Inculcating Professional Ethics among Employees in the Workplace: A Systematic Literature Review

Professional ethics has become a vital and challenging topic in today's environment. Thus, the goal of this study is to encourage and enhance ethical behaviour among employees, as well as to foster a strong professional ethics culture inside organizations. In this sense, the study's goal is to accomplish three objectives. First, it explains what professional ethics is and how it affects an organisation. Second, the article emphasizes the importance and necessity of cultivating an ethical culture inside a company. Finally, the study investigates how employees’ attitudes influence workplace ethics and some implications are derived from the findings. Secondary data sources such as journals, articles, books, research papers, and websites were used in this study, which was mostly performed using a qualitative research approach. The study's findings indicate that employees' attitudes have an influence on organizations' workplace ethics. According to the findings of this study, professional ethics is essential for any organization to establish and sustain a strong and ethical culture among its employees. Therefore, managers should focus not just on achieving corporate goals while fostering meaningful working relationships, but also on encouraging ethical behaviour among employees.        KEYWORDS: Professional Ethics, Ethical Culture, Employees, Ethical Behaviou

The monetary approach to the balance of payments : a case study of Sri Lanka

This study examines the empirical validity of the monetary approach to the balance of pay men ts in Sri Lanka during the period 1958-1984. In most aspects it indicates that the monetary approach is most relevant for an analysis of recent developments in the Sri Lankan balance of payments. The central point of the monetary approach to the balance of pay men ts theory is that deficits or surpluses reflect stock disequilibrium between demand and supply in the market for money. The theory is based on the premise that there is a stable demand function for money in the economy. In addition the theory implicitly assumes that there are no structural changes in the economy, especially in the balance of payments. The empirical results show that, in general, the theory holds for the Sri Lankan economy. Further, it indicates that structural changes should be taken into consideration when t.sting the theory in Sri Lanka. With t his qualification t he theory has a great er relevance to the economy. This approach to studying Sri Lanka's balance of payments reflects two main arguments. First, it is a relatively small economy with very little control over prices in the world market. Second, monetary policies have been controlled and influenced by the Central Bank, which is responsible for influencing the external balances. Thus, Sri Lanka provides not only the conditions necessary for testing a monetary model of a small open economy, but also offers some interesting in sights into the theory and policy. This is the importance of structural changes (private remittances) which need Co be included as an explicit assumption in the model

Interactions of Carbohydrate-conjugated Nanoparticles with Mycobacterium Smegmatis

Mycobacterium smegmatis is a non-pathogenic microorganism and has been widely used as a model organism to study infections caused by M. tuberculosis and other mycobacterial pathogens. We report that nanoparticles conjugated with selected carbohydrate show a striking increase in the surface adherence by M. smegmatis. This applies to silica nanoparticles and magnetic nanoparticles ranging from 100 nm to 5 nm. Under the same experimental conditions, minimum adhesion was observed for unfunctionalized nanoparticles. The synthesis and characterization of the glyconanoparticles will be presented. The finding is applied to imaging M. smegmatis infected lung epithelial cells, and the results will be discussed

Glyconanoparticle Uptake Profile in Lung Carcinoma Cells

Non-small cell lung carcinoma (NSCLC) is responsible for nearly 85% of lung cancer, and early diagnosis and treatment of lung cancer can circumvent possible death. We focus on glyconanoparticles with a magnetic or a fluorescent core that act as multivalent glyco-scaffold to study cell surface interaction and internalization. The glyconanoparticles were synthesized by conjugating various carbohydrates on magnetic nanoparticles and fluorescent silica nanoparticles by a photocoupling technique developed in our laboratory. The size of nanoparticles used varies from 6 nm to 60 nm. The resulting glyconanoparticles were treated with human adenocarcinoma non-small lung epithelial cells (A549) and the primary small airway epithelial cells (PCS-301-010). The cellular uptake was studied and quantified by confocal fluorescence microscopy, flow cytometry, thin section TEM, and prussian blue staining. We found that the extent of cellular uptake was dependent on the type of carbohydrate ligands and the nature of the nanoparticles used. Experiments were conducted to investigate the mechanism of the uptake, and results will be discussed

