bluuebunny/crossref_metadata_2025 huggingface dataset:
Le cheveu dénoué chez Pina Bausch. Mutation d’une transgression esthétique
Authors: Fournier Marion
Published: October 2023

L’article explore l’importance des cheveux dans l’œuvre de la chorégraphe allemande Pina Bausch (1940-2009) et leur interprétation dans la réception critique. Pina Bausch, connue pour avoir développé le Tanztheater , a opté pour une utilisation des cheveux de ses danseuses allant souvent à l’encontre des normes sociales établies. Dans les années 1970, elle faisait danser ses danseuses les cheveux lâchés, rompant avec un code traditionnel provenant de la danse classique. Les cheveux détachés étaient associés à la liberté, à l’authenticité et à l’individualité du corps, en opposition aux normes de contrôle de la coiffure. Au fil des décennies, le motif des cheveux détachés a évolué, mais est resté transgressif, remettant en question des canons de beauté contemporains. À l’aube des années 2000, les cheveux longs et disciplinés étaient devenus obligatoires pour les danseuses de la compagnie. Les critiques de danse ont comparé cette esthétique capillaire à celle des publicités pour les shampoings. L’article examine la nature et l’intensité du lien entre l’imagerie des cheveux dans les œuvres de Pina Bausch et celle diffusée dans la publicité, reflet de discours sociaux portés sur le corps. Au Tanztheater , la liberté de manipuler ses cheveux n’était pas autorisée, ce qui contrastait avec la tendance en vigueur qui poussait à choisir à sa guise la longueur, la coupe, la couleur de sa chevelure. Malgré les changements de normes esthétiques dans la société, Pina Bausch a maintenu son caractère transgressif en utilisant les cheveux comme moyen de sculpter un imaginaire du corps.
« L’art de répéter ou comment être son propre fantôme ». Corps afformatifs dans les Trois Sœurs de Susanne Kennedy
Authors: Schünemann Hannah , Chamayou-Kuhn Cécile
Published: October 2023

Cet article interroge, à partir d’une analyse de la mise en scène, les formes de présentation innovantes des corps spectraux dans Drei Schwestern [ Trois Sœurs ] de Susanne Kennedy ( Münchner Kammerspiele , 2019), en plaçant l’accent sur leurs paramètres formels et techniques. Sont analysés : l’apparence et l’apparition, le mouvement et la voix des trois personnages éponymes, le concept et les possibilités techniques, notamment des costumes, des masques, du design vidéo et sonore. Il est ainsi possible de montrer que l’expérimentation de différentes corporalités ne tend pas à une représentation par la forme, mais à la visualisation des possibilités de la forme. Cela permet de mettre en évidence, à l’aide du concept d’afformatif emprunté à Werner Hamacher, la destitution [ Entsetzung ] perpétuelle des corps, au lieu de leur substitution, qui se produit sur la scène de Kennedy dans le contexte d’une déhiérarchisation des possibles et des réalités techniques au XXI e  siècle. Ainsi, il apparaît que les corps des sœurs ne peuvent plus être conçus comme l’incarnation d’une histoire, d’un sens ou d’un but, mais plutôt comme la présentation de possibilités de présentation qui échappent aux représentations traditionnelles des personnages, de l’espace, du temps et du genre.
David Berger, l’infréquentable
Authors: Pivert Benoît
Published: October 2023

Spécialiste de l’œuvre de saint Thomas d’Aquin, le théologien David Berger, né en 1968, a longtemps été l’enfant chéri des catholiques traditionalistes, jusqu’à la publication en avril 2010 dans la Frankfurter Rundschau d’un article intitulé « Ich darf nicht länger schweigen ». Dans ce texte, Berger révélait son homosexualité et dénonçait l’homophobie des milieux ultraconservateurs et de l’Église catholique. Le texte, complété quelques mois plus tard par le livre Der heilige Schein , s’achevait par un appel à la tolérance lancé en direction de l’Église. De cet appel à la tolérance, on ne trouve plus guère de traces aujourd’hui sur le blog de David Berger, Philosophia Perennis. Le théologien, qui déclarait en 2017 avoir voté pour l’AfD, s’y fait le relais de toutes les obsessions des populistes de droite. C’est cet itinéraire surprenant qui est analysé dans cet article. Comment passe-t-on des séminaires de théologie aux marges de la droite dure sans jamais renier son homosexualité ? Est-ce là la trajectoire erratique d’un homme ou existe-t-il au contraire une logique sous-jacente à ce parcours, en lien avec le virage à droite d’une partie de la communauté homosexuelle et chrétienne ?
Essai de géopolitique d’une zone frontière entre Empire et Royaume : la transfrontalité entre duché de Lorraine et comté de Bourgogne au XVI e siècle
Authors: Gerardin Emmanuel
Published: October 2023

