bluuebunny/crossref_metadata_2025 huggingface dataset:
Evaluation of the Effect of Suprachoroidal Triamcinolone Injection on Refractory Diabetic Macular Edema
Authors: Jahangir Tehmina , Riaz Sidrah , Amjad Arooj
Published: November 2021

Purpose:  To assess the safety and efficacy of supra choroidal triamcinolone injection (SCT) in cases of refractory diabetic macular oedema.

Study Design:  Interventional case series.

Place and Duration of Study:  Lahore General Hospital, Lahore, from July to December 2019.

Methods:  A total of 22 eyes of patients above 18 years of age, with either Type-1 or Type-2 diabetes mellitus and treatment resistant central Diabetic Macular Edema (DME) of 320 um or more (measured on Zeiss Cirrus HD-OCT) and Best Corrected Visual Acuity (BCVA) of less than or equal to 20/40 were included in the study. BCVA, Intra Ocular Pressure (IOP) and Central Subfield Thickness (CST) was recorded. After Supra-Choroidal triamcinolone (SCTA), patients were followed up at one and three months and same clinical parameters were recorded and the results were analysed.

Results:  out of 22 patients, 10 (45.45%) were males and 12 (54.54%) were females. Mean pre injection CST was 615.5 ± 200.28 um and Log MAR BCVA was 0.9 ± 0.20. Mean post injection CST at one and three months was 302.45 ± 52.45 and 301.66 ± 55.82 um. Mean post injection Log MAR BCVA at one and three months was 0.52 ± 0.3 and 0.40 ± 0.22. The results were statistically significant for pre and post injection CST at both one and three months (p-value < 0.00001). Pre and post injection BCVA was also statistically significant (p-value < 0.05).

Conclusion:  CST is a safe and effective means to reduce refractory diabetic macular edema and improve OCT macular thickness.

Key Words:  Diabetic macular edema, Suprachoroidal Triamcinolone, Central sub-field thickness.
SARS-COV2 Virus in Tears and Conjunctival Secretions of COVID-19 Patients
Authors: Gull Ambreen , Saleem M.Rafaaq , Niazi Fuad Ahmad Khan
Published: November 2021

Purpose:  To determine the presence of SARS-COV 2 viruses in tears and conjunctival secretions of patients with diagnosed COVID-19.

Study Design:  Prospective interventional case series.

Place and Duration of Study:  Rawalpindi Institute of Urology, Department of infectious diseases, Holy Family Hospital, Rawalpindi Medical University, from September 2020 to October 2020.

Methods:  Samples of conjunctival and tear secretions were collected from 60 hospitalized patients of COVID-19 who were confirmed with nasopharyngeal swabs test. Disposable conjunctival swab sticks were used for sampling. Samples were taken within 3 days of admission. SARS-COV 2 virus evaluation in tears and conjunctival secretions was done by Qualitative RT-PCR (Reverse transcriptase polymerase chain reaction) analysis. Ocular features were documented. Regarding systemic course of illness, details were noted from their hospital records.

Results:  Mean age of the patients was 56.63 ± 16.373 years. Out of 60 patients, 42 were males and 18 were females. Twenty two (36.6%) patients had mild disease and moderate and severe disease was present in 19 patients (31.6%) each. Six (10%) patients had positive conjunctival and tear secretions for SARS-COV 2 viral RNA. All patients with positive ocular secretions for viral RNA were in first week of course of disease and 3 patients had severe COVID 19 disease signifying high viral load.  Only one patient had conjunctivitis and ocular symptoms of redness and foreign body sensation.

Conclusion:  There is likelihood of SARS-COV 2 virus transmission via ocular secretions as frequency of patients with SARS-COV 2 viral RNA detected in tears was 10% in current study therapeutic services.

Key Words:  SARS-COV 2 Virus, COVID 19, Conjunctivitis, Qualitative RT-PCR, Ocular Manifestations
Acute Macular Neuro-retinopathy: a Rare Retinal Disorder, Presenting as Paracentral Scotoma
Authors: Zaka Royala , Khan Yasir , Ahmad Sabri Zaki-ud-Din
Published: November 2021

Acute Macular Neuro-retinopathy (AMN) is a rare clinical entity. We present a case of 26 years old male who presented with one-week old history of sudden onset of decrease vision in left eye associated with paracentral scotomas. Dilated fundus examination of the left eye showed multiple reddish brownish petalloid para-foveal lesions with apex pointing toward the fovea. OCT showed hyper-reflective bands in the Outer Nuclear Layer and Outer Plexiform Layer along with disruption of ellipsoid zones. Amsler grid drawn by the patient and the visual field showed scotoma corresponding to the macular lesion. The cause turned out to be undiagnosed essential hypertension. Purpose of presenting this case is that High Definition Optical coherence tomography (SD-OCT) makes diagnosis of some rare conditions easy and fast for an ophthalmologist, that might be misdiagnosed or missed with conventional OCT and FFA imaging test.

Key Words:  Acute Macular Neuro-retinopathy, Spectral Domain Optical Coherence Tomography, Paracentral Scotoma.
Frequency of Different Ocular Conditions Leading to Ocular Morbidity in Pediatric Age Group at Dow University Hospital
Authors: Jawaid Madiha , Hassan Mazhar-ul- , Al-Khairy Saba , Siddiqui Farnaz , Azeem Asad
Published: November 2021

Purpose:  To determine the frequency of different ocular conditions leading to ocular morbidity in a tertiary care hospital.

Study Design:  Descriptive cross sectional study.

Place and Duration of Study:  Study was done in Dow University of medical sciences, from May 2018 to October 2018.

