Abstract: While the problem based learning (PBL) approach promotes unsupervised self-directed learning (SDL), many students experience difficulty juggling the role of being an information recipient and information seeker. Logbooks have been used to assess trainee doctors but not in other areas. This study aimed to determine the effectiveness of logbook for assessing SDL during PBL sessions in first year medical students. The log book included a learning checklist and knowledge and skills components. Comparisons with the baseline assessment of student performance in PBL and that at semester end after logbook intervention showed significant improvements in student performance (31.5 ± 8 vs. 17.7 ± 4.4; p
Abstract: Tourism and coastal lines are the business sectors
since centuries especially in the European Nations and Albania is one
such spots. However, in recent decades tourism is experienced as
vulnerability of the surrounding ecological conditions of air, soil,
water, land and the communities that are dependant and sharing the
ecosystem among flora and fauna. Experts opine that apart from the
maintenance of near-originality of ecological biodiversity the tourism
rather known as ecotourism an indigenous socio-cultural
maintenance of indigenous/traditional knowledge of the local people
must be well cared in order to sustain on sustainable grounds. As a
general tendency, growth of tourism has been affected by the deterioration in the economic conditions on one aspect and unsustainable ecological areas affected since human interventions
earlier to this has negative impact on futuristic tourist spots. However, tourism in Albania as of now is 11% of GDP and coastal regions accounting to 2-4%. An amicable Mediterranean
climate with 300 sunny days similar parameters of Greece and Spain
throws up sustainable ecotourism in future decades provided public services namely, transportation, road safety, lodging, food
availability, recreational regiments, banking accessibility are as per
the World Tourism Organizations- protocols. Thus as of Albanian
situation, classification of ecotourism activities to safe-guard the localities with its maintenance of ecological land, water and climate
has become a paramount importance with a wanting and satisfactory options through harnessing human energy for profit and fitness of
ecological flora and fauna. A check on anthropogenic wastes and
their safer utilizations inclusive of agricultural and industrial
operations in line with Lalzi Bay Coastal Line are of utmost importance for the reason that the Adriatic Sea Coast is the one long
stretch of Albanian Lifeline. The present work is based on the methodology of the sustainable management of the same issue.
Abstract: We try to give a solution of version control for
documents in web service, that-s why we propose a new approach
used specially for the XML documents. The new approach is applied
in a centralized repository, this repository coexist with other
repositories in a decentralized system. To achieve the activities of
this approach in a standard model we use the ECA active rules. We
also show how the Event-Condition-Action rules (ECA rules) have
been incorporated as a mechanism for the version control of
documents. The need to integrate ECA rules is that it provides a clear
declarative semantics and induces an immediate operational
realization in the system without the need for human intervention.
Abstract: Many medical devices are driven by motor pumps. Some researchers reported that the vibration mainly affected medical devices using a motor pump. The purpose of this study was to examine the effect of stiffness and damping coefficient in a 3-dimensional (3D) model of a motor pump and spring. In the present paper, experimental and mathematical tests for the moments of inertia of the 3D model and the material properties were investigated by an INSTRON machine. The response surfaces could be generated by using 3D multi-body analysis and the design of experiment method. It showed that differences in contours of the response surface were clearly found for the particular area. Displacement of the center of the motor pump was decreased at K≈2000 N/M, C≈12.5 N-sec/M. However, the frequency was increased at K≈2000 N/M, C≈15 N-sec/M. In this study, this study suggested experimental technique for vibration reduction for a motor pump in medical device. The combined method suggested in this study will greatly contribute to design of medical devices concerning vibration and noise intervention.
Abstract: Employees commonly encounter unpredictable and
unavoidable work related stressors. Exposure to such stressors can
evoke negative appraisals and associated adverse mental, physical,
and behavioral responses. Because Acceptance and Commitment
Therapy (ACT) emphasizes acceptance of unavoidable stressors and
diffusion from negative appraisals, it may be particularly beneficial
for work stress. Forty-five workers were randomly assigned to an
ACT intervention for work stress (n = 21) or a waitlist control group
(n = 24). The intervention consisted of two 3-hour sessions spaced
one week apart. An examination of group process and outcomes was
conducted using the Revised Sessions Rating Scale. Results indicated
that the ACT participants reported that they perceived the
intervention to be supportive, task focused, and without adverse
therapist behaviors (e.g., feelings of being criticized or discounted).
Additionally, the second session (values clarification and
commitment to action) was perceived to be more supportive and task
focused than the first session (mindfulness, defusion). Process ratings
were correlated with outcomes. Results indicated that perceptions of
therapy supportiveness and task focus were associated with reduced
psychological distress and improved perceived physical health.
