bluuebunny/crossref_metadata_2025 huggingface dataset:
Modified Recipient Blood Flow-Preserved Cross-Leg Anterolateral Thigh Flap Procedure for Complex Lower Extremity Reconstruction
Authors: Zhou Hong-Xiang , He Liang , Yin Dong , Niu Yang , Jin Zhe , Li Jun-Jie , Wang Qian-Kun , Zhou Tao
Published: November 2021

Background

Complex lower limb reconstruction following severe trauma remains a challenge for reconstructive surgeons. Here, we introduce a modified recipient blood flow-preserved cross-leg anterolateral thigh flap procedure and evaluate its clinical efficacy.
Methods

Between January 2013 and December 2019, 22 patients (range 10 to 64 years old) with unilateral lower limb injuries underwent modified recipient blood flow-preserved cross-leg anterolateral thigh flap procedures. Among them, 16 cases were traffic accidents, 5 cases were persistent ulcers, and 1 case was a degloving injury. The arterial pedicle of the flap was prepared in a Y-shaped fashion and microanastomosed to the contralateral posterior tibial artery in a flow-through style. A split-thickness skin graft was applied to wrap the vascular pedicle after anastomosis. The flap was designed in a single or bilobed fashion according to the shape of the defects. The tissue defects ranged from 12 × 6 to 21 × 18 cm2. The vascular pedicle was divided 4 weeks after vascular anastomosis. Doppler ultrasound was performed to evaluate the blood flow of the recipient posterior tibial artery during postoperative follow-up.
Results

All 22 flaps survived. The flap sizes ranged from 14 × 7.5 to 24 × 21 cm2. Eighteen flaps were designed in a single fashion, and four flaps were bilobed. Twenty patients underwent fasciocutaneous flap transplantation, and two underwent musculocutaneous flap transplantation. Two cases developed local lysis of the flap, and the wound healed after further debridement. Direct suture of the donor-site incision was performed in 16 cases, while additional full-thickness skin grafting was performed in the remaining 6 cases. Further bone transport procedures were performed in 15 patients with severe tibia bone defects. Blood flow of recipient posterior tibial arteries was confirmed during follow-up. All flaps recovered sensation at the final follow-up. The postoperative follow-up ranged from 18 to 84 months, and no long-term complications were observed.
Conclusions

The modified recipient blood flow-preserved cross-leg anterolateral thigh flap procedure is an ideal method to repair large tissue defects without sacrificing the major artery of the uninjured lower limb.
Charge Asymmetry of Muons Generated by Laser- Induced Nuclear Processes in Ultra-dense Hydrogen D(0) and p(0)
Authors: Holmlid Leif
Published: November 2021

Laser-induced nuclear reactions in ultra-dense hydrogen H(0) (review in Physica Scripta 2019) give mesons (kaons and pions) which decay to muons. The process which gives the mesons is baryon annihilation (Holmlid, J. Hydrogen Energy 2021; Holmlid and Olafsson, High Energy Density Phys. 2021). The sign of the muons detected depends on the initial baryons, with D(0) in the meson source producing mainly positive muons and p(0) producing mainly negative muons. This charge asymmetry was reported in Holmlid and Olafsson (Heliyon 2019), and has been confirmed by later experiments with a coil current transformer as beam detector , also in another lab (unpublished). The current coil detector would give no signal from the muons if charge symmetry existed. The charge asymmetry of the muons seems first to be at variance with charge conservation. An analysis of the results which includes charge conservation is given here. It agrees with the standard model of particle physics. Using D(0), the asymmetry is, as previously, proposed to be due to capture of µ- in D atoms and D2 molecules. This gives emission of mainly µ+ and a fraction of > 50% of µ+ from D(0). In p(0), the capture rate of µ- is lower than in D(0). The emitted number of µ+ will be decreased by reaction between µ+ and abundant electrons, forming muonium particles. This effect decreases the fraction of emitted µ+ for both p(0) and D(0), and it is proposed to be the main reason for a larger fraction of emitted µ- in the case of p(0).
Effects of Grazing Intensity on Plant-Soil C: N: P Stoichiometry with Precipitation Changes During the Growing Season in Desert Grassland
Authors: Yan Wei , Shi Fengling , Wan Tao
Published: November 2021

Background and aimsHigh-intensity grazing in the Mongolian grassland has led to the general deterioration of biodiversity and ecosystem functioning. Although abundant evidence shows that grazing affects the structure and function of grassland ecosystems, research on the impact of precipitation, especially under drought and overgrazing. MethodsWe examined the effects of heavy grazing, moderate grazing and no grazing on plant communities; plant and soil C, N and P contents; and plant and soil C:N:P stoichiometry in the desert grassland in different years with different amounts of precipitation. ResultsThere was no significant difference in the species diversity between the grazing and no grazing treatment, while the no grazing treatment was significantly higher than the heavy grazing treatment. Compared with the amounts in the no grazing and moderate grazing treatments, the N and P contents of the plants in the heavy grazing treatment were the highest, and the N content of the soil increased. There was a positive correlation between precipitation and the N and P contents of plants and the C and N contents of the soil at 0-10 cm and 10-20 cm. ConclusionsOur study suggest that a large amount of precipitation of plant growth will drive changes in the community species diversity. Grazing promoted the flow of N between plants and the soil, especially under heavy grazing. Under grazing stress, plants maintain the potential of compensatory growth, and precipitation in the peak season of plant growth induces rapid growth, suggesting that precipitation is an important factor driving grazing ecosystems.
Cancer Caregiving and Health Information Technology: An Analysis of the Health Information National Trends (HINTS) Survey
Authors: Nelson Victoria R. , Mitchell Katharine M. , Holtz Bree E
Published: November 2021

