bluuebunny/crossref_metadata_2025 huggingface dataset:
Relação entre características sociodemográficas e profissionais e comportamentos assertivos dos enfermeiros
Authors: Machado Dora , Almeida Assunção , Tavares João
Published: January 2023

Enquadramento: comunicar assertivamente apresenta-se como uma habilidade social. É indispensável à prática de enfermagem, nomeadamente de saúde familiar, para assegurar o sucesso das relações com utentes, famílias e equipa. Objetivos: analisar a relação entre as características sociodemográficas e profissionais dos enfermeiros das Unidades de Saúde Familiar de um ACeS da região norte de Portugal e a adoção de comportamentos assertivos. Metodologia: quantitativa, do tipo transversal descritivo-correlacional. Amostra constituída por 66 enfermeiros. Dados recolhidos através de questionário eletrónico, constituído por duas partes: características sociodemográficas e profissionais e escala de avaliação de comportamentos assertivos dos enfermeiros. Resultados: os enfermeiros adotam frequentemente comportamentos assertivos com o utente e com a equipa multidisciplinar (4,86±0,65). Verificou-se uma relação estatisticamente significativa entre a experiência em outros serviços e o gosto pelo local de trabalho e a adoção de comportamentos assertivos. Evidenciou-se uma correlação positiva entre o tempo de serviço na carreira e a adoção de comportamentos assertivos. Conclusões: os elevados níveis de comportamentos assertivos evidenciados garantem uma prática eficaz e segura, para profissionais e utentes. As características profissionais, contrariamente às sociodemográficas, foram as que apresentaram mais relação com os comportamentos assertivos. Promover ambientes favoráveis à prática pode ser determinante para a assertividade dos enfermeiros.
Generalized analysis of guaranteed explosion destruction of beam structural elements in water
Authors: Геннадий Тимофеевич Володин, , Денис Сергеевич Кочергин,
Published: January 2023

Дано аналитическое решение задачи о гарантированном разрушении балки взрывом заряда конденсированного взрывчатого вещества (ВВ) в воде. Предполагается, что материал балки чувствителен к скорости деформации, используется критерий разрушения по максимальным нормальным напряжениям, эквивалентному при изгибе максимальному изгибающему моменту. Учитывается произвольное расположение заряда ВВ над балкой, эффекты отражения ударной волны и спутного потока воды от балки, глубина погружения конструкции и заряда в воду. Обнаружено существенное влияние величины коэффициента вязкости материала балки на величину заряда ВВ, необходимого для ее гарантированного разрушения.

An analytical solution is given to the problem of guaranteed destruction of the beam by the explosion of a charge of a condensed explosive substance (BB) in water. It is assumed that the beam material is sensitive to the rate of deformation, the criterion of failure is used for maximum normal stresses equivalent to the maximum bending moment during bending. The arbitrary location of the explosive charge above the beam, the effects of the reflection of the shock wave and the satellite flow of water from the beam, the depth of immersion of the structure and the charge into the water are taken into account. A significant influence of the value of the viscosity coefficient of the beam material on the value of the explosive charge required for its guaranteed destruction was found.
Reversal of the relationship between stresses and strains in the Murnaghan model
Authors: Марина Юрьевна Соколова, , Дмитрий Викторович Христич, , Екатерина Викторовна Артюх,
Published: January 2023

На основе термодинамических соотношений получена связь между тензорами упругости и тензорами упругих податливостей четвёртого и шестого рангов для изотропного материала. Это позволило провести обращение нелинейной связи между напряжениями и деформациями в частном случае гиперупругого изотропного материала при использовании потенциала Мурнагана. На примере полимера Ertalon проведена оценка диапазона деформаций, в котором полученное обращение является корректным.

On the basis of thermodynamic relations, the relationship between elasticity tensors and elastic compliance tensors of the fourth and sixth ranks for an isotropic material is obtained. This made it possible to invert the nonlinear relationship between stresses and deformations in the particular case of a hyperelastic isotropic material using the Murnaghan potential. Using the Ertalon polymer as an example, an assessment of the deformation range in which the obtained inversion is correct was carried out.
CRIMINAL REGULATION OF THE OFFENSES “ASSISTANCE TO TERRORIST ACTIVITIES” (ARTICLE 2051 OF THE CRIMINAL CODE OF THE RUSSIAN FEDERATION) AND “FINANCING OF EXTREMIST ACTIVITIES” (ARTICLE 2823 OF THE CRIMINAL CODE OF THE RUSSIAN FEDERATION): CURRENT STATE AND OPPORTUNITIES FOR IMPROVEMENT
Authors: В.Ф. Цепелев, , М.В. Лелетова,
Published: January 2023

Введение: в статье исследованы некоторые проблемы уголовно-правовой регламентации составов преступлений, предусмотренных ст. 2051 и 2823 Уголовного кодекса Российской Федерации. Материалы и методы: эмпирической основой исследования послужили материалы судебно-след- ственной практики, нормативные правовые акты Российской Федерации, а также положения между- народных стандартов в области прав человека. Результаты исследования: выявлены противоречия, содержащиеся в ст. 2051 и 2823 Уголовного кодекса Российской Федерации, предусматривающих уголовную ответственность за финансирование террористической и экстремисткой деятельности; внесены предложения по их доработке. Обсуждение и заключение: авторы приходят к выводу, что в целях повышения эффективности уголовно-правового противодействия финансированию терроризма и экстремизма следует придержи- ваться единого подхода при конструировании ст. 2051 и 2823 Уголовного кодекса Российской Федера- ции соответственно.
Hybrid Positioning Technique Based Integration of GPS/INS for an Autonomous Vehicle Navigation
Authors: N Ouda A. , Mohamed Amr
Published: January 2023

