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 current paper presents the results of a conducted
case study. During the past few years the number of children
diagnosed with Learning Difficulties has drastically augmented and
especially the cases of ADHD (Attention Deficit Hyperactivity
Disorder). One of the core characteristics of ADHD is a deficit in
working memory functions. The review of the literature indicates a
plethora of educational software that aim at training and enhancing
the working memory. Nevertheless, in the current paper, the
possibility of using for the same purpose free, online games will be
explored. Another issue of interest is the potential effect of the
working memory training to the core symptoms of ADHD. In order
to explore the abovementioned research questions, three digital tests
are employed, all of which are developed on the E-slate platform by
the author, in order to check the levels of ADHD’s symptoms and to
be used as diagnostic tools, both in the beginning and in the end of
the case study. The tools used during the main intervention of the
research are free online games for the training of working memory.
The research and the data analysis focus on the following axes: a) the
presence and the possible change in two of the core symptoms of
ADHD, attention and impulsivity and b) a possible change in the
general cognitive abilities of the individual. The case study was
conducted with the participation of a thirteen year-old, female
student, diagnosed with ADHD, during after-school hours. The
results of the study indicate positive changes both in the levels of
attention and impulsivity. Therefore, we conclude that the training of
working memory through the use of free, online games has a positive
impact on the characteristics of ADHD. Finally, concerning the
second research question, the change in general cognitive abilities, no
significant changes were noted.
Abstract: Graphene was dispersed using a tip sonicator and the
effect of surfactants were analysed. Sodium Dodecyl Sulphate (SDS)
and Polyvinyl Alcohol (PVA) were compared to observe whether or
not they had any effect on any de-wrinkling, and secondly whether
they aided to achieve better dispersions. There is a huge demand for
wrinkle free graphene as this will greatly increase its usefulness in
various engineering applications. A comprehensive literature on dewrinkling
graphene has been discussed. Low magnification Scanning
Electronic Microscopy (SEM) was conducted to assess the quality of
graphene de-wrinkling. The utilization of the PVA has significant
effect on de-wrinkling whereas SDS had minimal effect on the dewrinkling
of graphene.
Abstract: In the present paper the design of plate heat exchangers
is formulated as an optimization problem considering two
mathematical modelling. The number of plates is the objective
function to be minimized, considering implicitly some parameters
configuration. Screening is the optimization method used to solve the
problem. Thermal and hydraulic constraints are verified, not viable
solutions are discarded and the method searches for the convergence to
the optimum, case it exists. A case study is presented to test the
applicability of the developed algorithm. Results show coherency with
the literature.
Abstract: The access to relevant information that is adapted to
user’s needs, preferences and environment is a challenge in many
applications running. That causes an appearance of context-aware
systems. To facilitate the development of this class of applications, it
is necessary that these applications share a common context
metamodel. In this article, we will present our context metamodel
that is defined using the OMG Meta Object facility (MOF).This
metamodel is based on the analysis and synthesis of context concepts
proposed in literature.
Abstract: Traditional mechanical control systems in thrust
vectoring are efficient in rocket thrust guidance but their costs
and their weights are excessive. The fluidic injection in the nozzle
divergent constitutes an alternative procedure to achieve the goal. In
this paper, we present a 3D analytical model for fluidic injection
in a supersonic nozzle integrating an orifice. The fluidic vectoring
uses a sonic secondary injection in the divergent. As a result, the
flow and interaction between the main and secondary jet has built in
order to express the pressure fields from which the forces and thrust
vectoring are deduced. Under various separation criteria, the present
analytical model results are compared with the existing numerical
and experimental data from the literature.
Abstract: The teaching of computer programming for beginners
has been generally considered as a difficult and challenging task.
Several methodologies and research tools have been developed,
however, the difficulty of teaching still remains. Our work integrates
the state of the art in teaching programming with game software and
further provides metrics for the evaluation of student performance in
a collaborative activity of playing games. This paper aims to present a
multi-agent system architecture to be incorporated to the educational
collaborative game software for teaching programming that monitors,
evaluates and encourages collaboration by the participants. A
literature review has been made on the concepts of Collaborative
Learning, Multi-agents systems, collaborative games and techniques
to teach programming using these concepts simultaneously.
