bluuebunny/crossref_metadata_2025 huggingface dataset:
Impact of evidence-based bundles on ventilator-associated pneumonia prevention: A systematic review
Authors: Da Rocha Gaspar Maria Dagmar , Antunes Rinaldi Elaine Cristina , Guetter Mello Rosiane , Dos Santos Fábio André , Mendes Nadal Jessica , Andreane Cabral Luciane Patricia , Vitor Farago Paulo
Published: March 2023

Introduction: This review aimed at investigating the impact of bundle components on the prevention of ventilator-associated pneumonia (VAP) in adults and the elderly.
Methodology: The databases consulted were PubMed, EBSCO, and Scielo. The terms Bundle and Pneumonia were searched in combination. The original articles were selected in Spanish and English; published between January 2008 and December 2017. After eliminating the duplicate papers, an analysis of the titles and the abstracts was performed in order to select the assessed articles. A total of 18 articles were included in this review that were evaluated according to the following criteria: research reference, country of data collection, type of study, characteristics of the studied patients, analysis and intervention performed, bundle items investigated and their results, and research outcome.
Results: Four bundle items were presented in all the investigated papers. 61% of those works were considered from seven to eight bundle items. Daily evaluation of sedation interruption and daily assessment for verifying extubation condition, head-of-bed elevation at 30 degrees, cuff pressure monitoring, coagulation prophylaxis, and oral hygiene were the most reported bundle items. One study described the increased mortality of patients under mechanical ventilation when omitted the bundle items of oral hygiene and stress ulcer prophylaxis. Head-of-bed elevation at 30 degrees was the item reported in 100% of the studied papers.
Conclusions: Existing research demonstrated that VAP reduction occurred when bundle items were performed for adults and the elderly. Four works showed the relevance of team education as a central approach to the event reduction related to the ventilator.
Clinico-demographic profile of COVID-19 positive patients - first wave versus second wave – an experience in north-east India
Authors: Kumar Prasad Abhijit , Bakorlin Khyriem Annie , Valarie Lyngdoh Wihiwot , Jane Lyngdoh Clarissa , Chandra Phukan Anil , Kumar Bhattacharya Prasanta , Nongpiur Vijay , Barman Himesh , Baphira Peter , Sumitra Devi Laithangbam , Gogoi Neeta , Sapam Sanaibemma , Manisana Singh Ksh. , Bhattacharya Sagnik , Chakraborty Sagar
Published: March 2023

Introduction: India witnessed two distinct COVID-19 waves. We evaluated the clinico-demographic profile of patients infected during first wave (FW) and second wave (SW) in a hospital in north-east India.
Methodology: Patients who tested positive for severe acute respiratory syndrome-coronavirus-2 specific gene by reverse transcriptase polymerase chain reaction across FW and SW were diagnosed as COVID-19 positive. The clinico-demographic data of these positive patients were retrieved from the specimen-referral-form. Vital parameters including respiratory rate, SpO2, data on COVID-19-associated mucormycosis (CAM), COVID-19-associated acute respiratory distress syndrome (CARDS) were obtained from hospital records for in-patients. Patients were categorized based on disease severity. The data obtained in both waves were analyzed comparatively.
Results: Out of a total of 119,016 samples tested, 10,164 (8.5%) were SARS-CoV-2 positive (2907 during FW, 7257 during SW). Male predominance was seen across both waves (FW: 68.4%; SW:58.4%), with more children infected during SW. Patients with travel history (24%) and contact with laboratory confirmed cases (61%) were significantly higher during SW relative to FW (10.9% and 42.1% respectively). Healthcare worker infection was higher in SW (5.3%). Symptoms like vomiting [14.8%], diarrhea [10.5%], anosmia [10.4%] and aguesia [9.4%] were more in SW. More patients developed CARDS in SW (6.7%) compared to FW (3.4%) with 85% and 70% patients expiring across FW and SW respectively. No case of CAM is documented in our study.
Conclusions: This was probably the most comprehensive study from north-east India. Industrial oxygen cylinder usage may have been the source of CAM in the rest of the country.
Comparative humoral response of mRNA and inactivated vaccines against COVID-19 in healthy adults aged 60 years and older
Authors: Güvenir Meryem , Yürüker Özel , Yetkin Osman , Süer Kaya , Otlu Barış
Published: March 2023

Introduction: A vaccine against coronavirus disease 2019 (COVID-19) is critically needed for older adults because of the increased morbidity and mortality rates.
Methodology: In this prospective study, we analysed the titre magnitude of the IgG antibodies directed against the SARS-CoV-2 Spike Protein S1 (S1-RBD) antigen in both CoronaVac and Pfizer-BioNTech groups. The samples were tested to detect antibodies that bind to the receptor-binding domain of the spike protein of SARS-CoV-2 using the Enzyme-Linked Immunosorbent Assay (ELISA) technique with SARS-CoV-2 IgG II Quant. The cut-off value was > 50 AU/mL. GraphPad Prism software was used. Statistical significance was defined at p < 0.05.
Results: The CoronaVac group (12 females, 13 males) had a mean age of 69.64 ± 1.38 years. The Pfizer-BioNTech group (13 males, 12 females) had a mean age of 72.36 ± 1.44 years. The anti- S1-RBD titre decrease rate from the 1st to the 3rd month for CoronaVac and Pfizer-BioNTech groups was 74.31% and 86.48%, respectively. There was no statistically significant difference in the antibody titre between the 1st month and 3rd month for the CoronaVac group. However, there was a significant difference between the 1st and 3rd month in the Pfizer-BioNTech group. In addition, there was no statistically significant difference in the genders between the 1st and 3rd month of the antibody titres for both the CoronaVac Pfizer-BioNTech group.
Conclusions: The levels of anti-S1-RBD, the preliminary outcome data of our study, represents one piece of the puzzle of humoral response and duration of vaccination protection.
The role of high dose vitamin d and glutathione supplementation in COVID-19 treatment: A case series
Authors: Burhan Erlina , Wijaya Indra
Published: March 2023

