bluuebunny/crossref_metadata_2025 huggingface dataset:
Chapitre 5. La protección de la especie humana. El rol del Derecho
Authors: Montano Gomez Pedro
Published: June 2022

Il existe de nombreuses raisons pour lesquelles nous pourrions penser que l’espèce humaine pourrait être en danger. On parle du réchauffement climatique qui produit d’importantes catastrophes naturelles inhabituelles ; d’armes de plus en plus destructrices ; d’attentats terroristes graves avec des armes chimiques, etc. Mais on ne peut ignorer l’une des menaces qui pèsent sur l’espèce humaine, qui est le transhumanisme ou le posthumanisme. C’est du point de vue de ce dernier sujet, sur lequel on a déjà beaucoup écrit, que nous essaierons d’axer notre analyse, en accordant une attention particulière à la question relative à l’édition de gènes (CRISPR/Cas 9).
Les politiques linguistiques familiales dans les familles franco-chinoises : les aspirations et les motivations parentales de la transmission du mandarin
Authors: Wang Nanfei
Published: June 2022

Cet article s’intéresse aux politiques linguistiques familiales au sein de familles mixtes franco-chinoises en France. Nous nous demandons si, et pour quelles raisons, les politiques linguistiques de ces familles favorisent la transmission du mandarin et de l’écriture chinoise. Il s’agit d’une recherche longitudinale portant sur quatre familles franco-chinoises résidant en France. L’analyse qualitative du corpus relève que les familles favorisent d’une manière explicite et/ou implicite la transmission du mandarin aux enfants. Non seulement la transmission de la langue orale est souhaitée, mais la maitrise de l’écriture chinoise fait partie également du projet des familles mixtes enquêtées. Parmi les nombreux facteurs qui contribuent à asseoir la transmission du mandarin et de l’écriture chinoise dans ces familles, l’attachement à l’identité chinoise des mères chinoises, le soutien montré par leurs conjoints français, l’encouragement des grands-parents chinois et la valeur que les parents accordent à la langue et la culture chinoises sont des éléments les plus saillants.
Preparing for the Next Pandemic: The Clinical Skills Self-Efficacy Scale as an Outcome Measurement for an RN Refresher Program
Authors: Wagner Jennie , Fitzpatrick Kathryn , Schuler Mary , Wiesen Chris
Published: June 2022

An RN refresher program can be a valuable tool to mobilize nurses back into practice, but there are limited data regarding how much it increases students' confidence. Bandura's (
1997
) theory defines self-efficacy as a construct of one's belief in obtaining control over behavior and environment to achieve a goal. In this study, the validated Clinical Skills Self-Efficacy Scale (CSES) was used to measure the difference in a student's reported perception of self-efficacy after completing a refresher program. The CSES survey was distributed to two groups of RN students: 59 accelerated students who finished the course in 3 months and 57 traditional students who had 9 months to complete the course. The accelerated students had recent nursing experience, but were responding to the COVID-19 pandemic. A mixed model was used to analyze the CSES scores between the accelerated students and the traditional students. A pretest–posttest design was used for each item of the scale. Both groups of students had a statistically significant difference in their CSES scores from pretest to posttest (
p
< .05).

[
J Contin Educ Nurs
. 2022;53(6):273–278.]
Effectiveness of a Mobile Technology–Supported Self-Reflective Course in Communication Behaviors for Outpatient Nurses
Authors: Lu Shan-Wei , Huang Chu-Yu , Liu Chieh-Yu , Huang Hui-Man , Cheng Su-Fen
Published: June 2022

Background

Communication is a core competency for outpatient nurses. This study investigated the effectiveness of a mobile technology–supported self-reflective (MTS) course in communication behaviors among outpatient nurses.

Method

This quasi-experimental study used a convenience sample of 78 outpatient nurses (experimental group = 39; control group = 39). The experimental group completed the MTS communication course. Communication behaviors were evaluated before, 1 week after, and 1 month after the course.

Results

There was no significant difference in communication behaviors between the groups before the intervention. One week after the intervention, communication behavior scores significantly increased in both groups without significant between-group differences (
p
> .05). One month after the intervention, the experimental group showed significantly higher communication behavior scores (
p
< .05). Both groups demonstrated high learning satisfaction.

Conclusion

The MTS communication course was successful in promoting effective outpatient nurse–patient communication. Health care facilities may want to incorporate the MTS course into their orientation program.

[
J Contin Educ Nurs
. 2022;53(6):279–288.]
Stressors and Acceptability of Services Among Black Caregivers of Persons With Memory Problems
Authors: Ejem Deborah , Atkins Ghislaine C. , Perkins Martinique , Morhardt Darby J. , Williams Ishan C. , Cothran Fawn A. , Epps Fayron , Scott Cathy , Mittelman Mary , Clay Olivio J.
Published: June 2022

