bluuebunny/crossref_metadata_2025 huggingface dataset:
¿Sé yo quién soy?: búsqueda de la identidad y duplicación especular en la tradición cervantina alemana temprana
Authors: Moro Martín Alfredo
Published: February 2025

Los encuentros de don Quijote con el Caballero de los Espejos y con el Caballero de la Blanca Luna marcan dos hitos en la trayectoria de Alonso Quijano. El caballero, seguro de su identidad potencial, acaba dando paso a aquel que renuncia a la caballería andante para declararse enemigo de toda la caterva del linaje de Amadís de Gaula. La transición entre ambos articula, como señala Félix Martínez Bonati (116), una estructura sintagmática que implica un proceso de autoconocimiento por parte del hidalgo manchego y de reconocimiento de la realidad circundante. Esta estructura sintagmática se ve jalonada por una serie de encuentros con otros caballeros que suponen «un laberinto de espejos», en palabras de Roca Mussons (129-130), una serie de espejos que reflejan, de manera oblicua, las características del propio protagonista. Gracias a la confrontación especular con estos dobles quijotescos se produce el trayecto sapiencial que va del don Quijote vencedor del caballero de los espejos al Quijote crepuscular derrotado por el caballero de la Blanca Luna. El objetivo de este trabajo es analizar en primer lugar estos reflejos especulares que don Quijote va encontrando en su camino hacia la renuncia caballeresca para analizar posteriormente cómo la primera novela explícitamente quijotesca de la literatura alemana, el Don Quijote alemán (1753) de W.E. Neugebauer hace uso del recurso cervantino de la reduplicación especular para articular uno de los temas predilectos de la narrativa germana del siglo XVIII: la búsqueda de la identidad de un joven, inexperto e idealista protagonista.
Desengañar: consigna y programa de reforma
Authors: Pérez-Magallón Jesús
Published: February 2025

Este trabajo explora el modo en que las nociones de engañar y desengañar funcionan en un periodo histórico de cambio. Entre el Barroco y la Ilustración, esas nociones ya no expresan una visión del mundo marcada por la omnipresencia del catolicismo sino que se abren a una visión secular y científica de la realidad. Se analizan aquí ideas y opiniones que permiten clarificar los elementos fundamentales del cambio histórico y cultural que tiene lugar entre la segunda mitad del siglo XVII y la primera mitad del siglo XVIII. Por último, se analiza como caso de estudio los tres Desengaños de Juan Ferreras, publicados entre 1710 y 1711, es decir, durante la guerra de Sucesión de España.
José de Cadalso, imágenes de pesimismo y desengaño
Authors: Álvarez Barrientos Joaquín
Published: February 2025

Se presentan en este trabajo algunas reflexiones sobre el debate que mantuvo José de Cadalso entre el pensamiento ilustrado dominante, presidido por la fe en el progreso, y su experiencia del fracaso moderno y del desengaño, tan presente en sus escritos, como muestra, por ejemplo, su recurrencia a las figuras de Heráclito y Demócrito.
Reflexiones en torno al vínculo entre los sacerdotes y la violencia revolucionaria a partir de la obra La verdad los hará libres
Authors: Santos Lepera Lucía , Bilbao Lucas
Published: February 2025

El objetivo de la contribución es analizar el rol del clero entre 1960 y 1970, a partir de la obra bibliográfica La verdad los hará libres. El escenario abierto por el Concilio Vaticano II y la reunión de obispos latinoamericanos en Medellín alentó nuevos perfiles y directrices en el clero, las congregaciones religiosas y los grupos de laicos. Consideramos que una reflexión crítica de los análisis sobre el tema de la violencia revolucionaria que presenta el tomo 1 de la obra, permite avanzar en la comprensión de los compromisos y debates de algunos sacerdotes ligados al Movimiento de Sacerdotes para el Tercer Mundo, así como revisar los cruces entre catolicismo, política y violencia.
El despertar político de China a través de la mirada de la prensa chilena y peruana (1911-1912)
Authors: Palma Patricia , Montt Strabucchi María
Published: February 2025

Este artículo analiza la cobertura de la Revolución china en Chile y Perú a través de diversos periódicos y revistas publicadas tanto en las capitales de ambos países (Lima y Santiago) como en ciudades donde residían importantes comunidades chinas, tales como Arequipa, Tacna, Arica e Iquique. Dicha revolución que se desarrolló entre octubre de 1911 y febrero de 1912 y que puso fin a la dinastía Qing dando origen a la República, suscitó gran interés de los medios de comunicación impresos chilenos y peruanos. La circulación de noticias e imágenes sobre China que llegaban desde el exterior y se reproducían en medios locales permitió conocer y como se analizará, complejizar la imagen que los lectores locales tenían respecto a esta nación y sus habitantes. Sostenemos la existencia de discursos contradictorios respecto a China y los chinos residentes en el espacio local, pues mientras los medios de comunicación analizados alababan la modernidad de China, la fiereza de sus líderes y sus súbditos, estos mismos eran portavoces de un discurso fuertemente racializado contra la inmigración china y su presencia en las Américas.
Lo político y lo material del género en la disputa por el estado: Las “plataformas ciudadanas” femeninas en Santa Cruz durante la crisis política boliviana de 2019
Authors: Gordillo Kempff María José
Published: February 2025

