KEPUASAN PERKAWINAN PADA PASANGANYANG TIDAK MEMILIKI ANAK

Havigrust (in Hurlock, 1996) suggest that choosing our significant one and getting married is one of the development objectives that must be experiencing by each individual. The objective to held marriage for husband and wife is to legitimize sexual relationship as humanity demand, to create a family based of loving and caring, also to give birth to the next generation. (Ramulyo, 2002: 27). Children existence has real meaning whether from economy, social, psychology and religion point of view. However, in its realization it is not always easy to have children as expected. Based on the problem formulation, this study’s objective is to discover deeperdescription of marriage satisfaction in couple without children, and factors that brings effect toward their marriage life although they didn’t have any children. This study is a qualitative one, study conducted in 16­31 of January 2010 by sampling two couple who doesn’t have children (four people). Study is using interview and observation method, also using data validity check by source triangulation. From this study author might conclude that marriage satisfaction image of the two couple being studied has bring quite different result, where for the first couple that is ZM and DH tend to feel satisfy with their marriage life because all 7 marriage satisfaction component has been fulfilled, although they didn’t have any children. While for the second couple that is IJ and MK basically feeling satisfy with their marriage life though they felt something missing by the absence of children within the family. For factors influencing marriage satisfaction although not having children in both couple has several similarities such as (1) subject couple is kindhearted and respectful couple, (2) they accept and fulfill each others strength and weaknesses, (3) conducive and supporting family environment, and (5) subject has submit to fate and accepting the fact that this is might be the best given to them from Allah

Nurses’ Practices and Perception of Delirium in the Intensive Care Units of a Selected University Hospitals in Egypt

Delirium is a common but frequently undetected complication in hospitalized critically ill patients leading to poor outcomes, prolonged hospital stays, and increased costs of care. Therefore, because of their daily contact with critically ill patients, critical care nurses are at the frontline of patients’ care and are in a unique position to improve their outcomes through timely identification of individuals at risk, early detection of signs and symptoms of delirium, and providing the needed intervention. Aim of the study: to assess critical care nurses’ practices and perception of delirium among critically ill patients in different critical care settings. Research Design: A descriptive exploratory research design was utilized in this study. Research questions: To achieve the aim of the present study, the following two research questions were formulated: 1-What is the current nurses’ practice of delirium assessment in the critical care units? 2- How critical care nurses perceive delirium among critically ill patients?. Setting: The study was carried out at different Critical Care Departments at Cairo University Hospitals, in Egypt. Sample: A sample of convenience including all nurses (120) working at different critical care departments was included in the current study. Tools of data collection: Two tools were used to collect data pertinent to the current study: Socio demographic data sheet (covers data such as gender, age, years of experience, attended staff development courses, working hours, etc……);  and Nursing practices and perceptions assessment sheet: was adopted from Devlin, et al., (2008). It covers data related to frequency of evaluating patients for level of sedation and presence of delirium; presence of delirium; frequency of using delirium assessment sheet; received education regarding ICU sedation assessment and ICU delirium assessment, and statements that pertain to delirium in the ICU. Results: the current study revealed that inspite of having many years of experience in working with critically ill patients, all ICU nurses (100%) ranked delirium assessment as the fourth priority after level of conscious, pain assessment, handling agitation, and caring for devices. More than half of the studied nurses (54.2%) never assessed delirium, and 100% of nurses never received training about assessing and handling delirium. Conclusion: delirium is an under diagnosed problem in the ICU; it is a common response to the ICU environment. It is challenging to be assessed among critically ill patients and represents a problem that requires active intervention on the part of caregivers. Recommendations: Incorporating cognitive assessment in general, and delirium assessment in particular into nursing education courses; Integration of delirium assessment and management into daily nursing care of critically ill patients, and training critical care nurses about early recognition of delirium among critically ill patients Key wards: delirium, delirium assessment & nurses' perception and practices

Relationship between Body Mass Index and in-hospital Outcomes of Acute Myocardial Infarction Patients at a Selected Critical Care Unit of a University Hospital - Egypt.

