bluuebunny/crossref_metadata_2025 huggingface dataset:
Le cinéma et l’indicible : dire autrement ou dire autre chose ? Shining de Kubrick et Shutter Island de Scorsese
Authors: Rajkumar Joanna
Published: February 2024

Nous nous interrogeons sur la place de l’indicible au cinéma et sur ses rapports avec le langage et le rêve, dans deux adaptations traitant de la folie entre hallucination et dérive du signifiant, Shining (1980) de Stanley Kubrick et Shutter Island (2010) de Martin Scorsese. En comparant la manière dont les deux réalisateurs filment le mal comme étant au-delà des mots et construisent une «inquiétante étrangeté » , on peut observer comment la distance ou l’empathie construites par le dispositif filmique en modifient profondément la réception.
Pour une poésie du bruit et du bruissement, le thème de la pluie
Authors: Loubet-Poëtte Vanessa
Published: February 2024

Le rapprochement entre littérature et cinéma devient l’occasion de questionner la représentation du bruit, et plus particulièrement du bruit de la pluie, dans le film et dans le poème. L’utilisation d’outils d’analyse rhétoriques et stylistiques permet de saisir dans les deux types de message des enjeux esthétiques et symboliques communs. Comment l’écriture du bruit, matière parasite, peut-elle devenir poétique ? Plusieurs exemples empruntés à la poésie du XXe et à divers genres cinématographiques mettent en évidence les effets de déplacement du concret à l’abstrait, de l’artifice à l’essentiel, de l’accident à l’écriture, et finalement de l’utilitaire au poétique.
Design et entreprise, un mariage quelquefois complexe
Authors: Bardin Christophe
Published: February 2024

Depuis de nombreuses années les manufactures du luxe font appel à des designers extérieurs pour dynamiser leurs créations. Pour autant, ces collaborations, qui semblent être devenues une norme, ne répondent pas toujours aux attentes des uns et des autres. Les projets souvent perturbateurs, qui émergent d’invitations sans cadres définis, ne

conviennent pas ou peu aux impératifs de production comme à l’image que cherche à construire l’entreprise.
L’art et la culture au risque du design relationnel
Authors: Hillaire Norbert
Published: February 2024

Après le design des objets et des produits, qui correspond à l’âge du capitalisme industriel, se développe, avec les industries de services et l’essor du « capitalisme culturel » , un « design relationnel » , qui se caractérise par une convergence, favorisée par l’essor des technologies numériques entre urbanisme, technologies numériques, industries culturelles et loisirs de masse. Ce design s’applique en particulier aux territoires, dont l’économie, vue d’en haut, offre l’image d’une terre policée, artificialisée et esthétisée, plus encore qu’arraisonnée par les pouvoirs de la technique et de l’économie. Mais il n’épargne pas non plus l’art et l’artiste, qui trouvent désormais leur modèle dans la figure de l’entrepreneur, reléguant aux oubliettes de l’histoire les vieilles inquiétudes de la création, à travers lesquelles se rejoignaient voici peu encore l’artiste et l’artisan, dans la perspective d’un ajustement démocratique des signes et des choses, du plaisir et du travail.
Le corps du regardeur dans l’art expérientiel
Authors: Lejeune Françoise
Published: February 2024

En 2001, Alva Noë lançait l’idée d’un art expérientiel, s’appréhendant avec le corps et d’un point de vue égocentré, dont l’analyse permettrait de faire fonctionner le concept d’enaction. Si l’on peut faire remonter l’histoire de l’art expérientiel au début du siècle, il semblerait que les nouvelles technologies lui donnent un nouveau souffle. Désormais, le corps du regardeur se retrouve au centre de l’oeuvre. Le corps percevant devient un corps sentant. Dans cet article, je me sers de ma dernière installation, exposée à La Villette en mars 2011, pour analyser le ressenti du regardeur, sa proprioception et l’effet miroir généré par l’oeuvre.
Les expériences immersives d’Hiroaki Umeda : empreintes spatiales et trajectoires incorporées
Authors: Brunot Laurie
Published: February 2024

Après avoir exposé le parcours et les enjeux pluriels de l’artiste japonais Hiroaki Umeda, nous étudierons, à travers quelques-unes de ses créations, d’une part le processus de construction des nouveaux environnements sensoriels, d’autre part l’évolution des multiples trajectoires physiques et mentales de l’artiste au coeur de ces espaces. Cette double approche nous permettra d’interroger les différents dispositifs immersifs ainsi que les états du corps qui les traversent, et mènera à une analyse des nouvelles perceptions sensorielles nées de ces trajectoires immersives.
The Conflict with the Other. Premises of the Rebirth of Tragedy
Authors:   “George Enescu” National University of the Arts, Iași, CIOBOTARI Călin
Published: February 2024

Written under the impact of the war in Ukraine, the present text aims to verify a series of effects in a theatrical plan. The main effect: the conditions for the revival of tragedy as a theatrical genre. Such a hypothesis, of course, presupposes the reevaluation of some classical components of tragedy: the hero, the feeling of absolute injustice, the feeling of absolute loneliness, the new deities and the types of relationships that contemporary man develops in relation to them, the new dimensions of suffering, and so on. An important component of the study concerns the relationship with the Other. On the one hand, the Other as a stranger, and on the other, the other as a hidden self, with which we frequently come into conflict.
A Diverse Beauty: Amore, by Pippo Delbono
Authors:   “George Enescu” National University of the Arts, Iași, CONDURACHE Dumitriana
Published: February 2024

