Abstract: During the post-Civil War era, the city of Nashville,
Tennessee, had the highest mortality rate in the United States. The
elevated death and disease rates among former slaves were
attributable to lack of quality healthcare. To address the paucity of
healthcare services, Meharry Medical College, an institution with the
mission of educating minority professionals and serving the
underserved population, was established in 1876.
Purpose: The social ecological framework and partial least squares
(PLS) path modeling were used to quantify the impact of
socioeconomic status and adverse health outcome on primary care
professionals serving the disadvantaged community. Thus, the study
results could demonstrate the accomplishment of the College’s
mission of training primary care professionals to serve in underserved
areas.
Methods: Various statistical methods were used to analyze alumni
data from 1975 – 2013. K-means cluster analysis was utilized to
identify individual medical and dental graduates in the cluster groups
of the practice communities (Disadvantaged or Non-disadvantaged
Communities). Discriminant analysis was implemented to verify the
classification accuracy of cluster analysis. The independent t-test was
performed to detect the significant mean differences of respective
clustering and criterion variables. Chi-square test was used to test if
the proportions of primary care and non-primary care specialists are
consistent with those of medical and dental graduates practicing in
the designated community clusters. Finally, the PLS path model was
constructed to explore the construct validity of analytic model by
providing the magnitude effects of socioeconomic status and adverse
health outcome on primary care professionals serving the
disadvantaged community.
Results: Approximately 83% (3,192/3,864) of Meharry Medical
College’s medical and dental graduates from 1975 to 2013 were
practicing in disadvantaged communities. Independent t-test confirmed the content validity of the cluster analysis model. Also, the
PLS path modeling demonstrated that alumni served as primary care
professionals in communities with significantly lower socioeconomic
status and higher adverse health outcome (p < .001). The PLS path
modeling exhibited the meaningful interrelation between primary
care professionals practicing communities and surrounding
environments (socioeconomic statues and adverse health outcome),
which yielded model reliability, validity, and applicability.
Conclusion: This study applied social ecological theory and
analytic modeling approaches to assess the attainment of Meharry
Medical College’s mission of training primary care professionals to
serve in underserved areas, particularly in communities with low
socioeconomic status and high rates of adverse health outcomes. In
summary, the majority of medical and dental graduates from Meharry
Medical College provided primary care services to disadvantaged
communities with low socioeconomic status and high adverse health
outcome, which demonstrated that Meharry Medical College has
fulfilled its mission. The high reliability, validity, and applicability of
this model imply that it could be replicated for comparable
universities and colleges elsewhere.
Abstract: Introduction: There are multiple social, individual and
cultural factors that influence an individual’s decision to adopt family
planning methods especially among non-users in patriarchal societies
like Pakistan. Non-users, if targeted efficiently, can contribute
significantly to country’s CPR. A research study showed that nonusers
if convinced to adopt lactational amenorrhea method can shift
to long term methods in future. Research shows that if non users are
targeted efficiently a 59% reduction in unintended pregnancies in
Saharan Africa and South-Central and South-East Asia is anticipated.
Methods: We did secondary data analysis on Pakistan
Demographic Heath Survey (2012-13) dataset. Use of contraception
(never-use/ever-use) was the outcome variable. At univariate level
Chi-square/Fisher Exact test was used to assess relationship of
baseline covariates with contraception use. Then variables to be
incorporated in the model were checked for multicollinearity,
confounding and interaction. Then binary logistic regression (with an
urban-rural stratification) was done to find relationship between
contraception use and baseline demographic and social variables.
Results: The multivariate analyses of the study showed that
younger women (≤ 29 years)were more prone to be never users as
compared to those who were >30 years and this trend was seen in
urban areas (AOR 1.92, CI 1.453-2.536) as well as rural areas (AOR
1.809, CI 1.421-2.303). While looking at regional variation, women
from urban Sindh (AOR 1.548, CI 1.142-2.099) and urban
Balochistan (AOR 2.403, CI 1.504-3.839) had more never users as
compared to other urban regions. Women in the rich wealth quintile
were more never users and this was seen both in urban and rural
localities (urban (AOR 1.106 CI .753-1.624); rural areas (AOR 1.162,
CI .887-1.524)) even though these were not statistically significant.
Women idealizing more children (>4) are more never users as
compared to those idealizing less children in both urban (AOR 1.854,
CI 1.275-2.697) and rural areas (AOR 2.101, CI 1.514-2.916).
