How much the act of secrecy is done by medical staff? A descriptive cross-sectional survey in south of Iran

Some information may be gathered during the medical procedures, including medical records or personal information. Many of them can be considered as secrets. The medical staff has the duty of privacy, which means keeping the secrets away from a third party. Hippocratic Oath accepts no exceptions but modern ethical express the situations in which the disclosure of secrets is allowed, legal, or even necessary. The present study is about to evaluate the act of secrecy in medical staff of the tertiary health care centers affiliated with Jahrom University of Medical Sciences in south of Iran. This cross sectional study is done on 204 members of medical staff of 8 different wards in tertiary health care centers affiliated with Jahrom University of Medical Sciences in south of Iran, using a questionnaire of 31 questions in 5 major categories adding to a data sheet for demographic information (age, gender, ward). Validity and reliability of the questionnaire was proved by previous studies. Collected data analyzed by dependent T-test, Fisher's exact and SPSS.17 using descriptive and deductive statistics. The mean rate of secrecy was 3.82± 0.75. Respecting others in the category of "goals of secrecy" earned 4.48, common medical services in the category of "reasons for disclosure" earned 3.89, damage to the patient in the category of "legal reasons for disclosure" earned 4.05, patient's rights in "personal reasons for secrecy" earned 4.07, and informing the medical managers in "proper way to confront the offenders" with the score 2.85 were the highest scores of each category. The variant Ages (p=0.003) and wards (p=0.03) showed significant differences in the secrecy. Results show that the medical staff is not familiar enough to the legal and ethical indications of secrecy, so holding in-service courses may be effective

Modification of Moment Connection of I-Beam to Double-I Built-Up Column by Reinforcing Column Cover Plate

AbstractTraditional moment connections of I-beam to double-I built-up column have some problems. They are the stress concentration, brittle fracture of the welds and semi-rigid behavior of the connection. To upgrade the connection behavior, it is proposed to replace parts of the column cover plate, situated in critical areas where the beam flanges (or flange plates) connect to the column cover plate, by thicker and larger plates. To investigate the cyclic behavior of the proposed connection, a series of nonlinear finite element analysis were carried out on different models. Results indicate that the modified connection has such a strength and ductility that can be used in special moment frames. Its stiffness is also in the range of a fully restrained connection

Behaviour of Steel Plate Shear Wall in Multi Span Moment Frame with Various Infill Plate Connection to Column

Steel plate shear walls consist of thin infill steel plates attached to beams, called (horizontal boundary elements, HBEs), and columns (vertical boundary elements, VBEs) in structural steel frames. The thin unstiffened web plates are expected to buckle in shear at low load levels and develop tension field action, providing ductility and energy dissipation through tension yielding of the web plate. HBEs are designed for stiffness and strength requirements and are expected to anchor the tension field formation in the web plates. VBEs are designed for yielding of web plates and plastic hinge formation at the ends of the HBEs. This design approach may result in very large demand on boundary frame members, especially VBEs in most cases. Several methods such as using LYP, perforating the infill plate and omitting connection of infill plate to columns have been proposed to reduce the moment and axial force demands on the VBEs. The main purpose of this research is to study the behavior of steel plate shear walls with various connection of infill plate to columns in multi span moment frames. A numerical study has been performed in order to investigate the behavior of such a system. The results of proposed system were compared with those of the conventional SPSWs. Results show that reducing the infill plate connection to columns will reduce the axial forces in columns

Tailoring the Cyber Security Framework: How to Overcome the Complexities of Secure Live Virtual Machine Migration in Cloud Computing

