1,391 research outputs found

    Yarım Düzlem Üzerine Oturan Elastik Tabakanın Sürtünmesiz Ve Ayrılmalı Temas Problemi

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    Konferans Bildirisi -- Teorik ve Uygulamalı Mekanik Türk Milli Komitesi, 2015Conference Paper -- Theoretical and Applied Mechanical Turkish National Committee, 2015Bu çalışmada, yarım düzlem üzerine oturan ve rijit iki dikdörtgen blok aracılığıyla yüklenmiş bir tabakanın simetrik ayrılmalı temas problemi elastisite teorisine göre incelenmiştir. Temas eden tüm yüzeyler sürtünmesiz olup, kütle kuvvetlerinin etkisi ihmal edilmiştir. Problem integral dönüşüm teknikleri ve sınır şartları kullanılarak temas gerilmelerinin bilinmeyen fonksiyonlar olduğu bir integral denklem sistemine indirgenmiştir. Uygun Gauss-Jacobi integrasyon formülleri yardımıyla integral denklem sistemi sayısal olarak çözülmüştür. Temas gerilmeleri ve temas uzunluklarına ait sayısal sonuçlar çeşitli boyutsuz büyüklükler için belirlenmiştir.In this study, symmetric receding contact problem for an elastic layer resting on an elastic half plane loaded by means of two rectangular rigid stamps is considered according to theory of elasticity. The problem is solved under the assumptions that all surfaces are frictionlesss, the effect of gravity forces is neglected. The problem is reduced a system of integral equation in which the contact pressures are unknown functions by using the integral transform tecnique and boundary conditions of the problem. The system of singular integral equation is solved numerically by making use of appropriate Gauss-Jacobi integration formulas. Numerical results for the contact pressures and contact areas are investigated for various dimensionless quantities

    Compliance with focused antenatal care services: do health workers in rural Burkina Faso, Uganda and Tanzania perform all ANC procedures?

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    \ud \ud To assess health workers' compliance with the procedures set in the focused antenatal care (ANC) guidelines in rural Uganda, Tanzania and Burkina Faso; to compare the compliance within and among the three study sites; and to appraise the logistic and supply of the respective health facilities (HF). The cross-sectional study was conducted in the rural HF in three African countries. This descriptive observational study took place in HF in Nouna, Burkina Faso (5), Iganga, Uganda (6) and Rufiji, Tanzania (7). In total, 788 ANC sessions and service provisions were observed, the duration of each ANC service provision was calculated, and the infrastructures of the respective HF were assessed. Health workers in all HF performed most of the procedures but also omitted certain practices stipulated in the focused ANC guidelines. There was a substantial variation in provision of ANC services among HF within and among the country sites. The findings also revealed that the duration of first visits was <15 min and health workers spent even less time in subsequent visits in all three sites. Reagents for laboratory tests and drugs as outlined in the focus ANC guidelines were often out of stock in most facilities. Health workers in all three country sites failed to perform all procedures stipulated in the focused ANC guideline; this could not be always explained by the lack of supplies. It is crucial to point out the necessity of the core procedures of ANC repeatedly

    Community Health Workers Can Improve Male Involvement in Maternal Health: Evidence from Rural Tanzania.

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    Male involvement in maternal health is recommended as one of the interventions to improve maternal and newborn health. There have been challenges in realising this action, partly due to the position of men in society and partly due to health system challenges in accommodating men. The aim of this study was therefore to evaluate the effect of Home Based Life Saving Skills training by community health workers on improving male involvement in maternal health in terms of knowledge of danger signs, joint decision-making, birth preparedness, and escorting wives to antenatal and delivery care in a rural community in Tanzania. A community-based intervention consisting of educating the community in Home Based Life Saving Skills by community health workers was implemented using one district as the intervention district and another as comparison district. A pre-/post-intervention using quasi-experimental design was used to evaluate the effect of Home Based Life Saving Skills training on male involvement and place of delivery for their partners. The effect of the intervention was determined using difference in differences analysis between the intervention and comparison data at baseline and end line. The results show there was improvement in male involvement (39.2% vs. 80.9%) with a net intervention effect of 41.1% (confidence interval [CI]: 28.5-53.8; p <0.0001). There was improvement in the knowledge of danger signs during pregnancy, childbirth, and postpartum periods. The proportion of men accompanying their wives to antenatal and delivery also improved. Shared decision-making for place of delivery improved markedly (46.8% vs. 86.7%), showing a net effect of 38.5% (CI: 28.0-49.1; p <0.0001). Although facility delivery for spouses of the participants improved in the intervention district, this did not show statistical significance when compared to the comparison district with a net intervention effect of 12.2% (95% CI: -2.8-27.1: p=0.103). This community-based intervention employing community health workers to educate the community in the Home Based Life Saving Skills programme is both feasible and effective in improving male involvement in maternal healthcare

    A Rapid Assessment of the Quality of Neonatal Healthcare in Kilimanjaro Region, Northeast Tanzania.

