Abstract: Objective: Sharing devastating news with patients is
often considered the most difficult task of doctors. This study aimed
to explore patients’ perceptions of receiving bad news including
which features improve the experience and which areas need refining. Methods: A questionnaire was written based on the steps of the
SPIKES model for breaking bad new. 20 patients receiving treatment
for a hematological malignancy completed the questionnaire. Results: Overall, the results are promising as most patients praised
their consultation. ‘Poor’ was more commonly rated by women and
participants aged 45-64. The main differences between the ‘excellent’
and ‘poor’ consultations include the doctor’s sensitivity and checking
the patients’ understanding. Only 35% of patients were asked their
existing knowledge and 85% of consultations failed to discuss the
impact of the diagnosis on daily life. Conclusion: This study agreed with the consensus of existing
literature. The commended aspects include consultation set-up and
information given. Areas patients felt needed improvement include
doctors determining the patient’s existing knowledge and checking
new information has been understood. Doctors should also explore
how the diagnosis will affect the patient’s life. With a poorer
prognosis, doctors should work on conveying appropriate hope. The
study was limited by a small sample size and potential recall bias.
Abstract: This study examined the mental health and behavioral
problems in early adolescence with the instrument of Achenbach
System of Empirically Based Assessment (ASEBA). The purpose of
the study was stratified sampling method was used to collect data
from 1975 participants. Multiple regression models and hierarchical
regression models were applied to examine the relations between the
background variables and internalizing problems, and the ones
between students’ performance and internalizing problems. The
results indicated that several background variables as predictors could
significantly predict the anxious/depressed problem; reading and
social study scores could significantly predict the anxious/depressed
problem. However the class as a hierarchical macro factor did not
indicate the significant effect. In brief, the majority of these models
represented that the background variables, behaviors and academic
performance were significantly related to the anxious/depressed
problem.
Abstract: Leishmaniasis is the collective name for a number of
diseases caused by protozoan flagellates of the genus Leishmania,
which is transmitted by Phlebotomine sandfly, the disease has diverse
clinical manifestations and found in many areas of the world,
particularly in Africa, Latin America, South and Central Asia, the
Mediterranean basin and the Middle East. This study was done to
assess primary health care physicians’ knowledge (PHP) and attitude
about leishmaniasis and to assess awareness of local inhabitants
about the disease and its vector in four areas in west Alexandria,
Egypt. It is a cross sectional survey that was conducted in four PHC
units in west Alexandria. All physicians currently working in these
units during the study period were invited to participate in the study;
only 20 PHP completed the questionnaire. 60 local inhabitants were
selected randomly from the four areas of the study, 15 from each
area; Data was collected through two different specially designed
questionnaires. Results showed that 11 (55%) percent of the
physicians had satisfactory knowledge; they answered more than 9
(60%) questions out of a total 14 questions about leishmaniasis and
sandfly. On the other hand when attitude of the primary health care
physicians about leishmaniasis was measured, results showed that 17
(85%) had good attitude and 3 (15%) had poor attitude. The second
questionnaire showed that the awareness of local inhabitants about
leishmaniasis and sandfly as a vector of the disease is poor and needs
to be corrected. (90%) of the interviewed inhabitants had not heard
about leishmaniasis, Only 3 (5%) of them said they know sandfly and
its role in transmission of leishmaniasis. Thus we conclude that
knowledge and attitudes of physicians are acceptable. However, there
is, room for improvement and could be done through formal training
courses and distribution of guidelines. In addition to raising the
awareness of primary health care physicians about the importance of
early detection and notification of cases of leishmaniasis, health
education for raising awareness of the public regarding the vector and
the disease is necessary because related studies have demonstrated
that for inhabitants to take enough protective measures against the
vector, they should perceive that it is responsible for causing a
disease.
Abstract: Automation of airport operations can greatly improve
ground movement efficiency. In this paper, we study the speed profile
design problem for advanced airport ground movement control and
guidance. The problem is constrained by the surface four-dimensional
trajectory generated in taxi planning. A decomposed approach of two
stages is presented to solve this problem efficiently. In the first stage,
speeds are allocated at control points, which ensure smooth speed
profiles can be found later. In the second stage, detailed speed profiles
of each taxi interval are generated according to the allocated control
point speeds with the objective of minimizing the overall fuel
consumption. We present a swarm intelligence based algorithm for the
first-stage problem and a discrete variable driven enumeration method
for the second-stage problem, since it only has a small set of discrete
variables. Experimental results demonstrate the presented
methodology performs well on real world speed profile design
problems.
