Nurse-Physician Inter-Professional Collaboration and Associated Factors at Public Hospitals in Dessie City, Amhara, Northeastern Ethiopia, 2021.

Introduction: Nurse-physician collaboration is an integral part of quality improvement in health care. Collaboration enables individuals to work together to achieve defined and common health purposes. There is limited evidence related to nurse-physician inter-professional collaboration and its associated factors in Ethiopia, particularly in Dessie city public hospitals. Objective: To assess nurse-physician inter-professional collaboration and associated factors at public hospitals in Dessie city, Ethiopia, 2021. Methods: An institutional-based cross-sectional study was conducted among nurses and physicians at public hospitals in Dessie city. A self-administered questionnaire was used for data collection. Stratified simple random sampling techniques were used to select study participants proportional to the sample size allocation. The final sample size was 260 and allocated proportionally to Dessie Comprehensive Specialized Hospital and Boru Meda General Hospital. The data were entered and analyzed using EPI-data version 4.6 and SPSS version 26 software respectively. During analysis, p-values less than 0.25 in binary logistic regression were entered into multivariable logistic regression. Finally, p-values less than 0.05 in multi-variable logistic regression were considered statically significant. Results: The mean score for inter-professional collaboration was 97.40 ± 19.6SD. In this study, inter-professional collaboration among nurses and physicians was 44.2%. This study showed that favorable attitude [AOR=3.205; CI: 1.781-5.766], respondents working in the gynecological department [AOR=0.210; CI: 0.052-0.849], satisfied organizational support [AOR=2.062; CI: 1.140-3.729] and urban residents [AOR=3.996; CI: 1.069-14.931] were factors associated with nurse-physician inter-professional collaboration. Conclusion: In this study, nurse-physician inter-professional collaboration was low. Training on the importance of health teamwork, timely monitoring and evaluation of organizational support, and professional empowerment towards a favorable attitude of nurse-physician inter-professional collaboration shall be provided at hospital levels. Routine assessment and timely intervention of the gynecological department for nurse-physician inter-professional collaboration shall be done at hospital levels. Moreover, both quantitative and qualitative research shall be performed for future research.

Parametric estimation of gyrotactic microorganism hybrid nanofluid flow between the conical gap of spinning disk-cone apparatus.

The silver, magnesium oxide and gyrotactic microorganism-based hybrid nanofluid flow inside the conical space between disc and cone is addressed in the perspective of thermal energy stabilization. Different cases have been discussed between the spinning of cone and disc in the same or counter wise directions. The hybrid nanofluid has been synthesized in the presence of silver Ag and magnesium oxide MgO nanoparticulate. The viscous dissipation and the magnetic field factors are introduced to the modeled equations. The parametric continuation method (PCM) is utilized to numerically handle the modeled problem. Magnesium oxide is chemically made up of Mg2+ and O2- ions that are bound by a strong ionic connection and can be made by pyrolyzing Mg(OH)2 (magnesium hydroxide) and MgCO3 (magnesium carbonate) at high temperature (700-1500 °C). For metallurgical, biomedical and electrical implementations, it is more efficient. Similarly, silver nanoparticle's antibacterial properties could be employed to control bacterial growth. It has been observed that a circulating disc with a stationary cone can achieve the optimum cooling of the cone-disk apparatus while the outer edge temperature remains fixed. The thermal energy profile remarkably upgraded with the magnetic effect, the addition of nanoparticulate in base fluid and Eckert number.

Time fractional model of electro-osmotic Brinkman-type nanofluid with heat generation and chemical reaction effects: application in cleansing of contaminated water.

Drilling fluids execute a dominant role in the extraction of oil and gas from the land and rocks. To enhance the efficiency of drilling fluid, clay nanoparticulate has been utilized. The inclusion of clay nanomaterial to drilling fluids significantly elevate their viscosity and thermal conductivity. Therefore, the present investigation is focused on the analysis of time-fractional free convective electro-osmotic flow of Brinkman-type drilling nanofluid with clay nanoparticles. The heat generation and chemical reaction characteristics and influence of the transverse magnetic field have also been taken into an account. The local mathematical model is formulated in terms of coupled PDEs along with appropriate physical conditions. The dimensional governing equations have been non-dimensionalized by using relative similarity variables to encounter the units and reduce the variables. Further, the non-dimensional local model has been artificially converted to a generalized model by utilizing the definition of time-fractional Caputo-Fabrizio derivative with the exponential kernel. The graphical results are analyzed via computational software Mathematica, to study the flow behavior against inserted parameters. From graphical analysis it has been observed qualitatively that the velocity field has been raised against the greater magnitude of electro-osmosis parameter [Formula: see text]. Numerical table for Nusselt number is calculated from the obtained exact solutions. From the analysis 11.83% elevation in the rate of energy transition of drilling nanofluid has been reported in response of clay nanoparticles.