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: Leishmaniasis is the collective name for a number of
diseases caused by protozoan flagellates of the genus Leishmania,
which is transmitted by Phlebotomine sandfly, the disease has diverse
clinical manifestations and found in many areas of the world,
particularly in Africa, Latin America, South and Central Asia, the
Mediterranean basin and the Middle East. This study was done to
assess primary health care physicians’ knowledge (PHP) and attitude
about leishmaniasis and to assess awareness of local inhabitants
about the disease and its vector in four areas in west Alexandria,
Egypt. It is a cross sectional survey that was conducted in four PHC
units in west Alexandria. All physicians currently working in these
units during the study period were invited to participate in the study;
only 20 PHP completed the questionnaire. 60 local inhabitants were
selected randomly from the four areas of the study, 15 from each
area; Data was collected through two different specially designed
questionnaires. Results showed that 11 (55%) percent of the
physicians had satisfactory knowledge; they answered more than 9
(60%) questions out of a total 14 questions about leishmaniasis and
sandfly. On the other hand when attitude of the primary health care
physicians about leishmaniasis was measured, results showed that 17
(85%) had good attitude and 3 (15%) had poor attitude. The second
questionnaire showed that the awareness of local inhabitants about
leishmaniasis and sandfly as a vector of the disease is poor and needs
to be corrected. (90%) of the interviewed inhabitants had not heard
about leishmaniasis, Only 3 (5%) of them said they know sandfly and
its role in transmission of leishmaniasis. Thus we conclude that
knowledge and attitudes of physicians are acceptable. However, there
is, room for improvement and could be done through formal training
courses and distribution of guidelines. In addition to raising the
awareness of primary health care physicians about the importance of
early detection and notification of cases of leishmaniasis, health
education for raising awareness of the public regarding the vector and
the disease is necessary because related studies have demonstrated
that for inhabitants to take enough protective measures against the
vector, they should perceive that it is responsible for causing a
disease.
Abstract: Ecological systems are exposed and are influenced by
various natural and anthropogenic disturbances. They produce
various effects and states seeking response symmetry to a state of
global phase coherence or stability and balance of their food webs.
This research project addresses the development of a computational
methodology for modeling plankton food webs. The use of
algorithms to establish connections, the generation of representative
fuzzy multigraphs and application of technical analysis of complex
networks provide a set of tools for defining, analyzing and evaluating
community structure of coastal aquatic ecosystems, beyond the
estimate of possible external impacts to the networks. Thus, this
study aims to develop computational systems and data models to
assess how these ecological networks are structurally and
functionally organized, to analyze the types and degree of
compartmentalization and synchronization between oscillatory and
interconnected elements network and the influence of disturbances on
the overall pattern of rhythmicity of the system.
Abstract: Automation of airport operations can greatly improve
ground movement efficiency. In this paper, we study the speed profile
design problem for advanced airport ground movement control and
guidance. The problem is constrained by the surface four-dimensional
trajectory generated in taxi planning. A decomposed approach of two
stages is presented to solve this problem efficiently. In the first stage,
speeds are allocated at control points, which ensure smooth speed
profiles can be found later. In the second stage, detailed speed profiles
of each taxi interval are generated according to the allocated control
point speeds with the objective of minimizing the overall fuel
consumption. We present a swarm intelligence based algorithm for the
first-stage problem and a discrete variable driven enumeration method
for the second-stage problem, since it only has a small set of discrete
variables. Experimental results demonstrate the presented
methodology performs well on real world speed profile design
problems.
Abstract: This paper investigates the effectiveness of two
natural zeolites in reducing expansion of concrete due to alkali-silica
reaction. These natural zeolites have different reactive silica content.
Three aggregates; two natural sands and one crushed stone aggregate
were used while preparing mortar bars in accordance with accelerated
mortar bar test method, ASTM C1260. Performances of natural
zeolites are compared by examining the expansions due to alkali
silica reaction. Natural zeolites added to the mixtures at 10% and
20% replacement levels by weight of cement. Natural zeolite with
high reactive silica content had better performance on reducing
expansions due to ASR. In this research, using high reactive zeolite at
20% replacement levels was effective in mitigating expansions.
Abstract: Cole-Cole parameters of 40 post-menopausal women
are compared with their DEXA bone mineral density measurements.
Impedance characteristics of four extremities are compared; left and
right extremities are statistically same, but lower extremities are
statistically different than upper ones due to their different fat
content. The correlation of Cole-Cole impedance parameters to bone
mineral density (BMD) is observed to be higher for dominant arm.
