bluuebunny/crossref_metadata_2025 huggingface dataset:
Elaborer des stratégies pour relever de grands défis : développement économique et traditions de gouvernance au sein des gouvernements locaux de Malaisie
Authors: Hughes Jeffrey , Orr Kevin , Yusoff Mazlan
Published: June 2023

Cette étude qualitative fournit des connaissances empiriques et développe une théorie sur le rôle de la gestion stratégique dans le gouvernement local malaisien. Alors que le pays s’attaque au grand défi de la croissance économique dans le cadre d’aspirations nationales durables visant à passer du statut de pays en développement à celui de pays pleinement développé, l’analyse identifie six approches de la gestion stratégique au sein de neuf autorités locales malaisiennes. Plutôt que de présenter une progression linéaire, les six modèles d’élaboration de stratégies en Malaisie mettent en lumière les traditions de gouvernance qui coexistent dans ce contexte. L’étude examine les hypothèses sur la gestion publique qui sous-tendent les différentes approches et les relie à l’héritage du pays en matière d’administration publique classique et de gouvernement centralisé, à l’introduction de la nouvelle gestion publique et à l’émergence ultérieure des caractéristiques du nouveau management public. Elle contribue à la théorie en proposant une analyse du rôle de la stratégie dans chacune des trois traditions de gouvernance et relie les débats sur la gouvernance locale aux études sur la gestion stratégique. Elle contribue également à l’émergence d’une littérature sur l’élaboration de stratégies pour les grands défis et au nombre limité d’études de ce type réalisées dans le contexte du secteur public. L’article se termine en identifiant les implications pour la politique et la pratique et en suggérant des domaines de recherche supplémentaires. Remarques à l’intention des praticiens Cette étude met en évidence la nécessité de collaborer pour résoudre les problèmes stratégiques, gérer les pressions économiques et fournir des services publics. Les six méthodes d’élaboration des stratégies présentées fournissent un ensemble de modèles et de cadres à travers lesquels les praticiens peuvent évaluer leur environnement local. Notre typologie offre une base pour l’apprentissage et la réflexion intersectoriels, y compris des moyens de diagnostiquer les variables contextuelles et de développer des connaissances stratégiques. Le cas de la Malaisie montre comment le contexte de la formation de la stratégie a été affecté par le passage du gouvernement local à la gouvernance, ainsi que par l’interaction des héritages coloniaux.
La coopétition dans un processus de fusion : les régulateurs et la gestion des tensions coopétitives
Authors: Thelisson Anne-Sophie
Published: June 2023

Des tensions coopétitives peuvent apparaître lorsque des décisions stratégiques sont imposées aux entreprises qui les obligent à rechercher la concurrence et la collaboration avec d’autres organisations. Les régulateurs, tels que l’État, peuvent interférer dans les stratégies de fusion. Basée sur une étude de cas longitudinale, la présente étude a pour objectif : (1) d’analyser quels régulateurs influencent les tensions coopétitives dans les processus de fusion (y compris les étapes de négociation et d’intégration) ; et (2) d’explorer comment les tensions coopétitives sont gérées au cours du processus. Nous avons constaté que l’État et les clients jouent un rôle architectural en tant que régulateurs au cours du processus (période de négociation, accord et processus d’intégration). Nous examinons la gestion du paradoxe de la coopétition à différents niveaux (interorganisationnel, organisationnel et individuel) au cours du processus de fusion. Remarques à l’intention des praticiens Notre étude met en lumière les tensions vécues par les cadres aux identités contradictoires au début de l’intégration et la manière dont ils ont fait face à ces tensions. En effet, notre étude a mis en lumière le principe d’intégration puisque les managers ont pu transcender le paradoxe dans leurs décisions et actions mises en œuvre au niveau organisationnel en réorganisant l’organisation et en favorisant les équipes en tandem et le pilotage conjoint.
La pratique du raisonnement motivé : observation de l’utilisation des connaissances dans des processus stratégiques réels
Authors: Dorren Lars , Böhme Mirijam
Published: June 2023

La théorie du raisonnement motivé est une théorie psychologique selon laquelle les décideurs politiques interprètent les données en fonction de leurs préférences plutôt que de les évaluer de manière neutre. Cette théorie est de plus en plus utilisée pour expliquer les processus politiques dans le cadre d’une approche comportementale de l’administration publique, mais elle présente des limites. La recherche psychologique s’appuyant sur des expériences, la question reste de savoir quel rôle joue le raisonnement motivé dans les processus stratégiques réels. Basée sur des observations ethnographiques recueillies pendant la phase de planification d’un grand projet d’infrastructure, cette étude confirme que le raisonnement motivé explique comment les gens interprètent l’information. Cependant, elle montre également que le contexte des personnes a un impact important sur leur raisonnement. En fin de compte, nous suggérons qu’il est essentiel de se concentrer sur le temps et le contexte réel pour comprendre les processus de raisonnement, ce qui nécessite une diversification méthodologique. Remarques à l’intention des praticiens Les gens ont tendance à interpréter les informations à la lumière des opinions existantes, plutôt que de les aborder de manière neutre. Ils les interprètent de telle manière qu’elles confirment leur opinion, ou les remettent en question lorsque ce n’est pas le cas. Les conflits provoqués par la différenciation des points de vue peuvent être mieux compris si l’on examine les opinions qui sous-tendent ces points de vue. Les discussions qui peuvent sembler sans but à première vue peuvent avoir des fonctions secondaires telles que l’instauration d’un climat de confiance entre les participants.
John Dewey : une porte ouverte sur l’économie des émotions
Authors: Petit Emmanuel , Ballet Jérôme
Published: June 2023

