The paradoxes of just-in-time system: an abductive analysis of a public food manufacturing and exporting company in Thailand

Purpose study aims to investigate the implementation and impact of a just-in-time (JIT) system in a food manufacturing and exporting company in Thailand. Design/methodology/approach At the company, the authors used an anomaly case study. The authors performed content analysis on the data collected through semi-structured interviews and direct observations to determine operational flows through customer order, production and delivery. The authors constructed a framework that helped in mapping current operations and subsequently assessing JIT’s impacts; the authors reported the best practices to the company’s owner. Based on the follow-up after a year, the authors used an abductive approach to refine the JIT theory using data from case organizations and relevant studies. Findings The company encountered errors and delays in international delivery owing to inadequate inputs resulting from uncertain agricultural production, delayed contact with freight forwarders, improper documentation and insufficient staffing. Besides the highly centralized system, the limitations of the JIT philosophy contributed to the issues, thereby increasing mental and physical health problems and turnover rate. Owing to these paradoxical effects, the authors extended the JIT theory. Of the study’s several recommendations, the company observed only the following: contacting the freight forwarder after the purchase order confirmation, not production completion. The authors observed increased customer satisfaction, despite the additional cost of booking containers early. Originality/value This research presents a balanced JIT that can minimize JIT’s impacts and resource shortage, owing to demand-supply uncertainties and sustain competitiveness.

Phenology is the dominant control of methane emissions in a tropical non-forested wetland

Tropical wetlands are a significant source of atmospheric methane (CH4), but their importance to the global CH4 budget is uncertain due to a paucity of direct observations. Net wetland emissions result from complex interactions and co-variation between microbial production and oxidation in the soil, and transport to the atmosphere. Here we show that phenology is the overarching control of net CH4 emissions to the atmosphere from a permanent, vegetated tropical swamp in the Okavango Delta, Botswana, and we find that vegetative processes modulate net CH4 emissions at sub-daily to inter-annual timescales. Without considering the role played by papyrus on regulating the efflux of CH4 to the atmosphere, the annual budget for the entire Okavango Delta, would be under- or over-estimated by a factor of two. Our measurements demonstrate the importance of including vegetative processes such as phenological cycles into wetlands emission budgets of CH4.

Potential uses of AI for perioperative nursing handoffs: a qualitative study.

Objective: Situational awareness and anticipatory guidance for nurses receiving a patient after surgery are key to patient safety. Little work has defined the role of artificial intelligence (AI) to support these functions during nursing handoff communication or patient assessment. We used interviews and direct observations to better understand how AI could work in this context. Materials and Methods: 58 handoffs were observed of patients entering and leaving the post-anesthesia care unit at a single center. 11 nurses participated in semi-structured interviews. Mixed inductive-deductive thematic analysis extracted major themes and subthemes around roles for AI supporting postoperative nursing. Results: Four themes emerged from the interviews: (1) Nurse understanding of patient condition guides care decisions, (2) Handoffs are important to nurse situational awareness; problem focus and information transfer may be improved by AI, (3) AI may augment nurse care decision making and team communication, (4) User experience and information overload are likely barriers to using AI. Key subthemes included that AI-identified problems would be discussed at handoff and team communications, that AI-estimated elevated risks would trigger patient re-evaluation, and that AI-identified important data may be a valuable addition to nursing assessment. Discussion and Conclusion: Most research on postoperative handoff communication relies on structured checklists. Our results suggest that properly designed AI tools might facilitate postoperative handoff communication for nurses by identifying elevated risks faced by a specific patient, triggering discussion on those topics.

