bluuebunny/crossref_metadata_2025 huggingface dataset:
An Intersectional Perspective on Onset of Type 2 Diabetes in Adults aged 50 and older in Europe: A Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy
Authors: O'Sullivan Julie Lorraine , Alonso-Perez Enrique , Färber Francesca , Fuellen Georg , Rudolf Henrik , Heisig Jan Paul , Kreyenfeld Michaela , Gellert Paul
Published: August 2023

Background: Disparities in the development of Type 2 Diabetes (T2D) are associated with various social determinants, including sex/gender, migration background, living arrangement, education, and household income. However, few quantitative studies have applied an intersectional perspective to examine non-additive effects of overlapping social identities. This study aimed to map social disparities and investigate intersectional effects regarding the onset of T2D among older adults across Europe.
Methods: We used data from the Survey of Health and Retirement in Europe (SHARE) to conduct an intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy (MAIHDA) of T2D onset. Individuals aged 50 years or older without known T2D at wave 4 (2011, baseline) were included and followed through waves 5 (2013), 6 (2015), 7 (2016), and 8 (2019-2020). A series of multilevel logistic regression models were run with individuals nested in 72 social strata based on intersections of sex/gender, migration background, living arrangement, education level, and household income. Intersectional models were used to estimate additive main effects and intersectional interactions, while adjusting for age and country.
Results: A total of 39,108 individuals were included (age at baseline in years M=65.18 (SD=9.62), 57.4% women). T2D onset was reported for 9.2% of the sample over the 9-year observation period. In the fully adjusted model, all social determinants showed significant additive associations with T2D onset, while the discriminatory accuracy of the social strata was found to be low (Variance Partition Coefficient=0.3%).
Conclusions: This study provides a comprehensive mapping of disparities in onset of T2D among older adults in Europe. While the results highlight disadvantages faced by certain groups based on social determinants, we found no evidence of multiplicative (i.e., intersectional) effects. Healthcare professionals and public health initiatives should consider the unique challenges faced by individuals with diverse social identities to effectively address the prevention and management of T2D.
Differentiating Unimodal and Multimodal Distributions in Pulsed Dipolar Spectroscopy Using Wavelet Transforms
Authors: Roy Aritro Sinha , Freed Jack H. , Srivast Madhur
Published: August 2023

Site directed spin labeling has enabled protein structure determination using electron spin resonance (ESR) pulsed dipolar spectroscopy (PDS). Small details in a distance distribution can be key to understanding important protein structure-function relationships. A major challenge has been to differentiate unimodal and overlapped multimodal distance distributions. They often yield similar distributions and dipolar signals. Current model-free distance reconstruction techniques such as Srivastava-Freed Singular Value Decomposition (SF-SVD) and Tikhonov regularization can suppress these small features in uncertainty and/or error bounds, despite being present. In this work, we demonstrate that continuous wavelet transform (CWT) can distinguish PDS signals from unimodal and multimodal distance distributions. We show that periodicity in CWT representation reflects unimodal distributions, which is masked for multimodal cases. This work is meant as a precursor to a cross-validation technique, which could indicate the modality of the distance distribution.
“Pharmacies are less confronting than a medical practitioner”: A qualitative exploration of community pharmacy as an environment for reducing harms related to anabolic-androgenic steroid use
Authors: Piatkowski Timothy , Benn Sarah , King Michelle , McMillan Sara , Hattingh Laetitia
Published: August 2023

Background
While community pharmacies have been successful in providing harm reduction support for illicit substance consumers, little research has explored their role in addressing the needs of anabolic-androgenic steroid (AAS) consumers.
Objective
This study aims to understand the attitudes and experiences of AAS users in relation to community pharmacies, with the goal of identifying opportunities for harm reduction interventions and creating safer-use environments.
Methods
Semi-structured interviews were conducted with eight AAS consumers living in Australia between December 2022 and April 2023. Interview data were analysed using reflexive thematic analysis.
Results
Participants discussed accessing AAS equipment and overcoming challenges, such as limited access in rural areas. They highlighted the disparity between the availability and accessibility of equipment from pharmacies and needle and syringe programs. Participants expressed a preference for community pharmacies, perceiving them as less confronting and a feasible avenue for accessing professional advice, highlighting the potential role of pharmacists in nurturing therapeutic alliances with users of AAS. Overall consumers supported the idea of AAS safe-injecting kits being available in pharmacies and they were receptive to pharmacies as potential sources of information and support.
Conclusions
The findings suggest that community pharmacies can further contribute to promoting safer AAS use and providing support for consumers. However, further research is needed to address knowledge gaps and training needs for pharmacy staff, with the aim of creating a safer environment for AAS consumers.
Stability and existence of solutions to a class of Atangana-Baleanu-Caputo coupled fractional differential equations
Authors: Lin Xuefan , Hu {WeiMin , Su You-Hui , Yun Yongzhen
Published: August 2023

In this paper, we are concerned with the stability and existence of solutions to a class of Atangana-Baleanu-Caputo coupled fractional differential equations. The existence and uniqueness of the solution of the fractional system are obtained through Schaefer and Banach fixed point theorems, and sufficient conditions for the existence and uniqueness of the solutions are also developed. Subsequently, the Hyers-Ulam stability and generalized Hyers-Ulam stability of the solution are considered. In particular, two examples are given to illustrate the main results. The interesting aspect of this paper is that it performs numerical simulations using the monotone iterative method to verify the applicability of the system.
Acquired Von Willebrand Syndrome in a patient with Monoclonal Gammopathy of Unknown Significance: a case report
Authors: Gupta Garima , Veedu Janeesh , Chahine Zena , Iragavarapu Chaitanya
Published: August 2023