Women who never lost a pregnancy were more inclined to be nonusers
in rural areas (AOR 1.394, CI 1.127-1.723) .Women familiar
with only traditional or no method had more never users in rural areas
(AOR 1.717, CI 1.127-1.723) but in urban areas it wasn’t significant.
Women unaware of Lady Health Worker’s presence in their area
were more never users especially in rural areas (AOR 1.276, CI
1.014-1.607). Women who did not visit any care provider were more
never users (urban (AOR 11.738, CI 9.112-15.121) rural areas (AOR
7.832, CI 6.243-9.826)).
Discussion/Conclusion: This study concluded that government,
policy makers and private sector family planning programs should
focus on the untapped pool of never users (younger women from underserved provinces, in higher wealth quintiles, who desire more
children.). We need to make sure to cover catchment areas where
there are less LHWs and less providers as ignorance to modern
methods and never been visited by an LHW are important
determinants of never use. This all is in sync with previous literate
from similar developing countries.
Abstract: Big Data and analytics have gained a huge momentum
in recent years. Big Data feeds into the field of Learning Analytics
(LA) that may allow academic institutions to better understand the
learners’ needs and proactively address them. Hence, it is important
to have an understanding of Big Data and its applications. The
purpose of this descriptive paper is to provide an overview of Big
Data, the technologies used in Big Data, and some of the applications
of Big Data in education. Additionally, it discusses some of the
concerns related to Big Data and current research trends. While Big
Data can provide big benefits, it is important that institutions
understand their own needs, infrastructure, resources, and limitation
before jumping on the Big Data bandwagon.
Abstract: Data and system quality play a central role in
organizational success, and the quality of any existing information
system has a major influence on the effectiveness of overall system
performance. Given the importance of system and data quality to an
organization, it is relevant to highlight their importance on
organizational performance in the Kingdom of Bahrain. This research
aims to discover whether system quality and data quality are related,
and to study the impact of system and data quality on organizational
success. A theoretical model based on previous research is used to
show the relationship between data and system quality, and
organizational impact. We hypothesize, first, that system quality is
positively associated with organizational impact, secondly that
system quality is positively associated with data quality, and finally
that data quality is positively associated with organizational impact.
A questionnaire was conducted among public and private
organizations in the Kingdom of Bahrain. The results show that there
is a strong association between data and system quality, that affects
organizational success.
Abstract: Organizational tendencies towards computer-based
information processing have been observed noticeably in the
third-world countries. Many enterprises are taking major initiatives
towards computerized working environment because of massive
benefits of computer-based information processing. However,
designing and developing information resource management software
for small and mid-size enterprises under budget costs and strict
deadline is always challenging for software engineers. Therefore, we
introduced an approach to design mid-size enterprise software by
using the Waterfall model, which is one of the SDLC (Software
Development Life Cycles), in a cost effective way. To fulfill research
objectives, in this study, we developed mid-sized enterprise software
named “BSK Management System” that assists enterprise software
clients with information resource management and perform complex
organizational tasks. Waterfall model phases have been applied to
ensure that all functions, user requirements, strategic goals, and
objectives are met. In addition, Rich Picture, Structured English, and
Data Dictionary have been implemented and investigated properly in
engineering manner. Furthermore, an assessment survey with 20
participants has been conducted to investigate the usability and
performance of the proposed software. The survey results indicated
that our system featured simple interfaces, easy operation and
maintenance, quick processing, and reliable and accurate transactions.
Abstract: ABC classification is widely used by managers for
inventory control. The classical ABC classification is based on Pareto
principle and according to the criterion of the annual use value only.
Single criterion classification is often insufficient for a closely
inventory control. Multi-criteria inventory classification models have
been proposed by researchers in order to consider other important
criteria. From these models, we will consider a specific model in
order to make a sensitive analysis on the composite score calculated
for each item. In fact, this score, based on a normalized average
between a good and a bad optimized index, can affect the ABC-item
classification. We will focus on items differently assigned to classes
and then propose a classification compromise.