The purpose of the current study was to identify stressors of Black family caregivers (FCGs) of persons with memory problems (PWMPs), services of interest, and barriers to use of these services. Black FCGs were recruited from the Alzheimer's family program at the University of Alabama at Birmingham and affiliated geriatric clinics, media sources, and word-of-mouth referrals. Of 38 Black FCGs interviewed, 26 (68%) were female, 18 (47%) were employed, and 21 (55%) were adult children. Average age of FCGs was 52.11 years. Mean scores for the AD8 Dementia Screening Scale (mean = 13.95,
SD
= 2.17) and Clinical Dementia Scale Sum of Boxes (mean = 7.29,
SD
= 0.87) were higher than clinical cutoffs. The most common stressors for Black FCGs were PWMPs' inability to remember who they were, managing care recipients' financial affairs, and managing PWMPs' comorbid conditions. FCGs were most interested in educational material regarding treatment and diagnosis (55.3%), caring for people with dementia (52.6%), understanding dementia (52.6%), and financial/legal services (52.6%). FCGs stated that transportation difficulties and the need for a relief person were barriers to use of services. Results suggest that Black FCGs may be more likely to participate in interventions that include virtual conferencing modalities. [
Journal of Gerontological Nursing, 48
(6), 13–18.]
Perceptions and Beliefs of Memory Loss and Dementia Among Korean, Samoan, Cambodian, and Chinese Older Adults: A Cross-Cultural Qualitative Study
Authors: Zhai Shumenghui , Kim Boeun , Li Jingyi , Wi Dahee , Chey Sopheakvatey , Li Ge , Rungruangkonkit Sangjan , Belza Basia
Published: June 2022

Older adults who are Asian American and Pacific Islander (AAPI) represent one of the fastest growing populations in the United States and face a significant burden of Alzheimer's disease and related dementias (ADRD). Little is known about ADRD among AAPI subgroups. The current study aimed to: (a) explore perceptions and beliefs of memory loss and dementia among Korean, Samoan, Cambodian, and Chinese older adults in the United States; and (b) identify culturally relevant facilitators and barriers of participation in a brain health program among four AAPI subgroups. Seven focus groups comprising 14 Cambodian, 21 Chinese, 14 Korean, and 13 Samoan older adults were conducted. Data were analyzed using inductive and indigenous coding approaches. Similar and unique perceptions and experiences related to memory loss were identified. Future research could include developing and testing culturally tailored and language congruent strategies regarding ADRD education and resources to facilitate ADRD early detection among AAPI older adults. [
Journal of Gerontological Nursing, 48
(6), 40–48.]
Classifications of positive solutions to an integral system involving the multilinear fractional integral inequality
Authors: Zhou Huaiyu , Dou Jingbo
Published: June 2022

In this paper, we classify the positive solutions to the following integral system

   \begin{document}$ \begin{eqnarray*} \begin{cases} u_s(x_s) = \int_{\mathbb{R}^{N(k-1)}}\frac{\prod\limits_{j\neq s}u^{p_j}_j(x_j)}{\prod_{1\leq i<j\leq k}|x_i-x_j|^{N-h_{ij}}}dX_{\widehat{s}}, \\ u_s\geq0, \; \rm{in}\quad\mathbb{R}^N, \quad s = 1, 2, \cdots, k, \end{cases} \end{eqnarray*} $\end{document}

where \begin{document}$ N\ge1, p_j>1, 0<h_{ij}<N $\end{document} for all \begin{document}$ i, j\in\{1, 2, \cdots, k\} $\end{document}. Up to a positive constant multiplier, this system is the Euler-Lagrangian equations associated to the multilinear fractional integral inequality established by Beckner. Employing the method of moving spheres, we give the explicit form of positive solutions to the above system with \begin{document}$ p_j = \frac{\sum_{1\leq i<j\leq k} \ \ h_{ij}-(k-3)N}{(k-1)N-\sum_{1\leq i<j\leq k} \ \ h_{ij}} $\end{document} satisfying

   \begin{document}$ \sum\limits^k_{j = 1}\frac{1}{p_j+1} = \sum\limits_{1\leq i<j\leq k}\frac{N-h_{ij}}{N}, $\end{document}

and show the nonexistence of positive solutions for \begin{document}$ p_j>1 $\end{document} with

   \begin{document}$ \sum\limits^k_{j = 1}\frac{1}{p_j+1}>\sum\limits_{1\leq i<j\leq k}\frac{N-h_{ij}}{N}. $\end{document}
On inequalities of Hermite-Hadamard type via $ n $-polynomial exponential type $ s $-convex functions
Authors: Samraiz Muhammad , Saeed Kanwal , Naheed Saima , Rahman Gauhar , Nonlaopon Kamsing
Published: June 2022

In this paper, a new class of Hermite-Hadamard type integral inequalities using a strong type of convexity, known as $ n $-polynomial exponential type $ s $-convex function, is studied. This class is established by utilizing the Hölder's inequality, which has several applications in optimization theory. Some existing results of the literature are obtained from newly explored consequences. Finally, some novel limits for specific means of positive real numbers are shown as applications.
Réappropriation de l’accouchement en contexte migratoire : le cas des femmes sud-asiatiques récemment immigrées à Montréal
Authors: Schneider Jacqueline
Published: June 2022

