Teaching Tip: An Example-Based Instructional Method to Develop Students’ Problem-Solving Efficacy in an Introductory Programming Course

This paper introduces a teaching process to develop students’ problem-solving and programming efficacy in an introductory computer programming course. The proposed teaching practice provides step-by-step guidelines on using worked-out examples of code to demonstrate the applications of programming concepts. These coding demonstrations explicitly teach the systematic approach and strategies required to develop a programming solution. Each code demonstration is then followed by the instructor assigning similar practice problems to build learners’ awareness of the programming process and problem-solving techniques. Every successful attempt of the practice exercise by a student exemplifies their efficacy in applying the programming process and developing solutions using the instructor’s strategies. Finally, through regular and structured feedback, the instructor gives learners insight into their performance in completing various steps of the programming process. This paper provides guidelines for creating and using code demonstrations, practice exercises, and rubrics for structured feedback in an introductory programming class. An end-of-course survey was employed to compare students’ reported self-efficacy and their actual programming and problem-solving efficacy, based on their completion rates of the practice activities

Towards An Optimal Core Optical Network Using Overflow Channels

This dissertation is based on a traditional circuit switched core WDM network that is supplemented by a pool of wavelengths that carry optical burst switched overflow data. These overflow channels function to absorb channel overflows from traditional circuit switched networks and they also provide wavelengths for newer, high bandwidth applications. The channel overflows that appear at the overflow layer as optical bursts are either carried over a permanently configured, primary light path, or over a burst-switched, best-effort path while traversing the core network. At every successive hop along the best effort path, the optical bursts will attempt to enter a primary light path to its destination. Thus, each node in the network is a Hybrid Node that will provide entry for optical bursts to hybrid path that is made of a point to point, pre-provisioned light path or a burst switched path. The dissertation's main outcome is to determine the cost optimality of a Hybrid Route, to analyze cost-effectiveness of a Hybrid Node and compare it to a route and a node performing non-hybrid operation, respectively. Finally, an example network that consists of several Hybrid Routes and Hybrid Nodes is analyzed for its cost-effectiveness. Cost-effectiveness and optimality of a Hybrid Route is tested for its dependency on the mean and variance of channel demands offered to the route, the number of sources sharing the route, and the relative cost of a primary and overflow path called path cost ratio. An optimality condition that relates the effect of traffic statistics to the path cost ratio is analytically derived and tested. Cost-effectiveness of a Hybrid Node is compared among different switching fabric architecture that is used to construct the Hybrid Node. Broadcast-Select, Benes and Clos architectures are each considered with different degrees of chip integration. An example Hybrid Network that consists of several Hybrid Routes and Hybrid Nodes is found to be cost-effective and dependent of the ratio of switching to transport costs

Chronic rheumatic heart disease and congenital heart disease complicating pregnancy: a study of the cardiac events, the maternal and perinatal outcome during 2011-2013 at tertiary care centre

Background: Objective of this study was to assess the prevalence of chronic rheumatic heart disease and congenital heart disease complicating pregnancy, study the maternal and perinatal outcome, and indications for termination of pregnancy.Methods: Preconception counseling, antenatal care by pregnancy heart team as per protocol. One 2nd gravida (G2A1) with 26 weeks gestation, underwent mitral valve replacement during 26th week gestation i/v/o infective endocarditis associated with severe mitral regurgitation.Results: Authors had CRHD: CHD = 29:21, out of 50 cases, the ratio was 1.3:1 in this study. Atrial septal defect (ASD) was the predominant lesion in this study -29% ASD alone and 9% associated with pulmonary artery hypertension. Eisenmenger's syndrome, was associated with ASD in three and VSD in two. Corrected lesions were 24%. In the rheumatic heart disease, mitral stenosis was the predominant lesion and PBMV was done in four (13.7%) cases. In CRHD cases, surgically corrected by prosthetic heart valve were -11 (37.9%). In CRHD total corrected cases, by prosthetic heart valve and percutaneous balloon mitral valvotomy (PBMV) account for 51.7%. One patient had PBMV procedure during 5th month of present pregnancy i/v/o severe mitral stenosis with mitral valve area -0.8 cm2 and another patient had PBMV during her first pregnancy. In this study 42% were in NYHA class I. 14% were in NYHA class IV. CHF was seen in 10%. Termination of pregnancy was necessary in 6 with CHD and 5 with CRHD. There were 39 deliveries with one set of twins. All the babies were alive. Maternal mortality was confirmed in one case with Eisenmenger’s syndrome + HELLP syndrome. Live birth rate was higher in cases with NYHA class I/II than in those with NYHA class III/IV (82.8% versus 66.60%).Conclusions: Management by a pregnancy heart team as per guidelines would reduce mortality