Abstract: There is increasing pressure on, and decline of
mopane woodlands due to increasing use and competition for
mopane resources in Zimbabwe in Namibia. Community management strategies, based largely on local knowledge are
evidently unable to cope. Research has generated potentially useful
information for mopane woodland management, but this information
has not been utilized. The work reported in this paper sought to add value to research work conducted on mopane woodlands by
developing effective community-based mopane woodland
management regimes that were based on both local and scientific
knowledge in Zimbabwe and Namibia. The conditions under which research findings were likely to be adopted for mopane woodland management by communities were investigated. The study was conducted at two sites each in Matobo and Omusati Districts in Zimbabwe and Namibia respectively. The mopane woodland
resources in the two study areas were assessed using scientific
ecological methods. A range of participatory methods was used to collect information on use of mopane woodland resources by communities, institutional arrangements governing access to and use
of these resources and to evaluate scientific knowledge for
applicability in local management regimes. Coppicing, thinning and
pollarding were the research generated management methods evaluated. Realities such as availability of woodland resources and
social roles and responsibilities influenced preferences for woodland
management interventions
Abstract: Brain ArterioVenous Malformation (BAVM) is an abnormal tangle of brain blood vessels where arteries shunt directly into veins with no intervening capillary bed which causes high pressure and hemorrhage risk. The success of treatment by embolization in interventional neuroradiology is highly dependent on the accuracy of the vessels visualization. In this paper the performance of clustering techniques on vessel segmentation from 3- D rotational angiography (3DRA) images is investigated and a new technique of segmentation is proposed. This method consists in: preprocessing step of image enhancement, then K-Means (KM), Fuzzy C-Means (FCM) and Expectation Maximization (EM) clustering are used to separate vessel pixels from background and artery pixels from vein pixels when possible. A post processing step of removing false-alarm components is applied before constructing a three-dimensional volume of the vessels. The proposed method was tested on six datasets along with a medical assessment of an expert. Obtained results showed encouraging segmentations.
Abstract: Concerns about low levels of children-s physical activity and motor skill development, prompted the Ministry of Education to trial a physical activity pilot project (PAPP) in 16 New Zealand primary schools. The project comprised professional development and training in physical education for lead teachers and introduced four physical activity coordinators to liaise with and increase physical activity opportunities in the pilot schools. A survey of generalist teachers (128 baseline, 155 post-intervention) from these schools looked at timetabled physical activity sessions and issues related to teaching physical education. The authors calculated means and standard deviations of data relating to timetabled PE sessions and used a one-way analysis of variance to determine significant differences. Results indicated time devoted to physical activity related subjects significantly increased over the course of the intervention. Teacher-s reported improved confidence and competence, which resulted in an improvement in quality physical education delivered more often.
Abstract: 2D/3D registration is a special case of medical image
registration which is of particular interest to surgeons. Applications
of 2D/3D registration are [1] radiotherapy planning and treatment
verification, spinal surgery, hip replacement, neurointerventions and
aortic stenting. The purpose of this paper is to provide a literature
review of the main methods for image registration for the 2D/3D
case. At the end of the paper an algorithm is proposed for 2D/3D
registration based on the Chebyssev polynomials iteration loop.
Abstract: The scientific perspective, the practice area of physical education and sports activities improve power capacity in all its forms of expression, being a generator of the research topics. Today theories that strength training athletes and slow down development progress will affect the strength and flexibility are discredited. On the other hand there are sectors and / or samples whose results are sports of the way higher manifestation of power as a result of the composition of the force and velocity, being based in this respect on the systematic and continuous development of both bio-motric capacities said. Training of force for children was and is controversial. Teama de accidentări sau a stopării premature a procesului de creştere a făcut ca în trecut copiii să fie ţinuţi departe de lucrul cu diferite greutăţi.Fear of injury or premature stop the growth process in the past made the children to be kept away from working with different weights. Recent studies have shown that the risk of accidents is relatively small and the strength training can help prevent them. For example, most accidents occur at the level of athletics ligaments and tendons. From this point of view, it can be said that a progressive intervention of force training, optimal design, will help enhancing their process, such as athlete much better prepared to meet training requests and competitions. Preparation of force provides a solid basis for further phases in the highest performance.
