation of Digoxin 1 and spontaneous 1. Vagal maneuver was performed in 5. Digoxin precipitated the arrhythmia in 1,in the rest it was triggered spontaneously.
Conclusion: The mayority of cases had heart disease. The arrhythmia can be confused with ventricular tachycardia and paroxismal supraventricular tachycardia. Vagal maneuvers help in the diagnosis. Depending on the state of hemodynamic stability, it card be treated with antiarrhythmics or electrical cardioversi�n
Research on Procrastination During Exams, Mental Health Care, ADHD and its Preventions
No full textWhen students put off preparing for an exam despite knowing they have a deadline and should do so, this is known as procrastination by examination. Students who are anxious about failing the test may put things off. They may put off doing it if they are having trouble understanding the topic. Students who have bad study habits may put off tasks. Depression, anxiety, low self-esteem, and ADHD (Attention Deficit Hyperactivity Disorder) have all been related to procrastination. A neurological condition known as ADHD can impact both adults and children. Hyperactive tendencies, difficulty focusing on activities, and an inability to regulate impulses are all possible symptoms of ADHD2. The disease does, however, also have several advantages and strengths. The primary aim of this study in the exam environment is the integration of procrastination findings by examination. The findings can be used to promote improvements in exam scores, writing techniques, academic performance indicators, and the entire exam and learning experience for students. We also expect that our work will encourage more research using materials connected to tests and other texts to help candidates avail themselves of excellent exam-related activities, which are essential to avoiding and are required to receive higher scores on their exams. The investigators chose the ICSE board schools in the sub-urban areas of Mumbai. In 2024, the researchers distributed 1400 questionnaires to the 12 ICSE Board Schools. 624 students, 227 teachers, 228 parents, and 232 guardians from these participating schools93.64% of respondents were answered. The research reflects that every government must take care of the students and provide effective counseling centres through national, and state representatives it will be required in these digital environments to take care of the future generation because based on necessity everyone procrastinates using mobile phones for their related studies. The usage of mobile also caused procrastination from elementary to research
Canine Chronic Inflammatory Enteropathy with Special Reference to Immunological Markers for Diagnosis
Full text linkA study on Chronic Inflammatory Enteropathy (CIE) in dogs was conducted at Madras Veterinary College Teaching Hospital. Out of 40 dogs with persistent gastrointestinal signs, 16 were diagnosed with idiopathic CIE. The condition was more prevalent in 2-5 year-old male dogs, particularly in mongrel breeds. Clinical signs included chronic diarrhoea, vomiting, and weight loss, with disease duration of 1-3 months. Gastroduodenoscopy revealed hyperemia, friability, and granularity in the stomach and duodenum, while colonoscopy showed friability, hyperemia, ulceration, and discoloration of colonic mucosa. Histopathology of duodenal biopsies showed villous stunting, mucosal fibrosis, and lymphoplasmacytic infiltration. Immunohistochemistry indicated upregulation of CD3+ cells and Ki67 antigen. A positive correlation was found between the Canine Chronic Enteropathy Activity Index (CCECAI) and endoscopic and histopathological scores
Renal Leiomyoma as a Bosniak IV Lesion: A Case Report
Full text linkLeiomyoma is a benign neoplasm originating from mesenchymal cells, affecting the smooth muscle of the genitourinary tract. These tumors can occur in various places throughout the urinary tract, mainly in the bladder, but renal involvement is less frequent and is usually in the renal capsule. They are generally asymptomatic, and diagnosis is frequently incidental through imaging studies. When symptomatic, flank pain, palpable abdominal mass or hematuria can be present. This report describes a patient with lower back pain whose computed tomography(CT) revealed a complex Bosniak IV renal lesion. Later, the patient was submitted to a partial robotic nephrectomy and diagnosed with leiomyoma through immunohistochemistry
Newborn Survival Analysis: between 2019 and 2021 in Burundi
No full textProgress towards the fourth Millennium Development Goal - to reduce child mortality under the age of 5, to which all countries are committed - has been slow in several countries in the Central African region in recent years. This study includes 2,886 observations from Burundi between 2019 and 2022. Early neonatal mortality (0 - 6 days) accounts for 50% of neonatal deaths in the country. Through survival analysis, I identified several key risk factors�Caesarean section, malaria, and fetal distress�as the primary causes of early neonatal mortality. Contrary to conventional wisdom, most of these health problems can be managed with cost-effective, evidence-based interventions that do not require sophisticated skills or technologies in countries with high infant mortality. By improving the health of the mother, through adequate nutrition during pregnancy, correct management of childbirth and appropriate care of the newborn, 32.9% of infant deaths can be avoided. These results further argue in favor of an appropriate prevention policy focused on the mother-child pair: better monitoring of pregnancies among mothers, ensuring good vaccination coverage and improving health infrastructure
Cellular Generation Number as an Invariant Measure of Biological Time in Relativistic Systems: Biological Systems do Not Experience Time Dilation
Full text linkThis work presents a thought experiment where the number of cellular duplications or generations (G) is used as a biological clock to investigate the effects of relativistic environments on biological time. We demonstrate that, although physical clocks in different reference systems measure varying times due to relativistic time dilation, biological time remains invariant and corresponds to the �proper� time. This invariance holds not only across inertial reference frames but also extends to non-inertial, accelerated, and gravitational reference systems. The invariance arises because G is defined as the ratio of the growth time to the duplication time, ensuring that any relativistic effects influencing these time intervals cancel out.
These findings challenge the classic interpretation of Einstein\u27s twin paradox, which suggests differential ageing due to relativistic velocities. In reality, while physical clocks indicate differing times, biological time, and thus the biological age of living organisms, remains unaffected, aligning consistently with the proper time. Although bacterial cultures were used as a model in this study, the results are generalisable to all cellular systems, provided identical growth conditions are maintained. This study provides new insights into the interplay between biological processes and relativistic effects, establishing G as a reliable and invariant measure of biological time across all reference frame