bluuebunny/crossref_metadata_2025 huggingface dataset:
A Potentially Disastrous Life -Threatening Complication of Emergency Tube Thoracostomy in A Simple Case of Spontaneous Pneumothorax
Authors: Nik Ahmad Shaiffudin Nik Him , Nik Mohamad Nik Arif , Jusoh Azizul  Fadzli , A Rashid Mohd Adib Aiman , Amir Hussain Amirsyariffudin
Published: October 2023

Emergency tube thoracostomy carries risks of infective and technical complications. The aseptic technique is essential to prevent infections, while blunt dissection method can minimise the associated technical complications. Preparation and adherence to protocols as well as appropriate knowledge and skills, however, are of utmost importance to reduce risks of complications. Physicians must have adequate knowledge of anatomy and the procedure to ensure for accurate site tube placement without any complication. This case illustrates how a failure to appropriately use the instrument resulted in a displaced scalpel blade inside the thoracic cavity. It caused an unnecessary thoracotomy for blade retrieval. The mishap escalated a simple procedure to the potentially disastrous life-threatening event.
Jacobi Rational Operational Approach for Time-Fractional Sub-Diffusion Equation on a Semi-Infinite Domain
Authors: Hafez R. M. , Youssri Y. H. , Atta A. G.
Published: October 2023

In this study, we employ a rational Jacobi collocation technique to effectively address linear time-fractional subdiffusion and reaction sub-diffusion equations. The semi-analytic approximation solution, in this case, represents the spatial and temporal variables as a series of rational Jacobi polynomials. Subsequently, we apply the operational collocation method to convert the target equations into a system of algebraic equations. A comprehensive investigation into the convergence properties of the dual series expansion employed in this approximation is conducted, demonstrating the robustness of the numerical method put forth. To illustrate the method's accuracy and practicality, we present several numerical examples. The advantages of this method are: high accuracy, efficiency, applicability, and high rate of convergence.
Mercury Levels in Groundwater near Artisanal Small-Scale Gold Mines in Migori County, Kenya
Authors: Omondi George Zachary Ochieng , Nyamari Jackim , Mugo Judy
Published: October 2023

In Migori County, artisanal and small-scale gold mining (ASGM) is an economic activity that uses mercury during the amalgamation process to obtain gold. The waste generated in the form of soil tailings and pan-pond water contains mercury and is located close to community boreholes. The proximity may predispose groundwater to mercury contamination. Boreholes are one of the main water sources in Migori County. Ingestion is one of the ways mercury can get into the human body. This study was conducted to establish mercury concentration in groundwater from boreholes, soil tailings and pan-pond water located near five mine sites in Migori County during dry and wet seasons in comparison with drinking water standards required by KEBS and NEMA effluents discharge standards. The five mines were: -Masara, Osiri Matanda, Macalder, Kitere and Kehancha. The study used a cross-sectional-analytical study design and focused on boreholes found within a distance of 6 km from each of the five mines. Fifteen boreholes were proportionately sampled to obtain groundwater samples. 20 pan-pond water and soil tailing samples were collected in both dry and wet seasons as per the respective sampling protocols applied. Inductively Coupled Plasma –Mass Spectroscopy (7900 ICP-MS) was used to measure mercury levels. A paired t-test was used to compare the means of the levels of mercury in groundwater obtained within the two seasons. The study established that during the dry season, all of the boreholes had groundwater mercury levels higher than the recommended limit by KEBS of 0.001 mg/L. There was a decrease in the levels of mercury in groundwater as distances from the mine increased. However, during the wet season, all of the boreholes had mercury levels below the limit of detection. The study established a significant difference in the levels of mercury in groundwater between wet and dry seasons at a 95% confidence level. Mercury levels in soil tailings and pan-pond water were above the NEMA effluents discharge standards of 0.05 mg/kg and 0.05 mg/L, respectively, in the dry season. During the wet season, all pan-pond water achieved the recommended mercury level of NEMA effluent discharge limits, while the soil tailings had mercury levels above the recommended limit. This study recommends that there is a need to implement mine waste remediation. Communities near the mines continuously conduct groundwater heavy metal analysis during the dry season to protect their health
Exploring green extraction methods to obtain polyphenols from partially defatted chia (Salvia hispanica L.) flour
Authors: Antón Micaela , Aranibar Carolina , Dusso Diego , Moyano Laura , Aguirre Alicia , Borneo Rafael
Published: October 2023

Aim: The extraction of polyphenols is commonly accomplished using conventional techniques such as solid-liquid and liquid-liquid extraction, which are associated with the use of high quantities of organic solvents, long extraction times, and low selectivity and reproducibility. These limitations have led to the development of innovative extraction technologies. The purpose of this study was to investigate the ultrasound-assisted extraction (UAE) and microwave-assisted extraction (MAE) of polyphenols from partially defatted chia flour (PDCF).
Methods: The effect of four factors on the extraction of polyphenols (percentage in relation to the initial weight of PDCF) and on the antioxidant activity [quantified by 2,2’-azino-bis-3-ethylbenzthiazoline-6-sulphonic acid (ABTS) and ferric reducing antioxidant power (FRAP) methods] was investigated and the UAE and MAE processes were optimized using the response surface methodology (RSM).
Results: It was found that MAE improved the extraction yield (polyphenol content and antioxidant activity) in shorter extraction times when compared to UAE.
Conclusions: The application of these alternative green technologies improved the performance of the polyphenol extraction process from PDCF. Overall, both techniques could be used as efficient green alternatives.
Neuroprotective astroglial response to neural damage and its relevance to affective disorders
Authors: Miguel-Hidalgo José Javier
Published: October 2023

