The Need to Move from Reactive to Proactive Perspective in Health Care

Purpose – The purpose of this article is to explore the importance of moving from reactive to proactive perspective in health care. Methodology - The research design, guided by a Qualitative philosophy, was inductive in nature. The researcher conducted an extensive literature review to gain an understanding and explore the importance of moving from reactive to proactive strategies to manage health organizations. Findings –Today, in the changing market environment, Health organizations must adopt proactive perspective as a strategic tool to attain business excellence and achieve goals. Practical Implications – This new perspective will make health organization stronger, and obtain sustainable competitive advantages. Originality/Value – The literature reviewed on Health Management reveals several models and frameworks to improve healthcare, however no article advocated the move to the proactive perspective and explain its importance

Coal as the National Energy Supplier Forward: What Are Policies to Be Prepared?

Indonesia's energy security is critical, coal which is expected to be the backbone of national energy supply also faces considerable challenges. To overcome this, it is necessary to formulate a policy of production control, export restrictions, as well as concerning the economy, environment and infrastructure of coal. The paper recommends that: (i) Develop depletion policies to control coal production, (ii) Implement strict discipline in granting mining permits, (iii) Reduce coal exports through export taxes, (iv) Develop more appropriate DMO (domestic market obligation) policies (v) Utilizing coal as energy to drive activities and provide added value to the domestic economy, (vi) Increasing the application of clean coal technology, and (vii) Accelerating the development of transportation, storage, and utilization of coal to serve the needs of domestic deman

Pengaruh Kualitas Pelayanan, Persepsi Tentang Biaya Dan Citra Terhadap Kepuasan Dan Loyalitas Pengguna (Studi Pada Instalasi Rawat Jalan RSUD Dr. Saiful Anwar Malang)

A goverment has an obligation to guarantee healthy right live to citizens. An empirict fact shows that service is given from hospital state has not fulfilled hopes yet. The purpose of this research to know an influence service quality, a perception about cost and image in satisfying and loyality users in IRJ RSSA. This quantitave research is from a survey 100 respondents are as samples. Data is analized on correlation tests, simple linier regretion, double linier regretion and Manova. The result of research shows on parcial and simultant variable, service quality, a perception about financial and image influence positive significant to satisfying and loyality users. An parcial view, satisfing has dominant qualities to be loyality user's. Therefore, any suggestions we say that : 1) for next researchers who will examine about satisfaction and loyalty, should consider other variables, 2) RSSA need to repair service quality, and 3) need a improving service access and societies program

Prenatal Cannabis Exposure and Infant Development: “A Tolerated Matter”

Since centuries, cannabis is used for recreational, spiritual and medicinal purposes. Today, cannabis is one of the most commonly used illicit substances, also among pregnant women. In the last decades, levels of Δ9-tetrahydrocannabinol in cannabis products have increased, and these higher levels contributed to our interest for investigating the effects of cannabis during pregnancy. The study described in this thesis was embedded within the Generation R Study, a prospective cohort study from foetal life onwards in a multiethnic urban population. In this study, we examined the associations of maternal cannabis use during pregnancy and several offspring outcomes. In order to determine whether cannabis use affects children because of intrauterine exposure, the possible influence of confounding factors should be considered. Moreover, the direct biological effect of intrauterine exposure was addressed by comparing the strength of the associations between maternal and paternal cannabis use during pregnancy and foetal growth using ultrasound measures. Additionally, to determine whether exposure to cannabis has an intrauterine influence or not, the timing of exposure was considered as well, i.e. the comparison between maternal cannabis use only before pregnancy and during pregnancy was made. This manuscript described the determinants of maternal cannabis use during pregnancy. Additionally, it discussed the agreement between maternal self-report of cannabis use during pregnancy and the presence of cannabis metabolites in urine. We addressed the association between maternal and paternal cannabis use and foetal growth and foetal redistribution observed using ultrasound measurements. Finally, this thesis focuses on the relation between parental cannabis use and child behavioural development and verbal and non-verbal cognitive development

Chaotic motion in multi-black hole spacetimes and holographic screens

We investigate the geodesic motion in $D-$dimensional Majumdar-Papapetrou multi-black hole spacetimes and find that the qualitative features of the D=4 case are shared by the higher dimensional configurations. The motion of timelike and null particles is chaotic, the phase space being divided into basins of attraction which are separated by a fractal boundary, with a fractal dimension $d_B$. The mapping of the geodesic trajectories on a screen placed in the asymptotic region is also investigated. We find that the fractal properties of the phase space induces a fractal structure on the holographic screen, with a fractal dimension $d_B-1$.Comment: 8 pages, 5 figure