Myocardial infarction (MI) is acute and catastrophic event. It is one of the leading causes to morbidity and mortality worldwide. Multiple risk factors were found to be responsible for the occurrence of MI; among these factors are overweight and obesity. Therefore, the aim of the present study is to study the relationship between body mass index (BMI) and in-hospital outcomes among acute myocardial infarction patients at a selected critical care unit of a university hospital. Two research questions were formulated:1- What is the body mass index profile of acute myocardial infarction patients admitted to a selected critical care unit of a university hospital?; and 2: What is the relationship between body mass index and different in-hospital outcomes of acute myocardial infarction patients admitted to a selected critical care unit of a university hospital?. A descriptive exploratory research design was utilized. The current study was conducted at a selected critical care unit of a university hospital, in Egypt. A sample of convenience including 60 adult male and female patients was included in the current study. Two tools were developed by the researcher and utilized to collect data pertinent to the current study: Socio-demographic and medical data sheet which covers data about patients’ age, gender, diagnosis, body weight, height, length of ICU stay, past medical history, current or recent smoking, and at home medications; and Patient’s assessment sheet which was developed based on Acute Coronary Treatment and Intervention Outcomes Network (ACTION) Registry-Get with the Guidelines (GWTG). It covers data such as: patients’ presentation; laboratory findings; reperfusion strategy; medications within 24 hours of admission and at discharge; discharge intervention and in- hospital outcomes. Results: males represented the great majority (90%) of the studied sample. They had different BMI categories: overweight, grade I, and grade II obesity, in percentages of 33.3%, 30%, and 25% respectively, with a mean BMI of 31.52+ 4.96. No significant statistical relationship was found between BMI and gender. The studied group admitted as a result of acute anterior MI, acute inferior MI, and acute unspecific MI, in percentages of 45%, 30%& 25% respectively. No significant statistical relationship was found between BMI and diagnosis. Around two thirds of the studied group (58.2%) experienced different in hospital problems/outcomes: recurrent MI attacks (26.7%), cardiogenic shock (18.3%), C.V.S (6.6%), and Death (6.6%). High significant statistical relationship was found between BMI and in-hospital outcomes (Chi square = 46.13 at p<0.004). Based on findings of the present study it can be concluded that the majority of acute myocardial infarction patients had above normal BMI values ranging from over weight to the third grade obesity (in the current study), and obviously was significantly related to the adverse in hospital outcomes. Therefore, the current study recommends, the important role of the critical care nurse in monitoring myocardial infarction patients’ nutritional status through assessing their body mass index, thus providing individualized in hospital / at discharge instructions, which could enhance patients’ outcomes, and reduce complications. Key words: Acute Myocardial Infarction, Body Mass Index, Risk factors, In- hospital patients’ outcomes

Desert Related Traditional Knowledge, Policies and Management in Wadi Allaqi, South Eastern Desert, Egypt

Traditional knowledge in the desert. By Hanaa Ali Hassaan How do Bedouins survive, living in the dry desert? Part of the secret can be found in their Traditional Knowledge (TK), about plants, rangeland, pastoralism and settlement related issues. Such TK, that supports social resilience to endure harsh conditions, is vanishing because of political and socio-economic conditions. Also globally, traditional knowledge is at stake, notwithstanding intentions laid down in international policy conventions. This thesis describes the TK that has played a role in the subsistence of Bedouins living in the extreme conditions of Wadi Allaqi Biosphere Reserve, Southeastern Desert of Egypt. In this study, we investigated the impact of the formation of Lake Nasser in the mid-1960s and the establishment of a new village in the vicinity of the lake in the early 2000s on TK of a Bedouin community. First, we studied whether Bedouin knowledge of plant species has changed in the context of socio-economic changes during the last 50 years. Then, we focused on items relating to rangelands and settlements. Next, we analyzed whether TK plays a role in Egyptian policy, as reflected in policy documents and in interviews with regional stakeholders. Finally, we explored a possible role of citizen science approaches in the conservation and application of TK in Southern Egypt. Based on interviews with and observations of Bedouin people we demonstrated that indigenous, botanical knowledge gets lost, and that several cultural aspects of Bedouin culture are vanishing. At the other hand new agricultural knowledge has been developed with regard to the use of aquatic species, especially as a source of fodder for their herds of goats. Notwithstanding international conventions on traditional knowledge, practical interest is very limited within regional Egyptian policy, research and education. Derived recommendations imply that a stronger position of TK in regulation and law should be supplemented by social measures and actions, taking into account the perspective of the Bedouin community, in a citizen science approach of public participation. This research, supported by Nuffic, has been carried out under the supervision of Dr. Sjaak Swart and Prof. Dr. Menno Gerkema at the Energy and Sustainability Research Institute of the University of Groningen