Astrocytes not only support neuronal function with essential roles in synaptic neurotransmission, action potential propagation, metabolic support, or neuroplastic and developmental adaptations. They also respond to damage or dysfunction in surrounding neurons and oligodendrocytes by releasing neurotrophic factors and other molecules that increase the survival of the supported cells or contribute to mechanisms of structural and molecular restoration. The neuroprotective responsiveness of astrocytes is based on their ability to sense signals of degeneration, metabolic jeopardy, and structural damage, and on their aptitude to locally deliver specific molecules to remedy threats to the molecular and structural features of their cellular partners. To the extent that neuronal and other glial cell disturbances are known to occur in affective disorders, astrocyte responsiveness to those disturbances may help to better understand the roles astrocytes play in affective disorders. The astrocytic sensing apparatus supporting those responses involves receptors for neurotransmitters, purines, cell adhesion molecules, and growth factors. Astrocytes also share with the immune system the capacity to respond to cytokines released upon neuronal damage. In addition, in response to specific signals, astrocytes release unique factors such as clusterin or humanin that have been shown to exert potent neuroprotective effects. Astrocytes integrate the signals above to further deliver structural lipids, remove toxic metabolites, stabilize the osmotic environment, normalize neurotransmitters, provide antioxidant protection, facilitate synaptogenesis, and act as barriers to contain varied deleterious signals, some of which have been described in brain regions relevant to affective disorders and related animal models. Since various injurious signals that activate astrocytes have been implicated in different aspects of the etiopathology of affective disorders, particularly in relation to the diagnosis of depression, potentiating the corresponding astrocyte neuroprotective responses may provide additional opportunities to improve or complement available pharmacological and behavioral therapies for affective disorders.
Numerical and Dynamic Features for Heat Transfer Through a Longitudinal Rectangular Fin with Temperature-Dependent Thermal Conductivity
Authors: Onyejekwe Okey Oseloka
Published: October 2023

In the work reported herein, we adopt a Newton-Richtmeyer iterative scheme to arrive at solutions describing heat transfer in a longitudinal rectangular fin. Both the thermal conductivity and heat transfer coefficients are assumed to be temperature dependent and the governing partial differential equation highly nonlinear. In order to validate the numerical formulation, we consider some analytical results for this class of problems at steady state .Comparisons show convergence to exact solutions as demonstrated by local and global error indicators. In addition,various fin parameters which play a key role for efficient fin operation and design are investigated by carrying out a comprehensive dynamical qualitative study.
Аntireligious propaganda in the Еuropean North of Russia in 1918–1924
Authors:   Murmansk Arctic State University, Bardileva Yulia P.
Published: October 2023

The article is devoted to the main directions, forms and methods of the first stage in the development of antireligious propaganda in the European North of Russia in 1918–1924.
Historical and linguistic analysis of the Book of Enoch.
Authors:   Orthodox Parish of the Nativity of John the Baptist, Kandalaksha, Murmansk and Monchegorsk diocese, Dmitriev Pavel
Published: October 2023

The article analyzes the apocrypha of the Book of Enoch in order to possibly establish the original language of writing or oral transmission of the message of the Old Testament Patriarch Enoch, who lived during the time before the World (Noah's) Flood. We have made the assumption that, in the case of determining the original language of the Book, it is possible to establish whether Enoch was the true author of it. The results of the study (analysis of oral and written traditions based on manuscripts from Qumran) showed that Patriarch Enoch could not be the author of the considered apocrypha. This conclusion is consistent with the firm conviction of the Orthodox Church, acting as another argument in favor of the apocryphal content of the Book of Enoch.
Permanent education for quality and patient safety in an accredited hospital
Authors: Parente Angeline do Nascimento , Ferreira Glenda Roberta Oliveira Naiff , Cunha Carlos Leonardo Figueiredo , Ramos Aline Maria Pereira Cruz , Sá Antonia Margareth Moita , Haddad Maria do Carmo Fernandez Lourenço , Parente Andressa Tavares , Carneiro Márcia Simão
Published: October 2023

Objective

To understand the challenges faced in terms of permanent education in health, for achieving quality improvements and patient safety at a public hospital undergoing hospital accreditation.
Methods

This was a descriptive, cross-sectional study with a qualitative approach. Semi-structured interviews were conducted with 22 professionals, lasting an average of 22 minutes. The interviews were subsequently analyzed and interpreted using Bardin’s thematic content analysis. The software Iramuteq was used to analyze the textual corpus, and BioEstat 5.3 was used to analyze the profile of the participants. The data collection took place in June 2022, following approval by the Research Ethics Committees.
Results

