bluuebunny/crossref_metadata_2025 huggingface dataset:
On l’intimiste. Ce que l’usage des pronoms veut dire de la santé des souffrant.es
Authors: Ablali Driss , Wiederspiel Brigitte
Published: September 2023

Les pouvoirs publics se préoccupent aujourd’hui non seulement de la santé des citoyens mais également de leur santé intime, comme le prouve la médiatisation actuelle des discours de santé publique sur les différentes possibilités d’énonciation en ligne. Les frontières qui séparent le privé du public, ou celles de l’intime et du public, deviennent de plus en plus poreuses dès lors qu’une grande part de nos relations sociolangagières sont construites via le numérique. Partant, ce travail entend examiner le lien entre genre de discours et mise en discours intime de la santé à partir et autour de l’usage du pronom on , pour faire émerger les différences et/ou les spécificités imposées par le genre et pour observer si le tchat et le courriel, comme pratiques langagières émanant d’un ethos souffrant, reflètent ou non des textualités différentes que on met en exergue.
Quête de justice climatique et reconfiguration de la lutte contre les changements climatiques en marge des COP
Authors: Tsayem Demaze Moïse
Published: September 2023

Depuis près de trente années, les conférences des parties (COP) sont instituées comme cadre politique dominant la conception de la lutte contre les changements climatiques. C’est le lieu où les États membres de l’ONU, en fonction des rapports de pouvoir, dessinent les politiques climatiques internationales, qu’il s’agisse de la réduction des émissions de gaz à effet de serre ou de l’adaptation aux conséquences des changements climatiques induits. Contestant le monopole et le caractère surplombant des COP considérées comme étant inefficaces, des organisations non gouvernementales et des mouvements citoyens ont émergé depuis les années 2000, constituant des arènes subsidiaires de mobilisation et d’action pour le climat. Parallèlement ou en marge des COP, ces arènes subsidiaires portent et véhiculent une vision de la lutte contre les changements climatiques fondée essentiellement sur la justice climatique.
L’émancipation du sujet
Authors: Vincenti Luc
Published: September 2023

Lucien Sève est abordé par son opposition à l’antihumanisme, notamment d’Althusser, et par la question de l’émancipation. Sève en propose une définition positive comme réappropriation de ses forces propres contre les « puissances étrangères ». L’émancipation cependant appelle un sujet et une fin. Comment ne pas retomber dans l’humanisme théorique ? Dans la 3 e  des Thèses sur Feuerbach , c’est la société qui est le véritable sujet de l’auto changement, et l’émancipation des individus ne les subordonne plus à un sujet idéal, elle devient émancipation réelle parce qu’elle est aussi le fait des individus libérés de leur devenir sujet.
Lire Marx avec Lucien Sève
Authors: Boussedra Saliha
Published: September 2023

Cet article se concentre essentiellement sur Marx. Il consiste à suivre à la lettre les conseils de lecture de Lucien Sève, selon lesquels il faut s’intéresser à la question de l’individu chez Marx. Il s’est alors agi de comprendre les problèmes suivants : comment apparaît la question de l’individu chez Marx ? Dans quelle mesure les individus sont-ils à l’origine de la formation des classes sociales ? Qu’est-ce qui permet de distinguer l’individu ouvrier et l’individu qui relève de ce que Marx appelle le Lumpenproletariat  ? L’importance de ces questions chez Marx révèle la pertinence des conseils de Lucien Sève.
Une analyse des relations science – industrie au travers de la notion de couplage : vers un modele a double-impact simultane
Authors: Plantec Quentin , Le Masson Pascal , Weil Benoît
Published: September 2023

Cet article conceptuel vise à définir la notion de couplage science-industrie, une lecture gestionnaire et cognitive des relations entre ces deux sphères, plutôt qu’une approche institutionnelle ou économique. En se basant sur des découvertes majeures, leurs liens divers avec l’industrie et des données d’archives, l’article examine les couplages dans trois contextes typiques : transfert, recherche industrielle et recherche partenariale. L’organisation, les couplages et les performances de chaque cas sont détaillés. L’article suggère un modèle alternatif, le couplage à double impact simultané, décrivant des relations d’exploration et d’enrichissement mutuel entre les acteurs, adapté pour analyser certaines tendances actuelles et passées entre science et industrie. Notamment la théorie C-K, permet de décrire ce couplage, offrant une voie prometteuse pour comprendre les relations science-industrie.
The Generalized Riemann Hypothesis on elliptic complex fields
Authors: Hemingway Xian
Published: September 2023

In this paper, we will introduce a new algebraic system called the elliptic complex, and consider the distribution of zeros of the function $ L(s, \chi) $ in the corresponding complex plane. The key to this article is to discover the limiting case of the Generalized Riemann Hypothesis on elliptic complex fields and, taking a series of elliptic complex fields as variables, to study the ordinary properties of their distributions about the non-trivial zeros of $ L(s, \chi) $. It is on the basis of these considerations that we will draw the following conclusions. First, the zeros of the function $ L(s, \chi) $ on any two elliptic complex planes correspond one-to-one. Then, all non-trivial zeros of the $ L(s, \chi) $ function on each elliptic complex plane are distributed on the critical line $ \Re(s) = {1\over 2} $ due to the critical case of the Generalized Riemann Hypothesis. Ultimately we proved the Generalized Riemann Hypothesis.
Stress and burnout among Greek critical care nurses during the COVID-19 pandemic
Authors: Sikioti Thiresia , Zartaloudi Afroditi , Pappa Despoina , Mangoulia Polyxeni , Fradelos Evangelos C. , Kourti Freideriki Eleni , Koutelekos Ioannis , Dousis Evangelos , Margari Nikoletta , Stavropoulou Areti , Evangelou Eleni , Dafogianni Chrysoula
Published: September 2023

