bluuebunny/crossref_metadata_2025 huggingface dataset:
Active partnership, community engagement, and intersectoral collaboration are needed to enhance the successful implementation of inclusive education at full-service schools
Authors: Morelle Mokwena , Morelle Glory Maria
Published: December 2024

This study outlines the aftermaths of active participation, community engagement, and intersectoral collaboration in enhancing the successful implementation of inclusive education at full-service schools. It also discusses the maximum support schools need to cater to the needs of learners with learning barriers. It employed a qualitative approach, where teachers from full-service schools were interviewed. Senior Education Specialists were also engaged in the study as they are the cornerstones in enhancing the successful implementation of inclusive education in full-service schools. Data were analysed by content analysis. This study found active partnership, community engagement, and intersectoral collaboration as factors that could enhance the successful implementation of inclusive education in full-service schools.
QR 3
Authors: Cenicafé Federación Nacional de Cafeteros
Published: December 2024

QR 3
QR 10
Authors: Cenicafé Federación Nacional de Cafeteros
Published: December 2024

QR 10
QR 15
Authors: Cenicafé Federación Nacional de Cafeteros
Published: December 2024

QR 15
Assessing the Impact of Diversion Programmes on Young Offenders in the Eastern Cape Province, South Africa
Authors: Mangwiro Vongai P. , Tanga Pius T. , Ekobi Gabriel A.
Published: December 2024

The debate on whether the use of family planning methods within the Ghanaian Christian circle is a sin or not has been going on for quite some time now. The misunderstanding and misinterpretation of some Biblical texts like Genesis 1: 28 and Genesis 3 have led to this confusion in Ghanaian Christian circles. This paper used both empirical and non-empirical methodology and a qualitative research method with a case study approach to analyse some biblical texts; traditional concepts and contextualization of the use of family planning methods in the Presbyterian Church of Ghana, Ebenezer Congregation, Old Tafo. The findings of this paper are that: the Bible does not condone the use of family planning methods. Also, the Akan people of Ghana, do not frown on the use of family planning methods. The article concluded that family planning is not a sin from both biblical and Akan cultural perspectives. The authors recommended that: there should be extensive family planning education by the government; public education on the side effects of the use of some family planning methods; teaching family planning in the church will also be beneficial to members and there should be a critical reading of the Bible to guide the creation of church doctrines. The key findings from this paper contributes to Christian ethics by educating Ghanaian Christians on the concept of family planning.

Keywords: Family Planning, Akan, Presbyterian Church of Ghana, Infertility
Evolutionary Dynamics of Counterhelical Magnetic Flux Ropes
Authors: Jia Ying-Dong , Chen Yu , Chen Yuxi , Shi Chen , Hu Qiang , Qi Yi , Wei Hanying , Russell C. T. , Jensen Elizabeth A. , Zhang Xu
Published: December 2024

Upon interaction, a pair of magnetic flux ropes can merge to form a new pair, each consisting of opposite helicity along their axis. Magnetic helicity along such new structures may annihilate and release the energy of the azimuthal magnetic field. In this study, we model the deformation dynamics of such structures within the solar wind at 1 au. The perturbation front of deformation propagates along the rope axis at approximately the Alfvén speed. However, the process of annihilating 90% of the azimuthal components is much slower and is affected by the screw pitch of the magnetic field. Such a deformation process causes the plasma in the transition region between the two opposite chiralities to spin about the rope axis. The resulting plasma heating is discussed accordingly. Our results provide insights for estimating the lifetimes of such flux ropes, facilitating observational efforts to identify them. This process may also apply to the behavior of magnetic flux ropes in other space and astronomical plasma environments.
Pre-Outburst Observations of T CRB with a Smart Telescope
Authors: Peretto Ivo , Lora Stefano , Barbieri Matilde , Quaggiotto Leonardo , Sassaro Lorenzo , Furlato Giovanni , Rivato William , Peretto Giuseppe
Published: December 2024

T Coronae Borealis is a binary star known as a recurrent nova which has a period of approximately 80 yr whose last two ourtbursts occurred in 1866 and 1946. The American Association Variable Stars Observers in early 2024 launched an observing campaign after a bright state of the star has been observed since 2015, interpreted as a precursor to a new eruption and from the mysterious pre-eruption dip observed since 2023. From 2024 April 2 to November 7, we obtained, through two Seestar S50 smart-telescopes, 8060 unfiltered photometric points. It was thus possible to calculate the orbital period of the binary system found to be 226.1 ± 3.8 days, lower than the officially recognized 227.5687 ± 0.0099 days but within the error bar. No outbursts were observed during this observation period.
La conduction osseuse : une technologie au service du progrès des nageurs en natation de vitesse ?
Authors: Paya Guillaume , Hermand Éric , Bourlois Valentin , Vanlerberghe Gilles
Published: December 2024