Enhancing Antibiotic Activity Using Nanomaterial-Antibiotic Conjugates

We demonstrate that streptomycin conjugated on silica nanoparticles (SNP-Str) can be used to effectively target streptomycin-resistant Escherichia coli (E. coli) bacteria by lowering the minimum inhibitory concentration (MIC) of streptomycin up to 2 log folds. Silica nanoparticles were synthesized with an average diameter of 80, 50 and 30 nm, respectively. Streptomycin was then covalently conjugated to SNP using efficient photocoupling chemistry. The MIC for free streptomycin sulfate was recorded as a high 2.0 mg/mL for an engineered Strr mutant E. coli ORN 208. Conjugating the streptomycin to SNP resulted in the decrease in MIC to 161 μg/mL, 63 μg/mL, and 19 μg/mL for SNP of 80, 50 and 30 nm, respectively. In this poster, the synthesis, characterization, and evaluation of SNP-Str will be presented and discussed

Enhanced motivational interviewing for reducing weight and increasing physical activity in adults with high cardiovascular risk: the MOVE IT three-arm RCT.

BACKGROUND: Motivational interviewing (MI) enhanced with behaviour change techniques (BCTs) and deployed by health trainers targeting multiple risk factors for cardiovascular disease (CVD) may be more effective than interventions targeting a single risk factor. OBJECTIVES: The clinical effectiveness and cost-effectiveness of an enhanced lifestyle motivational interviewing intervention for patients at high risk of CVD in group settings versus individual settings and usual care (UC) in reducing weight and increasing physical activity (PA) were tested. DESIGN: This was a three-arm, single-blind, parallel randomised controlled trial. SETTING: A total of 135 general practices across all 12 South London Clinical Commissioning Groups were recruited. PARTICIPANTS: A total of 1742 participants aged 40-74 years with a ≥ 20.0% risk of a CVD event in the following 10 years were randomised. INTERVENTIONS: The intervention was designed to integrate MI and cognitive-behavioural therapy (CBT), delivered by trained healthy lifestyle facilitators in 10 sessions over 1 year, in group or individual format. The control group received UC. RANDOMISATION: Simple randomisation was used with computer-generated randomisation blocks. In each block, 10 participants were randomised to the group, individual or UC arm in a 4 : 3 : 3 ratio. Researchers were blind to the allocation. MAIN OUTCOME MEASURES: The primary outcomes are change in weight (kg) from baseline and change in PA (average number of steps per day over 1 week) from baseline at the 24-month follow-up, with an interim follow-up at 12 months. An economic evaluation estimates the relative cost-effectiveness of each intervention. Secondary outcomes include changes in low-density lipoprotein cholesterol and CVD risk score. RESULTS: The mean age of participants was 69.75 years (standard deviation 4.11 years), 85.5% were male and 89.4% were white. At the 24-month follow-up, the group and individual intervention arms were not more effective than UC in increasing PA [mean 70.05 steps, 95% confidence interval (CI) -288 to 147.9 steps, and mean 7.24 steps, 95% CI -224.01 to 238.5 steps, respectively] or in reducing weight (mean -0.03 kg, 95% CI -0.49 to 0.44 kg, and mean -0.42 kg, 95% CI -0.93 to 0.09 kg, respectively). At the 12-month follow-up, the group and individual intervention arms were not more effective than UC in increasing PA (mean 131.1 steps, 95% CI -85.28 to 347.48 steps, and mean 210.22 steps, 95% CI -19.46 to 439.91 steps, respectively), but there were reductions in weight for the group and individual intervention arms compared with UC (mean -0.52 kg, 95% CI -0.90 to -0.13 kg, and mean -0.55 kg, 95% CI -0.95 to -0.14 kg, respectively). The group intervention arm was not more effective than the individual intervention arm in improving outcomes at either follow-up point. The group and individual interventions were not cost-effective. CONCLUSIONS: Enhanced MI, in group or individual formats, targeted at members of the general population with high CVD risk is not effective in reducing weight or increasing PA compared with UC. Future work should focus on ensuring objective evidence of high competency in BCTs, identifying those with modifiable factors for CVD risk and improving engagement of patients and primary care. TRIAL REGISTRATION: Current Controlled Trials ISRCTN84864870. FUNDING: This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 23, No. 69. See the NIHR Journals Library website for further project information. This research was part-funded by the NIHR Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King's College London

