bluuebunny/crossref_metadata_2025 huggingface dataset:
An overview of innovative living arrangements within long-term care and their characteristics: a scoping review
Authors: Brouwers Mara , Broekharst Damien S.E. , de Boer Bram , Groen Wim G. , Verbeek Hilde
Published: July 2023

Background

Within long-term care, a culture change (e.g. focus on increasing autonomy in everyday life) is leading to the development of innovative living arrangements for older adults. Insight into characteristics of innovative living arrangements, which are described as an alternative to regular nursing homes, is lacking. This review aims to provide an overview of innovative living arrangements and to describe their defining characteristics.

Methods

A scoping review was performed following the framework of Arksey and O’Malley. The preferred reporting items for systematic reviews and meta-analyses with extension, for scoping reviews (PRISMA-ScR) was also followed. The databases PubMed, PsycInfo, CINAHL, and Web of Science were searched. Articles, published between 2012 and 2023 were included when they presented an innovative living arrangement as an alternative to regular nursing homes. A thematic analysis was performed, describing the physical, social, and organizational environment of the innovative living arrangements.

Results

Fifty-six articles were identified describing seven types of distinct innovative living arrangements: small-scale living, the green house model, shared housing arrangements, green care farms, dementia villages, group homes, intergenerational living, and an ‘other’ category. The themes included supporting autonomy and creating a small-scale and/or homelike environment, which were emphasized in most innovative living arrangements. Other themes, such as involvement of the community, focus on nature, integration of work tasks, and involvement of family members, were emphasized in a subsection of the described living arrangements. Twenty-eight articles reported on the effects of the innovative living environment on residents, family members, or staff members. Most articles (N = 22) studied resident-related outcomes, focusing mainly on quality of life and aspects of daily life.

Conclusion

More insight into the mechanisms of the social and organizational environments is needed, which may lead to greater transparency and homogeneity regarding the description of living arrangements. This review shows that more knowledge is needed about the potential key elements of innovative living arrangements, especially related to their social and organizational environment. This may provide a better guide for developers within long-term care.
New medicines for spontaneous preterm birth prevention and preterm labour management: landscape analysis of the medicine development pipeline
Authors: McDougall Annie R. A. , Hastie Roxanne , Goldstein Maya , Tuttle Andrew , Ammerdorffer Anne , Gülmezoglu A. Metin , Vogel Joshua P.
Published: July 2023

Background

There are few medicines in clinical use for managing preterm labor or preventing spontaneous preterm birth from occurring. We previously developed two target product profiles (TPPs) for medicines to prevent spontaneous preterm birth and manage preterm labor. The objectives of this study were to 1) analyse the research and development pipeline of medicines for preterm birth and 2) compare these medicines to target product profiles for spontaneous preterm birth to identify the most promising candidates.

Methods

Adis Insight, Pharmaprojects, WHO international clinical trials registry platform (ICTRP), PubMed and grant databases were searched to identify candidate medicines (including drugs, dietary supplements and biologics) and populate the Accelerating Innovations for Mothers (AIM) database. This database was screened for all candidates that have been investigated for preterm birth. Candidates in clinical development were ranked against criteria from TPPs, and classified as high, medium or low potential. Preclinical candidates were categorised by product type, archetype and medicine subclass.

Results

The AIM database identified 178 candidates. Of the 71 candidates in clinical development, ten were deemed high potential (Prevention: Omega-3 fatty acid, aspirin, vaginal progesterone, oral progesterone, L-arginine, and selenium; Treatment: nicorandil, isosorbide dinitrate, nicardipine and celecoxib) and seven were medium potential (Prevention: pravastatin and lactoferrin; Treatment: glyceryl trinitrate, retosiban, relcovaptan, human chorionic gonadotropin and Bryophyllum pinnatum extract). 107 candidates were in preclinical development.

Conclusions

This analysis provides a drug-agnostic approach to assessing the potential of candidate medicines for spontaneous preterm birth. Research should be prioritised for high-potential candidates that are most likely to meet the real world needs of women, babies, and health care professionals.
Prognostic value of EBV DNA and platelet-to-lymphocyte ratio in patients with non-metastatic nasopharyngeal carcinoma: a retrospective study
Authors: Dong Huan , Huang Zichong , Yang Dong , Li Zhiru , Huang Heqing , Meng Zhen , Qin Yutao , Kang Min
Published: July 2023

Purpose

Analyzing the prognostic value of Epstein-Barr virus (EBV) DNA load and platelet-to-lymphocyte ratio (PLR) in non-metastatic nasopharyngeal carcinoma (NPC) patients, thereby developing a reliable and effective marker.

Methods

We compared survival rates among different groups using the Kaplan-Meier method and the Log-rank test. The factors affecting the prognosis of NPC patients were determined using univariate and multivariate cox regression analysis. Receiver operating characteristic (ROC) curves were used to identify the cutoff-value and discriminant performance of the model.