L’influence du pragmatisme sur l’institutionnalisme, et notamment sur celui de John Commons, est désormais largement reconnue. En particulier, l’importance des règles et des habitudes dans les comportements a été bien mis en évidence dans le pragmatisme. Néanmoins, l’importance, dans ce courant de pensée, de la réflexion sur la bifurcation ou la rupture par rapport aux règles et aux habitudes a été minorée. Cet article souligne que John Dewey, un des pragmatistes les plus influents, a pensé ces transformations. Celles-ci sont analysées chez lui à partir de trois concepts clés : l’expérience, la transaction et l’émotion. Il en découle une nouvelle piste de réflexion pour l’analyse économique, en particulier dans le rôle que les émotions peuvent jouer dans les changements par rapport aux règles et aux habitudes de comportement. Dewey nous invite ainsi à une économie de l’émotion plus riche que ce que l’analyse économique n’a produit pour l’instant. Classification JEL  : B25, B40.
Proche aidance d’aînés et appartenance ethnoculturelle au Québec : l’apport d’une analyse quantitative
Authors: Mezdour Amina , Koba Éric
Published: June 2023

Introduction : Le nombre de proches aidants d’aînés est appelé à augmenter en raison du vieillissement démographique mondial, et ce particulièrement dans les pays où persiste un manque de professionnels de la santé, comme au Québec (Canada). Dans une société construite sur l’immigration, il est plus que pertinent de se questionner quant à la prévalence du rôle des proches aidants dans les communautés ethnoculturelles issues de l’immigration. Jusqu’à ce jour, aucune étude quantitative n’a été effectuée à leur sujet au Québec. C’est entre autres ce manque que vise à combler notre étude. But de l’étude : Explorer l’influence de l’appartenance ethnoculturelle en contexte migratoire sur la probabilité de devenir un proche aidant au Québec. Résultats : Les chances de devenir un proche aidant sont élevées pour les personnes nées au Canada qui participent à des activités religieuses, notamment celles qui sont de sexe féminin. Conclusions : Il existe un lien statistiquement significatif entre le rôle de proche aidant et le lieu de naissance. Les personnes nées à l’extérieur du Canada ont moins de chances d’acquérir ce rôle ultérieurement, reflétant les biais des politiques d’immigration canadiennes.
Identification and validation of biomarkers for epithelial-mesenchymal transition-related cells to estimate the prognosis and immune microenvironment in primary gastric cancer by the integrated analysis of single-cell and bulk RNA sequencing data
Authors: Shen Kaiyu , Ke Shuaiyi , Chen Binyu , Zhang Tiantian , Wang Hongtai , Lv Jianhui , Gao Wencang
Published: June 2023

Background: The epithelial-mesenchymal transition (EMT) is associated with gastric cancer (GC) progression and immune microenvironment. To better understand the heterogeneity underlying EMT, we integrated single-cell RNA-sequencing (scRNA-seq) data and bulk sequencing data from GC patients to evaluate the prognostic utility of biomarkers for EMT-related cells (ERCs), namely, cancer-associated fibroblasts (CAFs) and epithelial cells (ECs). Methods: scRNA-seq data from primary GC tumor samples were obtained from the Gene Expression Omnibus (GEO) database to identify ERC marker genes. Bulk GC datasets from the Cancer Genome Atlas (TCGA) and GEO were used as training and validation sets, respectively. Differentially expressed markers were identified from the TCGA database. Univariate Cox, least-absolute shrinkage, and selection operator regression analyses were performed to identify EMT-related cell-prognostic genes (ERCPGs). Kaplan-Meier, Cox regression, and receiver-operating characteristic (ROC) curve analyses were adopted to evaluate the prognostic utility of the ERCPG signature. An ERCPG-based nomogram was constructed by integrating independent prognostic factors. Finally, we evaluated the correlations between the ERCPG signature and immune-cell infiltration and verified the expression of ERCPG prognostic signature genes by in vitro cellular assays. Results: The ERCPG signature was comprised of seven genes (COL4A1, F2R, MMP11, CAV1, VCAN, FKBP10, and APOD). Patients were divided into high- and low-risk groups based on the ERCPG risk scores. Patients in the high-risk group showed a poor prognosis. ROC and calibration curves suggested that the ERCPG signature and nomogram had a good prognostic utility. An immune cell-infiltration analysis suggested that the abnormal expression of ERCPGs induced the formation of an unfavorable tumor immune microenvironment. In vitro cellular assays showed that ERCPGs were more abundantly expressed in GC cell lines compared to normal gastric tissue cell lines. Conclusions: We constructed and validated an ERCPG signature using scRNA-seq and bulk sequencing data from ERCs of GC patients. Our findings support the estimation of patient prognosis and tumor treatment in future clinical practice.
Naive, Scholar, and Roots Tourism in Italy: A Visualized Personal Journey
Authors: Krase Jerome
Published: June 2023

I have been traveling to Italy since 1964. My first excursion was a road trip with my wife Suzanne (Nicoletti). It was an example of what I call ‘Naive Tourism,’ as we understood little about Italy, other than what we had learned from popular media. Most of my many subsequent ‘Scholar Tourism’ expeditions have been visual studies of Italian vernacular landscapes and impacts of immigrants to Italy. As to ‘Roots Tourism,’ I have made three ventures that also provided opportunities for visual documentation. These diverse touristic experiences have found expression in a wide variety of academic and journalistic outlets. Sometimes the visits to Italy served as foils for political and social commentary. In this autoethnographic and visually enhanced essay, discussions and examples and of each type of tourism will be provided.
Il viaggio in Italia. Dal passaggio in terza classe nel secondo dopoguerra al ritorno alle radici degli umbri d’Argentina oggi
Authors: Lucarini Ariel Mario
Published: June 2023

