bluuebunny/crossref_metadata_2025 huggingface dataset:
Morphological characteristics and phylogenetic evidence reveal two new species and the first report of Comoclathris (Pleosporaceae, Pleosporales) on dicotyledonous plants from China
Authors: Xu Rong , Su Wenxin , Wang Yang , Tian Shangqing , Li Yu , Phukhamsakda Chayanard
Published: January 2024

Two novel Comoclathris species were identified from dicotyledonous plants (Clematis sp. and Xanthoceras sorbifolium) in China. The results were supported by morphological characters and Maximum Likelihood (ML) and Bayesian Inference (BI) analyses. Multi-gene phylogenetic analyses of the ITS, LSU, SSU and rpb2 sequences revealed two new species Comoclathris clematidis and C. xanthoceratis, which are phylogenetically distinct. The new species are phylogenetically closely related to C. arrhenatheri. However, they are distinguishable from C. arrhenatheri by having comparatively larger asci and ascospores. This study improves our knowledge of Comoclathris as no species has been previously described from China. This suggests such taxa may be rare and it is likely that new taxa will be discovered from hosts and environments that have not yet been extensively investigated.
Rétablissement, poésie… engagée !
Authors: Aoustin Nathalie
Published: January 2024

Résumé À partir de son expérience douloureuse d’usagère, l’auteur évoque son évolution et les progrès dans les pratiques de soins, l’humanisation. Elle raconte sa place de pair-aidante et l’espoir retrouvé. Elle réaffirme la place des GEM dans le rétablissement.
Peut-on encore parler d’institution aujourd’hui ?
Authors: Haliday Héloïse
Published: January 2024

Résumé Pour l’auteure, le mot institution doit être réhabilité pour éviter que disparaisse la vie interne des structures de soins et d’accompagnement. Elle s’interroge sur la confusion entre établissements et institutions. L’établissement est ce qui est stable, l’institution c’est ce qui rend compte du mouvement, des relations entre les différents acteurs, de l’ambiance permettant ou non le rétablissement.
Les styles collectifs de pensée visuelle en sciences du langage : canons et variations
Authors: François Jacques
Published: January 2024

Jusqu’au début du XIX e  siècle, les représentations schématiques n’ont pas trouvé de place dans les traités de grammaire. Tout au plus un format tabulaire s’était-il lentement imposé en lexicographie afin de faciliter la consultation des articles. Ce mode de représentation visuelle était étranger au « style collectif de pensée » des érudits dans le domaine des humanités. C’est l’intuition d’une analogie entre l’évolution des espèces et celle des langues qui a ouvert la voie à un style de pensée ouvert aux représentations schématiques et en premier lieu aux arbres visualisant la généalogie des langues. L’approche du raisonnement visuel, appliquée par l’immunologue polonais Ludwik Fleck à son secteur de recherche dans les années 1930, a anticipé celle de ‘paradigme scientifique’ due au sociologue de sciences Thomas Kuhn en 1962. Avec ses ‘diagrammes existentiels’, Charles Peirce a tenté sans grand écho au tournant du XX e  siècle d’appliquer le « raisonnement diagrammatique » aux fondements de la logique. Ronald Langacker a eu plus de succès avec les diagrammes iconiques de sa Grammaire Cognitive un siècle plus tard. Mais c’est surtout en linguistique historique que la controverse initiée dans les années 1860 par Hugo Schuchardt sur la pertinence du Stammbaum des langues indo-européennes d’August Schleicher a eu les répercussions les plus tardives, puisqu’avec les nouveaux « arbres de consensus » de la « phylogénie des langues » les représentations arborescentes sont à nouveau à l’ordre du jour ( cf. Gray et Atkinson, 2003 ; Brown et al. , 2008 ; Lipps et al. , 2018 ; Heggarty et al. , 2023).
Ce que contiennent (et ce que ne contiennent pas) les cartes géolinguistiques : un regard depuis la Galloromania
Authors: Baiwir Esther
Published: January 2024

Les cartes géolinguistiques semblent être des objets lisibles, issus de la superposition de données linguistiques « authentiques » sur un fond de carte physique. Derrière cette apparente simplicité pourtant, diverses stratégies existent, de la carte la plus brute à la carte interprétative. Dans les cartes proposant des symboles ou des aplats de couleur, on constate une distanciation par rapport à la matérialité du signe linguistique : typisation, regroupement de variantes, sélection de schèmes morphologiques, etc. Afin de garantir la lisibilité des documents, le processus d’enrichissement des documents va donc de pair avec une élimination d’informations. Ces cartes fonctionnent dès lors comme un discours sur le corpus, mettant en évidence une partie (ou une certaine vision) du corpus. Dans le cas d’ouvrages comme les atlas linguistiques, le corpus doit alors nécessairement être disponible ailleurs. Pour ne pas se méprendre sur ce que contiennent (ou pas) les documents qu’il reçoit, le lecteur doit donc les appréhender avec leur contexte et leur péritexte.
Input-to-state stability of stochastic nonlinear system with delayed impulses
Authors: Li Linni , Zhang Jin-E
Published: January 2024