Topology and pressure distribution reconstruction of an englacial channel

Glacier hydrology describes water movement over, through and under glaciers and ice sheets. Water reaching the ice bed influences ice motion and ice dynamical models, therefore requiring a good understanding of glacier hydrology, particularly water pressures and pathways. However, as in situ observations are sparse and methods for direct observations of water pathways and internal pressures are lacking, our understanding of the aforementioned pathways and pressure remains limited. Here, we present a method that allows the reconstruction of planar subsurface water flow paths and spatially reference water pressures. We showcase this method by reconstructing the 2D topology and the water pressure distribution of an englacial channel in Austre Brøggerbreen (Svalbard). The approach uses inertial measurements from submersible sensing drifters and reconstructs the flow path between given start and end coordinates. Validation on a supraglacial channel shows an average length error of 3.9 m (5.3 %). At the englacial channel, the average length error is 107 m (11.6 %) and the average pressure error 3.4 hPa (0.3 %). Our method allows mapping sub- and englacial flow paths and the pressure distribution within, thereby facilitating hydrological model validation. Further, our method also allows the reconstruction of other, previously unexplored, subsurface fluid flow paths.

Qualitative study exploring the feasibility, usability and acceptability of neonatal continuous monitoring technologies at a public tertiary hospital in Nairobi, Kenya

ObjectiveTo assess the feasibility, usability and acceptability of two non-invasive, multiparameter, continuous physiological monitoring (MCPM) technologies for use in neonates within a resource-constrained healthcare setting in sub-Saharan Africa.DesignA qualitative study using in-depth interviews and direct observations to describe healthcare professional and caregiver perspectives and experiences with investigational MCPM technologies from EarlySense and Sibel compared with selected reference technologies.SettingPumwani Maternity Hospital is a public, high-volume, tertiary hospital in Nairobi, Kenya.ParticipantsIn-depth interviews were conducted with five healthcare administrators, 12 healthcare providers and 10 caregivers. Direct observations were made of healthcare providers using the technologies on 12 neonates overall.ResultsDesign factors like non-invasiveness, portability, ease-of-use and ability to measure multiple vital signs concurrently emerged as key themes supporting the usability and acceptability of the investigational technologies. However, respondents also reported feasibility challenges to implementation, including overcrowding in the neonatal unit, lack of reliable access to electricity and computers, and concerns about cost and maintenance needs. To improve acceptability, respondents highlighted the need for adequate staffing to appropriately engage caregivers and dispel misconceptions about the technologies.ConclusionStudy participants were positive about the usefulness of the investigational technologies to strengthen clinical care quality and identification of at-risk neonates for better access to timely interventions. These technologies have the potential to improve equity of access to appropriate healthcare services and neonatal outcomes in sub-Saharan African healthcare facilities. However, health system strengthening is also critical to support sustainable uptake of technologies into routine care.Trial registration numberNCT03920761.

Safe preoperative regional nerve blocks

BackgroundProcedural time-outs and checklists are proven to be an effective means of improving teamwork and preventing wrong-sided procedures. The main objective of this study was to ensure that all regional nerve blocks being performed in the preoperative area at our hospital were executed with a proper time-out. The goal of this project was to increase integration of a safe preoperative block process including a time-out checklist to ensure; complete consents, correct patient and laterality were marked prior to each procedure. We focused on recognising events that took place before, during and after the nerve block including non-compliance with the checklist and deviations from protocol.MethodsA safe preoperative block process current and future state flowchart, revised time-out checklist and action/implementation plan as part of our Plan–Do–Study–Act model was constructed using a multidisciplinary approach. Pre-implementation and post- implementation data were collected by medical students acting anonymously via direct observation noting the presence of an anaesthesiologist, resident, nurse, time-out for procedure, checklist completed and procedure start and sedation time representing a complete time-out.ResultsThe direct observations in the pre-implementation group showed a 20% (3/15) compliance with a correct time-out. The direct observations in the post implementation group showed 85% (12/14) compliance. This revealed a 65% increase in all portions of the time-out checklist completed. Comparative analysis confirmed decrease in non-compliance and deviations from protocol as displayed by 65% increase in all portions of time-out checklist completed.ConclusionWe aimed to improve safety, communication and compliance for preoperative nerve blocks through development and implementation of a safe preoperative block process using a multidisciplinary model. We conclude that creation of a safe nerve block was achieved by integration of a preoperative nerve block process which included increased compliance to the time-out checklist, verifying patients and laterality with marking of patient prior to each procedure, identifying proper consents were completed and ensuring each regional nerve block was executed with a proper time-out.

