PREVELANCE OF HORIZONTAL STRABISMUS FOUND IN PEDIATRIC POPULATION IN A TERTIARY CARE EYE HOSPITAL IN EASTERN NEPAL

PURPOSE:To determine the prevalence of horizontal strabismus in patients less than 15 years of age. METHODS:A retrospective analysis of data of children attending pediatric OPD from January 2016 to December 2020 was done. A proforma was made and following information was entered information : history, clinical presentation, ocular examination including visual acuity, anterior and posterior segment evaluation,extraocular motility, cover tests, Prism bar cover test,worth four dot test,Bagolini's striated glasses test,Lang test,cycloplegic refraction. RESULTS: A total of 1,17,700 attended the pediatric OPD in 5 year period, prevalence of horizontal strabismus was 1.43%. Exotropia was more common than esotropia. Concomitant deviation was more common than incomitant deviation. CONCLUSION: strabismus is frequently encountered in pediatric clinics now. Proper training of pediatric ophthalmologists is required to give excellent care to these children.

Pseudo-safety in a cohort of patients with COVID-19 discharged home from the emergency department

IntroductionEDs are often the first line of contact with individuals infected with COVID-19 and play a key role in triage. However, there is currently little specific guidance for deciding when patients with COVID-19 require hospitalisation and when they may be safely observed as an outpatient.MethodsIn this retrospective study, we characterised all patients with COVID-19 discharged home from EDs in our US multisite healthcare system from March 2020 to August 2020, focusing on individuals who returned within 2 weeks and required hospital admission. We restricted analyses to first-encounter data that do not depend on laboratory or imaging diagnostics in order to inform point-of-care assessments in resource-limited environments. Vitals and comorbidities were extracted from the electronic health record. We performed ordinal logistic regression analyses to identify predictors of inpatient admission, intensive care and intubation.ResultsOf n=923 patients who were COVID-19 positive discharged from the ED, n=107 (11.6%) returned within 2 weeks and were admitted. In a multivariable-adjusted model including n=788 patients with complete risk factor information, history of hypertension increased odds of hospitalisation and severe illness by 1.92-fold (95% CI 1.07 to 3.41), diabetes by 2.20-fold (1.18 to 4.02), chronic lung disease by 2.21-fold (1.22 to 3.92) and fever by 2.89-fold (1.71 to 4.82). Having at least two of these risk factors increased the odds of future hospitalisation by 6.68-fold (3.54 to 12.70). Patients with hypertension, diabetes, chronic lung disease or fever had significantly longer hospital stays (median 5.92 days, 3.08–10.95 vs 3.21, 1.10–5.75, p<0.01) with numerically higher but not significantly different rates of intensive care unit admission (27.02% vs 14.30%, p=0.27) and intubation (12.16% vs 7.14%, p=0.71).DiscussionPatients infected with COVID-19 may appear clinically safe for home convalescence. However, those with hypertension, diabetes, chronic lung disease and fever may in fact be only ‘pseudo-safe’ and are most at risk for subsequent hospitalisation with more severe illness and longer hospital stays.

Kartvelian (South Caucasian) Languages

The chapter contains a description of the small Kartvelian, or South Caucasian, language family spoken in the Western part of Transcaucasia and consisting of four languages of which Georgian is the most known and culturally significant. It outlines the structure of the family and the problem of its further genetic affiliation and contains sociolinguistic information, history of its research, basic characteristics of phonology, including a rich consonantal system with unusual consonant clusters, lexical classes, morphology of nominals and verbs, with special emphasis on complexity of the verb and the syntactically motivated morphological classes and processes like valency-changing derivation (benefactive, causative), structure of noun phrases and the role of case marking, simple clause, word order, anaphora, complex sentence, and the role of the three major grammatical relations: Subject, Direct Object, and Indirect Object that dominate in the morphology and syntax; the areal and typological profile of the Kartvelian languages; and issues for further research.

That Raw and Ancient Cold: On Graham Harman’s Recasting of Archaeology

This is a comment to Graham Harman’s 2019 response to an article by Þóra Pétursdóttir and Bjørnar Olsen (2018) in which they propose that a materially grounded, archaeological perspective might complement Harman’s historical approach in Immaterialism (2016). Harman responds that his book is indeed already more archaeological than historical, stipulating that history is the study of media with a high density of information, whereas archaeology studies media with a low density of information. History, Harman holds, ends up in too much detail, while archaeology has the advantage of lending itself to the imagination. Hence, his reading of history had the aim of tempering the historical information overload, in effect making the book a work of archaeology. In this comment, I want to do three things: (1) critique the idea that archaeological and historical media are inherently different with regard to their densities of information, (2) discuss how archaeology and history approach their media, and (3) reflect on conceptualisations of “archaeology” outside the discipline itself.

Periodical press and port cities: Creation of knowledge, representations and networks1

Port cities constituted dynamic axes of national territories and stood out for their opening to the outside world for the transaction of goods, the reception of the new and the exchange of ideas. They were also free spaces for new technological experiences and the foundation of modern economic, scientific, social and political projects. They stood out as privileged territories for the establishment of networks of knowledge and through these networks maintained the contact with distant lands. Intellectual production in them is remarkable and the periodical press, providing general or specialized information, as an information industry at the service of new political, scientific and economic projects, finds space for its development within the port cities. This Special Section brings together researchers working on these subjects, allowing a multidisciplinary approach involving scholars from such scientific areas as communication, information, history, literature and international relations. The objective is to analyse the relationship between the periodic press and port cities and how these urban spaces fostered public opinion and debate projects, as well as new specialized information.