Results

The ROC curve indicated a cut-off value of 775 copies/ml for EBV DNA and 203.3 for PLR. Kaplan-Meier and Log-rank tests showed that 3-year overall survival (OS), local recurrence-free survival (LRFS) and distant metastasis-free survival (DMFS) of NPC patients in high risk group (HRG) were significantly poorer than those in medium risk group (MRG) and low risk group (LRG). The 3-year OS of NPC patients was significantly correlated with age, N stage and EBV DNA-PLR. The 3-year LRFS were significantly correlated with sex, N stage, histology type, and EBV DNA-PLR. The 3-year DMFS were correlated with histology type. The ROC curve showed that area under the curve (AUC) values of EBV DNA-PLR of 3-year OS, LRFS and DMFS in NPC were higher than those of PLR and EBV DNA.

Conclusion

EBV DNA-PLR is an independent risk factor for the prognosis of NPC. Compared with PLR or EBV DNA alone, the combination of EBV DNA and PLR may be more accurate in predicting the prognosis of NPC patients.
Trends of underweight, overweight, and obesity among older adults in China from 2008 to 2018: a national observational survey
Authors: Jiesisibieke Dina , Feng Yuting , Jiesisibieke Zhu Liduzi , Liu Jue , Tao Liyuan
Published: July 2023

Objective

This study aims to investigate the 10-year trends and disparities in underweight, overweight, and obesity among older adults aged 65 years and older in China from 2008 to 2018.

Methods

We used four waves (2008, 2011, 2014, and 2018) of data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), a national community-based cross-sectional survey conducted every 2–3 years. Body weight and height were measured by trained assessors following standardized procedures. BMI was calculated and divided into underweight (< 18.5 kg/m2), normal (18.5–24.9 kg/m2), overweight (25.0-29.9 kg/m2), obese (≥ 30.0 kg/m2) according to WHO reference. Multinomial logistic regression models were used to examine factors related with abnormal BMI groups, after adjusting for potential confounders.

Results

Among 46,543 older adults in China, the prevalence rates of underweight decreased with each survey year from 2008 to 2018, declining from 20.05 to 7.87% (p < 0.001). In contrast, the prevalence rates of overweight and obesity showed an increasing trend (all p < 0.001). Specifically, the prevalence of overweight rose from 12.82% to 2008 to 28.45% in 2018, and the prevalence of obesity increased from 1.62% to 2008 to 4.95% in 2018. In the multinomial logistic regression model, survey year, gender, residence, marital status, economic status, numbers of chronic diseases, smoking status, sleep quality, and functional disability were factors related with obesity.

Conclusion

The prevalence rates of overweight and obesity were increasing while the prevalence of underweight and normal weight significantly decreased from 2008 to 2018 among older adults in China, which poses a huge challenge for chronic disease. There is an urgent need for intervention policy planning and early prevention of abnormal body weight for the preparation of an aging society.
Comorbid asthma in patients with chronic rhinosinusitis with nasal polyps: did dupilumab make a difference?
Authors: Al-Ahmad Mona , Ali Asmaa , Khalaf Mustafa , Alterki Abdulmohsen , Rodriguez-Bouza Tito
Published: July 2023

Background

The clinical heterogeneity of chronic rhinosinusitis (CRS) and bronchial asthma is attributable to different underlying inflammatory profiles. However, the similarity between CRS with nasal polyps (CRSwNP) and type-2 asthma pathophysiology speculates that one biological therapy could affect both comorbidities. Despite dupilumab, a monoclonal antibody that targets IL-4α and IL-13 receptors, being used in patients with nasal polyps and severe asthma, real-life data about its efficacy in improving the quality of life and patient symptoms is still lacking. This study’s primary objective was to evaluate dupilumab treatment’s effect on the frequency of olfactory symptoms and health-related quality of life tests as measured by the Sino-nasal outcome test (SNOT-22) in patients with NP. The secondary objective was the effect of dupilumab on asthma symptom control as measured by the asthma control test (ACT).

Methods

A prospective study was conducted of 166 patients with CRSwNP, with or without asthma. The following variables were collected at baseline and after at least six months of continuous dupilumab therapy; SNOT-22, olfactory symptoms frequency, and ACT score.

Results

Asthma prevalence in patients with CRSwNP was high (59.63%), and being female with a history of frequent use of oral corticosteroid (OCS) courses and repeated unsuccessful nasal and para-nasal surgeries for polyposis increased the likelihood of having underlying asthma by 2, 1 and 4 times more, respectively. Additionally, being asthmatic required a longer duration of dupilumab treatment. However, both the health-related quality of life and olfactory symptoms improved equally in both groups.

Conclusion

Even with associated comorbid asthma in patients with CRSwNP, treatment with dupilumab could improve the quality of life, olfactory symptoms, and asthma symptom control.
Fully immersive virtual reality exergames with dual-task components for patients with Parkinson’s disease: a feasibility study
Authors: Yun Seo Jung , Hyun Sung Eun , Oh Byung-Mo , Seo Han Gil
Published: July 2023

Background

Dual-task training in Parkinson’s disease (PD) improves spatiotemporal gait parameters, cognition, and quality of life. Virtual reality (VR) has been used as a therapeutic tool for patients to participate in activities in a safe environment, engage in multisensory experiences, and improve motivation and interest in rehabilitation. This study aimed to investigate the feasibility of fully immersive VR exergames with dual-task components in patients with PD.

