Emerging Paradigms for Development Planning: A Case of Thrissur, the Cultural Capital of Kerala

AbstractThrissur, renowned as the cultural capital of Kerala is a city with a strong legacy of cultural, historic and traditional aspects. It is one of its kind in Kerala with a well-planned ring and radial pattern of development. The paper presents an overview of various aspects of the city development such as history, culture, heritage, geography, environment, demography and trade & commerce based on secondary sources. The growth of the city with respect to its development phases and emerging issues are also discussed. General recommendations for improvement of the city are suggested with regard to the current situation

Top Management Team Heterogeneity and SME Export Performance: Investigating the Role of Environmental Uncertainty

Research has generally found that firms competing in high uncertainty environments gain advantages from having diverse (heterogeneous) management teams (TMTs). Employing a national survey of 70 small- and medium-sized enterprises (SMEs), the present study examined whether TM T heterogeneity in functional background, international work experience, and foreign language proficiency had a stronger relationship with export performance for firms competing in high than those competing in low uncertainty environments. Results were generally weak when market and industry factors contributing to uncertainty were examined separately; however, additional analysis showed that the hypothesized relationship did exist when uncertainty was measured employing both factors simultaneously

Top Management International Orientation and Small Business Exporting Performance: The Moderating Roles of Export Market & Industry Factors

This study examined the relationship between top management team international orientation and small business export performance. Results generally supported the hypotheses that market and industry factors moderate this relationship. Employing a sample of U.S. small business exporters, the study found that top management team international orientation had a greater positive relationship with export performance for firms exporting to countries culturally different and geographically distant from their home country than those exporting to countries culturally similar and geographically proximate to their home countries. In addition, international orientation had a greater positive relationship with export performance for firms competing in multidomestic industries than those competing in global industries

Top Management Team Heterogeneity and SME Export Performance: Investigating the Role of Environmental Uncertainty

Research has generally found that firm competing in high uncertainty environments gain advantages from having diverse (heterogeneous) management teams (TMTs). Employing a national survey of 70 small- and medium-sized enterprises (SMEs), the present study examined whether TM T heterogeneity in functional background, international work experience, and foreign language proficiency had a stronger relationship with  export performance for firms competing in high than those competing in low uncertainty environments. Results were generally weak when market and industry factors contributing to uncertainty were examined  separately;  however,  additional  analysis  showed  that  the hypothesized relationship did exist when uncertainty was measured employing both factors simultaneously

Social and behavioral vulnerability, pregnancy, and negative mental health outcomes in the U.S. during the Covid-19 pandemic

The novel coronavirus (Covid-19) pandemic has had a significant impact on the mental health of the general U.S. population. Extant literature has increasingly linked social vulnerabilities, risky behavior, and limited social and psychological resources to the growing mental health crisis during the virus\u27s spread. The purpose of this study was to examine the impact of pertinent social vulnerabilities and subjective risk factors for both men and women on mental health (i.e., depression, anxiety, isolation) with a closer examination of the influence of pregnancy during the pandemic on mental health. The sample included 740,640 respondents participating in the U.S. Covid-19 Trends and Impact Survey that was deployed between February and March 2021. Descriptive statistics and ordinary least squares regression models are presented with a focus on the factors that shape negative mental health outcomes, particularly on the disparities between pregnant and non-pregnant women relative to men, but also subjective/perception factors (e.g., fear/worry) and social vulnerabilities. Results show that pregnant women were at significantly greater risk of negative mental health outcomes at this stage of the pandemic than either men or non-pregnant women. Overall, respondents who were younger, without children in the household, unemployed, worried generally about infection or their finances, or had ever tested positive for Covid were also more likely to report feelings of anxiety, isolation, and depression than their counterparts. Pregnant women may be especially vulnerable to depression, anxiety, and isolation during the pandemic and our findings suggest the importance of developing targeted mental health support for this sub-population

Is blue dye still required during sentinel lymph node biopsy for breast cancer?

BACKGROUND: In early breast cancer, the optimal technique for sentinel lymph node biopsy (SLNB) is the combined technique (radioisotope and Patent Blue V) which achieves high identification rates. Despite this, many centres have decided to stop using blue dye due to blue-dye-related complications (tattoo, anaphylaxis). We evaluated the SLNB identification rate using the combined technique with and without Patent Blue V and the blue-dye-related complication rates. METHODS: Clinical and histological data were analysed on patients undergoing SLNB between March 2014 and April 2015. SLNB was performed following standard hospital protocols using the combined technique. RESULTS: A total of 208 patients underwent SLNB and 160 patients (342 nodes) with complete operation notes were available for final analysis. The identification rate with the combined technique was 98.8% (n = 158/160), with blue dye alone 92.5% (n = 148/160) and with radioisotope alone 97.5% (n = 156/160). A total of 76.9% (263/342) of nodes were radioactive and blue, 15.5% (53/342) only radioactive and 2.3% (8/342) only blue, 5.3% (18/342) were neither radioactive nor blue. No anaphylactic reactions were reported and blue skin staining was reported in six (3.8%) patients. CONCLUSION: The combined technique should continue be the preferred technique for SLNB and should be standardised. Radioisotope alone (but not blue dye alone) has comparable sentinel node identification rates in experienced hands. National guidelines are required to optimise operative documentation

