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Nonunion of intertrochanteric fracture is uncommon because there are excellent blood supply and good cancellous bone in the intertrochanteric region of the femur. A diagnosis of primary intertrochanteric nonunion is made when at least 15 weeks after the fracture there is radiological evidence of a fracture line, with either no callus (atrophic) or with callus that does not bridge the fracture site (hypertrophic). The patient was subsequently treated successfully with an open reduction procedure. Open reduction and internal fixation with right DHS (Dynamic Hip Screw) with 8 screw holes plate inserted first and then 6 screws inserted under the guidance of Image Intensifier (C Arm). We would like to report a case of right intertrochanteric fracture with non-union. A 60 years old patient presented with the history of pain in the right hip, off and on for many years after the operation. The pain was associated with stiffness of the right hip joint. This case is selected for reporting because it’s a relatively rare incidence.

Introduction: Obesity, high body fat percentage and hypertension could increase the mortality and morbidity due to cardiovascular diseases. These risk factors develop during childhood and adolescent period. The present study aimed at determining the association between body fat composition and BP level among the Chinese community in Melaka, Malaysia. Methodology: This is a cross-section study with the secondary data analysis of the health records of the patients who had attended the medical camps conducted in Melaka, Malaysia. The body fat and visceral fat were measured by using (Handheld Body Fat Scale Analyzer). The blood pressure measurement was done according to the Clinical Practice Guidelines, Ministry of Health, Malaysia. The participants who had systolic blood pressure (SBP) of 140 mmHg and/ or diastolic blood pressure (DBP) of 90 mmHg were defined as hypertension. Results: The prevalence of hypertension among male participants was 42.5%, meanwhile, among female was 23.6%. The prevalence of overweight and obesity was higher among males (37%) compared to females (20.8%). Gender, body fat (%) and was found to be associated with systolic blood pressure. Visceral fat (%) was the only associated factor of diastolic blood pressure. Conclusion: This study found that body and visceral fat compositions are significantly correlated with systolic BP and visceral fat composition is significantly correlated with diastolic BP. High body and visceral fat composition should be used as a measure of increased risk for hypertension among old age peoples.

Background: Medical doctors have to develop in professionalism in addition to become competent in clinical skills. Therefore, educators in Melaka Manipal Medical College have inculcated personal and professional development (PPD) projects into medical curriculums. The projects were in the form of Role Plays/Narratives/Creative writing and Mentored Student Project (MSP). Short terms outcomes of the projects were evaluated, and the research disclosed the positive effect of all PPDs on medical students. However, the long-term effect was yet to be evaluated. The findings of the previous study have not explained why those PPD projects are successful. While twenty fresh medical graduates were asked to reflect on one best learning experience as a qualitative evaluation of the programme, students’ appreciation of MSP disclosed. This study aimed to explore the students’ reflection to identify the reasons for their appreciation of MSP and the long-term effect of it. Study Design: Qualitative research. Methodology: Three reflective writings by fresh graduates were analyzed using the interpretive phenomenological analysis (IPA) approach. Students expressed their conscious perceptions about MSP in the form of words in their reflections. The researcher carefully read the reflections and interpret the words and phrases to catch the students’ perception of MSP. Results: The qualitative analysis revealed the reasons for participating in MSP and their appreciation about MSP. The main reason for students’ participation in MSP was to fulfill the requirement of the medical programme although one student mentioned that she was interested in MSP due to the nature of MSP. Four themes were formulated as reasons for their appreciation of MSP: (1) having an opportunity to choose their research topic, (2) the presence of a mentor to guide each student group, (3) opportunity for the poster presentation on results of MSP and (4) satisfaction with the overall outcome of the MSP. Conclusion: This study highlights the long-term impacts of MSP on students which matched with the expected learning outcomes set by Ministry of Education Malaysia. The analysis disclosed not only the outcome but also the process of MSP contribute for its success.

