Abstract: During the post-Civil War era, the city of Nashville,
Tennessee, had the highest mortality rate in the United States. The
elevated death and disease rates among former slaves were
attributable to lack of quality healthcare. To address the paucity of
healthcare services, Meharry Medical College, an institution with the
mission of educating minority professionals and serving the
underserved population, was established in 1876.
Purpose: The social ecological framework and partial least squares
(PLS) path modeling were used to quantify the impact of
socioeconomic status and adverse health outcome on primary care
professionals serving the disadvantaged community. Thus, the study
results could demonstrate the accomplishment of the College’s
mission of training primary care professionals to serve in underserved
areas.
Methods: Various statistical methods were used to analyze alumni
data from 1975 – 2013. K-means cluster analysis was utilized to
identify individual medical and dental graduates in the cluster groups
of the practice communities (Disadvantaged or Non-disadvantaged
Communities). Discriminant analysis was implemented to verify the
classification accuracy of cluster analysis. The independent t-test was
performed to detect the significant mean differences of respective
clustering and criterion variables. Chi-square test was used to test if
the proportions of primary care and non-primary care specialists are
consistent with those of medical and dental graduates practicing in
the designated community clusters. Finally, the PLS path model was
constructed to explore the construct validity of analytic model by
providing the magnitude effects of socioeconomic status and adverse
health outcome on primary care professionals serving the
disadvantaged community.
Results: Approximately 83% (3,192/3,864) of Meharry Medical
College’s medical and dental graduates from 1975 to 2013 were
practicing in disadvantaged communities. Independent t-test confirmed the content validity of the cluster analysis model. Also, the
PLS path modeling demonstrated that alumni served as primary care
professionals in communities with significantly lower socioeconomic
status and higher adverse health outcome (p < .001). The PLS path
modeling exhibited the meaningful interrelation between primary
care professionals practicing communities and surrounding
environments (socioeconomic statues and adverse health outcome),
which yielded model reliability, validity, and applicability.
Conclusion: This study applied social ecological theory and
analytic modeling approaches to assess the attainment of Meharry
Medical College’s mission of training primary care professionals to
serve in underserved areas, particularly in communities with low
socioeconomic status and high rates of adverse health outcomes. In
summary, the majority of medical and dental graduates from Meharry
Medical College provided primary care services to disadvantaged
communities with low socioeconomic status and high adverse health
outcome, which demonstrated that Meharry Medical College has
fulfilled its mission. The high reliability, validity, and applicability of
this model imply that it could be replicated for comparable
universities and colleges elsewhere.
Abstract: Image segmentation plays an important role in
medical imaging applications. Therefore, accurate methods are
needed for the successful segmentation of medical images for
diagnosis and detection of various diseases. In this paper, we have
used maximum entropy to achieve image segmentation. Maximum
entropy has been calculated using Shannon, Renyi and Tsallis
entropies. This work has novelty based on the detection of skin lesion
caused by the bite of a parasite called Sand Fly causing the disease is
called Cutaneous Leishmaniasis.
Abstract: This study aimed to examine the management and
development of forest tourism Kamchanoad. Ban Dung, Udon Thani
sustainability. Data were collected by means of qualitative research
including in-depth interviews, semi- structured, and then the data
were summarized and discussed in accordance with the objectives.
And make a presentation in the form of lectures. The target
population for the study consisted of 16 people, including
representatives from government agencies, community leaders and
the community. The results showed that Guidelines for the
Management and Development of Forest Tourism Kamchanoad
include management of buildings and infrastructure such as roads,
water, electricity, toilets. Other developments are the establishment
of a service center that provides information and resources to
facilitate tourists.; nature trails and informative signage to educate
visitors on the path to the jungle Kamchanoad; forest activities for
tourists who are interested only in occasional educational activities
such as vegetation, etc.; disseminating information on various aspects
of tourism through various channels in both Thailand and English, as
well as a web site to encourage community involvement in the
planning and management of tourism together with the care and
preservation of natural resources and preserving the local cultural
tourist area of Kamchanoad.