Les lettres de grâce permettent de mieux mesurer au-delà des discours de chancellerie, l’exercice concret de l’autorité souveraine telle qu’elle s’affirme au cours du xvi e siècle sur la frontière disputée entre les ducs de Lorraine et la Comté de Bourgogne ; de saisir plus concrètement la manière dont se réalise la volonté du souverain d’encadrer et d’assujettir la société frontalière marquée par le statut de « surséance ». Certes, l’octroi de la grâce princière, comme discours normatif, survalorise par nature le point de vue du prince, exprimant à travers des catégories pénales les résistances ou les comportements incriminés. Toutefois, les requêtes permettent de reconstituer l’expérience concrète de la frontière. Les processus à l’œuvre ne sont pas univoques. Le sentiment d’appartenance à un État princier, l’obéissance des officiers par-delà les solidarités locales donnent des signes d’affermissement. Les autonomies locales ne sont pourtant pas frontalement remises en cause. Il faut savoir pour les souverains composer avec les pouvoirs locaux qui sont des relais indispensables de leur autorité. La frontière reste un territoire dont le contrôle est toujours à conforter car la conflictualité qui s’y exprime est le fruit de forces centrifuges et centripètes alimentées par les rivalités entre Habsbourg et Valois. L’idéal d’un territoire délimité, politiquement et juridiquement unifié véhiculé par la Royauté française trouve ici ses limites jusqu’au début du xvii e siècle. Pour le duc de Lorraine, la contestation de sa souveraineté l’a conduit à user, entre ses terres et la Franche-Comté, de la plénitude de ses droits et des arguments que lui offrait le système impérial pour consolider les agrégats dont étaient formés ses États et les démarquer de son voisin comtois, solidement arrimé au « chemin de ronde » espagnol.
Émergence et transformation du puritanisme (1559–1660) : quelques jalons historiographiques
Authors: Gheeraert-Graffeuille Claire , de Mézerac-Zanetti Aude
Published: October 2023

Cet article présente la vaste bibliographie consacrée aux puritains et au puritanisme, ainsi qu’à l’épineuse question de l’existence même du phénomène. Il cherche aussi à resituer le mouvement puritain des années 1559–1642 dans l’historiographie de la Réforme anglaise et celle des causes de la Guerre Civile anglaise. La dernière partie de l’article propose une modélisation qui illustre les controverses suscitées par les difficultés à définir le puritanisme et à isoler les puritains des autres protestants anglais.
“My God, you’re fun to kiss”: Love, Lust, and Liminality in Tender Is the Night
Authors: Blazek William
Published: October 2023

Le présent article s’inspire des théories classiques de la liminalité pour montrer les différentes façons dont Tender Is the Night déploie des personnages, des scènes et des constructions narratives qui sont « entre-deux », des passages de frontières et des franchissements de seuils qui sont autant de signes du changement personnel et social. Chacune des trois grandes sections du texte est centrée sur l’impact d’un premier baiser spectaculaire : celui entre Dick Diver et Rosemary Hoyt, qui marque une transition, celui entre Dick et Nicole Diver, qui implique un transfert, et celui entre Nicole Diver et Tommy Barban, qui amène une transformation. Les qualités gyrosphériques de ces transactions liminales entraînent un tourbillon de conséquences pour les personnages, et viennent enrichir d’implications supplémentaires le traitement de la mutabilité dans le roman. À travers l’analyse de détails textuels qui montrent comment Fitzgerald utilise les images et le lexique de la liminalité pour explorer les frontières de l’amour et du désir, le thème du changement trouve à se prolonger dans une critique de la civilisation occidentale de l’après-guerre et de nouveaux phénomènes troublants comme l’industrie du cinéma, l’essor de la clinique, et la reconfiguration des identités genrées.
La croyance dans le fumoir : “The Portrait of Mr. WH”, l’éthique de la croyance de William Kingdon Clifford et l’assentiment selon John Henry Newman
Authors: Coste Bénédicte
Published: October 2023

Le récit de Wilde « The Portrait of Mr. W.H. » brouille les genres littéraires, affirme l’importance du faux et se joue des attentes du lecteur, au point d’avoir suscité une substantielle exégèse, à laquelle il manque peut-être un ancrage dans les débats sur la croyance traversant les années 1870-1880. Wilde prend part au débat à travers un texte au statut incertain et à l’histoire éditoriale complexe, en opposant l’assentiment newmanien à l’éthique de la croyance de W.K. Clifford (1877), avant d’affirmer la suprématie du désir, ruinant ainsi tout assentiment et toute croyance épistémiquement justifiée. Aux exigeantes théories philosophico-religieuses de Clifford et Newman, Wilde répond par un récit ambigu, subversif, destiné à complexifier des thèses qu’il estime sans doute trop simples pour l’homme du commun, c’est-à-dire les sujets du désir que sont ses lecteurs.
La gratitude, gratuite réponse à un don gratuit
Authors: Ide Pascal
Published: October 2023

Si tout le monde s’accorde sur la définition de la gratitude – elle est la réponse à un bienfait –, en revanche, deux questions demeurent en suspens, concernant son acte et son fondement. Une première partie passe en revue les différentes opinions sur l’acte de la gratitude – prise de conscience du bienfait, émotion éprouvée en le recevant, acte de remerciement qu’appelle ce bienfait – sans pouvoir trancher. Une deuxième partie présente les deux thèses en présence – la reconnaissance est désintéressée (donc libre), elle est une reddition de dette (donc obligatoire) – et tranche en faveur de la première, attestée par de nombreuses études. La conclusion souligne désormais que, des trois actes constitutifs de la gratitude, le retour est premier ; l’essence de la gratitude s’en trouve précisée : elle est la gratuite réponse à un don reçu gratuitement.
Accompagner les processus pastoraux pour renouveler les ministères. Réflexion à partir de la situation en Italie du Nord
Authors: Giuffrida Giovanni
Published: October 2023