Si les apprentissages moteurs requièrent des retours d’information (feed-back) pour l’apprenant, l’enseignant (ou l’entraîneur) ne possède pas toujours les outils adaptés pour les transmettre en situation. Cela est d’autant plus vrai en natation, dans des piscines bruyantes et mal insonorisées. La transmission par conduction osseuse peut s’avérer être un outil pertinent pour faire évoluer les pratiques d’enseignement selon ces contraintes spécifiques. Cet article a pour objectif d’évaluer les effets de l’usage d’un casque à conduction osseuse (groupe EXP) sur l’indice de nage (IN) et la longueur de coulée (LCoul) en crawl, durant une période d’entraînement en distance de sprint, chez de jeunes nageurs adultes, comparé avec un feed-back traditionnel en différé (groupe NORM). Alors que ce dernier a permis des améliorations de IN (P=0,008) et de LCoul (P<0,001), le feed-back par conduction osseuse n’a pas eu d’effet sur IN (P=0,191) et seulement une tendance sur LCoul (P=0,069). Plus précisément, les progrès ont été plus importants chez des nageurs dont l’indice de nage était plus faible au départ dans le groupe NORM (IN : P=0,034 ; LCoul : P=0,031) mais pas dans le groupe EXP. Il sera pertinent de poursuivre les recherches sur les effets de ce type d’appareil de communication en direct pour des distances plus longues (400 m et au-delà) et sur des périodes d’entraînement plus longues (plusieurs mois). Cet outil utilisé en première intention pourrait ainsi permettre d’optimiser les premiers stades de construction du nageur (étape du corps projectile). Il aurait cependant moins d’impact chez les nageurs de niveau plus avancé : suivant leurs progrès, l’intervenant pourrait alors diminuer progressivement la fréquence des feed-back pour favoriser la construction de repères internes et ainsi éviter le phénomène de dépendance.
Memories of Brazilian soccer players: between the profession of athlete and life outside of sport
Authors: Mendes Capraro André , de Albuquerque Cavalcanti Everton , Moraes e Silva Marcelo
Published: December 2024

Cet article vise à analyser la mémoire des footballeurs brésiliens sur les dilemmes entre le métier d’athlète et la vie en dehors du sport. La collecte des sources a eu lieu à travers l’histoire orale, qui est une méthode de recherche caractérisée par des entretiens qui permettent de comprendre un certain thème à travers l’expérience et l’approche de l’individu avec l’objet étudié. Cinq footballeurs professionnels masculins ont été interrogés. Ces participants étaient des hommes âgés de 25 à 35 ans au moment des entretiens. Tous ont fait la majeure partie de leur carrière dans des équipes plus petites au Brésil et ont commencé leurs activités dans des clubs de la ville de Curitiba/Brésil. La notoriété de ces joueurs dans leurs groupes sociaux respectifs a mis en évidence un sentiment d’accomplissement pour avoir atteint le professionnalisme dans une carrière professionnelle compétitive – niant ainsi l’hypothèse selon laquelle ils auraient échoué pour ne pas atteindre et/ou rester proéminents dans les divisions supérieures du football.
The advantages of k-visibility: A comparative analysis of several time series clustering algorithms
Authors: Iglesias-Perez Sergio , Partida Alberto , Criado Regino
Published: December 2024

This paper outlined the advantages of the k-visibility algorithm proposed in [1,2] compared to traditional time series clustering algorithms, highlighting enhanced computational efficiency and comparable clustering quality. This method leveraged visibility graphs, transforming time series into graph structures where data points were represented as nodes, and edges are established based on visibility criteria. It employed the traditional k-means clustering method to cluster the time series. This approach was particularly efficient for long time series and demonstrated superior performance compared to existing clustering methods. The structural properties of visibility graphs provided a robust foundation for clustering, effectively capturing both local and global patterns within the data. In this paper, we have compared the k-visibility algorithm with 4 algorithms frequently used in time series clustering and compared the results in terms of accuracy and computational time. To validate the results, we have selected 15 datasets from the prestigious UCR (University of California, Riverside) archive in order to make a homogeneous validation. The result of this comparison concluded that k-visibility was always the fastest algorithm and that it was one of the most accurate in matching the clustering proposed by the UCR archive.
Développons les nanomatériaux !
Authors: Carenco Sophie
Published: December 2024

Les nanosciences renouvellent notre représentation de la matière. Nanoparticules d’origine biologique ou minérale, nanomatériaux hautement perfectionnés – une myriade d’entre eux fait partie de notre vie courante. Que sait-on réellement réaliser aujourd’hui, pour quels usages et avec quels risques pour la santé et l’environnement ? Du laboratoire de recherche à la vie quotidienne en passant par l’industrie, les défis de fabrication des nanomatériaux et les bénéfices espérés doivent être rigoureusement évalués : leur développement durable, maîtrisé et sécurisé, ne sera possible qu’à ce prix.
La Rome antique
Authors: Fleury Philippe , Madeleine Sophie
Published: December 2024

Découvrez la Rome antique comme jamais auparavant ! Ce guide exceptionnel vous plonge au cœur de l’histoire à l’aide de deux trésors uniques de l’université de Caen Normandie  : une imposante maquette en plâtre de 70 m², réalisée au début du XXe siècle par l’architecte Paul Bigot, et un modèle virtuel interactif.Que vous vous trouviez devant la maquette, en visite sur les sites archéologiques ou confortablement installé chez vous, laissez-vous transporter à travers les rues et les quartiers de cette mégapole antique grâce à une exploration immersive et détaillée.Entièrement refondue et enrichie, cette nouvelle édition vous offre 32 notices inédites et 100 illustrations supplémentaires, ainsi que de nouvelles cartes pour une compréhension et immersion approfondies. Scannez les QR codes au début de chaque notice pour accéder à des bibliographies constamment mises à jour et visionner des vidéos fascinantes produites lors des Nocturnes du Plan de Rome.Accessible à tous, du collégien au chercheur, du touriste curieux à l’amateur passionné, ce guide est l’outil parfait pour explorer et comprendre la grandeur de la Rome antique. Rejoignez-nous pour un voyage inoubliable à travers le temps !
The impact of gender-based discrimination on youth employment in Nigeria
Authors: Ihekwaba Chisom
Published: December 2024

