Diabetic retinopathy (DR) is a major cause of blindness globally. Effective screening programs are essential to mitigate this burden. This review outlines key principles and practices in implementing DR screening programs, emphasizing the roles of technology, patient education, and healthcare system integration. Our analysis highlights key principles for establishing successful screening initiatives, including the importance of regular screenings, optimal intervals, recommended technologies, and necessary infrastructure. We emphasize the roles of healthcare providers, patients, and policymakers in ensuring the effectiveness of these programs. Our recommendations aim to support the creation of robust policies that mitigate the impact of DR, ultimately improving public health outcomes and reducing the incidence of blindness due to diabetic retinopathy.
Dredging and reclamation operations are pivotal aspects of coastal engineering and land development. Within these tasks lie potential hazards for personnel operating dredging machinery and working within reclamation zones. Due to the specialized nature of the work environment, which deviates from conventional workplace settings, the risk of workplace accidents is significantly heightened. The aim of this study is to conduct a comprehensive risk analysis of the safety aspects related to dredging and reclamation activities, with the goal of enhancing safety and minimizing the frequency and severity of potential dangers. This research comprises a thorough risk analysis, integrating meticulous hazard identification from sample projects and literature reviews. It involves risk assessment by gathering insights from experts with direct working experience and aims to assess potential risks. The study focuses on defining effective risk management strategies, exemplified through a case study of a nearshore construction project in Thailand. The study identified numerous high and very high-risk factors in the assessment and analysis of occupational safety in dredging and reclamation work. Consequently, a targeted response was implemented to control and mitigate these risks to an acceptable level. The outcome of this study will provide a significant contribution to the advancement of guidelines and best practices for improving the safety of dredging and reclamation operations.
Innovation management is an organizational iterative process of seeking and selecting new opportunities and ideas, implementing them, and capturing value from the results obtained. In the defense sector, due to the increasing interdependence between military capabilities and technology, countries have adopted innovation management approaches to drive the modernization of their defense industrial bases, promoting the development and integration of advanced technologies. This study presents an original systematic literature review on innovation management approaches applied to defense in developing countries. After the phases of identification and screening, 62 documents both from academic and gray literature were analyzed and categorized into 22 distinct approaches. The advantages, disadvantages, contexts, and potential applications of each approach were discussed. The findings show that the appropriate use of these approaches can strengthen the innovation capacity and technological independence of late-industrializing countries, consolidating their position in the global defense landscape and ensuring their sovereignty and continuous technological progress.
This paper analyses the impact of an integrated business management system on business operations in trade in Republic of Croatia. The integration of management systems provides various benefits to a company, so the aim of this paper is to analyse the impacts of integrated management systems on the business operations of trade companies in the Republic of Croatia. The purpose of this paper is to examine and analyse, but also to adequately theoretically argue the impact of transformational leadership, quality culture, and the degree of integration on the development of integrated management systems. Empirical research investigated integrated management systems in companies in the trade sector in the Republic of Croatia. Based on the set conceptual model and research results, we conclude that companies with a highly developed quality culture have proven management system integration. Our research didn’t confirm the significance of transformational leadership in interpreting changes in the degree of management system integration, but it highlights the positive correlation between the application of quality culture and integration; confirms the substantial impact of integrated management systems on both internal and external benefits, emphasizing its strategic imperative for sustained business success.
For centuries, stem cuttings harvested from sexually mature trees have been recognized to be more difficult to root than those from juvenile shoots. This has been poorly understood and attributed to a combination of ontogenetic and physiological ageing. The recent suggestion that micro-RNA may play a key role in phase change has stimulated a re-examination of some old data that identified pre-severance light x nutrient interactions affecting the rooting ability of stem cuttings. This was linked to vigorous growth and active photosynthesis without constraint from accumulated starch. Support for the prime importance of physiological factors was also obtained when seeking to induce physiological youth in the crowns of ontogenetically mature trees by the induction of roots within the tree crown. Meanwhile, at the other end of the phase change spectrum, floral initiation occurred when the opposite set of environmental conditions prevailed so that growth was stunted, and carbohydrates accumulated in leaves and stems. A re-examination of this literature suggests that rooting ability is driven at the level of an individual leaf and internode emerging from the terminal bud affecting both morphological and physiological activity. In contrast, flowering occurs when internode elongation and assimilate mobilization were hindered. It is therefore suggested that the concepts of juvenility and ageing are not relevant to vegetative propagation and should instead be replaced by physiological and morphological ‘fitness’ to root.
Apple farming is a new production venture across the North Shewa Zone. Its production, harvest, postharvest handling, and marketing status are not well known. This study was conducted to assess the above-lined situations across the district. Four representative locations, Asabahir, Tsigereda, Tengego, and Godnamamas were selected based on their apple production status. Then, a total of 88 respondents were randomly selected and interviewed by a structured questionnaire. The data were analyzed by descriptive statistics of percentage, standard deviation, and chi-square tests. A larger percentage of farmers are male (82.9%), in their active production age (41.7%), and produce apples in their backyard (85.25%). The agronomic management of fertilization, pruning, training, and plant spacing deviate from the recommended practices of apple farming. Whereas varietal distribution, irrigation, and post-harvest treatments are better practiced. Loss of fruits by fruit drops and discrimination on the market due to small fruit size are serious problems across the locations. Regarding apple farming, the farmers think of it as a productive venture and got a better price per kg and single fruit sale. They sell mainly in local collectors (60.2%) and nearby cities. As for institutional support, the farmers got apple seedlings, training, and capacity buildings by Agriculture Offices and NGOs, even if the farmers are still in higher need of better support. Therefore, it can be concluded that if not outwaited by poor tree management, destructive product transportation, and higher loss of fruits from trees and in the market, the attitude of the farmers can be capitalized in better production of apples.
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