Stochastic input-to-state stability (SISS) of the stochastic nonlinear system has received extensive research. This paper aimed to investigate SISS of the stochastic nonlinear system with delayed impulses. First, when all subsystems were stable, using the average impulsive interval method and Lyapunov approach, some theoretical conditions ensuring SISS of the considered system were established. The SISS characteristic of the argumented system with both stable and unstable subsystems was also discussed, then the stochastic nonlinear system with multiple delayed impulse jumps was considered and SISS property was explored. Additionally, it should be noted that the Lyapunov rate coefficient considered in this paper is positively time-varying. Finally, several numerical examples confirmed validity of theoretical results.
The readiness of IR4.0: Morality and technology integration among mathematics teachers
Authors: Zulnaidi Hutkemri , Mafarja Nofouz , Oktavika Enny
Published: January 2024

The rapid advancement of technology in the era of the Fourth Industrial Revolution presents both opportunities and challenges for education, particularly in the field of mathematics. As teachers incorporate technology into their instructional practices, it is crucial to examine the role of morality in shaping their approach and the subsequent impact on readiness to face the demands of this transformative era. This study investigates the effect of morality as a mediator between teachers' use of technology in mathematics education and readiness for the Fourth Industrial Revolution. The study adopted a quantitative research design, involving a sample of mathematics teachers from Malaysia and Indonesia. The findings found that the impact of technology use on the readiness for IR4.0 among mathematics teachers in Indonesia and Malaysia was found not statistically significant, but it significantly influences morality, suggesting that morality full mediates the relationship between technology use and readiness among mathematics teachers in Indonesia and Malaysia. This study contributes to understanding of how technology integration and moral values intersect in preparing mathematics teachers for the readiness of IR4.0. These insights can inform the development of effective strategies, policies, and interventions to equip teachers with the necessary skills and ethical frameworks to thrive in the digital age.
Ire per illicitum pelagus. Nota a Estacio, Tebaida I 223
Authors: Río Torres-Murciano Antonio
Published: January 2024

En Estacio, Tebaida I 223 debe preferirse la lectura ire per illicitum pelagus, germane, dedisti al ire per illicitum pelago, germane, dedisti habitualmente impreso por los editores. El pasaje no hace referencia a la narración ovidiana del diluvio (Met. I 252-347) como hasta ahora se ha entendido, sino a la apertura de los mares tal como la había planteado Valerio Flaco (I 640-646).
Reluctance of Students to Utilize Virtual Educational Environments in Public Schools: Real World Experiences
Authors: Arouri Yousef M. , Hamaidi Diala A. , Aldrou’ Islam T. , Noufal Rana K.
Published: January 2024

This study aimed to explore the perspectives of public-school students who were hesitant to use the Darsak Educational Platform (DEP) during the COVID-19 pandemic in order to understand their real-life experiences. To achieve the aim of the study, the researchers employed a qualitative approach in its phenomenological form. The study sample consisted of 12 male and female students from various public schools in Jordan. The participants were chosen using an intentional method. Semi-structured interviews were used to collect the data. The study’s findings revealed a variety of causes that contributed to students’ resistance to using DEP. These causes include the students’ lack of readiness to learn through DEP, the DEP’s failure to comply with international design standards, the inadequate physical and technical teaching environment, and the limited digital competencies of teachers needed in the virtual learning environment. Given the findings of this research, the researchers advise that additional consideration should be given to the design of DEP. They also advise providing students with appropriate guidance in the usage of educational platforms.
Les animaux dans les slogans publicitaires : analyse rhétorique
Authors: Bonhomme Marc
Published: January 2024

Cet article analyse le fonctionnement rhétorique de slogans publicitaires impliquant des animaux. Sont d’abord examinés les procédés rhétoriques mobilisés pour mettre le monde animal au service des produits. Ces procédés consistent en des manipulations ludiques et axiologiques qui convertissent l’animal en argument renforçant leur notoriété. Par ailleurs, lorsque les slogans donnent la parole aux animaux, celle-ci est brouillée par des distorsions de points de vue qui intègrent la thématique animale dans une démarche consumériste. Cet article étudie ensuite des slogans dans lesquels les animaux constituent l’objectif du message publicitaire. Alors que les slogans commerciaux pour l’alimentation animale privilégient une rhétorique de valorisation et d’euphorisation, les slogans pour les campagnes institutionnelles contre l’abandon des animaux reposent sur une rhétorique de dramatisation.
La corrida au crible des valeurs. Une approche argumentative
Authors: Guerrini Jean-Claude
Published: January 2024

En adoptant une approche axiologique de l’argumentation pour examiner la controverse sur le maintien ou l’interdiction de la pratique de la corrida en France, nous proposons quelques pistes de travail visant les élèves de lycée et les étudiant(e)s de niveau bac+2 qui peuvent être amené(e)s à étudier, dans la perspective du commentaire littéraire ou de l’étude de questions socialement vives, des textes venant étayer les thèses de partisans ou d’adversaires de cette forme de tauromachie. Nous commençons par mettre en évidence les mécanismes et le rôle du jugement de valeur dans la formulation de points de vue, puis nous examinons quelques représentations de la corrida sur la scène littéraire française, notamment au travers des procédés d’expression mobilisés. Confronté à l’opposition entre discours mythique et réalité factuelle, nous abordons l’inévitable question du positionnement éthique de l’enseignant(e).
Représenter la vie intérieure des animaux
Authors: Rabatel Alain
Published: January 2024