Durante la crisis política en Bolivia en 2019, se reactualizaron las correlaciones de fuerza dentro de la disputa por el poder estatal en Bolivia. En este proceso, los frentes cívicos y, en particular, las agrupaciones femeninas organizadas en la ciudad de Santa Cruz cobraron relevancia. La presente contribución ofrece un análisis en clave materialista y feminista sobre el rol de las “plataformas ciudadanas”, con énfasis en las plataformas femeninas, para así indagar sobre las imbricaciones de clase y género en el proyecto conservador de la toma de poder estatal. En base a un estudio cualitativo se exploran empíricamente los lugares de enunciación, acciones y alianzas de estas agrupaciones. A través de entrevistas con activistas clave y del análisis de redes sociales de las plataformas, así como de material periodístico, se devela la centralidad de la construcción de la mujer-madre desde nociones heteropatriarcales y conservadoras como estrategia para sostener un proyecto reaccionario. Finalmente, se argumenta que la feminización de las plataformas ciudadanas fue instrumentalizada por la clase dominante cruceña para expandir su fuerza política e ideológica, y así conseguir legitimidad ante la población boliviana sin realizar cambios sustanciales en la naturaleza patriarcal y opresiva de estos bloques políticos.
El Estado mexicano y la partería tradicional de la Huasteca potosina: la gestión del nacimiento en un contexto de dominación
Authors: Leyva Santoyo Jocelyn
Published: February 2025

A partir de una investigación etnográfica con parteras indígenas tének de la Huasteca potosina, este trabajo explora las tensiones entre la medicina tradicional y la biomedicina en las prácticas de atención al embarazo, parto y puerperio. Su objetivo es analizar la compleja relación de dominación y resistencia entre los pueblos indígenas y un Estado mexicano que se define constitucionalmente como pluricultural. Se consideran las prácticas tradicionales tének de gestión del nacimiento y su interacción con las prácticas biomédicas promovidas aceleradamente por el personal y las políticas sanitarias del sistema de salud mexicano desde el año 2000.En el contexto del declive de las prácticas tének de atención al nacimiento, surge la asociación M’im T’sabal, que agrupa a parteras tének de diversos orígenes y cuyos posicionamientos políticos reflejan una relación compleja entre los pueblos indígenas y el Estado mexicano. Estas parteras, aunque incorporan técnicas biomédicas promovidas por el Estado en detrimento de las técnicas indígenas locales, también se posicionan explícitamente en contra de esta tendencia para defender una práctica terapéutica compleja que suele relegarse al ámbito de lo tradicional. Estas reflexiones buscan contribuir a los debates sobre la producción y reproducción estatal que los individuos activan en un contexto de dominación, a través de prácticas tan íntimas y cotidianas como la gestión del nacimiento.
Historias hiladas: La introducción de aves andinas en la plumaria novohispana
Authors: Escutia Erika
Published: February 2025

La investigación profundiza en la fascinante historia del uso del plumón de pato andino como materia prima para la elaboración de textiles en la Nueva España en la segunda mitad del siglo XVI. El artículo identifica específicamente la especie Cairina Moschata como aquella a la que las fuentes primarias hacen referencia con el nombre de “pato peruano” y perutototl, analizando su introducción y aclimatación en diversas regiones de Nueva España. También arroja luz sobre las maneras en que las comunidades femeninas de artífices especializadas en las labores textiles y plumarias adoptaron este nuevo material. A través del análisis de la cultura material y la historia social del arte, este artículo explora el aprovechamiento de las plumas de pato andino en relación a las condiciones políticas, económicas y productivas de las maestras del textil y la pluma durante los albores del virreinato novohispano.
El resguardo de saberes en las boticas de Santiago. El problema de los aprendices en la replicación del conocimiento
Authors: Gutiérrez Ramírez Eduardo
Published: February 2025

El trabajo busca presentar una caracterización de la figura del boticario dentro de la ciudad de Santiago de Chile para el siglo XVIII. Para esto, se plantea un análisis biográfico a partir de un boticario, el jesuita José Zeitler, y como su experiencia vital puede asemejarse o diferenciarse de otros boticarios presentes en la época. Con esto, se espera comprender el rol de los farmacéuticos coloniales dentro de la capital colonial chilena, especialmente considerando la falta de estudios sobre este gremio de manera ampliada, ya que estos se han concentrado, casi exclusivamente, en la vida del jesuita Zeitler. Junto con esto, se plantea un análisis sobre las posibles razones de la falta de boticarios en la provincia chilena, así como la influencia jesuita dentro de la construcción de una caracterización del boticario dentro del imaginario colonial, así como la función de la orden en la creación y circulación de saberes mécicos.
Subhumanización: la existencia degradada de la superpoblación relativa. Acercamiento a un caso en Córdoba, Argentina
Authors: Zeballos Juan Manuel
Published: February 2025