Two-thirds of the Yangon area is covered by alluvial deposits, which are weak in their strength and highly permeable. As Yangon area has undergone very rapid development and expansion, its expansion of new satellite towns is mostly built on the alluvial deposit. Engineering geology study of alluvial deposits in Yangon area is therefore needed to ascertain the nature and properties of alluvial deposits at different locations and at various depths. The distribution of alluvial deposits in Yangon starts from Kyaukmyinthar area to the Letkikkone and along the flood plain of Yangon river and Hlaing river. The alluvial deposits are categorized into valley fill, marine, and flat plain types. The most common deposit types are CL, CH, SM, SC, ML according to the Unified Soil Classification. Standard Penetration Test (SPT) is performed for this research and samples collected from boreholes are tested in the laboratory. Based on the SPT value and the laboratory results, the bearing capacity calculations are made for the foundation condition. Groundwater level is noted on each bore holes for the hydrological characteristics. The ultimate bearing capacity of valley fill deposits are more than 200 kPa in Ahlon Township but the ultimate bearing capacity of most marine alluvium in Hlaingtharyar and N. Okkalarpa Townships are less than 100 kPa.

Background: Hospital environment is a favourable condition for growing of pathogens. Unhygienic practices of food handlers and contaminated food may be the cause of foodborne diseases, resulting in much comorbidity and longer hospital stay of the affected persons. Aims: To study socio-demographic characteristics, working characteristics and food handling practices among food handlers of eating establishments in the government hospitals, Mandalay city, Myanmar. Study Design: Cross-sectional descriptive study. Place and Duration of Study: One hundred and eleven eligible food handlers from government hospitals in Mandalay city, Myanmar between May 2018 and August 2018. Methodology: Face to face interviews with all eligible food handlers were carried out with pretested questionnaire. Observational checklist was used for current situation of food handlers. Results: The majority of employees were female and full-time food handlers. No pre-employment and periodic medical examinations of food handlers were done. More than half (54.05%) of total food handlers had unsatisfactory on food handling practices. Food handling practices status was influenced by duration of working in the current jobs (P=.001). Conclusion: There was high status of unhygienic food handling practices of the food handlers working in the eating establishments of the government hospitals, Mandalay city, Myanmar.

Asien, Nr. 103 (2007): ASIEN (April)

Background: The coronavirus pandemic (COVID-19) has a social and psychological impact among healthcare workers worldwide and appropriate coping strategies are essential to avoid the negative mental health effects. This study aimed to investigate the coping strategies among the healthcare workers from different countries and their attitude towards teamwork during the COVID-19 pandemic. Methods: A cross-sectional study was conducted by using an online, web-based questionnaire, which was distributed to healthcare workers from 32 countries during April and May 2020. The respondents were recruited by the non-random convenience sampling method. Results: A total of 2166 respondents responded to the survey and the majority were working in low- and middle-income countries. Among them, 36% were doctors, 24% were nurses and 40% worked in other healthcare sectors. More than 70% of the respondents answered that “getting family support” and “positive thinking” were coping methods for them during the COVID-19 pandemic. Approximately half of the respondents worshiped according to their belief and conducted prayers (58.4%) and had adequate sleep and food intake (48.2%). The significant associations were observed between attitude score towards interprofessional teamwork and gender (p = 0.009), age (31–45 years) (p

The article is devoted to the program for energy efficiency analysis of the multifunctional magnetic levitation transport system “ELTRO”. The characteristics of the levitation force and thrust of an integral traction-levitation module for a Maglev vehicle using the electromagnetic field of both an electromagnet and a permanent magnet are presented. Due to the use of permanent magnets, it can levitate with less current. In this paper, we predict the characteristics of the levitation force and thrust depending on the air gap and the current of the adjustment coil.

We report on our latest progress on the ongoing development of a compact optical frequency reference for CubeSat missions in LEO. This reference will be based on Doppler free laser spectroscopy of rubidium vapor. Our simplified solution is based on frequency modulation spectroscopy using a customized, shielded 5 mm long vapor cell and a monolithic distributed feedback (DFB) laser diode on a mesoscopic breadboard setup. The electro-optical system features miniaturized optics as well as a polarization maintaining fiber coupling inside a housing with dimensions of 70 mm × 26 mm × 19 mm (38 cm³). The latter will be installed on a 90 mm × 80mm electronics board for full functionality of the system. This way, our reference constitutes a key technology for future compact, simple and robust atomic quantum technologies for nanosatellite applications.