L’article problématise la notion de « mise en scène des discours animaux » en montrant que la représentation de leur intériorité (de leurs perceptions, émotions, pensées et actions intentionnelles) ne passe pas nécessairement par le choix de les faire parler. Après une première partie faisant le point sur les spécificités de la notion de communication animale et sur la notion empathique et énonciative de point de vue, une deuxième partie étudie différents modes de représentation des discours et des points de vue animaux dans deux genres littéraires, des fables et un récit réaliste. Une troisième partie analyse des modes de représentation de l’intériorité animale dans un texte scientifique, confirmant que les réussites de la communication animale ne requièrent pas de discours et que si les êtres humains font parler les animaux, c’est à des fins ludiques et argumentatives variées, ayant des conséquences esthétiques, philosophiques, éthiques ou épistémologiques.
Du discours rapporté à la dilution énonciative : un paradigme stylistique pour une écriture bestiaire ? À partir de l’exemple d’Un chien à ma table de Claudie Hunzinger
Authors: Rosier Laurence
Published: January 2024

Dans cet article, j’analyse la manière dont ont évolué les discours représentés et rapportés des animaux dans un corpus de littérature contemporaine. Mon hypothèse est que, dans le sillage des Animal Studies, l’écriture que je qualifie de bestiaire, superpose une dilution énonciative à une réflexion méta- narrative et méta-scripturale : les frontières des espèces sont donc interrogées parallèlement à la frontière des genres et des écritures.
Gros-Câlin de R. Gary/É. Ajar, un texte zoomimétique ? Étude d’un style contre-cognitif
Authors: Beltran Perrine
Published: January 2024

Cet article propose de relire le premier roman publié par Romain Gary sous le pseudonyme d’Émile Ajar sous un éclairage zoopoétique. L’écriture de Gros-Câlin, qui se veut mimétique des circonvolutions du serpent, transcrit-elle réellement ce que serait le point de vue et les manières d’être du serpent, ou est-elle simplement la justification maladroite d’un narrateur à la fois « naïf » et « fou » (Riggan, 1981) ? Nous montrerons comment R. Gary/É. Ajar propose dans Gros-Câlin un discours sur l’impossible devenir-animal, sur les échecs de la communication interspécifique, et sur la recherche pathétique et vaine d’une impossible « fraternité » humanimale. Il s’avèrera que c’est justement en problématisant les difficultés et les limites de toute écriture sur l’animal que l’œuvre rend paradoxalement possible le zoocentrage.
La fiction animalière comme voix/voie pour appréhender l’ironie à l’école élémentaire ?
Authors: Charles Florence , Godart-Wendling Béatrice
Published: January 2024

L’animal anthropomorphe est un personnage très présent en littérature jeunesse. Deux des particularités de l’album jeunesse étudié est que le personnage principal, un écureuil, discourt et que ses propos ont une forme et une valeur ironiques. La fiction s’apparente, en effet, à une fable, dont la signification ironique implicite entre en résonance avec des préoccupations sociétales et écologiques. L’article analyse dans deux classes de CE1 comment les élèves comprennent l’ironie de l’album et comment les enseignantes approchent cette ironie. Aussi l’article contribue-t-il à la réflexion didactique concernant le choix des œuvres littéraires à faire lire aux élèves de cycle 2.
La communauté des vivants. Une approche énactive du site de L214
Authors: Chanay Hugues Constantin de
Published: January 2024

Cet article souhaite jeter les bases d’une analyse sémantique et rhétorique des discours dans le cadre théorique de l’« énaction » et il en propose une application pratique en s’attachant à décrire le site internet de L214. Dans un tel cadre il peut prendre en compte les visées perlocutoires de ce discours militant et décrire comment sa rhétorique lui permet de rechercher une efficacité maximale.
Les délires de l’orthographe du français : analyses et propositions
Authors: Sprenger-Charolles Liliane
Published: January 2024

Les résultats des recherches sur l’apprentissage de la littéracie apportent des arguments nouveaux en faveur d’une rationalisation de notre orthographe. Ces recherches ont en effet clairement montré que l’opacité de l’orthographe d’une écriture alphabétique (c’est-à-dire la faible transparence des correspondances graphème-phonème pour la lecture [CGPh] et phonème-graphème pour l’écriture [CPhG]) a un impact négatif sur ces apprentissages. Alors qu’apprendre à lire en anglais nécessite plusieurs années, ce n’est pas le cas en espagnol et en allemand, langues qui ont une orthographe moins opaque que celle de l’anglais, le français se situant entre les deux, mais plus proche de l’espagnol pour la lecture et de l’anglais pour l’écriture. En outre, ces difficultés sont plus sévères chez les élèves les plus fragiles, ceux issus d’un milieu peu favorisé tout comme les dyslexiques. L’absence de transparence de l’orthographe a donc un cout social important. Le présent article dresse un état des lieux des acquis et des interrogations sur les questions en lien avec l’orthographe et la réussite scolaire. Après l’introduction, centrée sur les différents systèmes d’écriture et les spécificités de l’écriture alphabétique (1), sont présentées les raisons qui expliquent l’opacité de l’orthographe du français (2). La troisième partie (3) présente un aperçu historique de l’orthographe du français avant et après la création de l’Académie française et de son dictionnaire. Une attention particulière est portée aux débats de la fin du xixe siècle en lien avec l’introduction de l’école obligatoire pour tous ainsi qu’aux actions du xxe siècle sous les auspices du ministère de l’Éducation (Tolérances pour les examens et concours de 1901 et 1977) ainsi que du Conseil supérieur de la langue française (Rectifications de l’orthographe de 1990). L’avant dernière partie (4) rapporte les résultats des travaux de recherche sur la maitrise de l’orthographe (lexicale et grammaticale) du français. La conclusion (5) suggère les actions qu’il faudrait mener en conformité – et en continuité – avec ce qui a déjà été fait pour aider au mieux nos élèves en tenant compte des nouveaux moyens à notre disposition : les résultats des recherches sur la maitrise de l’orthographe du français, les bases de données informatisées qui prennent en compte la fréquence et la consistance des CGPh et CPhG (entre autres) et les correcteurs orthographiques informatisés.
A Multimodal Sentiment Analysis Method Integrating Multi-Layer Attention Interaction and Multi-Feature Enhancement
Authors: Xie Shengfeng , Li Jingwei
Published: January 2024

