bluuebunny/crossref_metadata_2025 huggingface dataset:
From Theoretical Debates to Lived Experiences: Autoethnographic Insights into Open Educational Practices in German Higher Education
Authors: Fahrer Sigrid , Heck Tamara , Röwert Ronny , Truan Naomi
Published: November 2022

The Open Science Fellow Program built a community where researchers learned how to work openly. Within this environment, questions emerged on what it means to teach openly, i.e. which practices represent open learning and teaching and which examples can be shared amongst colleagues and peers? Different concepts of open educational practices (OEP) aim at giving answers to open learning and teaching. At the same time, OEP still lack a common definition and many discussions on the topic only give minimal or implicit guidance to concrete approaches of being open —despite the creation and sharing of open educational resources.

Investigating how we as practitioners implement concepts of OEP in the classroom was the starting point for the autoethnographic study we describe in this paper. We conducted a literature review to map explicit concepts of OEP, we reflected those concepts regarding the adaptation in our own teaching and our experiences with OER-based and other open teaching concepts. We discuss four research papers and our respective position as practitioners in higher education in Germany. We reflect on the current state of ideas of OEP and their practical adaptation and implementation in learning and teaching scenarios.
Bisacodyl overcomes morphine-induced constipation by decreasing colonic Aquaporin-3 and Aquaporin-4 expression
Authors: Rahmadi Mahardian , Ardianto Chrismawan , Nurhan Ahmad Dzulfikri , Chasanah Rafiqa Amalia , Krismonika Dewi Islamiah , Puspitasari Arina Dery , Suprapti Budi , Segaran Santhra , Phan Chia-Wei , Khotib Junaidi
Published: November 2022

Introduction: Morphine is an opioid prescribed to treat aches and pains. However, morphine often causes opioid-induced constipation (OIC). Aquaporin (AQP) transporters, especially AQP3 and AQP4, play an essential role in mediating constipation. Bisacodyl is a common laxative used to treat constipation. To date, the effects of bisacodyl on AQP3 and AQP4 expression and the role this interaction plays in constipation are unclear. This study aimed to determine the effects of bisacodyl on AQP3 and AQP4 expression in mice after induction of constipation with morphine.

Materials and methods: The laxative effects of bisacodyl on both acute and chronic morphine-induced constipation were determined. Fecal water content, colonic bead expulsion, and colonic mRNA levels for AQP3 and AQP4 mRNA were measured.

Results and discussion: The administration of morphine to mice resulted in decreased fecal water content, longer bead expulsion times, and increased AQP3 and AQP4 mRNA levels in the colon. Meanwhile, bisacodyl administration prevented the morphine-induced changes in fecal water content, bead expulsion time, and AQP3 and AQP4 mRNA levels in the colons of mice.

Conclusion: This study suggests that bisacodyl may prevent morphine-induced constipation by preventing morphine-induced increases in AQP3 and AQP4 expression in the colon.

Graphical abstract:
L’Orient tout entier en un simple bol
Authors: Warin François
Published: November 2022

Oui, malgré le travail de déconstruction de la pensée « postcoloniale », on peut encore parler de pensée « orientale ». Comme une gageure et un défi supplémentaire, nous avons pris comme miroir d’un monde une chose, un petit rien, une technique très ancienne, un art de la terre portant le nom de « raku », art né à la croisée de plusieurs traditions du monde oriental. Par bien des aspects, cet art se distingue fondamentalement des caractères que nous attribuons à notre « Occident ». La pensée européenne est pourtant depuis longtemps entrée en rapport avec cet Orient et a tenté de lancer bien des passerelles diverses entre ces deux mondes.
La globalisation du genre
Authors: Kian Azadeh
Published: November 2022

En Turquie, l’internationalisation des normes du genre a conduit à une démonopolisation/massification des discours et militantismes féministes longuement dominés par des classes supérieures et séculières. Souvent exclues parce qu’elles n’appartenaient pas aux classes dominantes, de nouvelles militantes ont gagné les moyens de parler pour elles-mêmes et de participer à la construction d’un discours et de pratiques susceptibles de participer à la création d’une voie alternative car il ne s’agit pas d’imiter des normes globalisées mais de les provincialiser. La Plateforme des femmes de la Capitale (Baskent Kadin Platformu Dernegi), fondée en octobre 1995, illustre l’exemple de cette réappropriation des normes internationales par des femmes issues des classes populaires qui ont assuré leur ascension sociale grâce à la massification de l’enseignement supérieur. Les militantes de Baskent se situent entre le local et le global et elles interrogent les spécificités religieuses et nationales dans le sillage unificateur des normes de genre globalisé qui a transformé leurs relations et interactions avec le pouvoir de même qu’avec la société. Elles pensent et agissent par rapport à leur environnement immédiat mais les conséquences de leurs pensées et actions pourront être globales visant à concurrencer la perspective occidentalocentriques et homogénéisantes des normes globalisées pour faire inclure, par des instances internationales, des voix multiples et discordantes susceptibles de conduire à une universalité qui ne soit pas hégémonique.
La liberté d’expression : une liberté privée, politique ou sociale ?
Authors: Nouët Clotilde
Published: November 2022

