bluuebunny/crossref_metadata_2025 huggingface dataset:
A bal kamrai Purkinje-hálózat distalis arborizációjának katéteres ablatiója a visszatérő kamrafibrilláció terápiájában
Authors: Krányák Dóra , Sághy László , Pap Róbert
Published: February 2025

Egyre több vizsgálat eredménye utal a Purkinje-hálózat és a
Purkinje-myocardium-junctio szerepére malignus kamrai arrhythmiák kiváltásában.
A bal kamrai Purkinje-hálózat distalis arborizációjának rádiófrekvenciás
katéterablatiója befolyásolhatja a kamrafibrilláció ismétlődését. Három beteg
(mind férfi, életkor: 52 ± 6,6 év) esetében került sor amiodaron ellenére
gyakran visszatérő kamrafibrilláció miatt a distalis bal kamrai Purkinje-hálózat
ablatiójára. Egyikük hypertrophiás, egy másik ischaemiás cardiomyopathiában
szenvedett, a harmadik esetében idiopathiás kamrafibrilláció volt a diagnózis. A
célpont azonosítása izoproterenolinfúzióval indukálható, Purkinje-eredetű kamrai
extrasystole térképezése (2 beteg esetében) és a klinikai EKG-dokumentáció,
illetve a beültethető kardioverter-defibrillátor által rögzített regisztrátumok
alapján végzett ’pace-map’ révén (2 beteg) történt. A rádiófrekvenciás ablatio
célpontja a Purkinje-potenciálok által azonosított, bal kamrai posterior
fasciculus mellett egy esetben magában foglalta az anterior fasciculus distalis
arborizációjának területét is. A beavatkozást követő 17 ± 11 hónapos utánkövetés
során egy beteg esetében jelentkezett – a korábbiaknál ritkábban – malignus
kamrai arrhythmia. Különböző eredetű, visszatérő kamrafibrilláció esetén a bal
kamrai Purkinje-hálózat distalis arborizációjának katéteres ablatiója
csökkentheti a malignus kamrai arrhythmiák ismétlődését. Orv Hetil. 2025;
166(8): 307–312.
Szomatoform disszociáció az orvosi gyakorlatban
Authors: Kovács Bianka Dorottya , Molnár Judit
Published: February 2025

A szomatoform disszociáció egy olyan mentális jelenség, amelynek során a testi
élmények, reakciók és funkciók integrációjának hiánya nyilvánul meg tünetekben.
Olyan, a testet érintő disszociatív tünetek jelölésére alkalmas, amelyek az
orvostudomány jelen állása szerint organikus zavarokkal nem magyarázhatók. A
disszociáció prevalenciáját 10%-ra becsülik klinikai és átlagpopulációban
egyaránt. Szomatoform disszociatív tünetek a szomatikus ellátásban elsősorban
neurológiai, de egyes esetekben gasztroenterológiai, nőgyógyászati, urológiai
vagy kardiológiai páciensek körében is előfordulhatnak. Klinikai megfigyelések
arra engednek következtetni, hogy a szomatoform disszociáció prevalenciája
nagyobb, mint a becsült adatok. A zavar felismerése nehézséget jelent, hiszen
inkább szabály, mint kivétel, hogy a betegek kezdetben szomatikus tünetekkel
jelentkeznek az alapellátásban. Összefoglaló tanulmányunk célja ismertetni a
szomatoform disszociáció jelenségét és kialakulásának lehetséges okait. Emellett
a tanulmány összefoglalja a zavar mérési lehetőségeit, a
differenciáldiagnosztikai folyamatot, valamint szempontokat nyújt a zavar
felismeréséhez és kezeléséhez egyaránt. Orv Hetil. 2025; 166(8): 283–291.
Peripheral Concerns: Urban Development in the Bronze Age Southern Levant
Authors: Cohen Susan
Published: February 2025

Peripheral Concerns examines the influence of one “core” region of the ancient Near Eastern world—Egypt—on urban development in the southern Levant in the Early and Middle Bronze Ages, with emphasis on the relative stability and sustainability of this development in each era. The study utilizes a very broad scale “macro” approach to examine urban development using core-periphery theories, specifically in regard to southern Levantine-Egyptian interactions.

While many studies examine urban development in both the Early Bronze Age and the Middle Bronze Age, few compare this phenomenon in the two periods. Likewise, there are few studies of urban development in the southern Levant that compare contemporary Egyptian policies in that region to those in Nubia, despite the fact that Egyptian activities linked the eastern Mediterranean, the Nile Valley, and Nubia into one interactive system. The broad chronological and geographic framework utilized in this study therefore allows for a new approach to urban development in the southern Levant.
Práticas de leitura dos alunos dos ensinos básico e secundário – Barómetro’23
Authors: Mata João Trocado da , Neves José Soares , Àvila Patrícia , Lopes Miguel Ângelo
Published: February 2025

The National Reading Plan (PNL2027) commissioned the Portuguese Observatory for Cultural Activities (OPAC) to carry out a study on the Evolution of Reading Practices among Primary and Secondary School Students. The study was carried out in partnership with the Directorate-General for Education and Science Statistics (DGEEC) and the School Libraries Network (RBE). With this operation, the construction of a system for the regular collection of information on the evolution of the reading practices of students in non-tertiary education began, responding to a need that had long been diagnosed by the main bodies responsible for promoting reading in Portugal (the National Reading Plan or the School Libraries Network), as well as by universities and research centres. The results of the Barometer'23 show, in general, high levels of book reading, with percentages of 97 per cent in the 1st cycle and 96 per cent in the 2nd cycle, followed by a progressive decrease to 90 per cent in the 3rd cycle and 78 per cent in secondary education.
Sums of Finite Product of Chebyshev Polynomials of Third and Fourth Kind and Fibonacci and Lucas Numbers
Authors:   Department of Mathematics, School of Chemical Engineering and Physical Sciences, Lovely Professional University, Phagwara, 144411, Punjab / Govt. Degree College, R. S. Pura, Jammu (J&K), India, Kishore Jugal , Verma Vipin
Published: February 2025

