Abstract: Background - The TrendCare Patient Dependency
System is currently used by a large number of maternity Services
across Australia, New Zealand and Singapore. In 2012, 2013 and
2014 validation studies were initiated in all three countries to validate
the acuity tools used for women in labour, and postnatal mothers and
babies. This paper will present the findings of the validation study.
Aim - The aim of this study was to; identify if the care hours
provided by the TrendCare acuity system was an accurate reflection
of the care required by women and babies; obtain evidence of
changes required to acuity indicators and/or category timings to
ensure the TrendCare acuity system remains reliable and valid across
a range of maternity care models in three countries.
Method - A non-experimental action research methodology was
used across maternity services in four District Health Boards in New
Zealand, a large tertiary and a large secondary maternity service in
Singapore and a large public maternity service in Australia.
Standardised data collection forms and timing devices were used to
collect midwife contact times, with women and babies included in the
study. Rejection processes excluded samples when care was not
completed/rationed, and contact timing forms were incomplete. The
variances between actual timed midwife/mother/baby contact and the
TrendCare acuity category times were identified and investigated.
Results - Thirty two (88.9%) of the 36 TrendCare acuity category
timings, fell within the variance tolerance levels when compared to
the actual timings recorded for midwifery care. Four (11.1%)
TrendCare categories provided less minutes of care than the actual
timings and exceeded the variance tolerance level. These were all
night shift category timings. Nine postnatal categories were not able
to be compared as the sample size for these categories was
statistically insignificant. 100% of labour ward TrendCare categories
matched actual timings for midwifery care, all falling within the
variance tolerance levels.
The actual time provided by core midwifery staff to assist lead
maternity carer (LMC) midwives in New Zealand labour wards
showed a significant deviation to previous studies. The findings of
the study demonstrated the need for additional time allocations in
TrendCare to accommodate an increased level of assistance given to
LMC midwives.
Conclusion - The results demonstrated the importance of regularly
validating the TrendCare category timings with actual timings of the
care hours provided. It was evident from the findings that variances
to models of care and length of stay in maternity units have increased
midwifery workloads on the night shift. The level of assistance
provided by the core labour ward staff to the LMC midwife has
increased substantially.
Outcomes - As a consequence of this study, changes were made to
the night duty TrendCare maternity categories, additional acuity
indicators were developed and times for assisting LMC midwives in
labour ward increased. The updated TrendCare version was delivered
to maternity services in 2014.
Abstract: The design philosophy of building structure has been
changing time to time. The reason for this is because of an increase of
human inertest, an improved building materials and technology that
will impact how we live, to speed up construction period and natural
effect which includes earthquake disasters and environmental effect.
One technique which takes in to account the above case is using a
prefabricable structural system. In which each and every structural
element is designed and prefabricated and assembled on a site so that
the construction speed is increased and the environmental impact is
also enhanced. This system has an immense advantage such as: reduce
construction cost, reusable, recyclable, speed up construction period
and less environmental effect. In this study, it is tried to present some
of the developed and evaluated structural elements of building
structures.
Abstract: In general, classical methods such as maximum
likelihood (ML) and least squares (LS) estimation methods are used
to estimate the shape parameters of the Burr XII distribution.
However, these estimators are very sensitive to the outliers. To
overcome this problem we propose alternative robust estimators
based on the M-estimation method for the shape parameters of the
Burr XII distribution. We provide a small simulation study and a real
data example to illustrate the performance of the proposed estimators
over the ML and the LS estimators. The simulation results show that
the proposed robust estimators generally outperform the classical
estimators in terms of bias and root mean square errors when there
are outliers in data.
Abstract: This article focuses on upper-extremity musculoskeletal disorders risk assessment model at workplace. In this model are used risk factors that are responsible for musculoskeletal system damage. Based on statistic calculations the model is able to define what risk of MSD threatens workers who are under risk factors. The model is also able to say how MSD risk would decrease if these risk factors are eliminated.
Abstract: This paper presents a study of SIW circuits (Substrate
Integrated Waveguide) with a rigorous and fast original approach
based on Iterative process (WCIP). The theoretical suggested study is
validated by the simulation of two different examples of SIW
circuits. The obtained results are in good agreement with those of
measurement and with software HFSS.