Occupational stress and burnout of health personnel during the COVID-19 pandemic, especially of the nursing population in intensive care units (ICUs), were quite frequent along with negative effects and a direct correlation with the manifestation of many physical, behavioral and psychological symptoms. For the purposes of this research, a quantitative survey was carried out, in which 153 ICU nurses of secondary and tertiary public hospitals in Greece participated. Nurses completed anonymously and voluntarily a special electronic questionnaire about stress, burnout, personal concerns about the pandemic, the consequences of the outbreak and their resilience toward COVID-19 patients' care. Specific validated scales were used in this study. Female nurses felt, to a greater extent than males, work-related burnout, especially patient-related burnout and total burnout. There was a statistically significant negative relationship between the existence of a psychological support group within a hospital and personal burnout. Participants who had experience in caring for SARS-CoV-2 patients had higher mental resilience than those without experience. As the consequences experienced by the health professionals of the reference COVID-19 hospitals were increased, so did mental resilience and stress coping strategies during the pandemic. The COVID-19 outbreak and the conditions configurated in the health system had negative effects on the psycho-emotional state of ICU nurses. The manifestation of anxiety, stress and burnout had a direct correlation with both the work and personal functionality of the nurses and the whole of the healthcare services provided. The early recognition of symptoms and their individualized management are imperative for the protection of the psycho-emotional well-being of nurses.
Ponovno o stavbni zgodovini cerkve sv. Miklavža na Godešiču in ikonografiji poslikave njene zahodne fasade
Authors: Cerkovnik Gašper , Vidmar Luka
Published: September 2023

Študija vsebuje nove podatke o stavbni zgodovini cerkve sv. Miklavža na Godešiču in novo ikonografsko analizo poslikave na njeni zahodni fasadi. Cerkev je bila najbrž zgrajena v 12. ali 13. stoletju, prezbiterij pa na začetku 16. stoletja. Fasado je neznani furlanski slikar poslikal konec 14. stoletja, prezbiterij pa Jernej iz Loke pred letom 1531. V dosedanjih raziskavah o poslikavi fasade so bili ohranjeni prizori interpretirani kot razširjena Poslednja sodba. France Stele je nad vhodom v cerkev prepoznal osrednjo skupino Poslednje sodbe, nad njo upodobitev nebes s figuro Boga Očeta ali Abrahama, desno pa še prizor Kolo sreče. Alenka Vodnik je glavni vir za poslikavo iskala v apokrifni Pavlovi apokalipsi, pri čemer naj bi prizor s kolesom predstavljal Peklensko kolo. Ponovni pregled je pokazal drugačno zasnovo: nad Poslednjo sodbo je bilo Marijino kronanje, na desni je bil prizor s sv. Katarino Aleksandrijsko, na levi pa prizor s sv. Nikolajem.
Les cris de la ville : des femmes écrivent à Ménie Grégoire (1967-1981)
Authors: Overney Laetitia
Published: September 2023

Cet article exhume les lettres écrites par des femmes à Ménie Grégoire qui anime l’une des premières émissions radio de « confession radiophonique » entre 1967 et 1981 sur RTL. L’hypothèse est la suivante : ces écritures constituent une photographie inédite des perceptions du logement social de masse. Ces lettres forment un lieu d’expression vive, à la fois individuelle et collective, où les femmes manifestent une compétence à interpeller les pouvoirs publics. Elles prolongent les corpus de lettres adressées aux pouvoirs urbains, formant ainsi un continuum entre l’office HLM, le député, le Maire et Ménie Grégoire de RTL. Bien loin du registre militant, ce corpus fait apparaître des « protestations ordinaires » sur la ville des années 1960 et 1970. En rapportant leur expérience, les scriptrices veulent aussi apporter leur part de savoirs sur les nouvelles constructions. Elles s’engagent littéralement dans un état des lieux pour éclairer Ménie Grégoire et, à travers elle, atteindre les autorités urbaines
Lógica de Schrödinger:
Authors: Cardoso Caetano Allix
Published: September 2023

O método axiomático é considerado uma das principais ferramentas para a sistematização do conhecimento. Inaugurado na Grécia antiga, o método axiomático passou por grandes mudanças ao longo da história. Este artigo busca estabelecer as fases de evolução da abordagem axiomática. Divide-se a axiomática em três categorias: concreta, abstrata ou formal. Divide-se em a axiomática três categorias: concreta, abstrata ou formal. Em um segundo momento, o artigo aproxima a utilização do método axiomático na física quântica, através da apresentação informal da axiomática de uma lógica não-reflexiva. Batizada pelo filósofo e lógico brasileiro Newton da Costa como Lógica de Schrödinger, sua motivação encontra-se na posição teórica perante o status ontológico das entidades postuladas pela física quântica, denominada Received View.
A sabedoria da carne:
Authors: Nery de Santana Cleiton
Published: September 2023

