bluuebunny/crossref_metadata_2025 huggingface dataset:
Morocco: Immigration Nation: Aid, Control, and Border Politics in Morocco, by Lorena Gazzotti (book review)
Authors: Natter Katharina
Published: September 2022

Immigration Nation: Aid, Control, and Border Politics in Morocco, by Lorena Gazzotti. Cambridge: Cambridge University Press, 2021. 256 pages. $110.
Palestine and Palestinians: Becoming Palestine: Toward an Archival Imagination of the Future, by Gil Z. Hochberg, and Networked Refugees: Palestinian Reciprocity and Remittances in the Digital Age, by Nadya Hajj (book review)
Authors: Matar Dina
Published: September 2022

Becoming Palestine: Toward an Archival Imagination of the Future, by Gil Z. Hochberg. Durham, NC: Duke University Press, 2021. 208 pages. $94.95 cloth; $24.95 paper. Networked Refugees: Palestinian Reciprocity and Remittances in the Digital Age, by Nadya Hajj. Berkeley: University of California Press, 2021. 146 pages. $34.95 paper.
Turkey: The Nation or the Ummah: Islamism and Turkish Foreign Policy, by Birol Başkan and Ömer Taşpınar (book review)
Authors: Yilmaz Ihsan
Published: September 2022

The Nation or the Ummah: Islamism and Turkish Foreign Policy, by Birol Başkan and Ömer Taşpınar. Albany, NY: SUNY Press. 222 pages. $95 cloth; $32.95 paper.
Relación entre bienestar psicológico y la percepción de calidad de vida en pacientes en hemodiálisis
Authors: Martínez Rojas Sandra Milena , Ruiz Roa Silvia Liliana
Published: September 2022

Introducción: La hemodiálisis es la alternativa terapéutica más empleada en los pacientes con enfermedad renal crónica; sin embargo, no se han establecido de forma multidimensional las condiciones de bienestar psicológico y la calidad de vida de estos pacientes.Objetivo: Analizar el perfil de bienestar psicológico y percepción de calidad de vida de pacientes en hemodiálisis, así como diferenciar e identificar la relación entre estas variables.Material y método: Estudio observacional descriptivo transversal realizado a 173 pacientes en hemodiálisis. Se emplearon los cuestionarios PGWBI para evaluar el bienestar psicológico y el WHOQOL-BREF para la calidad de vida.Resultados: Pacientes con ERC en tratamiento con HD con un promedio de 57,59±13,31 años, predominantemente de género masculino (n=110; 63,58%). Se encontraron altos índices de bienestar psicológico (78,61%) y percepciones moderadas de calidad de vida (54,91%), acompañadas de sintomatología depresiva (97,11%) y ansiosa (97,11%). La edad, nivel educativo, condición laboral, ingresos económicos, tener Diabetes Mellitus y concentraciones sanguíneas inadecuadas de hemoglobina, potasio y fósforo, mostraron diferencias en los dominios y categorías (p<0,01). El análisis correlacional encontró una estrecha relación lineal entre las dos variables estudiadas (r=0,81; p=0,0001).Conclusiones: Los participantes del estudio mostraron altas percepciones de bienestar psicológico y moderadas apreciaciones de calidad de vida a expensas de elevadas valoraciones de positividad, autocontrol, vitalidad y percepciones de salud física, psicológica y relaciones sociales. El bienestar psicológico desde sus diferentes categorías influencia directamente la percepción de calidad de vida de los pacientes en hemodiálisis.
Implementación de políticas públicas de género en la violencia contra la mujer.
Authors: Ferro Vásquez Arturo , Idme Condori Walter , Escalante Gutiérrez Jenner Benjamín , Lescano Lopez Galia Susana , Espitia Sosa Rumy Kukuli
Published: September 2022

Objetivo: Determinar la influencia de la implementación de políticas públicas de género en la violencia contra la mujer. El enfoque metodológico que se desarrolla es el descriptivo, se empleó el método de análisis documental en base a la revisión documental de artículos de revistas indexadas como Scopus y Scielo. Se trabajó en el enfoque cuantitativo el cual basa su análisis en la estadística y el estudio de patrones y tendencias, por otro lado, el nivel utilizado es el correlacional causal porque el propósito del estudio es definir la relación entre las variables además de la influencia que tiene una sobre la otra. Diseño de estudio es el no experimental de corte transversal, que se desarrolla mediante la observación del fenómeno de estudio en un contexto real sin la manipulación intencionada, y esto en un determinado tiempo y espacio por el aspecto transversal.

La investigación llego a la conclusión de que las políticas públicas comprenden un proceso complejo de entendimiento y tratamiento por ello es necesario la aplicación de un modelo integral que contemple factores políticos, culturales, económicos y de salud. Con el propósito de

erradicar la violencia contra la mujer, es importante que para aplicar políticas públicas todos los actores y participantes colaboren.
Cleaning Our Hazy Lens: Exploring Trends in Transmission Spectra of Warm Exoplanets
Authors: Dymont Austin H. , Yu 余 Xinting 馨婷 , Ohno 大野 Kazumasa 和正 , Zhang Xi , Fortney Jonathan J. , Thorngren Daniel , Dickinson Connor
Published: September 2022