El presente escrito es fruto de una investigación antropológica centrada en las condiciones existenciales de la fracción más deprimida dentro de la clase social que sólo posee su fuerza de trabajo para sobrevivir, en la ciudad de Córdoba, Argentina. Se sostienen las hipótesis – encadenadas – que este sector de la población está sometido a lo que se puede considerar subhumanización dada la existencia degradada que transita, y ello radica en su condición de superpoblación relativa. El artículo ostenta las esferas teórica y empírica, y responde a los objetivos de sistematizar las nociones de existencia degradada y subhumanización, demostrar su capacidad explicativa en función de la evidencia empírica y, fundamentalmente, exhibir ciertos trazos generales de la vida de esta porción de la población.
Advanced Studies on Hydrogen Energy Using Computational Chemistry
Authors: Srivastava Devanshi , Arya Adarsh Kumar
Published: February 2025

The paper examines the latest optimization models for the hydrogen transportation and production. Optimization plays a crucial role in systematic methodologies that aid in hydrogen expansion. Energy for most systems comes from non-renewable sources like fossil fuels, which take a long time to recharge and never quite reach their full potential. Energy problems, climate change, and environmental degradation have all resulted from the widespread usage of fossil fuels. One of the many benefits of hydrogen is its abundance of clean, efficient sources. In order to back up hydrogen expansion, systematic techniques must include optimization. Some of the recent developments in the transportation, storage, and generation of hydrogen are covered, including the use of clean processes such as photo electrolysis, water electrolysis, pyrolysis, and partial oxidation. Researchers interested in applying optimization approaches to hydrogen supply chain networks may find this study to be a useful blueprint.
Deforestation and Forest Monitoring With CNN and RNN
Authors: Pokkuluri Kiran Sree , S. S. S. N. Usha Devi N. , Khang Alex
Published: February 2025

Deforestation poses a significant threat to global biodiversity and climate stability, necessitating effective monitoring and management strategies. It is highly necessary for an effective monitoring strategy to mitigate deforestation as it possesses a potential threat to climate stability and global biodiversity. A novel deep learning technique with Convolutional Neural Networks (CNNs) and Recurrent Neural Networks (RNNs) is proposed to identify the deforestation and monitoring the forest. CNN is deployed to identify the deforested areas by extracting spatial features and RNN are used to capture the patterns of forest dynamics processing the time series satellite data. This is a novel mechanism where the spatial and temporal analysis is done for the prediction.
AI and Leadership Styles in Human Resource Management
Authors: Vidhya K.
Published: February 2025

AI has become an integral part of human resource management in the modern era. Leadership styles and employee engagement have both been greatly impacted by this merger. It is essential that leadership qualities are changed in order to achieve organizational goals on both a cultural and operational level. AI can be integrated with human resources management to improve job satisfaction, one factor of leadership styles. As leaders make decisions for the organization, changing leadership styles and roles will engage employees. Leadership is also characterized by motivation. Motivating employees is crucial for unlocking their talents and skills, as well as for enhancing their engagement in their work. One of the latest tools in human resource management, green talent management, fosters innovative work and behavior among employees. However, a significant challenge for organizations is evaluating employee performance while continuously engaging them in their work. This challenge is further complicated by the implementation of artificial intelligence, such as robots, within the workforce.
Leveraging Technology for Employee Wellness in Hospitality
Authors: Talukder Mohammad Badruddoza , Swarna Dil Afrin , Kumar Sanjeev , Kabir Firoj
Published: February 2025

The chapter examines how technology changes hospitality workplace wellness by delivering better health outcomes for body, mind and spirit. Workplaces have become more innovative because of IoT implementation, which improves work environments by enhancing ergonomic features and decreasing worker fatigue. Digital wellness programs provide tailored mental health services to employees. Through virtual reality training modules, employees learn various stress management approaches that help them handle demanding work situations. Modern organizations leverage data-driven monitoring to assess workplace well-being so they can preventively intervene. Applying AI with automation and digital wellness solutions enables hospitality industry businesses to create supportive workplace environments, resulting in decreased staff departures and increased productivity. The chapter outlines step-by-step procedures for implementing technology-powered wellness strategies which drive better outcomes for hospitality workers who are both healthy and more fully engaged.
Global Health and Leadership Approaches
Authors: Billingsley Frank , Sperbeck Grayson
Published: February 2025

Global health faces critical concerns, including communicable diseases, food security, and environmental health issues. Infectious diseases - such as HIV/AIDS, Tuberculosis, Malaria, and communicable diseases, like Influenza - must be addressed with ongoing education and prevention programs. Better nutrition and health in impoverished regions require access to healthy food and supporting local farmers. Tackling environmental health issues, including corporate social responsibility and strategies to prevent pollution, is necessary to improve the health of all. Leadership, in the form of transformational, servant, situational, and collaborative leadership, is essential for advancing global health. By practicing mindful leadership and establishing educational and prevention programs, along with adaptable interventions and evaluations, progress can be seen in global health.
Editorial
Authors: Madhujith Terrence , Wickramatilake Chandima
Published: February 2025

No abstract available
Plant Protein as an Alternative Source for Animal Protein: A Review
Authors: Senaweera Y. T. , Rathnayaka H. A.
Published: February 2025