COVID-19 has been affecting millions of people worldwide and becoming a global public health burden. Therefore, exploring treatment options is essential to help flatten the curve and reduce hospitalization time. This is a case series of ten COVID-19 patients in Jakarta and Tangerang, Indonesia, who received a high dose of vitamin D and glutathione supplementation daily. Within 5-7 days of treatment, all patients were confirmed COVID-19 negative. To date, this is the first report from Indonesia describing the potential benefit of supplementing vitamin D and glutathione concurrently in improving clinical conditions and expediting the recovery time of COVID-19 patients.
Detection and antibiotic resistance of diarrheagenic Escherichia coli from patients with diarrhea in Ulaanbaatar, Mongolia
Authors: Yandag Munkhdelger , Tsend-Ayush Altansukh , Gunregjav Nyamaa , Erdenebayar Otgontsetseg , Byambadorj Bayarlakh , Juniichiro Nishi , Jav Sarantuya
Published: March 2023

Introduction: Diarrheal diseases are common with worldwide distribution, and diarrheagenic Escherichia coli (DEC) strains are the main causative agents. The present study aimed to define the association of various pathotypes of E. coli from diarrheal patients in Mongolia.
Methodology: A total of 341 E. coli strains were isolated from the stool of diarrheal patients. Bacterial susceptibility to antimicrobial agents was determined by the Kirby Bauer disk diffusion method. DEC isolates were identified by HEp-2 cell adherence assay and multiplex polymerase chain reaction (PCR).
Results: DEC pathogens were detected in 53.7% of 341 E. coli isolates. Enteroaggregative E. coli (EAEC) was the most common DEC pathotype identified by HEp-2 adherence assay and multiplex PCR methods in 97 samples (28.4%), followed by atypical enteropathogenic E. coli (EPEC) in 50 samples (14.7%), diffusely adherent E. coli (DAEC) in 25 samples (7.3%), enterohaemorrhagic E. coli (EHEC) in 6 samples (1.8%), enterotoxigenic E. coli (ETEC) in 4 samples (1.2%), and enteroinvasive E. coli (EIEC) in 1 sample (0.3%). DEC strains had > 50% antibiotic resistance against cephalothin, ampicillin, and trimethoprim/sulfamethoxazole. All tested DEC strains were susceptible to imipenem. Among the 183 DEC strains, 27 (14.8%) were extended spectrum beta-lactamase producing isolates, and 125 (68.3%) isolates were multiple drug resistant.
Conclusions: We have identified six pathotypes of DEC from the clinical isolates tested and concluded that a high prevalence of antimicrobial resistance was observed in these pathotypes. EAEC was the most common pathotype identified and this is the first report of EHEC identification in Mongolia.
Salmonellosis prevalence and risk factors in chicken breeding farms in and around Arba Minch town, Gamo Zone, Ethiopia
Authors: Abayneh Edget , Goba Henok , Shurbe Mesfin
Published: March 2023

Introduction: Salmonellosis is one of the diseases affecting chicken breeding farms in research locations. This study aimed to estimate the prevalence of Salmonella, its risk factors, and the distribution of antibiotic resistance in chicken breeding farms in and around Arba Minch town, Southern Ethiopia.
Methodology: A total of 390 samples were obtained from the chicks selected using stratified random selection from the breeding farms. Each chick's rectum was sampled for cloacal swabs and fecal samples, which were later analyzed for Salmonella using microbial culture and serological methods. Drug sensitivity testing was done using disk diffusion techniques.
Result: Salmonella isolates were found in 7/285 (2.45%) of fecal dropping and 14/105 (13.33%) of cloacal swabs. S. Anatum 6/21 (28.57%), S. Saintpaul 5/21 (23.8%), S. Typhimurium 4/21 (19.04%), S. Kentucky 4/21(19.04%), and S. Haifa 2/21 (9.52%) were the identified serotypes with a prevalence of 21/390 (5.38%) (95% CI = 2.2-8). According to a multivariate logistic regression analysis of the risk factors, the source of feed, contact with other farms, chick breed, and management were statistically significant influences on the presence of Salmonella in chicks (p < 0.05). The 8 antimicrobials tested were found to be ineffective against 90.47% of the isolates. These antimicrobials are used in both human and animal medicine.
Conclusion: Our findings confirmed that risk factors such as feed source, breed, contact with other farms, and management had a significant effect on the occurrence of salmonellosis in chicks, and disease control in the study area requires special attention.
First record of Hoplobatrachus litoralis Hasan, Kuramoto, Islam, Alam, Khan & Sumida, 2012 (Anura, Dicroglossidae) from China
Authors: Liu Shuo , Hou Mian , Rao Dingqi , Li Song
Published: March 2023