Methods

We developed VR exergames (go/no-go punch game, go/no-go stepping game, and number punch game) to improve habitual behavior control using motor–cognitive dual-task performance in patients with PD. The participants underwent 10 sessions 2–3 times a week, consisting of 30 min per session. The Unified Parkinson’s Disease Rating Scale, Timed Up and Go test (TUG) under single- and dual-task (cognitive and physical) conditions, Berg balance scale (BBS), Stroop test, trail-making test, and digit span were evaluated before and after intervention. The Simulator Sickness Questionnaire (SSQ) was used to assess VR cybersickness. Usability was assessed using a self-reported questionnaire.

Results

Twelve patients were enrolled and completed the entire training session. The mean age of participants was 73.83 ± 6.09 years; mean disease duration was 128.83 ± 76.96 months. The Hoehn and Yahr stages were 2.5 in seven patients and 3 in five patients. A significant improvement was observed in BBS and Stroop color–word test (p = 0.047 and p = 0.003, respectively). TUG time and dual-task interferences showed positive changes, but these changes were not statistically significant. The median SSQ total score was 28.05 (IQR: 29.92), 13.09 (IQR: 11.22), and 35.53 (IQR: 52.36) before, after the first session, and after the final session, respectively; the differences were not significant. Overall satisfaction with the intervention was 6.0 (IQR: 1.25) on a 7-point Likert-type scale.

Conclusions

Fully immersive VR exergames combined with physical and cognitive tasks may be used for rehabilitation of patients with PD without causing serious adverse effects. Furthermore, the exergames using dual-task components improved executive function and balance. Further development of VR training content may be needed to improve motor and dual-task performances.

Trial registration NCT04787549 (https://clinicaltrials.gov/ct2/show/NCT04787549)
Prevalence and factors associated with suicidal ideation among students taking university entrance tests: revisited and a study based on Geographic Information System data
Authors: Nahrin Rifat , Al-Mamun Firoj , Kaggwa Mark Mohan , Al Mamun Md. , Mamun Mohammed A.
Published: July 2023

Background

A previous study identified students taking Bangladeshi university entrance tests as a vulnerable group at a higher risk of suicidal behaviours before the COVID-19 pandemic. However, the impact of the pandemic on the magnitude of these behaviours among this population remains unexplored.

Aims

This study aimed to investigate the prevalence of suicidal ideation and associated factors among Bangladeshi university entrance test takers following the pandemic. In addition, an approach based on Geographic Information System (GIS) data was used to visualise the distribution of suicidal ideation across the country.

Methods

A cross-sectional approach was used to collect data among participants taking the entrance test at Jahangirnagar University in September 2022. Using SPSS, data were analysed with chi-squared tests and binary regression, and ArcGIS was used to map the results across the nation.

Results

The study revealed a prevalence of 14.4% for past-year suicidal ideation, with 7.4% and 7.2% reporting suicide plans and attempts, respectively. Notably, repeat test-takers exhibited a higher prevalence of suicidal behaviours. Significant risk factors for suicidal ideation included urban residence, smoking, drug use, COVID-19 infection and deaths among close relations, depression, anxiety and burnout. The GIS-based distribution indicated significant variation in the prevalence of suicidal ideation across different districts, with higher rates observed in economically and infrastructurally deprived areas.

Conclusions

Urgent measures are needed to address the high prevalence of suicidal behaviours among students taking university entrance tests students in Bangladesh, particularly in light of the COVID-19 pandemic. Enhanced mental health support, targeted prevention efforts and improved resources in economically disadvantaged regions are crucial to safeguard the well-being of these students.
Improved Outcome for ALL by Prolonging Therapy for IKZF1 Deletion and Decreasing Therapy for Other Risk Groups
Authors: Pieters Rob , de Groot-Kruseman Hester , Fiocco Marta , Verwer Femke , Van Overveld Merian , Sonneveld Edwin , van der Velden Vincent , Beverloo H. Berna , Bierings Marc , Dors Natasja , de Haas Valérie , Hoogerbrugge Peter , Van der Sluis Inge , Tissing Wim , Veening Margreet , Boer Judith , Den Boer Monique
Published: July 2023

PURPOSE

The ALL10 protocol improved outcomes for children with ALL by stratifying and adapting therapy into three minimal residual disease–defined risk groups: standard risk, medium risk (MR), and high risk. IKZF1-deleted ( IKZF1del) ALL in the largest MR group still showed poor outcome, in line with protocols worldwide, accounting for a high number of overall relapses. ALL10 showed high toxicity in Down syndrome (DS) and excellent outcome in ETV6::RUNX1 ALL. Poor prednisone responders (PPRs) were treated as high risk in ALL10. In ALL11, we prolonged therapy for IKZF1del from 2 to 3 years. We reduced therapy for DS by omitting anthracyclines completely, for ETV6::RUNX1 in intensification, and for PPR by treatment as MR.

METHODS

Eight hundred nineteen patients with ALL (age, 1-18 years) were enrolled on ALL11 and stratified as in ALL10. Results were compared with those in ALL10.

