bluuebunny/crossref_metadata_2025 huggingface dataset:
Les pathologies addictives de la liberté
Authors: Pharo Patrick
Published: September 2022

Ce papier propose quelques réflexions sur les pathologies addictives de la liberté autour de deux axes : d’abord les neurosciences du désir et du plaisir et leur incidence sur la philosophie de la liberté, puis les formes collectives de l’addiction associées au régime économique prévalant dans les sociétés contemporaines. Il souligne en particulier le parallèle entre les pathologies de la liberté occasionnées par les consommations sévères de drogues et le rétrécissement des options personnelles liées à la numérisation addictive du commerce et du lien social. Il conclut sur l’entraide et la mise en commun comme remèdes pour essayer d’y échapper.
Les droits humains : une mémoire blessée et un espoir d’humanité, malgré tout !
Authors: Duffé Bruno-Marie
Published: September 2022

Qu’est-il arrivé aux droits humains pour que nous soyons encore capables de tirer, à balles réelles, sur nos enfants qui crient leur désir de vivre ? Qu’est-il arrivé aux droits humains pour que, dans tant de lieux, sur cette planète, le corps de l’autre, son désir de vivre, son aspiration à grandir et à se réaliser ne soient plus considérés comme l’impératif premier, le premier commandement qui exige le respect ? Comment est-il possible que la nudité du visage de l’autre ne nous rappelle plus le « Tu ne tueras pas » – comme disait Emmanuel Lévinas ? Serions-nous au point zéro des droits humains ? Mais alors, est-il encore possible de concevoir et de porter en nous-mêmes cette « estime » que nous pouvons offrir à l’autre « et qui rejaillit en estime de nous-mêmes », pour reprendre la belle expression de Paul Ricœur ?
Droits de l’Homme : des déclarations critiquables ?
Authors: Heyer René
Published: September 2022

Les droits de l’Homme se sont imposés de par la dimension inconditionnelle, égalitaire et universelle de leurs déclarations successives. La critique les vise pour les mêmes raisons : leur autofondation prétendue, leur indétermination et la contingence de leurs sources. Tenter d’y répondre, c’est souligner ce qui encadre le développement des normes à travers la mutualité des droits et le pluralisme du débat public.
Qu’est-ce que les droits de l’Homme ? Comment les justifier ?
Authors: Kirchschläger Peter G.
Published: September 2022

L’universalité des droits de l’Homme – c’est-à-dire le fait que tous les hommes, où qu’ils soient, sont toujours porteurs de droits de l’Homme – est confrontée à des critiques qui peuvent être résumées par l’accusation suivante : « L’ Occident ne peut pas dicter au monde entier comment il doit vivre ! » Une justification des droits de l’Homme et de leur validité universelle doit être conçue de telle sorte qu’elle ne justifie pas seulement les droits de l’Homme en soi, mais qu’elle puisse également être réalisée pour tous les droits de l’Homme individuels. La justification des droits de l’Homme fondée sur le principe de vulnérabilité peut être appliquée à des droits de l’Homme spécifiques et s’avère compatible avec les conceptions religieuses et laïques des droits de l’Homme.
De la dignité de l’homme à la dignité de la création ?
Authors: Ludwig Johannes
Published: September 2022

L’article traite de la transférabilité du concept de dignité humaine à l’environnement non humain. Sur la base de développements concrets de la politique internationale, il est démontré que l’anthropocentrisme de l’ordre des droits de l’Homme en matière de protection de la création est à la fois une malédiction et une bénédiction. D’une part, elle pourrait être interprétée comme un rétrécissement spéciste du concept de dignité. D’autre part, l’interdépendance des droits de l’Homme et de la protection de l’environnement en termes politiques s’avère être une condition préalable pour qu’une protection efficace de la création soit possible.
La dignité humaine dans les autobiographies spirituelles de l’espace orthodoxe du XX e siècle
Authors: Morariu Iuliu-Marius
Published: September 2022

Importante, mais pas assez étudiée par la recherche contemporaine, l’autobiographie spirituelle pourrait constituer non seulement une lecture utile, mais aussi un genre littéraire avec de nombreuses nuances thématiques. Parmi elles, la dignité humaine peut trouver des arguments intéressants dans des œuvres représentatives de l’espace orthodoxe, comme les journaux du prêtre russe Jean de Cronstadt, du moine Silouane l’Anthonite, ou du philosophe Nicolae Berdiaev. Conscient de ce fait, nous tenterons d’attirer l’attention sur les aspects liés à la dignité humaine que l’on retrouve dans les autobiographies spirituelles des auteurs susmentionnés et de voir comment ce genre peut conduire à une compréhension plus profonde de la dignité humaine et de sa pertinence pour la société contemporaine.
La dignité humaine comme implication morale de la notion de personne chez Robert Spaemann
Authors: Nzeyimana Éric
Published: September 2022

La dignité humaine est certes liée à l’idée qu’on se fait de la personne. Le philosophe contemporain, Robert Spaemann, éclaire ce lien. La personne humaine est brièvement pour lui un individu concret, naturel, analogique, qui se dépasse. Ces notes définitoires culminent en ce que la personne humaine est une dignité inconditionnelle. Ce parcours nous permet de ressortir les caractéristiques de la dignité humaine chez Spaemann et de confronter sa vision à l’éthique contemporaine selon les différentes tendances. D’une part, la pensée spaemannienne est confortée, d’autre part, elle rencontre une opposition qui, partant des données empiriques, ne fait pas de différence entre les êtres humains et les êtres non humains, dont les animaux, pour établir la dignité.
Un grave manquement à la dignité humaine des travailleurs migrants d’Europe de l’Est lors de la première vague de la pandémie de coronavirus alors qu’ils travaillaient dans l’Union européenne
Authors: Vladimír Szaniszló Inocent-Mária
Published: September 2022