According to Nigeria’s National Bureau of Statistics, young people constitute approximately 70% of the country’s population, who experience a concerning 53% unemployment rate. This number is significantly influenced by factors such as the high rate of poverty, limited access to education, and institutionalized corruption across sectors. However, an additional underexplored issue is unequal treatment of young people based on their gender, as well as the belief that certain legal instruments fuel discrimination against women and limit their career choices. This paper will in addition to assessing the effect of gender norms on youth unemployment, examine how legal instruments related to labour and employment impact young Nigerian women. This paper will discuss the extent and consequences of gender-based discrimination on the professional growth and economic independence of Nigeria’s young women. It will consider how changes in the legal landscape and an engendered approach to socio-economic development could lead to a reduction in unemployment rate and foster a more inclusive workforce. Drawing on the experiences and lessons from other countries in minimising gendered prejudice and biases in youth employment, the paper will set out strategies for bridging gender-employment gaps among Nigerian youth.
Tours et détours d’une démarche « Opale » dans la grande industrie
Authors: Boullier Camille
Published: December 2024

Sans que leurs effets soient toujours bien attestés, les propositions organisationnelles associées aux « démarches Opale » promues par l’auteur et consultant Frédéric Laloux ont rencontré un certain succès ces dernières années auprès de dirigeants de grandes entreprises. À partir du cas de la division Hydraulique d’une grande entreprise française de production d’énergie, cet article rend compte des modalités de diffusion d’une expérimentation dite « Opale », visant une organisation plus horizontale. L’enquête réalisée à cette fin permet de montrer que son origine et sa mise en œuvre ne sont pas le produit d’une démarche simplement descendante. Opale a rencontré par ailleurs les intérêts d’entrepreneurs institutionnels qui se sont employés à en promouvoir la déclinaison empirique, en matière d’organisation du travail au premier chef. En suivant leur travail de légitimation, l’article éclaire la diversité des interprétations qui sont faites de la démarche Opale, ainsi que les conflits de normes professionnelles qu’elle révèle.
L’invention du Brainstorming aux États-Unis. Sociogenèse du premier instrument de gestion de la créativité
Authors: Chamblay Édouard
Published: December 2024

Dans certains secteurs, la créativité apparaît aujourd’hui comme une condition de la performance — une garantie de pérennité socio-économique des organisations — et comme une compétence précieuse reconnue pour et par un ensemble grandissant de travailleur·euses. Comment la créativité, longtemps associée à la folie et au génie, s’est-elle progressivement transformée en compétence valorisée et rationalisée dans les organisations économiques jusqu’à être intégrée aux facteurs de leur performance ? En s’appuyant notamment sur des archives originales, notre article propose une sociogenèse du premier instrument de créativité au travail : le Brainstorming. Nous présenterons le processus d’invention, à la croisée de l’histoire de la psychologie, du management et du marketing ; nous examinerons ensuite le syncrétisme des courants psychologiques dont est issue cette méthode ; nous analyserons enfin sa diffusion aux États-Unis et en France dans les années 1960. Plus largement, cette sociogenèse du Brainstorming conduit à nuancer et préciser les analyses de la psychologisation des rapports sociaux et renouvelle les études sur l’individualisation en apportant une compréhension transnationale de ce processus.
La transformation numérique au prisme de la trajectoire. La double face d’une même promesse
Authors: Bretesché Sophie
Published: December 2024

Cette contribution propose d’aborder la transformation numérique en mobilisant la notion de trajectoire d’Anselm Strauss pour analyser la nature des changements induits par l’introduction des technologies. En effet, la transformation numérique véhicule un certain nombre de promesses liées au développement d’organisations plus agiles et flexibles, mais elle comporte également des risques associés à des effets non anticipés sur l’organisation du travail et la circulation des données. À partir de l’étude comparée de deux organismes d’habitat social ayant adopté des outils numériques similaires, nous proposons de distinguer ce qui relève d’une transformation visée de trajectoires situées, inscrites dans des contextes spécifiques, en identifiant différentes phases graduelles de changement. L’enquête conduite sur une durée de cinq ans met en exergue les deux faces de la transformation et deux types de trajectoires. L’une, purement numérique, se déploie sur le mode de l’application mécanique des outils. L’autre, socio-professionnelle, génère un travail multidimensionnel pour aligner la stratégie, l’organisation, les interfaces entre entités et les pratiques professionnelles et l’intégration des outils.
A Review of Text Mining and Sentiment Analysis for the Purpose of Determining the Veracity of Online Reviews
Authors: Venkateswaran P. S. , Lishmah Dominic M. , Kem Deepak , Viswanathan Niranchana Shri , Kashyap Amit Kumar , Rameshkkumar S. R. , Sivakani R.
Published: December 2024