This paper proposes a novel secure live virtual machine migration framework by using a virtual trusted platform module instance to improve the integrity of the migration process from one virtual machine to another on the same platform. The proposed framework, called Kororā, is designed and developed on a public infrastructure-as-a-service cloud-computing environment and runs concurrently on the same hardware components (Input/Output, Central Processing Unit, Memory) and the same hypervisor (Xen); however, a combination of parameters needs to be evaluated before implementing Kororā. The implementation of Kororā is not practically feasible in traditional distributed computing environments. It requires fixed resources with high-performance capabilities, connected through a high-speed, reliable network. The following research objectives were determined to identify the integrity features of live virtual machine migration in the cloud system: To understand the security issues associated with cloud computing, virtual trusted platform modules, virtualization, live virtual machine migration, and hypervisors; To identify the requirements for the proposed framework, including those related to live VM migration among different hypervisors; To design and validate the model, processes, and architectural features of the proposed framework; To propose and implement an end-to-end security architectural blueprint for cloud environments, providing an integrated view of protection mechanisms, and then to validate the proposed framework to improve the integrity of live VM migration. This is followed by a comprehensive review of the evaluation system architecture and the proposed framework state machine. The overarching aim of this paper, therefore, is to present a detailed analysis of the cloud computing security problem, from the perspective of cloud architectures and the cloud service delivery models. Based on this analysis, this study derives a detailed specification of the cloud live virtual machine migration integrity problem and key features that should be covered by the proposed framewor

Experimental and Numerical Research on Steel Plate Shear Wall with Infill Plate Connected to Beam Only

Steel plate shear walls consist of thin infill steel plates attached to beams, called (horizontal boundary elements, HBEs), and columns (vertical boundary elements, VBEs) in structural steel frames. The thin unstiffened web plates are expected to buckle in shear at low load levels and develop tension field action, providing ductility and energy dissipation through tension yielding of the web plate. HBEs are designed for stiffness and strength requirements and are expected to anchor the tension field formation in the web plates. VBEs are designed for yielding of web plates and plastic hinge formation at the ends of the HBEs. This design approach may result in very large demand on boundary frame members, especially VBEs in most cases. Several methods such as using LYP, perforating the infill plate and omitting connection of infill plate to columns have been proposed to reduce the moment and axial force demands on the VBEs. Study the behavior of steel plate shear walls omitting the connection of infill plate and columns is the main purpose of this research. A classic analysis base on PFI method along with quasi static cyclic experimental study has been performed in order to investigate the behavior of such a system. The results of the experimental study are used to verify numerical models. Behaviors of proposed system (overall capacity and initial stiffness) were compared with those of the conventional SPSWs. Results show that both parameters are reduced in comparison to the conventional SPSWs

A systematic review of publicity interventions to increase awareness amongst healthcare professionals and the public to promote earlier diagnosis of type 1 diabetes in children and young people

Read the full text ePDF PDF ePDFPDF PDF Tools Share Abstract Background Children with new onset type 1 diabetes (T1D) are at risk of developing the life‐threatening condition ketoacidosis if they have a delayed diagnosis. The rate of children presenting in ketoacidosis remains high in a number of countries worldwide. To ensure interventions to raise awareness of symptoms are effective a systematic review was conducted to evaluate previous publicity campaigns. Methods A range of databases was searched using search terms relating to T1D, publicity campaigns, and symptom awareness. Identified articles were checked against the inclusion criteria, ensuring interventions were designed to target individuals prior to diagnosis of T1D. Papers were independently assessed under the criteria specified within the Critical Appraisal Skills Programme checklist. Results The initial search retrieved 1537 papers and following screening 20 were identified for full consideration. Thirteen did not meet the inclusion criteria, leaving 7 to be assessed. Of these 7, 2 observational case‐control studies reported a reduction in the rate of ketoacidosis following a publicity campaign using posters and providing glucose testing equipment to primary healthcare professionals. Four observational cohort studies, utilized posters, and media campaigns; 2 reported a reduction in the rate of ketoacidosis and 2 reported no difference following their interventions. A feasibility study, not designed to evaluate effectiveness, reported some anecdotal evidence of a more timely diagnosis. Conclusion Due to the methodological limitations of the studies identified, it is not possible to make a definitive conclusion on the effectiveness of the interventions reported

A structural model of the role of brand love in the impact of marketing stimuli on customer satisfaction