Pendant la première vague de la pandémie de coronavirus, nous avons vu comment la dignité humaine des travailleurs migrants d’Europe de l’Est a été violée dans de nombreux secteurs de travail dans la partie occidentale de l’Union européenne. Outre la protection du système des travailleurs concernés, des milliers de travailleurs migrants sont soudainement devenus visibles, occupant des emplois importants dans plusieurs secteurs pour lesquels il n’existe aucun intérêt dans les pays économiquement développés de l’Union européenne commune. Cependant, pour que ce projet politique commun de l’Europe ait un réel avenir, il faut penser à une amélioration importante des droits sociaux, notamment ceux de ses membres. Ce n’est qu’ainsi que d’autres migrants venant en Europe pourront également être traités équitablement.
Une perspective d’éducation religieuse
Authors: Bahr Matthias
Published: September 2022

L’éducation aux droits de l’Homme dans un contexte interreligieux suit les principes pédagogiques de l’orientation du sujet, de l’autodétermination, de la codétermination et de la solidarité et est liée aux processus de construction des individus. En tant qu’éducation aux droits de l’Homme, par les droits de l’Homme et pour les droits de l’Homme, elle prouve son potentiel lorsque les fondements centraux de la coexistence sont testés pour leur viabilité. Le lien historique entre les droits de l’Homme et la rupture de la civilisation confère à l’éducation aux droits de l’Homme une dynamique spécifique afin de promouvoir une nécessaire reconquête des lieux dans les questions de coexistence et des fondements de l’État (État de droit). Le dialogue interreligieux et interculturel offre ainsi la possibilité de discuter de manière critique et constructive des questions centrales des droits de l’Homme que sont la liberté d’expression ou de religion, la sécurité sociale et économique.
Impact carbone : des véhicules légers, plus ou moins lourds… en émission
Authors: Geffray Louis-Pierre
Published: September 2022

L’article analyse les émissions de gaz à effet de serre, sur l’ensemble du cycle de vie, de plusieurs véhicules : de la voiture thermique au vélo en passant par la voiture électrique, la mini-voiture et le vélomobile. Il montre que les objectifs français de réduction des gaz à effet de serre ne pourront pas être tenus en se contentant de remplacer les voitures thermiques par des voitures électriques. Il faudra réduire la masse des véhicules, limiter la capacité des batteries et en décarbonner la production, prolonger la durée de vie des véhicules et en intensifier l’usage et choisir des modes frugaux pour la plupart des déplacements quotidiens.
Machine learning methods for precision agriculture with UAV imagery: a review
Authors: Shahi Tej Bahadur , Xu Cheng-Yuan , Neupane Arjun , Guo William
Published: September 2022

Because of the recent development in advanced sensors, data acquisition platforms, and data analysis methods, unmanned aerial vehicle (UAV) or drone-based remote sensing has gained significant attention from precision agriculture (PA) researchers. The massive amount of raw data collected from such sensing platforms demands large-scale data processing algorithms such as machine learning and deep learning methods. Therefore, it is timely to provide a detailed survey that assimilates, categorises, and compares the performance of various machine learning and deep learning methods for PA. This paper summarises and synthesises the recent works using a general pipeline of UAV-based remote sensing for precision agriculture research. We classify the different features extracted from UAV imagery for various agriculture applications, showing the importance of each feature for the performance of the crop model and demonstrating how the multiple feature fusion can improve the models' performance. In addition, we compare and contrast the performances of various machine learning and deep learning models for three important crop trait estimations: yield estimation, disease detection and crop classification. Furthermore, the recent trends in applications of UAVs for PA are briefly discussed in terms of their importance, and opportunities. Finally, we recite the potential challenges and suggest future avenues of research in this field.
Peter Handkes Nobelpreisrede im Werkzusammenhang
Authors: Wagner Karl
Published: September 2022

Die Reaktionen auf die Verleihung des Nobelpreises für Literatur an Peter Handke verdienen nicht, Debatte oder Streit genannt zu werden; schon gar nicht ging es um eine Auseinandersetzung um Handkes Schreiben und die literarische Eigenart seines kaum noch überschaubaren Werks. Entsprechend dürftig fielen die Kommentare und Stellungnahmen zu seiner Nobelpreisrede aus. Dabei ist die Form dieser Rede als Texthybrid kennzeichnend für die Entwicklung von Handkes Werk, das, weit ausgreifend in weltliterarische wie vor- und subliterarische Traditionen, immer welthaltiger wird, indem es die Konturen einer bislang so (noch) nicht wahrgenommenen Welt umreißt. Das Wahrnehmen des „Fast-Nichts“ (Philippe Jaccottet) ist (s)eine Stärke, die aus der Fragilität kommt. Entsprechend unternimmt die folgende Analyse eine Mikrolektüre von Handkes Nobelpreisrede im Werkkontext.
Two Rode Together
Authors: Carstensen Thorsten
Published: September 2022

