bluuebunny/crossref_metadata_2025 huggingface dataset:
Quand le contre-transfert répète le processus d’aliénation
Authors: Bernat Joël
Published: September 2023

L’aliénation est un processus psychique qui n’est pas statique et peut toucher toute une institution et facilement, un thérapeute. Ce que les antipsychiatres anglais (Laing, Esterson, Cooper) avaient repéré : à son insu, une institution répète et prolonge le processus d’aliénation qu’un sujet a subi dans sa famille. Il n’y a là qu’un déplacement d’une scène première sur une scène seconde. Je souhaite relever cette circulation de l’aliénation en prenant l’exemple des interprétations et théorisations en tant que manifestation contre-transférentielle quant au délire paranoïaque où le contre-transfert de l’analyste répète le processus d’aliénation, que ce soit dans la pratique clinique ou dans certaines élaborations théoriques telles que : il n’y a pas d’Autre dans la psychose ou il n’y a pas de transfert dans la psychose : ce qui fait du sujet un « véritable » aliéné au sens d’étranger à mon monde. De même la notion de forclusion qui est radicale en opposition à celle du rejet de Freud qui reconnaissait un retour de rejeté – comme celui du refoulé – en un autre lieu psychique, comme l’hallucination, c’est-à-dire dans la langue des rêves et sur une autre scène. Je prends pour exemple le Président Schreber afin d’y montrer que certaines interprétations ne font que prolonger l’aliénation contre laquelle il luttait, ce qui n’est pas entendu pour des raisons contre-transférentielles.
Expansions of generalized bases constructed via Hasse derivative operator in Clifford analysis
Authors: Hassan Gamal , Zayed Mohra
Published: September 2023

The present paper investigates the approximation of special monogenic functions (SMFs) in infinite series of hypercomplex Hasse derivative bases (HHDBs) in Fréchet modules (F-modules). The obtained results ensure the existence of such representation in closed hyperballs, open hyperballs, closed regions surrounding closed hyperballs, at the origin, and for all entire SMFs (ESMFs). Furthermore, we discuss the mode of increase (order and type) and the $ T_{\rho} $-property. This study enlightens several implications for some associated HHDBs, such as hypercomplex Bernoulli polynomials, hypercomplex Euler polynomials, and hypercomplex Bessel polynomials. Based on considering a more general class of bases in F-modules, our results enhance and generalize several known results concerning approximating functions in terms of bases in the complex and Clifford settings.
Los vencedores, una novela reportaje de denuncia en la España del feudalismo industrial
Authors: Hellín Nistal Lucía
Published: September 2023

Los vencedores (1908), la primera novela de la serie titulada Las luchas de nuestros días de Manuel Ciges Aparicio, es una novela reportaje pionera que había sido condenada al olvido. Se trata de una novela social que busca una relación muy directa con la realidad para denunciar el régimen caciquil de principios del siglo XX en España. En este artículo nos proponemos analizar los mecanismos mediante los cuales el dispositivo narrativo desarrolla esta denuncia y permite acceder a las claves estructuradoras de ese régimen. El diálogo con la discusión elaborada por György Lukács sobre la novela reportaje en su artículo de 1932 «¿Reportaje o configuración? Observaciones críticas con ocasión de la novela de Ottwalt» nos permitirá pensar los límites y tensiones de la confluencia entre el género narrativo y el periodístico.
«Yo no sé hacer interviús, ¿comprende?» Las autoentrevistas fingidas de Josep Pla en Destino
Authors: Ripoll Sintes Blanca
Published: September 2023

El propósito principal de este artículo radica en exponer y analizar doce entrevistas que hasta ahora eran de autor desconocido y que gracias al hallazgo de un cuaderno manuscrito de Josep Pla podemos atribuir al autor de El quadern gris. Estas entrevistas fingidas fueron publicadas entre 1940 y 1967 en la revista Destino y muestran una actitud autorial de gran modernidad y la conciencia de Pla de los vínculos entre la proyección de la imagen del autor y la recepción de su obra.
Penser l’humain et la technique
Authors: Alombert Anne
Published: September 2023

Les pensées de Gilbert Simondon et de Jacques Derrida n’ont jamais été étudiées de manière conjointe, alors même que les deux auteurs partagent un contexte historique, un milieu théorique ainsi qu’un ensemble de problématiques communes qui animent leurs réflexions dans le champ philosophique des années 1960. Ce livre propose de remédier à ce manque en confrontant les pensées des deux auteurs autour de trois grandes questions : celle de la métaphysique et des rapports entre philosophie et sciences, celle de l’humain et des rapports entre vie et conscience, et celle de la technique et des rapports entre mémoire et archives. Autant d’interrogations qui ressurgissent aujourd’hui, face aux menaces de l’Anthropocène et du transhumanisme. L’articulation des pensées de Simondon et de Derrida constitue ainsi une ressource fondamentale pour dépasser les oppositions entre animalité et humanité, nature et culture ou nature et technique. Elle permet de repenser les rapports entre vie, technique et esprit hors des schémas dualistes, ainsi que d’appréhender les enjeux anthropologiques des mutations technologiques contemporaines.
Spintronics System
Authors: Hunagund Shivakumar
Published: September 2023