To consider something or someone different is to discriminate. Objectively, this term has no moral connotation. You take a category and relate to it by choosing different references. Pippo Delbono manages to synthesize the beauty inside the difference; an intense, painful, even tough beauty. For him, contrast is not a method, but an acceptance of identity: marginalization as an existential condition. He places himself in both seats: in the audience – and inside the show. Spectator and actor, director, he changes the perspectives because he embraces them all, thus indicating that each of our roles is interchangeable. We can always be the other or different for someone, a group, a context, and the list could go on. One of the central images of Amore performance this year, at the International Theatre Festival in Sibiu, is a heartbreaking Pietà illustration.
The Otherness through Le rêve d’Urmila (Urmila’s Dream), an Interdisciplinary and Intercultural Research Creation Doctoral Project through Natyashastra
Authors:   Université Laval, Québec, Canada, BELLEAU Sylvie
Published: February 2024

This communication will present how research creation based doctoral project can be an opportunity to explore the Otherness and other disciplines, to open to new realms of research as well as to question the artist’s posture in his journey between the culture of origin and the culture of the discipline in which he trains. As an apprentice, I studied kathakali in South India in my early twenties and it influenced all my theatre practice. The dance-theatre of Kerala has been part of my creative tools since the beginning of my creative life as a professional stage artist. My doctoral research was a way to question the footprint of the kathakali training in a creation project, to deepen my knowledge of Indian theatre and to explore the connections between kathakali, Natyasastra, the classical Indian treaty of dramaturgy, and my doctoral creation, Le rêve d’Urmila, which has been presented in September 2018 at Université Laval, in Quebec City. As part of my doctoral research on cultural hybridity, I had to train a group of western artists to dance and play with the codes of Indian dance to reach the level of cultural and disciplinary competence needed to produce the doctoral creation. I will thus present the specificities of the training process and expose the ways in which we explored various elements of the kathakali performance: the four abhinaya, rhythmic and musical elements, etc.
Dear Caroline…
Authors:   “George Enescu” National University of the Arts, Iași, MEDELEANU Teodora
Published: February 2024

On the quest of expanding one’s horizons, people frequently come across… the Other. Having hopes, dreams, plans, roots, and feelings of being derooting, everyone is capable of exerting an influence on who they interact with, and telling one’s story through art can, eventually, lead to a thorough, deeper mutual understanding. Although unsuccessful, the application process for the Caroline Plummer Fellowship in Community Dance set the cornerstone for a new field of interest, and also for a new type of approach towards the back-stage world of performing arts – the pedagogy. The following text aims to explain not only the quintipartite structure of the proposed program, the expected outcome, the intended work method and the possible anthropological analysis derived from it, but also the presumed reasons for the response received from the host institution and even details related to what can be the cause of the Fascination of the Distance, of what makes the freedoms of mobility and movement appealing from more than a socioeconomical or a physical perspective.
Key Elements of Rhythmic Gymnastics in the Efficient Training of the Professional Dancer
Authors:   “George Enescu” National University of the Arts, Iași, TĂNASĂ-GACHE Pamela
Published: February 2024

“The other one’s model and the mobility’s culture” represents the interdisciplinary example that every devoted researcher should follow in their work and study, and emphasizes, in reality, the fact that only by opening up our heart and soul to another person and to other cultures and fields, we can discover and rediscover ourselves, before we can truly understand the purpose of our artistic research. Starting from this premise, I’m proposing myself to go thoroughly into a research in sports and art alike, always putting in antithesis those two directions of body movement from Eurhythmics and Ballet, in order to discover the key elements in the most efficient forming and improvement of a professional dancer. After a rigorous selections, I wish to assemble a methodological direction that can guide and support the dancer in his formation, confirmed and reinforced by my own experience, a kind of bibliographical exteriorization, as a gift, but also as a guarantee. But, in order for me to achieve my goal, I know that is not enough. Therefore, “the other one’s model” offers me not only the ambitions, but also the obligation to extend my research internationally, resorting, in the lack of a generous national bibliography, to external sources.
Bölgesel Su Kalitesi Araştırmaları için Arduino Tabanlı Bir Su Analizi Sistemi Prototipinin Tasarımı
Authors: Karaköse Ebru , Işık Mehmet Ali
Published: February 2024

Su, canlıların yaşamlarını devam ettirebilmesi için hayati önem taşımakta ancak artan kirlilik unsurları nedeniyle yapısı giderek bozulmaktadır. Su kalitesinin azaldığı bilinmektedir, bu sebeple su kaynaklarının birçok faktör dikkate alınarak incelenmesi ve buna bağlı olarak gerekli tedbirlerin alınması zorunlu hale gelmektedir. İnsansız su altı araçları, doğal kaynakların korunması, çevrenin denetlenmesi, arama kurtarma çalışması yapılması, su altından numune alınması gibi birçok alanda insan yaşamına yararlı uygulamalar yapılmasını mümkün kılmaktadır. Bu çalışma kapsamında, su kirliliğinin araştırılması ve denetlenmesinde kullanılacak, sudaki çözünmüş oksijen seviyesi, sıcaklık ve basınç verilerini alıp daha sonra bu verileri aktararak su kalitesini anlık olarak analiz edilmesini sağlayan bir sistem geliştirilmesi hedeflenmektedir. Geliştirilen Arduino tabanlı sistem, içerisinde suyun analizinin yapılmasını sağlayan farklı sensörler barındırmaktadır. Ayrıca sistem yazılımı sayesinde sensörlerden alınıp işlenen veriler sistem arayüzüne aktarılarak eşzamanlı verilere ulaşılmakta ve sensörlerden normal aralığın dışında bir değer tespit edilmesi halinde sistem uyarı vermektedir. Bu amaçla, öncelikle sistem için gerekli malzemeler tespit edilerek sistem tasarımı yapılmıştır. Daha sonra, sistem yazılımı için uygun kütüphaneler tespit edilerek sistem yazılımı geliştirilmiş ve verilerin alınacağı arayüz tasarımı gerçekleştirilmiştir. Yapılan uygulama sayesinde üretilen sistem prototipinin insansız su altı araçlarına entegre edilerek su arıtma sistemleri, balık çiftlikleri, deniz araştırmaları gibi su kaynaklarında kullanılması ve sürdürülebilir yaşama katkı sunulması düşünülmektedir.
ResNet Tabanlı PSPNet Kullanarak Panoramik Görüntülerde Gömülü Diş Segmentasyon Analizi
Authors: Durmuş Meryem , Ergen Burhan , Çelebi Adalet , Türkoğlu Muammer
Published: February 2024