Cet article est issu d’une conférence donnée en novembre 2022 à l’occasion du congrès « Vocations et ministères dans une église synodale » dans le diocèse de Trévise. L’approche de la théologie pastorale permet de mettre en évidence certains processus culturels et ecclésiaux qui sont en cours dans le contexte de l’Italie du Nord. Une lecture de ces processus conduit, en s’appuyant également sur le récent magistère du pape François, à proposer un renouveau des ministères dans plusieurs domaines : la Parole, l’accompagnement et l’animation ; l’hospitalité ; la formation-éducation.
L’immigration chinoise en France
Authors: Attané Isabelle
Published: October 2023

L’immigration chinoise, bien que toujours marginale à l’échelle de la France métropolitaine, à la fois en termes de stocks et de flux, a connu depuis les années 1980 une croissance six fois plus rapide que celle en provenance des autres pays. Cet article vise à pallier la relative méconnaissance de cette immigration sur un plan quantitatif. Il analyse tout d’abord les données des recensements afin d’en décrire les principales caractéristiques sociodémographiques par comparaison aux autres immigrés. Il se fonde ensuite sur des données administratives afin d’étudier les flux alimentant la croissance de la population chinoise en France et d’estimer les flux de sortie. Deux principaux résultats ressortent des analyses : d’une part, une forte concentration résidentielle en Île-de-France et dans les zones les plus urbanisées du pays ; d’autre part, l’apport significatif de la migration étudiante, qui modifie progressivement le profil sociodémographique général des migrants chinois en France.
« Pas seulement des histoires ». Les perspectives de la générativité sociale pour les familles avec enfants handicapés
Authors: Maggiolini Silvia , Zanfroni Elena
Published: October 2023

La narration a toujours été utilisée par les êtres humains. À travers les pratiques de narration et, spécifiquement, à travers l’utilisation de formes de langage métaphorique, il est possible de relire des expériences complexes, de délier des nœuds pour libérer des émotions, légitimant la possibilité de les extérioriser. Ces aspects sont particulièrement importants si l’on considère l’expérience des parents et des membres de la famille après l’impact de l’événement handicapant. L’objectif de cet article est de rappeler le rôle fondamental qu’assume la production littéraire en tant qu’espace de concrétisation d’une dimension de la générativité sociale. En s’inscrivant dans le champ des études qui analysent les scénarios actuels liés à la crise pandémique et post-pandémique, ce texte vise également, dans une perspective pédagogique, à souligner les évolutions qui entrecroisent les histoires de vie et les parcours de maturation personnelle et familiale, selon des équilibres systémiques.
Les « vrais viols » et les autres
Authors: Pérona Océane
Published: October 2023

Cet article questionne le travail policier dans les affaires de violences sexuelles, à partir d’une ethnographie de dix mois dans un service d’investigation spécialisé dans les viols commis sur des victimes majeures. L’article montre que le travail policier en matière de viols est façonné par des logiques professionnelles spécifiques au champ policier, elles-mêmes plus ou moins perméables à des représentations de genre. L’article fait dialoguer la sociologie du travail policier avec les travaux sur les mythes du viol, et s’intéresse aux hiérarchies que les policiers opèrent entre les affaires. Celles-ci sont révélatrices de trois logiques de valorisation interne du travail des enquêteurs : le mystère lié à l’élucidation d’une affaire, la lutte contre de dangereux prédateurs, ainsi que la sévérité de la réponse judiciaire.
Chronique de jurisprudence de la Cour africaine des droits de l’homme et des peuples (2022)
Authors: Burgorgue-Larsen Laurence , Sognigbe-Sangbana Muriel
Published: October 2023

Le contentieux africain des droits de l’homme poursuit son expansion tant s’agissant du droit procédural que du droit substantiel. La jurisprudence de la Cour s’est largement inscrite dans la confirmation de ses standards même si, sur certaines questions, elle a semblé marquer le pas, comme pour trouver un équilibre entre la protection de la personne humaine et la reconquête de la confiance des États. Elle frappe par l’absence d’avis consultatif, le nombre des ordonnances de mesures provisoires en chute libre, l’absence de nouvelle ratification du Protocole de Ouagadougou et de nouvelle déclaration au titre de l’article 34, § 6, du même Protocole. Deux arrêts majeurs, tous deux sur le droit des peuples, l’un sur la problématique des peuples colonisés et leur droit à l’autodétermination (affaire Bernard Anbataayela Mornah ) et l’autre sur la problématique des peuples autochtones et leur droit à l’existence et au développement (affaire de la Communauté des Ogieks ) ont ramené la Cour aux particularismes de son système qui impactent son droit procédural, s’agissant de la première affaire, et son droit des réparations, s’agissant de la deuxième.
« Un président ne devrait pas dire ça »
Authors: Favreau Bertrand
Published: October 2023

L’arrêt Mesić c. Croatie de la Cour européenne des droits de l’homme du 5 mai 2022 constitue une nouvelle approche du conflit entre la liberté d’expression protégée par l’article 10 de la Convention et le droit à la vie privée tel qu’il est garanti par l’article 8. Au-delà d’une mise à jour de la méthodologie de la « mise en balance » dans la lignée des arrêts Von Hannover et Axel Springer AG c. Allemagne , il vient également renforcer le statut et le rôle accordés à l’avocat en considération du droit pour chacun d’avoir accès à un tribunal dans la filiation notamment de l’arrêt fondateur Golder c. Royaume-Uni , mais aussi la place centrale de l’avocat dans le système de protection des droits de l’homme instauré par la Convention.
La Charte des droits fondamentaux de l’Union européenne, rempart contre les expulsions génératrices de « douleurs intenses »
Authors: Rizcallah Cecilia , Ceurremans Timothée
Published: October 2023