Abstract: Open urban public spaces comprise an important
element for the development of social, cultural and economic
activities of the population in the modern cities. These spaces are also
considered regulators of the region-s climate conditions, providing
better thermal, visual and auditory conditions which can be optimized
by the application of appropriate strategies of bioclimatic design. The
paper focuses on the analysis and evaluation of the recent unification
of the open spaces in the centre of Xanthi, a medium – size city in
northern Greece, from a bioclimatic perspective, as well as in the
creation of suitable methodology. It is based both on qualitative
observation of the interventions by fieldwork research and
assessment and on quantitative analysis and modeling of the research
area.
Abstract: The purpose of this research is to develop a security model for voice eavesdropping protection over digital networks. The proposed model provides an encryption scheme and a personal secret key exchange between communicating parties, a so-called voice data transformation system, resulting in a real-privacy conversation. The operation of this system comprises two main steps as follows: The first one is the personal secret key exchange for using the keys in the data encryption process during conversation. The key owner could freely make his/her choice in key selection, so it is recommended that one should exchange a different key for a different conversational party, and record the key for each case into the memory provided in the client device. The next step is to set and record another personal option of encryption, either taking all frames or just partial frames, so-called the figure of 1:M. Using different personal secret keys and different sets of 1:M to different parties without the intervention of the service operator, would result in posing quite a big problem for any eavesdroppers who attempt to discover the key used during the conversation, especially in a short period of time. Thus, it is quite safe and effective to protect the case of voice eavesdropping. The results of the implementation indicate that the system can perform its function accurately as designed. In this regard, the proposed system is suitable for effective use in voice eavesdropping protection over digital networks, without any requirements to change presently existing network systems, mobile phone network and VoIP, for instance.
Abstract: Erroneous computer entry problems [here: 'e'errors] in hospital labs threaten the patients-–health carers- relationship, undermining the health system credibility. Are e-errors random, and do lab professionals make them accidentally, or may they be traced through meaningful determinants? Theories on internal causality of mistakes compel to seek specific causal ascriptions of hospital lab eerrors instead of accepting some inescapability. Undeniably, 'To Err is Human'. But in view of rapid global health organizational changes, e-errors are too expensive to lack in-depth considerations. Yet, that efunction might supposedly be entrenched in the health carers- job description remains under dispute – at least for Hellenic labs, where e-use falls behind generalized(able) appreciation and application. In this study: i) an empirical basis of a truly high annual cost of e-errors at about €498,000.00 per rural Hellenic hospital was established, hence interest in exploring the issue was sufficiently substantiated; ii) a sample of 270 lab-expert nurses, technicians and doctors were assessed on several personality, burnout and e-error measures, and iii) the hypothesis that the Hardiness vs Alienation personality construct disposition explains resistance vs proclivity to e-errors was tested and verified: Hardiness operates as a resilience source in the encounter of high pressures experienced in the hospital lab, whereas its 'opposite', i.e., Alienation, functions as a predictor, not only of making e-errors, but also of leading to burn-out. Implications for apt interventions are discussed.
Abstract: Chronic diseases prevailed along with economic
growth as well as life style changed in recent years in Taiwan.
According to the governmental statistics, hypertension related disease
is the tenth of death causes with 1,816 died directly from hypertension
in 2010. There were more death causes amongst the top ten had been
proofed that having strong association with the hypertension, such as
heart diseases, cardiovascular diseases, and diabetes. Hypertension or
High blood pressure is one of the major indicators for chronic diseases,
and was generally perceived as the major causes of mortality. The
literature generally suggested that regular physical exercise was
helpful to prevent the occurrence or to ease the progress of a
hypertension. This paper reported the process and outcomes in
detailed of an improvement project of physical exercise intervention
specific for hypertension patients. Physical information were
measured before and after the project to obtain information such as
weight, waistline, cholesterol (HD & LD), blood examination, as well
as self-perceived health status. The intervention project involved a
six-week exercise program, of which contained three times a week, 30
minutes of tutored physical exercise intervention. The project had
achieved several gains in changing the subjects- behavior in terms of
many important biophysical indexes. Around 20% of the participants
had significantly improved their cholesterols, BMI, and changed
unhealthy behaviors. Results from the project were encouraging, and
would be good reference for other samples.
Abstract: Buildings and associated construction methods have a significant impact on the environment. As construction activity increases in Kuwait, there is a need to create design and construction strategies which will minimize the environmental impact of new buildings. Green construction is a design philosophy intended to improve the sustainability of construction by the minimization of resource depletion and CO2 emissions throughout the life cycle of buildings. This paper presents and discusses the results of a survey that was conducted in Kuwait, with the objective of investigating the awareness of developers and other stakeholders regarding their understanding and use of green construction strategies. The results of the survey demonstrate that whilst there seems to be a reasonable level of awareness amongst the stakeholders, this awareness is not currently well reflected in the design and construction practices actually being applied. It is therefore concluded is there is a pressing need for intervention from Government in order that the use of sustainable green design and construction strategies becomes the norm in Kuwait.