Abstract: This paper presents effects of distilled water, seawater
and sustained bending strains of 30% and 50% ultimate strain at
room temperature, on the durability of unidirectional pultruded
carbon fiber reinforced polymer (CFRP) plates. In this study,
dynamic mechanical analyzer (DMA) was used to investigate the
synergic effects of the immersions and bending strains on the viscoelastic
properties of (CFRP) such as storage modulus, tan delta and
glass transition temperature. The study reveals that the storage
modulus and glass transition temperature increase while tan delta
peak decreases in the initial stage of both immersions due to the
progression of curing. The storage modulus and Tg subsequently
decrease and tan delta increases due to the matrix plasticization. The
blister induced damages in the unstrained seawater samples enhance
water uptake and cause more serious degradation of Tg and storage
modulus than in water immersion. Increasing sustained bending
decreases Tg and storage modulus in a long run for both immersions
due to resin matrix cracking and debonding. The combined effects of
immersions and strains are not clearly reflected due to the statistical
effects of DMA sample sizes and competing processes of molecular
reorientation and postcuring.
Abstract: It is well known that in recent years magnetic
materials have received increased attention due to their properties.
For this reason a significant number of patents that were published
during the last decade are oriented towards synthesis and study of
such materials. The aim of this work is to create and study ferrite
nanocrystalline materials with spinel structure, using sol-gel
technology with participation of auto-combustion. This method is
perspective in that it is a cheap and low-temperature technique that
allows for the fine control on the product’s chemical composition.
Abstract: Image segmentation plays an important role in
medical imaging applications. Therefore, accurate methods are
needed for the successful segmentation of medical images for
diagnosis and detection of various diseases. In this paper, we have
used maximum entropy to achieve image segmentation. Maximum
entropy has been calculated using Shannon, Renyi and Tsallis
entropies. This work has novelty based on the detection of skin lesion
caused by the bite of a parasite called Sand Fly causing the disease is
called Cutaneous Leishmaniasis.
Abstract: This paper describes the issues relating to the role of
the flash flood early warning system provided by the Malaysian
Government to the communities in Malaysia, specifically during the
flash flood disaster in the Cameron Highlands, Malaysia. Normally,
flash flood disasters can occur as a result of heavy rainfall in an area,
and that water may possibly cause flooding via streams or narrow
channels. The focus of this study is the flash flood disaster which
occurred on 23 October 2013 in the Cameron Highlands, and as a
result the Sungai Bertam overflowed after the release of water from
the Sultan Abu Bakar Dam. This release of water from the dam
caused flash flooding which led to damage to properties and also the
death of residents and livestock in the area. Therefore, the effort of
this study is to identify the perceptions of the flash flood victims on
the role of the flash flood early warning system. For the purposes of
this study, data were gathered through face-to-face interviews from
those flood victims who were willing to participate in this study. This
approach helped the researcher to glean in-depth information about
their feelings and perceptions of the role of the flash flood early
warning system offered by the government. The data were analysed
descriptively and the findings show that the respondents of 22 flood
victims believe strongly that the flash flood early warning system was
confusing and dysfunctional, and communities had failed to response
positively to it. Therefore, most of the communities were not well
prepared for the releasing of water from the dam which caused
property damage, and 3 people were killed in the Cameron Highland
flash flood disaster.
Abstract: Specific leaf area (SLA; cm2leaf g-1leaf) the ratio of leaf
area to leaf dry mass is a key ecophysiological parameter influencing
leaf physiology, photosynthesis, and whole plant carbon gain and
also can be used as a rapid and diagnostic tool. In this study, two
species of soluble inorganic selenium forms, selenite (Se^IV) and
selenate (Se^VI) at different concentrations were investigated on maize
plants that were growing in nutrient solutions during 2 weeks and at
the end of the experiment, amounts of SLA for first and second
leaves of maize were measured. In accordance with the results we
observed that our regarded Se concentrations in both forms of Se^IV
and Se^VI were not effective on maize plants’ SLA significantly
although high level of 3 mg.kg-1 Se^IV had negative affect on growth
of the samples that had been treated by it but about Se^VI samples we
did not observe this state and our different considered Se^VI
concentrations were not toxic for maize plants.
Abstract: The paper discusses mineral water consumer market
and development policy in Georgia, the tools and measures, which
will contribute to production of mineral waters and increase its
export.