Relatively little is understood about the atmospheric composition of temperate to warm exoplanets (equilibrium temperature T
eq < 1000 K), as many of them are found to have uncharacteristically flat transmission spectra. Their flattened spectra are likely due to atmospheric opacity sources such as planet-wide photochemical hazes and condensation clouds. We compile the transmission spectra of 25 warm exoplanets previously observed by the Hubble Space Telescope and quantify the haziness of each exoplanet using a normalized amplitude of the water absorption feature (A
H). By examining the relationships between A
H and various planetary and stellar forcing parameters, we endeavor to find correlations of haziness associated with planetary properties. We adopt new statistical correlation tests that are more suitable for the small, nonnormally distributed warm exoplanet sample. Our analysis shows that none of the parameters have a statistically significant correlation with A
H (p ≤ 0.01) with the addition of new exoplanet data, including the previously identified linear trends between A
H and T
eq or the hydrogen–helium envelope mass fraction (f
HHe). This suggests that haziness in warm exoplanets is not simply controlled by any single planetary/stellar parameter. Among all the parameters we investigated, planet gravity (g
p), atmospheric scale height (H), planet density (ρ
p), orbital eccentricity (e), and age of the star (t
age) have tentative correlations with A
H. Specifically, lower H, higher g
p, ρ
p, e, or t
age may lead to clearer atmospheres. We still need more observations and laboratory experiments to fully understand the complex physics and chemistry involved in creating hazy warm exoplanets.
Strategies for Determining the Cascade Rate in MHD Turbulence: Isotropy, Anisotropy, and Spacecraft Sampling
Authors: Wang Yanwen , Chhiber Rohit , Adhikari Subash , Yang Yan , Bandyopadhyay Riddhi , Shay Michael A. , Oughton Sean , Matthaeus William H. , Cuesta Manuel E.
Published: September 2022

Exact laws for evaluating cascade rates, tracing back to the Kolmogorov “4/5” law, have been extended to many systems of interest including magnetohydrodynamics (MHD), and compressible flows of the magnetofluid and ordinary fluid types. It is understood that implementations may be limited by the quantity of available data and by the lack of turbulence symmetry. Assessment of the accuracy and feasibility of such third-order (or Yaglom) relations is most effectively accomplished by examining the von Kármán–Howarth equation in increment form, a framework from which the third-order laws are derived as asymptotic approximations. Using this approach, we examine the context of third-order laws for incompressible MHD in some detail. The simplest versions rely on the assumption of isotropy and the presence of a well-defined inertial range, while related procedures generalize the same idea to arbitrary rotational symmetries. Conditions for obtaining correct and accurate values of the dissipation rate from these laws based on several sampling and fitting strategies are investigated using results from simulations. The questions we address are of particular relevance to sampling of solar wind turbulence by one or more spacecraft.
Evaluation of the Position and Incidence of Impaction of Mandibular Third Molars in Different Anteroposterior and Vertical Skeletal Patterns: A Retrospective Study
Authors: Zarzora Ahmed , Foda Manal Yehia , El Dawlatly Mostafa Mohamed , Dehis Heba Mohamed
Published: September 2022

Aim: To evaluate the incidence of impacted mandibular third molar in different anteroposterior and vertical facial skeletal patterns and to evaluate the angle of impaction of mandibular third molar. Methodology: 207 Panoramic and lateral cephalometric radiographs for patients above 20 years old with impacted mandibular third molar were recruited from the orthodontic department clinics in multiple universities in Egypt and traced using WebCeph ™ software. From the lateral cephalograms, three anteroposterior measurements were taken which were termed as ANB, A-B difference and Wits appraisal and three vertical angles were measured which were SN/MP, MMPA and FMPA to determine different skeletal facial types. The angulation of mandibular third molar impaction was determined by β angle according to Winter’s classification from the orthopantomogram. Results: Among all 207 analyzed cases, impacted third molars were detected in (38.6%) cases unilaterally and (61.4%) bilaterally. Anteroposteriorly, the higher percentage of total impactions was found in subjects with a class 2 skeletal pattern (97.2%). Vertically, the higher percentage of total impactions was found in subjects with a mesocephalic facial pattern (45.9%). The most common type of impaction was mesioangular based on Winter’s classification. Conclusions: A higher incidence of lower third molar impaction was found in subjects with a class 2 skeletal pattern. A higher incidence of lower third molar impaction was found in subjects with a mesocephalic facial pattern. In almost all skeletal facial types, the mesioangular position of the impacted mandibular third molar was the most prevalent position.
Appropriate Media for Noodles to Increase Food Consumption in School-Age Children
Authors: Puspita Widyana Lakshmi , Khayan Khayan , Hanif Muhammad Ifham , Ihsan Bagus Muhammad , Rahman Ainur , Wardoyo Slamet
Published: September 2022

Lack of mineral and vitamin intake, especially from fruit and vegetable consumption at school age, can increase the risk of illness, impaired growth and development, and impaired adaptation to environmental hazards. This study aims to analyze the effect of educational media with processed noodles on the acceptance and consumption of vegetables and fruit in elementary school children. This type of research is quasi-experimental, with a pre and post design approach. Data collection techniques were carried out using a Comstock visual checklist sheet and a recall form to see vegetable and fruit consumption. The results show that using educational media with processed noodles can increase the acceptance of fruit and vegetable consumption in school-age children. The composition of nutrients in each processed vegetable and fruit noodle is quite complete and balanced.
The Impact of Breast Milk on the Normal Growth of the Baby
Authors: Veseli Denisa , Imeraj Zamira
Published: September 2022

Other advantages of breastfeeding are: it costs less than artificial feeding; helps a mother and baby to bond closely — strengthens a deep love relationship; helps the baby develop; can help delay a new pregnancy; protects maternal health. Helps the uterus return to its previous size. This helps reduce bleeding and can help prevent anemia. Breastfeeding also reduces the risk of ovarian cancer and possible breast cancer in the mother.
La possession dans l’Évangile de Marc comme narration créative du péché chez Paul
Authors: Schäfer Christina
Published: September 2022