Proteins, sourced from both plants and animals are essential components of the human diet. In order to meet the expanding consumer expectations, preserve environmental equilibrium, adhere to ethical norms, guarantee accessible dietary choices, improve the security of food, and address prevalent protein-energy deficiency, a progressive shift towards plant-based protein sources has become important. Proteins derived from plants are capable of supplying a complete protein diet and are rich sources of many essential amino acids and vital macronutrients. The main objective of this review is to present a generalized perspective of the significance of plant-based proteins and their contribution to preserving a higher standard lifestyle for humankind. Consequently, this review thoroughly investigates the nutritional significance of plant-based proteins, their efficient techniques of extraction and processing, their impacts on dietary habits, the applications of various food byproducts as a potential source of plant proteins, and the implications on the environment. Bioactive peptides with antihypertensive, antioxidant, antidiabetic, and/or antimicrobial activity are studied collectively with the functional and biological characteristics of protein hydrolysates derived from different protein sources. Furthermore, this review underlines the scientific hurdles for upcoming research attempts and focuses on novel approaches for enhancing the bio accessibility, the ability to digest, and sensory attributes of plant proteins.
Storage Stability and Sensory Properties of Soft-Dough Biscuits Incorporated with Hard-Dough Biscuit Powder
Authors: Athapattu S. P. , Rajapaksha S. , Chamara H. K. B. S. , Kumari D. W. M. M. M.
Published: February 2025

In biscuit production, non-conforming products resulting from minor deviations are ground into powder and reused as an ingredient in new manufacturing cycles. This study aimed to assess the storage stability of hard dough biscuit powder (HDBP) and the sensory properties of HDBP-incorporated soft-dough biscuits (SDB). HDBP was stored for 5 weeks, and soft-dough biscuits (B1, B2, B3, B4, and B5) were made from the stored HDBP each week, with freshly ground HDBP used as the control. The SDB were stored under accelerated conditions (40 °C, 90% RH) for 7 weeks. Weekly measurements were taken for moisture content, pH, free fatty acids (FFA), peroxide value (PV), and p-Anisidine in both stored HDBP and SDB. Total plate count, yeast and molds, Escherichia coli count, and sensory properties were determined in stored SDB. The moisture content of HDBP stored for 5 weeks was higher (7.60±0.51%) compared to all the other weeks (p<0.05). pH and PV variation was not significant (p>0.05) during the storage of HDBP. The sensory properties of B1, B2, and B3 were not significantly different (p>0.05) under accelerated conditions for 5 weeks compared to the control. Moisture, FFA, PV, and p- Anisidine value had a strong positive relationship with storage time in SDB stored for 7 weeks under accelerated conditions. Having acceptable moisture content, pH, FFA, PV, and p-Anisidine value, HDBP stored for up to 4 weeks can be used as an ingredient in biscuit manufacturing. However, the SDB manufactured using HDBP stored for up to 2 weeks had the best sensory properties and acceptable microbiological quality. Therefore, biscuit powders stored for up to 2 weeks with desired physicochemical, microbiological, and sensory properties are recommended to be used as an ingredient in the biscuit manufacturing process.
Climate Change Vulnerability and Its Impact on A Small and Medium-Scale Agricultural Community in Rural Sri Lanka; with Special Reference to Galle District
Authors: Epa Pulsie , Gunasekara Suranjith
Published: February 2025

Climate change is a global concern caused by human activities, impacting ecosystems and socio-economic ecology and systems in small cities and rural communities. In particular, communities that rely on the environment and natural resources for livelihood have become more vulnerable to the impact of climate change. In rural Sri Lanka, climate change poses challenges for the agricultural community in various manner. This study explores the vulnerability and impact of climate change on small and medium-scale rural agricultural communities in the Galle District of Sri Lanka. The study involved interviews with key informants and semi-structured interviews with impacted villagers, revealing findings such as; a decline in livelihood productivity, food insecurity, livelihood changes, migration and labour shortages, changes in employment patterns in the agriculture sector to other informal patterns, increased cost of adaptation to climate change incidents, threat to traditional knowledge, and loss of agricultural-friendly biodiversity. Addressing these impacts requires a holistic approach that integrates social and technological aspects, emphasising the importance of collaboration and local knowledge in enhancing resilience in the agricultural sector.
From Fear of Missing Out to Belonging: How Social Media and Peer Pressure Shapes Conformity in Young Adults
Authors: Batool Iram , Batool Huma
Published: February 2025

Social media has become a pervasive force in shaping individual behaviours, yet little is known about the psychological factors driving conformity in this context. Drawing upon Social Influence Theory, which explains how individuals adjust their attitudes and behaviours under the influence of others, this study examines the predictive roles of the need to belong, fear of missing out, and peer pressure on social media usage, while exploring how this usage promotes conformity among young adults. The study addresses a critical research gap by investigating the mediating role of social media usage in these relationships. Data were collected through an online survey from a purposive sample of 471 young adults (58% females, 42% males; M = 19.91, SD = ±2.23), predominantly undergraduate and graduate students from diverse educational institutions in Pakistan. The sample size was determined based on recommendations for path analysis, ensuring sufficient power to detect meaningful relationships. Path analysis revealed that fear of missing out and peer pressure positively predicted social media usage, whereas the need to belong negatively predicted it. Social media usage had a direct effect on conformity and mediated the relationships between the fear of missing out and conformity, as well as the need to belong and conformity. However, its mediating role between peer pressure and conformity was non-significant. These findings shed light on the interplay of psychological factors driving social media behaviour, emphasizing the phenomenon of digital-age conformity and its implications for understanding online social dynamics.
Bridging the Gap: Integrating Food Security into Healthcare for Healthier Futures – A Scoping Review
Authors: Tohit Nor Faiza Mohd , Ya Roselawati Mat , Haque Mainul
Published: February 2025

