Good health and well-being are embedded in the 3rd Goal amongst the UN Sustainable Development Goals. The primary objective of this research was to identify the most critical economic, social, and administrative barriers to implementing the Expanded Program on Immunization (EPI) in the Punjab Province of Pakistan. A sequential exploratory design and case study technique were used, employing both qualitative and quantitative methods. In the first stage, in-depth interviews with 50 key officials were conducted to identify the most critical barriers to the EPI program. A quantitative analysis was then performed based on the results obtained from qualitative analysis, and rank orders of barriers were received from the same health department experts. The results indicate that twenty-eight barriers can cause implementation problems for this program. Still, the ten barriers that gained the maximum hits are the most important barriers, which include Shortage of vaccinators, mismanagement of vaccines’ cold chain, biometric android application, ice-lined refrigerators, communication gap, inadequate legislation of EPI program, capacity building issues with EPI staff, Misconceptions about EPI program, lack of awareness of the parents and community, refusal cases and inadequate cooperation of lady health workers (LHWs). Coordinated efforts of the government and the public are highly recommended to address these barriers.
This review comprehensively summarizes various preparatory methods of polymeric bone scaffolds using conventional and modern advanced methods. Compilations of the various fabrication techniques, specific composition, and the corresponding properties obtained under clearly identified conditions are presented in the commercial formulations of bone scaffolds in current orthopedic use. The gaps and unresolved questions in the existing database, efforts that should be made to address these issues, and research directions are also covered. Polymers are unique synthetic materials primarily used for bone and scaffold applications. Bone scaffolds based on acrylic polymers have been widely used in orthopedic surgery for years. Polymethyl methacrylate (PMMA) is especially known for its widespread applications in bone repair and dental fields. In addition, the PMMA polymers are suitable for carrying antibiotics and for their sustainable release at the site of infection.
The co-hydrothermal carbonization of biomasses has shown many advantages on charcoal yield, carbonization degree, thermal-stability of hydrocar and energy recovered. The goal of this study is to investigate the effect of co-combustion of cattle manure and sawdust on energy recovered. The results show that ash content ranged between 10.38%–20.00%, indicating that the proportion of each variable influences energy recovered. The optimum is obtained at 51% cattle manure and 49% sawdust revealing 37% thermal efficiency and 3.9 kW fire power. These values are higher compared to cattle manure individually which gives values of 30% and 2.3 kW respectively for thermal efficiency and fire power. Thus, the mixture of biomasses enhances energy recovered both in combustion and hydrothermal carbonization. Volatile matter is lower in mixture predicting that the flue gas releases is lower during combustion. Fixed carbon is higher in mixture predicting that energy recovered increases during the combustion of mixture than cattle manure individually. Higher Carbon content was noticed in mixture than cattle manure indicating that the incorporation of sawdust enhances heating value. The incorporation of sawdust in cattle manure can also enhance energy recovered and is more suitable for domestic and industrial application.
The development and expansion of economies depend heavily on entrepreneurship, and Malaysia is no exception. Understanding the underlying elements that impact the success or failure of user adoption behaviour of online shopping activities is significant since entrepreneurship is critical in driving economic growth and innovation. The study includes 73 articles published from 2004 to the last of 2023 from Science Direct, Scopus, Google Scholar, and Web of Science. We utilised qualitative methods and systematic review issues through the findings of “qualitative” studies as the last step inside a systematic review using Nvivo14. Our study’s result illustrated that applying the Technology Acceptance Model (TAM) and the Unified Theory of Acceptance and Use of Technology (UTAUT) in Malaysian e-commerce validates the relevance of established theoretical frameworks. This study explores the relationship between 20 independent variables and five mediator factors, with dependent variables, e-commerce in Malaysia. The results highlight the intricate relationships between these variables and their importance for companies, decision-makers, and other stakeholders involved in Malaysian infrastructure financing. This review provides legislators, educators, researchers, and businesspeople with new knowledge in Malaysia so that decision-makers, investors, and aspiring entrepreneurs can make informed decisions.
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