To address issues related to the insufficient representation of text semantic information and the lack of deep fusion between internal modal information and intermodal information in current multimodal sentiment analysis (MSA) methods, a new method integrating multi-layer attention interaction and multi-feature enhancement (AM-MF) is proposed. First, multimodal feature extraction (MFE) is performed based on RoBERTa, ResNet, and ViT models for text, audio, and video information, and high-level features of the three modalities are obtained through self-attention mechanisms. Then, a cross modal attention (CMA) interaction module is constructed based on transformer, achieving feature fusion between different modalities. Finally, the use of a soft attention mechanism for the deep fusion of internal and intermodal information effectively achieves multimodal sentiment classification. The experimental results CH-SIMS and CMU-MOSEI datasets show that the classification results of proposed MSA method are significantly superior to other advanced comparative methods.
Investigating Chinese University EFL Teachers' Professional Identity and Socio-Demographic Factors
Authors: Yan Yiqian
Published: January 2024

This study explores how teacher professional identity (TPI) is associated with socio-demographic factors. A quantitative approach was employed using questionnaire as the research instrument. The participants of the main study, 331 EFL teachers working in public and private Higher Education Institutions in Central China, were recruited using snowball sampling. The English Teacher Identity Measure (ETIM) was adopted to measure TPI level. Based on independent samples t-test and one-way ANOVA, the 10 demographic factors, including gender, type of institution, age, educational level, academic title, length of service, EFL course type, leadership position, monthly income, and marital status were investigated. Findings indicate that educational level and leadership position could lead to significantly different TPI levels. The change patterns of TPI based on other factors are also discussed.
Enhancing Multimodal Understanding With LIUS
Authors: Song Chunlai
Published: January 2024

VQA (visual question and answer) is the task of enabling a computer to generate accurate textual answers based on given images and related questions. It integrates computer vision and natural language processing and requires a model that is able to understand not only the image content but also the question in order to generate appropriate linguistic answers. However, current limitations in cross-modal understanding often result in models that struggle to accurately capture the complex relationships between images and questions, leading to inaccurate or ambiguous answers. This research aims to address this challenge through a multifaceted approach that combines the strengths of vision and language processing. By introducing the innovative LIUS framework, a specialized vision module was built to process image information and fuse features using multiple scales. The insights gained from this module are integrated with a “reasoning module” (LLM) to generate answers.
Additive Manufacturing of Halochromic Polylactic Acid (PLA)
Authors: Chan Qi Hua , Zamri Muhammad Zulkarnain , Rusli Arjulizan , Hamid Zuratul Ain Abdul , Abdullah Muhammad Khalil , Shafiq Mohamad Danial , Ku Ishak Ku Marsila
Published: January 2024

With increasing concerns regarding plastic waste and pollution, researchers have been looking to develop advanced materials from biodegradable plastics. This study features a halochromic biodegradable polymer produced using additive manufacturing. The purpose of this research is to fabricate halochromic polylactic acid (PLA) filaments and assess its halochromic behaviour, mechanical and chemical properties of the 3D printed PLA specimens. PLA/polyethylene glycol (PEG)/bromocresol purple (BCP) compound was prepared and added in extrusion to produce a 3D printing filament. Dumbbell-shaped and rectangular specimens were fabricated from the filament through 3D printing. The halochromic responsiveness and colour reversibility were tested by exposing the samples to liquid and vaporized hydrochloric acid (strong acid), acetic acid (weak acid) and ammonia (strong alkali). The tensile properties, fracture surface morphology and chemical species of the specimens were tested and analyzed through tensile test, scanning electron microscopy (SEM) and Fourier Transform Infrared (FTIR) spectroscopy. The halochromic responsiveness shows obvious colour changes from yellow to blue when exposed to strong alkali. The tensile strength and modulus were found to be higher in comparison to plasticized PLA but the elongation at break was lower. SEM morphology show brittle fracture characteristics in the printed specimens. Overall, the 3D printed halochromic PLA specimens show promising results and have proven their functionality as pH sensors which offers wide applications in many industries such as medical, environmental and packaging.
Experimental Investigation of Cottonseed Biodiesel and Biodiesel Blends in a 14 kW Diesel Generator: Effects on Performance, Emissions, and Engine Parameters
Authors: Kandasamy Vetrivel Kumar , Dhairiyasamy Ratchagaraja , Rajendran Silambarasan
Published: January 2024