Neonatal outcome in deliveries complicated by meconium-stained amniotic fluid

Background: Meconium staining amniotic fluid is associated with lots of adverse outcome and has long been considered to be a bad predictor of fetal outcome. This prospective observational study was undertaken to find out immediate fetal outcome in meconium-stained liquor.Methods: The design of the study was prospective. This study was conducted from July 2021 to December 2021.The study included women with meconium-stained amniotic fluid in labor with gestational age >37 completed weeks.Results: Total 100 cases were enrolled. Majority of the patients (74%) were in the age group of 21-30 years with the mean age being 24.6±2.4 years. Fetal distress occurred in 30% of babies, more in association with thick meconium (15%). Caesarean deliveries were 70%. Apgar scores between 0-3 was seen in 17% babies and 1% at fifth minute, between 4-6 in 21% babies and between 7-10 in 62% babies at first minute of birth. Admission in neonatal ward was 32% with perinatal mortality of 6%.Conclusions: Meconium-stained amniotic fluid was associated with higher rate of caesarean delivery, increased need for neonatal resuscitation, increased rate of birth asphyxia with hypoxic ischemic encephalopathy, meconium aspiration syndrome, hospital admission and mortality. It is more commonly associated with pregnancy induced hypertension (PIH), post-datism, oligohydramnios and gestational diabetes mellitus.

Genetic diversity of Myanmar rice and their implementation on management methods

Myanmar has diverse agronomic landscape and potentially preserves high level of genetic resources for important crop species. However, little study on rice landrace diversity in Myanmar has been done. Genetic and phenotypic variation to characterize rice genetic resource in Myanmar was analyzed using molecular markers as well as common garden experiments. Two populations of rice landraces, a seedbank population maintained by seed-propagation in a genebank for several generations and an “onfarm” population collected from agricultural lands were used. A functional (cytochrome P450 related PBA) and neutral (SSR) markers were used in this study. Phenotypic characteristics of representative agronomic traits in rice, such as culm length, panicle length, number of tillers and days to heading, were measured in both populations. Multivariate analysis suggested that the seed-bank and on-farm population had different genetic bases with both functional and neutral markers. There was no significant relationship between the functional and neutral markers based on Mantel test. In addition, PCA analyses of agronomic traits showed that a variation in the seed-bank population had narrower genetic bases than the on-farm population. Genetic bias caused by ‘unconscious selection’ during the genebank management processes may have occurred in the landraces. The importance of the conservation on on-farm landraces of Oryza sativa and its wild relatives was proposed in order to ensure the genetic resources for further breeding and conserve biological diversity.Key words: Oryza sativa, rice, landrace, on-farm, diversity, conservation

Evaluation of two mobile health apps in the context of smoking cessation: qualitative study of cognitive behavioral therapy (CBT) versus non-CBT-based digital solutions.

BACKGROUND: Mobile health (mHealth) apps can offer users numerous benefits, representing a feasible and acceptable means of administering health interventions such as cognitive behavioral therapy (CBT). CBT is commonly used in the treatment of mental health conditions, where it has a strong evidence base, suggesting that it represents an effective method to elicit health behavior change. More importantly, CBT has proved to be effective in smoking cessation, in the context of smoking-related costs to the National Health Service (NHS) having been estimated to be as high as £2.6bn in 2015. Although the evidence base for computerized CBT in mental health is strong, there is limited literature on its use in smoking cessation. This, combined with the cost-effectiveness of mHealth interventions, advocates a need for research into the effectiveness of CBT-based smoking cessation apps. OBJECTIVE: The objective of this study was, first, to explore participants' perceptions of 2 mHealth apps, a CBT-based app, Quit Genius, and a non-CBT-based app, NHS Smokefree, over a variety of themes. Second, the study aimed to investigate the perceptions and health behavior of users of each app with respect to smoking cessation. METHODS: A qualitative short-term longitudinal study was conducted, using a sample of 29 smokers allocated to one of the 2 apps, Quit Genius or Smokefree. Each user underwent 2 one-to-one semistructured interviews, 1 week apart. Thematic analysis was carried out, and important themes were identified. Descriptive statistics regarding participants' perceptions and health behavior in relation to smoking cessation are also provided. RESULTS: The thematic analysis resulted in five higher themes and several subthemes. Participants were generally more positive about Quit Genius's features, as well as about its design and information engagement and quality. Quit Genius users reported increased motivation to quit smoking, as well as greater willingness to continue using their allocated app after 1 week. Moreover, these participants demonstrated preliminary changes in their smoking behavior, although this was in the context of our limited sample, not yet allowing for the finding to be generalizable. CONCLUSIONS: Our findings underscore the use of CBT in the context of mHealth apps as a feasible and potentially effective smoking cessation tool. mHealth apps must be well developed, preferably with an underlying behavioral change mechanism, to promote positive health behavior change. Digital CBT has the potential to become a powerful tool in overcoming current health care challenges. The present results should be replicated in a wider sample using the apps for a longer period so as to allow for generalizability. Further research is also needed to focus on the effect of greater personalization on behavioral change and on understanding the psychological barriers to the adoption of new mHealth solutions

Economical (k,m)-threshold controlled quantum teleportation

We study a (k,m)-threshold controlling scheme for controlled quantum teleportation. A standard polynomial coding over GF(p) with prime p > m-1 needs to distribute a d-dimensional qudit with d >= p to each controller for this purpose. We propose a scheme using m qubits (two-dimensional qudits) for the controllers' portion, following a discussion on the benefit of a quantum control in comparison to a classical control of a quantum teleportation.Comment: 11 pages, 2 figures, v2: minor revision, discussions improved, an equation corrected in procedure (A) of section 4.3, v3: major revision, protocols extended, citations added, v4: minor grammatical revision, v5: minor revision, discussions extende