Quel sort réserver à une décision de retour qui, si elle est exécutée, pourrait être la cause, pour la personne concernée, de douleurs intenses menaçant sa dignité humaine ? Telle était la question à trancher par l’arrêt commenté. À cette occasion, la Cour de justice précisa son interprétation du seuil de gravité requis pour relever de l’interdiction de traitements inhumains et dégradants consacrée à l’article 4 de la Charte des droits fondamentaux de l’Union européenne. Au détour de cette problématique furent également abordées des questions centrales relatives à la protection des droits fondamentaux par l’Union européenne, en particulier liées au champ d’application de la Charte et à sa relation avec les standards de la Convention européenne des droits de l’homme. Ce commentaire s’emploie à livrer une analyse critique des réponses apportées – et questions soulevées – par cet arrêt.
L’affaire Halet c. Luxembourg , des avancées mitigées dans la protection des lanceurs d’alerte
Authors: Stoppioni Edoardo
Published: October 2023

L’arrêt de la Grande Chambre de la Cour européenne des droits de l’homme dans l’affaire Halet c. Luxembourg est une décision majeure sur l’évolution de la protection conventionnelle des lanceurs d’alerte. Par un « affinage » des critères traditionnellement retenus par la Cour afin de délimiter l’étendue de cette protection, la Grande Chambre provoque une évolution en demi-teinte de cette jurisprudence. Des critiques peuvent être adressées à ce raisonnement ainsi qu’à la motivation de la démarche méthodologique de la Cour, notamment en ce qui concerne sa conception de la procéduralisation du contrôle.
Growth and yield of shallot (Allium ascalonicum L.) as influenced by soil application of liquid urea and cow urine
Authors: Archana Kanakanayagam , Seran Thayamini H.
Published: October 2023

This experiment was carried to evaluate the effect of liquid urea and cow urine with cow dung on the economic yield of shallot (Allium ascalonicum L.) in the Eastern Province of Sri Lanka. The experiment was arranged in a Completely Randomized Design (CRD) with eight replicates and six treatments namely, T1: 20 g cow dung, T2: 20 g cow dung + 3% urea, T3: 20 g cow dung + 3% cow urine, T4: 30 g cow dung, T5: 30 g cow dung + 3% urea, and T6: 30 g cow dung + 3% cow urine. The soil applications of liquid urea and cow urine were done as top dressing at two weeks interval from 3rd week after planting (WAP). Data were collected at 3rd, 5th, 7th, and 9th WAP and at harvesting stage. The results revealed that there were significant (P<0.001) variations in plant height, number of bulbs, bulb diameter, fresh weight of single bulb, number of roots, root length, dry weight of leaves, dry weight of bulbs per plant and bulb yield per unit land among the treatments. Relatively higher yield (37.5 t/ha) was obtained from the plants treated with 30 g cow dung and 3% urea (T5) than other treatments whereas 20 g cow dung alone (T1) produced the lowest yield (8.4 t/ha). T6 (30 g cow dung and 3% cow urine) gave 32.6 t/ha bulb yield. It was also noted that there was no remarkable (P>0.05) difference in the bulb yields between T2 and T3. However, significant variation was observed between T5 and T6. The combined effect of cow dung and liquid urea fertilizer increased the onion yield. From this study, it could be stated that 30 g cow dung with 3% urea or 3% cow urine could give high bulb yield in the shallot cultivation at rural areas in Sri Lanka where farmers could easily collect the locally available materials for crop production in ecofriendly manner.
Assessing the impacts of COVID-19 pandemic on agricultural and food systems in Badulla District, Sri Lanka
Authors: Amarakoon A. M. C. , Rathnayake R. M. S. D. , Wijesinghe W. A. J. P. , Herath H. M. S. K.
Published: October 2023

Despite the health condition, the global pandemic COVID-19 resulted in various negative impacts such as threats to the sustainability of agricultural and food systems on a global scale. It is therefore necessary to analyse and comprehend the immediate consequences of current pandemic on agricultural and food systems in order to develop necessary actions. This study was carried out to assess the impact of COVID-19 pandemic on agricultural and food systems in Badulla district, Sri Lanka where the study was conducted in four Agriculture Instructor (AI) regions namely Badulla, Bandarawela, Welimada and Mahiyangana, from September 2020 to March 2021. AI regions were selected using cluster sampling technique and data were collected from randomly selected 209 farmers by administering a structured questionnaire. Data were analysed using quantitative techniques and text analysis. Results revealed that the key issue faced by the farmers was marketing and distribution. Other main problems were associated with labor, quality raw-material, finance, prices of the raw-material and quality degradation at postharvest stage including storage. Importantly, farmers have received enough farming consultancy during the pandemic. The majority of the farmers had not attempted any innovative approach to mitigate these issues but some farmers had adopted temporary solutions. In conclusion, innovative approaches in making farmers more engaged in risk management similar to COVID-19 pandemic are needed in future.
The Economic Disparity across Sri Lanka’s Districts
Authors: Abeynayake N. R. , Shafna A. M. , Weerasooriya Senal A.
Published: October 2023