Objective: Classical orthogonal polynomials are extensively used for the numerical solution of differential equations and numerical analysis. Various generalization problems involving Chebyshev polynomials have been studied and one such area is the classical linearization problem. In this paper, we will consider a generalized classical linearization problem and study some identities representing the sums of finite products of the 3rd and 4th kinds of Chebyshev polynomials, Fibonacci numbers, and Lucas numbers as a linear sum of the Chebyshev polynomials of 2nd kind and their derivatives. Methods: Differential calculus, combinatorial, and elementary algebraic computations are employed to yield the results. Findings: A new set of identities expressing the sums of finite products of the 3rd and 4th kinds of Chebyshev polynomials, Fibonacci numbers, and Lucas numbers as a linear sum of the 2nd kinds of Chebyshev polynomials and their derivatives are studied. Novelty: Earlier studies have established the sums of finite products of the Lucas numbers, Fibonacci numbers, Fibonacci and Pell polynomials, and Chebyshev polynomials of the 1st and 2nd kinds as a linear sum of other orthogonal polynomials. However, representations of sums of finite products of the 3rd and 4th kinds of Chebyshev polynomials, Fibonacci numbers, and Lucas numbers as a linear sum of the 2nd kinds of Chebyshev polynomials and their derivatives have not been studied, which is the prime focus of this manuscript.

Keywords: Linearization, Chebyshev Polynomials, Fibonacci Numbers, Lucas numbers, Orthogonality
Detecting and Tracking of Road Boundary Lines Using Machine Learning Approach
Authors:   Assistant Professor/ EEE, Bannari Amman Institute of Technology, Tamil Nadu, India, Rajalashmi K , Manivannan S , Subbulakshmi R
Published: February 2025

Objectives: The study aims to improve road safety by developing a lane detection model that achieves high accuracy even in adverse conditions like poor lighting, occlusions, and inclement weather. In high-traffic countries like India, where poor lane discipline contributes to road accidents, this system can significantly enhance driver assistance. Methods: This study compares three approaches—Canny Edge Detection, Hough Transform, and a CNN-based model. The CNN was trained on a dataset of over 1,000 annotated images featuring diverse scenarios, including curves, shadows, and varied lighting conditions. Evaluation metrics include precision, recall, F1-score, and computational latency. Findings: The CNN-based model achieved an accuracy of 96%, and F1-score of 0.92, outperforming traditional methods, which showed an average accuracy of 70% and F1-score of 68%. It maintained robustness under low-light conditions (accuracy: 91%) and adverse weather (F1-score: 89%). Real-time frame processing improved to 25 FPS, marking a 30% enhancement over baseline. Novelty: By leveraging CNNs for feature extraction and training on a diverse dataset, this study demonstrates a significant improvement over traditional methods. The proposed approach bridges the gap between accuracy and real-time application, offering a viable solution for lane detection in challenging environments.

Keywords: Accidents, Computer Vision, ML, CNN, Lane-Detection
Effects of Controlled Oxidation on the Functional Properties of Potato, Yam, Cassava and Corn Starches
Authors:   Department of Chemistry, University NANGUI ABROGOUA, Abidjan, Côte d’Ivoire, Hamed Ouattara Taniky Sy , Zoungranan Yacouba , Lynda Ekou , Tchirioua Ekou
Published: February 2025

Objectives: To investigate the effect of hydrogen peroxide oxidation on the functional properties of four native starches extracted from Cor, Cas, potato and Yam. Method: Native starches from Cor, Cas, potato and Yam were oxidized using concentrations of H2O2 ranging from 0.1 M to 1 M. Structural changes were analyzed by FT-IR and polarized light microscopy, while functional properties such as solubility index, specific surface area, water absorption and moisture content were determined. Findings: The study demonstrated that oxidation of H2O2 improves the functional properties of starches. The oxidation rate was found to depend on the H2O2 concentration, with the highest oxidation rates being 1.00% for Cor starch (0, 6 M H2O2), 0.73% for Pot starch (0.2 M H2O2), 0.60% for Yam (1 M H2O2) and 0.55% for Cas starch (0.2 M H2O2). These results highlight that H2O2 oxidation significantly improves the functional properties of native starches, making them suitable for industrial or scientific use. The results concur with previous studies while providing new insights into the optimal conditions for starch modification. Novelty: The study proposes innovative approaches by revealing the optimal levels of H2O2 required to modify the functional characteristics of naturally occurring starches. It also highlights the environmental and economic benefits of H2O2 as an oxidizing agent, compared with traditional oxidants, while opening up prospects for applications in industry.

