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Volume 11, Issue 05


VOLUME 11, ISSUE 5
IMPACT FACTOR 4.428

1) The Role of Organizational DNA in Enhancing Organizational Excellence a Study on a Study on Pharmaceutical Industry in Egypt
Author Details: Prof. Dr. Wageeh A. Nafei-University of Sadat City, Menoufia, Egypt
Abstract:
Purpose: This paper attempts to highlight the significant role of organizational DNA in improving Organizational Excellence (OE).
Research Design/Methodology: Using Booz Allen Hamilton, 2002; Neilson, et al., 2003; 2004; Booz, 2004; Neilson, et al., 2005; Holoday, 2005; Remecker & Bowdin, 2005; Neilson, 2006; Vanmullem & Hondeghem, 2007; Soroush, et al., 2013 of organizational DNA, the study develops a number of hypotheses and tests them. This research is an applied form in terms of its goals and descriptive in terms of the method of data collection. Three groups of employees at industrial companies were examined. Of the 355 questionnaires that were distributed, 300 usable questionnaires were returned, a response rate of 84%.
Findings: This study reveals that the four building blocks of organizational DNA (organizational structure, decision rights, motivators, and information) have a significantly direct effect on OE.
Practical implications: The study suggests that the industrial companies can improve OE by influencing its organizational DNA, specifically, by developing the organizational structure, decision rights, motivators, and information. The study provided a set of recommendations including the necessity to pay more attention to the dimensions of organizational DNA as of a key source for organizations to enhance the competitive advantage which is of prime significance for OE.
Originality/value: The study observes that there is a critical shortage of studying organizational DNA in Egypt and that a greater understanding of the factors that influence the OE, including organizational structure, decision rights, motivators, and information, is of great importance. Therefore, this study is to examine the relationship between organizational DNA and OE among employees in the pharmaceutical industrial in Egypt.
Keywords: organizational DNA, organizational excellence

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2) Descriptive Analysis of the Patients with Post COVID Interstitial Lung Diseases in A Resource-Poor Setting of Central Sri Lanka
Author’s Details: Dushantha Madegedara1,   Lihini Basnayake2, Damith Nissanka Bandara3
Respiratory Research Unit, National Hospital, Kandy, Sri Lanka-
*Corresponding author: Dr. Dushantha Madegedara, Respiratory Research Unit, National Hospital, Kandy, Sri Lanka, Tel: +94 812 234220; Fax: +94 812 221270; E-mail: dmadegedara@yahoo.com
Emails: Author 1: dmadegedara@yahoo.com Author 2:lihini.basnayake@gmail.com Author 3: damithnissanka995@gmail.com
1Consultant Respiratory Physician,2Senior Registrar in Respiratory Medicine,3Research Assistance
Abstract:
Background
To date, COVID-19 continues to remain at pandemic proportions. As of March 2022, COVID-19 has caused over 433 million infections and over 5.9 million deaths around the world. Long COVID associated complications were reported worldwide. COVID associated interstitial lung disease (ILD) is a well-known, recognized long term consequence.
Methodology
A single centre observational study was carried out in the Respiratory Disease Treatment Unit two at National Hospital Kandy, Sri Lanka. Information regarding demographic, clinical, biochemical and radiographic characteristics were extracted from the medical records. An interviewer-administered questionnaire was used. Statistical analysis was performed using IBM SPSS statistics data editor.
Results
53 (13.6%) COVID-19 related ILD cases were analysed. Out of them, 38 (71.7%) were males. The median age was 59 years. The majority of patients (81.1%) provided a history of at least one underlying comorbid disease, of which Diabetes Mellitus was the commonest (58.4%). Out of the male patients, 17 (47.3%) had a positive smoking history of varying pack years. Different pathological patterns, geographical and zonal distributions, occasionally asymmetrical patterns were observed in HRCT of patients with COVID-19 related ILD.
Conclusion
The majority of the COVID-19 related ILD patients were males with multiple comorbidities and had a positive smoking history. HRCT imaging, CXR findings and inflammatory markers are crucial in identifying the progression of the disease. Detection of these findings should alert the clinicians to provide prompt and optimized care in order to minimize the morbidity and mortality of COVID-19 related ILD.
Key words: COVID-19, Coronavirus disease, interstitial lung disease, Sri Lanka
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3) Ally or Adversary: Examining the Role Managers Play in Retaining Employees Who Are New To Motherhood
Author’s Details:(1)Ms. Anjali Desai (2)Ms. Rajita Singh (3)Mr. Sudhanshu Bhatt-(1) (2) (3)XLRI, Xavier School of Management, Jamshedpur, India
Abstract:
This case examines the career choices made by three new mothers; Sinchana Raghu, P. Mary and Anuradha B[1], as a response to the managerial support that they received from their organisations at a critical juncture of their lives. Sinchana worked as a design engineer in an engineering company. Mary was an R&D scientist in a speciality chemical manufacturing company and Anuradha was a systems architect in an IT Services organisation. They were all above average performers who had been employed in their workplaces for three to six years. Their managers described them as diligent team players who enjoyed their work, were attentive to detail and open to working long and odd hours.
However, the onset of motherhood with its incumbent role expectations, the challenges of a raging pandemic and the difficulties of working from home made all three women question their ability to remain in service. They reached out to their respective organisations to help them through this period of crisis but only one amongst the three organisations responded with a solution that worked for both the employee and the company. This paper explores each woman’s journey and unique predicament in greater detail and tries to understand the role managers play in helping young mothers remain employed.
Key Words: Managers role; Motherhood onset, Organizational Support, Role Overload, Guilt, Corporate India,[1] All names in the case have been changed to respect individual privacy.

