PENGARUH KOMUNIKASI INTERPERSONAL TENAGA KESEHATAN TERHADAP KEPUASAN PASIEN DENGAN KEPERCAYAAN SEBAGAI VARIABEL INTERVENING

Good interpersonal communication and harmony is created between health personals with patients could generate more confidence in patients’s mind which in turn will boost satisfaction. This research is a quantitative one with a judgmental sampling. Data obtain from respondents as many as 110 respondents. Measurement scale in this study used a Likert scale. Statistical analysis to gain result of research was path analysis using the software AMOS 21. The research shows that interpersonal communication had a significant effect toward trust. Patient’s belief had significant effect toward satisfaction. Interpersonal communication didn’t have any significant effect toward satisfaction, but the trust is able to mediate the role of interpersonal communication that suppresses significant influence toward satisfaction. Keywords: interpersonal communication, trust, satisfaction.&nbsp

THE INFLUENCE OF SHOPPING MOTIVATION ON FASHION RETAILERS, WITH MEDIATING ROLE OF FASHION INNOVATIVENESS AND FASHION CONSCIOUSNESS

Adjusting and stimulating the fashion purchases within fashion stores the challenging situation of market strength to discover the new ways in fashion industry for introducing the new products. The study is based on four determinants of shopping motivation which are Sexual Attraction, Shopping for Recreation, Recognition Enhancement, Aesthetic Expression. Fashion consciousness and fashion innovativeness have strategic position in this challenge. In the setting of fashion retailing this study inspects how fashion consciousness and fashion innovativeness relates with factors of shopping motivation and actual fashion purchasing. It also examines the construct of shopping motivation on the association among fashion innovativeness, fashion consciousness and fashion purchases. The study executed through a consumer survey, data were obtained and analyzed using structural equation modelling. The consequences show that shopping motivation is positively affected by fashion innovativeness and fashion consciousness, and positively influences fashion purchase intention of customers. The direct link between shopping motivation and fashion purchase intention shows insignificant result. By using the concept of fashion innovativeness and fashion consciousness this study delivers recommendations for fashion retailers on increasing fashion purchases in their stores. JEL: L80; L81  Article visualizations

Hospital Administrators and Technology as Determinants for Successful IT-Usage in Public Sector Hospitals of Developing Countries

The impact assessment of IT on decision making process has now become a global issue and thereby gaining interest of researchers of both developed and developing societies (see for example Ahlan, 2005; Adebayo, 2007; Bradley, 2006). However, empirical studies have been conducted to evaluate the impacts of IT on health-related decision making by healthcare professionals in Pakistan. To fill the existing gap in the literature the study at hand is undertaken to evaluate the factors affecting the use of IT in public health organizations in KPK, Pakistan. This paper assesses the effects of two key factors (hospital administrators and technology) to see their influence on the adoption and use of IS (information system) development in hospitals of Pakistan especially public sector hospitals. The current research asserts that hospital administrators’/executives’ interest and support for implementation and use of IT and available technology are the primary determinants for successful implementation and use of the IT in public hospitals. The healthcare organizations supported by the administrators and effective hardware and software solutions can materialize successful adoption and use of IT in healthcare organizations anywhere including developing states. Key words: Hospital Administrators, Technology, and IT-usage

Rare Presentation of Werner Syndrome in a 28-Year-Old Female Patient: A Case Report and Literature Review

