bluuebunny/crossref_metadata_2025 huggingface dataset:
Le corps, clé de voûte de la situation ?
Authors: Reyre Rémy
Published: January 2025

En partant de la situation analytique orthodoxe, l’auteur propose de discuter des conditions méthodologiques des prises en charge autistiques. La question sous-jacente serait la suivante : pouvons-nous engager un processus thérapeutique auprès des enfants autistes, sans dénaturer les prescriptions freudiennes ? Selon une telle perspective, des aménagements associatifs et transférentiels seraient indiqués, et cela, en s’appuyant sur la problématique corporelle. Le corps aurait, en ce sens, une fonction de boussole méthodologique, au-delà de ses autres aspects : clinique et théorique.
Les pathologies de la rêverie
Authors: Rabeyron Thomas
Published: January 2025

Nous analysons dans ce travail les effets sur la subjectivité de ce que plusieurs sociologues de l’école de Frankfort, en particulier George Lukács et Axel Honneth, ont nommé la réification et dont l’expression la plus commune consiste à se traiter soi-même et les autres comme un objet. Cette tendance à la réification s’est largement diffusée dans la culture occidentale et semble avoir des conséquences sur la structuration de la personnalité du sujet, ce qui prend en particulier la forme d’une altération de sa capacité à jouer et à rêver. Dans cette perspective, nous proposons de considérer certaines expressions psychopathologiques contemporaines comme des pathologies de la rêverie qui impliquent les arcanes les plus originaires de la constitution de l’appareil psychique. Nous étudions également comment de telles conceptions transforment la manière de concevoir les pratiques analytiques référées en particulier aux théories de Winnicott et de Bion. La psychanalyse apparaît ainsi comme un espace de jeu et de rêve fondé sur le primat de la reconnaissance offrant un contrepoids aux tendances à la réification.
Le cadre psychanalytique derrière les barreaux
Authors: Libeau Mégane
Published: January 2025

Cet article interroge la mise en place d’un cadre thérapeutique au cœur du milieu carcéral. Il s’agit d’interroger la pertinence du modèle de la cure psychanalytique au regard des difficultés inhérentes au lieu d’exercice : la prison. Dans un temps et un espace incarcérés on comprend que le thérapeute est contraint par l’institution dans l’établissement et la construction de son cadre thérapeutique. Néanmoins la relation transférentielle parvient à se déployer grâce aux aménagements possibles au cœur même de la détention, ce qui permet de penser la mise en place d’une thérapie analytique au-delà même du modèle de la cure type telle qu’elle a été élaborée par Freud.
Feature group tabular transformer: a novel approach to traffic crash modeling and causality analysis
Authors: Lares Oscar , Zhen Hao , Yang Jidong J.
Published: January 2025

Reliable and interpretable traffic crash modeling is essential for understanding causality and improving road safety. This study introduced a novel approach to predicting crash types by utilizing a comprehensive dataset fused from multiple sources, including weather data, crash reports, high-resolution traffic information, pavement geometry, and facility characteristics. An essential part of our proposed approach was a feature group tabular transformer (FGTT) model, which organizes disparate data into meaningful feature groups, represented as tokens. These group-based tokens serve as rich semantic components, enabling effective identification of collision patterns and interpretation of causal mechanisms. The FGTT model was compared with widely used tree ensemble models, including random forest, XGBoost, and CatBoost, demonstrating better predictive performance. Furthermore, the attention heatmaps from the FGTT model revealed key influential factor interactions, providing fresh insights into the underlying causality of distinct crash types.
The solitary wave phenomena of the fractional Calogero-Bogoyavlenskii-Schiff equation
Authors: Gissy Hussain , Ahmadini Abdullah Ali H. , Hakami Ali H.
Published: January 2025

The Riemann waves in two spatial dimensions are described by the fractional Calogero-Bogoyavlenskii-Schiff equation, which has been used to explain numerous physical phenomena including magneto-sound waves in plasmas, tsunamis, and flows in rivers and internal oceans. This work concerned itself with obtaining new analytic soliton solutions for the fractional Calogero-Bogoyavlenskii-Schiff model based on the fractional conformable. By solving the model equation with the Riccati-Bernoulli sub-ODE technique in association with the Bäcklund transformation, the solution was found in terms of trigonometric, hyperbolic, and rational functions. To analyze the detailed features of the wave structures as well as the pattern of dynamics of these solutions, 3D and contour diagrams were plotted by using Wolfram Mathematica. A great advantage of these types of visualizations is that they demonstrate amplitude, shape, and propagation characteristics of the selected soliton solutions. The results reveal that the proposed approach is accurate, universal, and fast for the investigation of the different aspects of the Riemann problem and the related phenomena concerning the propagation of waves.
George Eliot en España durante el franquismo: religión, moral y censura
Authors: Riba Caterina , Sanmartí Carme
Published: January 2025