RESULTS

The five-year overall survival (OS), event-free survival (EFS), cumulative risk of relapse (CIR), and death in complete remission on ALL11 were 94.2% (SE, 0.9%), 89.0% (1.2), 8.2% (1.1), and 2.3% (0.6), respectively. Prolonged maintenance for IKZF1del MR improved 5-year CIR by 2.2-fold (10.8% v 23.4%; P = .035) and EFS (87.1% v 72.3%; P = .019). Landmark analysis at 2 years from diagnosis showed a 2.9-fold reduction of CIR (25.6%-8.8%; P = .008) and EFS improvement (74.4%-91.2%; P = .007). Reduced therapy did not abrogate 5-year outcome for ETV6::RUNX1 (EFS, 98.3%; OS, 99.4%), DS (EFS, 87.0%; OS, 87.0%), and PPR (EFS, 81.1%; OS, 94.9%).

CONCLUSION

Children with IKZF1del ALL seem to benefit from prolonged maintenance therapy. Chemotherapy was successfully reduced for patients with ETV6::RUNX1, DS, and PPR ALL. It has to be noted that these results were obtained in a nonrandomized study using a historical control group.
NATs at a glance
Authors: Aksnes Henriette , McTiernan Nina , Arnesen Thomas
Published: July 2023

Most proteins receive an acetyl group at the N terminus while in their nascency as the result of modification by co-translationally acting N-terminal acetyltransferases (NATs). The N-terminal acetyl group can influence several aspects of protein functionality. From studies of NAT-lacking cells, it is evident that several cellular processes are affected by this modification. More recently, an increasing number of genetic cases have demonstrated that N-terminal acetylation has crucial roles in human physiology and pathology. In this Cell Science at a Glance and the accompanying poster, we provide an overview of the human NAT enzymes and their properties, substrate coverage, cellular roles and connections to human disease.
Feedback literacy as a model to explore how learners respond to feedback
Authors: Spooner Muirne , Pawlikowska Teresa
Published: July 2023

Clinicians spend a considerable part of their time while supervising trainees providing feedback. It is generally accepted that feedback can play a major role in subsequent academic performance. Traditionally it was thought that all feedback was good feedback, that inevitably improved learner outcomes. This has been challenged and it is now understood that feedback can have a beneficial or deleterious effect on the student. A number of factors can affect a learner's response to feedback. The concept of feedback literacy is helpful to understanding these responses – this describes the processes by which a learner makes sense of feedback and subsequently uses it to enhance learning. A learner who is feedback literate can recognise when they are getting feedback and understand how it relates to their progress; they can process it effectively both cognitively and emotionally, and they can put it in to action in ways which benefit their learning. Modifiable and non-modifiable factors can influence feedback literacy, with modifiable factors including feedback standards and supervisor behaviours. Providing clear feedback expectations, ensuring accuracy of feedback messages and focusing on the relationship between the teacher and learner have the most evidence for their effect on facilitating feedback literacy.
Comparative efficacy of intravenous levetiracetam and phenytoin in status epilepticus: a systematic review and meta-analysis of randomized controlled trials
Authors: Tasya Galuh Anis , Djatmiko Nadhira Iriani , Rahman Farhan Haidar Fazlur , Rahmawati Vita Kusuma
Published: July 2023

BACKGROUND Status epilepticus (SE) is a neurological emergency, with the current guidelines for second-line anticonvulsants may include phenytoin, levetiracetam, valproic acid, and phenobarbital. However, some studies suggest that levetiracetam may be better at stopping seizures in SE. This study aimed to compare the efficacy of intravenous (IV) levetiracetam and phenytoin in SE.

METHODS We searched PubMed, ScienceDirect, Cochrane, and Google Scholar for randomized controlled trials (RCTs) on administering IV levetiracetam or phenytoin in patients with SE. RCTs were screened using eligibility criteria, and their quality was assessed using the Cochrane risk of bias tool. Heterogeneity was assessed using the I² test, and publication bias was evaluated using Egger’s test. All analyses were performed using Review Manager version 5.4 (The Cochrane Collaboration, UK) and Stata 17 (StataCorp LLC, USA).

RESULTS 12 RCTs involving 2,137 patients (1,099 receiving levetiracetam) met the inclusion criteria. Pooled analysis showed that levetiracetam therapy had a significantly higher rate of seizure cessation than phenytoin (RR: 1.10, 95% CI = 1.05−1.14, p = 0.02, I² = 51%). Less adverse events were observed in the levetiracetam group (9.34%) than in the phenytoin group (11.62%; RR: 0.82, 95% CI = 0.66–1.02, p = 0.07). However, there was no significant difference regarding IV levetiracetam or phenytoin administration with the incidence of admission to critical care (RR: 1.01; 95% CI = 0.93–1.10, p = 0.80) and mortality (RR: 1.08; 95% CI = 0.54–2.15; p = 0.82).

CONCLUSIONS IV levetiracetam was significantly better in the cessation of seizures in SE patients than phenytoin.
The correlation between NAFLD and serum uric acid to serum creatinine ratio
Authors: Choi Jangwon , Joe Hyun , Oh Jung-Eun , Cho Yong-Jin , Shin Hwang-Sik , Heo Nam Hun
Published: July 2023

Background

With the prevalence of non-alcoholic fatty liver disease (NAFLD) increasing worldwide, many noninvasive techniques have been used to improve its diagnosis. Recently, the serum uric acid/creatinine (sUA/sCr) ratio was identified as an indicator of fatty liver disease. Therefore, we examined the relationship between sUA/sCr levels and ultrasound-diagnosed NAFLD in Korean adults.