Werner Syndrome (WS) is a rare autosomal recessive disorder characterized by accelerated aging and a broad spectrum of clinical manifestations. This case report presents a unique instance of WS from Pakistan, featuring a novel mutation in the WRN gene. Known as progeria adultorum, WS typically manifests post-pubertally due to mutations in the WRN gene, which plays a key role in DNA repair and genomic maintenance. A 28-year-old woman presented with non-healing bilateral leg ulcers, dry skin, and photopsia. She exhibited multiple signs of premature aging, including short stature, early hair graying, and bilateral cataracts. Her medical history included hypothyroidism, cataract surgery, and recurrent gastrointestinal infections. Genetic testing confirmed a homozygous pathogenic variant in the WRN gene, thereby establishing the diagnosis of WS. This case highlights the diagnostic challenges associated with rare genetic syndromes. The patient\u27s diverse clinical signs—such as persistent ulcers, cataracts, and failure to experience a pubertal growth spurt—were consistent with diagnostic criteria for WS. The report explores the pathophysiology of WS, particularly the role of WRN mutations in impaired DNA repair and increased genomic instability, which significantly elevates cancer risk. There is currently no specific treatment for WS; management remains supportive, focusing mainly on symptomatic relief. This case emphasizes the importance of early recognition, targeted genetic testing, and multidisciplinary care. Greater awareness and understanding of WS are essential for timely diagnosis and intervention. Furthermore, ongoing genetic research may offer valuable insights into disease mechanisms and potential therapeutic strategies, ultimately aiming to improve patient outcomes

PENGARUH KOMUNIKASI INTERPERSONAL TENAGA KESEHATAN TERHADAP KEPUASAN PASIEN DENGAN KEPERCAYAAN SEBAGAI VARIABEL INTERVENING

Good interpersonal communication and harmony is created between health personals with patients could generate more confidence in patients’s mind which in turn will boost satisfaction. This research is a quantitative one with a judgmental sampling. Data obtain from respondents as many as 110 respondents. Measurement scale in this study used a Likert scale. Statistical analysis to gain result of research was path analysis using the software AMOS 21. The research shows that interpersonal communication had a significant effect toward trust. Patient’s belief had significant effect toward satisfaction. Interpersonal communication didn’t have any significant effect toward satisfaction, but the trust is able to mediate the role of interpersonal communication that suppresses significant influence toward satisfaction. Keywords: interpersonal communication, trust, satisfaction.&nbsp

Comparison of Mean Glasgow Outcome Score in Patients with Traumatic Brain Injury after Magnesium Sulphate Therapy and Placebo. A Prospective Study of Shaikh Zayed Hospital Lahore

Objective:  We evaluated the effectiveness of magnesium sulphate treatment for the management and outcome of TBI. Material and Methods:  The prospective cases (n = 112) of TBI were included from Department of Neurosurgery, Shaikh Zayed Hospital, Lahore. Patients were split into two groups. Magnesium sulphate treatment group (n = 56) and placebo group (n = 56). Detailed history of patients was taken along with comprehensive examinations with CT scans.56 TBI patients were given standard treatment plus magnesium sulphate and remaining 56 patients received just standard treatment. Results:  Mean age of the magnesium supplement therapy group was 36.83 ± 13.45 years while in the placebo group was 33.64 ± 12.88 years). Majority 28 (67.9%) were male in the magnesium sulphate group while 37 (66.1%) were in the placebo group. Mean duration passed between hospital presentation and traumatic brain injury was 4.98 ± 2.32 hours in the magnesium sulphate group while it was 5.05 ± 2.48 in the placebo group. Mean Glasgow outcome score was 3.57 ± 1.33 in the magnesium sulphate group while 2.78 ± 1.23 in the placebo group and this difference was statistically significant. Conclusion:  There is significant improvement in GOS after magnesium sulphate therapy in patients with traumatic brain injury versus placebo group as noted in the results

Monolithic Newton-Multigrid Solver for Multiphase Flow Problems with Surface Tension