Globally, there is an increasing regional economic development disparity. The region’s growth depends on strong economic development. The sustainable development of Sri Lanka could be harmed by the regional economic disparity. An essential consideration in the establishment of regional development policies is the identification and magnitude of regional economic disparities. This study looks at the current state of Sri Lanka’s regional economic development disparity. This study’s methodology in this regard involved using several economic development metrics. Data for the year 2019 was acquired through authoritative sources. The multivariate analysis technique using the principal component analysis (PCA) approach has been adopted, which assigns a weight to each dimension and indicator to create composite indexes. The economic development of the western province was higher than that of the other provinces, but there was also a notable disparity between the districts of the western province, with the Colombo district having the highest economic development index. The resulting indices enable policymakers to prioritize regions for additional efforts while also assessing the state of regional disparities. The new index also makes it feasible to classify local government entities logically to support the government’s numerous policy-making and development initiatives. To calculate an index of economic disparity similar to that, the approach would apply to any nation.
Are voiding volumes and frequencies different in the three-day voiding diary in children with lower urinary tract dysfunction?
Authors: Ergun Raziye , Sekerci Cagri Akin , Cetin Mehmet , Sahak Mohammad Yasir , Yucel Selcuk , Tarcan Tufan
Published: October 2023

Aim: The voiding diary (VD) yields crucial insights into voiding volumes (VV), voiding frequency (VF), and management habits in children with lower urinary tract (LUT) dysfunction. It is recommended to be conducted for a minimum of 2 days. Nevertheless, certain studies have indicated similarities in voided volumes between days in a three-day VD. This study aims to compare VV and VF values across days based on bladder capacity and symptom scores. Materials and Methods: Children who applied to the pediatric urology clinic due to LUT symptoms between 2022 and 2023 were included in the study. Retrospective evaluation was conducted on the records. Children with neurological deficits and incomplete data were excluded from the study. All children were assessed following the guidelines of ICCS and EUA and underwent a 3-day voiding diary. Mean VV and VF values of the whole group for each day were compared and subgroup analyzes were performed in terms of gender, Voiding Dysfunction Symptom Score (VDSS), bladder capacity (BC), and diagnoses. Results: A total of 109 (53 girls (48.6%), 56 boys (51.4%)) children with a median age of 8 (3-17) were included in the study. 77 (70.6%) children were diagnosed with overactive bladder, 8 (7.4%) with dysfunctional voiding, and 24 (22%) with monosymptomatic enuresis nocturne. The mean VVs between days were similar in the whole group (p = 0.759). Moreover, the mean VV of the first day was similar to the average of both the first two days and the three days (p = 0.021, p = 0.490). Also, the maximum and minimum VVs were similar between days (p = 0.942, p = 0.160, respectively). In subgroup analyses based on gender, bladder capacity, and symptom score, mean VV was also found to be similar. VF values were found to be significantly different between days. There was also a difference between VF values in children with VDSS > 8.5 (p = 0.012) and BC/EBC (%) > 65 (p = 0.030). In subgroup analysis for diagnoses, mean and maximum VV and VF were similar between the groups, except for VF (p = 0.026) in OAB. Conclusion: While the voided volumes of children with non-neurogenic LUT dysfunctions appear to be consistent across the days of the VD, variations in VF might arise, especially among children with a VDSS of > 8.5 and normal bladder capacity. As a result, we believe that using a VD spanning at least two days could enhance diagnostic accuracy and help prevent unnecessary treatment.
37° Congresso nazionale SIGOT | Catanzaro, 4-6 ottobre 2023
Authors: Editors The
Published: October 2023

Abstract Book of the 37° SIGOT National Congress | Catanzaro, 4-6 October 2023.
Synchronous lung cancer presenting with small cell carcinoma and squamous cell lung carcinoma: a case report
Authors: Stirpe Emanuele , Bardaro Floriana , Koehl Johanna
Published: October 2023

Synchronous multiple primary lung cancers are separate tumors presenting at the same time with different histology. We present a rare case of a 64-year-old patient with a combination of small-cell lung carcinoma (SCLC) and squamous carcinoma in two different sites with metastasis of SCLC in the mediastinal lymph node. The SCLC diagnosis was performed via bronchoscopy, and the other diagnosis via CT-guided transthoracic biopsy. It is often difficult to distinguish a synchronous tumor from intrapulmonary metastases. To date, there are no guidelines for the treatment of these cases. The management of synchronous multiple primary lung cancer (SMPLC), mainly surgical with chemotherapy or radiotherapy, must be studied according to the histological type, staging and molecular testing of the tumors. These rare cases of SMPLC require individual treatment and a multidisciplinary approach.
Mental health challenges experienced by LGBTI+ community in Gaborone: A phenomenological study
Authors: Mangwegape David S. , Manyedi Eva , Molato Boitumelo J.
Published: October 2023

Background: Mental health challenges have affected the entire global population including individuals identifying as lesbian, gay, bisexual, transgender, intersex and others (LGBTI+). There is documented evidence of a high prevalence of mental health challenges among LGBTI+ community across the globe, but in Botswana there is dearth of literature pertaining to the phenomenon of LGBTI+ mental health challenges.Aim: The study was aimed at exploring and describing the mental health challenges experienced by some people identifying as the LGBTI+ community in Gaborone, Botswana.Setting: The study was conducted in Gaborone in Botswana.Methods: The study adopted a qualitative, phenomenological, descriptive design with 15 participants identified through snowball sampling. LEGABIBO, the LGBTI+ advocacy organisation, served as gatekeeper after Health Research and Development Division under the Ministry of Health and Wellness gave the ethical clearance of the study. Data were collected through unstructured telephonic interviews and recorded with a digital voice recorder.Results: The study established that some LGBTI+ individuals experienced mental health challenges like experiences of depression, experiences of gender dysphoria, and loneliness and isolation.Conclusion: It is concluded that individuals identifying as LGBTI+ experience mental health challenges that stem from being stigmatised and discriminated among others.Contribution: The findings of the study provide information that may be used in dealing with mental health issues of individuals identifying as LGBTI+. Furthermore, the findings may inform nursing practice, research and education issues on LGBTI+ as well as influence health policy in addressing the mental health issues of those identifying as LGBTI+.
A systematic review of effective parent-adolescent sexual and reproductive health information communication in lower- and middle-income countries
Authors: Agyei Frank B. , Kaura Doreen K.
Published: October 2023

