High-quality of health care systems are more crucial than service quality in the other sectors because they have a major impact on the health and well-being. In reality, there has been a lot of interest in healthcare quality since raising the standard of treatment has a favourable effect on a nation\'s population\'s health, which in turn helps the economy and culture as a whole. Increasing the calibre of hospital treatment is a top goal for all nations, particularly developing ones where hospitals serve as the primary healthcare facilities. The current research study was inspired by a number of studies on the costs and issues associated with malnutrition. Relevant papers were included after a search of the internet databases of Pubmed, EMBASE, the Web of Science was done with English as the only permitted language. After that, databases got accessed to perform a more thorough literature search using key words or Boolean operators to produce papers relevant to the problem. Using inclusion/exclusion criteria, these papers were vetted to create a manageable eight pieces. These eight articles were evaluated, and the results showed that now the healthcare delivery and standard of care in the health sector suffer from considerable gaps. The study revealed the disparities in key service & quality of care parameters that depend on one another.Doctors & paramedical staff availability, patient discharge procedures, hospital documentation policies, staff awareness of social responsibility, management standards, and medicine availability are some of the important hospital administration elements that have an impact on staff-patient interactions. The Research study came to the conclusion that Healthcare managers as service providers should think about improving the healthcare quality and other dimensions in addition to concentrating on those with the biggest gaps. On these less explored characteristics, future scholars can base their work. The average stay duration, patient cooperation, patient quality/illness, and patient socio-demographic parameters are the final elements influencing the level of service in terms of patient characteristics.

INTRODUCTION: Clinical training plays a fundamental role in shaping the future clinical practice of medical students during their graduation and post-graduation years. It is essential for them to acquire and continuously update their skillset using innovative teaching methodologies to ensure evidence-based patient care. Traditional classroom-based teaching methods have been found insufficient for skill acquisition, leading to a decline in bedside clinical teaching. Consequently, simulation-based medical education has gained rapid acceptance. Simulation-based training encompasses various methods, such as part task trainers, low and high fidelity manikins, standardized patients, remote and virtual simulations. This approach allows students to experience Simulated Clinical Experiences (SCEs) in a controlled environment, facilitating hands-on training for emergencies, patient communication, interpersonal skills, and professionalism. The study also highlights the emergence of tele-debriefing, a technique introduced during the COVID-19 pandemic. However, there is a dearth of head-to-head comparison studies evaluating debriefing experiences in virtual and in-person settings. Objective: To compare the debriefing experiences of Emergency Medical Professionals (EMPs) after participating in remote simulation sessions and standardized patient encounters. Methodology: The research was conducted in March 2022 among 200 EMPs working in various healthcare settings in Pune, India, including casualty, emergency care units, Intensive Care Units, and ambulances. The study focused on the Advanced Trauma Course of the International Trauma Life Support (ITLS) organization, a two-day intensive program that teaches patient assessment and critical condition management in a pre-hospital environment. CONCLUSION: The introduction of Remote Simulation was a crucial adaptation in response to the imperative need for continuity in education during the COVID-19 era. Our study reaffirms its success, as evidenced by the consistently high satisfaction scores observed among participants. However, it is important to acknowledge that in-person Standardized Patient (SP) simulation emerged as the superior choice, offering a more enriching and fulfilling debriefing experience for the learners.

INTRODUCTION:Clinical Simulation is a technique which amplifies real life experiences with guided ones thus evoking substantial aspects of the real world in an interactive manner. Exposure of medical doctors to live patients for acquiring necessary skills is imperative. The success of clinical simulation as a teaching methodology in healthcare shall depend upon the whole hearted acceptance by the facilitators. The utility of the available technology solely depends on the level of engagement and enthusiasm shown by them. OBJECTIVE:The aim of the present study is to understand the perspective of educators in adoption of simulation as a teaching methodology.METHODS:The study was conducted amongst 100 Simulation facilitators from across India during a virtual round table discussion. These facilitators were from various fields including medicine, nursing, paramedics and the group was a mix of junior, mid and senior level facilitators. The discussion lasted for 4 hours and was open-ended covering various aspects of clinical simulation. The data was collected during the month of January 2022.The collected data was transcribed and coded to generate themes pertaining to the subject.RESULT AND DISCUSSION:Many participants were of the opinion that simulation sessions were time consuming and that they were unable to take time out of their already busy schedule. It is commonplace in healthcare to have busy schedules. Yet some effort in the short term can lead to radical improvement in the teaching andragogy in the long run.CONCLUSION:The round table discussion raised many important concern of facilitators which can give directions to various educational institutes in implementation of their simulation programmes. Any technology shall remain redundant without the active engagement of facilitators. The benefits of Simulation can reach the learners only when the facilitators are skilled. This can be achieved by attending simulation workshops regularly, working closely with an experienced facilitator and keeping oneself updated about the new trends in simulation. The present study attempts to suggest simple solutions to various facilitator barriers.