La thèse entend montrer comment l’Évangile de Marc propose une mise en récit de l’anthropologie paulinienne. Les figures de possession démoniaque poursuivent l’analyse de l’aliénation entreprise par Paul à l’aide du concept de péché. Paul décrypte le conflit malheureux du sujet humain avec sa propre finitude : plutôt que de reconnaître la grâce de la transcendance qui le fait vivre, il s’emprisonne dans la tentative désespérée de s’imaginer lui-même comme origine transcendante. À sa suite, l’Évangile de Marc met en scène la voie d’une libération de la situation d’addiction qui en découle par une transformation originale de la compréhension de la possession démoniaque.
Régulation des conflits interpersonnels : une lecture par le prisme du couplage fort et faible. Deux études de cas contrastées du social et du médico-social
Authors: Ndiaye Adama , Benoist Sandrine
Published: September 2022

L’inscription des outils de gestion dans un système à couplage faible permet-elle de réguler les conflits interpersonnels ? Le système de couplage faible cadre le questionnement, et une démarche ethnographique de deux études de cas longitudinales dans le secteur social et médico-social est déployée. Les résultats montrent deux trajectoires contrastées : un premier cas montrant que le couplage fort n’offre pas la possibilité de gérer les conflits interpersonnels (REPOSANCE). La seconde étude souligne qu’un couplage faible entre la manière dont l’outil a été construit et la façon dont il est utilisé, montre une capacité de prise en charge effective des conflits interpersonnels (RESTOS DU CŒUR). En proposant le système de couplage faible, nous montrons son rôle dans la prise en charge vertueuse et pérenne des conflits interpersonnels.
Migrations et disséminations du film-annonce
Authors: Périneau-Lorenzo Sylvie
Published: September 2022

Annoncer les films est une pratique de promotion amorcée dès les débuts du cinéma afin de gagner différents publics à une nouvelle attraction. Sitôt fixé, le film-annonce pluralise ses modes de construction (extrait, montage d’extraits, échantillon, symbolisation, etc.) avant de les réduire préférentiellement à deux : l’extrait et le montage d’extraits. À grand renfort de procédés rhétoriques, il affiche sa double vocation promotionnelle et paratextuelle tandis que l’invention conceptuelle et formelle lui permet de se réaliser comme méta-texte et forme programmatique. Depuis les années 2000, d’autres domaines socio-professionnels (culture, politique ou même événement) importent le film-annonce en tant que gabarit promotionnel. Or, dans cette migration, il est hâtif, sinon erroné, de considérer avoir affaire à un contenant vide ou à un prêt-à-penser indépendamment des contextes. Le film-annonce s’appréhende différemment selon les genres de discours avec lesquels il entre en résonance, les valeurs et les objets symboliques en circulation (histoire, idées, adhésion politique, mobilisation pour des événements, etc.), les finalités ou les esthésies visées. D’ailleurs, des points de friction apparaissent. Ils s’observent lorsque le film-annonce s’avère être la porte d’entrée d’une entreprise plus large ou que la fonction paratextuelle devient caduque. En parallèle, les disséminations du film-annonce croisent l’essor d’un mouvement qu’il convient d’appeler une culture de l’annonce.
Teach About Heat: Rising Temperature From Climate Change Is a Nursing Issue
Authors: Koch Amie
Published: September 2022

Deaths attributed to rising temperatures and heat waves represent a continuing public health concern. Climate change affects social determinants of health and local and global health inequities, especially those negatively impacted by high temperatures. Individuals with chronic health conditions have greater likelihood of mortality due to rising temperatures. Nurses witness the harmful effects of climate change but may not be aware that a patient's worsening symptoms can be due to heat. Nurses need to understand and then educate patients and communities about ways to reduce harm from heat, medication interactions with heat, and what safety measures to take in regions of high heat or during heat waves to best promote health equity and reduce mortality.[J Contin Educ Nurs. 2022;53(10):460–464.]
Machine learning assessment of IoT managed microgrid protection in existence of SVC using wavelet methodology
Authors: Lakshmi K.V. Dhana , Panigrahi P.K. , Goli Ravi kumar
Published: September 2022

In the last decade, research has been started due to accelerated growth in power demand has mainly concentrated on the large power production and quality of power. After the digital revolution, non-conventional energy sources, many state-of-art equipment, power electronics loads, reactive power compensating devices, sophisticated measuring devices, etc., entered the power industry. The reactive power compensating devices, connected electrical equipment, renewable energy sources can be anticipated/unanticipated action can cause considerable reactions may be failure issues to power grids. To deal with these challenges, the power sector crucially needs to design and implement new security systems to protect its systems. The Internet-of-Things (IoT) is treated as revolution technology after the invention of the digital machine and the internet. New developments in sensor devices with wireless technologies through embedded processors provide effective monitoring and different types of faults can be detected during electric power transmission. The wavelet (WT) is one of the mathematical tools to asses transient signals of different frequencies and provides crucial information in the form of detailed coefficients. Machine learning (ML) methods are recommended in the power systems community to simplify digital reform. ML and AI techniques can make effective and rapid decisions to improve the stability and safety of the power grid. This recommended approach can contribute critical information about symmetrical or asymmetrical faults through machine learning assessment of IoT supervised microgrid protection in the presence of SVC using the wavelet approach covers diversified types of faults combined with fault-inception-angles (FIA).
Nonlinear fractional differential equations and their existence via fixed point theory concerning to Hilfer generalized proportional fractional derivative
Authors: Rashid Saima , Ahmad Abdulaziz Garba , Jarad Fahd , Alsaadi Ateq
Published: September 2022

