SMANJENJE TROŠKOVA TRANSPORTA OTPADA U PROVINCIJI TAIF, SAUDIJSKA ARABIJA

Municipal solid waste (MSW) management is a critical issue in the Kingdom of Saudi Arabia (KSA). Management of solid waste in crowded conditions, especially in main cities such as the Al-Taif Province. This paper deals with that case study and focuses on how to solve material handling problems by applying conventional methods and computer ability. One of the costliest operations in the civil sector is transportation for material handling. City mayors considered transportation and materials handling as a subclass of the linear programming technique, thus linear programming problems take into consideration that the main objective is to handle materials from the city centre site to the identified dumping area. There are many methods and tools used to solve the transportation problem (TP) to find out the maximum or minimum in order to reduce cost or maximize profit. The methods related to manual solutions and others used many different computer applications. Manual solutions include the northwest corner method, the minimum cost method, the row minimum cost method, the column minimum cost method, and Vogel\u27s approximation method, and computer applications such as LINGO, Lingo, and solver function using Microsoft Excel. This case study focuses on applying the Microsoft Excel function to find the minimum cost of the transportation system in waste materials to reduce the transportation cost from the city centre to the final destination (dumping area) to be used. The results achieved with the model aided in obtaining optimal solutions and finally, the optimal solutions were checked.Gospodarenje čvrstim komunalnim otpadom kritično je pitanje u Kraljevini Saudijskoj Arabiji (KSA), posebice u uvjetima guste naseljenosti u glavnim gradovima i pokrajinama kao što je Taif. Ovaj rad prikazuje studiju slučaja i usredotočen je na to kako riješiti probleme gospodarenja i manipulacije materijalima primjenom konvencionalnih metoda i informatičkom tehnologijom. Jedan od najskupljih poslova u komunalnome sektoru jest transport materijala. Gradske uprave transport i rukovanje materijalima smatraju potklasom tehnologije linearnoga programiranja, stoga problemi linearnoga programiranja uzimaju u obzir da je glavni cilj rukovanje materijalima od središta grada do identificiranoga odlagališta. Postoje mnoge metode i alati koji se koriste za rješavanje problema transporta (TP) kako bi se saznao maksimum ili minimum u smislu smanjenja troškova ili maksimiziranja profita. Te metode primarno su se odnosile na manualna rješenja, a druge su se koristile mnogim različitim računalnim aplikacijama. Manualna rješenja uključuju metodu sjeverozapadnoga kuta (northwest corner method), metodu minimalnoga troška, metodu minimalnoga troška retka, metodu minimalnoga troška stupca i Vogelovu metodu aproksimacije te računalne aplikacije kao što su LINGO, Lingo i funkciju Solver koja je uključena u Microsoft Excel. Ova studija slučaja usredotočuje se na primjenu Microsoft Excel funkcije za pronalaženje minimalne cijene sustava transporta otpadnoga materijala kako bi se smanjio trošak transporta od centra grada do konačnoga odredišta (odlagalište). Rezultati dobiveni modeliranjem dali su optimalna rješenja koja su na kraju rada i provjerena

Neuroendocrine tumor of the appendix inside an incarcerated Amyand’s hernia

AbstractAmyand’s hernia is a rare type of hernia where the vermiform appendix is within an inguinal hernia sac. Tumors of the appendix are quite uncommon. The coincidence of an Amyand’s hernia with neuroendocrine tumor of the appendix, as in our case, is even more rarely reported.We report the case of an 81-year-old male who presented with an incarcerated right inguinal hernia. After resuscitation, the clinical diagnosis was confirmed by computed tomography. It showed an incarcerated right inguinal hernia which contained the distal ileum, cecum, thickened appendix, as well as a small amount of fluid. Subsequently, the patient was prepared for emergency surgery. During the operation, the hernia sac was found and opened. The appendix was swollen. Therefore, appendectomy was performed. The inguinal defect was repaired using the Modified Bassini Technique. The patient had an uneventful postoperative recovery and surprisingly the histopathology of the appendix revealed a 1.5cm well-differentiated low grade neuroendocrine tumor (carcinoid) of the appendix tip.An incidental finding of neuroendocrine tumor of the appendix in a patient with s hernia is extremely rare. A high index of suspicion is the key to diagnose such a coincidence in order to safely and optimally treat such a condition