Methods:  A total of 278 patients presenting in the eye out-patient department were included. Patients with unaided visual acuity of 6/6 in both eye and no ocular abnormality were excluded from the study. Children with congenital syndromes like Down’s syndrome, etc. leading to eye diseases were also excluded. All children underwent complete ocular examination. Data was analyzed by using SPSS version 22. Frequency and percentages were computed for gender and different ocular diseases e.g., myopia, hypermetropia, strabismus, Vernal Kerato-conjunctivitis, astigmatism, red eye, subconjunctival hemorrhage etc. Post-stratification chi-square test was applied with p-value ≤ 0.05.

Results:  Out of 278 participants of the study, there were 154 (55.4%) males and 124 (44.6%) females. Average age of the patients was 11.15 ± 3.44 years. Myopia and red eyes were the major causes of pediatric ocular morbidity i.e. 33.81% and 26.6% respectively. Comparison between two age groups showed that Myopia was higher in children with 11 to 15 years. Myopia and astigmatism were more common in females while sub-conjunctival hemorrhage was more in males.

Conclusion:  Refractive errors are the commonest cause of childhood visual impairment in our setup. Correcting these preventable diseases can have a positive impact on the performance of children at school.

Key Words:  Visual acuity, Pediatric, Myopia, Hypermetropia, Kerato-conjunctivitis.
Awareness of Contact Lens Related Ocular Complications among Opticians of Lahore
Authors: Sohail Ahmed , Abideen Zain Ul , Zahid Fatima , Bakhsh Wahid
Published: November 2021

Purpose:  To determine the awareness regarding contact lens related ocular complications among opticians of Lahore and to find out the relationship between the awareness and their educational qualification.

Study Design:  Cross sectional survey.

Place and duration of Study: University of Lahore from April 2020- December 2020.

Methods:  This survey included opticians of different areas of Lahore, Pakistan. Two hundred and eleven opticians responded to a pre-tested, structured close ended questionnaire. Data comprised of demographics and contact lens selling experience. Information regarding awareness about contact lens related complications was also sought. The data were analyzed using SPSS 25.0.

Results:  A total of 211 opticians participated in the survey. All subjects were males. Fifty four (25.6%) subjects were from the age group of 15 to 30 years, 122 (57.8%) were from the age group of 31 to 45 and 35 (16.6%) were from the age group of 46 to 60 years. Only 4.7% had contact lens dispensing diploma. Thirty seven percent patients had contact lens selling experience of 2 to 10 years. Similar percentage had more than 10 years of experience. Ten percent had less than one year of experience. Only 54 participants out of 211 had knowledge about dry eye, 9 knew about Acanthamoeba keratitis and Bacterial keratitis and only 2 were aware of corneal opacity.

Conclusion:  Majority of the opticians of Lahore are unaware of the contact lenses related complications. Sale of cosmetic lenses for fashion purpose should be discouraged and banned if not prescribed by optometrist/ ophthalmologist.

Key Words:  Opticians, Contact lenses, Bacterial Keratitis.
INFORMATION SYSTEM DESIGN OF SHAHIRAH RAHMAWATI DENTIST'S PRACTICE BASED ON WEB AND SMS GATEWAY USING THE RATIONAL UNIFIED PROCESS METHODOLOGY
Authors: Siregar M.Hasim
Published: November 2021

Dental practices is one of the services in the field of Health has already managed independently, so it is required to provide the best service to the society with good management. In good management, it does not need to be done repeatedly, for example, nurses or employees check, store, or search for medical records manually even though only on the same variable. In the dental practice of Shahirah Rahmawati, appointments are still made by telephone and recorded on paper so it is less effective and less practical. The recording of dental medical records and medicines are also done manually. So that why the research doing to design an information system using an object-oriented approach. On the whole process, from input data, and presentation of reports aims to make easy for users and to schedule regular patient visits using SMS Gateway.
BINARY LOGISTIC REGRESSION IN DETERMINING AFFECTING FACTORS STUDENT GRADUATION IN A SUBJECT
Authors: Shedriko Shedriko
Published: November 2021

Good communication and coordination between lecturers are needed in delivering material by different lecturers to ensure the relatively uniform quality of education. Knowing the success information from several classes to predict other classes, should be completed by significant parameters used in the algorithm. This research is using a quantitative analysis method with binary logistic regression methodology in determining critical factors of train data on “Introduction to Information Technology” subject in the university of XYZ. Several statistical testing are conducted to give the expected results using software excel with Real Statistics add-ins and Orange Data Mining in testing the pass-prediction from the given data training. The successive model can also be used to classify graduation for the different subjects.
INFORMATION SYSTEM OF CONSTRUCTION SERVICE WEB BASED ON PAPUA GAPEKSINDO ASSOCIATION
Authors: - Mutmainna , Alam Sitti Nur , Widiyantoro Muhammad Riandi , Robo Salahudin
Published: November 2021

Information technology is currently growing rapidly. Computers as information technology tools play an important role in solving data processing problems. Therefore, many companies are using information technology to improve enterprise data management. One of them is GAPEKSINDO Association. It is the organization of companies in construction services. In collecting data and processing business entity data, the companies will apply for Business Certificate, Gapeksindo Association in Papua have the problems, they are data collection and data processing is still using Excel. The weakness use Excel is the data storage can be accidentally deleted and search data will take a long time. Based on the problems above, information system is needed to support Papua Gapeksindo Association in collecting data and processing business data. It can provide convenience in collecting data and processing business data, ensuring security in storing data and it will be stored in database. This information system based on web by using the Unified Modeling Language (UML) design method. The development method using the Waterfall method and the testing method using Black Box.
WEATHER AND TRAFFIC MONITORING SYSTEM IoT-Based TOWARDS JAMBI SMART CITY
Authors: Amri Imti Tsalil , Santoso Santoso , Djauhari Teuku , Gultom Brestina
Published: November 2021