Comment comprendre la thèse selon laquelle la liberté d’expression constitue l’un des fondements d’une société démocratique, comme cela a pu être invoqué dans de nombreuses décisions constitutionnelles, en particulier en Allemagne ? L’article se propose d’éclairer la nature du lien entre liberté d’expression et démocratie en s’inscrivant dans une réflexion sur les concepts de liberté que nous mobilisons lorsque nous cherchons à penser la liberté d’expression. En s’appuyant sur les contributions de Habermas et de Honneth à ce débat, il s’attache à en décliner les différentes facettes : liberté privée, communicationnelle, droit de participation politique ou liberté sociale. Sur la base d’une compréhension de la liberté d’expression comme un droit et une pratique sociale constitutifs d’un espace public démocratique, il s’agit de poser la question de sa régulation à nouveaux frais.
Research on medical data security sharing scheme based on homomorphic encryption
Authors: Guo Lihong , Gao Weilei , Cao Ye , Lai Xu
Published: November 2022

With the deep integration of "AI + medicine", AI-assisted technology has been of great help to human beings in the medical field, especially in the area of predicting and diagnosing diseases based on big data, because it is faster and more accurate. However, concerns about data security seriously hinder data sharing among medical institutions. To fully exploit the value of medical data and realize data collaborative sharing, we developed a medical data security sharing scheme based on the C/S communication mode and constructed a federated learning architecture that uses homomorphic encryption technology to protect training parameters. Here, we chose the Paillier algorithm to realize the additive homomorphism to protect the training parameters. Clients do not need to share local data, but only upload the trained model parameters to the server. In the process of training, a distributed parameter update mechanism is introduced. The server is mainly responsible for issuing training commands and weights, aggregating the local model parameters from the clients and predicting the joint diagnostic results. The client mainly uses the stochastic gradient descent algorithm for gradient trimming, updating and transmitting the trained model parameters back to the server. In order to test the performance of this scheme, a series of experiments was conducted. From the simulation results, we can know that the model prediction accuracy is related to the global training rounds, learning rate, batch size, privacy budget parameters etc. The results show that this scheme realizes data sharing while protecting data privacy, completes the accurate prediction of diseases and has a good performance.
Getting Social
Authors: Niese Bethany , Sasidharan Sharath
Published: November 2022

Knowledge acquired by end users through their social networks facilitates optimal use of a newly implemented enterprise system. Existing research has conceptualized end users as being the only actors within such networks. Knowledge ties between actors have been treated as unidimensional. The actor-network theory emphasizes the role of all actors in influencing networking outcomes; hence, this study proposes an expanded multimodal social network that includes four institutionally mandated knowledge actors: the technology champions, the help desk, the service desk, and the shared inbox. Knowledge ties are treated as bidimensional through incorporating both technical and business process knowledge. Data collected from an enterprise resource planning system implementation validated this approach; end users sourced knowledge from other end users and the institutionally mandated network actors based on contextual requirements. End user performance outcomes were significantly associated with knowledge source and knowledge dimension.
Transformational vs. Transactional Attitudes Towards Gun Violence as a Public Health Concern in America
Authors: Huff Allison J. , Burrell Darrell Norman , Lewis Eugene J. , Burton Sharon L.
Published: November 2022

The context of transformational gun violence is an inherent issue of a need for change in the American dichotomy of access. The transactional gun violence is the given exchange in gun ownership. Daily, more than 500 individuals perish from gun violence. The total number of global homicides consist of 44% of the world's population. Statistics demonstrate hospital data show an increase in gun violence over the last decade. Increased murders but overall lower crime suggest a growing gun problem. Gun violence must be confronted as a holistic public health challenge. This article explores gun violence as a transformational and transactional public health issue and makes some focused recommendations from the literature of how we can address this significant public health and health disparity problem.
AI Boosts Performance but Affects Employee Emotions
Authors: Cheng Kuo-Tai , Chang Kirk , Tai Hsing-Wei
Published: November 2022

Drawing on Lazarus's appraisal theory, the current research provides an integrative review of AI (artificial intelligence) and discusses its implications for emotion. Although prior studies have praised the merits of AI-M (AI-driven management), how AI-M affects employees and their emotions is not always clear. To respond to the knowledge gap, the authors conduct new research and seek answers through the amalgamation and analysis of both theoretical viewpoints and empirical studies. Through this process, they have learnt that AI-M brings diverse triggers of negative emotions, affecting both managers and employees. For employees, AI-M may lead to job insecurity and fewer career development opportunities. For managers, AI-M may take over the ownership of decision-making and compromise their influence in the workplace. To help employees cope with negative emotions, the authors reviewed the literature on emotional intelligence (EI) and proposed three EI-enhanced strategies. They also proposed three managerial schemes, enabling managers to guide their subordinates in coping with negative emotions.
Business Strategy and Automation in Senior Care Franchising
Authors: Chen Ye-Sho
Published: November 2022

Building a resilient and sustainable firm with sound strategy and intelligent automation in the context of increased challenges of business environments and technological changes is becoming a necessity for businesses, decision makers, and researchers. In this paper, the authors show a design methodology of strategic planning, putting the strategic plan into action, and aligning automation to strategic action for the senior care industry using franchising to grow their businesses. The methodology is grounded in the theories of sciences of the artificial, docility and distributed cognition, input-process-output model of strategic entrepreneurship, and digital nervous systems. Managerial implications for decision makers in senior care franchising are also discussed.
Psychological Capital: A Review of Evolving Literature
Authors: Sridevi G. , Srinivasan P. T.
Published: November 2022