Este artigo busca apresentar o conceito de encarnação ricœuriano (corpo e carne), sua relação com a ética e a ontologia e, por consequência, com os métodos fenomenológico e hermenêutico. A nossa hipótese geral é que a concepção de encarnação ricœuriana apresenta um pensamento original e originário. No entanto, na tentativa de delimitar o problema, investigamos essa noção, principalmente, em Philosophie de la volonté e em O Si mesmo como um outro. Assim, encontramos nessas obras – que tem seus traços de hereditariedade a partir dos “tratados clássicos das paixões”, passando por Maine de Biran, até chegar a meditação de Gabriel Marcel, de Merleau-Ponty e de Michel Henry – a originalidade do conceito de encarnação e sua descrição fenomenológica do corpo em ação (ética) e sua interpretação hermenêutica da carne em passividade (ontologia).
Pontos de conexão e império da lei no debate Waldron vs. Dworkin
Authors: Barbosa Estevão Gustavo
Published: September 2023

Proponho uma investigação do “debate” Waldron vs. Dworkin, discutindo o problema dos desacordos morais e se o judicial review é, de fato, válido. Na medida que Waldron desferiu severas críticas a Dworkin, defendendo que a “última palavra” deve ser do Legislativo, nesse cenário, apresento uma defesa à concepção de Dworkin. Chego à conclusão de que os autores, na verdade, não possuem uma discordância em si, mas pontos de conexão, segundo a qual somente é possível a deferência aos legisladores quando há uma democracia devidamente sólida e coerente, o que não é o caso da narrativa histórica e contemporânea. Foi utilizado o método dedutivo, conduzido sob uma pesquisa bibliográfica, com o marco teórico a “discussão” travada pelos filósofos para este ensaio.
Ética pandêmica e responsabilidade moral
Authors: Araujo Marcelo de
Published: September 2023

A pandemia de COVID suscitou diversas questões morais relacionadas, por exemplo, à vulnerabilidade de populações indígenas frente à nova doença, ou ao comportamento dos Estados mais ricos relativamente aos Estados mais pobres na distribuição de vacinas, ou relativamente à elaboração de protocolos para alocação de recursos escassos tomando-se como critério a idade dos pacientes. Consideradas isoladamente, essas questões dizem respeito a diferentes domínios de investigação da filosofia moral, a saber: o da justiça social, o da justiça internacional, e o da justiça intergeneracional. Até o momento, no âmbito da bioética e da filosofia moral, pouco esforço tem sido feito na tentativa de se mostrar que essas e diversas outras questões moralmente relevantes, discutidas durante a pandemia de COVID, deveriam ser examinadas como pertinentes a um campo distinto de investigação filosófica, ao qual me refiro neste artigo como ética pandêmica. Neste artigo, procuro estabelecer uma estrutura conceitual para a ética pandêmica tendo especialmente em vista a discussão recente sobre atribuições de responsabilidade no âmbito da ética climática.
Artifacts and fields of action
Authors: Braida Celso R.
Published: September 2023

The aim of this paper is to defend a theory of artifacts based on the concept of field of action, as an alternative to functional, intentional and double-nature theories. The proposed theory is realistic about the existence of entities that are artifacts, and praxiological about the nature of such entities. The basis of the theory is the concept of action; from this concept, the concepts of field of action and participants in a field of action, namely, agents and objects, are introduced. An artifact is defined as an object that has a part and role in the achievement of an action.
Leveraging User Ideas for Product Innovation in Open Innovation Communities
Authors: Zhang Ning , Zhao Wenfei , Pang Zhiliang , He Lifeng , Cheng Xin , Fan Weiguo
Published: September 2023

The abundance of user ideas in the open innovation community poses a challenge of information overload for enterprises, making it difficult to effectively adopt ideas for product innovation. Existing studies primarily focus on evaluating the usefulness of user ideas, while overlooking the actual adoption outcomes of these ideas. Based on the information adoption model, this paper proposes a user idea adoption model, which integrates the two stages of idea collection and idea application. The authors creatively discuss the factors influencing the process from “perceived usefulness” to “adoption” of a user idea, and explore the complete mechanism of user idea adoption for product innovation. The results show that the information quality and source credibility of user ideas affect the perceived usefulness. The degree of user demand, innovation complexity, and competition intensity have moderating effects on the relationship between the perceived usefulness of user ideas and the results of user ideas adoption.
A case of hemorrhagic shock due to massive upper gastrointestinal bleeding: from the differential diagnosis to the correct management
Authors: Marziani Beatrice , Spampinato Michele Domenico , Caputo Fabio , Guarino Matteo , Luppi Francesco , Perna Benedetta , Passaro Angelina , Cariani Daniele , Merighi Alberto , Arena Rosario , De Giorgio Roberto
Published: September 2023

