bluuebunny/crossref_metadata_2025 huggingface dataset:
Entre enfermement et réinscription visuelle : les enfants albinos sortent des cases
Authors: Peysson-Zeiss Agnès
Published: November 2024

Cet article propose une étude de l’albinisme dans la bande dessinée. Il prend acte de l’émergence des disability studies en Europe et applique ces approches à deux bandes dessinées venant d’Afrique subsaharienne, le Gabon et le Cameroun. Son examen du rapport entre handicap, accusations de sorcellerie et médecine moderne met en exergue le lien ténu existant entre acceptation et rejet dans les diverses communautés présentées. Les œuvres analysées ici visent à réinscrire le handicap dans le quotidien sur le continent et à redonner une visibilité positive aux personnes qui en sont atteintes.
Vieillir à proximité ou à distance de la famille
Authors: Leroy Emma , Pinel Jordan , Gallou Rémi , Aouici Sabrina , Bonvalet Catherine
Published: November 2024

Cet article propose une typologie des configurations familiales au cours de la vieillesse, qui permet de penser la pluralité des organisations familiales, parfois analysées indépendamment dans la littérature. Il s’appuie sur une analyse de 119 entretiens biographiques, réalisés en 2022 auprès de personnes âgées nées entre 1935 et 1959 et vivant en France. Il ressort que si la famille-entourage (relations d’affinité et d’entraide fortes et proximité géographique) reste le mode de fonctionnement familial le plus fréquent, les situations de cohabitation inter­générationnelles ou d’isolement ne sont pas négligeables. Ces modèles identifiés ne sont pas immuables et évoluent au gré des évènements familiaux. Le moment de la retraite apparaît en particulier comme une étape importante dans l’agencement des relations avec les proches. Enfin, l’âge avançant, « faire famille » à distance peut devenir un obstacle.
Polyphonie de la parole en Jn 2,23–4,3 Structures narratives et narration du monde de la foi
Authors: Gil Anne-Caroline
Published: November 2024

Dans cette recherche, nous proposons d’étudier la situation narrative de Jn 2,23–4,3 afin de manifester l’unité de sens surgissant du milieu polyphonique des voix chargées de son énonciation. En ce sens, nous chercherons à dévoiler le déploiement d’un récit unifié, qui pourrait être celui de l’identité croyante, pourtant composé d’un enchâssement de trois récits à narrateur distinct. L’enjeu théologique consistera à voir comment la poétique du récit johannique se fait canal de communication des expériences nouvelles de l’existence née d’en haut. Cette analyse s’articulera sur l’étude des figures narratives et énonciatives du récit johannique – en particulier, celle du/des narrateur(s) – comme autant de voix par lesquelles la narrativité johannique se fait pour le lecteur narration du monde de la foi.
Ensevelis, exhumés, ensevelis… : les vestiges archéologiques du cimetière d’Atlit (royaume latin de Jérusalem, XIII e siècle)
Authors: Gleize Yves
Published: November 2024

Au pied du château Pèlerin, le cimetière médiéval d’Atlit renferme plusieurs milliers de tombes datées du xiii e siècle. Cet espace funéraire pose la question des multiples évènements qui ont conduit à l’enfouissement des vestiges archéologiques et qui doivent être discutés à différentes échelles. L’utilisation intense du cimetière pendant au moins 80 ans a conduit à exhumer, déplacer et réinhumer des ossements. Le cimetière a ensuite été abandonné et les marqueurs de tombes ont été ensevelis. La découverte et la restauration du cimetière durant le mandat britannique en 1934 ont amené de nouveau à exhumer et à ensevelir des vestiges. Puis, durant le xx e siècle, les aléas climatiques ont continué à modifier l’enfouissement des restes archéologiques. Enfin, la reprise de la fouille du site au début du xxi e siècle a relancé ces processus tout en contribuant à mieux comprendre cette histoire complexe.
Industries coloniales en contexte impérial
Authors: Innocent Diezou Koffi
Published: November 2024

Le complexe technique regroupe un ensemble d’activités afférentes pour atteindre un objectif. L’exploitation forestière de la Côte d’Ivoire s’est rapidement convertie en un champ d’expérimentation et de mise en œuvre de mécanismes de production nouveaux. L’agro-industrie, le conditionnement des produits et les usines de première transformation en ont résulté. Des décrets et arrêtés ponctuels ont donné un caractère légal à l’entreprise. Des choix d’administration opérés par les lieutenants-gouverneurs Angoulvant et Reste ont permis d’intégrer les compagnies commerciales à capitaux. L’industrie du bois, de l’oléagineux et, dans une moindre mesure, celle du coton ont introduit la technologie dans la production, avec l’apport d’appareils mécanisés. Plus que la mécanisation, c’est l’introduction de nouvelles plantes immédiatement intégrées dans les marchés boursiers internationaux qui ont généré des flux financiers. La révolution du printemps 1946 a permis de définir de nouvelles orientations basées sur des lois, dotant l’administration coloniale de la possibilité d’investissements de capitaux pour impulser le développement. Des conflits ont certes éclaté, mais les flux de capitaux investis ont permis de trouver des consensus à différentes échelles dans la gestion des ressources. Cet équilibre entre les acteurs européens et africains, sur un fond d’opposition des méthodes, a débouché sur une mixité de la production définissant le complexe technique agro-industriel spécifique à la Côte d’Ivoire.
Industries coloniales en contexte impérial
Authors: Touchelay Béatrice
Published: November 2024

