bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of micronutrient levels in children and adolescents with obesity and their correlation with the components of metabolic syndrome
Authors: Kardaş Fatih , Yücel Arife Derda , Kendirci Mustafa , Kurtoğlu Selim , Hatipoğlu Nihal , Akın Leyla , Gül Ülkü , Gökay Songül , Üstkoyuncu Pembe Soylu
Published: March 2021

Background. Obesity is a significant public health problem worldwide. Vitamin deficiencies, developing due to monotype nutrition, are more likely to be observed in patients than healthy children. The present study evaluates vitamin and micronutrient levels in children and adolescents with obesity and metabolic syndrome compared to healthy controls.
Methods. The study included 73 patients with obesity, 64 patients with metabolic syndrome and 71 healthy children (control group) aged 10 to 16 years. Physical examinations were performed, and waist circumference and systolic blood pressure measurements were recorded. Fasting blood glucose, triglyceride, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, total cholesterol, insulin, vitamin A, vitamin E, vitamin B1, vitamin B2, vitamin B6, vitamin B12, folic acid and free carnitine levels were analyzed. The homeostatic model of assessment-insulin resistance (HOMA-IR) index was calculated and recorded.
Results. The mean age of all patients was 11.9±2.6 years. The serum insulin level and HOMA-IR index were found to be significantly higher in the obesity and metabolic syndrome groups. No significant difference was found between the groups in terms of vitamin A, vitamin B6 and free carnitine levels. Significantly decreased vitamin E, vitamin B2, vitamin B12 and folic acid and increased vitamin B1 levels were observed in the obesity and metabolic syndrome groups.
Conclusions. Compared to healthy children, children with obesity and metabolic syndrome may have varying degrees of micronutrient and vitamin deficiency due to poor and unbalanced eating habits. These deficiencies should also be considered in the treatment and follow-up of obesity and metabolic syndrome.
Practice, self-confidence and understanding of pediatric obstructive sleep apnea survey among pediatricians
Authors: Saelim Kantara , Uthairat Monthida , Ruangnapa Kanokpan , Prasertsan Pharsai , Anuntaseree Wanaporn
Published: March 2021

Background. Pediatricians play an important role in the screening, diagnosis and management of childhood obstructive sleep apnea (OSA). This study used a questionnaire to explore the knowledge, self-confidence and general practices of childhood OSA among Thai pediatricians.
Methods. This was a descriptive cross-sectional survey study, using a newly developed questionnaire; including: 21 knowledge items, 4 self-confidence items, questions regarding OSA screening, number of OSA cases per month and OSA management.
Results. A total of 307, convenient pediatricians; from different types of hospitals across all regions of Thailand, participated in this study. The median, total knowledge score was 19 (range 14‒21). Two-thirds of the respondents felt confident/extremely confident in their ability to identify and manage children with OSA. The average number of OSA cases reported by pediatricians was 5.9 cases per month. During a general medical check-up, 86.6% of the respondents did not routinely ask about OSA symptoms. Significant odds ratios (ORs) for the use of montelukast, as the first-line drug for OSA in young children, were observed in pediatric allergists and pulmonologists (adjusted OR 2.58, 95% CI 1.11-6.01 and adjusted OR 2.20, 95% CI 1.2-4.02) (P = 0.008), respectively, compared to general pediatricians and other sub-specialties.
Conclusions. Pediatricians had a high level of overall OSA knowledge, and good self-confidence in identifying and managing children with OSA. However, a low recognition rate and unawareness of OSA screening were observed.
Screening traumatic life events in preschool aged children: cultural adaptation of Child and Adolescent Trauma Screen (CATS) Caregiver-report 3-6 years version
Authors: Akkuş Pınar Zengin , Serdaroğlu Esra , Kömürlüoğlu Ayça , Asena Muhammed , Bahadur Evin İlter , Özdemir Gökçe , Karahan Sevilay , Özmert Elif N
Published: March 2021

Background. Given the high prevalence of potentially traumatic events (PTEs), pediatric providers are in a novel position in early identification and referral of the children with PTEs. Yet paucity of culturally adapted instruments to screen PTEs and related symptoms in preschool-aged children limits pediatric providers. This multicenter study aimed to screen the traumatic life events of preschool-aged children admitted to pediatric outpatient clinics at four different cities of Turkey and to determine the socio-demographic risk factors associated with PTEs. Moreover, it was also intended to develop the cultural adaptation of the Child and Adolescent Trauma Screen (CATS) Caregiver-report 3-6 Years version to Turkish and to analyze its reliability.
Methods. Participants of this multicenter study were collected from four different hospitals in three different regions (Central Anatolia, Black Sea, and Southeastern Anatolia regions) of Turkey. All parents of children at the age of 3-6 years who were admitted to the hospital for a clinical visit (sick-child or well-child visits) were invited to the study. In total, 188 preschool-aged children were included in the study. Socio-demographic characteristics of the child and the family were questioned and parents were asked to fill out the Turkish version of the CATS Caregiver-report.
Results. Internal consistency (Cronbach`s alpha) of the Turkish version of the CATS Caregiver-report 3-6 Years was found as 0.86. This study revealed that half of the participating children had experienced at least one PTE and more than one fourth experienced more than one event. Strikingly, no association between sociodemographic risk factors and PTE exposure was identified suggesting that PTE exposure is indeed widespread in our study population.
Conclusion. The findings of this study manifest the importance of routine screening of PTEs and related symptoms in children.
The HLA groups and their relationship with clinical features in Turkish children and adolescents with celiac disease
Authors: Balamtekin Necati , Tezcan İlhan , Yüce Aysel , Özen Hasan , Saltık-Temizel İnci Nur , Demir Hülya , Kızılkan Nuray Uslu , Tan Çağman , Baysoy Gökhan , Gürakan Figen
Published: March 2021