Abstract: In the paper, information on economic development
trends in developed countries are analyzed. The current status of
information society and economy of the country is reviewed and
some recommendations are given for future development.
The problems of Information Society and establishment of its
innovative economy are studied. In this turn, development trends
information economy in developed countries are analyzed.
Abstract: This study aims to analyze ceramic employees’
occupational health and safety training expectations. To that general
objective, the study tries to examine whether occupational health and
safety training expectations of ceramic employees meaningfully
differentiate depending on demographic features and professional,
social and economic conditions. For this purpose, a questionnaire was
developed by the researcher. The research data were collected
through this questionnaire called “Questionnaire of Occupational
Health and Safety Training Expectation” (QSOHSTE). QSOHSTE
was applied to 125 ceramic employees working in Kütahya, Turkey.
Data obtained from questionnaire were analyzed via SPSS 21.
The findings, obtained from the study, revealed that employees’
agreement level to occupational health and safety training expectation
statements is generally high-level. The findings reveal that employees
expect professional interest such as increased development and
investment, preventive measures for accidents, interventions to
evaluate the working conditions, establishment of safe working
environments and sustainment of adequate equipment for
occupational health and safety training process.
Besides these findings, employees’ agreement level to
occupational health and safety training expectation statements also
varies in terms of educational level, professional seniority, income
level and perception of economic condition.
Abstract: The aim of this study was to build ‘Ubi-Net’, a
decision-making support system for systematic establishment in
U-City planning. We have experienced various urban problems caused
by high-density development and population concentrations in
established urban areas. To address these problems, a U-Service
contributes to the alleviation of urban problems by providing real-time
information to citizens through network connections and related
information. However, technology, devices, and information for
consumers are required for systematic U-Service planning in towns
and cities where there are many difficulties in this regard, and a lack of
reference systems.
Thus, this study suggests methods to support the establishment of
sustainable planning by providing comprehensive information
including IT technology, devices, news, and social networking
services (SNS) to U-City planners through intelligent searches. In this
study, we targeted Smart U-Parking Planning to solve parking
problems in an ‘old’ city. Through this study, we sought to contribute
to supporting advances in U-Space and the alleviation of urban
problems.
Abstract: Interaction between human, location and activity
defines space. In the framework of these relations, space is a
container for current specifications in relations of the 3 mentioned
elements. The change of land utility considered with average
performance range, urban regulations, society requirements etc. will
provide welfare and comfort for citizens. From an engineering view it
is fundamental that choosing a proper location for a specific civil
activity requires evaluation of locations from different perspectives.
The debate of desirable establishment of municipal service elements
in urban regions is one of the most important issues related to urban
planning. In this paper, the research type is applicable based on goal,
and is descriptive and analytical based on nature. Initially existing
terminals in Esfahan are surveyed and then new locations are
presented based on evaluated criteria. In order to evaluate terminals
based on the considered factors, an AHP model is used at first to
estimate weight of different factors and then existing and suggested
locations are evaluated using Arc GIS software and AHP model
results. The results show that existing bus terminals are located in
fairly proper locations. Further results of this study suggest new
locations to establish terminals based on urban criteria.
Abstract: The tombolo of Giens is located in the town of Hyères
(France). We recall the history of coastal erosion, and prominent
factors affecting the evolution of the western tombolo. We then
discuss the possibility of stabilizing the western tombolo. Our
argumentation relies on a coupled model integrating swells, currents,
water levels and sediment transport. We present the conclusions of
the simulations of various scenarios, including pre-existing
propositions from coastal engineering offices. We conclude that
beach replenishment seems to be necessary but not sufficient for the
stabilization of the beach. Breakwaters reveal effective particularly in
the most exposed northern area. Some solutions fulfill conditions so
as to be elected as satisfactory. We give a comparative analysis of the
efficiency of 14 alternatives for the protection of the tombolo.
Abstract: Member States shall establish zones and
agglomerations throughout their territory to assess and manage air
quality in order to comply with European directives.
