In the current global era, most health information systems have been implemented with the support of information and communication technology. This has an impact on the enforcement of dual duties for health professionals as health workers and as operators of health information systems. This \'new task addition\' will lead to increased efforts to be able to operate the information system properly. For some health professionals, this will feel burdensome, which can ultimately lead to user resistance, either actively or passively. Both types of resistance must be given serious attention because it often leads to failure in the implementation of new information systems. Meanwhile, the occurrence of passive resistance needs to be watched because at the beginning stage is usually not known by the managers, so this resistance fails to be anticipated. If not well anticipated, then this will grow worse. In order for this to be prevented, the effort that must be done by the organization is always to improve and maintain organizational support for the users.

O objetivo desse trabalho é avaliar a eficiência dos campos de petróleo onshore, que compõem a bacia potiguar, no período de 2014 a 2016. O modelo dinâmico da análise envoltória de dados (DDEA) foi delineado para avaliar a sustentabilidade ambiental por meio da interação entre as variáveis de entrada (Poços verticais, Poços direcionais, Grau API e Idade), variável intermediária (Produção de petróleo) e variáveis de saída (Volume de água produzida). O modelo DDEA utilizado segue a abordagem dinâmica conceituada por Kao (2013). Para efeitos de redução de variabilidade dos dados, optou-se por analisar os campos com produção de óleo de até 1000 m3 (19 DMUs). Os resultados permitem afirmar que os campos apresentaram índices de eficiência global em torno de 34%, o que denota uma baixa preocupação efetiva relacionada a sustentabilidade.

The aim of the given work is the investigation of the influence various doses ?- irradiation on the msec-delayed light emission (msec-DLE) acridine orange (AO) in yeast cells. The object of the investigation is the Candida guilliermondii yeast cells. At work was used photometric installation allowing to register msec-DLE. At our investigation work has been studied msec-DLE AO intensity in yeast cells after ?-irradiation of various doses (5 Gy, 20 Gy, 50 Gy, 100 Gy). It was determined that, the kinetic intensity indications of msec-DLE AO change depending on ?-irradiation doses. The investigation of ?- irradiation on msec-DLE AO in cells showed that, msec-DLE AO intensity in cells previously illuminated decreases compared with non irradiated ones and changes the form of induction curve under the influence 5 Gy dose. \nIt was identified that, after ?-irradiation influence on yeast cells at low doses, practically not causing any damage, msec-DLE AO increase . By increasing irradiation doses msec- DLE ANS intensity decreases. It was supposed that, msec-DLE AO and ANS can be used to investigate the influence of biogenic and not biogenic factors of medium in biological systems, and also for biomonitoring of pollution in environmental medium with the aim of early diagnostics.

Abstract\nIntroduction. There are several agents with mucolytic properties. The main effect of these compounds is related to reduce viscosity of sputum. Seven years ago we observed a lot of children who presented in emergency department of paediatrics that the main symptoms were cough, wheezing, bronchospasm, and sometime reflex vomiting. [17, 18, 19] The intensity and duration of cough and bronchospasm were strongly linked to orally use of carbocysteine. Based on the similarility in pharmacology profile between carbocysteine and acetylcysteine we hypothesed that these symptoms as being adverse drug reactions of carbocysteine. Material and method. Two years ago we noted the same symptoms after use of carbocysteine, acetylcysteine, and ambroxol hydrochloride in children. We tried to establish if a relationship between the use of these three mucolytic drugs and exaggereted cough or/and bronchospasm in children can be done. This time we focused on 220 paediatric subjects receiving one of the three mucolytic drugs: acetylcysteine, carbocysteine or ambroxol or even a combination of these agents. The patients were recorded within a six month period using a special sheet provided by European Medicine Agency. The statistical evaluation was carried out using chi square test. Results and comments. The use for a few days of any of three agents was associated with prolonged coughing, the development of wheezing and even acute asthma episode. By the age subgroup distribution we can emphasize that a significant percentage of children belongs to 1-2 years category (37.73%, 83 cases), folowed by the 3-4 years subgoup (24.09%, 53 cases). Other important aspect regard to use of mucolytic drugs in children is the presence and misuse of those three mentioned drugs in the management of respiratory infections or other respiratory diseases of infants: 38 cases in 0-1 years category. All three mucolytic agents are responsible for admission into the hospital in a great proportion: 43 of 48 admitted children. Conclusions. These drugs elicits an irritating effect on the airways, thus, they should be used with caution in children. In cases of asthma, recurrent wheezing or upper and lower respiratory tract infection the use of N-acetylcysteine, carbocysteine, and ambroxol should be avoided. Orally administered, these agents are relatively well tolerated, but clinical studies in chronic bronchitis, asthma, and bronchiectasis have been disappointing. [10] Overall, we believe that the use of carbocysteine, N-acetylcysteine, and ambroxol hydrochloride in children exceeds the therapeutic benefit.

