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: 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: 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: The goal of the modern education system is to prepare
students to be able to adapt to ever-changing life situations. They
must be able to acquire required knowledge independently; apply
such knowledge in practice to solve various problems by using
modern technologies; think critically and creatively; competently use
information; be communicative, work in a team; and develop their
own moral values, intellect and cultural awareness. As a result, the
status of education significantly increases; new requirements to its
quality have been formed. In recent years the competency-based
approach in education has become of significant interest. This
approach is a strengthening of applied and practical characteristics of
a school education and leads to the forming of the key students’
competencies which define their success in future life. In this article,
the authors’ attention focuses on a range of key competencies,
educational, informational and communicative and on the possibility
to develop such competencies via STEM education. This research
shows the change in students’ attitude towards scientific disciplines
such as mathematics, general science, technology and engineering as
a result of STEM education. Two staged analyzed questionnaires
completed by students of forms II to IV in the republic of Trinidad
and Tobago allowed the authors to categorize students between two
levels that represent students’ attitude to various disciplines. The
significance of differences between selected levels was confirmed
with the use of Pearson’s chi-squared test. In summary, the analysis
of obtained data makes it possible to conclude that STEM education
has a great potential for development of core students’ competencies
and encourage the development of positive student attitude towards
the above mentioned above scientific disciplines.
Abstract: Financial innovations can be regarded as the cause
and the effect of the evolution of the financial system. Most of
financial innovations are created by various financial institutions for
their own purposes and needs. However, due to their diversity,
financial innovations can be also applied by various business entities
(other than financial institutions).
This paper focuses on the potential application of financial
innovations by non-financial companies. It is assumed that financial
innovations may be effectively applied in all fields of corporate
financial decisions integrating financial management with the risk
management process. Appropriate application of financial
innovations may enhance the development of the company and
increase its value by improving its financial situation and reducing
the level of risk. On the other hand, misused financial innovations
may become the source of extra risk for the company threatening its
further operation.
The main objective of the paper is to identify the major types of
financial innovations offered to non-financial companies by the
banking system in Poland. It also aims at identifying the main factors
determining the creation of financial innovations in the banking
system in Poland and indicating future directions of their
development.
This paper consists of conceptual and empirical part. Conceptual
part based on theoretical study is focused on the determinants of the
process of financial innovations and their application by the nonfinancial
companies. Theoretical study is followed by the empirical
research based on the analysis of the actual offer of the 20 biggest
banks operating in Poland with regard to financial innovations
offered to SMEs and large corporations. These innovations are
classified according to the main functions of the integrated financial
management, such as financing, investment, working capital
management and risk management.
Empirical study has proved that the biggest banks operating in the
Polish market offer to their business customers many types and
classes of financial innovations. This offer appears vast and adequate
to the needs and purposes of the Polish non-financial companies. It
was observed that financial innovations pertained to financing
decisions dominate in the banks’ offer. However, due to high
diversification of the offered financial innovations, business
customers may effectively apply them in all fields and areas of
integrated financial management. It should be underlined, that the
banks’ offer is highly dispersed, which may limit the implementation
of financial innovations in the corporate finance. It would be also
recommended for the banks operating in the Polish market to
intensify the education campaign aiming at increasing knowledge
about financial innovations among business customers.
Abstract: This research paper presents the current practices of
teacher professional development, perceived as beneficial by teachers
themselves, in a private secondary school in Brunei Darussalam. This
is part of the findings of a larger qualitative study on teacher
empowerment, using ethnographic methods for data collection, i.e.
participant observation, interviews and document analysis. The field
work was carried out over a period of six months in 2013. An
analysis of the field data revealed multiple pathways of teacher
professional development existing in the school. The results indicate
that school leaders, the teacher community in the school, students,
and the teachers themselves were the agents in a school that
facilitated teacher empowerment. Besides contributing to the
knowledge base on teacher professional development, the results of
this study provide directions for educational policy makers in their
efforts to enhance professional development in secondary schools of
similar characteristics. For school leaders and the teacher community,
these findings offer guidelines for maximizing the opportunities for
these professional development practices, by strengthening
collegiality and by using the existing structures optimally for the
benefit of all concerned.
Abstract: This paper applied factor conditions from Porter’s
Diamond Model (1990) to understand the various challenges facing
the AMISA. Factor conditions highlighted in Porter’s model are
grouped into two groups namely, basic and advance factors. Two
AMISA associations representing over 10 000 employees were
interviewed. The largest Clothing, Textiles and Leather (CTL)
apparel retail group was also interviewed with a government
department implementing the industrialization policy were
interviewed. The paper points out that AMISA have basic factor conditions
necessary for competitive advantage in the apparel industries.