We report the first record of Hoplobatrachus litoralis Hasan, Kuramoto, Islam, Alam, Khan & Sumida, 2012 from China based on seven specimens from Baoshan City, western Yunnan. Morphologically, the specimens from China mostly agree with the original description of H. litoralis and phylogenetically show a small genetic distance (1.7%) in the 16S rRNA gene with the specimens (including one paratype) of H. litoralis from its type locality in Bangladesh. Our work increased the species number of the genus Hoplobatrachus Peters, 1863 in China to two. This record is the easternmost distribution of this species at present. Furthermore, we found that the species H. salween Thongproh, Chunskul, Sringurngam, Waiprom, Makchai, Cota, Duengkae, Duangjai, Hasan, Chuaynkern & Chuaynkern, 2022 recently described from north-western Thailand is morphologically and genetically very similar to H. litoralis and, therefore, we discuss the validity of H. salween as a separate species.
L’ en-corps de l’analyste
Authors: Alves Rafaela , Vivès Jean-Michel , Chatelard Daniela
Published: March 2023

Cet article propose de discuter la sensibilité du corps de l’analyste au réel véhiculé par le langage comme facteur indispensable à l’acte analytique. Dans ce but, les auteurs travaillent la notion de tact de Ferenczi et discutent la théorie de Loewenstein pour explorer la notion de résonance présente dans la théorie lacanienne. Ils abordent également le corps de l’analyste comme caisse de résonance au dire de l’analysant, tout en concevant le corps de l’analyste comme un système de résonance qui a comme effet l’acte analytique. Enfin, les auteurs problématisent la consolidation des cures à distance en s’interrogeant la partie des effets analytiques qui pourraient se perdre en l’absence de la confrontation des corps.
Le temps comme expérience-limite : répétition et mélancolie dans le cinéma de Jim Jarmusch
Authors: Troubé Sarah
Published: March 2023

L’article propose d’explorer, à partir de trois de ses films, le traitement du temps dans le cinéma de Jim Jarmusch. Le motif de la répétition, qui vient remplacer l’enchaînement de l’action, y marque le rejet d’un temps linéaire, et propose des variations sur différentes expériences-limites du temps : temps du refoulé, temps de l’éternité, temps originaire. Il invite alors à interroger les différentes modalités que peut revêtir l’intemporalité de l’inconscient, et à revenir à la question de la constitution, de l’inscription et de la conservation des traces psychiques. Les personnages de Jarmusch, jouant sur le dévoilement des illusions du temps ordinaire, peuvent être perçus comme différentes figures de la mélancolie. Ils illustrent les manières dont celle-ci refuse le leurre commun du temps, mais également le potentiel de créativité qui peut surgir d’un travail de la répétition.
Mythe et psychanalyse dans l’œuvre de Freud
Authors: Dellanoce Filippo
Published: March 2023

Il existe, chez Freud, diverses modalités d’articulation de la psychanalyse à la mythologie : interprétation des mythes par la psychanalyse, mais aussi, inversement, recours au mythe, comme dans le cas du président Schreber, dans l’intention de déchiffrer et de comprendre les formations de l’inconscient. Freud se fait aussi mythographe : en s’interrogeant, dans sa correspondance avec Einstein, sur sa nouvelle discipline, inquiet à l’idée de n’avoir édifié qu’une nouvelle mythologie, il est aussitôt capable d’offrir à la modernité un nouveau mythe, celui de la horde présentée dans Totem et tabou . Enfin, Freud utilise les mythes pour expliquer les thèses psychanalytiques complexes (c’est le cas du mythe d’Aristophane) et comme un paradigme méthodologique justifiant l’application générale de ses découvertes individuelles, et ce grâce à Œdipe ou, plus encore, à Hamlet.
Le souci de soi et la spiritualité en psychanalyse
Authors: Leitão Martins Luiz Paulo
Published: March 2023

Cet article analyse la reconsidération, dans la tradition psychanalytique, du problème du rapport entre le sujet et la vérité, soulevé par les pratiques spirituelles du souci de soi. Nous considérons les contributions de Ferenczi et de Winnicott concernant l’acte et le holding dans le cadre analytique, en réponse à certaines impasses de la clinique freudienne, et les réflexions de Lacan sur la transformation du sujet dans l’expérience de la vérité. En définissant une telle expérience à la lumière d’une compréhension de l’inconscient comme discours de l’Autre, puis par le biais du mi-dire de la vérité, Lacan éloignera la psychanalyse d’une approche du sujet fondée sur la perspective de la connaissance de soi, la rapprochant des interrogations spirituelles posées dans le souci de la vérité.
Le choix des stratégies de légitimation des contrôleurs de gestion : les enseignements d’une étude de cas
Authors: Demaret Julie , David Mickaël
Published: March 2023

Cet article traite des choix de stratégie de légitimation déployée par les contrôleurs de gestion en vue d’obtenir le pouvoir d’influence nécessaire à leur métier. Notre étude empirique qualitative au sein d’un groupe industriel français montre des régularités entre la présence ou l’absence systématique de certaines ressources individuelles ou organisationnelles à disposition du contrôleur et la stratégie qu’il a choisie pour gagner en légitimité. Ces résultats permettent d’approfondir la caractérisation des différentes stratégies de légitimation identifiées par la littérature, afin de mieux guider les contrôleurs de gestion dans leur quête de légitimité au sein de leur organisation.
Atlas Culture : dynamiques et disparités territoriales culturelles en France
Authors: Millery Edwige , Delvainquière Jean-Cédric , Bourlès Ludovic , Picard Sébastien
Published: March 2023