Extended AbstractAbstract The purpose of this study is to provide a structural model of the role of brand love in the impact of marketing stimuli on customer satisfaction. This research is applicable in terms of purpose, and survey in terms of collection method. The statistical population of the study consisted of customers of Kaleh Company in Mazandaran and Gilan provinces. The sample size of the research was determined based on Cochran's formula of 384 people and the available sampling method was used., standard questionnaires of marketing motivations of Hassanzadeh and Rezvani (2016), customer satisfaction of Garmels and Guiner (2000) and love of brand of Chow and Fiore (2015) were used to collect data. In order to analyze the data, the structural equation technique with Lisrel statistical software and Spss software were used. The research findings showed that the components of marketing stimuli were product stimulus, pricing stimulus, distribution stimulus and promotion stimulus, and respectively had the greatest effect on customer satisfaction. The results showed that marketing incentives affect customer satisfaction directly and indirectly. Love for the brand has a mediating role in the effect of marketing incentive elements on customer satisfaction.IntroductionBrands play a pivotal role in consumer behavior, and making strong relationships between customers and their chosen brands has a tremendous impact on customer behavior and brand preference. Creating such strong relationships at times leads to the formation of deep emotional bonds and ultimately love toward the brand. Creating and strengthening strong emotional bonds turns customers into staunch advocates for the brand, resulting in huge investment capital for the company (Hajibabaei & Esmailpur, 2019). Nowadays, the successful companies try more than ever to take a step toward the improvement of the stable competitive advantage . The first and foremost function of competitive advantage is to ensure the survival of the organization. When an organization ensures its survival by relying on competitive advantage, then it can follow the path of success to growth (Ermaya & Wibowo, 2020). Analyzing the behavior of buyers and customers in the marketing process is a key point in developing marketing strategies. In the process of analyzing customer behavior, marketing professionals focus on the customer decision process. The important part of this mental process is related to the external and internal stimuli of the person (or internal and external incentive). The most important external incentives are advertising and other promotional methods such as discounts and price changes that have been developed in the strategic marketing plan. Measuring these motivators for marketing professionals plays a helpful role in evaluating the effectiveness of marketing strategies (Sakifard & etal, 2019). Such motivators form the intention of buying to the customer; and if it continues, it will lead to customer satisfaction (Kootenaie & Kootenaie, 2021). Examining different dimensions of consumer behavior can help researchers to identify the reasons why customers want to buy. One of the elements that affect customer satisfaction and re-purchase intention is love for a particular brand. Robert (2005) states that brand love expresses the strongest emotional bond between the consumer and the brand (Rezaei Hajiabadi & etal, 2021). Brand love can act as a stimulus for consumers to develop and maintain close relationships with companies. Marketing has used love as a structure that shows consumers' strong emotional attachments to the love of objects, whether a brand or a product or a service (Cossío-Silva & etal, 2016). This research seeks to design a model that establishes a relationship between marketing incentives available to Kaleh Company and brand love with customer satisfaction (and ultimately the consequence for Kaleh Company is to increase competitiveness and create a strong brand). Therefore, in this study, the effect of marketing stimuli and brand love on customer satisfaction has been investigated. In this study, an attempt is made to answer the question that if marketing stimuli on customer satisfaction with the mediating role of brand love in the branches of Kaleh Company in Mazandaran and Gilan provinces have a significant impact.Theoretical literatureBrand love is the degree of emotional attachment that a satisfied customer has to a particular brand. In the other word, when a brand acts in such a way that is able to satisfy the real and tangible needs of the other party, it can be interpreted as love and thus the concept of brand love gradually entered consumer research (Palusuk & etal, 2019).Marketing incentives are a set of marketing activities that companies do to meet the needs of their target markets as best as possible (Chang & etal, 2019). After selecting a target market, marketing managers must develop a systematic plan for selling to customers and building long-term relationships (Li, 2020).Researchers consider customer satisfaction to be a psychological feeling that results from comparing the product specifications received with the needs and wants of customers and the social expectations regarding the product. According to the definitions in explaining satisfaction, three conditions are necessary: ​​First, expectations must be formed. The formation of evaluations is the second condition, and the third condition is that expectations and evaluations allow direct comparisons to be made (mirzaee Azandariani & Arya, 2020).Song & Kim (2022) conducted a study entitled The Impact of Social Media Marketing on the Value of Luxury Brands: The Dual Impact of Brand Satisfaction and Brand Love on Word of Mouth Loyalty Intentions and Attitudes. The statistical population consisted of e-shop customers in China. The research method was correlative, and the sampling method was voluntary. The results showed that social media marketing on the value of luxury brands and brand satisfaction and brand love have a significant effect on word of mouth loyalty intentions and attitudes.Choi & et al (2022) conducted a study entitled The Impact of Customer-Based Company Reputation on Customer Interaction Behaviors: Customer Satisfaction and Brand Love as Intermediaries and Industry as Modifier. The statistical population of customers was service companies in Tokyo. The research method was descriptive-survey, and sampling method was random simple. The results showed that company reputation, customer satisfaction and brand love had a significant effect on customer interaction behaviors