À travers les transformations des statistiques industrielles dans les colonies françaises d’Afrique subsaharienne, au Congo belge et pour quelques repères, dans l’Empire britannique, ce texte interroge les rapports économiques complexes entre les métropoles et leurs colonies. Il revient sur les motifs de la colonisation, sur les luttes d’intérêts qui traversent les territoires et qui conduisent à reconnaître ou non, à encourager ou à dissuader, leur mise en valeur. La rigidité de la catégorie statistique « industrie » exportée de métropole en AEF et en AOF reflète leur stagnation économique entre les deux guerres. En revanche, la discussion de l’indicateur au Congo belge juste avant la Seconde Guerre mondiale atteste d’un intérêt nouveau pour la mesure, dans une colonie qui commence à s’industrialiser.
Du QR code au déboulonnage. La mise en débat des symboles d’un passé contesté dans l'espace public bruxellois
Authors: Vaesen Joost , Jaumain Serge , Degryse Iadine , Jacobs Dirk , Wayens Benjamin
Published: November 2024

Omniprésents à Bruxelles, les marqueurs mémoriels, (statues, noms de rues, monuments, commémorations…), reflètent les valeurs idéologiques et politiques de leur époque. Leur appropriation qui a logiquement évolué avec le temps a souvent débouché sur des contestations. Aujourd’hui, celles-ci portent principalement sur les représentations colonialistes, racistes ou sexistes que ces marqueurs véhiculent dans l’espace public. Cette note de synthèse présente les principales caractéristiques du paysage mémoriel bruxellois depuis 1830 et propose une typologie des stratégies d’intervention face aux marqueurs contestés, en suivant deux axes : le lieu d’intervention et la visibilité accordée à la contestation. Basée sur l’analyse des discours (entretiens, groupe de travail, séminaire) et de la presse, cette typologie identifie six stratégies qui vont du statu quo à la suppression du marqueur. L’analyse de chacune d’entre-elles est illustrée par des exemples et arguments tirés du corpus bruxellois. L’étude s’adresse tant aux chercheurs en études mémorielles qu’aux décideurs politiques confrontés à la gestion d’un marqueur contesté.
From QR code to toppling. Debating the symbols of a controversial past in the public space of Brussels
Authors: Vaesen Joost , Jaumain Serge , Degryse Iadine , Jacobs Dirk , Wayens Benjamin
Published: November 2024

Omniprésents à Bruxelles, les marqueurs mémoriels, (statues, noms de rues, monuments, commémorations…), reflètent les valeurs idéologiques et politiques de leur époque. Leur appropriation qui a logiquement évolué avec le temps a souvent débouché sur des contestations. Aujourd’hui, celles-ci portent principalement sur les représentations colonialistes, racistes ou sexistes que ces marqueurs véhiculent dans l’espace public. Cette note de synthèse présente les principales caractéristiques du paysage mémoriel bruxellois depuis 1830 et propose une typologie des stratégies d’intervention face aux marqueurs contestés, en suivant deux axes : le lieu d’intervention et la visibilité accordée à la contestation. Basée sur l’analyse des discours (entretiens, groupe de travail, séminaire) et de la presse, cette typologie identifie six stratégies qui vont du statu quo à la suppression du marqueur. L’analyse de chacune d’entre-elles est illustrée par des exemples et arguments tirés du corpus bruxellois. L’étude s’adresse tant aux chercheurs en études mémorielles qu’aux décideurs politiques confrontés à la gestion d’un marqueur contesté.
Van QR-code tot verwijdering. Debat over de symbolen van een omstreden verleden in de Brusselse openbare ruimte
Authors: Vaesen Joost , Jaumain Serge , Degryse Iadine , Jacobs Dirk , Wayens Benjamin
Published: November 2024

Omniprésents à Bruxelles, les marqueurs mémoriels, (statues, noms de rues, monuments, commémorations…), reflètent les valeurs idéologiques et politiques de leur époque. Leur appropriation qui a logiquement évolué avec le temps a souvent débouché sur des contestations. Aujourd’hui, celles-ci portent principalement sur les représentations colonialistes, racistes ou sexistes que ces marqueurs véhiculent dans l’espace public. Cette note de synthèse présente les principales caractéristiques du paysage mémoriel bruxellois depuis 1830 et propose une typologie des stratégies d’intervention face aux marqueurs contestés, en suivant deux axes : le lieu d’intervention et la visibilité accordée à la contestation. Basée sur l’analyse des discours (entretiens, groupe de travail, séminaire) et de la presse, cette typologie identifie six stratégies qui vont du statu quo à la suppression du marqueur. L’analyse de chacune d’entre-elles est illustrée par des exemples et arguments tirés du corpus bruxellois. L’étude s’adresse tant aux chercheurs en études mémorielles qu’aux décideurs politiques confrontés à la gestion d’un marqueur contesté.
Collaborative Writing and the Poetics of the Occasion: The Pandemic Sonnets of Cindy Tran and Craig Santos Perez
Authors: Smith Laura T.
Published: November 2024

During the early months of the COVID pandemic in 2020, writers turned to the practice of sonnet-writing to connect with others, stem isolation, and take stock of the multiple crises presented by the pandemic and its complex social contexts. This essay examines two collaboratively written pandemic sonnet projects, The Poetry Society of New York’s May Day 2020 crown and Cindy Tran’s Sonnet Crown for NYC, along with the pandemic eco-sonnets of Craig Santos Perez. These pandemic sonnets articulate our complexly connected identities while highlighting the pandemic sonnet’s capacities for meditating on and interrogating our expanding webs of connection. As collaborative writing projects and works of occasional poetry, these pandemic sonnet projects reposition the sonnet in contemporary American poetics as a social and socially-embedded practice, linking contemporary sonnet practice to the highly social poetic exchanges associated with the sonnet from its earliest roots.
Pandemic Pastoral and Post-Pastoral Occasions in Poetry of the Covid-19 Crisis
Authors: Montin Sarah
Published: November 2024