However advance factor creation has proven to be a challenge for
AMISA, Higher Education Institutions (HEIs) and government. Poor
infrastructural maintenance has contributed to high manufacturing
costs and poor quick response technologies. The use of Porter’s
Factor Conditions as a tool to analyze the sector’s competitive
advantage challenges and opportunities has increased knowledge
regarding factors that limit the AMISA’s competitiveness. It is
therefore argued that other studies on Porter’s Diamond model
factors like Demand conditions, Firm strategy, structure and rivalry
and Related and supporting industries can be used to analyze the
situation of the AMISA for the purposes of improving competitive
advantage.
Abstract: This paper presents results of the survey regarding the
awareness about HIV/AIDS among HIV-infected individuals. A
questionnaire covering various aspects of HIV-infection was
conducted among 110 HIV-infected individuals who attended the
G.A. Zaharyan Moscow Tuberculosis Clinic, Department for
treatment of TB patients with HIV. The questionnaire included
questions about modes of HIV transmission and preventive measures
against HIV/AIDS, as well as questions about age, gender, education
and employment status. The survey revealed that the respondents in
the whole had a good knowledge regarding modes of HIV
transmission and preventive measures against HIV/AIDS: about
83,6% male respondents and 85,7% female respondents gave an
accurate answers regarding the HIV-infection. However, the
overwhelming majority of the study participants, that is, 88,5% men
and 98% women, was quite ignorant about the risk of acquiring HIV
through saliva and toothbrush of HIV-infected individual. Though
that risk is rather insignificant, it is still biologically possible. And
this gap in knowledge needs to be filled. As the study showed another
point of concern was the fact, that despite the knowledge of HIV
transmission risk through unprotected sex about 40% percent of HIVpositive
men and 25% of HIV-positive women did not insist on using
condoms with their sexual partners. These findings indicate that there
are still some aspects about HIV-infection which needed to be
clarified and explained through more detailed and specific
educational programs.
Abstract: ANDASA is a knowledge management platform for
the capitalization of knowledge and cultural assets for the artistic and
cultural sectors. It was built based on the priorities expressed by the
participating artists. Through mapping artistic activities and
specificities, it enables to highlight various aspects of the artistic
research and production. Such instrument will contribute to create
networks and partnerships, as it enables to evidentiate who does
what, in what field, using which methodology. The platform is
accessible to network participants and to the general public.
Abstract: This paper presents an approach of on-line control of
the state of technosphere and environment objects based on the
integration of Data Warehouse, OLAP and Expert systems
technologies. It looks at the structure and content of data warehouse
that provides consolidation and storage of monitoring data. There is a
description of OLAP-models that provide a multidimensional
analysis of monitoring data and dynamic analysis of principal
parameters of controlled objects. The authors suggest some criteria of
emergency risk assessment using expert knowledge about danger
levels. It is demonstrated now some of the proposed solutions could
be adopted in territorial decision making support systems.
Operational control allows authorities to detect threat, prevent natural
and anthropogenic emergencies and ensure a comprehensive safety of
territory.
Abstract: Significant attention has recently been paid to the
cross-cultural negotiations due to the growth of international
businesses. Despite the substantial body of literature examining the
influence of National Culture (NC) dimensions on negotiations, there
is a lack of studies comparing the influence of NC in Latin America
with a Western European countries, In particular, an extensive review
of the literature revealed that a contribution to knowledge would be
derived from the comparison of the influence of NC dimensions on
negotiations in UK and Venezuela. The primary data was collected
through qualitative interviews, to obtain an insight about the
perceptions and beliefs of Venezuelan and British business managers
about their negotiating styles. The findings of this study indicated
that NC has a great influence on the negotiating styles. In particular,
Venezuelan and British managers demonstrated to have opposed
negotiating styles, affecting the way they communicate, approach
people and their willingness to take risks.
Abstract: Optic disk segmentation plays a key role in the mass
screening of individuals with diabetic retinopathy and glaucoma
ailments. An efficient hardware-based algorithm for optic disk
localization and segmentation would aid for developing an automated
retinal image analysis system for real time applications. Herein,
TMS320C6416DSK DSP board pixel intensity based fractal analysis
algorithm for an automatic localization and segmentation of the optic
disk is reported. The experiment has been performed on color and
fluorescent angiography retinal fundus images. Initially, the images
were pre-processed to reduce the noise and enhance the quality. The
retinal vascular tree of the image was then extracted using canny
edge detection technique. Finally, a pixel intensity based fractal
analysis is performed to segment the optic disk by tracing the origin
of the vascular tree. The proposed method is examined on three
publicly available data sets of the retinal image and also with the data
set obtained from an eye clinic. The average accuracy achieved is
96.2%. To the best of the knowledge, this is the first work reporting
the use of TMS320C6416DSK DSP board and pixel intensity based
fractal analysis algorithm for an automatic localization and
segmentation of the optic disk. This will pave the way for developing
devices for detection of retinal diseases in the future.