Conceptualizing life competencies: EFL teachers' qualitative perspective

Purpose – Meeting the 21st century skills is critically significant to ensure success in today's world, collegiate context and neoteric careers. This qualitative study turns attention to teachers' mindsets, dispositions and perceptions concerning 21st century life competencies required to meet the current, emerging and future needs of learners. Design/methodology/approach – One-to-one structured interviews were conducted with English as a foreign language (EFL) teachers (N = 8), where open-ended questions were asked in order to determine the participants' perception of, support to, and integration of the life competencies into an EFL classroom setting. In addition, teachers' performance and implementation of life competencies (males and females) was observed in the classroom over a long time. Findings – The results showed that teachers' practices contradict their conceptions of the life competencies. Critical thinking was seen as a priority from teachers' perspectives. Teachers perceived learning to learn and critical thinking as the most important competencies for students to learn. Findings of the study indicated that teachers hold positive attitudes toward integrating life competencies into EFL context; however, they lack a clear vision about how to incorporate them. Research limitations/implications – This study recommends equipping teachers with professional training and customized orientations offering new insights into how life-competency-oriented instruction might be designed. Originality/value – Career readiness should be a prominent aim of education where students are equipped with life skills or competencies. EFL practitioners need to understand, support and implement life-competency-instruction

Healthcare providers’ attitudes, beliefs and barriers to pulmonary rehabilitation for patients with chronic obstructive pulmonary disease in Saudi Arabia: a cross-sectional study

Objectives: To assess the attitude of healthcare providers (HCPs) towards the delivering of pulmonary rehabilitation (PR) to patients with chronic obstructive pulmonary disease (COPD) and identify factors and barriers that might influence referral. Design: A cross-sectional online survey consisting of nine multiple-choice questions. Settings: Saudi Arabia. Participants: 980 HCPs including nurses, respiratory therapists (RT) and physiotherapists. Primary outcome measures: HCPs attitudes towards and expectations of the delivery of PR to COPD patients and the identification of factors and barriers that might influence referral in Saudi Arabia. Results: Overall, 980 HCPs, 53.1% of whom were men, completed the survey. Nurses accounted for 40.1% of the total sample size, and RTs and physiotherapists accounted for 32.1% and 16.5%, respectively. The majority of HCPs strongly agreed that PR would improve exercise capacity 589 (60.1%), health-related quality of life 571 (58.3%), and disease self-management in patients with COPD 589 (60.1%). Moreover, the in-hospital supervised PR programme was the preferred method of delivering PR, according to 374 (38.16%) HCPs. Around 85% of HCPs perceived information about COPD, followed by smoking cessation 787 (80.3%) as essential components of PR besides the exercise component. The most common patient-related factor that strongly influenced referral decisions was ‘mobility affected by breathlessness’ (64%), while the ‘availability of PR centres’ (61%), the ‘lack of trained HCPs’ (52%) and the ‘lack of authority to refer patients’ (44%) were the most common barriers to referral. Conclusion: PR is perceived as an effective management strategy for patients with COPD. A supervised hospital-based programme is the preferred method of delivering PR, with information about COPD and smoking cessation considered essential components of PR besides the exercise component. A lack of PR centres, well-trained staff and the authority to refer patients were major barriers to referring patients with COPD. Further research is needed to confirm HCP perceptions of patient-related barriers

The Importance of Preventive Medicine in Family Practice: A Review of Current Guidelines and Recommendations

Prevention is seen as a critical topic in family practice. Primordial prevention, primary prevention, secondary prevention, tertiary prevention, and quaternary prevention are all part of this strategy to disease prevention. To avoid the formation and development of risk factors, primary prevention focuses on addressing the fundamental causes and social determinants of disease. Primary prevention is the practice of preventing illnesses before they arise via the use of treatments such as immunizations and health education. Secondary prevention focuses on illness identification and intervention as early as possible to avoid disease development. Tertiary prevention addresses illness outcomes by restoring health and offering rehabilitation. Finally, quaternary prevention seeks to safeguard patients against needless medical treatments and the harm caused by over-medicating. Risks frequently rise in tandem with frailty and comorbidities. In contrast, advantages frequently drop as life expectancy increases. Preventive management strategies should consider the patient's viewpoint and be mutually agreed upon. Healthcare providers must prioritize the deployment of preventive care services, even when clinical treatments are required, in order to overcome preventive care hurdles. Healthcare practitioners may play a critical role in illness prevention and contribute to family well-being by investing in preventive care and executing these measures

Contribution of Saudi Neurosurgeons to the International Neurosurgical Literature: a Bibliometric Analysis of Trends Over the Last Three Decades

