Otitis Media Practice During the COVID-19 Pandemic

The global coronavirus disease-2019 (COVID-19) pandemic has changed the prevalence and management of many pediatric infectious diseases, including acute otitis media (AOM). Coronaviruses are a group of RNA viruses that cause respiratory tract infections in humans. Before the COVID-19 pandemic, coronavirus serotypes OC43, 229E, HKU1, and NL63 were infrequently detected in middle ear fluid (MEF) specimens and nasopharyngeal aspirates in children with AOM during the 1990s and 2000s and were associated with a mild course of the disease. At times when CoV was detected in OM cases, the overall viral load was relatively low. The new severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is the causative pathogen responsible for the eruption of the COVID-19 global pandemic. Following the pandemic declaration in many countries and by the World Health Organization in March 2020, preventive proactive measures were imposed to limit COVID-19. These included social distancing; lockdowns; closure of workplaces; kindergartens and schools; increased hygiene; use of antiseptics and alcohol-based gels; frequent temperature measurements and wearing masks. These measures were not the only ones taken, as hospitals and clinics tried to minimize treating non-urgent medical referrals such as OM, and elective surgical procedures were canceled, such as ventilating tube insertion (VTI). These changes and regulations altered the way OM is practiced during the COVID-19 pandemic. Advents in technology allowed a vast use of telemedicine technologies for OM, however, the accuracy of AOM diagnosis in those encounters was in doubt, and antibiotic prescription rates were still reported to be high. There was an overall decrease in AOM episodes and admissions rates and with high spontaneous resolution rates of MEF in children, and a reduction in VTI surgeries. Despite an initial fear regarding viral shedding during myringotomy, the procedure was shown to be safe. Special draping techniques for otologic surgery were suggested. Other aspects of OM practice included the presentation of adult patients with AOM who tested positive for SARS-2-CoV and its detection in MEF samples in living patients and in the mucosa of the middle ear and mastoid in post-mortem specimens.

Proactive measures to eradicate Malaysia’s poverty in IR4.0 era: a shared prosperity vision

Background: In the country’s shared prosperity vision, Malaysia aspires to uplift the bottom 40% household income group (B40) by addressing wealth and income disparities. By 2030, the nation seeks to eradicate poverty through the provision of employment opportunities and career progression plans. A grey area between the nation’s aspirations and actions in practice can be observed because the goals have not been achieved despite numerous efforts aimed at the upliftment of the B40 group. The nation is still way behind its targeted outcomes despite various policies being implemented, which could be attributed to the mismatch between government policies and that of organisational practice. Thus, this study explores the rationale of strategic government intervention in managing B40 talent in the IR4.0 era. Methods: A general qualitative inquiry method that used 11 semi-structured interviews was carried out with representatives of Malaysia’s policy makers’, training providers, and trainees. All Interview questions centred around measures, importance and outcomes of B40 youth training from a multi-stakeholder perspective. Data were thematically analysed in five stages using NVivo. Results: Training, which includes IR4.0 era digital skills, is the key to uplifting the B40 youth to eradicate poverty. Proactive measures are imperative in the success of B40 youth training towards poverty eradication. Conclusions: This study contributes to the existing literature and helps practitioners by addressing the current gap in Malaysia’s aspirations versus organisational practice. Stakeholders should formulate proactive strategies to ensure that the right trainees are matched with the right training providers and government policies. A linkage between government policies and industry requirements needs to be established as opposed to the present discontinuity. A structured training needs analysis should be applied through a collaboration between industries and governments. Then, B40 individuals commonly found in lower-level positions can be pooled into the career pathway towards a shift into M40.

