scholarly journals The Living-Related Kidney Transplant Program in Brunei Darussalam: Lessons Learnt from a Nascent National Program in a Small, Muslim, and Asian Country

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Jackson Tan ◽  
Muhammad Abdul Mabood Khalil ◽  
Dalinatul Ahmed ◽  
Jayakrishnan Pisharam ◽  
Chiao Yuen Lim ◽  
...  

Brunei Darussalam commenced its living-related renal transplant program in 2013, with subsequent attainment of independent local capacity and proficiency in 2019. The preliminary outcome from the program has already begun to shape the national nephrology landscape with a 36% increment in transplant rate and mitigation of commercialized transplantations. The blueprint for the program was first laid out in 2010 and thereupon executed in four phases. The first phase involved the gathering of evidence to support the establishment of the national program, through researches investigating feasibility, public opinion, quality of life, graft survival, and cost-effectiveness. The second phase focused on laying the foundation of the program through grooming of local expertise, implementation of legal-ethical frameworks, religious legitimization, and propagation of awareness. The third phase worked on facilitating experiential exposure and strengthening local infrastructure through the upgrading of facilities and the introduction of subsidiary services. The fourth phase was implemented in Brunei in 2013 when foreign personnel worked together with the local team to perform the transplants. Between 2013 and 2019, ten kidney transplants were performed, with two being done in 2018 and three in 2019. We hope to inspire other similar countries to develop their own self-sustainable and independent local program.

2014 ◽  
Vol 116 (3) ◽  
pp. 527-543 ◽  
Author(s):  
Dragan Tešanovic ◽  
Milovan Krasavcic ◽  
Bojana Miro Kalenjuk ◽  
Milijanko Portic ◽  
Snježana Gagic

Purpose – The aim of this paper is to determine the sensory quality of food in restaurants by professional food evaluators and to research the impact of education, age and number of employees on the quality of food. Design/methodology/approach – In the first phase five trained food tasters evaluated the sensory quality of food. In the second phase, the analysis of the structure of employees was done by establishing their level of education, age and number of employees. In the third phase the regression and correlation analysis was done with the aim to establish the impact of the level of education, age and number of employees on the sensory quality of food. Findings – The sensory evaluation has shown that the evaluated food is of moderate quality. Correlation matrix has shown that the education level of employees has a high impact on the sensory quality of food. There is a correlation between the number of employees, their age and their education. Practical implications – Obtained results are the indicators of the quality of food in restaurants in the region and they can serve for the improvement of quality. They have shown that education and staff training can contribute to a better quality of food. Established methodology can also contribute to the practical evaluation of quality. Originality/value – This paper is reflected on the specific application of methodology of the sensory analysis of food in restaurants. The paper pointed to the impact of employees on the sensory quality of food by statistical methods. Statistical results which point to the great impact of the level of education of employees on the sensory quality of food in restaurants are particularly valuable.


2019 ◽  
Vol 8 (3) ◽  
pp. 7598-7603

A Framework for Delineation of Trees is used to detect the trees of the urban area and it is a desirable framework in urban are management. Delineation and detection of trees from satellite images is important for the estimation of the trees of the urban and rural area. In existing literature, most of the studies only deal with particular tree crown or tree species detection. There is no particular framework for detecting major tree species of urban area collectively from visually distinguishable satellite images and also there is a major problem of distinguishing trees from their shadows. In this paper we used the texture-based feature extraction methods and proposed new algorithms to extract simple texture features from the panchromatic images. The proposed methodology is divided into three phases. Pre-processing was done in first phase to minimize the unnecessary deformations. Quality of Image is increased by eliminating the dark spots and shadows etc. in second phase image segmentation was done to identify the image boundaries and objects in the image. Finally, in the third phase, a framework for delineation of trees was done using image enhancement and segmentation algorithms. The ultimate purpose that the knowledge obtained from the study is to developing a framework that can process shadows and then effectively detect and extract trees from satellite images


Symmetry ◽  
2018 ◽  
Vol 10 (12) ◽  
pp. 757 ◽  
Author(s):  
Olegas Prentkovskis ◽  
Živko Erceg ◽  
Željko Stević ◽  
Ilija Tanackov ◽  
Marko Vasiljević ◽  
...  

