Considerations regarding reducing Danube navigation emissions

Some results of the concept working out are proposed to improve ecological parameters in the inland Danube navigation by increasing energy efficiency of the already owned fleet at the basis of possible methods, which also were proposed during GRENDEL (Green and Efficient Danube Fleet) Project, finished in November, 2020. It has been a pilot project directed to coordinate the Danube fleet modernization according to the European Green Deal conception. The results, introduced during GRENDEL Final Event show an active interest of all participants to the main objectives of the project, and both to the prolongation of investigations in this sphere. Obviously, the main interest is concentrated around issues of harmful emissions of ship main engines decreasing as soon as preparing Danube inland vessels for using technologies of zero emission. However, very expensive practical realization, Danube market falling, pandemic limitations, points of wasteland in Danube countries economics – these all factors make impossible to use modern findings and solutions in sphere of the Danube fleet modernization for today’s shipowners. Nowadays shipowners are using to feel financial deficits even for current operational maintenance. The best way to rich zero emission fast is implementation of governmental regulatory and financial support planes, which unfortunately are too far from developing and realization. The only result could be reached by shipping companies is to find the ways to improve energy efficiency for existing fleet. It will also lead to better ecological parameters.

Are orthopaedic providers willing to work overtime to address COVID-19-related patient backlogs and financial deficits?

Aims COVID-19-related patient care delays have resulted in an unprecedented patient care backlog in the field of orthopaedics. The objective of this study is to examine orthopaedic provider preferences regarding the patient care backlog and financial recovery initiatives in response to the COVID-19 pandemic. Methods An orthopaedic research consortium at a multi-hospital tertiary care academic medical system developed a three-part survey examining provider perspectives on strategies to expand orthopaedic patient care and financial recovery. Section 1 asked for preferences regarding extending clinic hours, section 2 assessed surgeon opinions on expanding surgical opportunities, and section 3 questioned preferred strategies for departmental financial recovery. The survey was sent to the institution’s surgical and nonoperative orthopaedic providers. Results In all, 73 of 75 operative (n = 55) and nonoperative (n = 18) providers responded to the survey. A total of 92% of orthopaedic providers (n = 67) were willing to extend clinic hours. Most providers preferred extending clinic schedule until 6pm on weekdays. When asked about extending surgical block hours, 96% of the surgeons (n = 53) were willing to extend operating room (OR) block times. Most surgeons preferred block times to be extended until 7pm (63.6%, n = 35). A majority of surgeons (53%, n = 29) believe that over 50% of their surgical cases could be performed at an ambulatory surgery centre (ASC). Of the strategies to address departmental financial deficits, 85% of providers (n = 72) were willing to work extra hours without a pay cut. Conclusion Most orthopaedic providers are willing to help with patient care backlogs and revenue recovery by working extended hours instead of having their pay reduced. These findings provide insights that can be incorporated into COVID-19 recovery strategies. Level of Evidence: III Cite this article: Bone Jt Open 2021;2(7):562–568.

Effect of the COVID-19 Pandemic in German Trauma Centres and Geriatric Trauma Centres DGU

Background The COVID 19 pandemic is a major challenge to all social systems, particularly the healthcare system. Within an international study, German Trauma Centres DGU and Geriatric Trauma Centres DGU have been questioned about their situation. Method The questionnaire was translated from English into German and sent to all contacts. The evaluation was performed descriptively. Results 71 of 692 centres participated in this study. Government instructions to avoid elective treatments have been adhered to by 68% of the hospitals, and the remaining performed only urgent elective treatments. There was also a decline in the number of traumatological patients. In more than 90% of the hospitals, only 0 – 4% of all patients treated for proximal femur fracture were tested positive for COVID-19. It appears that 84% of these hospitals have or will have financial deficits. Almost all hospitals were organised and ready to fight the pandemic with their personal and/or infrastructural resources they possess. Conclusion Our questionnaire shows that the pandemic had an enormous effect on Trauma Centres DGU and Geriatric Trauma Centres DGU. The hospitals expect financial losses. Almost all the hospitals have provided personal and infrastructural resources to be used in the fight against the pandemic with a better outcome in Germany in comparison with international standards.

Engineering Emotional Intelligence in Moroccan Primary School

The Moroccan socio-economic context is more and more weakened by a dynamic of accelerated measures aimed at redressing the financial deficits of the state. The first emotionally impacted by this dynamic are parents and therefore their children who begin to live in a universe dominated by fluctuations and unforeseen events.This article will therefore explore the emotional situation of Moroccan pupils at the beginning of schooling and identify their needs in this area, in order to initiate a dynamic of engineering emotional intelligence in primary school.The study was carried out in 3 school groups in Casablanca on a mixed population of 160 pupils and was spread out over a month. The used tools comprised interviews with survey filling to measure the degree of awareness of emotions on the part of these pupils and their teachers. Subsequently, the population was subjected to two tests respectively of impulses control and team spirit.The results show an initial dominance of emotions in the studied population and demonstrate the major interest of a gradual integration of emotional intelligence courses in the primary cycle of education.