Il fenomeno dello sviluppo crescente del turismo delle radici rappresenta una occasione per riflettere sulle condizioni sociali in cui si presentano le varie forme di ritorno in Italia dei discendenti degli italiani. In questo articolo ci proponiamo di esaminare, da diverse fonti documentali, tre forme di ritorno in Italia degli immigrati del secondo dopoguerra e dei loro discendenti. Esamineremo come erano rappresentati nei giornali dell’epoca i viaggi e i collegamenti con l’Italia e quale fosse il rapporto tra migrazione e turismo in quegli anni in cui l’emigrazione italiana in Argentina era all’apogeo. Nella seconda parte, sulla base di interviste raccolte per un’indagine più ampia, indagheremo la percezione degli emigranti umbri a Buenos Aires riguardo il ritorno nel loro paese di origine. Infine, descriveremo l’attuale iniziativa del turismo delle radici promossa dai discendenti di quei primi umbri giunti in Argentina nel secondo dopoguerra da cui è nato il progetto Binario Due del Centro Umbro di Buenos Aires.
La città che sale
Authors: David Massimiliano , De Togni Stefano , Graziano Maria Stella
Published: June 2023

Il progressivo innalzamento dei livelli d’uso nei contesti urbani è un fenomeno ben documentato archeologicamente. A Ostia questo fenomeno assume una visibilità del tutto particolare. Le ricerche del Progetto Ostia Marina permettono di aggiungere ulteriori elementi di riflessione a questa complessa tematica. I dati disponibili riguardano in particolare il Caseggiato delle due scale, le Terme del Sileno, le Terme della Marciana e l’edificio IV, ix, 5. Le indagini hanno offerto nuove acquisizioni sulle prime fasi di urbanizzazione del quartiere, risalenti al I sec. d.C., poi obliterate dalle costruzioni successive. Le quote ottenute dallo scavo stratigrafico sono state confrontate con quelle ricavabili dagli edifici già scavati e hanno offerto l’opportunità di ricostruire un quadro più ampio e articolato del fenomeno.
Corps animaux et poisons
Authors: Bouliau Damien
Published: June 2023

Un lien entre poisons et corps animaux est effectué durant toute l’époque moderne. Les traités toxicologiques du xvie siècle montrent l’ambiguïté des corps animaux en matière de poison et associent animaux familiers et légendaires comme le basilic. À partir du xviie siècle, les savoirs toxicologiques et juridiques se naturalisent avec un double processus de mutation des savoirs toxicologiques et de sécularisation du crime de sorcellerie. Les savants italiens, anglais et français expérimentent les poisons sur les animaux afin d’en déterminer les effets. Le cas du parlement de Toulouse permet d’observer les différentes transformations des poisons dans les procédures pour sorcellerie et la place des corps animaux. Avec la dédiabolisation du poison, il devient possible de trouver les signes de l’empoisonnement dans le cadavre de la victime ou en testant la toxicité des substances ingérées sur des animaux. Les sources présentent la marginalité de ces pratiques en France. La médecine légale et la toxicologie n’en sont encore qu’à leur protohistoire.
“Martha’s Labyrint Een uitzonderlijke vrouwengeschiedenis”
Authors: Roelens Jonas
Published: June 2023

BOEK: Het leven lacht de 26-jarige Martha Geiringer toe in 1938: de Weense biologe werkt volop aan een veelbelovend doctoraat. Een doctoraat dat nooit voltooid zal worden. Want Martha is Joods. Door de Anschluss en het sterk toegenomen antisemitisme verlaat Martha noodgedwongen haar onderzoeksinstituut en samen met haar familie slaat ze op de vlucht. Via Zwitserland en Frankrijk belandt ze in België. Daar wordt ze opgevangen door Yvonne Fontaine, een Gentse verzetsstrijdster die zich het lot van de Martha aantrekt en haar van 1938 tot 1942 onderdak verleent in haar dokterspraktijk.
“Operation Mincemeat”
Authors: Capiau Brecht
Published: June 2023

FILM: ‘Alle oorlogsvoering is gebaseerd op misleiding’, schreef Sun Tzu in ‘The Art of War’. In het dertiende en laatste hoofdstuk van het beroemde boek uit de vijfde eeuw voor Christus, illustreert de Chinese wijsgeer deze stelling door uitvoerig de inzet van spionnen en inlichtingendiensten tijdens een oorlog toe te lichten. Hij onderscheidt maar liefst vijf types van inlichtingen en legt uit hoe je die het best op elkaar kan afstemmen.
Daders
Authors: Crahay Frédéric
Published: June 2023

De dader of beul heeft altijd gefascineerd en angst aangejaagd. De daders van massamisdaden zijn diegenen die de vernietiging van een specifieke groep uitvoeren, vergemakkelijken of bevelen.Nummer 100 van Getuigen, dat in september 2008 verscheen, boog zich over nazi-beulen. Dit dossier biedt de lezer een historische en criminologische benadering van andere genocides van de 20e eeuw.
“Der Vortrupp, das warst eigentlich nur Du.” Een Antwerpse exiluitgeverij die er geen was
Authors: Judo Frank
Published: June 2023

Gedurende een bijzonder korte periode (1939) was uitgeverij Vortrupp in Antwerpen actief. De conservatieve joodse uitgever Hans Joachim Schoeps (1909-1980) ontvluchtte Duitsland in 1938 – zijn beide ouders zouden in de Holocaust omkomen. Historicus en (kerk-)jurist Frank Judo schetst Schoeps’ calvarietocht door België en Nederland om de Berlijnse uitgeverij in ballingschap nieuw leven in te blazen. Judo beroept zich daarvoor op ongepubliceerd bronnenmateriaal, dat hij in de Berliner Staatsbibliothek terugvond.
Olfactory bulbectomy leads to prolonged induction phase of sevoflurane anesthesia in rats
Authors: Ali Ahiskalioglu , Kanat Ayhan , Aydin Mehmet Dumlu , Kazdal Hizir , Kocak Nuri , Ozmen Sevilay
Published: June 2023

