WORK TOGETHER… WHEN APART CHALLENGES AND WHAT IS NEED FOR EFFECTIVE VIRTUAL TEAMS

Increasingly competitive global markets and accelerating technological changes have increased the need for people to contact via electronic medium to have daily updates, the people those who could not able to meet face to face every day. Those who contact via electronic medium i.e. Virtual Team, are having number of benefit but to achieve these potential benefits, however, leaders need to overcome liabilities inherent in the lack of direct contact among team members and managers. Team members may not naturally know how to interact effectively across space and time. By this paper author try to throw some lights on the challenges that virtual team faces and try to elaborate what is needed for Virtual Team

Paving the way in neuroeconomics

__Abstract__ Why the Erasmus Centre for Neuroeconomics is making a name for itself in research that applies brain-scanning technology to economics and marketing issues

Hybotinae (Diptera, Hybotidae) of the National Park of Jaú, Amazonas, Brazil, with description of five new species of Syneches Walker

The composition of Hybotinae of the National Park of Jaú was studied. Sixteen species of Hybotinae are recorded and five new species of Syneches Walker are described and illustrated: Syneches hispidus sp. nov., S. jauensis sp. nov., S. longiflagellatus sp. nov., S. rafaeli sp. nov. and S. vidali sp. nov.A composição de Hybotinae do Parque Nacional do Jaú foi estudada. Dezesseis espécies de Hybotinae são registradas e cinco espécies novas de Syneches Walker são descritas e ilustradasSyneches hispidus sp. nov., S. jauensis sp. nov., S. longiflagellatus sp. nov., S. rafaeli sp. nov. e S. vidali sp. nov

HEALTH COMMUNICATION ANALYSIS OF DOCTOR-PATIENT RELATIONSHIP AND PATIENTS’ HEALTH BEHAVIOUR IN SOUTH WEST NIGERIA

Communication in doctor-patient relationship has undergone a transition over time from doctor-dominance to patient-centred approach. Unfortunately, the patient-centred approach adopted today has not positively influenced the health behaviour of patients. For this, health communication scholars wonder if there is any difference between patient-centred and the doctor-dominance approach. The study adopted the descriptive survey research method, using two sets of questionnaires for data collection from patients and doctors. Multi-stage sampling technique was used to select 120 respondents for the study. Data collected were analyzed using frequency counts, percentages and chi-square technique. Communication in doctor-patient relationship had significant influence on patients’ follow-up appointments (χ2 = 112.867) and compliance to prescribed drugs (χ2 = 48.333).   Communication in doctor-patient   relationship had significant influence on patients’ choice of the hospital (χ2= 44.083) and  consumption of balanced or specific diet (χ2 = 61.350). Communication in doctor-patient relationship had significant influence on patients’ exercising regularly (χ2 =18.80).The study concluded that doctor-patient relationship in health communication influences patients’ health behaviour in South West Nigeria. It is therefore recommended that doctors should apply an integrated/ synergetic approach in communicating with their patients and that audience-specific social media platforms should be utilized to complement the doctor-patient communication for more effective result. &nbsp

A Systematic Review

Background and Purpose Hypercoagulability increases the risk of arterial thrombosis; however, this effect may differ between various manifestations of arterial disease. Methods In this study, we compared the effect of coagulation factors as measures of hypercoagulability on the risk of ischaemic stroke (IS) and myocardial infarction (MI) by performing a systematic review of the literature. The effect of a risk factor on IS (relative risk for IS, RRIS) was compared with the effect on MI (RRMI) by calculating their ratio (RRR = RRIS/RRMI). A relevant differential effect was considered when RRR was >1+ its own standard error (SE) or <1−SE. Results We identified 70 publications, describing results from 31 study populations, accounting for 351 markers of hypercoagulability. The majority (203/351, 58%) had an RRR greater than 1. A larger effect on IS risk than MI risk (RRE>1+1SE) was found in 49/343 (14%) markers. Of these, 18/49 (37%) had an RRR greater than 1+2SE. On the opposite side, a larger effect on MI risk (RRR<1-1SE) was found in only 17/343 (5%) markers. Conclusions These results suggest that hypercoagulability has a more pronounced effect on the risk of IS than that of MI

Leaderships’ Role in Managing Crisis in the Lebanese Health Sector: An Assessment of Influencing Factors

This paper aims to assess the healthcare leadership’s role in crisis management, examine, and investigate the influencing factors. A quantitative analysis approach with a positivism philosophy is adopted. Primary data are collected using a structured questionnaire distributed to a sample of hospital employees in Lebanon. Data analysis used IBM SPSS version 25; whereby descriptive statistics (i.e., frequencies, percentages, means, and standard deviations) and inferential statistics (i.e., factor analysis, multivariable linear regression) were obtained. Results revealed that leaders’ traits and skills like proactivity and communication, gender, hospital location, organization’s culture, and stakeholders’ engagement influence the effectiveness of leaders’ decision-making in a crisis management context. Also, the results confirmed the alternative hypotheses that the explanatory factors have a direct and statistically significant relationship with leaders’ decision-making effectiveness. Outcomes of this research serve as an eye opener to policymakers, health care managers, and stakeholders that a fully integrated effort is a must to mitigate serious crisis consequences