Food insecurity remains a critical public health challenge, significantly affecting health outcomes and contributing to the burden of chronic diseases. Integrating food security initiatives within the healthcare systems offers a strategic approach to addressing this issue by leveraging healthcare infrastructure to identify, support and manage the nutritional needs of vulnerable populations. This article explores the multifaceted role of policy development, stakeholder engagement and technological innovation in fostering effective integration of food security into the healthcare systems. The study highlights the importance of comprehensive training and capacity building for healthcare professionals to effectively recognize and respond to food insecurity. By embedding food security into medical curricula and professional development programmes, healthcare providers can improve patient care and health outcomes. Despite the promising benefits, several challenges impede progress, including limited research on integrated food security interventions’ long-term impacts and economic benefits. Programs’ cultural relevance and adaptability also require further exploration to ensure effectiveness across the diverse populations. The paper underscores the need for robust metrics and continuous improvement methodologies to evaluate the impact of these initiatives, facilitating the replication of successful models in varied settings. Furthermore, the paper identifies critical research gaps and proposes future research directions to enhance the understanding and effectiveness of food security integration. These include longitudinal impact studies, economic evaluations, and exploration of interdisciplinary collaborations. In conclusion, while challenges remain, integrating food security initiatives within healthcare systems presents a significant opportunity to improve public health outcomes and reduce food insecurity. With collaborative efforts from policymakers, healthcare providers and communities, these initiatives can pave the way towards a future where food security is integral to health and well-being, ultimately contributing to healthier and more resilient communities.
Strategies for preventing ventilator-associated pneumonia in adults in the Middle East and North Africa Region: A systematic review and meta-analysis
Authors: Abousaad Omar , Al-Ajji Aisha , Abouazab Noor , Aljoaid Adel , Sreedharan Jithin K.
Published: February 2025

BACKGROUND:

Ventilator-associated pneumonia (VAP) is a common complication in intensive care units (ICUs), particularly in patients undergoing prolonged mechanical ventilation. VAP rates vary significantly across regions, with the Middle East and North Africa (MENA) region experiencing relatively high incidences. This study systematically reviews and analyses the efficacy of various VAP prevention strategies in the adult population of the MENA region.

METHODS:

A systematic review and meta-analysis were conducted following PRISMA guidelines. Electronic databases (PubMed, Scopus, and CINAHL) were searched for studies from January 2004 to May 2024 that investigated VAP prevention strategies in adult ICU patients in the MENA region. Data extraction and quality assessment were performed by multiple independent reviewers. Meta-analysis was carried out using the DerSimonian and Laird random effect models.

RESULTS:

A total of 10 randomized clinical trials conducted in Iran and Tunisia were included. The studies evaluated various interventions, including respiratory care programs, oral care protocols, and tracheal suction techniques. Significant reductions in VAP incidence were observed with interventions such as aerosolized colistin and comprehensive oral care (e.g., clove mouthwash). However, certain interventions, such as ondansetron and N-acetylcysteine, did not yield significant benefits.

CONCLUSION:

This meta-analysis highlights effective VAP prevention strategies in the MENA region, with notable improvements in patient outcomes. These findings can potentially help in developing policies and guidelines to enhance VAP prevention efforts across ICUs in the region. Further research is essential to address existing gaps and refine prevention strategies.
Task Sharing for Diagnosis and Management of Dermatophytosis and Scabies in Periurban Community of Chandigarh
Authors: Sandal Sankita , Kavita Kavita , Saini Sushma Kumari , Narang Tarun
Published: February 2025

Background:

Nurses can play a significant role to provide care to millions of patients with dermatophytosis and scabies. Thus, the study was undertaken to assess the effectiveness of task sharing with nurses for the diagnosis of dermatophytosis and scabies.

Material and Method:

An interventional trial was conducted in two periurban communities of Chandigarh which were randomized to experimental and control groups. Survey Performa was used to identify patients already diagnosed with dermatophytosis and scabies. However, teleconsultation with the dermatologist was done for patients presenting with signs and symptoms for the confirmation of diagnosis. Nurse led intervention which included health education and counselling about prevention and management of dermatophytosis and scabies, i.e., its signs and symptoms, medication adherence, lifestyle modification, hygiene practices, application of medicine to treat scabies was given to intervention group participants with the help of booklet and flash cards. The control group received usual care. Endline assessment was done at 8th week to assess the effect of intervention on medication adherence, quality of life, and self-reported cure rates. The trial was also registered under the Clinical Trials Registry-India with the CTRI no. CTRI/2022/07/043856.

Results:

The results revealed significant difference in the medication adherence among participants in experimental (20.51 ± 09.04) and control groups (28.56 ± 9.46) at the endline assessment. The mean score of quality of life (13.16 ± 7.30) was significantly lower than in experimental and control groups (18.83 ± 7.30) indicating better quality of life. There was significant difference in the self-reported cure rate among experimental and control group.