Background Monoclonal gammopathy of uncertain significance (MGUS) associated acquired von Willebrand syndrome (AvWS) is a rare life-threatening bleeding disorder driven by immunologic clearance of circulating von Willebrand factor (vWF). Treatments including factor replacement and intravenous immunoglobulin (IVIG) provide short-term bleeding control. Achieving a sustained response is frequently challenging and there remains lack of data regarding long-term management of MGUS-associated AvWS, specifically regarding plasma cell depleting agents. Case presentation: A 74-year-old female was diagnosed with AvWS while undergoing pre-operative workup for a knee replacement surgery. Peri-operative bleeding was successfully controlled with vWF/FVIII complex along with intravenous immunoglobulin (IVIG). However, she subsequently developed recurrent episodes of gastrointestinal bleeding without an identifiable source on upper endoscopy and colonoscopy. vWF/FVIII complex and IVIG only provided short-term bleeding control. Patient was then administered rituximab however, developed a severe infusion reaction and was not re-challenged. Incidentally, a circulating IgG kappa monoclonal paraprotein was noted, dating back to testing during initial diagnosis. Therefore, suspicion for MGUS-associated AvWS was raised and clonal directed treatment with bortezomib was initiated. Post 3 cycles of bortezomib, the monoclonal paraprotein became undetectable and there was normalization of vWF:Ag, vWF:RCo and factor VIII activity without recurrence of bleeding for over 18 months. Conclusions Clonal directed therapy with bortezomib resulted in eradication of the monoclonal paraprotein causing suppression of the underlying immunological process which led to a durable remission in our patient with MGUS-associated AvWS. Bortezomib may be considered as a viable treatment option to achieve long-lasting bleeding control in patients with MGUS-associated AvWS.
The Creative AI-Land: Exploring new forms of creativity
Authors: Vinchon Florent , Gironnay Valentin , Lubart Todd
Published: August 2023

This study examines generative artificial intelligences (GAI), as popularised by ChatGPT, in standardised creativity tests, uncovering what we called the “creative AI-Land”. As the study of creativity was metaphorically seen as a trip across the seven seas (C’s) by Lubart, we conceptualise AI creativity as uncharted territory in the creativity field. Benchmaking GAI against human performance, results show that ChatGPT demonstrates remarkable fluency in content generation, though the creative output is average. The random nature of AI creativity and the dependency on the richness of the training database require a reassessment of traditional creativity metrics especially for AI. Our findings highlight the integral role humans play in guiding AI to foster genuine originality, suggesting the need for future research in human-AI co-creation and the development of robust AI creativity measurement mechanisms.
PROSPECTIVE STUDY OF THERAPUETIC EFFECTS OF VOICE THERAPY IN BENIGN VOCAL CORD LESIONS
Authors:   Aardram Medical Centre, Ayoor., Roy Thara , Ramakrishnan V.R ,   Associate Professor, Dept. of Otorhinolaryngology, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala., John Manjuran Thampi ,   Former Professor and HODDept. of Otorhinolaryngology, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala.
Published: August 2023

Objective: To analyse the treatment outcomes of patients undergoing voice therapy in terms of maximum phonatory duration (MPD),Voice Handicap Index-10(VHI-10), indirect laryngoscopy. Methods: 44 patients who had benign lesions of vocal cord, who underwent voice therapy were studied. Detailed proforma was filled. Pre-treatment VHI-10, MPD and VLS were noted. Post treatment VHI-10, MPD and indirect laryngoscopy (I/L) findings were noted at 1 month and 3months. Results: 44 patients were studied. Majority 36 (81%) were females and 8 (18%) were males. 15(34%) of patients werein the age group 31-40 years. The mean pre-treatment baseline VHI-10 was 21.10 which was reduced to 10.77 at the end of 1 month and to 8.23 at the end of 3 months. The mean pre-treatment MPD was 8.5 which was increased to 11 after 1 month and 11.72 after 3 months. 27(61.36%) had excellent prognosis, 9 (20.45%) had better prognosis and 8(18.18%) had worse or same (group III) prognosis at the end of 3 months. In our study 40 (91 %) were extroverts, 39(88.6%) had voice abuse, 32 (72 %) patient had acid reflux symptoms, 17 (38%) patients gave history of allergic symptoms Conclusion: Extrovert personality and voice abuse are the most common risk factors for benign lesions of vocal cord.There is significant reduction in the VHI-10 scores and improvement in the MPD after voice therapy.
CARDIAC FUNCTION EVALUATION THROUGH ECHOCARDIOGRAM IN RECENTLY DIAGNOSED TYPE 2 DIABETES MELLITUS PATIENTS
Authors: Sanmarkan Abarnadevi , Shanmugam Samuthiravel , P. Jagadesan , Prasad Narayansamy Ram , Ummer Kamil
Published: August 2023