George Eliot (1819-1880) escribió sus obras en un contexto protestante que se traslada a sus novelas, en las que aparecen tanto conflictos morales como pugnas entre confesiones religiosas y personajes que encarnan distintas profesiones. La visión del catolicismo que se proyecta en las novelas es muy crítica. Sin embargo, en época franquista se publicaron en el Estado español cuatro de sus novelas traducidas al castellano: Janet’s Repentance, Adam Bede, Silas Marner: the Weaver of Raveloe y The Mill on the Floss. Este estudio investiga por qué ni la censura administrativa ni los catálogos morales se ensañaron con Eliot. Para elucidar la cuestión se analizan los expedientes de censura, los catálogos morales y las modificaciones y manipulaciones del texto original en las distintas traducciones. Los expedientes de censura autorizaron la publicación de las diferentes ediciones sin tachaduras ni modificaciones y los catálogos no alertaron contra la inmoralidad de las novelas que nos ocupan. A la luz de los comentarios que aparecen tanto en los expedientes como en los catálogos, podemos afirmar que las obras de Eliot no se percibieron como una amenaza al régimen franquista ni al catolicismo, ya que estaban ambientadas en un país protestante, ajeno a la realidad española, sin traslación posible. La facilidad con la que las obras superaron este proceso se debe también a la autocensura previa llevada a cabo por los responsables de la traducción y la edición. Cuando llegaron a la censura, la mayoría de los fragmentos más críticos con el catolicismo ya habían sido expurgados.
¿Por qué escribir la historia de al-Andalus? Historia, memoria y temporalidad en la gestión del pasado
Authors: Rodríguez Mediano Fernando
Published: January 2025

Este artículo utiliza el caso de al-Andalus para discutir las diferencias entre historia y memoria, y su proyección en los debates políticos e identitarios contemporáneos. Tal discusión me permite, también, explorar diferentes formas de construcción de temporalidad ligadas a distintas maneras de gestión del pasado.
Las residencias en el cine. Imaginarios y representaciones cinematográficas de la vida en residencias para personas mayores
Authors: Rey-Gayoso Raúl , Vivero-Saavedra Carlota
Published: January 2025

El objetivo de este artículo es analizar la representación cinematográfica de las residencias para personas mayores. Recurrimos al método hermenéutico comparado para analizar cuatro películas de habla hispana estrenadas entre 2010 y 2020: Arrugas, El agente topo, La plaga y Quien a hierro mata. El análisis de resultados se fundamenta en un análisis temático inductivo, mediante la categorización e identificación de temas recurrentes en las tramas que analizamos desde planteamientos de la sociología y gerontología social. Argumentamos que la representación de las residencias en estas películas entraña, en diferentes grados, tendencias contrapuestas de reproducción y problematización de imaginarios estigmatizantes propios del nursing home specter. Por un lado, las narrativas privilegian la reproducción de un imaginario que asocia las residencias al abandono, la soledad y los malos cuidados, reforzando el ideal de cuidados familista que caracteriza a la sociedad española. Por otro, identificamos secuencias que evidencian la potencialidad del cine para problematizar estereotipos y profundizar en la comprensión de realidades complejas. Estos imaginarios cinematográficos cobran mayor relevancia en el actual contexto de replanteamiento del modelo residencial.
GREEN DEVELOPMENT OF CHINA'S CONSTRUCTION INDUSTRY: A SPATIOTEMPORAL ANALYSIS OF THE BEIJING-TIANJIN-HEBEI REGION
Authors: Rong Xian , Fan Yuting , Wang Lida , Mu Lingling , Tan Bing , Xu Chao
Published: January 2025

Climate change and the energy crisis are impeding global economic and sustainable development. As a high-carbon emissions industry, construction can practice green construction to reduce carbon emissions and mitigate global warming. Based on data from China's Beijing-Tianjin-Hebei region during the period 2010 to 2020, the spatiotemporal pattern and its influencing factors on the green development of construction were studied by using spatial econometric methods. The findings indicate that the level of green development of the construction industry in the region followed an alternating pattern of rising and falling but demonstrated a gradual overall upward trend during the period. The spatial distribution pattern shows that Beijing, Tianjin, and Shijiazhuang are the core cities, driving the development of surrounding smaller cities and that the influencing factors of green construction are technological innovation, industrial investment, urban greening level, labor force level, and urbanization level. This study provides scientific support and policy recommendations for narrowing the imbalance in the green development level of construction between regions in China and reducing carbon emissions generated by the construction industry.
DETERMINANTS OF UNIVERSITY BUILDING OPERATION ENERGY CONSUMPTION THROUGH A CASE STUDY
Authors: Tang Jinhai , Hao Jian Li , Ma Wenting , Di Sarno Luigi
Published: January 2025