Spintronic systems, which involve manipulating the spin of electrons, have potential for use in quantum computing due to their unique properties. These systems can create spin-based qubits that are more stable and less prone to decoherence than other types, and can also be used to control interactions between qubits. They can also utilize spin-based quantum gates that can perform specific operations faster and more efficiently. Spintronic systems hold promise for the development of powerful and efficient quantum computers.
An Analysis of Quantum Computing Spanning IoT and Image Processing
Authors: Kamaleswari P. , Daniel A.
Published: September 2023

The significance of using quantum computing in a variety of applications is illustrated by qubits, coherence time, and gate error rate, respectively, in all of the measurements. In quantum information, the fundamental units are called qubits, which are comparable to bits in classical information. The complicated computation can be simplified by employing qubits, which can be used in a wide variety of contexts. Data can be analyzed without producing any decoherence errors, which is particularly useful for image processing and real-time applications. The concept of “noisy intermediate scale quantum” (NISA) can be addressed and used in real-time data collecting through the Internet of Things as well as in picture processing. The NISA has a primary emphasis on factorization and optimization techniques for the purpose of data analysis. Therefore, this progress will be essential in unlocking the full potential of quantum computing and enabling it to tackle a wider variety of difficult challenges like the Internet of Things (IoT) and Image Processing
Quantum Machine Learning Enhancing AI With Quantum Computing
Authors: Muthusamy Arvindhan
Published: September 2023

Quantum circuits with certain statistical properties called t-designs allow investigations into the behavior of gradients in high dimensions, and therefore tell us something about the trainability of quantum models in regimes that cannot necessarily be simulated. Along with that, the chapter shows how quantum machine learning is being used in real-world settings in a variety of fields, such as drug discovery, financial modelling, image identification, and natural language processing. All fundamental subatomic particles fall into two classes, based on how identical particles of each type behave when swapped. They are either fermions, a class that includes electrons and other particles that make up matter, or bosons, which include particles of light known as photons. Data encoding is often the most crucial step of quantum machine learning with classical data. It illustrates the possible advantages and insights that quantum algorithms can offer to various fields and analyses the ongoing research projects aimed at converting conventional machine learning models for quantum platforms.
Factors Influencing Potential Users' Behavior Towards Usage of Cloud Computing
Authors: Bansal Shruti , Jain Ajay , Gupta Karuna
Published: September 2023

With the aid of cloud computing, numerous services are accessible via the Internet. Among other things, these technologies include storing, managing and processing data, networking, servers, database and software storage. The study aims to recognize the most crucial factors that instigate the Potential User's Behaviour Toward increased usage of Cloud Computing. Technology experts anticipate that as cloud computing becomes more and more popular, most organizations will switch to it by 2025, ending their need for desktop resources. The study aims to assess the impact of certain factors like Perceived Ease of Use and Availability, Security and Privacy, Reliability and Relative Advantage in influencing the intention of the user's towards the usage of cloud computing. Data were gathered using a questionnaire and a convenient sampling method. The data is analysed using the Smart PLS-SEM technique with a sample size of 191. The research finding indicates that all four factors taken in the study significantly influence the users' intention toward the usage of cloud computing.
Analyzing Artificial Intelligence From Social Science Perspectives
Authors: Srivastava Govind
Published: September 2023

Artificial intelligence is the most burning concept of the 21st century, and it has changed the way companies operate, governments serve, and people lead their lives. Artificial intelligence is used in various areas, such as robotics, natural language, comprehension, medical diagnosis, defense, public transportation, etc.. AI is challenging the superiority of human brains, and it is having a severe impact on human rights, family life, employment, human value, and ethics. As there are tremendous implications of artificial intelligence, it is high time to investigate the relationship between human beings and intelligent machines. On one hand, artificial intelligence produced several benefits in terms of better analysis, categorization of groups, and future prediction; on the other hand, it is impacting the right to privacy, family life, employment, freedom of expression and association. The policymakers must take a call to make a trade-off between human beings and intelligent machines.
Predicting Dogecoin Price Using Python Programming and AutoTS Algorithm
Authors: Zejnullahi Albana
Published: September 2023

It's crucial to thoroughly research the prior history of the cryptocurrency market, in this case Dogecoin, before considering investing in the financial market, especially the cryptocurrency market. The authors want to create a Python project that forecasts Dogecoin's price. To accomplish this, researchers need to gather all available data on Dogecoin's price history and use it to create mathematical formulas that will decide the currency's pricing. In order to help people grasp this data, the authors also create a chart to display it all.
Wildfire Air Quality Prediction
Authors: Dhar Subhankar , Gao Jerry Zeyu
Published: September 2023