Abstract: Communicating users' needs, goals and problems help
designers and developers overcome challenges faced by end users.
Personas are used to represent end users’ needs. In our research,
creating personas allowed the following questions to be answered:
Who are the potential user groups? What do they want to achieve by
using the service? What are the problems that users face? What
should the service provide to them? To develop realistic personas, we
conducted a focus group discussion with undergraduate and graduate
students and also interviewed a university librarian. The personas
were created to help evaluating the Institutional Repository that is
based on the DSpace system. The profiles helped to communicate
users' needs, abilities, tasks, and problems, and the task scenarios
used in the heuristic evaluation were based on these personas. Four
personas resulted of a focus group discussion with undergraduate and
graduate students and from interviewing a university librarian. We
then used these personas to create focused task-scenarios for a
heuristic evaluation on the system interface to ensure that it met
users' needs, goals, problems and desires. In this paper, we present
the process that we used to create the personas that led to devise the
task scenarios used in the heuristic evaluation as a follow up study of
the DSpace university repository.
Abstract: In this study, an Artificial Neural Network (ANN)
analytical method has been developed for analyzing earthquake
performances of the Reinforced Concrete (RC) buildings. 66 RC
buildings with four to ten storeys were subjected to performance
analysis according to the parameters which are the existing material,
loading and geometrical characteristics of the buildings. The selected
parameters have been thought to be effective on the performance of
RC buildings. In the performance analyses stage of the study, level of
performance possible to be shown by these buildings in case of an
earthquake was determined on the basis of the 4-grade performance
levels specified in Turkish Earthquake Code-2007 (TEC-2007). After
obtaining the 4-grade performance level, selected 23 parameters of
each building have been matched with the performance level. In this
stage, ANN-based fast evaluation algorithm mentioned above made
an economic and rapid evaluation of four to ten storey RC buildings.
According to the study, the prediction accuracy of ANN has been
found about 74%.
Abstract: Fiber Reinforced Polymer (FRP) is a composite material with exceptional properties that are capable to replace conventional steel reinforcement in reinforced and pre-stressed concrete structures. However, the main obstacle for their wide use in pre-stressed concrete application is the anchorage system. Due to the weakness of FRP in the transverse direction, the pre-stressing capacity of FRP bars are limited. This paper investigates the modification of the conventional wedge anchorage system to be used for stressing of FRP bars in pre-stressed applications. Epoxy adhesive material with glass FRP (GFRP) bars and conventional steel wedge were used in this paper. The GFRP bars are encased with epoxy at the anchor zone and the wedge system was used in pull-out test. The results showed a loading capacity of 47.6 kN which is 69% of the bar ultimate capacity. Additionally, nylon wedge was made with the same dimensions of the steel wedge and tested for GFRP bars without epoxy layer. The nylon wedge showed a loading capacity of 19.7 kN which is only 28.5% of the ultimate bar capacity.
Abstract: The properties of hollow sandcrete blocks produced in
Minna, Nigeria are presented. Sandcrete block is made of cement,
water and sand binded together in certain mix proportions. For the
purpose of this work, fifty (50) commercial sandcrete block industries
were visited in Minna, Nigeria to obtain block samples and
aggregates used for the manufacture, and to take inventory of the mix
composition and the production process. Sieve analysis tests were
conduction on the soil sample from various block industries to
ascertain their quality to be used for block making. The mix ratios
were also investigated. Five (5) nine inches (9’’ or 225mm) blocks
were obtained from each block industry and tested for dimensional
compliance and compressive strength. The results of the soil test
shows that the grading fall within the limit for natural aggregate and
can easily are used to obtain workable mix. Physical examinations of
the block sizes show slight deviation from the standard requirement
in NIS 87:2000. Compressive strength of hollow sandcrete blocks in
range of 0.12 N/mm2 to 0.54 N/mm2 was obtained which is below the
recommendable value of 3.45 N/mm2 for load bearing hollow
sandcrete blocks. This indicates that these blocks are below the
standard for load-bearing sandcrete blocks and cannot be used as load
bearing walling units. The mix composition also indicated low
cement content resulting in low compressive strength. Most of the
commercial block industries visited does not take curing very serious.