Conclusion:

The study concluded that task sharing was effective in improving quality of life, medication adherence, hygiene practices, and self-reported cure rate among patients with dermatophytosis and scabies.
District Mental Health Programme Link Clinic: Experience from an Academic Neuropsychiatric Institute of India
Authors: Munikrishnappa Devaraja , Reddy K Shanivaram , Manjunatha Narayana , Kumar Chennaveerachari N. , Math Suresh B. , Thirthalli Jagadisha
Published: February 2025

Background:

Routine follow up appointments for psychiatric diseases don’t need to take place in tertiary care facilities because doing so not only causes patients’ inconvenience and travel related costs but also results in the improper use of resources. In September 2019, the Tele Medicine Centre of NIMHANS, Bengaluru launched the District Mental Health Program (DMHP) link clinic (DLC) at OPD with the aim of integrating eligible patients to their individual DMHPs for routine follow up care. We used a mixed method study approach.

Materials and Methods:

Self designed referral farms and data record sheets were the tools used for the data entry. For data collection, face to face and telephonic interview methods were used. We carried out both descriptive and thematic analyses to understand the following outcomes of DLC.

Results:

Out of 343 referred patients, males were 164 (47.8%) and females were 179 (52.2%). 32.6% of integration was possible. The referral service was reported to be cost effective. Among those who visited DMHPs (n = 207), 102 (49.2%) patients reported being very satisfied, and 81 (39%) patients reported being satisfied. Alteration of current medication, knowledge about DMHP services, economic benefits, availability of DMHP staff, and satisfaction with services are the main themes found in qualitative analysis.

Conclusion:

A preliminary report suggests that integrating routine follow ups from tertiary care psychiatric centers into community mental healthcare centers could significantly reduce out of pocket expenditure and time spent.
Assessment of Iraqi Patient Knowledge Regarding Magnetic Resonance Imaging Safety Before the Scanning
Authors: Hassan Qays Ahmed , Abdulqader Shaymaa Khalid , Dawood Asmaa Hussein , Qasim Mohammed Jasim , Ibrahim Ali Hussien , Abbas Zainab Mahmood , Abbas Zainab Mahdi , Kadhim Noor Al-Shams Kareem
Published: February 2025

Background:

Magnetic resonance imaging (MRI) scans provide more detailed three-dimensional anatomical and physiological information than other imaging modalities. This research aims to assess patients’ MRI safety awareness and evaluate related demographic characteristics.

Patients and Methods:

A descriptive, cross-sectional study was conducted at the radiology department of Al-Kindy Teaching Hospital in Baghdad, Iraq. A random 200 patients were scheduled to go through MRI examinations. All interviewed patients personally filled out a 15-item questionnaire. Gender, age, marital status, education level, employment, and domicile are collected in the first six questions. The second half tests MRI knowledge with 9 questions.

Results:

The participant’s age ranged between 18 and 65 years. The majority of the participants provided were aware of the protocols for preparing for an MRI scan, the noise emitted by the machine, and the incompatibility of contrast material during an MRI procedure in pregnant women. There was a greater degree of awareness regarding the pre-MRI preparation standards among individuals with higher education, independent contractors, and domestic consumers (P = 0.001). Knowledge of the rationale for assessing renal function before contrast media administration was significantly correlated with patients’ marital status and gender (P = 0.038 and 0.007, respectively). Urban residency and a patient’s understanding of the application of a contrast agent in specific MRI procedures were correlated significantly (P = 0.032).

Conclusion:

Iraqi patients’ understanding of MRI safety was restricted to preparation processes, machine noise, and contrast material incompatibility in pregnant women. Patients’ information was influenced by their sociodemographics.
Association between Household Food Security and Pregnancy Complications
Authors: Hoseini Khadijeh Sadat , Kazemi Farideh , Alimoradi Zainab , Oskoei Seyed Saeid Sedghi , Alijani Hashem , Zolghadr Samaneh
Published: February 2025

Introduction:

Despite the importance of the family food insecurity during pregnancy, there was no research in this regard in Iran, where generally has a modest food security status. The present study was designed to investigate the prevalence of household insecurity in pregnant women and found its relationship with pregnancy complications such as preeclampsia, gestational diabetes, and anemia during pregnancy.

Methods:

This cross-sectional study was conducted between December 2016 and December 2017. Samples were women after childbirth referred to health centers for postpartum care in the Qazvin province. The household food security status (using Household Food Insecurity Access Scale) and pregnancy outcomes including preeclampsia, diabetes during pregnancy, and anemia during pregnancy were investigated.

Results:

Overall food insecurity was observed in 32.3% of participants. The increased chance of having a total pregnancy complication rate was 64% (odds ratio [OR] [95% confidential interval [CI]] = 1.64 [1.06–2.54]) in food insecure group compared to food secure participants. Specifically, gestational hypertension was 24% (OR [95% CI] = 1.24 [0.58–2.69]), preeclampsia was nearly four times (OR [95% CI] = 3.88 [1.18–12.83]), gestational anemia was 24% (OR [95% CI] = 1.24 [0.58–2.71]), and gestational diabetes was 63% (OR [95% CI] =1.63 [0.81–3.30]).