The aim of this article is to review significant research that has been conducted in the field of Psychological Capital. Psychological Capital or PsyCap refers to individual’s positive psychological state of development. The article first elaborates on the evolution of PsyCap, explains its uniqueness in relation to other positivity constructs, moves onto its dimensions and then reviews significant literature. Review covers those researches that analyze the effect of PsyCap on performance, leadership, significant work related attitudes and behaviors. The developmental nature of PsyCap is what makes it unique. Hence the research analyzing the effectiveness of PsyCap interventions have also been covered. Based on the review, the gap in existing knowledge has been highlighted in the directions for further research section, followed by practical implications and conclusion.
The shipping trade of the Island of Newfoundland
Authors: Forward C N
Published: November 2022

L'efficacité des transports par eau est liée de très près à l'activité économique de l'île de Terre-Neuve. Bien que producteur de matières ouvrables, destinées surtout à l'exportation, Terre-Neuve doit
cependant importer la majeure partie de ses denrées et produits manufacturés pour suffire à ses besoins. Depuis quelques années, nombre de problèmes affectant son transport maritime ont surgi et ont suscité beaucoup d'intérêt, surtout depuis le début de
l'enquête de la Commission royale sur le cabotage. Le but de la présente étude est de faire connaître les mouvements du trafic marchandises à Terre-Neuve tel qu'il existe de nos jours, et ainsi fournir un fondement précis aux considérations futures de ces
problèmes. A la lumière des statistiques parues dans diverses publications sur le sujet, l'auteur a établi une relation entre les trois différents aspects du trafic-marchandises. De grandes quantités, mais une variété très limitée, de marchandises en vrac
caractérisent les échanges entre l'île et les pays étrangers. Les échanges commerciaux avec la terre ferme, en l'occurrence le Canada, sont dans un état de déséquilibre dû à l'excédent des importations, tels le charbon, le pétrole et le
fret ordinaire, sur les marchandises d 'exportation. Ce déséquilibre commercial est plus accentué encore entre Terre-Neuve et le reste du pays qu'avec l'étranger. Il en résulte un trafic à sens unique où le ballast semble être la cargaison la plus rentable.
Une distribution réduite des produits de consommation et l'expédition de produits non manufacturés, tels le bois de construction et le poisson, sont les principaux emplois du cabotage à Terre-Neuve.
Geographical distribution of some elements in the flora of Canada
Authors: Porsild A E
Published: November 2022

La planche du nouvel Atlas du Canada intitulée "Flore et Végétation naturelle" contient dix-huit cartons montrant la répartition géographique et l'historique de quelques-uns des principaux groupes et éléments de la flore
canadienne. Dans l'introduction de cet article, l'auteur précise que les facteurs de température, d'humidité et de pédogénèse gouvernent la distribution des plantes. Les divers groupements de plantes ayant les mêmes exigences pédologiques, climatiques et la
même tolérance ont tendance à croître dans un même milieu, répondant le mieux à leurs besoins. Cependant, même parmi des espèces semblables, les traits physiques locaux sont souvent à la base de certaines variations sur le plan régional. De
plus, la considération du passé géologique et notamment l'avènement des glaciers sont parmi les facteurs les plus importants dans l'analyse de la répartition géographique des plantes en Amérique du Nord. Les dix-huit principaux éléments
représentés sur la carte sont étudiés ICI dans le détail sous les titres suivants: espèces circumpolaires, espèces amphi-Atlantiques- amphi-Béringiennes ainsi que celles de l'Amérique du Nord subdivisées en groupes universels, endémiques et
isolés.
Temperatures in permafrost at Resolute N.W.T.
Authors: Cook F A
Published: November 2022

L'installation de thermomètres à résistance du type "thermistors" à différentes profondeurs et jusqu'à 650 pieds sous terre a fourni les données nécessaires à l'étude de la température du pergélisol
à Resolute, Territoires du Nord-Ouest. Les variations diurnes, observées surtout dans le mollisol, sont dues à la puissance de la radiation solaire et aux changements de température de l'air à la surface du sol. On relève l'effet des variations saisonnières
jusqu'à une profondeur de 50 ou 60 pieds, avec un décalage d'environ 8 mois. Jusqu'au niveau de 98 pieds, la température moyenne annuelle du pergélisol est à peu près la même. Il n'existe pas encore assez de données qui permettraient une étude
détaillée des variations à long terme et de leurs relations avec les cycles climatiques antérieurs. De 1950 à 1954, il y a eu tendance au réchauffement du pergélisol; depuis ce temps, par contre, les premières dizaines de pieds de profondeur se sont nettement
refroidies. La température minimum, sous le niveau atteint par les variations saisonnières, se rencontre à environ 100 pieds de profondeur. En 1957, la température atteignait à cet endroit - 13.2°C. , certainement l'une des plus basses à être enregistrées
dans le pergélisol. Sous le niveau de 100 pieds, il y a une augmentation constante du gradient thermique, tandis qu'entre 300 et 650 pieds la courbe des températures se redresse et le gradient se stabilise alors à 2.16°F. par 100 pieds. Ce gradient thermique est beaucoup plus
élevé que ceux enregistrés dans la partie sud du bouclier, mais il se compare avantageusement aux gradients déjà relevés en Alaska. L'extrapolation du gradient thermique à Resolute situe la limite inférieure du sol gelé en permanence à 1280 pieds,
± 10.
The Canadian ecumene - inhabited and uninhabited areas
Authors: Gajda R T
Published: November 2022