Why does the pastoral aesthetic, as well its many contemporary, prefixed versions (anti-pastoral, dark pastoral, post pastoral, etc.), feature so prominently in poetry written on and during the Covid-19 crisis? Taking this question as a starting point to critical exploration, this article analyses how the topical poetry written during the period of the first lockdown in Britain (March-June 2020) relied extensively on the classical literary convention to articulate the experience of the pandemic. Taking as corpus the poems featured in the “Write Where We Are Now” online anthology curated by Carol Ann Duffy in 2020, this paper analyses how using and subverting pastoral tropes and effects allowed poets to reflect upon one of the great catastrophes of the early 21th century, linking the trauma of mass death to contemporary questions on (eco)poetry and its relation to nature and the environment.
Deconstructing the Frenemy in International Relations
Authors: Nikolić Luka , Milić Igor
Published: November 2024

Affermare che la frenemyship o la frenmity rappresentino i fondamenti teorici e pratici di questo lavoro, potrà sembrare eccessivamente eccentrico e ambizioso. Eppure, sentiamo la necessità di utilizzare chiavi di lettura diverse dalla ontologia dicotomica di amicizia vs. inimicizia. Piuttosto, proponiamo un’ontologia senza ontologia per catturare il momento di indecidibilità radicale che spiega le storie ossessionanti del pensiero controfattuale e l'immanente reversibilità dei significanti dominanti e dei significati ad essa connessi. Il terrorismo e la sorveglianza di massa, inoltre, illustrano in pratica la sorprendente somiglianza tra opposti apparenti, trasformando il paradigma noi contro loro nella febbrilità di tutte le soggettività coinvolte.
On hate and the Enemy, from the 20th century to today: a global view
Authors: Fotia Laura
Published: November 2024

Pratiche finalizzate alla creazione di terrore e paura nella popolazione, politiche autoritarie e repressive fondate su presupposti escludenti e discriminatori, forme di intolleranza verso chi è definito o percepito come “diverso”, strategie propagandistiche finalizzate all’individuazione di un “nemico” - interno o esterno alla società o al gruppo di appartenenza -,“politiche dell’odio”, hanno raggiunto nel Novecento un grado di diffusione, efficacia ed efferatezza inedito. La creazione dell’immagine del “nemico”, nella storia, ha avuto spesso come oggetto connazionali, ma processi di costruzione di nemici esterni alla comunità nazionale di appartenenza sono stati altrettanto diffusi. Il numero intende contribuire alla creazione di uno spazio di confronto storiografico sul tema “odio e nemico”, inevitabilmente ampio e complesso, attraverso la ricostruzione di specifici case studies che analizzino le declinazioni che i fenomeni descritti hanno assunto concretamente in momenti e luoghi diversi nel corso del XX secolo.
Figurer l’ennemi. Des artistes rescapés des camps nazis
Authors: Constant Julie
Published: November 2024

Questo articolo analizza le caratteristiche e lo sviluppo della figura del nemico nelle opere di arti visive (disegni, dipinti, sculture e incisioni) di diversi artisti sfuggiti alle atrocità naziste. I disegni realizzati nei campi di concentramento si concentrano sulla figura umana, ma essenzialmente cercano di individualizzare le vittime con l’obiettivo di catturare su carta il ricordo dei propri cari, al contrario del boia, che nella maggior parte dei casi rimane anonimo: una sagoma vaga che minaccia i deportati. Dopo il 1945, gli artisti svilupparono una distanza stilistica e iconografica come mezzo per trasfigurare il trauma in un linguaggio visivo più personale, optando per un simbolismo evocativo: predatore, macchina o orco, la figura nemica diventa un archetipo.
“Radio Le Caire incitait les Libyens à se soulever, à tuer les Juifs, à chasser les Américains”: reflets de la propagande nassérienne sur les violences de juin 1967 en Libye
Authors: Bottecchia Giordano
Published: November 2024

Allo scoppio della Guerra dei Sei Giorni, il 5 giugno 1967, la comunità ebraica di Libia fu vittima di un pogrom che ne causò l’esodo definitivo dal Paese. Se vari studi evidenziano il deterioramento delle condizioni di vita degli ebrei dopo l'indipendenza libica e rivelano l'influenza dell'ideologia del presidente egiziano Nasser, i riflessi della sua propaganda politica durante queste violenze non sono stati ancora del tutto esplorati. Questo articolo tenta allora di mostrare come l'ostilità delle autorità egiziane verso gli "imperialisti", i "sionisti" e i "reazionari" abbia condizionato la forma che assunsero i moti del giugno 1967 in Libia. Si metterà così in evidenza la natura complessa di tali eventi, che presentarono nel contempo sia motivi antisemiti che anti-imperialisti.
La storia nei tribunali internazionali sui crimini di guerra
Authors: Wilson Richard Ashby
Published: November 2024