À partir d’un travail ethnographique mené dans un quartier montréalais où trente-neuf récits biographiques ont été recueillis, cet article s’intéresse aux parcours périnataux de femmes sud-asiatiques récemment immigrées, et plus particulièrement à leurs expériences d’accouchement. Dans un contexte québécois où l’accouchement par voie basse est préconisé, le fait de donner naissance au sein des hôpitaux publics montréalais semble avoir favorisé, chez les femmes rencontrées, une réappropriation de l’accouchement. Elle procèderait du sentiment des parturientes que leur rythme corporel est mieux respecté, ce qui leur aurait permis de se sentir davantage protagonistes de cette expérience. Enfin, nous analyserons les dynamiques identitaires à l’œuvre à la fois à travers les différents positionnements des femmes vis-à-vis de la péridurale et à travers la mobilisation des douleurs de l’enfantement face aux maris présents dans les salles d’accouchement.
Machine Learning in Healthcare
Authors: Hamad Lana I. S. , Sayed Ali Ahmed Elmustafa , Saeed Rashid A.
Published: June 2022

Due to the increase in healthcare data provided by IoT, there is a need to use new methods for data analysis. Machine learning (ML) techniques promise solutions for many challenges facing the IoT-based healthcare services. MLs provide significant improvement in different IoT aspects related to storage size, computational power, and data transfer speeds. In addition, MLs provide a number of solutions for medical imaging, resources, medical data processing, detection, diagnosis, and prediction. Recently, many applications have appeared in the field of medicine and healthcare, which are closely related to the IoT. This chapter presents basic concepts related to the use of ML techniques, in addition to some algorithms used in the medical field and healthcare technology based on IoT devices and systems. Moreover, the chapter will discuss the ML opportunities and challenges in healthcare and future trends as well. The chapter gives the reader full perception of the possibility of using ML techniques in the medical and healthcare fields, with a systematic description of their applications.
A Mobile Health Application for Monitoring Children With Autism Spectrum Disorder
Authors: Rabbani Masud , Haque Munirul M. , Das Dipal Dipranjan , Zarif Md Ishrak Islam , Iqbal Anik , Akhter Shaheen , Parveen Shahana , Rasel Mohammad , Soron Tanjir Rashid , Bansal Naveen , Schwichtenberg Amy , Ahmed Syed Ishtiaque , Ahamed Sheikh Iqbal
Published: June 2022

Currently, one out of 160 children have autism spectrum disorder (ASD) in the world. This problem is observed in both developed and low-middle-income countries (LMICs) around the globe. Usually, in developed countries, the number can be estimated, but in LMICs, this number is largely unknown, and in some cases, many children with ASD are not treated after identification of the problem. In these cases, both for the developed and LMICs, mobile technology can continuously monitor children with ASD. In this chapter, the authors describe the techniques of remote monitoring of the behavioral and milestone parameters development for children with ASD that care practitioners can use as an evidence-based tool to make the decision in the treatment process. Lastly, the authors describe the advantages and challenges of using the mHealth tools in the ASD treatment based on the NIH-funded successful completion project “mCARE” in Bangladesh.
Digital Inclusion for Vulnerable Groups and Transformation
Authors: Djukic Gordana P.
Published: June 2022

The aim of the chapter is to highlight different regional approaches to digital inclusion from the social and economic aspects by academic researchers. The chapter presents the concept of digital literacy and digital inclusion and social and economic benefits in some European countries. The research observes individual European countries in which digital literacy with incorporated digital inclusion is equally important. The subject of the research will be digital inclusion on a regional level with an emphasis on the social, economic component in Denmark, Greece, and Serbia. The use of digital technology creates an opportunity for better public service in various sectors, especially in education, health, e-government, etc., which would favor better inclusion of the poor and socially disadvantaged. Technological transformation has contributed to the introduction of the most developed information and communication technologies (ICT) in a large number of countries in Europe and other countries around the world.
Entrepreneurship
Authors: Dieguez Teresa
Published: June 2022

Sustainable development has become a buzzword in all fields and domains. Since the Brundtland Report, several attempts to exactly define the meaning of it appeared, even if not always consensual, inclusive, or convergent. However, SD is a holistic notion, encompassing economic, social, cultural, political, and environmental dimensions. Inclusive development is one of the 17 central elements of the Sustainable Development Goals. It follows the United Nations Development Programme's human development approach and joins in the standards and values of human rights. The chapter aims to reflect on the gender inequality problematic and explore how higher education can have an important role on this ongoing process. After a literature review, a co-creation project in IPCA, Portugal is presented. Conclusion seems to point out that education for entrepreneurship, namely through active learning methodologies, can develop the needed 21st century skills, especially if learned in active entrepreneurial education systems and oriented to reach inclusive sustainable development.
Global Institutional Role to Promote Achievement of the Sustainable Development Goals in Zimbabwe
Authors: Dzingirai Mufaro , Ndava Rodgers
Published: June 2022

The role of institutions in development discourse when it comes to inclusive development is hotly debated in recent years. Nonetheless, little is known about the role of global institutions in achieving the Sustainable Development Goals in the context of the global pandemic widely known as the COVID-19 pandemic. Given this information, this chapter will focus on the role of global institutions in promoting the achievement of sustainable development goals in Zimbabwe. This study establishes that global institutions play an enabling role when it comes to the achievement of SDGs in Zimbabwe through developmental policy advocacy and guidance, sensitization and dissemination of information, capacity building, and financing developmental programs. Based on these findings, a plethora of recommendations has been proposed that includes expansion of collaboration, improvement of governance systems and practices, improvement on international co-operation, and unlocking of international finance.
International Financial Organizations
Authors: Burdenko Elena Viktorovna
Published: June 2022

