RESUMEN
Although intravitreal (IVT) injections provide several advantages in treating posterior segment eye diseases, several associated challenges remain. The current study uses the finite element method (FEM) to highlight the effect of IVT needle rotation along the insertion axis on the reaction forces and deformation inside the eye. A comparison of the reaction forces at the eye's key locations has been made with and without rotation. In addition, a sensitivity analysis of various parameters, such as the needle's angular speed, insertion location, angle, gauge, shape, and intraocular pressure (IOP), has been carried out to delineate the individual parameter's effect on reaction forces during rotation. Results demonstrate that twisting the needle significantly reduces the reaction forces at the penetration location and throughout the needle travel length, resulting in quicker penetration. Moreover, ocular biomechanics are influenced by needle insertion location, angle, shape, size, and IOP. The reaction forces incurred by the patient may be reduced by using a bevel needle of the higher gauge when inserted close to the normal of the local scleral surface toward the orra serrata within the Pars Plana region. Results obtained from the current study can deepen the understanding of the twisting needle's interaction with the ocular tissue.
RESUMEN
Governments globally face increasing pressure from climate advocates and international agreements, such as the Paris Agreement, to enact policies addressing climate change. This paper addresses the imperative for sustainable practices outlined in such agreements, with a specific focus on assessing the drivers of Green Procurement Practices (GPP) within Public Sector Organizations (PSOs). A dearth of research exists in systematically analyzing and prioritizing these drivers, exploring their interdependencies, and elucidating their relative importance. GPP is pivotal in market transformation by promoting environmentally friendly products and endorsing low-carbon, energy-efficient alternatives. This, in turn, contributes significantly to mitigating climate change and fostering a shift towards a greener, more sustainable economy. Identification of the drivers has been performed by an extensive review of the literature combined with the author's viewpoint, while the analysis has been performed using the novel method of Dominance-based Rough Set Approach (DRSA) and Interpretive Structural Modelling (ISM) with Matriced' Impacts Croise's Multiplication Applique'e a UN Classement (MICMAC) analysis. The study's outcome reveals that the Demand for Eco-friendly products is the primary driver for the incorporation of GPP, followed by the drivers' Presence of guidelines support and Government Regulations. Findings of the research also demonstrate that suppliers' propensity to adopt green practices depends on several factors, including sustainable supplier cooperation, degree of commitment to embrace green initiatives, government interventions in the form of incentives and guidelines support, and the presence of a legal framework. The findings of this research will enrich the understanding of policymakers and managers to formulate strategies for advancing GPP structured and sustainable implementation in PSOs. The study's findings will also benefit green technology sector advancement through the widespread adoption of GPP.
