Abstract: Background: Sickle Cell Disease (SCD) is of major public-health concern globally, with majority of patients living in Africa. Despite its relevance, there is a dearth of research to determine the socio-demographic distribution and psychosocial impact of SCD in Africa. The objective of this study therefore was to examine the socio-demographic distribution and psychosocial consequences of SCD among patients in Ghana and to assess their quality of life and coping mechanisms. Methods: A cross-sectional research design was used, involving the completion of questionnaires on socio-demographic characteristics, quality of life of individuals, anxiety and depression. Participants were 387 male and female patients attending a sickle cell clinic in a public hospital. Results: Results showed no gender and marital status differences in anxiety and depression. However, there were age and level of education variances in depression but not in anxiety. In terms of quality of life, patients were more satisfied by the presence of love, friends, relatives as well as home, community and neighbourhood environment. While pains of varied nature and severity were the major reasons for attending hospital in SCD condition, going to the hospital as well as having Faith in God was the frequently reported mechanisms for coping with an unbearable SCD attacks. Multiple regression analysis showed that some socio-demographic and quality of life indicators had strong associations with anxiety and/or depression. Conclusion: It is recommended that a multi-dimensional intervention strategy incorporating psychosocial dimensions should be considered in the treatment and management of SCD.
Abstract: Information technology is changing rapidly and the users’ expectations are also growing. Dealing with these changes in information technology, while satisfying the users’ needs and expectations is a big challenge. IT managers need to explore new mechanisms/strategies to enable them to cope with such challenges.
The objectives of this research are to identify the significant challenges that might face IT managers in higher education institutes in the face of the high and ever growing customer expectations and to propose possible solutions to cope with such high-speed changes in information technology.
To achieve these objectives, interviews with the IT professionals from different higher education institutes in Oman were conducted. In addition, documentation (printed and online) related to these institutions were studied and an intensive literature review of published work was examined.
The findings of this research are expected to give a better understanding of the challenges that might face the IT managers at higher education institutes. This acquired understanding is expected to highlight the importance of being adaptable and fast in keeping up with the ever-growing technological changes. Moreover, adopting different tools and technologies could assist IT managers in developing their organisations’ IT policies and strategies.
Abstract: Farming households faces lots of disaster which contribute to endemic poverty. Anticipated increases in extreme weather events will exacerbate this. Primary data was administered to farming household using multi-stage random sampling technique. The result of the analysis shows that majority of the respondents (69.9%) are male, have mean household size, years of formal education and age of 5±1.14, 6±3.41, and 51.06±10.43 respectively. The major (48.9%) type of disaster experienced is flooding. Major coping mechanism adopted is sourcing for support from family and friends. Age, education, experience, access to extension agent, and mitigation control method contribute significantly to vulnerability to disaster. The major adaptation method (62.3%) is construction of drainage.
The study revealed that the coping mechanisms employed may become less effective as increasingly fragile livelihood systems struggle to withstand disaster shocks. Thus there is need for training of the farmers on measures to adapt to mitigate the shock from disasters
Abstract: Nurses in an Armed Force Hospital (AFH) expose to stronger stress than those in a civil hospital, especially in an emergency department (ED). Ironically, stresses of these nurses received few if any attention in academic research in the past. This study collects 227 samples from the emergency departments of four armed force hospitals in central and southern Taiwan. The research indicates that the top five stressors are a massive casualty event, delayed physician support, overloads of routine work, overloads of assignments, and annoying paper work. Excessive work loading was found to be the primary source of stress. Nurses who were perceived to have greater stress levels were more inclined to deploy emotion-oriented approaches and more likely to seek job rotations. Professional stressors and problem-oriented approaches were positively correlated. Unlike other local studies, this study concludes that the excessive work-loading is more stressful in an AFH.
Abstract: The purpose of this study was to understand the main
sources of copper (Cu) accumulation in target organs of tilapia
(Oreochromis mossambicus) and to investigate how the organism
mediate the process of Cu accumulation under prolonged conditions.