The descending hierarchical classification analysis, generated by Iramuteq, was applied, resulting in three categories: Challenges of Permanent Education through the Continuous Improvement Process, Permanent Education for the Promotion of Quality and Patient Safety in the Context of Hospital Accreditation, and Educational Strategies for Improving Quality and Patient Safety.
Conclusion

Challenges inherent to the actions of permanent education in health were identified, such as resistance to cultural change, adherence to activities, high turnover of professionals, and difficulty in releasing the nursing team to participate in activities, due to work demand.
Development and validation of web software to support prenatal care management
Authors: Pires Márian Oleques , Vieira Sylvio André Garcia , Ferreira Carla Lizandra de Lima , Lomba Maria de Lurdes , Dal Sasso Grace Teresinha Marcon , Backes Dirce Stein
Published: October 2023

Objective

To describe the development and validation process of a web software to support the management of prenatal care.
Methods

Technological development research, carried out between March and August 2022, based on principles and techniques of the Scrum method. The functionalities of the web software, with access and specific functions for three different users (Administrator, Manager and Visitor), were developed jointly by developers, researchers, managers and health professionals, based on practical needs related to the management of prenatal care.
Results

The web software is a tool to support the management of prenatal care, with the potential to generate infographics that denote gestational intercurrences and that allow, in an agile and safe way, the making of local-regional strategic decisions.
Conclusion

The process of development and validation of the web software to support the management of prenatal care was carried out jointly by developers, researchers, managers and health professionals, based on practical needs related to the management of prenatal care. The tool was developed in order to allow access and specific functions to three different users (Administrator, Manager and Visitor), with a view to making quick and safe decisions.
Sleep quality assessment in emergency health professionals
Authors: Azambuja Vivian dos Anjos , Pena Silvana Barbosa , Pereira Flávia Helena , Santos Vinícius Batista , Santos Mariana Alvina dos
Published: October 2023

Objective

To assess emergency service professionals’ sleep quality and its association with the level of fatigue and quality of life.
Methods

A descriptive, cross-sectional and correlational study, carried out in the units of the Mobile Emergency Care Service (SAMU) and in the Emergency Care Unit (ECU), in 2021, with 108 participants. To assess sleep quality, the Pittsburgh Sleep Quality Index, Brazilian version (PSQI-BR), was used; to assess fatigue, the Chalder Fatigue Scale was used, together with the Need for Recovery Scale (NFR); and to assess quality of life, the World Health Organization Quality of Life Brief Version (WHOQOL-bref) was used, and the instruments used were adapted to Portuguese in previous studies. Association tests were applied for statistical analysis, using Pearson’s chi-square test, Mann-Whitney U test or Kruskal Wallis and Spearman’s correlation. P-values <0.05 were considered significant.
Results

It was identified that 72.2% of participants had poor sleep quality and 75.9% were fatigued. A significant association was observed between sleep quality and fatigue, the need for recovery and quality of life.
Conclusion

It was identified that health professionals working in emergency services have poor sleep quality and life, and high levels of fatigue and need for recovery, which can directly impact their personal and professional activities.
Pregnancies and births in times of COVID-19
Authors: Ruiz Mariana Torreglosa , Angotti Hillary Florença Tobias , Silva Jéssica Aparecida da , Borges Érica Beatriz Oliveira , Wernet Monika , Fonseca Luciana Mara Monti , Bussadori Jamile Claro de Castro , Resende Cynthya Viana de
Published: October 2023

Objective

Identify the profile of births of pregnancies of women with internet access who were infected with SARS-CoV-2 and their outcomes.
Methods

Cross-sectional study integrated into a prospective cohort, with collection between August 2021 and February 2022, based on the responses of 304 women who had pregnancies and/or deliveries during the pandemic period.
Results

Of the total, 25.7% of the interviewees had COVID-19, with a predominance of diagnoses in the third quarter. Complaints of anosmia, fatigue and headache prevailed as related to the infection.
The variables

using the Unified Health System for care (p = 0.084); gestational diabetes (p = 0.141); low birth weight (p = 0.117); need for admission to a neonatal unit (p = 0.120) were included in the regression model because they had p values lower than 0.20. The variable referring to the type of delivery (p=1.000) was inserted in the model because it is a variable of interest and with a description of relevance in the literature. Prematurity was the only variable that was statistically associated with SARS-CoV-2 infection during pregnancy (p = 0.008) in the bivariate analysis, explaining the outcome of infection during pregnancy (<0.001), confirmed in the Poisson Robust Regression model.
Conclusion

There was a high prevalence of COVID-19 in the sample, with varying symptoms and a predominance of operative deliveries. However, SARS-CoV-2 infection only explained the higher occurrence of premature births.
Hospital discharge of adults and older adults: checklist elaboration and validity
Authors: Gheno Jociele , Lombardini Amanda Aires , Araújo Kellen Cristina , Weis Alisia Helena
Published: October 2023

Objective

To describe content elaboration and validity of a checklist for preparing adults and older adults for hospital discharge.
Methods

This is a methodological study, developed from May 2020 to September 2022 (in two stages), for checklist elaboration and validity. The Delphi technique was used, with assessment by an expert committee for content validity. To calculate the degree of agreement, the agreement rate and the Content Validity Index (CVI) were used.
Results