Purpose: In this paper, we explore how health technology use impacts informal caregivers’ health and how sociodemographic factors are related, using the Health Information National Trends Survey (HINTS). Methods: Data for this study were obtained from the National Cancer Institutes’ Health Information and National Trends Survey (HINTS 5, Cycle 2, 2018). Participants for the current study were chosen based on their response to one question related to their caregiving status. The sample size was 483 respondents. Variables of interest included caregiver relationship type, general technology use, portal use, and overall health status. Results: The results indicate that there was not a significant difference of caregiving role on portal usage, [F(5,99) = .975, p = .44, η2 = .049], and technology use [F(7, 462)=2.625, p=.01]. This demonstrates that those caregiving for a child are more likely to use technology for health related issues. There was not a significant effect of portal use on caregiver health. However, there was a significant effect of technology use on overall health (t = 2.074, p=.04). There was also a significant effect of demographics on general technology use [F(7, 434)= 14.858, p < .001]. Demonstrating as education and income increases, technology use also increases, and as age increases technology use decreases. Conclusion: This study affirmed that demographic inequalities can negatively impact technology and portal use, which could reduce the burden on caregivers. Therefore, it is important to work to engage cancer patients and their caregivers with technological support and resources.
Value of Radiomics Features From Adrenal Gland and Periadrenal Fat in CT Images for Predicting COVID-19 Prognosis
Authors: zhang Mudan , Yin Xuntao , Li Wuchao , Zha Yan , Zeng Xianchun , Zhang Xiaoyong , Cui Jingjing , Xue Zhong , Wang Rongpin , Liu Chen
Published: November 2021

Background: Endocrine system plays an important role in infectious disease prognosis. Our goal is to assess the value of radiomics features extracted from adrenal gland and periadrenal fat CT images in predicting disease prognosis in patients with COVID-19. Methods: A total of 1,325 patients (765 moderate and 560 severe patients) from three centers were enrolled in the retrospective study. We proposed a 3D cascade V-Net to automatically segment adrenal glands in onset CT images. Periadrenal fat areas were obtained using inflation operations. Then, the radiomics features were automatically extracted. Five models were established to predict the disease prognosis in patients with COVID-19: a clinical model (CM), three radiomics models (adrenal gland model [AM], periadrenal fat model [PM], fusion of adrenal gland and periadrenal fat model [FM]), and a radiomics nomogram model (RN).Data from one center (1,183 patients) were utilized as training and validation sets. The remaining two (36 and 106 patients) were used as 2 independent test sets to evaluate the models’ performance. Results: The auto-segmentation framework achieved an average dice of 0.79 in the test set. CM, AM, PM, FM, and RN obtained AUCs of 0.716, 0.755, 0.796, 0.828, and 0.825, respectively in the training set, and the mean AUCs of 0.754, 0.709, 0.672, 0.706 and 0.778 for 2 independent test sets. Decision curve analysis showed that if the threshold probability was more than 0.3, 0.5, and 0.1 in the validation set, the independent-test set 1 and the independent-test set 2 could gain more net benefits using RN than FM and CM, respectively. Conclusion: Radiomics features extracted from CT images of adrenal glands and periadrenal fat are related to disease prognosis in patients with COVID-19 and have great potential for predicting its severity.
Evaluation of the anti-SARS-CoV-2 properties of essential oils and aromatic extracts.
Authors: Strub Daniel , Talma Michał , Strub Maria , Rut Wioletta , Żmudziński Mikołaj , Brud Władysław , Neyts Johan , Vangeel Laura , Zhang Linlin , Sun Xinyuanyuan , Lv Zongyang , Nayak Digant , Olsen Shaun , Hilgenfeld Rolf , Jochmans Dirk , Drag Marcin
Published: November 2021

Essential oils and aromatic extracts (oleoresins, absolutes, concretes, resinoids) are often used as food flavorings and constituents of fragrance compositions. The flavor and fragrance industry observes significant growth in sales of some natural materials during the COVID-19 outbreak. Some companies worldwide are making false claims regarding their essential oils or blends to be effective (or indirectly points towards this conclusion) against coronaviruses even though the available data on the activity of plant materials against highly pathogenic human coronaviruses is very scarce. Our exploratory study aimed to develop pioneering knowledge and provide the first experimental results on the inhibitory properties of hundreds of flavor & fragrance materials against SARS-CoV-2 main- and papain-like proteases, and antiviral potential of the most active protease inhibitors. As essential oils are volatile products, they could provide an interesting subsidiary inhalation therapeutic strategy in the long term.
INFECTIOUS ENDOCARDITISSECONDARY TO NEISSERIA SPP IN PATIENTS WITH CARDIAC PROSTHESES: RARE ENTITY AND DIFFICULT DIAGNOSIS
Authors:   Cardiology Center, Mohamed V. Military Training Hospital., Fihri Youssef , Aadi Youssef ,   Virology and Infectious Diseases Center, Mohamed V. Military Training Hospital., Alloul Nada ,   Bacteriology Laboratory, Mohamed V Military Training Hospital., Mouine Najat ,   Cardiology Center, Mohamed V. Military Training Hospital., Asfalou Ilyass ,   Cardiology Center, Mohamed V. Military Training Hospital., Lakhal Zouhair ,   Cardiology Center, Mohamed V. Military Training Hospital., Benyass Aatif ,   Cardiology Center, Mohamed V. Military Training Hospital.
Published: November 2021

