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: The present study is a functional analysis of the
relationship between castes which indicates the dynamics of the caste
structure in the rural setting. The researcher has tried to show both
the cooperation and competition on important ceremonial and social
occasions. The real India exists in the villages, so we need to know
about their solidarity and also what the village life is and has been
shaping into. We need to emphasize a microcosmic study of Indian
rural life. Furthermore, caste integration is an acute problem country
faces today. To resolve this we are required to know the dynamics of
behavior of the people of different castes and for the study of the
caste dynamics a study of caste relations are needed. The present
study is an attempt in this direction.
Abstract: Web mining is to discover and extract useful
Information. Different users may have different search goals when
they search by giving queries and submitting it to a search engine.
The inference and analysis of user search goals can be very useful for
providing an experience result for a user search query. In this project,
we propose a novel approach to infer user search goals by analyzing
search web logs. First, we propose a novel approach to infer user
search goals by analyzing search engine query logs, the feedback
sessions are constructed from user click-through logs and it
efficiently reflect the information needed for users. Second we
propose a preprocessing technique to clean the unnecessary data’s
from web log file (feedback session). Third we propose a technique
to generate pseudo-documents to representation of feedback sessions
for clustering. Finally we implement k-medoids clustering algorithm
to discover different user search goals and to provide a more optimal
result for a search query based on feedback sessions for the user.
Abstract: This study intends to show the influence of the
hydrolytic degradation on the properties of the e-PTFE/NOMEX®
membranes used in fire-protective clothing. The modification of
water vapour permeability, morphology and chemical structure was
examined by MOCON Permatran, electron microscopy scanning
(SEM), and ATR-FTIR, respectively. A decrease in permeability to
water vapour of the aged samples was observed following closure of
transpiration pores. Analysis of fiber morphology indicates the
appearance of defects at the fibers surface with the presence of micro
cavities. ATR-FTIR analysis reveals the presence of a new absorption
band attributed to carboxylic acid terminal groups generated during
the amide bond hydrolysis.
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: It is the patient compliance and stability in
combination with controlled drug delivery and biocompatibility that
forms the core feature in present research and development of
sustained biodegradable patch formulation intended for wound
healing. The aim was to impart sustained degradation, sterile
formulation, significant folding endurance, elasticity,
biodegradability, bio-acceptability and strength. The optimized
formulation comprised of polymers including Hydroxypropyl methyl
cellulose, Ethylcellulose, and Gelatin, and Citric Acid PEG Citric
acid (CPEGC) triblock dendrimers and active Curcumin. Polymeric
mixture dissolved in geometric order in suitable medium through
continuous stirring under ambient conditions. With continued stirring
Curcumin was added with aid of DCM and Methanol in optimized
ratio to get homogenous dispersion. The dispersion was sonicated
with optimum frequency and for given time and later casted to form a
patch form. All steps were carried out under strict aseptic conditions.
The formulations obtained in the acceptable working range were
decided based on thickness, uniformity of drug content, smooth
texture and flexibility and brittleness. The patch kept on stability
using butter paper in sterile pack displayed folding endurance in
range of 20 to 23 times without any evidence of crack in an
optimized formulation at room temperature (RT) (24 ± 2°C). The
patch displayed acceptable parameters after stability study conducted
in refrigerated conditions (8±0.2°C) and at RT (24 ± 2°C) up to 90
days. Further, no significant changes were observed in critical
parameters such as elasticity, biodegradability, drug release and drug
content during stability study conducted at RT 24±2°C for 45 and 90
days. The drug content was in range 95 to 102%, moisture content
didn’t exceeded 19.2% and patch passed the content uniformity test.
Percentage cumulative drug release was found to be 80% in 12h and
matched the biodegradation rate as drug release with correlation
factor R2>0.9. The biodegradable patch based formulation developed
shows promising results in terms of stability and release profiles.
Abstract: In this paper, to model a real life wind turbine, a
probabilistic approach is proposed to model the dynamics of the
blade elements of a small axial wind turbine under extreme stochastic
wind speeds conditions. It was found that the power and the torque
probability density functions even-dough decreases at these extreme
wind speeds but are not infinite. Moreover, we also fund that it
is possible to stabilize the power coefficient (stabilizing the output
power)above rated wind speeds by turning some control parameters.
This method helps to explain the effect of turbulence on the quality
and quantity of the harness power and aerodynamic torque.
Abstract: Passive control methods can be utilized to build
earthquake resistant structures, and also to strengthen the vulnerable
ones. In this paper, we studied the effect of this system in increasing
the ductility and energy dissipation and also modeled the behavior of
this type of eccentric bracing, and compared the hysteresis diagram
of the modeled samples with the laboratory samples. We studied
several samples of frames with vertical shear-links in order to assess
the behavior of this type of eccentric bracing. Each of these samples
was modeled in finite element software ANSYS 9.0, and was
analyzed under the static cyclic loading. It was found that vertical
shear-links have a more stable hysteresis loops. Another analysis
showed that using honeycomb beams as the horizontal beam along
with steel reinforcement has no negative effect on the hysteresis
behavior of the sample.