This article adopts a class of nonlinear fractional differential equation associating Hilfer generalized proportional fractional ($ GPF $) derivative with having boundary conditions, which amalgamates the Riemann-Liouville $ (RL) $ and Caputo-$ GPF $ derivative. Taking into consideration the weighted space continuous mappings, we first derive a corresponding integral for the specified boundary value problem. Also, we investigate the existence consequences for a certain problem with a new unified formulation considering the minimal suppositions on nonlinear mapping. Detailed developments hold in the analysis and are dependent on diverse tools involving Schauder's, Schaefer's and Kransnoselskii's fixed point theorems. Finally, we deliver two examples to check the efficiency of the proposed scheme.
Histoire de l’enseignement du théâtre au collège
Authors: Petitjean André
Published: September 2022

L’objet de cet article est de retracer les changements historiques qu’a connus l’enseignement du théâtre au collège, à la fois dans ses formes et dans ses contenus. Pour ce faire, on a recours essentiellement aux textes officiels et aux manuels, tout en examinant tant les auteurs et les œuvres sélectionnés que les activités de lecture et d’écriture proposées. Pour illustrer le propos, on s’intéresse plus particulièrement à la scolarisation des œuvres de Molière.
Accueillir en classe le sujet lecteur de théâtre
Authors: Pecques Corinne Frassetti
Published: September 2022

Cet article vise à reconsidérer et mieux appréhender la lecture du texte de théâtre. Les théories du sujet lecteur permettent aujourd'hui de questionner l’approche essentiellement héritée des sémiologues, avec une prépondérance accordée à la scène. En outre, au lieu d’opposer dramaturgie et littérature, je propose de les relier pour analyser plus précisément et totalement les mécanismes de lecture en jeu. Confrontant et revisitant les modèles de lecture existants et en appui sur de très nombreuses traces de lecture (qui proviennent d’une étude longitudinale sur plusieurs classes, comme de lecteurs experts), je présente une nouvelle modélisation des postures de lecture du texte dramatique. Ce travail implique à terme de repenser certains dispositifs didactiques.
Initier les élèves à la lecture dramaturgique : un enjeu pour l’enseignement de la mise en scène
Authors: Ailloud-Nicolas Catherine
Published: September 2022

Cet article étudie la possibilité d’envisager un enseignement de la mise en scène reposant sur la pratique progressive de la dramaturgie. Après avoir rappelé les documents définissant le rôle du dramaturge, il est proposé une série d’exercices organisés selon la recherche d’une progression.
Analyse des pratiques d’enseignement du théâtre à l’école primaire : bilan d’une formation théâtre en Master MEEF premier degré
Authors: Bazile Sandrine
Published: September 2022

Entre 2016 et 2021, en master Métiers de l’Enseignement, de l’Éducation et de la Formation (MEEF), un projet culturel orienté vers la formation à la pratique et à l’enseignement du théâtre, adossé à une action de recherche formation, permet de mettre au jour les pratiques de classe en matière de théâtre à l’école primaire, de développer une expérimentation ciblée avec un groupe de formateurs, de professeurs stagiaires et d’étudiants en formation et, à terme, de produire des ressources. À partir des données collectées durant ces cinq années (notamment entretiens, questionnaires, descriptif des activités ou séances, etc.) et l’analyse de deux séances, menées autour du même texte dramatique par deux enseignantes impliquées dans le projet et complétées par les entretiens semi-directifs de ces dernières, il s’agit de dresser, à la lumière d’un état des lieux croisé des programmes et de la recherche, un bref rappel du diagnostic de départ réalisé en septembre 2016 et 2017, puis de décrire les pratiques récurrentes des enseignants experts, tous référents culture, et de les confronter à celles des enseignants novices qui ont bénéficié de cette formation. À l’aune du diagnostic initial, nous tenterons de comprendre les apports et les limites d’un tel projet : quelles représentations ont été modifiées ? quelles compétences construites ? quels obstacles à la diffusion de l’enseignement du théâtre ? quel renouveau des pratiques ou à contrario quels freins encore à ce renouveau ?
Improviser Britannicus ! Penser le théâtre par le jeu dans une approche ludologique
Authors: Augé Claire
Published: September 2022

Afin d’accompagner de jeunes lycéens dans la lecture de la tragédie Britannicus de Racine, un jeu de rôle, proche du théâtre d’improvisation, est mis en place : chaque élève est associé à un personnage qu’il interprète et développe dans ses interactions avec ses pairs. La recherche s’appuie sur l’hypothèse que l’articulation de la sphère dramaturgique et de la sphère ludologique aiderait les jeunes lecteurs à développer à la fois une lecture empathique et émotionnelle et une compréhension voire une interprétation du texte. La présente réflexion se développe en trois temps : il s’agit tout d’abord d’observer en quoi cette séance, menée dans un contexte scolaire, permet de faire émerger un théâtre d’improvisation autour de la tragédie racinienne, qui engage – et c’est le deuxième temps – les élèves, et même les plus réfractaires à la lecture de la pièce. Enfin, nous verrons comment les échanges spontanés entre pairs permettent une avancée collaborative dans la compréhension du texte.
Éthos de singularité et éthos collectif dans deux pièces de J.-C. Grumberg : Dreyfus…et L’Atelier
Authors: Favart Françoise
Published: September 2022