Influence of environmental factors on the spread of COVID-19 in Saudi Arabia

Background Coronavirus disease 2019 (COVID-19) has affected millions of people worldwide. The infection is mostly spread through the inhalation of infected droplets. Saudi Arabia is a vast country having different climatic conditions. Methods The study evaluated the influence of environmental factors on the spread of COVID-19. Six zones (A to F) were classified depending on the climatic conditions. The study was conducted by retrospective analysis of COVID-19 records from the ministry of health between the months of September 2020 and August 2021. The environmental data such as average temperature (°C), humidity (%), wind speed (m/s) and sun exposure (kwh/m2) were retrieved from official sites. The data was analyzed to determine the effect of these factors on the spread of COVID-19. SPSS IBM 25 software was used to conduct the analysis and p < 0.05 was considered to indicate the significance of the results. Results According to the findings, the rate of infection was greater between April and July 2021. Six climatic zones experienced high temperatures, little humidity, consistent wind flow, and intense sun exposure throughout this time. The correlation study revealed a significant (p < 0.05) relationship between the environmental factors and the spread of COVID-19. The data suggested that during summer condition when the weather is hot, less humid, and steady wind flow with lots of sun exposure, the COVID-19 infection rate got augmented in Saudi Arabia. Poor ventilation and closed-door habitats in an air-conditioned atmosphere during this period could have played a role in human transmission. More research on air quality, population mobility and diseased condition is essential, so that precise proactive measures can be designed to limit the spread of infection in specific climatic seasons.

Pre-6G Graduate Education of Communications Engineering

As sixth-generation (6G) communications have been widely discussed in the past 2 years, it is now the right time to investigate the potential impacts of 6G communications on the current graduate education system of communications engineering. In this article, we articulate a set of existing problems with the graduation education of communications engineering and analyze the trends and challenges of pre-6G graduate education of communications engineering. By this article, we not only aim to diagnose the existing problems with corresponding trends and challenges but also to call for proactive measures coping with them. Besides, we would also like to use this article to encourage more and more brave undergraduates to participate in communications engineering, a fast-changing and far-reaching discipline.

Enhancing Cloud Availability via Intelligent Monitoring using Time Series Database and Machine Learning

Every cloud provider, wishes to provide 99.9999% availabil- ity for the systems provisioned and operated by them for the customer i.e. may it be SaaS or PaaS or IaaS model, the availability of the system must be greater than 99.9999%.It becomes vital for the provider to mon- itor the systems and take proactive measures to reduce the downtime.In an ideal scenario, the support colleagues (24*7 technical support) must be aware of the on-going issues in the production systems before it is raised as an incident by the customer. But currently, there is no effective alert monitoring solutions for the same. The proposed solution presented in this paper is to have a central alert monitoring tool for all cloud so- lutions offered by the cloud provider. The central alert monitoring tool constantly observes the time series database which contains metric val- ues populated by HA and compares the incoming metric values with the defined thresholds. When a metric value exceeds the defined threshold, using machine learning techniques the monitoring tool decides & takes actions.

A Report of the Survey on Shelter Management under COVID-19 in Japanese Local Governments

Japan is a disaster-prone country and natural disasters could happen under COVID-19. Shelter management is especially important because many people evacuate there and there’s high risk of spreading infection. In order to establish feasible countermeasures in shelters, we conducted a survey about the current situation of preparation and experience of shelter management in Japanese local governments under COVID-19. From the answer of 346 municipalities, we found that some municipalities took measures against COVID-19 such as adding new shelters and conducting the training, and these proactive measures were very useful. However, due to the addition of infectious disease control work, it became clear that it would take time and difficulty at reception, and that it would be even more difficult to identify evacuees with the recommended distributed evacuation. These results can be useful in proceeding consideration of better shelter management under COVID-19.