International migration has become a global phenomenon bringing with it complex and interrelated issues related to the physical and mental well-being of the people involved. This study investigated the mental well-being and factors associated with mental health among Myanmar migrant workers (MMW) in Malaysia. The cross-sectional study was conducted in Penang, Malaysia by using the WHO-5 Well-Being Index Scale (WHO-5) and the Mental Health subscale of 36 items in the Short Form Health Survey (SF-36). Among 192 migrant workers who were understudied, 79.2% had poor mental well-being according to the WHO-5 scale. The duration of stay in Malaysia and without receiving financial aid from their employers despite having a physical illness were significantly associated with poor mental well-being. Mental health support groups should target migrant workers for mental health education and find ways to provide assistance for them. Furthermore, premigration training should be delivered at the country of origin that also provides information on the availability of mental health support in the host country.

BACKGROUND: Cystic fibrosis is an autosomal recessive inherited defect in the cystic fibrosis transmembrane conductance regulator (CFTR) gene resulting in abnormal regulation of salt and water movement across the membranes. In the liver this leads to focal biliary fibrosis resulting in progressive portal hypertension and end‐stage liver disease in some individuals. This can be asymptomatic, but may lead to splenomegaly and hypersplenism, development of varices and variceal bleeding, and ascites; it has negative impact on overall nutritional status and respiratory function in this population. Prognosis is poor once significant portal hypertension is established. The role and outcome of various interventions for managing advanced liver disease (non‐malignant end stage disease) in people with cystic fibrosis is currently unidentified. This is an updated version of a previously published review. OBJECTIVES: To review and assess the efficacy of currently available treatment options for preventing and managing advanced liver disease in children and adults with cystic fibrosis. SEARCH METHODS: We searched the Cochrane Cystic Fibrosis Trials Register, compiled from electronic database searches and handsearching of journals and conference abstract books. Date of last search: 19 November 2019. We also searched the reference lists of relevant articles and reviews and online trials registries. Date of last search: 01 January 2020. SELECTION CRITERIA: Any published and unpublished randomised controlled trials and quasi‐randomised controlled trials of advanced liver disease in cystic fibrosis with cirrhosis or liver failure, portal hypertension or variceal bleeding (or both). DATA COLLECTION AND ANALYSIS: Authors independently examined titles and abstracts to identify potentially relevant trials, but none were eligible for inclusion in this review. MAIN RESULTS: A comprehensive search of the literature did not identify any published eligible randomised controlled trials. AUTHORS' CONCLUSIONS: In order to develop the best source of evidence, there is a need to undertake randomised controlled trials of interventions for preventing and managing advanced liver disease in adults and children with cystic fibrosis.

Nitrogen-doped CVD diamond treated with electron irradiation and subsequent annealing at temperatures from 860 to 1900 °C was studied using fluorescence imaging, optical absorption and photoluminescence. It was found that nitrogen impurity produces many optical centers active throughout the infrared and visible spectral ranges. The most prominent of them active in IR spectral range are the centers related to nitrogen–hydrogen complexes. They produce absorption lines at 2827, 2874, 2906, 2949, 2990, 3031, 3107, 3123 and 3310 cm−1. Two characteristic absorptions at wavenumbers 1293 cm−1 and 1341 cm−1 were tentatively ascribed to a modified form of nitrogen A-aggregates. In the visible and near IR spectral ranges, characteristic nitrogen-related centers have zero-phonon lines (ZPLs) at 457, 462, 489, 498, 722.5, 852.5, 865.5, 868.5, 908, 921.5 and 924.5 nm. Some of them, e.g. 457, 462 and 498 nm centers, are unique of CVD diamond. It has been confirmed that the brightest pink color of electron-irradiated nitrogen-doped CVD diamond is produced by annealing at temperatures about 1000 °C. Annealing at temperatures over 1600 °C destroys the irradiation-induced pink color. It was found that the center 489 nm is a major absorption feature in the visible spectral range of electron-irradiated, nitrogen-doped CVD diamond. Green color of electron-irradiated, nitrogen-doped CVD diamond is caused by combined absorption of GR1 center and 489 nm center. It has been confirmed that NV defects produced in CVD diamond during growth are very temperature stable. They survive heating at temperatures at least 2000 °C. In contrast, NV defects produced by irradiation may anneal out at temperatures as low as 1600 °C. This much lower thermal stability of the radiation-induced NV defects is the result of their interaction with other radiation defects produced in their vicinity. A conclusion has been made that in nitrogen-doped CVD diamonds nitrogen atoms may form clusters. These clusters are probably the origin of the broad band luminescence at wavelengths 360, 390, 535 and 720 nm and a strong broadening of ZPLs of many optical centers.