Introduction: Diabetes mellitus being a modern day disease has occupied a significant place in burdening the health care system.The abnormalities in the glucose metabolism have a significant impact on the cardiovascular system and usually is an unfavourable outcome.In this study, persons with type II diabetes mellitus were assessed for developing cardiac dysfunction (Left ventricular) and its prevalence by comparing with asymptomatic control group. Age and gender were matched among these two groups. Objectives: The primary objective was toevaluate the left ventricular reserve (systolic & diastolic) in recently diagnosed type 2 diabetes mellitus patients. The secondary objective is to assess the risk factorscontributing in the development of heart failure among diabetic patients. Methods: This case control study was explored among the recently diagnosed diabetes mellitus (Type 2) patients who were visitingdiabetic OPD. Approval for the conductance of the study was obtained from the Institutes scientific committee and the Institutes ethics committee. The study period was from January, 2022 to March, 2023. In study group recently diagnosed type 2 diabetes mellitus patients were considered as the participants based on the revised criteria for diagnosing diabetes mellitus taken from American Diabetes Association. LV systolic functionwas assessed from the following calculated with the M- mode echocardiogram. Results: Incidence of diastolic dysfunction in study population was 28%, whereas in control population was 10%. Diastolic dysfunction based on the distribution amongst study population is 50% between 40-50 years. Gender distribution of derangement in diastolic function amongst study population were 31.25% amongstfemales, 22% amongst males and in controls was 10% amongst females, 10% amongst males. Conclusion: The incidence of abnormal diastolic function was notablyincreasing in recently diagnosed diabetes mellitus (type 2) patients as paralleled to participants with normal glucose metabolism. Prevalence of diastolic dysfunction amongst newly diagnosed male and female diabetics is in the ratio of 2:1. Risk factors like advanced age, abnormal BMI, PPBS, raised HbA1c, elevated cholesterol and triglyceride values are significantly associated with diastolic dysfunction.
NOTARYS ROLE IN LAND PROCUREMENT BETWEEN THE STATE COMPANY PERTAMINA AND THE HOLCIM COMPANY IN CILACAP, INDONESIA
Authors:   College, General Soedirman University, Grendeng-Purwokerto, Indonesia., Persistent Arto Lukito Yuriko , Lisiani Concerned Tri ,   General Soedirman University, Grendeng-Purwokerto, Indonesia., Wahy Handayani Sri ,   General Soedirman University, Grendeng-Purwokerto, Indonesia.
Published: August 2023

Procurement land is deed form of law release connection the original law There is between holder necessary rights and land _ with gift reward in form of money, facilities or other through discussion For reach an agreement between owner land and those who need it . Procurement the land of Pertamina State Enterprise which is company should belong to the state done with method procurement land , but the State Company Pertamina precisely do purchase land in a manner direct to the Holcim Company so that raises problem law as in case decision Supreme Court Number 3729K/PDT/2019. Objective study This is analyze and ResearchThisaimForanalyze role Notary Public to release right in procurement land for development For interest general. This use method juridical normative with specification research used is characteristic prescriptive. Writing using primary data and secondary data. Method Collection Legal Materials with use studies literature with method presentation of the data is presented in form text narrative description. Data analysis analyzed in a manner normative qualitative. Research Results thesis This thatNotary Public No authorized in make Deed Engagement Sell Buy Number 23 on December 23, 2016 because in Article 1 of the Regulations Head of the National Land Agency Number 5 of 2012 that implementation procurement land scale big should carried out by the Head of the Regional Office of the National Land Agency . Notary Public authorized or role in procurement land scale small as in article 121 of the Regulations President Number 148 of 2015 got done in a manner direct with method sell buy what is authority from Notary Public in making deed binding sell buy or Official Maker Internal Land Deed making deed sell buy ground . Notary Public can authorized or role in procurement land if happen agreement form change loss form change ground.
PLASTIC SURGERY, AN ARTISTIC PRACTICE FOR WOMENS PSYCHOLOGICAL AESTHETICS
Authors:   Researcher Student, Department of Psychology, University Mohammed V, Rabat., Benahmed S. , Ouchelh M. ,   Professor, Department of Psychology, University Mohammed V, Rabat.
Published: August 2023

Beauty and aesthetics are currently relevant issues. In the aesthetic act, the pursuit of beauty is a quest for the tranquility that rests between the plastic surgeon s hands.Yet, women are driven by the desire to devote themselves to the beauty of their bodies in order to preserve their psychological integrity.The idea that beauty is a remedy and a consolation motivates plastic surgeons to avoid error and catastrophe.So, what place does psychology have in aesthetic demand and, conversely, what place does plastic surgery have in the psychology of women?An eight-month(8)exploratory study was carried out in various clinics. Seventeen women were included in the study, with a mean age of 34.76 years old. The psychological evaluation took place eight days after the first medical consultation and four months after the cosmetic operation. It included a semi-directive interview and two questionnaires (PQVS, GHQ12) to quantify the dimension of subjective psychological suffering. After the operation, the study showed an improvement in subjective quality of life, satisfaction with physical appearance, social investment, and better sleep. Finally, the study endorses the fact that the success of surgical treatment is associated with the artistic gesture adopted by the doctor in surgery and the favorable relationship maintained with the patient. Cosmetic surgery seems to contribute to a complete state of physical, mental, and social well-being. Ultimately, beauty is a therapeutic issue, where the aesthetic surgeon artfully performs, an operation on a woman in pain, with the aim of providing her more psychic than bodily aesthetics.
ARESEARCH INVESTIGATIONINTO THE UTILIZATIONOF THEPQRSTNURSINGCARESTRATEGY AMONGNURSING PRE-PROFESSIONALS
Authors:   Assistant Professor, English Department, Center for General Education, Chang Gung University of Science and Technology, Taoyuan, Taiwan, R.O.C., YaoKo Ling-
Published: August 2023

