Customer Focused Advertising Through Server Based Broadcast

Advertising has become a common part of our culture and is an area that is undergoing continuous changes.  The same can be said for the means of distributing advertisements.  Television and radio are no longer the only means of media distribution.  New technologies have allowed consumers to view their favorite programs (and the advertisements that come with them) from a wide variety of devices and methods.  Content can be viewed from home, out in public and on the road in ways that were previously unimaginable.  For several decades, the most common way to reach viewers was through the television.  Although this method of distribution will not change any time soon, other new ways to reach audiences have sprung from modern technologies.  What does this mean for the businesses who have ruled the advertising industry for all of these years

CHALLENGES FOR PROJECT MANAGEMENT IN THE 21ST CENTURY

Challenges could be observed as opportunities for success. The growth of project management body of knowledge and the advancement of project managers’ capabilities in dealing with resources are crucial to the successful delivery of projects. As the main objective of this paper is to overview the key challenges for project managers in the current century to help the Future Built Environment, a systematic literature review analysis on PM features was conducted by evaluating over 256 published research papers under the Project Management topic during the past 15 years (2003–2018). As result of this exploration, the research highlighted 18 main challenges and over 125 parameters related to challenges in projects from the extant literature. The management of uncertainty and dealing with different challenges are necessary conditions for effective project management. Sources of challenges are wide ranging and have fundamental effects on projects and the project management body of knowledge. These challenges are not limited to specific industries, and include scope management, information technology, team dynamics, customers’ satisfaction, lean management, communication, innovation and quality. Common project management body of knowledge does not address many of the listed sources of challenges, particularly in ‘soft’ project management skills where flexibility and tolerance of PMs are necessary. The findings of this review paper help scholars to put their attempts on key challenges in managing projects effectively. Such attempts need to entail project managers’ capabilities as well as the organization maturities including some aspects of organisation culture and learning

Allometric Growth Coefficients of Carcass Components and Carcass Waste in Awassi Lambs

This study aims to evaluate the developmental trends and the allometric growth values of carcass components and carcass waste in Awassi lambs. Twenty five entire Awassi lambs were seriously slaughtered at 20, 25, 30, 35 and 40 kg. Results revealed that the allometric growth coefficients of dissectible lean (0.853) and bone (0.793) weights were negative heterogonic (b<1) indicating that these tissues significantly (p<0.01) grew at slower rate than carcass weight. Conversely, fat was positive heterogonic (1.859) and considered a late maturing tissue. Also, it seems from the coefficients that leg is an early maturing (b=0.938), whereas shoulder is a late maturing (b=1.293). Rack, neck, breast and flank are isogonic (b=1) and grew at a similar rate in relation to carcass weight. Carcass fat, carcass waste fat and fat tail relative to empty body weight are 1.920, 0.089 and 1.036, respectively, indicating carcass fat and fat tail are positive heterogonic demonstrating that are high impetus and grow at a higher rate than empty body weight, whereas carcass waste fat had allometric coefficient <1, low impetus and early maturing tissue. Skin, testes, spleen and kidney exhibited isogonic growth indicating that these components are grow similar rate to empty body weight. On the other hand, head, feet, liver, lung, heart and empty digestive tract are early maturing organs than did empty body weight

Allometric Growth Coefficients of Carcass Components and Carcass Waste in Awassi Lambs

This study aims to evaluate the developmental trends and the allometric growth values of carcass components and carcass waste in Awassi lambs. Twenty five entire Awassi lambs were seriously slaughtered at 20, 25, 30, 35 and 40 kg. Results revealed that the allometric growth coefficients of dissectible lean (0.853) and bone (0.793) weights were negative heterogonic (b<1) indicating that these tissues significantly (p<0.01) grew at slower rate than carcass weight. Conversely, fat was positive heterogonic (1.859) and considered a late maturing tissue. Also, it seems from the coefficients that leg is an early maturing (b=0.938), whereas shoulder is a late maturing (b=1.293). Rack, neck, breast and flank are isogonic (b=1) and grew at a similar rate in relation to carcass weight. Carcass fat, carcass waste fat and fat tail relative to empty body weight are 1.920, 0.089 and 1.036, respectively, indicating carcass fat and fat tail are positive heterogonic demonstrating that are high impetus and grow at a higher rate than empty body weight, whereas carcass waste fat had allometric coefficient <1, low impetus and early maturing tissue. Skin, testes, spleen and kidney exhibited isogonic growth indicating that these components are grow similar rate to empty body weight. On the other hand, head, feet, liver, lung, heart and empty digestive tract are early maturing organs than did empty body weight

