The Relationship between Hierarchy Ambiguity and Emotional Cut off among a Sample of Married Female and Male Employees Working at Some Public Hospitals in Amman

the present study aimed to explore the relationship between hierarchy ambiguity and emotional cut off among a sample of married female and male employees working in 2 public hospitals in Amman, Jordan. It aimed to explore the levels of hierarchy ambiguity and emotional cut off in accordance with (the duration of the marriage, family income, and academic qualifications). The sample consists from 155 individuals (doctors and nurses) who work in the operation and ICU rooms in public hospitals. The researchers used two scales; the hierarchy ambiguity scale and the emotional cut off scale.  It was found that the respondents’ hierarchy ambiguity and emotional cut off levels are low.  It was found that there isn’t any statistically significant relationship between hierarchy ambiguity and emotional cut off. It was found that there isn’t any statistically significant difference in the respondents’ hierarchy ambiguity and emotional cut off which can be attributed to the family income and academic qualifications. That doesn’t apply to marriage duration. For instance, it was found that there is a significant difference between the respondents’ emotional cut off levels which can be attributed to the marriage duration for the favor of the ones who have been married for a period that exceeds 5 years.  It was found that there isn’t any statistically significant difference between the respondents’ hierarchy ambiguity which can be attributed to the marriage duration. Keywords: Hierarchy Ambiguity, Emotional Cut off, Public Hospitals DOI: 10.7176/JEP/10-36-20 Publication date: December 31st 201

Novel Deep Convolutional Neural Network-Based Contextual Recognition of Arabic Handwritten Scripts

Offline Arabic Handwriting Recognition (OAHR) has recently become instrumental in the areas of pattern recognition and image processing due to its application in several fields, such as office automation and document processing. However, OAHR continues to face several challenges, including the high variability of the Arabic script and its intrinsic characteristics such as cursiveness, ligatures, and diacritics, the unlimited variation in human handwriting, and the lack of large public databases. In this paper, we have introduced a novel context-aware model based on deep neural networks to address the challenges of recognizing offline handwritten Arabic text, including isolated digits, characters, and words. Specifically, we have proposed a supervised Convolutional Neural Network (CNN) model that contextually extracts optimal features and employs batch normalization and dropout regularization parameters to prevent overfitting and further enhance its generalization performance when compared to conventional deep learning models. We employed numerous deep stacked-convolutional layers to design the proposed Deep CNN (DCNN) architecture. The proposed model was extensively evaluated, and it was observed to achieve excellent classification accuracy when compared to the existing state-of-the-art OAHR approaches on a diverse set of six benchmark databases, including MADBase (Digits), CMATERDB (Digits), HACDB (Characters), SUST-ALT (Digits), SUST-ALT (Characters), and SUST-ALT (Names). Further comparative experiments were conducted on the respective databases using the pre-trained VGGNet-19 and Mobile-Net models; additionally, generalization capabilities experiments on another language database (i.e., MNIST English Digits) were conducted, which showed the superiority of the proposed DCNN model

Assessment of general public satisfaction with public healthcare services in Kedah, Malaysia

Background Patients’ satisfaction is considered an essential component of healthcare services evaluation and an additional indicator of the quality of healthcare. Moreover, patients’ satisfaction may also predict health-related behaviours of patients such as adherence to treatment and recommendations. Aims The study aimed to assess patients’ level of satisfaction with public healthcare services and to determine the factors that may influence their satisfaction level. Method A cross-sectional study was conducted using self-administered questionnaires distributed to a convenience sample of the general public in Kedah, Malaysia. Results A total of 435 out of 500 people invited to participate in the study agreed to take part, giving a response rate of 87%. In this study, only approximately half of the participants (n=198, 45.5%) were fully satisfied with the current healthcare services. The majority of the participants agreed that doctors had given enough information about their state of health (n=222, 51%) and were competent and sympathetic (n=231, 53.1%). Almost half of the participants (n=215, 49.5%) agreed that the doctors took their problems seriously. Only 174 (40%) participants agreed that doctors had spent enough time on their consultation session. Some 266 (61.2%) respondents agreed that healthcare professionals in the public health sector were highly skilled. The majority of the respondents described amenities, accessibility and facilities available in the public healthcare sector as good or better. In this study, waiting time was significantly associated with patients’ satisfaction as the results showed that those who waited longer than two hours were less satisfied with the services than those who waited under two hours. Conclusion The study findings showed that approximately half of the respondents were fully satisfied with current healthcare services. In this study, waiting time was the main factor that affected the patients’ satisfaction level. Other factors that influenced the satisfaction level included the length of consultation sessions and the process of patient registration. Hence, improvement in the health services that leads to a shorter waiting time may increase the satisfaction level of patients