Abstract: The following article presents Technology Centre of
Ostrava (TCO) in the Czech Republic describing the structure and
main research areas realized by the project ENET - Energy Units for
Utilization of non Traditional Energy Sources. More details are
presented from the research program dealing with transformation,
accumulation and distribution of electric energy. Technology Centre
has its own energy mix consisting of alternative sources of fuel
sources that use of process gases from the storage part and also the
energy from distribution network. The article will be focus on the
properties and application possibilities SiC semiconductor devices for
power semiconductor converter for photovoltaic systems.
Abstract: The advent of social networking technologies has been
met with mixed reactions in academic and corporate circles around
the world. This study explored the influence of social network in
current era, the relation being maintained between the Social
networking site and its user by the extent of use, benefits and latest
technologies. The study followed a descriptive research design
wherein a questionnaire was used as the main research tool. The data
collected was analyzed using SPSS 16. Data was gathered from 1205
users and analyzed in accordance with the objectives of the study.
The analysis of the results seem to suggest that the majority of users
were mainly using Facebook, despite of concerns raised about the
disclosure of personal information on social network sites, users
continue to disclose huge quantity of personal information, they find
that reading privacy policy is time consuming and changes made can
result into improper settings.
Abstract: The research of juice flavor forecasting has become
more important in China. Due to the fast economic growth in China,
many different kinds of juices have been introduced to the market. If a
beverage company can understand their customers’ preference well,
the juice can be served more attractive. Thus, this study intends to
introducing the basic theory and computing process of grapes juice
flavor forecasting based on support vector regression (SVR). Applying
SVR, BPN, and LR to forecast the flavor of grapes juice in real data
shows that SVR is more suitable and effective at predicting
performance.
Abstract: Breast cancer is considered as a substantial health
concern and practicing mammography screening [MS] is important in
minimizing its related morbidity. So it is essential to have a better
understanding of breast cancer screening behaviors of women and
factors that influence utilization of them. The aim of this study is to
identify the factors that are linked to MS behaviors among the
Egyptian women. A cross-sectional descriptive design was carried
out to provide a snapshot of the factors that are linked to MS
behaviors. A convenience sample of 311 women was utilized and all
eligible participants admitted to the Women Imaging Unit who are 40
years of age or above, coming for mammography assessment, not
pregnant or breast feeding and who accepted to participate in the
study were included. A structured questionnaire was developed by
the researchers and contains three parts; Socio-demographic data;
Motivating factors associated with MS; and association between MS
and model of behavior change. The analyzed data indicated that most
of the participated women (66.6%) belonged to the age group of 40-
49.A high proportion of participants (58.1%) of group having
previous MS influenced by their neighbors to practice MS, whereas
32.7 % in group not having previous MS were influenced by family
members which indicated significant differences (P
Abstract: The exponential growth of social media arouses much
attention on public opinion information. The online forums, blogs,
micro blogs are proving to be extremely valuable resources and are
having bulk volume of information. However, most of the social
media data is unstructured and semi structured form. So that it is
more difficult to decipher automatically. Therefore, it is very much
essential to understand and analyze those data for making a right
decision. The online forums hotspot detection is a promising research
field in the web mining and it guides to motivate the user to take right
decision in right time. The proposed system consist of a novel
approach to detect a hotspot forum for any given time period. It uses
aging theory to find the hot terms and E-K-means for detecting the
hotspot forum. Experimental results demonstrate that the proposed
approach outperforms k-means for detecting the hotspot forums with
the improved accuracy.
Abstract: Every year, a considerable amount of money is being
invested on research, mainly in the form of funding allocated to
universities and research institutes. To better distribute the available
funds and to set the most proper R&D investment strategies for the
future, evaluation of the productivity of the funded researchers and
the impact of such funding is crucial. In this paper, using the data on
15 years of journal publications of the NSERC (Natural Sciences and
Engineering research Council of Canada) funded researchers and by
means of bibliometric analysis, the scientific development of the
funded researchers and their scientific collaboration patterns will be
investigated in the period of 1996-2010. According to the results it
seems that there is a positive relation between the average level of
funding and quantity and quality of the scientific output. In addition,
whenever funding allocated to the researchers has increased, the
number of co-authors per paper has also augmented. Hence, the
increase in the level of funding may enable researchers to get
involved in larger projects and/or scientific teams and increase their
scientific output respectively.
Abstract: This paper proposes the application of the Smart
Security Concept in the East Mediterranean. Smart Security aims to
secure critical infrastructure, such as hydrocarbon platforms, against
asymmetrical threats. The concept is based on Anti Asymmetrical
Area Denial (A3D) which necessitates limiting freedom of action of
maritime terrorists and piracy by founding safe and secure maritime
areas through sea lines of communication using short range
capabilities.