The effect of olfactory bulb lesions on the induction time of sevoflurane has never been studied. We aimed to investigate this issue. In this study, we found that the volume of olfactory bulbs and the pore of the fila olfactoria were significantly lower with the fibrosis of olfactory bulbs in animals subjected to olfactory bulbectomy. Volatile anesthetics induction times were measured in all groups. Prolonged induction was observed in olfactory bulbectomy group. It was concluded that increased induction times of sevoflurane may be due to the olfactory bulb lesion.
Comparative evaluation of dentinal penetration of sealer with extracanal and intracanal heating of sodium hypochlorite: An in vitro study
Authors: Ahuja Kritika , Jaiswal Shikha , Nikhil Vineeta , Gupta Sachin
Published: June 2023

Aim:

The aim of this study was to evaluate and compare the depth and percentage of sealer penetration into dentinal tubules using extracanal and intracanal heated NaOCl in the irrigation protocol using a confocal laser scanning microscope.

Methods:

Thirty extracted central incisors prepared till F4 ProTaper Gold were randomly distributed into three groups (n = 10 each) depending on the final irrigation protocol. Group C – nonheated 3% NaOCl, group EC – extracanal heated 3% NaOCl, and group IC – intracanal heated 3% NaOCl. Final irrigation with different warming protocols along with sonic activation was performed. Canals were obturated with standardized F4 Protaper Gold gutta-percha cone coated with AH Plus sealer labeled with Rhodamine B dye. The transverse sections of samples at different levels were examined on a confocal microscope and analyzed using IOB software. Unpaired “t” test and Mann–Whitney U test were used for intergroup comparison; P < 0.05.

Results:

The percentage of sealer penetration was significantly lower in group C as compared to group IC and EC at the coronal and middle third. Group C showed a lower depth of sealer penetration as compared to group EC and IC at all levels. The percentage and depth of sealer penetration were not significantly different between group EC and IC at all levels.

Conclusion:

Extracanal and intracanal heating of NaOCl significantly improves the percentage and depth of AH Plus sealer penetration in dentinal tubules.
Evaluation of antimicrobial efficacy of herbal extracts and their effect on the surface characteristics of gutta-percha cones: An in vitro study
Authors: Shetty Anshuman , Rai Shivprasad , Sudhakar Shetty Suhani
Published: June 2023

Aim:

The aim was to evaluate the antimicrobial efficacy of herbal extracts of Origanum vulgare (Oregano) and Vaccinium (Cranberry) for disinfection of gutta-percha (GP) and their effects on surface of GP.

Methods:

A total of 84 GP points were divided into three groups. Group A (36 cones) was artificially contaminated by Staphylococcus aureus (SA), Group B (36 cones) by Enterococcus faecalis (EF), and Group C (12 cones) by both the organisms each. After the contamination of all the groups, all the points in Groups A and B were divided into three groups of 12 each and were disinfected by four different concentrations of Origanum vulgare and Vaccinium extracts, contaminated but not disinfected and was used as control. The Group C GP points were all disinfected by 3% sodium hypochlorite (NaOCl). All the disinfected and the control group samples were then incubated to detect bacterial growth. Minimum inhibitory concentration and minimum bactericidal concentration were determined for all the groups of O. vulgare and Vaccinium at all the concentrations. P < 0.05.

Results:

The present study showed a significantly higher bacteriostatic and bactericidal activity with O. vulgare extract followed by NaOCl as compared to Vaccinium extract against SA and EF. Furthermore, higher surface alterations were seen on GP disinfected with NaOCl and the least with O. vulgare.

Conclusion:

Considering the amount of surface changes caused by NaOCl on GP when used as a disinfecting solution, O. vulgare extract is a suitable herbal substitute for the same which shows comparatively much lesser topographic changes.
Evaluation of interorifice distance in permanent mandibular first molar with middle mesial canal in Bengaluru city, Karnataka: A cone-beam computed tomography study
Authors: Mahajan Shruthika , Meena N. , Rangappa Anithakumari , Mashood Ali Mohammed , Murthy Chethana , Lokapriya M.
Published: June 2023

Aim:

Analysis of interorifice distance (IOD) between mesiobuccal and mesiolingual canals in the presence of middle mesial canal (MMC) variants in mandibular first permanent molar (MFPM) in an Indian subpopulation. To categorically assess the prevalence of MMC variants considering variation in factors of age and gender.

Methods:

Analysis of preoperative cone-beam computed tomography (CBCT) images was performed on 256 MFPM. MMCs were classified as fin, confluent, or independent as per the classification given by Pomeranz et al. (1981). Orthogonal slices from pulpal floor to 4 mm below were used to measure mean IOD using the CBCT software tool. Data were subjected to descriptive statistics. The Chi-square test was used for further analysis.

Results:

The prevalence of independent MMC was 4.7% (n = 12), confluent 14.6% (n = 37), and fin 8.7% (n = 22). The mean IOD measured for fin variant was 3.12 ± 0.512 mm, 3.31 ± 0.402 mm for confluence variant, 3.72 ± 0.493 mm for independent MMC, and 3.36 mm ± 0.579 for two-canal variant. Significant association (P = 0.001) was observed between age, gender, and overall detection of MMC, wherein the presence of fin (8.6%) and confluent (12.9%) configurations was higher (P = 0.003) in individuals ≤40 years. There was increased IOD in females (17.9%) than males (10.3%), for confluent, independent, and two-canal configuration (P = 0.04; =0.01, =0.001). Decreased IOD was observed in individuals >40 years for two-canal configurations (P = 0.05).