Wildfires are extremely harmful to the environment. While producing gaseous pollutants and particles that cause smoke, wildfires also release carbon dioxide (CO2), a greenhouse gas that will continue to warm the planet after the wildfire ends. This article delves into the impact of wildfires and air quality on human living conditions. The authors' machine learning models use wildfire data to forecast air quality with detailed indexes and geographic information during a wildfire. The work evaluates the performance of each machine learning model via statistical metrics like mean absolute error (MAE), R-squared (R2), and root mean squared error (RMSE). The experimental results used neural networks to predict a specific value for carbon monoxide (CO), ozone, and PM2.5. These are both promising and accurate, providing meaningful insight into air quality within a region. This work will be useful for cities, governments, citizens, and public safety.
Novel Hybrid Genetic Arithmetic Optimization for Feature Selection and Classification of Pulmonary Disease Images
Authors: Nivetha S. , Hannah Inbarani H.
Published: September 2023

The difficulty in predicting early cancer is due to the lack of early illness indicators. Metaheuristic approaches are a family of algorithms that seek to find the optimal values for uncertain problems with several implications in optimization and classification problems. An automated system for recognizing illnesses can respond with accuracy, efficiency, and speed, helping medical professionals spot abnormalities and lowering death rates. This study proposes the Novel Hybrid GAO (Genetic Arithmetic Optimization algorithm based Feature Selection) (Genetic Arithmetic Optimization Algorithm-based feature selection) method as a way to choose the features for several machine learning algorithms to classify readily available data on COVID-19 and lung cancer. By choosing just important features, feature selection approaches might improve performance. The proposed approach employs a Genetic and Arithmetic Optimization to enhance the outcomes in an optimization approach.
Design of a Smart Teaching English Translation System Based on Big Data Machine Learning
Authors: Zhang Chunye , Yu Tianyue , Gao Yingqi , Tham Mau Luen
Published: September 2023

In the context of artificial intelligence, the use of machine translation in English reading classroom teaching is a more common learning method. In traditional teaching methods, machine translation is more convenient and faster than human translation, but it often deviates from the original text in terms of grammar and sentence pattern. Based on the perspective of English reading class, this paper compares traditional and machine translation, and discusses the future development trend and influence mechanism of the current situation of using machine translation in English reading class under the effect of artificial intelligence.
The Bond Length of Intermetallic Ternary Phases of Al-Fe-Si Alloy Using Molecular Dynamics Simulation with the Application of [001] Compression
Authors: Taoufiki Meryem , Chabba Hanae , Barroug Abderrahim , Jouaiti Ahmed , Dafir Driss
Published: September 2023

The research on tolerance stress in aluminum alloys is focused on examining the mechanical behavior of τ4-Al3FeSi2 and τ12-Al3Fe2Si phases during [001] compression and their structural evolution. The use of MD computational bond length measurements allows for a comparison to be made with previous studies on tensile deformation. The simulations were performed at a constant strain rate of 21×1010 s-1, using NPT conditions (isothermal-isobaric), with approximately 20,000 atoms, 1 atmosphere of pressure, and 300 K temperature, using a Nosé-Hoover thermostat. Under periodic boundary conditions, the Modified Embedded Atoms Method (MEAM) potential was applied to all 3D faces, and the average bond length behavior between Al, Fe, and Si was calculated. A comprehensive investigation is carried out to explore the properties of these phases, including a detailed structural analysis at the atomic scale. This paper presents a comprehensive analysis of how changes in compound concentration affect mechanical behavior during compression. The average bond length varies depending on the applied stress axis, and it demonstrates good agreement with literature data. The mechanical deformations alter the behavior of atomic phases, as discussed in detail in the conclusion.
Variability Analysis of Compressive and Flexural Performance of Coconut Fibre Reinforced Self-Compacting Concrete
Authors: Odeyemi Samson Olalekan , Adisa Michael Oluwasegun , Atoyebi Olumoyewa Dotun , Adesina Adeyemi , Lukman Ahmed , Olakiitan Adeniyi
Published: September 2023

Self-compacting concrete (SCC) is a high-performance material that flows freely and consolidates without segregation or bleeding. This study investigated the effectiveness of incorporating coconut fiber into SCC to improve its strength and toughness. Three mixtures with coconut fiber inclusions of 0.2%, 0.4%, and 0.6% by weight of cement were used. The addition of coconut fiber reduced the workability and passing ability of the concrete, but all mixes met the SCC specification. The CFRSCC with 0.2% had the highest compressive and flexural strengths. The study concluded that adding 0.2% coconut fiber to SCC can increase its strength. The use of natural fibers like coconut can enhance the properties of concrete and could be an alternative to synthetic fibers, especially in regions where natural fibers are locally available and cost-effective.
Activity Economy and Cultural Heritage Tourism in Sri Lanka(Special Reference in Galle and Kandy)
Authors: Gamage Kumesh Prabhashini
Published: September 2023