BABUR’S PERSONALITY AND ACTIVITY IN THE CENTRE OF WORLD ORIENTALISTS’ ATTENTION

The article with the same title of the teacher, Zamirakhon Turakulova, depicts that Babur’s personality, life, military and statehood activity, genealogy, ancestors and generations, history of his reign drew the attention of European as well as United States orientalists. The reader, who reads the article, may get information that researches concerning Baburshah’s activity, his dynasty and works got into more active process in the United States. The British government, which began to be interested in India, has written documentary, scientific, and political literature by British scholars as a result of the study of the Baburid system of government with its nature, wealth, and territorial units. Moreover, other precious information about “Baburnama” translated by US Orientalist W. M. Thackston and comment given to the work help scientists understand Babur. KEY WORDS: genealogy, statehood activity, orientalists, concerning, military invasions, precious information, history of his reign.

Effectiveness for Securing Sensitive Data and Supporting Multi Data Applications in Cloud Forensics Environment

Distributed computing turned into the most discussed imaginative innovation in Information and correspondence innovation in current patterns. The significant worry of the various associations currently is the security of a client subtleties or archives. In computerized legal examinations and log observing is by and by a significant and open concern. The effect is that patient's subtleties doesn't work be really handled and dissipated nature. The vast majority of the applications need to associate with a few different information stockpiling process contingent upon the sort of information they need to keep up: existing information types, result report, factual information from interpersonal organizations and so on. The significance of utilizing provenance information is critical it gives the criminological agents information history as far as patients, substances and exercises engaged with creating related patients wellbeing information reports. It is difficult to find the client's information where expected to be put away. In this paper, propose a lot of techniques and encryption plot is targeting lightening designers task for creating, sending and moving different information stockpiling progressively assignments and furthermore to upgrade a protected provenance conspire dependent on cutting edge VM measurable computerized assessment investigation apparatuses and square chain innovation. It oversees and screen the internal area of information, both where it originates from as it goes through the information provenance by means of hypervisor. Watchwords Cloud Forensics, VM legal advanced assessment investigation devices, Block Chain Technology and cryptography plans.

PERANCANGAN MEDIA INFORMASI KOTA TUA JAKARTA UTARA MELALUI SIGN SYSTEM YANG TERINTEGRASI WEBSITE

AbstrakPeremajaan kawasan wisata di Daerah Khusus Ibukota Jakarta khususnya daerah wisata Kota Tua Jakarta menjadi salah satu bentuk serius pemerintah untuk mempromosikan tempat - tempat wisata yang ada di Jakarta. Revitalisasi Kota Tua juga dilakukan agar tetap menjaga nilai - nilai sejarah dan budaya yang ada di sana. Namun permasalahan muncul ketika tidak informatif serta kurang strategisnya penempatan wayfinding serta sign system yang berisi informasi, sejarah, dan profil Kota Tua sehingga banyak pengunjung yang masih kesulitan mencari informasi dan navigasi tempat yang ada di Kota Tua. Oleh karena itu dibutuhkan sebuah sign system serta wayfinding yang informatif dan strategis. Di samping itu, masih kurangnya informasi dan navigasi tentang Kota Tua di website resmi menjadi faktor lain yang membuat pengunjung kesulitan pada saat akan maupun sedang mengunjungi Kota Tua. Penelitian ini merupakan studi terapan dengan penggunaan metode campuran. Pengumpula data dilakukan melalui wawancara, kuesioner dan observasi di wilayah Kota Tua khususnya Zona 2 Fatahillah. Analisis data dilakukan dengan analisis visual proyek sejenis. Studi menghasilkan sign system yang terintegrasi dengan website sebagai media informasi untuk kawasan wisata Kota Tua Jakarta dengan penggayaan desain neoklasik. Hal ini diharapkan dapat memfasilitasi para pengunjung dalam mencari informasi dan navigasi saat mengunjungi Daerah Wisata Kota Tua Jakarta tersebut. Kata Kunci: Kota Tua Jakarta, neoklasik, sign system, wayfinding, website AbstractTourist area rejuvenation in the Special Capital Region of Jakarta, especially the tourist area of Kota Tua (the Old Town) of Jakarta, has become a serious form of the government to promote tourist attractions in Jakarta. The revitalization of Kota Tua was also carried out to preserve the historical and cultural values that existed. But the problem emerges when uninformative and less strategic placement of wayfinding and sign systems that contain information, history, and profiles of Kota Tua so that many visitors are still having difficulty to find information and navigation in Kota Tua. Therefore, it needs a sign system and informative, strategic wayfinding. Despitefully, the lack of information and navigation about Kota Tua on the official website is another factor that makes visitors having difficulty when going to or visiting Kota Tua. The research is the applied study that used a mix method. Data collected through the interviews, questionnaires, and observations in the Kota Tua area, especially Zone 2 Fatahillah and data analysis was done by visual analysis of similar projects. This study generates a sign system that integrated with the website as media information for the Kota Tua Jakarta tourism area with the neoclassical design style and expected to facilitate visitors in searching for information and navigation when visiting the tourist area of Kota Tua Jakarta. Keywords: Kota Tua Jakarta, neoclassic, sign system, wayfinding, website