Infectious endocarditis is an infrequent pathology but with a very significant morbidity and mortality context. The MostCommon responsible germs are streptococci and staphylococci.Neisseria is a strain of bacteria characterized by several subgroups such as gram-negative diplococci which are present in the respiratory tract and which are generally harmless and other gram-negative bacteria such as Neisseria gonorrhoeae which are known to be pathogens involved in several pathologies.We report a case of infectious endocarditis in 37-year-old patient with mitral valve replacement who presented a prolonged febrile syndrome with discovery on transesophageal echocardiography of vegetation and blood cultures of an SP Neisseria.
TRAITS MORPHOPEDOLOGIQUES DUNE PENEPLAINE DE SAVANE ARBOREE A BROBO AU CENTRE DE LA COTE DIVOIRE
Authors:   UFR des Sciences de la Terre et des Ressources Minieres, Laboratoire des Sciences du Sol, de lEau et des Geomateriaux, Universite Felix Houphouet-Boigny, Abidjan, Cote dIvoire., Yao Kouman Nestor Kouakou , Bi Trazie Jeremie Gala ,   UFR des Sciences de la Terre et des Ressources Minieres, Laboratoire des Sciences du Sol, de lEau et des Geomateriaux, Universite Felix Houphouet-Boigny, Abidjan, Cote dIvoire., Guy Fernand Yao ,   Centre National de Recherche Agronomique (CNRA), Laboratoire Central Sols, Eaux, Plantes Programme Gestion durable des Sols et MaÃƒÂ®trise de lEau, Bouake, Cote dIvoire., Kouassi Gerard Kouadio ,   UFR des Sciences de la Terre et des Ressources Minieres, Laboratoire des Sciences du Sol, de lEau et des Geomateriaux, Universite Felix Houphouet-Boigny, Abidjan, Cote dIvoire., Albert Yao-Kouame ,   UFR des Sciences de la Terre et des Ressources Minieres, Laboratoire des Sciences du Sol, de lEau et des Geomateriaux, Universite Felix Houphouet-Boigny, Abidjan, Cote dIvoire.
Published: November 2021

A morphopedological study was conducted on a 10 hectares plot of land near the village of Bopri in the sub-prefecture of Brobo. The objective was to identify the soils of this site in order to have a general overview of the soils of this region, which is poorly known from a pedological point of view and where the rare information relating to the soils goes back decades. Its implementation required the opening of 7 soil pits distributed homogeneously over the entire site in order to guarantee the representativeness of the information collected during these investigations. In total, this study revealed that this site contains a large proportion of typically ferralitic soils with deep indurations Haplic Ferralsols (Endopetric). However, in addition to this dominant category, anthropogenic Leptosols are found, which are characterised by a continuous mass of duricrust starting less than 25 cm deep and whose formation is consecutive of human activities.
HEPATIC LYPHOMA: TWO CASES REPORT
Authors:   Surgery Department (I), Military Hospital, Rabat, Morocco. Faculty of Medicine, Sidi Mohamed Ben Abdellah University, Fes, Morocco., Najih Mohammed , Bouzroud Mohamed ,   Surgery Department (I), Military Hospital, Rabat, Morocco. Faculty of Medicine, Sidi Mohamed Ben Abdellah University, Fes, Morocco., Mehdi Aboulfeth El ,   Surgery Department (I), Military Hospital, Rabat, Morocco. Faculty of Medicine, Sidi Mohamed Ben Abdellah University, Fes, Morocco., Mohamed Bouchentouf Sidi ,   Surgery Department (I), Military Hospital, Rabat, Morocco. Faculty of Medicine, Sidi Mohamed Ben Abdellah University, Fes, Morocco., El Kaoui Hakim ,   Surgery Department (I), Military Hospital, Rabat, Morocco. Faculty of Medicine, Sidi Mohamed Ben Abdellah University, Fes, Morocco., Moujahid Montassir ,   Surgery Department (I), Military Hospital, Rabat, Morocco. Faculty of Medicine, Sidi Mohamed Ben Abdellah University, Fes, Morocco., Bounaim Ahmed ,   Surgery Department (I), Military Hospital, Rabat, Morocco. Faculty of Medicine, Sidi Mohamed Ben Abdellah University, Fes, Morocco.
Published: November 2021

Introduction: Hepatic lymphoma is defined as primary when there is an attack on the liver without affecting the spleen, the bone marrow or another lymphatic organ. The primary hepatic attack is a very rare variant estimated at 1% of all extra lymphomas. Case report: We report two cases, the first concerning a patient aged 65 years, without pathological history, admitted for chronic abdominal pain associated with a febrile syndrome, the initial diagnosis revealed a liver tumor at the level of segment I. The patient was operated, the pathological examination of an extemporaneous biopsy concluded to a primitive lymphoma of the liver. The patient was referred to oncology for chemotherapy. Her evolution was satisfactory with a 2-year follow-up. The second patient, 50 years old, without notable pathological history, admitted for generalized jaundice, the physical examination reports a palpable mass in the right hypochondrium. The initial diagnosis revealed the presence of a process involving segment I of the liver, an echo endoscopy showed several mesenteric celiomentaladenopathies and a main biliary tract with stenosis, a sphincterotomy was scheduled, an anatomopathological examination with complementary immunohistochemical study showed a diffuse large cell B lymphoma and the patient was referred to the oncology department. Discussion: Lymphomas of the liver is a rare condition. They predominate in middle- aged adults and males. Clinical presentations are diverse. Radiological aspects and biological disturbances are variable. Treatment modalities are variable, combining surgery, chemotherapy and radiotherapy. Conclusion: The diagnosis of lymphomas of the liver is difficult. The therapeutic decision must take into account the extent of the disease, the general condition of the patient. Chemotherapy remains the cornerstone of treatment.
MODERN WOMENS ASPIRATIONS IN SHASHI DESHPANDE THE DARK HOLDS NO TERRORS
Authors:   Principal and Head, Department of English Government Mahakoshal Arts and Commerce College, Jabalpur Department of Education St. Aloysius (Auto) College, Jabalpur., Pandey Abha
Published: November 2021