and the type of industry had a moderating role in this regard.Pallikkara & et al, (2021), conducted a study entitled: The Impact of Marketing Incentives on Repurchase Intent; The Mediating Role of Customer Satisfaction. The statistical population was the customers of UK banks. The research method was descriptive-correlative and the sampling method was random simple. The results showed that marketing stimuli of customer satisfaction have a positive and significant effect on the intention to repurchase.MethodologyThe research method is descriptive-correlational in nature, and applied in terms of purpose. The statistical population of the study consisted of customers of Kaleh Company in Mazandaran and Gilan provinces. The sample size of the research was determined based on Cochran's formula of 384 people and the available sampling method was used. For data collection, standard questionnaires of marketing stimuli (Hassanzadeh & Rezvani, 2016), customer satisfaction (Gremler & Gwinner, 2000) and brand love (Cho& Fiore, 2015) were used.Discussion and ResultsThe results of the first hypothesis showed that the effect of marketing stimuli on brand love was equal to (0.69) which shows that the correlation is favorable. The t-test of the test was obtained (7.67) which is more than the critical value of t at the level of 5% error; (1.96) and shows that the observed correlation is significant. The results of the second hypothesis showed that the effect of brand love on customer satisfaction was calculated equal to (0.76), which shows that the correlation is favorable. The t-test of the test was obtained (8.72) which is more than the critical value of t at the level of 5% error; (1.96) and shows that the observed correlation is significant. The results of the third hypothesis showed that the effect of marketing stimuli on customer satisfaction is equal to (0.42) which shows that the correlation is favorable. The t-test of the test was obtained (5.40) which is more than the critical value of t at the error level of 5%; (1.96) and shows that the observed correlation is significant. The results of the fourth hypothesis showed that the power of direct effect of marketing stimuli on customer satisfaction is equal to (0.42). Indirect effect of marketing stimuli on customer satisfaction is calculated equal to (0.52) provided that there is a mediating variable of brand love. Due to the fact that the effect of direct path is less than indirect paths, therefore, the existence of the mediator variable of love for the brand increases the power of influence and the mediating role of the variable of love for the brand is confirmed in the present hypothesis.ConclusionThe power of the effect of marketing stimuli on brand love is calculated equal to (0.69) which shows that the correlation is favorable. Therefore, paying attention to the brand and increasing its value by Kaleh Company plays an important role in improving branding and brand love. Love and affection for the brand is one of the components that can lead to attracting more customers for the company. The more the customer's love and interest in the brand, the more loyalty to the brand and the more word of mouth advertising at the end. The use of promotional incentives to increase customer information and even advertising in bringing the brand closer to the interests of the consumers has a significant impact. These results are consistent with the findings of (Bauer & etal, 2020) and (Hajibabaei & Esmailpur, 2019).The strength of the effect of brand love on customer satisfaction is calculated to be equal to (0.76), which indicates that the correlation is favorable. Carroll & Ahuvia (2006) and Unal & Aydin (2013) in their research concluded that the more customer love for the brand, the more verbal advertising customers about the brand (Khalighi, 2020). This means that love for the brand will encourage the customer and will lead to their satisfaction. Such a level of satisfaction will create loyalty in them. These results are consistent with the findings of Song & Kim (2022) and Choi & et al (2022).The effect of marketing stimuli on customer satisfaction is calculated to be equal to (0.42), which indicates that the correlation is favorable. Providing the best possible value to customers is undoubtedly vital for Kaleh Company in the current competitive market. As long as the company offers quality products to customers, customers are satisfied with receiving such products and this customer satisfaction leads to their commitment to purchase services (Chang & et al, 2019). On the other hand, improving the quality of products and paying attention to customer tastes is another important marketing stimulus that plays an important role in improving customer satisfaction. These results are consistent with the findings of Sheikhesmaeili & et al (2021) and Pallikkara & et al (2021).The indirect effect of marketing stimuli on customer satisfaction in the presence of the mediating variable of brand love is equal to (0.52). Marketing incentives motivate customers to reuse products, and this directly and indirectly leads to customer satisfaction (Fahimi, 2020). This can be examined from different angles. When Kaleh Company tries to introduce its products to its customers based on its promotional advertisements or when it uses pricing strategies to acquire and maintain its market, it tries to design its marketing stimuli in such a way that customers fall in love with this brand. Matching the company's products and services with customers' tastes will create pleasure and two-way communication between the brand and the customer. These results are consistent with the findings of Shafieih (2018) and Aghajani (2020).In this regard, it is suggested that the marketing managers of Kaleh Company can create a better association in the customer's mind by using a better image, scent, sound and symbol. In this regard, reference groups can be used to increase brand love. Providing more and more up-to-date services can increase customer satisfaction and loyalty as much as possible. By identifying the customer's wishes, aspirations, ideals and dreams and fulfilling them, the customer's interest in Kaleh Company can be increased. Responding quickly to customer requests and listening to their conversations can make them feel important and Increase their interest in the company. The use of nostalgia can evoke positive memories and increase the realization of the customer's love for the brand. To ensure that customers are in constant contact with them, company managers must adopt clear policies and procedures

