In many parts of the world, patients may find it difficult to visit doctors who share the same language and culture due to the intermingling of people and international recruitment of doctors among many other reasons. In these multilingual multicultural settings (MMSs), doctor-patient interactions face new communication challenges. This study aims to identify the structure of clinical consultation and its phases in an MMS where both doctors and patients are non-native speakers (NNSs) of English.
The objective of this study was to evaluate the effects of milling methods on tensile properties of polypropylene (PP) / oil palm mesocarp fibre (OPMF) biocomposites. Two types of mills were used; Wiley mill (WM) and disc mill (DM). Ground OPMF from each milling process was examined for its particle size distribution and aspect ratio by sieve and microscopic analyses, respectively. Results showed that DM-OPMF had smaller diameter fibre with uniform particle size compared to the WM-OPMF. Surface morphology study by SEM showed that DM-OPMF had rougher surface compared to WM-OPMF. Furthermore, it was found that PP/DM-OPMF biocomposite had higher tensile strength compared to PP/WM-OPMF, with almost two-fold. Thus, it is suggested that small diameter and uniform size fibre may improve stress transfer and surface contact between the fibre and polymer matrix and cause well dispersion of filler throughout the polymer resulted in better tensile strength of PP/DM-OPMF Compared to PP/WM-OPMF biocomposite. Overall, it can be concluded that disc milling could serve as a simple and effective grinding method for improving the tensile properties of biocomposite.
Medicine and healthcare can rightly be considered as High Reliability Organization (HRO) when it strives to promote and maintain reproducible and safe outcomes for all patients. Situational awareness (SA) as a concept meant to augment patient safety has often been discussed in the literature, but our own local contribution to this important discussion is decidedly deficient. Being initially implemented in the aviation industry, this concept has been extended to be a crucial element in high-demand activities, including healthcare. As such, extensive exposure is given early on during the training of medical personnel in many countries. We believe that our own medical students and other healthcare candidates in training should be similarly exposed to this concept as it can have a tremendous impact on patient well-being and safety. This paper attempts to provide a short overview of the SA in healthcare and how we can similarly promote its inclusion in our training programmes.
This paper describes the sorption of Pb(ll) from aqueous solution. Oil palm empty fruit bunch (OPEFB) fiber was first grafted with poly(methylacrylate) and then treated with hydroxylammonium chloride in alkaline medium to produce hydroxamic acid (PHA) grafted OPEFB. Sorption of Pb(ll) by PHA-OPEFB was maximum at pH 5. The sorption followed the Langmuir model with maximum capacityof 125.0 mg g-1 at 25 degrees C. The sorption process was exothermic, as shown by the negative value of enthalpy change, Delta H0. The free energy change (DeltaG0) for the sorption was negative, showing that the sorption process was spontaneous. A kinetic study showed that the Pb(ll) sorption followed a second order kinetic model.