Arabic Sentiment Analysis Based on Word Embeddings and Deep Learning

Social media networks have grown exponentially over the last two decades, providing the opportunity for users of the internet to communicate and exchange ideas on a variety of topics. The outcome is that opinion mining plays a crucial role in analyzing user opinions and applying these to guide choices, making it one of the most popular areas of research in the field of natural language processing. Despite the fact that several languages, including English, have been the subjects of several studies, not much has been conducted in the area of the Arabic language. The morphological complexities and various dialects of the language make semantic analysis particularly challenging. Moreover, the lack of accurate pre-processing tools and limited resources are constraining factors. This novel study was motivated by the accomplishments of deep learning algorithms and word embeddings in the field of English sentiment analysis. Extensive experiments were conducted based on supervised machine learning in which word embeddings were exploited to determine the sentiment of Arabic reviews. Three deep learning algorithms, convolutional neural networks (CNNs), long short-term memory (LSTM), and a hybrid CNN-LSTM, were introduced. The models used features learned by word embeddings such as Word2Vec and fastText rather than hand-crafted features. The models were tested using two benchmark Arabic datasets: Hotel Arabic Reviews Dataset (HARD) for hotel reviews and Large-Scale Arabic Book Reviews (LARB) for book reviews, with different setups. Comparative experiments utilized the three models with two-word embeddings and different setups of the datasets. The main novelty of this study is to explore the effectiveness of using various word embeddings and different setups of benchmark datasets relating to balance, imbalance, and binary and multi-classification aspects. Findings showed that the best results were obtained in most cases when applying the fastText word embedding using the HARD 2-imbalance dataset for all three proposed models: CNN, LSTM, and CNN-LSTM. Further, the proposed CNN model outperformed the LSTM and CNN-LSTM models for the benchmark HARD dataset by achieving 94.69%, 94.63%, and 94.54% accuracy with fastText, respectively. Although the worst results were obtained for the LABR 3-imbalance dataset using both Word2Vec and FastText, they still outperformed other researchers’ state-of-the-art outcomes applying the same dataset

Multidimensional Signals and Analytic Flexibility: Estimating Degrees of Freedom in Human-Speech Analyses

Recent empirical studies have highlighted the large degree of analytic flexibility in data analysis that can lead to substantially different conclusions based on the same data set. Thus, researchers have expressed their concerns that these researcher degrees of freedom might facilitate bias and can lead to claims that do not stand the test of time. Even greater flexibility is to be expected in fields in which the primary data lend themselves to a variety of possible operationalizations. The multidimensional, temporally extended nature of speech constitutes an ideal testing ground for assessing the variability in analytic approaches, which derives not only from aspects of statistical modeling but also from decisions regarding the quantification of the measured behavior. In this study, we gave the same speech-production data set to 46 teams of researchers and asked them to answer the same research question, resulting in substantial variability in reported effect sizes and their interpretation. Using Bayesian meta-analytic tools, we further found little to no evidence that the observed variability can be explained by analysts’ prior beliefs, expertise, or the perceived quality of their analyses. In light of this idiosyncratic variability, we recommend that researchers more transparently share details of their analysis, strengthen the link between theoretical construct and quantitative system, and calibrate their (un)certainty in their conclusions

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Multidimensional signals and analytic flexibility: Estimating degrees of freedom in human speech analyses

Recent empirical studies have highlighted the large degree of analytic flexibility in data analysis which can lead to substantially different conclusions based on the same data set. Thus, researchers have expressed their concerns that these researcher degrees of freedom might facilitate bias and can lead to claims that do not stand the test of time. Even greater flexibility is to be expected in fields in which the primary data lend themselves to a variety of possible operationalizations. The multidimensional, temporally extended nature of speech constitutes an ideal testing ground for assessing the variability in analytic approaches, which derives not only from aspects of statistical modeling, but also from decisions regarding the quantification of the measured behavior. In the present study, we gave the same speech production data set to 46 teams of researchers and asked them to answer the same research question, resulting insubstantial variability in reported effect sizes and their interpretation. Using Bayesian meta-analytic tools, we further find little to no evidence that the observed variability can be explained by analysts’ prior beliefs, expertise or the perceived quality of their analyses. In light of this idiosyncratic variability, we recommend that researchers more transparently share details of their analysis, strengthen the link between theoretical construct and quantitative system and calibrate their (un)certainty in their conclusions