Peripartum cardiomyopathy management-multidisciplinary approach 2011-2013 at Care Institute of Medical Sciences

Background: Peripartum cardiomyopathy (PPCM) is one of the rare causes of heart failure in pregnant women. It occurs in late pregnancy or up to 5 months post-partum. It is associated with high mortality and morbidity but with chances of full recovery. This paper discusses the treatment of peripartum cardiomyopathy, Peripartum cardiomyopathy management -multidisciplinary approach. 2011-2013 at CIMS.Methods: This is an observational study conducted at CARE institute of medical sciences, CIMS, during 2011-2013 years. Women fulfilling the criteria for the diagnosis of PPCM were included in the study. In this study we have analysed the obstetric intervention, the duration of ICU stay, hospital stay, maternal and perinatal outcomes. The cardiac drugs to manage each individual case suited to her condition have been mentioned.Results: Six cases were diagnosed to have PPCM in pregnancy when there was sudden onset of shortness of breath, cough, and palpitations. Four cases had history of PPCM in previous pregnancies and were managed in the current pregnancy. One rare case had features of cardiomyopathy seen in early gestational period, during the first trimester at eight weeks, when she was treated for ectopic gestation. Patients were managed by pregnancy cardiac team. There was no case of maternal mortality.Conclusions: PPCM is a rare condition. It requires a high index of suspicion and awareness among primary care givers for early diagnosis and prompt management. A pregnancy cardiac team approach benefits this subset of patients. Delayed time of presentation, LVEF and dilated ventricle are factors determining recovery

Integrated Framework for Inclusive Town Planning Using Fuzzy Analytic Hierarchy Method for a Semi Urban Town

Planning is a continuous process and must incorporate a regular evaluation of implementation and further revision for effective and efficient utility for the betterment of society through modification of the planning standards. Development plans for cities / towns are criticized for being rigid and static, having little regard for investment planning efforts, and taking a very long time in the process of formulation and approval. In depth analysis and review of the existing situation, covering the demographic, economic, financial, infrastructure, physical, environmental, and institutional aspects, is important so as to identify the strengths and weaknesses in the city overall development. In the present study, an attempt has been made to thoroughly review the existing planning standards adopted for the preparation and implementation of development plans in India, especially in Maharashtra. Since the development plan's objectives are not measurable, this study will use the Fuzzy Analytic Hierarchy Process (AHP) to assess their level of performance. For the purpose of identifying the various viewpoints of various stakeholders, field surveys and questionnaire surveys were conducted. This application can be used as an objective evaluation tool for planners and policy makers to improve planning practices and provide necessary knowledge for revising plans. The results indicated the importance of criteria from the pre-planning, preparation, and implementation stages of DP. These results were used for two semi-urban towns in Maharashtra regions and could also be used by planning engineers for further development of planning standards. Doi: 10.28991/CEJ-2022-08-12-07 Full Text: PD

Validation of Visual Estimation of Portion Size Consumed as a Method for Estimating Food Intake by Young Indian Children

In this observational study, estimation of food intake was evaluated using recording of portion size consumed, instead of post-weighing, as a method. In total, 930 feeding episodes were observed among 128 children aged 12–24 months in which actual intake was available by pre- and post-weighing. For each offering and feeding episode, portion size consumed was recorded by an independent nutritionist—as none, less than half, half or more, and all. Using the pre-weighed offering, available intake was estimated by multiplying portion sizes by the estimated weight. The estimated mean intake was 510.4 kilojoules compared to actual intake of 510.7 kilojoules by weighing. Similar results were found with nestum (52.0 vs 56.2 g), bread (3.8 vs 3.7 g), puffed rice (1.7 vs 1.9 g), banana (31.3 vs 24.4 g), and milk (41.6 vs 44.2 mL). Recording portion size consumed and estimating food intake from that provides a good alternative to the time-consuming and often culturally-unacceptable method of post-weighing food each time after a feeding episode

Zinc Deficiency: Descriptive Epidemiology and Morbidity among Preschool Children in Peri-urban Population in Delhi, India