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    While child mortality is declining in Africa there has been no evidence of a comparable reduction in neonatal mortality. The quality of inpatient neonatal care is likely a contributing factor but data from resource limited settings are few. The objective of this study was to assess the quality of neonatal care in the district hospitals of the Kilimanjaro region of Tanzania. Clinical records were reviewed for ill or premature neonates admitted to 13 inpatient health facilities in the Kilimanjaro region; staffing and equipment levels were also assessed. Among the 82 neonates reviewed, key health information was missing from a substantial proportion of records: on maternal antenatal cards, blood group was recorded for 52 (63.4%) mothers, Rhesus (Rh) factor for 39 (47.6%), VDRL for 59 (71.9%) and HIV status for 77 (93.1%). From neonatal clinical records, heart rate was recorded for3 (3.7%) neonates, respiratory rate in 14, (17.1%) and temperature in 33 (40.2%). None of 13 facilities had a functioning premature unit despite calculated gestational age <36 weeks in 45.6% of evaluated neonates. Intravenous fluids and oxygen were available in 9 out of 13 of facilities, while antibiotics and essential basic equipment were available in more than two thirds. Medication dosing errors were common; under-dosage for ampicillin, gentamicin and cloxacillin was found in 44.0%, 37.9% and 50% of cases, respectively, while over-dosage was found in 20.0%, 24.2% and 19.9%, respectively. Physician or assistant physician staffing levels by the WHO indicator levels (WISN) were generally low. Key aspects of neonatal care were found to be poorly documented or incorrectly implemented in this appraisal of neonatal care in Kilimanjaro. Efforts towards quality assurance and enhanced motivation of staff may improve outcomes for this vulnerable group

    Tafsiri ya Mazungumzo Katika Filamu za Kiswahili

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    Taaluma ya tafsiri huingiliana na nyanja nyingine za kitaaluma kutokana na kujishughulisha kwake katika mawasiliano. Makala haya yanachunguza tafsiri ya mazungumzo ya Kiingereza katika filamu za Kiswahili nchini Tanzania. Filamu zilizoteuliwa katika uchunguzi ni ile ya Vita Baridi na Love &amp; Power. Kimahususi, makala imechunguza mikakati mbalimbali iliyotumika kupata tafsiri ya mazungumzo ya Kiingereza kwenye filamu za Kiswahili wakati inajulikana kwamba mfumo wa mazungumzo na maandishi hutofautiana kisifa. Pia tafsiri ya mazungumzo ina kanuni na sheria zake. Sambamba na hayo, lugha ya Kiswahili na Kiingereza hutofautiana kiisimu, kitamaduni, kimazingira pamoja na kihistoria. Data zimechambuliwa kwa kuongozwa na nadharia ya ulinganifu kama ilivyoasisiwa na Nida na kisha kuendelezwa na Catford na Newmark. Makala imebaini kwambamatini asilia humwongoza mtafsiri kutumia mikakati kama vile udondoshaji, ufupishaji, ufafanuzi kimuhtasari, uingizaji na matumizi ya tarakimu katika mchakato wa tafsiri ya mazunugmzo ya Kiingereza kwenye filamu za Kiswahili

    Quality Of Antenatal Care In Rural Southern Tanzania: A Reality Check.

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    Counselling on the danger signs of unpredictable obstetric complications and the appropriate management of such complications are crucial in reducing maternal mortality. The objectives of this study were to identify gaps in the provision of ANC services and knowledge of danger signs as well as the quality of care women receive in case of complications. The study took place in the Rufiji District of Tanzania in 2008 and was conducted in seven health facilities. The study used (1) observations from 63 antenatal care (ANC) sessions evaluated with an ANC checklist, (2) self-assessments of 11 Health workers, (3) interviews with 28 pregnant women and (4) follow-up of 12 women hospitalized for pregnancy-related conditions.Blood pressure measurements and abdominal examinations were common during ANC visits while urine testing for albumin or sugar or haemoglobin levels was rare which was often explained as due to a lack of supplies. The reasons for measuring blood pressure or abdominal examinations were usually not explained to the women. Only 15/28 (54%) women were able to mention at least one obstetric danger sign requiring medical attention. The outcomes of ten complicated cases were five stillbirths and three maternal complications. There was a considerable delay in first contact with a health professional or the start of timely interventions including checking vital signs, using a partograph, and detailed record keeping. Linking danger signs to clinical and laboratory examination results during ANC with the appropriate follow up and avoiding delays in emergency obstetric care are crucial to the delivery of coordinated, effective care interventions

    The Ombudsman Institution In Turkey Within The Framework Of Good Governance Principles: Literature Review

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    In this article, the applicability of the principles of good governance in the Ombudsman Institution in Turkey is analysed. In the article, the historical processes, definitions and good governance principles of the concepts of management /governance are given in detail. In the following sections of the article, the historical background of the Ombudsman Institution, its first emergence and its implementation in various countries, especially Sweden, where the institution was first implemented, are given. The establishment process of the Ombudsman Institution in Turkey under the name of the Ombudsman Institution and the legalisation process of the institution in the post-Republican period are examined. In this framework, the six generally accepted principles of good governance; transparency, participation, effectiveness, accountability, consistency, and rule of law are evaluated in terms of relevant explanations and activities. In addition to the relevant literature, examples related to the principles of good governance have been tried to be shown in these sources. As the method of the study, a comprehensive literature review was conducted in order to reach the data and an answer was sought to the question to what extent the principles of good governance are applied in the Ombudsman's Office. The definitions of the principles of good governance formed the boundaries of the study and the findings obtained were evaluated according to the definitions. In the light of the evaluations made, in the light of the evaluations made, as a result of this study; within the framework of the principles of good governance, the Ombudsman's Office in Turkey was evaluated as "improvable" in terms of the principles of accountability and transparency, and "strong" for the principles of participation, efficiency, consistency and rule of law
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