Shashi Deshpande in her novel has presented a realistic picture of the modern educated, intelligent middle class woman in the novel. The New Woman is neither fully traditional nor fully modern. A new paradigms related to a womans life came into existence i.e. tradition and modernity, economic dependence, self-assertion, aspiration and independent in life in her novel.The New Woman in Deshpandes novel gets all types of rights in their life hence they struggle a lot to get free from the traditional world andin quest for her own identity. The present paper is an attempt to analyze Shashi Deshpandes novel The Dark Holds No Terrors.The Methodology followed in the analysis is of comparative and contrast.Sarita is the main protagonist of the novel, who is modern emancipated middle-class educated woman in the novel. She plays different roles to achieve her goals and aspirations in her life through facing various traumas in the novel.An attempt has been made to highlight Deshpandes story The Dark Holds No Terror that allocates the educated women in all possible ways.
The Metamorphosis of a Female Subject into a Gendered subject: A Study of Easterine Iralu’s A Terrible Matriarchy
Authors:   Assistant Professor, Department of English, Rajiv Gandhi University, Arunachal Pradesh,, Riba Bompi , Nyori Karngam ,   Ph.D Research Scholar, Department of English, Rajiv Gandhi University, Arunachal Pradesh
Published: November 2021

It is a universally practised phenomenon across society to conveniently create a dichotomy that is based on the physiological difference between a male and a female. This difference is further defined by the dichotomy of gendered roles and labour that are imposed on them. The hegemony of the gendered ideology makes it all so natural to assign gendered role to a baby the moment it is born. Its body serves as a continuing signifier for the gendered structure of a patriarchal society. Since these gendered ideologies are disseminated through established institutions such as education, religion and law; their manifestations can be found in culture, religion, clothes, discourse, movies, and even in gestures that this polarity between a man and a woman is accepted as natural. There still is no general consent among the cultural anthropologists that an unambiguous matriarchal society existed. Classical scholars like Johann Jakob Bachofen tried to argue that matriarchal society existed on the basis of unreliable historical sources such as Iliad and Odyssey (Bamberger, p.263). Easterine Iralu’s A Terrible Matriarchy intrigues the reader with this highly deceptive title that ironically bares the patriarchy of contemporary Naga society. However, if these reasons are taken into account that Feminism is all about equality and that matriarchy is the flip side of patriarchy with all its horrors; then she is not far from the truth in prefixing “terrible” to “matriarchy”. This article is an attempt to familiarize the milieu of a quintessential Naga girl and her resistance to the anxious process of self-denial imposed upon her by her grandmother who embodies the concept of ‘terrible matriarchy’. The article also concentrates on the typical mechanism of gender construction and how such mechanisms are responsible for metamorphosing a female subject into a gendered subject.
Reconceptualization of National Spaces: A Close Reading of Bharati Mukherjee’s selected novels with Gloria Anzaldúa´s Nueva Conciencia Mestiza
Authors:   University of Granada, Spain, Gupta Shilpi
Published: November 2021

In 1997, Bharati Mukherjee, a renowned diaspora woman writer, stated in an interview, “I am an American, not an Asian American.” Since then, she has been virulently attacked for defining herself as an American by the writers of her original homeland and her diaspora compatriots. However, with this statement, Mukherjee challenged the diaspora writing and took a solid move to redefine the diaspora through her life and novels. Her novels also considered her autobiographical notes, demonstrate a new diaspora identity that is fluid and transforming. Her latest diaspora writing has challenged the quintessential diaspora identity, gender structure, definition of home, and host land. The paper will do a close reading of her four novels, The Tiger’s Daughters (1971), wife (1975), Jasmine (1989), and Desirable Daughters (2002), to see the transition from being a Bengali Indian expatriate in Canada, Asian American to American Immigrant. In the paper, her four novels are divided into two phases- expatriate and immigrant, which show different writing styles, different psychology behind the narration, and transition in her definition of the nation. This discussion will employ the theory of Nueva Conciencia Mestiza given by Gloria Anzaldúa to comprehend the reconceptualization of national spaces from the perspective of diaspora women.
The Duality of Arab Israeli Identity and the Politics of Survival in Sayed Kashua’s Let it Be Morning
Authors:   ICSSR Doctoral Fellow, Department of English, Bharathiar University,, Soman Neha , Suganya V. ,   Department of English, Bharathiar University,, Padmanabhan B. ,   Assistant Professor, Department of English, Bharathiar University,
Published: November 2021