Upper Gastro-Intestinal Bleeding (UGIB) spans from minor bleeding to life-threatening events. Identification of early signs of shock, proper management of hemodynamically unstable patients, and correct risk stratification are essential for an appropriate diagnostic workup and therapy. This case reports a young man admitted to the emergency department with haematemesis. His medical history was unremarkable, without any risk factors for gastrointestinal bleeding. A few hours after admission, further episodes of haematemesis occurred, and the patient's condition rapidly deteriorated to irreversible shock. A contrast-enhanced computed tomography (CECT) revealed morphological features of chronic liver disease and oesophagal varices. The patient underwent upper gastrointestinal endoscopy, confirming oesophagal varices with massive bleeding. Although promptly applied, endoscopic hemostasis was ineffective, and the patient died twenty-four hours after admission. Based on this case, we reviewed the diagnostic and therapeutic approaches for patients with massive UGIB and provided a practical approach to this life-threatening emergency.
Biocontrol potential of inflorescence rot of date palm caused by Mauginiella scaettae in the Biskra region (Algeria)
Authors: Hammia Hadjra , Bouatrous Yamina
Published: September 2023

Date palm inflorescence rot (known as Khamedj disease) caused by Mauginiella scaettae is a serious problem in most date palm-growing areas of the world, and it causes considerable yield loss. The extensive use of fungicides has resulted in the emergence of fungicide-resistant pathogens, and concerns have been raised over the residual effects on the environment and human health. In this regard, biocontrol agents have been proposed as an alternative to standard fungicides. The aim of our study was to evaluate the biocontrol agent Aspergillus niger against the pathogen M. scaettae. In vitro confrontation tests between M. scaettae and A. niger showed that, after 10 days of incubation, the Petri dish was almost completely covered by the antagonist A. niger, while the pathogen M. scaettae occupied only 0.61±0.015 cm of diameter, which corresponds to a considerable inhibition of the mycelial growth (85.33%). Microscopic observations showed an abundant sporulation of A. niger around the colony of M. scaettae and marked a very important mycoparasitic power. In conclusion, the use of biological control agents is cost-effective, easy to use, and environmentally friendly for the control of Khamedj disease.
Is an Exercise-Based Injury-Prevention Program Effective in Team Handball Players? A Systematic Review and Meta-Analysis
Authors: Naderi Aynollah , Shaabani Fatemeh , Keikha Mojtaba , Degens Hans
Published: September 2023

Objective

To assess the effectiveness of exercise-based injury-prevention programs in preventing sports injuries in team handball players.

Data Sources

Scopus, PubMed, Web of Science, SPORTDiscus, and CINAHL from inception until April 2023.

Study Selection

Studies were included if they were randomized controlled trials or prospective cohort studies, contained a population of competitive team handball players, included an intervention designed specifically to prevent or reduce the risk of team handball injuries, and reported injury incidence rates specific to team handball players. Two researchers independently evaluated studies for inclusion and assessed their methodological quality.

Data Extraction

Study design, intervention details, participant characteristics, and the number of injuries in each group were extracted from each study by 2 independent researchers. The outcome of interest was the incidence rate of injury. Injury data were classified into 5 groups: shoulder injuries, lower extremity injuries, knee injuries, anterior cruciate ligament injuries, and ankle injuries. Extracted data were analyzed using a random-effects model to compute the overall effect estimates of injury-prevention programs in reducing the risk of injuries. Odds ratios (ORs) with 95% CIs were calculated based on the number of injuries in each group.

Data Synthesis

Meta-analyses were conducted independently for each injury classification. Results indicated that prevention programs reduced the risk of shoulder injuries (OR = 0.60; 95% CI = 0.42, 0.85; P = .004), lower extremity injuries (OR = 0.59; 95% CI = 0.37, 0.95; P = .03), knee injuries (OR = 0.53; 95% CI = 0.35, 0.78; P = .002), anterior cruciate ligament injuries (OR = 0.66; 95% CI = 0.45, 0.96; P = .03), and ankle injuries (OR = 0.57; 95% CI = 0.40, 0.81; P = .002) in team handball players.

Conclusions

In team handball players, injury-prevention programs appear to effectively reduce the risk of shoulder, lower extremity, knee, ankle, and anterior cruciate ligament injuries.
Evaluation of a stroke rehabilitation training programme for community-based primary healthcare
Authors: Scheffler Elsje , Mash Robert
Published: September 2023

Background: Family caregiver training is an integral part of stroke rehabilitation programmes and is associated with improved caregiver and stroke survivor outcomes. In the Cape Winelands District, a low-resourced rural community-based setting in South Africa, stroke survivors and family caregivers mostly rely on assistance from community health workers (CHWs), despite their lack of stroke-specific rehabilitation training.Objectives: To evaluate the implementation and immediate effects of a bespoke, 16 session, 21 h stroke rehabilitation training programme for CHWs to better support family caregivers.Methods: Two cooperative inquiry groups participated in participatory action research to design and develop the programme. This article reports on the implementation of this programme. Inquiry group members directly observed the training, obtained written and verbal feedback, interviewed CHWs and observed them in the community. Consensus on their learning was achieved after reflection on their experience and observations.Results: Learning of the cooperative inquiry groups was categorised into the effect on community-based care, the training programme’s design and development, how training was delivered and implications for service delivery. Community health workers empowered caregivers and stroke survivors and enabled access to care, continuity, coordination and person-centredness. The need for experiential learning and a spiral curriculum was confirmed. Therapists needed a different set of skills to deliver training. A systems approach and effective leadership were needed to enable community health workers to use their new skills.Conclusion: The stroke rehabilitation training programme demonstrated potential for integration into service delivery and equipping CHWs to support family caregivers and stroke survivors. Further evaluation of the programme’s effectiveness and scale-up is needed.Contribution: Evidence of an intervention to train CHWs to support stroke survivors and family caregivers.
Effects of adjuvant ozone autohemotherapy combined with routine treatment on clinical and paraclinical features of mechanically ventilated COVID-19 patients in the intensive care unit: a pilot randomized controlled trial
Authors: Aghamohammadi Dawood , Shakouri Seyed Kazem , Jahanpanah Negar , Dolatkhah Neda
Published: September 2023