With the expansion of public buildings in China and rise in carbon emission from energy consumption, it has become essential to improve the efficiency of public building operation energy consumption to reduce carbon emissions. However, it is not clear how to optimally reduce the energy consumption of public buildings from a holistic perspective. This study identifies the factors impacting energy consumption of public buildings by reviewing existing literature and establishes a framework for illustrating the interactions between the identified factors. The framework is validated through a case study of a university building in Beijing by methods of direct observation, instrument measurement, scrutiny of the building's operation records, simulating, and fitting. The framework demonstrates the interactions among the building energy consumption factors, which include social and economic factors, technology factors, building factors, environmental factors, occupant behavior patterns, and energy consumption equipment. The results of the study reveal the operation energy consumption of the case study university building regarding electricity consumption, energy utilization intensity, illumination of the building, and occupant behavior. It was found that indoor illumination intensities are affected by WWR, orientation of the room, and distance from the window, and that there is a functional relationship between illumination intensity and distance from the window. The outcomes of the study have significant contributions to the body of knowledge on energy consumption of public buildings. Theoretically, the proposed framework can help with understanding the relationships among the different factors affecting the energy consumption of public building operations. Practically, the measures arising from the study's empirical evidence, which include using a building automation system, installing solar panels with a potential to generate 31.6% of the building's total consumed energy, and improving occupants’ habits with impact of saving 18.8% of the total energy consumption of classrooms, can help optimize the operation of public buildings for improving energy consumption efficiency.
OCCUPANTS’ PERSONALIZED PREFERENCE FOR INDOOR THERMAL AND LIGHTING ENVIRONMENT OF OFFICE BUILDINGS: A CASE STUDY BASED UTILITY FUNCTION AND BAYESIAN INFERENCE
Authors: Longwei Qiu , Jian Yao
Published: January 2025

Building thermal and lighting environment is a key concern in the construction industry. To study the personalized preferences of thermal and lighting environments, the indoor thermal and lighting environment in a typical office building in Ningbo was monitored and analyzed. Building users under different thermal and lighting environment conditions were asked to compare their satisfaction levels, and their environmental personalized preferences were identified and recorded along with the thermal and lighting environment parameters. The statistics show that the comfort zone for users is mostly between 16°C and 28°C. In addition, the usage of indoor lighting systems and the corresponding lighting environment parameters before and after usage were recorded. It can be observed that the average illumination value when using the lighting system is around 60 lux. When the indoor average illuminance reaches 430 lux, the users’ office requirements can be met without using the lighting system. Next, personalized learning of thermal and lighting environment comfort preferences was performed based on the experimental data. By combining Bayesian theory with utility function to define the likelihood function, a personalized learning model for thermal and lighting environment comfort personalized preferences was established. The joint distribution of thermal and lighting comfort environment was analyzed under the condition of thermal and lighting environment coupling. It is found that the observed comfortable lighting range for the occupants is from 300 lux to 6800 lux, and the range of thermal comfort is between corrected PMV (Predicted Mean Vote) values of –0.7 and 1.0.
La nature en guerre contre la vie. Une expérimentation d’écriture cyborg entre Guattari et Haraway
Authors: Canovas Océane , Conan Louise , Gille Pablo , Martinez Alejandro , Miranda Cai Katherine , Palmea King , Roubi Tom , Suarez Mathilde , Vassileva Sabina , Wiame Aline
Published: January 2025

Cet article prend pour point de départ l’assertion de Guattari selon laquelle « [d]e tous les temps, la “nature” a été en guerre contre la vie » et tente de l’élucider à la lumière de la critique de la catégorie de nature dans le Manifeste cyborg de Haraway. Ainsi, la nature productrice de binarité fait face à la vie comme production cyborg non binaire, échappant à cette machine de normativisation, notamment par le biais d’écritures subversives permettant aux corps d’écrire leurs espaces. Ces mécanismes de subversion montrent dès lors que les questions de genre sont éminemment écologiques, appuyant le fait que les vivants sont les forces de réécriture de l’espace qui les conditionne au profit de milieux épais échappant à l’attracteur hors-sol de l’Anthropocène. L’article étant lui-même le fruit d’une expérimentation d’écriture collective, il espère esquisser dans sa forme même une telle écriture machinique/cyborg.
La fabrique des écoliers, ou l'enfance enfermée
Authors: Go Henri Louis
Published: January 2025

Succédant aux tentatives asilaires du début du XIXe siècle, la forme scolaire telle qu'elle se matérialise dans l'appareil scolaire républicain à la fin du XIXe siècle a permis d'enrégimenter une partie de la population : l'enfance fut ainsi soumise à des geôliers praticiens d'une orthopédie sociale. Les promesses de la forme scolaire de socialisation et d'éducation de l'enfance s'avèrent être, dans sa construction historique, une tromperie. Le confinement scolaire est ainsi un bornage de l'être, une mise à sa place de l'élève. Le monde n'entre pas dans la classe qui reste désespérément vide. Que fait-on alors dans la salle de classe, si l'on ne doit y faire que ce que l'on fait ? Pour Hannah Arendt, l'institution scolaire est censée s'intercaler entre la famille et le monde pour faire transition car l'institution scolaire relève de la sphère prépolitique et l'on ne peut prétendre y forger, en agissant sur les nouveaux venus, un projet de transformation politique : les enfants ne peuvent ni ne doivent prendre part au monde. La forme scolaire classique est donc le premier acte d'une entreprise d'aliénation qui dépossède chacun de sa propre existence par des institutions d'enfermement. L'idée républicaine est liée à un modèle éducatif qui pense le gouvernement des enfants comme une fabrique de la passivité consentante et consensuelle. Ouverte en 1934 sur la colline du Pioulier à Vence, l'École Freinet est quant à elle un conservatoire pour l'enfance. Mais cette école n'est donc ni un espace clos « protégé des bruits extérieurs », ni un espace seulement intermédiaire où le monde n'entrerait que « représenté ». Elle constitue une alternative au mal-vivre qui pèse sur les écoliers.
Mal-vivre et savoirs : réflexion sur la forme scolaire
Authors: Perraud Caroline
Published: January 2025