The various types of ecumene in Canada are mapped and described in this study for the purpose of presenting a realistic picture of occupied and unoccupied land. The study was prepared from census data, recent largescale topographie maps, airphoto interpretation
and published works. On the basis of total area and population, the density of population is 4.5 persons per square mile. However, as the basis of occupied land, or ecumene, the real density is 36.6 per square mile. Most of this occupied land comprises a strip along the southern border of the
country where the farmed land and population centres are located. To the north of this zone the ecumene comprises connective strings or patches that are related to the development of natural resources. Future development possibilities within the sparsely settled zones of Northern Canada are likely
to occur where rich minerai and fuel deposits exist, particularly where they are in conjunction with other natural resources.
Notes on small boat harbors of the Yukon coast
Authors: Mackay J R
Published: November 2022

During a reconnaissance of the Yukon coast from Aklavik to the Yukon-Alaska boundary, surveys were made of the following bay and anchorages that provide shelter for small coastal vessels: King Point, Phillips Bay, Ptarmigan Bay, Shingle Point, and Whitefish
Station. The navigation season for this coast is discussed in terms of break-up and freeze-up. The approaches to the coast from Mackenzie River through Napoiak Channel are described with profiles.
Fluvio-morphological features of the Peel and Lower Mackenzie rivers
Authors: Henoch W E S
Published: November 2022

The fluvio-morphological aspects of Peel River near its confluence with Mackenzie River are described in relation to the building of alluvial plains. Features of the discharge and sedimentation of Peel River are presented. Flooding at the time of spring break-up,
the presence of permafrost, and the sparseness of vegetation are factors in the building of these plains. Alluviation proceeds mainly by the deposition of sediments when floodwaters overflow the river banks. An anomalous feature of the rivers in the area studied is the reversal of flow during the
spring flood which results in the building of levees along distributary channels and birdfoot deltas in the lakes into which these channels drain.
Freeze-thaw cycles at Resolute, N.W.T.
Authors: Cook F A , Raiche V G
Published: November 2022

Research workers in many fields have been interested in freezethaw cycles in the active layer. They are a phenomenon, however, on which few quantitative data exist, particularly for far northern regions. This paper presents soil-temperature data from Resolute,
N.W.T ., for 1960, based on continuous Speedomax records from five levels: air, ground surface, and at depths of 2.S , 10 and 20 cm. The number of cycles is surprisingly small. On the ground, for example, where most were recorded, there were only 23 in the range 28° to 32° F, 18 in the
range 28° to 34° F, and 7 in the range 25° to 35° F . Most occurred in May and June. At depths of 2.5 cm and below, only the annual cycle was recorded. However, crossings of the freezing line of short duration and small amplitude were more numerous; with 194 occurring in the
standard screen, and 170 on the ground surface during the summer. On one day alone the temperature crossed the freezing line 13 times on the ground surface. Problems in assessing the significance of cycles are discussed, and it is concluded that assumptions still widely held that they are a vigorous
process in arctic regions are in need of revision. Probably it is impossible to define their parameters. The effectiveness of fluctuations across the freezing line depends, among other things, on thermal conductivity and water content of the soil, and on speed of changes in temperature and their
duration. Each situation is likely a special case, and without universal application.
Clinical Outcomes after Transcatheter Aortic Valve Replacement Stratified by Hemoglobin Levels
Authors: Al Haroun Retaj , Al Jarallah Mohammed , Rajan Rajesh , Dashti Raja , Alasousi Nader , Kotevski Vladimir , Taha Mousa Ahmed Said , Al Balool Joud , Tse Gary , Zhanna Kobalava Davidovna , Al-Saber Ahmad , Setiya Parul , Brady Peter A , Ali Almowafy Adham Hassan
Published: November 2022

Background:

Anemia is a prevalent comorbidity in patients undergoing aortic valve replacement.

Objectives:

The objectives of this study were to define baseline parameters of patients with severe aortic stenosis (AS) undergoing transcatheter aortic valve replacement (TAVR) to determine procedural risk and mortality outcomes stratified by hemoglobin (Hb) levels.

Methods:

Retrospective study of a population of patients with severe AS undergoing TAVR with the Edwards SAPIEN 3 valve between 2018 and 2021 at Sabah Al-Ahmad Cardiac Centre, Al Amiri Hospital, Kuwait. Two cohorts were identified based on Hb level: Hb <13 and Hb ≥13 g/dl.

Results:

A total of 61 patients were included. The mean age was 73.5 ± 9.0 years, with a higher prevalence of females. The cohort with lower Hb had lower body surface area (2.0 ± 0.1 vs. 1.8 ± 0.2, P = 0.035) and bioprosthesis size (26.5 ± 1.8 vs. 24.4 ± 1.8, P = 0.001). Based on echocardiography, patients with higher Hb levels had a higher prevalence of aortic regurgitation in addition to stenosis (P = 0.029).