This paper presents a hybrid positioning technique combining both loosely and tightly coupled Kalman Filter (KF) algorithms for an autonomous multi-wheeled combat vehicle. The developed algorithm is able to provide accurate positioning information even if number of visible satellites falls below the minimum due to the harsh operation environments. Two modes of operation were considered which automatically switch between them according to the number of visible satellites in order to correct the INS drift. Furthermore, a performance comparison between fifteen and eighteen KFs states is conducted. A simulation of the developed algorithm is performed, using a SATNAV navigation toolbox and the collected data from real sensors mounted on a ground vehicle. The experimental results validated effectiveness of the developed algorithm.
Long-Range Assets Effectivity Dependence on the Method of Their Employment
Authors: Prymirenko Volodymyr , Shevtsov R. , Open’ko P.
Published: January 2023

The aim of the article was to determine the long-range assets effectivity dependence on the method of their employment. To achieve this goal, the mathematical model of combat employment of long-range assets based on the theory of Markov processes with continuous time and discrete states was improved. In contrast to the existing ones, the improved mathematical model includes a state in which the asset launches a second missile strike from the firing position from which the previous missile strike was launched. This provides the possibility to model the method of combat employment of the assets, the implementation of which makes it possible to increase the number of missile strikes made in a certain time by these assets. This is the essence of long-range assets effectivity employment.
Implementation of Synthetic Aperture Radar Active Decoy Hardware
Authors: Elgamel Sherif , Hanafi M. , Abdel-Latif M. S.
Published: January 2023

As a result of the military's use of synthetic aperture radar (SAR), it has become necessary to use jamming techniques to protect sensitive sites of friendly forces from being intercepted by SAR. To combat SAR sensors, two jamming techniques are typically available: noise jamming and deceptive jamming. In this paper the design and hardware implementation of a proposed active decoy which works as deceptive jamming system, is achieved using field programmable gate array (FPGA). The performance of the developed system is evaluated by SystemVue. 2015.01, using “hardware in the loop” methodology.
Three new species of Mitrephora (Annonaceae) from Thailand
Authors: Leeratiwong Charan , Chalermglin Piya , Saunders Richard M. K.
Published: January 2023

Three new Mitrephora species (Annonaceae), M. langsuanensissp. nov., M. sirindhorniaesp. nov. and M. sukhothaiensissp. nov., are described from Thailand. Mitrephora langsuanensis resembles M. macclurei, but its leaves have more secondary veins, and its flowers have more carpels, with yellow-and-pink striped outer petals with a margin that becomes undulate with age. Mitrephora sirindhorniae resembles M. tomentosa, but has larger sepals and petals, longer flowering pedicels, and shorter monocarp stipes, with monocarps that have a longitudinal ridge. Mitrephora sukhothaiensis is distinct from its Thai congeners in having outer petals that reflex at maturity and inner petals with a pair of appendages on the margin adaxially. The addition of these three new taxa raises the total number of Mitrephora species in Thailand to 14. An identification key for Thai species is provided.
Die Grammatikalisierung von lú als Relativ- und Indefinitpronomen im Sumerischen
Authors: Keetman Jan
Published: January 2023

Il sera démontré dans cet article que lú “homme” n’était pas utilisé à la place ou comme un pronom relatif et indéfini en sumérien, mais qu’il a subi un processus de grammaticalisation après lequel le pronom relatif et indéfini lú a été séparé de lú “homme”. Cela ressort clairement de l’atténuation de sens de lú en tant que pronom, qui peut être démontrée à partir de Gudea. Cela ne signifie pas que ce développement appartient à l’époque de Gudea ou un peu plus tôt. Dans certaines inscriptions royales dynastiques archaïques, lú est souvent utilisé devant des clauses relatives. Moins courant est l’usage de lú comme pronom déterminatif. Puisque níĝ est utilisé de la même manière que lú, mais pour aucune classe de personne, níĝ doit être considéré comme un pronom relatif et indéfini également.
Sumerian Model Contracts from the Old Babylonian Period in the Rosen Collection
Authors: Spada Gabriella
Published: January 2023

Cet article présente quatre prismes fragmentaires et une tablette de la collection Rosen enregistrant des modèles de contrats sumériens. Les sujets abordés comprennent l’échange, la location et la vente de biens immobiliers, les prêts, l’adoption, le mariage et le sauvetage d’un enfant trouvé. Deux modèles de procès et trois dispositions des “Lois sur les bœufs loués” sont également enregistrés dans les documents présentés.
Two Remarkable Vocabularies: Amorite-Akkadian Bilinguals!
Authors: George Andrew , Krebernik Manfred
Published: January 2023

Cet article présente deux tablettes paleo-babyloniennes inédites sur lesquelles sont inscrits des vocabulaires bilingues similaires. La langue de la colonne de droite est l’akkadien paléo-babylonien. La langue de la colonne de gauche est principalement du Nord-Ouest sémitique, avec un certain mélange d’akkadien. Les éditions des deux tablettes sont accompagnées d’un commentaire qui trouve des parallèles pour cette langue dans la grammaire et le vocabulaire d’autres langues sémitiques. L’évaluation des résultats de cette enquête permet de conclure que la langue des colonnes de gauche est une variété d’amorrite. La partie principale de l’article se termine par l’examen du contenu, de la composition et du contexte intellectuel des deux vocabulaires. Un appendice propose l’édition d’une liste de synonymes médio-babylonienne liée en partie à Malku V. Elle contient un passage sur les animaux domestiques et sauvages qui rassemble principalement des mots Nord-Ouest sémitiques pour les animaux domestiques et sauvages et fournit probablement plusieurs autres éléments du vocabulaire amorrite. Enfin, nous ajoutons un index des mots des colonnes amorrites des deux vocabulaires paléo-babyloniens.
Espagne. Un gouvernement aux prises avec l’inflation mais des mobilisations salariales jusqu’à présent limitées
Authors: Vincent Catherine
Published: January 2023

