Background: Despite China’s 1.4 billion population and massive investment in improving medical education, there is no transformational national or international course focused on emergency trauma care. In order to overcome recognized deficiencies, we developed an affordable knowledge and skills workshop called Essential Trauma Critical Care China (ETCCC). Methods: Pre-course and post-course MCQs were used to test knowledge and simulation scenarios quantified clinical competence. Structured feedback was obtained. To evaluate the effect of ETCCC on staff performance, we analyzed the clinical records and questioned resuscitation team peers for trauma patients requiring resuscitation room intervention in the 10 consecutive patients before and after the workshops. Results: During 2022–2023, five workshops were delivered to participants from six hospitals in two Chinese provinces. Cost per participant did not exceed US$125. Fifty-eight doctors and 37 nurses participated. For all delegates pre-course knowledge scores increased from mean 35% to 70% post-course. 99% (n = 82/83) participants reached the required standard in the post-course written test. Post-course skills tests scores were mean 67% for doctors and 84% for nurses. Nurses demonstrated significant improvements in the rate and quality of trauma history acquisition as well as triage skills after the course (all p < 0.01). Doctors scored significant improvement in the areas of leadership and teamwork, care of cervical spine, circulation assessment and fluid resuscitation (all p < 0.02). Conclusion: Essential Trauma Critical Care China (ETCCC) is the first economically developed medical educational tool shown to improve performance of emergency room staff. Its success may have relevance for trauma-care education in similar medium-resource environments.
eGovernment projects are capital intensive and have high probability of failure because of the dynamic and technological laden environment in which they operate. The number of skilled labour and technicalities required are often not available in quantity needed to sustain such project. There is always the need to have in place adequate risk assessment framework to guide the execution and monitoring of eGovernment projects. Several studies have been conducted on the critical success factors relating to risk assessment of eGovernment projects to understand the reasons for the high rate of failure. Therefore, there is need to review these articles and categorize them into different research domain in project risk assessment so as to reveal domain with more or less research and those that need to understand the future research directions in risk assessment for eGovernment projects. Using the positivism paradigm, this study utilized the Systematic Literature Review methodology to collect 147 articles from the following academic databases namely IEEE, Preprints, WorldCat Discovery, ArXiv. Ohio-state University databases, Science Direct, Scopus, ACM, NWU digital library, Usenix, Jise database, Sagepub, MDPI Academia published between 2013 to 2023. Different inclusion and exclusion criteria were applied pruning to 48 articles that were used for the study. The results show the classification of articles in risk assessment for eGovernment projects into those that discusses project analysis, review, framework, maturity and model tools, implementation, and integration, applied methodology and evaluation with the percentage of articles published in each domain with the past 10 years. The various critical success factors that should be considered in the development of a robust risk assessment framework were discussed and future research directions in eGovernment risk assessment were given based on the reviews.
Given its insular geographic location, Taiwan inherently benefits from a natural advantage in developing its shipping industry, positioning it as a critical sector for the nation’s economic advancement. The shipping industry operates within a highly competitive maritime market, wherein ocean freight forwarders provide services on a global scale, thus classifying them within the international transportation and logistics industry. The global competition from logistics peers renders the services highly substitutable. This study breaks new ground by integrating the SERVQUAL scale with advanced methodologies such as the Analytic Hierarchy Process (AHP) and Decision-Making Trial and Evaluation Laboratory (DEMATEL) to assess and enhance service quality in the shipping industry. By segmenting the five dimensions of SERVQUAL, the study delineates 19 specific evaluation indicators. The expert questionnaires developed and analyzed through AHP and DEMATEL reveal a previously unidentified link between specific service quality dimensions and customer satisfaction. The findings from this analysis offer crucial insights into the critical success factors (CSFs) of service quality and their causal interrelationships, thereby establishing a model for service standards. By leveraging the identified CSFs and understanding the causal relationships among these key factors, ocean freight forwarders can enhance and optimize their value propositions and resources. This proactive approach is expected to significantly improve service quality, fortify core competitiveness, and elevate customer support and satisfaction levels, ultimately leading to an increased market share and ensuring sustainable business operations.
Socrates argues that individuals can continue to behave morally when trying to explore virtue, distinguishing between copying a moral person’s actions and acting on the basis of virtue itself. This study proves the limitations of South Korea’s moral education, which values moral knowledge as a driver of moral behavior, by analyzing the art of measurement presented by Socrates as a method of recognizing virtue. Consequently, Protagoras was examined to identify the characteristics of the art of measurement, and “all pleasure is good” and “knowledge directly drives action” was problematized. The study concluded that moral knowledge is not a decisive factor in guiding moral behavior in the right direction.
This article examines how financial technology determines bank performance in different EU countries. The answer to that question would allow banks to choose their development policy. The paper focuses on the main and most popular bank services that are linked to financial technology. A SWOT analysis of FinTech is also presented to show the benefits and drawbacks of FinTech. FinTech-based services are very diverse and are provided by financial firms and banks alike. This paper looks at the financial technology provided by banks: internet usage (internet banking), number of ATMs, credit transfers in a country, percentage of the population in a country holding a debit or credit card and whether that population has received or made a digital payment. Using the multi-criteria assessment methods of CRITIC and EDAS, the authors analysed and compared the countries of the European Union and the financial technology used in them. As a result of the application of these methods, the EU countries under consideration were ranked in terms of the use of financial technology. Subsequently, three banks from different countries with different levels of the use of financial technology were selected for the study. For these banks, financial ratios of profitability were calculated to characterise their performance. Correlation and pairwise regression analyses between the banks’ profitability ratios and financial technology were used to assess the relationship and influence between these ratios. The main conclusion of the study focuses on the extent to which financial technology influences the performance of banks in the selected countries. It is likely that further research will try to take into account the size of the country’s population when analysing all financial technologies. Researchers also needed to find out what influence financial technologies have on the such financial indicators as operational efficiency (costs), financial stability, and capital adequacy.
The new cases of HIV/AIDS are being reported in Indonesia tend to increase. for over two decades, the Indonesian government has issued policies to reduce the number of cases through several ministries and local governments, but the results have not indicated signs of success. Therefore, this research aims to analyze the failure of prevention policies to improve policymaking in the future. It focuses on policy and institutional substance aspects using a qualitative design with documentary analysis approach. The results show that the policy failure in dealing with cases is caused by inappropriate rationalization, medicalization, and weak institutional and regulatory roles. Based on these descriptions, stakeholders are expected to emphasize a multi-perspective and holistic approach and rationalize policy objectives with institutional capacity. Moreover, the government needs to increase public and community involvement, strengthening the role of religious leaders and the media, and increase public literacy regarding HIV/AIDS.
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