Conclusion:

Preoperative CBCT assessment of MFPM aids in the detection of MMC. According to the results of this study, individuals aged ≤40 years have shown higher prevalence of fin and confluent variants. Increased IOD was seen in females for confluent, independent, and two-canal configurations. Decreased IOD was seen in individuals aged >40 years having two-canal configuration. Thus, root canal complexities vary with age and gender, and should be taken into consideration before endodontic treatment.
Comparison of postoperative pain in single visit endodontics using heat-treated nickel − titanium file systems – A randomized clinical trial
Authors: Unnikrishnan Priyanka , Mandke Lalitagauri , Padhye Leena
Published: June 2023

Aim:

The aim of the present study was to compare postoperative pain in single visit endodontics using heat-treated nickel − titanium file systems (ProTaper Gold, HyFlex EDM, V Taper 2H).

Methods:

Sixty patients requiring endodontic treatment in vital permanent lower molars with irreversible pulpitis were included in the study. Patients were divided into three groups each containing 20 patients: Group 1 teeth prepared with ProTaper Gold (Dentsply), Group 2 HyFlex EDM (Coltene), and Group 3-V Taper 2H (SS WHITE). Treatment was performed in a single visit. The severity of the postoperative pain was assessed by the Visual Analog Scale after 2, 4, 8, 12, 24, and 48 h. Data were analyzed using the Kruskal–Wallis tests.

Results:

There was no significant difference in the incidence of postoperative pain among the three groups. There was significant reduction in pain from preoperative till the end of 2 days, irrespective of the file systems used. When compared between the three groups. There was no significant difference in pain scores at different time intervals. When change in pain from preoperative to different time intervals was compared, there was no significant difference between all three groups. V Taper 2H files showed increased pain scores from 4 to 12 h, however, the pain reduced thereafter till 48 h with no significant statistical difference.

Conclusion:

Results of this in vivo study showed that there was no significant difference in the incidence of postoperative pain among the three groups.
Predominant polarity in bipolar affective disorder and its impact on cognition and quality of life
Authors: Bhardwaj Shashank , Sinha Deoraj , Pawar Ami , Mane Astik
Published: June 2023

Background:

Bipolar mood disorder or bipolar affective disorder (BPAD) is a chronic illness characterized by phases of mania/hypomania, depression, or mixed episodes. The course of bipolar mood disorder is relapsing in nature. It is associated with high comorbidity rates, a large number of premature deaths due to suicide, and a worse social and work performance. All of those characteristics entail a significant economic impact due to both direct and indirect costs and require an effective diagnostic and therapeutic approach. Lifetime prevalence of BPAD is approximately 4% worldwide. Various attempts have been made to define “predominance” of polarity in BPAD.

Need for this Study:

Our study tries to highlight the existence of predominant polarity by comparing effects of the same on substance consumption, cognitive abilities, quality of life, and preponderance of specific polarity to specific gender.

Method:

After Institutional Ethics Committee Approval and written informed consent, patients who were diagnosed with BPAD attending out-patient department of a tertiary care hospital in Mumbai were recruited. A total of 57 participants were enrolled. The World Health Organization Quality of Life - Brief Scale (WHOQOL BREF) and the Montréal Cognitive Assessment (MoCA) were both used to evaluate the patients’ quality of life and cognitive ability, respectively.

Discussion and Results:

Men exhibited manic predominant polarity, while women had depressive predominant polarity, with P value of. 003. Regarding age, illness length, education, substance abuse, family history, and suicide attempts, there was no discernible difference in the polarities. The outcome of female bipolar patients may be improved if the clinician is mindful of the burden of depression, risk of misdiagnosis, and variable therapy response. Interestingly, our study found no significant difference between MoCA scores of those with depressive and manic polarity. Substantial MoCA score differences were found between the groups with depressive polarity and no polarity.

Conclusion:

Men were observed to experience more manic episodes. More women in the study experienced predominantly depressive polarity, highlighting the need to probe for a past history of hypomania or mixed episodes to avoid misdiagnosis as unipolar depression in them. Manic predominate polarity performed better in the physical and psychological domains of the post hoc test for quality-of-life BREF scale. There were substantial MoCA score differences between the groups with depressive polarity and no polarity, with the depressive polarity showing more cognitive decline.
The clinical profile and outcome of patients receiving continuation electroconvulsive therapy (C-ECT): A retrospective study
Authors: Grover Sandeep , Kathiravan Sanjana , Chakrabarti Subho
Published: June 2023

Background:

There is a lack of data on the use of continuation electroconvulsive therapy (C-ECT) from India.

Objectives:

This study aimed to evaluate the clinical profile and outcome of patients receiving C-ECT.

Materials and Methods:

The ECT register was used to identify patients receiving C-ECT (ECT after completion of an acute course, to maintain remission or prevent relapse) from 2011 to July 2022. Socio-demographic, clinical, and treatment outcome details were extracted from their treatment records.