Keywords: Oxidized starch, Hydrogen peroxide, Extraction, Oxidation rate, Functional properties
e-Healthsec: A Cloud-Based Privacy-Preserving Electronic Health History Framework using NLP with Multi-Layer Encryption
Authors:   Research Scholar, S.T. E. T Women’s College (Autonomous), (Affiliated to Bharathidasan University, Tiruchirappalli), Sundarakkottai, Mannargudi - 614016, Thiruvarur Dt., Tamil Nadu, India, Subhalakshmi N , Srinath M V
Published: February 2025

Background: An effective protection of the large volume of health data and Electronic Health History (EHHs) is a significant challenge in cloud. Physicians need patient’s medical records, including multimedia big data analytics to diagnose patient. Online EHH allows patients to efficiently manage their health records. This can be efficiently achieved by using cloud computing to store EHH. Objectives: The research aims to preserve patients' privacy by efficiently protecting their sensitive EHH in cloud storage by developing a multi-layered encryption framework. Methods: EHHs are encrypted using Fully Homomorphic Encryption (FHE) and Fernet encryption method before being stored in the cloud environment. The proposed system in this work is divided into three modules such as EHH storage after NLP; Key management and authentication; and data storage on the Amazon Web Services (AWS) cloud. Findings: EHH Encryption framework: e-Healthsec using Fernet and FHE which provides multi-layer security for sensitive EHHs.The comparative analysis of performance metrics such as bandwidth, memory usage and level of protection through different encryption techniques determines the Quality of Service (QoS). Novelty and applications: A novel EHH Framework - e-Healthsec that leverages the influence of NLP and text mining with EHH Encryption algorithm to protect sensitive health records.Thusenablesthe healthcare practitioners to control access to patient records while processing and analyzing critical data.

Keywords: Electronic Health History, Cloud Computing, Fernet, Natural Language Processing (NLP), Fully Homomorphic Encryption (FHE)
QC Metrics for KPMP Data Collection by VU TIS v1
Authors: V Djambazova Katerina , Migas Lukasz , Allen Jamie , E. Colley Madeline , Dufrense Martin , Esselman Allison , Tideman Léonore , Pringy Ellie , R.S. Kruse Angela , Farrow Melissa , Van De Plas Raf , Spraggins Jeff
Published: February 2025

This protocol describes the Go/No-Go criteria, QC/QA steps, and metrics used in the "Multimodal Molecular Imaging" pipeline by the Vanderbilt University Tissue Interrogation Site (VU TIS) as part of the Kidney Precision Medicine Project (KPMP).
Associations of Parental Perceived Health with Child Movement Behaviors within
Two-Parent Households
Authors: Fu You , Almes Hayley , Constantino Nora , Schmidt Doria , Burns Ryan D.
Published: February 2025

This study aimed to examine how perceived parental mental and physical health status
was associated with child physical activity, screen time, and sleep. Participants were
6- to 17-year-old minors (N = 20,156; 47.9% female) from the 2022 US National Survey of
Children’s Health. Dependent variables were children’s physical activity frequency,
screen time, and sleep. Independent variables were parents’ physical and mental health
status. Using the Actor-Partner Interdependence Model, two adjusted path models were
constructed. One for parent mental health associating with parental physical health,
another for parent physical health associating with parental mental health–both further
associating with child movement behaviors. Path models also examined the covariance
within parental dyads. Approximately 20.1% of children adhered to physical activity
recommendations, 61.2% to screentime recommendations, and 66.4% to sleep
recommendations. Parental physical health status mediated the association of parents'
mental health status on child movement behaviors, and vice-versa. Mediated associations
represented 20.1% to 50.5% of the total associations. Dyadic correlations were moderate
(r = 0.52 – 0.60). Most of the dyadic correlations and covariance were explained by
actor-driven effects, suggesting that the mediated parental association with child
behaviors may be due to health perceptions related to the individual parent and not the
other parent.
Study of risk factors associated with childhood pneumonia in children admitted in tertiary care hospital
Authors: Parmar Aditya , Dhamsaniya Dhruvi , Chaudhari Mitesh , Vyas Bhadresh R.
Published: February 2025

Background: Childhood pneumonia remains a major cause of morbidity and mortality in children under five, especially in resource-limited settings like India. This study analysed risk factors influencing pneumonia outcomes among 200 children aged 1 month to 5 years, admitted to a tertiary care hospital from July 2023 to July 2024.
Methods: A total of 200 children aged 1 month to 5 years, admitted with clinical symptoms of pneumonia, were enrolled. Comprehensive demographic and clinical data were collected for each patient. This included a detailed history of symptoms, immunization status, nutritional status, and maternal education levels. Collected data were analysed using standard statistical methods.
Results: Key findings identified incomplete immunization, malnutrition, indoor air pollution, and low maternal education as significant contributors to disease severity and prolonged hospital stays. Fully vaccinated children had better outcomes, while malnutrition and indoor pollution were associated with severe disease and delayed recovery.
Conclusions: Targeted interventions to improve vaccination coverage, nutrition, and maternal education, along with reducing indoor pollution, are essential to alleviate the burden of childhood pneumonia and improve child health outcomes.
Prevention of neonatal hypoglycaemia with oral dextrose gel among high-risk neonates born in tertiary care centre
Authors: Pandurangan Uthayashree , Bhosgi Revanasiddappa
Published: February 2025

Background: Neonatal hypoglycemia, a significant cause of neurodevelopmental impairment, affects approximately 25% of neonates, particularly those at high risk, such as preterm, small for gestational age (SGA), large for gestational age (LGA), and infants of diabetic mothers (IDM). These infants may require intravenous dextrose therapy if blood glucose levels do not normalize with feeding alone. This study aimed to assess the effectiveness of oral 40% dextrose gel in preventing hypoglycemia, improving neurodevelopmental outcomes, and reducing hospital admissions and promoting early breastfeeding initiation.
Methods: This prospective study included neonates at risk for hypoglycemia, including preterm infants, SGA, LGA, and IDM, delivered at Gulbarga institute of medical sciences over 3 months. Neonates with endocrine disorders or sepsis were excluded. Each neonate in the study received 200 mg/kg (0.5 ml/kg) of oral dextrose gel, administered buccally. Capillary blood glucose levels were monitored every 6 hours for 72 hours.
Results: A total of 52 neonates were randomized into two groups: Group A (n=26) received oral dextrose gel, while group B (n=26) did not. In group A, 7.6% developed asymptomatic hypoglycemia, with 3.8% requiring intravenous dextrose. In group B, 26% had asymptomatic hypoglycemia, and 15% required intravenous dextrose. The differences in hypoglycemia incidence and intravenous dextrose use were not statistically significant (p=0.125 and p=0.323, respectively). Similarly, there was no significant difference in hospital stay duration (p=0.574).
Conclusions: Oral 40% dextrose gel did not significantly reduce hypoglycemia incidence or intravenous dextrose use compared to breastfeeding alone, nor did it affect the length of hospital stays.
Complementary feeding practices of children aged six months to two years
Authors: Thoker Wasim Yousuf , Tariq Syed , Bhat Aijaz Ahmad
Published: February 2025