The daily requirements and needs imposed on the executors of logistics services imply the need for a higher level of quality. In this, the proper execution of all sustainability processes and activities plays an important role. In this paper, a new methodology for improving the measurement of the quality of the service consisting of three phases has been developed. The first phase is the application of the Delphi method to determine the quality dimension ranking. After that, in the second phase, using the FUCOM (full consistency method), we determined the weight coefficients of the quality dimensions. The third phase represents determining the level of quality using the SERVQUAL (service quality) model, or the difference between the established gaps. The new methodology considers the assessment of the quality dimensions of a large number of participants (customers), on the one hand, and experts’ assessments on the other hand. The methodology was verified through the research carried out in an express post company. After processing and analyzing the collected data, the Cronbach alpha coefficient for each dimension of the SERVQUAL model for determining the reliability of the response was calculated. To determine the validity of the results and the developed methodology, an extensive statistical analysis (ANOVA, Duncan, Signum, and chi square tests) was carried out. The integration of certain methods and models into the new methodology has demonstrated greater objectivity and more precise results in determining the level of quality of sustainability processes and activities.


2018 ◽  
Vol 16 (3) ◽  
pp. 391-402
Author(s):  
José Roberto Santo de Carvalho ◽  
Julio Luz ◽  
Sylvana Melo Santos ◽  
Sávia Gavazza

Abstract We evaluate the behavior of a device designed to automatically divert and store the first flush of harvested rainwater in cisterns. The first phase (PI) was conducted with artificial precipitation in an experimental installation seeking to identify how many millimeters of rainwater should be diverted to preserve the rainwater quality. In the second phase (PII), we designed a PVC-pipe device to store the first millimeter of rainwater, and tested it in field (a rural area in Brazil) during two real rainfall events. In the third phase (PIII), the device and a hand pump were assayed for two years using eight cisterns in a rural area where people drink the rainwater. PI results indicated that the most significant pollution of the rainwater is flushed with the first millimeter of rain, and diversion promoted the removal of 98% and 100% of the total coliforms and Escherichia coli, respectively. The bacteriological behavior was maintained in the subsequent phases. The device was able to preserve the quality of the rainwater most of the time, satisfying drinking requirements for the parameters of turbidity and color. The satisfactory performance of the device was confirmed in the field, behaving as a sanitary barrier for rainwater quality protection.


1987 ◽  
Vol 65 (12) ◽  
pp. 3056-3061 ◽  
Author(s):  
Pierre Guittin

The ponderal and size growths of 56 hand-reared ostriches, Struthio camelus australis, were studied at Parc zoologique de Paris. During the first year, three growth phases can be observed. The first phase occurs during the first week and is characterized by a physiological decrease in weight which is unavoidable. The second phase occurs from 8 days to 6 months and coincides with the period in which the most important growth in size takes place; it corresponds to one of the critical periods (during the second month) when many deformed legs are seen. During the following 6 months, the third phase, the growth in size is slower than the increase in weight. The growth of ostriches is an interesting indicator of the quality of breeding.


Author(s):  
Musa H. Wali ◽  
Ali Khalid Jassim ◽  
Hasan Ma Almgotir

To obtain a high data rate that is commensurate with the growing demand for internet services, the fifth generation (5G) cellular networks will use the bandwidth beyond 6 GHz, called millimeters waves (mm-waves), to obtain a higher. The first phase (phase I) of the 5G network design for high user density, where the optimized microcells are deployed at carrier frequency 700 MHz with 20 MHz bandwidth. The second phase (phase II) of the design consists of the deployment of microcells which are operating at 3.6 GHz with 100 MHz bandwidth; this phase is planned to cover 200000 users within the province. The third phase (phase III) of the design is represented by the deployment of picocells, which are planned to operate at 26 GHz frequency and bandwidth 500 MHz; this phase is planned to cover 3,500,000 users within the province. Two types of modulation are adopted for the network (orthogonal frequency division multiplexing (OFDM) and 256 quadrature amplitude modulation (QAM)); the overall performance of the network is studied with regards to the percentage of coverage, power overlapping ratio, frequency interference, and quality of service (QoS).


Author(s):  
O. V. Andryushkova ◽  
S. G. Grigoriev

Methods for assessment of the quality of leaning are discussed, including possibilities to predict the results of the learning based on the calculation of negentropy. Negentropy is used as an integral informational index, demonstrating objective assessment of the learning model used. We suggest to use the emergent learning model, as a generalized projection of the learning process with substantiated merging of e-learning and traditional learning. For setting up a multi-criterial system for assessment of the quality of learning, we suggest to evaluate all components of pedagogical system in interplay with each other, on the first and all following hierarchical levels. We also suggest to define students as a special category of objects in the said pedagogical system, which interacts with other elements of the system, and thus the system is organized as “student-oriented”. Suggested methodology of prediction and assessment of the learning progress relies on building an hierarchical structure of criterial system of quality. In phase one, we have chosen basic criteria influencing the quality of the learning, which are organized into the first level of Ishikawa diagram. Basing on expert’s knowledge, we then assigned each criterium a corresponding coefficient of importance for the quality of learning. In the second phase, the same was done for criteria of the second and third levels of importance. In cases when it was not possible to unequivocally assess the coefficient of importance, we present the system of equations for calculating the membership function of a fuzzy set. In the third phase, integral values of negentropy were calculated for three study courses and for a model situation.