In Italy decree 155/2010, transposing Directive 2008/50/EC on
ambient air quality and cleaner air for Europe, merged into a single
act the previous provisions on ambient air quality assessment and
management, including those resulting from the implementation of
Directive 2004/107/EC relating to arsenic, cadmium, nickel, mercury
and polycyclic aromatic hydrocarbons in ambient air.
Decree 155/2010 introduced stricter rules for identifying zones on
the basis of the characteristics of the territory in spite of considering
pollution levels, as it was in the past. The implementation of such
new criteria has reduced the great variability of the previous zoning,
leading to a significant reduction of the total number of zones and to
a complete and uniform ambient air quality assessment and
management throughout the Country.
The present document is related to the new zones definition in
Italy according to Decree 155/2010. In particular the paper contains
the description and the analysis of the outcome of zoning and
classification.
Abstract: In-memory database systems are becoming popular
due to the availability and affordability of sufficiently large RAM and
processors in modern high-end servers with the capacity to manage
large in-memory database transactions. While fast and reliable inmemory
systems are still being developed to overcome cache misses,
CPU/IO bottlenecks and distributed transaction costs, disk-based data
stores still serve as the primary persistence. In addition, with the
recent growth in multi-tenancy cloud applications and associated
security concerns, many organisations consider the trade-offs and
continue to require fast and reliable transaction processing of diskbased
database systems as an available choice. For these
organizations, the only way of increasing throughput is by improving
the performance of disk-based concurrency control. This warrants a
hybrid database system with the ability to selectively apply an
enhanced disk-based data management within the context of inmemory
systems that would help improve overall throughput.
The general view is that in-memory systems substantially
outperform disk-based systems. We question this assumption and
examine how a modified variation of access invariance that we call
enhanced memory access, (EMA) can be used to allow very high
levels of concurrency in the pre-fetching of data in disk-based
systems. We demonstrate how this prefetching in disk-based systems
can yield close to in-memory performance, which paves the way for
improved hybrid database systems. This paper proposes a novel EMA
technique and presents a comparative study between disk-based EMA
systems and in-memory systems running on hardware configurations
of equivalent power in terms of the number of processors and their
speeds. The results of the experiments conducted clearly substantiate
that when used in conjunction with all concurrency control
mechanisms, EMA can increase the throughput of disk-based systems
to levels quite close to those achieved by in-memory system. The
promising results of this work show that enhanced disk-based
systems facilitate in improving hybrid data management within the
broader context of in-memory systems.
Abstract: Background: Taiwan now is an aging society. Research
on the elderly should not be confined to caring for seniors, but should
also be focused on ways to improve health and the quality of life.
Senior citizens who participate in volunteer services could become
less lonely, have new growth opportunities, and regain a sense of
accomplishment. Thus, the question of how to get the elderly to
participate in volunteer service is worth exploring. Objective: Apply
the Transtheoretical Model to understand stages of change in regular
volunteer service and voluntary service behaviour among the seniors.
Methods: 1525 adults over the age of 65 from the Renai district of
Keelung City were interviewed. The research tool was a
self-constructed questionnaire, and individual interviews were
conducted to collect data. Then the data was processed and analyzed
using the IBM SPSS Statistics 20 (Windows version) statistical
software program. Results: In the past six months, research subjects
averaged 9.92 days of volunteer services. A majority of these elderly
individuals had no intention to change their regular volunteer services.
We discovered that during the maintenance stage, the self-efficacy for
volunteer services was higher than during all other stages, but
self-perceived barriers were less during the preparation stage and
action stage. Self-perceived benefits were found to have an important
predictive power for those with regular volunteer service behaviors in
the previous stage, and self-efficacy was found to have an important
predictive power for those with regular volunteer service behaviors in
later stages. Conclusions/Implications for Practice: The research
results support the conclusion that community nursing staff should
group elders based on their regular volunteer services change stages
and design appropriate behavioral change strategies.