Water were only sprinkled ones or twice before the blocks were
stacked and made readily available for sale. It is recommended that a
mix ratio of 1:4 to 1:6 should be used for the production of sandcrete
blocks and proper curing practice should be adhered. Blocks should
also be cured for 14 days before making them available for
consumers.
Abstract: The present study aims to investigate the performance
of Moringa oleifera seed extract as natural coagulant in clarification
of secondary wastewater treatment plant (MWWTP) located in East
of Algiers, Algeria. Coagulation flocculation performance of
Moringa oleifera was evaluated through supernatant residual
turbidity after jar test trials. Various influence parameters namely
Moringa oleifera dosage and pH have been considered. Tests on
Reghaia wastewater, having 129 NTU of initial turbidity, showed a
removal of 69.45% of residual turbidity with only 1.5 mg/l of
Moringa oleifera. This sufficient removal capability encourages the
use of this bioflocculant for treatment of turbid waters. Indeed,
Moringa oleifera which is a natural resource available locally (South
of Algeria) coupled to the non-toxicity, biocompatibility and
biodegradability, may be a very interesting alternative to the
conventional coagulants used so far.
Abstract: This study was carried out for an underground subway station at Seoul Metro, Korea. The optimal set-points of the ventilation control system are determined every 3 hours, then, the ventilation controller adjusts the ventilation fan speed according to the optimal set-point changes. Compared to manual ventilation system which is operated irrespective of the OAQ, the IDP-based ventilation control system saves 3.7% of the energy consumption. Compared to the fixed set-point controller which is operated irrespective of the IAQ diurnal variation, the IDP-based controller shows better performance with a 2% decrease in energy consumption, maintaining the comfortable IAQ range inside the station.
Abstract: Electrostatic interaction energy (ΔEEDL) is a part of the Extended Derjaguin-Landau-Verwey-Overbeek (XDLVO) theory, which, together with van der Waals (ΔEVDW) and acid base (ΔEAB) interaction energies, has been extensively used to investigate the initial adhesion of bacteria to surfaces. Electrostatic or electrical double layer interaction energy is considerably affected by surface potential; however it cannot be determined experimentally and is usually replaced by zeta (ζ) potential via electrophoretic mobility. This paper focusses on the effect of ionic concentration as a function of pH and the effect of mineral grain size on ζ potential. It was found that both ionic strength and mineral grain size play a major role in determining the value of ζ potential for the adhesion of P. putida to hematite and quartz surfaces. Higher ζ potential values lead to higher electrostatic interaction energies and eventually to higher total XDLVO interaction energy resulting in bacterial repulsion.
Abstract: The fuel potential of six tropical hardwood species
namely: Triplochiton scleroxylon, Ceiba pentandra, Aningeria
robusta, Terminalia superba, Celtis mildbreadii and Piptadenia
africana were studied. Properties studied included species density,
gross calorific value, volatile matter, ash content, organic carbon and
elemental composition. Fuel properties were determined using
standard laboratory methods. The result indicates that the gross
calorific value (GCV) of the species ranged from 20.16 to 22.22
MJ/kg and they slightly varied from each other. Additionally, the
GCV of the biomass materials were higher than that of other biomass
materials like; wheat straw, rice straw, maize straw and sugar cane.
The ash and volatile matter content varied from 0.6075 to 5.0407%,
and 75.23% to 83.70% respectively. The overall rating of the
properties of the six biomass materials suggested that Piptadenia
africana has the best fuel property to be used as briquettes and
Aningeria robusta the worse. This study therefore suggests that a
holistic assessment of a biomass material needs to be done before
selecting it for fuel purpose.