En France, une des ambitions de l’école est « de ne laisser aucun élève au bord du chemin » (Circulaire n° 2019-088 du 5-6-2019) et notamment les élèves dits à besoins éducatifs particuliers (BEP). Cette reconnaissance produit in fine une perception de l’élève au prisme de ses besoins en tant que manques. Aussi, comment un élève reconnu institutionnellement troublé, malade ou handicapé, peut-il se sentir capable ? Quelle réalité l’école lui offre-t-elle ? Dans un établissement et service d’aide par le travail (ESAT) du secteur médico-social, un collectif de professionnels et une chercheuse, organisé en une ingénierie coopérative a enquêté afin de permettre à des travailleurs (des adultes en situation de handicap), d’agir plus adéquatement dans les ateliers de l’ESAT. Plus précisément, dans cet article, nous nous focalisons sur une des enquêtes collectives qui a conduit à proposer à Walter, travailleur non lecteur de 23 ans, un système étiquette-ardoise utilisant l’écrit, pour soutenir son activité dans l’atelier restauration de l’ESAT. Au sein de la théorie de l’action conjointe en didactique (TACD), l’analyse de cet exemple nous montre quelques pistes possibles pour l’école, invitant à la prise en compte de la personne-élève, non pas à partir de l’écart à la norme mais dans la mise en œuvre de dispositifs spécifiques, des situations d’enseignement-apprentissage pour favoriser un mieux-vivre pour les professeurs et les élèves.
La communauté de pratique comme outil de formation pour mieux tenir compte du stress lié aux évaluations sommatives. Étude auprès d’enseignants du secondaire en Suisse
Authors: Mabilon Alexandre
Published: January 2025

Cet article présente la manière dont l’accompagnement de communautés de pratique d’enseignants du secondaire peut amener à réinterroger leurs pratiques évaluatives en considérant les enjeux relatifs au stress des élèves inhérents aux évaluations sommatives. Une série de rencontres avec les professionnels ont mis en évidence les pratiques adoptées et contestées pour élaborer un référentiel de pratiques qui soit signifiant et applicable localement. Cette démarche a conduit à la mise en place de pratiques évaluatives co-construites soutenantes pour les apprentissages et suffisamment significatives pour être intégrées dans la culture professionnelle, aussi bien à un niveau individuel que collectif.
Approche ethnographique et effets de l’enquête scientifique sur l’activité d’étudiants se préparant au concours d’enseignant : le cas des étudiants en éducation physique et sportive
Authors: Maamria Youssef , Archieri Catherine , Guérin Jérôme
Published: January 2025

Cet article rend compte d’une relation de collaboration entre un chercheur et des étudiants préparant le concours national de recrutement des enseignants en éducation physique et sportive en France. Dans le cadre d’une approche par l’analyse de l’activité et d’une démarche ethnographique, les résultats décrivent la dimension collaborative de l’activité de recherche entre le chercheur et les étudiants. L’analyse de l’activité des étudiants et du chercheur met en évidence la dynamique de l’investigation sur le terrain et notamment de l’évolution de l’engagement des étudiants tout au long de l’enquête scientifique. Elle décrit et interprète la manière dont l’activité du chercheur et les instruments méthodologiques sont devenus petit à petit des ressources pour l’activité de préparation d’un groupe d’étudiants aux épreuves du concours. Cet article met en évidence que l’enquête scientifique est une activité collaborative dynamique porteuse de transformations potentielles des acteurs et de leur environnement.
Sharps Waste Management in Healthcare Facilities
Authors: Kakodkar Shruti , Dhawal Pranjali P. , Kulkarni Shrikaant
Published: January 2025

Sharps medical waste refers to medical items like needles, syringes, and other sharp instruments used in healthcare that can puncture or cut the skin. Proper management of sharps waste is crucial due to its potential to transmit infections, harm healthcare workers, and pose environmental risks. Inadequate disposal methods increase the likelihood of injuries and contamination, making effective sharps waste management a key factor of healthcare safety. This chapter highlights the existing best practices adopted for collecting, disinfecting and disposing of sharps and further discusses the shortcomings observed in these practices. The lack of awareness among healthcare staff, patients and medical waste handlers in terms of these practices are also reviewed and measures to ensure strict adherence to safety protocols are highlighted. The chapter stresses the need for better compliance with regulatory standards set by relevant authorities while promoting the exploration of innovative, eco-friendly strategies to reduce the hazards associated with sharps waste.
Radioactive Waste Management in a Hospital
Authors: Aundhia Chintan , Parmar Ghanshyam Ratilal , Talele Chitrali , Talele Dipali , Seth AvinashKumar
Published: January 2025