Background. We aimed to investigate the relationship between human leukocyte antigens (HLA)-groups and clinical features, and degree of intestinal injury in children with celiac disease (CD).
Methods. Study group included 73 (50 females, 68.5%) children with CD. Demographic and clinical features, accompanying autoimmune diseases, family history for CD and degree of damage in small intestinal mucosa (according to Marsh classification) at the time of diagnosis were determined. Twenty-two siblings of celiac patients without CD (15 females, 65.2%) consisted control group 1, and 66 (40 females, 60.6%) people from the normal population consisted control group 2.
Results. The allele frequencies of HLA B8, B50, C6, C7, DR3, DR7, DQ2, and DR3 homozygosity were higher in the patient group. HLA DQ2 positivity was 89% in the patient group, 73.9 and 45.5% in control groups 1 and 2, respectively (p < 0.0001). HLA A30, C14, DR11, DQ3 frequency were lower in patients compared to both control groups. HLA-DR15 alleles in patient and control group 1 was significantly lower compared to the general population (p < 0.05). Thirty (41.1%) patients had typical, 43 (58.9%) patients had atypical presentation. Thirteen (17.8%) patients had other autoimmune diseases. There was no association between coexisting autoimmune diseases and the HLA antigens. Fifteen patients (20.5%) had a positive family history for CD; patients with HLA A69, B41 and C12 alleles had a higher positive family history (p < 0.05). Intestinal mucosal damage was as follows: 5 patients (6.8%) had Marsh 2, 25 (34.3%) Marsh 3a, 28 (38.4%) Marsh 3b, 15 (20.5%) Marsh 3c. Patients with HLA-DR15 alleles had more frequent Marsh 3a lesions (p < 0.05).
Conclusions. B8, B50, C6, C7, DR3, DR7, DR3/DR3, DQ2 alleles were risk factors for CD in the Turkish population. HLA C14, DR11, DR15, and DQ3 alleles were found to have a protective role in the same population.
Endonasal choanal atresia repair; evaluating the surgical results of 58 cases
Authors: Bajin Münir Demir , Önay Övsen , Günaydın Rıza Önder , Ünal Ömer Faruk , Yücel Ömer Taşkın , Akyol Umut , Aydın Canset
Published: March 2021

Background. Choanal atresia is the most common congenital nasal anomaly, with an incidence of 1:5000-1:8000 live births. Atresia can be seen as membraneous, bony or mixed type. When it is bilateral, it is accepted lifethreatening, therefore bilateral atresia necessitates immediate intervention. Diagnosis is confirmed by endoscopic examination and computed tomography. The absolute treatment is surgical, and different approaches have been proposed.
Methods. Herein, we describe our 15-year experience in the treatment of 58 patients of congenital choanal atresia with transnasal endoscopic approach, and we compare the efficacy of placement of an intranasal stent and applying mitomycin while endoscopic microsurgical repair.
Results. The study included 41 female patients (71%) and 17 male patients (29%) with congenital CA. The mean age was 3 years ranging from 10 days to 16 years. The atretic plate was bilateral in 24 patients (41%) and unilateral in 34 (59%). The most common atresia type was the mixed type with 29 patients (50%). A total of 17 patients (29%) required postoperative revision(s). Postoperative revisions were more frequent among patients with bilateral CA (50%), and with mixed CA (31%). Stenting was used additionally by surgical correction for 10 patients. After stenting, fibrosis and restenosis was seen in 7 patients (79%). Mitomycin C was applied peroperatively in 8 patients. Restenosis after mitomycin application was seen in 4 patients (50%).
Conclusions. By our experience, endoscopic microsurgical repair of atresia proved to be an effective and safe procedure, results compared with adjuvant treatment modalities like stent or mitomycin C use, was not better. Restenosis was the major problem seen after surgical correction.
Nasopharyngeal carcinoma in a child with Kartagener`s syndrome
Authors: Kara Buket , Seher Nusret , Eren-Karanis Meryem İlkay , Koplay Mustafa , Artaç Hasibe , Koç Mehmet , Çağlayan Ahmet Okay , Köksal Yavuz
Published: March 2021

Background. Kartagener`s syndrome, a subgroup of primary ciliary dyskinesia, is characterized by situs inversus totalis, chronic sinusitis and bronchiectasis. To date, the association of malignant diseases and Kartagener`s syndrome has been reported and all cases except angioimmunoblastic T cell lymphoma in a child have been seen in adulthood.
Case. A 10-year-old boy who was followed with the diagnosis of Katagener`s syndrome, presented with a progressive mass in the cervical region for 6 months. Physical examination revealed mental retardation, multiple lymphadenopathies, the largest in the left cervical region (4x4 cm), and pectus carinatum. Also, on cardiovascular examination, apex beat was felt on the right fifth intercostal space along midclavicular line. Magnetic resonance imaging of nasopharynx showed narrowing of the nasopharyngeal airway with an increase in wall thickness up to 2.5 cm on the posterior wall of the nasopharynx. Also, bilateral multiple cervical lymphadenopathies were noted. The pathological examination of the biopsy from cervical lymphadenopathy revealed a diagnosis of undifferentiated nasopharyngeal carcinoma. Chemotherapy was started for nasopharyngeal carcinoma chemotherapy regimen including cisplatin, docetaxel, and 5-fluorouracil. After four cycles of chemotherapy there was a significant regression in nasopharyngeal mass and lymphadenopathies. The patient underwent radiotherapy to the nasopharynx and bilaterally cervical regions. The patient has been in follow-up for 6 years well and tumor free. However, he is still under the supervision of the pediatric immunology and allergy departments due to recurrent respiratory infections and sinusitis.
Conclusion. We present a case of nasopharyngeal carcinoma which developed in a child with Kartagener`s syndrome. To our knowledge, this is the first report of nasopharyngeal carcinoma in a child with Kartagener`s Syndrome.
Online Teaching Amid COVID-19 Pandemic: Factors Affecting Teacher Satisfaction
Authors: Thach Pham Ngoc , Huong Do Quynh , Thanh Tran Minh
Published: March 2021

