The mortality rate after hospital discharge in patients with myelomeningocele decreased after implementation of mandatory flour fortification with folic acid by Renato Manganelli Salomão, Tatiana Protzenko Cervante, José Francisco Manganelli Salomão, Soniza Vieira Alves Leon

“…Symptomatic Chiari II malformation was the most frequent comorbidity factor. Conclusion: Although there was no significant difference in infant mortality before and after folic acid fortification, there was a significant reduction in deaths after hospital discharge in babies born after implementation of mandatory folic acid fortification…”
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Implementing a Wide-Area Network and Low Power Solution Using Long-Range Wide-Area Network Technology by Floarea Pitu, Nicoleta Cristina Gaitan

“…This paper presents the development and implementation of a low-power wide-area network (LPWAN) solution using LoRaWAN (long-range wide-area network) technology, designed for real-time environmental monitoring in agricultural applications. …”
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Implementation of condition-based maintenance (CBM) with FMEA approach to improve productivity of the auto insert machine in electronic component manufacturing by Irkham Syifaul Qulub

“…This study explores the implementation of Condition-Based Maintenance (CBM) integrated with Failure Mode and Effects Analysis (FMEA) on the Auto Insert Connectors FFC machine, a critical asset in the assembly process of Flexible Flat Cable (FFC) connectors within the electronic components manufacturing industry. …”
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Experiences in Developing and Implementing Health Clubs to Reduce Hypertension Risk among Adults in a South African Population in Transition by Thandi R. Puoane, Lungiswa Tsolekile, Ehimario U. Igumbor, Jean M. Fourie

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Implementing Supply Chain Management 4.0: Potential Driving Forces and Strategies From an Empirical Study of Pharmaceutical Industries by Ismail W. R. Taifa, Johnson Subby Nzowa

“…ABSTRACT This study investigates the potential driving forces and strategies for implementing supply chain management 4.0 (SCM 4.0) in pharmaceutical manufacturing industries (PMIs). …”
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Implementation of IoT-based STEM-Contextual learning with the MQTT protocol on the digital literacy skills of pre-service science teacher by Didik Setyawarno, Dadan Rosana, Ibrohim, Erti Hamimi, Ade Gafar Abdulloh

“…The research instruments used were a questionnaire sheet on digital literacy skills and an observation sheet on STEM-Contextual learning implementation. The quality of the instrument was analyzed using the content validity ratio, Fleiss Kappa, confirmatory factor analysis, and Rasch model. …”
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Design and Implementation of Low-Complexity Multiple Symbol Detection Algorithm Using Hybrid Stochastic Computing in Aircraft Wireless Communications by Yukai Liu, Rongke Liu, Kairui Tian, Zheng Lu, Ling Zhao

“…Particularly, we integrate a flexible and scalable stochastic adder in the SC-based correlation calculation, which incorporates an adjustable scaling factor to enable high distinguishability in all possible correlation results. …”
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A pythagorean fuzzy approach to evaluate the challenges to implementing circular economy in the glass manufacturing industry: Implications for sustainable development by Zulficar Niaz Tushar, Shah Murtoza Morshed, Afia Ahsan, Soumik Sarkar, A.B.M. Mainul Bari, Abu Reza Md Towfiqul Islam

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Public satisfaction with Healthy China Action Plan implementation: a web-based cross-sectional survey in southwest China by Li Pan, Yi Chen, Virasakdi Chongsuvivatwong, Dongyang Liu, Wuzhao Chen, Xinyu Bai

“…However, there is limited information available on the community-level public satisfaction with the outcomes of its implementation. Therefore, we intend to conduct an assessment based in southwest China.Design A population-based, cross-sectional survey was performed between 1 June 2023 and 31 July 2023.Setting Community members of all 14 prefecture-level cities within Guangxi, China, during June 2023 to July 2023.Participants A total of 62 4016 participants were included for analysis based on exclusion criteria, with 44.4% aged 18–35 and a male to female ratio of 3:2.Primary outcome measure ‘Public satisfaction with the Healthy China (Guangxi) Action Plan implementation’ was measured by the combination of ‘Willingness to join health promotion’ and ‘Satisfaction to overall medical implementation measures and services’ using a structural equation model with a multiple-indicator, multiple-cause approach in R software.Results The study proposed a comprehensive five-factor model to evaluate the public satisfaction with Healthy China (Guangxi) Action Plan implementation. …”
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The Differences in the implementation of physical education (pe) planning containing 21st-century skills based on period of work and gender by Amat Komari, Hari Yuliarto, Muhamad Nanang Solikhin, Yanuar Rachman Sadewa, Hendra Setyawan

“…This research was conducted using a 2 x 2 factorial design with length of service and gender as factor variables, while the implementation of PE planning contains 21st-century skills as the dependent variable. …”
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Changes in ECT services in India since the implementation of its mental health care act 2017: a clinician’s perspective by Preeti Sinha, Vanteemar S. Sreeraj, Shyam Sundar Arumugham, Jagadisha Thirthalli