Text mining is crucial in extracting valuable insights from unstructured text data, such as emails, social media posts, and consumer comments. By analyzing large datasets, organizations can uncover hidden patterns and trends that provide actionable business intelligence. This process involves several key steps, including data cleaning to remove irrelevant information, identifying significant keywords that highlight important themes, and structuring the data in a way that facilitates analysis. In marketing analytics, business intelligence derived from text mining enables informed decision-making based on detailed consumer insights. Detecting fake reviews across various platforms and industries is particularly critical today. Methods for identifying counterfeit feedback involve examining corporate achievements, understanding customer purchasing behaviours, managing brand perception, and utilizing emotional intelligence to gauge authenticity.
Engaging Educational Leadership Students in Virtual Reality Simulations via Mursion
Authors: Gray Julie Anne , Walker Aneta H. , Wilson Vic
Published: December 2024

Over the last two years, the Florida state standards have been significantly revised to integrate the need for instructional leaders, ethical leadership, and student well-being and safety. One principal preparation program redesigned course requirement, especially for the practicum course. The integration of high-impact practices (HIPs) and experiential learning opportunities promoted student engagement in online simulations, as well as decision-making when facing an ethical dilemma based on a scenario.
The Role of Pranayama
Authors: Bhattacharjee Barnali
Published: December 2024

Pranayama, a controlled breathing exercise integral to yoga, has shown significant benefits for cardiopulmonary health. This review compiles recent studies on pranayama's effects on cardiovascular function, highlighting its role in reducing resting heart rate and blood pressure, thereby decreasing heart strain and helping prevent cardiovascular disorders. These benefits are driven by autonomic nervous system modulation, which promotes parasympathetic dominance, fostering relaxation and stress relief. Pranayama techniques, like alternate nostril breathing and deep-breathing exercises, demonstrate different efficiencies in improving cardiopulmonary response. Pranayama also enhances oxygenation and respiratory performance, positively influencing both physical and mental well-being. The growing body of evidence supports its inclusion in lifestyle interventions for preventing and managing cardiovascular conditions, making pranayama an essential tool for holistic health.
Yoga and Stress Management
Authors: Dhankar Charu , Joshi Ruchi , Vashishtha Kriti , Tripathi Shraddha
Published: December 2024

This chapter explores the efficacy of yoga as a stress management technique, examining its impact on both physiological and psychological markers of stress. It further discusses the various aspects of yoga, such as its physical postures, or asanas; its breathing exercises, or pranayama; and its meditation practices, or dhyana; each has a unique way of easing tension and building resilience. All these parts of yoga combined decrease anxiety, boost mood and strengthen internal peace, which makes it a successful non-pharmacological way to manage stress. The chapter aims to conclude yoga as an entire stress management tool and advocate for its inclusion in traditional medicine as a means for improving one's resilience, relaxation, and general well-being.
Analyzing E-Participation Index as an Indicator of Digital Transformation
Authors: Kirana Laura Anesti Ayu , Mardhatillah Haeria A. , Younus Muhammad , Amri Aqmal Reza , Prianto Andi Luhur , Harakan Ahmad , Nurmandi Achmad , Congge Umar , Apriyanto Timothy , Yongvanit Sekson
Published: December 2024

This paper's goal is to provide information about Indonesia's E-Participation Index analysis as a digital transformation indicator for the year 2022. After that, we were able to ascertain the effects of digital revolution on Indonesian individuals as well as the modifications that were made to the way they thought about politics. “Qualitative research” is the methodology employed by the researchers working in this field. The research's data was collected from the United Nations website, Dimension AI, and Google Scholar, and it was then presented in a descriptive manner. The research presented in this paper raises awareness of the ways that electronic engagement in society influences Indonesia's digital transformation. This paper will only cover the extent to which each change's component is explained in detail; it will also examine potential fixes for problems that the public has identified and how best to go about putting them into practice.
Key Factors of Knowledge Management for Digital Transformation in Medium-Sized Manufacturing Companies in Pichincha, Ecuador
Authors: Ibujés-Villacís Juan M.
Published: December 2024

The objective of this research is to identify the key factors of knowledge management (KM) that drive digital transformation (DT) in the manufacturing industry, and to present the challenges faced by this sector. The research uses a quantitative methodological approach. First, a survey was conducted in 142 medium-sized manufacturing companies in Pichincha, Ecuador, to assess the relevance of the factors that are part of KM. Then, these factors were compared with those necessary for organizations to digitally transform, then the most relevant factors for digital transformation are identified, and finally the challenges were raised. The results indicate that the most important challenges are having a DT-focused organizational culture, working with robust and flexible technologies, having DT-focused policies and strategies, developing omnidirectional communication, changing to a customer-focused organizational structure, strengthening employee capabilities, and implementing an incentive system.
An audit of selective laser trabeculoplasty (SLT) performed by two surgeons at a single centre
Authors: Vitharana N. , Ragunathan R. , De Silva A. H. N. , Pathirana P. , Fernando A. , Basnayake S.
Published: December 2024