With the large number of vehicles on the road today, we often get stuck in a traffic jam on our way to a place. And the temperature or the weather that often changes sometimes also causes us to get stuck in a weather. Thus both these problems was made a journal WEATHER AND TRAFFIC MONITORING SYSTEM IoT-BASED TOWARDS JAMBI SMART CITY. This research uses descriptive research method. This method uses action techniques that focus on implementing actions with the aim of improving quality or solving problems in a group of objects and observing the success rate or impact of their actions.
UPAYA PENCEGAHAN DAN PENGENDALIAN PENYAKIT DEMAM BERDARAH DENGUE DI INDONESIA (2004-2019)
Authors: Cakranegara Joshua Jolly Sucanta
Published: November 2021

Artikel ini bertujuan mengkaji upaya pencegahan dan pengendalian penyakit demam berdarah dengue (DBD) di Indonesia pada awal abad ke-21 (2004-2019) beserta dampaknya. Hal ini menjadi penting sebab DBD dinilai sebagai salah satu ancaman ketika Indonesia sedang melawan pandemi Corona Virus Disease 2019 (Covid-19). Selain itu, DBD menjadi salah satu penyakit yang telah berada dalam sejarah panjang Indonesia. Penelitian ini merupakan penelitian sejarah dengan pendekatan sejarah kesehatan masyarakat. Sumber-sumber yang digunakan adalah sumber primer berupa surat kabar dan publikasi resmi pemerintah serta sumber sekunder berupa literatur terkait. Hasil penelitian menunjukkan bahwa status DBD yang telah ditetapkan sebagai Kejadian Luar Biasa (KLB) pada 2004 menyebabkan perhatian pemerintah atas DBD makin besar. Pemerintah menetapkan kebijakan kesehatan yang meliputi upaya pencegahan dan pengendalian dengan melibatkan kolaborasi lintas sektor. Meskipun demikian, dampak atas upaya ini adalah jumlah kasus DBD bergerak secara fluktuatif selama lima belas tahun, bahkan meningkat tajam pada 2019.
ПРОБЛЕМАТИКА ОРГАНИЗАЦИОННЫХ СТРУКТУР УПРАВЛЕНИЯ ПЕРСОНАЛОМ
Authors: Довлетмурзаева М.А. , Дикаева Х.М.
Published: November 2021

В статье рассматриваются проблемы организационных структур управления, которые встречаются в организациях в условиях рыночной экономики.
Тема статьи является актуальной, так как во многих организациях организационные структуры управления не соответствуют современным требованиям. Предметом анализа являются проблемы организационных структур управления. Авторами поставлена цель обосновать теоретические положения и вопросы совершенствования посредством выявления проблем в данной области. В статье сделан вывод о том, что традиционные методы управления организационными структурами не дают эффективных результатов. Необходимо развитие теории и практики оптимального управления организационной структурой.
РЕФОРМИРОВАНИЕ НАЛОГООБЛОЖЕНИЯ ИСПОЛЬЗОВАНИЯ ПРИРОДНЫХ РЕСУРСОВ
Authors: Горшкова Н.В. , Кем В.В.
Published: November 2021

В статье рассмотрены актуальные вопросы реформирования налогообложения в нефтегазовой отрасли, связанные с добычей полезных ископаемых. Цель статьи – дать оценку современному состоянию налогообложения использования природных ресурсов в Российской Федерации. Предметом исследования выступили общественно-финансовые взаимоотношения между государством и предприятиями нефтегазового сектора, возникающие в процессе налогового реформирования. Исследование опиралось на методы научного обобщения и систематизации научной информации, историко-логического и сравнительного анализа, методы табличного и графического отображения экономической информации и др. В результате исследования был сделан вывод о том, что результаты налоговой реформы нельзя назвать удовлетворительными, и требуется разработка новых подходов к налогообложению использования природных ресурсов.
БЕЗОПАСНОСТЬ БАНКОВСКОЙ СИСТЕМЫ КАК ФАКТОР ОБЕСПЕЧЕНИЯ ЭФФЕКТИВНОГО ФУНКЦИОНИРОВАНИЯ НАЦИОНАЛЬНОЙ ЭКОНОМИКИ
Authors: Аслаханова С.А. , Бексултанова Х.А.
Published: November 2021

В данной статье рассматриваются базовые элементы и составляющие экономической безопасности банка для реализации комплексной системы управления безопасностью. Изложена сущность понятия «экономическая безопасность банка». Исследованы внутренние и внешние факторы влияния, формирующие среду функционирования кредитно-банковского учреждения и определяющие степень опасности возникающих угроз. Проведен анализ составляющих экономической безопасности, исходя из представления о функциональном развитии банка. Рассмотрено функциональное содержание деятельности банка, в частности, каждой составляющей. Представлена концепция комплексного управления экономической безопасностью, основанная на последовательном контроле возникающих угроз в каждой составляющей экономической безопасности, классификации возможных рисков и управления ими.
Design Coverage Optimization Based on Position of Constellations and Cost of the Launch Vehicle
Authors: Kohani Saeid , Zong Peng , Yang Fengfan
Published: November 2021

This research will analyze the tradeoffs between coverage optimization based on Position dilution of precision (PDOP) and cost of the launch vehicle. It adopts MATLAB and STK tools along with multiple objective genetic algorithms (MOGA) to explore the trade space for the constellation designs at different orbital altitudes. The objective of optimal design solutions is inferred to determine the economic and efficient LEO, MEO, HEO or hybrid constellations and simulation results are presented to optimize the design of satellite constellations. The benefits of this research are the optimization of satellite constellation design, which reduces costs and increases regional and global coverage with the least number of satellites. The result of this project is the optimization of the number of constellation satellites in several orbital planes in LEO orbit. Validations are based on reviewing the results of several simulations. The results of graphs and tables are presented in the last two sections and are taken from the results of several simulations.
Voices from the Field: A Qualitative Study of the Challenges and Promising Practices of Rural Public Health in Addressing HIV and Hepatitis C
Authors: Williamson Martha Elbaum , Pearson Karen B. , Burgess Amanda R. , Lenardson Jennifer D. , Ziller Erika C.
Published: November 2021