Collaborative Governance Approaches in Dealing with Financial Deficits in the JKN-KIS Program in Indonesia

Objective - The imbalance in income and expenditure in the JKN-KIS program clearly illustrates the main causes of its financial balance deficit. The government has implemented many top-down programs to overcome this issue, but these efforts have not yet shown any satisfying outcomes. The collaborative efforts in dealing with budget deficit problems in the JKN-KIS program have been carried out by many actors. The extant literature suggests it should be noted that the components are comprehensive and appropriately used in answering problems. This study consists of a theoretical discussion focusing on the potentials and challenges of bottom-up collaborative governance concept as well as a practical example of how this concept works in dealing with financial deficits in the National Health Insurance (JKN) program in Indonesia. Methodology/Technique – This study aims to explain the tendency of collaborative governance approach used. This study is conducted using a post-positivism approach with qualitative and quantitative data analysis using 13 state and non-state institutions for the period of the JKN from 2014 to 2018. Finding & Novelty - The results of the study show that there is no dominant tendency in each existing model. However, there are a “red thread” between collaborative governance models formulated. The results suggest that a bottom-up approach emerges as a critique to the old scheme of a top-down approach in which the participation of the citizens or NGOs are not proportionally given. This finding implies that in adopting the bottom-up collaborative governance concept there are significant challenges for the collaborative governance approach in the future. Type of Paper: Review JEL Classification: I13, I18. Keywords: Financial Deficit; Health Insurance; Collaborative Governance; Bottom-up. Reference to this paper should be made as follows: Janah, M; Rahayu, A.Y.S. 2020 Collaborative Governance Approach in dealing with financial deficits on JKN-KIS Program in Indonesia, Global J. Bus. Soc. Sci. Review 8(2): 124 – 131. https://doi.org/10.35609/gjbssr.2020.8.2(6)

The private saving glut and the developed countries' government financial balance

The ‘global saving glut’ à la Bernanke is not a serious problem for a large group of high-income countries considered collectively. More importantly, taken together these countries exhibit a tendency for a growing GDP share of private-sector saving and a falling GDP share of private investment. Given prevailing tendencies regarding income distribution and gross capital formation, the private sector of developed countries considered collectively is prone to accumulating ‘saving gluts’ which is reflected in persistent public-sector financial deficits. Fiscal policy may need to support growth with the debt-financed income injections more or less permanently, and not just in response to ‘cyclical’ growth slow-downs or occasional recessions.

KAJIAN NORMATIF TENTANG PROSES PELAKSANAAN PEMBEBANAN JAMINAN FIDUSIA ATAS JAMINAN PERSEDIAAN BARANG DAN PIUTANG DAGANG DI DUNIA PERBANKAN

Banking is an institution that is vulnerable to risks related to money. The banking position as a mediator that connects those with surplus and financial deficits, banks must maintain good relations with the two parties. Banking decisions must be moderate, namely considering the desires of both parties because without the two parties, banking activities are not running. But if you are not careful in disbursing loans, bad credit will occur, then to protect the money disbursed, the debtor must provide collateral to the bank. This paper is a normative legal research that is research aimed at written regulations relating to the procedure for carrying out fiduciary collateral for collateral in the form of inventory and trade receivables according to Fiduciary Law Number 42 of 1999, and the legal consequences if the collateral is in the form of inventory the goods and receivables are not processed by loading fiduciary and registering them to the Fiduciary Registration Office. In the implementation of Fiduciary Collateral Imposition, especially collateral for credit in the form of goods and trade receivables, as determined by law, by registering the Fiduciary Deed of Registration with the Fiduciary Registration Office - Ministry of Law and Human Rights. For collateral for loans financed by banks, the Actions made under the hand or Notarial but not registered with the Fiduciary Deed of Registration at the Fiduciary Security Registration Office, do not get preferential rights and an executorial right guaranteed by the Fiduciary Guarantee Institute, and the Fiduciary Guarantee Agreement is only in the form of a Fiduciary Deed Registration Office. under the hand that has no executive power

Realizing Lean Concept in Automotive Parts Production: Child Parts in Sub-Assembly Line

This paper addresses the application of a promising and concept known as Lean Manufacturing (LM) concepts that can be used to prevent incorrect parts size at subassembly 1 and 5. In the context of size versus volume, the possibility of small parts to encounter defects is much greater compare to huge size. This undesirable circumstance will lead to the financial deficits in terms of waste. At this stage, this paper will identify and investigate the sources of inputs that cause the failure in the manufacturing system. The finding of the failure will be analysed and extending to the problem solution by suggesting the lean approach at the allocated area. By adapting some of this approach, it will deliver to the performance of production line that includes an assessment of fulfilling the objectives in terms of preventing parts incorrect size, reducing related cost from waste and providing customer with quality products. Taking into account of the objectives, the implementation of this approach in the sub assembly line is then described. Nevertheless, further investigations are necessary to improve the proposed applications which currently function with limitation due to small area of production line.