Until the availability of an effective and practical vaccine, there is a serious need to recognize alternative treatments for coronavirus disease 2019 (COVID-19). This study aimed to determine whether major ozonated autohemotherapy (MOAH) can improve the clinical and paraclinical parameters in critically-ill patients with COVID-19 requiring mechanical ventilation. In this controlled trial, we enrolled 40 critically ill COVID-19 patients receiving invasive mechanical ventilation. The enrolled patients were then randomized into the MOAH and control groups. The patients in the MOAH group received MOAH three times per week (10 times in total) in addition to routine treatment and standard critical supportive care. Patients in the control group were only given regular treatment and standard critical supportive care. The patients in the MOAH group had more days of breathing with no aid than those in the control group. Moreover, the length of stay in the intensive-care unit was significantly lower in the MOAH group than in the control group. MOAH resulted in higher ventilation-free days and less intensive-care unit stay compared with the control treatment. In COVID-19 patients undergoing mechanical ventilation, MOAH with routine treatment resulted in more ventilator-free days and less intensive-care unit stay compared with the standard therapy.
Association between MTHFR c.677C>T variant and erectile dysfunction among males attending fertility clinic
Authors: Bai Shun , Li Ming-Zhen , Wan Yang-Yang , Hu Xue-Chun , Liu Yi-Xun , Tong Xian-Hong , Guo Tong-Hang , Zong Lu , Liu Ran , Zhao Yuan-Qi , Xiang Ping , Xu Bo , Jiang Xiao-Hua
Published: September 2023

Genetic risk factors have been shown to contribute to the development of sexual dysfunction. However, the role of methylenetetrahydrofolate reductase (MTHFR) gene variants in the risk of erectile dysfunction (ED) remains unclear. In this study, we recruited 1254 participants who underwent ED assessed by the International Index of Erectile Function-5. The MTHFR c.677C>T variant was also measured by fluorescence polymerase chain reaction (PCR). No significant difference in the genotypic frequency of the MTHFR C677T polymorphism (CC, CT, and TT) was observed between men from the ED and non-ED groups. In addition, on binary logistic regression analysis, both crude and adjusted models showed that the risk of ED was not significantly associated with the C677T polymorphism. Interestingly, a significantly higher frequency of the 677TT polymorphism was found in severe and moderate ED (P = 0.02). The positive correlation between the MTHFR 677TT polymorphism and severe ED was confirmed by logistic regression analysis, even after adjusting for potential confounders (odds ratio [OR] = 2.46, 95% confidence interval [CI] 1.15–5.50, P = 0.02). These findings suggest a positive correlation between the MTHFR 677TT polymorphism and the risk of severe ED. Identification of MTHFR gene polymorphisms may provide complementary information for ED patients during routine clinical diagnosis.
Current career perspective of pediatric cardiologists in India
Authors: Sachdeva Sakshi , Dhulipudi Bhargavi
Published: September 2023

A survey was conducted to ascertain the current situation of early–mid-career pediatric cardiologists (<20 years of experience) practicing in India. A formatted questionnaire was sent as a Google Form through email and WhatsApp link. Out of 275 eligible participants, 138 responses were received. Two pediatric cardiologists independently analyzed the data and responses are presented. Results showed pediatric cardiology is not considered a lucrative career option by most of the surveyed Indian pediatric cardiologists. Urgent remedial measures are needed to maintain the recently found momentum in the field in the country.
Percutaneous hepatic vein recanalization in pediatric Budd–Chiari syndrome – 10 years’ experience from a tertiary center
Authors: Sastry Usha Mandikal Kodandarama , Doddaiah Madhu Swandenahalli , Arunakumar Priyadarshini , Marimuthu Varun , Kasturi Sowmya , Srinivas Budnur C. , Jayranganath Mahimarangaiah , Manjunath Cholenahally Nanjappa
Published: September 2023

Background:

Budd − Chiari syndrome (BCS) due to hepatic venous outflow obstruction is a rare cause of liver disease with dismal outcome, often amenable to catheter intervention.

Materials and Methods:

This retrospective single center study analyzed the clinical profile and medium term outcome of interventional treatment with balloon angioplasty ± stenting in all pediatric BCS over a 10 year period. Clinical, laboratory, imaging, and interventional data were retrieved. Transhepatic (TH) access was utilized in the recent 3 years.