Abstract: This study aimed to explore the practical experience
of child welfare caseworkers and professionalism in child case
management in Malaysia. This paper discussed the specific social
work practice competency and the challenges faced by child
caseworkers in the fieldwork. This research was qualitative with
grounded theory approach. Four sessions of focused group discussion
(FGD) were conducted involving a total of 27 caseworkers (child
protector and probation officers) in the Klang Valley. The study
found that the four basic principles of knowledge in child case
management namely: 1. knowledge in child case management; 2.
professional values of caseworkers towards children; 3. skills in
managing cases; and 4. culturally competent practice in child case
management. In addition, major challenges faced by the child case
manager are the capacity and commitment of the family in children’s
rehabilitation program, the credibility of caseworkers are being
challenged, and the challenges of support system from intra and interagency.
This study is important for policy makers to take into account
the capacity and the needs of the child’s caseworker in accordance
with the national social work competency framework. It is expected
that case management services for children will improve
systematically in line with national standards.
Abstract: The research aims to study the association between
job satisfaction, motivation and the five factors of organizational
citizenship behavior (i.e. Altruism, Conscientiousness,
Sportsmanship, Courtesy and Civic virtue) among Public Sector
Employees in Pakistan. In this research Structure Equation Modeling
with confirmatory factor analysis was used to test the relationship
between two independent and five dependent variables. Data was
collected through questionnaire survey from 152 Public Servants
Working in Gujrat District-Pakistan in different capacities. Stratified
Random Sampling Technique was used to conduct this survey. The
results of the study indicate that five factors of OCB have positive
significant relation with both motivation and job satisfaction except
the relationship of Civic Virtue with Motivation. The research
findings implicate that factors other than motivation and job
satisfaction may also affect OCB. Likewise, all the five factors of
OCB may not be present in all populations. Thus, Managers must
concentrate on increasing motivation and job satisfaction to increase
OCB. Furthermore, the present research gives a direction to future
researchers to use more independent variables (e.g. Culture,
leadership, workplace environment, various job attitudes, types of
motivation, etc.) on different types of populations with larger sample
size in order to find the reasons behind insignificant relationship of
civic virtue with Motivation in the research in hand and to generalize
the tested model.
Abstract: This paper describes the collection and analysis of
data obtained from face-to-face interviews conducted in selected
Libyan industrial companies. The objectives of the interviews are to
enhance understanding, and generate explanations of current issues in
culture and quality management systems in Libyan companies. The
method used in analyzing the questions, as well as the main finding
of each question are explained. The interviews probed areas identify
national and organizational culture, quality management systems,
current methods, effects, barriers and other factors affecting the
success of quality management implementation. Eleven questions are
prepared and been discussed with the interviewees.
Abstract: Numerous investigations suggest that Mesenchymal
Stem Cells (MSCs) in general represent a valuable tool for therapy of
symptoms related to chronic inflammatory diseases. Blue Horizon
Stem Cell Therapy Program is a leading provider of adult and
children’s stem cell therapies. Uniquely we have safely and
efficiently treated more than 600 patients with documenting each
procedure. The purpose of our study is primarily to monitor the
immune response in order to validate the safety of intravenous
infusion of human umbilical cord blood derived MSCs (UC-MSCs),
and secondly, to evaluate effects on biomarkers associated with
chronic inflammation. Nine patients were treated for conditions
associated with chronic inflammation and for the purpose of antiaging.
They have been given one intravenous infusion of UCMSCs.
Our study of blood test markers of 9 patients with chronic
inflammation before and within three months after MSCs treatment
demonstrates that there is no significant changes and MSCs treatment
was safe for the patients. Analysis of different indicators of chronic
inflammation and aging included in initial, 24-hours, two weeks and
three months protocols showed that stem cell treatment was safe for
the patients; there were no adverse reactions. Moreover data from
follow up protocols demonstrates significant improvement in energy
level, hair, nails growth and skin conditions. Intravenously
administered UC-MSCs were safe and effective in the improvement
of symptoms related to chronic inflammation. Further close
monitoring and inclusion of more patients are necessary to fully
characterize the advantages of UC-MSCs application in treatment of
symptoms related to chronic inflammation.