Perché i tribunali penali internazionali scrivono storie delle origini e delle cause dei conflitti armati? Sulla base di ricerche empiriche originali e dello studio delle strategie perseguite da giudici, pubblici ministeri, avvocati della difesa e periti in tre tribunali penali internazionali, il saggio qui proposto si sofferma su come il diritto e la storia si combinino nelle aule di tribunale. La testimonianza storica è ora parte integrante dei processi internazionali: i pubblici ministeri e la difesa usano le ricostruzioni del contesto per perseguire decisamente obiettivi legali. Nel processo a Slobodan Milošević, l’accusa ha cercato di dimostrare l’intenzione di commettere un genocidio facendo riferimento a un’attitudine di lunga data, alimentata in un contesto nazionalista. Da parte sua, la difesa ha fatto ricorso a periti esperti di storia per indebolire le accuse che individuavano maggiori profili di responsabilità per gli accusati e per mitigare la sentenza rappresentando i crimini alla stregua di rappresaglie. Sebbene le metodologie giuridiche per arrivare alla conoscenza siano distinte da quelle proprie della storiografia, nei processi internazionali esse sono interrelate: questa è per noi una sfida a ripensare le relazioni tra diritto e storia.
Effect of Sodium Hypochlorite Concentration on the Outcome of Full Pulpotomy in Mature Permanent Teeth with Irreversible Pulpitis – A Systematic Review
Authors: Saini Aakriti , Kaur Amandeep , Sharma Sidhartha , Kumar Vijay , Chawla Amrita , Logani Ajay
Published: November 2024

To determine the outcome of full pulpotomy in management of mature permanent teeth with irreversible pulpitis when 2.5% versus other concentrations of sodium hypochlorite (NaOCl) were used to achieve haemostasis. Electronic searches were performed in PubMed, Embase, Web of Science, International Clinical Trials Registry Platform, and ClinicalTrials.gov for English language articles until July 2021. Randomised clinical trials and cohort, cross-sectional, and case-control studies where full pulpotomy was performed to manage mature permanent molar teeth with irreversible pulpitis and no periapical radiolucency were included. Newcastle Ottawa Scale and the Cochrane risk of bias tool were used for quality assessment. The success rate for full pulpotomy was documented. The protocol was registered in PROSPERO database (CRD42020177214). Out of 861 studies, four were considered for data analysis. Three studies were single-arm prospective trials on pulpotomy, while one was a randomised control trial comparing pulpotomy and root canal treatment. A combined success rate of 93% from 117 teeth was reported from three studies using 2.5% NaOCl as a haemostatic agent. One study used 5% NaOCl and reported a success rate of 100% (n = 6 teeth). The certainty of evidence substantiated by the GRADE approach was of low quality. Overall quality assessment revealed a considerable risk of bias in three studies. Irrespective of the NaOCl concentration, the success rate of pulpotomy in mature permanent teeth with irreversible pulpitis was high. No study compared the different concentrations of NaOCl as a haemostatic agent. Further, randomised controlled trials are required to investigate the effect of NaOCl concentration for haemostasis on the outcome of pulpotomy.
Mooren’s Ulcer with Pathologic Findings Similar to Cicatricial Pemphigoid
Authors: Jackson Kevin , Snyder Alexander , Hall Russell , McCallum Rex , Houser Kourtney , Sura Amol
Published: November 2024

To report a case of peripheral corneal thinning with a presentation similar to a Mooren’s ulcer but with pathology consistent with cicatricial pemphigoid. We report the case of a 56-year-old woman who presented with unilateral peripheral corneal thinning. Before presentation, the patient was treated with prednisone 60 mg daily, an amniotic membrane, and artificial tears. The patient denied any prior autoimmune history. The left cornea had nasal crescentic corneal thinning 6.0 mm tall and 1.5 mm wide. Visual acuity was 20/40 uncorrected in the involved eye. Initial laboratory workup was notable for a low positive rheumatoid factor and positive fluorescent treponemal antibody absorption but negative rapid plasma reagin. Corneal cultures were negative. The patient was started on oral and topical steroids, topical moxifloxacin, and mycophenolate mofetil and underwent a conjunctival resection. The conjunctival tissue was sent for pathology and was notable for strong deposits of immunoglobulin G at the epithelial basement membrane consistent with mucous membrane pemphigoid. Mycophenolate mofetil was discontinued due to oral thrush. Due to persistent activity, she underwent repeat conjunctival resection with the placement of an amniotic membrane over the area of thinning. She was subsequently started on rituximab biosimilar infusions and tapered off prednisone. Visual acuity at the last follow-up was 20/25. While conjunctival resection is a potential management option for Mooren’s ulcer, routine conjunctival biopsy for pathology is not. Our case highlights a potential overlap between the pathophysiology of ocular cicatricial pemphigoid and Mooren’s ulcer. Sending conjunctival tissue for pathology could provide benefits to the underlying mechanisms of different variants of Mooren’s ulcer.
Relationship between workplace violence and attitudes towards the nursing profession in nursing students: A cross-sectional study in Iran
Authors: Jafarizadeh Raana , Ebadi Abbas , Roshan Hosein Mohammadi , Kianian Toktam , Barasteh Salman , Ebrahimloee Saba , Pelarak Ferdos , Goliroshan Soghra , Hatami Mohammad , Soleimani Malek
Published: November 2024

BACKGROUND:

Nursing students are at risk of violence. When nursing students encounter violence in clinical environments, their functional abilities and their desire to stay in this profession are impressed. This research determines the relationship between violence in the workplace and the attitude towards the nursing profession (NP) among Iranian nursing students in 2021.

