139 research outputs found
The Relationship between Clinical Governance and Organizational Culture at Kafr El Dawar Central Hospital
No full text<p><strong>Abstract:</strong> The concept and use of the term ‘clinical governance’ emerged in the late-1990s in the United Kingdom and has since become central to health policy in a range of countries. The implementation of Clinical Governance (CG) requires the establishment of a culture which encourages health professionals to improve their performance and such a culture promotes continuous learning and recognizes it as the key of success for quality improvement. Aim: Determine the relationship between clinical governance and organizational culture at Kafr El Dawar Central Hospital. Methods: A descriptive, correlational research design was utilized to conduct this study. Setting: In all inpatient units at Kafr El Dawar Central Hospital which is affiliated to the Ministry of Health, for all nurses in the hospital who are responsible for providing direct patient care (N=126). Tools: two tools were used: Tool1: Clinical Governance Climate Questionnaire (CGCQ) in addition to demographic characteristics data sheet ; Tool II: The Denison Organizational Culture Survey (DOCS). Results: Studied nurses perceived moderate mean percent score for both total clinical governance and total organizational culture (OC). Also, there was a statistical significant moderate correlation was noticed between clinical governance and organizational culture. Conclusion: there was a statistical significant moderate correlation was noticed between clinical governance and organizational culture at Kafr El-Dawar Central hospital. Recommendations: Establishment of a planned and integrated program for quality improvements, improving senior management supports as agents to make relevant changes, providing opportunities for staff to participate in all stages of quality improvement programs and creating a blame-free atmosphere for making a “learning from mistakes” culture.</p>
<p><strong>Keywords:</strong> Clinical governance, Organizational culture.</p>
<p><strong>Title:</strong> The Relationship between Clinical Governance and Organizational Culture at Kafr El Dawar Central Hospital</p>
<p><strong>Author:</strong> Samya Mohamed Ibrahem Ahmed, Nadia Hassan Ali Awad, Neamat Mohamed Ef Sayed</p>
<p><strong>International Journal of Novel Research in Healthcare and Nursing</strong></p>
<p><strong>ISSN 2394-7330</strong></p>
<p><strong>Vol. 10, Issue 3, September 2023 - December 2023</strong></p>
<p><strong>Page No: 73-83</strong></p>
<p><strong>Novelty Journals</strong></p>
<p><strong>Website: www.noveltyjournals.com</strong></p>
<p><strong>Published Date: 02-October-2023</strong></p>
<p><strong>DOI: <a href="https://doi.org/10.5281/zenodo.8398569">https://doi.org/10.5281/zenodo.8398569</a></strong></p>
<p><strong>Paper Download Link (Source)</strong></p>
<p><strong><a href="https://www.noveltyjournals.com/upload/paper/The%20Relationship%20between%20Clinical%20Governance-02102023-2.pdf">https://www.noveltyjournals.com/upload/paper/The%20Relationship%20between%20Clinical%20Governance-02102023-2.pdf</a></strong></p>International Journal of Novel Research in Healthcare and Nursing, ISSN 2394-7330, Novelty Journals, Website: www.noveltyjournals.co
Distribution of radial dose in water at nanometer scale for ions of the same linear energy transfer: benefits of the concept of annular dose
No full textInternational audienceAbstract Annular-dose AD is a new conception , based on the radial dose distribution, RDD, introduced by the present work. AD is the integrated dose for many shells around the ions and it is defined as the dose deposited in the shell volume perpendicular to the ion path of width ( r = 0.1 → R min ) , length equal 2 π and thickness equal unity (1 nm). Thus, it integrates and maps the deposited dose due to ion in any medium at nanometer scale better than the ordinary radial dose. Katz and Awad radial dose formulae plus Butts-Katz and Tabata electron range-energy relations are composing three different approaches. These approaches were used for studying the AD for 30 ions forming 4 different equal LET groups and have energy at Bragg peak region from 1.5 to 24 MeV n −1 . The annular dose, AD as a function of the shell width for the ions under investigation showed that dose distributions around the ions of same LET are not the same and a clear peak at certain shell width called the ion’s maximum annular dose width, r MADW was determined for the first time. The r MADW is the position where the maximum reachable dose is delivered by secondary electrons around the ion. The ion’s r MADW showed an increasing function with Z * β within the same LET group. Interestingly, it was found that r MADW behaves as an increasing monotonic function of the relative ion velocity, β using the three approaches considered in this work
The political economy of crisis in the Sudan 1973-1985
No full textThis thesis examines the political economy of the Sudan to reveal the nature and causes of the 1973-85 particular crisis in that country. The 1973-85 crisis is placed within the historical context of recurrent crises which have characterised the independent Sudan. It is argued that political and economic crises have occurred over the period 1956-1985 and several common features of these crises can be identified to constitute general political and economic trends. In their turn, they have characterized the general crisis since independence in 1956.