Abstract: This paper presents the concept and realisation of an
e-learning tool that provides predefined or automatically generated
exercises concerning logistics cost accounting. Students may practise
where and whenever they like to via the Internet. Their solutions are
marked automatically by the tool while considering consecutive
faults and without any intervention of lecturers.
Abstract: Young people have a high prevalence of mental health
problems, yet tend not to seek help. Trusted adults in young people-s
lives, such as teachers and sports coaches, can make a major positive
contribution to the mental health of young people. Teachers and
sports coaches may be in a position to be effective in supporting
young people-s mental health through promotion, prevention and
early intervention. This study reports findings from interviews with
21 teachers and 13 sports coaches of young people aged 12 to 18 in
Canberra, Australia, regarding their perceptions of the relevance and
effectiveness of their role in supporting young people-s mental
health. Both teachers and coaches perceived having influential but
slightly different roles to play in supporting mental health. There may
be potential to elevate the influence of teachers and coaches as
sources of support for young people and their mental health care.
Abstract: Landscape connectivity combines a description of the
physical structure of the landscape with special species- response to
that structure, which forms the theoretical background of applying
landscape connectivity principles in the practices of landscape
planning and design. In this study, a residential development project in
the southern United States was used to explore the meaning of
landscape connectivity and its application in town planning. The vast
rural landscape in the southern United States is conspicuously
characterized by the hedgerow trees or groves. The patchwork
landscape of fields surrounded by high hedgerows is a traditional and
familiar feature of the American countryside. Hedgerows are in effect
linear strips of trees, groves, or woodlands, which are often critical
habitats for wildlife and important for the visual quality of the
landscape. Based on geographic information system (GIS) and
statistical analysis (FRAGSTAT), this study attempts to quantify the
landscape connectivity characterized by hedgerows in south Alabama
where substantial areas of authentic hedgerow landscape are being
urbanized due to the ever expanding real estate industry and high
demand for new residential development. The results of this study
shed lights on how to balance the needs of new urban development and
biodiversity conservation by maintaining a higher level of landscape
connectivity, thus will inform the design intervention.
Abstract: Out of all visual arts including: painting, sculpture,
graphics, photography, architecture, and others, architecture is by far
the most complex one, because the art category is only one of its
determinants. Architecture, to some extent includes other arts which
can significantly influence the shaping of an urban space (artistic
interventions). These arts largely shape the visual culture in
combination with other categories: film, TV, Internet, information
technologies that are "changing the world" etc. In the area of
architecture and urbanism, visual culture is achieved through the
aspects of visual spatial effects. In this context, a complex visual
deliberation about designing urban areas in order to contribute to the
urban visual culture, and with it restore the cultural identity of the
city, is becoming almost the primary concept of contemporary urban
and architectural practice. Research in this paper relate to the city of
Niksic and its place in the visual urban culture. We are looking at the
city’s existing visual effects and determining the directions of
transformability of its physical structure in order to achieve the visual
realization of an urban area and the renewal of cultural identity of a
modern city.
Abstract: Bone growth factors, such as Bone Morphogenic
Protein-2 (BMP-2) have been approved by the FDA to replace grafting for some surgical interventions, but the high dose requirement limits its use in patients. Noggin, an extracellular protein, blocks the effect of BMP-2 by binding to BMP. Preventing
the BMP-2/noggin interaction will help increase the free
concentration of BMP-2 and therefore should enhance its efficacy to
induce bone formation. The work presented here involves
computational design of novel small molecule inhibitory agents of BMP-2/noggin interaction, based on our current understanding of
BMP-2, and its known putative ligands (receptors and antagonists). A
successful acquisition of such an inhibitory agent of BMP-2/noggin interaction would allow clinicians to reduce the dose required of
BMP-2 protein in clinical applications to promote osteogenesis. The
available crystal structures of the BMPs, its receptors, and the binding partner noggin were analyzed to identify the critical residues
involved in their interaction. In presenting this study, LUDI de novo design method was utilized to perform virtual screening of a large
number of compounds from a commercially available library against the binding sites of noggin to identify the lead chemical compounds
that could potentially block BMP-noggin interaction with a high specificity.