Projet lauréat de la quatrième promotion du programme interministériel « Entrepreneurs d’intérêt général » destiné à accompagner la transition numérique de l’État, l’ Atlas Culture est un site internet * conçu pour aider les acteurs culturels à appréhender les activités culturelles sur un territoire donné et leur permettre de croiser ces informations avec des données de contexte, afin de qualifier les territoires et leur population. Pour cela, un certain nombre d’indicateurs issus d’enquêtes nationales sont proposés : la part des professionnels de la culture (ceux, parmi les actifs, qui exercent à titre principal un métier culturel), la part des actifs des secteurs culturels (ceux, parmi les actifs, qui travaillent dans un secteur culturel, sans que leur métier soit nécessairement culturel), la part des entreprises culturelles des secteurs marchands ; le montant des dépenses culturelles dans toute collectivité territoriale de plus de 3 500 habitants et son effort culturel (euro par habitant) ; et, enfin, un panorama de l’offre culturelle incarnée par les lieux et les équipements culturels (théâtres, musées, bibliothèques, conservatoires, Jardins remarquables, maisons des Illustres, lieux inscrits au patrimoine mondial de l’Unesco, etc.). Tous ces indicateurs peuvent être croisés avec des données socio-économiques disponibles pour la France entière (avec quelques exceptions pour certaines données, limitées à la France métropolitaine), comme la part des jeunes dans la population, le niveau de vie médian, la richesse régionale mesurée par le produit intérieur brut, etc. L’ Atlas Culture , en construction depuis 2021, propose désormais un portrait de chacune des dix-huit régions françaises. La présente étude fait la synthèse des données agrégées à un niveau national pour l’offre culturelle, l’emploi et les professions, les entreprises et les dépenses culturelles publiques.
Le speaker et la fronde républicaine
Authors: Behrent Michael C.
Published: March 2023

L’élection de Kevin McCarthy à la tête de la Chambre des représentants s’est heurtée à une humiliante fronde ultra-conservatrice au sein de son parti. Il a dû céder à leurs revendications, ce qui préjuge mal du fonctionnement du nouveau Congrès.
Les partis politiques : déliquescents et structurants
Authors: Lefebvre Rémi
Published: March 2023

Les organisations partisanes sont dans un état de faiblesse historique : sans militants, repliés sur leurs luttes internes, ils suscitent une grande défiance dans l’opinion. Ils sont pourtant essentiels à la démocratie.
Qu’est-ce que le poutinisme ?
Authors: Bozarslan Hamit
Published: March 2023

L’idéologie de Poutine, aussi éclectique soit-elle, charge la nation russe d’une mission impériale contre l’Occident. Pourtant, la Russie fait partie intégrante de l’histoire européenne et pourrait faire le choix de la démocratie.
Deux sociétés dans la guerre
Authors: Colin Lebedev Anna , Bujon Anne-Lorraine , Dujin Anne
Published: March 2023

Observatrice attentive du conflit russo-ukrainien depuis l’annexion de la Crimée en 2014, la politologue évoque la manière dont les sociétés ukrainienne et russe se sont inscrites dans l’horizon de la guerre et dont elles peuvent tenir dans la durée.
C’est ça, la laïcité ?
Authors: Genin Vincent
Published: March 2023

L’adoption de loi du 24 août 2021 confortant le respect des principes de la République a été marquée par la volonté d’administrer une laïcité réduite au statut de valeur et celle de sanctionner les communautés plutôt que les individus. Aujourd’hui, la question laïque est récupérée par le nationalisme.
Organiser l’émeute : la méthode « Black Bloc » expliquée
Authors: Vuarin Louis
Published: March 2023

Le « Black Bloc », groupe d’activistes habillés de noir se livrant à diverses actions subversives ou émeutières durant les manifestations, s’est imposé comme une pratique bouleversant à la fois les habitudes des groupes contestataires et celles du maintien de l’ordre (Wood, 2007 ; Dupuis-Déri, 2003 ; 2018 ; Farde, 2020 ; Véchambre, 2020). Dans cet article, nous proposons une analyse organisationnelle du phénomène, au travers d’un matériel inédit composé d’observations (sous couverture « semi partielle » et « totale », cf. Roulet et al. , 2017) et d’interviews collectées au cœur de groupuscules activistes franciliens entre 2016 et 2020. Au-delà de toutes considérations politiques, le Black Bloc est analysé en ce qu’il représente un dispositif organisationnel exemplaire, dans la veine de travaux sur les émeutes et le maintien de l’ordre en théorie des organisations (Lacaze, 2004 ; Kudesia, 2021). Notre étude met notamment en avant un surprenant équilibre entre processus intégrateurs et processus désintégrateurs, permettant d’assurer au Black Bloc à la fois une forme de cohésion assurant sa stabilité face aux tentatives de déstabilisation des manœuvres policières, et une imprévisibilité qui le rend plus dangereux et moins contrôlable. L’autre raison du succès du Black Bloc apparait être sa capacité à maintenir une convergence entre sous-groupes aux idéologies et méthodes différentes, et parfois même concurrentes. En effet, la culture organisationnelle du Black Bloc permet un obscurcissement des dissimilarités entre ses membres au sein d’une expérience politique commune. En entretenant un flou assimilateur, le Black Bloc peut radicaliser, mais aussi tempérer certains des sous-groupes qui le composent.
Chapitre 8. Mexique : Comment un pays catholique approuve-t-il l’avortement ?
Authors: de Alba-Ulloa Jessica
Published: March 2023

Dans une première partie, cet article montre les caractéristiques de la société mexicaine et leur opinion sur l’avortement. La deuxième partie développe l’évolution juridique de la dépénalisation de l’avortement au Mexique et avec les données, donne des éléments qui peuvent répondre à la question principale.
Impact of Total Corneal Astigmatism Estimated With the Abulafia-Koch Formula Versus Measured With a SS-OCT Biometer on the Refractive Outcomes of a Toric Intraocular Lens in Cataract Surgery
Authors: Rémignon Charles-Henry , Levron Antoine , Agard Emilie , Douma Ikrame , El-Chehab Hussam , Brunet Olivier , Sejournet Lucas , Billant Jeremy , Dot Corinne
Published: March 2023

Purpose:

To compare the impact of total corneal astigmatism (TCA) estimated with the Abulafia-Koch formula (TCA
ABU
) versus measured by Total Keratometry (TK), swept-source optical coherence tomography (OCT) coupled with telecentric keratometry (TCA
TK
) on the refractive outcomes after cataract surgery with toric intraocular lens (IOL) implantation.