Diş sağlığı, genel sağlık ve yaşam kalitesi üzerinde önemli bir etkiye sahiptir. Gömülü dişlerin segmentasyonu, diş hekimliğinde erken teşhis ve tedavi için kritik öneme sahip bir adımdır. Bu çalışmada, panoramik diş görüntülerindeki gömülü dişlerin doğru bir şekilde tanımlanması amacıyla derin öğrenme tekniklerinin kullanılması ele alınmıştır. Bu kapsamda, gömülü diş segmentasyonu için ResNet omurga ağına dayalı Piramit Sahne Ayrıştırma Ağı (PSPNet) geliştirilmiştir. Önerilen mimaride, önceden eğitilmiş ResNet omurga ağının ResNet18, ResNet34, ResNet50, ResNet101 ve ResNet152 versiyonları adapte edilmiştir. Bu çalışmada elde edilen bulgular göz önüne alındığında, diş görüntülerindeki segmentasyon ve tanıma süreçlerinde en yüksek başarıyı ResNet18 modeli ile elde edilmiştir (%92.09 F1 Skor, %93.88 Kesinlik, %90.39 Duyarlılık, %85.34 IoU Skor ve %96.89 Dice Katsayısı). Bu araştırma, panoramik diş görüntüleri üzerinde yapılan çalışmalar sonucunda, yetişkin hastalarda gömülü dişlerin başarıyla tespit edilme oranının yüksek olduğunu ortaya koymaktadır. Bu bulgular, yapay zekanın diş hekimleri için etkili bir yardımcı araç olabileceğini vurgulamakta ve sağlık sektöründeki yapay zeka gelişimine olan güveni artırmaktadır.
Socialism: A Property or Aggression Problem?
Authors: Megger Dawid , Benjamín-Gonzalo Marcos
Published: February 2024

There seems to be an unappreciated point of contention in the Austrian literature regarding the socialist economic calculation problem beyond the Mises–Hayek “dehomogenization” debate. This tension concerns the essence of socialism and the economic calculation problem: while some authors (e.g., Mises and Hayek) employ the classical definition of socialism as a socioeconomic system characterized by the collective ownership of the means of production, others (e.g., Hoppe and Huerta de Soto) define it as a system of institutionalized aggression. Moreover, the latter see aggression as the essential feature of socialism’s economic failure. In this article, we argue that this conception is a novelty unconnected to Mises’s views and that aggression should not be regarded as the essential problem of socialism. We illustrate our point with a thought experiment comparing the system we might call “voluntary socialism” with genuine capitalism. Finally, we review some historical examples of voluntary socialist communities and compare them to the ideal of pure voluntary socialism.
Revitalizing the Vincentian Identity in the Context of Mission Ad Gentes
Authors: Karackavayalil Anil Thomas
Published: February 2024

Evangelization of the poor was the primary concern of Vincent de Paul and his companions. The Second Vatican Council recaptured the missionary spirit of the early Church and stated that the pilgrim Church is “missionary by its very nature”. The Church is born out of the mission of the Son and the Holy Spirit sent by the Father. From the very beginning of the Congregation of the Mission, St. Vincent de Paul and his companions were simply called “Fathers of the Mission.” That means, as our Superior General Fr. Tomaž Mavrič pointed out, from the very beginning there was “a sense of dynamism, movement, going to the peripheries, not being caught in a state of stagnation” in our DNA. During the 43rd General Assembly, the members of the Congregation of the Mission committed themselves to support the Mission ad Gentes effort and reiterated the resolved to set apart at least one percent of confreres to this mission every year and strengthened their commitment to bring the Gospel to all people. Mission and evangelisation in this sense is one of the fundamental qualities of the Congregation of the Mission. Without recapturing this original spirit of “being sent to the nations,” we cannot attain a complete and meaningful revitalisation of our Vincentian identity.
Vincent de Paul and Mercy: Yesterday and Today
Authors: Maloney Robert
Published: February 2024

This study will examine mercy in Vincent’s letters, conferences, and works. It will proceed in three steps.  First, as background for Vincent’s teaching, it will briefly analyze what the Hebrew and Christian scriptures say about mercy.  Second, it will present Vincent’s teaching on that topic, highlighting what he said and did.  Third, it will situate this teaching within the present-day context of the Church and the Vincentian Family. Vincent’s teaching on mercy can be summarized under six headings: 1) Mercy as the distinctive feature of God; 2) God’s mercy toward us; 3) The importance of the corporal and spiritual works of mercy; 4) Mercy and justice; 5) Obstacles to performing the works of mercy; and 6) Mary as Mother of Mercy. Vincent stressed the importance of both the corporal and spiritual works of mercy.  He insisted that the liberation which Jesus proclaimed to the poor was holistic and integral.  Consequently, he sent Daughters of Charity to minister to the poor “spiritually and corporally.
PROSES PRODUKSI PROGRAM ACARA JURNAL9 DI TV9 SURABAYAMENURUT PERSPEKTIF JURNALISTIK ISLAM
Authors: Ulki Nazaila  , Nur Ainiyah
Published: February 2024

As the media develops, there are many ways for Muslims to learn and spread the teachings of the