Background: As infants grow and become more active following the first 6 months of life, breast milk alone falls short of providing the full nutritional requirements. This is a very vulnerable period. It is the time when malnutrition starts in many infants contributing to the high prevalence of malnutrition in this age group. Complementary feeding plays critical role in bridging these gaps.
Methods: This hospital based cross sectional study was conducted in Department of Pediatrics GMC Srinagar, over 2 years from November 2019 to November 2021. The study participants were infants and young children, aged 6 to 24 months. Mothers/caregivers were the primary target as respondents. Total sample size was 400.
Results: The median age of the mothers was 24 years. 90% children consumed foods made from grains, roots and tubers. Vitamin-A rich foods were consumed by 45%, dairy products by 32%, legumes and nuts by 18 % of the children aged 6 months-23 months. Consumption of animal origin foods was low, barely 5% and 13% children consumed eggs and flesh foods respectively. The mean dietary diversity score was 2.4.
Conclusions: The results of this review indicate that effectively implemented provision of complementary feeding and education on complementary feeding have a potential to prevent undernutrition in children. Despite clear evidence of the disastrous consequences of childhood nutritional deprivation in the short and long terms, nutritional health remains a low priority. Therefore, enhanced and rigorous actions are needed to deliver and scale up nutritional education and complementary feeding interventions.
Prospective study of clinical, microbiological and antibiotic sensitivity profile of community-acquired paediatric culture-positive urinary tract infection in a tertiary care hospital in central Kerala
Authors: Kutty Mubeena Ibrahim , Varghese Serena Mohan , Philip Neethu Susan , John Susan
Published: February 2025

Background: Childhood urinary tract infections (UTIs) require early diagnosis and treatment to prevent recurrence and renal scarring. A local antibiogram is crucial for selecting empiric antibiotic treatment until culture reports are available. This study analyzed the clinical presentation, organism spectrum, and antimicrobial sensitivity in pediatric UTIs, including multidrug-resistant extended-spectrum beta-lactamase (MDR ESBL) occurrence, in a central Kerala tertiary care hospital.
Methods: This prospective study included 93 culture-positive pediatric UTI cases from children aged one month to 16 years. We analyzed clinical presentations, organism spectrum, and antimicrobial sensitivity in two age groups: under 5 years and 5 years and older. Data were statistically analyzed using appropriate methods.
Results: Of the 93 cases, 83.9% were in the 1 month to <5 years group, and 16.1% were in the 5 to 16 years group. Fever was present in 90.3%, dysuria in 26.88%, and increased frequency of micturition in 9.6%. E. coli was the most common organism (58.1%), particularly in the younger group. Non-E. coli organisms predominated in the older group. Sensitivity rates were 93.5% for amikacin, 84.9% for piperacillin-tazobactam, and 90.3% for meropenem. MDR ESBL prevalence was similar in both age groups (43.6%).
Conclusions: UTIs are more common in children under 5 years, with E. coli being the predominant cause. In children over 5 years, non-E. coli organisms are more frequent. Amikacin is the preferred first-line IV antibiotic, followed by piperacillin-tazobactam and meropenem. Amoxyclav is recommended for oral treatment, except in cases involving non-E. coli in children over 5 years.
Vitamin D status in severe acute malnourished children
Authors: Topia Jitin , Suman R. L. , Meena Nimilika , Kalasua Deepika Kalasua
Published: February 2025

Background: Childhood malnutrition is a major public health concern in India, contributing to high morbidity and mortality. Severe acute malnutrition (SAM) is the most critical form of undernutrition, leading to extremely low weight-for-height and significant muscle wasting. SAM children often have low vitamin D levels, essential for muscle, bone health and immune function. To assess vitamin D status in children with SAM.
Methods: A case-control study was conducted at RNT Medical College, Udaipur, involving 200 children aged 6 months to 5 years-100 SAM cases from the nutritional rehabilitation centre and 100 non-malnourished controls. SAM criteria included weight-for-height Z-scores<-3 SD, mid-upper arm circumference<115 mm or nutritional edema. Vitamin D was estimated using electrochemiluminescence. Data were analyzed using SPSS 20, with significance at p<0.05.
Results: The case group had a mean age of 28.08 months, while the control group had 28.95 months. The case group had lower averages in weight (7.36 kg vs 11.15 kg), height (78.48 cm vs 84.83 cm) and mid-upper arm circumference (11.2 cm vs 13.36 cm). Vitamin D deficiency was found in 28 (24.35%) cases, insufficiency in 49(42.61%) and normal levels in 38(33.04%). Mean vitamin D levels were significantly lower in the Case Group (23.9±11.71 ng/ml vs 29.9±14.78 ng/ml, p=0.006).
Conclusions: SAM children had lower vitamin D levels, highlighting the need for further studies and targeted interventions to improve nutritional outcomes.
A study of risk factors affecting outcome of retinopathy of prematurity: a cross-sectional study at tertiary care centre
Authors: Rathod Hamendrasinh K. , Shah Maulik , Borkhatariya Sejal D. , Mandal Dhaneshwar Kumar
Published: February 2025

