Displaying publications 221 - 240 of 661 in total

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  1. Tao H, Rahman MA, Al-Saffar A, Zhang R, Salih SQ, Zain JM, et al.
    Work, 2021;68(3):853-861.
    PMID: 33612528 DOI: 10.3233/WOR-203419
    BACKGROUND: Nowadays, workplace violence is found to be a mental health hazard and considered a crucial topic. The collaboration between robots and humans is increasing with the growth of Industry 4.0. Therefore, the first problem that must be solved is human-machine security. Ensuring the safety of human beings is one of the main aspects of human-robotic interaction. This is not just about preventing collisions within a shared space among human beings and robots; it includes all possible means of harm for an individual, from physical contact to unpleasant or dangerous psychological effects.

    OBJECTIVE: In this paper, Non-linear Adaptive Heuristic Mathematical Model (NAHMM) has been proposed for the prevention of workplace violence using security Human-Robot Collaboration (HRC). Human-Robot Collaboration (HRC) is an area of research with a wide range of up-demands, future scenarios, and potential economic influence. HRC is an interdisciplinary field of research that encompasses cognitive sciences, classical robotics, and psychology.

    RESULTS: The robot can thus make the optimal decision between actions that expose its capabilities to the human being and take the best steps given the knowledge that is currently available to the human being. Further, the ideal policy can be measured carefully under certain observability assumptions.

    CONCLUSION: The system is shown on a collaborative robot and is compared to a state of the art security system. The device is experimentally demonstrated. The new system is being evaluated qualitatively and quantitatively.

    Matched MeSH terms: Policy
  2. Wei H, Rahman MA, Hu X, Zhang L, Guo L, Tao H, et al.
    Work, 2021;68(3):845-852.
    PMID: 33612527 DOI: 10.3233/WOR-203418
    BACKGROUND: The selection of orders is the method of gathering the parts needed to assemble the final products from storage sites. Kitting is the name of a ready-to-use package or a parts kit, flexible robotic systems will significantly help the industry to improve the performance of this activity. In reality, despite some other limitations on the complexity of components and component characteristics, the technological advances in recent years in robotics and artificial intelligence allows the treatment of a wide range of items.

    OBJECTIVE: In this article, we study the robotic kitting system with a Robotic Mounted Rail Arm System (RMRAS), which travels narrowly to choose the elements.

    RESULTS: The objective is to evaluate the efficiency of a robotic kitting system in cycle times through modeling of the elementary kitting operations that the robot performs (pick and room, move, change tools, etc.). The experimental results show that the proposed method enhances the performance and efficiency ratio when compared to other existing methods.

    CONCLUSION: This study with the manufacturer can help him assess the robotic area performance in a given design (layout and picking a policy, etc.) as part of an ongoing project on automation of kitting operations.