The COVID-19 pandemic had a great impact on almost all aspects of life, especially in the field of education and training. In response to this challenge, most schools and universities worldwide made online courses available their students according to the policy ‘School is Out, but Class is On’. In this study, we used mixed methods approach, frequency analysis, correlationand multivariate regression techniques to explore the factors that affect lecturers satisfaction when teaching online during the period of COVID-19 pandamic at a big university in Vietnam. The ‘study results showed that the main factors affecting faculty satisfaction were their interaction with students, their skills to operate available applications, support from institutions and students’online behaviour. The results of qualitative data analysis (open-ended questions and interviews) reinforced the above findings and indicated the need to deploy blended-learning, which combines online and face-to-face modes to ensure quality of teaching.
Changes and Continuities in the Global Health Governance of Coronaviruses
Authors: Pertiwi Sukmawani Bela
Published: March 2021

This paper aims to examine changes and continuities in terms of actors and policies in the global health governance on coronaviruses in order to understand the available tools, the characters and the extent they meet the required responses of a pandemic. In doing so, this paper examines actors and policies in the governance of three occurrences of coronaviruses, i.e. SARS, MERS, and the COVID-19. Actors and policies are mapped based on its function in a pandemic: (a) surveillance and knowledge dissemination, (b) material and financial assistance both for emergency and long term purposes, and (c) rule-making behavior. This paper found that the larger scale of the COVID-19 pandemic has led more actors involved in the global governance of COVID-19 than during MERS and SARS. WHO still dominates the surveillance and knowledge dissemination as well as rule making leadership. It also leads in providing material assistance to affected countries. Yet, with the significant impacts to global economy, global financial institutions dominate the provision of financial assistance both for short term and long term commitment. This imbalanced crowd in this last aspect, therefore, causes a changing dominant approach of the GHG on coronaviruses from the previously dominating evidence-based scientific approach to economic approach.
Long-Term Change in Characteristics of Cloud Vertical Structures Over Sumatra from Radiosonde Observations
Authors: Lismalini Lismalini , Marzuki Marzuki , Shafii Mohammad Ali
Published: March 2021

Study on the vertical structure of cloud in Indonesia in terms of climate change is still very limited. We investigated the long-term change in characteristics of cloud vertical structures over Sumatra from three radiosonde observation stations in this work. The cloud base height (CBH), cloud top height (CT), and the number of cloud layers were retrieved using relative humidity (RH) profiles from radiosonde observation. The height of the cloud base is determined by taking the height of the layer with relative humidity (RH) value > 84% with at least a 3% jump in the RH from the ground level. Sumatraâ€™s most frequently observed cloud layer is a one-layer cloud with an average occurrence rate of > 60%, which is slightly larger than the one-layer cloud globally. The percentage of appearance values at the Padang station, Pangkal Pinang, and Medan are 63.58%, 69.50% and 66.05%. The appearance of low-level clouds also dominates in Sumatra compared to other cloud types. CT and CBH increase with the number of years including all seasons. This is in line with the increase in temperature in Indonesia reported by previous researchers. On the other hand, the cloudsâ€™ thickness, especially for the cloud with one layer, varies from one location to another. The thickness of clouds decreases at Padang station and does not change at Pangkal Pinang and Medan stations.
Conflitualidade rural e comunidade campesina na virada do século XX. Fim de um ciclo ou recomposição adaptativa da estratégia comunitária? Galiza, 1885-1907
Authors: Velasco Souto Carlos F.
Published: March 2021

Em face das interpretações canónicas na historiografia galega a salientarem o salto qualitativo representado pelo surgimento do Agrarismo e o processo de proprietarização a ele associado, esta comunicação sustenta que a excessiva ênfase posta nas mudanças produzidas no tránsito do século XIX para o XX na Galiza agrária (privatização produtiva, penetração do capitalismo, desagregação comunitária, assunção do individualismo…) obscurece na realidade a visão de conjunto da rebeldia rural, dificultando a interpretação do significado de muitos conflitos e tradições de luta na longa duração. Assim mesmo põe-se em causa a suposta desagregação da trama comunitária campesina, na medida em que ela, longe de se amostrar incompatível com a proprietarização (enquanto que estratégia reprodutiva predominante), parece ter mesmo favorecido a articulação de novas fórmulas de luta empreendidas sob o manto protetor do Agrarismo, tanto em defesa do monte comunal face às tentativas privatizadoras do Estado Liberal, quanto em prol da renovação do aparelho produtivo da agricultura e a eliminação do sistema foral.
Fatores de risco relacionados a coagulopatias no período gestacional
Authors: Souza Edilene Oliveira , Da Silva Kátia Helena Campos , Vivan Luiza Bim , De Oliveira Natália , Santos Gérsika Bitencourt
Published: March 2021