L’Espagne connaît dès l’été 2021 une inflation supérieure à la moyenne européenne du fait de sa dépendance énergétique vis-à-vis de l’étranger. Face aux conséquences de l’inflation, le gouvernement de coalition de gauche réagit début 2022 avec des plans classiques de soutien du pouvoir d’achat des ménages. Seule originalité : une taxation des superprofits adoptée en juillet 2022. Les organisations syndicales jugent les mesures gouvernementales insuffisantes et critiquent le patronat peu enclin à concéder des augmentations salariales. Les mobilisations sur les salaires ne se développent qu’à l’automne 2022.
Irlande. Face à la baisse du pouvoir d’achat, des mesures publiques temporaires et des augmentations salariales insuffisantes
Authors: Delahaie Noélie
Published: January 2023

La République d’Irlande n’échappe pas aux pressions inflationnistes ni aux incertitudes qui pèsent sur l’économie mondiale. Désormais en situation de quasi-plein emploi, le pays fait aussi face à des pénuries de main-d’œuvre inédites et à un recul important des salaires réels. Dans ce contexte, les mesures temporaires publiques, essentiellement ciblées sur le coût de l’énergie, et les résultats des négociations salariales, devenues plus fréquentes depuis 2020, demeurent insuffisants pour compenser l’augmentation des prix.
Errance en France ?
Authors: Géraud Jacques
Published: January 2023

Espace de liberté, la fiction littéraire a plus ou moins à voir avec l’errance, fût-ce pour la conjurer dans les fixations amoureuses œdipiennes du roman français au XIX e  siècle, ou dans le dépassement du « libertinage » sexuel chez Dom Juan, ou dans l’arrimage burlesque au « Godot » beckettien. Mais l’errance, en ses modalités diverses, habite d’autres œuvres de notre littérature, comme un signe de modernité.
Ces enfants à part
Authors: Ignoumba Stella
Published: January 2023

Dans cet article nous nous appuierons sur un cas clinique pour tenter de montrer la complexité de la problématique des enfants des rues au Gabon souvent décrite comme une conséquence de la pauvreté. Dans une approche clinique et anthropologique de l’enfant de la rue et de sa famille nous avançons l’hypothèse d’une situation d’impasse familiale et de précarité psychique chez ces enfants. Psychologue dans un lieu d’accueil pour enfants des rues, nous avons suivi plusieurs d’entre eux aux parcours de vie atypiques jalonnés parfois des drames/ violences familiales.
De l’errance à l’itinérance : une médiation thérapeutique hors les murs
Authors: Violon Julia , Brun Anne
Published: January 2023

L’article propose une réflexion autour d’un dispositif thérapeutique innovant « itinérance hors les murs ». À partir d’une situation clinique en psychiatrie et d’un tableau de repérage clinique, les auteurs développeront les processus et modalités transférentielles qu’engagent cette médiation particulière : transfert sur le groupe, le cadre et l’espace, sur le non-humain et l’ensemble des expressions corporelles liées au corps et son mouvement.
De l’errance psychique à la solution toxicomaniaque
Authors: Richwin Iara Flor , Lindenmeyer Cristina , Celes Luiz Augusto M.
Published: January 2023

Cet article vise à analyser, à partir d’une étude de cas clinique, la relation entre la toxicomanie et l’errance psychique dans des situations de précarité et d’exclusion sociale. Il part de l’idée que les contextes de précarité et de vulnérabilité sociale peuvent déclencher la constitution d’une « errance psychique », marquée par la désorganisation de l’identité et des fondements narcissiques et par l’impossibilité de constituer un lieu subjectif de présence, d’appartenance, d’inscription du sujet dans le lien social. En ce sens, il a été identifié que l’usage de la drogue fonctionne comme une « solution somato-psychique » vis-à-vis de l’errance psychique. Face à un monde subjectif devenu inhabitable, du fait des processus de désymbolisation, de découragement et de destitution subjective, le sujet opère une tentative d’auto-traitement et de régulation de son malaise à travers l’exploration toxique du corps et de la sensorialité.
« Ras-le-bol d’être à la rue ». Modèle transthéorique et parcours de ruptures de jeunes sans domicile en lien avec les offres des associations sociales
Authors: Quero Christelle , Billion Julien , Vancaelemont Anne
Published: January 2023

Le modèle transthéorique est mobilisé pour comprendre les ruptures et les actions d’accompagnement à destination des jeunes sans domicile. Les jeunes étudiés acceptent souvent l’aide des associations sociales. Néanmoins, une rupture isolée à l’étape de contemplation semble entraîner un basculement vers un accompagnement plus soutenu des travailleurs sociaux dans le but de la sortie de la rue.
West Circassian Imperative-Optative System: A Study in a Prototype-Based Organisation of a Grammatical Domain
Authors: Lander Yury , Bagirokova Irina
Published: January 2023

Le tcherkesse occidental, une langue polysynthétique appartenant à la famille des langues ouest-caucasiennes, a un système d’impératifs et optatifs très ramifié, qui comprend au moins un Impératif Fort, un Impératif Faible, un Optatif Fort, un Optatif Faible et, en plus, une stratégie indirecte d’expression d’un impérative causatif, basée sur l’Impératif Fort. Leur distribution dépend de divers facteurs tels que le contrôle du locuteur sur la situation, la performativité, la personne en position de topique, et le type de prédicat. Par ailleurs, certaines formes, à l’exclusion des autres, peuvent se combiner avec les temps morphologiques. Le système dans son intégralité peut être décrit en référence à l’Impératif Prototypique universel, qui est représenté par un faisceau de propriétés liées aux paramètres mentionnés ci-dessus, et il reflète la grammaticalisation d’une certaine fonction discursive. L’impératif proprement dit (Impératif Fort) est utilisé dans la plupart des contextes prototypiques, tandis que les autres catégories expriment différentes déviations par rapport à ce prototype.
Structural stability for Forchheimer fluid in a semi-infinite pipe
Authors: Li Zhiqing , Zhang Wenbin , Li Yuanfei
Published: January 2023