Rural areas of the United States may be vulnerable to an HIV or hepatitis C (HCV) outbreak among persons who inject drugs. We conducted semi-structured interviews with 36 state and local public health professionals from six rural states to gain an understanding of the challenges rural communities face and strategies they are using to prepare for, identify, and respond to HIV and/or HCV outbreaks due to intravenous drug use. Key informants described inadequate funding, insufficient staffing, limited health care infrastructure, and other factors as limiting the public health capacity of rural areas. Promising prevention, surveillance, and treatment strategies in rural areas included the use of mobile treatment units, telemedicine approaches, and community education initiatives to overcome resistance to evidence-based harm reduction programs.
Signification and Performance Measurement: Making Sense of Mandated Performance Objectives
Authors: Fenley Vanessa M.
Published: November 2021

Understanding performance measures’ place in effecting program change requires examining them in relation to other structural program elements and the interpretive meanings attached to them. Framed using structuration theory, this paper utilizes interviews with professionals in the homelessness field to analyze how administrators make sense of performance objectives associated with federally-funded permanent supportive housing (PSH). Findings illustrate that when the meaning of a performance objective is unclear and contradictory to funder requirements and program norms, administrators do not value nor use the performance data. Conversely, when the meaning of a performance objective is clear, reinforcing funder requirements and program norms, administrators use the performance data for various purposes. In the context of PSH, professionals conveyed using a single performance objective to benchmark against peer programs, to confirm they are meeting other program norms that are not reliably tracked, and to build a performance-based advocacy argument without collecting additional performance data.
Himantariidae Bollman, 1893 (Chilopoda: Geophilomorpha), a new family for the Mongolian fauna
Authors: Dyachkov Yurii V.
Published: November 2021

Polyporogaster porosa (Sseliwanoff, 1881), genus Polyporogaster Verhoeff, 1899, as well as family Himantariidae Bollman, 1893 are reported for the first time for the fauna of Mongolia.
Review of Cash Flow Statement of Selected Companies of Steel Industry (Tata Steel and Sail)
Authors: Abdulkareem Ahmed Mahdi , Vithalbhai Vasani Sureshbhai
Published: November 2021

The main objective of this study is to assess the ability of the enterprise to generate cash and cash equivalents of the industry. The researcher has selected two companies on the basis of the judgemental sampling method and the researcher has used for the data analysis like mean, trend analysis, and pair “t” test. The researcher has found out the review of the cash flow statement of TATA Steel and SAIL shows the cash inflow and cashes outflow of both the companies, which represents similar solvency and liquidity of both the companies. Thus, investors can invest in both companies because both companies have a sound cash position. So, it should be easy to identify the best investment option for investors. The cash flow statements of the selected two industries of steel sectors have been analysed using different parameters. The selected steel industries are TATA Steel and Steel Authority of India Limited (SAIL). The comparative evaluation of the cash flow statement describes the various variables of cash inflows and outflows of cash of both the industries and the similarity in inflows and outflows of cash. There are 12 variables that were very similar and the data of both the industries were available for the study period. From the analysis, it is concluded that both industries have more similarities in the cash inflow and cash outflow of cash flow statement.
Aktivnosti i obilježja instrukcijskog školskog vođenja iz perspektive ravnatelja osnovnih škola
Authors: Kovač Vesna , Pažur Monika
Published: November 2021

U ovom radu prikazani su rezultati empirijskog istraživanja o obilježjima instrukcijskog školskog vođenja (IŠV) provedenog na uzorku od 30 ravnatelja osnovnih škola u Hrvatskoj. Postavljena su dva istraživačka pitanja: 1. Kako ravnatelji osnovnih škola opisuju i komentiraju aktivnosti IŠV-a koje provode u svojim školama? i 2. Kako ravnatelji osnovnih škola opisuju i doživljavaju okolnosti koje djeluju na iniciranje i provedbu aktivnosti IŠV-a? S obzirom na postavljena pitanja, korišten je pristup osnovnog kvalitativnog interpretativnog istraživanja. Podaci su prikupljeni pisanim intervjuom, a rezultati tematske analize sadržaja otkrili su dvije ključne tematske kategorije: popisnajčešće provođenih aktivnosti IŠV-a i ključne interakcije ravnatelja tijekom provođenja IŠV-a. Uočeni su varijabiliteti u provedbi IŠV-a u nekoliko točaka, od kojih se ističu ključni sadržaji i ishodi IŠV-a usmjereni na jačanje kapaciteta učenika i učitelja, te uloge i odnos ravnatelja u interakciji s različitim dionicima.
(Ne)Pjevanje za vrijeme pandemije bolesti Covid-19 - Mišljenja i emocionalni doživljaj učenika od 5. do 8. razreda osnovnih škola u Republici Hrvatskoj
Authors: Jurkić Sviben Tamara , Jambrošić Nikola Sebastian
Published: November 2021