Results:

A total of 72 C-ECT courses were identified that were used in 60 patients. Out of all the patients receiving ECT, only 3.25% of patients receive C-ECT. The majority of the patients were male (60%). The mean age of the patients at the time of starting ECT was around 39 years. The most common diagnosis was schizophrenia (73.3%), followed by recurrent depressive disorder (21.6%). The most common indication was persistent psychotic symptoms poorly responding to multiple antipsychotic trials of 3.09 (SD: 1.39), including clozapine. These patients received a mean of 22.58 (SD: 8.05; range: 10 to 46) ECTs, with 10.0 (SD: 4.83) ECTs for the management of the acute phase of illness and 12.57 (SD: 6.20) ECTs as part of continuation treatment. The majority (61.1%) of the patients received four (once weekly) C-ECTs in the first month, followed by three more in the next month. However, 16 patients received weekly ECTs during the second month too, as symptoms worsened with the lowering of frequencies. Twelve patients received more than one C-ECT course. The majority of the patients maintained the improvement gained during the acute phase or showed further improvement with C-ECT along with ongoing pharmacotherapy as rated on appropriate scales. The Clinical Global Impressions-Severity (CGI-S) difference before and after C-ECTs was 2.94 (SD: 0.88).

Conclusions:

C-ECT is considered in only in a small proportion of patients. However, when used, it is effective in maintaining the benefits gained during the acute course of ECT and preventing relapse.
Evaluation of a manual-based training program in changing auxiliary nurse midwives (ANMs) knowledge, attitudes, and skills related to maternal mental health
Authors: Poreddi Vijayalakshmi , Gandhi Sailaxmi , Ramachandra  , Ganjekar Sundarnag , Desai Geetha , Chandra Prabha S.
Published: June 2023

Background:

Globally, maternal mental health has been recognized as a priority public health issue. While it is crucial to integrate maternal mental health into mother and child health services, research on strengthening the knowledge and skills of primary healthcare providers on maternal mental health is limited in India.

Aim:

To evaluate the effectiveness of a manual-based training program in improving auxiliary nurse midwives (ANMs) knowledge, attitudes, and skills related to maternal mental health.

Methods:

The present study adopted an experimental design among ANMs (N = 110) working at primary health centers, Karnataka, India. The participants were randomly assigned to either experimental group (n = 53) or control group (n = 57). The training program delivered interactive sessions based on a facilitator’s manual developed specifically for ANMs in India. The assessments were done in both groups at baseline, after the intervention, at three months and at six months using self-rated questionnaires and a case vignette. The descriptive and inferential statistics were used to analyze the data.

Results:

After the training program the mean knowledge, attitudes and skills scores were significantly increased in the experimental group (P < 0.001) and significant differences were found between the mean scores of the groups at 3 months and 6 months follow-up (P < 0.05).

Conclusion:

The training program was found to have a positive impact in enhancing ANMs’ knowledge, attitudes, and skills related to maternal mental health in India as there is dearth for mental health professionals in primary care settings.
Dropout rates and reasons for dropout among patients receiving clozapine
Authors: Grover Sandeep , Mishra Eepsita , Chakrabarti Subho
Published: June 2023

Background and Aim:

The present study aimed to assess the treatment dropout rates, reasons for treatment dropout, and clozapine discontinuation rate among patients attending a tertiary care center in North India.

Materials and Methods:

Clozapine data bank was used to identify patients on clozapine, and their treatment records were reviewed for the period Jan 2020–March 2020. Patients who did not follow-up at least once in the last 6 months were considered to have dropped out and were contacted telephonically to understand the reasons for dropout. Treatment records of those following up regularly were reviewed to check if clozapine was discontinued and if so, the reason for the same was evaluated.

Results:

Out of 671 patients on clozapine, 495 (73.8%) were still on regular follow-up and the remaining 176 (26.2%) had dropped out of treatment. Out of the 176 patients who had dropped out of treatment, 84 could be contacted. Common reasons for dropout were long distance from the hospital (n = 27), long waiting time for consultation (n = 8), no benefit with treatment (n = 17), side effects with medication (n = 10), moving away to another place (n = 6), refusal by the patient to follow-up (n = 7), patient improved and so did not feel the need to continue treatment (n = 7), and other reasons (n = 37).

Conclusion:

About one-fourth of patients who had started treatment with clozapine dropped out from the treatment. The most common reasons for dropout from treatment included long distance from the hospital and no benefit from treatment.
Self-Removing Antegrade Tethered Ureteric Stents After Tubeless Percutaneous Nephrolithotomy in the COVID-19 Era
Authors: Reddy Bathi Sourabh , Kulshreshtha Mayank , Reddy Suraj Jayadeva , Pillai Sunil , Chawla Arun , Shah Milap , Somani Bhaskar K. , Kankaria Sanket
Published: June 2023

Purpose:

To assess the safety and efficacy of self-removing antegrade tethered stents after percutaneous nephrolithotomy (PNL) during the COVID-19 pandemic.

Materials and Methods:

Instead of routine placement of double-J stent which requires endoscopic removal, a tethered antegrade stent after tubeless PNL as an exit strategy followed by self-removal can obviate the need of early postoperative revisit. A prospective observational study in a university teaching hospital was conducted during the lockdown period from May 2021–June 2021 with the use of antegrade tethered stent in 30 patients and we studied the complications associated with it.

Results:

The average stone size among the patients was 2.4 cm (1.2–4.9). Postoperative visual analog scale (VAS) till the time of stent removal was 30.8 + 4.4 mm while the VAS at stent removal was 26.6 + 3.8 mm. None of the patients had urine leak or hemorrhage from the site of percutaneous access after self-removal of stent. Two (6.66 percent) patients had grade I and grade II modified Clavien–Dindo complication. The mean score of satisfaction with life scale (SWLS) Questionnaire was 31 (34–27). The present study demonstrates that tubeless PNL with antegrade tethered stent has the advantages of avoiding hospital visits for stent removal during COVID-19.