A checklist with 17 items that help organize hospital discharge was prepared and validated. The checklist was prepared based on the compilation of results obtained from interviews with multidisciplinary team professionals, who worked in inpatient units, an integrative review on transition of care at hospital discharge of adult patients and reading of articles on the use of discharge checklist. In the first stage of validity, a mean was obtained for the instrument’s agreement rate, scope (94%) and relevance (91%). At the end of the second round, the mean CVI calculation was obtained (clarity: 0.95; relevance: 0.96).
Conclusion

The checklist was validated as to its content by consensus by an expert committee, and can be used by care teams or hospital discharge management.
The newly graduated nurse as a second victim
Authors: Alevi Julia Oliveira , Draganov Patricia Bover , Gonçalves Geisa Colebrusco de Souza , Zimmermann Guilherme dos Santos , Giunta Lucia , Mira Jose Joaquin , Bohomol Elena
Published: October 2023

Objective

To describe the prevalence of newly graduated nurses as second victims of adverse events and to know the conditions of support received in health institutions.
Methods

Cross-sectional, descriptive, quantitative study. The population consisted of newly graduated nurses who agreed to answer the online questionnaire with questions related to being hired at the institution, involvement in adverse events and management of the second victim condition. Contacted was by email, intermediated by the Regional Nursing Council of São Paulo. Descriptive data analysis and the test of equality of proportions were performed.
Results

The final sample consisted of 138 nurses, 54.3% were unaware of the term ‘second victim’, 44.9% were unaware of the existence of institutional protocols for emotional support to professionals and 26.8% were involved in adverse events. Of these, 94.6% presented emotional distress, frustration, guilt, sadness, stress, inability, embarrassment and insecurity to perform their duties at work as an outcome of the event; 59.5% received some type of support and 21.6% received institutional punishment.
Conclusion

The prevalence of newly graduated nurses involved in adverse events was 26.8%, and among those who experienced this incident, the majority presented negative feelings and insecurity in performing their work as an outcome. After the event, most of the time, the support received came from work colleagues and significant others. Regarding institutional support, the need for programs for emotional support is also highlighted, so that these professionals can overcome when finding themselves in the place of the second victim.
Pengaruh Kepemimpinan dan Motivasi Kerja terhadap Kinerja Karyawan Pt. Cjfm
Authors: Ningsih Margie Subahagia , Syahputra Fajar , Rida Rizkha , Yudisha Nabila
Published: October 2023

AbstractThe progress of the organization is strongly supported by the performance of employees. If employees do a good job, employees will compete for awards, bonuses or be promoted to a better position. There are several problems arising from leadership style and lack of motivation in the Quality Control section, such as, the length of laboratory sample analysis, frequent miss communication with other related sections, to high attendance rates. The purpose of this study is intended so that we know the extent of the influence of management and morale on staff performance at PT. CJFM, The research used in this study is a quantitative descriptive type using questionnaire data collection techniques using 10 samples. The methods used are multiple regression analysis and partial t tests and F tests to determine the free parts that can affect the bound part if the data is analyzed with the SPSS application. The results of this study illustrate that leadership or leadership can have a positive effect and work encouragement has a negative effect on staff performance at PT CFJM. The results of the partial analysis of CJFM, management has a significant effect and work encouragement can have a negative and inappropriate effect on the performance of PT. CJFM. Keywords:Management; Motivation; PerformanceAbstrakKemajuan organisasi sangat didukung oleh kinerja karyawan. Apabila karyawan melakukan pekerjaan dengan baik, maka karyawan akan bersaing memperoleh penghargaan, bonus atau dipromosikan kejabatan yang lebih baik. Terdapat beberapa masalah yang timbul akibat dari gaya kepemimpinan dan kurangnya motivasi di section quality control, diantaranya seperti, lamanya analisa sample laboratorium, seringnya miss communication dengan section lain yang terkait, hingga tingkat absensi yang tinggi. Tujuan dari studi ini dimaksudkan agar kita tahu sejauh mana pengaruh manajemen dan semangat kerja terhadap kinerja staf di PT. CJFM, Adapun  penelitian yang digunakan dalam studi ini adalah jenis deskriptif kuantitatif dengan menggunakan teknik pengambilan data kuesioner dengan menggunakan 10 sampel. Adapun metode  yang dipakai  analisa regresi berganda dan uji t parsial serta uji F  untuk mengetahui bagian bebas yang dapat mempengaruhi bagian terikat jika data tersebut dianalisis dengan aplikasi SPSS. Hasil studi ini menggambarkan bahwa kepemimpinan atau leadership dapat berpengaruh positif dan dorongan kerja berpengaruh negatif terhadap kinerja staf di PT. CJFM. Hasil analisis parsial PT. CJFM, manajemen berpengaruh signifikan dan dorongan kerja dapat berpengaruh negatif dan tidak sesuai terhadap kinerja staf PT. CJFM. Kata Kunci:Kepemimpinan; Kinerja; Motivasi
The Influence of the use of Financial Technology and Financial Literacy on the Consumptive Behavior of Students of the Faculty of Economics and Business, Sam Ratulangi University
Authors: SENOBUA Sriwahyuni , SONDAKH Jullie J. , RONDONUWU Sintje
Published: October 2023