Islamic religion. One of them is journalistic media such as print journalism, electronic journalism

and online journalism. Journalism itself is an activity of s

earching, processing, compiling, editing

and presenting an event. The more media develops, the easier it is to access anywhere and by

anyone. However, there are some people who abuse the function of the media, such as spreading

fake news or hoaxes for cert

ain group or personal purposes. Therefore, TV9 Surabaya was moved

to create the Jurnal9 program by implementing benefit journalism. TV9 Surabaya is one of the

local television stations in East Java which has a religious concept. Because almost all TV9

prog

rams contain Islamic elements. Observing the conditions above, researchers are interested in

studying the application of Islamic journalism in the Jurnal9 program on TV9 Surabaya. The focus

of the problem studied is how the journal9 production process is b

ased on an Islamic perspective

and what are the benefits of the journal9 program for the people of Surabaya. The aim of this

research is to describe the journal9 production process from an Islamic perspective and to

determine the benefits of thejournal9 pr

ogram for the people of Surabaya. The research method

used is qualitative with a case study approach. The data collection techniques use observation,

interviews and documentation. The results of this research can be concluded that TV9 has

implemented benef

it journalism which can be equated with Islamic journalism. The journal9

production process itself uses three stages, namely pre

-

field, field, and post

-

field. The Jurnal9

program has the benefits of providing information, educating, persuading and entertai

ning, but the

benefit of Jurnal9 itself is more dominant in providing information.
Marie-Agnès Cathiard : histoire d’un itinéraire. Pour un statut neural de l’imaginaire
Authors: Costa Véronique
Published: February 2024

En guise d’hommage à Marie-Agnès Cathiard, ce texte d’ouverture qui se propose de restituer l’histoire d’un itinéraire et d’un engagement de chercheuse, replace ses travaux autour des grandes thématiques qui l’ont structuré. « Du corps de la parole aux corps imaginés », ses contributions et investigations expérimentales, attentives aux innovations des neurosciences, ont infléchi la politique du centre en matière de recherches anthropologiques, défrichant des pistes novatrices, notamment sur les imaginaires du cerveau et du corps amputé. Elles ont permis la conjonction entre sciences cognitives et recherches sur l’imaginaire, entre biologie et culture. Ses travaux ont repensé les images mentales à l’aune de la neurologie. Ils ont envisagé les connectomes de l’imaginaire associés à certains complexes d’images (lévitation, expérience de sortie du corps). Ils ont confronté les apports des neurosciences aux plus anciennes phénoménologies mythologiques, développant une anthropologie neurocognitive transalpine. La recherche de Marie-Agnès Cathiard a ouvert la voie à un statut neural de l’imaginaire, véritable bouleversement épistémologique. Cette entreprise de reconstruction, plus narrative que conceptuelle, permet néanmoins de souligner l’importance de ses travaux pionniers en matière de cartographie corticale. S’inscrivant dans la filiation de Gilbert Durand dont elle corrobore les hypothèses (primauté des images dans les opérations cognitives, enracinement biologique des images), elle a permis de jeter un regard nouveau sur cet héritage et de lui impulser un nouveau souffle.
Les fantômes du cerveau. Le cortex et l’imaginaire
Authors: Walter Philippe
Published: February 2024

La présente contribution vise à légitimer l’un des postulats de Gilbert Durand selon lequel tout imaginaire s’ancre dans une physiologie mais en l’orientant plutôt désormais vers une neurophysiologie. Les avancées nouvelles en matière de neurobiologie, de connectome et de neurogénomique conduisent à repenser le cadre de l’activité psychique et l’induction même des images mentales.
Un Moyen Âge à consommer
Authors: Doudet Estelle , Fonio Filippo
Published: February 2024

Le projet ARAROEM désigne les Archives Rhône-Alpes Romandie des objets éphémères médiévalisants. Il s’agit d’un projet de recherche, mais aussi de formation, qui vise à rassembler et à analyser les produits artisanaux ou industriels inspirés par l’imaginaire médiéval. En suivant une méthodologie claire, le projet enquête sur trois critères fondamentaux pour saisir les Objets Éphémères Médiévalisants (OEM) : la valeur symbolique des objets, leur durée de vie et leur durabilité. Il implique ainsi des disciplines variées, comme l’histoire médiévale et le médiévalisme, mais aussi la sémiologie, l’économie, la sociologie, l’anthropologie et l’écologie.
Analyse des perceptions des usages de drogues et de compléments alimentaires et corporels chez les prostituées à Abidjan
Authors: Kroubo Kafé Guy Christian
Published: February 2024

Après la crise post-électorale de 2010-2011, la prostitution sur les réseaux sociaux s’est développée à Abidjan. Face à la complexité de cette nouvelle forme de prostitution, les acteurs ont développé des stratégies d’adaptation, comme consommer des drogues et utiliser des compléments alimentaires et corporels. Cette étude vise à analyser les perceptions qui entourent l’usage des produits dopants et des compléments corporels chez les prostituées. L’enquête s’est déroulée à Abidjan et a porté sur cent-vingt-deux prostituées. Les données ont été recueillies à partir d’un entretien non directif. Les résultats montrent que les prostituées associent de multiples significations à leurs pratiques qui constituent non seulement un dernier recours pour atténuer les difficultés liées à la prostitution, mais aussi un moyen pour répondre aux critères de beauté et accroître la visibilité sur les sites de rencontre.
Un inexplicable effet d’imagination. L’imagination des mères et ses incidences sur les perceptions et le corps du fœtus
Authors: Costa Véronique
Published: February 2024