Parmi les genres littéraires, le théâtre écrit présente la particularité de s’accomplir dans la représentation vivante et parlée (Dufiet & Petitjean, 2013, p. 441). Celle-ci met la parole des locuteurs personnages et l’image qu’ils donnent à voir d’eux-mêmes au centre du dispositif scénique. Dans un corpus de textes de théâtre où les personnages se présentent comme une mimèsis des êtres vivants, l’éthos peut être entendu comme l’effet de réel d’une construction littéraire. Celle-ci repose entre autres sur le matériel langagier qui résulte des choix linguistiques et discursifs de l’auteur et des opérations de sélection qui de fait sont des manifestations de l’énonciation (Monte, 2016, p. 182). De la même manière que le style, l’éthos peut alors être envisagé comme un concept qui articule une intentionnalité, des formes et des effets (ibid., p. 187) discursifs et par conséquent aussi scéniques. Après avoir délimité l’arrière-plan théorique de notre étude, nous interrogerons les deux pièces de notre corpus : Dreyfus… (1974) et L’Atelier (1979) sur le rapport du locuteur personnage à sa parole dans la construction d’un éthos qui se décline à la fois dans le singulier et dans le collectif.
La fortune du Tartuffe de Molière dans les manuels scolaires depuis le xixe siècle
Authors: Calleja-Roque Isabelle
Published: September 2022

Depuis la IIIe République, dans les programmes scolaires, Tartuffe a toujours été une des pièces phares de Molière. Sa fortune ne s’est jamais démentie et les manuels scolaires des lycées n’ont jamais cessé d’en proposer la lecture. C’est entre tradition et modernité que sa lecture a évolué depuis le xixe siècle jusqu’à aujourd’hui. Pendant longtemps, la comédie n’est pas vraiment expliquée par elle-même ; elle reste au service de l’interprétation morale des intentions de l’auteur telles qu’elles sont reconstituées par les historiens de la littérature et sa dimension comique n’est jamais abordée avant la fin du xxe siècle. L’ouverture des programmes vers la mise en scène, au xxie siècle, va cependant moderniser sa lecture dans la mesure où elle favorise une approche actualisante de la comédie qui permet aux adolescents d’aujourd’hui de comprendre que Tartuffe est toujours d’actualité parce qu’il nous parle de problèmes qui nous concernent encore.
An Enhanced Multipath TCP
Authors: Chaturvedi Rajnish Kumar , Chand Satish , Tyagi Manoj Kumar
Published: September 2022

Since 2020, the coronavirus disease 2019 (COVID-19) pandemic and lockdown policy have changed our life drastically. Due to this, companies, offices, schools, etc. are running in online mode. Therefore, the demand for internet bandwidth is very popular nowadays. Due to an increase in demand for internet bandwidth and the availability of multihomed devices, multipath TCP (MPTCP), and e-adoption of emerging technology enhanced bandwidth by utilizing the bandwidth of all available networks simultaneously. This paper analyzes the working principle of the MPTCP so that each internet device can easily use MPTCP to achieve high bandwidth. Load distribution and its performance mainly depend on the congestion control algorithm and the packet scheduler. MPTCP has various existing packet scheduling algorithms and congestion control algorithms. Here, the authors compare the performance of MPTCP with each congestion control algorithm and packet scheduler one by one and try to find out the best-performing MPTCP. This paper also shows that the MPTCP helps COVID-19 patients in various aspects.
Risk Identification of Diabetic Macular Edema Using E-Adoption of Emerging Technology
Authors: Kumar Amit , Tewari Anand Shanker
Published: September 2022

The accumulation of the blood leaks on the retina is known as diabetic macular edema (DME), which can result in irreversible blindness. Early diagnosis and therapy can stop DME. This study presents an e-adoption of emerging technology such as RadioDense model for detecting and classifying DME from retinal fundus images. The proposed model employs a modified version of DenseNet121, radiomics features, and the gradient boosting classifier. The authors evaluated many classifiers on the concatenated features. The efficacy of the classifier is determined by comparing each classifier's accuracy values. According to the evaluation results, the concatenated features extraction using gradient boosting classifier outperforms all other classifiers on the IDRiD dataset. For multi-class classification, the suggested electronic adoption of emerging technology such as RadioDense model outperformed these classifiers and attained an accuracy of 87.4%. It can help to decrease the strain of ophthalmologists diagnosing the DME during locking and unlocking the worldwide lockdown.
Simulation of the Lightweight Blockchain Technique Based on Privacy and Security for Healthcare Data for the Cloud System
Authors: Rani Preeti , Verma Sonia , Yadav Satya Prakash , Rai Bipin Kumar , Naruka Mahaveer Singh , Kumar Devendra
Published: September 2022

Information about healthcare is derived from healthcare data. Healthcare data sharing helps make healthcare systems more efficient as well as improving healthcare quality. Patients should own and control healthcare information, one of their most valuable assets, instead of letting data be spread out among health care providers differ. This protects data from being shared between healthcare systems and privacy. Public ledger accompanied by a decentralized network of peer's compromises patient has been demonstrated to be able to achieve trusted, auditable computing by blockchain. The use of access control and cryptographic primitives are insufficient in addressing modern cyber threats all privacy and security concerns associated with a cloud-based environment. In this paper, the authors proposed a lightweight blockchain technique based on privacy and security for healthcare data for the cloud system. The cost-effectiveness of our system's smart contracts is evaluated, as well as the procedures used for data processing in order to encrypt and pseudonymize patient data.
Feature Selection and Feature Weighting Using Tunicate Swarm Genetic Optimization Algorithm With Deep Residual Networks
Authors: Diaz P. M. , Jiju Julie Emerald
Published: September 2022