Background: Parents play an important role in the sexual and reproductive health (SRH) of their adolescents. Parent–adolescent SRH information communication is cardinal and is expected to improve SRH outcomes of adolescents.Aim: The aim of this systematic review was to search for effective SRH information communication interventions in lower- and middle-income countries (LMICs) to inform the adaptation of parent–adolescent SRH information communication intervention.Method: This is the first phase of an explanatory sequential mixed method study. The systematic review was carried out by employing Joanna Briggs Institute software for reviews. Search sources included Cochrane Reviews Library, EMBASE, CINAHL, PubMed, OVID, Scopus, Web of Science and Science Direct. A systematic search strategy was formulated, making use of the key terms: adolescent, teenager, youth, parent, mother, father, caregiver, reproductive, sexual, health, information, communication and intervention.Results: Five articles met the inclusion criteria for full-text screening. The interventions included addressed sociodemographic covariates; parent–adolescent general communication; parental monitoring; parent–adolescent communication about sex-related topics; parent’s sexual communication skills; parent’s self-efficacy in sexual communication; parent’s responsiveness to sexual communication; communication frequency; quality of sex‑related communication and information-motivational-behavioural skills.Conclusion: Findings suggest that evidence-based SRH information communication interventions are effective in improving parent–adolescent SRH information communication to optimise safe SRH behaviour in LMICs.Contribution: This systematic review identified effective SRH information communication interventions in LMICs, which can form the basis of further qualitative exploration for adaptation of a culturally sensitive intervention in Ghana.
The emerging role of Artificial Intelligence in diagnosis and clinical analysis of dermatology
Authors: Ye Shengzhen , Chen Mingling
Published: October 2023

Dermatology, as a highly intuitive clinical discipline, requires dermatologists to apply their own knowledge and clinical experience to make a reasonable diagnosis for various skin diseases. However, the diagnosis results are largely affected by the subjective consciousness of dermatologists, and there is a certain misdiagnosis rate, especially in areas with low medical levels. Therefore, there is an urgent need for more accurate, objective, and efficient auxiliary diagnostic tools to improve the diagnostic level of skin diseases. Facing an increasing number of patients and higher requirements for accurate diagnosis of diseases, Artificial Intelligence (AI) technology has attracted considerable attention in the field of dermatology. As a nonorganism, the computer is not affected by subjective consciousness, emotion, fatigue, and other factors in the recognition process. It helps to improve the efficiency of diagnosis and assists human doctors to provide objective and accurate diagnosis results. This paper systematically summarizes the research progress of AI in the diagnosis and application of skin cancers, acne, rosacea, onychomycosis, psoriasis, vitiligo, atopic dermatitis, and eczema diseases at home and abroad in recent years, hoping to help dermatologists have a deeper understanding of AI.
From zero to one: Recent advances in the pathogenesis, diagnosis, and treatment of vitiligo
Authors: Shen Peng-Chieh , Tsai Tsung-Fu , Lai Yi-Jing , Liu Tzu-Li , Ng Chau Yee
Published: October 2023

Vitiligo is the most common acquired pigmentary disorder and can have profound negative psychosocial impacts on patients. The disease course of vitiligo is often unpredictable, and diagnosis and treatment of vitiligo remain a challenging dermatological task. In this review, we touch on new advances in understanding vitiligo pathogenesis; discuss emerging biomarkers that may aid physicians in assessing vitiligo disease activity and severity, and summarize prospective targeted therapies in treating vitiligo. A brief outline dedicated to the impact of the coronavirus disease 2019 pandemic on vitiligo patients is also provided. We hope that readers may acquire a more comprehensive understanding of vitiligo and gain insights into new diagnostic tools and therapeutic options for vitiligo.
Mask-related adverse skin reactions and risk factors: A literature review
Authors: Ku Jin-Ling , Sun Min-Hao , Yen Yi-Chang , Chi Ching-Chi
Published: October 2023

Wearing facial masks is a commonly used personal protection measure during the COVID-19 pandemic. However, prolonged use of masks has caused adverse skin reactions in both health-care workers (HCWs) and the public. In this study, we conducted a narrative review of mask-related adverse skin reactions and risk factors. Common mask-related adverse skin reactions include retroauricular dermatitis, cheilitis, rosacea, acne vulgaris, nasal bridge damage, itch, allergic contact dermatitis, and irritant contact dermatitis. Urticaria, facial pigmentation, and maceration were also reported as mask-related adverse skin reactions while the association was rarely reported. Long duration of wearing masks, preexisting skin diseases, and being HCWs are highlighted as definite risk factors. Skin conditions for example oily, dry, and sensitive skin lead to an increased risk of mask-related adverse skin reactions. In conclusion, this review provides a summary of mask-related dermatoses and their prevalence and risk factors. This article can inform the HCWs and the public to better identify mask-related adverse skin reactions and risk factors. Thus, they may adopt appropriate preventative measures based on their individualized circumstances.
Autism Spectrum Disorder: Treated with Homeopathic Constitution Medicine: A Case Series Study
Authors: Maheswari M. S. Uma , Sisir P. R.
Published: October 2023