Background: Retinopathy of prematurity (ROP) remains a significant cause of preventable blindness in premature infants. This study aimed to analyze various risk factors affecting ROP outcomes in a tertiary care setting.
Methods: A cross-sectional study was conducted at the Neonatal Care Unit of Guru Gobindsingh Government Hospital and Shri M.P. Shah Government Medical College, Jamnagar, over 10 months, enrolling 180 newborns with ROP. Risk factors were analyzed using descriptive statistics and Chi-square tests, with p<0.05 considered statistically significant.
Results: The study identified several risk factors significantly associated with progression to severe ROP requiring intervention: early gestational age, lower birth weight, neonatal sepsis, respiratory distress syndrome, oxygen requirement >7 days, and blood transfusion. Among these, neonatal sepsis, respiratory distress, and prolonged oxygen requirement were identified as preventable factors. Conversely, antenatal steroid administration, exclusive breastfeeding, and surfactant use were associated with decreased ROP severity.
Conclusions: While factors like sepsis, prolonged oxygen requirement, low birth weight, respiratory distress syndrome, and blood transfusions were associated with more severe ROP stages, protective factors included exclusive breastfeeding, antenatal steroids, and surfactant use. This understanding can help develop targeted preventive strategies and improve outcomes in premature infants at risk for ROP.
Acute illness observational scale in community acquired pneumonia in tertiary care unit in age group of 2 months to 5 years
Authors: Borkhatariya Sejal D. , Rathod Hamendrasinh K. , Bhagora Nutan , Kharadi Hemangini
Published: February 2025

Background: Community-acquired pneumonia (CAP) remains the leading cause of under-five mortality in India. The Acute Illness Observation Score (AIOS), developed by P. L. McCarthy, offers a systematic approach to assess illness severity based on six observable factors in pediatric patients.
Methods: A prospective, cross-sectional study conducted at a Department of Paediatrics, Guru Gobindsingh Government Hospital and Shri M P Shah Government Hospital, Jamnagar and enrolled 210 children aged 2-59 months with CAP. After obtaining institutional ethical clearance and parental consent, patients were assessed using AIOS criteria at admission and day 5, monitoring clinical outcomes and treatment responses.
Results: Children with abnormal AIOS scores (>10) at admission showed significantly higher rates of tachypnea (p:0.001), severe respiratory distress (p<0.001), and feeding difficulties. Among severe pneumonia cases, 56.7% required oxygen support and advanced antibiotics. Breastfeeding and complete immunization emerged as protective factors. Comparison between admission and day 5 AIOS scores demonstrated significant improvement with treatment.
Conclusions: AIOS proves to be a reliable and effective tool for evaluating CAP severity in pediatric patients. Strong correlations between AIOS scores and clinical outcomes validate its utility in guiding treatment decisions and predicting prognosis, particularly in resource-limited settings, making it a valuable adjunct to clinical judgment.
Exploring prevalence of sensory patterns among children with developmental disabilities: a cross-sectional study
Authors: Verma Bhawna , Dey Madhumita , Sehgal Rachna
Published: February 2025

Background: Developmental disabilities prevalence appears to be significant worldwide. Sensory sensitivity has also been associated with developmental disabilities. To find prevalence of sensory sensitivity and to seek an association of sensory sensitivity among developmentally disabled children with selected factors.
Methods: The study used a descriptive survey research design including 150 children aged 6-11 years diagnosed with ASD, ADHD, intellectual disability, cerebral palsy, specific language disability and down syndrome attending child developmental centre of Safdarjung hospital, selected via purposive sampling technique. Data collected through structured interviews, anthropometric measurements, and a standardized tool i.e. Parent completed Glasgow Sensory Questionnaire.
Results: Mean sensory sensitivity in terms of total, hyper and hypo sensitivity were higher in children with ASD, ADHD and Intellectual Disability. Similarly mean of vestibular, auditory, tactile and proprioception sensory sensitivity subscales were observed higher among children with ASD, ADHD and intellectual disability. The findings also showed that p values for type of family (p=0.033), socio-economic status (p=0.010), maternal occupation (p=0.022), nutritional status (p=0.004), diagnosis of child (p=0.000) were found to be statistically significant at 0.05 level of significance to seek the association between sensory sensitivity and selected variables.
Conclusions: Aberrant sensory sensitivity may play an important role among children with developmental disabilities.
A rare case of X-linked centronuclear myopathy in a neonate
Authors: N. Santosh , Kyadiggeri Ravi , Kadambi Prahlad , Sriranjini K. S. , Reddy Apoorva Pallam
Published: February 2025

We present the case of a late preterm male neonate who was limp at birth requiring extensive resuscitation in delivery room, requiring mechanical ventilation requiring higher settings and progressively worsening respiratory failure. Investigative panel reports later showed that the baby had a X-Linked myotubular myopathy (XLMTM)-centronuclear myopathy (CNM), which was the diagnosis responsible for the baby’s clinical presentation. Although CNMs do not have a specific treatment, early diagnosis of milder variants and understanding their pathophysiology helps in further facilitating diagnostic approach for the future.
Pattern of skin diseases seen in the dermatology clinic of Rivers State University Teaching Hospital, Port Harcourt, Nigeria
Authors: Amaewhule Mary N.
Published: February 2025