In this paper, it is assumed that the Forchheimer flow goes through a semi-infinite cylinder. The nonlinear boundary condition is satisfied on the finite end of the cylinder, and the homogeneous boundary condition is satisfied on the side of the cylinder. Using the method of energy estimate, the structural stability of the solution in the semi-infinite cylinder is obtained.
A new local function and a new compatibility type in ideal topological spaces
Authors: Yalaz Ferit , Kaymakcı Aynur Keskin
Published: January 2023

In this study, a $ \zeta^*_\Gamma $-local function is defined and its properties are examined. This newly defined local function is compared with the well-known local function and the local closure function according to the relation of being a subset. With the help of this new local function, the $ \Psi_{\zeta^*_\Gamma} $ operator is defined and topologies are obtained. Moreover, alternative answers are given to an open question found in the literature. $ \Psi_{\zeta^*_\Gamma} $-compatibility is defined and its properties are examined. $ \Psi_{\zeta^*_\Gamma} $-compatibility is characterized with the help of the new operator. Finally, new spaces were defined and characterized.
Impact of pseudoplastic and dilatants behavior of Reiner-Philippoff nanofluid on peristaltic motion with heat and mass transfer analysis in a tapered channel
Authors: Tahir Muhammad , Khan Yasir , Ahmad Adeel
Published: January 2023

The main goal of this article is to investigate the effects of pseudoplastic, and dilatants behavior of non-Newtonian based nanofluid on peristaltic motion in an asymmetric tapered channel. Buongiorno's nanofluid model is considered for the study to investigate the heat and mass transfer analysis. The Reiner-Philippoff fluid model is considered to depict the non-Newtonian characteristics of the fluid. The Reiner Philippoff fluid model is the most challenging model among other non-Newtonian fluid models in such a way that shear stress and velocity gradient are non-linearly proportional to each other in this model. This model also represents the implicit relation between stress and deformation rate. The governing equations are based on the dispersion model for nanofluid which incorporates the effects of thermophoretic and Brownian diffusions. The governing equations are simplified in the account of the small Reynolds number and long wavelength assumptions. The solution of the equations is retrieved numerically by the help of built in ND-Solve function of MATHEMATICA software. The sound effects of Reiner-Philippoff based nanofluid on the behavior of velocity and temperature profiles of the fluid, streamlines, pressure gradient fields, and concentration of the nanoparticles are discussed thoroughly. The interesting behavior of Reiner-Philippoff fluid for two limiting shear stress cases when shear stress parameter is very small and very large, for which Reiner-Philippoff fluid behaves like a Newtonian fluid, is also verified. It is observed that fluid flow changes its properties from dilatants fluid to Newtonian and from Newtonian to pseudoplastic fluid by varying the Reiner-Philippoff fluid parameter. According to the findings, the temperature graphs rise against higher thermophoretic diffusion and Brownian motion parameters and falls with higher Prandtl number. Further, the impacts of all the significant parameters are investigated briefly by mathematically as well as graphically.
Multiple solutions for a class of BVPs of fractional discontinuous differential equations with impulses
Authors: Wang Yang , Li Yating , Liu Yansheng
Published: January 2023

In this paper, we mainly study the following boundary value problems of fractional discontinuous differential equations with impulses:

   \begin{document}$ \hskip 3mm \left\{ \begin{array}{lll} _{t}^{C} \mathcal {D}^{\mathfrak{R}}_{0^{+}}\Lambda(t) = \mathcal {E}(t)\digamma(t, \Lambda(t)), \ a.e.\ t\in Q, \\ \triangle \Lambda|_{t = t_{{\kappa}}} = \Phi_{{\kappa}}(\Lambda(t_{{\kappa}})), \ {\kappa} = 1, \ 2, \ \cdots, \ m, \\ \triangle \Lambda'|_{t = t_{{\kappa}}} = 0, \ {\kappa} = 1, \ 2, \ \cdots, \ m, \\ {\vartheta} \Lambda(0)-{\chi} \Lambda(1) = \int_{0}^{1}\varrho_{1}({\upsilon})\Lambda({\upsilon})d{\upsilon}, \\ {\zeta} \Lambda'(0)-\delta \Lambda'(1) = \int_{0}^{1}\varrho_{2}({\upsilon})\Lambda({\upsilon})d{\upsilon}, \end{array}\right. $\end{document}

where $ {\vartheta} > {\chi} > 0, \ {\zeta} > \delta > 0 $, $ \Phi_{{\kappa}}\in C(\mbox{ $\mathbb{R}$ }^{+}, \mbox{ $\mathbb{R}$ }^{+}) $, $ \mathcal {E}, \ \varrho_{1}, \ \varrho_{2} \geq 0 $ a.e. on $ Q = [0, 1] $, $ \mathcal {E}, \ \varrho_{1}, \ \varrho_{2} \in L^{1}(0, 1) $ and $ \digamma:[0, 1]\times \mbox{ $\mathbb{R}$ }^{+}\rightarrow \mbox{ $\mathbb{R}$ }^{+} $, $ \mbox{ $\mathbb{R}$ }^{+} = [0, +\infty) $. By using Krasnosel skii's fixed point theorem for discontinuous operators on cones, some sufficient conditions for the existence of single or multiple positive solutions for the above discontinuous differential system are established. An example is given to confirm the main results in the end.
Integrated whole transcriptome analysis for the crucial regulators and functional pathways related to cardiac fibrosis in rats
Authors: Miao Shuai , Wang Lijun , Guan Siyu , Gu Tianshu , Wang Hualing , Shangguan Wenfeng , Wang Weiding , Liu Yu , Liang Xue
Published: January 2023

Background

Cardiac fibrosis has gradually gained significance in the field of cardiovascular disease; however, its specific pathogenesis remains unclear. This study aims to establish the regulatory networks based on whole-transcriptome RNA sequencing analyses and reveal the underlying mechanisms of cardiac fibrosis.