Currently, there are still many people who have difficulty in managing finances, including students. This can be seen from wasteful behavior and also prioritizing wants over their needs. This study aims to: (1) determine whether the use of financial technology affects the consumptive behavior of students of the Faculty of Economics and Business, Sam Ratulangi University (2) determine whether financial literacy affects the consumptive behavior of students of the Faculty of Economics and Business, Sam Ratulangi University. The method used in this thesis research is descriptive method with quantitative approach. The population in this study were active students of the Faculty of Economics and Business, Sam Ratulangi University in the 2022-2023 academic year. This study used a simple random sampling method with a sample size of 100 respondents. The data source in this study is primary data. Data collection techniques using survey methods using questionnaires as data collection instruments. The data analysis technique used in this research is multiple regression analysis using IBM SPSS version 25. The results obtained are that partially the use of financial technology has a positive and significant effect on the consumptive behavior of students of the Faculty of Economics and Business, Sam Ratulangi University and financial literacy has a negative and significant effect on the consumptive behavior of students of the Faculty of Economics and Business, Sam Ratulangi University.
COMPETITIVE ADVANTAGES IN THE MARKET OF CONSULTING SERVICES: MARKETING ASPECT
Authors: Yevtushenko Natalia , Fedorchenko Andriy
Published: October 2023

The article summarizes the arguments and counterarguments about the features of the formation of competitive advantages in the Ukrainian market of services on the example of consulting for the period 2010–2021. According to the results of the analysis and generalization, the author’s understanding of the concept of “competitive advantages”, the factors of their formation presented. The article describes the interconnection of competitive strategies with the process of forming competitive advantages. The process of economic analysis revealed the immaturity of the consulting market in Ukraine and its institutional vulnerability. The reasons for the instability of demand for consulting services described. The leadership matrix for Ukrainian consulting companies built in accordance with the typology of competitive strategies F. Kotler. The analysis revealed an updated list of competitive advantages of companies that formed under the influence of the Covid-19 pandemic and martial law in Ukraine. It proved that the main advantage of companies is the competence of consultants. Recommendations for the development of consulting companies in Ukraine and strengthening their competitive advantages, taking into account the construction of an effective marketing management system and use the consulting service standard. The research results can be useful for consulting companies wishing to improve their competitiveness and to expand the segment of their services in the market.
VALUATION OF REVERSE MORTGAGES IN THE SPANISH MARKET FOR FOREIGN RESIDENTS
Authors: Atance David , Debón Ana , De La Fuente Iván
Published: October 2023

The continuous growth in life expectancy, besides to the difficult economic and financial situation of the public pension system in Spain, makes reverse mortgages an attractive solution for providing additional income to retirees. However, despite being almost 20 years old, the Spanish market remains immature. Consequently, providers face significant risks, due to factors such as interest rates, housing prices, and longevity. Numerous tourists visit Spain, and many retire there, obtaining legal residence. Therefore, lenders could be interested in marketing reverse mortgages to foreign residents. Nevertheless, the longevity risk faced by these lenders may differ depending on the nationality of the borrower, and profits and losses could vary. Consequently, we propose a methodology for comparing the pricing of reverse mortgages in Spain by considering differences in longevity risk. Specifically, we calculate the amount offered by three types of reverse mortgages to customers of different nationalities, genders, and ages with contracts made in Spain. Our conclusions are pertinent to Spanish lenders since the results indicate that, in general, a Spanish lender would assume a slightly larger risk when lending reverse mortgages to borrowers of the selected nationalities, regardless of other considerations, such as legal issues, which are not addressed in this article.
The Upper Atmosphere of Uranus from Stellar Occultations. I. Methods and Validation
Authors: Saunders William R. , Person Michael J. , Withers Paul , French Richard G. , Tubthong Chanita
Published: October 2023

Measurements made by the Voyager 2 spacecraft during its flybys of Uranus in 1986 found warm stratospheric and hot thermospheric temperatures that cannot be explained by solar energy alone. It contributes to what has become known as the “giant planet energy crisis”; there is a fundamental lack of understanding of the energy balance of giant planets in the solar system. Uranus, in particular, has both the hottest thermospheric temperatures and the weakest internal heat flux of all four giant planets. Moreover, the Voyager 2 UV temperature measurements are at odds with the many contemporaneous Earth-based stellar occultation observations. In this work, we examine the 1977 Uranus stellar occultation (U0) and compare the observed light curve to reported Voyager 2 temperature profiles by simulating the latter into stellar occultation light curves. In this investigation, we find that the observed light curves are in tension with the simulated light curves to a high degree of statistical confidence. Next, we reprocess the U0 light curves using a modern approach, with some significant adjustments described herein, and report updated profiles. We find that the lower thermosphere of Uranus is much cooler than the Voyager 2 profiles suggest but slightly warmer than those originally published from the U0 occultation. In Paper II, we will present the results of applying these methods to many of the dozens of archival Uranus stellar occultations.
New developments in the analysis of catch time series as the basis for fish stock assessments: The CMSY++ method
Authors: Froese Rainer , Winker Henning , Coro Gianpaolo , Palomares Maria-Lourdes "Deng" , Tsikliras Athanassios C. , Dimarchopoulou Donna , Touloumis Konstantinos , Demirel Nazli , Vianna Gabriel M. S. , Scarcella Giuseppe , Schijns Rebecca , Liang Cui , Pauly Daniel
Published: October 2023