This review is a bibliometric analysis of the contribution of neurosurgeons from the Kingdom of Saudi Arabia (KSA) to the international neurosurgical literature over the last three decades. The study aimed at determining changes in publication trends over time and assessing the impact of these changes on citation numbers. All publications in the PubMed-indexed neurosurgical journals that were authored by at least one Saudi neurosurgeon were selected. The articles were divided into two study groups according to publication year whether during the last decade (2011- 2020) or the previous two decades (1991- 2010). Changes in publication trends were determined by comparing the bibliometric characteristics of the articles in both groups. The impact of the changes on citation numbers was assessed by correlating the annual citation rates for the articles with their bibliometric qualities. A total of 352 publications were suitable for the review (200 articles published during 2011- 2020, and 152 during 1991- 2010). Temporal changes in the publishing journals and first authors’ centres and regions were observed. The articles that were published in the last decade were associated with a significantly higher annual publication rate, a greater number of authors, centres, and countries, and a larger sample size compared to those published in the previous two decades. They also had a lower percentage of Saudi total and first authorship as well as a smaller proportion of case reports. The annual citation rate was significantly impacted by the duration from publication, sample size, and study type during both study periods. However, only during the last decade, the annual citation rate was positively influenced by the journal’s impact factor, number of authors, centres, countries, and percentage of Saudi authorship. We conclude that KSA neurosurgeons’ contribution to international neurosurgical journals had increased considerably over the last decade. The publications were authored by neurosurgeons from a wider range of centres and regions than in the past. A bigger portion of publications had become more multi-authored, multi-centred, and multi-national as well as reported larger sample sizes and lesser rates of case reports. The changes in publication trends correlated positively with the articles’ annual citation rates. The findings could be considered encouraging

Optimized D-α-tocopherol polyethylene glycol succinate/phospholipid self-assembled mixed micelles: A promising lipid-based nanoplatform for augmenting the antifungal activity of fluconazole

Fluconazole (FLZ) is the most widely used antifungal agent for treating cutaneous candidiasis. Although oral FLZ has been proved to be effective, the incidence of side effects necessitates the development of an effective formulation that could surpass the pitfalls associated with systemic availability. Accordingly, this research aimed at developing a self-assembled mixed micelles topical delivery system to enhance the topical delivery of the drug. Self-assembled mixed micelles were developed using D-α-tocopheryl polyethylene glycol 1000 succinate and phospholipids and optimized using Box-Behnken design. The optimized formulation with minimized size was then tested in vivo for the antifungal activity against C. albicans in immunocompromised mice. Treatment with the optimized formulation led to decreased peripheral erythema as well as lesions due to fungal infection in comparison to raw FLZ loaded gel. Therefore, the developed formulation was found to be a promising vehicle for the treatment of cutaneous candidiasis

Corrosion reduction in steam turbine blades using nano-composite coating

The current study aims to reduce the hot corrosion issues in steam turbines for Al-Mussaib thermal power stations. To gain the aim of the study, many experimental tests were conducted by taking a sample from an existing broken steam turbine blade to identify the alloy composition and preparing samples with exact composition by powder metallurgy method, then using the electro-deposition method to coat the prepared samples by three different coating composite materials consists of TiO2 in different ratios (5, 10 and 15) g/l and 5 g/l SiO2 added to Watt's solution. To verify the efficiency of coating, several tests were conducted (surface roughness, hardness, wear, and oxidation test). The obtained results indicated that increasing the Ni-5%SiO2-TiO2 (5, 10 and 15) g/l caused an increase in the coating thickness, which is compatible with increasing the surface roughness. Also, the sample hardness increased after coating, which returned to increasing TiO2 amount (5, 10 and 15) g/l. However, wear resistance for the samples after coating by selected coating composite and 10 g/l TiO2 amount records the highest reduction in the wear of the sample

Causes of Mortality for Indonesian Hajj Pilgrims: Comparison between Routine Death Certificate and Verbal Autopsy Findings

10.1371/journal.pone.0073243PLoS ONE88-POLN

A population-based study of 15,000 people on Knowledge and awareness of lung cancer symptoms and risk factors in Saudi Arabia

Background: Lung cancer is currently the most fatal form of cancer worldwide, ranking as the fourth most prevalent type in Saudi Arabia, particularly among males. This trend is expected to increase with growing population, lifestyle changes, and aging population. Understanding the awareness of the Saudi population regarding the risk factors and symptoms of lung cancer is necessary to attenuate the predicted increase in cases. Method: A cross-sectional, population-based survey was performed using a previously validated questionnaire (Lung CAM). Multiple linear regression analysis was used to assess variables associated with deficiency in knowledge and awareness of risk factors and symptoms of lung cancer. Results: Majority of the 15,099 respondents were male (65%), aged between 18 and 30 years (53%), 50% of which were educated up to a bachelor’s degree level. Overall awareness of lung cancer signs and symptoms was 53%, with painful cough and coughing up blood being the best-known symptoms. Conversely, persistent shoulder pain (44%) and clubbing fingers (47%) were the least known lung cancer symptoms. Also, 60% of the respondents showed low confidence in identifying the signs and symptoms of lung cancer. The overall awareness of the risk factors for lung cancer development was 74%, with first-hand (74%) and second-hand (68%) smoking being the most known risk factors. However, only ≤ 62% know the other non-smoking risk factors. Awareness of the risk factors and symptoms of lung cancer depended on age, gender, education, marital and employment status (p < 0.001). Conclusion: Public awareness of the risk factors and symptoms of lung cancer in Saudi Arabia is inadequate and heavily dependent on education and socio-economic status. Awareness can be improved through campaigns to raise awareness about other lesser-known lung cancer risk factors and symptoms