Methods

This study included 16,666 20-year-olds or older who received health checkups at a university hospital’s health promotion center from January to December 2021. Among them, 11,791 non-patients with and without NAFLD were analyzed, excluding those without abdominal ultrasound, those without data on fatty liver, cancer, or chronic kidney disease severity, those with a history of alcohol abuse, and those with serum hs-CRP <5 mg/L. The odds ratio (OR) and 95% confidence interval (CI) of the sUA/sCr ratio according to the presence or absence of fatty liver disease and severity were calculated after correcting for confounding variables using logistic regression analysis. The receiver operating characteristic (ROC) curve and area under the curve (AUC) of the sUA/sCr ratio confirmed and compared the sensitivity and specificity of NAFLD and serum uric acid.

Results

sUA/sCr increased with fatty liver severity, and the post-correction OR in the NAFLD group was 1.183 (95% CI: 1.137–1.231) compared to the group without NAFLD. Concerning the fatty liver severity, the post-correction OR in the mild NAFLD group increased to 1.147 (95% CI: 1.099–1.196), and that in the moderate-to-severe NAFLD group increased to 1.275 (95% CI: 1.212–1.341) compared to the group without NAFLD. The sensitivity of sUA/sCr to fatty liver severity was 57.9% for the non-NAFLD group, 56.7% for the mild NAFLD group, and 59.0% for the moderate-to-severe NAFLD group; the specificity of sUA/sCr to fatty liver severity 61.4% for the non-NAFLD group, 57.3% for the mild NAFLD group, and 65.2% for the moderate-to-severe NAFLD group.

Conclusion

NAFLD severity is associated with sUA/sCR.
Montage of Memories
Authors: Dilova Stefana
Published: July 2023

The following article describes an analysis of the spaces and the atmospheres of the protagonist's apartment in the novel »Territory of Light« by Japanese author Yuko Tsushima. This research concluded in the short film titled »The Poetics of Home« that portrays imagined, fictional spaces. The film is composed of eight chapters. Each reflecting an analytical process of reading, interpreting, imagining, translating and remembering. The impalpable spaces that form in the mind during this layered play are articulated and materialized through a selection of atmospheric depictions combined into visual narratives. »The Poetics of Home« contributes to the study of architecture's more elusive and ephemeral aspects, those that cannot be easily researched and documented by solely utilizing classical architectural mediums, and thus suggests a method for analyzing them. At the same time, it shines a light on the often-neglected beauty of everyday ordinary spaces, that can be found in their texture, light, sound, smell, sense of time etc.
Montaged Gardens - On Paper
Authors: Reese Achim
Published: July 2023

Landscape designer Humphry Repton presented his designs in the form of so-called Red Books. The flaps with which he provided his watercolor perspectives allow the comparison between an existing and the improved state and can be understood as montages.
Los superhéroes ante los tribunales
Authors: Fajardo Sánchez Luis Alfonso
Published: July 2023

El presente artículo es el primer informe de la investigación “Impacto de los superhéroes en la construcción de la cultura jurídica”, que aborda los distintos escenarios jurídicos que involucran las acciones de los superhéroes teniendo en cuenta varios factores previos, como una diferenciación general entre un héroe y un superhéroe, un estudio acerca de los acontecimientos históricos que dieron origen al cómic de superhéroes y superheroínas, y la incidencia de distintos factores políticos, económicos, geopolíticos, sociales y psicológicos determinantes en el comportamiento de cada superhéroe ante una situación particular. La dimensión ética y la concepción nos permite realizar un análisis general de los delitos y transgresiones a la ley penal y la presunta comisión de delitos por parte de estos superhéroes como, por ejemplo, homicidios, tortura, amenazas, interceptaciones ilegales de las comunicaciones, constreñimiento, paramilitarismo, hurtos, daño en bien ajeno y, especialmente, su ideal de tomar

la justicia por mano propia en su lucha contra el crimen y su búsqueda de justicia
Shaykh Mâl'aynîn et les composantes de l'identité musulmane dans l'ouest saharien (fin 19e-début 20e siècles)", in Pratiques et stratégies identitaires au Sahara, Rabat, Publications de l'Institut des Etudes Africaines, 2001, 153-190
Authors: Hames (Resumen de Ángela Hernández) C.
Published: July 2023

El presente texto es un resumen del artículo de C. Hamesen el que, a través de un análisis detallado de la personalidad de Chej Maelainin, nos muestra las formas de identidad musulmana presentes en la figura del Chej. En este análisis constata que algunas de estas identidades son una constante en el noroeste africano, el dirigente de la cofradía, el personaje santo y el santo guerrero, pero apunta una dimensión que no se ha tratado apenas, la del sabio musulmán. Una cuestión pendiente que es preciso descubrir.AbstractThis text is a summary of the article by C. Hames in which, through a detailed analysis of the personality of Chej Maelainin, differents forms of Muslim identity related to the figure of Cheij are shown . This analysis concludes that some of these identities are constant in northwest part of Africa, the leader of the brotherhood, the holy figure and holy warrior, but points to a dimension that has not been studied, the wise Muslim. One outstanding question to be discovered.
Asociacionismo y cuestión nacional en el Sahara Occidental
Authors: Barreñada Isaías
Published: July 2023