Newer treatment modalities like selective laser trabeculoplasty (SLT) are gradually taking over conventional topical medications in primary open-angle glaucoma (POAG) management3. The mechanism of action in SLT is theorized to be biological as the IOP lowering effect is suggested to be due to the stimulated cellular activity of the trabecular meshwork by laser10. This clinical audit demonstrates the changes in intra ocular pressure (IOP) following SLT in a Sri Lankan population. This procedure was performed with SLT Multi-spot Visulas green laser with the use of a Latina gonio lens. 360° of trabecular meshwork (TM) was treated in one session and 10-30 micro joules of energy was used depending on the pigmentation of the TM. IOP was documented preoperatively and in post-operative two weeks and monthly follow-up visits up to 3 months. 26 eyes of 14 patients who underwent SLT by 2 surgeons at one centre were analysed. 100% of eyes showed IOP reduction in two weeks post-operatively with an average IOP reduction of 5.75 mmHg. Post-operative one-month, two-month and three-month average IOP reduction were 5.76mmHg, 6.04mmHg and 6mmHg respectively. IOP reduction following SLT in Sri Lankan POAG patients was comparable to the results of SLT elsewhere1,2,6. Continuous clinical audits are needed to evaluate long-term IOP reduction and titrate laser power suitable for the Sri Lankan population.
Successful therapeutic DALK for Pseudomonas keratitis with excellent visual outcome
Authors: Dinaratne A. P. , Ratnayake K.
Published: December 2024

No abstract available
Keys to the cabinets: unlocking biodiversity data in public entomology collections
Authors: Gibson Joel F. , Howse Mackenzie H.W. , Paillard Claire A. , Penfold Cassandra D. , Penno Alannah Z. , van der Voort Genevieve E. , Huber Dezene P.W.
Published: December 2024

Canadian entomology collections contain valuable biodiversity and ecological data. To be most accessible to those working outside of the collections, they need to be digitised. Multiple analyses of the digital database of the Odonata collection at the Royal British Columbia Museum (Victoria, British Columbia, Canada) were conducted. These analyses reveal that complete digital datasets can be used to explore questions of historical and current geographical distribution and species composition differences based on ecoprovince and elevation. The results of these analyses can be used directly in conservation and climate change impact mitigation decisions. These analyses are possible only because the Odonata collection has received concerted effort to digitise all specimen records. The full value of long-term historical insect biodiversity data can be accessed only once collections are digitised. Additional training and employment of collection management and curatorial staff is essential to optimise the use of abundant but underused Canadian biodiversity data.
La finanza pubblica tra rigore e passione. Giornata in ricordo di Luigi Bernardi.
Authors: Puglisi Riccardo , Scabrosetti Simona
Published: December 2024

Gli scritti raccolti in questo Quaderno sono stati esposti e discussi in occasione di un Convegno promosso dal Dipartimento di Giurisprudenza e dal Dipartimento di Scienze Politiche e Sociali dell’Università di Pavia, tenutosi nell’Aula Foscolo dell’Università il 27 ottobre 2023.
La consulenza di etica clinica in un centro pediatrico. L’esperienza dell’Ospedale Bambino Gesù
Authors: Ruggiero Rossana
Published: December 2024

L’importanza dell’etica nell’attività clinico-assistenziale e la consulenza resa dall’eticista clinico sono emersi in un convegno in cui le strutture sanitarie italiane - che hanno dato attuazione al modello previsto dal Documento di Trento (pubblicato nel 2013) - hanno condiviso i risultati di dieci anni di esperienze cliniche. In questo contributo, l’autore ripercorrendo la storia giuridica dell’Ospedale Pediatrico Bambino Gesù, mette in luce la rilevanza dell’etica clinica in una struttura sanitaria pediatrica in cui il dilemma etico sorge in complesse situazioni di malattia di pazienti minori o non in grado di decidere per se stessi. L’aver istituito uno spazio etico e aver adottato un modello integrato per l’erogazione della consulenza di etica clinica risponde alla domanda ultima che l’etica pone a tutti gli attori della relazione di cura: una domanda oggettiva sul bene del paziente, di coloro che agiscono per il paziente e dell’azione medica.
Percorsi di Bioetica empirica in ospedale: tra supporto etico e ricerca sanitaria
Authors: De Panfilis Ludovica
Published: December 2024

La bioetica empirica è un approccio di ricerca in cui l’analisi empirica, qualitativa e scientifica è integrata con l’analisi etica, con l’obiettivo finale di trarre conclusioni normative o proporre modelli di intervento che abbiano un impatto sulla promozione delle cure e possano influenzare cambiamenti a livello organizzativo e della relazione di cura. L’ipotesi che viene sostenuta in questo contributo è che affinché i servizi di supporto etico siano percepiti come strumento con ricadute sulla qualità della relazione di cura, la ricerca in bioetica empirica gioca un ruolo fondamentale poiché rappresenta non solo un approccio in grado di dimostrarne i possibili outcomes evidence-based, ma fornisce anche il vocabolario di riferimento per entrare in contatto con il mondo medico-sanitario. Dopo aver presentato il possibile legame tra bioetica empirica e ricerca sanitaria, il manoscritto descriverà un caso studio relativo all’implementazione di una Unità di Bioetica intra-ospedaliera all’interno di un istituto di ricovero e cura a carattere scientifico, ponendo particolare attenzione al tema del supporto etico e del processo decisionale condiviso.
L’etica delle nuove tecnologie nel settore sanitario: a che punto siamo
Authors: Dragoni Mauro , Consolandi Monica
Published: December 2024