Abstract: Background: Diabetic sensorimotor polyneuropathy
(DSP) is one of the most common microvascular complications of
type 2 diabetes. Loss of sensation is thought to contribute to a lack of
static and dynamic stability and increased risk of falling. Purpose:
The purpose of this study was to compare the effects of low-level
laser (LLL) and monochromatic near-infrared photo energy (MIRE)
on pain, cutaneous sensation, static stability, and index of lower limb
blood flow in diabetic patients with peripheral neuropathy. Methods:
Forty diabetic patients with peripheral neuropathy were recruited for
participation in this study. They were divided into two groups: The
MIRE group, which contained 20 patients, and the LLL group, which
contained 20 patients. All patients who participated in the study had
been subjected to various physical assessment procedures, including
pain, cutaneous sensation, Doppler flow meter, and static stability
assessments. The baseline measurements were followed by treatment
sessions that were conducted twice a week for six successive weeks.
Results: The statistical analysis of the data revealed significant
improvement of pain in both groups, with significant improvement in
cutaneous sensation and static balance in the MIRE group compared
to the LLL group; on the other hand, the results showed no
significant differences in lower limb blood flow between the groups.
Conclusion: LLL and MIRE can improve painful symptoms in
patients with diabetic neuropathy. On the other hand, MIRE is also
useful in improving cutaneous sensation and static stability in
patients with diabetic neuropathy.
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.
Abstract: In this article, a new method is proposed for the measuring of well-being inequality through a model composed of superimposing satisfaction waves. The displacement of households’ satisfactory state (i.e. satisfaction) is defined in a satisfaction string. The duration of the satisfactory state for a given period is measured in order to determine the relationship between utility and total satisfactory time, itself dependent on the density and tension of each satisfaction string. Thus, individual cardinal total satisfaction values are computed by way of a one-dimensional form for scalar sinusoidal (harmonic) moving wave function, using satisfaction waves with varying amplitudes and frequencies which allow us to measure wellbeing inequality. One advantage to using satisfaction waves is the ability to show that individual utility and consumption amounts would probably not commute; hence, it is impossible to measure or to know simultaneously the values of these observables from the dataset. Thus, we crystallize the problem by using a Heisenberg-type uncertainty resolution for self-adjoint economic operators. We propose to eliminate any estimation bias by correlating the standard deviations of selected economic operators; this is achieved by replacing the aforementioned observed uncertainties with households’ perceived uncertainties (i.e. corrected standard deviations) obtained through the logarithmic psychophysical law proposed by Weber and Fechner.
Abstract: Multiple-input multiple-output (MIMO) radar has
received increasing attention in recent years. MIMO radar has many
advantages over conventional phased array radar such as target
detection,resolution enhancement, and interference suppression. In
this paper, the results are presented from a simulation study of MIMO
uniformly-spaced linear array (ULA) antennas. The performance is
investigated under varied parameters, including varied array size,
pseudo random (PN) sequence length, number of snapshots, and
signal to noise ratio (SNR). The results of MIMO are compared to a
traditional array antenna.
Abstract: The increasing volume of solid waste generated,
collected and disposed daily complicate adequate management of
solid waste by relevant agency like Niger State Environmental
Protection Agency (NISEPA). In addition, the impacts of solid waste
on the natural environment and human livelihood require
identification of cost-effective ways for sustainable municipal waste
management in Nigeria. These signal the need for identifying
environment-friendly initiative and local solution to address the
problem of municipal solid waste. A research field was secured at
Pago, Minna, Niger State which is located in the guinea savanna belt
of Nigeria, within longitude 60 361 4311 - 4511 and latitude 90 291
37.6111 - .6211 N. Poultry droppings, decomposed household waste
manure and NPK treatments were used. The experimental field was
divided into three replications and four (4) treatments on each
replication making a total of twelve (12) plots. The treatments were
allotted using Randomized Complete Block Design (RCBD) and
Data collected was analyzed using SPSS software and RCBD. The
result depicts variation in plant height and number of leaves at 50%
flowering; Poultry dropping records the highest height while the
number of leaves for waste manure competes fairly well with NPK
treatment. Similarly, the varying treatments significantly increase
vegetable yield, as the control (non-treatment) records the least yield
for the three vegetable samples. Adoption of this organic manure for
cultivation does not only enhance environment quality and attainment
of food security but will contribute to local economic development,
poverty alleviation as well as social inclusion.