This study implemented the PQRST (Provoking, Quality, Radiation, Severity, Timing) nursing care strategy to assess how effectively junior nursing students incorporated it into their nursing English conversations. Although all students had been taught the PQRST strategy during their first and second years, they tended to overlook its application in their studies. The research involved two groups: a control group and an experimental group comprising a total of one hundred students. The control group was told to utilize the PQRST nursing strategy while preparing their nursing English scripts, but they did not receive a review lesson on the strategy itself. On the other hand, the experimental group received a list of nursing-patient questions categorized into the sections of the PQRST strategy (refer to Appendix I) and were later guided through a review of the nursing strategy by the instructor. The findings indicated that a significant majority of the experimental groups learners were almost familiar with the PQRST mnemonic, with percentages of 62%, 86%, 60%, 88%, and 94% for the respective components. Overall, 90% of the experimental group successfully implemented the PQRST strategy. The study also identified four scenarios in which the experimental students effectively utilized the PQRST strategy: prior to admission, after an operation, during body assessments when patients experienced pain or discomfort during rehabilitation, and when nurses needed to gather patients medical information. In general, the experimental learners appeared to be confident in their understanding and application of the PQRST nursing strategyhowever, periodic reminders were deemed necessary. Conversely, the control group did not utilize the PQRST nursing strategy at all since they neither received information about it nor were they reviewed on the strategy by the instructor.
DETERMINANTS OF MORTALITY IN PATIENTS OF COVID-19 BRONCHOPNEUMONIA: A PROSPECTIVE OBSERVATIONAL STUDY
Authors: Shah Kunal , Deshpande Archana , Kungar Tejas
Published: August 2023

Background & objectives:COVID-19, an emerging viral disease affected more than 200 countries worldwide andnovel coronavirus pandemic has caused significant mortality throughout the world.The present study was undertaken to identify the determinants of mortality in COVID-19 bronchopneumonia patients. Methods:A total of160 COVID RT-PCR and RAT positive patients with evidence of bronchopneumonia were admitted in medicine covid ward and ICU above the age of 12 years were included in the study during a period of 2.5 years from July 2020- August 2022.Patients were divided into two groups- Survivors (119 patients) and non-Survivors (41 patients). Various sociodemographic factors, clinical symptoms, NEWS-2 scores inflammatory markers,imaging modalities,oxygen levels,type and duration of oxygenation support given were compared between two groups. Results:The sociodemographic data included age, gender and place of residence was not statistically significant with the outcome(mortality) whereas greater number of preexisting medical conditions, requirement of higher quantity of oxygen, various lab parameters (higher values of CRP, Ferritin, LDH, D-Dimer, N-L ratio) and a higher score in NEWS-2, HRCT and chest x-ray was statistically significant factor associated with mortality in our patients suffering from COVID-19 bronchopneumonia. Interpretation & Conclusions:We thereby conclude that, patients in the mortality group had greater number of preexisting medical conditions higher requirement of oxygen at the time of admission, higher NEWS-2 score, N-L ratio, CRP, Ferritin, LDH, D-dimer, Chest x-ray score & HRCT severity score and hence these parameters may be used to predict disease severity, especially in resource-limited settings.
EVALUATING THE VARIATION IN ROOT CANAL MORPHOLOGY OF MANDIBULAR PREMOLARS USING CONE BEAM COMPUTED TOMOGRAPHY IN NORTH INDIAN POPULATION - AN IN VITRO STUDY
Authors:   Department of Conservative Dentistry and Endodontics, Adesh Institute of Dental Sciences, Bathinda, Punjab, India., Kaur Savrose , Mittal Litik ,   Department of Conservative Dentistry and Endodontics, Adesh Institute of Dental Sciences, Bathinda, Punjab, India., Singla Munish ,   Department of Conservative Dentistry and Endodontics, Adesh Institute of Dental Sciences, Bathinda, Punjab, India., Kaur Harleen ,   Department of Conservative Dentistry and Endodontics, Adesh Institute of Dental Sciences, Bathinda, Punjab, India., Gupta Saloni ,   Department of Conservative Dentistry and Endodontics, Adesh Institute of Dental Sciences, Bathinda, Punjab, India.
Published: August 2023

Aim:This invitro study aimed to evaluate the variation in root canal morphology of Mandibular premolars using CBCT in North Indian population. Methods and Material:In this invitro study 120 single rooted extracted mandibular first premolar teeth free of any root caries were included. The teeth were stored in 5.25% sodium hypochlorite for 30 minutes, then cleaned using ultrasonic scalers and finally stored in 10% formalin. The sample was subjected to 3D scan and images were obtained and evaluated to check root canal configuration using Vertuccis classification, shape of canal orifice and length of tooth. Statistical analysis used: The software used for the statistical analysis were SPSS (statistical package for social sciences) version 25.0 and MedCalc software. The statistical tests used were One-way ANOVA (Analysis of Variance) test and chi square test. Results: The results were drawn, and Type I was found to be maximum (80.0%) followed by Type V, Type II, Type IV, Type III. Type VI was minimum (0.8%). There were no samples found for Type VII and Type VIII. Maximum of oval shape was found with a percentage of 31.7% and minimum of 2 orifices in 2.5% of samples. The overall length of mandibular first premolar in north Indian population with a maximum of 25.60 mm and a minimum length of 17.30 mm. Conclusions: Hence concluding that mandibular premolar still stands a mystery in varied region and population in every single case attempted for endodontic treatment and thorough knowledge of the canal anatomy is must for successful endodontic treatment.
MANAGEMENT OF FACIAL FRACTURES, ITS DEMOGRAPHY AND CLINICAL OUTCOME
Authors:   Associate Professor Department of General Surgery, SIMS, Shivamogga-577201., G. Rajalaksmi , Ramaiah Srinivas Danayakanapura ,   Associate Professor Department of Dentistry, SIMS, Shivamogga-577201., a Bhuvaneshwari ,   Senior Resident Department of General Surgery, SIMS, Shivamogga-577201.
Published: August 2023