The activity economy is driven by cultural activities, which are also embodied in the development model of cultural tourism. An activity economy is a new direction for economically developed cities to promote tourism development. This paper explores "the impact of the activity economy on cultural heritage tourism in Sri Lanka concerning Galle and Kandy cities". This study was driven by a qualitative method consisting of document analysis and secondary data obtained from online media. The document analysis involved a review of the literature and documents relating to cultural heritage tourism in Sri Lanka. Tour operators or tourism industry websites, private or personal websites, or Blogs containing travel information regarding cultural heritage tourism in Sri Lanka have been used as qualitative sources and with a high level of confidence. Activity economy is a new concept in the Sri Lankan tourism industry, and according to the analysis of the data, a well-managed marketing activity economy is an important factor for cultural heritage tourism in Sri Lanka. Currently, it runs without identifying its theoretical and practical value; therefore, under a well-organized marketing management plan, it can fulfill sustainability goals. To address this, it needs government and private institutional involvement and a strong set of human and physical resources.
Changing Lifestyle on Tourism: Special reference to Ratnapura District
Authors: Priyangika M. M. T.
Published: September 2023

This research study investigates the influence of changing lifestyles on tourism in the Ratnapura District, Sri Lanka. The research methodology employs a mixed-methods approach, combining qualitative and quantitative data collection methods. Primary data is gathered through interviews, surveys, and observations to capture the perspectives of both residents and tourists. Secondary data from academic papers, government reports, and tourism industry statistics are also utilized for in-depth analysis. The major objective of this study is to, identify the fluctuating nature of the tourism industry of the people who depend on the tourism industry. And the sub-objectives are, to study the present situation of the tourism industry in the study area, to identify the challenges to the employment/s, income generation, and lifestyle of the people who are involved in tourism, and to identify strategies to overcome the challenges to the employment/s of the people who are involved in tourism. The findings indicate that the changing lifestyle of Ratnapura District's inhabitants has led to various shifts in tourism demand and preferences. As the local community adopts modern lifestyles, there is a gradual departure from traditional cultural practices and attractions, affecting their representation in tourism offerings. Additionally, increased urbanization and westernization have influenced tourists' expectations and preferences, prompting a demand for more modernized and contemporary experiences. The study identifies key factors contributing to these lifestyle changes, such as increased internet connectivity, access to media, globalization, and economic growth. Furthermore, the paper explores the challenges faced by the tourism industry in adapting to these lifestyle changes and identifies potential strategies for sustainable tourism development.
The Story of Pre-Historic and Proto-Historic Hominids of Sri Lanka: An Underexploited Resource for Inbound Tourism Promotions
Authors: Fernando Rishini , Rathnayake Suvimali , Jayarathne Yeshanthika , Wickramarathna Sudhara , Pirashath Hamzayini
Published: September 2023

Heritage has always been one of the major products of Sri Lanka tourism since its initial stage. In addition to the intangible heritage attractions, the industry is inclined to promote the monuments and sites which majorly belong to the historic period. In this process, one of the country’s finest cultural assets has been overlooked by the tourism practitioners. This resource is nothing but the abundant pre and pro-historic sites scattered around different parts of the island. Hence, this research was carried out to fill this gap with the objectives of understanding the potentials of pre and proto-historic sites to be developed as tourism sites, recognizing the possible barriers and consequences of doing that, and seeking means of benefitting archeological sites and tourism industry mutually. The sample of the study which was obtained via purposive sampling technique included twenty-nine members representing nine archaeologists who engage in pre and pro-historic archaeological work and officers-in-charge of such sites, two representatives from SLTDA and SLTPB, representatives from six leading destination management companies, five tour guides and seven tourists who are interested in pre and proto history. Researchers adopted the exploratory qualitative method as the study aimed at unfolding something almost unexplored. Semi-structured interviews were conducted to extract primary data. Secondary data were collected from reliable publications. Content analysis was carried out with the assistance of NVivo software. The findings of this study indicate that there is a visible gap in an essential holistic approach between archaeologists, tourism authorities, DMCs, and tour guides. There is a substantial special interest tourist group traveling the world to explore pre-history and proto-history who could be drawn to Sri Lanka if the country can package these sites well. It was also found that archaeological sites and tourism could be mutually benefited as the sites get fame and protection when developed as tourism sites while the tourism industry can reach out to a profitable special interest traveler group. The archaeologists who have contributed to the excavation over the course of time could be appreciated too.
Bilaterality of varicocele: The overlooked culprit in male infertility. Case series study
Authors: Almekaty Khaled Mohamed , Elsharkawy Ahmed Mostafa , Zahran Mohamed Hasan , Ragab Maged Mostafa , Rashed Ayman Sayed , Soliman Mahmoud Mohamed , Salem Khaled Abdelaziz , Ghaith Ahmed Fayez
Published: September 2023