The chapter examines Russia's cooperation with international financial organizations for the period from 1992 to 2021. Attention is paid to cooperation programs with the International Monetary Fund and projects implemented jointly with the International Bank for Reconstruction and Development, the Multilateral Investment Guarantee Agency, and the International Finance Corporation. The participation of Russia in the projects of the International Development Association is shown. The chapter analyzes the problems of Russia's cooperation with “old” international organizations.
Climate Change Adaptation
Authors: Elshater Abeer , Abusaada Hisham
Published: June 2022

The United Nations (UN) has proposed two actions against climate change between 2015 and 2021: “combat” in Goal 13 of the Sustainable Development Goals (SDGs) and “adaptation” in the 26th UN Climate Change Conference (the Conference of the Parties COP 26). This chapter aims to highlight pathways and actions for addressing and adapting to climate change at higher strategic levels and urban planning and design at the local level. In 32 authoritative texts, the snowball technique and content analysis were used to discover the interactions between people, nature, and climate change adaptation. The findings revealed that lower-level adaptation methods, such as urban design techniques, were ineffective in responding to people's actions in public areas. In terms of SDGs and COP 26, epistemological awareness of normative variables crucial to the relationship between people and nature in public spaces adds significantly to this endeavor.
Regenerative Approach for Solid Waste Management in Historic Centres
Authors: Barrera Diana , Elmaghrabi Yara
Published: June 2022

Solid waste management is considered one of the greatest challenges faced by historic centres due to the nature of their urban fabric and the changing frequency of users of the area, resulting in variability in the amount and composition of solid waste produced. Although historic centres are places where the Genius Loci of cities are appreciated, the implications of poor solid waste management led to the deterioration of these significant places. The application of holistic strategies contributes to keeping the urban identity alive while considering current social and economic aspects. This chapter focuses on exploring the potential of using the urban regeneration framework for solid waste management in historic centres. The discourse begins by defining the conceptual framework, followed by reflections on the historic centres of Naples and Cairo to explore how regenerative approaches can be used. Finally, the findings suggest a possible regenerative framework that could be used by different groups to solve problems with waste management in historic cities.
Ergonomic Design for Pedestrians' Safety in Regenerative Cities
Authors: El-Bardisy Nardine , Rashed Alaa N. , Elmeligy Eman Ahmed , Aboulnaga Hala Hussien
Published: June 2022

Mobility and safety are the main characteristics of the city's urban strategies that regenerative cities adopt. This study is concerned with the mobility of pedestrians while crossing vehicle routes within urban developments. Several research groups recognise the negative-positive impact of ergonomic design in understanding human limitations and abilities; additionally, most researchers mentioned ergonomic design in the design of interior architecture elements, and a few have introduced it on an urban scale. So, research used ergonomic design to analyse pedestrian and vehicle movement. The research method adapted ergonomic design principles as a method to analyse human behaviour while crossing roads in an Egyptian context. After reviewing the relevant literature and Egyptian context, the authors discovered that studies show significant development occurred on Cairo's roads that threaten people's lives. The analysis tools used in research are questionnaires, surveys, and observations. The results concluded that both streets need more pedestrian-friendly designs and regulations.
Entrepreneurial Intentions of University Students
Authors: Simoes Nadia , Crespo Nuno
Published: June 2022

This chapter analyzes entrepreneurship intentions in a medium-size Portuguese university that is in the top 150 of the Times Higher Education ranking for young universities. This higher education institution has grown rapidly over the last decades, has been extremely dynamic in establishing local level partnerships with business and non-business institutions, and is characterized by an environment more multidisciplinary than average with four schools occupying the same buildings (School of Sociology and Public Policy, School of Social Sciences, Business School, and School of Technology and Architecture). Using a sample of 544 students, this group of respondents ranks entrepreneurship as their preferred career choice. Analyzing the factors that influence entrepreneurial intentions, the authors find the relevance of context variables and entrepreneurship-related courses.
SMART Technologies
Authors: Arora Muskaan , Goel Archana , Sharma Asmita
Published: June 2022

The manufacturing industry plays a paramount role in the world economy, accounting for almost 16% of the global GDP in 2018. Manufacturing has been identified as the key driver of dynamic growth and development of the country. The COVID-19 pandemic has caused immense devastation around the world. Due to the downturn in the manufacturing industry along with the factory blackout, the coronavirus epidemic reduced the global FDI by 5-15%. This chapter aims to throw light on measures taken by manufacturers to combat the impact of the COVID-19 havoc. It will discuss how internet of things and artificial intelligence will help manufacturing industry to recover effectively and efficiently post pandemic. It would suggest a framework to manufacturing industry on how it can come back in a new normal position post-COVID-19 scenario. Manufacturers, who acknowledge the new standard policies discussed in the present paper and operate on it, will get enough growth opportunities and can have long-term sustainable success in the future.
Advising on Clinical Experience and Patient Care Exposure at Home and Abroad
Authors: Evert Jessica , Todd Tricia , Rowthorn Virginia
Published: June 2022

