The primary objective of the present study was to examine the impact of total quality management (TQM) practices on the performance of organization performance of Arab American University Palestine. The study was also interested in examining the role of organizational excellence in organizational performance and also investigated the impact of organizational excellence in the relationship between TQM practices and organizational performance. To achieve the objective of the current study, we employed the structural equation modeling using statistical package of smart PLS-3. The questionnaires were distributed among the administrative staff of the university. Prior to establishing direct and indirect links between variables, we accessed the measurement of model and after establishment of the model fit, the structural model was used to examine the hypothesized relationships and the results confirmed the hypotheses of the survey. In other words, TQM practices had significant relationship with organizational performance and organizational performance had significant relationship with organizational performance. Moreover, TQM had a positive and significant effect on the organizational Excellence. Finally, organizational excellence also mediated the relationship between TQM and organizational performance.

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Bacteroidetes, lower resemblance to rectal flora, and fewer bacterial species relative to tissue obtained from TR route. Our results suggest there is less introduction of pathogenic flora into prostatic tissue via TP relative to TR approach. These findings likely account for the substantially lower risk of sepsis in TP biopsy, and support widespread adoption of the TP approach, which minimizes sepsis risk and improves antibiotic stewardship.

s gangrene is a rare but very severe disease in urology. Unfortunately, there is a lack of data concerning this disease. Against the background of rising antibiotic resistance rates, we performed a multicentre retrospective study comparing an earlier versus a later patient group. Primary endpoints were the comparison in terms of therapy, outcome and resistance rates. Secondary endpoints were the identification of risk factors for death and multi-resistant pathogens.METHODS: We performed a multicentre retrospective study in ten centres. Four of these centres were German University Medical Centres, four German hospitals of tertiary care and two hospitals of tertiary care in Austria. Two groups with different time frames of treatment were defined: Group 1 treated between January 2006 and December 2010 and Group 2 between January 2011 and December 2016. All patients treated in these time frame were included and analysed. Statistical analysis was performed using SPSS 24.0.RESULTS: On the whole, 154 patients were identified and evaluated in the ten centres: 50 patients belonged to Group 1 and 104 to Group 2. All patients were male. There was no significant difference between the groups concerning demographic characteristics like age. Additionally, there is no significant difference for therapy and outcome in the groups, except from duration of intensive care unit treatment, which was 6.3 days in mean in Group 1 and 11.5 days in Group 2 (p¼0.018; T test). Even the survival time did not improve over the years (p¼0.268; Log rank), four patients (8.0%) died in Group 1 and 16 patients (15.4%) in Group 2 in the first 100 days. Luckily, there was no increased rate of multi-resistant organisms (p¼1.000; Fisher exact test). We were not able to identify risk factors for death and multi-resistant pathogens in univariate Cox regression in both groups as well as in the whole population.CONCLUSIONS: Despite the fact of increasing antibiotic resistance rates worldwide, we could not detect this phenomenon in one of the biggest study populations of Fournier's gangrene in Europe. But the situation is alarming since outcome did not improve over the last ten years even with a more intensive treatment in critical care medicine. Additionally, the outcome of the disease is difficult to predict. Further multicentre studies are absolutely necessary to optimize the management of this disease.