MATERIALS AND METHODS:

This cross-sectional research was conducted as an online survey in 2021, and 512 nursing students were selected using the convenience method. Data collection tools included a demographic information form, a professional attitude questionnaire, and a workplace violence questionnaire. Chi-square tests, one-way analysis of variance (ANOVA), sample t-test, and multiple regression were used to analyze the data.

RESULTS:

The average age was 23.19 ± 4.58 years. Students with high violence experiences had a more negative attitude towards the profession (P = 0.000). The perpetrators of violence were mainly hospital employees (52.42). It was followed by patients and companions (45.86) and instructors (43.95). A significant relationship was found between gender (P = 0.03), age (P = 0.00), academic year (P = 0.005), and marital status (P = 0.008) with attitude towards profession. The findings of this research showed that the variables of gender (boy) and age have an inverse effect on the attitude with a predictive power of 37%; however, the attitude towards the profession becomes positive by increasing the academic year.

CONCLUSION:

This research provides data to nursing schools to develop intervention and prevention strategies to support students in dealing with the experience of violence. Holding related training courses in violence prevention techniques reduces the other party’s anger and can help improve the situation.
Development of a minimum data set for a blockchain-based personal health records (PHRs), for patient/physician interaction in family medicine
Authors: Hajebrahimi Mehdi , Langarizadeh Mostafa , Nikseresht Alireza
Published: November 2024

BACKGROUND:

The primary requirement for a capable patient health record (PHR) that can interact appropriately with the family medicine system and collect and share qualified data is a minimum data set (MDS) aligned with family medicine’s functions and goals. The aim of this research was to determine the MDS for a blockchain-based PHR system that can effectively interact with family medicine providers and collect and share qualified data. This MDS is intended to be applicable to all members of the community covered by family medicine.

MATERIALS AND METHODS:

This applied study was conducted in 2022 in a cross-sectional and descriptive approach in three phases. In the first phase, a content analysis related to the research objectives was conducted in scientific databases, search engines, and websites of the centers and scientific research organizations with publications and policy-making in this field. Consequently, 11 studies were selected for use in the second and third phases. In the second phase, to determine information needs, a researcher-developed questionnaire including 17 classes was given to 50 people under the cover of the family medicine plan in Shiraz city. By choosing one of the two options “Yes” or “No” by them, the necessary data classes were determined. In the third phase, the second researcher-developed questionnaire was designed and administered to 100 family physicians in Shiraz city. This questionnaire included the data elements corresponding to the data classes approved in the previous phase. The family physicians were asked to rate the importance of each data element using a Likert scale with five options, ranging from “very unimportant” to “very important.” The necessary data elements were determined based on these scores.

RESULTS:

In the first questionnaire, 16 of the 17 data classes received approval from individuals covered by the family medicine plan. Consequently, a questionnaire comprising 16 classes and 105 data elements was administered to the family physicians. Ultimately, the MDS was determined to include 16 classes and 72 data elements.

CONCLUSIONS:

Determining essential data elements, especially for patient/physician interaction in family medicine, should be such that they can be managed by the person while being comprehensive and providing sufficient help to the physician during the treatment process. This MDS can be used to interact with and refer PHRs to other physicians and specialists, as well as help interoperability between the PHR and other health systems, such as hospital information systems (HIS) and electronic health records (EHRs).
Out-of-pocket expenditures in hospitalized COVID-19 patients: A systematic review and meta-analysis
Authors: Ahmadabad Ahmad Dehghani , Hosseini_Shokouh Sayyed Morteza , Mehdizadeh Parisa , Meskarpour_Amiri Mohammad
Published: November 2024

The outbreak of COVID-19 has led to substantial out-of-pocket (OOP) expenditures for households during treatment. This study aimed to investigate the OOP expenditures among hospitalized patients with COVID-19 through a systematic review and meta-analysis. A systematic review and meta-analysis were conducted following the PRISMA guidelines. Articles were retrieved from the PubMed, Scopus, and Google Scholar in the period of 2019–2022 and evaluated for quality using the STROBE guidelines. Homogeneity was assessed using the I2 index, and publication bias was examined using a funnel plot. Meta-analysis was performed using Stata 16. Results of the study have shown that a total of nine articles were included in the meta-analysis. The average OOP expenditure for hospitalized COVID-19 patients was found to be US $308.25 (95% CI: 4.17-620.67). The highest OOP expenditure was reported by CHAU (2021) (US $3171.28), followed by GRAG (2022) (US $1582.38), and the lowest by KOTWANI (2021) (US $56.35). According to the results obtained Significant inequality was observed in the OOP expenditures across different countries. Consistent policy recommendations should be made in international forums to reduce these costs in future pandemics for patients in both developed and developing nations.
The effectiveness of acceptance and commitment therapy in reducing the symptoms of complicated grief, corona disease anxiety, and improving the quality of life in the survivors of the deceased due to COVID-19
Authors: Alkasir Emad , Masjedi-Arani Abbas , Bakhtiyari Maryam , Isfeedvajani Mohsen S.
Published: November 2024

BACKGROUND:

COVID-19 is an infectious disease that has threatened the physical and mental health of people and in many cases leads to death. The present study investigated the effectiveness of acceptance and commitment therapy (ACT) in reducing the symptoms of complicated grief, and corona disease anxiety, and improving the quality of life in the survivors of the deceased due to COVID-19.

MATERIALS AND METHODS:

The research method was an experimental design with pre-test, post-test, and follow-up with a control group and random assignment to the intervention and the control groups. Thirty-eight people who met the study criteria were selected as a sample and assigned to the two intervention and control groups using a simple randomization method (19 people in each group). Measures included the complex grief scale, the coronavirus anxiety scale, and the short form of the World Health Organization quality of life scale. Then, mixed analysis of variance was used to compare the average variables between the two groups. Also, the independent t-test was used to compare the mean quantitative outcomes between the two groups.