Une erreur que la médecine a longtemps partagée est d’attribuer à une envie ou à un effet de l’imagination de la mère pendant la gestation, les difformités, excroissances ou taches qu’un enfant porte en naissant. L’imagination serait capable d’imprimer à la matière des modifications extérieures et aurait des incidences sur les perceptions et le développement sensoriel du fœtus. Revenant brièvement sur la généalogie et la postérité du topos, cet article se focalise sur les succès et réfutations du paradigme malebranchiste au xviiie siècle, au travers d’un corpus de textes de vulgarisation médicale où les débats opposent les partisans de l’imagination (imaginationistes) pour lesquels l’émotion altère les organes du fœtus et les détracteurs de cette thèse (anti-imaginationistes) qui n’y voient que préjugé. Les systèmes mécanistes avaient en commun de faire l’économie de l’âme pour expliquer la vie. Bien que chaque époque possède son système herméneutique de représentations et que la médecine — étroitement dépendante des conceptions philosophiques et morales de son temps — soit aussi une production culturelle, il n’est pas inintéressant néanmoins de s’interroger sur la fortune d’un motif et l’actualité scientifique de la question. Que perçoit le bébé in utero ? Ressent-il la douleur de sa mère ? Jusqu’où l’imaginaire et le vécu maternel peuvent-ils « marquer » le corps de l’enfant ? Éclairées par les technologies de l’imagerie fonctionnelle, des recherches récentes sur la vie embryonnaire reviennent sur le lien symbiotique des interactions mère-fœtus. Des convergences apparaissent entre ce xviiie siècle et notre xxie siècle. En aucun cas, on a voulu opposer les scientifiques d’aujourd’hui en prise solide avec le réel et leurs prédécesseurs en proie à l’imagination. La science, quelle que soit l’époque, se nourrit toujours d’imaginaire.
Autoconcepto académico relacionado al funcionamiento y comunicación familiar en tiempos de Covid19 en estudiantes de una universidad pública
Authors: Cordova-Delgado Margarita Cordova-Delgado Margarita , Curro-Urbano Olga Curro-Urbano Olga , Pastor Ramírez Norma , Lizarbe Alache Lazaro , Puza-Mendoza Gladys , Guevara-Saravia Monica Guevara-Saravia Monica , Oyola-GarcÌa Alfredo Oyola-GarcÌa Alfredo
Published: February 2024

Autoconcepto es un constructo de categoría macro y polifacético construido cÌclicamente desde el nacimiento y principalmente en la adolescencia y permiten los procesos de adecuación del ser humano. El presente trabajo de investigación de tipo observacional, descriptivo de corte transversal, para la recolección de datos se utilizó la ficha de recolección de datos y las escalas se aplicaron al estudiante seleccionado. Los resultados indican que la edad promedio de los estudiantes fue 22,04 años, la mitad de ellos con edades por debajo de 22 años. El puntaje promedio del funcionamiento familiar fue 16,63 puntos, con una mediana de 22 puntos. El promedio de puntos obtenidos en la prueba de comunicación familiar fue 36,02, mientras que la mediana alcanzó 38 puntos. En el autoconcepto académico, el promedio fue 39,75; la mitad con puntaje de 39 a más. La edad, el funcionamiento familiar, la comunicación familiar y el autoconcepto académico tuvieron distribución atípica. El autoconcepto académico no se relacionó con la edad, el funcionamiento ni la comunicación familiares del estudiante (p>0,05). Tampoco se halló relación con el sexo, el estado civil, la religión ni el ciclo académico del alumno (p>0,05). Conclusión: el nivel de Autoconcepto académico no se relaciona con el funcionamiento y comunicación familiar en tiempos de COVID19 en estudiantes de una universidad pública.
Factores de riesgo asociado a fístula enterocutánea en colostomía en un Hospital General de Ica, Perú
Authors: Aroni-Allcca Martín , Cáceres-Bellido Fermín , Ybaseta Soto Luciana
Published: February 2024

Objetivo: determinar cuáles son los factores de riesgo asociados a fistula enterocutánea en colostomía, Hospital Santa María del Socorro 2020-2022. Metodología: diseño de tipo cuantitativo observacional analítico correlacional transversal y retrospectiva. Resultados: establecemos que, de los 115 pacientes estudiados, 15 presentaron fístula enterocutánea en colostomía, considerando ambos sexos y todas las edades. La frecuencia de fistula enterocutánea en colostomía, fue del 13,00% del total de pacientes estudiados. El 46,67% presentó Hipoalbuminemia, el 40,00 % presentó ASA IV, el 93,33% presentó Sepsis, el 60,00% presentó uso de drenaje, el 80,00 % presentó Cáncer, el 80,00% presentó Enfermedad Intestinal y el 20,00% presentó tuberculosis. Las características antropométricas de los pacientes según la edad, el 4,35% fueron menores de 18 años, el 9,57% fueron de 18 a 40 años, el 27,83% fueron de 41 a 60 años, el 40,87% fueron de 61 a 80 años y el 17,39% fue representado por personas mayores de 80 años. Y según el sexo, el 40,00% fue representado por el sexo masculino mientras que el sexo femenino representó el 60,00%. Según el IMC se observó que el 11.30% de los pacientes padecieron de obesidad, el 44.35% tuvieron un Peso normal y el 44.35% padecieron de sobrepeso. Los factores de riesgo de alto flujo de los pacientes con fistula enterocutánea en colostomía se identificó la hipoalbuminemia OR=10,063; ASA IV OR=8,857; sepsis OR=73,500; uso de drenaje OR=15,167; y el cáncer OR=24,750. Conclusión: Los principales resultados de los factores de riesgo asociados a fistula enterocutánea en colostomía establecieron que la hipoalbuminemia OR=10,063; ASA IV OR=8,857; sepsis OR=73,500; uso de drenaje OR=15,167; el cáncer OR=24,750 la tuberculosis OR=6,000; y la enfermedad intestinal OR=6,000, como resultados ideales. Además de la edad mayor a 61 años y el sobrepeso.
Türkiye’de Büyükşehirlerde Kent İçi Ulaşım Sorunları ve Çözüm Önerileri: Ankara İli Örneği
Authors: BOSTANCI Sevilay , ALİEFENDİOĞLU Yeşim
Published: February 2024

