796 research outputs found

    An analysis of the impact of soft skills on Malaysian technical institutions

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    Many people recognize the importance of technical skills as knowledge and proficiencies required in the accomplishment of professional jobs. However, the importance and applicability of soft skills are mostly ignored despite the fact that, it is a process how individual carry himself in an organization or professional environment for the progress of that individual and the organization he found himself. The paper explored into some journals from the previous the literatures, some soft skills were identified such as communication, lifelong learning, entrepreneurship, leadership, and teamwork, problem solving and critical among TVET institutions in Malaysia. Document analysis was conducted as a methodology for this study. The impacts of these soft skills on TVET related institutions like polytechnics, training centers and universities in Malaysia. It was indicated that, the result of the impact of soft skills on these institutions was generally moderate. The paper concluded that, technical skills alone could not bring about the organizational development there must be a compliment of soft skills for any organizational sustainability. Supplementary of soft and technical skills conceptual model was formulated. The paper was concluded by saying that, the competitive nature of the present situation, soft skills are essential because they have affected all aspect of human development. Some recommendations were suggested, teachers, lecturers and instructor must teach students soft skills for complete individual proficiencies and organizational sustainability

    Talking control sessions in people with advanced cancer: a qualitative analysis of sessions

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    BACKGROUND: Talking control (TC) was developed to control for the common factors in therapy so that the specific effects of therapy can be tested. A TC was recently used in a pilot study of Acceptance and Commitment therapy for dysfunction in people with advanced cancer. This work explores the audio recording of the sessions in a TC to explore how they were utilised by people with advanced cancer. METHODS: This is a qualitative study nested in larger feasibility randomised control trial. The trial participants were recruited from three London hospices. The study examined data for 5 participants who received weekly sessions of a TC. Fifteen sessions, three per participant, were transcribed and analysed using a thematic approach. RESULTS: Individuals with advanced cancer used TC sessions as a safe place in which they could express their feelings-from smaller daily concerns to deeper-rooted difficulties. Many participants also engaged in emotional and cognitive avoidance regarding some topics, particularly those pertaining to their cancer. The TC sessions were also used as an opportunity to focus on the more positive aspects of their lives. Lastly, they served to reflect on ways to overcome difficulties. CONCLUSIONS: This study suggests the TC can have beneficial, albeit varying uses for people with advanced cancer, that may even be considered therapeutic

    Experiential Avoidance in Advanced Cancer: a Mixed-Methods Systematic Review

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    BACKGROUND: People with advanced cancer experience psychological distress due to physical symptoms, functional decline, and a limited prognosis. Difficult thoughts, feelings, and emotions may exacerbate distress and lead to avoidance of these experiences which is sometimes referred to as experiential avoidance (EA). Advanced cancer patients may be more likely to engage in EA especially when no obvious solutions to their problems exist. This study aims to examine the terms used to describe EA, the processes that might indicate EA, associations between EA and psychological distress, and to understand why individuals might engage in EA. METHODS: A mixed-methods review. Literature search of Medline, Embase, Psych INFO, and CINAHL 1980-October 2019. INCLUSION: adults ≥ 18 years; advanced cancer not amenable to cure. EXCLUSION: no measures of EA or psychological distress. Risk of bias and study quality assessed. Evidence of statistical techniques collected. Themes coded, grouped, and developed based on meaning. RESULTS: Nineteen studies identified, 13 quantitative studies and 6 qualitative. The quantitative of which 6 compared early-stage cancers with advanced cancers and examined subscales of EA alongside mood, quality of life, and psychological distress. EA covers a range or terms of which 'avoidant coping' is the commonest. EA is manifest as cognitive, behavioural, and emotional avoidance. A thematic synthesis suggests the function of EA is to protect people from distress, and from confronting or expressing difficult emotions by avoiding communication about cancer, controlling negative information, and maintaining normality and hope and optimism. CONCLUSIONS: EA may be beneficial in the short term to alleviate distress, but in the longer term, it can impair function and limit engagement in life. Greater clinical awareness of the complexity of EA behaviours is needed. Clinicians and researchers should define EA precisely and be aware of the function it may serve in the short and longer term. Future research studies may consider using specific measures of EA as a primary outcome, to assess the impact of psychological interventions such as ACT

