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.
With the advent of knowledge economy, international competition is becoming increasingly fierce, human resources management in the role of enterprise management is growing. In the 21st century, the trend of globalization of the world economy has been strengthened, and the development of science and technology has been changing with each passing day. The essence of comprehensive national competition is becoming the competition of human resources. Similarly, enterprises in order to compete in the fierce and healthy development, we must reduce costs and improve management efficiency, must have a set of their own talent management methods. Human resources are the most important resources in all resources, effectively play the important role of human resources in the core competitiveness, and formulate the countermeasures of human resource competition, which is of great significance to improve the core competitiveness of enterprises. In the new century to further improve the management of human resources in state-owned enterprises, improve China's enterprise human resources management system is to enliven the state-owned enterprises, improve our comprehensive national strength of the top priority, to promote China's economic development is of great significance.
The present work conducts a comprehensive thermodynamic analysis of a 150 MWe Integrated Gasification Combined Cycle (IGCC) using Indian coal as the fuel source. The plant layout is modelled and simulated using the “Cycle-Tempo” software. In this study, an innovative approach is employed where the gasifier's bed material is heated by circulating hot water through pipes submerged within the bed. The analysis reveals that increasing the external heat supplied to the gasifier enhances the hydrogen (H2) content in the syngas, improving both its heating value and cold gas efficiency. Additionally, this increase in external heat favourably impacts the Steam-Methane reforming reaction, boosting the H2/CH4 ratio. The thermodynamic results show that the plant achieves an energy efficiency of 44.17% and an exergy efficiency of 40.43%. The study also identifies the condenser as the primary source of energy loss, while the combustor experiences the greatest exergy loss.
In this study, the enrichment of the major oxide, trace element/heavy metal and rare earth element contents of the rocks outcropping in Kısacık and its vicinity (Ayvacık-Çanakkale/Türkiye) were investigated. The rocks in the field were handled in 5 groups, and whole rock analyses were carried out for 22 samples collected representing these rock groups and Element Enrichment Factor (EEF) of the major oxide, trace element/heavy metal and rare earth element contents of the rocks were calculated. As a result, it was determined that the Kısacık volcanics were enriched in SiO2, Fe2O3, K2O, Be, Co, Cs, Th, U, W, La, Eu, Tm, Yb, Lu, Mo, As, Cd, Sb, Bi and Hg elements at a rate of >1 to >150 according to the upper crust values, and the Fe2O3, MgO, CaO, TiO2, P2O5, MnO, Cr, Sc, Co, Nb, Sr, Mo, Cu, Ni, Cad, Sb, Bi, V, Cu and Cd concentrations of the Ophiolitic Mélange were enriched in ratios ranging from >1 to >36 according to the upper crust values. It has been also observed that the listvenitic rocks in the Ophiolitic Mélange are enriched in Cr, Co, Ni, As and Hg elements compared to the upper crust. As to Kazdağ Group, MgO, CaO, K2O, MnO, Cr, Co, Ta, U, W, Mo, Cu, Ni, As and Cd were enriched. Listvenite were enriched in SiO2, Fe2O3, MgO, Mn, Cr, Co, Ni, As, Sb and Hg at a rate of >1 to >32 according to the upper crust values. When the rocks in the area were evaluated together, some oxides (e.g., CaO, MgO, Fe2O3, TiO2) and elements (e.g., Cr, Ni, Co) were enriched due to parental rock, while some oxides (e.g., SiO2, K2O and MnO) and elements (As, Sb, Hg) were enriched due to epigenic processes such as hydrothermal alteration and weathering.
Through the combination of the geographic information systems (GIS) and the integrated information model, the stability of regional bank slope was comprehensively evaluated. First, a regional bank slope stability evaluation index system was established through studying seven selected factors (slope grade, slope direction, mountain shadow, elevation, stratigraphic lithology, geological structure and river action) that have an impact on the stability of the slope. Then, each factor was rasterized by GIS. According to the integrated information model, the evaluation index distribution map based on rasterized factors was obtained to evaluate the stability of the regional bank slope. Through the analysis of an actual project, it was concluded that the geological structure and stratigraphic lithology have a significant impact on the evaluation results. Most of the research areas were in the relatively low stable areas. The low and the relatively low stable areas accounted for 15.2% and 51.5% of the total study area respectively. The accuracy of slope evaluation results in the study area reached 95.41%.
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