Methods

An experimental model of myocardial fibrosis was induced using the chronic intermittent hypoxia (CIH) method. Expression profiles of long non-coding RNA (lncRNA), microRNA (miRNA), and messenger RNA (mRNA) were acquired from right atrial tissue samples of rats. Differentially expressed RNAs (DERs) were identified, and functional enrichment analysis was performed. Moreover, a protein-protein interaction (PPI) network and competitive endogenous RNA (ceRNA) regulatory network that are related to cardiac fibrosis were constructed, and the relevant regulatory factors and functional pathways were identified. Finally, the crucial regulators were validated using qRT-PCR.

Results

DERs, including 268 lncRNAs, 20 miRNAs, and 436 mRNAs, were screened. Further, 18 relevant biological processes, such as "chromosome segregation, " and 6 KEGG signaling pathways, such as "cell cycle, " were significantly enriched. The regulatory relationship of miRNA–mRNA–KEGG pathways showed eight overlapping disease pathways, including "pathways in cancer." In addition, crucial regulatory factors, such as Arnt2, WNT2B, GNG7, LOC100909750, Cyp1a1, E2F1, BIRC5, and LPAR4, were identified and verified to be closely related to cardiac fibrosis.

Conclusion

This study identified the crucial regulators and related functional pathways in cardiac fibrosis by integrating the whole transcriptome analysis in rats, which might provide novel insights into the pathogenesis of cardiac fibrosis.
Hiérarchie et sacrifice en Chine ancienne
Authors: Levi Jean
Published: January 2023

Le sacrifice est un dispositif symbolique qui assure la séparation non seulement entre hommes et dieux, mais des hommes entre eux.En Chine, l’organisation générale des offrandes au Ciel et aux ancêtres avec sa cuisine mimant l’assaisonnement de tous les êtres dans le chaudron de l’univers, avec sa communion autour du grand banquet sacrificiel, avec sa répartition en cascade des restes déterminant classes et hiérarchies, vise à imposer un ordre parfait à toute la terre sous le Ciel. C’est pourquoi Confucius a pu dire : « Celui qui maîtriserait parfaitement l’ordonnance du grand sacrifice aux ancêtres gouvernerait l’empire aussi facilement que je tourne la paume de ma main », c’est aussi pourquoi il a pu servir de matrice à un régime absolutiste et centralisé lorsque les collèges cultuels se sont trouvés vidés de leur substance religieuse et de leur fonction sociale. L’immanence propre aux gestes sacrificiels s’est convertie en pure transcendance de l’appareil d’État.Si, comme a pu le dire Marcel Détienne, la notion de « sacrifice » est une catégorie de la pensée d’hier, aussi arbitraire que celle de totémisme, il n’en reste pas moins que le système sacrificiel chinois fournit un cas exemplaire de sa réalité opératoire.
Non-technical Skills: Building Safer and Healthier Workplaces
Authors: Perera P. A. D , Myers J. A. , Griffiths R. F.
Published: January 2023

No abstract available
Validation of Fear of COVID-19 Scale and Assessment of Fear of COVID-19 Among People Living in High-risk Zones in Sri Lanka During the First and Second Waves of the Pandemic
Authors: Rathnayake N. , Lekamwasam S. , Lokanwaththa C. S.
Published: January 2023

Background and objective: Evaluation of fear associated with COVID-19 is imperative to mitigate the negative effects of the pandemic on community. The fear associated with COVID-19 has not been evaluated systematically in Sri Lanka. This study assessed the validity of the Sinhala version of Fear of COVID-19 scale (FCV-19S) and determined the fear of COVID-19 among people in high-risk zones in Sri Lanka during the first and second waves of the pandemic.
Methods: The FCV-19S, a seven-item tool was cross-culturally adapted and self-administered among 148 individuals, conveniently selected from the general public from Galle, Sri Lanka. The psychometric properties including reliability and validity were evaluated. Subsequently, the validated FCV-19S was self-administered among 325 individuals from high-risk zones of Sri Lanka to assess the fear of COVID-19 and associated factors.
Results: FCV-19S showed a high test re-test reliability measured with intra-class correlation=0.86 (0.81-0.90). Cronbach’s alpha was 0.87 after deleting the item 3 that did not meet satisfactory validity criteria. The remaining six items showed single-factor structure (Eigen value >1, cumulative variance; 60.8%) in Factor Analysis with Principal Component Analysis. A moderate positive correlation between FCV-19S score and Depression, Anxiety and Stress Scale–21 (DASS-21 score) (r=0.63, p<0.001) was observed confirming the concurrent validity. Only 40.6% (n=132) experienced high level of fear. Those with secondary education (OR=0.43) and tertiary education (OR=0.34) had low level of fear compared to those with no education and only with primary education. Those living with family members (OR=7.96) compared to those living alone and being positive or suspected of COVID-19 or exposed to a COVID-19 patient (OR=3.71) compared to those with no history of disease had high level of fear.
Conclusions: Modified, 6-item, Sinhala version of FCV-19S showed adequate psychometric properties. The proportion of people who experienced fear in high-risk zones of COVID-19 was relatively high. Education, living conditions and history of exposure were associated with fear.
Atypical presentation of West Nile encephalitis
Authors: Cioni Gabriele , Fedeli Angela , Bellandi Ginevra , Squillante Rossella , Zuccotti Mauro , Buffini Gianluca
Published: January 2023