Due to its toxicity, radioactive waste disposal poses environmental and public health risks. To reduce environmental contamination and human radiation exposure, radioactive waste management and disposal systems have been developed. Current nuclear waste disposal methods are covered in the chapter. Nuclear waste is disposed away in a suitable facility without return. This concludes nuclear waste handling. Baselined on radioactive waste management goals, the International Atomic Energy Agency devised a classification system. Radiotoxicity of nuclear waste predicts retention times for safe radionuclide isolation. Disposal facilities often use an engineered barrier system and a natural geological barrier to keep garbage out of the biosphere. Possible disposal sites include trenches, vaults, passages, shafts, boreholes, and mining repositories. A graded system links disposal facility site size to hazard. The disposal methods show that nuclear waste may be disposed of securely and with few environmental or health risks.
Mitigation of Pathogenic Microorganisms in Infectious Biomedical Waste
Authors: Choudhury Prakriti , Bera Tamasa , Pratihar Sujan , Das Subhajit , Chatterjee Ayan
Published: January 2025

Biomedical waste (BMW) poses a significant risk to human and animal health. Pathogenic microbe mitigation in biomedical waste is an important part of healthcare waste management because it reduces possible threats to public health and the environment. A wide variety of materials produced by medical facilities, research labs, and other medically related activities are included in the category of biomedical waste. Improper management of these materials can result in serious risks as they can house a variety of pathogens, such as bacteria, viruses, fungus, and parasites. This article examines several recommendations and effective strategies for managing biomedical waste, specifically with regard to risky pathogens and biomedical waste management. This article covers the categories of biomedical waste and a basic outline of the steps in managing biomedical waste, as well as the classification of biomedical waste as provided by the relevant authorities and guidelines covering all rules and regulations for biomedical waste management, minimizing the risk from pathogens.
Visulalizing the Intellectual Structure of Cloud Computing Security Research
Authors: Alagu A. , Thankamani K.
Published: January 2025

Cloud computing security is a rapidly evolving research domain, essential for safeguarding data and applications in the cloud environment. This study applies scientometric methods to analyze the intellectual structure and research trends in cloud computing security from 2019 to 2023. Using data from the Web of Science database, this research examines publication trends, authorship patterns, collaboration networks, and the distribution of research outputs across various countries and journals. The findings offer valuable insights into the growth, collaboration dynamics, and key contributors in the field, aiding in the understanding and future development of cloud computing security research.
A Meta-Analyses of Smart Libraries Using PRISMA
Authors: Khumalo Amahle , Rajkoomar Mogiveny , Naicker Nalindren
Published: January 2025

The study followed the guidelines of the preferred reporting items for systematic reviews and meta-analysis (PRISMA) to conduct the comprehensive review of literate pertaining to smart libraries and smart devices that underpin their implementation. The PRISMA method under this study revealed various smart devices that underpin smart libraries, which were grouped based on their functionalities including smart devices that deal with data management and access, smart devices for networking and connectivity, smart devices for resource tracking and security, and smart devices for user engagement and services. The study sought to understand the current trends and practices pertaining to the integration of smart devices in library settings. The study argued that the needs assessment is a fundamental practice when deciding on the integration of smart technologies in libraries. Challenges such as librarians' resistance to change and transformation were noted as one of the challenges that impede the seamless integration of smart devices in libraries.
Electronic Learning and Social Media Tools
Authors: Manoharan Geetha
Published: January 2025

Daily use of social media and e-learning is rising across all sectors. Variables still matter in academics, especially with COVID-19. Learning Management Systems existed before it, and they were useful for all student grades throughout and after the epidemic. Many online and offline venues exist to improve learning skills. Many things can improve knowledge, including multi-domain courses. However, choosing the top courses is always encouraged. These classes are easier to grasp than others. Recent trends include social media sites offering courses to improve knowledge. This type of education uses formal and informal learning environments. Different tools might help children comprehend better and acquire confidence in pursuing information. In conclusion, this chapter helps readers grasp electronic learning and social media technologies.
Professionalism, Teacher Education, and the Importance of Training and Development
Authors: Morris Gareth Richard
Published: January 2025

As a qualified school and certified language teacher the author is regarded as a relatively experienced professional educator, who accepts that identities evolve\). Both as a trainee and qualified teacher, the author felt that high standards of professionalism were expected in study and work, and that the author was a member of a collective profession of which the author was proud to be a part. In contrast, enrolling on a CELTA course and subsequently working as a TESOL and, more specifically and recently, EAP practitioner, the author has never experienced that same connection. This chapter thus sets out to explore what is meant by the terms ‘profession(s),' ‘professionalisation,' and ‘professionalism.' It then considers the professionalism of the mainstream teaching profession, before moving on to examine the professionalism of TESOL and EAP. Additional attention is also paid to the problematic issue of TESOL pre-service education, in particular due to how inadequacies here can create numerous problems in due course.
Influence of Taxation on Economic Growth
Authors: Riadh Cherif Mohamed
Published: January 2025