Objetivo: Identificar os fatores de risco para coagulopatias entre gestantes atendidas em um hospital universitário de Alfenas-MG. Métodos: Foi realizado um estudo documental, transversal, descritivo, de abordagem quantitativa e qualitativa, com análise de prontuários de gestantes assistidas em um hospital universitário do Sul de Minas Gerais. O estudo foi aprovado por Comitê de Ética em Pesquisa humana da Unifenas. Resultados: A média de idade de gestantes foi de vinte e oito anos e três meses, e a maioria realizaram parto cesariano; 1,57% das gestantes foram acometidas por coagulopatia trombótica anterior à gestação. 2,16% das mulheres foram submetidas à terapia devido a trombose venosa profunda. Em relação às medicações utilizadas, 73,82% aderiram ao uso, sendo a maior porcentagem medicamentos de uso rotineiros do período gestacional e apenas 2,17% fizeram o uso de ácido acetilsalicílico, um antiagregante plaquetário, utilizado antes da gestação. Conclusão: Conclui-se que a maioria das gestantes possuem fatores de risco relacionados a coagulopatias, sendo estes adicionais, relacionados a hábitos de vida, hereditariedade e doenças crônicas, apresentando um número reduzido de usuárias de medicações antitrombóticas.
Colostroterapia e aleitamento materno na prevenção da enterocolite necrotisante
Authors: Bassan Andressa da Rosa , De Assumpção Priscila Kurz , Da Rosa Andrieli Berger , Schutz Thais Costa , Donaduzzi Daiany Saldanha da Silveira , Fettermann Fernanda Almeida
Published: March 2021

Objetivo: Identificar na literatura científica evidências da colostroterapia e aleitamento materno na prevenção da enterocolite necrotisante. Métodos: Revisão integrativa realizada na Biblioteca Virtual em Saúde e base de dados da Literatura Latino-Americana do Caribe em Ciências da Saúde. Como critérios de inclusão, optou-se por produções que estivessem disponíveis na íntegra, com resumo na base de dados e idioma português e excluídos artigos que não responderam à questão de pesquisa. Foram encontradas 360 produções, sendo utilizadas 10 na realização do artigo. Resultados: Os resultados deste estudo evidenciaram que o aleitamento materno precoce e o uso da colostroterapia ainda nos primeiros dias de vida são um dos meios mais eficazes para a prevenção da enterocolite necrotisante. Conclusão: Os cuidados da enfermagem com o recém-nascido com enterocolite necrotisante, ainda necessitam de aprimoramento para uma prática com êxito, sendo necessário conhecimento sobre a patologia, a fim de desenvolver e prestar uma assistência com qualidade e merecedora para os recém-nascidos.
População quilombola e o câncer de colo uterino: uma revisão integrativa da literatura
Authors: Da Silva Thamilly Joaquina Picanço , Gonçalves Wingred Lobato , Da Silva Karoline Sampaio , Prudêncio Luzilena de Sousa , Do Nascimento Rosana Oliveira , Da Silva Marlucilena Pinheiro
Published: March 2021

Objetivo: Analisar a relação entre o câncer de colo uterino e a população quilombola. Métodos: Trata-se de uma revisão integrativa da literatura, realizada na base de dados da Biblioteca Virtual de Saúde (BVS), utilizando-se os descritores, de acordo com os descritores em ciências da saúde (DeCS): “Neoplasias do colo uterino” e “Grupo de Ancestrais do Continente Africano”, combinados pelo uso do operador Booleano AND. Os critérios de inclusão foram publicações dos últimos 5 anos em inglês, português e espanhol e excluiu-se os trabalhos repetidos e aqueles que não respondiam à pergunta de pesquisa proposta. Resultados: Por fim, selecionaram-se quatro artigos científicos para análise, os quais abordaram a relação entre a temática sob óticas diferentes, mas que conseguiam convergir para três principais temas: baixo conhecimento sobre o câncer de colo uterino entre as mulheres quilombolas, baixa adesão ao exame preventivo e etnoenfermagem, sabendo que o cuidado em saúde é um fator importante para esta população.  Considerações finais: Os estudos selecionados para esta revisão mostraram a existência de relação entre o câncer de colo uterino e a população do estudo, identificando incipientes conhecimentos de quilombolas, sobre o risco de adquirirem uma doença como o câncer do colo do útero, as consequências da doença e a importância da prevenção.
Hepatites virais na gestação e a importância do pré-natal
Authors: Zica Letícia Maia , De Araujo Ana Carolina Souza Sisnando , Garcia Ana Luisa Jaramillo , Bonelly Beatriz da Costa Luiz , De França Bruna Paiva , Leal Fabiana Pilotto Muniz Costa , De Melo Giovanna Abe Rodrigues , Coelho Isabella Nascentes Tanizaki , De Sousa Kamila Catta Preta Carneiro , Saraiva Maria Clara Ibrahim
Published: March 2021

Objetivo: Descrever achados da literatura atual sobre hepatites virais na gestação e a importância do pré-natal para melhores desfechos. Revisão bibliográfica: As hepatites virais apresentam alta prevalência no Brasil e no mundo, com grande impacto social, sendo que alguns agentes etiológicos possuem capacidade de transmissão materno-fetal. Portanto, há uma necessidade de estabelecer o perfil epidemiológico de gestantes para um rastreio, diagnóstico e manejo precoces. Além disso, a gestação é um momento oportuno para a gestante ter contato com a Atenção Básica para a realização do pré-natal adequado, incluindo testagem para hepatites e demais sorologias necessárias. Considerações finais: a possibilidade de acesso ao pré-natal em Unidades Básicas de Saúde é um dos principais instrumentos para a redução e identificação precoce dos casos de hepatites virais e suas complicações. A possibilidade de acesso a testes sorológicos, vacinas e terapias profiláticas garantem melhores desfechos e qualidade de vida para a gestante, feto e neonato.
Construção de Manual de Orientações para a Educação Permanente em Centro Cirúrgico: relato de experiência
Authors: Reis Daniele Lima dos Anjos , Kietzer Kátia Simone , Borges Renata Campos de Sousa , Caldato Milena Coelho Fernandes , De Castro Thiago Marcírio Gonçalves
Published: March 2021