West Nile virus (WNV) causes both sporadic infection and outbreaks that may be associated with severe neurologic involvement. The infection is transmitted to humans mainly by mosquito bites, and the virus is preserved in a cycle in which birds are the main host. The typical involvement of the central nervous system is completely indistinguishable from meningitis and encephalitis related to other pathogens. 
In this report we described the atypical presentation of a WNV meningoencephalitis in a 81-y.o. female patient, showing psychiatric manifestations at the onset. Anamnestic information was essential to progress to the correct diagnosis. Targeted search for the causative agent of meningoencephalitis was perfected after learning that the patient lived in an area adjacent to a nature reserve.
Interplay between lymphocyte subpopulation, inflammatory cytokines and their correlation with oxidative stress parameters in COVID-19
Authors: Petrusevska Marija , Zendelovska Dragica , Atanasovska Emilija , Spasovska Katerina , Grozdanovski Krsto , Stojanovska Simona , Panovska Stavridis Irina , Eftimov Aleksandar
Published: January 2023

Our objective was to investigate the inflammatory and oxidative stress markers in patients with moderate and severe form of COVID-19. In addition, we show the correlation between changes in lymphocyte subsets and markers of oxidative stress as a tool for patient classification. IL-6 and VEGF were analysed by utilizing a High Sensitivity Evidence Investigator™ Biochip Array technology. The total antioxidant capacity (PAT) and the free radical concentrations (d-ROM) were measured in serum utilizing analytical photometric system FRAS5. Peripheral blood was used to determine CD45 + mononuclear, B, T, and NK cells using a multi-parameter flow cytometric immunophenotypic test.

Statistically significant differences in IL-6 and VEGF levels were observed between the two patient groups. Decreased values of the absolute number of lymphocytes and their CD4 + and CD8 + positive T cells, NK cells, and CD8 were obtained. In the moderate group, good correlations were found between IL-6 and VEGF and NK cells (r = 0.6973, p <0.05; for IL6 and r = 0.6498, p <0, for VEGF. 05). Cytokines were correlated with CD45+ (r = 0.5610, p <0.05; for IL-6 and r = 0.5462, p <0.05 for VEGF). The oxidative stress index can be used as a cheaper alternative and as a triage tool between severe and moderate illnesses, after showing good correlation with more expensive patient classification analysis.
Pattern and sweep visual evoked potential in the objective determination of visual acuity
Authors: Hamurcu Mualla
Published: January 2023

Purpose: To investigate the effects of pattern visual evoked potential (pVEP) and sweep visual evoked potential (sVEP) on the accurate visual acuity (VA) measurement in adults. 

Methods: Medical files of 282 eyes of 141 patients who underwent VA measurement in our electrophysiology laboratory and did not undergo simulation were retrospectively analyzed. The VA was measured using the Snellen chart. Only those with a VA of higher than 1/10 on the Snellen chart were included in the study. The VA was assessed and reported by the pVEP (VA-pVEP) and sVEP test (VA-sVEP). The correlation analysis was performed using the Pearson correlation analysis.

Results: Of 141 patients, 92 were males and 49 were females with a mean age of 37.7±18.4 years. There was a strong positive correlation between the VA measured by the Snellen chart and the VA measured by pVEP (VA-pVEP) (r=0.858, p<0.001). There was a weak positive correlation (r=0.267, p<0.001) between the VA measured by the Snellen chart and the VA measured by the sVEP (VA-sVEP). A weak positive correlation was found for the VA-pVEP and VA-sVEP (r=0.313, p<0.001).

Conclusions: For the measurement of the degree of the VA, it seems reasonable to use pVEP initially, while sVEP should be used in cases with short attention span and those who are noncooperative and in infants.
Delayed diagnosis of plasma cell disorder-related Fanconi syndrome in young adults presenting as osteomalacia: report of two cases with normokalemia and normal haematological parameters at the time of presentation.
Authors: Franklin Joel , Pavithran Praveen V. , Sidharthan Neeraj , NV Seethalkshmy , Abraham Nithya , Menon V. Usha , Nair Vasantha , Kumar Harish
Published: January 2023

Adult-onset hypophosphatemic osteomalacia is rare and diagnosis is frequently delayed. Fanconi syndrome (FS) due to monoclonal gammopathy is a well-recognized, but rare cause of hypophosphatemia. The relatively young age of patients and normal routine hematological parameters often results in late recognition of this treatable disease entity. Low phosphorus, elevated alkaline phosphatase, mildly impaired renal function and hypokalemia are often the only abnormalities on routine evaluation. We summarize the clinico-pathological features of two cases who initially presented with fractures and proximal myopathy and were subsequently found to have FS secondary to light chain proximal tubulopathy. Atypical features like absence of hypokalemia at presentation  and elevated Fibroblast Growth Factor 23(FGF 23), a marker of oncogenic osteomalacia were noted. Marked clinical improvement and recovery of renal parameters were evident with phosphate supplements and  chemotherapy for the plasma cell disorder. FS due to monoclonal gammopathy  may present with atypical features  and diagnosis may be  challenging
Progetto FADOI “EUCLIDE”. Clinica, comunicazione, telemedicina e governance: le esperienze da COVID-19 per il futuro della Medicina Interna
Authors: Manfellotto Dario , Dentali Francesco , Fontanella Andrea
Published: January 2023