RESULTS:

The results showed that there were significant changes over time between the experimental and control groups (with a small effect coefficient) in complicated grief symptoms (P < 0.05), corona disease anxiety (P = 0.001), and quality of life (P = 0.001). Also, the results of all three variables showed that there were significant differences between pre-test and post-test (P < 0.05) and between pre-test and follow-up (P value < 0.05), but the difference between post-test and follow-up was insignificant.

CONCLUSIONS:

ACT has significant effects on reducing the symptoms of complicated grief and corona disease anxiety as well as on improving the quality of life in the survivors of the deceased due to COVID-19.
Effectiveness of video assisted teaching program of pranayama on selected physiological parameters among patients with COPD
Authors: Tembhurne Harshika , Dumbre Dipali
Published: November 2024

BACKGROUND:

According to research on the global burden of illness, chronic obstructive pulmonary disease (COPD) is expected to rank third globally in terms of cause of mortality in the first 20 years of the 20th century and fifth in terms of major cause of impairment. A thorough yoga program can enhance general well-being and respiratory function, which will improve a person’s capacity to complete daily chores.

MATERIALS AND METHODS:

One group pretest and posttest design in a quasi-experimental study was applied. Collected 50 samples by usingnon-probability sampling method to collect data with the help of tool prepared by researcher. The present study was conducted from April 2022 to June 2023. Analyzed by using Statistical Package for the Social Sciences (SPSS) software.

RESULTS:

The comparison of pretest and posttest physiological parameters of COPD patients. At the 5% significant level, The Student’s paired “t” test is employed, and the mean, standard deviation, and mean difference values are compared. For n = 50-1, or 4 degrees of freedom, the value was 2.00. At the 5% level of significance — a statistically acceptable level of significance — the computed oxygen saturation “t” value, or 29.69, the heart rate (7.16), respiratory rate (16.50), diastolic blood pressure (3.77), and walking distance (15.23), are all significantly greater than the value for general physiological parameters. Thus, the H1 is accepted for oxygen saturation, respiratory rate, and distance in walking.

CONCLUSION:

Moreover, the study findings highlight the need for ongoing education and outreach efforts to continue improving the health status of COPD patients. This paragraph say that the pranayama is effective in patient with COPD as it help in manageing the illnes and also to improve the lifestyle and also help to im prove the health status of the patient having any other illnesses. In addition, the Compassion of Pranayama and Yoga Pranayama shown effectiveness in daily lifestyle.
A novel smartphone application for bladder cancer management (BCM App): Design, development, and usability evaluation
Authors: Khosrobeigi Atefeh , Sichani Mehrdad M. , Rangraz-Jeddi Fatemeh , Gharakhani D Davoud , Mousavinasab Elham , Anvari Shima , Akbari Hosein , Fatehi Farhad , Nabovati Ehsan
Published: November 2024

BACKGROUND:

Providing clinical guidelines to clinicians using innovative technologies seems practical and useful. This study aimed to design, develop, and evaluate a smartphone application to assist urologists in managing bladder cancer (BCM App).

MATERIALS AND METHODS:

The study was conducted in three phases, following the user-centered design model, at the urology clinic of Khorshid Hospital (Isfahan, Iran) in 2021. Components and functionalities for BCM App were specified in three focus group sessions with urologists and urology residents using clinical guidelines. Adopting the Delphi technique, the participants completed a questionnaire addressing issues including educating and informing clinicians, performing clinical calculations, representing graphical information, and recording patient information. A conceptual model for the app was designed, and the final product was developed. The usability of the BCM App was evaluated using the think-aloud technique by usability experts and end-users.

RESULTS:

The app’s components were categorized into three groups: Patient evaluation, disease staging and management, and patient follow-up. The app’s main components included “bladder cancer classification,” “disease grading and staging,” “management based on the disease stages,” “principles of intravesical treatment,” and “classifying follow-ups by disease stages.” Moreover, the most prominent app’s functionalities were “using staging and grading table,” “using American Urological Association risk stratification,” “calculating disease stages,” “calculating patient’s follow-up,” and “recording patient information.” The usability evaluation results revealed that the BCM App was at a “highly acceptable” level.

CONCLUSION:

To design and develop a smartphone app for managing bladder cancer, the involvement of urologists is crucial. Apart from assisting urologists in effectively managing bladder cancer, the proposed app has the potential to enhance residents’ knowledge and streamline their access to evidence.
Adverse Events Following Equine Rabies Immunoglobulin Administration among Category 3 Animal Bite Exposures
Authors: Krishnan Jishnu , Kanchana Bhagyalakshmi M. , Ushakumari Anuja , Suresh Rahul , Abraham Saramma
Published: November 2024

Introduction:

Rabies is known to be 100% fatal. Equine rabies immunoglobulin (ERIG) recipients are prone to hypersensitivity reactions following administration. This study aims to estimate the adverse events following ERIG among category 3 animal exposures reported in a tertiary care centre in Kerala during the year 2022.

Materials and Methods:

A record-based descriptive study.

Results:

Among the 1504 cases, 557 (37.03%) developed sensitivity following the test dose of ERIG, of which 478 were administered with a full dose of ERIG after desensitisation. Human rabies immunoglobulin was given to 26 patients, and monoclonal antibodies were given to 53 patients. Among 1425 who received a full dose of ERIG, 21 (1.5%) developed sensitivity reaction during the observation period, of which 14 had developed sensitivity to the test dose. Of the 21 who developed sensitivity to full dose, 18 patients required only symptomatic management while 3 patients required admission.