Objetivo: Relatar a construção de uma tecnologia educativa, do tipo manual, que visa prestar orientações para o planejamento e implementação de ações de Educação Permanente no Centro Cirúrgico de um Hospital Público no interior do Estado do Pará, com ênfase na equipe de enfermagem. Relato de experiência: Intitulado “Manual de Orientações para a Educação Permanente em Centro Cirúrgico”, esta tecnologia educativa fundamentou-se nos conceitos da Educação Permanente em Saúde (EPS) e das Metodologias Ativas de Ensino-Aprendizagem, buscando evidenciar a relevância da relação entre eles ao associá-los à assistência à saúde, especialmente no que se refere à assistência de enfermagem perioperatória em Centro Cirúrgico. Como resultados, evidencia-se a descrição detalhada da construção do manual, o qual foi dividido, estruturalmente, em 2 unidades: I – Sobre o que iremos falar? E II – Proposta para a execução do Manual de Orientações para a Educação Permanente em Centro Cirúrgico. Considerações finais: Este manual possui o potencial de instrumentalizar gestores responsáveis pela implementação dos processos de EPS no planejamento e na execução de ações educacionais aos profissionais que atuam em Centro Cirúrgico, com ênfase na equipe de enfermagem, estimulando o pensamento crítico-reflexivo.
Architectural aspects of cell-blocks as small biopsies
Authors: Satturwar Swati , Pantanowitz Liron
Published: March 2021

Cell-block preparations have become an essential part of integrated cytology diagnosis. They are essentially microbiopsies that are formalin fixed and embedded in paraffin. This has become more prevalent with greater sample procurement due to the advent of newer biopsy techniques and needles. Cell-blocks allow retrieval of small tissue fragments from cytology specimens that sometimes cannot be processed by alternate cytologic techniques. They represent concentrated, cell-enriched preparations that provide cytologists with the opportunity to evaluate cellular architecture, as well as to perform ancillary testing. A cell-block compatible sample may thus obviate the need for a more invasive procedure such as a tissue biopsy. Microscopic examination of cell-blocks is quick, avoids obscuring material, permits cells to be evaluated in one focal plane, and allows the histologic architecture such as glandular differentiation, papillary formations, and sometimes invasion to be easily identified. This new era of “cytohistology” accordingly requires practicing cytologists to become more familiar with histopathology. This review article discusses the benefit of various architectural patterns identifiable in cell-blocks employed as an adjunct to Pap tests, exfoliative fluid specimens, and fine-needle aspirations.
Quantum phase estimation with arbitrary constant-precision phase shift operators
Authors: Ahmadi Hamed , Chiang Chen-Fu
Published: March 2021

While Quantum phase estimation (QPE) is at the core of many quantum algorithms known to date, its physical implementation (algorithms based on quantum Fourier transform (QFT) ) is highly constrained by the requirement of high-precision controlled phase shift operators, which remain difficult to realize. In this paper, we introduce an alternative approach to approximately implement QPE with arbitrary constant-precision controlled phase shift operators. The new quantum algorithm bridges the gap between QPE algorithms based on QFT and Kitaev's original approach. For approximating the eigenphase precise to the nth bit, Kitaev's original approach does not require any controlled phase shift operator. In contrast, QPE algorithms based on QFT or approximate QFT require controlled phase shift operators with precision of at least Pi/2n. The new approach fills the gap and requires only arbitrary constant-precision controlled phase shift operators. From a physical implementation viewpoint, the new algorithm outperforms Kitaev's approach.
QMA variants with polynomially many provers
Authors: Gharibian Sevag , Sikora Jamie , Upadhyay Sarvagya
Published: March 2021

We study three variants of multi-prover quantum Merlin-Arthur proof systems. We first show that the class of problems that can be efficiently verified using polynomially many quantum proofs, each of logarithmic-size, is exactly \class{MQA} (also known as QCMA), the class of problems which can be efficiently verified via a classical proof and a quantum verifier. We then study the class $\class{BellQMA}(\poly)$, characterized by a verifier who first applies unentangled, nonadaptive measurements to each of the polynomially many proofs, followed by an arbitrary but efficient quantum verification circuit on the resulting measurement outcomes. We show that if the number of outcomes per nonadaptive measurement is a polynomially-bounded function, then the expressive power of the proof system is exactly \class{QMA}. Finally, we study a class equivalent to \class{QMA}($m$), denoted $\class{SepQMA}(m)$, where the verifier's measurement operator corresponding to outcome {\it accept} is a fully separable operator across the $m$ quantum proofs. Using cone programming duality, we give an alternate proof of a result of Harrow and Montanaro [FOCS, pp. 633--642 (2010)] that shows a perfect parallel repetition theorem for $\class{SepQMA}(m)$ for any $m$.
Comparison of the rate of orthodontic space closure, with and without probiotic supplements: A randomised control trial
Authors: Parameswaran T Mani  , Dilip Srinivasan  , Srinivas Sivakumar  , Priya kalidass  , Davis S  , Ravi Kanan
Published: March 2021