In this paper, a portable system for arrhythmia monitoring with multiple users is implemented. A wearable ECG sensor is used to record ECG signals. Based on these ECG signals, this system can automatically recognize various arrhythmias and alarms if necessary. To precisely estimate the arrhythmias, it is important to find the most suitable features of ECG for each arrhythmia and to find the most efficient classifier to classify the heartbeat cases. This paper will use adaptive features of ECG for various types of arrhythmias and apply Hidden Markov Model (HMM) to arrhythmia classification for getting a precise recognition result. The implemented system can simultaneously recognize various patients’ heartbeats timely at sleep or at daylight both indoor and outdoor. This system can also alarm the patients themselves, their families and some medical personnel when the emergent case occurs.

With the increasing population growth around over 150 million with the growing economy, globally, the demand for fresh water and power is also accelerating rapidly. With the above statement, Pakistan is a power and energy deficit country. Besides that, Pakistan system policy planners have a substantial concern about water and power to meet the demand of the population along the countryside. As well, the global warming issue is the enormous threat which may cause sea side by side along with more water flow from glaciers through rivers. The hydro power plant usually generates power by utilizing water flowing from higher position to the lower position, and at the end, the water requires to pass through the dams such as Mangla and Tarbella dams established in Pakistan, without any attention for other purposes or not. However, in this article a groundbreaking approach is offered for Pakistan Government in order to produce the electricity just employing on standing water at the cheaper rate as compared to other renewable sources. In this paper, a proposed model can be implemented at coastal line of Pakistan which is approx. more than 1000 km. The main theme of this paper is to establish a small wind-hydro power plant system for kWh generation with recycling of the same water without vesting the fresh water. This technique can be employed from windy areas only in order to use the wind turbines for electricity generation through hydro power plant with good reliability.

The Fourier trans form infrared (FTIR) spectroscopic characterization of kaolinite-fertilizer mixtures at various conditions is presented.The mixtures were prepared with different molar ratios of starting materials (kaolinite:fertilizer; 1:3, 1:1. 3:1), milling time (60, 120, and 180min) and rotational speeds (200, 400, 700 rpm).The results indicate that the optimal milling duration, speed and weight ratio of kaolinite-fertilizer can be similar for different fertilizers (CON2H4, (NH4)2HPO4, K2SO4, KH2PO4) to allow amorphous kaolinite to act as a carrier ofK+, NH4+, PO43- to be released slowly for use as plant nutrients. A weight ratio of 3:1 and 120 min milling duration at rotational speeds of 600 rpm represent the most suitableconditions to synthetize slow-release fertilizers.

This research tries to explain the factors influencing the students from Indonesia in taking the decision of lectures at the Zhejiang University of Technology Hangzhou. Data obtained from sample 49 respondents with census method. The research type is explanatory research with quantitative approach.\nThere are four findings. First, world-class education has a significant effect on the decision to choose a campus, with coefficient marked positive 0,478 with t statistic value 3,031 where the value is bigger than 2.0. Secondly, career opportunity has a significant effect on the decision of choosing a campus, with coefficient marked positive equal to 0,050 with t statistic value 2,565 where the value is bigger than 2.0. The three cost of living has a significant effect on the decision of choosing campus, the result of this research is seen from the coefficient of positively marked equal to 0,131 with t statistic value 2,306 where the value is bigger than 2.0 and fourth typical experience influential, not significant with positive direction to decision choosing campus, it is seen from the coefficient of positive marked 0.353 with a statistical value of 1.737 t where the value is smaller than 2.0.

Greenhouse gas emission estimates in Togo\

Does today’s textile industry merely pursue labor-intensive, low-value-added products and relocate production to reduce costs? Should only high-tech industries emphasize research and development (R&D) and high-value-added products? Firms must make extensive expenditures on R&D and personnel over years to accumulate, absorb and apply knowledge from internal and external sources. Is there a corresponding positive rate of return? \n This empirical study researches the impact of R&D intensity (RDI) and firm size on 2009–2014 business performance of Taiwanese textile companies. It adopts GMM estimation to avoid endogeneity and to better explain our models’ dynamic factors.\n Findings indicate that RDI in textile industry has a positive impact on business performance. Effects of R&D on performance are not limited to high-tech manufacturing. The effect of R&D investment also appears in people’s impressions of traditional textile industries. R&D needs enterprise resources, time, absorption of knowledge, and R&D spillovers to apply new knowledge and skills to new products and processes. These inputs also help to reduce production cost or time, introduce or improve value-added products, improve gross margins, increase competitive ability, and enhance business performance. Better business performance also enhances accumulation of assets. The greater the shipment of available resources, the greater is the circulation. Further, the study endorses the resource-based view that a firm’s resources correlate positively with performance. This study’s findings will be useful in aiding practitioners, researchers, and policymakers and will be of some help in terms of providing a reference for future research.

