Factors influencing the perception of medical tourist in selection of their destination : a global perspective

There can be unlimited reasons why patients choose different countries while going for medical treatments or procedures. Moreover, empirical evidence on medical tourism is very limited. Due to the limited literature and empirical evidence on the topic, we believe that, other related studies focusing on the choice and criteria of selecting the destination will provide us with some useful insights and information on the factors influencing the patient’s perception in selecting the medical tourism destination in various countries around the world. The aim of this study is to present the theoretical and empirical literature on medical tourist’s perception on selecting the destination while going for medical treatment. It is organized into three main sections. First section focuses on the concepts, definitions and integrates the foregoing definitions of medical tourism and concepts of tourist’s perception of destination selection criteria and the theoretical framework. In section 2, an attempt is made to illustrate the impact of various reasons for selecting different destinations from the past findings. The final section deals with the conceptual framework of the study

The challenge in diagnosing and managing heterotopic interstitial pregnancy in natural conception / Noor Azura Noor Mohamad … [et al.]

Heterotopic interstitial pregnancy in natural conception is very rare. Definitive diagnosis is made by systematic pelvic ultrasound. Simultaneous viable conception observed in both intraand extra-uterine is pathognomonic of heterotopic interstitial pregnancy. We report a 34-yearold woman primigravida at 10 weeks’ amenorrhoea who underwent evacuation of retained product of conception for missed miscarriage. Intraoperatively, minimal product of conception was retrieved. Bedside pelvic ultrasound showed cystic mass at right superolateral part of uterine fundus suspicious of interstitial pregnancy. Cornual resection was performed via laparotomy. Histopathological examination showed presence of product of conception and interstitial pregnancy. Serum β-human chorionic gonadotropin dropped from 10,027 IU/l on day one post-ERPC to 210 IU/l at day three post-cornual resection. This case report highlighted the challenge in diagnosing heterotopic interstitial pregnancy conceived naturally. Timely diagnosis may avert dire consequences of massive haemorrhage from ruptured uterine cornua

Simulated real time controller using modified hill climbing algorithm on fixed wing airplane

In dynamic systems, it is very difficult to have models with good accuracy that are sufficient to predict the plant behavior in a way that an acceptably controlled performance can be produced. Sometimes even if mathematical models are sufficiently accurate in a way that a good controlled performance can be obtained, long term operation (or even short term in some cases) gradually increases the difference between the plant and its dynamical model. That, in turn, would lead to a degraded performance. It is a common task in industrial applications to recalibrate the control system periodically, as the plant parameters suffer various fluctuations from their original values that were used in designing the control system. The calibration procedure usually requires professional attendance, which adds up to more maintenance costs. Also, the experimental nature of the manual calibration often requires at least part of the plant operations to be halted. Adapted from MRAC framework using PID and fuzzy controller, a modified climbing algorithm was introduced in order to compensate the signal. This simulation was applied in fixed-wing airplane pitch angle in Simulink MATLAB. The result demonstrated that effectiveness of the proposed tuning algorithm and improvement over the initial non-tuned response of the process

A sensitive acoustic sensor using fiber bragg grating based on strain compensation

An acoustic sensitivity single ring fiber sensor with enhanced pressure sensitivity is designed by using Fiber Bragg Grating (FBG). Measurement sensitivity of the this fiber sensor is 0.3714 με/Hz. This sensor exhibited a good acoustic sensitivity, showing that the sensor has good sensing properties for the detection of the acoustic signals

The influence of iteration number in PSO application for research reactor TRIGA PUSPATI

Global best position is one of the components in Particle Swarm Optimization to determine the ultimate result among the best solutions with the smallest error. This paper describes how the iteration affected the global best value and performs different output of the research reactor TRIGA PUSPATI. The swarm number is the same for both cases, but the number of iterations are 20 and 10 were studied. Generally, different iteration number gives a different value of global best value which yields different proportional gain value. The studies found that, when these different proportional gain values were applied into the system, the power output showed that the differences between them are small

Diagnosing the Problem of Traditional Model of Teaching and Learning Medical Science Subjects in a Nursing Program of UKM

AbstractTeaching and learning of medical sciences in nursing was identified as the cause of anxiety among students, teachers and the organizations. The aim of this study was to determine the difficulties faced by nursing students in those modules. An action research was conducted on 1st and 2nd year of Bachelor of Nursing students. Results showed that, relationship between CGPA, students’ guide book (p= 0.021, 0.018), lectures timetable (p =0.032), lectures (p=0.034, 0.043) and learning package (p=0.008, 0.016) of physiology and biochemistry influenced the teaching and learning of medical science subjects

RCS analysis on different targets and bistatic angles using LTE frequency

Moving target detection and location are a function of dependent bistatic Radar Cross Section (RCS) and radar design parameters which in our experimental study used long-term evolution (LTE) signal as a source for passive bistatic radar (PBR). Moving target also can be classified in positions of different bistatic radar angles using conventional processing approaches which we performed a simulation using Computer Simulation Technology (CST) Microwave studio. The target bistatic radar cross-section, sb will give a realistic calculation on PBR performance with the requirement of complete treatment. The targets used are Toyota Rush (SUV) and Proton Exora (compact MPV) as a moving target had been designed based on the actual size to observe the performance of RCS due to the changing of bistatic angle between transmitter and receiver. The frequency transmit signal from LTE based station is 2.6 GHz, far-field conditions and the material used for the moving target is perfect electrical conductor. Simulation used different bistatic angles which are 59° and 90° of plane wave propagation. The simulation results show that largest area of moving target had better outcome that reliable with Babinet's principle, which declares a target of physical cross-sectional area is proportionate to RCS. The variation of RCS also depends on the shape of moving target, size of moving target and angles of plane wave. This might improve the sensitivity elevation targets with an adjustment of receiver angle to the target and transmitter for a better RCS performance

Optimized proportional gain of PI controller using PSO algorithm for research reactor TRIGA PUSPATI

The controller for the TRIGA PUSPATI reactor console is a Proportional Integral controller. Although its signal response performance for power demand level is acceptable, some improvements are required. The power demand level is almost able to achieve the set point. However, the settling time, rise time, and steady state error can be enhanced to improve the response. This paper proposes an optimization technique to improve the proportional gain of the Pl controller using the Particle Swarm Optimization technique. The optimization technique was confirmed using several analyses and plotted graphs. The results showed that with the PSO approach, the performance was improved with faster response compared to the non-optimized controller. The fast responses of settling time and rise time as well as smaller steady state errors confirmed the improved power demand level for each case. The percentage of improvement was measured between 60–90% for response performance and more than 90% of improvement was measured for the steady state

Essential oils as alternative halal therapeutic source for lung cancer: a mini review

The global Muslim population is predicted to grow significantly. The market for Halal products, an obligation for Muslims, is expanding in sync with the Muslim population. Cancer is a notable cause of death globally. Pharmaceuticals are the most important fundamental component because they are disease-specific, most notably cancer-specific. Optional pharmaceuticals were looked into to meet Muslim demand for Halal products. Some essential oils are viable therapeutic sources because they have long been used in conventional medicine for various treatments. The purpose of this study is to review the investigation done on the potential for essential oils to be used as a Halal alternative therapy for lung cancer. This mini review follows the traditional narrative review study. According to these researches, essential oils are helpful in the treatment of malignancies, notably lung cancer. However, additional research, including clinical trials, is essential to enhance the treatment's efficacy