    Matched MeSH terms: Policy
  3. Kamal Kenny, Madhavan, Priya
    MyJurnal
    Over the years, the rights of pharmacists as health care professionals have been a controversial topic in the medical field. Pharmacists worldwide have always been independent in being able to practice medicine in their own way and have been given exclusive dispensing rights to distribute drugs and medicines to patients. In Malaysia, however, this is not the case. The overwhelming opinion has been that pharmacists are losing their dispensing rights because doctors are earning more. The current study was carried out in view of recent debates regarding the implementation of a dispensary separation policy in Malaysia. The main objective of this study was to gain an understanding of the views of and challenges experienced by the public in regards to the implementation of this type of policy. The overall results of this study show that dispensing rights are still viewed with mixed feelings. Study subjects reported believing that pharmacists were capable of dispensing medication but that they lack the confidence to make changes within the existing system. When their conditions were not severe, respondents indicated that they preferred the old system where doctors prescribe them with medicine and they subsequently visit the pharmacy. In conclusion, the majority of interview participants were of the opinion that maintaining the current system would benefit them holistically. In this study, input from a total of 929 respondents was gathered via a structured survey conducted throughout Malaysia. The study findings were also supported by data obtained during interviews carried out with 350 informants regarding their views of the implementation of dispensary separation in Malaysia
    Matched MeSH terms: Policy
  4. Dallas MP, Horner R, Li L
    World Dev, 2021 Mar;139:105324.
    PMID: 33293754 DOI: 10.1016/j.worlddev.2020.105324
    Shortages of critical medical supplies during the COVID-19 pandemic have turned global value chains (GVCs) in personal protective equipment (PPE) into a political lightning rod. Some blame excessive outsourcing and foreign dependency for causing shortages, thus urging greater state intervention; others applaud GVCs for their flexibility and scaling up of production, while blaming states for undermining GVC operations. Using policy process-tracing and monthly trade data of seven PPE products across the US, Europe, China and Malaysia, this paper goes beyond the binary debate of either the 'failure' or 'success' of GVCs to show when and under what conditions states interacted with GVCs to produce mixed outcomes in provisioning countries with PPEs. We identify interactions between the type of state intervention and two key structural features of GVCs - geographic distribution of production and technological attributes of the product. Conceptually, the paper demonstrates the mutual constraints of states and GVCs, and highlights structural factors involved in the relationship. Looking to the future of GVCs, we caution against wholesale declarations that GVCs should be abandoned or maintained, instead concluding that paying attention to GVC structure, states and their interactions are crucial.
    Matched MeSH terms: Policy
  5. Mahjouri M, Ishak MB, Torabian A, Manaf LA, Halimoon N
    J Environ Health Sci Eng, 2018 Dec;16(2):181-192.
    PMID: 30728990 DOI: 10.1007/s40201-018-0306-6
    Background: Environmental policies should be developed in a contextual decision-making process regarding local environmental concerns emphasizing the economic, technical, social and institutional considerations. Establishing emission limit levels, especially in the industrial sector, is one of the most problematic environmental issues in developing countries, for which it is essential to include several criteria that reflect their country-specific constraints and capacities. Since Best Available Technology (BAT) is acknowledged to be the reference element for sustainable development and a basis for Emissions Limit Values (ELVs), the objective of this study is to present a reliable methodology for establishing ELVs thresholds with an emphasis on the BAT concept for national regulation at the sector level.

    Methods: A hybrid fuzzy multiple-criteria decision-making (FMCDM) process, consisting of the Analytic Hierarchy Process (AHP) and fuzzy Technique for Order of Preference by Similarity to Ideal Solution (fuzzy TOPSIS) method, is structured to aggregate the different criteria and rank different ELV alternatives in this complicated evaluation. In order to use the most profound knowledge and judgment of a professional expert team, this qualitative assessment highlights the importance of supportive information.

    Results: The results obtained indicate that experts have considered the country-specific information as a reliable reference in their decisions. Among different key evaluation criteria in effluent standard setting, the highest experts' priority is "Environmental protection". For both the conventional and toxic pollutants, the influence of all other criteria namely "Economic feasibility", "Technology viability" and "Institutional capacity", as constraining criteria in developing countries, have not reduced the responsibility towards the environmental objectives. In ELVs ranking, experts have made their decisions with respect to the specific characteristics of each pollutant and the existing capacities and constraints of the country, without emphasizing on any specific reference.

    Conclusions: This systematic and transparent approach has resulted in defensible country-specific ELVs for the Iron and Steel industry, which can be developed for other sectors. As the main conclusion, this paper demonstrates that FMCDM is a robust tool for this comprehensive assessment especially regarding the data availability limitations in developing countries.