Pjevanje je važan čimbenik u nastavi Glazbene kulture te, uz obvezne sadržaje, aktivnost koja se najviše provodi. Znanstvena literatura potvrđuje da pjevanje u većoj mjeri kod učenika izaziva pozitivne emocionalne reakcije. Proglašenjem pandemije bolesti COVID-19 u ožujku 2020. godine gotovo sve pjevačke aktivnosti bile su na dulje vrijeme obustavljene. Cilj istraživanja bio je uočiti postoji li razlika u percepciji nezadovoljstva obustavom pjevanja ovisno o tome jesu li se učenici prije pandemije aktivno i intenzivnije bavili pjevanjem u odnosu na one koji tu aktivnost nisu imali ili su je imali u minimalnoj mjeri. Prvi problem bio je istražiti postoji li razlika u osobnom nezadovoljstvu (sreći) i percepciji nezadovoljstva obustavom pjevanja ovisno o tome jesu li se učenici aktivno bavili pjevanjem prije pandemije ili nisu te jesu li tijekom pandemije nastavili s pjevanjem u virtualnom okruženju („online“) ili su sasvim prekinuli s aktivnim pjevanjem. Potvrđene su hipoteze da učenici koji su članovi zbora i/ili ansambala osjećaju intenzivniji nedostatak i osobno nezadovoljstvo obustavom glazbenih aktivnosti tijekom pandemije nego oni koji su se aktivno bavili pjevanjem samo na satu Glazbene kulture te da su učenici koji su se tijekom pandemije bavili muziciranjem u virtualnom okruženju („online“) zadovoljniji i pokazuju pozitivnije emocije u odnosu na one koji su se prestali baviti glazbom. Drugi problem bio je istražiti postoji li razlika u percepciji pjevanja uživo i pjevanja u virtualnom okruženju („online“). Potvrđeno je da učenici koji su iskusili i pjevanje uživo i pjevanje u virtualnom okruženju („online“) smatraju da pjevanje uživo ima veći učinak od pjevanja u virtualnom okruženju („online“). Rezultati potvrđuju da pjevanje utječe pozitivno na pjevača te da ograničavanje pjevanja intenzivira osobno nezadovoljstvo.
The application of digital tools in listening to music in music culture education
Authors: Škoro Dorijana , Kir Ivona
Published: November 2021

Listening to music is a dominant activity in the Music Culture teaching in which students develop critical thinking about aesthetic value of music. Teachers mostly use CDs and DVDs as important tools during the music listening activity despite the development of technology. On today’s classes we meet digitally literate students born in a completely digitalized world, which represents a great challenge for teachers. The students and the system expect a wide range of digital contents – audio tracks, videos, animations, photos, etc. Fortunately, teachers can choose digital tools which will be used for improvement of the teaching activity – music listening. Research has been conducted within this paper and its aim is to determine the way in which the teachers implement the music listening activity, as well as the influence of the use of digital tools that help the students with learning and motivation. 675 students from four general education schools from fifth to eighth grade and their teachers of Music Culture from Osijek-Baranya County, as well as Vukovar-Srijem County took part in this research. The research is experimental and it is divided into two phases – before and after the use of digital tools. The research results show that the digital tool Kahoot! helps students to learn the matter easily and that they are much more motivated during music listening. Also, both students and teachers have developed digital competences.
Stavovi i razmišljanja učenika o prirodnoj i kulturnoj baštini
Authors: Kuščević Dubravka
Published: November 2021

Kulturna i prirodna baština bogatstvo je naroda kojemu pripada te jedan od ključnih elemenata za stvaranje nacionalnoga kulturnog identiteta i afirmacije u procesu globalizacije društva. Cilj istraživanja bio je ispitati stavove, informiranost i razmišljanja učenika osnovnih i srednjih škola o prirodnoj i kulturnoj baštini. U istraživanju je sudjelovalo 322 ispitanika iz osnovnih i srednjih škola Splitsko-dalmatinske, Šibensko-kninske i Zagrebačke županije. Analiza rezultata ukazuje na to da učenici srednjih škola iskazuju bolje poznavanje kulturne i prirodne baštine zavičaja te viši stupanj zainteresiranosti za upoznavanje tih sadržaja nego učenici završnih razreda osnovne škole. Također, više prepoznaju vrijednost pridavanja značaja tim temama u okviru rada odgojno-obrazovnih ustanova i u okviru različitih nastavnih predmeta. Usto, srednjoškolci izražavaju veću svijest o važnosti očuvanja kulturne baštine te njezine povezanosti s razvojem gospodarstva i očuvanjem nacionalnog identiteta nego učenici osnovnih škola. Nije bilo razlika među učenicima po pitanju utjecaja kulturne baštine na poticanje njihove kreativnosti, no pokazalo se da je češće posjećivanje arheoloških institucija povezano s višim interesom za sadržaje baštine.
Infants of Hypothyroid Mothers at Risk of Developing Hypothyroidism: A Cross-sectional Study in Qassim Region of Saudi Arabia
Authors: Alharbi Mariam S.
Published: November 2021

Introduction
Hypothyroidism is one of the most prevalent endocrine disorders in women of childbearing age. If it goes untreated, can seriously affect maternal and fetal outcomes.Aim
This study aimed to assess the prevalence of hypothyroidism in infants born to hypothyroid mothers and to analyze associated fetal complications.Subjects and methods
This is a quantitative cross-sectional study conducted among pregnant mothers at Al Qassim region, Saudi Arabia. Data of pregnant women with clinical hypothyroidism during the last five years 2015-2019 were obtained from visiting records of Endocrine Clinic in Qassim University. These participants were contacted and written informed consents were obtained from the participants after a brief introduction of the study. A comprehensive survey questionnaire was used to collect information about demographic and study variables.
Results
153 mothers were enrolled. The most common age group was 31 – 45 years with mostly Saudis (93.5%). Complications during pregnancy were detected among 47.1% of mothers. The most common complication during pregnancy was C-section (26.8%). The prevalence of infants with hypothyroidism was 2.6% while the prevalence of newborn babies with temporary/permanent hypothyroidism was 4.6%. Decreased activity (7.8%) and an increased in weight (5.2%) were the most common symptoms of a child at the time of diagnosis.Conclusion
Infants with hypothyroidism were not widely prevalent in this study. Cesarean delivery, gestational diabetes and anemia were some of the most common maternal complications during pregnancy.Keywords
COVID-19 Vaccine Hesitancy and Acceptance among Medical Students: An Online Cross-sectional Study in Iraq
Authors: Mahdi Batool Mutar
Published: November 2021

BACKGROUND: Vaccine hesitancy and reluctant had an important obstacle in achieving protection and population immunity against coronavirus disease 19 (COVID-19). It is essential to achieve high COVID-19 vaccination acceptance rates among medical students and health care workers to provide recommendations and counseling vaccine hesitant population.