This chapter provides essential information, perspectives, and talking points for advising students on clinical experience/patient care exposure at home and abroad. The authors will outline different mechanisms for students to get this experience, historical and present-day perspectives on why this is important and impactful, as well as key ethical and legal reasons to scrutinize potential opportunities. Advisors will be equipped to guide key student-facing conversations and institutional approaches.
Beyond Clinical Experience and Research
Authors: Fierst John
Published: June 2022

Health professions schools eagerly look for applicants who demonstrate a commitment to service, the potential for leadership, and the ability to work effectively with others as reflected by their core competencies. While these attributes can be developed through clinical experience and research, there are myriad ways for students to gain these important skills in many other contexts as well. Health professions advisors are uniquely positioned to help students explore the activities they would like to pursue and guide them in identifying how their extracurricular endeavors and employment will positively contribute to their development as future healthcare professionals. This chapter offers the importance of community service, leadership, employment, and extracurricular involvement in creating well-rounded pre-health students and suggests strategies that pre-health advisors can use to aid their students and their own offices in these areas.
Informatics Truth
Authors: Şen Onur
Published: June 2022

Today's technological developments have enabled the digitalization of communication and transform it into different forms. With the said digitalization, individuals have had the opportunity to communicate very quickly, exchange information, produce content, and access information about their environment much more. Besides many opportunities brought by digital transformation are reflected to individuals, it reflected to the field of news media, which provides information flow to individuals. The reflection of digitalization in the news media emerged as a result of especially distributing and producing information very quickly and reaching large masses. The acceleration of the flow of information has made it necessary to focus on the concept of truth. So that, as a result of the intense information flow in the 2016 US Presidential Elections and the Brexit referendum in England, the production and distribution of news in the post-truth era has become questionable. From this point of view, the truth of the information produced in the news media will be examined in this study.
Spin Doctor in the Post-Truth Era
Authors: Başer Betül
Published: June 2022

Today, the reaction of the masses towards the lies of the politicians brings together a new process rather than the politicians lying to the masses. In the post-trust era, the insignificance of the truth, politicians reflecting the lies as if they were the truth, and the masses believing in such reflections represent such a process. In this era, politicians render excuses to cover up the truth without having any feeling of guilt. There are spin doctors that work to enable the politicians to realize these purposes. The purpose of spin doctors is to manipulate the media and the public opinion and to reveal the aspects of events to benefit their own political targets rather than as these events are. In this study, the Our Brand Is Crisis movie will be considered in the context of spin doctor tactics usage in the post-truth era. The purpose of this study is to reveal the cinema representation of the spin doctor tactics in the post-truth era and to discuss the spin doctor concept and tactics with sample scenes.
You're Not the Problem!
Authors: Gül Şanli Aysu , Temli Doğan Güneş , Trabzon Eren , Koç Bozkurt
Published: June 2022

In this study, narrative therapy and solution-focused brief therapy, which are the postmodern psychotherapy methods, are compared in terms of similarities and differences. In the study, primarily theoretical information about narrative therapy and solution-focused short-term therapy, which differs from traditional psychotherapy methods, the techniques used, and information about therapeutic application processes are given. Then, narrative therapy and solution-focused short-term therapies are compared in terms of similarities and differences. As a result, although narrative therapy, which is a postmodernist and social constructivist psychotherapy method, and solution-focused short-term therapy, which is a postmodern, inductive, and constructivist psychotherapy approach, have great similarities in terms of both theoretical and therapeutic processes; they also seem to have some differences.
Parents in the Grip of Parental Guilt
Authors: Vermeire Sabine , Van den Berge Luc , Van Reybrouck Tomas
Published: June 2022

The authors present their work with parents of addicted children, some of whom died as a result of their addiction. Stuck in pain, guilt, shame they often experience a discomforting lack of understanding from those around them. Behind their worries is often the wish that things would go well for their children. Under the pressure of cultural parenting discourses feelings of guilt became ‘toxic'. Subsequently any sense of a viable future got lost. In order to restore a sense of a viable future, the authors drew on narrative ideas. They organized a three-day hike with parents. A life review interview was applied to highlight their efforts, involvements, decisions, responses, and ‘unique moments'. The interviews were recorded, and as such, the process was documented. Finally, ‘outsider witness practices' were installed. The conjecture that this fourfold ‘stage setting' could help these parents to entertain new perspectives on the future proved to be promising.
Abr+a
Authors: Green Deborah
Published: June 2022

Creative arts therapy, like dragon-riding, is poly-sensory and paradoxical. This variegated practice frequently falls prey to reductive research processes. Yearning for less dissonance between the what and how of research and greater congruence between the skill sets practiced in research and therapy, the author began exploring arts-based research and autoethnography. These methodologies now entangle under the investigational umbrella-term abr+a (arts-based research through autoethnography). In this chapter, the abr+a-dragon's tail is grasped for an escapade that: explores abr+a as performed by several researchers; revisits workshops facilitated at Whitecliffe (Aotearoa, 2017-2021), the BAAT/AATA Conference (London, 2019), and the ANZACATA Symposium (Brisbane, 2019); and theory-builds by tracing presence, poiesis, process, partnerships, pixellation, playfulness and psyche within abr+a. The intention is to express abr+a's emergent poietic-praxis and contribute to international intersectional conversations about creative research practices appropriate to therapy within a post-truth era.
Rewriting a Lost Story
Authors: Koç Bozkurt , Temli Doğan Güneş , Gül Şanli Aysu , Trabzon Eren
Published: June 2022