    Matched MeSH terms: Environmental Policy
  6. Irfan M, Ahmad M, Fareed Z, Iqbal N, Sharif A, Wu H
    PMID: 33448868 DOI: 10.1080/09603123.2021.1874888
    The aim of this study is to identify and highlight the positive and negative indirect environmental impacts of COVID-19, with a particular focus on the most affected economies (USA, China, Spain, and Italy). In this respect, the empirical and theoretical dimensions of the contents of those impacts are analyzed. Research findings reveal a significant relationship between contingency actions and positive indirect impacts such as air quality improvements, clean beaches, and the decline in environmental noise. Besides, negative indirect impacts also exist, such as the rise in waste level and curtailment in recycling, further threatening the physical spaces (land and water), besides air. It is expected that global businesses will revive in the near future (though slowly), but the reduction in greenhouse gas emissions during this short time span is not a sustainable way of environmental mitigation. Thus, long-term mitigation policies should be strengthened to cope with the undesirable deterioration of the environment. Research findings provide an up-to-date glimpse of the pandemic from the perspectives of current and future indirect environmental impacts and the post-pandemic situation. Finally, it is suggested to invent and prepare action plans to induce a sustainable economic and environmental future in the post-pandemic world scenario.
    Matched MeSH terms: Policy
  7. Chin WK, Thuraisingam AS, Kanagasabapathy S
    Account Res, 2021 May 05.
    PMID: 33857400 DOI: 10.1080/08989621.2021.1917397
    Clinical trials play a critical role in the development of life-enhancing and life-sustaining biomedical advances. It is costly and, regardless of how well-designed and ethically conducted, there are always inherent uncertainties which subsequently expose human participants to the risk of injuries or even death. In Malaysia, compensation for clinical trial-related injury has not been incorporated into standard national regulations or policies. Therefore, when clinical trial-related injuries do occur, such participants cannot be compensated by researchers, and with the absence of specific statutory laws governing trial-related injury within the local legal framework, aggrieved parties need to seek legal redress and can only depend on the existing tort laws. To propose a viable compensation framework, the existing compensation regulations and policies implemented in India and South Africa are analyzed, and their best principles have been recommended. This study proposes the implementation of a no-fault compensation framework in Malaysia which should be disbursed efficiently at minimum administrative cost. This proposed approach should be mandated by the amendment of current laws governing biomedical research and, in the interim, should be adopted voluntarily by research sponsors, institutions and investigators conducting clinical trials in Malaysia.
    Matched MeSH terms: Policy
  8. Madden L, Bojko MJ, Farnum S, Mazhnaya A, Fomenko T, Marcus R, et al.
    Int J Drug Policy, 2017 11;49:48-53.
    PMID: 28957756 DOI: 10.1016/j.drugpo.2017.07.025
    BACKGROUND: Opioid agonist therapies (OAT) like methadone and buprenorphine maintenance treatment remain markedly under-scaled in Ukraine despite adequate funding. Clinicians and administrators were assembled as part of an implementation science strategy to scale-up OAT using the Network for Improvement of Addiction Treatment (NIATx) approach.

    METHODS: Nominal Group Technique (NGT), a key ingredient of the NIATx toolkit, was directed by three trained coaches within a learning collaborative of 18 OAT clinicians and administrators to identify barriers to increase OAT capacity at the regional "oblast" level, develop solutions, and prioritize local change projects. NGT findings were supplemented from detailed notes collected during the NGT discussion.

    RESULTS: The top three identified barriers included: (1) Strict regulations and inflexible policies dictating distribution and dispensing of OAT; (2) No systematic approach to assessing OAT needs on regional or local level; and (3) Limited funding and financing mechanisms combined with a lack of local/regional control over funding for OAT treatment services.

    CONCLUSIONS: NGT provides a rapid strategy for individuals at multiple levels to work collaboratively to identify and address structural barriers to OAT scale-up. This technique creates a transparent process to address and prioritize complex issues. Targeting these priorities allowed leaders at the regional and national level to advocate collectively for approaches to minimize obstacles and create policies to improve OAT services.