Objectives: Varicocele is the most common correctable cause of male infertility that always has been a debatable subject as regards how it affects fertility and the best way to treat it. Proper assessment of the disease bilaterality is crucial not to miss one side and not to jeopardize treatment outcome. This study aimed to objectively assess varicocele bilaterality in infertile men aiming to improve treatment outcome in this cohort of patients. Methods: This prospective study was conducted between January 2019 and January 2022 including infertile males with varicoceles. Assessment of missed concomitant contralateral varicocele done pre-operatively by Color Doppler Ultrasound and intraoperatively by intraoperative Doppler device and measurement of maximal vein diameter of contralateral side. Results: A total of 329 cases completed the study. A hundred cases (30.4%) were initially referred as unilateral varicoceles and 229 (69.6%) as bilateral varicoceles. After reassessment of the study population, bilaterality of varicocele was found to be as high as 98.5% (324/329). Repeat CDUS strongly correlated with the intraoperative measured varicocele diameter (r = 0.9, p < 0.001). Moreover, sperm parameters showed significant improvement 3 and 6 months post varicocelectomy. Normal pregnancy after 1 year of surgery occurred in 118 cases (35.9%). Conclusions: Varicocele bilaterality in infertile men is underreported. Thorough assessment by expert radiologists and andrologists is of paramount importance not to miss significant pathology or hazard treatment outcome.
Evaluation of the biochemical composition and antioxidant activity of preparation based on pigments extracted from the remaining biomass of Arthrospira platensis
Authors: Beșliu Alina , Chiselița Oleg , Chiselița Natalia , Efremova Nadejda , Chiriac Tatiana
Published: September 2023

Biotechnological research is currently focused on obtaining preparations based on natural pigments due to their properties and positive impact on human and animal health. Thus, this study aimed to evaluate the biochemical composition and antioxidant activity of the preparation based on pigments obtained from the remaining biomass of Arthrospira platensis. The obtained results established that the preparation is characterized by a high content of β-carotene, lutein, chlorophyll pigments, and sulfated polysaccharides. Due to its composition, the preparation also possesses high antioxidant activity and the catalase and superoxide dismutase enzymes. These findings highlight the high biological value of the new preparation and the enormous potential for implementation in medicine, the animal husbandry sector, and the food and cosmetic industry.
Efficacy of Eucalyptus citriodora and Syzygium aromaticum essential oil as insecticidal, antiovipositant, and fumigant against Callosobruchus maculatus F (Coleoptera: Bruchidae)
Authors: Kardinan Agus , Maris Paramita , Darwati Ireng , Mustapha Zakiah , Ngah Norhayati
Published: September 2023

Callosobruchus maculatus is the most pernicious pest of stored grain worldwide. Even though synthetic insecticides are commonly used to eliminate this insect pest, the negative effect of this pest management method on humans and the environment raises concern among people around the world. This study was done to identify the active ingredient of essential oils in Eucalyptus citriodora and Syzygium aromaticum and to evaluate the effectiveness of those essential oils in controlling C. maculatus. The results of gas chromatography/mass spectrometry analysis indicated that the essential oil extracted from the leaves of S. aromaticum are rich in Eugenol and β caryophyllene as much as 81% and 14.65% consecutively, while E. citriodora oil contains 86% of Citronella. According to the bioassay results, increasing the essential oil concentration from 1% to 3% resulted in a significant increase in insect mortality rate, oviposition deterrence, and fumigant toxicity. Additionally, S. aromaticum has significantly shown a higher insecticidal performance compared to E. citriodora. However, there are no synergistic effects observed on the use of essential oil of both plant species on C. maculatus. These results suggest that S. aromaticum and E. citriodora essential oils could be potential candidates as a natural insecticide in managing C. maculatus in stored products.
Immunisation status of children aged 12 to 23 months: A cross-sectional study at the immunisation clinic of a Government Medical College in West Bengal
Authors: Pal Moumita , Das Avijit , Chatterjee Supantha
Published: September 2023

Background:

Immunisation from the very beginning of life not only reduces morbidity and mortality from potentially infectious diseases, it also interrupts disease transmission in the community.

Methods:

A cross-sectional study was done among children aged 12–23 months, who attended the immunisation clinic of a Medical College Hospital from 6th January to 10th February 2020. They were selected by purposive sampling. A pre-designed, pre-tested, structured questionnaire was applied to collect the relevant data from this group of children.

Results:

Among the 154 children who participated in the study, 43.5% of them belong to the age group of 16–19 months. 70.8% were found to be fully immunised. However, 28.6% were partially immunised children and only a single participant was found as non-immunised. The immunisation status of the study participants is significantly associated with their religion (P = 0.007) and the educational status of both the parents (P = 0.039, P = 0.04).

Conclusions:

Overall full immunisation coverage is satisfactory in comparison to National Family Health Survey 4 data (criterion) but not up to the national target. Increased frequency of campaigning and also catch-up immunisation programme should be taken to improve immunisation of those children who were partially immunised or not immunised at all.
Intensive care environment
Authors: NWOZICHI Chinomso Ugochukwu , OLORUNFEMI Olaolorunpo
Published: September 2023