This study examines the effect of corporate taxation on economic growth, a topic that has yielded varied conclusions in empirical research. Reductions in tax rates can sometimes increase, decrease, or have no significant impact on growth. The objective of this article is to analyze the role of taxation in economic growth using the ARDL model. To achieve this, we conducted an analysis covering the period 2000-2020, encompassing 38 OECD countries. Our findings reveal that taxes have a positive effect on the economy as long as the tax rate remains below a critical threshold. However, if this threshold is surpassed, fiscal policy has a negative impact on economic growth. This observation underscores the importance of striking a delicate balance in fiscal policy, highlighting the intricate influence of taxation on economic growth. Our analysis provides a nuanced perspective on the relationship between corporate taxation and growth, offering crucial insights for policymakers and economists.
True Brachial Artery Aneurysm Complicated with Acute Limb Ischemia and Compartment Syndrome
Authors: Lalinshan C. , Marasinghe Amanthana
Published: January 2025

True brachial artery aneurysms are rare and brachial artery aneurysms presenting with acute limb ischemia and compartment syndrome is even rarer. The scope of this report is to present a case of a 45-year-old male presented with a true brachial artery aneurysm of the left upper limb complicated with acute limb ischemia and compartment syndrome of the left forearm secondary to thromboembolism. He underwent fasciotomy, embolectomy, and surgical repair of aneurysms and later developed Volkmann’s ischemic contracture of the left upper limb.There were no locally reported cases found in our literature review with true brachial artery aneurysms presenting with acute limb ischemia and compartment syndrome.
SARS-CoV-2 Ct values and COVID-19 symptoms in patients with haematological malignancies in South Africa
Authors: Sothoane Keitumetsi L. , Van Blydenstein Sarah A. , Philip Vinitha , Wadula Jeannette
Published: January 2025

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) reverse transcriptase polymerase chain reaction (RT-PCR) cycle threshold (Ct) values serve as surrogate markers for estimating viral load. Their usefulness in patients with haematological malignancies and COVID-19 has not been studied in the South African context.Objectives: To evaluate if a Ct value 30 can predict COVID-19 symptom development in adult patients with haematological malignancies.Method: A retrospective cohort study on adult patients with haematological malignancies and COVID-19 was conducted at Chris Hani Baragwanath Academic Hospital from 01 July 2020 to 31 July 2021. The relationship between Ct values, symptoms and disease severity, along with changes over time were evaluated.Results: Among 53 patients (50.9% male, median age of 38 years), Ct values 30 did not significantly predict COVID-19 symptom development (p = 0.417). However, severe disease correlated with lower Ct values (p = 0.002). No significant difference in the duration (days) from positive to negative tests was found between symptomatic and asymptomatic patients, and by severity of disease in the symptomatic patients. Lymphopenia was associated with severe disease, and those with lymphoid malignancies experienced longer viral shedding.Conclusion: Patients with haematological malignancies can exhibit symptoms at any Ct value but lower Ct values indicate more severe disease. This information can be critical for chemotherapy timing to minimize adverse outcomes.Contribution: The findings suggest a potential benefit in delaying chemotherapy at any Ct value as patients could present with acute SARS-CoV-2 infection at higher Ct values, and therefore face increased risk of adverse outcomes with early chemotherapy initiation.
Drivers of augmented reality shopping adoption for high-involvement products in South Africa
Authors: Ngobeni Kate M. , Makhitha Khathutshelo M.
Published: January 2025

Background: Online shopping has revolutionised the way we buy products, providing convenience and accessibility. However, one of the challenges of online shopping has been the inability to physically try products before making a purchase. This limitation led to the emergence of online augmented reality (AR) shopping, a technology-driven solution that has transformed the online retail experience, especially for expensive products that require extensive search. Despite the potential that AR technology has exhibited, the retail sector has not yet fully embraced it and research on its impact on consumer behaviour is still in its early stages.Objectives: The study sought to establish the driving factors influencing consumers’ adoption of online AR shopping for high-involvement products.Method: A quantitative method was used to analyse specific relationships between variables, to address knowledge gaps in this context.Results: According to the results, perceived usefulness, optimism and trialability are significant driving factors that influence consumers’ adoption of AR shopping when purchasing high-involvement products.Conclusion: Gaining a greater understanding of consumers’ perception of online AR in the retail industry is critical for business success to create an enhanced and immersive retail experience.Contribution: These results make an important academic contribution by increasing the theoretical understanding of consumer adoption. The findings of this study may assist marketing practitioners in overcoming the challenges faced when migrating consumers from purchasing high-involvement products at traditional brick-and-mortar stores to online shopping platforms.
Accidental Infratemporal Displacement of Maxillary Third Molar during Impaction - A Case Report
Authors: Balaji S. M. , Balaji Preetha , Priyanka Vinodhini
Published: January 2025

Rationale:

There are very limited literature on successful removal of displaced maxillary third molar (MTM) into the infratemporal fossa (ITF) after a surgical misadventure. A corrective surgery of one such case, including the pre-operative planning, has been presented in this case report.

Patient Concerns:

A 43-year-old male presented with a displaced right MTM following an attempted extraction elsewhere approximately 20 days ago.

Diagnosis:

Imaging revealed the tooth in the ITF, behind the posterior wall of the maxillary sinus with the resultant diagnosis of iatrogenic displacement of MTM into the ITF during attempted removal.

Treatment:

The patient underwent successful removal of the displaced tooth under general anaesthesia after proper planning.

Outcomes:

Displaced MTM was removed, and healing was uneventful with pain management and antibiotics.

