The high demand for quality healthcare services in Portugal is generating concerns about meeting the optimum number of healthcare professionals in the private sector, such as doctors and clinicians. Critical interventions are currently in progress, aiming to provide quality healthcare that will be accessible and sustainable through actionable retention strategies such as investing and developing human capital, introducing better conditions of service to attract and retain talent in the private healthcare sector, and prioritizing the needs of patients. The objective of this study is to understand which factors promote the migration of physicians from the public to the private sector according to the theoretical assumptions of incentives. In this context, a phenomenological study was carried out, using semi-structured interviews with fifteen physicians working in the private health network. Content analysis was done using NVivo 12. The results indicate that performance evaluation in the private sector exists but has no alignment with incentives. The condition makes the private healthcare sector unattractive, however, other policies of remuneration remain promising. Current proposals that could revive the image of the sector include collective decision-making and strong labour relations advocacy for physicians in the private sector.
Green manufacturing is increasingly becoming popular, especially in lubricant manufacturing, as more environmentally friendly substitutes for mineral base oil and synthetic additives are being found among plant extracts and progress in methodologies for extraction and synthesis is being made. It has been observed that some of the important performance characteristics need enhancement, of which nanoparticle addition has been noted as one of the effective solutions. However, the concentration of the addictive that would optimised the performance characteristics of interest remains a contending area of research. The research was out to find how the concentration of green synthesized aluminum oxide nanoparticles in nano lubricants formed from selected vegetable oils influences friction and wear. A bottom-up green synthesis approach was adopted to synthesize aluminum oxide (Al2O3) from aluminum nitrate (Al(NO3)3) precursor in the presence of a plant-based reducing agent—Ipomoea pes-caprae. The synthesized Al2O3 nanoparticles were characterized using TEM and XRD and found to be mostly of spherical shape of sizes 44.73 nm. Al2O3 nanoparticles at different concentrations—0.1 wt%, 0.3 wt%, 0.5 wt%, 0.7 wt%, and 1.0 wt%—were used as additives to castor, jatropha, and palm kernel oils to formulate nano lubricants and tested alternately on a ball-on-aluminum (SAE 332) and low-carbon steel Disc Tribometer. All the vegetable-based oil nano lubricants showed a significant decrease in the coefficient of friction (CoF) and wear rate with Ball-on-(aluminum SAE 332) disc tribometer up to 0.5wt% of the nanoparticle: the best performances (eCOF = 92.29; eWR = 79.53) came from Al2O3-castor oil nano lubricant and Al2O3-palm kernel oil; afterwards, they started to increase. However, the performance indices displayed irregular behaviour for both COF and Wear Rate (WR) when tested on a ball-on-low-carbon steel Disc Tribometer.
In green construction, sustainable resources are essential. One such material is copper, which is widely utilized in electronics, transportation, manufacturing, and residential buildings. As a very useful material, it has many beneficial impacts on human life. Observed from the recent demand spike is in line with the overall trend and the current growing smelter construction in Indonesia. Researchers intend to adapt the existing Copper Smelting Plant Building into an environmentally friendly building as a part of the production chain, in addition to reducing public and environmental concerns about the consequences of this development. We have identified a disparity in cost, where the high cost of green buildings is an obstacle to its implementation to enhance the cost performance with increased renewable energy of the Smelter Construction Building, this study investigates the application of LEED parameters to evaluate green retrofit approaches through system dynamics. The most relevant features of the participant assessments were identified using the SEM-PLS approach, which is used to build and test statistical models of causal models. We have results for this Green Retrofitting study following significant variables according to the following guidelines: innovation, low-emission materials, renewable energy, daylighting, reducing indoor water usage, rainwater management, and access to quality transit.
This paper is the third in a series focused on bridging the gap between secondary and higher education. Our primary objective is to develop a robust theoretical framework for an innovative e-business model called the Undergraduate Study Programme Search System (USPSS). This system considers multiple criteria to reduce the likelihood of exam failure or the need for multiple retakes, while maximizing the chances of successful program completion. Testing of the proposed algorithm demonstrated that the Stochastic Gradient Boosted Regression Trees method outperforms the current method used in Lithuania for admitting applicants to 47 educational programs. Specifically, it is more accurate than the Probabilistic Neural Network for 25 programs, the Ensemble of Regression Trees for 24 programs, the Single Regression Tree for 18 programs, the Random Forest Regression for 16 programs, the Bayesian Additive Regression Trees for 13 programs, and the Regression by Discretization for 10 programs.
This paper provides a unique empirical analysis of the effects of political factors on the adoption of PPP contracts in Brazil. As such, it innovates along two different lines: first, political factors behind the adoption of PPPs have been largely ignored in the vast body of empirical literature, and second, there is scant work done on the motives of any kind behind the adoption of PPPs in Brazil. Various economic and financial reasons have been evoked to justify the use of PPPs in general. These include the goal of promoting socio-economic development in a tight public budgetary framework or of improving the quality of public services through the use of economically efficient and cost-effective mechanisms. Any possible underlying political motives, however, have been overlooked in the PPP research. And yet, there is abundant literature suggesting a link between the adoption of PPPs and the ideology of the governing body or the political cycles associated with elections. This study examines the impact of ideological commitment and opportunistic political behavior on the process of PPP contracting in Brazil, including the stages of public consultation, the publication of tender, and the signature of the contract, using federative-level data for the period between 2005 and 2022. Consistent with the outstanding literature, the two hypotheses are tested: first, conservative parties tend to celebrate more PPP contracts than left-leaning parties, and second, the electoral calendar has a significant effect in the process, allowing for opportunistic behaviors. Empirical results suggest that there is little evidence for the relevance of ideological leanings in the process of adopting PPPs in Brazil. Additionally, regardless of ideology, parties significantly choose to enter PPPs at specific points in the electoral cycle, suggesting decisions are influenced by political considerations and electoral strategy rather than by purely financial or ideological considerations. This may pose severe constraints on the efficiency and cost-effectiveness of the contracts, negatively impacting public governance and leading to protracted costs for taxpayers.
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