Abstract: The growth of organic farming practices in the last
few decades is continuing to stimulate the international debate about
this alternative food market. As a part of a PhD project research
about embeddedness in Alternative Food Networks (AFNs), this
paper focuses on the promotional aspects of organic farms websites
from the Madrid region. As a theoretical tool, some knowledge
categories drawn on the geographic studies literature are used to
classify the many ideas expressed in the web pages. By analysing
texts and pictures of 30 websites, the study aims to question how and
to what extent actors from organic world communicate to the
potential customers their personal beliefs about farming practices,
products qualities, and ecological and social benefits. Moreover, the
paper raises the question of whether organic farming laws and
regulations lack of completeness about the social and cultural aspects
of food.
Abstract: A knowledge base stores facts and rules about the
world that applications can use for the purpose of reasoning. By
applying the concept of granular computing to a knowledge base,
several advantages emerge. These can be harnessed by applications
to improve their capabilities and performance. In this paper, the
concept behind such a construct, called a granular knowledge cube,
is defined, and its intended use as an instrument that manages to
cope with different data types and detect knowledge domains is
elaborated. Furthermore, the underlying architecture, consisting of the
three layers of the storing, representing, and structuring of knowledge,
is described. Finally, benefits as well as challenges of deploying it
are listed alongside application types that could profit from having
such an enhanced knowledge base.
Abstract: Since 1920, the industry has almost completely
changed the rivets production techniques for the manufacture of
permanent welding join production of structures and manufacture of
other products. The welding arc is the process more widely used in
industries. This is accomplished by the heat of an electric arc which
melts the base metal while the molten metal droplets are transferred
through the arc to the welding pool, protected from the atmosphere
by a gas curtain. The GMAW (Gas metal arc welding) process is
influenced by variables such as: current, polarity, welding speed,
electrode: extension, position, moving direction; type of joint,
welder's ability, among others. It is remarkable that the knowledge
and control of these variables are essential for obtaining satisfactory
quality welds, knowing that are interconnected so that changes in one
of them requiring changes in one or more of the other to produce the
desired results. The optimum values are affected by the type of base
metal, the electrode composition, the welding position and the quality
requirements. Thus, this paper proposes a new methodology, adding
the variable vibration through a mechanism developed for GMAW
welding, in order to improve the mechanical and metallurgical
properties which does not affect the ability of the welder and enables
repeatability of the welds made. For confirmation metallographic
analysis and mechanical tests were made.
Abstract: The literature on language teaching and second
language acquisition has been largely driven by monolingual
ideology with a common assumption that a second language (L2) is
best taught and learned in the L2 only. The current study challenges
this assumption by reporting learners' positive perceptions of tertiary
level teachers' code switching practices in Vietnam. The findings of
this study contribute to our understanding of code switching practices
in language classrooms from a learners' perspective.
Data were collected from student participants who were working
towards a Bachelor degree in English within the English for Business
Communication stream through the use of focus group interviews.
The literature has documented that this method of interviewing has a
number of distinct advantages over individual student interviews. For
instance, group interactions generated by focus groups create a more
natural environment than that of an individual interview because they
include a range of communicative processes in which each individual
may influence or be influenced by others - as they are in their real
life. The process of interaction provides the opportunity to obtain the
meanings and answers to a problem that are "socially constructed
rather than individually created" leading to the capture of real-life
data. The distinct feature of group interaction offered by this
technique makes it a powerful means of obtaining deeper and richer
data than those from individual interviews. The data generated
through this study were analysed using a constant comparative
approach. Overall, the students expressed positive views of this
practice indicating that it is a useful teaching strategy. Teacher code
switching was seen as a learning resource and a source supporting
language output. This practice was perceived to promote student
comprehension and to aid the learning of content and target language
knowledge. This practice was also believed to scaffold the students'
language production in different contexts. However, the students
indicated their preference for teacher code switching to be
constrained, as extensive use was believed to negatively impact on
their L2 learning and trigger cognitive reliance on the L1 for L2
learning. The students also perceived that when the L1 was used to a
great extent, their ability to develop as autonomous learners was
negatively impacted.
This study found that teacher code switching was supported in
certain contexts by learners, thus suggesting that there is a need for
the widespread assumption about the monolingual teaching approach
to be re-considered.