Abstract: Logistics distributors face the issue of having to
provide increasing service levels while being forced to reduce costs at
the same time. Same-day delivery, quick order processing and rapidly
growing ranges of articles are only some of the prevailing challenges.
One key aspect of the performance of an intra-logistics system is how
often and in which amplitude congestions and dysfunctions affect the
processing operations. By gaining knowledge of the so called
‘performance availability’ of such a system during the planning stage,
oversizing and wasting can be reduced whereas planning
transparency is increased. State of the art for the determination of this
KPI is simulation studies. However, their structure and therefore their
results may vary unforeseeably. This article proposes a concept for
the establishment of ‘certified’ and hence reliable and comparable
simulation models.
Abstract: The paper involves a chain of activities from
synthesis, establishment of the methodology for characterization and
testing of novel protective materials through the pilot production and
application on model supports.
It summarizes the results regarding the development of the pilot
production protocol for newly developed self-cleaning materials. The
optimization of the production parameters was completed in order to
improve the most important functional properties (mineralogy
characteristics, particle size, self-cleaning properties and
photocatalytic activity) of the newly designed nanocomposite
material.
Abstract: The paper presents a plastic analysis procedure based
on the energy balance concept for performance based seismic retrofit
of multi-story multi-bay masonry infilled reinforced concrete (R/C)
frames with a ‘soft’ ground story using passive energy dissipation
(PED) devices with the objective of achieving a target performance
level of the retrofitted R/C frame for a given seismic hazard level at
the building site. The proposed energy based plastic analysis
procedure was employed for developing performance based design
(PBD) formulations for PED devices for a simulated application in
seismic retrofit of existing frame structures designed in compliance
with the prevalent standard codes of practice. The PBD formulations
developed for PED devices were implemented for simulated seismic
retrofit of a representative code-compliant masonry infilled R/C
frame with a ‘soft’ ground story using friction dampers as the PED
device. Non-linear dynamic analyses of the retrofitted masonry
infilled R/C frames is performed to investigate the efficacy and
accuracy of the proposed energy based plastic analysis procedure in
achieving the target performance level under design level
earthquakes. Results of non-linear dynamic analyses demonstrate that
the maximum inter-story drifts in the masonry infilled R/C frames
with a ‘soft’ ground story that is retrofitted with the friction dampers
designed using the proposed PBD formulations are controlled within
the target drifts under near-field as well far-field earthquakes.
Abstract: Domestic goats (Capra hircus) are extremely diverse
species and principal animal genetic resource of the developing
world. These facilitate a persistent supply of meat, milk, fibre, and
skin and are considered as important revenue generators in small
pastoral environments. This study aimed to fingerprint β-LG gene at
PCR-RFLP level in native Saudi goat breeds (Ardi, Habsi and Harri)
in an attempt to have a preliminary image of β-LG genotypic patterns
in Saudi breeds as compared to other foreign breeds such as Indian
and Egyptian. Also, the Phylogenetic analysis was done to investigate
evolutionary trends and similarities among the caprine β-LG gene
with that of the other domestic specie, viz. cow, buffalo and sheep.
Blood samples were collected from 300 animals (100 for each breed)
and genomic DNA was extracted. A fragment of the β-LG gene
(427bp) was amplified using specific primers. Subsequent digestion
with Sac II restriction endonuclease revealed two alleles (A and B)
and three different banding patterns or genotypes i.e. AA, AB and
BB. The statistical analysis showed a general trend that β-LG AA
genotype had higher milk yield than β-LG AB and β-LG BB
genotypes. Nucleotide sequencing of the selected β-LG fragments
was done and submitted to GenBank NCBI (Accession No.
KJ544248, KJ588275, KJ588276, KJ783455, KJ783456 and
KJ874959). Phylogenetic analysis on the basis of nucleotide
sequences of native Saudi goats indicated evolutional similarity with
the GenBank reference sequences of goat, Bubalus bubalis and Bos
taurus. However, the origin of sheep which is the most closely
related from the evolutionary point of view, was located some
distance away.