Desde mediados de la década pasada se ha operado una emergencia de la contestación política saharaui en los territorios ocupados por Marruecos. Este fenómeno se debe a varios factores entre los que cabe destacar los escasos resultados de las negociaciones políticas auspiciadas por Naciones Unidas, los cambios políticos operados en Marruecos, la frustración de la población saharaui ante la intensificación de la colonización y una creciente sensación de discriminación. Las protestas están en gran medida estructuradas por un tejido de asociaciones, la mayor parte de ellas alegales, que han hecho de la defensa de los derechos humanos su principal eje de actuación. Sus miembros son tanto antiguos militantes políticos como jóvenes que sólo han conocido la ocupación. El artículo aborda el proceso de articulación de estas asociaciones, sus actuaciones, sus nexos con Marruecos y con el resto de los saharauis, y presta especial atención a su carácter sustitutivo ante la imposibilidad de libre organización de los nacionalistas e independentistas.AbstractSince the middle of the last decade a growing political protest has emerged in Western Sahara occupied by Morocco. This phenomenon has been caused by several factors: the little results of the political negotiations under the United Nations, the political changes operated in Morocco, the frustration of the Sahrawi population facing the colonization and an increasing sensation of discrimination. To a great extent the protests are structured by associations, most of them non-legal, which have made of the defense of the human rights their main axis of performance. Most of their members are former political militants as young people who have only known the occupation. The article approaches the process of joining these associations, their performances, their ties with Morocco and the other Sahrawi, and gives special attention to its substitute character before the impossibility of free organization of the nationalists and supporters of independence.
El Islam político y la movilización social tras las revueltas árabes. Un análisis desde la Sociología del poder
Authors: Izquierdo Ferrán
Published: July 2023

El Islamismo no ocupó un lugar destacado en las revueltas árabes pues se había alejado de los movimientos sociales que las protagonizaron. Sin embargo, estaba bien situado para competir en las post-revueltas. Esto fue así porque desde los años noventa ha estado sometido a una evolución positiva para las élites dirigentes de los grupos más influyentes. No obstante, esto no significa que monopolicen ni el poder ni el espacio ligado a la religión en el espectro político. En este artículo, desde la perspectiva teórica de la Sociología del poder, se presenta un análisis de las relaciones entre los movimientos sociales, los grupos políticos y religiosos, y los regímenes. Esto nos permite entender las dinámicas de las revueltas y de las post-revueltas.AbstractPolitical Islam did not occupy a prominent place in the Arab uprisings because had distanced itself from the social movements. However, it was well placed to compete in the post-uprisings context. This was because since the nineties has been subjected to a positive development for the ruling elites of the most influential groups. However, this does not mean that the Political Islam monopolize neither the power nor space linked to religion in the political spectrum. This article, from the theoretical perspective of Sociology of power, offers an analysis of the relationship between social movements, political and religious groups and regimes. This allows us to understand the dynamics of the riots and the post-riots.
Effect of xylanase pretreatment of wood chips on fiber separation in the CTMP refining process
Authors: Lei Xiaochun , Lin Lu , Li Kecheng
Published: July 2023

The effect of xylanase treatment of eucalyptus wood chips on chip refining and fiber properties was investigated. The fiber separation region and fiber surface structure were observed with SEM, TEM, and AFM. The fiber length and fines were analyzed with a Bauer-McNett classifier and optical image analysis of flowing suspensions (FQA). The results showed that xylanase degraded and hydrolyzed some xylan in the fiber wall, thus loosening the fiber wall structure. Therefore, in the subsequent refining process, fiber separation occurred in the secondary wall. This resulted in fibers with less lignin and extractives on the surface, which will benefit the interfiber bonding.
Doing Piety through Care
Authors: Ismail Abir Mohamad
Published: July 2023

This article takes the practice of elderly care as a starting place to discuss how Muslim men and women “do” piety when doing elderly care in their everyday lives. It introduces and analyses central passages in the Qur’an and the Hadiths that deal with birr-al- walidayn (filial piety), ‘awra (the intimate body parts that must be covered), and ‘ayb (shame/shamefulness) since they all appear as central concepts in the Islamic tradition of elderly care. With a focus on the embodied enactment of these concepts, the article turns to the analysis of two ethnographic cases to look at how Muslims “do” care for their elderly parents and at the same time strive to embody their sacred text, the Qur’an, and the Hadiths in everyday life. The article aims to show that “doing” elderly care enables a domain of pious doings that matters to how Muslim men and women perform and understand gender.
Improving the competitiveness and sustainability of a border region
Authors: Khmeleva Galina , Kurnikova Marina , Grishanin Matvey
Published: July 2023