Abstract: This paper introduces a method to optimal design of a
hybrid Wind/Photovoltaic/Fuel cell generation system for a typical
domestic load that is not located near the electricity grid. In this
configuration the combination of a battery, an electrolyser, and a
hydrogen storage tank are used as the energy storage system. The aim
of this design is minimization of overall cost of generation scheme
over 20 years of operation. The Matlab/Simulink is applied for
choosing the appropriate structure and the optimization of system
sizing. A teaching learning based optimization is used to optimize the
cost function. An overall power management strategy is designed for
the proposed system to manage power flows among the different
energy sources and the storage unit in the system. The results have
been analyzed in terms of technical and economic. The simulation
results indicate that the proposed hybrid system would be a feasible
solution for stand-alone applications at remote locations.
Abstract: This study discusses a Turkish music education model
similar to its Venezuelan counterpart El Sistema, in which
socialization and human development are the main goals. The Music
for Peace (Baris Icin Muzik) model, founded in 2005 by an idealist
humanitarian in Istanbul, started as a pilot project with accordion and
today makes symphonic music education. The program aims to offer
social change through free-of-charge. In such a big city like Istanbul, in a deprived inner city center
people have poor economic, social and cultural conditions. In that
Edirnekapi district people don’t have opportunities to join the cultural
and social life, like music or sports. It is believed that this initiative
covered a part of this gap by giving children the opportunities to
participate in social and cultural life. In this study it is planned to understand what social changes could
music education could make in children’s lives. In the complimentary
music lessons children works in groups, which helps them to learn
the feelings of solidarity, friendship, communion and sharing. By Music for Peace project children connect with the community,
they have the belief to succeed in life because they feel that they are
loved by their friends, instructors and families. In short they feel that
they are important, thus brings the success in life. Additionally, it is
believed that, this program has achieved success. Today
approximately 400 children participate in this programs orchestras
and choirs. Some of the students get into the conservatories. And the
center is not just a place where they get music lessons but also a place
where they get socialized. And music education helps children to
have strong sense of identity, self-confidence and self-esteem.
Abstract: In this paper, relationship between different properties
of IC concrete and water cement ratio, obtained from a
comprehensive experiment conducted on IC using local materials
(Burnt clay chips- BC) is presented. In addition, saturated SAP was
used as an IC material in some cases. Relationships have been
developed through regression analysis. The focus of this analysis is
on developing relationship between a dependent variable and an
independent variable. Different percent replacements of BC and
water cement ratios were used. Compressive strength, modulus of
elasticity, water permeability and chloride permeability were tested
and variations of these parameters were analyzed with respect to
water cement ratio.
Abstract: Adequate analgesia following caesarean section
decreases morbidity, hastens ambulation, improves patient outcome
and facilitates care of the newborn. Intrathecal magnesium, an
NMDA antagonist, has been shown to prolong analgesia without
significant side effects in healthy parturients. The aim of this study
was to evaluate the onset and duration of sensory and motor block,
hemodynamic effect, postoperative analgesia, and adverse effects of
magnesium or fentanyl given intrathecally with hyperbaric 0.5%
bupivacaine in patients with mild preeclampsia undergoing caesarean
section. Sixty women with mild preeclampsia undergoing elective
caesarean section were included in a prospective, double blind,
controlled trial. Patients were randomly assigned to receive spinal
anesthesia with 2 mL 0.5% hyperbaric bupivacaine with 12.5 μg
fentanyl (group F) or 0.1 ml of 50% magnesium sulphate (50 mg)
(group M) with 0.15ml preservative free distilled water. Onset,
duration and recovery of sensory and motor block, time to maximum
sensory block, duration of spinal anaesthesia and postoperative
analgesic requirements were studied. Statistical comparison was
carried out using the Chi-square or Fisher’s exact tests and
Independent Student’s t-test where appropriate. The onset of both
sensory and motor block was slower in the magnesium group. The
duration of spinal anaesthesia (246 vs. 284) and motor block (186.3
vs. 210) were significantly longer in the magnesium group. Total
analgesic top up requirement was less in group M. Hemodynamic
parameters were similar in both the groups. Intrathecal magnesium
caused minimal side effects. Since Fentanyl and other opioid
congeners are not available throughout the country easily,
magnesium with its easy availability and less side effect profile can
be a cost effective alternative to fentanyl in managing pregnancy
induced hypertension (PIH) patients given along with Bupivacaine
intrathecally in caesarean section.