Factors influencing haemodialysis arteriovenous fistula patency after balloon angioplasty: a systematic review

Aim: Percutaneous transluminal angioplasty (PTA) is an established treatment for haemodialysis fistula stenosis. This study aimed to systematically review evidence for factors associated with patency after percutaneous transluminal angioplasty (PTA). Background: The effects of patient comorbidity, demographic, biochemical and anatomical characteristics, with initial PTA success and post-intervention patency have not previously been summarised. Methods: We searched databases to identify studies assessing patency after PTA in haemodialysis fistulae. Studies of immature or thrombosed fistulae or other dialysis access were excluded. Quality of studies was assessed using a modified validated checklist. Outcomes assessed were post-intervention primary and secondary patency, restenosis at 6 months, technical and clinical success, assisted primary patency and mean interval or frequency of endovascular interventions during follow up. Findings were summarized descriptively. Results: We included 12 single-centre studies of 1 120 participants with 1281 fistulae. Follow-up ranged from 3 days-10years. Shorter primary patency was seen with more recent fistulae (4 studies), longer stenosis length, upper arm fistulae (2 studies), small inflow artery diameter, arteriovenous anastomotic site and history of previous endovascular interventions (1 study each). Shorter secondary patency was seen with increased patient age (2 studies), and more recent fistulae (1 study). Early restenosis was associated with diabetes (3 studies), HbA1c, low-density lipoprotein, and asymmetric dimethylarginine (1 study each). Technical success was reduced for upper arm fistulae and high-grade stenoses (1 study), while clinical success of PTA was more likely in stenotic compared to thrombosed fistulae (1 study). Conclusion: Fistula characteristics and diabetes may be associated with poor PTA outcomes, however evidence is inconclusive, and the role of metabolic and inflammatory markers is unclear

FitFlame – Health and Fitness Coaching Application to Mitigate the Issues in the Current Applications

Online fitness coaches help people achieve a healthy lifestyle by offering customized solutions. The demand for professional coaching is expected to grow in the coming years. Nevertheless, no applications in the market address the problems in the coaching process. Today, coaches and clients had to use many third-party apps. The reason for this is that no single fitness coaching app offers communication and exercise-tracking features. Even though some apps meet some of these requirements, they are out of reach for most people's budgets. This paper aims to suggest a robust and full-fledged app to mitigate those issues. FitFlame is the name of the proposed app. Both coaches and clients can benefit from this app. Also, FitFlame is a fitness coaching system available on mobile and the web. It helps clients locate and contact coaches, subscribe to coaching plans, and track their progress. It does away with third-party programs and gives users a better experience

Changes in attitudes to awareness of hypoglycaemia during a hypoglycaemia awareness restoration programme are associated with avoidance of further severe hypoglycaemia episodes within 24 months: the A2A in HypoCOMPaSS study