Feature selection (FS) method is applied for extracting only the relevant information from the dataset. FS seemed to be an optimization concept because appropriate feature selection is the significant role of any classification problem. Similarly, feature weighting is employed to enhance the classification performance along with FS process. In this paper, feature selection and feature weighting has been performed by integrated an optimization algorithm called tunicate swarm genetic algorithm (TSGA) with deep residual network (DRN). TSGA is the combination of tunicate swarm algorithm (TSA) and genetic algorithm (GA) incorporated to increase the performance of the classifier. This wrapper method-based feature selection and feature weighting techniques are performed to reduce the computation time as well as complexity. The effectiveness of the proposed method is estimated and compared with different methods such as TSA, CS-GA, and PSO-GA. The performance of DRN classifier is also validated and compared to existing classifiers like KNN, C4.5, and RF.
Factors Affecting the Adoption of Mobile Government by Older People
Authors: Zhang Bo , Tan Runhua , Sui Jie , Lin Hsiung-Cheng
Published: September 2022

Increases in the population's average age require government services to offer high-efficiency, low-cost services aimed at the elderly. An extended technology acceptance model (ETAM) embedded in a contextualized perspective is proposed to analyze elderly users' mobile government behavioral intentions. In this study, a questionnaire survey was conducted on 800 participants aged 60 and over to identify crucial influencing factors. One dependent variable, three independent variables, four intervening variables, and four control variables were used for the questionnaire design. The proposed model was tested based on structural equation modeling (SEM) under eight constructs. The empirical results showed that elderly users' attitudes, perceived external support, orientation level, and perceived ease-of-use have a significant positive impact on elderly users' acceptance of mobile government, while perceived risk has a relatively negative impact. Among these factors, both users' attitudes and perceived external support exhibit the strongest effect on behavioral intention.
Maturity-Onset Diabetes of the Young (MODY)
Authors: Park Seung Shin , Kwak Soo Heon
Published: September 2022

Precision medicine, which optimizes diagnosis and treatment of diseases according to individualized characteristics, is becoming a reality in the field of diabetes, especially for monogenic diabetes. Maturityonset diabetes of the young (MODY) is a type of monogenic diabetes characterized by early onset, relative non-obesity, non-insulin dependence, and autosomal dominant inheritance. With the trend toward precision medicine and improvement in genetic testing, there have been advances in the classification, diagnosis, and treatment of MODY. MODY accounts for about 1% of diabetes in Korea, with GCK (glucokinase)-MODY, HNF1α (hepatocyte nuclear factor-1 alpha)-MODY, and HNF4α (hepatocyte nuclear factor-4 alpha)-MODY being most common. In the diagnosis of MODY, applying guidelines for interpretation of variant pathogenicity is important. For the treatment of MODY, individualized treatment strategies according to the causative gene of MODY should be applied when available. Still, the majority of MODY is misdiagnosed and more genetic testing is required in Korea. We review updates regarding the classification, diagnosis, and treatment of MODY.
Sleep Disorders and Diabetes
Authors: Lee Jung An , Lee Jung Goo
Published: September 2022

Sleep problems and diabetes mellitus are increasing in prevalence. Although it is unclear if they are related, a number of related studies implicate such a relationship. A number of related studies implicate such a relationship. In this review, the significance of sleep in diabetes mellitus will be reviewed by summarizing the relationships between sleep, circadian rhythm, sleep disorders, and diabetes mellitus. Also, the mechanisms of influence will be reviewed. In addition, although the relationship between sleep and diabetes mellitus mainly has focused on type 2 diabetes mellitus, this review also summarizes the relationship between type 1 diabetes mellitus and sleep. In clinical practice, sleep problems have not been emphasized in management or prevention of diabetes mellitus. Considering their close relationship and impact on prognosis, mental health and physical health study will need to be integrated for treatment and prevention of diabetes mellitus.
Alcohol Drinking, Smoking, and Diabetes
Authors: Jung Wooyoung
Published: September 2022

Many patients with diabetes continue smoking and high-risk drinking during diabetes treatment. Some patients try and fail to stop alcohol drinking and smoking because of the addictive and habitual effects. Considering the high lifetime prevalence of alcohol and nicotine use disorders, the percentage of people who actively use treatment services is low. Smoking is related to increased vascular complications and mortality as well as development of diabetes. A small amount of alcohol is allowed in the diabetes treatment guidelines, but the limit can be difficult to maintain in reality. Therefore, it is necessary for a medical doctor to evaluate the alcohol and smoking problems of diabetic patients, and it may be helpful to use screening and evaluation tools such as AUDIT (alcohol use disorders identification test) for alcohol drinking and FTND (Fagerstrom Test for Nicotine Dependence) for smoking. It is important that patients are provided necessary information and a brief intervention and that they are recommended a professional treatment such as active treatment with anti-craving medications and structural psychosocial treatment programs. Many patients are worried about the harmful effects of alcohol drinking and smoking and think they should quit it, but at the same time, they may have their own reasons for not being able to quit drinking and smoking, and may be suffering from ambivalent ideas about alcohol drinking and smoking. Therefore, rather than criticizing the patient’s alcohol drinking and smoking behavior, it is important to show understanding of patient difficulties and to encourage the patient to stop drinking and smoking.
Curing the pandemic of misinformation on COVID-19 mRNA vaccines through real evidence-based medicine - Part 2
Authors: Malhotra Aseem
Published: September 2022

