Spirituality in Patients at the End of Life—Is It Necessary? A Qualitative Approach to the Protagonists

Spirituality is the most unknown aspect of palliative care despite being the need that is most altered in the last moments of life. Objective. To identify on the one hand the spiritual needs of patients who are at the end of life and on the other hand, the way in which nursing professionals can work to provide effective accompaniment in this process. Method. A qualitative study was conducted which applied different data collection techniques. This was done to describe the phenomenon from a holistic perspective in relation to experts’ perceptions of the competencies required by health professionals and palliative patients’ spiritual needs. Semi-structured interviews were conducted within both populations. In order to analyze the qualitative data collected through interviews, discourse was analyzed according to the Taylor–Bodgan model and processed using Atlas.ti software. Results. Three well-differentiated lines of argument are extracted from the discourse in each of the groups, on the one hand in the group of patients they define the concept of spirituality, system of values and beliefs, and the Factors that influence the spirituality of patients at the end of life (differentiating palliative care areas/other areas) and on the other, the professionals agree with the patients in the line of argument of concept of spirituality although they define more metaphysical categories and the other two lines of argument that result are the spiritual attention in this process and the need for formation in spirituality. Conclusions. The provision of spiritual care gives meaning to the actions of nursing professionals when it comes to providing end-of-life care, achieving holistic care, humanizing death, and promoting a dignified end.

Analisis Tingkat Bahaya Longsor pada Jalan Nasional untuk Prioritas Penanganan dengan Metode AHP: Studi Kasus Jalan pada Satker PJN III dan PJN IV

Landslides are a very dangerous threat to the roads. Good management is required to prevent the problems occurring from extensive possible landslides. This is because the number of potential landslide points on the National roads are numerous. Maintenance and prevention are crucial to keep these disasters from occurring. Therefore these need to be a priority. The locations in question are: The National Road in the Provence of North Sumatra, the area of Satker PJN Ill (Satuan Kerja Pelaksanaan Jalan Nasional III) and The Satker PJN IV (Satuan Kerja Pelaksanaan Jalan Nasional IV). There are 26 roads in the Satker PJN III and IV areas with 34 that have occurred. The method that is used in this study is the AHP (Analytical Hierarchy Process). Method using two stages: The first stage is to analyze the level of landslide hazard on the road. The second stage is to determine the priority level for the handling of each landslide point for each section of the road. The parameters used determining the level of landslide hazard are: Soil, slope, landcover, rainfall, subgrade and drainage conditions, at the same time as using the landslide hazard perimeters, landslide dimensions, slope engineering and every day traffic

“Probing in the complexities of the integrated undergraduate medical curriculum”: A qualitative exploratory study

Objectives: To explore the perceptions of the faculty regarding the level of curriculum integration and their interpretation of the integration ladder in achieving the complex process. Method: The qualitative exploratory study was conducted at Islamic International Medical College Islamabad, University College of Medicine and Dentistry Lahore and Rehman Medical College Peshawar, from March to August 2018. The participants were the faculty members involved in the designing and implementation of the integrated curriculum in these institutes. The semi-structured interviews were audio-recorded, transcribed and analysed using Braun and Clarke’s thematic content analysis. Results: Of the 18 faculty members, 6 (33.3%) belonged to each of the three institutions. Four themes identified were: curriculum planning, an uphill task; dream versus ground reality; moving up and down the ladder; and teamwork in the paradigm shift. There were different perceptions of the level of integration among faculty members within the same institute. The level of integration ranged from 5-9 in different phases of the curriculum. The processes included all the teamwork steered by the departments of medical education. Conclusion: Although Harden’s integration ladder is a useful tool, curriculum integration is an inherently inconsistent and complex process that does not follow a simple hierarchical continuum of integration and requires a teamwork. Identifying the patterns of integration in different phases of the curriculum might be more practical than just determining a single level of integration in the whole curriculum. Key Words: Curriculum, Integration, Faculty, Pakistan.