Conclusions:

Baseline anemia is a common comorbidity in patients with severe AS undergoing TAVR. However, in terms of procedural outcomes and mortality, Hb levels were not a predictor of post-TAVR complications or in-hospital death.
LIM domain kinase 1
Authors: Abd El Khalek Safaa M.M.
Published: November 2022

Background

Despite recent advancement, prostate cancer (PC) remains to represent a leading cause of cancer mortality and morbidity in men. Diagnosis of PC faces many challenges, especially on core biopsies. Multiple signaling pathways have been involved in PC progression. However, castration resistance eventually develops, especially in metastatic PC. Identifying a marker that helps in distinguishing invasive tumor from benign and precursor lesions, as well as predicts its metastatic and prognostic potentials, is needed. LIM-domain kinase 1 (LIMK1) is a newly identified marker that affects the cytoskeleton of cancer cells. Its role in PC is still not well understood. This study aimed at evaluating LIMK1 expression in benign prostatic hyperplasia (30 cases), high-grade prostatic intraepithelial neoplasia (27 cases), and PC prostatic adenocarcinoma (60 cases) and its association with the prognostic clinicopathological parameters in PC.

Results

No strong expression was detected in benign prostatic hyperplasia expression compared with 25.9% and 48.3% in high-grade prostatic intraepithelial neoplasia and prostatic adenocarcinoma (Pca) groups. The expression was statistically higher in the Pca group than the other groups. There was significant association with poor prognostic parameters in Pca groups, including higher prostate-specific antigen levels, tumor percentage, Gleason scores, grade groups, T stage, positive lymph-node metastases, extracapsular extension, seminal vesicle invasion, distant metastasis, and prognostic-stage group.

Conclusion

LIMK1 is considered a promising diagnostic and prognostic marker in Pca.
Sonographic assessment of diaphragmatic thickening and excursion as predictors of weaning success in the intensive care unit: A prospective observational study
Authors: Kaur Amandeep , Sharma Shruti , Singh Vikram P. , Krishna M. Ravi , Gautam Parshotam L. , Singh Gagandeep
Published: November 2022

Background and Aims:

Ultrasonographic assessment of diaphragmatic function can be a useful bedside tool in the weaning and extubation of mechanically ventilated patients, especially in patients with difficult weaning, in whom diaphragmatic weakness is suspected. Thus, this study was planned to assess the role of bedside sonographic assessment of diaphragmatic indices such as diaphragmatic thickening fraction (DTf) and diaphragmatic excursion (DE) in predicting successful extubation or extubation failure in weaning eligible patients by comparing the measurements with outcome.

Methods:

This prospective observational study was conducted on 50 mechanically ventilated, weaning-ready patients during the spontaneous breathing trial (SBT). The DE and DTf of patients were noted along with conventional parameters of weaning. Probability value <0.05 was considered statistically significant. Receiver operating characteristic (ROC) curves were used for analysis. Area under the curve (AUC) was measured, and sensitivity and specificity for different cut-off values were estimated.

Results:

Out of 50 patients, 15 (30%) had SBT failure and 4 had extubation failure. The group with SBT failure had significantly higher rapid shallow breathing index (RSBI) and airway occlusion pressure (P0.1s), whereas DE and DTf were lower compared to the SBT successful group. Strong correlation existed between RSBI, DTf, DE and P0.1s. DTf of nearly 24% (sensitivity 93.5%, specificity 94.7%) and DE of 1.10 cm (84% sensitivity, 89.5% specificity) were associated with best outcome.

Conclusion:

Along with conventional parameters of weaning, sonographic assessment of diaphragmatic parameters can be useful in predicting the success of SBT and in avoiding unnecessary extubation failures and thereby help in achieving a successful weaning outcome.
A study to evaluate nasotracheal intubation using Airtraq laryngoscope with a bougie and without a bougie
Authors: Bansal Teena , Singhal Suresh , Dhingra Komal
Published: November 2022

Background and Aims:

Airtraq has been found to be useful in improving the view of the glottis. However, directing the tube tip into the glottis can be challenging during nasotracheal intubation. This problem gets resolved if the bougie is placed first. The present study was conducted for the evaluation of nasotracheal intubation using a nasal Airtraq laryngoscope with and without a bougie.

Methods:

Fifty patients of either gender, aged between 18 and 60 years, who belonged to the American Society of Anesthesiologists physical status (PS) I or II, requiring nasotracheal intubation were included. In group I (number (n) = 25), nasotracheal intubation was performed with a bougie, and in group II (n = 25), it was performed without a bougie. The primary objective was a comparison of the time taken to achieve successful nasotracheal intubation. Secondary objectives were ease of intubation and additional manoeuvres required for intubation.

Results:

The mean (± standard deviation) for time for intubation in group I was 59.24 ± 9.98 s and that in group II was 41.00 ± 4.23 s (P = 0.001). Two patients (8%) in group I and ten patients (40%) in group II required additional manoeuvres for intubation (P = 0.008). Twenty-three patients (92%) in group I and 15 patients (60%) in group II had easy intubation (P = 0.030). In group I, no patient had trauma, whereas, in group II, four patients (16%) had trauma (P = 0.030) during intubation.

Conclusion:

The time taken for nasotracheal intubation using an Airtraq laryngoscope was more with the use of a bougie as compared to the non-bougie technique. However, bougie-guided intubation was easier with less requirement of additional manoeuvres. In addition, trauma was also significantly less with the bougie technique.
Preoperative prediction of retroperitoneal lymph node involvement in clinical stage IB and IIA cervical cancer
Authors: Erdem Baki , Çelebi İbrahim , Aşıcıoğlu Osman , Akgöl Sedat , Yüksel İlkbal Temel , Özaydin İpek Yıldız , Topbaş Fitnat , Akbayir Özgür
Published: November 2022

Objective:

Lymph node metastasis (LNM) is the most important factor affecting survival in early-stage cervical cancer (CC). International Federation of Gynecology and Obstetrics revised the staging of CC in 2018 and reported LNM as a staging criterion. We investigated the preoperatively assessable risk factors associated with LNM in surgically treated stage IB1-IIA2 CC patients.