“…This issue became more pronounced after the implementation of the MHCA 2017 and should be addressed promptly. …”
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Analysis of the implementation value of abdominal B-ultrasound combined with cervical cerclage in the prevention and treatment of late recurrent spontaneous abortion by Lili Shi, Lei Dong, Yuanying Cui, Dan Bu, Bo Hu

“…Abstract Objective To study the implementation value of abdominal B-ultrasound combined with cervical cerclage in the prevention and treatment of recurrent late abortion. …”
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Knowledge influences patient identification in hospital by Abdul Rahman, Endang Pertiwiwati, Eka Santi

“…Efforts to improve patient safety include implementing correct patient identification. The factor influencing its implementation is the knowledge of health workers, which must continue to be improved. …”
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Barriers and facilitators to the implementation of PHAROS, a perioperative pharmaceutical management intervention for older adults – a qualitative interview study from the perspect... by Moritz Sebastian Schönfeld, Julia Rinke, Claudia Langebrake, Levente Kriston, Cynthia Olotu, Rainer Kiefmann, Corinna Bergelt

“…Our goal was to evaluate the implementation of PHAROS, a perioperative MTM intervention study, from the perspective of health care providers. …”
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SWOT ANALYSIS OF HOT SPRING TOURISM MANAGEMENT IN LEILEM VILLAGE, MINAHASA REGENCY by Jolanda Esther Kaihatu, Aghata Archenta Tumengkol

“…This study identifies and analyses internal and external factors in managing Leilem Hot Springs in Minahasa Regency. …”
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Emotional and environmental factors affecting first-year university students at a public university in Namibia by Tautiko Prisca Shikongo, Anna Niitembu Hako

“…This study This study explored environmental and emotional factors affecting first-year public university students. …”
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Across ancestries, HLA-B∗08:01∼DRB1∗03:01 (DR3) and HLA-DQA∗01:02 (DR2) increase the risk to develop juvenile-onset systemic lupus erythematosus through low complement C4 levels... by Yves Renaudineau, Amandine Charras, Valentina Natoli, Nicolas Congy-Jolivet, Sam Haldenby, Xuan Liu, Yongxiang Fang, Eve MD. Smith, Michael W. Beresford, Christian M. Hedrich, Carla Roberts, Eslam Al-Abadi, Kate Armon, Kathryn Bailey, Coziana Ciurtin, Janet Gardner-Medwin, Kirsty Haslam, Daniel P. Hawley, Alice Leahy, Valentina Leone, Flora McErlane, Gita Modgil, Clarissa Pilkington, Athimalaipet V. Ramanan, Satyapal Rangaraj, Phil Riley, Arani Sridhar

“…The human leukocyte antigen (HLA) cluster on chromosome 6p21.3 is among the most variable genomic regions, representing a major risk-factor for SLE in adults. Its impact on juvenile-onset (j)SLE remains largely unstudied. …”
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Interpretive structural modeling of factors affecting the internal development of cities in arid regions (Case study: Ardakan city by mohamad reza hatafi ardakani, mphammad hosein saraei, mohamad mahdi karimnejad, seyed ali almodaresi, saideh moayed far

“…They were selected to conduct and implement the research. In order to achieve the research objectives, using a new analytical methodology of interpretive structural modeling (ISM), the relationships between the factors were determined and analyzed in an integrated manner. …”
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Public Health Workforce Professional Development Analysis: A Human-Systems Integration for Healthy Communities by Bashkin Osnat, Baron-Epel Orna, Bochenek Tomasz, Czabanowska Kasia, Davidovitch Nadav, Davidovitch Nadav, Davidovitch Nadav, De Nooijer Jascha, Dopelt Keren, Duplaga Mariusz, Harrington Janas, Leighton Lore, Levine Hagai, MacLeod Fiona, Malowany Maureen, Mor Zohar, Neumark Yehuda, Okenwa-Emegwa Leah, Otok Robert, Paillard-Borg Stephanie, Peled-Raz Maya, Tulchinsky Theodore, Zelber-Sagi Shira, Barach Paul, Barach Paul, Barach Paul

“…We outline a whole system’s learning approach for analyzing public health systems in collaboration with public health leaders.MethodsThe project included: i) a system’s analysis involving a cross-sectional mixed methods approach including a quantitative investigation, interviews and focus groups of leading representatives and students from five higher education institutions providing public health training, 49 managers, and 31 stakeholders from lead public health organizations; ii) develop and implement training interventions, involving human factors tools for evaluating and developing actionable solutions.ResultsWe developed and implemented three interventions: 1) An online user interface for public health professional development and collaboration; 2) A Public Health Leadership Academy; and 3) A video outreach to key stakeholders and communities using studies.ConclusionA holistic perspective incorporating human factors, and a systems approach provided a comprehensive understanding and approch towards the public health workforce while identifying leverage points for durable improvement.…”
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Atypical hemolytic uremic syndrome due to factor H autoantibody by Arife Uslu-Gökceoğlu, Cagla Serpil Doğan, Elif Comak, Mustafa Koyun, Sema Akman

“…In atypical cases of HUS, we should investigate complement status, especially for factor H autoantibody, for which treatment options differ from those of the other types of aHUS. …”
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