Methods:

Two hundred one eyes of 146 patients who underwent cataract surgery with toric IOL implantation (XY1AT; HOYA Corporation) were included in this single-center, retrospective study. For each eye, TCA
ABU
(estimated from the anterior keratometry values measured with the IOLMaster 700 [Carl Zeiss Meditec AG]) and TCA
TK
(measured using TK IOLMaster 700) were entered into the HOYA Toric Calculator. Patients were operated on based on TCA
ABU
. For each eye, centroid and mean absolute error in predicted residual astigmatism (EPA) were calculated according to TCA used (TCA
ABU
or TCA
TK
). The cylinder power and the axis of the posterior chamber IOL were compared.

Results:

The mean uncorrected distance visual acuity was 0.07 ± 0.12 logMAR, the mean spherical equivalent was 0.11 ± 0.40 D, and mean residual astigmatism was 0.35 ± 0.36 D. Mean centroid EPA was 0.28 D at 132° with TCA
ABU
and 0.35 D at 148° with TCA
TK
(
P
(x) < .001;
P
(y) < .01). Mean absolute EPA was 0.46 ± 0.32 D with TCA
ABU
and 0.50 ± 0.37 D with TCA
TK
(
P
< .01). In the with-the-rule astigmatism subgroup, a deviation from the target of less than 0.50 D was achieved in 68% of eyes with TCA
ABU
versus 50% of eyes with TCA
TK
. The proposed posterior chamber IOL was different depending on the calculation methods used in 86% of cases.

Conclusions:

Both calculation methods showed excellent results. However, the predictability error was significantly reduced when TCA
ABU
was used compared to TCA
TK
measured with the IOLMaster 700 in the whole cohort. Finally, TCA was overestimated by TK in the with-the-rule astigmatism subgroup.

[
J Refract Surg.
2023;39(3):171–179.]
Exponential sums involving the divisor function over arithmetic progressions
Authors: Zhang Rui , Li Yang , Yan Xiaofei
Published: March 2023

Let $ \phi(x) $ be a smooth function supported on $ [1, 2] $ with derivatives bounded by $ \phi^{(j)}(x)\ll 1 $ and $ d_3(n) $ be the number of ways to write $ n $ as a product of three factors. We get the asymptotic formula for the nonlinear exponential sum $ \sum\limits_{n\ \equiv\ l\ mod\ q}d_3(n)\phi\left(\frac{n}{X}\right)e\left(\frac{3\sqrt[3]{kn}}{q}\right) $.
The stresses components in position and time of weakened plate with two holes conformally mapped into a unit circle by a conformal mapping with complex constant coefficients
Authors: Alhazmi Sharifah E. , Abdou M. A. , Basseem M.
Published: March 2023

In this paper, an infinite elastic plate weakened by two holes are considered and the complex variable method is used to derive a closed form of Gaursat functions for the first and second fundamental problems with variant time. The holes, in all previous works, are conformally mapped outside the unit circle without time. Here, the two holes are conformally mapped into the unit circle $ \varpi $ in the effect of time by the generalized rational mapping function with complex constant coefficients. By using this conformal mapping function, the fundamental problems transfer to an integro-differential equation with Cauchy kernel. Then, after applying the complex variable method, one can obtain a closed form of Gaursat functions. Some applications were discussed and the time effect on the applications was studied. In addition, the different stress components in each application have also been calculated using Maple 2022.1.
Exponential stability analysis for nonlinear time-varying perturbed systems on time scales
Authors: Qiang Cheng-Xiu , Sun Jian-Ping , Zhao Ya-Hong
Published: March 2023

This paper is concerned with the stability of nonlinear time-varying perturbed system on time scales under the assumption that the corresponding linear time-varying nominal system is uniformly exponentially stable. Some less conservative sufficient conditions for uniform exponential stability and uniform practical exponential stability are proposed by imposing different assumptions on the perturbation term. Compared with the traditional exponential stability results of perturbed systems, the time derivatives of related Lyapunov functions in this paper are not required to be negative definite for all time. The main tools employed are two Gronwall's inequalities on time scales. Some examples are also given to illustrate the effectiveness of the theoretical results.
Discrete Salp Swarm Algorithm for symmetric traveling salesman problem
Authors: Chen Peng , Liu Ming , Zhou Shihua
Published: March 2023

In the Salp Swarm Algorithm (SSA), the update mechanism is inspired by the unique chain movement of the salp swarm. Numerous versions of SSA were already put forward to deal with various optimization problems, but there are very few discrete versions among them. d-opt is improved based on the 2-opt algorithm: a decreasing factor d is introduced to control the range of neighborhood search; TPALS are modified by Problem Aware Local Search (PALS) based on the characteristics of Travelling Salesman Problem (TSP); The second leader mechanism increases the randomness of the algorithm and avoids falling into the local optimal solution to a certain extent. We also select six classical crossover operators to experiment and select Subtour Exchange Crossover (SEC) and the above three mechanisms to integrate them into the SSA algorithm framework to form Discrete Salp Swarm Algorithm (DSSA). In addition, DSSA was tested on 23 known TSP instances to verify its performance. Comparative simulation studies with other advanced algorithms are conducted and from the results, it is observed that DSSA satisfactorily solves TSP.
Super-Resolution Reconstruction of Remote Sensing Images Based on Symmetric Local Fusion Blocks
Authors: Wang Xinqiang , Lu Wenhuan
Published: March 2023