FOXO3a gene polymorphism and bronchial asthma in Egyptian children INTRODUCTION Bronchial asthma is the most prevalent chronic immunological disorder in childhood period. It is characterized by airways inflammation and bronchial hyper-responsiveness where

Background: FOXO3a proteins play multiple crucial roles in immune response. FOXO3 inhibits T cell proliferation, induces T cell apoptosis via upregulation of proapoptotic proteins and it suppresses T cell activation preventing autoimmunity. The role of FOXO3a gene in the pathogenesis of bronchial asthma has been studied in few ethnic groups and revealed its implication in asthma pathogenesis.Objectives: The aim of the current study is to detect the association between single nucleotide polymorphism of the FOXO3a gene (rs13217795) and bronchial asthma, atopy and asthma severity in Egyptian children.Methods: The current cross-sectional case-control study was performed on 75 asthmatic children aged 2 to 12 years following up in the pulmonology outpatient clinic in Children's hospital, Cairo University and 75 age and sex matched healthy controls. Candidates were subjected to clinical evaluation in addition to genotyping for the FOXO3a gene polymorphism using PCR-RFLP technique.Results: The highest frequency was for the heterozygous type CT in both cases and controls groups. The genotype frequencies of mutant type TT for cases and controls were 12 % and 16% respectively, and the T allele frequencies were 37.2% in cases and 46.7% in the control group while CC genotype was present in 37.3% of asthmatic patients and 22.6% in the controls and the C allele was detected in 62.8% and 53.3% for cases and controls respectively. No statistically significant differences were observed between asthmatic patients and controls regarding the different genotypes of the FOXO3a gene polymorphism (p=0.161). No significant association was detected between the different genotypes of the FOXO3a gene polymorphism and the atopic status (p=0.536) or the different grades of asthma severity (p= 0.545).Conclusions: The study of FOXO3a gene polymorphism (rs13217795) in asthmatic Egyptian children revealed low frequency of the mutant TT genotype among cases and controls. In the current study, FOXO3a polymorphism has no role in the pathogenesis of asthma or atopy. Moreover, it has no relation to degree of disease severity.Keywords: Asthma, FOXO3a, gene, children, Egyptian, polymorphis

Teaching English at Elementary Level: Quality Differences between Theory and Practice

This study examines the perceptions of the Kuwaiti elementary school teacher trainees of EFL (English as a Foreign Language) and an attempt to identify areas that need to be improved in the elementary English teachers’ program at the CBE (College of Basic Education). The participants in this paper are one hundred and twenty six Kuwaiti teacher trainees of English who currently teach EFL through a practicum course in elementary public schools located in six school districts in the State of Kuwait. The data was collected through out the school year 2010/2012 by using a questionnaire which was filled out by the main classroom teachers as they were observing the EFL teachers' trainees in their classrooms. Based on the findings, the study has reported that teacher trainees with delight had the opportunity to work alongside a true mentor (classroom teacher), and most teacher trainees were satisfied with their performance. Key Words: Teacher trainee, Elementary stage, Practice, EFL Teachers, Curriculu

THE PROTECTIVE ROLE OF OMEGA-3 AGAINST GENOTOXICITY AND REPRODUCTIVE TOXICITY OF COBALT OXIDE NANOPARTICLES ACUTE TREATMENT IN MALE MICE

Objective: Cobalt nanoparticles (NPs), especially cobalt oxide NPs (Co3O4 NPs) are attracting unique shaped NPs that are used in different biomedical applications and medicine. Different in vitro studies report their toxic and carcinogenic effect but limited in vivo studies were present on its genotoxic potential. The present study was aimed to evaluate the genotoxic potential of Co3O4 NPs on bone marrow cells and sperms and the protective role of omega-3 in male albino mice.Methods: Animals were segregated into four groups that were orally treated for 3 consecutive days, Group 1: Negative control; Group 2: Omega-3 (250 mg/kg); Group 3: Co3O4 NPs (20 mg/kg); and Group 4: Combined group (250 mg/kg Omega-3 and Co3O4 NPs 20 mg/kg).Results: The present results show that Co3O4 NPs administration significantly increased number of micronucleated polychromatic erythrocytes (PCEs)/1000 PCEs, sperm abnormalities, and DNA damage, significantly decreased sperm motility and concentration in comparison to negative control group. However, Omega-3 administration in the combined group modulates the genotoxic potential of Co3O4 NPs in comparison to Co3O4 NPs group.Conclusion: The present study reports the genotoxic potential of Co3O4 NPs in vivo and assesses the protective role of Omega-3 administration due to its antioxidant effect