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Abstract Background Ward rounds are a cornerstone in the educational experience of junior doctors and an essential part of teaching patient care. Here, we aimed to assess the doctors’ perception of ward rounds as an educational opportunity and to identify the obstacles faced in conducting a proper ward round in Sudanese hospitals. Method A cross-sectional study was conducted from the 15th to the 30th of January 2022 among house officers, medical officers, and registrars in about 50 teaching and referral hospitals in Sudan. House officers and medical officers were considered the learners, while specialist registrars were considered the teachers. Doctors’ perceptions were assessed using an online questionnaire, with a 5-level Likert scale to answer questions. Results A total of 2,011 doctors participated in this study (882 house officers, 697 medical officers, and 432 registrars). The participants were aged 26.9 ± 3.2 years, and females constituted about 60% of the sample. An average of 3.1 ± 6.8 ward rounds were conducted per week in our hospitals, with 11.1 ± 20.3 h spent on ward rounds per week. Most doctors agreed that ward rounds are suitable for teaching patient management (91.3%) and diagnostic investigations (89.1%). Almost all the doctors agreed that being interested in teaching (95.1%) and communicating appropriately with the patients (94.7%) make a good teacher in ward rounds. Furthermore, nearly all the doctors agreed that being interested in learning (94.3%) and communicating appropriately with the teacher (94.5%) make a good student on ward rounds. About 92.8% of the doctors stated that the quality of ward rounds could be improved. The most frequently reported obstacles faced during ward rounds were the noise (70%) and lack of privacy (77%) in the ward environment. Conclusion Ward rounds have a special value in teaching patient diagnosis and management. Being interested in teaching/learning and having good communication skills were the two major criteria that make a good teacher/learner. Unfortunately, ward rounds are faced with obstacles related to the ward environment. It is mandatory to ensure the quality of both ward rounds' teaching and environment to optimize the educational value and subsequently improve patient care practice.

The steel-constructed buildings in Indonesia are on the rise, indicating a growing preference for their durability and versatility in construction projects. This led to the general application of Round Hollow Structural Section (Round HSS) as column and beam elements. Therefore, this study aimed to conduct parametric analysis of the effect of Diameter-to-Thickness Ratio (D t-1) on the three-point and four-point flexural analysis of Round HSS beam using MSC Marc/Mentat software. Nonlinear materials and geometries were employed, along with the application of contact analysis, with contacted and contacting bodies. Moreover, the load and boundary condition were set to be similar to the experiment. The results showed that a greater D t-1 led to the possibility of withholding a smaller load and causing smaller displacement in Group A with fixed diameter and different thickness values. Meanwhile, in Group B with fixed thickness but different diameters, a greater D t-1 led to the potential of restraining more load and experiencing smaller displacement. All specimens from both groups were observed to have failed due to a combination of global and local buckling at the right location under the load applied. AISC bending moment calculated was found to be greater than the values obtained from the finite element analysis for all sections under three-point loads. It was also discovered in the four-point flexural analysis that the bending moment of noncompact section was greater than for AISC while those for the compact section were lower. Furthermore, shear strength (Vn) calculated was observed to be greater than shear force from finite element analysis (Pmax/2).

The simulation of supersonic or hypersonic flows often suffers from numerical shock instabilities if the flow field contains strong shocks, limiting the further application of shock-capturing schemes. In this paper, we develop the unified matrix stability analysis method for schemes with three-point stencils and present MSAT (matrix stability analysis tool), an open-source tool to quantitatively analyze the shock instability problem. Based on the finite-volume approach on the structured grid, MSAT can be employed to investigate the mechanism of the shock instability problem, evaluate the robustness of numerical schemes, and then help to develop robust schemes. Also, MSAT has the ability to analyze the practical simulation of supersonic or hypersonic flows, evaluate whether it will suffer from shock instabilities, and then assist in selecting appropriate numerical schemes accordingly. As a result, MSAT is a helpful tool that can investigate the shock instability problem and help to cure it.