Conclusion:

The use of an antegrade threaded stent is safe, culminating in minimal morbidity and patient distress, and greater overall patient satisfaction.
Ignition Characteristics of Dielectric Barrier Discharge Ignition
System under Elevated Pressure and Temperature in Rapid Compression and
Expansion Machine
Authors: Agrawal Saurabh , Yamamoto Shuya , Horibe Naoto , Hayashi Jun , Kawanabe Hiroshi
Published: June 2023

A rapid compression and expansion machine (RCEM) was used to experimentally
investigate the ignition phenomena of dielectric-barrier discharge (DBD) in
engine conditions. The effect of elevated pressure and temperature on ignition
phenomena of a methane/air premixed mixture was investigated using a DBD
igniter. The equivalence ratio was changed to elucidate the impact of DBD on
flame kernel development. High-speed imaging of natural light and OH*
chemiluminescence enabled visualization of discharges and flame kernel.
According to experimental findings, the discharges become concentrated and the
intensity increases as the pressure and temperature rise. Under different
equivalence ratios, the spark ignition (SI) system has a shorter flame
development time (FDT) as compared with the DBD ignition system.
Subskrypcje – nowy sposób finansowania prasy na przykładzie Gazety Wyborczej
Authors: Dzierżyńska-Mielczarek Jolanta
Published: June 2023

Celem artykułu jest analiza modelu subskrypcyjnego i jego rentowności u wydawców prasy. Płatny model dostępu do treści i usług medialnych w internecie stał się szansą na wyjście z kryzysu spadku czytelnictwa prasy drukowanej i wzrostu przychodów jej wydawców. Przykład Gazety Wyborczej, która jako jeden z pierwszych dzienników w Polsce wprowadziła płatne subskrypcje cyfrowe, wskazuje, że ich sprzedaż szybko staje się dominującą formą sprzedaży egzemplarzowej, głównie za sprawą dużego spadku sprzedaży tytułu w druku. Mniejsza rentowność subskrypcji cyfrowych powoduje jednak niższe przychody ze sprzedaży treści czytelnikom, a mniejsze wpływy z reklamy w internecie – niższe przychody ogółem. Analiza wykazała zatem, że subskrypcje cyfrowe są sposobem na odzyskanie czytelników i mogą się stać głównym źródłem finansowania działalności prasowej, ale nie zapobiegają obniżeniu przychodów wydawców prasy. Subscriptions – A New Way of Financing the Press on the Example of Gazeta Wyborcza The aim of the article is to analyse the subscription model and its economic profitability for press publishers. The paid model of access to content and media services on the Internet has become an opportunity to overcome the crisis of the decline in readership of the printed press and increase the revenues of its publishers. The example of Gazeta Wyborcza, which was the first daily in Poland to introduce paid digital subscriptions, shows that their sale is quickly becoming the dominant form of copy sales, mainly due to a large drop in sales of the title in print. However, lower profitability of digital subscriptions results in lower revenues from sales of content to readers, and lower revenues from online advertising – lower total revenues. The analysis, therefore, showed that digital subscriptions are a way to win back readers, but not a sufficient source of funding for press activities.
The Puzzles of Topic Dislocations in Polish
Authors: Mokrosz Ewelina
Published: June 2023

Niniejszy artykuł analizuje konstrukcje, w których uwydatniona jest informacja dana. W pierwszej części artykułu dokonujemy klasyfikacji topików znajdujących się w analizowanych konstrukcjach. Ponieważ proces topikalizacji kojarzony jest zazwyczaj z przesunięciem w strukturze, wybrane testy pokazują czy rzeczywiście wszystkie badane konstrukcje wykazują cechy przesunięcia. Jak się okazuje, konstrukcje z topikiem kontrastywnym potrzebują analizy, która pogodzi ze sobą cechy przesunięcia do pozycji argumentu oraz do pozycji innej niż pozycja argumentu. Przedstawione dowody świadczą o tym, iż ruch dopełnienia w konstrukcjach o szyku dopełnienie-to-podmiot-orzeczenie jest ruchem niekwantyfikującym i wieloetapowym: najpierw do pozycji nad podmiotem aczkolwiek wykazującej cechy podmiotu, a następnie do pozycji okupowanej przez topiki. ABSTRACT In this paper we show that there are different topic dislocations in Polish, each representing a specific type of a discourse function. With a battery of diagnostic tests we analyse each dislocation and propose their classification. As it turns out, constructions implementing a contrastive topic exhibit features of both A and A’-movement, which turns out problematic for a uniform analysis. We demonstrate that the movement in them is non-quantificational. The movement targeting TopP consists of at least two steps. An object undergoes A-movement and lands in the specifier of an Aboutness Phrase. Then it moves to SpecTopP where it checks a discourse feature.
*Hydra, Nasality and Palatalization in Polish
Authors: Zdziebko Sławomir
Published: June 2023

Artykuł postuluje, iż kształt reprezentacji segmentów mowy w językach świata jest regulowany przez aktywność zasady *Hydra, która wskazuje jako nacechowane takie reprezentacje segmentalne, w których więcej niż jeden element pełni funkcję elementu nadrzędnego. W artykule wykazujemy, iż w językach takich jak francuski czy portugalski zasada *Hydra ma decydujący wpływ zarówno na kształt inwentarza samogłosek nosowych, jak i na wyniki pewnych procesów fonologicznych. Równocześnie zachowanie samogłosek nosowych w języku joruba wskazuje na nieabsolutną naturę zasady *Hydra. W języku polskim aktywność tej zasady jest niezbędna do zrozumienia zjawiska braku zmiękczenia spółgłosek tylnojęzykowych w kontekście samogłoski nosowej /ɛ/͂ oraz mechanizmów odpowiedzialnych za fakt, iż morfonologiczne zmiękczenia spółgłosek tylnojęzykowych, wargowych i zębowych mają miejsce w kontekście tych samych przyrostków słowotwórczych.