Abstract: Information technology plays an irreplaceable role in
introducing and improving business process orientation in a
company. It enables implementation of the theoretical concept,
measurement of results achieved and undertaking corrective
measures aimed at improvements. Information technology is a key
concept in the development and implementation of the business
process management systems as it establishes a connection to
business operations. Both in the literature and practice, insurance
companies are often seen as highly process oriented due to the nature
of their business and focus on customers. They are also considered
leaders in using information technology for business process
management. The research conducted aimed to investigate whether
the perceived leadership status of insurance companies is well
deserved, i.e. to establish the level of process orientation and explore
the practice of information technology use in insurance companies in
the region. The main instrument for primary data collection within
this research was an electronic survey questionnaire sent to the
management of insurance companies in the Republic of Croatia,
Bosnia and Herzegovina, Slovenia, Serbia and Macedonia. The
conducted research has shown that insurance companies have a
satisfactory level of process orientation, but that there is also a huge
potential for improvement, especially in the segment of information
technology and its connection to business processes.
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: The right to basic sanitation, was elevated to the
category of fundamental right by the Constitution of 1988 to protect
the ecologically balanced environment, ensuring social rights to
health and adequate housing and put the dignity of the human person
as the foundation of the Brazilian Democratic State. Before their
essentiality to humans, this article seeks to understand why universal
access to basic sanitation is a goal so difficult to achieve in Brazil.
Therefore, this research uses the deductive and analytical method.
Given the nature of the research literature, research techniques were
centered in specialized books on the subject, journals, theses and
dissertations, laws, relevant law case and raising social indicators
relating to the theme. The relevance of the topic stems, among other
things, the fact that sanitation services are essential for a dignified
life, i.e., everyone is entitled to the maintenance of the necessary
existence conditions are satisfied. However, the effectiveness of this
right is undermined in society, since Brazil has huge deficit in
sanitation services, denying thus a worthy life to most of the
population. Thus, it can be seen that the provision of water and
sewage services in Brazil is still characterized by a large imbalance,
since the municipalities with lower population index have greater
disability in the sanitation service. The truth is that the precariousness
of water and sewage services in Brazil is still very concentrated in the
North and Northeast regions, limiting the effective implementation of
the Law 11.445/2007 in the country. Therefore, there is urgent need
for a positive service by the State in the provision of sanitation
services in order to prevent and control disease, improve quality of
life and productivity of individuals, besides preventing contamination
of water resources. More than just social and economic necessity,
there is a government duty to implement such services. In this sense,
given the current scenario, to achieve universal access to basic
sanitation imposes many hurdles. These are mainly in the field of
properly formulated and implemented public policies, i.e., it requires
an excellent institutional organization, management services,
strategic planning, social control, in order to provide answers to
complex challenges.
Abstract: This paper develops and investigates a framework for
the assessment of customer involvement in the service design process
of result oriented product-service systems in order to improve the
service offering in a business-to-business (B2B) context. The
framework comprises five main criteria and fifteen sub-criteria that
contribute to customer involvement in a hierarchy using a maturity
grid to highlight the strengths and weaknesses for each criterion. To
develop the customer involvement framework, an extensive literature
review related to service design, result oriented product-service
system (PSS) and customer involvement in service design was
carried out. Key factors that significantly influence customer
involvement from industry and literature were identified to develop
the framework. A major contribution of the developed framework
includes a hierarchy of appropriate criteria for assessing customer
involvement in the service design process within results oriented
PSS; the definition of four maturity levels which are suitable to
describe the whole spectrum of customer involvement in the service
design process; and finally, The paper concludes by enabling service
providers to: take proactive decisions; screen and evaluate new
services; improve perceived service quality; and provide barriers
against imitation.
Abstract: Over the past few years, a lot of research has been
conducted to bring Automatic Speech Recognition (ASR) into various
areas of Air Traffic Control (ATC), such as air traffic control
simulation and training, monitoring live operators for with the aim
of safety improvements, air traffic controller workload measurement
and conducting analysis on large quantities controller-pilot speech.
Due to the high accuracy requirements of the ATC context and its
unique challenges, automatic speech recognition has not been widely
adopted in this field. With the aim of providing a good starting
point for researchers who are interested bringing automatic speech
recognition into ATC, this paper gives an overview of possibilities
and challenges of applying automatic speech recognition in air traffic
control. To provide this overview, we present an updated literature
review of speech recognition technologies in general, as well as
specific approaches relevant to the ATC context. Based on this
literature review, criteria for selecting speech recognition approaches
for the ATC domain are presented, and remaining challenges and
possible solutions are discussed.
