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: Linear stability analysis of double diffusive convection
in a horizontal porous layer saturated with fluid is examined by
considering the effects of viscous dissipation, concentration based
internal heat source and vertical throughflow. The basic steady
state solution for Governing equations is derived. Linear stability
analysis has been implemented numerically by using shooting
and Runge-kutta methods. Critical thermal Rayleigh number Rac
is obtained for various values of solutal Rayleigh number Sa,
vertical Peclet number Pe, Gebhart number Ge, Lewis number
Le and measure of concentration based internal heat source
γ. It is observed that Ge has destabilizing effect for upward
throughflow and stabilizing effect for downward throughflow. And
γ has considerable destabilizing effect for upward throughflow and
insignificant destabilizing effect for downward throughflow.
Abstract: This research was planned in order to study the effect
of drought stress and different levels of Superabsorbent and their
effect on grain yield, biologic yield and harvest index. In this study, 3
different depths of irrigation were considered as the main treatment
I1, I2, I3 as 100, 75 and 50 percent of water requirement of plants
respectively and different levels of Superabsorbent were used as
secondary treatment (S0, S1, S2 and S3, equal to 0 (control), 15, 30
and 45 gr/m2 respectively). According to the results, independent
effects of irrigation and Superabsorbent treatments at 1% level on
biologic and grain yield of corn were significant. In addition,
independent effect of irrigation treatments at 5% level on harvest
index was significant. But independent effect of Superabsorbent
treatments on harvest index was not significant.
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: 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: 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: Electrostatic interaction energy (ΔEEDL) is a part of the Extended Derjaguin-Landau-Verwey-Overbeek (XDLVO) theory, which, together with van der Waals (ΔEVDW) and acid base (ΔEAB) interaction energies, has been extensively used to investigate the initial adhesion of bacteria to surfaces. Electrostatic or electrical double layer interaction energy is considerably affected by surface potential; however it cannot be determined experimentally and is usually replaced by zeta (ζ) potential via electrophoretic mobility. This paper focusses on the effect of ionic concentration as a function of pH and the effect of mineral grain size on ζ potential. It was found that both ionic strength and mineral grain size play a major role in determining the value of ζ potential for the adhesion of P. putida to hematite and quartz surfaces. Higher ζ potential values lead to higher electrostatic interaction energies and eventually to higher total XDLVO interaction energy resulting in bacterial repulsion.
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: The research aims to study the association between
job satisfaction, motivation and the five factors of organizational
citizenship behavior (i.e. Altruism, Conscientiousness,
Sportsmanship, Courtesy and Civic virtue) among Public Sector
Employees in Pakistan. In this research Structure Equation Modeling
with confirmatory factor analysis was used to test the relationship
between two independent and five dependent variables. Data was
collected through questionnaire survey from 152 Public Servants
Working in Gujrat District-Pakistan in different capacities. Stratified
Random Sampling Technique was used to conduct this survey. The
results of the study indicate that five factors of OCB have positive
significant relation with both motivation and job satisfaction except
the relationship of Civic Virtue with Motivation. The research
findings implicate that factors other than motivation and job
satisfaction may also affect OCB. Likewise, all the five factors of
OCB may not be present in all populations. Thus, Managers must
concentrate on increasing motivation and job satisfaction to increase
OCB. Furthermore, the present research gives a direction to future
researchers to use more independent variables (e.g. Culture,
leadership, workplace environment, various job attitudes, types of
motivation, etc.) on different types of populations with larger sample
size in order to find the reasons behind insignificant relationship of
civic virtue with Motivation in the research in hand and to generalize
the tested model.
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.
Abstract: This paper describes the collection and analysis of
data obtained from face-to-face interviews conducted in selected
Libyan industrial companies. The objectives of the interviews are to
enhance understanding, and generate explanations of current issues in
culture and quality management systems in Libyan companies. The
method used in analyzing the questions, as well as the main finding
of each question are explained. The interviews probed areas identify
national and organizational culture, quality management systems,
current methods, effects, barriers and other factors affecting the
success of quality management implementation. Eleven questions are
prepared and been discussed with the interviewees.
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.