To compare the rate of orthodontic space closure with and without systemic administration of probiotics. Cluster randomised controlled trial, an invivo RCT study. Forty-eight male patients undergoing orthodontic fixed appliance treatment were recruited based on purposive sampling technique and randomly allocated to group A (control) and group B (experimental). During retraction, the patients in the experimental group were given 90 probiotic capsules each and instructed to take one capsule per day along with breakfast for 90 days. The distance between the canine and 2nd premolar on the maxillary arch in both groups were measured using a digital vernier calliper. The measurements were taken before starting the retraction, after 30 days, after 60 days and after 90 days of retraction. The collected data was calculated and tabulated for statistical analysis. Independent t-test revealed that pre retraction, there was no statistically significant difference (p>0.05) between the control and experimental. Post retraction, there was significant (p<0.05) reduction in mean retraction value of the control group than the experimental group. Paired t-test showed a significant (p<0.05) reduction in the control group than experimental after 30 days of probiotic therapy month and a highly significant (p<0.01) difference between control and experimental groups after 60 days of probiotic therapy. There was no significant difference in the rate of orthodontic space closure between the groups after one month of probiotic therapy. There was a significant reduction in the rate of orthodontic space closure in the probiotic group when compared with the control group after two months of probiotic therapy.
A Study on Assessing Staff and Patient Perception on Electronic Prescription in a tertiary care Teaching Hospital
Authors: Harshith N  , Monica Muthamma P.P  , Kanakavalli K  , Kundury  , Sujay Mugaloremutt Jayadeva
Published: March 2021

Electronic Prescription Concept is very predominant to enhance digitalization and Automation in the healthcare sector. The Electronic prescription concept may require still more time for full-scale implementation in India. The main goal of the study was to know about current practices adopted in Paperless prescriptions and to survey the consciousness of Electronic prescription among staff and patient family members. The study was conducted at a tertiary care teaching hospital in Mysore for three months. Questionnaires were designed for both the hospital staff in Intensive care units (ICU’S) and Patient family members. The survey included the demographics characteristics such as name, age, gender, relation with the patient, and their knowledge and with the electronic prescription. The sample survey size was 120. The study outcomes say that the implementation of the electronic prescription system has gone well as it has an extended way to go, and it is a long-term asset. The study results provide probabilities for the changes in the structure and processing excellence, which is significant as the issues could affect the adequacy of new technology and the speed of flow within an organization.
Antimicrobial resistance profile in clinical isolates of Pseudomonas aeruginosa producing Extended-spectrum beta-lactamase (ESBL) at a teaching tertiary care hospital, Tamilnadu
Authors: Nithyalakshmi J  , Mohanakrishnan K  , Ravinder T  , Muthulakshmi  , Sumathi G  , Sowmya N  , Jeevan M  , Kamalraj M
Published: March 2021

The spread of extended-spectrum betalactamase (ESBL)-producing clinical isolates of P. aeruginosa has dramatically increased worldwide and frequently reported in India. The present study was undertaken to identify the prevalence of ESBL producing Pseudomonas aeruginosa and its antimicrobial resistance profile. This prospective study was conducted at Clinical microbiology Laboratory of Sri Muthukumaran Medical college hospital and research Institute for a period of 9 months.. P. aeruginosa isolates from all samples were identified by standard protocols. Antibiotic sensitivity testing for all isolates was done using Kirby-Bauer disc diffusion method. Disc potentiation test was performed to detect ESBL production. ESBL producing pseudomonas aeruginosa(16/69) in this study was 23.18%. Prevalence rate of ESBL isolates among the MDR strains was 41.17%.We observed ESBL isolates with high resistance rate to tested antipseudomonal antibiotics than Non ESBL. All ESBL isolates were sensitive to Polymyxin and Colistin. This study gives an alarming sign towards high prevalence of cephalosporins due to ESBL emphasizes the need for early detection to prevent therapeutic failure. In addition ,our study results would be useful to formulate antibiotic policy and its compliances for effective infection control practices.
Modeling Behavioral Responses to COVID-19
Authors: Craig Ben , Phelan Tom , Siedlarek Jan-Peter
Published: March 2021

Many models have been developed to forecast the spread of the COVID-19 virus. We present one that is enhanced to allow individuals to alter their behavior in response to the virus. We show how adding this feature to the model both changes the resulting forecast and informs our understanding of the appropriate policy response. We find that when left to their own devices, individuals do curb their social activity in the face of risk, but not as much as a government planner would. The planner fully internalizes the effect of all individuals’ actions on others in society, while individuals do not. Further, our simulations suggest that government intervention may be particularly important in the middle and later stages of a pandemic.
CHARACTERISTICS OF MOTHERS AND STUNTING TODDLERS IN PEKUNCEN VILLAGE, WIRADESA, PEKALONGAN, INDONESIA
Authors: Rofiqoh Siti , Rizkian Imam Hanifudin , Vandawi Naila , Lianasari Febri
Published: March 2021