Abstract: The aim of the current work was to employ the finite
element method to model a slab, with a small hole across its width,
undergoing plastic plane strain deformation. The computational
model had, however, to be validated by comparing its results with
those obtained experimentally. Since they were in good agreement,
the finite element method can therefore be considered a reliable tool
that can help gain better understanding of the mechanism of ductile
failure in structural members having stress raisers. The finite element
software used was ANSYS, and the PLANE183 element was utilized.
It is a higher order 2-D, 8-node or 6-node element with quadratic
displacement behavior. A bilinear stress-strain relationship was used
to define the material properties, with constants similar to those of the
material used in the experimental study. The model was run for
several tensile loads in order to observe the progression of the plastic
deformation region, and the stress concentration factor was
determined in each case. The experimental study involved employing the visioplasticity
technique, where a circular mesh (each circle was 0.5 mm in
diameter, with 0.05 mm line thickness) was initially printed on the
side of an aluminum slab having a small hole across its width.
Tensile loading was then applied to produce a small increment of
plastic deformation. Circles in the plastic region became ellipses,
where the directions of the principal strains and stresses coincided
with the major and minor axes of the ellipses. Next, we were able to
determine the directions of the maximum and minimum shear
stresses at the center of each ellipse, and the slip-line field was then
constructed. We were then able to determine the stress at any point in
the plastic deformation zone, and hence the stress concentration
factor. The experimental results were found to be in good agreement
with the analytical ones.
Abstract: A new design of aerostatic thrust bearing is proposed
for high static stiffness. The bearing body, which is mead of polymer
covered with metallic membrane, is held by a circular ring. Such a
support helps form a concave air gap to grasp the air pressure. The
polymer body, which can be made rapidly by either injection or
molding is able to provide extra damping under dynamic loading. The
smooth membrane not only serves as the bearing surface but also
protects the polymer body. The restrictor is a capillary inside a silicone
tube. It can passively compensate the variation of load by expanding
the capillary diameter for more air flux. In the present example, the
stiffness soars from 15.85 N/μm of typical bearing to 349.85 N/μm at
bearing elevation 9.5 μm; meanwhile the load capacity also enhances
from 346.86 N to 704.18 N.
Abstract: Land reallocation is one of the most important steps in
land consolidation projects. Many different models were proposed for
land reallocation in the literature such as Fuzzy Logic, block priority
based land reallocation and Spatial Decision Support Systems. A
model including four parts is considered for automatic block
reallocation with genetic algorithm method in land consolidation
projects. These stages are preparing data tables for a project land,
determining conditions and constraints of land reallocation, designing
command steps and logical flow chart of reallocation algorithm and
finally writing program codes of Genetic Algorithm respectively. In
this study, we designed the first three steps of the considered model
comprising four steps.
Abstract: In recent years, the use of the aluminum based alloys
in the industry and technology are increasing. Alloying elements in
aluminum have further been improving the strength and stiffness
properties that provide superior compared to other metals. In this
study, investigation of physical properties (microstructure,
microhardness, tensile strength, electrical conductivity and thermal
properties) in the Al-12.6wt.%Si-%2wt.Ni ternary alloy were
investigated. Al-Si-Ni alloy was prepared in vacuum atmosphere. The
samples were directionally solidified upwards with different growth
rate V (8.3−165.45 μm/s) at constant temperature gradient G (7.73
K/mm). The flake spacings (λ), microhardness (HV), ultimate tensile
strength (σ), electrical resistivity (ρ) and thermal properties (H, Cp,
Tm) of the samples were measured. Influence of the growth rate and
spacings on microhardness, ultimate tensile strength and electrical
resistivity were investigated and relationships between them were
obtained. According to results, λ values decrease with increasing V,
but HV, σ and ρ values increase with increasing V. Variations of
electrical resistivity (ρ) of solidified samples were also measured.
The enthalpy of fusion (H) and specific heat (Cp) for the alloy was
also determined by differential scanning calorimeter (DSC) from
heating trace during the transformation from liquid to solid. The
results in this work were compared with the previous similar
experimental results.
Abstract: In this article, a method is presented to effectively
estimate the deformed shape of a thick plate due to line heating. The
method uses a fifth order spline interpolation, with up to C3
continuity at specific points to compute the shape of the deformed
geometry. First and second order derivatives over a surface are the
resulting parameters of a given heating line on a plate. These
parameters are determined through experiments and/or finite element
simulations. Very accurate kriging models are fitted to real or virtual
surfaces to build-up a database of maps. Maps of first and second
order derivatives are then applied on numerical plate models to
evaluate their evolving shapes through a sequence of heating lines.
Adding an optimization process to this approach would allow
determining the trajectories of heating lines needed to shape complex
geometries, such as Francis turbine blades.