Following an introduction to the nature of fisheries catches and their information content, a new development of CMSY, a data-limited stock assessment method for fishes and invertebrates, is presented. This new version, CMSY++, overcomes several of the deficiencies of CMSY, which itself improved upon the “Catch-MSY” method published by S. Martell and R. Froese in 2013. The catch-only application of CMSY++ uses a Bayesian implementation of a modified Schaefer model, which also allows the fitting of abundance indices should such information be available. In the absence of historical catch time series and abundance indices, CMSY++ depends strongly on the provision of appropriate and informative priors for plausible ranges of initial and final stock depletion. An Artificial Neural Network (ANN) now assists in selecting objective priors for relative stock size based on patterns in 400 catch time series used for training. Regarding the cross-validation of the ANN predictions, of the 400 real stocks used in the training of ANN, 94% of final relative biomass (B/k) Bayesian (BSM) estimates were within the approximate 95% confidence limits of the respective CMSY++ estimate. Also, the equilibrium catch-biomass relations of the modified Schaefer model are compared with those of alternative surplus-production and age-structured models, suggesting that the latter two can be strongly biased towards underestimating the biomass required to sustain catches at low abundance. Numerous independent applications demonstrate how CMSY++ can incorporate, in addition to the required catch time series, both abundance data and a wide variety of ancillary information. We stress, however, the caveats and pitfalls of naively using the built-in prior options, which should instead be evaluated case-by-case and ideally be replaced by independent prior knowledge.
Communication Openings: A Novel Approach for Serious Illness Communication in Homecare
Authors: Sullivan Suzanne S. , Mann Catherine M. , Wittenberg Elaine
Published: October 2023

Serious illness communication in homecare about hospice and/or palliative care transitions is lacking due to clinical culture. The purpose of the current study was to understand communication openings using COMFORT™, a palliative care communication model used to train nurses. Qualitative, focus group interviews with 31 homecare nurses were conducted. Data were transcribed verbatim and thematically analyzed using NVivo software, followed by hand-sorting. Four themes for communication openings for initiating discussions about potential hospice and/or palliative care transitions were identified:
Organizational Openings
(homecare appropriateness, eligibility requirements, and staffing);
Patient Openings
(patient physical decline, psychosocial changes, safety concerns, and denying/stopping care);
Caregiver Openings
(caregiver physical changes and patient readiness); and
Nurse Openings
(need for hospice, checking for prognosis understanding, increasing interprofessional care needs, and providing end-of-life care). This study extends the concept of communication openings in the COMFORT model. Further development of communication openings as part of COMFORT communication is needed in educational and intervention research. [
Journal of Gerontological Nursing, 49
(11), 33–41.]
Stability and bifurcation analysis of a two-patch model with the Allee effect and dispersal
Authors: Xia Yue , Chen Lijuan , Srivastava Vaibhava , Parshad Rana D.
Published: October 2023

In the current manuscript, a two-patch model with the Allee effect and nonlinear dispersal is presented. We study both the ordinary differential equation (ODE) case and the partial differential equation (PDE) case here. In the ODE model, the stability of the equilibrium points and the existence of saddle-node bifurcation are discussed. The phase diagram and bifurcation curve of our model are also given as a results of numerical simulation. Besides, the corresponding linear dispersal case is also presented. We show that, when the Allee effect is large, high intensity of linear dispersal is not favorable to the persistence of the species. We further show when the Allee effect is large, nonlinear diffusion is more beneficial to the survival of the population than linear diffusion. Moreover, the results of the PDE model extend our findings from discrete patches to continuous patches.
Des religieuses pour les pensionnats autochtones du Canada (1880-1969). Façonner les individus, réguler les relations entre les sexes
Authors: Robinaud Marion
Published: October 2023

Cet article revient sur les savoirs transmis par les pouvoirs coloniaux aux autochtones du Canada dans le but de modifier leurs normes et leurs valeurs sociales. Il s’attache à étudier les positions données aux religieuses dans les pensionnats canadiens et à analyser comment le projet d’assimilation des enfants autochtones y était mis en œuvre. Celui-ci passe à la fois par une remise en cause des modèles économiques autochtones et par un façonnage de la relation entre les sexes. En interrogeant les stratégies d’apprentissage à travers les enseignements dispensés par les sœurs dans ces établissements, c’est la conception catholique du féminin et de sa relation au sexe opposé qui est donnée à voir en creux. Étudier les pensionnats à partir des sources missionnaires féminines permet d’approfondir notre compréhension de cette institution très controversée et d’éclairer ainsi cette histoire encore si sensible dans les communautés autochtones.
Les Franciscaines missionnaires de Marie en Haute-Égypte : reconfigurations d’un apostolat féminin à l’heure des transitions impériales (1920-1970)
Authors: Turiano Annalaura
Published: October 2023