Round pneumonia is a disease that occurs mainly in young children who have a clinical presentation of lower respiratory tract infection together with a chest radiograph showing round opacity. The mean age of patients with round pneumonia is five 5 years; it is uncommonly seen after the age of 8, as the collateral airways tend to be well developed by this age. In our case, we evaluated a 10-year-old girl who presented with fever, cough, and rounded densities on her chest x-ray. The rapid urinary antigen test for Streptococcus pneumoniae was positive, and serum anti-Mycoplasma pneumoniae antibodies were non-reactive. The diagnosis of round pneumonia was confirmed when the patient showed a complete recovery both clinically and radiographically after a course of penicillin and gentamicin.

A comprehensive review of published works dealing with experimental studies of forced convection heat transfer of nanofluids is presented. The survey is limited to straight, smooth, and round tubes. Moreover, only mono nanofluids exhibiting Newtonian behaviour are considered. Works on experimental research of forced convection in tubes are presented in a chronological order in the first part of the article. In this part, attention was paid to the influence of nanoparticles on the intensification of heat transfer. Information on the tested nanofluids, the measurement technique used, and the measurement range are presented in tabular form. Correlation equations proposed by individual researchers are also presented. In order to explain the controversy regarding the different influences of nanoparticles on the intensity of heat transfer during forced convection of nanofluids, the second part of the paper presents a comparison of the test results obtained by different researchers for the same nanofluid, possibly under the same thermal and flow conditions. Finally, the main conclusions are discussed.

Introduction: Over the last century, material science has made rapid progress. In orthodontics, not only the materials improved, but also the philosophies have changed. Orthodontic wires, which generate biomechanical forces through brackets for tooth movement, are central to the practice of this profession. Aim: To measure the force deflection properties of NickelTitanium (NiTi) wires of four manufacturers, used during orthodontic treatment. Materials and Methods: In this in-vitro study, 480 NiTi wires from four different manufacturers [American Orthodontics (AO), 3M-Unitek (3M), Rabbit Force Orthodontics (RO) and Modern Orthodontics (MO)], of various cross-sections was obtained. Samples of each wire were obtained by cutting the straightest distal portion of an arch wire, thus an approximate length of 5.5 cms was recovered. These wires were subjected to a five point bending test. Five lower anterior stainless steel brackets of tooth number 31, 32, 41, 42 (MBT 0.022” Libral traders Centrino brackets) were fixed with the face of the bracket facing upwards on the acrylic block. Each NiTi wire was placed in the slots of orthodontic brackets and secured with stainless steel ligature wires. These wires were subjected to artificial saliva (Wet Mouth) for 30 days at 37°C. This temperature was regulated by using an incubator. The main assessment criterion was the force deflection property of the wire material. Force deflection was measured using a graph paper where initially the wire was placed and plotted on the graph paper. After the deflection of the wire, it was again placed on the same graph paper such that wire ends coincided and the force deflection at the highest point was measured in millimetres using a digital Vernier Caliper (Mitutoyu). The Design of Experiments (DOE) model was used for analysis and a three-way Analysis of Variance (ANOVA) with wire shape as covariate was used for analysing the variability. Results: A 0.014” NiTi wire showed more mean deflection when compared to 0.016” NiTi wire. When a comparison between 0.016”×0.022” and 0.017”×0.025” NiTi wires was done, mean deflection was almost the same. When round and rectangular wires were compared it showed more mean deflection in round wires. When AO was compared with other three manufacturers. A significant difference (p-value

Abstract Introduction: Educational rounds play an important role in clinical education. This study aims to assess students’ viewpoints on night time educational rounds in internal medicine and emergencywards. Methods: The present study was interventional one-group posttest-only design. The participants consisted of residents and interns at internal medicine and emergency wards at Shahid Sadoughi University of Medical Sciences. The participants in each group included a faculty member, residents (n=4) and interns (n=2). Each educational round took 1.5 hours. The status of educational rounds was assessed through a validated questionnaire. The participants filled out the questionnaire when contributed in the round at night after 3 times. Data was analyzed using SPSS V.19. Result: The result of the present study revealed that 73% participants were satisfied. "Necessity of night time round "," opportunity for asking questioning and contributing to the discussion" and “improvement of knowledge and learning"were identified by the participants as the reason for their satisfaction Conclusion: It is recommended that the night time educational round will be incorporated in medical education at hospitals. Keywords: Education, Clinical education, Round