Peter Handke hat das Kino stets als Leitmedium verstanden, dem es in seinen besten Momenten gelingt, den menschlichen Alltag mit epischer Wahrhaftigkeit festzuhalten. Zu den Filmen, die Handke besonders schätzt, da sie dem Publikum universelle Geschichten präsentieren, zählen die klassischen Western John Fords. Seitdem Handke ihn im Roman Der kurze Brief zum langen Abschied (1972) zum Lehrmeister erhob, nimmt der Hollywood-Regisseur einen festen Platz in jener eklektischen Riege der „Künstler-Vorfahren“ ein, deren Werke sich im Laufe der Jahrzehnte zu einem konstruktiven Bildungsprogramm gefügt haben: In der fortlaufenden Interaktion mit der epischen Tradition übt Handke die eigenen Wahrnehmungs- und Erzählverfahren ein. Das Kino John Fords erweist sich dabei als reicher Bilderfundus, der dem Schreiben des österreichischen Autors bis heute neue Impulse verleiht.
Storytelling in Cultural Heritage
Authors: Roque Maria Isabel
Published: September 2022

Cultural heritage interpretation requires mediation processes connecting tangibility with intangible meanings. As a performing narrative, storytelling is an effective communication strategy in cultural and heritage tourism. In particular, digital storytelling allows to segment information and adapt it to the different audience profiles in an interactive and immersive way. Tourists become participants in the mediation process by providing their stories, while local communities enrich the curatorial discourse with their knowledge and memories about the place, culture, and heritage. Tourists and residents' co-creation, contributing to strengthening perception of local authenticity and sense of belonging, enhances the experience and engagement with the place. The literature review aims to analyse the impact of storytelling and co-creation on cultural heritage mediation and the tourist experience and community engagement.
Social Media as Storytelling Destination Communication Channels
Authors: Marques Mariana Inácio , Heitor João Caldeira
Published: September 2022

This chapter reports a study on a religious tourism destination, Fátima, Portugal, with a focus on the contribution of social media to destination communication. The authors analysed the Facebook pages of four entities related to Fátima tourism to examine the number and type of posts and analyse to which extent these entities are sharing destination information or stories and encouraging visitors to tell their own stories about their visit to Fátima. The authors conducted a quantitative and qualitative analysis to Facebook posts during May, August, and October 2021 when Fátima receives the highest number of pilgrims.
A Deep Dive Into Sustainable HRM as a Mode to Enhance Organizational Commitment and Psychological Well-Being
Authors: Shree Nidhi M.  , Chaturvedi Shakti
Published: September 2022

Sustainability is an essential buzzword in today's business scenario. This chapter analyses how sustainable human resource practices are an indispensable aid to attaining the big picture of sustainability. It throws light on the various sustainable practices that organizations have been implementing. The chapter contains valid observations from a range of published, credible sources. Both quantitative and qualitative sources will be used to draw a conceptual review. The investigation reveals that sustainable human resource practices have varied benefits to an organization. The practices organizations adopt are green recruitment, green culture, green signatures, and green rewards, to name a few. The study extends to developing a theoretical model that indicates SHRM and its scope of improving organizational commitment and employee well-being. The model, however, needs empirical investigation to substantiate the proposed relationships.
Sustainable Leadership
Authors: Sultan Muhammad Faisal , Shaikh Sadia Khurram , Tunio Muhammad Nawaz , Asim Muhammad
Published: September 2022

Change in climate produces significant harm to the world as well as to business and industry. Therefore there is a need to develop a leadership mechanism that may use internally as well as external resources to reduce the negative impacts o climatic harm from society, industry, and stakeholders. Thus macro-level leadership perspectives are considered and among these macro-level perspectives are the most impactful in sustainable leadership. However, most of the research conducted under this vein is associated with western sides or developed sides of the world. Moreover, it is also difficult to understand and relate several criteria in a unanimous way to sustainable leadership. Hence, the chapter has been formulated to provide readers systematic and comprehensive view of sustainable leadership in order to make them understand the antecedents and outcomes of sustainable leadership.
Human Resources and Digital Media Determinism in Sustainable Reproductive Health Services
Authors: Nadarsyah Nana Noviana
Published: September 2022

The development of increasingly advanced technology has contributed to the dissemination of information. The simplicity of information on social media can be accessed by anyone, anytime, anywhere using a smartphone. Given the easy availability of information, you have to be smart in choosing and sorting information from social media, so you need to determine whether the information is correct based on data. Therefore, to convey this information, it is necessary to clarify more accurate and effective sources of information. It also improves the knowledge and skills of the service providers involved to increase the coverage of information on the reproductive rights of their families and relatives, as well as information and mediation services in the event of a violation of reproductive rights. Therefore, it is hoped that the role of the media and competent human resources will increase in the provision and dissemination of reproductive health information, especially HIV/AIDS.
Education 4.0
Authors: Brahmi Mohsen , Aldieri Luigi , Dhayal Karambir Singh , Agrawal Shruti
Published: September 2022