Feeding habits of Bigeye Houndshark, Iago omanensis (Elasmobranchii; Triakidae); a typical deep water shark from the Gulf of Oman

In this study, the feeding habits of Bigeye Houndshark, Iago omanensis, a typical deep water shark, were examined in the Gulf of Oman by analyzing of stomach contents. In addition, the effects of sex and seasons (spring and summer) on its feeding habits were evaluated. Bigeye Houndshark diet consists of mostly teleost fishes, and to a lower extent on crustaneans, molluscs and sea snakes. The great importance of teleost in the diet of Bigeye Houndshark may be due to the fact that teleosts are the dominant in terms of biomass and abundance in the area where Bigeye Houndshark exist, allowing them to exploit food resources available in the environment. No significant differences were found between sexes and seasons. This species occupy high trophic position within the food webs. These results present new data that will allow us to understand the role of Bigeye Houndshark in the deep water of Gulf of Oman to effect of fishing activity on its population dynamics in the future

Effect of hydroxyl terminated polybutadiene number-averaged molecular weight on chemorheological behavior of polyurethane networking

The time available for proper casting of the polyurethane (PU) system after isocyanate addition (called pot life) affects the macrodiol microstructure. In this research, the effect of molecular weight ( Mn ) of hydroxyl terminated polybutadiene (HTPB) as an important macrodiol on the pot life of polyurethane system was rheologically investigated. The chemorheological behavior of polyurethane systems based on five different HTPBs with Mn ranging from 2810 to 4450 g/mol and two common diisocyantes (TDI and IPDI) were studied in situ. The results showed that by increasing Mn , the rotational viscosity as well as the constant reaction rate of urethane formation increases; whereas the pot life of the polyurethane system decreases. The psuedoplastic behavior of the samples showed the minimum rate constant/longest pot life at a critical molecular weight (Mc) of about 3100 g/mol, which may be due to physical chain entanglements. Rheomechanical spectrometry interestingly depicted that tan δ originated-gel point occurs before the intersection of stored modulus (G') and loss modulus (G") (tgel< tG'=G"). The kinetic model developed by Hsich showed excellent agreement with the cross-linking data of three polyurethane systems