Le tecnologie stanno rivoluzionando il settore sanitario, migliorandone efficienza, accessibilità e qualità. La digitalizzazione delle cartelle cliniche semplifica la gestione dei dati, agevolando diagnosi e trattamenti grazie a una comunicazione più fluida tra le strutture sanitarie. Dispositivi indossabili e app per la salute consentono il monitoraggio continuo dei parametri vitali e la gestione autonoma delle terapie, migliorando il benessere dei pazienti. L’intelligenza artificiale (AI) e il machine learning stanno trasformando la diagnosi medica, analizzando dati clinici e immagini con alta precisione, favorendo diagnosi precoci e trattamenti personalizzati. La telemedicina e i sistemi di telemonitoraggio permettono consultazioni e monitoraggi a distanza, fondamentali per pazienti in aree remote o con mobilità ridotta. La robotica, infine, è un alleato in chirurgia e assistenza, garantendo precisione negli interventi e supporto nelle attività quotidiane per anziani e disabili. In questo articolo forniamo una panoramica su ciò che è oggi l’uso dell’AI in ambito sanitario con tutte le implicazioni etiche che ne derivano. Andremo a discutere sia le potenzialità che i limiti di questi sistemi fornendo una visione sui futuri utilizzi in diversi ambiti.
Minimising inhaled corticosteroids for COPD
Authors: Heran Benji , Perry Thomas L. , Bassett Ken
Published: December 2024

This Therapeutic Letter considers the evidence for inhaled corticosteroids (ICS) as a treatment for Chronic Obstructive Pulmonary Disease (COPD). Drug therapy aims to alleviate symptoms, enhance functional capacity and prevent exacerbations, but has not consistently shown to reduce mortality or improve quality of life based on randomised trials.Inhaled corticosteroids have shown limited benefits for COPD symptoms and exacerbations but increased risks of serious harms. Guidelines recommend limiting ICS to severe COPD and only for repeated exacerbations. Studies show withdrawing ICS can be done safely for stable COPD patients with infrequent exacerbations, especially those with lower eosinophil counts. Provincial, national and international guidelines now recommend limiting ICS prescriptions to severe COPD stages. Long-term ICS use may lead to serious side effects, including pneumonia and fractures. Initial COPD therapy should focus on short-acting bronchodilators, not ICS. Adding long-acting bronchodilators is recommended before considering ICS because of limited benefits and risks of serious harms. For persistent symptoms, long-acting muscarinic antagonists (LAMA) or long-acting beta2 agonists (LABA) are recommended, with the addition of ICS reserved for those with repeated exacerbations and severe COPD. Deprescribing ICS can be considered in clinically stable patients, particularly for those with infrequent exacerbations and mild COPD. When applicable, tapering ICS over several months is advised for patients with elevated eosinophil counts. Overall, the risks of serious harms from ICS typically outweigh their limited benefits for mild COPD patients in primary care.
Low back pain treatment adherence barriers in Eswatini private physiotherapy practices: A pilot study
Authors: Chikaka Tapiwa , Keller Monique M.
Published: December 2024

Background: Adherence to management regimes is pivotal to successfully managing patients with low back pain (LBP). Barriers decrease adherence, resulting in disability.Objectives: Our pilot study aimed to determine barriers associated with physiotherapy treatment attendance and home exercise programme adherence among patients with LBP and treating physiotherapists in Eswatini.Method: A cross-sectional descriptive pilot study using a self-developed Research Electronic Data Capture (REDCap) survey was conducted with 62 LBP patients. Descriptive, regression and bivariate statistical analyses with odds ratios (OR) were used to identify adherence barriers.Results: Twenty-two (35.5%) participants missed appointments because of feeling better. Twenty-one participants (33.9%) missed scheduled appointments due to painful sessions, cost and the burden of changing their routines. Home exercise adherence was positively associated with understanding the condition (p = 0.001) and negatively with too many exercises (p = 0.005).Conclusion: Our study identified patient barriers to physiotherapy adherence, particularly females aged 40–69 years. Although doctor referrals improved adherence, time constraints and pain remained significant barriers. Barriers to prescribed home exercise programme adherence included pain during exercises, fear, no time, forgetting/no reference and too many exercises. While most participants understood their condition, some lacked understanding, underscoring the need for better education. Addressing these barriers could enhance adherence and reduce the impact of LBP.Clinical implications: To overcome the barrier of adherence to keeping appointments, prioritising health education and providing reasons for exercises should be empathised. Exercise programme adherence could be improved by providing reference material, less and more meaningful and/or functional exercises.
Mitral Valve Blood Cyst: An Incidental Finding in a Patient with Acute Coronary Syndrome
Authors: Panattil Shaju Padman , Muralidharan Priya , Siddiqui Muhammad Kamran , Panduranga Prashanth
Published: December 2024

Blood cysts are rarely found during an echocardiogram in adults. They are benign lesions most often seen on the cardiac valves, mainly on the atrial side of the anterior mitral leaflet (AML). They occasionally cause symptoms and complications. Here, we report a patient with non-ST-elevation myocardial infarction, who on echocardiogram was found to have an AML mass suggestive of mitral valve blood cyst; the cyst was seen on the ventricular aspect of the AML.
The current state and the impact of awareness and educational campaigns on patient blood management in India
Authors: Mishra Anurag Kumar , Agarwal Atul Kumar , Gandhi Ajay
Published: December 2024

BACKGROUND:

Patient blood management (PBM), as a concept, has reached a considerable level of awareness. In the last few years, the number of awareness activities and campaigns have increased multi-fold and an increasing number of healthcare practitioners have realized the vitality and necessity of PBM. With the WHO issuing a policy brief on urgent implementation, there has been an accelerated impetus to implement the practices of patient blood management. In the low-to-middle income countries, having non-uniform healthcare infrastructure, there is a significant difference in the perceptions around patient blood management.

