Impact of Incentive Schemes on Employee Performance: A Case Study of Singareni Collieries Company Limited, Kothagudem, Andhra Pradesh, India

This paper aims to identify the impact of incentive schemes on factors that affect employee performance. The researcher identified three categories of employees of Singareni Collieries Company Limited such as workers, clerical staff and supervisory staff. The study explores the impact of incentives on several factors like motivation, absenteeism, employee turnover, production and productivity, employee morale, health and working conditions, team work, rewarding and work satisfaction of   employees. The data were collected through questionnaire from 120 respondents of all categories. The data analysis were done based on themean score, independent sample z-test was used to find any difference exist among employees in pursuing incentive schemes, findings and conclusions were drawn from all the three categories of employees. On the whole general satisfaction is found among all categories of employees. The overall analysis revealed that incentives schemes are giving satisfactory results in improving employee performance apart from  increasing incomes of the workers and other benefits

Mobile Advertising and Its Impact on the Customers Mind: Case of New Delhi (India)

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Determinants of Smoking Behaviour Among Secondary School Students in Bangladesh

Despite established country’s tobacco control law, cigarette smoking by the young people and the magnitude of nicotine dependence among the students is alarming in Bangladesh. This study was aimed to determine the prevalence of smoking and factors influencing it among the secondary school students. A two-stage cluster sampling was used for selection of schools with probability proportional to enrollment size followed by stratified random sampling of government and private schools. The 70-item questionnaire included ‘core GYTS’ (Global Youth Tobacco Survey) and other additional questions were used to collect relevant information. Analysis showed that the prevalence of smoking was 12.3% among boys and 4.5% among girls, respectively. The mean age at initiation of smoking was 10.8 years with standard deviation of 2.7 years. Logistic regression analysis revealed that boys are 2.282 times likely to smoked than girls and it was 1.786 times higher among the students aged 16 years and above than their younger counterparts. Smoking by teachers appeared to be the strong predictor for students smoking behaviour (OR 2.206, 95% CI: 1.576, 3.088) followed by peer influence (OR 1.988, 95% CI: 1.178, 3.356). Effective smoking prevention program should to be taken to reduce smoking behaviour. The school curricula had less impact in preventing smoking except teacher’s smoking behaviour

Performance analysis of RIS-assisted full-duplex communications with infinite and finite blocklength codes

With the advancement of wireless communication technologies, reconfigurable intelligent surfaces (RISs) have recently paved the way to augmenting the performance of wireless networks with the aid of multiple reflecting surfaces by efficiently attuning the signal reflection through a large number of low-cost passive elements. In this paper, we consider an RIS-aided full-duplex (FD) communication network consisting of a FD access point (AP) that communicates with an uplink and a downlink user simultaneously with the aid of an RIS as well as through the direct link between the AP and users. To evaluate the system performance under infinite blocklength (IBL) and finite blocklength (FBL) codes, we derive the analytical expressions for the outage probability and throughput in case of IBL, and for block-error rate (BLER) and goodput in the case of FBL, for both uplink and downlink transmission. Furthermore, the expressions for the maximum achievable rate under FBL and IBL transmission are derived. Next, we also extend the analysis of the single-user framework to a more practical scenario with multiple users utilizing non-orthogonal multiple access (NOMA) and derive analytical expressions for the outage probability and BLER at each downlink user and at the AP. The accuracy of the derived expressions is validated via simulation results, and insights are provided regarding the impact of the number of reflecting elements and imperfect channel state information (CSI) on the performance of the considered system. Finally, from the comparative analysis, it is shown that the RIS-aided system outperforms the system without RIS in both IBL and FBL scenarios, providing remarkable improvement in the outage probability and BLER

Physician–patient communication in decision-making about Caesarean sections in eight district hospitals in Bangladesh: a mixed-method study

