This article analyzes the use and limitations of nonmonetary contract incentives in managing third-party accountability in human services. In-depth case studies of residential care homes for the elderly and integrated family service centers, two contrasting contracting contexts, were conducted in Hong Kong. These two programs vary in service programmability and service interdependency. In-depth interviews with 17 managers of 48 Residential Care Homes for the Elderly (RCHEs) and 20 managers of 10 Integrated Family Service Centers (IFSCs) were conducted. Interviews with the managers show that when service programmability was high and service interdependency was low, nonmonetary contract incentives such as opportunities for self-actualization professionally or reputation were effective in improving service quality from nonprofit and for-profit contractors. When service programmability was low and service interdependency was high, despite that only nonprofit organizations were contracted, many frontline service managers reported that professional accountability was undermined by ambiguous service scope, performance emphasis on case turnover, risk shift from public service units and a lack of formal accountability relationships between service units in the service network. The findings shed light on the limitations of nonmonetary contract incentives.
Cancer is the 3rd leading cause of death globally, and the countries with low-to-middle income account for most cancer cases. The current diagnostic tools, including imaging, molecular detection, and immune histochemistry (IHC), have intrinsic limitations, such as poor accuracy. However, researchers have been working to improve anti-cancer treatment using different drug delivery systems (DDS) to target tumor cells more precisely. Current advances, however, are enough to meet the growing call for more efficient drug delivery systems, but the adverse effects of these systems are a major problem. Nanorobots are typically controlled devices made up of nanometric component assemblies that can interact with and even diffuse the cellular membrane due to their small size, offering a direct channel to the cellular level. The nanorobots improve treatment efficiency by performing advanced biomedical therapies using minimally invasive operations. Chemotherapy’s harsh side effects and untargeted drug distribution necessitate new cancer treatment trials. The nanorobots are currently designed to recognize 12 different types of cancer cells. Nanorobots are an emerging field of nanotechnology with nanoscale dimensions and are predictable to work at an atomic, molecular, and cellular level. Nanorobots to date are under the line of investigation, but some primary molecular models of these medically programmable machines have been tested. This review on nanorobots presents the various aspects allied, i.e., introduction, history, ideal characteristics, approaches in nanorobots, basis for the development, tool kit recognition and retrieval from the body, and application considering diagnosis and treatment.
Hybrid nanofluids have several potential applications in various industries, including electronics cooling, automotive cooling systems, aerospace engineering, and biomedical applications. The primary goal of the study is to provide more information about the characteristics of a steady and incompressible stream of a hybrid nanofluid flowing over a thin, inclined needle. This fluid consists of two types of nanoparticles: non-magnetic nanoparticles (aluminium oxide) and magnetic nanoparticles (ferrous oxide). The base fluid for this nanofluid is a mixture of water and ethylene glycol in a 50:50 ratio. The effects of inclined magnetic fields and joule heating on the hybrid nanofluid flow are considered. The Runge-Kutta fourth-order method is used to numerically solve the partial differential equations and governing equations, which are then converted into ordinary differential equations using similarity transformations. Natural convection refers to the fluid flow that arises due to buoyancy forces caused by temperature differences in a fluid. In the context of an inclined needle, the shape and orientation of the needle have significantly affected the flow patterns and heat transfer characteristics of the nanofluid. These analyses protest that raising the magnetic parameter results in an increase in the hybrid nanofluid thermal profile under slip circumstances. Utilizing the potential of hybrid nanofluids in a variety of technical applications, such as energy systems, biomedicine, and thermal management, requires an understanding of and ability to manipulate these effects.
In order to effectively reduce the workload of primary and secondary school students and the burden of off-campus training, and promote the effective improvement of the teaching and education level of schools at all levels and types, the General Office of the Central Committee of the Communist Party of Opinions on Students' Homework Burden and Off-campus Training Burden" (referred to as "double reduction"). Students' homework practice is a supplement and continuation of classroom teaching, which can consolidate and promote the quality of students' learning. This paper analyzes some problems in the design of primary school Chinese homework from three aspects, such as homework volume, homework type, and homework arrangement, and puts forward corresponding strategies for the optimization path of primary school Chinese homework design under the background of "double reduction".
During the early spring in the woodlands of eastern North America, Phlox drummondii emerges as a perennial plant adorned with a profusion of blooms in shades of blue, purple, pink, or white. Its evergreen nature adds to its charm. To manage the growth of plants or specific plant parts, plant growth regulators (PGRs) are synthesized and employed, serving as valuable tools for controlling and directing the development of various plant species. A diverse range of ornamental plants, such as Phlox drummondii, have been documented to receive exogenous applications of plant growth regulators (PGRs). Among these regulators, gibberellins (GA) play a vital role by delaying senescence in flowers and promoting the breaking of dormancy in seeds, bulbs, and corms of ornamental plants. The experiment aimed to assess the performance and determine the optimal growth medium for Phlox. Five distinct growth media were employed as treatments during the study, which took place in the Horticulture Department of Gomal University. Collected data underwent analysis through ANOVA and Tuckey HSD tests. The study’s findings revealed that the highest plant height (16 cm) was observed in the control treatment with PGR 1, closely followed by PGR 2 (11.5 cm). The treatment labeled as T5, composed of a mixture of 1/3 sand, 1/3 poultry manure, and 1/3 soil, demonstrated the most favorable results across multiple parameters such as bud initiation (BI), first flower emergence (FFE), flowers per plant (FPP), branches per plant (BPP), leaves per plant (LPP), number of roots (NR), field life of flowers (FLF), and flower diameter (FD). T4, T3, T2, and T1 treatments also exhibited similar positive outcomes, aligning with the promising performance of T5.
The purpose of this study is to investigate customer satisfaction with quality of service known as SERVQUAL improvement or service quality competitiveness in emerging markets. Using Indonesian government medical care as an example the author examines the satisfaction of patients. Information and data were collected through a survey of 399 BPJS users in Indonesia. All data were analyzed using Smart PLS. This study demonstrates that there is a negative value associated with the five-dimensional gap. As a result, the care provided to BPJS patients is below par. Specifically, the sensitivity dimension has the largest disparity at 0.15, while the physical evidence dimension has the smallest at 0.49. In order to raise the level of service provided, it may be necessary to take direct measures or examine tangible evidence. This study develops the relationship between different quality service models. There appears to be a substantial increase in the body of literature in the area of service quality, allowing for constant updates and the incorporation of the lessons learned from the experiences of the departed. These revised guidelines are intended to aid SERVQUAL study participants. The study gives practical support to academics and practitioners in directing service quality improvement through the use of data collected from large-scale surveys of patients and medical professionals as doctors in Indonesia.
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