Reference crop evapotranspiration (ETo) is one of the major climatic element and required to be precisely quantified for optimum use of water resources. In this study 1224 months, mean monthly reference crop evapotranspiration data series of humid subtropical climatic region were used for simulation. For removal of periodicity from data series, differencing process was applied. One of the best time series model, Seasonal Auto Regressive Integrated Moving Average (SARIMA) model were used for modelling and forecasting. Auto correlation function and partial auto correlation function were used in identification of model and Q- value (L Jung- Box statistics), residual auto correlation function and partial auto correlation function helped in selection of best fitted model. The correlation coefficient between observed and forecasted reference crop evapotranspiration were found 0.9854.This study is beneficial for estimating crop water demand, scheduling of irrigation, stake holder, local farmer, water resources manager, and for making local and national policy.

A novel and effective methodology of non-rigid registration of a fluoroscopic coronary angiogram sequence using periodic displacement field is described. The proposed methodology is divided into two parts: extraction of per-frame displacement fields by non-rigid registration for frames comprising one heart cycle within a single sequence, and periodic registration of the remaining frames in the sequence using the extracted displacement fields. Using the proposed method, the motion of coronary vessels of an entire sequence is efficiently computed based on the estimated motion of one heart cycle. Experimental evaluation conducted on a set of 16 fluoroscopic angiograms resulted in reduced target registration error and computation time, demonstrating the robustness and efficiency of the proposed method.

Purpose \nWe assessed the effect of splint use duration on the pronator quadratus (PQ) muscle repair in 30 patients undergoing fixation of distal radius fractures using anatomical volar plates.\nMethods\nAfter fracture fixation, the PQ muscle was repaired along the radial margin, and three radiopaque hemoclips were attached to the radial margin of the muscle. Patients were divided into groups with 10 days or 20 days of splint application. Follow-up X-ray evaluations were performed at 10 and 20 days, and at 1, 2, and 3 months post-operatively. Hemoclip displacement of ?1 cm following surgical follow-up indicated repair failure.\nResults\nHemoclip displacement was not detected in any of the 30 patients. No statistically significant differences were found between the two groups that were related to splint use duration.\nConclusion\n PQ muscle repairs are generally durable after fixation of distal radius fractures with anatomical volar plates. The splint use duration had no radiological or clinical effects on the PQ repair.

There is currently great interest in finding novel compounds of plant origin with antibacterial activity that can serve as an alternative or complement to existing drugs. One of the most interesting groups of plants in this regard is that of cacti. However, many species of this family are very small in size and are classified as endangered, which restricts the use of their tissues for phytochemical studies. An alternative for obtaining compounds with antibacterial properties from cacti is the use of transformed roots. This study evaluated the antibacterial activity of extracts from transformed roots obtained by co-culture with Agrobacterium rhizogenes of eight species of cacti: Echinocactus platyacanthus, Escobaria chaffeyi, Mammillaria bocasana, M. sphacelata, Turbinicarpus laui, T. lophophoroides, T. pseudopectinatus, and T. schmiedickeanus subsp. schwarzii. The extraction was done using chloroform, methanol and ammonium hydroxide. The extraction efficiency was between 11.17 and 30%. All extracts were analyzed analyzed by colored reactions; in addition, alkaloid compounds were qualitatively analyzed by thin-layer chromatography. The antibacterial activity of these compounds was determined using the disc diffusion bioassay and the Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) tests against various opportunistic pathogenic bacteria (nine Gram-negative and one Gram-positive species), and a phytopathogenic species. The extract from T. pseudopectinatus was the most effective against most of the microorganisms studied here. This extract showed the lowest MIC (1.2 mg/mL) against Enterobacter sp. and Klebsiella oxytoca, and the lowest MBC (2.38 mg/mL) against K. oxytoca.

The study is aimed at determining the effects of the school year, the academic record and the body mass index on the barriers to physical activity in a sample of 852 Spanish adolescents (M = 14.9; DT = 1.75). A descriptive and inferential analysis was carried out, after administration of the Self-Report Questionnaire of Barriers to Physical Activity Practice (SRQBPAP) adapted by Niñerola, Capdevila and Pintanel (2006). The results point as main barriers the obligations or lack of time, and fatigue or laziness. Likewise, adolescents perceive greater barriers to physical activity practice in upper-level courses, in which they exhibit better academic performance and a higher body mass index. In conclusion, addressing these barriers may help to minimize sedentary behavior in adolescents.