Abstract: The objective of present research paper is to highlight
the importance of measuring advertisement effectiveness in print
media and to develop a conceptual model for advertisement
effectiveness. The developed model is based on dimensions on which
advertisement effectiveness depends and on the dimensions which are
used to measure the effectiveness. An in-depth and extensive
literature review is carried out to understand the concept of
advertisement effectiveness and its various determinants in context of
print media. Based on the insights gained, a conceptual framework
for advertisement effectiveness is presented. The model is an attempt
to uncover the relatively less explored area of advertisement
effectiveness in Indian advertising scenario. It is believed that present
work will encourage scholars and academicians to further explore the
area and will offer conceptual assistance and a fresh direction in the
domain of advertisement effectiveness.
Abstract: An Australian manufacturer has fabricated an
innovative GFRP sandwich panel made from E-glass fiber skin and a
modified phenolic core for structural applications. Debonding, which
refers to separation of skin from the core material in composite
sandwiches, is one of the most common types of damage in
composites. The presence of debonding is of great concern because it
not only severely affects the stiffness but also modifies the dynamic
behaviour of the structure. Generally it is seen that the majority of
research carried out has been concerned about the delamination of
laminated structures whereas skin-core debonding has received
relatively minor attention. Furthermore it is observed that research
done on composite slabs having multiple skin-core debonding is very
limited. To address this gap, a comprehensive research investigating
dynamic behaviour of composite panels with single and multiple
debonding is presented. The study uses finite-element modelling and
analyses for investigating the influence of debonding on free
vibration behaviour of single and multilayer composite sandwich
panels. A broad parametric investigation has been carried out by
varying debonding locations, debonding sizes and support conditions
of the panels in view of both single and multiple debonding.
Numerical models were developed with Strand7 finite element
package by innovatively selecting the suitable elements to diligently
represent their actual behavior. Three-dimensional finite element
models were employed to simulate the physically real situation as
close as possible, with the use of an experimentally and numerically
validated finite element model. Comparative results and conclusions
based on the analyses are presented. For similar extents and locations
of debonding, the effect of debonding on natural frequencies appears
greatly dependent on the end conditions of the panel, giving greater
decrease in natural frequency when the panels are more restrained.
Some modes are more sensitive to debonding and this sensitivity
seems to be related to their vibration mode shapes. The fundamental
mode seems generally the least sensitive mode to debonding with
respect to the variation in free vibration characteristics. The results
indicate the effectiveness of the developed three dimensional finite
element models in assessing debonding damage in composite
sandwich panels.
Abstract: Availability of different genetic tests after completion
of Human Genome Project increases the physicians’ responsibility to
keep themselves update on the potential implementation of these
genetic tests in their daily practice. However, due to numbers of
barriers, still many of physicians are not either aware of these tests or
are not willing to offer or refer their patients for genetic tests. This
study was conducted an anonymous, cross-sectional, mailed-based
survey to develop a primary data of Malaysian physicians’ level of
knowledge and perception of gene profiling. Questionnaire had 29
questions. Total scores on selected questions were used to assess the
level of knowledge. The highest possible score was 11. Descriptive
statistics, one way ANOVA and chi-squared test was used for
statistical analysis. Sixty three completed questionnaires were
returned by 27 general practitioners (GPs) and 36 medical specialists.
Responders’ age ranges from 24 to 55 years old (mean 30.2 ± 6.4).