Improving the competitiveness of a border region is a scientific problem connected with the peculiar position of these regions on the front edge of the country, which, on the one hand, puts them in a hard dependence on the current state of relations with the neighboring state, and on the other is determined by special factor conditions created by the border. The purpose of this study is to identify the determinants of the competitiveness of the border region and offer recommendations for improving the sustainability of its economy. To do this, the authors developed a methodology that takes into account the specifics of the boundary position, and tested it on the example of the Samara region — one of the geostrategic regions of the Russian Federation, which has a common border with the Republic of Kazakhstan. In accordance with the logic of competitiveness as a set of characteristics that provide advantages of one object (a border region) over another one (others), the conducted assessment is made on the materials of eleven subjects of the Russian Federation, located along the perimeter of the territory adjacent to the Republic of Kazakhstan. The conducted analysis allowed to identify two priority competitiveness determinants of the Samara region, ahead of influence of other factors — national priority and financial attractiveness, and to form a list of specific factors of the geostrategic potential of the Samara region, showing the possibilities of entering the world market using the resource «border». The recommendations formulated based on the results include the consideration of specific «border» factors and the determinant of regional competitiveness in the process of working out the strategy for the development of the border region. The results of the study are addressed to the state authorities of the Russian subjects — border geostrategic territories and can be used in the development of strategic documents aiming at regional development concerning the analytical substantiation of regional priorities in border trade and economic and socio-cultural cooperation with the neighbouring territory.
Commentary to the decision of the Supreme Court's of 22 March 2017 (III K 349/16)
Authors: Korycka Wiktoria
Published: July 2023

The subject of this commentary is the judgment of the Supreme Court of 22 March 2017, reference number III K 349/16. The commentary contains arguments approving the position of the Supreme Court regarding the classification of the use of a stolen ATM card as theft with burglary. The author shares the view that performing a non-cash operation with the appropriated ATM card was a crime under Art. 279 of the Criminal Code. In the conclusions, however, the author indicates the need for the legislator to take appropriate actions to regulate the disputed issues.
La pasantía internacional virtual del doctorado en ciencias de la educación Rudecolombia en alianza con la UNAD Florida: una buena práctica de innovación educativa
Authors: Bozo-de-Carmona Ana-Julia , Lago Diana-Elvira , Fuenmayor Jesús-Alberto
Published: July 2023

This article aims to analyze an innovative good practice in education accomplished within RUDECOLOMBIA PhD program in Education Sciences, at the University of Cartagena, in partnership with UNAD Florida, USA. Specifically, the process of designing and putting into practice the International Internship in virtual mode is addressed. The internship is a condition of graduation from the doctoral program that required, until the year 2020, the displacement of doctoral students from Colombia to foreign countries, for a period of not less than one month. The internship, focus of this research, was implemented for two purposes; one, face the transition to virtuality, imposed by the COVID-19 pandemic, in 2020 and, two, adhere to the orientation of training oriented by learning outcomes. The research led to a process of hermeneutic analysis of the actors, objectives, design/ components of the pedagogical practice, quality standards and scope of internationalization as explanatory and validating axes of the international internship. A documentary research process was carried out to inform the variables that affect doctoral training in an international internship. Additionally, the experiences of doctoral internships developed in virtual learning environments in Latin America were explored. Equally, a qualitative approach was used; several focus groups were performed in order to involve the leading actors in the process of designing the doctoral internship: doctoral students, teachers and tutors (supervisors). An essential element of feasibility was the construction of a Virtual Learning Environment, which was a virtual classroom hosted at UNAD Florida (Moodle platform). It is concluded that the virtual international internship contributes to achieving several objectives: inter-institutional cooperation, internationalization, the training of doctors, the transition to virtual education and the reorientation of the educational process according to learning outcomes. The internship constitutes an innovative academic practice not only for the doctoral students, but also for the professors of both universities, for the supervisors, and for the academic coordinators of the program who are incorporating technological tools and approaches unexplored in face-to-face internships.
Use of dorsalis pedis artery flap in coverage of distal lower leg defects
Authors: Ghelani Nilesh B. , Shah Ankit , Patel Dhruv V. , Tomar Janvi , Rajgor Darshil
Published: July 2023

Soft tissue defect in the distal one third of leg have always posed a challenge for reconstructive surgeons. Such wounds are difficult to manage due the tenuous blood supply, limited subcutaneous cover over the tendons and bones. The aim of our study is to investigate the outcome of Dorsalis pedis artery flap for the coverage of such defects. In the present study, we share our clinical experience with the use of dorsalis pedis artery flap for the coverage of defect in the distal one third leg. This is a series of 4 cases where dorsalis pedis artery flap was used to cover lower one third defect. One case had focal squamous cell carcinoma due to long standing post burns contracture in distal one third of leg anteriorly. Other 3 cases had chronic non healing ulcer in the malleolar region. Patient outcome was assessed according to patients’ age distribution, duration of surgery, hospital stay, and post-operative complications. All 4 patients had excellent outcome with no major donor site complications, infection, and graft loss. Donor site was closed with split thickness skin graft. One patient developed a minor raw area over the dorsum of foot which healed secondarily. Although a potential risk in applying this flap is insufficient venous drainage, no problems with blood inflow or outflow were encountered in the present case series. The flaps survived, and the patient had good postoperative outcome. Hence dorsalis pedis flap can be used for the coverage of the distal foot as a good option.
Medial plantar artery flap: a versatile workhorse flap for foot reconstruction, our experience
Authors: Shah Sankit B. , Shah Ankit , Tomar Janvi , Patel Dhruv V. , Ribadia Purandar
Published: July 2023