Materials and Methods:

This was a retrospective cohort study of women who underwent radical hysterectomy and pelvic lymphadenectomy with or without para-aortic lymphadenectomy for CC stage IB1–IIA2 from 2004 to 2019. All patients included in this study were examined with speculum inspection, parametrial assessment by rectovaginal palpation under general anesthesia, transvaginal ultrasonography, magnetic resonance imaging (MRI), and chest radiography. Clinical staging was done according to the preoperative findings. MRI was used to measure tumor and lymph node dimensions.

Results:

Out of the 149 women included in the study, 29 (19.4%) had LNM. Univariate analysis revealed that larger tumor size (≥30 mm), lymphovascular space invasion (LVSI) detected with diagnostic biopsy, parametrial involvement, and deep stromal invasion status were significantly different between the group with LNM and the group without LNM. In multivariate analysis, specific preoperative risk factors such as MRI based tumor diameter ≥30 mm and LVSI (+) on the diagnostic biopsy were found to be independent risk factors for LNM in the multivariate analysis.

Conclusion:

The rate of LNM is high in patients with CC with a tumor size ≥30 mm and preoperative biopsy LVSI status even if they are clinically in early stages. Surgeons can take this into account while deciding between primary surgery and chemoradiotherapy in the treatment of CC.
Fractionated stereotactic radiotherapy as a primary or salvage treatment for large brainstem metastasis
Authors: Chatzikonstantinou Georgios , Wolff Robert , Tselis Nikolaos
Published: November 2022

Introduction:

This study aimed to determine the efficacy and safety of robotic-based fractionated stereotactic radiotherapy (FSRT) in the treatment of large brainstem metastases (BSMs).

Methods:

Ten BSM were treated in ten patients with FSRT between January 2012 and December 2018. The median age was 61 years (range, 53–74 years) with a median Karnofsky Performance Score of 80 (range, 70–90). Four patients (40%) had received whole-brain radiotherapy prior to FSRT. The median tumor volume was 4.2 cm3 (range, 1.35–8.18 cm3) with a median prescription dose of 24 Gy (range, 16–24 Gy) delivered in 3–5 fractions (median three fractions) to the 56%–83% isodose line (median 70.5%).

Results:

1Median follow-up for the entire cohort was 14.1 months (range, 4.6–19.3 months). Five local recurrences were documented. Local control (LC) rate at 6 and 12 months was 90% and 64.2%, respectively. The median tumor volume of patients developing local recurrence was 5.42 cm3. Three patients experienced intracranial out-of-field failure for a 12-month intracranial control rate of 78.7%. Median overall survival and time to extracranial progression were 14.7 and 16.8 months, respectively. Toxicity was low with only one patient developing a new hemiparesis.

Conclusion:

Robotic-based FSRT for BSM appears to be safe with favorable LC and low toxicity even for large tumors.
Dosimetric analysis of intensity-modulated radiation therapy and volumetric-modulated arc therapy in comparison with conventional box technique in the treatment of carcinoma cervix
Authors: Bhushan Manindra , Tripathi Deepak , Yadav Girigesh , Kumar Lalit , Chowdhary Rahul Lal , Pahuja Anjali K. , Suhail Mahamood , Mitra Swarupa , Gairola Munish
Published: November 2022

Introduction:

The number of patients for carcinoma cervix with implanted hip prostheses has been increasing worldwide during the past several decades. Technological advancements are useful for delivering higher doses, i.e., dose escalation to the target, but the presence of high-density implanted hip prosthesis creates challenges for the planner.

Materials and Methods:

A population of 25 patients was selected for the study. Plans were generated using the MONACO treatment planning system keeping the isocenter same. The parameters evaluated for planning target volume (PTV) were D98%, D50%, D2%, Dmax, Dmean, V107%, and V110%. Similarly, the parameters Dmax, Dmean, and D2cc were evaluated for the delineated critical organs. Average monitor units (TMUmean) were also assessed.

Results:

D98% of PTV was 44.51 (standard deviation [SD]: 0.13) Gy, 44.41 (SD: 0.38) Gy, 44.58 (SD: 0.14) Gy, 44.08 (SD: 0.41) Gy and 44.46 (SD: 0.32) Gy for 4F, intensity-modulated radiation therapy (IMRT), IMRT_WP, volumetric-modulated arc therapy (VMAT), and VMAT_WP techniques, respectively, where WP stands for “without prosthesis”. Volume of bowel receiving 45 Gy was 86.82 (SD: 66.38) cm3, 6.97 (SD: 5.77) cm3, 14.11 (SD: 14.29) cm3, 13.31 (SD: 6.57) cm3, and 10.31 (SD: 10.94) cm3 for 4F, IMRT, IMRT_WP, VMAT and VMAT_WP techniques, respectively.