    Matched MeSH terms: Health Policy/economics; Health Policy/legislation & jurisprudence*; Health Policy/trends
  9. Lee,Sze Chet, Ng,Chun Keat, Mohd Amiruddin Mohd Kassim, Pang,Nicholas Tze Ping
    Borneo Epidemiology Journal, 2020;1(1):79-87.
    MyJurnal
    COVID-19 has impacted the world in many ways due to fears of contracting the pandemic, social distancing, and large-scale movement control rules. These have especially grave consequences for inpatient psychiatry. This article reviews measures taken to adapt to the new norm in inpatient care, both for standalone psychiatry units and consultation-liaison units. For inpatient units, changes have been made for personal protective equipment usage, screening and triaging policies, and training and educational policies. Consultation liaison units together with inpatient units have been required to expand the scope of coverage and difficulties by providing certain teleconsultation services. As the new norm takes precedence, Sabah has to embrace and empower community-based psychiatry services for better outreach and coverage. This article discusses the issues underlying the new norm in the management of inpatient psychiatry patients in both units and presents some points and practical solutions on the ground to instil hope
    Matched MeSH terms: Policy
  10. NORHANUMFATIN MOHD SHUKRI, MADZLI HARUN
    MyJurnal
    Malaysia is a member of Developing-8 (D-8), which facilitated the formation of bilateral trade relations among member countries. This study focuses on Malaysia’s foreign direct investments (FDIs) within D-8. The purpose of this study is to strengthen the FDI ties with D-8 member states, where Malaysia must focus on cooperating for long-term investments and examining the existing FDI policies under Malaysia and its D-8 counterparts, as well as studying the opportunity of interdependence between Malaysia’s FDIs with D-8 member states. The main issue is the imbalance of Malaysia’s FDI preference with D-8 member states, which is followed by the weakness of Malaysia’s FDI outwards policy, specialised among the D-8 counterparts. Thus, Malaysia’s FFDI lacks penetration with D-8 member states. The qualitative research method, data collection, interviews, and content analysis method are used for this study. The respondents’ agencies for interviews are experts from the Ministry of Foreign Affairs (MOFA), The Bilateral Economic and Trade Relations Division of the Ministry of International Trade and Industry (MITI and the Foreign Investment Promotion Division of the Malaysian Investment Development Authority (MIDA). Coding techniques are applied for the coding process of the content analysis. This study also uses the theories of interdependence and political economy with SWOT analysis to examine the implementation of Malaysia’s FDI with D-8 counterparts. The findings of the study show that Malaysia is looking for quality investments without choosing where the investments come from, and FDIs with D-8 counterparts in several sectors can still be implemented if the D-8 counterparts are offering quality investments for Malaysia.
    Matched MeSH terms: Policy
  11. Brown MK, Shahar S, You YX, Michael V, Majid HA, Manaf ZA, et al.
    BMJ Open, 2021 07 23;11(7):e044628.
    PMID: 34301647 DOI: 10.1136/bmjopen-2020-044628
    INTRODUCTION: Current salt intake in Malaysia is high. The existing national salt reduction policy has faced slow progress and does not yet include measures to address the out of home sector. Dishes consumed in the out of home sector are a known leading contributor to daily salt intake. This study aims to develop a salt reduction strategy, tailored to the out of home sector in Malaysia.

    METHODS AND ANALYSIS: This study is a qualitative analysis of stakeholder views towards salt reduction. Participants will be recruited from five zones of Malaysia (Western, Northern, Eastern and Southern regions and East Malaysia), including policy-makers, non-governmental organisations, food industries, school canteen operators, street food vendors and consumers, to participate in focus group discussions or in-depth interviews. Interviews will be transcribed and analysed using thematic analysis. Barriers will be identified and used to develop a tailored salt reduction strategy.

    ETHICS AND DISSEMINATION: Ethical approval has been obtained from the Universiti Kebangsaan Malaysia Medical Research Ethics Committee (UKM PPI/1118/JEP-2020-524), the Malaysian National Medical Research Ethics Committee (NMRR-20-1387-55481 (IIR)) and Queen Mary University of London Research Ethics Committee (QMERC2020/37) . Results will be presented orally and in report form and made available to the relevant ministries for example, Ministry of Health, Ministry of Education and Ministry of Trade to encourage adoption of strategy as policy. The findings of this study will be disseminated through conference presentations, peer-reviewed publications and webinars.