Abstract: Kuosheng nuclear power plant (NPP) is a BWR/6 type
NPP and located on the northern coast of Taiwan. First, Kuosheng
NPP TRACE model were developed in this research. In order to assess
the system response of Kuosheng NPP TRACE model, startup tests
data were used to evaluate Kuosheng NPP TRACE model. Second, the
overpressurization transient analysis of Kuosheng NPP TRACE model
was performed. Besides, in order to confirm the mechanical property
and integrity of fuel rods, FRAPTRAN analysis was also performed in
this study.
Abstract: Nonstandard tests are necessary for analyses and
verification of new developed structural and technological solutions
with application of composite materials. One of the most critical
primary structural parts of a typical aerospace structure is T-joint.
This structural element is loaded mainly in shear, bending, peel and
tension. The paper is focused on the shear loading simulations. The
aim of the work is to obtain a representative uniform distribution of
shear loads along T-joint during the mechanical testing. A new
design of T-joint test procedure, numerical simulation and
optimization of representative boundary conditions are presented.
The different conditions and inaccuracies both in simulations and
experiments are discussed. The influence of different parameters on
stress and strain distributions is demonstrated on T-joint made of
CFRP (carbon fibre reinforced plastic). A special test rig designed by
VZLU (Aerospace Research and Test Establishment) for T-shear test
procedure is presented.
Abstract: Different order modulations combined with different
coding schemes, allow sending more bits per symbol, thus achieving
higher throughputs and better spectral efficiencies. However, it must
also be noted that when using a modulation technique such as 64-
QAM with less overhead bits, better signal-to-noise ratios (SNRs) are
needed to overcome any Inter symbol Interference (ISI) and maintain
a certain bit error ratio (BER). The use of adaptive modulation allows
wireless technologies to yielding higher throughputs while also
covering long distances. The aim of this paper is to implement an
Adaptive Modulation and Coding (AMC) features of the WiMAX
PHY in MATLAB and to analyze the performance of the system in
different channel conditions (AWGN, Rayleigh and Rician fading
channel) with channel estimation and blind equalization. Simulation
results have demonstrated that the increment in modulation order
causes to increment in throughput and BER values. These results
derived a trade-off among modulation order, FFT length, throughput,
BER value and spectral efficiency. The BER changes gradually for
AWGN channel and arbitrarily for Rayleigh and Rician fade
channels.
Abstract: Artemisia species, which are medically beneficial, are
widespread in temperate regions of both Northern and Southern
hemispheres among which Iran is located. About 35 species of
Artemisia are indigenous in Iran among them some are widespread in
all or most provinces, yet some are restricted to some specific
regions. In this review paper, initially, GC-Mass results of some
experiments done in different provinces of Iran are mentioned among
them some compounds are common among species, some others are
mostly restricted to other species; after that, medical advantages
based on some researches on species of this genus are reviewed;
different qualities such as anti-leishmania, anti-bacteria, antiviral as
well as anti-proliferative could be mentioned.
Abstract: Cognitive Radio is a turning out technology that
empowers viable usage of the spectrum. Energy Detector-based
Sensing is the most broadly utilized spectrum sensing strategy.
Besides, it's a lot of generic as receivers doesn't would like any
information on the primary user's signals, channel data, of even the
sort of modulation. This paper puts forth the execution of energy
detection sensing for AM (Amplitude Modulated) signal at 710 KHz,
FM (Frequency Modulated) signal at 103.45 MHz (local station
frequency), Wi-Fi signal at 2.4 GHz and WiMAX signals at 6 GHz.
The OFDM/OFDMA based WiMAX physical layer with
convolutional channel coding is actualized utilizing USRP N210
(Universal Software Radio Peripheral) and GNU Radio based
Software Defined Radio (SDR). Test outcomes demonstrated the
BER (Bit Error Rate) augmentation with channel noise and BER
execution is dissected for different Eb/N0 (the energy per bit to noise
power spectral density ratio) values.