The emergence of Education 4.0 is a result of Industry 4.0 that demands the transformation of the education sector at a different scale. Therefore, students have been challenged to adopt such new methods and technology to integrate into their course of learning. This chapter aims to develop a conceptual framework of Education 4.0 in association with students' well-being in order to contribute a new dimension of Education 4.0 to the well-being of students. Descriptive and exploratory approaches were applied to figure out whether Education 4.0 would lead to the well-being of students in the educational environment. The results outlined the various factors that lead to the positive aspect of Education 4.0 along with various challenges that are required to explore at the society level to implement Education 4.0, which is the current need of society. As we are moving towards digitalization and technology-enabled education system because of the worldwide COVID-19 pandemic, such adoption may uplift the education system.
Digital Adaptive Governance, Digital Transformation, and Service Quality in Logistics Enterprises
Authors: Li Chao , Feng Wei-Xi , Han Shuihua , Gupta Shivam , Kamble Sachin
Published: September 2022

Infrastructure digital transformation may create value for logistics enterprises; but its whole process is still full of uncertainties. Prior research focused on smart control in view of the infrastructure and ignored the driving role of digital governance in the process of digital transformation. Here, the authors investigate the relationship between digital adaptive governance and digital transformation, and actively explore the effect of digitalization on service quality improvement in logistics enterprises. The authors take servitization as the moderator to examine the interaction between digital transformation and service quality. Through 227 valid responds of senior executives and workers at the production line from 46 logistics enterprises in China, the authors use partial least squares and hierarchical regression analysis to test the hypotheses empirically. Results suggest that digital adaptive governance, infrastructure digital transformation and servitization have positive influence on service quality. Digital adaptive governance has positive influence on infrastructure digital transformation.
Research on Comprehensive Technology of Steel Grid Installation and Integral Jacking
Authors: Li Zheng Ji , Wang Chun Hui , Han Qiu Shi , Quan Zhen Zhen , Zhang Hai Xuan
Published: September 2022

In this paper, through the construction simulation of the installation and jacking of a large steel grid project, ANSYS software is used to select the corresponding finite element module, and by analyzing the construction models of different modes and different load conditions, the analysis results and structural models are displayed. The 12 supporting hydraulic jacks can meet the overall steel structure hoisting requirements on site. At the same time, the calculation model takes into account the deformation of the overall grid during the unloading process. After testing, the maximum displacement is 7mm, which meets the requirements of national regulations. This method better supports the construction guidance, and also achieved good benefits during the on-site implementation process. The installation plan and jacking technology are worthy of reference.
Graduate perception on the Undergraduate Medical Curriculum
Authors: Karunathilake I. M. , Gunawardhane H. P. M. C. , Somaratne G. T. S. V. , Dias N. W. G. L. T. L.
Published: September 2022

Introduction: Graduate perception is supreme in assessing the effectiveness of the Undergraduate medical curriculum. The curriculum of the Faculty of Medicine, University of Colombo consists of the Basic Sciences Stream, Applied Sciences Stream, Community Medicine Stream, Behavioral Sciences Stream and the Clinical Sciences Stream. Quality assessment and improvement programs similar to this study are undertaken routinely to ensure optimum teaching.
Objective: To assess the perception of recent graduates regarding the overall MBBS curriculum, outcome of the programme and career goals, administration, services provided, infrastructure and opportunities.
Methodology: The study population consisted of 198 graduates with a response rate of 66.1%. A routinely used self-administered questionnaire was used.
Results: Majority of participants had a positive impression regarding the overall MBBS programme (96.2%). Overall agreement regarding the academic curriculum was that the learning outcomes, teaching activities and examinations matched appropriately in all streams. While it was suggested to focus more on clinically relevant subjects throughout. The final year professorial clerkships were identified as stressful by a considerable proportion of graduates, but it was highly dependent on the discipline. However the ability to manage emergencies and the satisfaction with the programme were rated as positive overall. Majority was satisfied with the examination procedure although a proportion of students have also agreed that they had been treated unfairly by the examiners.
Conclusions: Graduate’s perception is that it is optimum if more clinically relevant theory is taught in integration with the clinical appointments. Measures need to be taken to reduce stress and increase time available for self-studying specially during the professorial appointments.
Out of hospital cardiac arrest during COVID-19 pandemic: A retrospective study from north east of Italy
Authors: Breglia Andrea , Ruggeri Marco Stefano , Pettenella Pietro , Ippolito Renato , Fossa Claudio , Zanatta Mirko
Published: September 2022

The novel coronavirus disease 2019 (COVID-19) outbreak affected the epidemiology and the outcomes of Out-Of Hospital Cardiac Arrest (OHCA). We performed a retrospective observational study in the Western district of Vicenza (Veneto, Italy) to evaluate patients affected by non-traumatic OHCA and we analyzed epidemiological and clinical characteristics associated with sustained Return Of Spontaneous Circulation (ROSC). We collected 114 cases from January 2019 to May 2021 and we compared data of the pre-pandemic period (2019) with the pandemic one (2020-2021). During the pandemic we found an increase of bystander CPR, of OHCA with a cardiac cause and of shockable presenting rhythms. All these observations weren’t associated with an increase of sustained ROSC, which could be determined by both the reorganization of the health care system with the reduction of medical screenings and by the interruption of training courses reducing the efficacy of cardiopulmonary resuscitation. On the other hand, the higher percentage of presenting shockable rhythm reinforces the importance of bystander rule and of short time to start CPR.
CT imaging in idiopathic out-of-hospital cardiac arrest: An assessment of current practice and diagnostic utility
Authors: Harper Isla , Easterford Kate , Reed Matthew
Published: September 2022