This essay closely reads the Arab Israeli author Sayed Kashua’s Let It Be Morning to construe the complex survival trajectories of the Arab minority in Israel’s plural society. Kashua discusses the relentless struggles of Arab Israelis, caught in-between their social identification with Israeli citizenship and Palestinian nationalism. The novel captures the subjective and collective consequences of Israel’s ethnic democracy on the Arab community and demonstrates the social patterns in which Arab Israelis perceive, experience, and respond to systematic social segregation. This essay, through its interpretation of Arab Israeli experiences, manifested in the novel explores the conflict of contested minority identities through the Saidian discourse of orientalism and Anderson’s imagined communities. The nature of intra-communal rivalry among the minority groups for survival is also of interest to this study as the narrative locates the behavioural changes observed within the Arab community due to the negative environmental circumstances. The study also posits the sociological aspects of reinforcement theories to construe human behaviour in politically challenging environments.
Refugees from South Asian Islamic States at the footsteps of Global North: Reading Moshin Hamid’s Exit West as an Anticipation of Postnational Future
Authors:   Assistant Professor of English, Kandra Radhakanta Kundu Mahavidyalaya, Paul Minakshi
Published: November 2021

One of the essential aspects which have been perpetually constituting and reconstituting the tumultuous geopolitical space of South Asia is its interface with the Global North. An inherent element of this interface materializes in terms of the rapidly escalating proportion of the displaced population from the Islamic South Asian and Central Asian countries afflicted with intense political tensions seeking shelter in the Global North regenerating the ground for the imperialist exclusionary politics in a newer manifestation. Considering the tensional position of the Islamic communities in global politics, British-Pakistani writer Moshin Hamid’s novel Exit West (2017) provides a platform for exploring the plight of the refugees from Islamic states of South Asia in the fortress regime of Global North who are denied being assimilated either in their home state in Global South or in the host countries of the Global North thus problematizing their political status. Corroborating Giorgio Agamben’s dismissal of national borders, Hamid deploys the trope of magical doors in his novel that instantaneously delivers the protagonists to different nations rendering the geopolitical borders meaningless. As the concerned conference aspires to obviate the thick smog of western critical theories which fail to address the local issues and local cultural experience, the present paper in this context examines the novel as an aesthetic and poetical account of the hostility and resentment of the indigenous population and assimilated citizenry towards the refugees, the primal loss of their psychic experience of ‘home’ challenging the ‘ethnonationalism’ and the right-wing populism of the western nations invoking the readers to acknowledge the truth of ‘Postnationalism’. This paper thus attempts to diagnose the methods of negotiating the tensional correspondence between Global North and Global South on account of these refugees with contested political and social identities imploring the readers to reexamine the gaps in the complacent, coherent identity of South Asia as a geopolitical unit.
Gender Subtexts in Collusive Linkages between Bhadralok Ethos and Colonial Law in Select Daroga Daptor Narratives
Authors:   PhD Research Scholar, Department of English, Jamia Millia Islamia, Roy Tapti
Published: November 2021

Crime writings can be said to have originated in Bengal in the last decades of the 19th century with the emergence of narratives of seemingly true criminal investigations compiled by real-life darogas like Girish Chandra Bose, Priyanath Mukhopadhyay, and Bakaullah. These non-canonical accounts though rendered in simplistic narrative techniques to report cases that may appear inconsequential to present-day readership not only set the field for more complex fictional works of criminal investigation but also laid the foundations of a new genre of vernacular popular fiction favoured till date. It can be mentioned here that the criminal investigation accounts of Priyanath Mukhopadhyay were serialised as Daroga Daptor for a significant span of a decade which owing to its elements of thrill, mystery, and instruction were immensely coveted by the readers. The significance of the Daroga Daptor narratives for the purpose of the paper however lies in its reflections of the contemporary socio-legal setup comprised of responses towards sexual mores, socio-ethical strictures, and gender positions. In this context, the objective of the paper is to analyse select narratives of Daroga Daptor with females as victims or accused, namely the novel Adarini and the short story “Promoda”. Initiating the process with an overview of the office of the daroga emphasising on the popular associations of daroga with sloth and corruption, the paper will note the manner in which Daroga Daptor marked a paradigm shift in the popular imagination with regards to the intellectual abilities and sensibilities of daroga. Proceeding with the analysis of the aforesaid narratives, the paper by emphasising the 19th-century gender roles with respect to hypermasculine bhadralok norms and tenets of colonial law will situate the women characters as existing in an ambiguous position within the colluding grounds of the two apparently opposite masculine factions. The paper thus will establish the 19th-century native female body as a passive pliable vessel for various ideological experimentations reading them as perpetually incarcerated within the dynamic limits of an efficient, promptly adaptive, and multifariously hegemonic masculine order.
«Воспитательно-образовательные возможности авторской песни на примере песни В.Моисеевой "О Войне" и песни "Гурзуф" из цикла песен В. Моисеевой «Крымские Арабески»»
Authors: Moiseeva Victoria Victorovna
Published: November 2021

Today there is an acute problem of educating the creative potential of the younger generations, their artistic taste, preferences. Among the goals and objectives of education - the formation of artistic thinking (and as a variety - musical thinking) is very relevant. Therefore, the article considers some problems of the development of creative activity as the basis of artistic and musical thinking. Based on the study of the methodology of working on songs, it is necessary to determine the effectiveness of the influence of the author's song for voice and piano accompaniment on the formation of holistic ideas about the surrounding nature, the social environment of the cities of Crimea, the place of a person in it, self-esteem, the harmonious manifestation of patriotic feelings. Creation and testing of a song cycle as an accompanying material in solving the tasks of the regional component in education.
Evaluation of critical success factor through HOT-FIT method for the implementation of e-KOlab (electronic consignation, franchise, organizational network) as a strategy to scale-up SMEs
Authors: Farida Farida , Febrianty Febrianty , Budilaksono Sularso , Suryani Ni Kadek , Gorda A. A. A. Ngurah Tini Rusmini
Published: November 2021