Author(s):  
Fahimeh Rahimi ◽  
Farideh Atabi ◽  
Jafar Nouri ◽  
GhasemAli Omrani

Introduction: In Tehran with a population of 9 million currently, about 2.5 million tons municipal solid waste have been producing annually. Materials and Models: In this study by using Life Cycle Assessment (LCA) model an optimal system of waste management of Tehran was recommended. Based on the quantity and quality of waste in Tehran in 2013 and facilities, three scenarios were selected. First, current status (15% compost, 5% recycling and 80% landfill), second, the maximum use of the capabilities of waste of Tehran (70% compost, 20% recycled and 10% landfill ) and third, the optimal scenario according to conditions of Tehran (55% compost, 10% recycling, 5% energy recovery and 30% landfill). The IWM model and WRATE model was used for Phase II and Phase III, respectively. Results: Results of the conducting second Phase showed in compared to the first scenario by the second and third scenario, the amount of emissions was decreased 64% and 72%, respectively. The third phase results showed the third scenario has the lowest environmental impact in chosen six impact groups. Conclusion: Considering the quality and quantity of wastes in Tehran and also the current facilities, conducting the third scenario could be useful for reducing emissions, the external costs and environmental impacts.


2013 ◽  
Vol 5 (1) ◽  
Author(s):  
Abdul Hasan Saragih

This classroom research was conducted on the autocad instructions to the first grade of mechinary class of SMK Negeri 1 Stabat aiming at : (1) improving the student’ archievementon autocad instructional to the student of mechinary architecture class of SMK Negeri 1 Stabat, (2) applying Quantum Learning Model to the students of mechinary class of SMK Negeri 1 Stabat, arising the positive response to autocad subject by applying Quantum Learning Model of the students of mechinary class of SMK Negeri 1 Stabat. The result shows that (1) by applying quantum learning model, the students’ achievement improves significantly. The improvement ofthe achievement of the 34 students is very satisfactory; on the first phase, 27 students passed (70.59%), 10 students failed (29.41%). On the second phase 27 students (79.41%) passed and 7 students (20.59%) failed. On the third phase 30 students (88.24%) passed and 4 students (11.76%) failed. The application of quantum learning model in SMK Negeri 1 Stabat proved satisfying. This was visible from the activeness of the students from phase 1 to 3. The activeness average of the students was 74.31% on phase 1,81.35% on phase 2, and 83.63% on phase 3. (3) The application of the quantum learning model on teaching autocad was very positively welcome by the students of mechinary class of SMK Negeri 1 Stabat. On phase 1 the improvement was 81.53% . It improved to 86.15% on phase 3. Therefore, The improvement ofstudent’ response can be categorized good.


2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Maciej Ligaszewski ◽  
Przemysław Pol

AbstractThe aim of this study was to compare the quality of clutches and reproduction results of two groups of Roman snails (Helix pomatia) from the same local population, laying eggs simultaneously in semi-natural farm conditions and in a natural habitat. The study material were Roman snails aged 2 or more years which had entered the third phenological season of their life and thus the first season of sexual maturity. Observations were conducted at an earthen enclosure in a greenhouse belonging to the experimental farm for edible snails at the National Research Institute of Animal Reproduction in Balice near Kraków (Poland) as well as at a site where a local population naturally occurs in the uncultivated park surrounding the Radziwiłł Palace. In the June-July season, differences among such parameters as weight of clutch, number of eggs in clutch, mean egg weight, and hatchling percentage when compared to the total number of eggs in the clutch were compared. It was determined that clutches of eggs from the natural population laid in the greenhouse were of lesser weight (P<0.01), contained fewer eggs (P<0.05), and the mean weight of individual eggs was less (P<0.05) than in clutches laid simultaneously in a natural habitat. Both in the greenhouse and the natural habitat, in the first phase of laying eggs (June) the weight of the clutch and number of eggs its contained were greater than in the second phase (July). However, only for snails laying eggs in the greenhouse were these differences statistically significant (P<0.05) and highly significant (P<0.01), respectively. Statistically significant differences were not observed in hatchling percentage between eggs laid in the greenhouse and the natural habitat. The lower number of eggs laid in the farmed conditions of the greenhouse was successfully compensated for by the absence of mass destruction by rodents which occurred in the natural habitat.


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