Background: Skin diseases are a source of significant health concern worldwide. Understanding its epidemiology is important for effective healthcare planning. In our hospital, this study is the first of its kind. This study examines the pattern and trends of skin diseases as seen in RSUTH.
Methods: Medical records of patients seen in the dermatology clinic of RSUTH between August 2020 and August 2021 were retrieved, recorded and analyzed with SPSS version 27.
Results: The total number of patients seen during this period was 294. However, 4 were excluded due to insufficient data leaving 290 persons. Of these, 189 were females, while 101 were males. Age range is between 6 months and 88 years Mean age is 31.6692±16.87406. Commonest group of skin disorders is infectious skin diseases, commonest diagnosis is Dermatophytosis followed by Acne vulgaris. The least diagnosed disorders are nail disorders and autoimmune disorders.
Conclusions: A wide variety of skin diseases were seen in the subjects during the period of study.  Dermatophytosis was the commonest skin disease seen while nail disorders was the least prevalent.
Evaluation of the knowledge, attitudes and practices about sun exposure and sunscreen usage in outpatients attending a dermatology clinic in North India
Authors: Sharma Nidhi , Raina Garvit , Sharma Nitish
Published: February 2025

Background: Multiple studies are available from West, regarding knowledge, attitude and practices related to sun exposure and usage of sun protective measures, however there is a paucity of such studies in Asian population. India being a tropical country, receives abundant sunlight and Indians are chronically sun exposed. So, we planned to assess the knowledge and awareness about sun protective measures in patients from North India.
Methods: A cross-sectional survey using specially designed questionnaires was carried out. Descriptive and inferential statistics were used wherever appropriate.
Results: A total of 500 patients were included, with majority being females. The mean age was 48.41 years and Fitzpatrick skin type V (60.4%) was the most commonly observed. 68.2% respondents reported daily sun exposure while 31.8% had reported occasional sun exposure. 34.6% had less than 1 hour of exposure, 20.8% had exposure of 1-3 hours and 44.6% had sun exposure more than 3 hours per day. 88% patients were aware of the harmful effects of sunlight. 74% respondents were aware of the benefits of sunscreen but only 26% were using them. Only 6% of those who were using sunscreen, were using sufficient amount and only 4% were reapplying. Most common reason for not wearing sunscreen was lack of awareness (44%). The most common source for information in our participants was social media and television.
Conclusions: This study demonstrated that the knowledge and practice of usage of sunscreen was sub optimal, suggesting the need of awareness programs and targeted interventions to fill this gap.
A rare case report on linezolid induced fixed drug eruption
Authors: Prathap T. Amul , Lokeshvaran D. , Abinish D. G. , Kalaivani S. , Aswin J.
Published: February 2025

Fixed drug eruption is a rare but significant adverse drug reaction characterized by recurrent, well-defined skin lesions that consistently reappear at the same anatomical sites upon re-exposure to the offending drug. This case report presents a 48-year-old female who developed hyperpigmented patches on her left thigh and axilla followed by the administration of linezolid, an antibiotic used for treating resistant gram-positive bacterial infections. Although Linezolid is generally well-tolerated, it can cause cutaneous reactions, with fixed drug eruptions being an exceedingly rare occurrence. The patient's condition improved significantly after discontinuation of linezolid and treatment with corticosteroids, antihistamines, and topical agents. This case underscores the importance for clinicians to consider FDE in the differential diagnosis of patients receiving linezolid, particularly when lesions appear in atypical locations such as the thigh and axilla. Additionally, it emphasizes the critical role of prompt drug cessation and appropriate symptomatic treatment in managing such adverse reactions, thereby improving patient outcomes and ensuring better clinical management.
The future of dermatology: integrating artificial intelligence into clinical practice
Authors: Almutairi Nawaf , Al Agraa Bakri , Mohamed Zainab
Published: February 2025

Dermatology has benefited considerably from the use of artificial intelligence (AI), which has emerged as a crucial tool in healthcare. Algorithms for machine learning (ML) and deep learning (DL), in particular convolutional neural networks (CNNs), have demonstrated significant promise in the diagnosis of skin disorders, classification of lesions, and telemedicine support. The use of AI in dermatology is examined in this paper, with particular attention paid to how it might improve patient care, increase access to dermatological treatments, and improve diagnostic accuracy. It also discusses the difficulties, moral dilemmas, and potential applications of AI in dermatology. It highlights the necessity of cooperation between researchers, practitioners, and regulatory agencies to guarantee a secure and efficient transition into clinical practice.
The Undercounting of Child-Mother Births
Authors: Chauvin Juan Pablo , Rubião Rafael , Talamas Marcos Miguel Ángel
Published: February 2025

Accurate demographic data are essential for effective policy design, yet private costs may deter individuals from truthfully reporting sensitive information. We examine this market failure and its implications in the context of child motherhood. Using administrative records from Brazil, Mexico, and the United States, along with census data from 59 countries, we identify systematic patterns of under-reporting, indicating that child motherhood is significantly more prevalent than previously thought. Births to mothers aged 10-14 are often missing from contemporary administrative records but
appear in censuses conducted a decade later, with under-counting in birth registries reaching 20-30% in Brazil, Mexico, and the United States. We introduce a model where reporting decisions weigh instrumental benefits against age-dependent private costs, yielding predictions that align with observed patterns: truthful reporting increases markedly with the mothers age, under-reporting of child-mother births decreases with the time elapsed between data collection and childbirth, and retrospective census estimates generally provide more accurate birth counts than contemporary administrative records for this age group, but not for older mothers. Our findings suggest that social costs, rather than fear of legal repercussions, are a primary driver of under-reporting.
Combating Vaccine Hesitancy: The Case of HPV Vaccination
Authors: Díaz Lina M. , Martínez Villarreal Déborah , Marquez Guerra Karina Olenka Stella , Scartascini Carlos
Published: February 2025