The general crisis facing the Sudan is an organic crisis of transformation. Twenty nine years have elapsed between the Sudan becoming independent and 1985, the end of the period under study. The problems of transforming the inherited
colonial economy and structures have remained on the national agenda since then, without resolution.
The study of the colonial political and economic legacy provided an important component of the thesis as it reflected on the process of the articulation of the capitalist mode of production and the pre-capitalist modes of production which had prevailed in the country
before the re-conquest of the Sudan in 1898. Political, institutional and market interrelationship affected the nature of the Sudanese economy, class structure and class
struggle. The nature of the colonial state as an authoritarian and relatively autonomous state left its features in the political economy of the country.
In trying to understand the crisis both in its particular and general manifestations the thesis examines the nature of the post-colonial state and its historical development. The colonial heritage of the country and the concrete class struggle gave the post-colonial state its nature and constituted its crisis. In revealing the nature of the post-colonial state a ruling power bloc is identified. That power bloc was composed of the religious and
tribal aristocracy, the bourgeoisie and the military and civilian bureaucracy. The thesis argues that the crisis of the post-colonial state is a crisis of hegemony. The
failure of the dominant power bloc, a fraction or a class of it to establish its hegemony is the main cause of the crisis of the state and the particular form of that crisis: the military civilian governments alterance in power.
The post-colonial state's ability to use coercion was legitimately limited and its tendency towards authoritarianism was challenged by the urban democratic movement and the effective regional forces, especiallyt he Southern Sudanese. The politics of ethnic conflicts
were closely related to the composition of the ruling power bloc as Northern, and of Arab Islamic culture. It was in the politics of ethnic conflicts that coercion was widely used against the Southern people. The civil war which struck the country twice contributed to the crisis of the post-colonial state.
The essence of crisis of the economy is found in the crisis of agricultural production both in its irrigated and rain-fed sub-sectors. Though the nature of the crisis in both sectors is found in the process of articulation of capitalist and pre-capitalist modes, the result of the
articulation process is different in both sub-sectors.
Within this context the particular 1973-85 crisis is studied. The particular crisis is a continuation of the general post-colonial-crisis, yet distinguishable. The military bureaucratic fraction of the new petty bourgeoisie which dominated the state during the 1973-1985 period failed to establish its hegemony and ruled the country through an authoritarian state. The failure to build an alliance with the urban democratic movement in the North between 1969 and the July 1971 coup d'etat was a turning point in the history of the Nimeiri regime. The National Reconciliation of 1977 did not reach its logical conclusion by widening the base of the regime. The promulgation of Islamic Sharia Law in 1983 did not promote the regime's quest for legitimacy and remained to be an additional tool of repression.
The study of the economic crisis of 1973-85 revealed that it was a continuation of the general crisis, as well as a particular crisis of simple and extended reproduction that
resulted from specific policies of the regime. The regime failed to transform the structure of the economy. Despite the expansion, the economy remained unevenly developed,
export-oriented, with weak inter-sector and inter-regional linkages; liable to be severely affected by intemational crises and moderately benefiting from international booms
Effect of Extinguishing Method on the Behavior of RC Columns Subjected to Fire
No full textConcrete is more durable against fire than other structural materials. However, high temperature has deteriorating effects on mechanical properties of concrete. Decreases of strength at higher temperatures can be associated with various reasons, such as micro-and macro-cracks on the concrete, the volume expansion in the aggregate, and the deterioration of the calcium silicate hydrate (C-S-H) gels in the cement paste.