URBAN ENVIRONMENTAL DESIGN STRATEGIES DURING THE COVID-19 PANDEMIC

The article indicates that from the beginning of the COVID-19 crisis, the scientific community has been continuously trying to assess the virus, its socio-environmental impacts, regulatory/adaptation policies, and plans. The emergency is to develop pandemic-resilient city planning and management in order to tackle the infectious diseases during COVID-19. Such development includes the reframing of unsustainable urban patterns, hazards, and social inequalities to be prepared for the emerging cases. In this study, we focus on the assessment of disaster risk management (DRM), which will help to develop pandemic-resilient urban strategies (response, mitigation, and preparedness phase) through analyzing previously published literature. The article presents the Short- and long-term recommendations for pandemic resilience urban planning and design have also been provided. In the response phase, implementation of the smart and resilient city design and policies has been highlighted to identify disease transmission. In the mitigation phase, new technological approaches can be adopted for better management of present and future pandemics. The physical (urban access, infrastructure, environmental factors, and land use patterns) and non-physical (socio-cultural, governance, and economic factors) aspects of resilient urban strategies have been focused, which may help to develop understanding of health- and disaster-related risks in pandemic. In the preparedness phase, proactive measures such as capacity building of people toward any outbreak and different simulation processes (models of transmission pattern) can be adopted for future pandemics. We also discuss about the enhancement of urban resiliency in housing, public spaces, and cities that may bring the effective outcome of DRM framework to combat pandemic. The study focuses on the major lessons that can be adopted for post-pandemic urban resilient planning related to disaster management and climate change adaptation, preventing extensive challenges of sustainability apart. In the following months and years, it will be difficult to assess various changes to develop urban planning and design in the post-COVID-19 world. However, this study expresses the possibility of creating good opportunities for policymakers and city planners to undertake significant transformative and advanced actions during the three different phases of DRM. This study presents a novel approach to delineate the scope of DRM framework in achieving more resilient cities (RC) to tackle future pandemics. This study will also crucially help the planners and decision-makers in better assessing and addressing the strategic and resilient urban design and planning approach in future.

INTERNATIONAL TRENDS IN THE REGULATION OF CHEMICAL SUBSTANCES: RISKS AND THREATS TO THE INTERESTS OF THE DOMESTIC INDUSTRY

The article provides an overview of the current activities of the Strategic Approach to International Chemicals Management Forum and an analysis of the statements made by the leaders of ministries and international organizations at the Berlin Forum. On the basis of the voiced priorities, development trends in the field of regulation of the circulation of chemicals are identified. At the same time, the analysis showed that a number of statements contain potential risks and threats to the interests of the domestic industry (new coordinated tax). Proposals for proactive measures are presented.

Proactive measures to eradicate Malaysia’s poverty in IR4.0 era: a shared prosperity vision

Background: In the country’s shared prosperity vision, Malaysia aspires to uplift the bottom 40% household income group (B40) by addressing wealth and income disparities. By 2030, the nation seeks to eradicate poverty through the provision of employment opportunities and career progression plans. A grey area between the nation’s aspirations and actions in practice can be observed because the goals have not been achieved despite numerous efforts aimed at the upliftment of the B40 group. The nation is still way behind its targeted outcomes despite various policies being implemented, which could be attributed to the mismatch between government policies and that of organisational practice. Thus, this study explores the rationale of strategic government intervention in managing B40 talent in the IR4.0 era. Methods: A general qualitative inquiry method that used 11 semi-structured interviews was carried out with representatives of Malaysia’s policy makers’, training providers, and trainees. All Interview questions centred around measures, importance and outcomes of B40 youth training from a multi-stakeholder perspective. Data were thematically analysed in five stages using NVivo. Results: Training, which includes IR4.0 era digital skills, is the key to uplifting the B40 youth to eradicate poverty. Proactive measures are imperative in the success of B40 youth training towards poverty eradication. Conclusions: This study contributes to the existing literature and helps practitioners by addressing the current gap in Malaysia’s aspirations versus organisational practice. Stakeholders should formulate proactive strategies to ensure that the right trainees are matched with the right training providers and government policies. A linkage between government policies and industry requirements needs to be established as opposed to the present discontinuity. A structured training needs analysis should be applied through a collaboration between industries and governments. Then, B40 individuals commonly found in lower-level positions can be pooled into the career pathway towards a shift into M40.