Discussion:

Radiotherapy is standard care of practice for known cases of cervical malignancies. As per our investigations, VMAT has generated comparable plans in terms of target coverage (D98%) as compared to IMRT and 4F techniques (P = 0.015 and P = 0.002) and with prosthesis also (P = 0.024). The mean dose to the bladder was significantly lesser with IMRT and VMAT. Our results highlight that VMAT has reduced the mean dose to the rectum (P = 0.001) in presence of high-density implant. The mean dose to femoral heads was also reduced when compared with the 4-field technique.

Conclusion:

VMAT has an edge over other techniques in terms of target coverage and sparing of critical organs in the presence of metallic prosthesis. Information about the geometry and density of prosthesis will be beneficial for treatment planning.
Audit of radiation oncology practice
Authors: Mohanti Bidhu K. , Munshi Anusheel , Tharmar Ganesh , Sarkar Biplab
Published: November 2022

Aims:

The objective of this audit was to analyze the radiotherapy (RT) practice in a newly established tertiary private hospital. With increasing radiation oncology (RO) facilities in private sector, this report is the first audit from a private health organization in India.

Subjects and Methods:

The audit of all consecutively registered patients in RO has focused to extract data from the time of RT simulation planning till the completion of RT course. The patient and disease characteristics, RT-related treatment factors and compliance were analyzed in-depth.

Results:

In this newly established RO department, the vendor-supplied equipment, e.g., RT planning system, treatment delivery (linear accelerator and brachytherapy), and RO information system (ROIS), are integrated with enterprise-wide hospital information system into unified paperless workflow management for the patient care records in a prospective manner. This analysis comprised consecutive 328 patients who consented for RT simulation and planning from April 20, 2018, to December 31, 2019. RT course compliance was 94.8% (311/328 patients), and treatment intent-wise: curative plus adjuvant in 60.2% and palliative RT in 36%. RT technique was conformal in all 100%, with volumetric arc radiotherapy (VMAT) delivered to 66.6% of patients. With overall median RT course duration of 29 days (range 1–81 days), the patients were delivered a median of 20 fractions.

Conclusions:

Compared to the previously published audit from an academic RO department in Delhi, this audit from a private hospital has shown (i) lesser waiting time, (ii) improved treatment compliance, (iii) utilization of higher techniques, and (iv) a lower duration of RT course.
Echocardiography in Planning Aortic Arch Interventions
Authors: Awasthy Neeraj , Bhatt Aditya , Kumar Gaurav
Published: November 2022

Aortic arch anomalies are suspected on echocardiography, though the final diagnosis may need additional investigative modalities such as cardiac catheterization, computed tomography angiography or rarely magnetic resonance imaging. Most of the interevntions are however planned on the basis of echocardiography. Suprasternal and subcoastal views are particularly important for evaluation, although other indirect parameters such as pressure effects (ventricular hypertrophy) and ventricular dysfunction etc. may serve as indirect markers of the arch lesion. This review provides an overview of the role of echocardiography in planning aortic arch interventions.
Effects of local land use on riparian vegetation, water quality, and in situ toxicity
Authors: Melo Milena Perez de , Crispim Bruno do Amaral , Viana Lucilene Finoto , Lima Nathalya Alice de , Melo Elaine Silva de Pádua , Nascimento Valter Aragão do , Barufatti Alexeia
Published: November 2022

The conversion of riparian forests into agricultural land results in the loss of water quality and aquatic biota health. The objectives of this study were therefore to determine the proportion of land use with emphasis on the type of vegetation cover; evaluate the limnological parameters and concentration of inorganic elements in the water of the São José stream in the Dourados River Basin, Mato Grosso do Sul, Brazil; correlate land use with the concentrations of inorganic elements in water; and evaluate the risk to preservation aquatic biota and in situ toxic effect on Astyanax lacustris. We collected samples from the São José Stream in 2020 and evaluated land use with high resolution aerial images. The inorganic elements in water samples were quantified using inductively coupled plasma optical emission spectrometry. In the surroundings of the São José stream, a reduction in riparian forest was observed with a proportion of only 16.32% of the area and the predominance of agricultural areas with 75.06%. The concentrations of dissolved oxygen (1.510 mg L-1) and P (> 0.235 mg L-1) in the water did not comply with the national legislation. In addition, Al and P indicated risks regarding the conservation of aquatic biota (risk quotient >1). The in situ evaluation of A. lacustris also revealed toxicity in the water. The results indicate environmental imbalance in the São José stream, requiring mitigation measures for its restoration and the sustainable use of its resources.

Keywords: anthropic action, inorganic contaminants, risks for aquatic biota.
Gmina żydowska albo kile lub kehilá. Rozwój żydowskiego etnolektu czeszczyzny oraz proces jego zapominania w XX i XXI wieku
Authors: Balík Štépan
Published: November 2022

Autor w swoim tekście charakteryzuje podstawowe różnice pomiędzy czeską aszkenazyjską a nowohebrajską wymową w żydowskim etnolekcie czeszczyzny, w kontekście jego rozwoju oraz procesu zapominania w XX i XXI wieku. Następnie, w oparciu o studium przypadku, opisując żydowskie etnolektalne elementy leksykalne respondenta Petra Broda (ur. 1951), autor prezentuje konkretny żydowski portret idiolektalny.