Les travaux sur le phénomène missionnaire en Égypte ont surtout porté sur les missions protestantes. À partir du cas d’étude des Franciscaines missionnaires de Marie, cet article vise à dévoiler l’histoire peu connue des missions catholiques féminines. Dans les années 1920, les missionnaires de cette congrégation sont appelées à travailler au service des sucreries franco-belges implantées dans la vallée du Nil (al-Ḥawāmdiyya, Kom Ombo et Armant). Notre recherche croise les archives missionnaires et vaticanes pour interroger, d’une part, l’adhésion des religieuses à la politique de la direction des sucreries et, d’autre part, le redéploiement missionnaire à l’heure des politiques de nationalisation (1950-1960). Cet article contribue ainsi à l’histoire transnationale du catholicisme au féminin à l’heure des transitions impériales.
Monitoring and multi-scenario simulation of agricultural land changes using Landsat imageries and FLUS model on coastal Alanya
Authors: Inalpulat Melis
Published: October 2023

Anthropogenic activities have adverse impacts on productive lands around coastal zones due to rapid developments. Assessment of land use and land cover (LULC) changes provides better understanding of the process for conservation of such vulnerable ecosystems. Alanya is one of the most popular tourism hotspots in Mediterranean coast of Turkey, and even though the city faced with severe LULC changes after mid-80s due to tourism-related investments, limited number of studies has conducted in the area The study aimed to determine short-term and long-term LULC changes and effects of residential development process on agricultural lands using six Landsat imageries acquired between 1984 and 2017, and presented the first attempt of future simulation in the area. Average annual conversions (AAC) (ha) calculated to assess magnitudes of annual changes in six different periods. AACs used to calculate area demands for LULC2030 and LULC2050, whereby annual conversions from different periods were multiplied by number of years between 2017, 2030 and 2050 for each scenario. Finally, optimistic and pessimistic scenarios for agricultural lands are simulated using FLUS model. Accordingly, agricultural lands decreased from 53.9% to 31.4% by 22.5% in 33 years, and predicted to change between 19.50% and 24.63% for 2030, 1.07% and 14.10% for 2050, based on pessimistic and optimistic scenarios, respectively.
THERAPY-RELATED MYELOID NEOPLASMS: PREDISPOSITION AND CLONAL EVOLUTION
Authors: Fabiani Emiliano , Falconi Giulia , Cristiano Antonio , Hajrullaj H. , Falconi Giulia , Leone Giuseppe , Voso Maria Teresa
Published: October 2023

Therapy-related Myeloid Neoplasm (t-MN) represents one of the worst long-term consequences of cytotoxic therapy for primary tumors and autoimmune disease. Poor survival and refractoriness to current treatment strategies characterize affected patients from a clinical point of view. In our aging societies, where newer therapies and ameliorated cancer management protocols are improving the life expectancy of cancer patients, therapy-related Myeloid Neoplasms are an emerging problem. Although several research groups have contributed to characterizing the main risk factors in t-MN development, the multiplicity of primary tumors, in association with the different therapeutic strategies available and the new drugs in development, make interpreting the current data still complex. The main risk factors involved in t-MN pathogenesis can be subgrouped into patient-specific, inherited, and acquired predispositions.
 Although t-MN can occur at any age, the risk tends to increase with advancing age, and older patients, characterized by a higher number of comorbidities, are more likely to develop the disease. Thanks to the availability of deep sequencing techniques, germline variants have been reported in 15-20% of t-MN patients, highlighting their role in cancer predisposition.
It is becoming increasingly evident that t-MN with driver gene mutations may arise in the background of Clonal Hematopoiesis of Indeterminate Potential (CHIP) under the positive selective pressure of chemo and/or radiation therapies. Although CHIP is generally considered benign, it has been associated with an increased risk of t-MN. In this context, the phenomenon of clonal evolution may be described as a dynamic process of expansion of preexisting clones, with or without acquisition of additional genetic alterations, that, by favoring the proliferation of more aggressive and/or resistant clones, may play a crucial role in the progression from preleukemic states to t-MN.
Efficacy of Lornoxicam as a Pre-emptive Analgesic in Mandibular Third Molar Surgery – A Comparative Study
Authors: Kaila Vini , Bonthu Vineela , Moturi Kishore , Raju U Shivaji , Lakshmi P Divya Naga , Budumuru Anil
Published: October 2023

Introduction:

The most common complication following third molar surgery is pain. The purpose of the study is to determine the efficacy of lornoxicam as a preventive analgesic in patients undergoing surgical removal of impacted mandibular third molars.

Materials and Methods:

This study included 26 participants aged 18–28 years with bilateral symmetrical third molars. Group A, the control group, received lornoxicam 8 mg 1 h after surgery, whereas Group B, the study group, received lornoxicam 8 mg 1 h before surgery. All patients were evaluated for pain at the 1st, 2nd, 4th, 6th, 8th and 12th post-operative hours. The number of rescue analgesics taken within 24 h of the procedure, as well as the first occurrence of pain postoperatively, was recorded and analysed.

Results:

Using the Mann–Whitney U-test and Friedman’s analysis, the resulting data were statistically analysed. When Group B was compared to Group A, there was a significant difference in pain reduction levels in the immediate post-operative hours. When compared to Group A, Group B had a lower need for rescue analgesics within the first 24 h postoperatively.