In view of the rich information and strong autocorrelation of remote sensing images, a super-resolution reconstruction algorithm based on symmetric local fusion blocks is proposed using a convolutional neural network based on local fusion blocks, which improves the effect of high-frequency information reconstruction. By setting local fusion in the residual block, the problem of insufficient high-frequency feature extraction is alleviated, and the reconstruction accuracy of remote sensing images of deep networks is improved. To improve the utilization of global features and reduce the computational complexity of the network, a residual method is used to set the symmetric jump connection between the local fusion blocks to form the symmetry between them. Experimental results show that the reconstruction results of 2-, 3-, and 4-fold sampling factors on the UC Merced and nwpu-resisc45 remote sensing datasets are better than those of comparison algorithms in image clarity and edge sharpness, and the reconstruction results are better in objective evaluation and subjective vision.
A case of acquired factor XIII deficiency secondary to plasmablastic lymphoma
Authors: Sammartano Vincenzo , Santoni Adele , Zappone Elisabetta , Calzoni Paola , Fineschi Daniela , Franceschini Eleonora , Caroni Federico , Sicuranza Anna , Bocchia Monica , Puccetti Luca
Published: March 2023

Acquired factor XIII (FXIII) deficiency is an extremely rare and potentially fatal bleeding disorder. Immune-mediated FXIII deficiency is due to the development of anti-FXIII autoantibodies which may develop with concomitant conditions that cause immune dysregulation such as malignancies or autoimmune disorders. Clinical presentation includes delayed post-operative bleeding or spontaneous soft tissue hematomas and/or cerebral bleeding. Since screening coagulation laboratory tests (prothrombin time, activated partial thromboplastin time, and fibrinogen) are typically normal, acquired FXIII deficiency is likely to be overlooked and underdiagnosed. The management of immune-mediated FXIII deficiency is based on hemostatic therapy, autoantibody removal and eradication of the underlying etiology; however, no treatment guidelines are still available. Here we report a case of acquired FXIII deficiency associated with plasmablastic lymphoma, in order to raise awareness of this rare bleeding disorder and consent prompt life-saving management.
Critical metal indicator mineral studies of till samples collected around the Brazil Lake LCT pegmatite, southwest Nova Scotia
Authors: McClenaghan M B , Brushett D M , Paulen R C , Beckett-Brown C , Rice J
M , Haji Egeh A , Nissen A
Published: March 2023

This report describes field work carried out as part of the Geological Survey of Canada's Targeted Geoscience Initiative indicator mineral research activities at the Brazil Lake Li-Cs-Ta pegmatites in southwest Nova Scotia. This research is being undertaken in
partnership with the Nova Scotia Department of Natural Resources and Renewables (NSDNRR). In the fall of 2022, 44 till samples were collected around and down-ice of the Brazil Lake Li-Cs-Ta pegmatites to document the geochemical and indicator mineral signatures of the pegmatites in the till. In
2020, 2021, and earlier in the summer of 2022, 105 till samples were collected across southwest Nova Scotia by the NSDNRR to provide regional context for the interpretation of the 44 case study samples. Till samples were also collected at the Salmon River beach section ~25 km north of Yarmouth
where a thick coastal exposure (> 20 m) contains multiple till units that reflect several phases of glacial deposition and shifting ice-flow directions across southwest Nova Scotia. These section samples will provide insight and additional details on the regional glacial
context.
The lack of knowledge on HIV by pastors in the Thulamela Municipality: Pastoral power
Authors: Netshapapame Tshifhiwa S. , Mothoagae Itumeleng D.
Published: March 2023

The Church, as an institution, has pioneered ground-breaking interventions, although some of these interventions were also a vehicle for imperial colonisation. Through its missionary activities, the Church has exercised such a form of power over its flock. This article intends to analyse the extent of the knowledge that pastors in Thulamela Municipality, Limpopo Province, have concerning HIV/AIDS and the prejudices associated with the illness. The article applies a qualitative approach in ascertaining the extent of such knowledge as well as the pastoral approaches utilised. In this qualitative phenomenological study, the authors explored the knowledge of these pastors regarding HIV/AIDS. A semi-structured interview guide was used to direct the collection of data. Following thematic analysis, the knowledge of pastors regarding HIV/AIDS emerged as the theme of the study. The findings revealed that difficulties relating to providing pastoral care to people living with HIV/AIDS (PLWH) were exacerbated by a lack of knowledge and limited training offered to pastors. The article will further argue that there is a need for a partnership between the churches and public health services.Contribution: This article strives to expose biblical discourse exhibited by pastors because of a lack of theological formation and to suggest a way forward in collaborating the church as a religious institution and public health institution for combating HIV/AIDS.
The obstacles of the spiritual journey in Serat Jatimurti and the Exodus Homily of Origen
Authors: Chandra Robby I. , Nugraheni Veronika S.S. , Jonch A C. , Widjaja Budiman
Published: March 2023