A nosocomial transmission of crimean-congo hemorrhagic fever to an attending physician in north kordufan, Sudan

<p>Abstract</p> <p>Background</p> <p>Crimean-Congo hemorrhagic fever (CCHF), a tick-borne disease caused by Crimean-Congo hemorrhagic fever virus (CCHFV), is a member of the genus Nairovirus in the family Bunyaviridae. Recently, CCHFV has been reported as an important emerging infectious viral pathogen in Sudan. Sporadic cases and multiple CCHF outbreaks, associated with nosocomial chain of transmission, have been reported in the Kordufan region of Sudan.</p> <p>Aims</p> <p>To confirm CCHF in an index patient and attending physician in North Kordufan region, Sudan, and to provide some information on virus genetic lineages.</p> <p>Methods</p> <p>Antibody captured ELISA, reverse transcription PCR, partial S segment sequences of the virus and subsequent phylogenetic analysis were used to confirm the CCHFV infection and to determine the virus genetic lineages.</p> <p>Results</p> <p>CCHF was confirmed by monitoring specific IgM antibody and by detection of the viral genome using RT-PCR. Treatment with oral ribavirin, replacement with fluid therapy, blood transfusion and administration of platelets concentrate resulted in rapid improvement of the health condition of the female physician. Phylogenetic analysis of the partial S segment sequences of the 2 CCHFV indicates that both strains are identical and belong to Group III virus lineage, which includes viruses from Africa including, Sudan, Mauritania, South Africa and Nigeria.</p> <p>Conclusion</p> <p>Further epidemiologic studies including, CCHFV complete genome analysis and implementation of improved surveillance are urgently needed to better predict and respond to CCHF outbreaks in the Kordufan region, Sudan.</p

Availability and price changes of potential medicines and equipment for the prevention and treatment of COVID-19 among pharmacy and drug stores in Bangladesh; findings and implications

Objective: There are concerns with increased prices and drug shortages for pertinent medicines and personal protective equipment (PPE) to prevent and treat COVID-19 enhanced by misinformation. Community pharmacists and drug stores play a significant role in disease management in Bangladesh due to high co-payments. Consequently, a need to review prices and availability in the pandemic. Materials and Methods: Multiple approach involving a review and questionnaire among pharmacies and stores early March to end May 2020. Results and Discussion: 170 pharmacies and drug stores took part, giving a response rate of 63.9%. Encouragingly, no change in utilization of antimalarial medicines in 51.2% of stores despite global endorsements. However, increased utilisation of antibiotics (70.6%), analgesics (97.6%), vitamins (90.6%) and PPE (over 95%). Encouragingly, increases in purchasing of PPE. No increase in prices among 50% of the stores for antimalarials, with a similar situation for antibiotics (65.3%), analgesics (54.7%), and vitamins (51.8%). However, price increases typically for PPE (over 90% of stores). Shortages also seen for medicines and PPE, again greater for PPE. Conclusions: The pandemic has impacted on the supply and prices of medicines and PPE in Bangladesh. Key stakeholder groups can play a role addressing misinformation, with enhanced local production helping address future shortages and prices

Seasonal Effect on Biomarkers of Exposure to Petroleum Hydrocarbons in the Coasts of North Western Suez Gulf, Egypt