About 40% of the participants rated themselves as having poor level
of knowledge in genetics in general whilst 60% believed that they
have fair level of knowledge; however, almost half (46%) of the
respondents felt that they were not knowledgeable about available
genetic tests. A majority (94%) of the responders were not aware of
any lab or company which is offering gene profiling services in
Malaysia. Only 4% of participants were aware of using gene profiling
for detection of dosage of some drugs. Respondents perceived greater
utility of gene profiling for breast cancer (38%) compared to the
colorectal familial cancer (3%). The score of knowledge ranged from
2 to 8 (mean 4.38 ± 1.67). Non- significant differences between score
of knowledge of GPs and specialists were observed, with score of
4.19 and 4.58 respectively. There was no significant association
between any demographic factors and level of knowledge. However,
those who graduated between years 2001 to 2005 had higher level of
knowledge. Overall, 83% of participants showed relatively high level
of perception on value of gene profiling to detect patient’s risk of
disease. However, low perception was observed for both statements
of using gene profiling for general population in order to alter their
lifestyle (25%) as well as having the full sequence of a patient
genome for the purpose of determining a patient’s best match for
treatment (18%). The lack of clinical guidelines, limited provider
knowledge and awareness, lack of time and resources to educate
patients, lack of evidence-based clinical information and cost of tests
were the most barriers of ordering gene profiling mentioned by
physicians. In conclusion Malaysian physicians who participate in
this study had mediocre level of knowledge and awareness in gene
profiling. The low exposure to the genetic questions and problems
might be a key predictor of lack of awareness and knowledge on
available genetic tests. Educational and training workshop might be useful in helping Malaysian physicians incorporate genetic profiling
into practice for eligible patients.
Abstract: This study was carried out to investigate the adverse
effect of industrial wastewater on surface water quality in Gebeng
industrial estate, Pahang, Malaysia. Surface water was collected from
six sampling stations. Physicochemical parameters were
characterized based on in-situ and ex-situ analysis according to
standard methods by American Public Health Association (APHA).
Selected heavy metals were determined by using Inductively Coupled
Plasma Mass Spectrometry (ICP MS). The results revealed that the
concentration of heavy metals such as Pb, Cu, Cd, Cr and Hg were
high in samples. The results also showed that the value of Pb and Hg
were higher in the wet season in comparison to dry season.
According to Malaysia National Water Quality Standard (NWQS)
and Water Quality Index (WQI) all the sampling station were
categorized as class IV (highly polluted). The present study revealed
that the adverse effects of careless disposal of wastes and directly
discharge of effluents affected on surface water quality. Therefore,
the authorities should implement the laws to ensure the proper
practices of wastewater management for environmental sustainability
around the study area.
Abstract: The present research work investigates the seismic
response of reinforced concrete (RC) frame building considering the
effect of modeling masonry infill (MI) walls. The seismic behavior of
a residential 6-storey RC frame building, considering and ignoring
the effect of masonry, is numerically investigated using response
spectrum (RS) analysis. The considered herein building is designed
as a moment resisting frame (MRF) system following the Egyptian
code (EC) requirements. Two developed models in terms of bare
frame and infill walls frame are used in the study. Equivalent
diagonal strut methodology is used to represent the behavior of infill
walls, whilst the well-known software package ETABS is used for
implementing all frame models and performing the analysis. The
results of the numerical simulations such as base shear,
displacements, and internal forces for the bare frame as well as the
infill wall frame are presented in a comparative way. The results of
the study indicate that the interaction between infill walls and frames
significantly change the responses of buildings during earthquakes
compared to the results of bare frame building model. Specifically,
the seismic analysis of RC bare frame structure leads to
underestimation of base shear and consequently damage or even
collapse of buildings may occur under strong shakings. On the other
hand, considering infill walls significantly decrease the peak floor
displacements and drifts in both X and Y-directions.
Abstract: The following paper presents the results of a study
aimed at achieving a better understanding of the psychological
readiness for mobile learning (m-learning) among Saudi students,
while also evaluating m-learning readiness as a whole in Saudi
Arabia - a topic that has not yet received adequate attention from
researchers. Data was acquired via a questionnaire administered to
131 Saudi students at UK universities, in July 2013. The study
confirmed that students are confident about using mobile devices in
their daily lives, and that they would welcome more opportunities for
mobile learning. The findings also indicated that Saudi higher
education students are very familiar with, and psychologically ready
for, m-learning.
Abstract: Pipa is one of the most important Chinese traditional
plucked instruments, but its directivity has never been measured
systematically. In western, directivity of loudness for western
instruments is deeply researched through analysis of sound pressure
level, whereas the directivity of timbre is seldom studied. In this paper,
a new method for directivity of timbre was proposed, and horizontal
directivity patterns of loudness and timbre of Pipa were measured.
Directivity of Pipa radiation was measured in an anechoic room. The
sound of Pipa played by a musician was recorded simultaneously by
32 microphones with Pipa in the center. The measuring results were
examined through listening test. According to the measurement of
Pipa directivity radiation, we put forward the best localization of Pipa
in the Chinese traditional orchestra and the optimal recording region.