Strong photoluminescence (PL) of ND1 radiation center with zero-phonon line (ZPL) at 393.5 nm has been excited in irradiated diamonds with a laser working at a wavelength of 355 nm. Emission of the ND1 center consists of ZPL and vibrational replicas related to quasilocal vibrations of an energy 76 meV. PL and absorption spectra of ND1 center exhibit very close mirror symmetry. The energies of the quasilocal vibrations are the same in luminescence and absorption. The interaction with the lattice phonons at the ND1 center is very weak. In luminescence of the irradiated diamonds, ND1 center behaves like one related to simple primary radiation defects in negative charge state. PL of the ND1 center is stimulated by nitrogen donors and suppressed by boron acceptors. It is assumed that the luminescence of the ND1 center is effectively excited only in the spectral range of its intrinsic absorption from 340 to 390 nm.

In air conditioning system, efficient operation of air conditioning equipment to suit the user demand is important and to achieve that, Fuzzy Logic controller can play a key role in formulating the next generation of control technology for the traditional air conditioning equipment. The target of this research is to develop a fuzzy logic control which will allow less usage of energy by optimum operation of air conditioning which would also promote Conservation of Energy. The control system in this study also would need to achieve a Stable Climate Condition in the room within the limits of control set points and promote convenient to the users by automatic control. The control strategy proposed in this thesis work is fuzzy logic controller (FLC). A MATLAB fuzzy program tool is used to develop a fuzzy logic controller to achieve within the comfort parameters of temperature and artificial lighting as well as energy savings. Simulink program in MATLAB will also be used to simulate the fuzzy logic in this Thesis work. Based on the findings observed on the case study described in this Thesis Report, the savings achieved by the Fuzzy Logic Air Conditioning System is about 66%.With these results, it can be concluded that the objective of this Thesis work has been full filled)

Supplemental material, Supplementary_materials_apjph for Mental Well-Being and Its Associated Factors Among Myanmar Migrant Workers in Penang, Malaysia by Mila Nu Nu Htay, Swe Swe Latt, Khine Sandar Maung, Wai Wai Myint and Soe Moe in Asia Pacific Journal of Public Health

We demonstrate a quantum key distribution implementation over deployed dark telecom fibers with polarisation-entangled photons generated at the O-band. One of the photons in the pairs are propagated through 10km of deployed fiber while the others are detected locally. Polarisation drifts experienced by the photons propagating through the fibers are compensated with liquid crystal variable retarders. This ensures continuous and stable QKD operation with an average QBER of 6.4% and a final key rate of 109 bits/s., Comment: 5 pages, 4 figures

Diverticular disease has been linked to obesity. Recent studies have assessed the role of visceral adiposity with diverticulitis and its complications. The aim of this study was to evaluate the association of quantitative radiological measures of visceral adiposity in patients with diverticulitis with vital signs, biochemistry results, uncomplicated versus complicated diverticulitis and its interventions. A retrospective analysis of all patients with diverticulitis admitted from November 2015 to April 2018 at a single institution was performed. Data collected included demographics, vital signs, biochemistry results, CT scan findings and management outcomes. The patients were divided into uncomplicated (U) and complicated diverticulitis (C) groups. Visceral fat area (VFA), subcutaneous fat area (SFA) and VFA/SFA ratio (V/S) were measured at L4/L5 level by the radiologist. Statistical analysis was performed to evaluate the association of VFA, SFA, V/S with the parameters in both U and C groups. 352 patients were included in this study (U:C = 265:87). There was no significant difference in vital signs and biochemistry results in both groups. There was no significant difference in VFA, SFA, V/S ratios in both groups. In patients with V/S ratio > 0.4, they were 5.06 times more likely to undergo emergency intervention (95% CI 1.10–23.45) (p = 0.03). On multivariate analysis, a heart rate > 100 (OR 2.9, 95% CI 1.2–6.7), CRP > 50 (OR 3.4, 95% CI 1.9–6.0), WCC 12 (OR 2.1, 95% CI 1.2–3.6) and V/S ratio > 0.4 (OR 2.8, 95% CI 1.5–5.4) were predictive of complicated diverticulitis. The quantitative radiological measurement of visceral adiposity is useful in prognostication in patients presenting with diverticulitis.