Results:

We included a total of 27 patients. Acute and subacute BCS comprised 93% of subjects. Ascites was the most common symptom. COVID 19 infection and Takayasu arteritis were two novel etiologies in our study. There was isolated hepatic vein (HV) narrowing in 11 (41%), isolated inferior vena cava obstruction in 4, and combined occlusion in 12 (44%). Intervention was successful in 22 (82%) patients. Stenting was required in 14 (64%) patients and the rest underwent balloon angioplasty. The immediate outcome was better with stenting than balloon (91% vs. 64%). Transhepatic access in 6 patients allowed HV cannulation in all and achieved patency in five patients. Two patients from the balloon group (25%) and 9 from the stent group (64%) are alive with patent veins at a median follow up of 60 months, indicating a high attrition rate.

Conclusion:

Catheter interventions restored physiological blood flow in pediatric BCS. TH route improved cannulation of occluded HV compared to other accesses. Immediate and medium term outcomes were better after stenting with lower rates of reinterventions than balloon angioplasty. Life long surveillance is required as mortality is high on follow up.
Three-dimensional spatiotemporal imaging correlation in the diagnosis of isolated infracardiac total anomalous pulmonary venous connection in fetal life
Authors: Krishna Mani Ram , Sennaiyan Usha Nandhini
Published: September 2023

Total anomalous pulmonary venous connection (TAPVC) is a critical congenital heart disease which is often missed on prenatal echocardiography because of the decreased pulmonary blood flow in fetal life. Improvement in technology has resulted in increasing prenatal diagnosis of this condition. We report a foetus with infra cardiac TAPVC in whom prenatal diagnosis was facilitated by the use of STIC technology.
Understanding the impact of clinical and leadership development activities for pediatric cardiac nurses in India
Authors: Aagard Magdeline , Dobrzycka Adriana , Zheleva Bistra , Rajasekhar Veeralakshmi , Menon Shubhitha , Gopakumar Vaisakh
Published: September 2023

The major challenges for pediatric cardiac nursing in India include inadequacies in their levels of education and lack of recognition of their vital role in the health-care system. The aim of this study was to understand the impact of the leadership educational initiatives on pediatric cardiac nursing taken by Children’s HeartLink and the Pediatric Cardiac Society of India. Semi-structured interviews were conducted with eight pediatric cardiac nurse leaders from different Indian hospitals. A review of interviews from a previous study and an extensive literature review provided further foundational data on two major themes. The first theme on nursing education focused on nursing curriculum update, continuing education, and leadership development. The second theme focused on improving the value of nursing in public perception, value in hospitals, and their career promotions. The study identified the potential targets for improvement and provided a nursing career development ladder applicable to India.
Effect of Community-Based Health Education on Misconceptions Related to Caregiving for Cancer among Elderly in a Rural Area of Puducherry: A Pre–Post-Intervention Study
Authors: Thanigachalam Srinivasan , Sarkar Sonali , Sethuramachandran Adinarayanan , Karunanithi Gunaseelan
Published: September 2023

Background and Aim:

Families are crucial in providing comprehensive support to cancer patients, including physical, psychological, spiritual, and financial assistance. Unfortunately, cancer-related myths and stigma can have detrimental effects on those affected and their caregivers. This study aims to remove the misconceptions prevailing in a rural population of Puducherry regarding caregiving for cancer among elderly through a health education campaign.

Materials and Methods:

A pre- and post-intervention study was conducted among 217 adults above 18 years of age in a rural area of Puducherry. The intervention was delivered through pamphlet distribution, health talks, and discussion. Attitude, beliefs, and knowledge regarding the misconceptions about cancer were assessed in a five-point Likert scale and then the difference in the proportion of subjects with misconceptions about cancer before and after the intervention was tested using the McNemar test.

Results:

Among the respondents, 77% were females, 15% were illiterate, and 9.6% had a history of cancer in the family. About 23% felt cancer lends a bad name to the family and 24% considered palliative care as not necessary since end-stage cancer patients would die. Post-intervention, the perception that herbal items or diets may treat cancer declined from 45% to 18%, and that a cancer patient in the family lends bad name to the family declined from 23% to 3% (P < 0.001).

Conclusions:

Community-based intervention can effectively reduce misconceptions related to caregiving for cancer among elderly in rural areas. These interventions can also improve the quality of care and support provided to cancer patients.
Short Stature for Age in Children of 5 to 16 Years: The First Research from the Northern Himalayan Region of India
Authors: Sharma Karishma , Sharma Vishakha , Kumar Vinod , Bhat Nowneet , Chacham Swathi , Rathaur Vyas K. , Verma Prashant K.
Published: September 2023

Introduction:

Anthropometric parameters play vital role in monitoring growth in pediatrics. Many etiological factors lead to short stature. So, before assessing the etiological factors short stature needs to be addressed. This study aimed to screen short stature for age in school-going children aged 5 to 16 years in Uttarakhand.

Material and Methods:

In this cross-sectional observational study, the height (through stadiometer) and weight (through weight machine) of 4189 students of government and private school in Rishikesh (Uttarakhand) aged 5–16 years were measured after the verbal assent of the students and individual’s height is in the 3rd percentile for the mean height of a given age, sex, and population group and was considered short stature. The data collection was performed from October 2019 to July 2021. The data were categorized according to different age groups to 5–8 years, 9–12 years, and 13–16 years. The data were recorded in Microsoft (MS) Excel spreadsheet program. Statistical Package for the Social Sciences (SPSS) v23 (IBM Corp.) was used for data analysis. Descriptive statistics were elaborated in the form of means or standard deviations and medians or Interquartile range IQRs for continuous variables and frequencies and percentages for categorical variables. The Chi-square test was used for group comparisons for categorical data.

