Sharif Digital Repository

This paper aims to find the causal structure among the criteria of European Foundation for Quality Management (EFQM) excellence model in the organisations of the healthcare sector to prioritise improvement actions for excellence in hospitals. In this regard, a framework of relations among the criteria of EFQM model is developed by theoretical studies and then, this framework is tested based on the results of self-evaluations performed in Iran public hospitals using the Structural Equation Modelling statistical technique. The required data have been collected from 40 public hospitals from 30 provinces and more than 1200 senior and middle managers of clinical departments of the Iran healthcare... 

This paper aims to find the causal structure among the criteria of European Foundation for Quality Management (EFQM) excellence model in the organisations of the healthcare sector to prioritise improvement actions for excellence in hospitals. In this regard, a framework of relations among the criteria of EFQM model is developed by theoretical studies and then, this framework is tested based on the results of self-evaluations performed in Iran public hospitals using the Structural Equation Modelling statistical technique. The required data have been collected from 40 public hospitals from 30 provinces and more than 1200 senior and middle managers of clinical departments of the Iran healthcare... 

The high demand for radiotherapy services, combined with the limited capacity of available resources, patient unpunctuality, and series of appointments, makes Patient Appointment Scheduling (PAS) in radiotherapy centers very challenging. Although most centers use a First-Come-First-Serve (FCFS) policy for appointment scheduling, this approach does not consider patients’ behaviors, and consequently, it performs poorly. This type of inappropriate scheduling usually leads to inefficiency at the center and/or patient dissatisfaction. This study provides a data-driven approach to patient appointment scheduling to deal with the challenges mentioned above, and it considers patients’ histories of... 

The present study was carried out to evaluate the degradation efficiency of benzene, toluene, and xylene (BTX) by isolated bacteria from various petroleum-hydrocarbons contaminated sites. Five isolated bacteria were selected for testing BTX biodegradation from liquid culture media. Each of these bacteria was able to degrade BTX but with different efficiencies. Maximum biodegradation efficiency for benzene (more than 70 %) was obtained by Gram-positive coccobacillus, Gram-positive coccus and Gram-negative bacillus bacteria, for toluene (60 %) and xylene (70 %) by Gram-positive coccobacillus and Gram-negative coccobacillus. It was found that the presence of xylene in the substrate mixture... 

The vacuum sector of the Brans-Dicke theory is studied from the viewpoint of a non-conformally invariant gravitational model. We show that, this theory can be conformally symmetrized using an appropriate conformal transformation. The resulting theory allows a particle interpretation, and suggests that the quantum aspects of matter may be geometrized  

Laser Powder Bed Fusion (LPBF) technology is a new trend in manufacturing complex geometric structures from metals. This technology allows producing topologically optimized parts for aerospace, medical and industrial sectors where a high performance-to-weight ratio is required. Commonly the feature size for such applications is higher than 300–400 microns. However, for several possible applications of LPBF technology, for example, microfluidic devices, stents for coronary vessels, porous filters, dentistry, etc., a significant increase in the resolution is required. This work is aimed to study the resolution factors of LPBF technology for the manufacturing of superelastic instruments for... 

We propose an effective model for an exponentially expanding universe in the brane-world scenario. The setup consists of a 5D black hole and a brane close to the black hole horizon. In case the brane acquires a specific configuration, which we deduce from stability arguments, the induced metric outside the black hole horizon on the brane becomes de Sitter in static coordinates. Studying the Einstein equations perturbatively we find the effective gravity on the brane at this level and derive the 4D gravitational constant. Considering a homogeneous and isotropic fluid in the corresponding FLRW coordinates we find that the bulk fluid density inside the brane, which has the same equation of... 

Proton exchange membrane fuel cell (PEM-FC) aggregation pressure causes extensive strains in cell segments. The compression of each segment takes place through the cell modeling method. In addition, a very heterogeneous compressive load is produced because of the recurrent channel rib design of the dipole plates, so that while high strains are provided below the rib, the domain continues in its initial uncompressed case under the ducts approximate to it. This leads to significant spatial variations in thermal and electrical connections and contact resistances (both in rib–GDL and membrane–GDL interfaces). Variations in heat, charge, and mass transfer rates within the GDL can affect the... 

Proton exchange membrane fuel cell (PEM-FC) aggregation pressure causes extensive strains in cell segments. The compression of each segment takes place through the cell modeling method. In addition, a very heterogeneous compressive load is produced because of the recurrent channel rib design of the dipole plates, so that while high strains are provided below the rib, the domain continues in its initial uncompressed case under the ducts approximate to it. This leads to significant spatial variations in thermal and electrical connections and contact resistances (both in rib–GDL and membrane–GDL interfaces). Variations in heat, charge, and mass transfer rates within the GDL can affect the... 