The Jewish Community or kile or kehilá. The Development of Jewish Ethnolect of Czech and the Process of its Vanishing in 20th and 21st Centuries

In his article, the author first characterises the basic differences between Czech Ashkenazic and Modern Hebrew pronunciation in the context of Jewish Czech, its development and the process of its vanishing in the 20th and 21st centuries. Next, in the case study on Jewish ethnolectal lexical features of a particular respondent, Petr Brod (born 1951), on whom a linguistic study was conducted, the author presents a specific Jewish idiolectal portrait.
Zapomnienie jako utrata tożsamości w powieściach „Cień księdza Piotra” oraz „Ja za wodą, ty za wodą” Danuty Mostwin
Authors: Stavros Alexandra
Published: November 2022

Danuta Mostwin jest znana w świecie akademickim i literackim jako propagatorka swojej autorskiej koncepcji trzeciej wartości, czyli idealnego modelu tożsamości emigranta. Jedną z przeszkód na drodze ku temu stanowi równowagi jest pokusa odrzucenia i zapomnienia swojego dziedzictwa i pierwotnych ideałów wyniesionych z ojczyzny, przedstawionych przez Mostwin w Cieniu księdza Piotra. Przez kreowanie bohaterów, którzy są literackim odzwierciedleniem historii jej pacjentów, Mostwin ostrzega przed tym zagrożeniem, które w krańcowych przypadkach prowadzi do całkowitej dezintegracji osobowości, depresji i innych chorób psychicznych. Skutki wypływające z przyzwolenia jednostki na zapomnienie autorka artykułu próbuje zobrazować na przykładzie bohaterów Mostwin z powieści Ja za wodą, ty za wodą.

Oblivion as a Loss of Identity in the Light of Danuta Mostwin’s Novels: “Father Peter’s Shadow” and “You and on the Other Side of the Water”

Danuta Mostwin is known in the academic and literary world for promoting her original concept of third value, i.e. the ideal model of the migrant’s identity. One of the obstacles on the way to reach this equilibrium is the temptation to reject the migrant’s heritage and the original values embraced in one’s homeland, depicted by Mostwin in Father Peter’s Shadow, and to let them fade into oblivion. By creating protagonists who reflect the life stories of her patients, Mostwin warns against this hazard, which in extreme cases leads to complete personality disintegration, depression and other mental illnesses. The author of the article tries to illustrate the consequences arising from the individual’s consent to oblivion, using as an example Mostwin’s characters from the novel You and I on the Other Side of the Water.
Przegląd zastosowań metod inżynierii odwrotnej do katalogowania i rekonstrukcji dóbr kultury
Authors: Miedzińska Danuta
Published: November 2022

Dobra kultury stanowią bezcenny majątek każdej społeczności, narodu, a nawet ludzkości, który pozwala zrozumieć tożsamość i korzenie człowieka. Ochrana tych dóbr jest niezwykle istotna, szczególnie ze względu na zmieniający się gwałtownie klimat czy działania ludzkie, takie jak konflikty zbrojne. W artykule przedstawiono przykłady zastosowania bezinwazyjnych metod inżynierii odwrotnej do katalogowania, konserwacji, renowacji dzieł architektury i sztuki oraz tworzenia wirtualnych muzeów.

Overview of applications of reverse engineering methods for cataloging and restoration of cultural property

Heritage is invaluable assets of any community, nation or even humanity, which allows us to understand human identity and roots. Protection of these assets is extremely important, especially due to the rapidly changing climate or human activities such as armed conflicts. The article presents examples of the application of non-invasive reverse engineering methods for cataloging, conservation, restoration of architectural and art works and creation of virtual museums.
Revisiting the relevant History of Livingstonia Mission and its Subsequent Synod Developments in reformed church perspective
Authors: Zgambo Rev. Dr. Humphreys Frackson
Published: November 2022

This study will revisit the relevant history of the Livingstonia Mission and its subsequent Synod developments in Malawi beginning from the early years to present day in 2022. The history of the Livingstonia Mission was written in a European Missionary perspective, there was therefore needed to revisit the relevant data in African reformed perspective. Mission history, with reference to the study of Christianity in Africa requires this new approach to mission historiography, “a more honest and more critical review of the theoretical and socio-theological assumptions out of which the African church as it is today, in its fragmented state, has been formed” (Maluleke, 1989:103). The study used a descriptive and interdisciplinary methodology approaches to understand research work. The aim of the study was to investigate, scrutinize and chronologically revisit and
analyse the relevant history of the Livingstonia Mission and the subsequent Synod beginning from the early years of its Missio- Dei establishment in the reformed church perspective.
Role of Counselling in Deciding the Fate of a Patient with Retinal Detachment: A Case Report
Authors:   Department of Ophthalmology, Kalinga Institute of Medical Sciences, Odisha, Bhubaneswar, India,, Das Matuli , Sen Saswati , Pokharna Ridhima , Sahu Pallavi Priyadarsani
Published: November 2022

A 28-year-old female, presented with complaints of diminution of vision in left eye and floaters and flashes in right eye. Her visual acuity was 6/9 in right eye and counting fingers- ½ meters in left eye. Patient had high myopia and her posterior segment showed total retinal detachment in left eye. She was advised for surgery and visual prognosis was explained. The patient however was not convinced and was lost to follow up. The patient came back one year later with loss of vision. Her visual acuity in both eyes was then perception of light +ve and projection of rays inaccurate. She gave history of switching to alternative medicine in the intervening period. Had our counselling been proper and treatment initiated at the right time, we could have restored vision in left eye and also retain some useful vision in the right eye. We aim to highlight the importance of counselling through this case report. Keywords: prognosis, compliance, counselling