A retrospective study was performed on maxillofacial fractures among patients presented to our emergency department and treated at McGann Hospital, Shivamogga Institute of Medical Sciences, Shivamogga from May 2017 to June 2023. Aim:The aim of this study was to give an insight into the retrospective analysis of number of maxillofacial trauma cases reported to our institute and research centre and to understand the clinical aspects of facial fractures with treatment modality. Materials And Methods: The data for this study was obtained from the medical records and outpatient prescription slips of cases treated at McGann Hospital, Shimoga Institute of Medical Sciences, Shimoga from May 2017 to June 2023. The data included age, gender, etiology, pattern of fracture type of treatment modalities and the type of anaesthesia given were recorded. Results:The analysis involved a total of 158 patients treated at our institute from May2017 to June 2023. It was found that, the mandible was the most commonly fractured bone with parasymphysis as the most frequent site, followed by the zygomatic arch complex in the facial skeleton.Facial fractures were primarily among men in the age group of 21-30 years of age. Road traffic accidents were the main etiological factor associated. This study showed that patients were maximally treated by Open reduction and internal fixation [ORIF], some by intermaxillary fixation [IMF] and few by closed reduction. Conclusion:It was concluded that road traffic accidents were reported as the leading cause of maxillofacial fractures followed by assault, falls, and familial dispute. Open reduction and internal fixation remains the gold standard treatment modality.
Reflection of Saudi Women’s Participation and Leadership: A Study on the Gender Differences in Leadership and Structural Barriers
Authors:   Economics and Administration, Department of Human Resource Management, King Abdulaziz University, Jeddah, Saudi Arabia, Parveen Musrrat
Published: August 2023

This article examines gender disparities and structural barriers in the Saudi Arabian workforce from 2000 to 2022. It proposes measures to promote women’s participation and leadership. Multiple databases, including Emerald, IEEE Explore, Science Direct, PubMed, Google Scholar, and Web of Science, were searched using generic terms. Additionally, official Saudi government reports, magazines, newspapers, books, and journals were used as secondary data sources. Torraco’s method analyzed 10 studies on gender gap and gender differences (2011-2023), 16 studies on structural barriers (2000-2012), and 30 studies (2013-2022). The study highlights critical areas of disparities and barriers, including the need for legal and policy reforms, increasing women’s visibility in the economic sector, transforming attitudes towards women’s leadership and participation, addressing time and mobility constraints, reducing wealth and power inequalities, inspiring and supporting women in leadership roles, and providing assistance for the transmission of leadership roles that recognize and promote women’s rights. The findings divulged various implementations and Strategies to overcome the gender gap, gender differences in leadership, and structural barrier to women’s participation by Saudi government. The research emphasizes the importance of policy reform to foster gender equality in the Saudi Arabian workplace. Reforms outlined in the “Saudi Vision 2030” have made significant progress. Policymakers can utilize this study’s findings to promote women’s participation and leadership in the Saudi workforce.
“You’ve Got to Know How to Speak Animalese”: Literary Explorations of Engagements with the Animal Other
Authors:   University of South Africa, Pretoria, South Africa, Murray Jessica
Published: August 2023

As the harmful impact of anthropogenic activity on the environment becomes increasingly glaring, it has become more urgent than ever to find more ethical and sustainable ways of engaging with the other animals with whom we share space. From extreme weather events to food supply disruptions and species extinctions, it is no longer possible to cling to the hubristic myth of an independent human who exercises dominion over nature. Our actions and choices have very real, immediate, and often unintended environmental consequences and our own species survival depends on accepting this inter-dependent reality in a spirit of respectful responsibility. While climate change is now widely considered to be an issue that demands serious attention, this article will argue that any attempt to foster greater environmental care will be compromised if we fail to listen to the voices of the animal other. I will explore the ways in which other animals try to speak and the challenges that inevitably arise when attempting to hear those voices by anchoring my argument in a literary analysis of selected contemporary novels. I will demonstrate that, even when authors represent characters who care deeply about the environment, animals tend to fall through the cracks of their activist commitments, and they repeatedly turn away from opportunities to listen respectfully to the voices of animals.
A Study of the Mediating Effect of Work Stress on Work-life Conflict and Turnover Intention in the Private Higher Education Sector in India
Authors:   University School of Business, Chandigarh University, Rathi Soni , Kumar Praveen
Published: August 2023