IntroduzioneDario Manfellotto, Francesco Dentali, Andrea Fontanella
Materiali e MetodiDario Manfellotto, Francesco Dentali, Andrea Fontanella
Gestione clinica del paziente complesso con patologie cardiovascolari e comorbilitàGiuseppe Campagna, Claudia Ferrigno, Franco Mastroianni
Gestione clinica del paziente complesso con diabete e comorbilitàAda Maffettone, Ernesto De Menis, Maria Serena Fiore
Cura e comunicazione: l’esperienza nella pandemia e le prospettive futureLuigi Magnani, Lara Bellardita, Salvatore Lenti
Gestione a distanza del paziente complesso: la medicina digitaleFilippo Pieralli, Flavio Tangianu, Maria Gabriella Coppola
Governance per la Medicina InternaAndrea Montagnani, Roberta Re, Ilario Stefani
Considerazioni conclusiveDario Manfellotto, Francesco Dentali, Andrea Fontanella
La riscoperta della Medicina Narrativa come metodologia di intervento clinico-assistenziale: focus su dolore cronico e fine vita nel contesto pandemico
Authors: Fontanella Andrea , Polvani Stefania
Published: January 2023

Il velo oltre le cucine. Lo spazio della Medicina Narrativa nel patrimonio dell'internistaM. Meschi
Medicina Narrativa: una pratica comunicativa quotidiana dell’internistaM. Marinelli
Il piano diagnostico terapeutico assistenziale (PDTA) per il dolore cronico nella Regione LazioG. Campagna, M. Di Carlo, M. Di Napoli, A. Toto
A COVID-19 patient population in a palliative care and hospice ward: outcome of the careM. Saccò, E. Porta, A. Tedeschi, D. Cattaneo
R-Esistere: linguaggi e storie al tempo della pandemiaM. Cerati, M. Testa, S. Polvani
Il setting clinico-assistenziale del fine vitaG. Campagna, M. Di Napoli, A. Toto
Medicina Narrativa nella cura integrale del fine vita e nella terapia del doloreP. Trenta, F. Bracco
Medici narratoriA. Fontanella
Launch of the Laboratory for Major Tropical Epidemics (LAGET) in Chad: Strengthening the capacity for epidemiological surveillance, monitoring and diagnosis of endemic or emerging infectious diseases in Central Africa
Authors: Mennechet Franck , Andreoletti Laurent , Cappelli Giulia , Fokam Joseph , Kuiate Jules-Roger , Moussa Ali Mahamat , Simporé Jacques , Dzomo Rodrigue Takoudjou , Torimiro Judith , Ndembi Nicaise , Colizzi Vittorio
Published: January 2023

In an increasingly interconnected world, with the devastating effects of climate changes and humanitarian crises, pandemics and emerging infectious diseases are more likely to become our daily reality. When it comes to health care, sub-Saharan Africa faces more challenges than most other regions of the world, including lack of funds, precarity and poor infrastructures. Yet, these areas are most often on the front lines of infectious threats.
Recurrence of Primary Hydrocele 1 Month after Hydrocelectomy in a 35-Year-Old Patient
Authors: Spinos Theodoros , Thanos Anastasios , Kyriazis Iason
Published: January 2023

A hydrocele is a painless enlargement of the scrotum resulting from an irregular accumulation of serous fluid between the parietal and the visceral layers of the tunica vaginalis which surrounds the testis To treat hydrocele various modalities are used, the gold standard of which being open hydrocelectomy. Hydroceles can sometimes be recurrent. Rarely, in these cases, an underlying pathological condition such as hypoproteinemia, filarial infection, pelvic cavity malignancy, or a concurrent inguinal hernia is found during investigation. This paper describes a rare case of hydrocele recurrence immediately after open hydrocelectomy. The presence of intact tunical anatomy of the scrotum found during revision hydrocelectomy in our case raised questions concerning the extent of the previous excision and as such recurrence should be attributed to the uninverted remaining tunical sack.
“What exile ever fled his own mind?”: On reading Horace in South Africa and Italy
Authors: Anderson P.R.
Published: January 2023

The Roman poet Horace provides an unlikely-seeming source of inspiration and consolation to a writer emerging in South Africa in the late 1980s. This account essays some history of the way one poet can work on another across cultures and millennia, noting the mediating force of W.H. Auden and the significance of form over content in brokering a stylistic affection that has lasted. The essay follows also Gilbert Highet’s premise in his Poets in a Landscape, by following the author in his tracks to Italy and the valley of Horace’s Digentia, now the Licenza river. Whether the essay is about the formation of a twenty-first century echo or the recovery of a two-thousand year-old exemplum in outlandish circumstances is moot, and probably entangled.This essay in creative non-fiction expresses a long affinity for the Roman poet Quintus Hotarius Flaccus (Horace), and the circumstances of that affinity with particular reference to the author’s encounter with him across South Africa and Italy, in youth and maturity. The essay makes elliptical reference to the work of the poet but does not set out any extended critical analysis; it is more gently interested in the formation of the author’s own intellectual and poetic community with the ancient Roman. In broad canvas it problematises the reception of the so-called classics in the global South, but more pronouncedly represents the formation of a writerly and philosophical outlook in a time of transformation. The essay is preoccupied also with the endurance of place, or ideologised space, in the persistence of a canonical classic, and extends its encounter with Horace’s Sabine hills and villa to the remote-but-related landscape of the (South African) mind.
There and back again”: Reading Tolkien’s fantasy in South Africa
Authors: Du Plessis-Hay Michèle
Published: January 2023