Aggregation of Data by Using Top -K Spatial Query Preferences

A spatial database is a database that is optimized to store and query data that represents objects defined in a geometric space. A spatial preference query ranks objects based on the qualities of features in their spatial neighborhood. For example, using a real estate agency database of flats for lease, a customer may want to rank the flats with respect to the appropriateness of their location, defined after aggregating the qualities of other features (e.g., restaurants, cafes, hospital, market, etc.) within their spatial neighborhood. Such a neighborhood concept can be specified by the user via different functions. It can be an explicit circular region within a given distance from the flat. Another intuitive definition is to assign higher weights to the features based on their proximity to the flat. In this paper, we formally define spatial preference queries and propose appropriate indexing techniques and search algorithms for them. Extensive evaluation of our methods on both real and synthetic data reveals that an optimized branch-and-bound solution is efficient and robust with respect to different parameters. Index Terms: Query processing, spatial databases

Optical Non-Orthogonal Multiple Access for Visible Light Communication

The proliferation of mobile Internet and connected devices, offering a variety of services at different levels of performance, represents a major challenge for the fifth generation wireless networks and beyond. This requires a paradigm shift towards the development of key enabling techniques for the next generation wireless networks. In this respect, visible light communication (VLC) has recently emerged as a new communication paradigm that is capable of providing ubiquitous connectivity by complementing radio frequency communications. One of the main challenges of VLC systems, however, is the low modulation bandwidth of the light-emitting-diodes, which is in the megahertz range. This article presents a promising technology, referred to as "optical- non-orthogonal multiple access (O-NOMA)", which is envisioned to address the key challenges in the next generation of wireless networks. We provide a detailed overview and analysis of the state-of-the-art integration of O-NOMA in VLC networks. Furthermore, we provide insights on the potential opportunities and challenges as well as some open research problems that are envisioned to pave the way for the future design and implementation of O-NOMA in VLC systems

The stability and stabilization of infinite dimensional Caputo-time fractional differential linear systems

We investigate the stability and stabilization concepts for infinite dimensional time fractional differential linear systems in Hilbert spaces with Caputo derivatives. Firstly, based on a family of operators generated by strongly continuous semigroups and on a probability density function, we provide sufficient and necessary conditions for the exponential stability of the considered class of systems. Then, by assuming that the system dynamics is symmetric and uniformly elliptic and by using the properties of the Mittag-Leffler function, we provide sufficient conditions that ensure strong stability. Finally, we characterize an explicit feedback control that guarantees the strong stabilization of a controlled Caputo time fractional linear system through a decomposition approach. Some examples are presented that illustrate the effectiveness of our results.publishe

USING THE TECHNOLOGY ACCEPTANCE MODEL (TAM) IN EXAMINING ABSHER SYSTEM ACCPETANCE IN THE KINGDOM SAUDI ARABIA

In this era of technological disruption, people are much oriented to offer and experience new technological interventions in their daily activities. Information and communication technology (ICT) hold a pivotal designation in allowing the integration of technological interventions with daily life activities. Technology Acceptance Model (TAM) proved as the helping hand for making this situation much more sophisticated so that global technological determinism that is at the threshold of revitalization can go through a realistic situation. Absher information system that is primarily adopted by the Saudi Arabia government for facilitating their e-government initiatives demonstrated in this study. TAM used as the theoretical background for justifying the holistic applicability of Absher services. Absher is a strategic move by the Saudi government for accommodating betterment in e-governance. Thus, different aspects of global e-government principles are appropriately demonstrated in this study so that a proper justification for Absher usefulness can be displayed. Also, in this study, several theoretical persuasions are augmented, followed by taking into account variables such as perceived usefulness (PU), perceived ease of use (PEOU), behavioral intentions (BI), attitude towards use (ATU), and user satisfaction (US). The survey was conducted by the researcher, taking into account a sample of 300 Absher users from KSA. Data analysis has been conducted by the researcher using a linear regression model in which the T-test, ANOVA test, and Cronbach's' alpha test. The study results revealed that most users provide positive and high attitudes towards the use of the Absher System. Also, there is a positive correlation between ease of use and the user's attitudes towards using Absher System. Furthermore, the study found that the majority of participants thinks that using Absher System is useful for them. JEL: H10; H7