The main objective of this research work is to study the effect of four different cooling schemes on the ultimate strength of 54 reinforced concrete columns subjected to fire. The tested columns are of different surface area to volume ratios (with three different cross sections; circular, square and rectangular). Four cooling schemes were used; three of them are uniform cooling schemes with different rates (rapid, slow and intermediate) while the fourth cooling scheme was non-uniform. Two different fire temperatures and durations were considered (300oC for 3 Hours & 600oC for 6 Hours). Non Destructive tests (Core & Ultrasonic Pulse Velocity tests) were used to estimate the deterioration extent of fire on concrete properties.
A mathematical model was developed to estimate the ultimate strength of RC columns subjected to fire in order to decide if the R.C. columns need repair and strengthening after fire or not. Results of the model and the obtained experimental results were compared together to evaluate the accuracy of the proposed model.Supervised By Dr. Yehia Abdel Zaher Ali ; Dr. Mohamed Abdel Moaty Khalaf ; Dr. Mohamed Kohail Faye
Speed control of switched reluctance motor using genetic algorithm and ant colony based on optimizing PID controller
No full textProportional-Integral-Derivative control is the most used kind of control which provides the simplest and most effective solution to different kinds of control engineering applications. But until now PID controller is poorly tuned in real life and online applications. While most of PID tuning is done manually. Switched reluctance motor (SRM) has highly nonlinear characteristics since the developed/produced torque of the motor has a nonlinear function on both phase current and rotor position. These nonlinearities of the SRM drives make the conventional PID (proportional + integral + Derivative) controller a poor choice for application where high dynamic performance is desired under all motor operating conditions. research paper comes up with two artificial and hybrid techniques involving Genetic Algorithm (GA) and Ant Colony Optimization (ACO). Those techniques where used to tune the PID parameters for the switched reluctance motor (SRM) and its performance were compared with the conventional method of “Ziegler Nichols. The results obtained reflects that, the use of those algorithms based controller improves the performance of the whole process in terms of a fast set point tracking and regulatory changes and also provides an optimum stability for the system itself with a minimum overshoot on the output signal
Graphene Oxide Effect on the Wheat Plant (Triticum aestivum) under Different Application and Concentration Techniques
No full textGraphene-based nanomaterial\u27s, with unique chemical and physical properties, are increasingly used in agriculture, raising questions about their impact on soil, plant growth, and nutritional conditions. The purpose of this study is to investigate wheat plant development in response to various GO application strategies and amounts, as well as to track chemical changes in soil nutrients. So, a pot experiment was conducted to examine how Graphene oxide (GO) affects macronutrient and micronutrient uptake by wheat plants at the booting growth stage and the nutritional status of clay soil. Soil samples were collected at the farm of the Agricultural Research Centre in Egypt\u27s. The experiment applied the treatment in three ways (soaking, soil application, and foliar application) and tested five different amounts of nanocarbon (0, 100, 200, 400, and 600 mg L⁻¹) for soaking and soil application. For the foliar treatment, we used different doses (0, 10, 20, 40, and 60 mg L-1). Each treatment was repeated three times in a randomized design. The results indicated that the amount of chlorophyll pigments (A, B, and carotene) in wheat leaves changed a lot depending on how GO was applied and how much was used. Furthermore, GO influences wheat plant growth (fresh and dry weight) relative to controls. The wheat crop responded to a high soaking dosage of 600 mg L⁻¹, with analogous effects noted when 400 mg L⁻¹ of GO was applied to the soil. Moreover, foliar application of GO at 10 mg L⁻¹ improved shoot and root development in wheat plants under both wet and dry circumstances. When wheat shoots and roots were given different ways and amounts of GO nanoparticles, they consistently absorbed important nutrients like nitrogen, phosphorus, potassium, iron, manganese, zinc, and copper. Finally, soaking wheat grains at high concentrations is safe. While soil treatment is safe at concentrations up to 400 mg L-1, GO foliar spray for plants is only effective at a concentration of 10 mg L-1, and other tested doses harm wheat development
Pyronaridine combined with diminazene aceturate inhibits Babesia in vitro and in vivo
No full textObjective: To evaluate the combination therapy of pyronaridine tetraphosphate and diminazene aceturate against Babesia in vitro and in vivo.