This investigation presents an experimental study on the performance, specific fuel consumption, and exhaust emissions of a 14-kW diesel engine generator fueled with neat cottonseed biodiesel and biodiesel/diesel blends. Cotton biodiesel was chosen due to its importance as an agricultural crop and potential as a biodiesel feedstock. The fuels tested were (B100 - pure cotton biodiesel), (B7 - 7% biodiesel, 93% Petro diesel), (B20 - 20% biodiesel), (B30 -30% biodiesel), (B50 - 50% biodiesel), and (B70 - 70% biodiesel). The generator was tested at various loads from 0-14 kW. Properties like viscosity, density, and calorific value were measured for each fuel. The results showed that brake thermal efficiency increased with load for all fuels but was lower for higher biodiesel blends. Exhaust gas temperature followed a similar trend. Specific fuel consumption increased with biodiesel content, attributed to the lower energy density of Biodiesel. B100 had the highest NOx emissions but the lowest carbon monoxide and smoke emissions. The study concludes that cottonseed biodiesel and blends can replace Petro diesel in diesel generators. Increasing biodiesel content causes slight reductions in performance but improvements in emissions. The results provide insights into using cotton biodiesel in engines and generators.
USP13 Cooperates with MARCH8 to Inhibit Antiviral Signaling by Targeting MAVS for Autophagic Degradation in Teleost
Authors: Wang Pengfei , Sun Yuena , Xu Tianjun
Published: January 2024

Mitochondrial antiviral signaling protein (MAVS), as a central adapter protein in retinoic acid–inducible gene I–like receptor signaling, is indispensable for innate antiviral immunity. Yet, the molecular mechanisms modulating the stability of MAVS are not fully understood in low vertebrates. In this study, we report that the deubiquitinase ubiquitin-specific protease 13 (USP13) acts as a negative regulator of antiviral immunity by targeting MAVS for selective autophagic degradation in teleost fish. USP13 is induced by RNA virus or polyinosinic:polycytidylic acid stimulation and acts as a negative regulator to potentiate viral replication in fish cells. Mechanistically, USP13 functions as a scaffold to enhance the interaction between MAVS and the E3 ubiquitin ligase MARCH8, thus promoting MARCH8 to catalyze MAVS through K27-linked polyubiquitination for selective autophagic degradation. Taken together, to our knowledge, our study demonstrates a novel mechanism by which viruses evade host antiviral immunity via USP13 in fish and provides a new idea for mammalian innate antiviral immunity.
Evolving targets for heart failure: the journey so far
Authors: Rosano Giuseppe M.C. , Farkas Jerneja
Published: January 2024

The treatment of heart failure has included vasodilators, positive inotropes and most successfully neurohormonal blockade. Recent research has looked at metabolic and immune modulatory approaches, and implantable, mainly electrical devices. The near future in pharmacological research for heart failure remains focused on classic methodologies and small molecules, but despite significant improvements we still know relatively little of the complex interactions in heart failure, particularly for heart failure with preserved ejection fraction. Pharmacotherapy will in future be combined with advances in biotechnology, nanotechnology and devices and a digital revolution will help us to monitor patients at a distance, using wireless devices. Heart failure research has achieved much over the last 4 decades, but the pace of innovation and research has not abated and future advances in this disabling condition are indeed likely.
Adherence to lifestyle therapy in patients with chronic heart failure and comorbidity
Authors: Efremova Elena , Shutov Alexander
Published: January 2024

Background: Influence of comorbidity on adherence to lifestyle therapy in patients with chronic heart failure (CHF) have not been studied yet. The aim of this study was to investigate awareness and adherence to lifestyle therapy in patients with CHF and comorbidity.Мethods: Two hundred and three patients with CHF (130 males and 73 females, mean age was 61.8±9.6 years) were studied. CHF was defined according to ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure, in 2016. Age-adjusted Charlson comorbidity index was calculated. Awareness of lifestyle modifications was determined using a questionnaire developed in our clinic and used in previous scientific studies. Quality of life was estimated using SF-36 Health Status Survey. Psychological state and attitude to condition were estimated using Minnesota Multiphasic Personality Inventory, the Personal Questionnaire of Behterevsk’ Institute, characterological questionnaire by K. Leonhard. Follow-up period was 1 year.Results: The awareness about lifestyle modifications in patients with CHF ranged from 38.9% (daily control of body weight) to 87.2% (limited salt intake). Adherence to lifestyle therapy was from 7.9% (daily weight control) to 37.9% (limited salt intake). Age-adjusted Charlson comorbidity index was 5.0±2.1 points. Patients with high comorbidity (Charlson comorbidity index >6 points) had decreased of quality of life, both in the physical and the psychological aspects. There were no differences in adherence to lifestyle therapy in patients with CHF, depending on comorbidity. Nonadherent patients were characterized by sensitive type of attitude to their condition, emotional lability, exclusion as a type of defense mechanism and negative coping strategies.Сonclusions: Nonadherence to lifestyle therapy in patients with CHF was associated with maladaptive type of attitude to their condition, which was more common in patients with high comorbidity.
Everyday Environmental Justice in Payments for Ecosystem Services: Insights From Two Protected Areas in China
Authors: He Jun
Published: January 2024