[EN] We have developed a monolithic Newton-multigrid solver for multiphase flow problems which solves velocity, pressure and interface position simultaneously. The main idea of our work is based on the formulations discussed in [1], where it points out the feasibility of a fully implicit monolithic solver for multiphase flow problems via two formulations, a curvature-free level set approach and a curvature-free cutoff material function approach. Both formulations are fully implicit and have the advantages of requiring less regularity, since neither normals nor curvature are explicitly calculated, and no capillary time restriction. Furthermore, standard Navier-Stokes solvers might be used, which do not have to take into account inhomogeneous force terms. The reinitialization issue is integrated with a nonlinear terms within the formulations.The nonlinearity is treated with a Newton-type solver with divided difference evaluation of the Jacobian matrices. The resulting linearized system inside of the outer Newton solver is a typical saddle point problem which is solved using the geometrical multigrid with Vanka-like smoother using higher order stable FEM pair $Q_2/P^{\text{disc}}_1$ for velocity and pressure and $Q_2$ for all other variables. The method is implemented into an existing software packages for the numerical simulation of multiphase flows (FeatFlow). The robustness and accuracy of this solver is tested for two different test cases, i.e. static bubble and oscillating bubble, respectively [2].Muhammad Aaqib Afaq would like to thank Erasmus Mundus INTACT project, funded by the European Union as part of the Erasmus Mundus programme and the National University of Sciences and Technology (NUST) for their financial support. The authors also acknowledge the support by LS3 and LiDO3 team at ITMC, TU Dortmund University.Afaq, MA.; Turek, S.; Ouazzi, A.; Fatima, A. (2022). Monolithic Newton-Multigrid Solver for Multiphase Flow Problems with Surface Tension. En Proceedings of the YIC 2021 - VI ECCOMAS Young Investigators Conference. Editorial Universitat Politècnica de València. 190-199. https://doi.org/10.4995/YIC2021.2021.12390OCS19019

Robust adaptive discrete Newton method for regularization-free Bingham model

Developing a numerical and algorithmic tool which accurately detects unyielded regions in yield stress fluid flow is a difficult endeavor. To address these issues, two common approaches are used to handle singular behaviour at the yield surface, i.e. the augmented Lagrangian approach and the regularization approach. Generally, solvers do not operate effectively when the regularization parameter is very small in the regularization approach. In this work, we use a formulation involving a new auxiliary stress tensor, wherein the three-field formulation is equivalent to a regularization-free Bingham formulation. Additionally, a monolithic finite element method is employed to solve the set of equations resulting from the three-field formulation accurately and effciently, where the velocity, pressure fields are discretized by the higherorder stable FEM pair Q2=Pdisc1 and the auxiliary stress is discretized by the Q2 element. Furthermore, this article presents a novel adaptive discrete Newton method for solving highly nonlinear problems, which exploits the divided difference approach for evaluating the Jacobian. The step size of the solver is dynamically adjusted according to the rate of nonlinear reduction, enabling a robust and efficient approach. Numerical studies of several prototypical Bingham fluid configurations ("viscoplastic fluid flow in a channel", "lid driven cavity" and "rotational Bingham flow in a square reservoir") are used to analyse the performance of this method

An Adaptive Discrete Newton Method for Regularization-Free Bingham Model

Developing a numerical and algorithmic tool which correctly identifies unyielded regions in yield stress fluid flow is a challenging task. Two approaches are commonly used to handle the singular behaviour at the yield surface, i.e. the Augmented Lagrangian approach and the regularization approach, respectively. Generally in the regularization approach, solvers do not perform efficiently when the regularization parameter gets very small. In this work, we use a formulation introducing a new auxiliary stress. The three field formulation of the yield stress fluid corresponds to a regularization-free Bingham formulation. The resulting set of equations arising from the three field formulation is solved efficiently and accurately by a monolithic finite element method. The velocity and pressure are discretized by the higher order stable FEM pair Q_2/P_1^disc and the auxiliary stress is discretized by the Q_2 element. Furthermore, this problem is highly nonlinear and presents a big challenge to any nonlinear solver. Therefore, we developed a new adaptive discrete Newton method, which evaluates the Jacobian with the divided difference approach. We relate the step length to the rate of the actual nonlinear reduction for achieving a robust adaptive Newton method. We analyse the solvability of the problem along with the adaptive Newton method for Bingham fluids by doing numerical studies for a prototypical configuration ”viscoplastic fluid flow in a channel”