The intensive care unit (ICU) is a complex setting by nature, and some have described it as bizarre due to its numerous sirens that sound when anything is dangerous, constant activity, equipment, bright lights, and high fatality rate. The demands placed on nurses to care for critically ill patients in this environment frequently prevent nurses and other health-care professionals from acknowledging the feelings of patient's relatives or family caregivers, resulting in a hostile environment from the patient's relative's perspective. When a patient's family enters the ICU, they feel that hospital administrators do little to nothing to alleviate their discomfort and fear. Despite research demonstrating the importance of providing a homely environment for patients' families, In Nigeria ICU is still far behind how a conventional ICU environment should be structured to accommodate patient's relations in the unit. The goal of this study was to look at the patient's relative's perspective on providing care for a critically ill patient in an ICU, with a focus on the unit's complexity and overall experience. Based on the findings of this study, we recommend that hospital administrators ensure that the environment of the upcoming ICU is designed to meet the needs of patient's relatives by addressing identified environmental concerns, like caring neglect, by providing a friendly and stress-free environment.
Heart failure symptom burden, dietary intake, and inflammation
Authors: DAVIS Erica , DUNBAR Sandra , HIGGINS Melinda , WOOD Kathryn , FERRANTI Erin , MORRIS Alanna , BUTTS Brittany
Published: September 2023

Heart failure (HF) is characterized by high symptom burden including, but not limited to fatigue, dyspnea, and edema. Up to 21.5% of HF patients experience significant depressive symptoms, much higher than 7.1% in adults without HF. Diet, metabolites, and other inflammatory mechanisms have gained notable attention in recent studies for contributions to symptoms in HF. Symptoms for black adults (B/As) with HF are often influenced by lifestyle factors, which may influence their higher mortality rates; few studies address these factors. Distinguishing the links between key elements with diet, inflammation, and symptoms may bring clarity for new dietary strategies in HF clinical care. The purpose of this integrative review is to examine the existing literature regarding relationships among physiologic pathways in HF along with physical and emotional symptoms in the context of inflammation, dietary intake, tumor necrosis factor-alpha (TNF-a), a biomarker of inflammation, and trimethylamine-N-Oxide (TMAO). Based on available evidence, inflammation may be a key link between physical symptoms, diet, depression, TMAO, and TNF-a in persons with HF and warrants further examination to clarify pathological links to solidify evidence for better guidance with dietary modifications. The literature reviewed in this study demonstrates that more work is needed to examine dietary planning, social support, and differences between men and women in the B/A community. Results of this literature review call attention to the essential, personalized care needs related to symptom monitoring and dietary planning which is expected to decrease symptom burden in the HF population.
Adolescent health issues
Authors: AKINWALE Oladayo Damilola , BELLO Cecilia Bukola , ELEMILE Mayowa Grace
Published: September 2023

Adolescent health (AH) is an integral part of public health with the goal of improving the healthy development, safety, and well-being of adolescents because the behavioral patterns established during this period influence the health status of the adolescents and the risk of developing chronic diseases during adulthood. Adolescence being a time of great physical and psychological change, many social and physical conditions as well as behavioral pattern can impact AH and heighten the risk of illness and diseases. This makes adolescents to be susceptible to various health issues by nature because of their stages of development, which affects their ability to make safe decisions, and the need to rely on significant others for support. Other factors like desire for greater autonomy, pressure to conform to peers, exploration of sexual identity, increased access to and use of technology, violence and sexual abuse, social and cultural norms, family circumstances, emotional and physical environment of the adolescents contribute significantly to adolescents' health issues. Therefore, nurses have significant roles to play to ensure optimal growth and development of the adolescents and to prevent and reduce the impact of changes associated with adolescence on the health and well-being of the adolescents. This article presents the concept of adolescence, components of AH, health-related challenges associated with adolescence, and role of public health nurses.
Effect of yoga practice in reducing blood pressure, platelet blood count, and proteinuria in pregnant women with mild preeclampsia
Authors: Murdiningsih  , Rohaya  , HINDUN Siti , FRANCISKA Yunetra , Ocktariyana
Published: September 2023

Objective:

In determining the effects of yoga practice on mild preeclampsia, this study examines the blood pressure, blood platelet (PLT) count, and proteinuria status in pregnant women over 20 weeks of pregnancy.

Materials and Methods:

This research is an experimental study with a pre–post intervention design. We collected forty pregnant women with mild preeclampsia from all populations. All participants agreed to practice 30 min of yoga every week for 1 month. The blood pressure, the blood PLT count, and proteinuria were measured before and after the yoga intervention. The statistical analysis used the t-test for the blood PLT count variable, the McNemar test for the proteinuria variable, and the Wilcoxon test for the blood pressure variable.

Results:

The results showed a decrease in systole blood pressure from 134.17 ± 7.17 mmHg before a yoga intervention to 120 ± 4.17 mmHg after yoga intervention (P < 0.001) and a decrease in diastole blood pressure from 89.58 ± 5.5 mmHg before the intervention to 79.38 ± 4.25 mmHg after the intervention (P < 0.001). However, there was no significant difference in blood PLT count (P = 0.104) and proteinuria (P = 0.063) before and after a yoga intervention in pregnant women with mild preeclampsia patients.