Take-away Lessons:

This case highlights the need for careful surgical technique during MTM removal and contributes to the limited literature on managing such complications.
Clinical Aspects of Oral Cancer and Potentially Malignant Disorders with Special Relevance to South Asia
Authors: Jayasinghe Ruwan Duminda , Siriwardena B.S.M.S.
Published: January 2025

Early identification of oral potentially malignant disorders (OPMDs) is utmost important to minimise oral cancer incidence as most oral cancers develop from OPMDs. Leucoplakia and oral submucous fibrosis (OSMF) are the most common OPMDs encountered. Erythroplakia is rare but is more serious as it has a very high malignant transformation rate. Clinical presentation of OPMDs can vary according to the type of the disorder as well as with the aetiological agents. OSMF is much prevalent in South and South Asian countries whereas leucoplakia is prevalent all over the world but with differences in clinical presentation. Identification of OPMD with clinical features at its early change is challenging and may require histopathology through a biopsy for confirmation. This review provides clinical descriptions of the wide range of OPMDs encountered in the oral cavity with emphasis on changes in clinical presentation in different populations.
Determination of Sex from Morphometry of Sternum Using Multidetector Computed Tomography in Central Indian Population
Authors: Sravan J. S. , Arora Arneet , Yadav Jayanthi , Vidua Raghvendra Kumar , Gayathri B. H.
Published: January 2025

Background:

Autopsies often require determining the sex of unidentified corpses, particularly in cases of decomposition, mutilation, or mass disasters. Sternal bone measurements can be used in establishing the sex of unidentified corpses where the body is in advanced stages of putrefaction or in a mutilated condition.

Aim:

This study focuses on the sternum, a robust bone aiding in anthropological sex and age determination, trying to provide precise data for sex identification in decomposed or mutilated bodies, and using digital imaging to eliminate subjectivity in manual autopsy measurements.

Materials and Methods:

It was a cross-sectional discriminant study done by analyzing 250 adult computed tomography (CT) scans, excluding those under 25 or over 80 and with sternal trauma or deformities. The study visually assessed normal thoracic skeletal anatomy in the CT chest. DICOM viewers obtained three-dimensional sternum images for measurements, and statistical analysis was done with SPSS software.

Results:

Mean measurements, except the sternal index, were significantly higher in males. Mesosternal length showed the highest predictive power (females [73.4%] and males [76.2%]). Combining multiple parameters increased accuracy (females [75%], males [82.5%]).

Conclusion:

This study thus concludes that sternal bone imaging is a valuable tool for sex determination. The seven parameters analyzed exhibit sexual dimorphism, with mesosternal length being the most accurate. These findings aid future sex determination in mass fatality incidents, explosions, or advanced decomposition. Importantly, this research provides specific data for the Indian population, addressing the need for diverse reference values.
Comparison of Single-Staged and Staged Repair of Proximal Hypospadias among Children Attending a Tertiary Care Center of Northern India: A Retro-prospective Analysis
Authors: Gupta Survesh Kumar , Singh Sudhir , Pant Nitin , Rawat Jiledar , Wakhlu Ashish
Published: January 2025

Introduction:

Hypospadias is a common congenital malformation, with proximal hypospadias occurring in 20% of cases and having a higher incidence of complications than distal hypospadias. Surgical reconstruction varies between single-stage and multi-stage procedures, with no consensus on the optimal approach.

Objectives:

This study aimed to compare the outcomes of single-stage and staged repairs for proximal hypospadias in a lower middle-income country, focusing on complications, operative time, patient satisfaction, and overall surgical success.

Materials and Methods:

An ambispective observational study was conducted at King George’s Medical University, Lucknow, from May 2014 to February 2020. Sixty patients with proximal penile hypospadias and chordee were selected (29 from previous medical records and 31 were enrolled prospectively) and divided into two groups of 30 each: single-stage reconstruction and staged repair. Data on demographics, follow-up duration, complications, reoperations, and satisfaction were collected. The Hypospadias Objective Scoring Evaluation (HOSE) system as well as cosmesis was used to assess outcomes at 6-week follow-up.

Results:

The mean age was 3.8 years for single-stage and 4.5 years for staged repair, with no significant age difference (P = 0.725). The mean operating time was 90 min for single-stage and 210 min for staged repair. Complication rates, including meatal stenosis and urethral stricture, showed no significant differences. However, graft rejection occurred in four staged repair cases (P = 0.112). The staged repair group had higher reoperation rates (26.67% vs. 13.33%, P = 0.062) and longer hospital stays (26.47 vs. 13.87 days, P = 0.0001). Staged repair achieved better slit-like meatus shapes (83.3% vs. 60%, P = 0.021) and higher satisfaction with residual skin (P = 0.004). HOSE scores showed significant advantages for staged repair in the urinary stream (P = 0.048) and erection outcomes (P = 0.001).