MATERIALS AND METHODS:

A capacious survey was done to understand and analyze the current level of understanding, impact of the ongoing educational programs and the preparedness towards the implementation of PBM. This article summarizes the findings of this online survey. The survey consisted of an online google form questionnaire and its analyzed responses.

RESULTS:

The key survey findings were that while there has been a significant advocacy around the concept, most healthcare professionals either do not have an explicit understanding of or the proficiency to utilize the resources much needed for the systematic implementation of patient blood management in their respective healthcare domains.

CONCLUSIONS:

The comprehension of scientific knowledge on patient blood management does not guarantee either its perception in the true sense or its implementation in the intended, standardized, and universal manner. In this era of evidence-based medicine, it is imperative that PBM is perceived in its true sense before it is attempted to be adopted as the standard of care.
Lupus Vulgaris of the Knee in a Young Male Child: An Uncommon Location for an Uncommon Disease – A Case Report and Review of Literature
Authors: Poddar Gopal Prasad , Kalawat Riya , Siddiqui Moin Ahmad , Bansal Bhavika
Published: December 2024

Lupus vulgaris (LV) is the most common form of cutaneous tuberculosis seen in India. It is a chronic and progressive infectious disease that is seen in a person with moderate to high degree of immunity. It usually originates from an underlying focus that may be present in a bone, joint, or a lymph node. It may arise by contiguous spread of the disease from underlying affected tissue, by hematogenous or by lymphatic spread. The most common sites of presentation in India are the extremities and trunk. LV of the knee is an uncommon site and is seldom reported. Here, we present the case of an 8-year-old boy with LV over the right knee.
A Rare Case Report of Untreated Asymptomatic Late Congenital Syphilis with Observation of Kassowitz Law
Authors: Sudan Eshmeet , Ranjan Shivani , Bhat Jasim Rashid , Dogra Naina Kala
Published: December 2024

Congenital syphilis is an infectious disease caused by the transmission of the bacterium Treponema pallidum from an infected mother to her fetus during pregnancy. Despite effective screening and treatment protocols, congenital syphilis continues to afflict newborns worldwide, leading to serious complications such as stillbirth, prematurity, low birth weight, and a range of congenital abnormalities. We put forth a rare case of asymptomatic late congenital syphilis following Kassowitz law. This abstract highlights the importance of comprehensive prenatal care, including early detection and treatment of maternal syphilis, to mitigate the devastating impact of congenital syphilis on both maternal and child health.
A Rare Case of Nevus Spilus Type of Giant Congenital Melanocytic Nevus with Classic Proliferative Nodules, Intraparenchymal Melanosis, and Seizures
Authors: Das Pankaj , Vasudevan Biju , Kashif Ahmed Waheed , Krishnan Lekshmi Priya , Mannu Anand , Verma Abhinav Kumar , Pandey Shweta
Published: December 2024

Congenital melanocytic nevi, as the name suggests, are present since birth. They are called giant congenital melanocytic nevus (GCMN) when the size exceeds >20 cm in diameter. Due to its unsightly appearance, there is major psychosocial impact on the patient and the family. GCMN in due course of time may give rise to malignant melanoma not only in the GCMN but also in the leptomeninges. Clinical variants of GCMN include nevus spilus type, which is a rare variant. In addition to that with time, GCMN may continue to be affected with benign nodules. We present a rare case of a nevus spilus type of GCMN with classic proliferative nodules associated with intraparenchymal melanosis in brain, leading to seizures.
Point-of-care Ultrasound for Diagnosis and Management of Chronic Inflammatory Monoarthropathy of the Shoulder after Combined Influenza and COVID-19 Vaccination: A Case Report
Authors: Tay Matthew Rong Jie , Sangha Harpreet
Published: December 2024

Shoulder injury related to vaccine administration (SIRVA) is a rare but preventable injury, resulting in severe shoulder pain. It is thought to be due to improper needle placement into the surrounding shoulder structures and can result in serious and debilitating injury. This case report describes a patient who developed a rare case of chronic inflammatory nonseptic monoarthropathy after combined influenza and COVID-19 vaccination. The diagnosis was suspected using point-of-care ultrasound, with findings of cortical erosions of the humeral head, which was confirmed with magnetic resonance imaging. After a primary autoimmune condition was excluded, the patient underwent ultrasound-guided intra-articular corticosteroid injection of the shoulder, which provided good pain relief. The role of ultrasound has not been reported in SIRVA-related conditions. Point-of-care ultrasound can potentially be useful in the evaluation and management of SIRVA-related shoulder pathologies.
Advances in intraoperative imaging in retinal diseases: A narrative review
Authors: Rocha Jorge , Fuganti Raphaela M. , Casella Antonio M.
Published: December 2024