The main focus of this study is to analyze the impact of work-life conflict on turnover intention and examine the impact of work stress as a mediating variable among the teaching employees of private higher education institutions. The current study drew upon samples of 145 teaching employees of private higher education institutions in the education sector of Haryana. A questionnaire was administered to gather the necessary information. Data was evaluated by using the Smart PLS (v.3.2.9) software. In addition, structural equation modeling was conducted to achieve the study’s objectives, and SPSS 25 software was used to compute the demographic profile of teaching employees. The findings indicated that the turnover intention of teaching employees is positively associated with work-life conflict and work stress. In addition, work stress as an intervening variable positively and significantly impacts kinship amid work-life conflict and turnover intention. The teaching employees like to stay in their institutions if there is no work stress. The main concern is not only reducing the work stress of teaching employees but also reforming the quality and level (of work), so they can have less work-life conflict, thus reducing turnover intentions. To dwindle job-related stressors and work-life conflict among employees, various family-friendly benefits and job stress management policies may provide the benefits. This study enhances the understanding of work-life conflicts and work stress. Further, it also has taken into account some antecedents of work-life conflict and work stress, which will aid researchers and academicians in comprehending their impact on turnover intention. The current study has discussed limitations and future directions.
Terroristic Torture in George Orwell’s 1984 and Abdul-Sattar Nasir’s Eggplant Peels
Authors:   College of Medicine, Al-Nahrain University, Baghdad, Iraq, Juhi Jani Bushra
Published: August 2023

This essay examines the theme of terroristic torture and its effects on both the victim and the torturer in Orwell’s 1984 and Abdul-Sattar Nasir’s Eggplant Peels. Through an analysis of the two novels, the essay distinguishes between terroristic and interrogational torture and explains how the former is often used to achieve an end at the expense of the victim’s well-being, and how the torturer is also impacted by their acts of cruelty. The victim of torture may suffer from post-traumatic stress disorder (PTSD), anxiety, depression, and other mental health problems. On the other hand, the torturer may experience feelings of guilt, shame, and remorse, as well as psychological trauma and other negative consequences of their actions. The impact of Orwell on Nasir is discerned in the similarities in characterization between the two novels. The characters of O’Brien in 1984 and Dohan in the Iraqi novel are studied as government officials responsible for the terroristic torture of the protagonists of these novels. The essay concludes by highlighting the psychological impact of torture on both the victim and the perpetrator and emphasizing the moral implications of causing pain to others.
Intertextuality in Young Adult Literature: A Study of Girl Online by Zoe Sugg
Authors:   Department of German Philology, Translation and World Literature, Zaporizhzhia National University, Ukraine, Nikolova Oleksandra , Kravchenko Yana ,   Department of German Philology, Translation and World Literature, a vice dean of the Faculty of Foreign Philology, Zaporizhzhia National University, Ukraine, Vasylyna Roman ,   Department of English Philology and Linguodidactics, Zaporizhzhia National University, Ukraine
Published: August 2023

This article explores how intertextuality works in Young Adult literature, a key cultural trend of the 21st century. It focuses on Zoe Sugg’s novel Girl Online, a popular and representative example of this genre among young readers. The authors of the research aim to examine the features of intertextuality in this novel: they identify and describe the references to other texts and interpret the novel in relation to the cultural heritage of the past and the present. Using intertextual and contextual methods of analysis, they conclude that the novel’s potential reader is expected to “recognize” certain texts that are symbolic, “cult” or appealing to young people, and that are used as effective tools for creating a story that follows the parameters of mass culture. This also leads to a hypothesis that some types of texts, related to specific traditions and sources, are more dominant than others in the novel’s intertextuality. The study reveals that the novel Girl Online draws on, firstly, the literature of the past (well-known works of English classics that have a “cult” status); secondly, fairy tales; thirdly, products of contemporary, mostly youth, culture (other Young Adult texts, movies, cartoons, etc.); and finally, established narrative techniques that belong to various genres and are not bound by a specific time or place and that are updated by the author. These intertextual links make the novel successful.
A scenario-based analysis of selected best management practices for reduced sediment and nutrient yield in the watershed located in the Shivalik hills, India
Authors: Walia Sushma , Babbar Richa , Singh Sarbjit
Published: August 2023

In this study, an attempt has been made to evaluate the best management practices (BMPs) in a poorly degraded and economically fragile watershed area in Shivalik hills, Northern India. A scenario-based approach was followed to evaluate the existing BMPs and a few hypothetically implemented BMPs based on SWAT modeling. A regionalization approach was adopted for calibrating the SWAT model for ungauged micro-watersheds within the study area. After successful calibration, soil and water assessment tool (SWAT) model was simulated for several BMPs that are in practice such as Check dams, vegetation and fencing so as to learn about their effectiveness in controlling sediment and nutrient yield. Other hypothetically installed BMPs, such as contouring, terracing, grassed waterways and filter strips were also evaluated in untreated micro and sub-watersheds. The cost–benefit analysis of these hypothetical BMPs revealed that the average reduction in nutrients was maximum for grassed waterways and minimum for terracing. Overall, the scenario-based analysis revealed that conservation practices, in the otherwise degraded watershed, can prove to be beneficial for sustainability of its natural resources.
O cuidado humano à saúde do idoso sob a ótica da Antropologia por Clifford Geertz
Authors: Biondo Chrisne Santana , Pedreira Rhaine Borges Santos , Santos Lucas dos , Sena Edite Lago da Silva , Carvalho Patrícia Anjos Lima de , Boery Rita Narriman Silva de Oliveira
Published: August 2023