Currently, social justice for the management of ecosystem services is promoted widely in international communities. Efforts have increased to develop indicators for justice assessment, but these are relatively static forms of results-oriented analysis without much understanding of the dynamics and pluralities of local justice in the management of ecosystem services. This research uses a novel perspective of everyday environmental justice (EEJ) to examine local practices of environmental justice in two protected areas in China where two different payments for ecosystem services (PES) schemes have been implemented. It demonstrates EEJ as a useful, process-oriented analysis that provides a deeper understanding of peoples’ everyday lives and their environmental management practices within the varied contexts of local justice. Everyday practices of EEJ highlight the spatiotemporal dynamics and plurality of justice, thereby offering a broader and more explicit conception of the distributive, procedural and recognition dimensions of environmental justice in local contexts. The research calls on policymakers and researchers to consider the everyday practices of EEJ with a heightened understanding of the spatiotemporal dynamics of multidimensional justice.
Mapping Attitudes on Illegal Wildlife Trade: Implications for Management and Governance
Authors: Arroyave Felber J. , Jenkins Jeffrey , Hurtado Rafael
Published: January 2024

Illegal wildlife trade (IWT) is a problem affecting societies and ecosystems. However, it remains unclear which management strategies are suitable for addressing this issue, particularly when considering the diversity of actors, interests, and nuances of the problem. We argue that inclusive management strategies require multiple—and, at times, even opposite—actors to coalesce around the fundamentals of the problem. An initial step towards formulating management strategies is identifying how the multiple actors involved understand the problem and its possible solutions (i.e., their attitudes). Although previous studies have addressed actors’ attitudes regarding IWT, they have rarely evaluated how attitudes vary among different actors. Against this backdrop, this study uses mixed methods to evaluate convergences in the attitudes of multiple actors (e.g., poachers, authorities, and police forces, among others) in Colombia. Importantly, this work has revealed that diverse IWT-related attitudes exist and are not necessarily shaped by contextual factors (e.g., social relations); instead, they are explained by actors’ experiences and preferred governance forms. We argue that IWT management must advance towards reconciling attitudes, bridging complementary actors, and fostering the institutionalisation of narratives at multiple scales.
Understanding Conservation Conflicts in Uganda: A Political Ecology of Memory Approach
Authors: Akampurira Emmanuel
Published: January 2024

Political ecologists have linked conservation conflicts in post-independence Africa to the continuities and legacies of colonial policies that displaced and dispossessed people to create ‘wild places’. This paper introduces a political ecology of vernacular memory to discuss the Basongora people’s vernacular memories of their historical dispossession to create the Queen Elizabeth National Park (QENP) in Uganda. It explores how these events spurred multidirectional memories of resilience, heroism, victimhood, and resistance that the Basongora pastoralists deploy to reclaim social-political autonomy and agency. Using archival data and historical ethnography, I examine how the Basongora mobilise vernacular memory in contemporary contestations with the state and conservation authorities in QENP. Vernacular memory provides a moral authority that helps subordinated groups contest the hegemonic dominance of conservation authorities. A political ecology approach to vernacular memory reveals how people use memory politics to legitimise their claims in contested environments—an essential fact of contemporary conservation conflicts. This paper is the first to conceptualise how vernacular memories can legitimise the decolonisation of conservation narratives and community resistance against conservation.
Multiomics on Mental Stress-Induced Myocardial Ischemia: A Narrative Review
Authors: Jin Nana , Cheng Lixin , Geng Qingshan
Published: January 2024

Accumulating multiomics studies have been developed to gain new insights into complex diseases, including mental stress-induced diseases and myocardial ischemia. Multiomics techniques integrate multiple layers of biological data, such as genomics, transcriptomics, proteomics, and metabolomics, to obtain a more comprehensive understanding of the molecular mechanisms underlying these diseases. Despite the potential benefits of applying multiomics approaches to the study of mental stress-induced myocardial ischemia (MSIMI), such studies are relatively limited. The etiology of MSIMI remains poorly understood, highlighting the need for further research in this field. This review first discusses the current state of knowledge on MSIMI and highlights the research gaps in this field. Then, we provide an overview of recent studies that have used multiomics approaches to expand insights into mental stress-induced diseases and myocardial ischemia, respectively. Finally, we propose possible research directions that can be pursued to improve our knowledge of MSIMI and the potential benefits of applying multiomics approaches to this domain. While still in its early stages, multiomics research holds great promise for improving the recognition of MSIMI and developing more effective clinical interventions.
Updates on Prognostication of Takotsubo Cardiomyopathy: A Literature Review
Authors: Arya Priyanka , Panza Julio A. , Chhabra Lovely
Published: January 2024

Takotsubo cardiomyopathy (TTC), commonly known as “broken heart syndrome” or “stress cardiomyopathy,” is characterized by transient left ventricular (LV) systolic dysfunction, usually in the absence of significant obstructive coronary artery stenosis. The pathophysiology of TTC remains elusive; however, the three most common plausible mechanisms include catecholamine surge causing myocardial stunning, multivessel coronary spasm, and microvascular dysfunction. Although initially thought to be a benign, reversible, and transient disorder, newer research data demonstrate that TTC may sometimes have severe short-term complications and some long-term residual effects. Several risk factors have been associated with the outcomes of TTC. In this review, we aim to provide a comprehensive review of the prognostication of TTC in the context of different clinical variables presented in multiple research studies. Various clinical factors, including the types of TTC triggers, the patient’s sex, the presence of cardiogenic shock, atrial arrhythmias, LV tract obstruction, and the presence of certain other clinical comorbidities may significantly impact patient outcomes in TTC patients. A thorough understanding of these factors helps clinicians to better prognosticate the outcome of their patients. Furthermore, early institution of aggressive treatment interventions in the presence of these risk factors may improve the subsequent clinical course.
Incidence, Risk Factors and Prognosis of Hypokalaemia in Patients with Normokalaemia at Hospital Admission
Authors: Bhargava Jakka , Viswanathan Stalin
Published: January 2024

Background:

Hypokalaemia (K+<3.5 mmol/L) is observed in 20% of hospitalised patients. Previous studies have often dealt with the symptoms, prevalence and risk factors in hospitalised patients. Very few studies have dealt with hospital-induced hypokalaemia. The aim was to determine the incidence, predisposing risk factors and prognosis of patients developing hypokalaemia after admission.