Aims/hypothesis: The aims of this study were to assess cognitions relating to hypoglycaemia in adults with type 1 diabetes and impaired awareness of hypoglycaemia before and after the multimodal HypoCOMPaSS intervention, and to determine cognitive predictors of incomplete response (one or more severe hypoglycaemic episodes over 24 months). Methods: This analysis included 91 adults with type 1 diabetes and impaired awareness of hypoglycaemia who completed the Attitudes to Awareness of Hypoglycaemia (A2A) questionnaire before, 24 weeks and 24 months after the intervention, which comprised a short psycho-educational programme with optimisation of insulin therapy and glucose monitoring. Results: The age and diabetes duration of the participants were 48±12 and 29±12 years, respectively (mean±SD). At baseline, 91% reported one or more severe hypoglycaemic episodes over the preceding 12 months; this decreased to <20% at 24 weeks and after 24 months (p=0.001). The attitudinal barrier hyperglycaemia avoidance prioritised (2p=0.250, p=0.001) decreased from baseline to 24 weeks, and this decrease was maintained at 24 months (mean±SD=5.3±0.3 vs 4.3±0.3 vs 4.0±0.3). The decrease in asymptomatic hypoglycaemia normalised from baseline (2p=0.113, p=0.045) was significant at 24 weeks (1.5±0.3 vs 0.8±0.2). Predictors of incomplete hypoglycaemia response (one or more further episodes of severe hypoglycaemia) were higher baseline rates of severe hypoglycaemia, higher baseline scores for asymptomatic hypoglycaemia normalised, reduced change in asymptomatic hypoglycaemia normalised scores at 24 weeks, and lower baseline hypoglycaemia concern minimised scores (all p<0.05). Conclusions/interpretation: Participation in the HypoCOMPaSS RCT was associated with improvements in hypoglycaemia-associated cognitions, with hyperglycaemia avoidance prioritised most prevalent. Incomplete prevention of subsequent severe hypoglycaemia episodes was associated with persistence of the cognition asymptomatic hypoglycaemia normalised. Understanding and addressing cognitive barriers to hypoglycaemia avoidance is important in individuals prone to severe hypoglycaemia episodes. Clinical trials registration: www.isrctn.org: ISRCTN52164803 and https://eudract.ema.europa.eu: EudraCT2009-015396-27. Graphical abstract: [Figure not available: see fulltext.]. (c) 2022, The Author(s)

The DAFNEplus programme for sustained type 1 diabetes self management: Intervention development using the Behaviour Change Wheel

AIMS: Self-management programmes for type 1 diabetes, such as the UK's Dose Adjustment for Normal Eating (DAFNE), improve short-term clinical outcomes but difficulties maintaining behavioural changes attenuate long-term impact. This study used the Behaviour Change Wheel (BCW) framework to revise the DAFNE intervention to support sustained behaviour change. METHODS: A four-step method was based on the BCW intervention development approach: 1) Identifying self-management behaviours and barriers/enablers to maintaining them via stakeholder consultation and evidence synthesis, and mapping barriers/enablers to the Capability, Opportunity, Motivation-Behaviour (COM-B) model. 2) Specifying behaviour change techniques (BCTs) in the existing DAFNE intervention using the Behaviour Change Techniques Taxonomy (BCTTv1). 3) Identifying additional BCTs to target the barriers/enablers using the BCW and BCTTv1. 4) Parallel stakeholder consultation to generate recommendations for intervention revision. Revised materials were co-designed by stakeholders (diabetologists, psychologists, specialist nurses and dietitians). RESULTS: Thirty-four barriers and five enablers to sustaining self-management post-DAFNE, were identified. The existing DAFNE intervention contained 24 BCTs, which partially addressed the enablers. Twenty-seven BCTs were added, including 'Habit formation', 'Credible source' and 'Conserving mental resources'. Fifteen stakeholder-agreed recommendations for content and delivery were incorporated into the final DAFNEplus intervention, comprising three co-designed components: (1) face-to-face group learning course, (2) individual structured follow-up sessions, (3) technological support, including blood glucose data management. CONCLUSIONS: This method provided a systematic approach to specifying and revising a behaviour change intervention incorporating stakeholder input. The revised DAFNEplus intervention aims to support the maintenance of behavioural changes by targeting barriers and enablers to sustaining self-management behaviours