Cervical cancer, primarily caused by persistent Human Papillomavirus (HPV) infection, remains one of the leading causes of cancer-related deaths among women in developing countries. Although HPV vaccines are widely available in these regions, vaccine uptake remains persistently low. To address behavioral barriers contributing to this low demand, we evaluated the effectiveness of a behaviorally informed SMS campaign targeting parents in Cali, Colombia. Our study included 15,231 parents, who were randomized into six groups: control, placebo, and four behaviorally informed treatment groups, forming a large-scale study of text-based nudges. Participants received tailored messages over eight weeks. The intervention yielded significant increases in vaccination rates, with improvements ranging from 34% to 55%. Furthermore, the economic analysis demonstrated that the intervention generated between USD 3.6 and USD 5.75 in economic benefits for every dollar spent, primarily due to prevented deaths. These findings underscore the potential of behavioral interventions in enhancing HPV vaccination rates among parents and emphasize the cost-effectiveness and relative success of each intervention strategy. This study provides actionable insights for public health officials to design targeted strategies that address vaccination disparities and promote preventive healthcare practices.
Christine Brooke-Rose’s Remake: Constraints as Modes of Loosening the Author
Authors: Piechura Joanna
Published: February 2025

The author analyses Christine Brooke-Rose’s autobiographical novel "Remake" in light of three notions devised by cultural theorist Lauren Berlant: ‘loosening,’ ‘inconvenience,’ and ‘infrastructure.’ Brooke-Rose was a multilingual writer of fiction and non-fiction, a translator, literary critic, and academic teacher. She created peculiar lipograms as well as other kinds of constraints in her novels long before they became markers of the French group OuLiPo. The author of the article argues that the experimental, autofictional narratives she developed towards the end of her life – among them Remake – stemmed from her experiences of cultural and geographical exile, and as such may be interpreted through the lens of affect theory.
“Like an object pushed from place to place” – resilience in the time of war and exile in "Those We Throw Away Are Diamonds" (2021) by Mondiant Dogon
Authors: Macedulska Katarzyna
Published: February 2025

W artykule podjęto dyskusję na temat formy i funkcji memuaru Mondianta Dogona „Those We Throw Away Are Diamonds: A Refugee’s Search for Home”. Wychodząc od krótkiej charakterystyki pozycji autora/narratora/bohatera memuaru oraz specyfiki traumy i żałoby ocalałych z ludobójstwa, autorka koncentruje się na kwestii memuaru jako gatunku, w którym możliwe jest osobiste oddanie świadectwa przetrwania oraz upamiętnienie zamordowanych. Memuar Dogona odczytany jest również jako akt rezyliencji w obliczu prawnego i psychicznego kryzysu przynależności (bezpaństwowości). Memuar jest gatunkiem, który łączy to, co osobiste z tym, co publiczne, i tym samym bierze udział w kształtowaniu świadomości zbiorowej, wspólnych wartości oraz postaw obywatelskich. Zabiegi literackie charakterystyczne dla memuaru pozwalają na przedstawienie traumatycznego doświadczenia jednostki wraz ze wskazaniem jego historycznych, politycznych oraz kulturowych uwarunkowań. W autorefleksyjnej narracji osobistej Dogon analizuje ciągi przyczynowo-skutkowe oraz wskazuje zarówno kwestie wymagające interwencji, jak i kierunek zmian.
Between Political and Personal Crises: The Life Writing of Leon Getz
Authors: Wierzejska Jagoda
Published: February 2025

Artykuł podejmuje problematykę kształtowania się ukraińskiej tożsamości narodowej w dziełach artystycznych o charakterze autobiograficznym, powstających w warunkach kryzysu życiowego i opresyjnej sytuacji społeczno-politycznej. Studium przypadku dotyczy Leona Getza (1896-1971), malarza wychowanego w polsko-ukraińskiej rodzinie we Lwowie, który postanowił utożsamić się z mniejszością ukraińską, represjonowaną zarówno w przedwojennej, jak i powojennej Polsce. Po II wojnie światowej został on poddany inwigilacji przez Urząd Bezpieczeństwa PRL ze względu na swoją ukraińską tożsamość. Doprowadziło to go i jego żonę (również Ukrainkę) do próby samobójczej – nieudanej w przypadku artysty, śmiertelnej w skutkach w przypadku jego żony. Getz spisał swoje wspomnienia dwukrotnie: po raz pierwszy w drugiej połowie lat 30., a następnie po śmierci żony w latach 50. Jego pierwsze wspomnienia wyrażały samotność w przeważająco polskim otoczeniu, nie były opracowywane w tajemnicy, mimo że autor nie planował ich publikowania. Drugie wspomnienia skupiały się na jego osobistej tragedii i powstały w sekrecie, ponieważ Urząd Bezpieczeństwa starał się przechwycić notatki Getza jako dokumenty obciążające funkcjonariuszy. Oba dokumenty wspomnieniowe są przedmiotem mojej analizy. Rozważam je w kontekście innych osobistych dokumentów i prac artysty, kształtujących jego ukraińską tożsamość, ponieważ jego zdaniem głównym powodem tragedii jego i jego żony były ich ukraińskie powiązania. Interpretuję te wspomnienia na dwa różne, ale uzupełniające się sposoby. Po pierwsze, jako pisanie o życiu w czasie kryzysu życiowego męża po samobójstwie żony. Po drugie, jako pisanie o życiu w sytuacji skrajnego ucisku w państwie totalitarnym, pod nadzorem Urzędu Bezpieczeństwa, którego skrajnie niebezpieczne i błędne posunięcia sytuują samą podmiotowość jednostki w kryzysie. Artykuł opiera się na niepublikowanych wspomnieniach i pracach Getza, które znajdują się w archiwach w Krakowie (Polska) i Rzymie (Włochy).
The Life behind the Books: Reconstructing the Przeworskis’ Biographies
Authors: Pająk Paulina
Published: February 2025