By measuring both dietary and waterborne Cu accumulation and total
concentrations in tilapia with biokinetic modeling approach, we were
able to clarify the biokinetic coping mechanisms for the long term Cu
accumulation. This study showed that water and food are both the
major source of Cu for the muscle and liver of tilapia. This implied
that control the Cu concentration in these two routes will be correlated
to the Cu bioavailability for tilapia. We found that exposure duration
and level of waterborne Cu drove the Cu accumulation in tilapia. The
ability for Cu biouptake and depuration in organs of tilapia were
actively mediated under prolonged exposure conditions. Generally,
the uptake rate, depuration rate and net bioaccumulation ability in all
selected organs decreased with the increasing level of waterborne Cu
and extension of exposure duration.Muscle tissues accounted for over
50%of the total accumulated Cu and played a key role in buffering the
Cu burden in the initial period of exposure, alternatively, the liver
acted a more important role in the storage of Cu with the extension of
exposures. We concluded that assumption of the constant biokinetic
rates could lead to incorrect predictions with overestimating the
long-term Cu accumulation in ecotoxicological risk assessments.
Abstract: A number of studies highlighted problems related to
ERP systems, yet, most of these studies focus on the problems during
the project and implementation stages but not during the postimplementation
use process. Problems encountered in the process of
using ERP would hinder the effective exploitation and the extended
and continued use of ERP systems and their value to organisations.
This paper investigates the different types of problems users
(operational, supervisory and managerial) faced in using ERP and
how 'feral system' is used as the coping mechanism. The paper
adopts a qualitative method and uses data collected from two cases
and 26 interviews, to inductively develop a casual network model of
ERP usage problem and its coping mechanism. This model classified
post ERP usage problems as data quality, system quality, interface
and infrastructure. The model is also categorised the different coping
mechanism through use of 'feral system' inclusive of feral
information system, feral data and feral use of technology.
Abstract: From past many decades human beings are suffering
from plethora of natural disasters. Occurrence of disasters is a
frequent process; it changes conceptual myths as more and more
advancement are made. Although we are living in technological era
but in developing countries like Pakistan disasters are shaped by
socially constructed roles. The need is to understand the most
vulnerable group of society i.e. females; their issues are complex in
nature because of undermined gender status in the society. There is a
need to identify maximum issues regarding females and to enhance
the achievement of millennium development goals (MDGs). Gender
issues are of great concern all around the globe including Pakistan.
Here female visibility in society is low, and also during disasters, the
failure to understand the reality that concentrates on double burden
including productive and reproductive care. Women have to
contribute a lot in society so we need to make them more disaster
resilient. For this non-structural measures like awareness, trainings
and education must be carried out. In rural and in urban settings in
any disaster like earthquake or flood, elements like gender
perspective, their age, physical health, demographic issues contribute
towards vulnerability. In Pakistan the gender issues in disasters were
of less concern before 2005 earthquake and 2010 floods. Significant
achievements are made after 2010 floods when gender and child cell
was created to provide all facilities to women and girls. The aim of
the study is to highlight all necessary facilities in a disaster to build
coping mechanism in females from basic rights till advance level
including education.
Abstract: In this paper, perceptions of actors on changes in
crop productivity, quantity and quality of water, and determinants of
their perception are analyzed using descriptive statistics and ordered
logit model. Data collected from 297 Ethiopian farmers and 103
agricultural professionals from December 2009 to January 2010 are
employed. Results show that the majority of the farmers and
professionals recognized decline in water resources, reasoning
climate changes and soil erosion as some of the causes. However,
there is a variation in views on changes in productivity. The
household asset, education level, age and geographical positions are
found to affect farmers- perception on changes in crop productivity.
But, the study underlines that there is no evidence that farmers-
economic status, age, or education level affects recognition of
degradation of water resources. Thus, more focus shall be given on
providing them different coping mechanisms and alternative
resource conserving technologies than educating about the
problems.