Materials and Methods:

A prospective observational study was performed for two months. Patients with at least two potassium values after admission and normal K values at admission were considered for inclusion. Clinical features, diagnoses, laboratory reports and treatment details, including antibiotics, were noted.

Results:

A total of 653 patients were studied; 138 (21.1%) developed hypokalaemia. Diabetes, ischaemic heart disease (IHD), heart failure, chronic kidney disease, hypertension, chronic liver disease and chronic obstructive pulmonary disease (COPD) were the most associated comorbidities. Urea, creatinine, transaminases and neutrophilia at admission differed significantly between those with and without hypokalaemia groups. Most patients developed mild hypokalaemia (78.2%). Hypokalaemia developed mostly on the second (22.4%) and third (24.6%) days of hospitalisation. Antibiotics were used in 60% of patients. The potassium values returned to normal within 2.5 ± 1.9 days. Three patients subsequently developed hyperkalaemia.

Conclusion:

Patients admitted under general medicine mostly developed mild hypokalaemia, even if they had multiple risk factors for developing hypokalaemia. Inpatient hypokalaemia had an incidence of 21%. An overwhelming majority (~88%) had at least one risk factor. Hypokalaemia was not attributed to causing mortality in any patient.
Monitoring Endocrine Nursing in South Asia (MENSA)
Authors: Mondal Sunetra , Kopalle Lakshmi Nalini , Nagendra Lakshmi , Jacob Jubbin , Shaikh Shehla , Shrestha Dina , Selim Shahjada , Somasundaram Noel P. , Raza Syed Abbas , Naseri Mohammad Wali , Bhattacharya Saptarshi , Kalra Sanjay
Published: January 2024

Background:

South Asian countries face the colossal challenge of tackling the massive burden of diabetes and other endocrine disorders. These patients grossly outnumber the specialists trained to deal with these conditions. A trained cadre of diabetes specialist nurses (DSN) and endocrine specialist nurses (ESN) might help bridge this gap. Exploring the perception of DSN/ESN among South Asian doctors will help to understand their role, responsibilities and future prospects.

Methods:

One hundred and seventy-four endocrinologists from South Asia participated in an online survey on their perception of DSNs and ESNs.

Results:

Out of the 174 respondents, 61 (35%) were currently working with DSN/ESN, 79 (45.4%) had worked in the past and 131 (75.2%) were willing to start recruiting or employ additional DSN/ESN in the future. The majority considered that the primary function of DSN and ESN is to educate on diabetes (n = 86, 96.6%) and endocrine disorders (n = 34, 57.6%), respectively, followed by anthropometry and initial work-up. Only a small minority felt they could write independent follow-up prescriptions (nurse-led clinics) [DSN - 16 (18%) and ESN – 3 (5.1%)]. Graduation with a certificate course in diabetes and basic endocrinology was considered a sufficient qualification by 68 (39.1%) respondents. Endocrinologists from countries other than India were more willing to recruit ESN/DSN in the future (89.7% vs 72.4%; P < 0.03) and approve a nurse-led clinic (62.1% vs 29.7%; P < 0.03). Upon multiple logistic regression, working in countries other than India was an independent predictor of future willingness to work with DSN/ESN (odds ratio (OR): 4.48, 95% confidence interval (CI) 1.09–18.43, P = 0.03).

Conclusion:

DSN and ESN could facilitate the management of healthcare-seekers with diabetes and endocrine disorders. A certification course to train nurses on diabetes and basic endocrine disorders following graduation could be helpful. Major hindrances in creating a regular cadre of DSN/ESN were limited opportunities for career progression and lack of additional remuneration for services.
Study of Effects of Gender-Affirming Hormone Therapy on Bone Mineral Density in Individuals with Gender Dysphoria
Authors: Bobba Rakesh , Kalra Pramila , Dharmalingam Mala
Published: January 2024

Introduction:

Gender affirming hormone therapy (GAHT) is the mainstay treatment in transitioning individuals and has positive physical and psychological effects. Among the things to monitor in transgender patients on long-term hormones, bone health is an essential consideration. As the calcium intake in the Indian population is less, and many gender-incongruent individuals may not take adequate calcium in their diet, we needed data on the bone health of Indians with gender dysphoria as the information available globally may not apply to our population.

Materials and Methods:

The study was performed to assess bone mineral density in individuals with gender dysphoria who were on gender-affirming hormonal therapy for at least 6 months. It was a hospital-based cross-sectional study of bone mineral density measured at two sites – hip and spine in individuals with gender dysphoria on GAHT for at least six months.