Kent içi ulaşım, insanların bir yerden başka bir yere güvenli, hızlı ve emniyetli bir şekilde taşınması açısından önemlidir. Her geçen gün artan nüfus ile birlikte ulaşım talebinin ve araç sayısının artması sonucunda trafik sıkışıklığı, hava ve gürültü kirliliği, trafik kaza sayısının artması gibi problemleri de beraberinde getirmektedir. Bu çalışmada Türkiye’de kent içi ulaşım sorunları konusunda literatür araştırması yapılarak Adana, Bandırma, Bitlis, İzmir, Eskişehir, Isparta ve İstanbul şehirleri incelenmiştir. Büyükşehir belediyelerinde yaşanan sorunların Ankara ile benzer sorunlar içerdiği tespit edilmiştir. Ankara İli’ndeki kent içi ulaşım sorunları incelenerek çözüm önerilerinde bulunulmuştur. Çalışma kapsamında Ankara’da 125 kişi ile anket çalışması yapılmıştır. Anket sonucuna göre, Ankara’da kent içi ulaşımda sorunlar öncelik sırası olmak üzere, %50,4 oranı ile trafik sıkışıklığı ve park etme zorlukları ilk sırada, %18,4 oranı ile toplu taşımanın yetersizliği ikinci sırada, %7,2 oranı ile yolculuk süresinin uzun sürmesi üçüncü sırada, %5,6 oranı ile planlama sorunları dördüncü sırada, %4,8 oranı ile ulaşım altyapı sorunları ve yetersizliği beşinci sırada, % 3,2 oranı ile finansman sorunları altıncı sırada, %2,4 oranı ile toplu taşımanın konforsuz ve güvensiz olması ise yedinci sırada yer almaktadır. Ankara’da kent içi ulaşım sorunlarına çözüm önerisi öncelik sırasına göre birinci sırada %22,4 oranı ile kişisel hareketlilik için bisiklet yollarını ve kullanımının artırılması, %19,2 oranı ile toplu ulaşımın daha cazip hale getirilmesi ikinci sırada, %14,4 oranı ile kent içi ulaşımda entegrasyon ve koordinasyonun sağlanması üçüncü sırada, %12,0 oranı ile sürdürülebilir ulaşım ana planının yapılması dördüncü sırada, %6,4 oranı ile tek tip bilet sistemini (elektronik bilet sistemi) otobüs, minibüs, taksi ve raylı sistemler tümünde uygulanması beşinci sırada, %4,8 oranı ile park yerlerinin artırılması ise altıncı sırada yer almaktadır. Kent içi ulaşımda sorunlara çözüm önerileri; otomobil kullanımını caydırıcı önlemler alınması, ulaşım türlerinde koordinasyon ve entegrasyon sağlanması, toplu ulaşımın daha cazip hale getirilmesi için politikalar geliştirilmesi, ulaşımın çok yönlü yapısı dikkate alınarak planlar yapılması şeklinde sıralanabilir.
Successful Rate of Glaucoma Surgery in Secondary Glaucoma after Vitrectomy in Kariadi General Hospital Semarang 2020-2022
Authors: Ismail Nur Azizah Intan Putri , Maharani  , Rahmi Fifin L. , Puspasari Denti
Published: February 2024

Introduction & ObjectivesGlaucoma is one of the most frequent complications of vitrectomy surgery. It can cause a significantrise in intraocular pressure (IOP). Glaucoma surgery can be planned in medically uncontrolledglaucoma. Trabeculectomy and Glaucoma Drainage Device (GDD) implantation are the mostfrequent filtering surgeries used in these cases. This study aims to define the success rate ofglaucoma surgery in secondary glaucoma after vitrectomy.

MethodsThis study is an analytical observational study with retrospective data collection held from medicalrecords of patients with secondary glaucoma after vitrectomy who underwent glaucoma surgery inKariadi General Hospital Semarang from 2020-2022. Surgical success defined by postoperative IOPreduced by>20% from baseline, with or without anti-glaucoma medication.

ResultsThere were 16 eyes of trabeculectomy with 5-fluorouracil (5-FU), and 8 eyes of GDD implants. Themean preoperative IOP was 43.76+6.77 mmhg for trabeculectomy 5-FU, and 42.43+4.02 mmhg forGDD implant. IOP levels in both groups varied significantly after one day, one week, one month, andthree months after surgery (p<0.05). The success rate for the trabeculectomy 5-FU group was81.25% and the GDD implant group was 87.5% in 3 months. There was no statistically significantdifference in the success rate between the trabeculectomy 5-FU and GDD implant groups (p=0.839).The complication for the GDD implant group was 25%. No complications were found in thetrabeculectomy 5-FU group.

ConclusionThere was no significant difference in the success rate between trabeculectomy 5-FU and the GDDimplant group. Both groups are viable for glaucoma surgery in secondary glaucoma after vitrectomysurgery.
Management of Recurrent Entropion in Traumatic Proptosis
Authors: ANGGA KARTIWA  , George Raden Mas Said  , Niluh Putu Ayu Dewi Wardhani  , Shanti Fitrianti Boesoirie  , Mohamad Rinaldi Dahlan
Published: February 2024

Introduction : Shortening of posterior lamella due to fibrotic tissue is the pathomechanism of cicactricial entropion. It may be complicated by proptosis in a post traumatic patient which may require repeated repair procedure.