Background: Authorities and sections of the medical profession have supported unethical, coercive, and misinformed policies such as vaccine mandates and vaccine passports, undermining the principles of ethical evidence-based medical practice and informed consent. These regrettable actions are a symptom of the ‘medical information mess’: The tip of a mortality iceberg where prescribed medications are estimated to be the third most common cause of death globally after heart disease and cancer.Aim: To identify the major root causes of these public health failures.Methods: A narrative review of both current and historical driving factors that underpin the pandemic of medical misinformation.Results: Underlying causes for this failure include regulatory capture – guardians that are supposed to protect the public are in fact funded by the corporations that stand to gain from the sale of those medications. A failure of public health messaging has also resulted in wanton waste of resources and a missed opportunity to help individuals lead healthier lives with relatively simple – and low cost – lifestyle changes.Conclusion: There is a strong scientific, ethical and moral case to be made that the current COVID vaccine administration must stop until all the raw data has been subjected to fully independent scrutiny. Looking to the future the medical and public health professions must recognise these failings and eschew the tainted dollar of the medical-industrial complex. It will take a lot of time and effort to rebuild trust in these institutions, but the health – of both humanity and the medical profession – depends on it.Contribution: This article highlights the importance of addressing metabolic health to reduce chronic disease and that insulin resistance is also a major risk factor for poor outcomes from COVID-19.
The predictors of long–COVID in the cohort of Turkish Thoracic Society– TURCOVID multicenter registry
Authors: Baris Serap Argun , Toprak Oya Baydar , Cetinkaya Pelin Duru , Fakili Fusun , Kokturk Nurdan , Kul Seval , Kayalar Ozgecan , Tutuncu Yildiz , Azak Emel , Kuluozturk Mutlu , Yildiz Pinar Aysert , Deniz Pelin Pinar , Kilinc Oguz , Basyigit Ilknur , Boyaci Hasim , Hanta Ismail , Kose Neslihan , Sagcan Gulseren , Cuhadaroglu Caglar , Okur Hacer Kuzu , Ozger Hasan Selcuk , Ergan Begum , Hafizoglu Mehtap , Sayiner Abdullah , Temel Esra Nurlu , Ozturk Onder , Ciftci Tansu Ulukavak , Oguzulgen Ipek Kivilcim , Oguz Vildan Avkan , Bayraktar Firat , Ataoglu Ozlem , Ercelik Merve , Gulhan Pinar Yildiz , Erdem Aysegul Tomruk , Tor Muge Meltem , Itil Oya , Bayram Hasan
Published: September 2022

Objective:

To evaluate long-term effects of COVID-19, and to determine the risk factors in long-COVID in a cohort of the Turkish Thoracic Society (TTS)-TURCOVID multicenter registry.

Methods:

Thirteen centers participated with 831 patients; 504 patients were enrolled after exclusions. The study was designed in three-steps: (1) Phone questionnaire; (2) retrospective evaluation of the medical records; (3) face-to-face visit.

Results:

In the first step, 93.5% of the patients were hospitalized; 61.7% had a history of pneumonia at the time of diagnosis. A total of 27.1% reported clinical symptoms at the end of the first year. Dyspnea (17.00%), fatigue (6.30%), and weakness (5.00%) were the most prevalent long-term symptoms. The incidence of long-term symptoms was increased by 2.91 fold (95% CI 1.04-8.13, P=0.041) in the presence of chronic obstructive pulmonary disease and by 1.84 fold (95% CI 1.10-3.10, P=0.021) in the presence of pneumonia at initial diagnosis, 3.92 fold (95% Cl 2.29-6.72, P=0.001) of dyspnea and 1.69 fold (95% Cl 1.02-2.80, P=0.040) fatigue persists in the early-post-treatment period and 2.88 fold (95% Cl 1.52- 5.46, P=0.001) in the presence of emergency service admission in the post COVID period. In step 2, retrospective analysis of 231 patients revealed that 1.4% of the chest X-rays had not significantly improved at the end of the first year, while computed tomography (CT) scan detected fibrosis in 3.4%. In step 3, 138 (27.4%) patients admitted to face-to-face visit at the end of first year; at least one symptom persisted in 49.27% patients. The most common symptoms were dyspnea (27.60%), psychiatric symptoms (18.10%), and fatigue (17.40%). Thorax CT revealed fibrosis in 2.4% patients.

Conclusions:

COVID-19 symptoms can last for extended lengths of time, and severity of the disease as well as the presence of comorbidities might contribute to increased risk. Long-term clinical issues should be regularly evaluated after COVID-19.
Acute motor axonal neuropathy following anti-rabies human diploid cell vaccine
Authors: Chawla Tanushree , Sehgal Jyoti , Dabla Surekha , Goyal Vinay
Published: September 2022

Rationale:

Guillain Barre syndrome (GBS) is an acute neurological illness leading to quadriparesis with respiratory involvement. It can be triggered by infections, vaccinations, surgery, trauma, transplantation and drugs. Anti-rabies cell culture vaccines introduced to overcome the high rate of neurological complications associated with tissue based rabies vaccine, can be very rarely associated with GBS.

Patient concerns:

A 50-year-old female presented with acute severe upper back pain evolving into pure motor quadriparesis following administration of human diploid cell vaccine for rabies.

Diagnosis:

Acute motor axonal neuropathy variant of GBS following anti-rabies human diploid cell vaccine.

Interventions:

Intravenous high dose steroids.

Outcomes:

Patient recovered completely within 1 month.