J.R.R. Tolkien’s fantasy1 is remarkable for its depth and groundedness, and this has established The Hobbit and The Lord of the Rings as classics, although their place is still being defined. Tolkien’s work continues to offer new pleasures as it is re-read. Things that give me special pleasure range from individual phrases to the intertextual engagement of Tolkien’s fantasy with older motifs: these idiosyncratic pleasures appear to derive from the text itself and its participation in a tradition of textual influence, so that, for me, the pleasure is independent of where one reads Tolkien.2 University teaching of English literature should equip students to cope with literature that is not of their own place and time. Within the South African academy, we should not be seduced into reading only contemporary literature from Africa, or reading only according to the tenets of postcolonialism. Twentieth-century fantasy should be accessible to students independently of their background, because it is inherently and deliberately different from ordinary reality. However, when I have had the pleasure and privilege of guiding students writing on Tolkien’s work, I have found that their responses to it are enriched if they are equipped to read works that are older or in some way other. Tolkien’s classic fantasy is a source of pleasure in many ways, and this delight and discovery is not and should not be limited to readers from certain backgrounds only.
COP27 Climate Change Conference: urgent action needed for Africa and the world
Authors: Atwoli Lukoye , Erhabor Gregory E. , Gbakima Aiah A. , Haileamlak Abraham , Kayembe Ntumba Jean-Marie , Kigera James , Laybourn-Langton Laurie , Mash Bob , Muhia Joy , Mulaudzi Fhu-mulani Mavis , Ofori-Adjei David , Okonofua Friday , Rashidian Arash , El-Adawy Maha , Sidibé Siaka , Snouber Abdelmadjid , Tumwine James , Yassien Mohammad Sahar , Yonga Paul , Zakhama Lilia , Zielinski Chris
Published: January 2023

No abstract.
A rare case of hepatic subcapsular hematoma presenting with severe anemia in a 20-hour old term newborn: case report
Authors: Arega Gashaw , Demtse Asrat , Belayhun Yosef , Oumer Fathia
Published: January 2023

Hepatic subcapsular hematoma is an extremely rare clinical condition in the neonatal period. Being a life-threatening emergency, it requires prompt diagnosis and management. In a newborn presented with severe anemia, hypovolemic shock, and abdominal distention with hemoperitoneum without any identifiable risk factors hepatic subcapsular hematoma should be considered. Newborns may develop catastrophic acute and long-term complications if the diagnosis is not made timely. Obstetricians, pediatricians, neonatologists and pediatric surgeons should have a high of the index of suspicion of hepatic subcapsular hematoma in newborns to avoid delay in the diagnosis and to reduce neonatal morbidity and mortality.

Here, we report a 20 hour’s old male term newborn diagnosed with Hepatic Subcapsular Hematoma after he presented with progressive abdominal distension and severe anemia. Abdominal ultra-sound showed a well-defined round heterogenic echogenic liver mass and massive intra-peritoneal fluid collection. The newborn was managed in the Neonatal Intensive Care Unit with Fresh Frozen Plasma transfusion, Whole blood transfusion and vitamin K administration, and discharged im-proved after a week. A high index of clinical suspicion is necessary to avoid delayed diagnosis and life-threatening complications among health professionals in the neonatal intensive care unit.
The impact of giving and receiving remittances on life insurance purchases
Authors: Jeaven H , Wapnick R , Carswell MBJ
Published: January 2023

Remittance arrangements, or inter-household transfers in cash or kind, have been identified as an influential factor in funeral insurance purchase decisions of South African households. On the one hand, remittances can alter income and higher levels of income are associated with more insurance purchases. On the other hand, remittances can act as an informal insurance arrangement reducing formal insurance purchases. It was found using data from the fifth wave of the National Income Dynamics Study that remittances did not have a strong effect on life insurance purchases generally although for young, low-income, unbanked African and other households, receiving remittances may have discouraged life insurance purchases.
Anti-selection in voluntary health insurance markets: A focus on medical schemes in South Africa
Authors: Harris R , Besesar S
Published: January 2023

This paper discusses the role of voluntary health insurance (VHI) in relation to public healthcare systems and universal health coverage (UHC). The paper explores why VHI markets are particularly susceptible to anti-selection. As the largest VHI market globally, the South African medical scheme market is then examined in detail. An overview of the history of the South African healthcare system provides insight into the development of the medical scheme market. Thereafter, an analysis on the impact of anti-selection on medical schemes is conducted using the experience from the largest open medical scheme in the market. The results demonstrate how existing risk mitigation measures are ineffective at protecting medical schemes from the effects of anti-selection, and the subsequent negative impacts of this phenomenon on the industry and the healthcare system as a whole. The paper discusses alternative mechanisms for addressing anti-selection risks and concludes that mandatory membership in some form has the potential to improve the sustainability of medical schemes in South Africa, which will in turn support the country’s transition towards UHC.
The actuary as amicus curiae
Authors: Whittaker GA
Published: January 2023

The role of an amicus curiae as a party to litigation is closely linked to promoting constitutional values and protecting the public interest. There is no question that interventions by amici curiae have played a critical role in aiding the judiciary in many public interest cases. The Actuarial Society of South Africa is prioritising its focus on advancing issues of public interest and serving a broader spectrum of the populace. However, it has yet to utilise this specific mechanism to manifest this mandate. The Actuarial Society of South Africa can provide a numerical perspective on various rights disputes deriving from the Constitution. In contrast, the courts have asked other professional bodies, such as the South African Institute of Chartered Accountants, to join proceedings. Actuarial bodies, particularly those in the United States of America, are actively involved in public interest matters and occasionally join amicus curiae proceedings. Following an exploration of the use of amici curiae in South African and African courts, this paper seeks to identify a test case where the Actuarial Society of South Africa may join proceedings as a friend of the court. The mechanism and procedure for joining the court as an amicus curiae and the risks and benefits of joining proceedings are examined.