Abstract: Background: Caesarean sections (CS) in Bangladesh have risen eight-fold in the last 15 years. Few studies have explored why. Anecdotally, physicians suggest maternal request for CS is a reason. Women and families suggest physicians influence their decision-making. The aim of this research was to understand more about the decision-making process surrounding CS by exploring physician–patient communication leading to informed-consent for the operation. Methods: We conducted a mixed-method study using structured observations with the Option Grid Collaborative’s OPTION5 tool and interviews with physicians and women between July and December 2018. Study participants were recruited from eight district public-sector hospitals. Eligibility criteria for facilities was ≥ 80 births every month; and for physicians, was that they had performed CSs. Women aged ≥ 18 years, providing consent, and delivering at a facility were included in the observation component; primigravid women delivering by CS were selected for the in-depth interviews. Quantitative data from observations were analysed using descriptive statistics. Following transcription and translation, a preliminary coding framework was devised for the qualitative data analysis. We combined both inductive and deductive approaches in our thematic analysis. Results: In total, 306 labour situations were observed, and interviews were conducted with 16 physicians and 32 women who delivered by CS (16 emergency CS; 16 elective CS). In 92.5% of observations of physician–patient communication in the context of labour situations, the OPTION5 mean scores were low (5–25 out of 100) for presenting options, patient partnership, describing pros/cons, eliciting patient preferences and integrating patient preferences. Interviews found that non-clinical factors prime both physicians and patients in favour of CS prior to the clinical encounter in which the decision to perform a CS is documented. These interactions were both minimal in content and limited in purpose, with consent being an artefact of a process involving little communication. Conclusions: Insufficient communication between physicians and patients is one of many factors driving increasing rates of caesarean section in Bangladesh. While this single clinical encounter provides an opportunity for practice improvement, interventions are unlikley to impact rates of CS without simultaneoulsy addressing physician, patient and health system contextual factors too

‘Solo datasets’: unexpected behavioural patterns uncovered by acoustic monitoring of single individuals

A holistic understanding of the life-history strategies of marine populations is often hindered by complex population dynamics, exacerbated by an intricate movement ecology across their life history (Nathan et al. 2008; Parsons et al. 2008; Jeltsch et al. 2013). Movement patterns and spatial ecology can vary spatially and temporally for different reasons, mainly related to the organism’s life history and environmental variability (Abecasis et al. 2009, 2013; Afonso et al. 2009). Changes in spatial use and movement can occur daily when visiting feeding grounds or avoiding predators, or seasonally, when sexually mature individuals migrate to spawning/breeding grounds (Kozakiewicz 1995; Sundström et al. 2001). However, observed shifts in spatial use and movement patterns, as a result of behavioural plasticity, may also vary greatly from one individual to another of the same species and/or population (Afonso et al. 2009). Further, ontogeny can also play an important role and explain a possible change in individual spatial variation. Noticeable differences in the behaviour and movements of mature and immature individuals have been documented in various marine organisms (Lowe et al. 1996; Lecchini and Galzin 2005). Permanent habitat shifts have been associated with ontogenesis in pigeye sharks (Carcharhinus amboinensis), moving from inshore to offshore areas after reaching maturity (Knip et al. 2011).This research was partially funded by the EU LIFE-BIOMARES Project (LIFE06 NAT/P/000192).info:eu-repo/semantics/publishedVersio

Competence of healthcare professionals in diagnosing and managing obstetric complications and conducting neonatal care: a clinical vignette-based assessment in district and subdistrict hospitals in northern Bangladesh

Background This study assesses the competency of maternal and neonatal health (MNH) professionals at district-level and subdistrict-level health facilities in northern Bangladesh in managing maternal and newborn complications using clinical vignettes. The study also examines whether the professional’s characteristics and provision of MNH services in health facilities influence their competencies. Methods 134 MNH professionals in 15 government hospitals were interviewed during August and September 2016 using structured questionnaire with clinical vignettes on obstetric complications (antepartum haemorrhage and pre-eclampsia) and neonatal care (low birthweight and immediate newborn care). Summative scores were calculated for each vignette and median scores were compared across different individual-level and health facility-level attributes to examine their association with competency score. Kruskal-Wallis test was performed to identify the significance of association considering a p value<0.05 as statistically significant. Results The competency of MNH professionals was low. About 10% and 24% of the health professionals received ‘high’ scores (>75% of total) in maternal and neonatal vignettes, respectively. Medical doctors had higher competency than nurses and midwives (score=11 vs 8 out of 19, respectively; p=0.0002) for maternal vignettes, but similar competency for neonatal vignettes (score=30.3 vs 30.9 out of 50, respectively). Professionals working in health facilities with higher use of normal deliveries had better competency than their counterparts. Professionals had higher competency in newborn vignettes (significant) and maternal vignettes (statistically not significant) if they worked in health facilities that provided more specialised newborn care services and emergency obstetric care, respectively, in the last 6 months. Conclusions Despite the overall low competency of MNH professionals, exposure to a higher number of obstetric cases at the workplace was associated with their competency. Arrangement of periodic skill-based and drill-based in-service training for MNH professionals in high-use neighbouring health facilities could be a feasible intervention to improve their knowledge and skill in obstetric and neonatal care