O envelhecimento é marcado por muitas alterações nas condições de vida e saúde, no entanto observa-se que a assistência em saúde, geralmente, não leva em consideração fatores socioculturais de cada indivíduo. Portanto, levar em conta esses fatores pode facilitar a adesão dos idosos ao tratamento em saúde e consequentemente atingir o cuidado integral em saúde, preservando os princípios bioéticos. Objetivo: Refletir sobre o entrelaçamento de aspectos socioculturais e bioéticos no cuidado integral ao idoso, sob as lentes da Antropologia Interpretativa da Cultura em Geertz.  Método: Trata-se de uma reflexão teórica seguindo o conceito de cultura proposto por Clifford Geertz. Reflexão: a cultura para Geertz é entendida como uma teia de significados socialmente aceitos, por meio do qual os indivíduos reagem às situações vivenciadas. A partir desse pressuposto, podemos propor ações de cuidado em saúde com enfoque na realidade dos idosos, considerando-os como atores do processo de saúde e doença, impedindo a perpetuação do ageísmo no cuidado em Saúde. Outrossim, a inserção dos idosos no cuidado, o respeito e associação da sua cultura e crenças no tratamento, propostos pelos profissionais da Saúde, respeitará os princípios bioéticos da não-maleficência, beneficência, justiça e autonomia, efetivando um cuidado integral e ético em Saúde. Considerações finais: A partir dessa reflexão, observou-se que condutas ageístas permanecem ocorrendo e que os profissionais não estão preparados para a inserção dos aspectos culturais no contexto da Saúde. Assim, é imperioso mudanças na formação do profissional em Saúde sensibilizando-os para a inserção desses aspectos em sua prática profissional. 
Palavras-chave: Antropologia da Saúde; Saúde do Idoso; Bioética.
A percepção do acadêmico de enfermagem acerca da reificação na saúde
Authors: Pinto Lucas Soares Diniz , Silva Rose Mary Costa Rosa Andrade , Pereira Eliane Ramos , Bessa de Paulo Verônica
Published: August 2023

O cuidado em saúde enfrenta diversos desafios diariamente em diferentes contextos. Um desses desafios é o fenômeno da reificação, um termo que se refere à transformação dos valores das coisas, onde pessoas tomam um valor de objeto e, ao passo que isso acontece, confere-se a objetos o valor igual ou semelhante às pessoas. Para melhor apreender como a enfermagem enxerga esse fenômeno, é importante compreender qual a percepção do acadêmico de enfermagem acerca do fenômeno da reificação, acadêmico este que reflete o pensamento e as demandas da profissão. Foi realizado estudo qualitativo, descritivo fenomenológico fundamentado em Maurice Merleau-Ponty. Foi aplicado um formulário semiestruturado aos participantes acadêmicos de enfermagem do 8º e 9º períodos de um curso de graduação de uma universidade pública federal. Utilizou-se a análise temática de Amedeo Giorgi para obter as unidades de significado que traduzem o contexto das falas dos participantes em relação aos efeitos da reificação na enfermagem e na saúde. Dentre elas, listou-se elementos como cuidado mecanizado, relações coisificadas, profissionais e pacientes objetificados, além de desvalorização do trabalho, relações interpessoais prejudicadas, adoecimento profissional, comprometimento da humanização, entre outros. Por fim, conclui-se que a reificação afeta a enfermagem e a área da saúde de maneira ampla e multifocal, desdobrando seus efeitos em diversos contextos, desde os pacientes e familiares até o profissional e as instituições que os abrigam. Entretanto, vislumbra-se através da afirmação do cuidado humanizado, autorreflexão e autocrítica a fragilização desse fenômeno da reificação no campo da saúde.
Palavras-chave: Estudantes de Enfermagem; Enfermagem; Filosofia em Enfermagem; Pesquisa Qualitativa.
Política Nacional de Educação Permanente em Saúde: O debate sobre a necessidade de sua atualização
Authors: Santos Isabella Ramos dos , Cruz Aiadni Catunda da , Vilela Alba Benemérita Alves , Yarid Sérgio Donha , Anjos Neta Maria Madalena Souza dos , Silva Temístocles Damasceno
Published: August 2023

A Política Nacional de Educação Permanente foi instituída através da Portaria nº 1996 de 2007 e tem como objetivo aprimorar a formação e o desenvolvimento de trabalhadores do Sistema Único de Saúde além da reorganização dos processos de trabalho através da aprendizagem significativa, problematização das práticas de trabalho e participação ativa dos trabalhadores no processo de trabalho. Trata-se de um estudo do tipo revisão narrativa da literatura. O estudo foi realizado como produto para fins avaliativos da disciplina “Educação em Saúde” do mestrado acadêmico do Programa de Pós-graduação em Enfermagem e Saúde da Universidade Estadual do Sudoeste da Bahia, do respectivo ano de 2022 e para isto, após aplicado critérios de inclusão e exclusão contou com 10 artigos como amostra. A leitura dos artigos na íntegra possibilitou identificar que a temática é relevante e foi discutida nos últimos anos, possuindo assim, publicações recentes nesta revisão. Tais estudos abordaram a temática de interesse realçando as principais discussões: A educação permanente e a mudança nas práticas e o debate sobre a necessidade de sua atualização. Nesta revisão, verificou-se que a Educação Permanente é essencial para o serviço e deve ser realizada e embasada através de ações que fortaleçam seu propósito. Para tanto, sugere-se a elaboração de mais estudos, pois é um tema de alta relevância, mas, ainda pouco discutido na literatura, e serve como forma de evidenciar e fortalecer essa prática.
Palavras-chave: Educação Permanente; Política Nacional; Atualização.
Espiritualidade na Maternidade Atípica: Uma Reflexão com Base no Referencial Teórico de Victor Frankl
Authors: Moura Mônica , Handan de Deus Vilza Aparecida , Silva Rose Mary Costa Rosa Andrade , Pereira Eliane Ramos , Bessa de Paulo Verônica , Silva Rita de Cássia Ferreira da
Published: August 2023