Enjeux Liés à la Traversée de la Frontière Bénino-Togolaise dans le Secteur Materi-Mandouri

Les zones frontalières sont des lieux spécifiques où s’effectuent des échanges des biens et des personnes. La présente recherche a pour objectif d’étudier les enjeux liés à la traversée de la frontière bénino-togolaise dans le secteur Materi-Mandouri. Pour atteindre cet objectif, des investigations ont été faites à partir de la collecte des données et informations aux moyens de la recherche documentaire, des observations directes sur le terrain, des entretiens et enquêtes auprès de 93 personnes du milieu de recherche choisies suivant la méthode de choix raisonné. Le traitement des données et l’analyse des résultats se sont focalisés sur l’analyse sociale et l’évaluation des gains auprès des populations cibles. Il ressort des résultats que le commerce (86,66 %), le transport (6,67 %) et la visite des parents (6,66 %) sont les principaux facteurs qui expliquent la présence d’un important flux de personnes dans le secteur de recherche. Aussi, les échanges transfrontaliers entre le Bénin et le Togo contribuent au développement de l’économie locale à travers le chargement, le transport de marchandise et les taxes perçues par les autorités locales. Cependant, les échanges transfrontaliers sont marqués par des contraintes d’ordre social, sécuritaire et infrastructurel. Il faut alors se poser la question de savoir si les actions actuelles permettent de tirer profit du potentiel économique de cette zone frontalière et de faciliter la traversée des populations. Border areas are specific places where people's goods are traded. The objective of this research is to study the issues related to the crossing of the Benin-Togolese border in the Materi-Mandouri sector. To achieve this objective, investigations were carried out from the collection of data and information by means of documentary research, direct observations in the field, interviews and surveys with 93 people from the research community chosen according to the method of reasoned choice. Data processing and outcome analysis focused on social analysis and evaluation of gains among target populations. The results show that trade (86.66%), transport (6.67%) and parental visits (6.66%) are the main factors explaining the presence of a large flow of people in the research sector. Also, cross-border trade between Burkina Faso, Togo and Benin contributes to the development of the local economy through loading, transport of goods and taxes collected by local authorities. However, cross-border trade is marked by social, security and infrastructural constraints. It is then necessary to ask the question of whether the current actions make it possible to take advantage of the economic potential of this border area and to facilitate the crossing of populations.

Strategies for the development of the Bajomulyo Coastal Fishing Port, Pati, Central Java

The fishing port has an important role in supporting activities in the fishery sector which includes serving as a place of preparation, and where to land catches as well as market them. Therefore, this research aims to analyze the level of facilities utilization at CFP Bajomulyo using SOAR and assign the development strategy. The research was carried out in January 2021 at the Coastal fishing port in Bajomulyo Village, Juwana District, Pati Regency. A descriptive method was used to analyze the condition of basic, functional and supporting facilities at CFP Bajomulyo. Data collection was carried out using survey methods and direct observations. The result showed 116% of the pier has been used (overutilized), 26% of the FAP building has been used (non-optimally), 36% of the shipping lane’s depth has been used, meaning the depth is sufficient or in accordance with the required standard, and 49% of its width has been used (non-optimally). Conclusively, the development strategies suggested include making an MoU between the government of Pati Regency and Central Java Province and always considering the availability of FRS facilities, ice factories, clean water, and ship docking around CFP Bajomulyo.Keywords:Development strategyPatiCFP BajomulyoSOAR