Idiopathic Out-Of-Hospital Cardiac Arrest (OHCA) requires urgent treatment. Early Computed Tomography (CT) imaging may be useful to aid diagnosis. We aimed to determine current CT imaging practice, safety, and diagnostic value in this patient population. This study was a single-centre, retrospective cohort study of patients presenting to the Emergency Department (ED) of the Royal Infirmary of Edinburgh with idiopathic non-traumatic OHCA and Return Of Spontaneous Circulation (ROSC). Between 1st January 2016 and 31st December 2019, 140 of 156 (90%) eligible patients underwent 195 CT scans identifying the cause of OHCA in 6 (4%). CT head diagnosed one ischaemic and three haemorrhagic strokes, and CT pulmonary angiogram diagnosed one acute coronary syndrome and one pulmonary embolism. CT head (134), CT pulmonary angiogram (25) and CT cervical spine (16) were the commonest scans. 68 of 195 (35%) CT scans showed important pathology, mostly secondary to OHCA. CT imaging was safe with no cases of contrast nephropathy, allergic reaction, or other complications. The diagnostic value of CT imaging in this patient population was limited. However, imaging was a valuable method of identifying other important secondary pathology.
What lies behind the pain after shoulder dislocation?
Authors: Poggiali Erika , Biancalana Elisa
Published: September 2022

A 38-year-old man presented to our emergency room with severe pain and inability to mobilize his right shoulder joint after a violent blunt trauma during his work. The humeral head was palpable anteriorly, with the loss of normal contour of the deltoid and acromion prominent posteriorly and laterally, as it occurs in the anterior shoulder dislocation. The shoulder was easily reduced on 1st attempt using 1.5 mg/kg intravenous fentanyl and 0.5 mg/Kg intravenous midazolam sedation in the emergency room. After the procedure, he complained of pain at the right humeral head, so we performed an X-Ray.
Delayed splenic rupture after a minor blunt trauma: A case report and literature review
Authors: Borio Giorgia , Semeraro Gianluca , Manzo Emanuela , Maffi Paola Angela Maria , Etteri Massimiliano
Published: September 2022

Delayed Splenic Rupture (DSR) is a rare but well-known manifestation of Blunt Splenic Injury (BSI), which most commonly occurs following a car accident, a fall from a great height, or a direct blow to the left thorax or abdomen. If the history of trauma is remote or unknown, the diagnosis can be difficult or missed, and a high index of suspicion is not warranted. Regardless of the time and mechanism of the inciting event, DSR should be considered in the differential diagnosis of an acute surgical abdomen. We present a case of DSR in an 81-year-old woman caused by a remote minor blunt abdominal trauma four weeks prior to her admission to our emergency department for acute abdominal pain and hemorrhagic shock (ATLS CLASS III). Starting with this case report, we conducted a literature review on the subject in order to raise awareness, knowledge, and understanding of DSR among emergency clinicians.
Italian Emergency Medicine residents’ perspectives
Authors: Cascio Michela , Barcella Bruno , Zaccaria Gianpiero , Piazza Isabelle , CoSMEU group
Published: September 2022

Dear Editor,

As part of the board of CoSMEU – the Italian association of Emergency Medicine (EM) residents – we are looking with great concern at the current situation of the Emergency Departments (ED) and EM in our country,1 and we would like to share our point of view and experience. [...]
Improving inter-rater reliability of the enhancing assessment of common therapeutic factors (ENACT) measure through training of raters
Authors: Mwenge Mwamba M. , Figge Caleb J. , Metz Kristina , Kane Jeremy C. , Kohrt Brandon A. , Pedersen Gloria A. , Sikazwe Izukanji , Van Wyk Stephanie Skavenski , Mulemba Saphira M. , Murray Laura K.
Published: September 2022

Background. As evidence supports task-shifting approaches to reduce the global mental health treatment gap, counselor competency evaluation measures are critical to ensure evidence-based therapies are administered with quality and fidelity. Objective. This article describes a training technique for evaluating lay counselors’ competency for mental health lay practitioners without rating scale experience.Methods: Mental health practitioners were trained to give the Enhancing Assessment of Common Therapeutic Factors (ENACT) test to assess counselor proficiency in delivering the Common Elements Treatment Approach (CETA) in-person and over the phone using standardized video and audio recordings. A two-day in-person training was followed by a one-day remote training session. Training includes a review of item scales through didactic instructions, active learning by witnessing and scoring role-plays, peer interactions, and trainer observation and feedback. The trainees rated video and audio recordings, and ICC values were calculated.Results:  The training technique presented in this research helped achieve high counselor competency scores among lay providers with no prior experience using rating scales. ICC rated both trainings satisfactory to exceptional (ICC: .71 - .89).Conclusions.  Raters with no past experience with rating scales can achieve high consistency when rating counselor competency through training. Effective rater training should include didactic learning, practical learning with trainer observation and feedback, and video and audio recordings to assess consistency.
Self-ingestion of vasmol dye
Authors: Kaur Jaspreet , Garg Aman , Kaur Baldeep
Published: September 2022

Vasmol, a commonly used hair dye, is becoming apparent as one of the major causes of suicidal poisoning in India. The toxic components in the dye include paraphenylenediamine, sodium ethylenediaminetetraacetic acid, resorcinol, and propylene glycol. Acute poisoning by consumption of dye leads to characteristic angioedema of the cervicofacial region along with multiorgan dysfunction. Early intervention with tracheostomy can be lifesaving in such cases and helps in preventing the morbidity and mortality associated with it.
Spontaneous bacterial peritonitis
Authors: Kaur Jaspreet , Singh Jasmine , Cheema Yuvraj Singh
Published: September 2022