Community-based data relating to factors influencing zinc deficiency among preschool children in India are inadequate. Data of a large, double-blinded, randomized, controlled zinc-supplementation trial were used for assessing the descriptive epidemiology of zinc deficiency among children aged 6–35 months (n=940). In total, 609 children were followed up for 120 days for information on morbidity. Of these children, 116 from the control group belonging to the upper and the lower 25th quartile of plasma zinc status at baseline were selected for assessing the association of zinc deficiency with prospective morbidity. At baseline, demographic, socioeconomic and dietary information was collected, and anthropometric measurements and levels of plasma zinc were assessed. At baseline, 73.3% of the children were zinc-deficient (plasma zinc <70 µg/dL), of which 33.8% had levels of plasma zinc below 60 µg/dL. A significantly higher risk of morbidity was prevalent among the subjects with lower plasma zinc compared to those with higher levels of plasma zinc

Compliance with Home-based Fortification Strategies for Delivery of Iron and Zinc: Its Effect on Haematological and Growth Markers among 6-24 months Old Children in North India

Compliance is a key component in successful implementation of the delivery of micronutrients among children. The present study evaluates the compliance with two home-based food fortification strategies (fortified complementary food or sprinkle) for providing iron and zinc among children aged 6-24 months. A total of 292 children were randomly allocated to receive either rice-based fortified complementary food and nutrition education (Cf=101), sprinkle and nutrition education (Mp=97), or nutrition education alone as control (Ed=94). All the enrolled children were breastfed at the beginning of the study and were advised to continue breastfeeding. Biweekly information on compliance and anthropometry was collected. Complete haemogram estimation was conducted at baseline and end of the study. Compliance with the fortified complementary food was higher compared to sprinkle (Cf=81%, Mp=64% child-days). Consumption of the fortified complementary food for 6 months resulted in a significant increase in mean haemoglobin in the intervention group compared to control group (Cf 1.29\ub11.6 g/dL; Ed 0.23\ub11.3 g/dL; p&lt;0.001). Our results showed that fortified complementary food had higher compliance than sprinkle and is a suitable delivery mechanism for iron and zinc in preschool children

Prebiotic and Probiotic Fortified Milk in Prevention of Morbidities among Children: Community-Based, Randomized, Double-Blind, Controlled Trial

HN019 to milk, in preventing diarrhea, respiratory infections and severe illnesses, in children aged 1–4 years as part of a four group study design, running two studies simultaneously. HN019 (PP; n = 312). Children were followed up for 1 year providing data for 1–4 years. Biweekly household surveillance was conducted to gather information on compliance and morbidity. Both study groups were comparable at baseline; compliance to intervention was similar. Overall, there was no effect of prebiotic and probiotic on diarrhea (6% reduction, 95% Confidence Interval [CI]: −1 to 12%; p = 0.08). Incidence of dysentery episodes was reduced by 21% (95% CI: 0 to 38%; p = 0.05). Incidence of pneumonia was reduced by 24% (95% CI: 0 to 42%; p = 0.05) and severe acute lower respiratory infection (ALRI) by 35% (95% CI: 0 to 58%; p = 0.05). Compared to children in Co group, children in PP group had 16% (95% CI: 5 to 26%, p = 0.004) and 5% (95% CI: 0 to 10%; p = 0.05) reduction in days with severe illness and high fever respectively.Milk can be a good medium for delivery of prebiotic and probiotic and resulted in significant reduction of dysentery, respiratory morbidity and febrile illness. Overall, impact of diarrhea was not significant. These findings need confirmation in other settings

A multi-country test of brief reappraisal interventions on emotions during the COVID-19 pandemic.

The COVID-19 pandemic has increased negative emotions and decreased positive emotions globally. Left unchecked, these emotional changes might have a wide array of adverse impacts. To reduce negative emotions and increase positive emotions, we tested the effectiveness of reappraisal, an emotion-regulation strategy that modifies how one thinks about a situation. Participants from 87 countries and regions (n = 21,644) were randomly assigned to one of two brief reappraisal interventions (reconstrual or repurposing) or one of two control conditions (active or passive). Results revealed that both reappraisal interventions (vesus both control conditions) consistently reduced negative emotions and increased positive emotions across different measures. Reconstrual and repurposing interventions had similar effects. Importantly, planned exploratory analyses indicated that reappraisal interventions did not reduce intentions to practice preventive health behaviours. The findings demonstrate the viability of creating scalable, low-cost interventions for use around the world