Methods: Bioinformatic analysis was performed using atom pair fingerprints. An in vitro combination test was performed against Babesia bovis and Theileria equi. Moreover, the in vivo chemotherapeutic efficacy of pyronaridine tetraphosphate in combination with diminazene aceturate was investigated against the growth of Babesia microti in mice using a fluorescence inhibitory assay.
Results: Pyronaridine tetraphosphate and diminazene aceturate exhibited nearly similar molecular weights. The in vitro combination of pyronaridine tetraphosphate and diminazene aceturate was synergistic on Babesia bovis and additive on Theileria equi. In addition, 5 mg/kg pyronaridine tetraphosphate combined with 10 mg/kg diminazene aceturate inhibited Babesia microti growth significantly compared with those observed after treatment with 25 mg/kg diminazene aceturate alone from day 6 post treatment to day 12 post treatment. The combination therapy also normalized the hematological parameters of infected mice.
Conclusions: An oral dose of pyronaridine tetraphosphate combined with a subcutaneous dose of diminazene aceturate inhibits Babesia in vitro and in mice, suggesting it might be a new paradigm for the treatment of babesiosis
النص القرآني بين إشكالية الفهم ودلالة النص
No full text النص القرآني نص رباني مقدس، جاء لبيان مراد الله من عباده، وكان النبي - صلى الله عليه وسلم- السبيل الوحيد لبيان ما استُشكل على المسلمين في فهم ألفاظه ومعانيه، ثم رصيد لغوي أصيل يمتلكه المسلمون وقتئذٍ. بيد أن الأمر أصبح عسرا، والطريق إلى فهم مراد القرآن أصبحت غير مُعبَّدةٍ على الرغم من أن الله جعل القرآن ميسرا للذكر. والسبب في هذا الإعسار وفاة النبي - صلى الله عليه وسلم- من جهة، ثم البون الزمني الشاسع بين وقت نزول القرآن وبداية عصر التدوين الذي قارب قرنين من الزمان تغيرت فيهما اللغة واتسعت مدلولاتها وبعدت غير قليل عن الفصحى المتمكنة
الإعجاز العلمي واللغوي في حديث القرآن عن بعض الحشرات
No full text لقد اشتد الجدل - ومازال- حول الإعجاز العلمي في القرآن الكريم، فهذه القضية بين مؤيد ومعارض، وهناك من العلماء من يؤيد هذه القضية - قضية الإعجاز العلمي في القرآن الكريم- إلى حدِّ المبالغة والشطط، وهناك من العلماء من يعارض هذه الفكرة حتى وصل إلى حدِّ العداء، ومن العلماء صنف ثالث آثر أن يكون بين هؤلاء وأولئك قوامًا بلا إفراط ولا تفريط.وبالرغم من القبول والموافقة من الفريق الأول، والرفض والإنكار من الفريق الثاني إلّا إن ذلك لا يقلل من أهميته ولا يهون من حقيقته أو ينال منها؛ إذ إن الاختلاف في الرأي والتباين في الفهم من سنن التفكير بين البشر، خاصةً في الموضوعات التي يكون للعقل والمنطق فيها دور أكبر من دور الحس والمشاهدة.ومهما بلغت الأمور درجة اليقين، فإن بعض الناس ينكرونها ويجادلون فيها، وليس أدل على ذلك من إنكار وجود الله - سبحانه وتعالى - الذي يصدر عن الملحدين بالرغم من وجود البراهين العقلية والحسية والسبب هو أن عقولهم لا تقتنع إلا بالمشاهد الملموسة وترفض الغيبي المعقول
- …