Conclusion:

Testing for sensitivity to test dose will help to identify those in need of premedication with anti-allergic drugs, thereby reducing the risk of hypersensitivity to full dose of ERIG.
How Should the Scope of Pharmacy Practice Be Decided?
Authors: Alderman Chris
Published: November 2024

Scope of pharmacy practice should be guided by actions in the public interest. Improving patient safety, optimal access to timely healthcare, cost-effective, reducing inappropriate load on hospitals and primary care clinics need to be considered. Also critical are the training and availability of professionals to provide healthcare. Sensible legislation and systems design are needed to guard against scope confusion, and liability issues must also be considered.
Notes on the Consultant Pharmacist Practice Model: At Home and Abroad
Authors: Worz Chad
Published: November 2024

As we roll into our 2024 Annual Meeting in Colorado, we are emphasizing “Practicing at the Peak.” There is more to that theme than the fact that the majestic Rocky Mountains will backdrop this year’s meeting. Our practices include the traditional locations such as nursing facilities, assisted living centers, Programs of All-inclusive Care for the Elderly (PACE), and community settings, where complex medication regimens intersect with the desire to live independently. “Practicing at the Peak” is more than pushing the limits of our license: It's being recognized and reimbursed for the advance practice activities that we deliver. Additionally, ASCP took a trip to Poland to attend the International Conference on Long-tern Care, and to amplify Poland’s consultant pharmacist pilot program and to demonstrate how it more closely resembled what we do in America.
Marsha Meyer PRESIDENT 2024‐2025
Authors: Smith Eleanor
Published: November 2024

President for the 2024‐2025 year, Marsha Meyer sat down with ASCP’s Director of Publications, Eleanor Smith, for an in-depth look at her career, her leadership style, and her plans for the association.
Heart Failure Part 3: Diuretic Management in Older People
Authors: Hughes Gregory J.
Published: November 2024

Heart failure is a common condition in the older population. As severity progresses, fluid accumulates resulting in congestive symptoms. Loop diuretics are the cornerstone of managing fluid overload and dosing should target euvolemia and congestive symptoms. Volume status is difficult
to assess but signs and symptoms such as dyspnea, orthopnea, edema, and weight changes can be evaluated even without specialized equipment in the outpatient setting. Pharmacists are capable of assessing diuretic response and making recommendations for dosing changes in older heart failure
patients.
Pharmacist Interventions for Inhaled Medication Use in Chronic Obstructive Pulmonary Disease (COPD)
Authors: Tam Amanda , Nelson Christian , Bouwmeester Carla
Published: November 2024

Pharmacists are ideally situated and trained to educate and advocate for the proper use of inhaled medications among patients in the community. Proper inhaler technique is an important way to prevent exacerbations and manage the symptoms associated with chronic pulmonary diseases. The
American Lung Association estimates almost 6 million people 65 years of age or older had a diagnosis of chronic obstructive pulmonary disease (COPD) in 2020 in the United States. However, published reports have found that less than 20% of older people with COPD use inhalers correctly. As inhalers
are the primary route of administration for medications used to treat chronic airway diseases such as COPD, pharmacist-led education can help overcome the widespread lack of knowledge regarding proper inhaler use.
Co-designing Medication Optimization Patient-Centered Outcomes Research With Older People and Caregivers as Research Partners
Authors: Elonge Eposi , Cooke Catherine E. , Lee Merton , Tang Viviane , Haynes Jodi-Ann , Wang Sabrina , Genuit Andrew , Isetts Brian , Pellegrin Karen , Mikami Judy , Price Del , Brandt Nicole
Published: November 2024

Background: Additional evidence is required to address the unintended consequences of medication use in older people and the required caregiver support. To inform priorities for future research efforts, different stakeholder perspectives are needed, including those of older
people, caregivers, clinicians, and researchers. Objective: To develop a co-designed medication-related research agenda. Methods: A 12-member Advisory Council, half of which were older people and caregivers, designed the research. An 11-question survey
to identify priorities for medication-related patient-centered outcomes research (PCOR) topics was administered to members of the Elder Care Medicine Network (ECMN) (ie, older people, caregivers, clinicians, and researchers). Respondents were categorized into two groups with hierarchical assignment
to the clinician/research group over the older adult/caregiver group. Chi-square tests compared priority areas for medication-related PCOR between the two groups. Results: There were 53 responses (48% response rate) from the ECMN, with 39.6% (n = 21) from the clinician/researcher
group and 60.4% (n = 32) from the older adult/caregiver group. The priority areas from both groups included safe ways to simplify medicines (62.2%), communicating with pharmacists and prescribers about medications (58.5%), and information about safe supplements with prescription medications
(52.8%). Statistically significant differences existed between the two groups in the proportions choosing the priority areas. Conclusion: Co-design of a survey to identify priority areas for PCOR demonstrated successful engagement of older people and caregivers as research
partners. While older people and caregivers may have differing perspectives on the importance of specific medication-related PCOR topics, simplifying medication regimen and health care communications were germane to both groups.
Pharmacist Innovators: Redefining Roles, Elevating Care, Making Their Mark
Authors: Davitian Leigh
Published: November 2024