Experience with enterocutaneous fistula management in a district hospital in Nigeria

Background: Enterocutaneous fistula (ECF) is an abnormal communication between gastrointestinal tract and skin. It is a difficult condition to treat and morbidity and mortality remain high in many centers. Malnutrition and sepsis are the leading causes of death. There are no clear guidelines for optimal nutritional management. Aggressive measures to maintain positive nitrogen balance is the ultimate goal of nutritional management. Our objective was to review the practice of the nutritional management and outcome of ECF in a resource limited setting in Nigeria.Methods: A retrospective study of all patients with ECF managed between 2006 and 2015. Management included resuscitation, control of sepsis, enteral feeding, skin care and timely surgical intervention.Results: A total of 57 patients were managed. Aetiology of ECF in this study was post-operative in 96.5% of cases. Fistula closure was achieved in 51/57 patients (89.5%). Thirty-nine (68.42%) fistulae closed spontaneously on conservative management while 12 (21.05%) fistulae healed following restorative surgery. Mortality rate was 10.5%. Rate of healing was related to serum albumin level and fistula output.Conclusion: Aggressive enteral feeding allows a favorable outcome in enterocutaneous fistula after a convalescence period. High output and hypoalbuminaemia were important prognostic variables.Keywords: Enterocutaneous fistula,enteral feeding, outcome, resource-limited settin

The impact of moulage on learners' experience in simulation-based education and training: systematic review

BACKGROUND: Moulage is a technique used to simulate injury, disease, aging and other physical characteristics specific to a scenario, often used in health and emergency worker training, predominantly for simulation-based learning activities. Its use in allied health fields is unclear. Previous work has explored moulage as an adjunct for authentic simulations, however there is opportunity for broadening its scope.AIM: To explore the effects of moulage interventions in simulation-based education and training, for learner experience. A secondary aim was to understand which pedagogical frameworks were embedded in moulage interventions.METHOD: Four electronic databases (PubMed, CINAHL, EmBase, Proquest Central) were systematically searched to December 2022 for studies utilising moulage in simulation-based education experiences. Outcomes were focused on learner satisfaction, confidence, immersion, engagement, performance, or knowledge. Study quality was assessed using the Mixed Methods Appraisal Tool.RESULTS: Twenty studies (n = 11,470) were included. Studies were primarily conducted in medicine (n = 9 studies) and nursing (n = 5 studies) and less frequently across other health disciplines. The findings demonstrated greater learner satisfaction, confidence, and immersion when moulage was used against a comparator group. Minimal improvements in knowledge and performance were identified. One study underpinned the intervention with a pedagogical theory.CONCLUSION: Moulage improves learner experience in simulation-based education or training, but not knowledge or clinical performance. Further research utilising moulage across a broader range of professions is needed. Interventions using moulage should be underpinned by pedagogical theories.</p

Coupling between magnetic and thermodynamic properties in RRRh2_2Si2_2 (RR = Dy, Ho)

Single crystals of DyRh$_2$Si$_2$ and HoRh$_2$Si$_2$ were investigated by thermal expansion and magnetostriction. The different types of magnetic order can clearly be seen in these measurements, particularly the canting of the moments away from the crystallographic $c$ direction below about 12~K and the spin-flip for magnetic field applied along the $c$ direction. For HoRh$_2$Si$_2$, an additional transition just below $T_{\rm N}$ is analyzed by means of the Gr\"{u}neisen ratio and is likely caused by a change of the magnetic structure. Our results nicely corroborate findings from other magnetic and thermodynamic measurements on these materials and provide further evidence suggesting the formation of magnetic domains.Comment: 9 pages, 8 figure

Ulocuplumab (BMS-936564 / MDX1338): a fully human anti-CXCR4 antibody induces cell death in chronic lymphocytic leukemia mediated through a reactive oxygen species-dependent pathway.

The CXCR4 receptor (Chemokine C-X-C motif receptor 4) is highly expressed in different hematological malignancies including chronic lymphocytic leukemia (CLL). The CXCR4 ligand (CXCL12) stimulates CXCR4 promoting cell survival and proliferation, and may contribute to the tropism of leukemia cells towards lymphoid tissues. Therefore, strategies targeting CXCR4 may constitute an effective therapeutic approach for CLL. To address that question, we studied the effect of Ulocuplumab (BMS-936564), a fully human IgG4 anti-CXCR4 antibody, using a stroma--CLL cells co-culture model. We found that Ulocuplumab (BMS-936564) inhibited CXCL12 mediated CXCR4 activation-migration of CLL cells at nanomolar concentrations. This effect was comparable to AMD3100 (Plerixafor--Mozobil), a small molecule CXCR4 inhibitor. However, Ulocuplumab (BMS-936564) but not AMD3100 induced apoptosis in CLL at nanomolar concentrations in the presence or absence of stromal cell support. This pro-apoptotic effect was independent of CLL high-risk prognostic markers, was associated with production of reactive oxygen species and did not require caspase activation. Overall, these findings are evidence that Ulocuplumab (BMS-936564) has biological activity in CLL, highlight the relevance of the CXCR4-CXCL12 pathway as a therapeutic target in CLL, and provide biological rationale for ongoing clinical trials in CLL and other hematological malignancies