Conclusions:

Yoga exercise during pregnancy (upper 20 weeks of gestation) significantly decreased systolic and diastolic blood pressure in mild preeclampsia patients.
Accessible and low- to zero-cost remedy
Authors: ADAMOLEKUN Modupe Motunrayo , AKPOR Oluwaseyi Abiodun , AKPOR Oghenerobor Benjamin , ADEOLA Oluwakemi Elizabeth , ADEWALE Olusola Bolaji
Published: September 2023

Traditional medicine (TM) has played an essential part in maternity services around the world, which has led to increased utilization among pregnant women. Herbs, herbal preparations, and completed herbal products are examples of TMs that contain active substances such as plant parts or other plant components that are thought to have therapeutic advantages. This study review aimed to identify the herbs commonly used, reasons for use, and effect of use, to make adequate recommendations on herbal medicine use as a remedy for pregnancy and labor. Incorporating evidence from reviews, personal correspondence, and diaries, this study demonstrates that about 80% of people used TM such as herbal remedies for sickness diagnosis, prevention, treatment, and promotion of general well-being. Due to its accessibility, cost, and availability, TM is usually used by expectant mothers. Examples of TM used in pregnancy and labor include honey, aloe, raspberry, jute mallow, and hibiscus leaves. It is important to note that its use in pregnancy and labor can be beneficial or harmful to both mother and child. Lack of standardization, financial risk, lack of safety, and effectiveness are challenges to TM. There is a need of creating awareness of the safe use and effects of TM in pregnancy and labor through the provision of health education programs for women in the community.
Herbal Formulations in Oral Submucous Fibrosis Treatment – A Narrative Review
Authors: Shivakumar Sahana , Shivakumar Ganiga Channaiah
Published: September 2023

This narrative review provides an overview of the use of herbal formulations in the treatment of oral submucous fibrosis (OSMF). OSMF is a potentially malignant disorder characterized by progressive fibrosis of the oral mucosa, resulting in restricted mouth opening and other debilitating symptoms. Conventional treatment options for OSMF are limited, and their effectiveness varies. Herbal formulations have gained attention as alternative and complementary treatment options for OSMF due to their perceived natural origin, minimal side effects, and potential therapeutic effects. These formulations typically consist of plant-derived ingredients with bioactive compounds that possess anti-inflammatory, antioxidant, antifibrotic, and immunomodulatory properties. Various herbal ingredients, such as Aloe vera, curcumin, licorice, honey, and triphala, have been investigated for their potential efficacy in OSMF treatment. These ingredients have shown promise in targeting the underlying mechanisms involved in OSMF pathogenesis, including inflammation, fibrosis, oxidative stress, and immune dysregulation. Herbal formulations offer potential advantages in OSMF treatment. They may provide a holistic approach by addressing multiple aspects of the disease and promoting overall oral health. Herbal formulations also have the advantage of cultural acceptability and cost-effectiveness. To further advance our understanding of herbal formulations in OSMF treatment, well-designed clinical trials with standardized protocols and larger sample sizes are needed. In addition, the development of evidence-based guidelines for the use of herbal formulations in OSMF would aid health-care professionals in making informed treatment decisions. Herbal formulations have shown promise as potential treatment options for OSMF. While their efficacy and safety need further investigation, they offer a natural and holistic approach to OSMF management. Collaboration between researchers, clinicians, and regulatory bodies is essential to advance the research and ensure the safe and effective use of herbal formulations in OSMF treatment.
Severe Respiratory Depression in a Beta-Thalassemia Patient: A Case of Furosemide-Induced Hypokalemia Precipitated by Morphine
Authors: Yergolkar Abhijna Vithal , Jadhav Sachin Suresh , Kumar Jyothi Goutham , Ojha Nishit , Tripathi Priyank , Panchal Amey C.
Published: September 2023

This case report describes a rare occurrence of severe respiratory failure in a 4-year-old child with beta-thalassemia after the administration of Furosemide and morphine. The patient experienced hypokalemia (potassium levels - 2.69 mmol/L) following Furosemide administration, which worsened after morphine intake, leading to Type II respiratory failure. Immediate potassium correction and naloxone administration were initiated, but unfortunately, the patient succumbed to complications related to tracheostomy on D + 39. This report emphasizes the potential risks of Furosemide-induced hypokalemia and its interaction with morphine, resulting in severe respiratory depression.
Evaluation of Brain Death Due to Methanol Intoxication
Authors: Mengi Tuğçe , Özkök Hüseyin , Öner Özlem , Yaka Erdem , Cömert Bilgin , Gökmen Ali Necati
Published: September 2023

Objective:

Intoxication may mimic brain death and cause brain death. In the literature, brain death due to methanol intoxication is limited to case reports. In this report, patients with methanol intoxication who had findings of imminent brain death were evaluated.

Materials and Methods:

The study population consisted of patients with methanol intoxication treated in the adult intensive care unit (ICU) between October 2014 and October 2020. The records in the hospital automation system of patients with methanol intoxication were evaluated retrospectively. According to the outcomes, the patients were divided into two groups: survivors and patients who had imminent brain death.

Results:

Eighteen patients with methanol intoxication were investigated. The brainstem reflexes disappeared in seven patients who were in a coma. The imminent brain death rate of patients with methanol intoxication was 39%. Patients who had imminent brain death had lower Glasgow Coma Scale scores during ICU admission and a higher ratio of pathologic neuroimaging findings due to methanol intoxication (P < 0.05). According to the clinical criteria and ancillary tests, four patients were declared brain dead. The brain death rate of patients with methanol intoxication was 22%. One of four patients with brain death was an organ donor. The liver was transplanted from our donor.