Conclusion:

Food insecurity might increase the likelihood of pregnancy complications. Since the pregnant women's diet plays an important role in maternal and fetal health, the assessment of maternal nutritional status and household conditions regarding access to food supplies and the ability to supply diverse and balanced foods during pregnancy is important.
Reversibility and transitivity of semigroup actions on homogeneous spaces
Authors: Reis Ronan A. , San Martin Luiz A. B. , Rocha Victor H. L.
Published: February 2025

This paper studies reversibility and transitivity of semigroups acting on homogeneous spaces. Properties of the reversor set of a subsemigroup acting on homogeneous spaces are presented. Let G be a topological group and L a subgroup of G. Assume that S is a subsemigroup of G with nonempty interior. It is presented a study of the reversibility of the S-action on

$G/L$

in terms of the actions of S and L on homogeneous spaces of G. The results relate the reversibility and the transitivity of S in

$G/L$

with the minimality of the action of L on homogeneous spaces of G. In addition, sufficient conditions for S to be right reversible in G if S is reversible in

$G/L$

are presented.
Special phenomena occurring in small blood vessels: Models, interpretation and importance for life
Authors: Farina Angiolo , Fasano Antonio , Rosso Fabio
Published: February 2025

This article deals with special phenomena that characterize the blood circulation in arterioles and venules (size range 50–500 μm: the Fåhræus-effect, the Fåhræus–Lindqvist effect and vasomotion. These phenomena were discovered a long time ago and have been the subject of various conjectures, both about the physical causes and the physiological effects. Some of these conjectures have turned out to be wrong, but in any case, it is confirmed that these phenomena have a fundamental importance for life. A series of studies by the present authors between 2016 and 2023 have provided a physical interpretation of such phenomena based on rigorous mathematical models. Furthermore, our analysis includes the study of the combination of vasomotion and the Fåhræus–Lindqvist effect. We emphasize how these effects influence each other and why they prove to be very important for life by enhancing venous circulation and making the process of peripheral O₂/CO₂ exchange more efficient. Particular attention will be paid to the latter aspect and the comparison of the model results with the experimental results collected over the years. The material is structured to emphasize the effectiveness of the mathematical approach and its consistency with the underlying physiology and experimental measurements.
Emerging roles of the acid sphingomyelinase/ceramide pathway in metabolic and cardiovascular diseases: Mechanistic insights and therapeutic implications
Authors: Wang Hong-Ni , Wang Ye , Zhang Si-Yao , Bai Lan
Published: February 2025

Metabolic diseases have emerged as a leading cause of mortality from non-communicable diseases, posing a significant global public health challenge. Although the association between ceramides (Cers) and metabolic diseases is well-established, the role of the acid sphingomyelinase (ASMase)/Cer pathway in these diseases remains underexplored. This review synthesizes recent research on the biological functions, regulatory mechanisms, and targeted therapies related to the ASMase/Cer pathway in metabolic conditions, including obesity, diabetes, non-alcoholic fatty liver disease, and cardiovascular disease. The effects of the ASMase/Cer pathway on metabolic disease-related indicators, such as glycolipid metabolism, insulin resistance, inflammation, and mitochondrial homeostasis are elucidated. Moreover, this article discusses the therapeutic strategies using ASMase/Cer inhibitors for inverse prevention and treatment of these metabolic diseases in light of the possible efficacy of blockade of the ASMase/Cer pathway in arresting the progression of metabolic diseases. These insights offered herein should provide insight into the contribution of the ASMase/Cer pathway to metabolic diseases and offer tools to develop therapeutic interventions for such pathologies and their severe complications.
Risk stratification for future cardiac arrest after COVID-19 vaccination
Authors: McCullough Peter A , Hulscher Nicolas
Published: February 2025

Unheralded cardiac arrest among previously healthy young people without antecedent illness, months or years after coronavirus disease 2019 (COVID-19) vaccination, highlights the urgent need for risk stratification. The most likely underlying pathophysiology is subclinical myopericarditis and reentrant ventricular tachycardia or spontaneous ventricular fibrillation that is commonly precipitated after a surge in catecholamines during exercise or the waking hours of terminal sleep. Small patches of inflammation and/or edema can be missed on cardiac imaging and autopsy, and the heart can appear grossly normal. This paper reviews evidence linking COVID-19 vaccines to cardiac arrest where unfortunately the majority of victims have had no antecedent clinical evaluation. We propose a comprehensive strategy for evaluating cardiovascular risk post-vaccination, incorporating detailed patient history, antibody testing, and cardiac diagnostics in the best attempt to detect abnormalities before sudden cardiac death. This approach aims to identify individuals at higher risk of cardiac events after COVID-19 vaccination and guide appropriate clinical management. It is prudent for each primary care physician to have a pre-established plan when addressing this issue in their practice.
Advances in the diagnosis and management of post-percutaneous coronary intervention coronary microvascular dysfunction: Insights into pathophysiology and metabolic risk interactions
Authors: Tang Nan , Li Kang-Ming , Li Hao-Ran , Zhang Qing-Dui , Hao Ji , Qi Chun-Mei
Published: February 2025