Petroleum hydrocarbons of surface water were collected from eight locations of from the coasts of north western Suez Gulf, Egypt. The extracted petroleum hydrocarbons were determined by gas chromatography–flame ionization detector and quantified by integrating the areas of both the resolved and unresolved components. The results confirm that the concentration is relatively higher than the recommended in the regulations of the Egyptian low of Environment of No.4/1994 of petroleum products. At various locations, The dissolved petroleum hydrocarbons ranged from 5.639 to 74.8 and 1.868 to 65.698 mg/ml for summer and winter seasons, respectively. This indicates that chronic oil pollution, in addition to hydrocarbon concentrations, the diagnostic indices used shows that the hydrocarbons in the area were comes from biogenic, petrogenic and anthropogenic sources. FT-IR spectrometric analysis confirms the petrogenic nature of pollutants

Rapid assessment of price instability and paucity of medicines and protection for COVID-19 across Asia : findings and public health implications for the future

Background: Countries have introduced a variety of measures to prevent and treat COVID-19 with medicines and personal protective equipment (PPE), with some countries adopting preventative strategies earlier than others. However, there has been considerable controversy surrounding some treatments. This includes hydroxychloroquine where the initial hype and misinformation lead to shortages, price rises and suicides. Price rises and shortages have also been seen for PPE. Such activities can have catastrophic effects on patients where there are high co-payment levels and issues of affordability. Consequently, there is a need to investigate this further. Objective: Assess changes in the availability, utilization and prices of relevant medicines and PPE during the pandemic among a range of Asian countries. Our approach: Narrative literature review combined with interviews among community pharmacists to assess changes in consumption, prices and shortages of medicines and PPE from the beginning of March 2020 until end of May 2020. In addition, suggestions on ways to reduce misinformation. Results: 308 pharmacists took part from five Asian countries. There was an appreciable increase in the utilization of antimicrobials in Pakistan (in over 88% of pharmacies), with lower increases or no change in Bangladesh, India, Malaysia and Vietnam. Encouragingly, there was increased use of vitamins/immune boosters and PPE across the countries, as well as limited price rises for antimicrobials in India, Malaysia and Vietnam, although greater price rises seen for analgesics and vitamin C/immune boosters. Appreciable price increases were also seen for PPE across some countries. Conclusion: Encouraging to see increases in utilization of vitamins/immune boosters and PPE. However, increases in the utilization and prices of antimicrobials is a concern that needs addressing alongside misinformation and any unintended consequences from the pandemic. Community pharmacists can play a key role in providing evidence-based advice, helping to moderate prices, as well as helping address some of the unintended consequences of the pandemic

Quality of Resuscitative Care Provided to an Infant with Abusive Head Trauma in Community Emergency Departments: An In Situ, Prospective Simulation-Based Study

Objectives Abusive head trauma (AHT) is a very common and serious form of physical abuse, and a major cause of mortality and morbidity for young children. Early Recognition and supportive care of children with AHT is a common challenge in community emergency department (CEDs). We hypothesized that standardized, in situ simulation can be used to measure and compare the quality of resuscitative measures provided to children with AHT in a diverse set of CEDs. Methods This prospective, simulation-based study measured teams' performance across CEDs. The primary outcome was overall adherence to AHT using a 15-item performance assessment checklist based on the number of tasks performed correctly on the checklist. Results Fifty-three multiprofessional teams from 18 CEDs participated in the study. Of 270 participants, 20.7% were physicians, 65.2% registered nurses, and 14.1% were other providers. Out of all tasks, assessment of airway/breathing was the most successfully conducted task by 53/53 teams (100%). Although 43/53 teams (81%) verbalized the suspicion for AHT, only 21 (39.6%) of 53 teams used hyperosmolar agent, 4 (7.5%) of 53 teams applied cervical spine collar stabilization, and 6 (11.3%) of 53 teams raised the head of the bed. No significant difference in adherence to the checklist was found in the CEDs with an inpatient pediatric service or these with designated adult trauma centers compared with CEDs without. Community emergency departments closer to the main academic center outperformed CEDs these that are further away. Conclusions This study used in situ simulation to describe quality of resuscitative care provided to an infant presenting with AHT across a diverse set of CEDs, revealing variability in the initial recognition and stabilizing efforts and provided and targets for improvement. Future interventions focusing on reducing these gaps could improve the performance of CED providers and lead to improved patient outcomes