AIM: This study aims to identify level of COVID-19 hesitancy, attitude, knowledge, and factors that affect vaccination decision.

MATERIALS AND METHODS: A cross-sectional study was done among medical students in Al-Kindy College of Medicine, University of Baghdad, Baghdad, Iraq. Data collection was done through an online Google Forms questionnaire during 2021 from 810 medical students.

RESULTS: A total of 810 adults’ medical students participated in this study. The majority of the study participants were female (488, 60.2%) while males were 322, 39.8%. Vaccine concept hesitancy among males was 65.21% and rest were vaccinated (34.78%) (OR = 0.13) (95% CI = 0.096–0.177) (p = 0.0001). Same hesitancy from COVID-19 vaccine was same with females (66.80%).

CONCLUSIONS: This study evaluated and shed light on vaccine hesitancy among sample of Iraqi medical students toward COVID-19 vaccination program and considered medical students as leaders and guides in the health system for increased planning and education of the population for COVID-19 vaccine acceptability.
Helen’s twins in the Balkans: discovery of two new Paraptychoptera Tonnoir, 1919 species closely related to P. helena Peus, 1958, with systematic revision of the “lacustris” group (Diptera, Ptychopteridae)
Authors: Keresztes Lujza , Kappert Jürgen , Henning Mária , Török Edina
Published: November 2021

Ptychoptera castor Keresztes & Klappert, sp. nov. and P. pollux Keresztes & Török, sp. nov. both belong to the subgenus Ptychoptera (Paraptychoptera)Tonnoir (1919) and are described from boggy headwaters in the south Balkan area. These new species are closely related to the range-restricted P. helena Peus, 1958, which is known only from Oiti village, Mount Oeta, Phthioitis region, Greece and, together with P. lacustris, forms a morphologically well-defined unit in the subgenus Paraptychoptera. Based on cladistic analyses of 53 different morphological characters using the male antenna, wing, and genital structures, a general revision of the “lacustris” group is proposed with a dichotomous key of Paraptychoptera species.
Ali, beaucoup de bruit pour (vraiment) rien ?
Authors: Reille Anne-André
Published: November 2021

Une histoire de vie apparemment banale n’empêche pas certains patients de souffrir de symptômes graves et invalidants, favorisant parfois l’investissement de l’actuel et du visible aux dépens de leur intériorité. Ali, saisi de honte depuis toujours, en proie aux crises d’angoisse incessantes, perçoit ses symptômes libres de toute causalité ou de lien quelconque. À la faveur d’un transfert d’abord idéalisé, le travail psycho­thérapeutique permet l’élaboration d’une honte à la fois dévastatrice mais aussi protectrice de la rencontre avec soi comme avec l’autre toujours menaçante. Enfin, les enjeux autour de la question du corps, du regard, du voyeurisme et de l’exhibition, ainsi que la construction d’un récit (autour d’un traumatisme originel) et d’une temporalité ouvrent la possibilité d’un processus de subjectivation comme de remaniements psychiques et corporels.
Automutilation : un symptôme paradoxal
Authors: de Oliveira de Paula Cidade Natália , Abu-Jamra Zornig Silvia Maria
Published: November 2021

Les automutilations sont des actes qui visent à attaquer sa propre peau et qui génèrent des sentiments assez ambivalents dans l’environnement du patient, y compris au sein de l’équipe soignante. À partir d’une écoute clinique, l’objectif de ce travail est de mettre en évidence la dimension paradoxale présente dans le symptôme d’automutilation : en même temps qu’elles présentent une dimension extrêmement destructrice, évoquant des réactions d’horreur et d’incompréhension, les automutilations peuvent aussi être comprises comme des actes au service de la vie. Dans cet article, nous entendons proposer une réflexion sur l’automutilation comme une sorte de mécanisme radical de survie, qui opère toujours comme une tentative de singularisation, d’appropriation de soi-même.
Le caractère du symptôme et le symptôme de caractère
Authors: Kapsambelis Vassilis
Published: November 2021

La clinique psychiatrique contemporaine a tendance à traiter les troubles de la personnalité comme des entités cliniques à part entière, leur reconnaissant des critères symptomatiques dans lesquels le trait de personnalité tient lieu de symptôme. Cette démarche méconnaît la différence de nature entre trait de caractère et symptôme, chacun renvoyant à des mécanismes psychiques différents : formation réactionnelle et formation de compromis. L’étude de la formation réactionnelle montre qu’elle a la particularité de se retrouver aussi bien dans des aménagements défensifs proches de la sublimation que dans des évolutions où le trait de caractère apparaît comme gravement invalidant pour le fonctionnement du moi. Cette variabilité est à comprendre comme la conséquence du fait que le trait de caractère, contrairement au symptôme, implique fortement l’économie narcissique du sujet.
Libya’s Government of National (Dis)Unity: the misleading choreography of conflict resolution
Authors: Badi Emadeddin
Published: November 2021