The paper proposes that the phonological make-up of segments is influenced by the activity of the constraint *Hydra, which penalizes the presence of more than one headed element per one phonological expression. *Hydra influences the shape of the inventories and the phonological behaviour of nasal vowels in languages such as French and Brazilian Portuguese. At the same time, the behaviour of nasal vowels in Yoruba shows that *Hydra a violable constraint. In Polish, the high ranking of *Hydra proves necessary to account for the absence of Surface Velar Palatalization before the front nasal vowel /ɛ/. It also allows us to formulate a unified account of the 1st Velar and Anterior Palatalization, which have very different structural descriptions but take place before the same set of derivational affixes.
Bezpieczeństwo materiałów archiwalnych w koncepcjach nowoczesnych budynków archiwalnych
Authors: Berska Barbara
Published: June 2023

Budynki archiwalne coraz częściej są konstruowane w sposób, który pomaga redukować zużycie energii. Dotyczy to w głównej mierze repozytoriów, ale w niektórych przypadkach ma też odniesienie do innych części funkcjonalnych archiwum. Przez wybór proekologicznych rozwiązań archiwa redukują swoją zależność od instalacji technicznych i w ten sposób uzyskują większe bezpieczeństwo użytkowania budynku, a ponadto obniżają koszty funkcjonowania przez redukcję zużycia energii. Budynek archiwum powinien być właściwie przygotowany do długoterminowego przechowywania materiałów archiwalnych. Musi także spełniać wymogi stawiane przyjaznej instytucji publicznej, dobrze przygotowanej do obsługi i zaspokajania różnorodnych potrzeb użytkowników w zakresie działalności prowadzonej przez archiwa państwowe. Pełnione funkcje mają wpływ na jego konstrukcję, wyposażenie oraz zastosowane instalacje, technologie i rozwiązania funkcjonalne. Na stan zachowania zbiorów gromadzonych, przechowywanych i udostępnianych w archiwach mają wpływ bardzo różne czynniki, w dużym stopniu zależy on od warunków wewnętrznego środowiska, w którym zbiory te są przechowywane, ale również od zastosowanych rozwiązań funkcjonalnych, architektonicznych czy konstrukcyjnych. Przykładem nowoczesnego budynku archiwalnego, nawiązującego w zakresie ww. rozwiązań do najlepszych przykładów obiektów przeznaczonych do zabezpieczania zasobów archiwalnych wybudowanych w Europie, jest Archiwum Narodowe w Krakowie.

Security of archival materials in the concepts of modern archival buildings

Archival buildings are increasingly being constructed in ways that help reduce energy consumption. This applies mainly to repositories, but in some cases also applies to other functional parts of the archive. By opting for environmentally friendly solutions, archives reduce their dependence on technical installations and thus achieve greater security of building use, in addition to reducing operating costs by reducing energy consumption. The archive building must be properly prepared for long-term storage of archival materials. It must also meet the requirements for a friendly public institution, well prepared to serve and meet the diverse needs of users in the field of state archives activities. The functions performed affect its design, equipment and the installations, technologies and functional solutions used. The state of preservation of collections collected, stored and accessed in archives is influenced by a wide variety of factors, and largely depends on the conditions of the internal environment in which the collections are stored, but also on the functional, architectural or structural solutions used. An example of a modern archival building, referring, in terms of the above solutions, to the best examples of facilities designed to secure archival resources built in Europe is the National Archives in Krakow.
Supporting the Use of Basic Scientific Process Skills with a Project Approach in Preschool Period: An Action Research
Authors: Kefi Sara
Published: June 2023

The aim of this study is to examine in detail the project approach practices in preschool education and the state of supporting the use of basic scientific process skills on the water project sample. The research was modeled according to the action research design, which is one of the qualitative research methods. The study group was formed with the participation of 20 children attending the İzmir Foça Municipality Children's House 6 (60-72 months) age group, their parents, a classroom teacher, a teacher assistant and a project manager. In the water project implemented within the scope of the study, documents/products obtained from various activities of the s children such as forming a concept network through brainstorming, generating questions, producing materials, drawing graphics, making measurements and calculations, field visits, ensuring the active participation of families in the process, conducting experiments were considered as data collection tools. These documents were categorized in the context of basic scientific processes, "estimation, observation, measurement, communication, data recording/interpretation, trying/experimentation, drawing conclusions" skills and analyzed with content analysis. In the analysis of 57 activities carried out during the project, it can be said that students are looking for answers to their questions by using skills such as "estimation, observation, measurement, data recording, trying/experimentation, communication, drawing conclusions", and the project process carried out in this way greatly supports their use of basic scientific process skills and thus contributes to their scientific thinking.
Nuevas líneas pastorales para el Tercer Milenio. Evangelización y catequesis en el magisterio eclesial y en la reflexión catequética de los albores del siglo XXI
Authors: Alberich Sotomayor Emilio
Published: June 2023

Los últimos diez años –prácticamente la década a caballo del año 2000– han sido muy fecundos en la reflexión y en el magisterio eclesial a propósito especialmente de la evangelización, la iniciación cristiana y la catequesis. Muchos documentos, publicaciones y experiencias quieren relanzar la acción evangelizadora y catequética por nuevos derroteros.
El "Audi, Filia" de San Juan de Ávila y una carta de San Jerónimo
Authors: Granado Bellido Antonio
Published: June 2023

Este trabajo intenta exponer que un pasaje de la carta de san Jerónimo a Principia inspiró a san Juan de Ávila para escribir el tratado de vida espiritual que es el Audi, filia.