    Matched MeSH terms: Policy
  12. Nur Ahada Kamaruddin, Ibrahim Mohamed, Ahmad Dahari Jarno, Maslina Daud
    MyJurnal
    Cloud computing technology has succeeded in attracting the interest of both academics and industries because of its ability to provide flexible, cost-effective, and adaptable services in IT solution deployment. The services offered to Cloud Service Subscriber (CSS) are based on the concept of on-demand self-service, scalability, and rapid elasticity, which allows fast deployment of IT solutions, whilst leads to possible misconfiguration, un-patched system, etc. which, allows security threats to compromise the cloud services operations. From the viewpoint of Cloud Service Provider (CSP), incidents such as data loss and information breach, will tarnish their reputations, whilst allow them to conserve the issues internally, in which there is no transparency between CSP and CSS. In the aspects of information security, CSP is encouraged to practice cybersecurity in their cloud services by adopting ISO/IEC27017:2015 inclusive of all additional security controls as mandatory requirements. This study was conducted to identify factors that are influencing the CSP readiness level in the cybersecurity implementation of their cloud services by leveraging the developed pre-assessment model to determine the level of cloud security readiness. Approached the study is based on the combination of qualitative and quantitative assessment method in validating the proposed model through interview and prototype testing. The findings of this study had shown that factors that influence the CSP level of cloud security readiness are based on these domains; technology, organisation, policy, stakeholders, culture, knowledge, and environment. The contribution of the study as a Pre-Assessment Model for CSP which is suitable to be used as a guideline to provide a safer cloud computing environment.
    Matched MeSH terms: Policy
  13. Amin Faiz Nohan, Siti Nur ‘Asyura Adznam, Rosita Jamaluddin, Camilla Wahida Norazman
    MyJurnal
    Introduction: Diet quality is an essential factor in determining the adherence towards dietary guidelines. This study aims to assess the diet quality among community-dwelling older adults and identify the factors associated with the diet quality. Method: This is a cross-sectional study, conducted among 138 community-dwelling older adults living in PPR flats, Kuala Lumpur. Subjects were randomly recruited in this study. Diet Quality Index (DQI) was used to identify diet quality index of elderly. The Chi-square Test of Independence and Pearson’s correlation test were used to determine the association between tested covariates with DQI. Results: Majority of the respondents were report- ed with good diet quality (74.6%), whereas quarter of them (25.6%) had poor diet quality. Significant difference between the diet quality and the adherence on the food groups were observed for all food groups (p
    Matched MeSH terms: Nutrition Policy
  14. MAIZATUL AZIAN MARJUKI
    MyJurnal
    The presence of foreign workers is very crucial in the development of our country. Their presence in Sabah has created a big issue and it is difficult to be solved since 1990s. Migrant workers migrate to Malaysia in search of income although they are offered a low salary, unconducive living arrangements and long working hours. This has encouraged the rise of human trafficking. Ministry of Internal Affairs Malaysia is trying to solve this issue by abolishing recruitment of foreign workers through agents and rectify the policy on managing and recruiting foreign workers.
    Matched MeSH terms: Policy
  15. Pau, Allan Kah-Heng
    MyJurnal
    Oral health diseases are common in all regions of the world and their impact on anatomical
    and social functioning is widely acknowledged.Their distributions are unequal between and within countries, with the greatest burden falling on disadvantaged and socially marginalized populations. The risk factors and social determinants for oral diseases have been comprehensively documented, and the evidence base for their prevention is growing. However, decisions on health care are still often made without a solid grounding in research evidence. Translation of research into policy and practice should be a priority for all. Both community and individual interventions need tailoring to achieve a more equal and person-centered preventive focus and reduce any social gradient in health. The major challenges of the future will be to translate knowledge and experiences in oral disease prevention
    and health promotion into action programmes.The international oral health research community needs to engage further in research capacity building and in strengthening the work so that research is recognized as the foundation of oral health policy at global level.
    Matched MeSH terms: Health Policy
  16. Izamin, I., Jamsiah, M., Aniza, I.
    MyJurnal
    Each organization has a particular culture, due to personal interactions, with certain values shared by its members. Corporate culture is defined as ‘the set of shared, taken-for-granted implicit assumptions that a group holds and that determines how it perceives, thinks about, and reacts to its various environments’. Positive corporate culture is linked to increased staff alignment, advanced level of employee commitment, increased employee productivity, enhanced organizational effectiveness and increased profitability. Researchers claimed that most studies suggesting the associations between culture and performance are methodologically weak. Cultural transformation has been a big part of NHS reforms and health system redesign in United States to deliver improvements in quality and performance. Environment, market competition, technology advancement, information age and government policies will influence the cultural change within the organization. Undesirable culture might emerge if the organization does not act appropriately to manage its corporate culture. There are six critical success factors for the implementation of corporate culture changes: committed and effective leadership, clear definition of the desired goals, rigorous implementation of a change management model, effective mitigation of change resistance, active governance structure and a design model, and effective communication. Among the issues in implementing corporate culture within healthcare organizations are middle managers dilemma, cultural diversity and subcultures within the organization, size of healthcare organization and critical mass.