With the post-menopausal population, ANOVA tests of the dominant
arm characteristic frequency, as a predictor for DEXA classified
osteopenic and osteoporic population around lumbar spine, is
statistically very significant. When used for total lumbar spine
osteoporosis diagnosis, the area under the Receiver Operating Curve
of the characteristic frequency is 0.830, suggesting that the Cole-Cole
plot characteristic frequency could be a useful diagnostic parameter
when integrated into standard screening methods for osteoporosis.
Moreover, the characteristic frequency can be directly measured by
monitoring frequency driven angular behavior of the dominant arm
without performing any complex calculation.
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: This paper presents the influence of the vertical
seismic component on the non-linear dynamics analysis of three
different structures. The subject structures were analyzed and
designed according to recent codes. This paper considers three types
of buildings: 5-, 10-, and 15-story buildings. The non-linear dynamics
analysis of the structures with assuming elastic-perfectly-plastic
behavior was performed using RAM PERFORM-3D software; the
horizontal component was taken into consideration with and without
the incorporation of the corresponding vertical component. Dynamic
responses obtained for the horizontal component acting alone were
compared with those obtained from the simultaneous application of
both seismic components. The results show that the effect of the
vertical component of ground motion may increase the axial load
significantly in the interior columns and, consequently, the stories.
The plastic mechanisms would be changed. The P-Delta effect is
expected to increase. The punching base plate shear of the columns
should be considered. Moreover, the vertical component increases the
input energy when the structures exhibit inelastic behavior and are
taller.
Abstract: Fiber Reinforced Polymer (FRP) is a composite material with exceptional properties that are capable to replace conventional steel reinforcement in reinforced and pre-stressed concrete structures. However, the main obstacle for their wide use in pre-stressed concrete application is the anchorage system. Due to the weakness of FRP in the transverse direction, the pre-stressing capacity of FRP bars are limited. This paper investigates the modification of the conventional wedge anchorage system to be used for stressing of FRP bars in pre-stressed applications. Epoxy adhesive material with glass FRP (GFRP) bars and conventional steel wedge were used in this paper. The GFRP bars are encased with epoxy at the anchor zone and the wedge system was used in pull-out test. The results showed a loading capacity of 47.6 kN which is 69% of the bar ultimate capacity. Additionally, nylon wedge was made with the same dimensions of the steel wedge and tested for GFRP bars without epoxy layer. The nylon wedge showed a loading capacity of 19.7 kN which is only 28.5% of the ultimate bar capacity.
Abstract: In an attempt to investigate the performance of single
basin solar still for climate conditions of Ludhiana a single basin
solar still was designed, fabricated and tested. The energy balance
equations for various parts of the still are solved by Gauss-Seidel
iteration method. Computer model was made and experimentally
validated. The validated computer model was used to estimate the
annual distillation yield and performance ratio of the still for
Ludhiana. The Theoretical and experimental distillation yield were
4318.79 ml and 3850 ml respectively for the typical day. The
predicted distillation yield was 12.5% higher than the experimental
yield. The annual distillation yield per square metre aperture area and
annual performance ratio for single basin solar still is 1095 litres and
0.43 respectively. The payback period for micro-stepped solar still is
2.5 years.
Abstract: The properties of hollow sandcrete blocks produced in
Minna, Nigeria are presented. Sandcrete block is made of cement,
water and sand binded together in certain mix proportions. For the
purpose of this work, fifty (50) commercial sandcrete block industries
were visited in Minna, Nigeria to obtain block samples and
aggregates used for the manufacture, and to take inventory of the mix
composition and the production process. Sieve analysis tests were
conduction on the soil sample from various block industries to
ascertain their quality to be used for block making. The mix ratios
were also investigated. Five (5) nine inches (9’’ or 225mm) blocks
were obtained from each block industry and tested for dimensional
compliance and compressive strength. The results of the soil test
shows that the grading fall within the limit for natural aggregate and
can easily are used to obtain workable mix. Physical examinations of
the block sizes show slight deviation from the standard requirement
in NIS 87:2000. Compressive strength of hollow sandcrete blocks in
range of 0.12 N/mm2 to 0.54 N/mm2 was obtained which is below the
recommendable value of 3.45 N/mm2 for load bearing hollow
sandcrete blocks. This indicates that these blocks are below the
standard for load-bearing sandcrete blocks and cannot be used as load
bearing walling units. The mix composition also indicated low
cement content resulting in low compressive strength. Most of the
commercial block industries visited does not take curing very serious.
