Improving Influenza Vaccination Rates Among Children Through Provider and Staff Education

Children younger than five are more likely to develop severe medical complications from the influenza virus. As of June 4th, 2021, the Centers for Disease Control and Prevention (CDC) reported 199 pediatric flu-related deaths for the 2019-2020 influenza season; seventy-eight percent of these deaths occurred in children who had not received a flu vaccination. The CDC annually recommends influenza (Flu) vaccination for all children ages 6 months through 18 years. Any child 6 months to 8 years old who had not received a previous dose of the flu vaccine or whose influenza vaccination history is unknown was recommended to receive a total of two doses of the vaccine four weeks apart. A quality improvement project was performed at three primary care clinics in Northeast Mississippi to improve flu vaccination rates among children 6 months to 18 years old

Atomic Effective Pseudopotentials for Semiconductors

We derive an analytic connection between the screened self-consistent effective potential from density functional theory (DFT) and atomic effective pseudopotentials (AEPs). The motivation to derive AEPs is to address structures with thousands to hundred thousand atoms, as given in most nanostructures. The use of AEPs allows to bypass a self-consistent procedure and to address eigenstates around a certain region of the spectrum (e.g., around the band gap). The bulk AEP construction requires two simple DFT calculations of slightly deformed elongated cells. The ensuing AEPs are given on a fine reciprocal space grid, including the small reciprocal vector components, are free of parameters, and involve no fitting procedure. We further show how to connect the AEPs of different bulk materials, which is necessary to obtain accurate band offsets. We derive a total of 20 AEPs for III-V, II-VI and group IV semiconductors and demonstrate their accuracy and transferability by comparison to DFT calculations of strained bulk structures, quantum wells with varying thickness, and semiconductor alloys.Comment: 10 pages, 5 figures, submitted to PR

Jamming Transition In Non-Spherical Particle Systems: Pentagons Versus Disks

We investigate the jamming transition in a quasi-2D granular material composed of regular pentagons or disks subjected to quasistatic uniaxial compression. We report six major findings based on experiments with monodisperse photoelastic particles with static friction coefficient μ≈1. (1) For both pentagons and disks, the onset of rigidity occurs when the average coordination number of non-rattlers, Znr, reaches 3, and the dependence of Znr on the packing fraction ϕ changes again when Znr reaches 4. (2) Though the packing fractions ϕc1 and ϕc2 at these transitions differ from run to run, for both shapes the data from all runs with different initial configurations collapses when plotted as a function of the non-rattler fraction. (3) The averaged values of ϕc1 and ϕc2 for pentagons are around 1% smaller than those for disks. (4) Both jammed pentagons and disks show Gamma distribution of the Voronoi cell area with same parameters. (5) The jammed pentagons have similar translational order for particle centers but slightly less orientational order for contacting pairs compared to jammed disks. (6) For jammed pentagons, the angle between edges at a face-to-vertex contact point shows a uniform distribution and the size of a cluster connected by face-to-face contacts shows a power-law distribution

Jamming Transition In Non-Spherical Particle Systems: Pentagons Versus Disks

We investigate the jamming transition in a quasi-2D granular material composed of regular pentagons or disks subjected to quasistatic uniaxial compression. We report six major findings based on experiments with monodisperse photoelastic particles with static friction coefficient μ≈1. (1) For both pentagons and disks, the onset of rigidity occurs when the average coordination number of non-rattlers, Znr, reaches 3, and the dependence of Znr on the packing fraction ϕ changes again when Znr reaches 4. (2) Though the packing fractions ϕc1 and ϕc2 at these transitions differ from run to run, for both shapes the data from all runs with different initial configurations collapses when plotted as a function of the non-rattler fraction. (3) The averaged values of ϕc1 and ϕc2 for pentagons are around 1% smaller than those for disks. (4) Both jammed pentagons and disks show Gamma distribution of the Voronoi cell area with same parameters. (5) The jammed pentagons have similar translational order for particle centers but slightly less orientational order for contacting pairs compared to jammed disks. (6) For jammed pentagons, the angle between edges at a face-to-vertex contact point shows a uniform distribution and the size of a cluster connected by face-to-face contacts shows a power-law distribution

On the distinct differences in autonomic regulation between pregnant and non-pregnant women:a heart rate variability analysis

