The optimized methodology and results of the new characterization in terms of dose and image quality of the X-ray system used in the main pediatric hemodynamics service in Chile are presented. In addition, scattered dose rate values at the operator’s eye level are reported for all acquisition modes available in different thicknesses of absorbent media and angiography. The characterization was performed according to the European DIMOND and SENTINEL protocols adapted to pediatric procedures. The air kerma at the entrance surface (ESAK) was measured and the image quality parameters signal-to-noise ratio (SNR) and a figure of merit (FOM) were calculated. The scattered dose rate was measured in personal dose equivalent units. The ESAK for fluoroscopic modes ranged from 0.2 to 35.6 μGy/image when passing from 4 to 20 cm of polymethyl methacrylate (PMMA). For the cine mode, these values ranged from 2.8 to 160.1 μGy/image. The values of the image quality parameters showed a correct system configuration, although abnormal values were observed in the medium fluoroscopic mode. As for the scattered dose rate at the level of the cardiologist’s eyes, the highest value is PMMA with a thickness of 20 cm, where the cine mode reached 9.41 mSv·h-1. The differences found from previous evaluations can be explained by the deterioration of the system and the change of one of the X-ray tubes.

This paper aims to investigate the factors of competitive success and examine the relationship between Strategic Management Accounting, management accounting information systems and sustainability performance. This research was conducted with a quantitative approach. The survey involved 125 managers of 4- and 5-star hotels in Bali, Indonesia, a research sample of 154 managers was determined to be given a research questionnaire. Analysis of research data was carried out through Structural Equation Modeling. The results showed that strategic management accounting and Information Management Accounting System had a positive effect on sustainability performance. MAS information also mediates the relationship between strategic management accounting and sustainability performance which can involve a variety of factors. This study only focuses on competitive strategy and MAS information variables, so further research is needed on the sustainability performance of the hospitality industry. The positive relationship between strategic management accounting and social and environmental performance supports the argument that hotels use socio-environmental aspects for their strategic management accounting. Hotel managers also need government regulations and information related to social and environmental issues such as the Indonesian occupational health and safety management system and the Indonesia Green Hotel Award.

The primary purpose of the current study is to investigate the impact of entrepreneurial orientation on the international performance of SMEs. In addition, the study has also examined the mediating Role of social capital and global mindset in the relationship between entrepreneurial orientation and the international performance of SMEs. The present business situation for Sustainability depends on the company’s capability and the existing capital, which comprises expertise, skills, and company capability, which force its ability to compete and utilize the valued resources with strategy. In organizational processes, a company’s abilities and capital enhance its performance, especially in profit earning and forming a strategy. According to the resources-based theory, the group of internal abilities and resources in the firm may produce competitive benefits and result in more excellent performance. We have used PLS path modeling in the present study to analyze the theoretical model. Entrepreneurial orientation is a resource that indicates the extent of a business’ proactive state, risk-taking innovativeness, competitive belligerence, and autonomy. Regarding the effect of social capital on international performance, the findings demonstrate a significant and positive correlation between the two variables regarding the effect of a global mindset on international performance; the findings indicate a significant correlation between the two variables. In general, the findings of this current study are consistent with those of previous ones, whereby the global mindset is indicated to play a significant role in achieving international performance for SMEs. The findings also align with the theory of contingency assertion about the global mindset, whereby the positive effect of intellectual intelligence on international performance is confirmed.