Percutaneous coronary intervention (PCI), as an essential treatment for coronary artery disease, has significantly improved the prognosis of patients with large coronary artery lesions. However, some patients continue to experience myocardial ischemic symptoms post-procedure, largely due to coronary microvascular dysfunction (CMD). The pathophysiological mechanisms of CMD are complex and involve endothelial dysfunction, microvascular remodeling, reperfusion injury, and metabolic abnormalities. Moreover, components of metabolic syndrome, including obesity, hyperglycemia, hypertension, and dyslipidemia, exacerbate the occurrence and progression of CMD through multiple pathways. This review systematically summarizes the latest research advancements in CMD after PCI, including its pathogenesis, diagnostic techniques, management strategies, and future research directions. For diagnosis, invasive techniques such as coronary flow reserve and the index of microcirculatory resistance, as well as non-invasive imaging modalities (positron emission tomography and cardiac magnetic resonance), provide tools for early CMD detection. In terms of management, a multi-level intervention strategy is emphasized, incorporating lifestyle modifications (diet, exercise, and weight control), pharmacotherapy (vasodilators, hypoglycemic agents, statins, and metabolic modulators), traditional Chinese medicine, and specialized treatments (enhanced external counterpulsation, metabolic surgery, and lipoprotein apheresis). However, challenges remain in CMD treatment, including limitations in diagnostic tools and the lack of personalized treatment strategies. Future research should focus on the complex interactions between CMD and metabolic risks, aiming to optimize diagnostic and therapeutic strategies to improve the long-term prognosis of patients post-PCI.
Outcomes of patients with acute ST-segment elevation myocardial infarction treated by a prolonged “Deferred” percutaneous coronary intervention strategy
Authors: Pradhan Akshyaya , Uppal Shivam , Vishwakarma Pravesh , Singh Abhishek , Bhandari Monika , Shukla Ayush , Sharma Akhil , Chaudhary Gaurav , Chandra Sharad , Sethi Rishi , Dwivedi Sudhanshu Kumar
Published: February 2025

BACKGROUND

Primary percutaneous coronary intervention (PCI) is the preferred treatment for ST-segment elevation myocardial infarction (STEMI). However, in patients with high thrombus burden, immediate stenting during PCI can lead to poor outcomes due to the risk of thrombus migration and subsequent microvascular occlusion, resulting in no-reflow phenomena. Deferred stenting offers a potential advantage by allowing for the reduction of thrombus load, which may help to minimize the incidence of slow-flow and no-reflow complications. This study explores the effectiveness of a deferred stenting strategy in improving outcomes for STEMI patients.

AIM

To evaluate the effectiveness and safety of deferred PCI in a real-world setting in acute STEMI patients.

METHODS

This study was conducted at King George’s Medical University, Lucknow, from October 1, 2018, to October 30, 2019 and included a total of 55 participants. Patients with acute STEMI who underwent coronary angiography were selected for a deferred PCI strategy based on specific angiographic features.

RESULTS

Anterior wall myocardial infarction was the predominant type of STEMI in 62% of the selected 55 patients (mean age: 54 years; 70% males), and diabetes mellitus was the most common risk factor (18.2%), followed by hypertension (16.2%). On the second angiogram of these patients measures of thrombus grade, thrombolysis in myocardial infarction flow grade, myocardial blush grade, and severity of stenosis of culprit lesion were considerably improved compared to the first angiogram, and the average culprit artery diameter had increased by 7.8%. Most patients (60%) had an uneventful hospital stay during the second angiogram and an uneventful intraprocedural course (85.19%), with slow-flow/no-reflow occurring only in 7.4% of the patients; these patients recovered after taking vasodilator drugs. In 29.3% of patients, the culprit artery was recanalized, preventing unnecessary stent deployment.

CONCLUSION

Deferred PCI strategy is safe and reduces the thrombus burden, improves thrombolysis in myocardial infarction (TIMI) flow, improves myocardial blush grade, and prevents unwarranted stent deployment.
Instynkt ceremonialny u antropologa, czyli Wittgenstein jako religioznawca
Authors: Idziak-Smoczyńska Urszula
Published: February 2025

The article deals with one of the most underestimated aspects of Wittgenstein’s thought, namely his remarks on the anthropology of religion. On the one hand, it serves as a reminder of their importance – extraordinary compared with their conciseness – and of what, beyond Wittgenstein’s criticism of Frazer, constituted his positive message, which is only nowadays fully appreciated (Westergaard, De Lara, Nancy, etc.). On the other hand, the article shows, in one example, how the remarks (made by R. Rhees) had an impact (perhaps negative) on their reception. The opportunity offered by contemporary experts in the humanities allows us to observe the evolution of Wittgenstein’s reflection in its original context and realize its inherent potential.
Wpływ rebrandingu wizualnego marki na zachowania konsumenckie
Authors: Czernecka Anna
Published: February 2025

This article examines the phenomenon of rebranding and its impact on consumer attitudes and opinions. Today, many brands seek to adapt to changing consumer preferences by modifying visual elements, values or style. Despite the success that some changes achieve, many rebrands also contribute to the demise of the brand. Both quantitative and qualitative research was conducted to assess the impact of rebranding on consumer behaviour and opinions. The subject of the analysis was the introduction of a visual rebranding of the Danio brand, the decision of which was to remove the existing brand symbol and introduce new product packaging. The analysis showed that the rebranding had a negative impact on product recognition and was ineffectively communicated to consumers, being an example of a failed rebranding.