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4) A Policy for the Re-Activation of Long COVID-19 Patients
Author’s Details: Jan b Eyskens a, Luc De Nil b, Gerd van den Keybus c, Lies Van Puyvelde d,John J Sharkey e, Jeroen Staring f a PhD Medical Sciences, PhD Physiotherapy and Rehabilitation, D.O., Movement Consultant, Practical Philosopher. Antwerp and Ghent, Belgium. Jan@yesbody.be. b MSc. Physiotherapy and Rehabilitation, Movement Consultant. Denderbelle, Belgium c MSc. Physiotherapy and Rehabilitation, Movement Consultant. Wuustwezel, Belgium. d MSc. Physiotherapy and Rehabilitation, Movement Consultant. Lokeren, Belgium. e MSc. Independent Researcher, Clinical Anatomist, Exercise Physiologist. National Training Centre. Dublin, Ireland. f Dr. Medical Sciences, Dr. Pedagogy, MSc. Cultural and Social Anthropology, Master SEN, Master Education, BA Mathematics, Unaffiliated Independent Researcher. Schin op Geul, The Netherlands.

Abstract:
A similarity of symptoms and dysfunction is clinically observed between Long COVID-19 patients and patients with autonomic dysfunctions, chronic fatigue syndrome and fibromyalgia. The content of the proposed bio-psychosocial case management rehabilitation program is based on the muscle fiber type composition, a novel policy aimed at priming Type-1 muscle fibers, the energy-saving function of the ligamentum nuchae, and the influence of viruses on movement patterns.
The start of the program addresses how to move safely, utilizing strategies involving neuromuscular efficiency, while later, moving more. If needed, getting stronger is the third step. These three steps are aimed at structural recovery, improving quality of life and social cohesion. Getting back to work and normal lifestyle is always the end goal that is kept in mind, depending on the age of the patient. Patients are re-evaluated using physical functions of some global, regional, and local anatomical areas. The inclusion and exclusion criteria at the intake are based on objectification of physical functions and some questionnaires. The program can be offered to individuals or in a group, either by direct interaction or by video call.
Key words:
Long COVID, chronic fatigue, pain, virus, tensegrity, central sensitization
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5) Radiographical Characteristics of Patients with Post COVID Interstitial Lung Diseases in A Resource-Poor Setting of Central Sri Lanka
Author’s Details: Dushantha Madegedara1, Lihini Basnayake2, Damith Nissanka Bandara3
Respiratory Research Unit, National Hospital, Kandy, Sri Lanka-(1)Consultant Respiratory Physician (2)Senior Registrar in Respiratory Medicine (3)Research Assistant
*Corresponding Author:Dr. Dushantha Madegedara, Respiratory Research Unit, National Hospital, Kandy, Sri Lanka, Tel: +94 812 234220; Fax: +94 812 221270; E-mail: dmadegedara@yahoo.com Emails: Author 1: dmadegedara@yahoo.com Author 2: lihini.basnayake@gmail.com Author 3: damithnissanka995@gmail.com

Abstract:
To date, COVID-19 continues to remain at pandemic proportions in some areas of the globe. As of May 11, 2022, COVID-19 has caused over 518 million infections and over 6.28 million deaths around the world. Various long-term sequela of COVID 19; an entity called Long COVID or post COVID syndrome have been recognized worldwide, out of which COVID – 19 associated interstitial lung disease (ILD) stands out as an important complication due to its associated respiratory morbidity and added burden to healthcare. As there is a scarcity of publications locally, describing the radiographical characteristics of patients with COVID-19 associated ILD is a timely need to fill this vacuum in the local literature.
Methodology
A single centre observational study was carried out in the Respiratory Disease Treatment Unit two at National Hospital Kandy, Sri Lanka between 6th January 2021 to12th January 2022. Inclusion and exclusion criteria were applied prior to data collection. Patients’ demographic data, X-ray findings and HRCT findings were collected. All patients were examined by an expert respiratory team headed by the chief investigator. COVID associated ILD was diagnosed based on respiratory symptoms and HRCT findings. Statistical analysis was performed using IBM SPSS statistics data editor.
Results
Out of the total 387 COVID-19 confirmed patients, 53 (13.6%) post-COVID ILD cases were identified. Several patterns of abnormalities were observed on chest X-rays, which were bilateral patchy opacities 31(60.3%), ground glass opacity 27 (50.9%), and local patchy opacities 21 (39.6%). Similarly, different pathological patterns, geographical and zonal distributions, and standard patterns were observed in HRCT of patients with COVID-19 associated ILD. In majority of HRCTs, abnormalities were symmetrically distributed (94.2%). More than 80% of HRCT were categorized as generalized, peripheral and posterior geographical distributions. Highest zonal distribution was noted as apicobasal distribution (79.2%). Fibrosis was the most common pathological appearance (98.1%) followed by ground glass opacity (94.3%), traction bronchiectasis (41.5%), linear fibrosis (32%), crazy paving (16.9%), Mosaic (13.2%), and linear atelectasis (7.5%) respectively.
Conclusion
Post COVID-ILD is a unique single disease which encompasses all the pathological types of ILD. Early diagnosis of post COVID-ILD is mandatory to prevent permanent irreversible fibrosis and related sequelae. HRCT imaging and CXR findings are crucial in diagnosing and the progression of the disease. These findings should alert the clinicians to provide prompt and optimized care in order to minimize the long-term complications of post-COVID ILD.
Key words: COVID-19, clinical imaging, interstitial lung disease, Sri Lanka
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