Case Illustration : A 29-year-old woman came with complaints of protruding left eye since being hit by an iron tip 2 months prior. She also complained off double vision. Left eye presenting visual acuity was 0.08 with hipotropic position, proptosis, lid retraction, and entropion of the inferior lid. CT scan examination showed unremarkable results. The patient then underwent forced duction test, exploration, and muscle restriction release on the left eye, followed by inferior rectus recess and superior rectus resect procedures 3 months later. A month later the patient underwent entropion repair in the left eye using the tarsal fracture method. However, a week later the patient complained of a recurrent entropion, thus a grey line splitting procedure combined with retractor repositioning and tightening of the tarsus was performed. At the 7 days follow-up time, the eyelid margin was succesfully everted with an acceptable result.

Discussion : Skin graft procedure is one of the option for cicatricial entropion. However, its risk of recurrences and more difficult secondary repair can be harrowing. Thus, a grey line splitting procedure is an alternative that can be considered.

Conclusion : Combined procedure of grey line splitting, retractor repositioning, and posterior lamellar tightening showed a good cosmetic result in an uncommon case of entropion.
The Association between Atrial Fibrillation and Central Retinal Artery Occlusion: A Meta-Analysis and Systematic Review
Authors: Yufilia Suci Amelia
Published: February 2024

Abstract

Introduction & Objectives : Central retinal artery occlusion (CRAO) is a condition where the central retinal artery is blocked. Atrial Fibrillation (AF) is commonly associated with retinal embolism that originates anywhere between the heart and the ophthalmic artery. This study aims to explore the incidence of AF in CRAO.

Methods : A systematic search was performed in three databases: Pubmed, EBSCO host, and Proquest. Newcastle-Ottawa Scale was used to assess the risk of bias in the study included.

Results : Our systematic review comprises six studies, 4 studies included CRAO patients as the study population and AF as the endpoint, and the others 2 studies with CRAO as the endpoint. Meta- analysis of the first group resulted in a significantly favorable AF incident after CRAO with an odds ratio (OR) of 1.46 (95% CI 1.17-1.81, p=0.0007). The second meta-analysis supports CRAO with an OR of 4.86 (95% CI 2.30-10.28, p<0.0001).

Conclusion : It is crucial to identify AF in preventing ocular infarction. This study revealed that AF was identified as a risk factor in patients with CRAO and vice versa.
Detecting Keratoconus in Primary Healthcare: What general practitioners could do?
Authors: Akbar Muhammad Khalil , Samira Cut Putri
Published: February 2024

Introduction : Keratoconus (KC) is a rare eye disorder that causes corneal thinning and visual disturbances. KC prevalence in the pediatric population is 0.16%. Children with keratoconus experience faster disease progression and significant visual impairment at diagnosis, impacting their quality of life. This case report aims to raise awareness and provide knowledge regarding KC for general practitioners.

Case Illustration : A 14-year-old male visited a primary healthcare facility complaining of difficulty seeing words on the classroom board for the past year. His best-corrected visual acuity was 6/15 (S-10.25 C-5.25x30) OD and 6/60 (S-25.00 C-2.75x150) OS. Upon examination, it was observed that the left cornea was more protruding than the right, with a positive Rizzuti and Munson sign. Based on the findings, the patient was suspected of having keratoconus with amblyopia and was referred to an ophthalmologist for further examination and management.

Discussion : Keratoconus is severe and burdensome to society, impacting children's education and quality of life. Early detection and intervention are crucial to prevent worsening. KC can be detected in primary healthcare by observing external signs such as Rizzuti and Munson. KC can lead to severe vision problems and even amblyopia if left untreated. Treating pediatric KC involves improving vision using contact lenses. In cases where contact lenses cannot be used, keratoplasty may be necessary.

Conclusion : Primary healthcare providers can identify and assess keratoconus in patients and make referrals to ophthalmologists for treatment to minimize the impact on vision and stop its progression.
Different Retinopathy of Prematurity Severity, Onset Therapy and Outcomes in Triplet Babies: A Case Report
Authors: PUTU ANINDYA AGRASIDI  , I WAYAN EKA SUTYAWAN  , NI MADE AYU SURASMIATI
Published: February 2024

Introduction : Retinopathy of prematurity (ROP) is a vasoproliferative disease of the premature infants, characterized by abnormal vascularization at the junction of vascular and avascular retina. Intravitreal anti-VEGF injection is one of promising management of ROP. The aim is to present the therapy outcomes of triplet babies with different severity and onset therapy.

Case Illustration : This case shows ROP in triplets born at 25-26 weeks gestational age. First baby, weighed 630 g with Bilateral Stage 2 Zone II Posterior with Plus Disease treated with intravitreal ranibizumab injection at 11 weeks (PMA 36-37 weeks). Second baby, weighed 620 g and get bilateral intravitreal ranibizumab injection a week after first baby, left eye got worse on first week, but getting better on the last follow up. Third Baby, weighed 750 g with bilateral Stage 3 Zone I with Plus Disease (worst eye condition), but because he had worst general condition, so the latest got screening, got no intervention. Two babies were treated with anti-VEGF therapy – bevacizumab. All babies has outcome regression, no recurrence of ROP in those short term end point, and no adverse reactions were observed until the last follow up at 27 weeks old (PMA 52-53 weeks) recorded for all babies.

Discussion : 

Conclusion : Primary prevention through well-managed screening programme for premature infants was the more effective way to manage the ROP. Intravitreal anti-VEGF treatment could be promising for management of ROP if it was given on the right time and early stadium.
Profile of Unilateral Cataract in Pediatric Patients: A 3 Year Retrospective Study
Authors: Lisana Himmatul Ulya  , Liana Ekowati
Published: February 2024

Abstract

Introduction & Objectives : Unilateral cataract presents from 19.6% to 55.5% of pediatric cataract in children by many previous reported studies. This condition is treatable, but delayed treatment may cause visual impairment. This study aims to understand characteristic and treatment of unilateral cataract in children.