Establishing high-quality communication in construction projects is essential to securing successful collaboration and maintaining understanding among project stakeholders. Indeed, poor communication results in low productivity, poor efficiency, and substandard deliverables. While high-quality communication is recognized as contingent on the interpersonal skills of workers, the impacts of communication quality on job performance remain unknown. This study addresses this deficiency by developing a method to evaluate construction workers' communication quality. A literature review is undertaken to capture salient interpersonal skills. Leadership style, listening, team building, and clarifying... 

We present an attempt to improve the performance of multi-class image segmentation systems based on a multilevel description of segments. The multi-class image segmentation system used in this paper marks the segments in an image, describes the segments via multilevel feature vectors and passes the vectors to a multi-class object classifier. The focus of this paper is on the segment description section. We first propose a robust, scale-invariant texture feature set, named directional differences (DDs). This feature is designed by investigating the flaws of conventional texture features. The advantages of DDs are justified both analytically and experimentally. We have conducted several... 

Support Vector Machine (SVM) is a powerful machine-learning tool for pattern recognition, decision making and classification. SVM classifiers outperform other classification technologies in many applications. In this paper, two implementations of SVM classifiers are presented using Logarithmic Number System. In the basic classifier all operations (multiplication, addition and ...) are performed using logarithmic numbers. In the logarithmic domain, multiplication and division can be simply treated as addition or subtraction respectively. The main disadvantage of LNS is the large memory requirement for high precision addition and subtraction. In the improved classifier, multiplication... 

In this study, the essential oil of aerial parts species of a plant called Spearmint was extracted by CO 2 to optimize the results of the supercritical extraction process. In order to achieve maximum total yield extraction and SF-CO 2 concentration, tests were done in a laboratorial pilot considering the Taguchi method under following condition: pressure. 90,100,140,170 bar, temperature. of 35, 40, 45, 50 °C, mean particles size: 250,500,710,1000 μm, flow rate 1,3,5,8 ml/s and dynamic time 30,50,90,120 min. The optimizing conditions for SCE and SF-CO 2 concentration are: 90 bar, 45 °C, 500 μm, 5 ml/s, 120 min and 90 bar, 35 °C, 250 μm, 1 ml/s, 30 min. SCE total yield and CO 2 concentration... 

Processing time and segmentation quality are two main factors in evaluation of image segmentation methods. Oversegmentation is one of the most challenging problems that significantly degrade the segmentation quality. This paper presents a framework for decreasing the oversegmentation rate and improving the processing time. Significant variations in both color and texture spaces are the main reasons that lead to oversegmentation. We exploit Affine Invariant Region Detectors to mark regions with high variations in both color and texture spaces. The results are then utilized to reduce the oversegmentation rate of image segmentation algorithms. The performance of the proposed framework is... 

The remarkable rotational symmetry of the photosynthetic antenna complexes of purple bacteria has long been thought to enhance their light harvesting and excitation energy transport. We study the role of symmetry by modeling hypothetical antennas whose symmetry is broken by altering the orientations of the bacteriochlorophyll pigments. We find that in both LH2 and LH1 complexes, symmetry increases energy transfer rates by enabling the cooperative, coherent process of supertransfer. The enhancement is particularly pronounced in the LH1 complex, whose natural geometry outperforms the average randomized geometry by 5.5 standard deviations, the most significant coherence-related enhancement... 

An effective process for reducing milk cholesterol by enzymatic treatment was investigated in this study. Cholesterol oxidase from Nocardia erythropolis was used for this purpose. The target of this investigation was to obtain the optimum operational conditions for bioconversion of milk cholesterol by cholesterol oxidase (COD). The bioconversion process was investigated first, to obtain basic information about the process, and was further optimised by analysing the parameters, including temperature, pH, incubation time and enzyme content, by using the Taguchi Approach, which is a statistical method for optimisation. Also the direct effect of each parameter on cholesterol bioconversion rate... 

Photosynthetic complexes improve the transfer of excitation energy from peripheral antennas to reaction centers in several ways. In particular, a downward energy funnel can direct excitons in the right direction, while coherent excitonic delocalization can enhance transfer rates through the cooperative phenomenon of supertransfer. However, isolating the role of purely coherent effects is difficult because any change to the delocalization also changes the energy landscape. Here, we show that the relative importance of the two processes can be determined by comparing the natural light-harvesting apparatus with counterfactual models in which the delocalization and the energy landscape are...