Abstract: Indonesia has experienced annual forest fires that have
rapidly destroyed and degraded its forests. Fires in the peat swamp
forests of Riau Province, have set the stage for problems to worsen,
this being the ecosystem most prone to fires (which are also the most
difficult, to extinguish). Despite various efforts to curb deforestation,
and forest degradation processes, severe forest fires are still
occurring. To find an effective solution, the basic causes of the
problems must be identified. It is therefore critical to have an indepth
understanding of the underlying causal factors that have
contributed to deforestation and forest degradation as a whole, in
order to attain reductions in their rates. An assessment of the drivers of deforestation and forest
degradation was carried out, in order to design and implement
measures that could slow these destructive processes. Research was
conducted in Giam Siak Kecil–Bukit Batu Biosphere Reserve
(GSKBB BR), in the Riau Province of Sumatera, Indonesia. A
biosphere reserve was selected as the study site because such reserves
aim to reconcile conservation with sustainable development. A
biosphere reserve should promote a range of local human activities,
together with development values that are in line spatially and
economically with the area conservation values, through use of a
zoning system. Moreover, GSKBB BR is an area with vast peatlands,
and is experiencing forest fires annually. Various factors were
analysed to assess the drivers of deforestation and forest degradation
in GSKBB BR; data were collected from focus group discussions
with stakeholders, key informant interviews with key stakeholders,
field observation and a literature review. Landsat satellite imagery was used to map forest-cover changes
for various periods. Analysis of landsat images, taken during the
period 2010-2014, revealed that within the non-protected area of core
zone, there was a trend towards decreasing peat swamp forest areas,
increasing land clearance, and increasing areas of community oilpalm
and rubber plantations. Fire was used for land clearing and most
of the forest fires occurred in the most populous area (the transition
area). The study found a relationship between the deforested/
degraded areas, and certain distance variables, i.e. distance from
roads, villages and the borders between the core area and the buffer
zone. The further the distance from the core area of the reserve, the
higher was the degree of deforestation and forest degradation. Research findings suggested that agricultural expansion may be
the direct cause of deforestation and forest degradation in the reserve,
whereas socio-economic factors were the underlying driver of forest
cover changes; such factors consisting of a combination of sociocultural,
infrastructural, technological, institutional (policy and governance), demographic (population pressure) and economic
(market demand) considerations. These findings indicated that local
factors/problems were the critical causes of deforestation and
degradation in GSKBB BR. This research therefore concluded that
reductions in deforestation and forest degradation in GSKBB BR
could be achieved through ‘local actor’-tailored approaches such as
community empowerment.
Abstract: In order to help the expert to validate association rules
extracted from data, some quality measures are proposed in the
literature. We distinguish two categories: objective and subjective
measures. The first one depends on a fixed threshold and on data
quality from which the rules are extracted. The second one consists
on providing to the expert some tools in the objective to explore and
visualize rules during the evaluation step. However, the number of
extracted rules to validate remains high. Thus, the manually mining
rules task is very hard. To solve this problem, we propose, in this
paper, a semi-automatic method to assist the expert during the
association rule's validation. Our method uses rule-based
classification as follow: (i) We transform association rules into
classification rules (classifiers), (ii) We use the generated classifiers
for data classification. (iii) We visualize association rules with their
quality classification to give an idea to the expert and to assist him
during validation process.
Abstract: A lower consumption of thermal energy will
contribute not only to a reduction in the running costs, but also in the
reduction of pollutant emissions that contribute to the greenhouse
effect. Cogeneration or CHP (Combined Heat and Power) is the
system that produces power and usable heat simultaneously by
decreasing the pollutant emissions and increasing the efficiency.
Combined production of mechanical or electrical and thermal energy
using a simple energy source, such as oil, coal, natural or liquefied
gas, biomass or the sun; affords remarkable energy savings and
frequently makes it possible to operate with greater efficiency when
compared to a system producing heat and power separately. This
study aims to bring out the contributions of cogeneration systems to
the environment and sustainability by saving the energy and reducing
the emissions. In this way we made a comprehensive investigation in
the literature by focusing on the environmental aspects of the
cogeneration systems. In the light of these studies we reached that,
cogeneration systems must be consider in sustainability and their
benefits on protecting the ecology must be investigated.