Methods : The study involved a retrospective review of medical records of patients aged 0-17 years with unilateral cataract who presented to Dr. Kariadi Hospital Semarang from 2019 to 2022. Cases of cataract secondary to causes such as trauma or uveitis were excluded.

Results : Thirty-five patient was included in this study, 51% of whom were male and 49% female. The mean age at presentation is 60.49  48.23 months and mean age of onset is 36.77  45.94 months. The most common presenting complaint was whitish eye (81%) while others presented with blurred vision. All the patients had leukocoria, 28% have microcornea, 3% have persistent pupillary membrane. Half of patient (51%) have strabismus, with exotropia being the most common type (34.17%). Eight patients had congenital rubella syndrome, one patient had cytomegalovirus infection while others did not have any systemic condition related to cataract. Majority of patient (17%) treated with phacoaspiration, primary posterior capsulotomy, anterior vitrectomy and intraocular lens implantation. Intraocular lens was implanted in 71% patient and 54% patients given spectacles.

Conclusion : Unilateral cataract is disease with isolated and sporadic incident. The majority of patients did not have systemic condition related to unilateral cataract. The most common treatment is phacoaspiration, primary posterior capsulotomy, anterior vitrectomy and intraocular lens implantation.
Management of Full-Thickness Lower Eyelid Defect After MOHS Procedure and Mustard Flap
Authors: SRI IRMANDHA KUSUMAWADHANI  , HISAR DANIEL  , YUNIA IRAWATI
Published: February 2024

Introduction : Large full-thickness eyelid defects are considered a challenging case. This study reports how to manage the reconstruction of eyelid defect in a case with a history of carcinoma cell basal of the eyelid, which is removed with MOHS procedure and mustard flap reconstruction but full-thickness of more than 50% defect of the lower eyelid remains.

Case Illustration : A 67 years old woman was referred from the dermatology and venereology clinic with a history of eyelid cancer operation, 13 days prior. The patient's chief complaint was the left lower eyelid felt pulled down. Examination revealed a left lower eyelid full-thickness defect of more than 50% and ectropion at the lateral side. An 8 mm lagophthalmos without corneal exposure was present. The reconstruction was done with a lips mucosa graft to form posterior lamella, at the medial side anterior lamella was formed by the glabellar flap, and at the lateral side was formed by a skin graft due to lack of the anterior lamella from the mustard flap previously.

Discussion : Eyelid reconstruction aims to provide adequate globe protection. The principle management of reconstruction in full-thickness eyelid defects horizontally of more than 50% can’t be done by an anterior flap (mustard) only because it's unstable and the eyelid can be retracted. The reconstruction must consist of the anterior and posterior lamella which have to be tight to the periosteum.

Conclusion : One step procedure for large defects of the lower eyelid after cancer removal can be done with considering the proper plan of reconstruction technique.
Phacoemulsification in an unable-lying supine patient: why not?
Authors: Damayanti Yulia
Published: February 2024

Introduction : This case report describes the author's experiences in performing phacoemulsification on two patients with heart diseases causing them unable to lie flat during surgery.

Case Illustration : The first patient, 60 years old woman, with an age-related cataract in her left eye, who's had hypertensive heart disease. The second patient, 73 years old man, with an age-related cataract in his right eye, who's had congestive heart failure and chronic obstructive pulmonary disease. The above conditions have caused them unable to lie flat on the operating table. The surgeon performed both surgeries in a standing position while the patients were lying in a semi-upright position at an angle of 45 degrees (Fowler's position) with legs straight.

Discussion : The presence of systemic diseases has caused the patients to be unable to lie flat. This condition can be predicted during the pre-operative examination from the history of comorbid diseases by asking whether the patients can lie comfortably in a supine position. Several things that should be considered are the preparation of patients, beds, and surgeons' positions. Other things that must be properly arranged are the height of the irrigation bottle and the magnification and the position of the microscope. The surgeon's standing position during surgery requires higher concentration, apart from the possible fatigue due to relying heavily on one leg.

Conclusion : Cardiovascular, pulmonary, neurologic, and orthopedic conditions can affect positioning during the phacoemulsification phase. Those conditions can be quite a challenge for many surgeons in practice. Ophthalmologists must be prepared when they are confronted with such a case.
Imaging Mismatch of Nail in the Eyeball: What’s next?
Authors: Christella Caroline  , Gladys Kusumowidagdo  , Burhana Mawarasti  , Michael Hartono  , Julie Dewi Barliana  , Rio Rhendy  , Yunia Irawati  , Ari Djatikusumo
Published: February 2024

Introduction : A retained foreign body (FB) can lead to severe complications, the most devastating of which is eye loss. We present a discrepancy of imaging that resulted in a dilemma in the approach management of a mixed global-adnexal FB case.

Case Illustration : A 31-year-old man came to the emergency room with blurry vision for 1.5 hours after a nail hit his right eye (RE). The visual acuity of RE is light perception. Ophthalmological examination revealed a central Y-shaped full-thickness corneal laceration with iris and vitreous prolapse. The lens appeared cloudy, and the posterior segment was difficult to assess. Imaging showed a foreign metal object asa nail in the oculi to intraconal without penetration to the orbital wall. He was planned to undergo FB extraction with corneal laceration repair and aspiration of lens mass irrigation. However, the nail was hard to find intraoperatively because the vitreous and choroid kept coming out. Hence evisceration with DFG was performed. The nail was found more posteriorly and attached to the bone.

Discussion : While primary repair is the standard practice for open globe injury, managing retained intraocular metallic foreign bodies is controversial. Imaging such as CT scans can help determine the location of FB and approach management. In this case, imaging showed the FB was in the iris plane and not penetrating the orbital wall, so primary repair and FB extraction were planned.

Conclusion : The imaging may not always be accurate in determining the exact location of FB, and the surgical approach may need to be adjusted accordingly.