Soft tissue defect in the foot is commonly seen as it is more prone to trophic ulcers since it is the main weight bearing area of the body. Reconstruction of the weight bearing area of the foot requires the provision of a stable, supple, durable and preferably sensate skin coverage. Following Sir Gilli’s principle of replacing like with like, medial plantar artery flap provides an anatomically similar, glabrous skin for coverage on the plantar surface. In the present study, we share our clinical experience with the use of medial plantar artery flap for coverage of soft tissue defect over sole of foot. At our institution, a total of 10 patients presented with soft tissue defect of the sole, underwent medial plantar artery flap coverage. All the 10 patients were diagnosed cases of type 2 DM. patient outcome was assessed according to patients’ age distribution, duration of surgery, hospital stay, and post operative complications. Out of all the 10 patients, 5 were male and 5 were female. All the flaps healed uneventfully without major complications like partial flap necrosis. Donor site was covered with split thickness skin graft. There was suture site dehience in 2 cases which healed with secondary healing. Medial plantar artery flap has been described as an optimal reconstructive option for this type of soft tissue defect.
Overview of oral and dental healthcare in Dubai health authority: status, gaps, and initiatives, 2016-2021
Authors: Mesmar Hamda Sultan Al , John Sosham
Published: July 2023

This article provides an overview of the current status of oral and dental healthcare within the Dubai health authority (DHA) and highlights the gaps and the impact of initiatives implemented between 2016 and 2021. The oral and dental care program, part of the Dubai health strategy 2016-2021, aimed to enhance oral and dental care by ensuring widespread access to high-quality treatments and effective prevention programs. To gain a comprehensive understanding, an initial assessment of the current state of oral and dental care was conducted with the assistance of an external consultant. This assessment encompassed a review of existing clinical guidelines, frameworks, and awareness initiatives, as well as an evaluation of the patient journey and accessibility. While noteworthy innovative measures were already in place, certain gaps were identified, and recommendations were proposed to address them. Subsequently, specific initiatives and programs were implemented in alignment with these recommendations to bridge the identified gaps. A notable achievement was the development of the Dubai dental protocol, which governs a patient-centered model of care and emphasizes a life-course approach to dental health promotion, addressing the diverse stages of life from pre-pregnancy to geriatric care.
Semiotics of the superhuman: the superhuman images in A. Dumas' trilogy about the musketeers
Authors: Faritov Vyacheslav
Published: July 2023

The article explicates the philosophical motives of A. Dumas' trilogy about the musketeers. A comparative study of the socio-political views of A. Dumas and F. Nietzsche is carried out. The features of the trilogy poetics are analyzed. The ideological and figurative content of Dumas' novels is revealed in the context of the teachings of F. Nietzsche, O. Spengler, W. Sombart. The main motives of the Dumas trilogy and Cervantes' novel about Don Quixote are parallelized. The article substantiates the thesis that the main motive of the Dumas trilogy about the musketeers is the image of the superhuman.
Volga text: streaming down to definition
Authors: Morozova Kseniya I.
Published: July 2023

This article is another attempt to comprehend such a phenomenon as the "Volga text". The image of the Volga have been repeatedly studied, but there is still no total research that gives a full and complete reply to the question: What is the Volga text? Especially it concerns A.K. Goldebaevs creative heritage, who remains a little-known or unknown writer for the literary world. In addition, the very phenomenon of the Samara text (the Volga text is its important part) has not been fully studied. All this indicates the undoubted relevance and novelty of the study, the purpose of which is to consider the features of the Volga image functioning in the plots of the works by Goldebaev, M. Gorky, S.G. Petrov and F.D. Kryukov. The leading research methods have been synchronic, diachronic, comparative and structural ones. The empirical material comprised such works as "Foma Gordeev", "Through the Line", "Without Fire", "Summer Vacation". The choice of these texts is reasoned by the fact that Goldebaevs documents, stored in the Russian State Archive of Literature and Art, have been found to have extracts, made from them, containing description of the Volga only. And Goldebaevs story is the only work known to the author of the article, which contains a description of the Volga. The article concludes that it is not entirely correct to define Goldebaev's story as a Volga text: the Volga just locates the plot there and hardly participates in the construction.
The Experience of Families Caring for Asthma Sufferers During the COVID-19 Pandemic in Indonesia: A Qualitative Research
Authors: Bekti Prasetyo Yoyok , Aji Pamadi Fikri
Published: July 2023

Familial support was essential to the care of asthma patients during the COVID-19 pandemic. It helps clients in making asthma care decisions. The purpose of this study was to explain the experience of families in providing asthma care and the effects of family care on the patient during the COVID-19 pandemic in Indonesia. This qualitative study was conducted using a content analysis approach on three families in East Java Province, Indonesia. Data were collected from the 3 families, using semi-structured interviews between 2020 and 2021. The subjects were all families in which some members had asthma. Sampling was done using the purposeful technique with maximum variation. Immediately after each interview, the content was transcribed using the Word software. The interviews were conducted with one individual at a time in the family’s home. Data were analyzed using the conventional content analysis method with simultaneous data collection based on five steps. The data analysis showed three main themes: family burdens and disruption when asthma relapsed, using a mask, keeping up stamina, keeping the mind relaxed, and staying away from crowds as an effort to prevent asthma, and pharmacological and non-pharmacological treatments carried out by families. The burden faced by the family when the disease recurs can be curbed through the family’s taking anticipatory measures that involve cooperation between family members. The family also plays a vital role in limiting the patient’s activities when the disease relapses.
Keywords: Family, Experiences, Asthma, Qualitative research, Covid-19