Many religions use figurative language to convey their teachings on the spiritual journey. Identifying their similarities and differences might deepen the recognition of each core faith and create mutual appreciation. This article compared Serat Jatimurti, a Javanese indigenous spirituality text with the Exodus Homily of Origen, a text from antiquity. This article is a qualitative study to compare their teachings on the stages of the spiritual journey and the obstacles. The finding showed that both Serat Jatimurti and the Exodus Homily of Origen teach that there are several stages of the spiritual journey. It also found out that the main obstacle of the spiritual journey lies in the human inner tendency to rely on self-centred perception that prevents them from recognizing reality and the will of God for them. Both texts differ significantly in their views concerning the human capability to start a spiritual journey.Contribution: This study offers clues on the path to having mutual understanding between people who embrace different spiritual journey concepts and their obstacles. It also gives the voice of indigenous spirituality proper appreciation. Such an understanding might serve as a starting point for a deeper appreciation of each other and to development of further dialogues while deepening one’s recognition of the core of their faith.
Ethics in medicine: Challenges in the 21st century
Authors: Körtner Ulrich H.J.
Published: March 2023

The article provides an overview of important topics in contemporary medical ethics. Methodologically, it is a literature review. The article addresses only a limited selection of the problematic areas, which are, however, related to each other: digitisation of medicine, genome editing, personalised medicine as well as ethical problems and dilemmas of allocation in healthcare. The global COVID-19 pandemic has emerged as a focus and trigger. Reflections on human rights and justice in medicine are fundamental not only on the individual and social level but also on a global scale. The fundamental question is how society as a whole can be involved in the complex biopolitical and bioethical debate. The social and cultural consequences of life increasingly being understood as a technical product rather than a gift are serious.Contribution: The article also reflects on the specific contribution that Christian theology, and in particular the reformed heritage, can make to bioethical debates in modern society. The distinction between instrumental knowledge [Verfügungswissen] and orientational knowledge [Orientierungswissen] is helpful for its better understanding. A crucial result of this article is that medical treatment is repeatedly faced with ethical dilemmas. Moreover, medical progress not only creates new and better solutions to medical problems, it also raises new ethical questions that did not exist before. The purpose of medical ethics lies in identifying such dilemmas and developing ethical decision-making processes that help us to deal with such dilemmas to some extent.
Role of faith-based organisations and individuals in provision of health services in Zimbabwe
Authors: Musekiwa Ivy , Musekiwa Norbert
Published: March 2023

This article reflects on the increasing roles of faith-based organisations (FBOs) and individual followers in the provision of health services in Zimbabwe within the context of declining capabilities of state-funded and state-owned health facilities. In colonial and post-colonial Africa in general and Zimbabwe in particular, FBOs have consistently contributed to the provision of public services and social security. We contend that state fragilities in the Zimbabwean political landscape result in severe public service delivery deficits that are often filled by FBOs and individual followers. The implications for FBOs and individual followers are twofold. Firstly, the increased involvement of FBOs in the production and provision of public services such as education and health services afford FBOs with opportunities and spaces to evangelise. Secondly, and on the downward side, the provision of health services can often be expensive and diverts attention from the core business of these religious organisations. The article reveals that in the context of economic and governance crises, FBOs play an increasingly momentous role in providing health care services in Zimbabwe. The article focuses on Zimbabwe during the crisis periods of 2007–2009 and 2018 up to the current (2022) socio-economic and political declines, poor governance, and the subsequent fragilities in the state.Contribution: Faith-based organisations assume increasing roles in the provision of health services in place of failing states. Those increased roles provide FBOs opportunities to evangelise. However, FBOs are not a sustainable replacement because they become afflicted with the same financial challenges that bedevil the state.
COVID-19 Lockdown containment measures and women’s sexual and reproductive health in Zimbabwe
Authors: Hlatywayo Anniegrace M.
Published: March 2023

The devastating COVID-19 pandemic and its accompanying containment measures brought exceptional challenges to the health delivery system, and in particular, women’s sexual and reproductive healthcare (hereafter referred to as SRH). The re-routing of health resources and funding to mitigate the effects of the pandemic obstructed the provision of essential SRH services for women and girls. Coupled with the incessant socio-cultural and patriarchal norms and gender inequalities, the COVID-19 pandemic aggravated the pre-existing SRH disproportions already affecting women. By adopting a qualitative approach and drawing on the experiences of women from three high density suburbs in Harare. Firstly, the study sought to explore the implications of the COVID-19 pandemic on SRH for women and girls. Secondly, the research sought to determine key drivers that affect women’s SRH in the context of COVID-19. Participant responses indicated that the COVID-19 lockdown containment measures which confined spouses to the home setting for prolonged periods of time, which is in contrast to the norm, exposed women to SRH related challenges. Participants cited that (i) bruised male ego due to lack of employment as a result of downscaling of companies resulting from COVID-19 containment measures resulted in men asserting their masculinities through heightened sexual intercourse, (ii) restraint of movement resulted in limited time for men to visit their small houses and side-chicks or side dish (euphemisms for illicit sexual relations) therefore resulting in frequent and unprotected sex with their spouses, giving rise to unplanned pregnancies and increased exposure to STIs due to limited access to SRH services and, (iii) increased intimate partner violence (IPV) and sexual abuse. Therefore, the research sought to explore the response of religious leaders and faith-based actors to providing psycho-social support and safe spaces as ways of addressing intersectional injustices giving rise to SRH challenges for women and girls.Contribution: The intersecting crises of the COVID-19 pandemic have extensively hindered progress towards the promotion of women’s SRH. Relating to sustainable development goal 3 (SDG3), the article acknowledges the trust and respect of religious leaders within communities as change agents who can encourage shifts in behaviour, beliefs and practices in ways that promote holistic SRH for women.
Integrating professional counselling during marriage counselling within neo-Pentecostalism
Authors: Kgatle Mookgo S. , Spaumer Andrew
Published: March 2023