INTRODUCTION:\nThe onset of the COVID-19 pandemic swiftly extended worldwide starting in December 2019, necessitating the universal adoption of stringent protocols and guidelines to contain its spread. Every nation experienced substantial economic, social, and intellectual setbacks as a result of this unprecedented crisis.\nThe conventional approach to medical education, characterized by traditional classroom instruction, has historically held precedence. However, the landscape of medical education worldwide has undergone significant transformation in recent years. Numerous innovative pedagogical approaches emphasizing experiential learning have emerged and successfully integrated into the curriculum.\nOBJECTIVES: \nTo gain insight into the challenges encountered by instructors when using online teaching methods, and assess the opportunities and limitations of integrating online teaching mode into the long-term andragogy (adult education) in medical education. \n\nMETHODOLOGY:\nThe study was undertaken with a qualitative approach in the form of interview of 80 full time instructors in medical institutes who taught with the online teaching mode for the past 2 years. The collected data was coded and key themes were generated based on the responses provided.\n\n\nCONCLUSION:\nWhile online teaching initially became a necessity during the early phases of the COVID pandemic, it has since evolved into a deliberate choice. Like other teaching methods, online teaching has its limitations, but when harnessed effectively, it offers exciting opportunities to overcome geographical barriers and provide excellent education.\nLearners can access sessions from around the world from the comfort of their homes. Enhanced planning for more interactive sessions can further improve the utility of online teaching.

The study aimed to investigate the effect of the flipped classroom strategy of the students of Prince Faisal Technical College on the ability to mathematical representation. The study used the quasi-experimental approach with a pre-post model. The study was applied to (53) students from Prince Faisal Technical College, who were divided into two groups: one experimental group numbered (27) students who studied using the flipped classroom strategy, and the other was a control group. (26) students studied in the usual way. The results showed an effect of the Flipped Class Strategy on the ability scale for mathematical representation as a whole and all of its skills. The study recommended using the stages of ADDIE instructional model in applying the flipped classroom strategy, and conducting studies on the effect of the Flipped Classroom strategy based on ADDIE on students’ acquisition of mathematical concepts in other fields such as Geometry, statistics, etc.

Solar food drying is a widely accepted process to preserve food materials, maintain their quality and taste for the future use. Solar drying systems are used and developed for industrial as well as domestic applications. These solar dryers can be used for routine domestic food materials like turmeric, red chilli, mango slices, fenugreek leaves etc. in urban and rural area. This review is focused on global developments on portable and domestic solar dryers. Most of these dryers are fabricated from material available in indigenous market. Size and manufacturing cost are the key elements in developing solar domestic dryer. The maximum temperature range attained by the portable and domestic solar dryers are; 55-65oC with a drying time of 12-18 hrs, 60-75oC with a drying time of 9-14 hrs, and 70-95oCwith a drying time of 6-10 hrs, under direct, indirect and mixed modes respectively. Present approximate fabrication cost of these dryers is variedfrom 1500-8000 Indian National Rupees (INR) depends upon size.This piece of work will be useful for promoting and motivating the use of solar energy and also development of domestic solar dryer.

Abstract\nThe purpose of present study is to examine the model of hope prediction based on resilience and happiness and mediating the quality of life in patients with breast cancer. The research method was descriptive and of structural equation modeling. The statistical population of this study included all patients with breast cancer referring to Cancer Institute of Imam Khomeini and Milad hospitals in Tehran. Purposeful sampling method was used to select the sample. In this way, 300 patients with breast cancer were selected based on the criteria of entering and leaving the research. The research instruments were Omid Schneider et al. (1991), the Conor-Davidson Resilience Questionnaire (2003), Oxford Happiness Scale (1989), and World Health Organization Quality of Life Scale (1996). For data analysis, structural equation modeling was used. The results of the model analysis showed that the factor structure of the research scales was confirmed. The results of the conceptual model test showed that the fitting indices of the research model are in a favorable situation. Resilience has a direct and indirect effect on the hope of patients with breast cancer (due to quality of life) (p <0.05). Happiness also has a direct effect on hopefulness of patients with breast cancer (p <0.05).