HIV infection drives interferon signaling within intestinal SARS-CoV-2 target cells

SARS-CoV-2 infects epithelial cells of the human gastrointestinal (GI) tract and causes related symptoms. HIV infection impairs gut homeostasis and is associated with an increased risk of COVID-19 fatality. To investigate the potential link between these observations, we analyzed singlecell transcriptional profiles and SARS-CoV-2 entry receptor expression across lymphoid and mucosal human tissue from chronically HIV-infected individuals and uninfected controls. Absorptive gut enterocytes displayed the highest coexpression of SARS-CoV-2 receptors ACE2, TMPRSS2, and TMPRSS4, of which ACE2 expression was associated with canonical interferon response and antiviral genes. Chronic treated HIV infection was associated with a clear antiviral response in gut enterocytes and, unexpectedly, with a substantial reduction of ACE2 and TMPRSS2 target cells. Gut tissue from SARS-CoV-2-infected individuals, however, showed abundant SARS-CoV-2 nucleocapsid protein in both the large and small intestine, including an HIV-coinfected individual. Thus, upregulation of antiviral response genes and downregulation of ACE2 and TMPRSS2 in the GI tract of HIV-infected individuals does not prevent SARS-CoV-2 infection in this compartment. The impact of these HIVassociated intestinal mucosal changes on SARS-CoV-2 infection dynamics, disease severity, and vaccine responses remains unclear and requires further investigation

Competence of healthcare professionals in diagnosing and managing obstetric complications and conducting neonatal care: a clinical vignette-based assessment in district and subdistrict hospitals in northern Bangladesh

Background This study assesses the competency of maternal and neonatal health (MNH) professionals at district-level and subdistrict-level health facilities in northern Bangladesh in managing maternal and newborn complications using clinical vignettes. The study also examines whether the professional’s characteristics and provision of MNH services in health facilities influence their competencies. Methods 134 MNH professionals in 15 government hospitals were interviewed during August and September 2016 using structured questionnaire with clinical vignettes on obstetric complications (antepartum haemorrhage and pre-eclampsia) and neonatal care (low birthweight and immediate newborn care). Summative scores were calculated for each vignette and median scores were compared across different individual-level and health facility-level attributes to examine their association with competency score. Kruskal-Wallis test was performed to identify the significance of association considering a p value<0.05 as statistically significant. Results The competency of MNH professionals was low. About 10% and 24% of the health professionals received ‘high’ scores (>75% of total) in maternal and neonatal vignettes, respectively. Medical doctors had higher competency than nurses and midwives (score=11 vs 8 out of 19, respectively; p=0.0002) for maternal vignettes, but similar competency for neonatal vignettes (score=30.3 vs 30.9 out of 50, respectively). Professionals working in health facilities with higher use of normal deliveries had better competency than their counterparts. Professionals had higher competency in newborn vignettes (significant) and maternal vignettes (statistically not significant) if they worked in health facilities that provided more specialised newborn care services and emergency obstetric care, respectively, in the last 6 months. Conclusions Despite the overall low competency of MNH professionals, exposure to a higher number of obstetric cases at the workplace was associated with their competency. Arrangement of periodic skill-based and drill-based in-service training for MNH professionals in high-use neighbouring health facilities could be a feasible intervention to improve their knowledge and skill in obstetric and neonatal care