Conclusion:

Staged repair showed better cosmetic outcomes and satisfaction in specific areas but required more operative time and hospital stay. Single-stage reconstruction was more cost-effective and had fewer reoperations. The choice of procedure should consider patient-specific factors and resource availability.
Folliculitis Decalvans: An Uncommon Case Report with Review of Literature
Authors: Singh Gyanendra , Pathania Yashdeep , Goswami Parth , Tyagi Shilpi , Patel Tarang
Published: January 2025

Folliculitis decalvans (FD) is a rare, chronic inflammatory disorder that primarily affects the scalp, leading to scarring alopecia. The condition is classified as a primary neutrophilic cicatricial alopecia and is characterized by pustules, erosions, and scaly-crusty lesions, often associated with pain, itching, and burning sensations. The pathogenesis is not fully understood, though Staphylococcus aureus infection and immune dysregulation are implicated. FD is a challenging condition to diagnose and manage due to its similarities with other scarring alopecias such as dissecting cellulitis, central centrifugal cicatricial alopecia, and lichen planopilaris. We report the case of a 40-year-old female presenting with itchy follicular papules and patchy hair loss over the frontotemporal region. This rare case highlights the clinical and histological features of FD and the importance of differentiating it from other scarring alopecias to ensure appropriate treatment.
Carcinoma colon masquerading as bleeding per vagina
Authors: Muralee Madhu , Srinidhi M , Bharath V M , Sivanandan C D
Published: January 2025

Isolated vaginal metastasis from colorectal cancer is a rare entity with very few reports in the literature. Here we report a patient who presented with bleeding per vagina from a vaginal mucosal lesion. Biopsy of the vaginal lesion indicated a metastatic adenocarcinoma from a colorectal primary. Further workup of the patient with colonoscopy and Positron emission tomography (PET CT) indicated a primary in the sigmoid colon. As the patient had a single site of metastasis, she was planned for definitive management. The colonic primary, as well as the vaginal deposit were managed surgically. Further, the patient received adjuvant chemotherapy as well as adjuvant external beam radiation to the site of the vaginal lesion. Vaginal metastases from colorectal primary are usually part of systemic dissemination with multiple metastatic sites and hence has poor prognosis. When the patient presents with an isolated metastasis in the vagina., the survival appears reasonable as per the few reports available in the literature. Due to the rarity of the presentation, there are no standard treatment guidelines available. Surgical management, radiation and adjuvant chemotherapy have been used in varying combinations in the reports available in the literature. To conclude, vaginal metastasis should be included in the differential diagnosis of patients presenting with vaginal bleeding, especially with a history of colorectal carcinoma. Available limited evidence suggests that isolated vaginal metastasis from colorectal cancer that is amenable to local surgical resection has a reasonable outcome. Hence, isolated vaginal metastasis should be treated with curative intent in a multidisciplinary context like other sites of oligometastatic disease.
Comparison of the effect of multidrug and single-drug adjuvant chemotherapy on the 5-year survival outcome of high-risk stage II colon cancer
Authors: Song Dandan , Chen Minyuan , Meng Ziqi , Zhu Limei , Liu Jieyu
Published: January 2025

Background:

To explore the effect of multidrug and single-drug adjuvant chemotherapy on the 5-year survival outcome of high-risk stage II colon cancer.

Methods:

Retrospective analysis was conducted on the clinical data of 103 high-risk stage II colon cancer patients admitted to our hospital from June 2016 to December 2017. The data was recorded using different drug adjuvant chemotherapy methods, and the subjects were divided into a multidrug group (n = 52) and a single-drug group (n = 51). The general data of the two groups, including gender, age, tumor location, clinical T stage, and metastatic site, were collected. The propensity score matching method was used to balance the baseline data between the two groups, and the confounding factors were balanced in the two groups. After matching, 29 cases were selected from each group. Follow-up for 5 years, t-test, Chi-square test, and analysis of variance were used to compare the 5-year survival outcome, tumor marker level, quality of life, adjuvant chemotherapy effect, and adverse reaction occurrence of the two groups after matching.

Results:

The 5-year survival rate of the single-drug group was significantly lower than that of the multidrug group (51.72% versus 79.31%), and the difference was statistically significant (P < 0.05). There was no difference in the levels of cyclooxygenase-2 (COX-2), B-lymphocyte tumor-2 gene (Bcl-2), carbohydrate antigen 125 (CA125), and quality of life score before chemotherapy between the two groups (P > 0.05). After chemotherapy, the levels of tumor markers in both groups decreased, and the level of tumor markers in the multidrug group was significantly lower than that of the single-drug group (P < 0.05). The quality of life score in the multidrug group was higher than that in the single-drug group after chemotherapy, and the difference was statistically significant (P < 0.05). After adjuvant chemotherapy, there was no significant difference in the overall response rate between the multidrug group and the single-drug group (37.93% versus 51.72%), but the disease control rate in the multidrug chemotherapy group was higher than that in the single-drug chemotherapy group (86.21% versus 62.07%). The incidence of adverse reactions in the multidrug group was not significantly different from that in the single-drug group (17.24% versus 24.14%).

Conclusion:

Compared with single-drug adjuvant chemotherapy, patients treated with multidrug adjuvant chemotherapy have better 5-year survival outcomes, lower levels of tumor markers in the body, better adverse reaction occurrence, and overall better efficacy of adjuvant chemotherapy than the single-drug group. The quality of life of patients has been significantly improved, and it is recommended for widespread application.