A Proposed Managerial Model for Improvement of Blood Consumption in the Operating Rooms in Southern Iran

Background: The financial burden of blood wastage in operating rooms of hospitals indicates the importance of managing blood consumption. Objectives: To determine the most influential factors affecting blood utilization management in operating rooms. Methods: This cross-sectional study was conducted in the operating rooms of the largest tertiary referral hospital in Southern Iran from September to November 2019. A researcher-made questionnaire was designed, validated, and completed by 185 related stakeholders. Confirmatory factor analysis was conducted. Results: Model fit indices had acceptable values (P = 0.032). In the suggested model, resource allocation (coefficient = 0.81) and control (coefficient = 0.77) were determined as the two most impressive managerial dimensions of blood utilization management. In the resource allocation dimension, the most effective factors were found to be using trained and oriented personnel to inventory management principles and blood bag handling, storage, and transportation rules and providing in-hospital safe and standard blood transportation equipment. In the control dimension, the most influencing subject was evaluating and reporting the reasons for the date expiry of blood products. Conclusions: Implementing a stepwise evidence-based blood consumption program based on the most prioritized suggested initiatives can be highly cost-effective and presented as a practical guide for policymakers, especially in low socio-economic countries. Based on our results, focusing on using trained blood bank staff in all related parts and providing standard blood transportation equipment as well as attempting to minimize the number of discarded blood units in operating rooms can be highly effective in the reduction of blood wastage and improvement of blood consumption status.

VILLAGE-OWNED ENTERPRISES (BUMDES) AS A COLLABORATIVE MODEL ENVIRONMENTAL MANAGEMENT

Some peatland management cases, particularly in Kalimantan, cause serious environmental problems, especially in flammable land. Local people around the area are the first to receive the impacts. Therefore, peatland management needs to be prudent and requires sustainable environmental management. This study aims to find a model for peatland management carried out by the government and local communities through BUMDes program. According to the interview results and field observations, peatland management with a collaborative model between the government (state) and the local community in Rasau Jaya Village is found in the form of Maju Jaya Village-owned Enterprises (BUMDes). This research includes planning, utilization, management, and supervision of the peatland area. The government provides funds and legality, while the local communities carry out peatland utilization, management, and maintenance through mutual cooperation culture. In this study, peatland functions as a tourist attraction managed by the local community (ecotourism). Real implementation government collaboration with the local community has opened up new livelihoods for communities without undermining peatlands' ecological ecosystem.

Influence of Procurement Key Performance Indicators on The Performance of State Agencies in Kenya

Purpose: The purpose of the study was to examine influence of procurement key performance indicators on the performance of state agencies in Kenya with an aim of making recommendations on proper usMethodology: The study employed a descriptive research design, targeting the 127 heads of procurement in state agencies in Kenya, who were selected using simple random sampling, from the four strata. The researcher preferred this method because it allows an in-depth study of the subject. Data was collected using self-administered questionnaires. Structured questionnaires were used to collect data. Data was analyzed using descriptive and inferential statistics. Quantitative data was analyzed using multiple regression analysis. The qualitative data generated was analyzed by use of Statistical Package of Social Sciences (SPSS) version 22. The response rate of the study was 82%.Results and conclusion: The results indicate that there is a positive relationship (r=.509) between cost management and performance of state agencies in Kenya. In addition, the researcher found the relationship to be statistically significant at 5% level (p=0.000, <0.05). The results also indicate that there is a positive relationship (r=.398) between quality index management and performance of state agencies in Kenya. In addition, the researcher found the relationship to be statistically significant at 5% level (p=0.000, <0.05). The results indicate that there is a positive relationship (r=.678) between delivery management and performance of state agencies in Kenya. In addition, the researcher found the relationship to be statistically significant at 5% level (p=0.000, <0.05). The results indicate that there is a positive relationship (r=.685) between asset utilization management and performance of state agencies in Kenya. In addition, the researcher found the relationship to be statistically significant at 5% level (p=0.000, <0.05). Hence, it is evident that all the independent variables could explain the changes in implementation of performance of state agencies in Kenya, on the basis of the correlation analysis. The findings of the study indicated that cost management, quality index management, delivery management and asset utilization management have a positive relationship with performance of state agencies in KenyaUnique contribution to theory, practice and policy: Finally, the study recommended that public institutions should embrace procurement key performance indicators so as to improve performance and further researches should to be carried out in other public institutions to find out if the same results can be obtained

Care management dalam pendidikan

Perhatian terhadap persoalan yang dihadapi peserta didik sekolah dasar dengan orang tua tergolong pasangan muda masih rendah. Perlu adanya layanan khusus untuk menyikapi persoalan ini, mengingat peserta didik pada usia sekolah dasar masih dalam proses pembentukan karakter. Layanan care management merupakan layanan khusus dimana terjadi kolaborasi dan integrasi yang kompleks sehingga sesuai untuk mengatasi persoalan ini. Tujuan penelitian ini untuk mengetahui persoalan dan pemicu peserta didik dengan orang tua tergolong pasangan muda serta layanan care management yang diberikan oleh SDN Lowokwaru 3 Malang dan SDN Lowokwari 4 Malang dalam mengatasi persoalan tersebut. Metode yang digunakan dalam penelitian ialah kualitatif dengan jenis penelitian multisitus. Teknik pengumpulan data dilakukan melalui wawancara, obervasi, dan dokumentasi. Hasil penelitian menunjukkan jika pemicu persoalan disebabkan oleh keadaan pendidikan, ekonomi, dan emosi dari orang tua tergolong pasangan muda. Adanya pemicu ini menyebabkan adanya perkembangan yang berbeda dari peserta didik dilihat dari segi fisik, emosi, sosial, dan intelektual. Mengatasi persoalan ini sekolah menerapkan layanan care management dengan mempertimbangkan edukasi, care coordination, transition management, compliance, dan utilization management. AbstractThe care of problems that happen to elementary school students with parents classified as young couples is still low. It is necessary to have a special service to broadcast this topic, considering that students in the early stages of school are still in the process of character building. Maintenance management services are specialized services where complex collaboration and integration occur in order to overcome this problem. The purpose of this study is to study the discussion and triggers of students with parents belonging to young couples and management services provided by SDN Lowokwaru 3 Malang and SDN Lowokwari 4 Malang in an effort to overcome these problems. The method used in this study is qualitative with a type of multi-site research. Data collection techniques carried out through interviews, observation, and documentation. The results showed that there were triggers from education, economy, and transition from parents who were classified as young couples. The existence of these triggers causes a different development of students in terms of physical, emotional, social, and intellectual. Care Management, with consideration of education, care coordination, transition management, compliance, and utilization management.