The purpose of this study is to evaluate the Critical Success Factors for the implementation of e-KOlab using the HOT-Fit approach so that indicators can be obtained that have a significant effect on the net benefits of the application for SMEs in Bali under the guidance of IWAPI Bali. The research sample is MSME actors under the guidance of IWAPI Bali who uses the e-Kolab application. MSMEs are spread across 9 regencies/cities, namely: Buleleng, Klungkung, Tabanan, Karangasem, Denpasar, Bangli, Badung, Jembrana, and Gianyar. Therefore, the sampling used the Saturated Sampling method so that there were 145 people who had indeed participated in the e-Kolab application testing and its utilization. The data analysis technique used in this study is SEM with the Variance or Component-Based (VB-SEM) approach with the PLS technique. The results of the Critical Success Factor evaluation through the HOT-FIT Method on the Implementation of e-KOlab as a strategy for SMEs to Scale Up indicate that there is a need for improvement in System quality, system use, the role of the Office, and the role of the Service. That is, 4 of the 13 hypotheses in this study were rejected.
Development of information security model with application of production model
Authors: Jafarova Sh. M.
Published: November 2021

Objective. The purpose of the study is to find methods for solving the problem of ensuring a reliable level of security for cloud services. Production models can be considered the most common models that provide simplicity of knowledge representation and inference organization.

Method. The research is based on the application of methods of fuzzy logic and mathematical modeling.

Result. It is proposed to use fuzzy models that provide a flexible strategy for processing heterogeneous dynamic interacting processes that represent data and knowledge in an essentially fuzzy state space of objects of analysis.

Conclusion. A production model of information security management is proposed, which is used to create data processing and storage centers. The production system includes a rule base, a global database, and a rule interpreter. The effective use of large information resources operating in an uncertain environment on the basis of a production model makes it possible to model and ensure information security of systems.
Investigation of side electromagnetic radiation generated during the operation of devices with sensory input of information
Authors: Rogozin E. A. , Rogozin R. E. , Silka D. G. , Korobkin I. D. , Meshcheryakov M. O.
Published: November 2021

Objectives. In order to determine the "security" of a special purpose informatization object, it is necessary to calculate the indicators of side electromagnetic radiation generated during the operation of devices with sensor input of information associated with information leakage through technical channels. It is also necessary to develop a list of actions to neutralize potential threats (including the development of an information protection system to protect against this type of threat).

Method. The study of side electromagnetic radiation generated during the operation of devices with sensory input of information is carried out using expert documentary and instrumental methods.

Result. The results of the study of side electromagnetic radiation generated during the operation of devices with sensor input of information are given and aspects of improving special measures for the protection of information at a special purpose informatization object are determined.

Conclusion. The direction of this study is very relevant and requires further development of organizational and technical measures to implement the requirements of regulatory legal documents for the protection of information.
Infodemiological Examination of Personal and Commercial Tweets About Cannabidiol: Term and Sentiment Analysis
Authors: Turner Jason , Kantardzic Mehmed , Vickers-Smith Rachel
Published: November 2021

Background

In the absence of official clinical trial information, data from social networks can be used by public health and medical researchers to assess public claims about loosely regulated substances such as cannabidiol (CBD). For example, this can be achieved by comparing the medical conditions targeted by those selling CBD against the medical conditions patients commonly treat with CBD.

Objective

The objective of this study was to provide a framework for public health and medical researchers to use for identifying and analyzing the consumption and marketing of unregulated substances. Specifically, we examined CBD, which is a substance that is often presented to the public as medication despite complete evidence of efficacy and safety.

Methods

We collected 567,850 tweets by searching Twitter with the Tweepy Python package using the terms “CBD” and “cannabidiol.” We trained two binary text classifiers to create two corpora of 167,755 personal use and 143,322 commercial/sales tweets. Using medical, standard, and slang dictionaries, we identified and compared the most frequently occurring medical conditions, symptoms, side effects, body parts, and other substances referenced in both corpora. In addition, to assess popular claims about the efficacy of CBD as a medical treatment circulating on Twitter, we performed sentiment analysis via the VADER (Valence Aware Dictionary for Sentiment Reasoning) model on the personal CBD tweets.

Results

We found references to medically relevant terms that were unique to either personal or commercial CBD tweet classes, as well as medically relevant terms that were common to both classes. When we calculated the average sentiment scores for both personal and commercial CBD tweets referencing at least one of 17 medical conditions/symptoms terms, an overall positive sentiment was observed in both personal and commercial CBD tweets. We observed instances of negative sentiment conveyed in personal CBD tweets referencing autism, whereas CBD was also marketed multiple times as a treatment for autism within commercial tweets.