Bacteria show a plenty of cellular shapes and can alter their forms. The bacterial cell shape is functionally important. Bacteria have a number of options to select their shapes in order to uptake more nutrient, motility, attachment to surface, symmetrical division of chromosomal elements, and localization of complex secretion apparatuses. Some factors including peptidoglycan and cytoskeleton-like proteins can regulate and keep the bacterial shape. In the case of Mycobacterium tuberculosis, the reported morphological variation in the pathogen are classified into two categories; those which frequently seen at exponential phase of growth that is rod, V, Y-shape, branched, or buds, and those that are seen occasionally under stress or environmental conditions which are round, oval, ultra-virus, spore-like, and cell wall defiant or L-forms. Growth conditions and age of the cells can influence on the shape and size of the pathogen in a range from coccobacilli to long rods. Under unsuitable conditions including starvation or oxygen deprivation, tubercle bacillus assumed a swollen shape without making the vacuolar or globoid bodies. The physical circumstances and nutritional feature will control the temporary lifestyle of the pathogen.

This paper shows new card-based cryptographic protocols with the minimum number of rounds, using private operations under the semi-honest model. Physical cards are used in card-based cryptographic protocols instead of computers to achieve secure multiparty computation. Operations that a player executes in a place where the other players cannot see are called private operations. Using three private operations—private random bisection cuts, private reverse cuts, and private reveals—the calculations of two variable Boolean functions and copy operations were realized with the minimum number of cards. Though the number of cards has been discussed, the efficiency of these protocols has not been discussed. This paper defines the number of rounds to evaluate the efficiency of the protocols, using private operations. Most of the meaningful calculations using private operations need at least two rounds. This paper presents a new two-round committed-input, committed-output logical XOR protocol, using four cards. Then, we show new two-round committed-input, committed-output logical AND and copy protocols, using six cards. Even if private reveal operations are not used, logical XOR, logical AND, and copy operations can be executed with the minimum number of rounds. Protocols for general n-variable Boolean functions and protocols that preserve an input are also shown. Lastly, protocols with asymmetric cards are shown.

The low energy adaptive clustering hierarchy (LEACH) is the classical hierarchical topology control algorithm and still widely used today in wireless sensor networks. There are some problems in LEACH such us an unreasonable selection and uneven distribution of cluster heads, not considering the residual energy of nodes, the cluster head is overloaded and there is a high energy consumption of data transmission. In this paper, a topology control algorithm with double cluster heads and multi-hop based on affinity propagation clustering (APDC-M) was proposed. In APDC-M, firstly, a cluster head election algorithm with double choices based on the affinity propagation clustering algorithm (AP) and reference node strategy (APDC) was proposed. APDC is responsible to elect the fusion cluster head for node clustering. Secondly, a forwarding cluster head is elected within each cluster. The forwarding cluster head is responsible for the data transmission in order to reduce the energy consumption of a single cluster head. Lastly, the forwarding cluster heads complete the data transmission from a cluster to the base station by the shortest path inter-cluster multi-hop mode. The comparison simulation results show that APDC-M can make the cluster head election more reasonable and the cluster head distribution more uniform, and effectively reduce the energy consumption of the cluster head nodes when transmitting data, thus prolonging the network life.

We give sufficient conditions on a uniformly continuous map f: (X,U) → (Y, V ) between completable T1-pre-uniform spaces (X,U), (Y, V ) to have a continuous or a uniformly continuous extension f:X → Y between the corresponding completions.

The associate system is considered a spine - a pelvis - extremities. The program of physical rehabilitation of patients is presented. Maintenance and methodical features of leadthrough of procedure of medical gymnastics and massage in after operating and restoration periods is certain. The most informing indexes of biogeometrical type of carriages are exposed, characterizing kyphotic deformation of spine for patients. The special exercises for forming of dynamic stereotype and correction of deformations of locomotorium are offered. Directions the correction of biotgeometrical type of carriage are shown

In this paper we prove the existence of a completion of a T0–pre-uniform space (X,U), with the property that each Cauchy filter in (X,U) contains a weakly round filter.