Abdominal pain is a usual presentation in dengue virus infection. The commonly reported causes of abdominal pain in dengue fever are pancreatitis, peptic ulcer disease, hepatitis, and acalculous cholecystitis. Spontaneous bacterial peritonitis (SBP) is a very unusual and rarely reported cause. The etiology of the acute abdomen along with nonresolving fever in dengue infection should be carefully diagnosed and managed accordingly. We report the case of a young female with no previous comorbidities who presented with complaints of fever and abdominal pain. On detailed investigations, she was diagnosed suffering from SBP, a rare type of expanded dengue syndrome.
Association between iron-deficiency anemia and antenatal depression in a semi-urban population of south India
Authors: Basutkar Roopa Satyanarayan , Sudarsan Pooja , Vinod Chris Elizabeth , Varghese Resia , Perumal Divya , Sivasankaran Ponnusankar
Published: September 2022

Introduction:

Iron-deficiency anemia (IDA) during pregnancy affects the glial cells of the brain of mother, which results in altered neuronal myelination with dysregulation. Although several factors could lead to antenatal depression, IDA is an emerging etiology. The primary objective of this study is to determine the relationship between IDA and antenatal depression among pregnant women.

Materials and Methods:

This cross-sectional study was conducted at Government Head Quarters and Hospital, in Udhagamandalam. A total of 210 pregnant women in the second trimester were enrolled and categorized into iron-deficient anemia and noniron-deficient anemia groups based on their hematological results. The risk of depression was assessed using the validated Edinburgh Depression Scale (EDS). A Chi-square test for categorical variables and an independent t-test for continuous variables were used. A Pearson's correlation analysis was performed to check the association of EDS scores with participants' demographic characteristics and hematological parameters. Regression analysis was conducted to predict the outcome variable.

Results:

The distribution of depression was significantly varied between the groups. EDS score was significantly higher in the IDA group in comparison with the non-IDA group (12.78 ± 3.40 vs. 8.82 ± 3.12; P = 0.005; 95% confidence interval 2.94–4.87). The odds of developing antenatal depression are 12 times higher in the iron-deficient group, P < 0.001.

Conclusions:

Our findings suggest that IDA acts as an independent factor in influencing antenatal depression.

The following core competencies are addressed in this article: Medical knowledge, Patient care, Practice-based learning and improvement.
Flipped journal club
Authors: Taywade Manish , Pal Debkumar , Kalra Ranjana , Gopi Kumbha , Maji Shampa
Published: September 2022

After its origin during the 18th century, the journal club has come a long way as an effective method of pedagogy in postgraduate medical education. As the traditional format of the journal club is becoming less attractive for residents, the newer concept of blended learning and flipped classrooms is now being incorporated slowly into the traditional format of the journal club. This newer format of journal club is called flipped journal club, where all materials regarding the article are shared among residents and faculty well before the day of presentation. On the presentation day, there is a small group discussion regarding the summary, critical appraisal, and its implication on the concerned subject.

The following core competencies are addressed in this article:

Practice-based learning and improvement, Systems-based practice, Medical knowledge, Professionalism.
Evaluation of antimicrobial action, pulp tissue dissolution, and smear layer removal of an experimental irrigant combining Salvadora persica and sodium hypochlorite with and without ultrasonic activation
Authors: Jibin Karim V A , Ranjini M A , Swapna D V , Bharathi M , Nadig Roopa R , Vedavathi B
Published: September 2022

Aim:

To evaluate the pulp tissue dissolution, antimicrobial action, and smear layer removal using an experimental irrigant combining Salvadora persica and sodium hypochlorite (NaOCl) with and without ultrasonic activation in comparison to standard irrigation protocol of NaOCl and ethylenediamine tetraacetic acid (EDTA) with and without ultrasonic activation.

Materials and Methods:

Pulp tissue dissolution - Pulp tissue weighing 0.9 g was dissolved in each experimental Group G1: 5 ml of 5% NaOCl, G2: G1 + ultrasonic activation, G3: 5 ml 5% NaOCl + 40% S. persica, G4: G3 + ultrasonic activation and weighed after 1, 5, and 10 min. The difference in weight of the tissue sample was assessed. Smear layer removal and calcium/phosphate (Ca/PO4) ratio - G1: 5 ml of 5% NaOCl, saline, 1 ml of 17% EDTA, G2: G1 + ultrasonic activation, saline, 17% EDTA, G3: 5 ml 5% NaOCl + 40% S. persica G4: G3 + ultrasonic activation. Each tooth was then split longitudinally and subjected to scanning electron microscopy/energy dispersive X-ray spectroscopy (SEM-EDX) analysis. Antibacterial Activity- assessed against Enterococcus Faecalis.

Statistical Analysis:

SEM, pulp tissue dissolution and antimicrobial efficacy – Kruskal–Wallis and post hoc Mann–Whitney EDX – ANOVA and Tukey's honestly significant difference post hoc analysis.

Results:

Pulp dissolution by G3 and G4 was better. However, there was no statistically significant difference between the groups (P > 0.05). Experimental combination performed better in terms of smear layer removal, showed higher amount Ca/PO4 in EDX analysis, but the difference was not statistically significant between the groups (P > 0.05). G2 showed maximum antimicrobial efficacy compared to all groups but not statistically significant (P > 0.05).