Results:

7.1% of children were short stature (height 143.16 ± 15.09 cm) in the Himalayan belt, and males were more prone to short stature at age of 9–12 years.

Conclusion:

In the growing phase of children, the etiology of short stature has to be rectified, so the children can achieve such proper growth. Parents and physicians have to assess and monitor the growth of children timely. This study can be a stepping stone for further epidemiological studies.
Emotional Intelligence
Authors: Dhillon Harpreet Singh , Sasidharan Shibu , Dhillon Gurpreet Kaur , Manalikuzhiyil Babitha
Published: September 2023

Emotional intelligence (EI) is a social intelligence distinct from academic intelligence and assists us in successfully comprehending complex personal, social, and professional situations. The four components of EI are perceiving, understanding, managing, and using emotions to enable better adaptability and creativity. In this review, the authors have examined the existing literature on the contemporary concepts of EI construct, the available means to measure it, and its implications across various life situations with special emphasis on the lockdown due to the COVID-19 pandemic. The necessity for research into multiple intelligences (cultural, practical, and spiritual) is further discussed in the way forward.
Level of Depression among Cancer Patient
Authors: Dahiya Ritu , Parihar Aashish , Swami Mukesh Kumar , Sevak Sanjay
Published: September 2023

Introduction:

Cancer is a major public health problem throughout the world. Globally, cancer is the second leading cause of death, new cases were 18.1 million, and cancer was responsible for an estimated 9.6 million deaths in the year 2018. Cancer increases the risk of psychiatric diseases, and one-third of patients with cancer has mental health disorders and is in need of appropriate psychological treatment. Anxiety and depression are widely common psychological distresses among most patients with cancer. The aim of this study was to assess the level of depression among cancer patients.

Methodology:

The present study was a nonexperimental cross-sectional research design with quantitative approach was conducted on a sample of 400 cancer patients at AIIMS, Jodhpur. The participants were selected by consecutive sampling, and data were collected through face-to-face interview among patients with cancer. A self-reported questionnaire on demographic, clinical profile, and level of depression was assessed by standardized scale PHQ-9.

Results:

The present study revealed the level of depression among cancer patients, out of them 8.8% were having minimal depression, followed by 20.3% mild depression, 39.8% moderate depression, 17.8% moderately severe depression, and 13.5 were having severe depression.

Conclusion:

The findings of the study suggested that cancer diagnosis generates a higher sense of distress and leads to cause depression whether minimal or severe. Results of the study show that there is no association between level of depression and selected demographic variables of the study as per Chi-square analysis.
A Study to Assess the Challenges Faced and Measures Taken by the Mothers of Children with Attention-Deficit Hyperactivity Disorder in a Selected Hospital, Kolkata, West Bengal
Authors: Mandal Soumi , Dutta Bhanumati
Published: September 2023

Context:

Children with attention-deficit hyperactivity disorder (ADHD) present a big challenge to mothers. They experience burden and lack of support and resources in child's care.

Aims:

This study aimed to assess the challenges faced and measures taken by mothers of children with ADHD.

Settings:

The present study was conducted at Outpatient Department of Manovikas Kendra, 482, Madudah. Plot 1-24, Sector - J, E. M. Bypass, Kolkata-700 107, West Bengal.

Design:

This was a descriptive survey approach.

Subjects and Methods:

Data were collected from 86 mothers included by nonprobability convenience sampling technique. Rating scale and semi-structured interview schedule were used to collect data.

Statistical Analysis Used:

Descriptive and inferential statistics was used for statistical analysis.

Results:

The findings revealed that only 2 (2.32%) mothers of children with ADHD faced mild (0–25), 81 (94.18%) mothers of children with ADHD faced moderate level (26–51), 3 (3.48%) mothers of children with ADHD faced severe (52–76) level of challenges, and all mothers (100%) used punishment/beating, provided the child toys for calming down, kept child under supervision, and praised their willingness to study rather than getting full marks. The computed Chi-square result showed significant association between level of challenges faced by the mothers with types of family, education qualification, and monthly family income (p < 0.05).

Conclusions:

Majority (94.18%) of the mothers of children with ADHD faced moderate level of challenges.
Update on Critical Issues and Current Challenges with “Newer Psychoactive Substances
Authors: Jain Raka , Verma Kamini
Published: September 2023

In recent years, new psychoactive substances (NPS) (”legal highs” or “designer drugs”) are increasing worldwide. An increase in NPS is a cause for concern for drug-regulatory authorities and health-care professionals as it poses a threat to public health. Because of their novelty, these drugs go undetected by traditional detection methods, hampering adverse reaction assessment, and increasing challenges for laboratories and the regulatory system. This review aims to provide an update on the current state of NPS at the global level. The article addresses important issues and challenges in the clinical and forensic toxicology laboratories, which deals with testing for substances of abuse, the unclear legal status of NPS, and the limited knowledge of the public about their side effect. These issues and challenges would be important for health-care professionals, toxicologists, law enforcement authorities, and policymakers to take into account an effective response to control the use of NPS.
Index of Online Teaching Stress and Quality of Life among Nurse Educators during COVID-19
Authors: Mudgal Shiv Kumar , Verma Kavita , Gill Suchpreet Kaur , Gaur Rakhi , Chundawat Digpal Singh , Sharma Ravikant
Published: September 2023

Background:

With sudden changes in the worldwide education system due to COVID-19 impact and limited available resources, nurse educators have been suffering from online teaching stress in this year, which is thought to affect their quality of life (QOL). The aim of this study was to ascertain the index of online teaching stress and QOL among nurse educators during COVID-19.