Background: Stunting is the condition of short stature due to abnormal growth caused by a severe malnutrition problem that needs attention. Stunting can cause health problems, decrease productivity, and trigger poverty in the future. This study aims to determine the characteristics of mothers and stunting toddlers in Pekuncen village Wiradesa Pekalongan District, Central Java, Indonesia.Methods: The study was conducted in Pekuncen village in the Wiradesa subdistrict of the Pekalongan District. The retrospective design was used in this study. Respondent was recruited using total sampling techniques. A set of questionnaires was employed to collect the data among 35 respondents, which is the mothers of stunting toddler.Results: The results showed most of the respondents (82.7%) hold basic education level. 77.1% of respondents have family income < regional minimum salary of Pekalongan District. More than half of respondents (68.6%) have less nutrition knowledge. No mothers have good nutrition knowledge. Less than half (42.9%) provide parenting democratic type of feeding, and there are still 14.3% of mothers giving the neglect parenting feeding type. While the characteristics of stunting toddlers are 68.6% female, 37.1% aged 3-4 years, 28.6% aged 1-3 years, 42.9% do not get exclusive breastfeeding, and 88.6% have a history of normal born weight.Conclusions: Stunting toddler in Pekuncen village Wiradesa, Pekalongan was associated with a parent who has elementary education, family income less than the Regional Minimum Salary. Most of them have less nutrition knowledge level, and almost half of them provide parenting with the democratic type of feeding. While the characteristics of stunting toddlers were the majority of women, and nearly half do not get exclusive breastfeeding, and most have a normal birth weight history. We suggest that related parties should collaborate to reduce stunting prevalence based on the characteristics of mothers and stunting toddlers.
SPATIAL ANALYSIS OF TUBERCULOSIS, POPULATION AND HOUSING DENSITY IN YOGYAKARTA CITY 2017-2018
Authors: Ardiyanti Muthia , Sulistyawati Sulistyawati , Puratmaja Yudha
Published: March 2021

Background: Tuberculosis (TB) is an infectious disease that becomes a health problem globally, including in Indonesia. Yogyakarta City is a district that struggle with TB; from 2017-2018, there was an increase of TB case in this city. There was limited evidence concerning TB and its possible risk factors among TB case 2017-2018, mainly using GIS in Yogyakarta.Methods: This study used an ecological study design to determine the correlation between population and housing density with TB incidence in Yogyakarta City in 2017-2018. Secondary data was obtained from the Yogyakarta City Health Profile 2018-2019. Â Spearman rank correlation test and spatial analysis using Quantum GIS software were employed to analyse the data.Results: There was a relationship between TB and population density variables (p-value = 0.034; R = -0.568) and housing density (p-value = 0.012; R = -0.625) in Yogyakarta, 2017-2018.Conclusions: This study indicates that the density of housings and population affect the prevalence of Tuberculosis.
The Necessity of Integrating Public English Course into Chinese Culture Education in Higher Vocational Colleges
Authors: Wu Si
Published: March 2021

Looking at the current public English culture teaching classroom in higher vocational colleges, the main problems are that the classroom focuses on grammar knowledge and language learning, and the cultural explanation is not in-depth; The classroom is centered on European and American culture and lacks the complementary and integrated teaching of Chinese culture; The teaching method of Chinese culture adopted by teachers is relatively single and lacks the cultivation of cross-cultural communication awareness. In the process of teaching, a variety of teaching methods are used together to introduce Chinese cultural elements by comparing Chinese and English cultures and combining with hot current events; To guide students to look at cultural differences with a dialectical attitude and inclusive perspective, to establish their own national identity and cultural self-confidence, to actively spread and promote Chinese culture in cross-cultural communication activities, and to improve their two-way communication ability can effectively strengthen Chinese cultural education.
Assessement of the Ability of Elective Choice System
Authors: Bologov A.
Published: March 2021

I am studying in the greenfield liberal arts school, meaning there are a lot of experiments and hot patching that happens during the studying process. While some things change, one thing got through three years of school existence almost unchanged — the elective choice system. And now, when this system is finally questioned as to the one that can allow students’ self‑interest to lead to a constructive and just distribution to electives, I want to assess the ability of current elective choice system — the semester‑rating based one, with the seven‑median grading — to distribute students satisfiable in a different modelled situation and to find out if this system is that stable in critical conditions. What i suppose is that this system will be stable enough in a short-term perspective, but will need to be changed after some time.
The Covid-19’s Negative Impacts on Nepalese Economy with a South Asian Perspective: Strategic Response on Post Pandemic Control
Authors: Chaudhary Manoj Kumar
Published: March 2021

The paper investigated and explored experts’ opinions regarding the post-pandemic control strategies within the South Asian perspective to make the Nepalese economy robust. The study was based on qualitative methods of analysis and the method of the study had been classified into two parts: Primary & Secondary. For secondary, data were collected through published reports, journal articles, the daily national newspaper, media, and Television coverage & personal observation, and experience. Whereas, for primary data, the study was carried out considering the way to control the post-pandemic effects on developing economies particularly in Nepal. The result of the study depicted that the post control of covid-19 effects on economic revival policies should prioritize sectorial concerns on the agriculture and industry sector of the economy over service sector and remittance. Therefore, for the pandemic recovery issue, the government and private sector’s role is to jointly solicit a model Public, Private, Partnership for the firm relief of economic stability. Thus, the paper concluded that there is an urgent need to prepare the post control strategy to minimize economic vulnerability. In this situation, Nepal needs strategies for good governance rather than a complex and mysterious plan.
PAINTING AND COLOR-INTERDEPENDENT AFFILIATION AND IMPORTANCE
Authors: Srivastava Lakshmi
Published: March 2021

Painting is the best among the arts, giving religion, meaning, work and salvation. And there is a supreme Mars in the house where it is revered. Painting in Chitra Sutra is said to be the best among all the arts. All the arts make our life beautiful and beautiful. Vatsyayana mentions sixty-four types of arts in the 'Kamasutra' text. In the Vidyasamuddeshya episode of Kamasutra, in the 64 works of Kama, "Alakhya" has also been counted by Vatsyayana, who is mentioned in the (3014-22) mantras of "Yajurveda". Our best and Sanskrit literature is very rich and incomparable. It has many references on arts and painting. All have many details of the painting. The painting is reflective of Indian religion, philosophy and culture.