Conclusions:

The combined formulation of 5% NaOCl + 40% S. Persica was as effective as conventional protocol and ultrasonic activation improved its efficacy.
Comparative efficacy of three deproteinizing agents on the shear bond strength of pit and fissure sealant
Authors: Thankachan Saranya P , Emmatty Tharian B , Jose Bijimol , Krishna Kumar Kavita , Peter Joby , Methippara John Joseph , Sebastian Ronin
Published: September 2022

Objective:

The objective of this study was to evaluate and compare the shear bond strength (SBS) of pit and fissure sealant with and without deproteinization with agents such as 5% NaOCl, papain gel, and bromelain gel.

Materials and Methods:

In this in vitro study, 60 premolar teeth were divided into four groups of 15 teeth each. In control Group 1, enamel was etched for 60 s with 37% phosphoric acid and rinsed with water. In Group 2, deproteinizing agent 5% sodium hypochlorite was applied for 60 s before acid etching. In Group 3, deproteinizing agent papain gel was applied for 60 s before acid etching. In Group 4, deproteinizing agent bromelain gel was applied for 60 s before acid etching. Following this, Clinpro™ 3M™ ESPE™ pit and fissure sealant disc was built on the enamel buccal surface of each tooth. Samples were then tested for SBS using Universal Testing Machine after storage in distilled water for 24 h.

Results:

The mean SBS was highest for Group 4 and lowest for Group 1. SBS was significantly higher in the bromelain gel group, followed by the papain gel group (P < 0.001), 5% NaOCl group (P < 0.001), and control group (P < 0.001).

Conclusion:

Among deproteinizing agents, deproteinization when carried out with bromelain gel showed effective bond strength and lowest for the control group.
Diode laser excision of pyogenic granuloma
Authors: Kujur Shirish , Gupta Vineeta , Sreeraj V S , Kerketta Rashmi Christin , Jhawar Bhumika
Published: September 2022

Pyogenic granuloma is a commonly occurring inflammatory hyperplasia of the skin and oral mucosa in females. It is a misnomer that is characterized histologically by angiomatous proliferation rather than a granulomatous lesion. This tumor-like growth is considered to be nonneoplastic in nature and has a varied clinical presentation. We present one such case of pyogenic granuloma, which was excised with a diode laser along with a relevant review of the literature.
Endo–perio lesions
Authors: Kujur Shirish , Gupta Vineeta , Sreeraj V S , Ratre Shweta , Soni Varsha
Published: September 2022

Endo–perio lesions are a common finding in dental practice. Progression of an endodontic lesion, if allowed leads to periodontal involvement or vice versa. This is a case series of two cases of the endodontic lesion with periodontal involvement that has been treated by performing root canal treatment followed by flap surgery. The tooth was first endodontically treated that was followed by periodontal treatment. Six months postoperatively, there was a significant gain in clinical attachment level. Radiographically, there was a significant amount of bone fill observed.
Who's Who in the Trauma Bay? Association between Wearing of Identification Jackets and Trauma Teamwork Performance
Authors: Saleten Marie , Laitselart Philippe , Martinez Thibault , Descamps Chloé , Debien Bruno , Boutonnet Mathieu , Pasquier Pierre
Published: September 2022

Introduction:

Trauma is the leading cause of under-45 mortality worldwide, and the leading cause of years of life lost. To manage the severe trauma patients, trauma teams require both improved technical and nontechnical skills, such as communication, leadership, teamwork, and team resource management. The objective of this study was to measure the impact of the identification of trauma team members on teamwork performance. The hypothesis was that wearing identification jackets was associated with better teamwork performance.

Methods:

The study was conducted from 2015 to 2019 at the Percy Army Training Hospital, a trauma center in the Ile-de-France region. In 2016, the protocol for receiving severe trauma patients was modified, including the obligation to wear identification jackets. Thus, each member of the trauma team wore a jacket identifying his or her function. This study was carried out by analyzing videos of medical simulation sessions during the reception of trauma patients in the trauma bay. The study compared the teamwork performance before 2016, a period with no identification jackets wearing, with the teamwork performance after 2016, a period with identification jackets wearing. The Team Emergency Assessment Measure (TEAM)Scale was used. This TEAM scale is a benchmark measure of teamwork performance, particularly adapted to the context of trauma.

Results:

A total of 48 participants were included in the study. Six videos of medical simulation sessions “arrival of severe trauma patients” were analyzed and divided into two groups. A first group of three videos with no identification jackets wearing was the GROUP ID(-). A second group of three videos with identification jackets wearing was the GROUP ID(+). An 11-item TEAM scale was used to rate each video for a total of 33 scores per group. The distribution of the median scores for the GROUP ID(+) was significantly different from the distribution of the median scores for the GROUP ID(-) (P = 0.001). These results were consistent with those of other single-center studies conducted in operating theaters and in emergency departments, where clearly identifying the roles of each member of the medical teams was associated with less communication errors. The main limits of this study were its single-center nature and a limited data sample.