The paper studies and analyses current situation in mineral water
production sector as well as the factors affecting increase and
reduction of its export. It’s noted that in order to gain and maintain
competitive advantage, it’s necessary to provide continuous supply of
high quality goods with modern design, open new distribution
channels to enter new markets, carry out broad promotional activities,
organize e-commerce. Economic policy plays an important role in
protecting markets from counterfeit goods. The state also plays an
important role in attracting foreign direct investments. Stable
business environment and export oriented strategy is the basis for the
country’s economic growth.
Based on the research, the paper suggests the strategy for
improving competitiveness of Georgian mineral waters; relevant
conclusions and recommendations are provided.
Abstract: This article discusses event monitoring options for
heterogeneous event sources as they are given in nowadays
heterogeneous distributed information systems. It follows the central
assumption, that a fully generic event monitoring solution cannot
provide complete support for event monitoring; instead, event source
specific semantics such as certain event types or support for certain
event monitoring techniques have to be taken into account.
Following from this, the core result of the work presented here is
the extension of a configurable event monitoring (Web) service for a
variety of event sources. A service approach allows us to trade
genericity for the exploitation of source specific characteristics. It
thus delivers results for the areas of SOA, Web services, CEP and
EDA.
Abstract: In this study, polycaprolactone (PCL) was dissolved
in chloroform:ethanol solvent system at a concentration of 18 w/v %.
1, 2, 4, and 6 droplets of formic acid were added to the prepared 10ml
PCL-chloroform:ethanol solutions separately. Fibrous webs were
produced by electrospinning technique based on the horizontal
working principle. Morphology of the webs was investigated by
using scanning electron microscopy (SEM) whereas fiber diameters
were measured by Image J Software System. The effect of formic
acid addition to the mostly used chloroform solvent on fiber
morphology was examined.
Results indicate that there is a distinct fall in fiber diameter with
the addition of formic acid drops. The average fiber diameter was
measured as 2.22μm in PCL /chloroform:ethanol solution system. On
the other hand, 328nm and 256 nm average fiber diameters were
measured for the samples of 4 drops and 6 drops formic acid added.
This study offers alternative solvent systems to produce nanoscaled,
nontoxic PCL fibrous webs by electrospinning technique.
Abstract: In medical investigations, uncertainty is a major
challenging problem in making decision for doctors/experts to
identify the diseases with a common set of symptoms and also has
been extensively increasing in medical diagnosis problems. The
theory of cross entropy for intuitionistic fuzzy sets (IFS) is an
effective approach in coping uncertainty in decision making for
medical diagnosis problem. The main focus of this paper is to
propose a new intuitionistic fuzzy cross entropy measure (IFCEM),
which aid in reducing the uncertainty and doctors/experts will take
their decision easily in context of patient’s disease. It is shown that
the proposed measure has some elegant properties, which
demonstrates its potency. Further, it is also exemplified in detail the
efficiency and utility of the proposed measure by using a real life
case study of diagnosis the disease in medical science.
Abstract: Poly bag and mulch films for agricultural field caused
pose environmental problem due to the non-degradable plastics
wastes upon disposal. Thus, a degradable poly bag was designed with
hybrid sago starch (SS) and polyvinyl alcohol (PVA). Two Different
blended compositions of SS and PVA hybrid have been compounded.
Then, the hybrids blended are mixed with linear line density
polyethylene (LLDPE) resin to fabricate poly bag film through
conventional film blowing process. Samples of LLDPE, SS and PVA
hybrid film were exposed to UV light and soil burial. The weight
losses were determined during degradation process. Hybrid film by
degradation of starch was found to hydrolyze and hydroxyl groups
decrease on esterification upon exposure to soil burial and uv
radiation. It was found out that, the hybrid film for 60% of SS
composition showed greatest degradation in soil and UV radiation.
Abstract: This study was conducted Razakı grape variety (Vitis
vinifera L.) and its vine which was aged 19 was grown on 5 BB
rootstock in a vegetation period of 2014 in Afyon province in Turkey.