Przy pomocy krytycznych i feministycznych podejść archiwalnych, artykuł rekonstruuje nie/ciągłe biografie Przeworskich, ściśle związane z działalnością Wydawnictwa J. Przeworskiego, które specjalizowało się w innowacyjnym pisarstwie auto/biograficznym i fikcji, awangardowej estetyce, pracach progresywnych intelektualistów i bestsellerach pisarek. Ponieważ Przeworscy byli mediatorami kulturowymi aktywnymi w globalnym transferze dzieł modernistycznych w Europie Środkowej i Zjednoczonym Królestwie Wielkiej Brytanii, wybrane archiwa w Wielkiej Brytanii i Stanach Zjednoczonych stanowią zastępcze repozytoria, pozwalające wypełnić pewne luki w piśmiennictwie dotyczącym Wydawnictwa J. Przeworskiego. Artykuł koncentruje się na zmarginalizowanych kobietach wydawczyniach, których rola w modernistycznych sieciach wydawniczych została niedawno odkryta. Rekonstrukcja biograficzna, czerpiąca z korespondencji wydawniczej, jest poparta wspomnieniami rodziny, innych osób związanych z rynkiem literackim, oraz ocalałych z Holokaustu. Wyniki badań wskazują na potrzebę weryfikacji uprzednich założeń dotyczących międzywojennej kultury druku, często opartych na ograniczonych danych i odtwarzających mechanizmy przemocy systemowej.
Crisis and Passio. The Encyclopaedists and the Creation of an Encyclopaedic Work
Authors: Wróbel Łukasz
Published: February 2025

W artykule wskazuję, że w dziełach encyklopedycznych, od rzymskich początków dyskursu encyklopedycznego, dostrzegalne są tekstowe ślady odsyłające do przeżyć, stanu afektywnego ich empirycznych autorów, że zza bios theoretikos podmiotu encyklopedycznego wyłania się czasem dzoe encyklopedysty. W dodatku autorska decyzja o tworzeniu dzieła encyklopedycznego bywa powodowana realną bądź dyskursywnie zakładaną katastrofą jako jej uzasadnieniem.
Against Confession: Negation of Commodity Form in Anna Adamowicz’s Book of Poems "zmyśl[ ]zmysł" ("nonsense[ ]sense")
Authors: Żurek Łukasz
Published: February 2025

Czerpiąc inspiracje z pracy Nicholasa Browna dotyczącej społecznej ontologii sztuki w kapitalizmie oraz książki poetyckiej Anny Adamowicz "Zmyśl[ ]zmysł", autor analizuje implikacje literackich strategii anty-spowiedzi i tego, w jaki sposób negują one status towarowy dzieła. Autor przekonuje, że literackie wyznanie może być spleciona ze statusem towarowym dzieła literackiego, odzwierciedlając tym samym szersze mechanizmy ekonomiczne i ideologiczne, które w coraz większym stopniu utowarawiają literaturę.
Autobiographies of the young? Between the right to life stories and adult autobiographical politics
Authors: Rakoczy Marta , Gołąb Marcin
Published: February 2025

Coraz więcej inicjatyw społecznych – posiłkując się ideami pedagogik emancypacyjnych i krytycznych – poszukuje narzędzi pozyskiwania i uwzględnienia esencjonalizowanego nieraz głosu dziecka. Ale dominujące nadal definicje autobiografii, odwołujące do koncepcji literatury niefikcjonalnej oraz literatury dokumentu osobistego, kładą duży nacisk na formy, które w związku z koniecznością użycia mniej lub bardziej zaawansowanych kompetencji piśmiennych, wykluczają dzieci lub czynią ich próby autobiograficzne skazanymi na zarzut infantylizmu. Autobiografistyka rozumiana jako technika siebie – zgodnie z dominującymi narracjami – wymaga gatunkowej i narracyjnej, piśmiennej biegłości oraz umiejętności racjonalizowania własnych wspomnień. A jako taka jest ona jedną z wielu polityk pisma, usankcjonowanych poprzez określone gatunki i relacje władzy. W artykule wprowadzającym do numeru korzystamy z ujęcia critical childhood studies sformułowanego przez Spyrosa Spyrou. Zastanawiamy się nad różnorodnymi politykami prezentowania autobiograficznego głosu dziecka i pytamy i warunki dotarcia do jego doświadczenia. Zarysowujemy też podstawowe założenia metodologiczne dotyczące interpretacji autobiografii dziecięcych oraz ukazujemy ich społeczne, polityczne i historyczne uwarunkowania.
“At the address of those who make humanity happy”. Fascination with the literature of modernism in the competition diary of Jalf Sen-bey (1934)
Authors: Litwinowicz-Droździel Małgorzata
Published: February 2025

Tekst poświęcony jest analizie pamiętnika nadesłanego na konkurs JIVO, opatrzonego pseudonimem Jalf Sen-bey. W artykule omówione zostają inspiracje literackie i ich funkcja w kształtowaniu „ja” pamiętnikarza oraz zastosowane przez Jalf Sen-beya strategie indywiduacji – próby ustanawiania własnego głosu przez posługiwanie się stylami literackimi właściwymi dla modernizmu.
“We are not wretched of Belsen, mother! We were not victims of that crime…”. Philip Roth’s Trouble with Survival
Authors: Weiser Piotr
Published: February 2025

Niniejszy esej jest próbą rozumienia problemu Ocalenia z Zagłady w prozie Philipa Rotha, począwszy od jego Conversion (1958) po Indignation (2008) Ocalenie to temat powracający w powieściach Rotha regularnie i w różnych kontekstach (amerykańskich europejskich, izraelskich), zarazem temat rozproszony. Autor artykułu proponuje szczegółową analizę fabuł Rotha pod tytułowym kątem, zestawia jego wypowiedzi o Zagładzie i Ocaleniu, konfrontuje je ze sobą i interpretuje, pozostając, jeżeli tak można powiedzieć, we wnętrzu tekstu.