Abstract: The aim of the present study is to investigate
consumers' determinants of intention toward the adoption of Smart
Grid solutions and technologies. Ajzen's Theory of Planned
Behaviour (TPB) model is applied and tested to explain the formation
of such adoption intention. An exogenous variable, taking into
account the resistance to change of individuals, was added to the
basic model. The elicitation study allowed obtaining salient modal
beliefs, which were used, with the support of literature, to design the
questionnaire. After the screening phase, data collected from the
main survey were analysed for evaluating measurement model's
reliability and validity. Consistent with the theory, the results of
structural equation analysis revealed that attitude, subjective norm,
and perceived behavioural control positively, which affected the
adoption intention. Specifically, the variable with the highest estimate
loading factor was found to be the perceived behavioural control,
and, the most important belief related to each construct was
determined (e.g., energy saving was observed to be the most
significant belief linked with attitude). Further investigation indicated
that the added exogenous variable has a negative influence on
intention; this finding confirmed partially the hypothesis, since this
influence was indirect: such relationship was mediated by attitude.
Implications and suggestions for future research are discussed.
Abstract: In this paper, we provided a literature survey on the
artificial stock problem (ASM). The paper began by exploring the
complexity of the stock market and the needs for ASM. ASM
aims to investigate the link between individual behaviors (micro
level) and financial market dynamics (macro level). The variety of
patterns at the macro level is a function of the AFM complexity. The
financial market system is a complex system where the relationship
between the micro and macro level cannot be captured analytically.
Computational approaches, such as simulation, are expected to
comprehend this connection. Agent-based simulation is a simulation
technique commonly used to build AFMs. The paper proceeds by
discussing the components of the ASM. We consider the roles
of behavioral finance (BF) alongside the traditionally risk-averse
assumption in the construction of agent’s attributes. Also, the
influence of social networks in the developing of agents interactions is
addressed. Network topologies such as a small world, distance-based,
and scale-free networks may be utilized to outline economic
collaborations. In addition, the primary methods for developing
agents learning and adaptive abilities have been summarized.
These incorporated approach such as Genetic Algorithm, Genetic
Programming, Artificial neural network and Reinforcement Learning.
In addition, the most common statistical properties (the stylized facts)
of stock that are used for calibration and validation of ASM are
discussed. Besides, we have reviewed the major related previous
studies and categorize the utilized approaches as a part of these
studies. Finally, research directions and potential research questions
are argued. The research directions of ASM may focus on the macro
level by analyzing the market dynamic or on the micro level by
investigating the wealth distributions of the agents.
Abstract: Voting algorithms are extensively used to make
decisions in fault tolerant systems where each redundant module
gives inconsistent outputs. Popular voting algorithms include
majority voting, weighted voting, and inexact majority voters. Each
of these techniques suffers from scenarios where agreements do not
exist for the given voter inputs. This has been successfully overcome
in literature using fuzzy theory. Our previous work concentrated on a
neuro-fuzzy algorithm where training using the neuro system
substantially improved the prediction result of the voting system.
Weight training of Neural Network is sub-optimal. This study
proposes to optimize the weights of the Neural Network using
Artificial Bee Colony algorithm. Experimental results show the
proposed system improves the decision making of the voting
algorithms.
Abstract: In developing countries, one of the most important
restrictions about the economic growth is the lack of national savings
which are supposed to finance the investments. In order to overcome
this restriction and achieve the higher rate of economic growth by
increasing the level of output, countries choose the external
borrowing. However, there is a dispute in the literature over the
correlation between external debt and economic growth. The aim of
this study is to examine the effects of external debt on Turkish
economic growth by using VAR analysis with the quarterly data over
the period of 2002:01-2014:04. In this respect, Johansen
Cointegration Test, Impulse- Response Function and Variance
Decomposition Tests will be used for analyses. Empirical findings
show that there is no cointegration in the long run.
Abstract: Nowadays, technological progress is one of the most
important components of economic growth and the efficiency of
R&D activities is particularly essential for countries. This study is an
attempt to analyze the R&D efficiencies of EU countries. The
indicators related to R&D efficiencies should be determined in
advance in order to use DEA. For this reason a list of input and
output indicators are derived from the literature review. Considering
the data availability, a final list is given for the numerical analysis for
future research.