Subjects and Methods:

In this cross-sectional study 162 nurse educators were recruited through a convenient sampling technique. Online survey was employed using socio-demographic questionnaire, online teaching stress scale, and World Health Organization QOL BRIF-26 to collect data. IBM Statistical Package for the Social Sciences (SPSS) Version 23 was used for statistical analysis.

Results:

Among all participants, 22% and 51% of participants reported severe and moderate level of online teaching stress respectively. The highest and lowest overall QOL was reported in the social relationship (70.29 ± 20.5) and physical health (54.54 ± 13.73) domain. Online teaching stress scores were significantly associated with gender (P = 0.012), teaching experience (P < 0.001), salary (P < 0.001), job satisfaction (P < 0.001), satisfaction with organization (P < 0.001). Online teaching stress scores were significantly negative correlated with all four domains of QOL. Marital status and monthly salary were the indicators of online teaching stress. Teaching experience, salary, and job satisfaction appeared to be robust predictors for domains of QOL (P < 0.05).

Conclusion:

The findings suggest that effective interventions primarily focusing on improving the availability of resources, training, and empowerment activities are necessary to decrease the negative effect of stress on QOL.
Medication Adherence and Role of Psychiatric Nurse
Authors: Chakraborty Kankana , Kollipara Sandeep
Published: September 2023

Pharmacotherapy is the most common strategy used for restoring health. Taking treatment has a positive outcome on the illness but in between treatment and outcome, an important role is played by adherence. A systematic review and meta-analysis found the prevalence of nonadherence ranges from 7% to 83%. Nonadherence can be of different types such as primary nonadherence where medication was prescribed but never initiated by the patient; secondary nonadherence where the medication is not taken as prescribed and nonpersistent; and nonadherence where the medication is stopped without the physician's order after starting. Poor socioeconomic status, low level of education, long distance, cost of medication, cultural belief, poor patient–provider relationship, overburden of health-care provider, chronic disease condition, asymptomatic condition, complex medical regimen, long duration treatment, misunderstanding of treatment instruction, medication side effect, and forgetfulness are the most common factors affecting adherence. Although there are no gold standards for assessing adherence, some subjective methods, for example, patient-kept diaries, interviews, and objective methods such as determining the presence of drugs in a patient's body fluid and the use of electronic monitoring can be taken into consideration. Nurses are playing an important role in guiding the patient and their family members regarding different ways to be adherent to medication by providing psychoeducation, motivational interview, different behavioral therapies, compliance therapy, and cognitive behavioral therapies. They should be nonjudgmental and address specific issues during discharge counseling of patients and families for better adherence.
Exam Anxiety and Factors Influencing Exam Preparation
Authors: Kumar L Manoj
Published: September 2023

Background:

The time of examination is a stressful period for students. However, an optimum level of stress can help in motivating the students, this stress can be from test anxiety which arises from stimuli of being tested or judged academically. Nursing students experience a higher level of exam anxiety comparing to students from other disciplines.

Aims and objectives:

This study aimed to assess the level of exam anxiety perceived by nursing students in selected setting. Along with exam anxiety; this research explored factors influencing exam preparation among nursing students.

Material and methods:

A mixed-method research study was conducted to assess test anxiety and to explore factors influencing their exam preparations. Total enumeration sampling technique was used to recruit 272 BSc nursing students from a nursing college attached to a tertiary care hospital in South India. Data were collected using a sociodemographic pro forma, a test anxiety scale to assess test anxiety, and a focus group discussion (FGD) was conducted using an FGD guide to explore factors influencing exam preparations of nursing students. Demographic data and test anxiety scores were analyzed using frequency and percentage. Qualitative data recorded were transcribed and identified repeated concepts, then coding was done to develop themes.

Results:

The study revealed that more than half of subjects 53.3% (145) having high exam anxiety, followed by 39.7% (108) subjects who had medium exam anxiety and 7.0% (19) had low exam anxiety. On comparison of mean test anxiety scores, the mean test anxiety score of first-year BSc nursing students (21.88 ± 5.384) remained higher than the second year (20.06 ± 4.403), third-year (19.17 ± 4.529), and fourth-year (20.84 ± 4.857) nursing. From FGD, three themes emerged as nursing students described their experiences and feelings toward factors influencing exam preparation. (1) Materialistic and environmental factors for exam preparation. (2) Motivational determinants that promote exam preparation. (3) Perceived barriers or distractions in preparing for an exam.

Conclusion:

This study concludes that faculty who are in close association with students can improve student outcomes by early identification of test anxiety, intervening if necessary, and sometimes by referring to a psychiatrist for ruling out further mental health issues that may arise from exam anxiety.