Après le succès surprise d’une liste conduite par Abd al-Hamid Dabaiba aux élections du Forum de dialogue politique libyen (FDPL) en février 2021, un nouveau Conseil de présidence tripartite a été mis en place et un nouveau gouvernement a été formé en Libye - baptisé Gouvernement d’unité nationale (GUN). L’approbation du gouvernement d’unité nationale - tant au niveau national qu’international - a toutefois été le sous-produit d’une convergence temporaire des intérêts nationaux et internationaux dans la « guerre par d’autres moyens ». Les progrès apparents réalisés en vue de résoudre la crise libyenne sous les auspices des Nations unies n’ont, quant à eux, guère atténué les intérêts réels des parties belligérantes de la Libye et de leurs sponsors étrangers. Cet article cherche à définir les continuités et les discontinuités de l’ordre qui caractérisent cette nouvelle période en Libye d’un point de vue politique, socio-économique et militaire. Une telle analyse révélera les défauts inhérents au processus de formation du gouvernement d’unité nationale, qui entraveront sa capacité à gouverner et à unifier les institutions, tout en affectant considérablement le paysage sécuritaire du pays. Cela a également des implications sur les perspectives de réussite de la feuille de route établie dans le cadre du Forum de dialogue politique libyen et du processus de suffrage prévu pour le 24 décembre 2021. Plus largement, l’analyse présentée et les continuités et discontinuités de l’ordre caractérisant l’ère pré et post-LPDF révèlent que le processus politique a créé une situation dans laquelle le conflit est simplement géré dans les limites d’une nouvelle structure politique. Si cette stratégie de gestion des conflits limitée dans le temps peut durer un certain temps, elle est également - de par sa conception - mal adaptée à la mise en œuvre de changements qui contribueraient à une résolution efficace des conflits en Libye. De ce point de vue, ce document est également pertinent au-delà de la Libye, en particulier pour ceux qui examinent de manière critique les domaines de la médiation et des approches multilatérales de résolution des conflits négociées par l’ONU.
The mirror effect: the EU, Libya, and their fractures
Authors: Varvelli Arturo , Stella Martini Lorena
Published: November 2021

Depuis le début de la crise libyenne en 2011, le rôle de l’Union européenne (UE) en Libye a souvent été dénoncé pour son incohérence et ses contradictions. Cela s’expliquait notamment par les profondes divergences des Européens, la France et l’Italie en l’occurrence campant sur des postures diamétralement opposées. Néanmoins, à certains moments, l’Union européenne a aussi pu faire montre d’un rôle plus pro-actif. Aujourd’hui, la crise libyenne compte au rang des tests auxquels l’UE se voit confrontée.
L’État malgré eux
Authors: Le Huérou Anne , Serrano Silvia
Published: November 2021

Cet article interroge les croisements entre itinéraires combattants, effondrement et fabrique de l’État à partir du cas de la guerre en Abkhazie (1992-1993). Il s’appuie sur un corpus d’entretiens rétrospectifs réalisés avec des anciens combattants géorgiens en 2016 et 2018 et portant sur leurs trajectoires de vie avant, pendant et après le conflit. En s’engageant, ont-ils contribué à construire la Géorgie post-soviétique comme État ou ont-ils œuvré à l’inverse à une atomisation des forces coercitives qui a entravé sa consolidation ? L’article analyse les raisons pour lesquelles les anciens combattants ont en réalité joué un rôle minime dans la transformation de l’État géorgien et pour lesquelles l’expérience de guerre n’a pas permis aux individus interviewés d’échapper au déclassement qui a touché l’ensemble des Géorgiens. Si la guerre a eu des effets structurants sur le moyen terme, c’est sans les combattants. Cet article s’inscrit donc dans les débats sur les liens entre guerre et trajectoires étatiques. Il incite également à ouvrir des chantiers sur une histoire par le bas de la construction des institutions de coercition post-soviétiques.
Les vétérans soviétiques d’Afghanistan à l’épreuve des nouveaux États post-soviétiques
Authors: Sieca-Kozlowski Elisabeth
Published: November 2021

Cet article compare les trajectoires des anciens combattants d’Afghanistan dans deux pays de l’ex-URSS : la Moldavie et la Lituanie. Il repose sur une enquête qualitative centrée sur les récits de vie, visant à rendre compte de la diversité des parcours combattants. On interrogera la place des vétérans d’Afghanistan dans des sociétés qui ont un socle commun par leur passé soviétique mais ont suivi des dynamiques très différentes après la chute de l’URSS. L’article explore l’évolution du statut matériel et symbolique de cette population dans le contexte des nouveaux États post-soviétiques. Au-delà de la quête de reconnaissance que tout vétéran est en droit d’attendre de celui qui l’a envoyé à la guerre, c’est à la mobilisation des afgancy pour la reconnaissance de leur statut juridique, de leurs droits et de leurs avantages sociaux dans un contexte changeant et porteur ou non de nouvelles opportunités que nous nous intéressons. Nous interrogeons les moyens que les vétérans mettent en œuvre pour mobiliser des soutiens dans leur quête d’une plus juste redistribution. L’analyse porte aussi sur le rapport des vétérans à l’État.
Comment devient-on combattant ?
Authors: Maestracci Coline
Published: November 2021

En mobilisant des concepts utilisés en sociologie des mouvements sociaux, cette note de recherche analyse les parcours d’engagement des combattants ukrainiens de la guerre du Donbass. Le recours notamment au concept de carrière permet de mener une analyse processuelle de l’engagement en se concentrant sur le sens donné à l’engagement, par les individus. Pour beaucoup d’entre eux, la mobilisation du Maïdan de l’hiver 2013-2014 constitue un épisode de bifurcation. Les ruptures successives à l’échelle individuelle et collective à l’œuvre pendant cette période rendent petit à petit le passage à la violence armée envisageable. Le concept de carrière montre par ailleurs que le parcours d’engagement relève d’une succession de choix qui prend en compte les contraintes matérielles et affectives de la vie des individus.
Discussion du rapport d’Eva Weil
Authors: Buras Alice
Published: November 2021

Pour les deuxièmes et troisièmes générations de survivants, le trauma qui est demeuré inélaboré pour l’un est projeté sur le groupe. Et l’élaboration psychique individuelle est rendue possible quand la reconnaissance et l’inscription de l’horreur se sont accomplies collectivement. Par contre, pour ceux qui ont été plongés directement dans les situations extrêmes d’extermination, le monde extérieur a disparu, et le groupe ne peut pas être un recours. Pour faire face à ces violences de masse, il faut sortir de la masse des victimes. La pulsion anarchiste, dérivée de la pulsion de mort, grâce à son activité déliante, pourrait aider à la lucidité, à la résistance et à la survie.
Le travail du traumatique, effacement, inscription
Authors: Gurdal Kuey Ayça
Published: November 2021