In this research, it was investigated whether the applications of
Control (C), 1/3 Cluster Tip Reduction (1/3 CTR), Shoot Tip
Reduction (STR), 1/3 CTR + STR, Boric Acid (BA), 1/3 CTR + BA,
STR + BA, 1/3 CTR + STR + BA on yield and yield components of
Razakı grape variety. The results were obtained as the highest fresh
grape yield (7.74 kg/vine) with C application; as the highest cluster
weight (244.62 g) with STR application; as the highest 100 berry
weight (504.08 g) with C application; as the highest maturity index
(36.89) with BA application; as the highest must yield (695.00 ml)
with BA and (695.00 ml) with 1/3 CTR + STR + BA applications; as
the highest intensity of L* color (46.93) with STR and (46.10) with
1/3 CTR + STR + BA applications; as the highest intensity of a*
color (-5.37) with 1/3 CTR + STR and (-5.01) with STR, as the
highest intensity of b* color (12.59) with STR application. The shoot
tip reduction to increase cluster weight and boric acid application to
increase maturity index of Razakı grape variety can be recommended.
Abstract: The introduction of degradable plastic materials into
agricultural sectors has represented a promising alternative to
promote green agriculture and environmental friendly of modern
farming practices. Major challenges of developing degradable
agricultural films are to identify the most feasible types of
degradation mechanisms, composition of degradable polymers and
related processing techniques. The incorrect choice of degradable
mechanisms to be applied during the degradation process will cause
premature losses of mechanical performance and strength. In order to
achieve controlled process of agricultural film degradation, the
compositions of degradable agricultural film also important in order
to stimulate degradation reaction at required interval of time and to
achieve sustainability of the modern agricultural practices. A set of
photodegradable polyethylene based agricultural film was developed
and produced, following the selective optimization of processing
parameters of the agricultural film manufacturing system. Example of
agricultural films application for oil palm seedlings cultivation is
presented.
Abstract: The problem of toughening in brittle materials
reinforced by fibers is complex, involving all of the mechanical
properties of fibers, matrix and the fiber/matrix interface, as well as
the geometry of the fiber. Development of new numerical methods
appropriate to toughening simulation and analysis is necessary. In
this work, we have performed simulations and analysis of toughening
in brittle matrix reinforced by randomly distributed fibers by means
of the discrete elements method. At first, we put forward a
mechanical model of toughening contributed by random fibers. Then
with a numerical program, we investigated the stress, damage and
bridging force in the composite material when a crack appeared in the
brittle matrix. From the results obtained, we conclude that: (i) fibers
of high strength and low elasticity modulus are beneficial to
toughening; (ii) fibers of relatively high elastic modulus compared to
the matrix may result in substantial matrix damage due to spalling
effect; (iii) employment of high-strength synthetic fibers is a good
option for toughening. We expect that the combination of the discrete
element method (DEM) with the finite element method (FEM) can
increase the versatility and efficiency of the software developed. The
present work can guide the design of ceramic composites of high
performance through the optimization of the parameters.
Abstract: The aim of the present study was to examine whether
increasing molybdenum (Mo) concentration affects the growth and
Mo concentration of maize (Zea mays L. cv Norma SC) and
sunflower (Helianthus annuus L. cv Arena PR) seedlings within
laboratory conditions.
In this experiment, calcareous chernozem soil was used and Mo
was supplemented into the soil as ammonium molybdate
[(NH4)6Mo7O24.4H2O] in four different concentrations as follow: 0
(control), 30, 90 and 270 mg·kg-1.
In this study, we found that molybdenum in small amount (30
mg·kg-1) affects positively on growth of maize and sunflower
seedlings, however, higher concentration of Mo reduces the dry
weights of shoots and roots. In the case of maize the highest Mo
treatment (270 mg·kg-1) and in sunflower 90 mg·kg-1 treatment
caused significant reduction in plant growth.
In addition, we observed that molybdenum contents in the roots
and shoots were very low in case of control soil but were
significantly elevated with increasing concentration of Mo treatment.
Only in case of sunflower the highest 270 mg·kg-1 Mo treatment
caused decrease in Mo concentration.
Abstract: The construction industry has been demonstrating
increased growth and importance in Brazil’s national economic
development. This study aims to evaluate the financial performance
of the leading companies in the construction sector in Brazil in the
period from 2009 to 2012. An analysis is made of the capital
structure, liquidity, and profitability of the six largest companies in
the construction sector in Brazil: Brookfield, Cyrela, Gafisa, MRV,
PDG and Rossi. The results are then compared with standard industry
ratios. It was found that among the companies analyzed, MRV and
Cyrela showed the best relative performance in the period under
consideration.