Management and efficiency have a fundamental impact on the performance of public hospitals, as well as on their philanthropic mission. Various studies have shown that the financial weaknesses of these entities affect the planning, setting of goals and objectives, monitoring, evaluation and feedback necessary to improve health systems and guarantee accessibility as an inalienable right. This study aims to analyze the management and efficiency of third-level and/or high-complexity hospitals in Colombia, through a statistical model that uses financial analysis and key performance indicators (KPIs) such as ROA, ROE and EBITDA. A non-experimental cross-sectional design is used, with an analytical-synthetic, documentary, exploratory and descriptive approach. The results show financial deficiencies in the hospitals evaluated; hence it is recommended to make adjustments in the operating cycle to increase efficiency rates. In addition, the use of the KPIs ROA and ROE under adjusted models is suggested for a more precise analysis of the financial ratios, since these adequately explain the variability of each indicator and are appropriate to evaluate hospital management and efficiency, but not in EBITDA ratio, hence the latter is not recommended to evaluate hospital efficiency reliably. This study provides relevant information for public health policy makers, hospital managers and researchers, in order to promote the efficiency and improvement of health services.
Electricity consumption in Europe has risen significantly in recent years, with households being the largest consumers of final electricity. Managing and reducing residential power consumption is critical for achieving efficient and sustainable energy management, conserving financial resources, and mitigating environmental effects. Many studies have used statistical models such as linear, multinomial, ridge, polynomial, and LASSO regression to examine and understand the determinants of residential energy consumption. However, these models are limited to capturing only direct effects among the determinants of household energy consumption. This study addresses these limitations by applying a path analysis model that captures the direct and indirect effects. Numerical and theoretical comparisons that demonstrate its advantages and efficiency are also given. The results show that Sub-metering components associated with specific uses, like cooking or water heating, have significant indirect impacts on global intensity through active power and that the voltage affects negatively the global power (active and reactive) due to the physical and behavioral mechanisms. Our findings provide an in-depth understanding of household electricity power consumption. This will improve forecasting and enable real-time energy management tools, extending to the design of precise energy efficiency policies to achieve SDG 7’s objectives.
This study conducts a comprehensive analysis of the aquaculture industry across 11 coastal regions in eastern China from 2017 to 2021 to assess their adaptability and resilience in the face of climate change. Cluster analysis was employed to examine regional variations in aquaculture adaptation by analyzing data on annual average temperatures, annual extreme high/low temperatures, annual average relative humidity, annual sunshine duration, and total yearly precipitation alongside various aquaculture practices. The findings reveal that southern regions, such as Fujian and Guangdong, demonstrate higher adaptability and resilience due to their stable subtropical climates and advanced aquaculture technologies. In contrast, northern regions like Liaoning and Shandong, characterized by more significant climatic fluctuations, exhibit varying degrees of cluster changes, indicating a continuous need to adjust aquaculture strategies to cope with climatic challenges. Additionally, the study explores the specific impacts of climate change on species selection, disease management, and water resource utilization in aquaculture, emphasizing the importance of developing region-specific strategies. Based on these insights, several strategic recommendations are proposed, including promoting species diversification, enhancing disease monitoring and control, improving water quality management techniques, and urging governmental support for policies and technical guidance to enhance the climate resilience and sustainability of the aquaculture sector. These strategies and recommendations aim to assist the aquaculture industry in addressing future climate challenges and fostering long-term sustainable development.
This research, with a qualitative approach, is based on a literature review and a press analysis related to mergers, acquisitions and dissolutions of Higher Education Institutions in South America. Our findings evidence a gap in the academic literature for analyzing and understanding these processes. The literature on the subject is scarce; however, the press has recorded them in a constant way. While in the past this phenomenon was mainly among public universities, currently it is a fundamentally private trend. The main reasons to carry out this process by Higher Education Institutions are those related to geographic expansion or positioning (for merger processes), absorption and concentration of institutions by groups of interest (for merger processes, acquisition) and, the crisis resulting from the financial-administrative management of the institutions, as well as the non-compliance with national and international quality standards designed by accreditation agencies and institutions (for dissolution processes). On the contrary of some literature results, in any of the processes the search for prestige or reputation by the institutions was detected as a reason.
The present study analyzed the extant literature about the phenomenon of human trafficking in Indonesia. The Scope Analysis examined scholarly journals and publications from 2012 to 2020. We obtained databases from internationally recognized journals such as Scopus and Web of Science. We restricted the time frame based on the available evidence at that moment. The methodology employed in this study involved the identification, collection, and organization of peer evaluations that were published with pertinent details or by delineating the fundamental concepts that constitute the domain of a research investigation concerning chronology, location (nation or setting), source (literature review), and provenance. The findings of the analysis indicated the existence of articles that delved into the circumstances and current state of persons who fell victim to human trafficking, specifically from Indonesia to different regions throughout the globe. The analysis approach was utilized in this study, following the methodological parameters outlined by Arksey and O’Malley in 2005. Moreover, it is anticipated that the Scoping Analysis will generate policy recommendations for policymakers, practitioners, and researchers seeking to combat and address the illicit trafficking of individuals in Indonesia.
The present study assessed the potential of sediment loading in Beteni, Lauruk, Andheri, and Harpan sub-watersheds of Phewa Lake and estimated the sediment yield in the year 2020. Morphometry, land use/land cover, geology, climate, and human and development factors of the sub-watersheds were studied to assess the potential of sediment loading in the sub-watersheds. SRTM DEM was used for the computation of morphometric parameters and land use/land cover maps were prepared by using Landsat imagery. Geology, rainfall data, census data, and road maps were collected from various secondary sources. The sediment yields of the four sub-watersheds in the year 2020 were estimated by measuring the sediment volume deposited in the sediment retention ponds at the outlet of each sub-watershed. Results indicated that Beteni had the highest potential for sediment loading, while Harpan had the lowest. Likewise, the sediment yields for Beteni, Lauruk, Andheri, and Harpan sub-watersheds in 2020 were estimated at 1,420.67 m3/km2/year, 2,280.14 m3/km2/year, 1,666.77 m3/km2/year, and 766.42 m3/km2/year, respectively. To reduce sedimentation in Phewa Lake, it is recommended to regularly maintain siltation dams and construct check dams along the drainage slopes, alongside other soil conservation measures and appropriate land use practices in the upstream areas of the sub-watersheds.
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