The phenomenon of migration appears as an incontrovertible reality of social life today as it was in the past. While social, cultural, political, economic, etc. factors constitute the causes of migration, they are seen as the psycho-social dynamics most affected by migration. In this study, the narratives regarding the migration process of the Balkan immigrants living in Samsun were evaluated from a social psychological perspective in the context of the post-migration adaptation process. The narratives of the Balkan immigrants were examined in depth using thematic analysis method. As a result of the analysis, the narratives were evaluated within the framework of the themes of “basic needs,” “cultural characteristics,” and “acculturation.” It has been determined that with the effect of features such as cultural similarities, sense of belonging, empathy, and cooperation, Balkan immigrants mostly do not experience problems in the adaptation process relatively different from other migration processes.
Prevalence of diabetic retinopathy in urban and rural India: A systematic review and meta-analysis
Authors: Brar Anand Singh , Sahoo Jyotiranjan , Behera Umesh Chandra , Jonas Jost B , Sivaprasad Sobha , Das Taraprasad
Published: June 2022

A systematic review and meta-analysis were conducted to estimate the prevalence of diabetic retinopathy (DR) in India’s urban and rural areas. Medline, Scopus, and ScienceDirect databases were searched for population-based studies published in English between January 1990 and April 2021, wherein the prevalence of DR among Indian residents with type 2 diabetes mellitus (DM) was reported. A random-effects model was used to estimate the overall, rural, and urban prevalence. Data from 10 eligible studies were aggregated for meta-analysis. The prevalence of DR was 17.44% (95% confidence interval [CI], 14.33–20.55) in urban and 14.00% (95% CI: 9.13–18.86) in rural population (P = 0.24). The overall DR prevalence was 16.10% (95% CI: 13.16–24.32), and the population prevalence was 1.63% [95% CI: 0.94–2.32]. Prevalence of DR in people with diabetes was lower in the age group of 40–49 years [13.57% (95% CI: 7.16–19.98)] than in the age group of 50–59 years [16.72% (95% CI: 12.80–20.64)] and the age group of 60 years and above [16.55% (95% CI: 12.09–21.00)]. Variability in studies was high: urban (I
2 = 88.90%); rural (I
2 = 92.14%). Pooled estimates indicate a narrow difference in DR prevalence among people with diabetes in rural and urban India. The fast urbanization and increasing diabetes prevalence in rural areas underscore the need for providing equitable eye care at the bottom of the health pyramid.
Perspectives on the provision of diabetic retinopathy screening: Survey of eye health care professionals in Haryana
Authors: Grover Sumit , Piyasena Prabhath N , Zondervan Marcia , Bascaran Covadonga
Published: June 2022

Purpose:

To examine the current provision and practice patterns of diabetic retinopathy screening (DRS) in Haryana.

Methods:

This was a descriptive cross-sectional survey in Haryana. All ophthalmologists registered with Haryana Ophthalmological Society in Haryana state were invited to participate on an online survey comprised of twenty questions exploring diabetic retinopathy screening provision, and barriers to screening services in Haryana.

Results:

The response rate was 82% (153/186). The majority (84%) of the eye care providers practiced in urban areas. Most ophthalmologists (89%, 136/153), considered diabetic retinopathy screening by non-ophthalmic human resource inappropriate because of technical feasibility issues (62%) followed by non-availability of trained staff (33%). Only half (54%) of the respondents had access to written protocols for the diagnosis and management of diabetic retinopathy in their practice. Barriers to optimize diabetic retinopathy screening were lack of knowledge or awareness among patients (95.5%), perception that eye complications were unlikely (76%) and cost of care (30%).

Conclusion:

Diabetic retinopathy screening practices are mainly opportunistic and urban-centric, likely delivering inequitable services for the rural populations in the state. The inclusion of other personnel in screening will require stakeholder engagement from all health professions and changing the perceptions of ophthalmologists about task shifting.
Retropupillary iris claw lens versus Gore-Tex assisted scleral fixated intraocular lens in children with large lens subluxations
Authors: Rastogi Anju , Gaonker Tanvi , Dhiman Shweta , Singh Kirti Jai , Anand Kamlesh , Suresh Priyadarshini
Published: June 2022

Purpose:

To compare the functional outcome of retropupillary iris claw lenses (RPIC-IOL) and scleral fixated intraocular lenses (SFIOL) in children with large lens subluxations.

Methods:

Sixty eyes of patients between 6 and 18 years of age having >7 clock hour lens subluxation were included and equally divided into group A (RPIC-IOL implantation) and group B (Gore-Tex sutured SFIOL implantation). Cases with anterior and posterior segment abnormalities, trauma and glaucoma were excluded. Primary outcome was improvement in best-corrected visual acuity (BCVA) at 1.5 years. Secondary outcomes were assessment of intraocular lens (IOL) tilt, mean change in astigmatism at 1.5 years, and median operating time. All surgeries were performed by the same surgeon.