RARE-EARTH PERMANENT MAGNETS AND THEIR APPLICATION IN MAGNETIC SYSTEMS OF TECHNOLOGICAL ELECTRON ACCELERATORS

High performance rare-earth permanent magnets become crucial components of modern electron accelerators. PLP (pressless process) method was described as the advanced production step in the current rare-earth permanent magnet manufacturing. The radiation resistance of SmCo and Nd-Fe-B magnets under electron beam with 10 and 23 MeV and bremsstrahlung were studied. Dipole magnetic systems on the base of rare-earth permanent magnets were designed for the technological electron accelerators at NSC KIPT.

Security And Safety Evaluation of Motorcycle Parking Mall Podomoro City

So many cases of crime have occurred in the parking area. Because this causes many losses, ways are needed to avoid it happening again. One of the efforts that can be done in preventing the occurrence of crime in the parking area is by applying security aspects with the concept of Crime Prevention Through Environmental Design (CPTED) and applying safety aspects that examine security aspects in preventing crime in the environment of human activities in a design approach. Environmental and safety aspects. In this study, the method used is descriptive qualitative to obtain factual and systematic data. The data is processed using the AHP (Analytical Hierarchy Process) method with the help of software, namely Super Decision, to get the value of each CPTED component for motorcycle parking facilities. The value of the study of applying the CPTED concept theory for security and safety aspects in the Podomoro Mall motorcycle parking area shows that the elements of the CPTED concept and safety aspects in the motorcycle parking area have not been fully implemented. However, overall security and safety in this parking area are guaranteed because almost all the variables available at this location already meet existing standards. The riders feel safe and secure when they are in this parking area even though some aspects are not met. It could be improved would be much better. The results of this study are expected to be helpful in the field of architecture, especially in crime.

Prioritization of Contracting Methods for Water and Wastewater Projects Using the Fuzzy Analytic Hierarchy Process Method

This study uses the fuzzy analytical hierarchy process (FAHP) method to prioritize contracting methods to determine the most suitable contract option for water and wastewater projects (WWP). Content analysis, a two-round Delphi survey technique, and a series of validation and reliability tests helped establish the 18 key criteria for FAHP analysis. Consequently, data collected from experts through a pairwise comparison questionnaire form the basis for the inputs for the FAHP analysis. Consequently, the final weightings were derived for each of the key criteria and available contracting methods. The results indicate that the bilateral, cooperative, and trilateral contracting methods are the most suitable for WWP in Iran, with the highest weighting. The study provides useful guidance for the top management of project firms in selecting the optimal contracting method for their projects and offers significant contributions from theoretical and practical perspectives.

Recent progress on AC poling of relaxor-PbTiO3 ferroelectric single crystals (Review)

Compared with conventional DC poling (DCP) treatment, a novel technology, AC poling (ACP) treatment was proved in 2014 as a low-cost, time-saving, and smart-process method to significantly enhance properties of relaxor-PbTiO3 (PT) ferroelectric single crystal (SC) transducers. In total, over 35 papers have been reported since 2018 in which researchers achieved piezoelectric coefficient (d 33) > 4000 pC/N and electromechanical coupling factors (k 33) > 96% for the ACP SCs. In this review, we introduce history of the ACP study on relaxor-PT SCs and our research group's ACP study in the past three years. Particularly, we focus on ACP conditions and their mechanisms of binary (1-x)Pb(Mg1/3Nb2/3)O3-xPbTiO3 (PMN-PT) and ternary (1-x-y)Pb(In1/2Nb1/2)O3-yPb(Mg1/3Nb2/3)O3-xPbTiO3 (PIN-PMN-PT) SCs near morphotropic phase boundary (MPB). Furthermore, we provide insights for further studies on optimal ACP conditions and the reduction of spurious-mode vibrations (SMV). This work can offer promising prospect and practical value in the high-end ultrasonic imaging probe transducers