Autism spectrum disorder (ASD) is characterized by persistent impairment in reciprocal social interaction and communication and restricted, repetitive patterns of behavior, interests, and activities. Thus, this pervasive developmental disorder poses a threat of lifelong disability. Two cases of ASD treated with Nux Vomica 1 M and Sulphur 1M at Sarada Krishna Homoeopathic Medical College are presented to show the significance of homeopathic constitutional medicine in ASD treatment. At the initial visit as well as the subsequent follow-up appointments, the Indian Scale for Autism Assessment (ISAA) was utilized to determine the degree of autism. The patients showed remarkable improvement over the course of the treatment. The ISAA score in the first case, which was 143 at the start of the treatment, decreased to 69 after receiving medication for 11 months (ISAA score 143: moderate autism). In the second case, the patient’s initial ISAA score of 73 (ISAA score 73: mild autism) dropped to a corresponding 44 after 10 months of treatment. These experiences have brought to light the significance of matching remedies to patients’ unique symptoms and demonstrated the value of homeopathic therapy in the treatment of ASD.
Sprint Time Performance in Pittu: A Traditional Indian Sport
Authors: Awachat Harshada , Sathe Prachi Khandekar , Mardi Sunita , Sathe Abhinav , Kumar D. Vijay , Gupta Abhishek
Published: October 2023

Introduction:

Pittu, a traditional sport deeply rooted in southern Asian culture, has been played since ancient times and holds national significance across multiple nations. This study aimed to assess the performance of male and female pittu players using the 20-m sprint time test, a valuable tool for evaluating running duration and enhancing players’ proficiency in the sport. In addition, the study focused on exploring the correlation between sprint performance and anthropometric factors that influence the players’ performance.

Methodology:

This study was conducted with a total of 48 pittu players, including 33 males and 15 females, who participated in the Second Senior National Pittu Championship organized by the Madhya Pradesh Pittu Association, under the Pittu Federation of India. The age range of the participants was 15–22 years. A sprint time test was administered, measuring the players’ performance over a distance of 20 m. Demographic variables and sprint performance data were collected for analysis.

Results:

The study presents valuable data of sprint performance measured by 20-m sprint performance test. A significant difference (P < 0.05) in weight (P = 0.003), bone mass (P = 0.023), and muscle mass (P = 0.0001) was observed between male and female participants in terms of sprint time performance. Furthermore, the findings of the study revealed a negative correlation between sprint performance and specific demographic variables, including weight (P = 0.003), bone mass (P = 0.023), and muscle mass (P = 0.0001).

Conclusion:

The findings shed light on the impact of gender on sprint performance in pittu players, emphasizing the importance of considering physiological characteristics when assessing and optimizing players’ performance in this traditional Indian sport. This study also highlights the negative correlation and significant differences associated with various physiological factors in relation to sprint time performance in pittu players.
Comparison of Traditional Stimuli versus Novel Stimulus-evoked Masseteric Vestibular-evoked Myogenic Potential in Normal-hearing Adults
Authors: Bheda Kalpesh
Published: October 2023

Background:

Vestibular-evoked myogenic potentials (VEMPs) are the electromyographic (EMG) responses, widely used to assess the functional integrity of otolith organs, i.e., utricle recorded via ocular VEMPs at the level of inferior oblique muscle and saccule via cervical VEMPs at sternocleidomastoid muscle. In addition, VEMPs can also be recorded from other regions of the body as well that includes triceps muscle, trapezius muscle, gastrocnemius muscle, and masseter muscle. The short-latency inhibitory EMG responses recorded at the level of active masseter muscles with acoustic stimulation of vestibular end organ are referred to as masseteric VEMPs (mVEMPs).

Aims and Objectives:

The present study aimed at comparing various parameters of mVEMP responses such as latency, amplitude, and asymmetry gain across different stimuli.

Materials and Methods:

A total of 21 normal-hearing healthy individuals with a mean age of x̄ = 21.14 years and σ =1.7 participated in the study with a pure-tone average of 15 dBHL in air and bone conduction testing and normal immittance results for both ears.

Results:

Therefore, the median latency values for P11 were obtained as M = 11.84 ms, M = 14.67 ms, and M = 11.33 ms in the right ear and M = 11.83 ms, M = 14.83 ms, and M = 11.33 ms in the left ear for clicks, 500 Hz tone burst, and 500 Hz narrow band level specific (NBLS) chirp, respectively. Similarly, for N21, latency values were M = 20 ms, M = 25.16 ms, and M = 20.16 ms in the right ear and M = 19.67 ms, M = 24.67 ms, and M = 19.33 ms in the left ear for clicks, 500 Hz tone burst, and 500 Hz NBLS chirp, respectively.

Conclusion:

The study suggested mVEMP response to have significantly early latencies and largest amplitudes for 500 Hz NBLS chirp than clicks and 500 Hz tone burst stimuli. The NBLS chirp is an appropriate substitution for clicks and tone burst in assessing vestibulo-trigeminal pathway.
Vulnerability Assessment of Maternal Factors (Matrija Bhava) for the Causation of Metabolic Disorders in Childhood (0–6 years): A Cross-sectional Study
Authors: Bhardwaj Priyanka , Sabharwal Pooja
Published: October 2023

Objective:

The primary objective is to assess the vulnerability of Matrija Bhava for the causation of metabolic disorders in the purview of epigenetics.