Existing blockchain based identity systems are analyzed under the context of the university identity management requirements. The private or consortium blockchain is more suitable for identity system which will be used for university. The transparency of public blockchains raises some concerns for privacy and confidentiality. The most important issue is that the volume of the data generated can be very large exceeding the practical storage capabilities of the current blockchain usages. The existing identity systems are not well fixed with the university identity management system really needs, especially they remain needing the relevant issue of effective consent revocation. The append only storage of blockchain can be a barrier for implementing the revocability of consent. Some private blockchain based system has the potential vendor lock in effects. Thus, hybrid identity system is suggested for university identity management. Kyaw Soe Moe | Mya Mya Thwe "Investigation of Blockchain Based Identity System for Privacy Preserving University Identity Management System" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-6 , October 2019, URL: https://www.ijtsrd.com/papers/ijtsrd28095.pdf

Today, the mobile phones can maintain lots of sensitive information. With the increasing capabilities of such phones, more and more malicious software malware targeting these devices have emerged. However there are many mobile malware detection techniques, they used specified classifiers on selected features to get their best accuracy. Thus, an adaptive malware detection approach is required to effectively detect the concept drift of mobile malware and maintain the accuracy. An adaptive malware detection approach is proposed based on case based reasoning technique in this paper to handle the concept drift issue in mobile malware detection. To demonstrate the design decision of our approach, several experiments are conducted. Large features set with 1,065 features from 10 different categories are used in evaluation. The evaluation includes both accuracy and efficiency of the model. The experimental results prove that our approach achieves acceptable performance and accuracy for the malware detection. Kyaw Soe Moe | Mya Mya Thwe "Adaptive Mobile Malware Detection Model Based on CBR" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-6 , October 2019, URL: https://www.ijtsrd.com/papers/ijtsrd28088.pdf

Signature is one of the most widely accepted personal attributes for identity verification. Signature verification is a scheme to verify cheque for bank security. So, this system is proposed as the off line handwritten signature verification system for the bank cheque image processing. In any offline signature verification system, feature extraction stage is the most vital and difficult stage. In this system, sobel gradient operator is used to extract signature features. After extracting features, this system performs the verification process by using k nearest neighbor KNN classifier. This system supports the security about the bank processing by verifying user signature from the bank cheque. Soe Moe Myint | Moe Moe Myint | Aye Aye Cho "Handwritten Signature Verification System using Sobel Operator and KNN Classifier" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-5 , August 2019, URL: https://www.ijtsrd.com/papers/ijtsrd27825.pdf

RSA Rivest-Shamir-Adleman is an algorithm used by modern computers to encrypt and decrypt messages. The purpose of the paper is how to produce two different keys. This is also called public key cryptography, because one of the keys can be given to anyone. In this paper also represent how to separate unwanted character by using Linux command. Soe Moe Myint | Moe Moe Myint | Aye Aye Cho "A Study of RSA Algorithm in Cryptography" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-5 , August 2019, URL: https://www.ijtsrd.com/papers/ijtsrd26749.pdf

Recognizing an unknown flag in a scene is challenging due to the diversity of the data and to the complexity of the identification process. And flags are associated with geographical regions, countries and nations. But flag identification of different countries is a challenging and difficult task. Recognition of an unknown flag image in a scene is challenging due to the diversity of the data and to the complexity of the identification process. The aim of the study is to propose a feature extraction based recognition system for Myanmar's national flag. Image features are acquired from the region and state of flags which are identified by using principal component analysis PCA . PCA is a statistical approach used for reducing the number of features in National flags recognition system. Soe Moe Myint | Moe Moe Myint | Aye Aye Cho "National Flags Recognition Based on Principal Component Analysis" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-5 , August 2019, URL: https://www.ijtsrd.com/papers/ijtsrd26775.pdf

Today, security is important on the network. Therefore, the security is provided by the nature of one way functions, which is a key component of SHA Secure Hash Algorithms . The purpose of this paper how to use SHA 256 and SHA 512 from SHA 2 alogrithms. SHA 2 is a family of two similar hash functions with different block sizes known as SHA 256 and SHA 512. They differ in the word size SHA 256 uses 32 bits words where SHA 512 uses 64 bit words. There are also truncated versions of each standard, known as SHA 223, SHA 384, SHA 512 224 and SHA 512 256. These were also designed by the NAS. Soe Moe Myint | Moe Moe Myint | Aye Aye Cho "A Study of SHA Algorithm in Cryptography" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-5 , August 2019, URL: https://www.ijtsrd.com/papers/ijtsrd26680.pdf