In this article, I aim to highlight the remarkable journey of how pharmacists have evolved from being seen as “mere dispensers” to becoming innovative clinical healthcare providers, firmly establishing their rightful place in patient care. Today’s pharmacists understand that innovation drives change, challenges the status quo, and pushes boundaries. It has been somewhat of a journey with many setbacks but the industry’s willingness to push is paying off.
Dualities for rational multi-particle Painlevé systems: Spectral versus Ruijsenaars
Authors: Gaiur Ilia , Rubtsov Vladimir
Published: November 2024

The extension of the Painlevé–Calogero correspondence for the

n

-particle Inozemtsev systems raises to the multi-particle generalisations of the Painlevé equations. This extension may be obtained by the Hamiltonian reduction applied to the matrix Painlevé systems. Additionally, such procedure gives an isomonodromic formulation for these non-autonomous Hamiltonian systems. We provide dual systems for the rational multi-particle Painlevé systems (

P_{\textup{I}}

,

P_{\textup{II}}

and

P_{\textup{IV}}

) using the Hamiltonian reduction. We describe this duality in terms of the spectral curve of a non-reduced system compared to the Ruijsenaars duality.
A machine learning sentiment classification of factors that shape trust in smart contracts
Authors: Ibekwe Unyime , Mbanaso Uche , Nnanna Nwojo , Ibrahim Umar Adam
Published: November 2024

Smart contracts have attracted significant attention within the blockchain ecosystem due to their ability to automate agreements when specific pre-defined conditions are met. However, concerns about the reliability of smart contracts persist due to potential vulnerabilities and unexpected outcomes. This study seeks to examine the perception of various stakeholders in the blockchain community, including developers, regulators, investors, researchers, auditors, and enthusiasts to understand the factors that influence trust in smart contracts. Data was gathered from 213 respondents through a survey administered across two blockchain communities. The responses were analyzed to identify key factors shaping trust in smart contracts within the blockchain space. The study identified five critical factors that significantly affect trust perceptions: Perceived Security Measures (PSM), Perceived Design Practices and Developer’s Reputation (PDR), User Experience (UX), Perceived Social and Psychological Influence (PSP), and Perceived Regulatory Compliance and Continuous Improvement (PRC). Additionally, machine learning algorithms namely Support Vector Machine, Decision Tree, Logistic Regression, and Naive Bayes were applied on open-ended responses to conduct sentiment analysis, providing deeper insights into the perceptions of trust in blockchain smart contracts. The results revealed that Logistic Regression classifier outperformed the other models in analyzing trust levels in smart contracts.
LOS SERVICIOS SOCIALES EN EL ESTATUTO DE AUTONOMÍA PARA ANDALUCÍA
Authors: Gamero Casado Eduardo
Published: November 2024

SUMARIO: I. CATEGORIZACIÓN JURÍDICA DE LOS SERVICIOS SOCIALES 1. La polisemia de los servicios sociales y el alcance de este trabajo II. LOS SERVICIOS SOCIALES COMO DERECHOS: UNA EXPRESIÓN ESENCIAL DEL PENSAMIENTO EUROPEO 1. Los servicios sociales, la dignidad de la persona y el principio de igualdad A) Los servicios sociales como catalizadores de la dignidad y la igualdad material de las personas B) La dignidad y la igualdad material de las personas como esencia y conquista progresiva específica de la civilización europea 2. Los servicios sociales, el Estado social y los derechos sociales 3. La proclamación de los derechos sociales en el Estatuto de Autonomía para Andalucía A) Efectos del reconocimiento de los derechos sociales en los Estatutos de Autonomía B) Los derechos sociales reconocidos en el Estatuto de Autonomía para Andalucía III. EL ÁMBITO COMPETENCIAL DE ANDALUCÍA EN MATERIA DE SERVICIOS SOCIALES A) El reparto competencial en materia de Seguridad Social y la competencia autonómica exclusiva sobre asistencia social B) El desglose competencial en los arts. 61 y 84 del Estatuto de Autonomía para Andalucía de 2007 IV. LA CRISIS ECONÓMICA Y LA REGRESIVIDAD EN LA PRESTACIÓN DE LOS SERVICIOS SOCIALES 1. La doctrina clásica de la reversibilidad de las prestaciones sociales 2. Nuevos planteamientos para nuevas realidades: condicionamientos al desguace de los servicios sociales A) La mutación encubierta de la forma de Estado B) La madurez del Estado social C) La dignidad humana como límite absoluto a los recortes D) La necesidad de justificación de la medida revocadora E) El principio de proporcionalidad F) La prohibición de defecto de protección; su articulación mediante juicios de ponderación de principios G) El principio de confianza legítima H) La metamorfosis del orden constitucional europeo BIBLIOGRAFÍA
LA ORDENACIÓN GENERAL DE LOS SERVICIOS SOCIALES EN ANDALUCÍA: SITUACIÓN ACTUAL Y PROSPECTIVA
Authors: Fernández Ramos Severiano
Published: November 2024

SUMARIO: I. INTRODUCCIÓN II. CUESTIONES GENERALES III. ESTRUCTURA DEL SISTEMA IV. COMPETENCIAS V. ORGANIZACIÓN ADMINISTRATIVA VI. PLANIFICACIÓN VII. FINANCIACIÓN VIII. PARTICIPACIÓN IX. INICIATIVA PRIVADA X. CALIDAD XI. INSPECCIÓN XII. EL RÉGIMEN SANCIONADOR XIII. FINAL: HACIA UNA NUEVA LEY DE SERVICIOS SOCIALES DE ANDALUCÍA BIBLIOGRAFÍA