It is argued here that most couples in neo-Pentecostalism tend to consult their pastors when encountering various challenges in their marriages as opposed to professional counselling. Some would, however, opt for consulting professional counsellors as a last resort to save their marriages. The marriage counselling offered by pastors has proven to be effective in some instances, but it has some shortcomings in others. This kind of counselling is often conducted by untrained pastors who are not able to do a proper diagnosis of the problems and to offer proper solutions. In addition, previous studies demonstrate that some Pentecostal pastors have abused their congregants during such counselling. In this article, the integration of professional counselling is proposed as a complementary approach to the counselling offered by Pentecostal pastors. This will be achieved by reviewing the literature on counselling offered by pastors and its successes and failures. The integration of professional counselling with the counselling conducted by Pentecostal pastors will be discussed using the integrated approach as a theoretical framework.Contribution: This article makes a valuable contribution to the ongoing discourses on the abuse of religion among neo-Pentecostal churches by proposing an integration of professional counselling. This type of counselling is important for the ethical conduct of Pentecostal pastors as counsellors, correct diagnosis of problems, and providing an accurate solution.
The start of sexual health curriculum development and evaluation at Stellenbosch University
Authors: Van Deventer Heidi , Ross Michael W. , Thomson Jantien , Du Toit Marlena , Poelsma Mieke , Pienaar Marie , Van der Merwe Andre , Botha Matthys H.
Published: March 2023

Background: Stellenbosch University’s (SU) Faculty of Medicine and Health Sciences (FMHS), developed a sexual health course to be integrated throughout the revised medical curriculum.Aim: To use the Sexual Health Education for Professionals Scale (SHEPS) to gather baseline and future follow-up data to inform curriculum development and evaluation.Setting: The first-year medical students (N = 289) of the FMHS SU.Methods: The SHEPS was answered before the start of the sexual health course. The knowledge, communication and attitude sections were answered with a Likert-type scale. Students had to describe their perceived confidence in their knowledge and communication skills to care for patients within specific sexuality-related clinical scenarios. The attitude section measured the students’ level of agreement or disagreement on sexuality-related opinion statements.Results: The response rate was 97%. Most students were female, and 55% of the class were first taught about sexuality in the age group 13–18 years. The students had more confidence in their communication skills than knowledge before any tertiary training. The attitude section revealed a binomial distribution, ranging from acceptance to a more restrictive attitude towards sexual behaviour.Conclusion: It is the first time the SHEPS has been used in a South African context. The results provide novel information about the range of perceived sexual health knowledge, skills and attitudes of first-year medical students before they start tertiary training.Contribution: Findings from this study will guide content development and evaluation of the sexual health course at the institution where the study was conducted, as well as allow for culture sensitive education.
Primary diffuse leptomeningeal primitive neuroectodermal tumor presenting as chronic meningitis
Authors: Koshy KG , Kulkarni GB , Nandeesh BN , Taalapalli AV.
Published: March 2023

Primary diffuse leptomeningeal primitive neuroectodermal tumor is a rare meningeal neoplasm which can masquerade as chronic meningitis. While the clinical presentation and radiological features may provide a clue to this condition, meningeal biopsy is essential to clinch the diagnosis. A high index of suspicion and a low threshold for re-evaluating cases of neuroinfection that do not respond to empirical therapy are essential in this scenario. We present the case of a nine year old boy who was initiated on antituberculous treatment for chronic meningitis with hydrocephalus. Meningeal biopsy revealed a primary diffuse leptomeningeal primitive neuroectodermal tumor.
Peripheral primitive neuroectodermal tumor of the orbit in Graves' ophthalmopathy – A rare presentation
Authors: Stephen Mary A. , Ahuja Shashi , Jayasri P. , Harigaravelu PJ
Published: March 2023

Graves' ophthalmopathy is the most common cause of both unilateral and bilateral proptoses in adults. Peripheral primitive neuroectodermal tumor (pPNET) is a small round cell malignant lesion of neuroectodermal origin which very rarely affects the orbit. In this case report, we have discussed about a young woman with existing Graves' ophthalmopathy who presented with worsening proptosis; computed tomography imaging revealed an irregular mass lesion in the right orbit without bone erosion. Biopsy and immunohistochemistry of the mass lesion revealed features of primitive neuroectodermal tumor (PNET). The tumor was MIC-2 gene positive, and on follow-up, no recurrence was noted after successful surgical resection. PNET of the orbit is very rare, and to our best knowledge, this is the first case of peripheral PNET in patent with Graves' ophthalmopathy.
La protección de la dignidad del consumidor por medio de las reglas de responsabilidad civil: una propuesta a partir del artículo 51 de la ley n° 19.496
Authors: Goldenberg Juan Luis
Published: March 2023

El objetivo del presente artículo es revisar los diversos encuadres que ofrece la dignidad humana y, conforme a ello, identificar la forma en que las reglas de responsabilidad civil pueden dar adecuada respuesta a tal propósito en la medida en que se identifiquen sus diversas funciones. La mirada que se ofrece se centra en la tutela de la dignidad del consumidor, no sólo por su referencia normativa, sino con el objetivo de aportar en la comprensión del Derecho como un elemento de moralización de las relaciones entre individuos, incluso en los fenómenos de intercambios masivos y cada vez más deshumanizados.