CREATING SUSTAINABILITY NATURAL TOURISM DESTINATION

Indonesia have many beautiful natural view but there are still a lot of un explore and unnoticed natural tourism destination to be discovered. That has potential for tourism. There are several natural tourism destination that already well-known, such as Bali, Bintan or Raja Ampat, but still have more natural tourism destination still have original a very view and not really noted. In this research, Sawarna Beach chosen as a research location. Sawarna Beach is very beautiful beach with various coastal characteristics. This beach has a complex and unique physiography, morphology and geological setting. The geological wealth of Sawarna coast can be a tremendous asset for tourism. This location has an outstanding potential to become a favorite tourist destination, given the natural beauty displayed. Sampling method used purposively method, data were collected by direct observations and interview, then the data were analyzed descriptively. The physical condition of the Sarwana Beach area is still not polluted, considering that the physical characteristics of the water on these areas are still below the threshold. The socio-economic conditions of the people in the Bayah area needs to be improved. The development itself is provide tourism services from the community is low considering that tourism development in this region is low. Lodging facilities have begun to develop but are limited to lodging, there are no hotels. The restaurants are limited to small restaurants that are not well organized. Local government efforts to organize natural tourism areas only need to be increased and carried out comprehensively. Efforts to make Sawarna Beach as a sustainable tourist de stinations can be achieved with the joint efforts of all parties including the community, government and academia.

Korelasi Model Pembelajaran Kooperatif Tipe TGT dan Motivasi Belajar Pendidikan Agama Kristen

The problem in this study is the lack of student motivation in following Christian Religious Education subjects. For this reason, the purpose of this study was to determine the extent of the effect of the cooperative learning model of the team games tournamnet type on the motivation to learn Christian Religious Education in seventh grade students of SMP Negeri 1 Simbuang Tana Toraja. The author uses the method of distributing questionnaires to 20 students in the form of open statements and open interviews to 10 students. The purpose of conducting interviews is to strengthen the results of the questionnaires distributed and direct observations. From the correlation results of data analysis using SPSS, it shows that the team games tournament type cooperative learning model has an effect on students' intrinsic motivation with a significant result, namely 0.671 which is in a strong/high relationship, while the Teams Games Tournament on extrinsic motivation gets a significant result, namely 0.479 which is at moderate/moderate relationship. Students' learning motivation increases both intrinsic motivation and extrinsic motivation. Thus, it can be concluded that the team games tournament type cooperative learning model has an effect on students' learning motivation. AbstrakPermasalahan dalam penelitian ini adalah kurangnya motivasi belajar siswa dalam mengikuti mata pelajaran Pendidikan Agama Kristen. Untuk itu, tujuan Penelitian ini adalah untuk mengetahui sejauhmana pengaruh model pembelajaran kooperatif tipe teams games tournamnet terhadap motivasi belajar Pendidikan Agama Kristen siswa kelas VII SMP Negeri 1 Simbuang Tana Toraja. Penulis menggunakan metode pembagian angket kepada 20 siswa dalam bentuk pernyataan yang bersifat terbuka dan wawancara terbuka kepada 10 siswa, Tujuan dilakukan wawancara untuk memperkuat hasil dari angket yang dibagikan dan observasi yang dilakukan secara langsung. Dari Hasil korelasi analisa data menggunakan SPSS menunjukkan bahwa model pembelajaran kooperatif tipe Teams Games Tournament berpengaruh terhadap motivasi intrinsik siswa dengan hasil signifikan yaitu 0,671 yang berada pada hubungan kuat/tinggi, sedangkan Teams Games Tournament terhadap motivasi ekstrinsik mendapatkan hasil yang signifikan yaitu 0,479 yang berada pada hubungan cukup/sedang. Motivasi belajar siswa meningkat baik motivasi intrinsik maupun motivasi ekstrinsik. Dengan demikian dapat disimpulkan bahwa model pembelajaran kooperatif tipe Teams Games Tournament berpengaruh terhadap motivasi belajar siswa.