Data Source:

This study was conducted at the PG Department of Rachana Sharir, CBPACS, New Delhi, and AIIMS, New Delhi.

Materials and Methods:

Twenty subjects of metabolic disorders, namely diabetes mellitus, obesity, and hypothyroidism cases, were taken to collect the data. The self-structured information sheet/case paper pro forma followed by a consent form was used to record all the data of the subject along with their mother’s history (at the time of pregnancy) included in the study. All the observations were recorded and furnished for statistical analysis.

Results:

It was observed that Lavana, Madhura, Amla, and Katu Rasa Ahara; Viruddha Ahara, Ratrijagrana and Divaswapna were observed as a potential factor affecting the Metabolism of the mother at the time of their pregnancy with the subject; thereby causing related metabolic disorders to the subject.

Conclusion:

Maternal factors (Matrija Bhava) are vulnerable to cause metabolic disorders in childhood.
Role of Speech–Language Pathologist in Rehabilitation in an Individual with Dysarthria in Medically Diagnosed Case of Alexander Disease – A Single Case Report
Authors: Rautara Sarita , Kant Himanshu
Published: October 2023

Alexander disease is a rare nervous system disorder resulting from GFAP gene mutation, cause dysarthria in children to adults. A comprehensive language and speech including voice, articulation, and speech intelligibility assessment were carried out before providing speech therapy. The result indicated a poor maintenance of voice and articulation with hypernasality, making the speech more unintelligible. However, after sessions of speech therapy, improvement was observed with reduced hypernasality, improved articulation, and overall speech intelligibility.
A Case of Scrub Typhus Presenting with Acute Respiratory Distress Syndrome and its Management in Intensive Care Unit
Authors: Majmundar Aarjuv Hemant , Jain Sakshi R. , Darda Shubham R. , Lakhani Jitendra D.
Published: October 2023

Orientia tsutsugamushi causes a zoonotic infection called scrub typhus, which is transmitted by trombiculid mite larvae. The infection is widely distributed throughout the Asia-Pacific region and has also been reported in various parts of India. The disease is an important cause of “tropical sepsis” and could produce severe complications such as encephalitis, pneumonia, myocarditis, cardiac arrhythmia, and acute respiratory distress syndrome (ARDS). A thorough physical examination is required by the physician, as the rash or eschar could sometimes be unnoticed or absent, and finding one could help in early diagnosis and preventing further complications with prompt treatment. Hereby, we present a case of scrub typhus that complicated into ARDS and was diagnosed on the basis of the presence of an eschar, a positive Weil–Felix result, and a positive quick diagnostic kit (immunochromatographic assay). We will also elaborate on the noninvasive management of the patient in the intensive care unit.
A Questionnaire-based Analysis of Parental Perspectives on Pediatric Cochlear Implant Rehabilitation Services in India
Authors: Parmar Mansha , Sharma Mukesh , Kumar Santosh
Published: October 2023

Background:

Hearing loss has an impact on the development of speech, language, and social skills in children. A cochlear implant is the best option for most of the child’s communication development.

Aims and Objectives:

The study aimed to analyze the parental perspectives on rehabilitation services offered for pediatric cochlear implant (CI).

Materials and Methods:

A nonstandardized questionnaire comprising 25 items was created to understand the perspectives of parents of pediatric CI users. Questionnaire was designed in order to examine rehabilitation services such as parental stress, reasons for delay in obtaining services, sources of emotional support and parents’ views of their children post-CI. The questionnaire was posed to 100 parents, and responses were recorded and coded.

Results:

Qualitative and quantitative analyses based on parents’ responses identified several factors that significantly influenced parental perspectives during each stage. The major factors delaying the decision to go for CI included a fear of surgery, lack of funds for CI and the subsequent rehabilitation process, and limited knowledge. Key concerns were the child’s academic performance and social acceptance. A significant reduction in the parental stress levels was observed following CI surgery.

Conclusion:

Parents indicated that local support for therapy, financial assistance, and better guidance at each stage would substantially help in lowering stress levels.
Three-Dimensional Printing: A Tool for Redefining Pediatric Dental Practice
Authors: Bansal Barkha , Kariya Pratik B.
Published: October 2023

As the technology is emerging rapidly, the health industry has shifted its standard towards providing the best and minimally invasive, novel treatment options to the patients to choose from three-dimensional (3D) printing technology. After its introduction in medicine and health care, 3D printing technologies are advanced manufacturing technologies based on computer-aided design (CAD) digital objects to create customized 3D objects automatically with the help of software. 3D printing technology is valuable to clinicians as well as patients as it is time-saving and helps the clinician to view the precise anatomy and fabricate patient-specific models, surgical guides, stents, prostheses, and drug delivery systems. Because of its advantages, it is widely used in various branches of dentistry and its application in Pediatric dentistry has also taken a broad path. 3D printing will play a larger role in dentistry in the future. The integration of scanning, visualization, CAD, milling, and 3D printing technology, together with the profession’s intrinsic curiosity and innovation, makes this an exciting time to be in dentistry. Hence, the aim of this review article is to provide knowledge and awareness about 3D printing and its application in pediatric dentistry.