Conclusion:

In this single-center simulation study, wearing identification jackets was associated with an improvement in the trauma team performance TEAM scores. Further studies are needed to confirm these results but they already encourage the consideration of nontechnical skills in the management of severe trauma patients.
Outcomes and Factors Associated with Occult Septic Shock in Emergency Department Patients with Soft Tissue Infection
Authors: Tiffany Laura Marie , Tran Quincy K. , Abdel-Wahab Maie , Widjaja Austin , Aligabi Aya , Albelo Fernando , Asunción Samantha , Gelmann Dominique , Haase Daniel J. , Henry Sharon , Leibner Evan , Sjeklocha Lucas
Published: September 2022

Introduction:

Patients who develop occult septic shock (OSS) are associated with worse outcomes than those with early septic shock (ESS). Patients with skin and soft tissue infection (SSTI) may have underlying organ dysfunction due to OSS, yet the prevalence and the outcomes of patients with SSTI and early versus occult shock have not been described. This study compared the clinical characteristics of SSTI patients and the prevalence of having no septic shock (NSS), ESS, or OSS.

Methods:

We retrospectively analyzed charts of adult patients who were transferred from any emergency department to our academic center between January 1, 2014, and December 31, 2016. Outcomes of interest were the development of OSS and acute kidney injury (AKI). We performed logistic regressions to measure the association between clinical factors with the outcomes and created probability plots to show the relationship between key clinical variables and outcomes of OSS or AKI.

Results:

Among 269 patients, 218 (81%) patients had NSS, 16 (6%) patients had ESS, and 35 (13%) patients had OSS. Patients with OSS had higher mean serum lactate concentrations than patients with NSS (3.5 vs. 2.1 mmol/L, P < 0.01). Higher sequential organ failure assessment (SOFA) score was associated with higher likelihood of developing OSS (odds ratio [OR] 1.41, 95% confidence interval [CI] 1.23–1.62, P < 0.001). NSS was associated with very low odds of developing AKI (OR 0.16, 95% CI 0.08–0.33, P < 0.001).

Conclusions:

13% of the patients with SSTI developed OSS. Patients with OSS had elevated serum lactate concentration and higher SOFA score than those with NSS. Increased SOFA score is a predictor for the development of OSS.
Histopathological Evaluation of Estrogen Receptors, Progesterone Receptors, and Human Epidermal Growth Factor Receptor-2/Neu Expressions in Breast Carcinoma and their Correlations with Other Prognostic Factors
Authors: Kawsar Hena , Sinha Anuradha , Ali Md. Sadakkas , Phukan Jyoti Prakash , Pathak Swapan
Published: September 2022

Background:

Breast carcinoma is a leading cause of death among women. Factors such as estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor (HER-2/neu) have important prognostic and predictive value.

Aim:

The aim of the study is to demonstrate ER, PR, and HER-2/neu expression in breast cancer specimens and to correlate these expressions with other prognostic factors such as tumor size, type, grade, and lymph node status.

Methods:

This prospective study included 70 cases of female breast carcinoma. Histopathological evaluation of all cases done and tumor size, site, presence, or absence of lymph node was recorded. Typing of tumor, grade, and lymph node status were determined. Immunohistochemical staining for ER, PR, and HER-2/neu of breast lesions was done, and the data were analyzed to find out any correlation of expression of ER, PR, HER-2/neu with the above prognostic factors.

Results:

The majority of patients were in 41–50 years (44.29%). Most of tumors were 2–5 cm in size and the infiltrating duct carcinoma-not otherwise specified was the commonest type. ER and PR expression decreases (P = 0.02340 and P = 0.02413 respectively), while HER-2/neu expression increases with increase tumor size (P = 0.02289). ER and PR expression were low while Her-2/neu expression was more in higher tumor grade (P = 0.022472, P = 0.04149 and P = 0.03339 respectively). No significant association was identified between ER, PR, HER-2/neu and number of metastatic lymph node.

Conclusion:

ER, PR, and HER-2/neu status correlates well with histopathological grading and tumor size. However, no significant association is seen with cancer type and lymph node status.
Comparing the Efficacy of Ultrasound-Guided Supraclavicular Brachial Plexus Block with or without Intercostobrachial Nerve Block for Forearm Surgeries – An Observational Study
Authors: Dmello Diksha , Santha Neeta
Published: September 2022

Background:

Supraclavicular block is a commonly used block for regional anesthesia in forearm surgeries. The rationale behind this study is to prove that ultrasound (USG)-guided supraclavicular block is sufficient to provide adequate analgesia and eliminates the need for an intercostobrachial (ICB) block for forearm surgeries.

Aim:

We aimed to find whether there is any additional advantage in performing ICB block along with supraclavicular brachial plexus block in forearm surgeries.

Methods:

In this study, 110 patients undergoing elective forearm surgeries under USG-guided supraclavicular block were observed. A block solution of 30 ml was made and 20 ml was given as supraclavicular block. Group ICB, received an additional 10 ml ICB nerve block (ICBN) and group Non-ICB who did not receive an additional block. The outcomes assessed were intraoperative and postoperative tourniquet pain scores, hemodynamic changes, the onset of sensory and motor block, sensory and motor scoring, postoperative rescue analgesia time, and patient satisfaction. Data were analyzed using SPSS 25.0 version.

Results:

The mean intraoperative and postoperative pain scores in the group ICB was 0.76 ± 1.677 and in the non-ICB was 0.69 ± 1.439 and was no significant. Furthermore, there was no statistically significant difference between the immediate and late postoperative pain scores between the two groups.

Conclusion:

Our study has concluded that a sole USG-guided supraclavicular block provides adequate anesthesia of the operated forearm. Additional blocking of the ICBN does not affect the incidence or course of tourniquet pain.