Abstract: Native American communities are struggling with unemployment and depressed economies. A major cause is a lack of business knowledge, education, and cultural desire. And yet, in the history of the American West, Native Americans were considered the best traders and negotiators for everything from furs to weapons to buffalo. To improve these economies, there has been an effort to reintroduce that heritage to todays and tomorrows generation of tribal members, such Crow, Cheyenne, and Blackfeet. Professors at the College of Business Montana State University-Billings (MSUB) teach tribal students in Montana to create business plans. These plans have won national small business plan competitions. The teaching and advising method used at MSUB is uniquely successful as theses business students are now five time national champions. This article reviews the environment and the method of learning to achieve a winning small business plan with Native American students. It discusses the five plans that became national champions. And it discusses the problems and solutions discovered in the process of achieving results. Students who participated in this endeavor have graduated and become CPAs, MBAs, and gainfully employed in their chosen professions. They have also worked to improve the economies of their native lands and homes. By educating members of these communities with business strategy and plan development, they are better able to impact their own economies.
Abstract: Evapotranspiration is one of the most important
components of the hydrological cycle. Evapotranspiration (ETo) is an
important variable in water and energy balances on the earth’s
surface, and knowledge of the distribution of ET is a key factor in
hydrology, climatology, agronomy and ecology studies. Many
researchers have a valid relationship, which is a function of climate
factors, to estimate the potential evapotranspiration presented to the
plant water stress or water loss, prevent. The FAO-Penman method
(PM) had been recommended as a standard method. This method
requires many data and these data are not available in every area of
world. So, other methods should be evaluated for these conditions.
When sufficient or reliable data to solve the PM equation are not
available then Hargreaves equation can be used. The Hargreaves
equation (HG) requires only daily mean, maximum and minimum air
temperature extraterrestrial radiation .In this study, Hargreaves
method (HG) were evaluated in 12 stations in the North West region
of Iran. Results of HG and M.HG methods were compared with
results of PM method. Statistical analysis of this comparison showed
that calibration process has had significant effect on efficiency of
Hargreaves method.
Abstract: Rice bran is normally used as a raw material for rice
bran oil production or sold as feed with a low price. Conventionally,
the protein in defatted rice bran was extracted using alkaline
extraction and acid precipitation, which involves in chemical usage
and lowering some nutritious component. This study was conducted
in order to extract of rice bran protein concentrate (RBPC) from
defatted rice bran using enzymes and employing polysaccharides in a
precipitating step. The properties of RBPC obtained will be compared
to those of a control sample extracted using a conventional method.
The results showed that extraction of protein from rice bran using
enzymes exhibited the higher protein recovery compared to that
extraction with alkaline. The extraction conditions using alcalase 2%
(v/w) at 50 C, pH 9.5 gave the highest protein (2.44%) and yield
(32.09%) in extracted solution compared to other enzymes. Rice bran
protein concentrate powder prepared by a precipitation step using
alginate (protein in solution: alginate 1:0.016) exhibited the highest
protein (27.55%) and yield (6.84%). Precipitation using alginate was
better than that of acid. RBPC extracted with alkaline (ALK) or
enzyme alcalase (ALC), then precipitated with alginate (AL)
(samples RBP-ALK-AL and RBP-ALC-AL) yielded the precipitation
rate of 75% and 91.30%, respectively. Therefore, protein
precipitation using alginate was then selected. Amino acid profile of
control sample, and sample precipitated with alginate, as compared to
casein and soy protein isolated, showed that control sample showed
the highest content among all sample. Functional property study of
RBP showed that the highest nitrogen solubility occurred in pH 8-10.
There was no statically significant between emulsion capacity and
emulsion stability of control and sample precipitated by alginate.
However, control sample showed a higher of foaming capacity and
foaming stability compared to those of sample precipitated with
alginate. The finding was successful in terms of minimizing
chemicals used in extraction and precipitation steps in preparation of
rice bran protein concentrate. This research involves in a production
of value-added product in which the double amount of protein (28%)
compared to original amount (14%) contained in rice bran could be
beneficial in terms of adding to food products e.g. healthy drink with
high protein and fiber. In addition, the basic knowledge of functional
property of rice bran protein concentrate was obtained, which can be
used to appropriately select the application of this value-added
product from rice bran.
Abstract: This paper describes the main features of a knowledge-based system evaluation method. System evaluation is placed in the context of a hybrid legal decision-support system, Advisory Support for Home Settlement in Divorce (ASHSD). Legal knowledge for ASHSD is represented in two forms, as rules and previously decided cases. Besides distinguishing the two different forms of knowledge representation, the paper outlines the actual use of these forms in a computational framework that is designed to generate a plausible solution for a given case, by using rule-based reasoning (RBR) and case-based reasoning (CBR) in an integrated environment. The nature of suitability assessment of a solution has been considered as a multiple criteria decision-making process in ASHAD evaluation. The evaluation was performed by a combination of discussions and questionnaires with different user groups. The answers to questionnaires used in this evaluations method have been measured as a fuzzy linguistic term. The finding suggests that fuzzy linguistic evaluation is practical and meaningful in knowledge-based system development purpose.