Objective. Appropriate adaptation of the maternal autonomic nervous system to progressing gestation is essential to a healthy pregnancy. This is partly evidenced by the association between pregnancy complications and autonomic dysfunction. Therefore, assessing maternal heart rate variability (HRV)—a proxy measure for autonomic activity—may offer insights into maternal health, potentially enabling the early detection of complications. However, identifying abnormal maternal HRV requires a thorough understanding of normal maternal HRV. While HRV in women of childbearing age has been extensively investigated, less is known concerning HRV during pregnancy. Subsequently, we investigate the differences in HRV between healthy pregnant women and their non-pregnant counterparts. Approach. We use a comprehensive suite of HRV features (assessing sympathetic and parasympathetic activity, heart rate (HR) complexity, HR fragmentation, and autonomic responsiveness) to quantify HRV in large groups of healthy pregnant (n = 258) and non-pregnant women (n = 252). We compare the statistical significance and effect size of the potential differences between the groups. Main results. We find significantly increased sympathetic and decreased parasympathetic activity during healthy pregnancy, along with significantly attenuated autonomic responsiveness, which we hypothesize serves as a protective mechanism against sympathetic overactivity. HRV differences between these groups typically had a large effect size (Cohen’s d &gt; 0.8), with the largest effect accompanying the significantly reduced HR complexity and altered sympathovagal balance observed in pregnancy (Cohen’s d &gt; 1.2). Significance. Healthy pregnant women are autonomically distinct from their non-pregnant counterparts. Subsequently, assumptions based on HRV research in non-pregnant women cannot be readily translated to pregnant women.</p

Characterisation of different GLRaV-3 variant infections by determining virus concentration ratios and miRNA expression profiles

Grapevine leafroll disease (GLD) is present in all grape-growing regions of the world and is considered the most significant grapevine viral disease. Grapevine leafroll-associated virus 3 (GLRaV-3) is considered the primary cause of GLD and in South African vineyards five genetic variant groups (I, II, III, VI and VII) have been confirmed. Biological distinctions between GLRaV-3 variants have not been fully validated. By characterising virus concentration and stress-responsive microRNA expression in GLRaV-3 infected plants, this study aimed to glean a better understanding of the possible biological distinctions between GLRaV-3 variants. Quantitative reverse transcription PCR was utilised for virus concentration ratio (VCR) determination and miRNA quantitation in GLRaV-3 positive and negative grapevines grown under greenhouse and field conditions. This study found statistically significant differences in VCRs in plants singly infected with different GLRaV-3 variants. Interestingly, no difference in mean VCRs were observed between data sets, despite notable differences in plant age, duration of GLRaV-3 infection, scion/rootstock combination and growing conditions. Several miRNAs showed statistically significant expression modulation between infected and healthy samples. miRNA expression between data sets varied substantially and a greater overall miRNA response was observed in plants with more established GLRaV-3 infections. The lack of significant differences in mean VCRs between data sets, coupled with the consistent modulation of certain miRNAs in plants that have likely been infected for longer is a promising result. This finding could indicate that successful inhibition of further virus replication by plant defence mechanisms occurred, and that these miRNAs are implicated in this response

A review of the peri-operative management of paediatric burns: Identifying adverse events

Background. Burn injuries are common in poverty-stricken countries. The majority of patients with large and complex burns are referred to burn centres. Of the children who qualify for admission, according to burn admission criteria, about half require some kind of surgical procedure to obtain skin cover. These range from massive full-thickness fire burns to skin grafts for small, residual unhealed wounds. Burn anaesthetic procedures are of the most difficult to perform and are known for high complication rates. Reasons include peri-operative sepsis, bleeding, issues around thermoregulation, the hypermetabolic state, nutritional and electrolyte issues, inhalation injuries and the amount of movement during procedures to wash patients, change drapes and access different anatomical sites. The appropriate execution of surgery is therefore of the utmost importance for both minor and major procedures.Objective. To review the peri-operative management and standard of surgical care of burnt children.Methods. This was a retrospective review and analysis of standard peri-operative care of burnt children at Red Cross War Memorial Children’s Hospital, Cape Town, South Africa. A total of 558 children were operated on and supervised by the first author. Factors that could adversely affect surgical and anaesthetic outcomes were identified.Results. There were 257 males and 301 females in this study, with an average age of 50.1 months and average weight of 19.5 kg. The total body surface area involved was 1 - 80%, with an average of 23.5%. Inhalational injury was present in 11.3%, pneumonia in 13.1%, wound sepsis in 20.8%, and septicaemia in 9.7%, and organ dysfunction in more than one organ was seen in 6.1%. The average theatre temperature during surgery was 30.0°C. Core temperatures recorded at the start, halfway through and at completion of surgery were 36.9°C, 36.8°C and 36.5°C, respectively. The average preoperative and postoperative haemoglobin levels were 11.28 g/dL and 9.64 g/dL, respectively. Blood loss was reduced by the use of clysis from 1.5 mL/kg/% burn to 1.4 mL/kg/% burn. Adverse intraoperative events were seen in 17.6% of children.Conclusion. Burn surgery is a high-risk procedure and comorbidities are common. Anaesthesia and surgery must be well planned and executed with special reference to temperature control, rapid blood loss, preceding respiratory illnesses and measures to reduce blood loss