Results:

A total of 30 individuals were included in this study. The mean age of individuals with Gender dysphoria was found to be 28.17 ± 6.15 years, and the age range was 19-42 years. Out of the 30 individuals, 14 were transgender males, and the remaining 16 were transgender females. Bone mineral density at the hip and spine in transgender males was 1.047 ± 0.124 g/cm2 and 1.065 ± 0.115 g/cm2, which was better compared to transgender females in whom the bone mineral density at hip and spine was 0.899 ± 0.873 g/cm2 and 0.854 ± 0.099 g/cm2 (P = 0.001 for hip; P = 0.000 for spine). The Z score at hip and spine were better in transgender males as compared to transgender females (P < 0.001 for hip; P < 0.001 for spine) when compared to genetic sex and at the spine (P = 0.001) when compared to affirmed sex. In this study, we observed that the transgender females who underwent orchidectomy had a lower mean Z score at spine compared to individuals who did not undergo the procedure.

Conclusions:

The current study results indicate that GAHT does have positive effects on bone health in transmen.
Epidemiology, Clinical Profile, and Analysis of Risk Factors in COVID Associated Rhino-orbito-cerebral Mucormycosis Patients - An Observational Study
Authors: Jog Komal , Nazirudeen Roshan , Eagappan Subbiah , Santharam Raghavan K. , Sridhar Subbiah
Published: January 2024

Aim of Study:

To study the clinico-epidemiological profile and identify risk factors for the development of COVID-19-associated mucormycosis (CAM) among the patients treated at our regional mucormycosis center.

Materials and Methods:

This was a cross-sectional single-centre observational study. All CAM patients admitted to Government Rajaji Hospital, Madurai from April 2021- August 2021 were included in the study. Information regarding clinical features, potential risk factors, diagnostic workup, and comorbid illness was collected.

Results:

A total of 164 patients of CAM were admitted to our hospital with a mean age of 51.7 years. Out of 164 patients, 12 patients were not covid positive, based on imaging and RT-PCR, however subclinical infection could not be ruled out. Out of the 164 patients studied, 160 patients had diabetes, out of which 66% (n = 105) patients had a previous history of diabetes, and 34% (n = 55) had newly detected diabetes. Most of the patients admitted with mucormycosis had uncontrolled diabetes (94%) and were not on insulin therapy, but were on oral antidiabetic drugs alone. The majority of the patients (68%) have received steroids (IV/oral) during the COVID-19 illness. 74% of these patients were under hospitalization for COVID-19 disease. Only 30% (n = 50) of CAM patients had a history of oxygen therapy and 7% of these patients were treated in ICU during active COVID-19 illness. 59% of patients used cloth masks without adequate hygiene, rest 41% (n = 67) patients reused disposable masks. We also found that 87% of the patients developing mucormycosis had exposure to organic material in the convalescence period of COVID-19 illness.

Conclusions:

From our study, we found steroid use, poorly controlled diabetes mellitus, reuse of masks, daily steam inhalation, and exposure to organic matter to be more associated with CAM, but oxygen therapy was less associated with CAM. Hence, we could suggest screening for hyperglycemia and daily use of disposable surgical masks to be continued for at least 4 weeks post-COVID-19. It is preferable to continue insulin in titrated doses along with OHA for at least 4 weeks following steroid cessation in the post-COVID-19 period as there is are considerably increased inflammatory cytokine levels in the convalescence phase. Clean environmental hygiene would also help prevent CAM.
Invasive micropapillary carcinoma of the breast and bilateral ovarian mature cystic teratoma with benign Brenner tumor in a postmenopausal woman – An uncommon occurrence
Authors: Ayyanar Pavithra , Mitra Suvradeep , Imaduddin Mohammed , Muduly Dillip K.
Published: January 2024

The synchronous occurrence of bilateral ovarian tumors and breast malignancy often raise the suspicion of a Krukenberg tumor or a hereditary breast and ovarian cancer syndrome, both of which are uncommon in clinical practice. A 58-years-old postmenopausal woman had a right breast lump and was diagnosed as infiltrating duct carcinoma, no special type, and incidentally detected bilateral adnexal mass with the clinical suspicion of Krukenberg tumor. However, following the radical surgical excision of the right breast and bilateral ovaries, the right breast showed invasive micropapillary carcinoma (IMPC) while the ovaries showed mature cystic teratoma (MCT) with benign Brenner tumor. IMPC of the breast along with bilateral ovarian MCT with benign Brenner tumor is an unusual clinical occurrence in a postmenopausal female and thus worthy of documentation. It should be categorized as a non-hereditary synchronous tumor. The histomorphology augmented by immunohistochemistry and appropriate clinical context is pivotal in rendering a correct diagnosis.
Acinar cystic transformation of the pancreatic body and tail in an elderly male patient: A case report
Authors: Narwal Anubhav , Panwar Rajesh , Madhusudhan Kumble S. , Pal Sujoy , Das Prasenjit
Published: January 2024

Acinar cystic transformation (ACT) is a rare benign cystic lesion of the pancreas reported in elderly women. ACT can be easily confused with other cystic lesions of the pancreas, such as intraductal papillary neoplasm and serous and mucinous neoplasms, on imaging, especially when detected radiologically in a male patient as the index case. A preoperative histological examination can establish a diagnosis and avoid extensive surgical resection. We hereby report a case of ACT in a 69-year-old male patient that affected the body and tail region of the pancreas.