Lessons:

Although anti-rabies cell culture vaccines are highly immunogenic and safe, they are rarely associated with GBS. Clinicians should be aware of this link because prompt diagnosis and treatment can result in complete recovery and avoid complications.
Effect of two different volumes of sodium hypochlorite on endodontic treatment outcome following single-visit root canal treatment
Authors: Jadhav Ganesh R. , Mittal Priya , Kalra Dheeraj
Published: September 2022

Aim:

This split-mouth (SM), randomized controlled trial was planned to assess the influence of two different volumes (15 ml and 25 ml) of 2.5% of sodium hypochlorite (NaOCl) on the endodontic treatment outcome of teeth with apical periodontitis (AP) by radiographic and clinical evaluation.

Materials and Methods:

The study protocol was approved by the ethics committee (25/XX/IEC/2017/11). Using block randomization, permanent lower molars with pulp necrosis and chronic AP (periapical index [PAI] of 3 or above) were allotted to two treatment groups as Group I (low volume [LV]) and Group II (high volume (HV)) wherein 3 ml and 5 ml of NaOCl irrigant were used after each Mtwo rotary file, respectively. This NaOCl was activated by a sonic handpiece. With power at 0.80, P < 0.05, and minimum clinically significant mean intergroup difference set at 0.40 units (standard deviation – 0.88 unit) while using the change in PAI score as the primary outcome, a total of 46 subjects per group were recruited to adequately show a difference in success at the 12-month follow-up. Clinical (at 24 h, 3, 6, 9, and 12 months) and radiographic (6 and 12 months) assessment of all cases was done.

Results:

Due to SM design of the study, there was no difference in the demographics of subjects between both the groups. Pain scores between both groups were statistically nonsignificant preoperatively (P = 0.857) and at 24 h (P = 0.852). However, there was statistically significant difference in preoperative and 24 h pain scores in Group I (P = 0.000) and Group II (0.000). Comparison of intergroup preoperative and 12-month follow-up PAI scores revealed no statistically significant difference (P = 0.667). However, there was statistically significant difference in preoperative and 12-month follow-up PAI scores in Group I (P = 0.000) and Group II (P = 0.000). Intergroup comparison of PAI scores at baseline (P = 0.894) and follow-up (P = 0.526) revealed no significant difference.

Conclusion:

Based on the results of the present study, it can be suggested that there is no significant advantage of using HV of NaOCl over LV as far as periapical healing and postendodontic pain are concerned.
Comparative evaluation of N-acetylcysteine and chlorhexidine as final irrigation on the push-out bond strength of different sealers
Authors: Ghatole Kiran , Indi Shreeshail , Diwanji Pavan , Janavathi  , Hambire Ashwini , Thimwala Aadil
Published: September 2022

Aim:

Using N acetyl cysteine (NAC) and Chlorhexidine as final irrigants, the study aims to examine the push out bond strength of distinct sealers.

Materials and Methods:

Access and biomechanical preparation were done on decoronated 80 single-rooted teeth. Canals were alternatively irrigated using 5ml of 5.25% NaOCl and 5ml of 17% EDTA solution during instrumentation. On the basis of final irrigation procedure, the samples are divided into two groups: Group 1 – NAC and Group 2 – 2% Chlorhexidine. Using paper points, canals were dried and subdivided depending on the sealers used, Group 1A and 2A- AH plus and 1B and 2B- BioRoot RCS. Teeth were obturated and middle root sections were tested for push-out bond strength using universal testing equipment. Statistical analysis was done.

Results:

NAC with AH-plus sealer had the maximum push-out strength, whereas Chlorhexidine with BioRoot RCS sealer had the lowest.

Conclusion:

NAC increases the bond strength of the obturating materials as the final irrigant. NAC can be considered as a final irrigant for endodontic therapy.
Expert Consensus on Diagnosis and Treatment of Adult Mental Stress-Induced Hypertension in China (2022 Revision): Part B
Authors: Lu Lin , Geng Qingshan , Wang Jian−an , Bai Chunlin , Cheng Gong , Cui Yinghua , Dong Bo , Fang Jianqun , Gao Feng , Huang Ruowen , Huang Shuwei , Li Yuming , Liu Gang , Liu Yuanyuan , Lu Yan , Ren Yanping , Mao Jialiang , Shi Dazhuo , Su Huimin , Sun Xinyu , Sun Xingguo , Tang Xiangdong , Tian Fengshi , Tu Hong , Wang Hao , Wang Qing , Wang Xiangqun , Wang Junmei , Wang Le , Wang Yibo , Wang Yumei , Wang Zhipeng , Wen Shaojun , Wu Hui , Wu Yanqing , Xiong Peng , Yu Guolong , Yang Ning , Zhao Xiaoling , Zhang Haicheng , Liu Meiyan
Published: September 2022

Mental stress has been recognized as an essential risk factor for hypertension. Therefore, experts specializing in cardiology, psychiatry, and Traditional Chinese Medicine organized by the Psycho-cardiology Group, College of Cardiovascular Physicians of Chinese Medical Doctor Association, and Hypertension Group of the Chinese Society of Cardiology proposed the expert consensus on the diagnosis and treatment of adult mental stress-induced hypertension in March 2021, which includes the epidemiology, etiology, diagnosis, and treatment of the mental stress-induced hypertension. This consensus will hopefully facilitate the clinical practice of this disorder. In addition, the COVID-19 pandemic has become one of the primary global sources of psychosocial stressors since the beginning of 2020, and the revision of this expert consensus in 2022 has increased the relevant content. This consensus consists of two parts. The sections of Part A include (I) Background and epidemiological characteristics, (II) Pathogenesis, and (III) Diagnosis. The sections of Part B contain (IV) Treatment recommendations, and (V) Prospects. This article presents Part B of the consensus.