Results:

The mean improvement in BCVA in group A was 0.28 ± 0.41 logMAR and group B was 0.44 ± 0.45 logMAR (P = 0.3). Significant IOL tilt was seen in 4 eyes in group A (13.33%) and 5 eyes in group B (16.66%) (P = 0.120). Mean change in astigmatism was 4.38 ± 5.9D in group A and 4.91 ± 4.4D in group B (P = 0.299). The median operating time was 40 min in group A and 90 min in group B (P < 0.001). No significant posterior segment complications were seen in either technique.

Conclusion:

Both procedures had comparable visual outcomes. RPIC-IOL implantation was relatively quick and comparatively easier; it may be preferred in cases with high risk of retinal detachment.
Clinical and histopathological profile of primary caruncular lesions
Authors: Alam Md Shahid , Pal Soham S , Krishnakumar Subramanian
Published: June 2022

Purpose:

To provide a retrospective analysis of lesions of the caruncle which have been very rarely reported in the literature.

Methods:

A retrospective review of all the caruncular lesions between January 2000 and January 2020 was done at a single tertiary eye care hospital. The lesions were classified as benign and malignant lesions. Clinicopathological correlation was done for the excised lesions.

Results:

A total of 87 caruncular lesions were included in the study. Males (59%) were affected more than females (41%). The mean age at presentation was 44 ± 20 years. The mean duration of complaint was 36 ± 62 months. A total of 36 patients underwent surgical excision whereas the rest opted for conservative management. Recurrence was noted in five patients. Fifteen different types of lesions were identified histopathologically. Benign lesions (78%) were far more common than malignant ones (22%). Epithelial inclusion cyst was the most common benign lesion and sebaceous gland carcinoma was the most common malignant lesion. Correct clinicopathological correlation was seen in 52.7% of the cases. Caruncular tuberculosis, oncocytoma, and basosquamous cell carcinoma were some of the rare lesions.

Conclusion:

Caruncular lesions are uncommon and very diverse, which makes clinical diagnosis challenging. Epithelial inclusion cyst and sebaceous gland carcinoma were the most common benign and malignant lesions respectively. Correct clinicopathological correlation was seen in more than half of the cases.
Retinal venous occlusion following COVID-19 vaccination: Report of a case after third dose and review of the literature
Authors: Dutta Majumder Parthopratim , Prakash Vadivelu Jaya
Published: June 2022

A 28-year-old, healthy male presented with blurring of vision in the right eye following third dose of the AstraZeneca/COVISHIELD vaccine. Further examination revealed ischemic central retinal vein occlusion, and subsequent laboratory investigations were inconclusive for his eye disease. He responded to pulse corticosteroid and tapering doses of oral corticosteroids without requiring any intra-vitreal injection. Twelve articles were identified with the help of a PubMed literature search, and a short review of these patients was performed. Retinal vein occlusion can occur because of inflammation-induced thrombosis after coronavirus disease 2019 vaccination and may respond to anti-inflammatory therapy.
Feasibility of laparoscopic proximal gastrectomy with piggyback jejunal interposition double-tract reconstruction for proximal gastric cancer: A propensity score-matching analysis
Authors: Li Zhi Guo , Dong Jian Hong , Huang Qing Xing
Published: June 2022

Background:

The feasibility of using laparoscopic proximal gastrectomy (LPG) for the treatment of proximal early gastric cancer (EGC) has not been addressed. This study aimed to comparatively evaluate the effects on LPG with piggyback jejunal interposition double-tract reconstruction (PJIDTR) versus laparoscopic total gastrectomy (LTG) with Roux-en-Y reconstruction (overlap method) using propensity score matching for proximal EGC.

Materials and Methods:

We examined the clinical outcomes of LPG with PJIDTR for proximal EGC. We retrospectively collected data from patients with proximal EGC who were treated at Shanxi Cancer Hospital between January 2012 and December 2015. The complication rate, nutritional indicators, reflux oesophagitis incidence and overall survival were compared between LTG and LPG with PJIDTR.

Results:

Of the 424 patients, 200 were excluded, and 50 of the remaining patients received LPG with PJIDTR. Fifty matched LTG patients were screened. The incidence of early complications was 14% in the LPG group and 16% in the LTG group (P > 0.05). At 1 year after surgery, nutrition indices in the LPG group were significantly better than those in the LTG group (P < 0.05). One year after surgery, the Visick score II rate was 2% and 4%, and the endoscopic oesophagitis rate was 4% and 6% in the LPG and LTG groups, respectively. No tumour recurrence was observed in either group. The 5-year overall survival rates of the two groups were 98% and 90% (P = 0.08).

Conclusions:

LPG with PJIDTR may be suitable for proximal EGC.
Neonatal Surgery During Covid-19 Pandemic
Authors: Siddiqui Tosaddeque H. , Ahmed Zeba , Islam Nazrul , Mahammad Noor , Shahinoor Abu Mohammad , Rahman Shahinur , Joshi Mridul P.
Published: June 2022

Background:

The impact of Covid-19 on global health and especially on the low-resource countries’ health system has been serious. The lack of personal protective equipment, masks, sanitizers, and lack of testing has made the surgical delivery even more challenging. These delays in management of these surgical cases are going to stack up in the future and increase mortality and morbidity. However, the emergent nature of some of the neonatal surgical cases cannot be postponed.