    Matched MeSH terms: Policy
  17. Siew, P.L., Chitpakdee, B., Chontawan, R.
    MyJurnal
    Introduction: With an increase in national nursing shortage, organizational commitment is extremely
    important for retention of nurses. This predictive study determines the level of organizational commitment and the predictive ability of perceived organizational support, components of job satisfaction, including pay, task requirement, organizational policies, autonomy, interaction and professional status as well as years of experience on organizational commitment. Method: Data were collected from 416 nurses in four state hospitals in Malaysia, using self-administered questionnaires. The hospitals were selected from each region in Peninsular Malaysia and samples were selected by a random sampling method. Questionnaires, including demographic data, Organizational Commitment Questionnaires, Survey of Perceived Organizational Support,and Index Work Satisfaction were distributed by researcher and research assistants. Stepwise multiple regression technique was used to analyze the data. Results: The results discovered that (1) nearly half of the subjects (48.07%) reported high level of organizational commitment. (2) Professional status, autonomy, interaction, task requirement and years of experience could predict the organizational commitment (ß = 0.52, 0.17, p < 0.01); ß= 0.13, 0.11, 0.09, p < 0.05 respectively). Overall, all predictors explained 33% of variability
    in the organizational commitment among nurses in state hospitals. Conclusions: This study found that nurses in state hospitals were highly committed to their organizations. Results of this study provide information for nurse administrators to consider and maintain these factors in nursing practice to foster a high level of organizational commitment among Malaysian nurses.
    Matched MeSH terms: Organizational Policy
  18. Ambu, Stephen, Chu, Wan-Loy, Mak, Joon-Wah, Wong, Shew-Fung, Chan, Li-Li, Wong, Siew-Tung
    MyJurnal
    Malaysia has good environmental laws to protect the outdoor environment and public health. However there are no laws governing indoor air quality (IAQ) and the knowledge among the public about its importance is also lacking. Environmental professionals think it is not a priority and this influences the policy decisions in the country. Therefore there is a need to create awareness by way of research, education and other promotional activities. What is much needed at this time is the establishment of standards for the conduct of risk assessment studies. To establish standards we need reliable data which can be used to develop appropriate guidelines for the purpose of mitigation and adaptation programmes. IAQ can have significant influence on health resulting in drop in productivity and economy of a country. It has been estimated that in the US, building related illnesses (BRI) symptoms have a relationship with decrease (3 to 5%) in work performance in an affected population resulting in an annual loss of US$60 billion in revenue. However, based on efficient management programmes they have also projected that the potential annual savings can be in the region of US$10 to 30 billion. This establishes that fact that good management programmes based on efficient guidelines is of economic value to a country and wellbeing of the population. The IMU has embarked on a research programme to collect the much-needed data for the framing of a good IAQ guideline for Malaysia.
    Matched MeSH terms: Policy
  19. Hari Krishnan, T.
    MyJurnal
    Introductions: Call center has been defined as a working environment in which uses telephone and computer for the purpose of marketing and manage communication with prospect clients or existing clients (Rocha, Glina, Morinho and Nakasato, 2005; Sprigg, Smith and Jackson, 2003).
    Methodology: The study was conducted via observation of working condition and face to face interview with call center operators. Measurement of anthropometrics was also conducted.
    Results: Ergonomics issues found at call center were inappropriate work condition and workstation which lead to awkward sitting posture (sitting with forward leaning posture, raised shoulder, feet not supported on floor). Besides that organizational policy which required high job demand and subsequently lead to prolonged sitting and static posture (very minimal posture changes). Combination all these factors lead to musculoskeletal symptoms and the operators reported of having neck, shoulder, upper back and lower back pain compared to other body parts.
    Conclusion: The management should embark on organization wide ergonomics management program and should review the current policy and create safe and healthy working environment by providing suitable workstation for the operators in order to prevent musculoskeletal.
    Matched MeSH terms: Organizational Policy
  20. Poovaneswaran, Sangeetha, Khajotia, Rumi, Subramaniam, Thiruselvi
    MyJurnal
    The incidence of cancer in Malaysia is rising alarmingly and newly qualified doctors will be expected
    to be competent in the basic management of cancer patients. However, the opportunity to gain experience in oncology management will remain limited unless these students are stationed in an oncology unit which is solely dedicated to the treatment of such patients. Therefore, it is essential that undergraduate medical school training equips students with a sound knowledgebase, so that they can confidently manage basic oncological conditions appropriately. With the many private and local medical universities across the country, it is important that oncology training be standardized
    and reflective of the local resources available, and government health policies. As a result, having a
    standardized curriculum would help create a framework whereby competencies in cancer management would be accurately assessed.
    Matched MeSH terms: Health Policy
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