    The Grizzly, March 24, 2016

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    Library Reveals Swank Database • Professors Find New Forms of Teaching • Presidential Election: How is Ursinus Involved? • Challenges of Studying Abroad: Work vs. Studying • U-Imagine Center to Host Symposium on Careers in Art • Slice of History: The Story of Marzella\u27s and its Close Relationship with Ursinus College • An Honorable Mention • CAB Rolling Out New Events • Opinions: It\u27s Always Sunny in Philly, But it\u27s Too Far Away; Scoop on Classroom Conflict • Four Gymnasts Earn All-American Honors • Making a Splashhttps://digitalcommons.ursinus.edu/grizzlynews/1686/thumbnail.jp

    Transport Study of Charge Carrier Scattering in Monolayer WSe2_2

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    Employing flux-grown single crystal WSe2_2, we report charge carrier scattering behaviors measured in hh-BN encapsulated monolayer field effect transistors. We perform quantum transport measurements across various hole densities and temperatures and observe a non-monotonic change of transport mobility μ\mu as a function of hole density in the degenerately doped sample. This unusual behavior can be explained by energy dependent scattering amplitude of strong defects calculated using the T-matrix approximation. Utilizing long mean-free path (>>500 nm), we demonstrate the high quality of our electronic devices by showing quantized conductance steps from an electrostatically-defined quantum point contact. Our results show the potential for creating ultra-high quality quantum optoelectronic devices based on atomically thin semiconductors.Comment: 6 pages, 4 figure

    Local Group Dwarf Spheroidals: Correlated Deviations from the Baryonic Tully-Fisher Relation

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    Local Group dwarf spheroidal satellite galaxies are the faintest extragalactic stellar systems known. We examine recent data for these objects in the plane of the Baryonic Tully-Fisher Relation (BTFR). While some dwarf spheroidals adhere to the BTFR, others deviate substantially. We examine the residuals from the BTFR and find that they are not random. The residuals correlate with luminosity, size, metallicity, ellipticity, and susceptibility of the dwarfs to tidal disruption in the sense that fainter, more elliptical, and tidally more susceptible dwarfs deviate farther from the BTFR. These correlations disfavor stochastic processes and suggest a role for tidal effects. We identify a test to distinguish between the {\Lambda}CDM and MOND based on the orbits of the dwarf satellites of the Milky Way and how stars are lost from them.Comment: 16 pages, 7 figures. Submitted to ApJ. Revised in response to referee repor

    Agro-industrial waste: a potential feedstock for pullulan production

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    Nowadays, the growing interest of using of biopolymer to replace petroleum based material asare increasing tremendously. Microbial biopolymers are usually water-soluble gum which have innovative and unique physical characteristics.Pullulan is a biodegradable and water soluble exopolysaccharide synthesized by the yeast-like fungus Aureobasidium pullulans. This polymorphic fungus is well known as producer of the polysaccharide, pullulan and other by-products such as oil, organic acids, pigment, and others. Pullulan has extensive applications in pharmaceutical, cosmetic, biomedical, and food industries because of its advantageous chemical and physical properties. Pullulan’s structure is co-existence of á-(1, 4) and á-(1, 6) linkages which is nontoxic, tasteless and non-mutagenic. Some of its excellent properties are low viscosity, non-toxicity, slow digestibility, high plasticity, and excellent film-forming capabilities. Although pullulan shows great potential in several industries, its high production cost is a major drawback. Therefore, cheaper and accessible substrate which can minimize the production cost is needed. This review highlights the potential use of agro-industrial waste as an alternative source feedstock for pullulan production and its biosynthesis, chemical structure, production process and applications

    Pullulan, a biopolymer with potential applications in pharmaceutical and cosmeceutical: a review

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    Pullulan is an important polysaccharide with unique characteristics. This natural biopolymer is water-soluble, non-mutagenic, non-immunogenic, and non-toxic. It produced naturally as extracellular polysaccharide by the yeast-like fungi Aureobasidium pullulans. Due to the chemical, biological, and physical characteristics, pullulan has become a desired compound for many applications in pharmaceutical industry including drug and gene delivery, tissue engineering, medical imaging, plasma expander and also in the cosmeceutical industries. This article presents a review of the state-of-the-art applications of pullulan by Aureobasidium sp. in the pharmaceutical and cosmeceutical field. Such important knowledge was organized and updated on the basis of latest research directions in pharmaceutical and cosmeceutical area. The presented information emphasizes an actual outlook and the essential steps to improve the utmost exploitation of the scientific advancement documented in the pullulan area up to date

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

    Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

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    Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication
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