कलाओं में चित्रकला सबसे श्रेष्ठ है जो धर्म, अर्थ, काम और मोक्ष देने वाली है। और घर में परम मंगल होता है जहाँ इसकी प्रतिष्ठा की जाती है। चित्र सूत्र में चित्रकला को समस्त कलाओं में श्रेष्ठ कहा गया है। समस्त कलाएँ हमारे जीवन को सुन्दर और रसमय बनाती हैं। वात्सायायन ने ‘कामसूत्र’ ग्रन्थ में चैंसठ प्रकार की कलाओं का उल्लेख किया है। ‘‘कामसूत्र के विद्यासमुद्देष्य प्रकरण में काम की उपायभूत 64 कलाओं में ‘‘आलेख्य’’ की भी गणना वात्सायायन ने की है, जिनका उल्लेख ‘‘यजुर्वेद’’ के (3014-22) मंत्रों में है।’’ 1चित्रकला की गणना समस्त कलाओं में अतिश्रेष्ठ और उद्देश्य पूर्ण रूप से की जाती है हमारा संस्कृत साहित्य अति समृद्ध एवं अतुलनीय है। इसमें कलाओं और चित्रकला पर अनेकों उल्लेख हैं। सभी में चित्रकला के बहुतेरे विवरण हैं। चित्रकला भारतीय धर्म, दर्शन एवं संस्कृति को प्रतिबिम्बित करने वाली होती है।
Table of Content
Authors: . Admin
Published: March 2021

Table of Content
The Effect of Peanut Skin Compost Mix Variaries on Planting Media on the Growth of Dendrobium Sp
Authors: Hanik Nur Rokhimah , Harsono Sri , Eskundari Ratna Dewi
Published: March 2021

Ferns are a growing medium for orchids that are starting to be protected so that their availability is very limited and quite expensive, therefore a solution is needed to reduce maintenance costs by utilizing peanut shell compost as a mixture of media. Peanut shell compost can act as a medium and fertilizer. The purpose of this study is: 1. To determine the effect of various peanut shell compost mixtures in growing media on Dendrobium orchid growth. 2. To determine the best composition of peanut shell compost mixture for Dendrobium orchid growth. The results of this study serve as information material for Dendrobium orchid collectors and entrepreneurs about the effect of various peanut shell compost mixtures in growing media on the growth of Dendrobium orchids, as well as a reference material for further research related to efforts to improve Dendrobium orchid cultivation, especially the use of peanut shells as a medium. Grow as well as compost to increase the growth of Dendrobium orchids. The research period was started from July 2020 to December 2020. The research object was a 12 month old Dendrobium orchid, the research location was in Gabahan RT 05 RW 12 Jombor Bendosari Sukoharjo. Simple randomized research design with four treatments. Treatment A / K.0 of fern growing media without peanut shell compost, treatment B / K.1 / 2 of fern media mixed with compost with a ratio of 1: 1, treatment C / K.1 / 3 media fern mixed with peanut shell compost with a ratio 2/3: 1/3, and treatment C / K.1 / 4 media of fern mixed with peanut shell compost in the ratio 3/4: 1/4. Data were measured after 12 weeks from planting. Data analysis with Variance Test (Anava test) and advanced Duncan Multiple Range Test (DMRT).ÃÂ  From the research it can be concluded that the variation of the peanut shell compost mixture in the growing medium has a significant effect on the growth of Dendrobium orchids on four (4) observed growth parameters (Leaf Length, Number of Leaves, Leaf Area, and Wet Weight. Moderate for the Number of tillers. There was a difference in effect, although this difference was not significant. And the treatment of compost mixture B / K.1 / 2 or with a ratio of 1: 1 gave the best effect on all observed growth parameters (Leaf Length, Number of Leaves, Leaf Area, Number of Tillers, and Gross weight. There is still a need to develop further research on peanut shell compost as a mixture for growing media, because in addition to reducing costs for growing media it can also reduce costs for purchasing fertilizer, because peanut shell compost contains a lot of N, P, and K elements. soil on growing media can reduce maintenance costs.
Pengaruh Pembelajaran Online Berbasis Kooperatif dan Outcome Based Education Terintegrasi Kearifan Lokal Terhadap Kemampuan Berfikir Kritis
Authors: Dewi Kumala Ratna , Setiadi Dadi , Merta I Wayan
Published: March 2021

The ability to think critically is stated as an essential skill in 21st century society so it must be integrated into the learning process. Critical thinking can be implemented through the cooperative learning model and Outcome Based Education integrated with local wisdom. The inclusion of local wisdom in learning is a manifestation of the mandate of national education. The occurrence of the Covid-19 outbreak requires learning to be carried out online. The purpose of this study was to determine the effect of cooperative-based online learning and Outcome Based Education integrated local wisdom on critical thinking skills. The research method used the nonequivalent pretest-posttest control group design, the determination of the sample used purposive sampling technique, the data collection used a multiple choice test, and the data were analyzed using the MANOVA test using SPSS 16,0. The pre-test average test result of Critical Thinking ability in the experimental group was 37.5, while the control group score was 53,57. Furthermore, the Post-Test average of Critical Thinking ability of the experimental group was 67,14, while the control group was 57,5. The results of the Test Between Subject Effect analysis resulted in a significant value of critical thinking skills of 0,004. Based on these results, it can be stated that there is an effect of cooperative-based online learning and Outcome Based education integrated local wisdom on the critical thinking skills of students of SMAN 8 Mataram.