Conclusions

Our proposed framework provides a tool for public health and medical researchers to analyze the consumption and marketing of unregulated substances on social networks. Our analysis showed that most users of CBD are satisfied with it in regard to the condition that it is being advertised for, with the exception of autism.
Validation of a Mobile Health Technology Platform (FeverTracker) for Malaria Surveillance in India: Development and Usability Study (Preprint)
Authors: Pal Bhowmick Ipsita , Chutia Dibyajyoti , Chouhan Avinash , Nishant Nilay , Raju P L N , Narain Kanwar , Kaur Harpreet , Pebam Rocky , Debnath Jayanta , Tripura Rabindra , Gogoi Kongkona , Ch Nag Suman , Nath Aatreyee , Tripathy Debabrata , Debbarma Jotish , Das Nirapada , Sarkar Ujjwal , Debbarma Rislyn , Roy Rajashree , Debnath Bishal , Dasgupta Dipanjan , Debbarma Suraj , Joy Tripura Kamal , Reang Guneram , Sharma Amit , Rahi Manju , Chhibber-Goel Jyoti
Published: November 2021

BACKGROUND

A surveillance system is the foundation for disease prevention and control. Malaria surveillance is crucial for tracking regional and temporal patterns in disease incidence, assisting in recorded details, timely reporting, and frequency of analysis.

OBJECTIVE

In this study, we aim to develop an integrated surveillance graphical app called FeverTracker, which has been designed to assist the community and health care workers in digital surveillance and thereby contribute toward malaria control and elimination.

METHODS

FeverTracker uses a geographic information system and is linked to a web app with automated data digitization, SMS text messaging, and advisory instructions, thereby allowing immediate notification of individual cases to district and state health authorities in real time.

RESULTS

The use of FeverTracker for malaria surveillance is evident, given the archaic paper-based surveillance tools used currently. The use of the app in 19 tribal villages of the Dhalai district in Tripura, India, assisted in the surveillance of 1880 suspected malaria patients and confirmed malaria infection in 93.4% (114/122; Plasmodium falciparum), 4.9% (6/122; P vivax), and 1.6% (2/122; P falciparum/P vivax mixed infection) of cases. Digital tools such as FeverTracker will be critical in integrating disease surveillance, and they offer instant data digitization for downstream processing.

CONCLUSIONS

The use of this technology in health care and research will strengthen the ongoing efforts to eliminate malaria. Moreover, FeverTracker provides a modifiable template for deployment in other disease systems.
How Artificial Intelligence Is Changing Nursing: A Qualitative Study from Turkey (Preprint)
Authors: Bodur Gonul , Dincer Melisa , Tutak Zeynep , Ertas Gonca , Vuran Selda , Kuvan Dilek
Published: November 2021

BACKGROUND

Artificial intelligence-generated changes will have a major impact on nursing management.

OBJECTIVE

To determine the opinions of university students about the effects of artificial intelligence on the future of nursing.

METHODS

In-depth qualitative interviews were conducted with university students. The study included 12 senior-level students’ participants, who were selected by simple random sampling from different departments of Turkish universities in Istanbul. Data were analyzed using qualitative thematic analysis.

RESULTS

The participants defined artificial intelligence in terms of robots, robotized intelligence, machine learning and personal assistants. The participants listed the effects of artificial intelligence on nursing as a decrease in the number of nurses, a reduced workload for nurses, easier patient follow-up, a decreased margin of error, the use of robots for patient transport, the use of robots to position patients, the use of robots to measure vital signs, and the use of robots in psychomotor skill training.

CONCLUSIONS

In line with these results, it can be recommended that new subjects on AI and its role in the future of nursing be added to relevant education programs. This study is one of the first qualitative studies involving students in Turkey to be conducted artifical intelligence. Health and nursing policymakers should be develop courses in the curriculum that will increase student awareness of healthcare managers and policymakers researches about artificial intelligence.
An Outperforming Artificial Intelligence Model to Identify Referable Blepharoptosis for General Practitioners (Preprint)
Authors: Hung Ju-Yi , Chen Ke-Wei , Perera Chandrashan , Chiu Hsu-Kuang , Hsu Cherng-Ru , Myung David , Luo An-Chun , Fuh Chiou-Shann , Liao Shu-Lang , Kossler Andrea Lora
Published: November 2021

BACKGROUND

Accurate identification and prompt referral for blepharoptosis can be challenging for general practitioners. An artificial intelligence-aided diagnostic tool could underpin decision-making.

OBJECTIVE

To develop an AI model which accurately identifies referable blepharoptosis automatically and to compare the AI model’s performance to a group of non-ophthalmic physicians.

METHODS

Retrospective 1,000 single-eye images from tertiary oculoplastic clinics were labeled by three oculoplastic surgeons with ptosis, including true and pseudoptosis, versus healthy eyelid. The VGG (Visual Geometry Group)-16 model was trained for binary classification. The same dataset was used in testing three non-ophthalmic physicians. The Gradient-weighted Class Activation Mapping (Grad-CAM) was applied to visualize the AI model

RESULTS

The VGG16-based AI model achieved a sensitivity of 92% and a specificity of 88%, compared with the non-ophthalmic physician group, who achieved a mean sensitivity of 72% [Range: 68% - 76%] and a mean specificity of 82.67% [Range: 72% - 88%]. The area under the curve (AUC) of the AI model was 0.987. The Grad-CAM results for ptosis predictions highlighted the area between the upper eyelid margin and central corneal light reflex.