Discussion:

Following mandibular third molar surgery, pre-emptive use of lornoxicam is effective in reducing post-operative pain and reducing the need for rescue analgesic consumption.
Bilateral hypopyon uveitis in carcinoma of breast: Masquerade syndrome and review of literature
Authors: Annamalai Radha , Delampady Priya , Biswas Jyotirmay
Published: October 2023

Maquerade syndromes are a group of ocular diseases that mimic inflammation but are due to neoplastic or less commonly non- neoplastic diseases. Metastatic choroidal disease is the most frequent clinical feature in carcinoma breast. We report a rare presentation of simultaneous uveal and orbital involvement in a 60- year-old lady with invasive ductal carcinoma. She had masquerade syndrome with acute hypopyon uveitis, angle closure glaucoma and panophthalmitis due to breast carcinoma. Anterior uveitis was due to an immune response which rapidly progressed to panophthalmitis because of orbital metastasis.
Atypical presentation of incomplete Vogt-Koyanagi- Harada Syndrome (VKH) in 9-year-old boy
Authors: Rai Puja , Kapoor Monika , Anagol Namita C
Published: October 2023

A 9-year-old boy presented with an episode of loss of consciousness associated with preceding persistent headache for a month with severe photophobia and redness for 15 days. He received treatment for probable meningitis. Ocular features include anterior uveitis, serous retinal detachment and disc hyperaemia. The diagnosis of incomplete Vogt–Koyanagi–Harada (VKH) was made, and he received systemic corticosteroids and azathioprine along with topical steroid medications. VKH can present with prolonged prodromal symptoms; we as ophthalmologists should be vigilant to recognize atypical variants of the disease, especially in the paediatric age group.
Pneumatic retinopexy for rhegmatogenous retinal detachment: The importance of a primary retinal break
Authors: Venkatesh Ramesh , Acharya Isha , Gopalakrishnan Nikhil , Mangla Rubble
Published: October 2023

A 38-year-old pregnant woman presented to the retina clinic with complaints of sudden vision loss in her right eye for 1 week. The clinical examination of the right eye revealed a macula-off rhegmatogenous retinal detachment with multiple retinal breaks in different meridians, posterior retinal breaks, inferior peripheral retinal degeneration, and the patient's inability to maintain a prone position due to her pregnancy. She was advised to undergo pneumatic retinopexy, transscleral cryopexy, and the steam-roller technique for post-operative positioning for her right eye. Her retina was well-attached on postoperative day 1, and her findings remained stable at her last follow-up appointment. The patient's visual acuity improved from 6/75 to 6/12 at the final follow-up visit. In a patient with rhegmatogenous retinal detachment, it is essential to accurately identify and treat primarily the causative retinal break.
Gonioscopy-assisted transluminal trabeculotomy for severe uveitic glaucoma: Could it be an option for a first-trimester pregnancy?
Authors: Gobeka Hamidu H , Talmaç Gülistan , Vural Fisun , Mangan Mehmet S , İmamoğlu Serhat
Published: October 2023

A 26-year-old female in her fourth week of pregnancy presented with uncontrolled high intraocular pressure (IOP) in her left eye. Her best-corrected visual acuity, IOP, cup-to-disc ratio, and average retinal nerve fiber layer thickness were 0.097 logMAR, 37 mmHg, 0.9, and 61 µm, respectively. Her central corneal thickness was 570 µm, and she had anterior synechiae, indicating previous uveitic attacks. In this case, gonioscopy-assisted transluminal trabeculotomy (GATT) was recommended and performed successfully. On postoperative day 1, IOP spiked (45 mmHg); however, it decreased to 13 mmHg three months later without medications. Thus, GATT can be an appealing surgical alternative, especially during pregnancy.
Ribcage sign: A novel morphology of congenital cataract with preexisting posterior capsular defect (PPCD)
Authors: Khokhar Sudarshan , Rani Deeksha , Kumar Saumya , Agarwalla Anushka
Published: October 2023

We describe a new clinical characteristic noted in congenital cataract with a preexisting posterior capsular defect (PPCD). We describe this sign as a “ribcage sign” owing to its similarity to the human ribcage enclosing thoracic organs. The permeability changes in the posterior capsule and interaction of the cortex with the vitreous could be the probable cause of such a unique morphology.
Orbital mass in an anophthalmic socket: An unusual case with literature review
Authors: Kumar Sonali Vinay , Mishra Sanjay Kumar , Mishra Prabhashankar , Kumar Vinay
Published: October 2023

Malignant tumors in an anophthalmic socket are a rare phenomenon, which occurs when care of the anophthalmic socket and ocular prosthesis is overlooked. We report a 32-year-old male patient who developed an orbital mass in an anophthalmic socket 6 months following evisceration. The triggering factor in the present case was chronic irritation and trauma to the upper conjunctiva from wearing an ill-fitted ocular prosthesis. The patient had an eyelid-sparing exenteration, and histopathological examination showed the features of squamous cell carcinoma. This case illustrates the need of diligent examination of the anophthalmic socket and frequent follow-ups to detect untoward events at the earliest for timely intervention. A literature review was also performed to find out how rare is this disease and its time of onset after enucleation and evisceration.