Materials and Methods:

This is a retrospective observational study done from April 2020 to September 2020 in Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh. Surgical neonates were tested for SARS-CoV-2 by using the real-time PCR on oropharyngeal swabs. The reports of the tests were received only 24 h later.

Results:

A total of 22 neonates with surgical conditions were admitted during the study period. Eighteen were tested for Covid-19, whereas 4 were tested but reports were not awaited for surgery. All the babies tested negative for Covid-19. There were a variety of cases admitted, predominately hydronephrosis, clubfoot, meningocele, intestinal obstruction, cleft lip, and palate. Among the 22 surgical neonates, 6 received the surgical management, whereas 16 were managed conservatively and kept on follow-up. Regarding the outcome, 17 patients (3 managed surgically and 14 nonemergent cases were managed conservatively) were discharged to home. Mortality were 5 in number (3 postoperative patient and 2 while managing conservatively).

Conclusion:

During the unprecedented times of Covid-19, extreme precaution and protocol must be followed to carry on neonatal surgeries to protect both health workers and children.
Case-based Management of Nephrotic Syndrome
Authors: Uddin Golam M. , Shanjida Sharmim Mst. , Jesmin Tahmina , Al Mamun Abdullah
Published: June 2022

Nephrotic syndrome (NS) is one of the most common glomerular diseases that affect children. The most common cause of NS is idiopathic NS (INS). Minimal change NS (MCMS) is more than 80% in patients with favorable outcomes. However, a few children have focal segmental glomerulosclerosis along with secondary causes, which are at risk for complications. Complications may be disease-associated or may be drug-related complications. Disease-related complications include infections (e.g., peritonitis, sepsis, cellulitis, chicken pox), thrombo-embolism, hypovolemic crisis, hypercholesterolemia, acute kidney injury (AKI), anemia and other AKIs, hypothyroidism, hypocalcemia, and bone disease. The majority of children with MCNS respond to corticosteroids or cytotoxic agents, alkylating agents, cyclosporine A, and mycophenolate mofetil. Early detection and management of these complications will improve outcome for these patients with NS. This article provides an update of current available therapeutics strategies and case-based management of common complications of NS.
The Doppler velocimetry of ductus venosus in fetuses with cardiac defects during pregnancy
Authors: Askar Asmaa Abdelmged , Elnamory Mohamed Mohsen , Othman Ahmed Mohamed , Alatar Ahmed Mohamed
Published: June 2022

Background

Fetal medicine researches were directed to replace the invasive screening tests done at the first and early second trimesters such as cardiovascular status and amniocentesis to discover fetal anomalies, especially cardiac malformations with noninvasive ultrasonic markers such as ductus venosus Doppler. It is associated with cardiac defects. It is the main concern of fetal medicine researches nowadays to improve neonatal outcome. It leads to abnormal heart rhythm or abnormal heart muscle, in which the heart fails to contract normally.

Aims

We aim to study ductus venosus Doppler and pulsatility index (PI) of veins in fetuses with cardiac malformations to improve fetal and neonatal outcome.

Patients and methods

This study includes 50 pregnant females attending Tanta University Hospital. This study was carried on during the period from May 2019 to July 2020. Some cases were excluded: who had twin pregnancy.

Results

There is a correlation between abnormal PI and occurrence of congenital heart disease, especially the major types. As regards A wave, we found that it is present in 17 (34%) of 50 cases and 11 of them had normal PI. It is absent in 33 (66%) of cases. This study concluded that in chromosomally normal fetuses, assessment of ductus venosus could improve the predictive capacity for major cardiac defect.

Conclusions

DV Doppler is a very important scan in pregnancy. PI is very important as first-trimester sonographic marker for fetal congenital heart diseases and in prediction of neonatal outcome.
Spatio-temporal variability of water quality in Billings Reservoir Central Body - São Paulo, Brazil
Authors: Milz Beatriz , Aquino Patricia Oliveira de , Ortega Jean Carlo Gonçalves , Bitencourt Ana Luisa Vietti , Nordi Cristina Souza Freire
Published: June 2022

The Billings Reservoir is an important water body for public supply of the Metropolitan Region of São Paulo, Brazil, and water captation for public supply is located in the Rio Grande environmental compartment. This article evaluates the water quality of the environmental compartment Central Body I of the Billings Reservoir, which receives the reversed waters from the polluted Pinheiros River, at four sampling points with different contributions from the surroundings, seeking to verify the influence of seasonality on water quality and whether there was a difference in water quality between the sampling points. Water sampling was carried out on the surface at four points, in a longitudinal profile, covering two periods (dry and rainy) distributed in six samplings between 2016 and 2019. Analyzed variables included temperature, dissolved oxygen, pH, electrical conductivity, chlorophyll-a and nutrients (phosphorus and nitrogen). Space-Time Interaction tests revealed that physicochemical variables did not vary due to the interaction between sampling periods and points, but several variables varied significantly during the sampling period. The results of the Trophic State Index show that waters of Central Body I are classified as Hypereutrophic, highlighting the degradation of water quality in this compartment. This research will better inform public managers and assist their efforts to minimize and mitigate the effects of progressive water quality degradation in this reservoir.

Keywords: eutrophication, Pinheiros river, urban reservoir.