CONCLUSIONS

The AI model shows better performance than the non-ophthalmic physician group in identifying referable blepharoptosis, including true and pseudoptosis, correctly. Therefore, artificial intelligence-aided tools have the potential to assist in the diagnosis and referral of blepharoptosis for general practitioners.
Authorship Correction: International Changes in COVID-19 Clinical Trajectories Across 315 Hospitals and 6 Countries: Retrospective Cohort Study (Preprint)
Authors: Weber Griffin M , Zhang Harrison G , L'Yi Sehi , Bonzel Clara-Lea , Hong Chuan , Avillach Paul , Gutiérrez-Sacristán Alba , Palmer Nathan P , Tan Amelia Li Min , Wang Xuan , Yuan William , Gehlenborg Nils , Alloni Anna , Amendola Danilo F , Bellasi Antonio , Bellazzi Riccardo , Beraghi Michele , Bucalo Mauro , Chiovato Luca , Cho Kelly , Dagliati Arianna , Estiri Hossein , Follett Robert W , García Barrio Noelia , Hanauer David A , Henderson Darren W , Ho Yuk-Lam , Holmes John H , Hutch Meghan R , Kavuluru Ramakanth , Kirchoff Katie , Klann Jeffrey G , Krishnamurthy Ashok K , Le Trang T , Liu Molei , Loh Ne Hooi Will , Lozano-Zahonero Sara , Luo Yuan , Maidlow Sarah , Makoudjou Adeline , Malovini Alberto , Martins Marcelo Roberto , Moal Bertrand , Morris Michele , Mowery Danielle L , Murphy Shawn N , Neuraz Antoine , Ngiam Kee Yuan , Okoshi Marina P , Omenn Gilbert S , Patel Lav P , Pedrera Jiménez Miguel , Prudente Robson A , Samayamuthu Malarkodi Jebathilagam , Sanz Vidorreta Fernando J , Schriver Emily R , Schubert Petra , Serrano Balazote Pablo , Tan Byorn WL , Tanni Suzana E , Tibollo Valentina , Visweswaran Shyam , Wagholikar Kavishwar B , Xia Zongqi , Zöller Daniela ,   The Consortium for Clinical Characterization of COVID-19 by EHR (4CE), Kohane Isaac S , Cai Tianxi , South Andrew M , Brat Gabriel A
Published: November 2021

UNSTRUCTURED

Authorship Correction: International Changes in COVID-19 Clinical Trajectories Across 315 Hospitals and 6 Countries: Retrospective Cohort Study

In “International Changes in COVID-19 Clinical Trajectories Across 315 Hospitals and 6 Countries: Retrospective Cohort Study” (J Med Internet Res 2021 Oct 11;23(10):e31400. doi: 10.2196/31400), two errors were noted.

Due to a system error, the equal contribution of the last three authors was not noted. To correct this under the JMIR parameters allowing only one equal contribution footnote, we are implementing the following changes.

In the originally published paper, equal contribution was noted as:
“Griffin M Weber MD, PhD1*, Harrison G Zhang1*, Sehi L'Yi PhD1*,…
*These authors contributed equally”

This has been corrected to:
“Griffin M Weber MD, PhD1*, Harrison G Zhang1*, Sehi L'Yi PhD1*,… Tianxi Cai ScD1*‡, Andrew M South MD, MS36*, Gabriel A Brat MD, MPH1*…
*These authors contributed equally”

Additionally, the Authors’ Contribution section has been updated to include:
“These authors contributed equally: Griffin M Weber MD, PhD, Harrison G Zhang, Sehi L’Yi PhD. These authors jointly supervised the work: Tianxi Cai ScD, Andrew M South MD, MS, Gabriel A Brat MD.”

The correction will appear in the online version of the paper on the JMIR Publications website on November 2, 2021, together with the publication of this correction notice.
Who should undergo gastroscopy: a smartphone-based noninvasive auxiliary screening system (Preprint)
Authors: Ma Changzheng , Zhang Peng , Lai Xinxing , Wang Xin , Ji Chaofan , Zhang Qingrui , Du Shiyu , Li Yan , Li Shao
Published: November 2021

BACKGROUND

Gastroscopy is conducive to the early diagnosis of gastric cancer. It remains a key issue to screen premalignant patients who need gastroscopy in the clinic. Current screening strategies, including serum testing-based screening, are limited by high cost or invasive sampling, making them difficult to apply to large-scale natural populations. Therefore, a cost-effective and noninvasive auxiliary screening method that is suitable for large-scale application is urgently needed.

OBJECTIVE

The aim of this study was to construct a smartphone-based noninvasive auxiliary screening system suitable for screening patients with precancerous lesions of gastric cancer. Based on the auxiliary screening system, we expect to apply the concept of mobile health (mHealth) to establish a system to assist in screening natural populations at risk of gastric cancer and in need of gastroscopy.

METHODS

We developed the screening system by applying a naive Bayes classification algorithm based on collected questionnaires and gastritis medical records. We then established an affiliated app for application testing. The system was validated in three communities and we assessed the performance by comparison with other methods.

RESULTS

We constructed a “BIANQUE” screening system. First, we collected 841 questionnaires and 75,624 medical records. Second, we selected 9 risk factors in 20 factors. Third, we developed a screening system that achieved an AUC of 0.78 (95% CI [0.71,0.86]), comparable to blood testing-based screening methods (AUC=0.76). Fourth, we carried out a community validation. The odds ratio (OR) of different degrees of risk and gastric precancerous lesions was 2.85.

CONCLUSIONS

We have established an auxiliary screening system to help predict who needs gastroscopy. This system can achieve noninvasive and cost-effective testing with comparable performance to current invasive screening strategies. Thus, we speculate that this system could be easily applied on large-scale natural populations.

CLINICALTRIAL

Chinese clinical trial registry
ChiCTR2100044006
http://www.chictr.org.cn/