Conclusion:

Treatment should be initiated immediately in cases of methanol intoxication. Patients who do not respond well to treatment should be followed closely in terms of brain death. Based on published data and our personal experience, organ donations can be performed after appropriate investigations in brain death cases due to methanol intoxication.
The Electroencephalographic Evolution of Electrical Status
Authors: Uçar Habibe Koç , Arhan Ebru , Aydın Kürşad , Hirfanoğlu Tuğba , Serdaroğlu Ayşe
Published: September 2023

Purpose:

Electrical status epilepticus during slow sleep (ESES) is an electroclinical syndrome with a specific electroencephalogram (EEG) pattern characterized by epileptic seizures, cognitive decline, and behavioral problems. The EEG pattern is defined by the percentage of the spike-wave index (SWI) in nonrapid eye movement (NREM) sleep without a clear cut-off value. The purpose of this study is to determine the significance of SWI calculation in the first 180 s of the NREM sleep stage.

Methods:

Patients with tonic seizures and those with SWI levels of <50% were excluded from the study. One hundred patients were enrolled in the study (typical ESES: 85; atypical ESES: 15). EEG findings were evaluated according to the following points: 1-ESES type: atypical ESES for SWI between 50% and 85% or typical ESES for ≥85%; 2-SWI calculation methods: Short method and long conventional method; 3-SWI percentage and spike frequency (SF).

Results:

A moderate correlation was determined between spike-wave percentage (SWP) and SF (r = 0.628; P < 0.001). A strong positive correlation was determined between the short method and long conventional method (r = 0.888; P < 0.001). In multivariate logistic regression with the SWI short method and the number of spikes in the first 180 s of NREM, only the SWI short method was found to predict typical ESES regardless of other factors (odds ratio: 1.18; P = 0.001). The optimal predictive value of the SWI short method for predicting typical ESES was >85, with sensitivity of 81.2%, and specificity of 73.3% (+PV: 94.5%, −PV: 40.7%; AUC ± SE = 0.850 ± 0.05; P < 0.001).

Conclusion:

Evaluating EEG epileptiform activities with objective and reproducible well-defined measurements such as SWP and SF allows for the comparison of different patient groups. We think that a shorter method for diagnosing ESES would potentially provide increased cost savings and patient comfort.
Refractory Temporal Lobe Epilepsy in Patients with Mosaic Turner Syndrome
Authors: Arslan Doruk , Ütine Eda , Saygı Serap
Published: September 2023

Turner syndrome (TS) is one of the most common sex chromosome abnormalities in women, but there are only a few case reports of patients with TS who have epilepsy or seizures. Here, we report two additional cases with drug-resistant temporal lobe epilepsy (TLE) and TS mosaicism. Patient #1 is a 22-year-old female with drug-resistant TLE whose karyotype analysis showed that 84% of interphase cells had (45,X) genotype and brain magnetic resonance imaging (MRI) initially reported as normal showed developmental left temporal lobe encephalocele. She underwent left temporal lobectomy, and she is seizure free for 10-year postoperative follow-up period. Patient #2 is a 49-year-old female who has TLE with normal brain MRI. The karyotype analysis showed that 2/30 of metaphase cells had (45, X) genotype. In addition, 11 cases of epilepsy associated with TS were determined through PubMed. The clinical characteristics of all are reviewed.
Computed Tomography Diagnosis of Pulmonary Nocardiosis
Authors: Yang Qiuyuan , Zhang Ping , Zhou Xiaona , Chen Xiao , He Haijun , Miao Zheng , Li Zhengliang , Zhang Feng , Duan Wenshuai , Ke Tengfei , Yang Bin
Published: September 2023

Nocardiosis, which is caused by the Nocardia bacterium, is an acute, subacute, or chronic purulent infection that mostly affects the lungs. The vast majority of these infections occur in people with impaired immune function. These infections are characterized by multiple areas of inflammation in both lungs. The initial examination of choice is chest computed tomography (CT), which can play an important role in early diagnosis and evaluation of the treatment's effectiveness. Since the disease is rare and lacks specific clinical manifestations, it is easily misdiagnosed or missed altogether, often resulting in poor patient outcomes, including death. Therefore, early diagnosis and evaluation of the effects of treatment by chest CT are essential to controlling disease progression and improving the prognosis.
Hydatid disease of bone
Authors: Guo Hui , Tuxunjiang Pahati , Yang Laihong , Liu Wenya
Published: September 2023

This review focuses on the incidence, clinical manifestations, and radiographic features of bone hydatidosis at various sites. The clinical presentations and imaging features of bone hydatidosis differ depending on the site of involvement. The first goal of this review is to distinguish the radiographic features of bone hydatidosis in various bones. The second goal is to help radiologists understand the incidence of hydatid bone disease at various sites and to recognize the clinical manifestations through imaging features. Consideration of both the clinical and radiologic characteristics can help radiologists to diagnose hydatid disease of bone.