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.
Proposed herein is an environment-friendly method to realize oil/water separation. Nylon mesh is exposed to atmospheric pressure plasma for surface modification, by which micro/nano structures and oxygen-containing groups are created on nylon fibers. Consequently, the functionalized mesh possesses superhydrophilicity in air and thus superoleophobicity underwater. The water pre-wetted mesh is then used to separate oil/water mixtures with the separation efficiency above 97.5% for various oil/water mixtures. Results also demonstrate that the functionalized nylon mesh has excellent recyclability and durability in terms of oil/water separation. Additionally, polyurethane sponge slice and polyester fabric are also functionalized and employed to separate oil/water mixtures efficiently, demonstrating the wide suitability of this method. This simple, green and highly efficient method overcomes a nontrivial hurdle for environmentally-safe separation of oil/water mixtures, and offers insights into the design of advanced materials for practical oil/water separation.
The pursuit of good governance by companies confronts a fundamental challenge: defining what constitutes “good governance”. Existing corporate governance codes and their implementation documents fall short of offering a clear answer to this crucial question. Despite the establishment of a reference framework years ago, the focus has shifted from defining the objectives of good governance to a consensus on the means of achieving these objectives. Unfortunately, this consensus often absolves stakeholders from providing detailed explanations. Achieving effective good governance necessitates a shift in focus towards the underlying goals of governance structures. Two potential approaches emerge in this context. While many companies rely on codes without explicitly outlining their objectives, there is a compelling case for urging or mandating them to articulate the purposes of the governance methods they employ in their reports. This level of specificity has the potential to enhance the reflective qualities of the transparency process, fostering a more comprehensive understanding of the governance landscape. Beyond merely discussing the objectives of corporate governance, the pursuit of good governance necessitates the implementation of instruments whose efficacy transcends reliance solely on market discipline. The aim is not to undermine the imperatives of transparency and justification. Instead, the intention is to recognize that these elements, while essential, do not independently ensure the effectiveness of soft law instruments, such as governance codes. Nowadays, it is crucial to assess the extent to which traditional corporate governance codes respond to the needs of companies in the era of digitalization and sustainability. Therefore, conducting a critical analysis of the existing corporate governance codes will contribute in shedding light on the gaps of these instruments to come up with recommendations for improvements. Aims and objectives: This article will focus on the following areas: Defining the role and purpose of corporate governance codes in enhancing corporate performance and accountability and discussing the challenges and limitations of corporate governance codes, including compliance issues and enforcement challenges. Presenting empirical evidence on the impact of corporate governance codes on corporate behavior and analyzing, through the principle of comply or explain, whether code adherence leads to improved corporate governance practices and financial performance. Discussing emerging trends in corporate governance and offering recommendations for improving the effectiveness of corporate governance codes.
This paper presents a coupling of the Monte Carlo method with computational fluid dynamics (CFD) to analyze the flow channel design of an irradiated target through numerical simulations. A novel series flow channel configuration is proposed, which effectively facilitates the removal of heat generated by high-power irradiation from the target without necessitating an increase in the cooling water flow rate. The research assesses the performance of both parallel and serial cooling channels within the target, revealing that, when subjected to equivalent cooling water flow rates, the maximum temperature observed in the target employing the serial channel configuration is lower. This reduction in temperature is ascribed to the accelerated flow of cooling water within the serial channel, which subsequently elevates both the Reynolds number and the Nusselt number, leading to enhanced heat transfer efficiency. Furthermore, the maximum temperature is observed to occur further downstream, thereby circumventing areas of peak heat generation. This phenomenon arises because the cooling water traverses the target plates with the highest internal heat generation at a lower temperature when the flow channels are arranged in series, optimizing the cooling effect on these targets. However, it is crucial to note that the pressure loss associated with the serial structure is two orders of magnitude greater than that of the parallel structure, necessitating increased pump power and imposing stricter requirements on the target container and cooling water pipeline. These findings can serve as a reference for the design of the cooling channels in the target station system, particularly in light of the anticipated increase in beam power during the second phase of the China Spallation Neutron Source (CSNS Ⅱ).
This study focuses on enhancing the maintenance processes of centrifugal pumps at Soekarno-Hatta Airport’s Water Treatment Unit in Indonesia, crucial for meeting the clean water needs of the airport, which served around 19.8 million passengers in 2022. Using a qualitative methodology, the research involved focus group discussions with the unit’s operators, technicians, and engineers to pinpoint maintenance challenges and devise solutions. Key findings reveal issues such as insufficient routine maintenance, unplanned repairs, and inadequate staffing, leading to operational disruptions and pump failures. The study highlights the role of Total Productive Maintenance (TPM) in reducing machine breakdowns and improving efficiency. It emphasizes the critical role of centrifugal pumps in the airport’s water supply system. The research proposes several corrective measures, adhering to the 5W + 1H framework, including regular lubrication, bearing replacements, hiring more staff, and advanced training on PLC systems. These actions aim to rectify immediate maintenance problems and establish a foundation for the long-term effectiveness of the pump systems. Conclusively, the study underscores the need for a comprehensive maintenance strategy that aligns with standard operating procedures and preventive maintenance. This approach is essential for boosting the operational performance and reliability of the Water Treatment Unit. It has broader implications for similar infrastructure facilities, underscoring the importance of efficient maintenance management.
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