Les traumatismes massifs portent en eux à la fois la peur, la haine et la honte. Il est difficile d’évoquer cette grande violence et de trouver ses représentations ; c’est le cas pour la Shoah et pour la Grande Catastrophe arménienne. Pour discuter le travail du traumatique, on présente le travail clinique d’un projet de psychothérapie psychanalytique et de groupe de supervision qui nous avait montré la possibilité de travailler avec un trauma collectif, de penser ensemble et d’élaborer un après-coup.
Le « cas particulier » de l’hébreu : pourquoi cela devrait-il intéresser la psychanalyse ?
Authors: Benhamou Maxime
Published: November 2021

Dans le prolongement du rapport de Viviane Chetrit-Vatine et Michel Granek, cet article propose quelques éléments de réflexion sur les particularités de l’espace psychique d’un usager de la langue hébraïque. L’hébreu est un cas unique en son genre : celui d’être passé de l’état de langue morte à celui de langue vivante grâce notamment à Eliezer Ben Yéhouda qui fut sans aucun doute le plus célèbre promoteur de « la renaissance de l’hébreu ». Mais, au-delà du vif intérêt que suscite l’hébreu pour les sciences du langage, la psychanalyse peut aussi y trouver matière à réflexion notamment pour alimenter (et faire avancer) un débat toujours ouvert autour du mot d’ordre lacanien concernant la « primauté du signifiant ». Un mot d’ordre que l’hébreu semble mettre à défaut.
Figurer l’indicible : Primo Levi et Art Spiegelman
Authors: Krzakowski Piotr
Published: November 2021

Cet article présente deux générations différemment touchées par la Shoah : Primo Levi, piégé dans l’impossibilité de dire son histoire à ses plus proches, et Art Spiegelman, fils de déporté, qui a littéralement « capturé » le récit de son père au titre d’une œuvre « expérimentale » selon lui, une bande dessinée décrivant l’univers d’Auschwitz. Ces deux parcours illustreront le jeu génératif et protecteur de la latence, mais aussi son alliance possible avec un négatif mis en abyme.
Esprit du temps, représentation des traumatismes collectifs et perlaboration
Authors: Saurer Andreas
Published: November 2021

L’esprit du temps éclaire certains faits et en laisse d’autres dans l’ombre. Il module les garants sociaux, un système de représentations suffisamment stable pour penser et exister dans la différence. La représentation de la réalité, y compris celle des traumatismes collectifs, est influencée par le contexte, le moment historique et l’inconscient fantasmatique et affectif. Le travail de perlaboration, un processus de complexification continu, allège le poids mortifère de la sublimation statique du souvenir indicible du « plus jamais ça ».
Les entraves traumatiques au travail de deuil et de mémoire
Authors: Minazio Nicole
Published: November 2021

Comment la défaite intrapsychique et culturelle liée à la destruction des valeurs, des idéaux, au pervertissement du langage agi par le régime nazi, affecte-t-il le travail de deuil et de mémoire au sein des psychés individuelles ? À partir d’une réflexion clinique, nous tentons d’explorer les oscillations entre deuil et mémoire individuels et collectifs dont l’articulation remet au travail les questions du meurtre et de la destructivité aux fondements de la réalité psychique.
À la recherche d’un écho perdu
Authors: Fonseca Wintsch Isabel
Published: November 2021

Le récit que je vous propose s’inscrit dans ma préoccupation éthique, celle de devoir ne pas priver un enfant de la possibilité qu’un processus analytique puisse advenir. Ce qui présuppose la présence d’un analyste qui s’offre à être là, à être utilisé comme tel. L’écoute et l’élaboration contre-transférentielle dans la cure de Maël ont permis de soutenir l’espoir engendré et de déployer un transfert préverbal. En me plaçant « au plus près » de son niveau d’expression et de compréhension, un tissage sonore a donné lieu à une transformation des émois en affects et à la création d’un espace transitionnel.
Visage et voix dans le traitement de l’enfant
Authors: Gauthier Martin
Published: November 2021

La fonction sémiotique du visage et de la voix dans le traitement de l’enfant est abordée dans le contexte de traumatismes sévères. Avec Levinas, Winnicott et Laplanche, trois visages complémentaires sont décrits. La remise en branle de la créativité primaire permettant l’après-coup et l’appropriation subjective du traumatisme se heurte à l’emprise du surmoi primitif. Pour Dario, un garçon de 10 ans, la disparition des hallucinations auditives viendra avec l’élaboration des traumatismes vécus.
Les traumas collectifs, le lien à l’autre accueillant et le lieu analytique
Authors: Abrevaya Elda
Published: November 2021

L’expérience des traumas collectifs met en évidence qu’il est nécessaire de concevoir l’existence d’une instance collective, culturelle qui est partie constituante de la psyché individuelle. La déchirure du lien à l’autre accueillant entraîne un collapsus de la vie représentative, menant à un désespoir et une solitude extrême.
Une psychanalyste à l’écoute des victimes d’attentats : pour quoi faire ?
Authors: Deloche-Gaudez Florence
Published: November 2021

L’auteur s’interroge sur la place que peut occuper la psychanalyse dans le cas des attentats qui ont touché la France depuis 2015. Lors des prises en charge immédiates, et ultérieures, une écoute psychanalytique permet de saisir les effets d’après-coup : elle aide la victime à comprendre en quoi l’événement traumatisant collectif peut venir réveiller des éléments de son histoire personnelle. Une telle écoute favorise l’inscription psychique de précédents traumas et aide le sujet à retrouver un chemin personnel ainsi revisité.