Water were only sprinkled ones or twice before the blocks were
stacked and made readily available for sale. It is recommended that a
mix ratio of 1:4 to 1:6 should be used for the production of sandcrete
blocks and proper curing practice should be adhered. Blocks should
also be cured for 14 days before making them available for
consumers.
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: The present study aims to investigate the performance
of Moringa oleifera seed extract as natural coagulant in clarification
of secondary wastewater treatment plant (MWWTP) located in East
of Algiers, Algeria. Coagulation flocculation performance of
Moringa oleifera was evaluated through supernatant residual
turbidity after jar test trials. Various influence parameters namely
Moringa oleifera dosage and pH have been considered. Tests on
Reghaia wastewater, having 129 NTU of initial turbidity, showed a
removal of 69.45% of residual turbidity with only 1.5 mg/l of
Moringa oleifera. This sufficient removal capability encourages the
use of this bioflocculant for treatment of turbid waters. Indeed,
Moringa oleifera which is a natural resource available locally (South
of Algeria) coupled to the non-toxicity, biocompatibility and
biodegradability, may be a very interesting alternative to the
conventional coagulants used so far.
Abstract: This study was carried out for an underground subway station at Seoul Metro, Korea. The optimal set-points of the ventilation control system are determined every 3 hours, then, the ventilation controller adjusts the ventilation fan speed according to the optimal set-point changes. Compared to manual ventilation system which is operated irrespective of the OAQ, the IDP-based ventilation control system saves 3.7% of the energy consumption. Compared to the fixed set-point controller which is operated irrespective of the IAQ diurnal variation, the IDP-based controller shows better performance with a 2% decrease in energy consumption, maintaining the comfortable IAQ range inside the station.
Abstract: The fuel potential of six tropical hardwood species
namely: Triplochiton scleroxylon, Ceiba pentandra, Aningeria
robusta, Terminalia superba, Celtis mildbreadii and Piptadenia
africana were studied. Properties studied included species density,
gross calorific value, volatile matter, ash content, organic carbon and
elemental composition. Fuel properties were determined using
standard laboratory methods. The result indicates that the gross
calorific value (GCV) of the species ranged from 20.16 to 22.22
MJ/kg and they slightly varied from each other. Additionally, the
GCV of the biomass materials were higher than that of other biomass
materials like; wheat straw, rice straw, maize straw and sugar cane.
The ash and volatile matter content varied from 0.6075 to 5.0407%,
and 75.23% to 83.70% respectively. The overall rating of the
properties of the six biomass materials suggested that Piptadenia
africana has the best fuel property to be used as briquettes and
Aningeria robusta the worse. This study therefore suggests that a
holistic assessment of a biomass material needs to be done before
selecting it for fuel purpose.
Abstract: The present research investigated whether gender
differences affect performance in a simple math quiz in statistics
course. Participants of this study comprised a sample of 567 statistics
students in two different universities in Lebanon. Data were collected
through a simple math quiz. Analysis of quantitative data indicated
that there wasn’t a significant difference in math performance
between males and females. The results suggest that improvements in
student performance may depend on improved mastery of basic
algebra especially for females. The implications of these findings and
further recommendations were discussed.
Abstract: This study aimed to explore the practical experience
of child welfare caseworkers and professionalism in child case
management in Malaysia. This paper discussed the specific social
work practice competency and the challenges faced by child
caseworkers in the fieldwork. This research was qualitative with
grounded theory approach. Four sessions of focused group discussion
(FGD) were conducted involving a total of 27 caseworkers (child
protector and probation officers) in the Klang Valley. The study
found that the four basic principles of knowledge in child case
management namely: 1. knowledge in child case management; 2.
professional values of caseworkers towards children; 3. skills in
managing cases; and 4. culturally competent practice in child case
management. In addition, major challenges faced by the child case
manager are the capacity and commitment of the family in children’s
rehabilitation program, the credibility of caseworkers are being
challenged, and the challenges of support system from intra and interagency.
This study is important for policy makers to take into account
the capacity and the needs of the child’s caseworker in accordance
with the national social work competency framework. It is expected
that case management services for children will improve
systematically in line with national standards.
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: In this paper, the notion of rank−k numerical range
of rectangular complex matrix polynomials are introduced. Some
algebraic and geometrical properties are investigated. Moreover, for
Є > 0, the notion of Birkhoff-James approximate orthogonality
sets for Є−higher rank numerical ranges of rectangular matrix
polynomials is also introduced and studied. The proposed definitions
yield a natural generalization of the standard higher rank numerical
ranges.