This review explores recent technological advances in intraoperative imaging during retinal disease surgeries, focusing on their applicability in clinical practice and impact on surgical outcomes. A literature search identified studies discussing new imaging technologies, their advantages over conventional methods, relevant case studies, and literature reviews. Exclusion criteria included studies unrelated to retinal diseases, imaging technologies not suitable for intraoperative use, outdated articles, and nonscientific reports. Significant advancements, particularly with optical coherence tomography (OCT), have transformed retinal surgery by providing high-resolution images and real-time feedback, enhancing surgical precision and patient safety. However, the high costs of these technologies remain a barrier to widespread adoption, despite their potential to set new standards in ophthalmic surgery.
Wide field imaging biomarkers: A different perspective
Authors: Shiromani Sakshi , Pattathil Niveditha , Sadeghi Elham , Choudhry Netan , Chhablani Jay
Published: December 2024

Wide field retinal imaging has emerged as a transformative technology over the last few decades, revolutionizing our ability to visualize the intricate landscape of the retina. By capturing expansive retinal areas, these techniques offer a panoramic view going beyond traditional imaging methods. In this review, we explore the significance of retinal imaging-based biomarkers to help diagnose ocular and systemic conditions. We discuss quantitative biomarkers, including ischemic index, nonperfusion area and more, and their application in diabetic retinopathy, central retinal vein occlusion, neurodegenerative diseases, and more. In addition, we outline qualitative biomarkers such as choroidal venous hyperpermeability and intervortex anastomoses. The role of wide field fundus autofluorescence in assessing hereditary retinal diseases is also emphasized. Standardized imaging procedures, professional collaboration, and validation across a range of clinical circumstances are necessary for the effective use of these biomarkers. They have the potential to transform disease identification, risk assessment, and customize therapy.
Intereses informativos y calidad: Preferencias y percepción de la audiencia en España
Authors: Mukhortikova Tatiana , Palau-Sampio Dolors , Fenoll Vicente , Gamir-Ríos José
Published: December 2024

Introducción: El objetivo de este artículo es analizar cuáles son las preferencias informativas de la población española, en qué medios confía y qué percepción tiene de la calidad periodística. Metodología: Para ello se utiliza un enfoque cuantitativo basado en la técnica de la encuesta. El cuestionario online fue respondido por 1.200 personas de más de 16 años de toda España, entre el 8 y el 15 de marzo de 2023. La distribución de la muestra resulta proporcional por comunidades autónomas, género, edad y tamaño de la población. Resultados: La ciudadanía española considera que cuenta con un alto nivel de información y se muestra interesada por temas de actualidad nacional y cuestiones de gran relevancia como salud (46,1%), economía (38%) y política (33,9%). Los encuestados consideran que la politización es el principal problema de los medios y que la calidad periodística es baja o muy baja (63%). Entre las medidas que pueden mejorar la calidad identifican una mejor contextualización, mayor diversidad de opiniones, temas más cercanos e información más variada. Apuestan por la televisión como el medio que ofrece la información de más calidad y las noticias más contrastadas. Discusión y Conclusiones: Este artículo contribuye a profundizar en el peso que tiene la propia ideología en la percepción de los medios y su ubicación ideológica, así como a pulsar la percepción que tiene la ciudadanía de la calidad periodística en los medios españoles.
Uniqueness of solutions of generalized convolution equations on the
hyperbolic plane and the group $\mathrm{PSL}(2,\mathbb{R})$
Authors: Volchkov Valerii Vladimirovich , Volchkov Vitalii Vladimirovich
Published: December 2024

The paper is devoted to the study of the uniqueness problem for convolution
equations on groups of motions of homogeneous spaces. The main results relate to the case of the
motion group $G=\mathrm{PSL}(2,\mathbb{R})$ of the hyperbolic plane $\mathbb{H}^2$ and are as follows:
1) John type uniqueness theorems for solutions of convolution equations on the group $G$ are proved;
2) exact conditions for the uniqueness of the solution of the system of convolution equations
on regions in $G$ are found.
To prove these results, a technique based on the study of generalized convolution equations on
$\mathbb{H}^2$ is developed. These equations, in turn, are investigated using
transmutation operators of a special kind constructed in the work. The proposed method also allows
us to establish a number of other results related to generalized convolution equations on
$\mathbb{H}^2$ and the group $G$.
Nickel Alloy, Corrosion- and Heat-Resistant, Sheet, Strip, Plate and Foil, 48Ni - 20Cr - 20Co - 5.9Mo - 2.2Ti - 0.45Al (Alloy 263), Consumable Electrode Remelted or Vacuum Induction Melted, Solution Heat Treated
Authors:   AMS F Corrosion and Heat Resistant Alloys Committee
Published: December 2024

This specification covers a corrosion- and heat-resistant nickel alloy in the form of sheet, strip, and plate.
Steel, Sheet, Strip, and Plate, 0.95Cr - 0.20Mo (0.28 - 0.33C) (SAE 4130), Aircraft Quality, Spheroidized
Authors:   AMS E Carbon and Low Alloy Steels Committee
Published: December 2024

This specification covers an aircraft-quality, low-alloy steel in the form of sheet, strip, and plate.