Petroleum oils are usually containing some trace amount of corrosive compounds such as the sulfur compounds, salts and organic acids in \naddition to the majority of hydrocarbons since the formation in the earth because of the abundance of most of such compounds in the interior part \nof the earth. In the current research there were expected to investigate the impact of dominant corrosive compounds on the corrosion of seven \ndifferent types of ferrous metals which are typically using in the industry of crude oil refining for various applications may be under different \nconditions. According to the methodology the chemical compositions of selected metals were detected by the X-ray fluorescence detector and \nthe elemental sulfur, Mercaptans, organic acid and salt contents of both crude oils were measured by in order of X-ray fluorescence analyzer, \ntitration methods and salt analyzer. A batch of similar sized metal coupons were prepared from seven different types of metals and the corrosion \nrates of such metal coupons were determined by the weight loss method while analyzing the corroded metal surfaces microscopically after certain \nimmersion time periods with respect to both crude oils. Also the decayed metallic elemental concentrations from metals into crude oils were \nmeasured by the atomic absorption spectroscopy (AAS) and the variations of the initial hardness of metals were analyzed by the Vicker’s \nhardness tester. Basically there were observed the lower corrosion rates from stainless steels especially with at least 12% chromium composition \nalso with nickel, higher corrosive impact from salts, formations of Fe2O3, corrosion cracks and pitting on the metal surfaces, decay of ferrous and \ncopper from some of metals some times in significantly and the little reductions of the initial hardness of most of metals during the corrosion.

This study is performed to investigate the possibility of producing new dietary products called dates marshmallow and sheets with a new technology. The study has been done to search the evaluation of possibility of maximizing utilization as value-added for dates second degree types to produce natural marshmallow and sheets in both novels, an economical ways. The obtained results revealed that, mixing the juice of dates with fruit juice such as golden berry and Tamaridus indica with ratio 50% led to reduce the content of sucrose, and total sugars. Total phenolic compounds for dates, 50%; Tamaridus indica, 50% were the highest one. Flavonoids were the highest value in samples dates (100%) followed by the other. It noticed that, carotenoids recorded the highest content in all samples. Objective testing color measurements; the result explains that, all samples treatments with mixing had lowest in lightness (L) value. Redness value (a) which decreased with all samples. However, all treatments including both of controls were observed less in yellowness (b) value. Physical properties - texture attributes, such as hardness attribute for all samples were the best, but Chewiness for dates,100% anddates,50%; Tamaridus Indica,50% marshmallow were best samples. Date sheets; it could be observed that, total phenol compounds content for samples were less than control. On the other hand, fibers, total acidity and vitamin C were close and almost compatible with the control. It could be clearly observed that, treatment of date sheets product (zero time) for the lightness (L) values was less while that, both of the red (a), and yellowness(b) values were more in compered with control by increasing time of storage. Finally, It could be clearly concluded that, second degree types of dates are proper, successful, economic and applicable to produce as a new product marshmallows as well as it can be made in sheets form by heat concentrated drying which it gave an added value for dates that was very well for consumer palatability in general by sensory evaluation.

A Cyber-physical system (CPS) deals with complexity, uncertainty, and unpredictability through an abstract model. However, the CPS simulations work controlling simultaneously for several embedded systems. Therefore, the CPS system should keep good performance. The problem is how we could solve it. To solve this, we focus on improving code complexity of procedural language, C/C++ code, of the CPS-based software. To guarantee good performance, we suggest how to visualize performance degradation factors within CPS-based C/C++ code, which refactors the core operation patterns for performance improvement, based on our code quality indicators. We aim to keep high performance and quality improvement of CPS based C/C++ code without power consumption.

The paper presents a dynamic tooth load analysis of spur gears in mesh. Load sharing characteristics of the analytical model was simulated through a mesh cycle. This model considered the main internal factors of dynamic load as dynamic mesh stiffness. This dynamic load model explored proper integration of contact tooth pairs alternation during mesh cycle. A comparative study is included, which shows the effects of the mechanical properties on the dynamic behaviour of the system.

This study aims to to identify the learning styles and gender differences of University Malaya undergraduate students with the usage of collaborative tool, namely Wiggio. The theoretical foundation for this study is based on Grasha-Reichmann learning styles model such as independent, dependent, competitive, collaborative, avoidant and participative. 58 respondents answered the questionnaire distributed to them and collected data were analysed using descriptive statistics (means, standard deviations), Chi-square test and t-test. The SPSS software version 17 was utilised to analyse the data. This study showed that significance differences existed between the students’ learning styles with the usage of collaborative tool based on gender. This study also found that majority of the female students favored independent, competitive, participative and collaborative learning styles whereas male students were dependent and avoidant learners. Researchers suggest that further studies should explore other learning style theories with other collaborative tool as well as include a larger sample from different institutions.