Resumo

A maternidade atípica desafia as convenções sociais e traz consigo um conjunto único de desafios e experiências para as mulheres que a vivenciam. Neste artigo de reflexão, exploramos a importância da espiritualidade como um recurso fundamental para enfrentar esses desafios e encontrar significado na jornada da maternidade atípica. Utilizando o referencial teórico do renomado psicólogo Viktor Frankl, que enfatiza a busca por sentido e propósito na vida, examinamos como a espiritualidade pode fornecer um apoio emocional e psicológico essencial para as mães que enfrentam circunstâncias únicas e muitas vezes difíceis. Além disso, discutimos a relevância da espiritualidade na construção de resiliência, na promoção do bem-estar emocional e no fortalecimento dos laços familiares durante essa jornada desafiadora.

Palavras-chave: crianças com deficiência; espiritualidade; relação mãe/cuidador familiar.
Probability of the 10-year Risk of Hip and Major Osteoporotic Fracture in
Non-radiographic Axial Spondyloarthritis
Authors: Ferjani Hanene Lassoued , Boudriga Ons , Nessib Dorra Ben , Kaffel Dhia , Maatallah Kaouther , Hamdi Wafa
Published: August 2023

Background:

Fracture risk in non-radiographic spondyloarthritis is underestimated. A reliable tool such as the Fracture Risk Assessment tool (FRAX) may assess this risk probability. This study aimed to assess the fracture risk by the FRAX score in patients with nr-axSpA and to de-termine factors associated with high fracture risk.

Methods:

We conducted a retrospective study of nr-axSpA patients meeting the Assessment of SpondyloArthritis International Society (ASAS) classification criteria for spondyloarthritis. All pa-tients had Bone Mineral Density (BMD) by dual-energy X-ray absorptiometry (DEXA). The 10-year probability of major osteoporotic fracture (MOF) and hip fracture (HF) was calculated using the Fracture Risk Assessment Tool (FRAX).

Results:

Among 40 patients with nr-axSpA, 27 were women (67.5%). Their mean age was 43.7 ± 12.1 years. The mean disease duration was 3.15 ± 2.7 years. Eighteen patients (45%) had osteo-penia, and 12 patients (30%) had osteoporosis. The median HF FRAX was 0% [0-1.2]. The median MOF FRAX was 0.5% [0.3-1.8]. MOF FRAX was positively correlated with age (p = 0.002), dis-ease onset age (p = 0.006), disease duration (p = 0.024), and the modified Stoke Ankylosing Spon-dylitis Spine Score (mSASSS) (p < 0.0001), and negatively correlated with daily calcium intake (p < 0.0001). HF FRAX was positively correlated with mSASSS (p < 0.0001) and negatively correlat-ed with daily calcium intake (p = 0.005).

Conclusion:

Our study confirmed the frequency of bone loss during nr-axSpA and showed that os-teoporotic risk fracture was related not only to traditional risk factors for osteoporosis but also to disease-related factors.
Preclinical Appraisal of the Aphrodisiac Effects of Emblica officinalis
Seed Extract on Stress-induced Sexual Behavior in Albino Rats
Authors: Kadiri Sunil Kumar , Khobragade Deepak S. , Roy Samaresh Pal
Published: August 2023

Background:

The king of herbs, Emblica officinalis, is one of the most important herbs in
Ayurveda. It contains significant amounts of Vitamin C and has been reported to have antioxidant, anticancer,
antiretroviral, antidepressant, antiulcerogenic, wound healing, and many other medicinal
properties.

Objective:

The current study is designed to investigate the aphrodisiac effects of E. officinalis seed extract
on albino Wistar rats as well as its effects on stress-related sexual behaviour.

Materials and Methods:

The aphrodisiac effect of E. officinalis was evaluated by mating the pretreated
male rats with female rats. For 30 days, test group rats (n=6) were given methanolic extracts (95%)
from E. officinalis seeds (500 and 1000 mg/kg). Control rats received saline. Standard group rats received
testosterone (0.5 mg/ kg, i.m). The sexual behavior study tracked Mount Latency (ML), Intromission
Latency (IL), Mounting Frequency (MF), Intromission Frequency (IF), sniffing, and licking
on days 0 through 30. After 30 days, rats were sacrificed, and the anabolic effect was assessed using
body weight, reproductive organ weight, sperm concentration, and histopathology of the testes. The
stress was induced by immobilization stress in the stress-affected alteration in the sexual behavior
model, and the above procedure was repeated for evaluation.

Results:

The 95% methanolic extract (1000 mg/kg) of E. officinalis significantly reduced ML and IL
while significantly increasing MF, IF, sniffing, licking, body weight, reproductive organ weight, and
sperm concentration. Methanolic extract of E. officinalis increased sexual activities in the stress-free
group and restored the stress-affected group's altered sexual behaviour.

Conclusion:

The current study's findings indicate that 95% methanolic extract of E. officinalis has
dose-dependent aphrodisiac activity and restores sexual behavior in a stress-induced group.