bluuebunny/crossref_metadata_2025 huggingface dataset:
Rethinking Authentic Leadership: Insights from a Study of Female Entrepreneurs
Authors: Stephenson Peter
Published: June 2023

The critiques of Authentic Leadership Theory (ALT) require us to reconsider the concept of authenticity in leadership. Through semi-structured interviews with 14 female entrepreneurs in the United Kingdom (UK), this study sought to establish whether the concept of authenticity in leadership has practical applicability for female entrepreneurs. Support was found for the strongest critiques of ALT, and a consensus was identified among the participants that being authentic in leadership is a balancing act between the values of the individual and the values of (and duties to) the organisation and its members. The study also found that, as entrepreneurs, the participants did not experience the challenges of being authentic leaders that extant literature has shown females in other roles to be experiencing. The findings lead to the proposition that the concept of ALT is abandoned and replaced by a more fluid understanding that acknowledges the complexities and subjectivities associated with the notions of ‘leading with authenticity’.
Health-related quality of life in female patients with reumatoid arthritis: a structural equation model
Authors: Kim Bukyung , Sung Mi-Hae
Published: June 2023

Purpose: This study aimed to construct a structural equation model to explain and predict factors affecting the health-related quality of life (QoL) in female rheumatoid arthritis (RA) patients based on the health-related QoL model by Ferrans et al. (2005) and a literature review.Methods: Patients (N=243) who were either registered members of an internet cafe composed of patients with RA or rheumatology outpatients at two tertiary general hospitals in Busan, Korea, were recruited via convenience sampling. Data were collected from July 2 to September 9, 2021, and the survey was conducted using a web-based questionnaire. The data were analyzed by SPSS and AMOS 26.0.Results: The goodness-of-fit statistics of the final model exhibited good results (χ2/degree of freedom=2.68, Turker-Lewis index=.94, comparative fit index=.96, standardized root mean-squared residual=.04, root mean- square error of approximation=.08), and 11 out of 14 paths of the model were supported. The squared multiple correlation, which reflected the explanatory power of the environmental characteristics, symptoms, functional status, and perceived health status on health-related QoL, was 80%. In the hypothesis model, 10 paths had significant direct effects, 6 paths had significant indirect effects, and 12 paths had significant total (direct and indirect) effects.Conclusion: Considering that factors directly affecting the health-related QoL of female patients with RA were social support, symptoms (fatigue and depression), resilience, and perceived health status, and that resilience was the most influential factor, clinicians can encourage resilience. Hence, to improve the health-related QoL of female patients with RA, continuing management is necessary, using various intervention methods that focus on enhancing resilience from the early stage to the end of treatment for RA.
Transradial access for neurointerventional procedures: A practical approach
Authors: Mirbolouk Mohammad Hossein , Ebrahimnia Feizollah , Gorji Reza , Sasannejad Payam , Zabihyan Samira , Hoveizavi Mohammad Adeeb , Garivani Yousefali , Mirzaasgari Zahra , Abdollahifard Saeed , Mowla Ashkan , Baharvahdat Humain
Published: June 2023

INTRODUCTION:

Transradial approach (TRA) is a new technique proposed for performing cerebral angiography and neuro-interventional procedures. In this article, we sought to provide a step-by-step guide for carrying out a diagnostic cerebral angiography using this approach and summarize our center’s experience.

MATERIAL AND METHODS:

Records of patients since January 2020 were investigated, and data on demographic indices, reports of the procedures, outcomes, and complications were extracted. Then, these data were used to develop a step-by-step instruction for TRA cerebral angiography.

RESULTS:

Two hundred eighty-nine patients matched our eligibility criteria with a mean age of 50 years and a female-to-male ratio of 1.18. Overall, TRA was carried out successfully for 97.2% (281 patients). In case TRA failed, transfemoral approach was considered for the procedure. Three minor complications (two vasospasm and one small hematoma) and two major complications (one pseudoaneurysm of the radial artery and one radial artery avulsion) were observed.

CONCLUSION:

This article covers challenges a neurointerventionalist may face during a diagnostic cerebral angiography using TRA. Furthermore, our findings indicated that cerebral angiography with TRA might be performed safely and with a great success rate.
Neutrophil-to-leukocyte ratio and admission glycemia as predictors of short-term death in very old elderlies with lobar intracerebral hemorrhage
Authors: Pereira Marta , Batista Rafael , Marreiros Ana , Nzwalo Hipolito
Published: June 2023

BACKGROUND:

The incidence of spontaneous intracerebral hemorrhage (SICH) is highest in very old elderlies (≥75 years). The increasing use of antithrombotic drugs is shifting the epidemiology of SICH towards predominance of lobar subtype, suggesting an incremented propensity of bleeding associated with underlying cerebral amyloid angiopathy. With population aging and antithrombotic use, a parallel raise of proportion of lobar SICH is occurring. Improvement of prognostication in this specific age group and SICH type is needed. Routine blood biomarkers can contribute to prediction of short-term mortality after SICH.

OBJECTIVE:

Our aim was to investigate the contribution of routine blood biomarkers for short-term mortality (30-days) in elderly patients with lobar SICH.

METHODS:

Retrospective analysis of consecutive 130 patients with ≥ 75 years and lobar SICH. The outcome was 30-day mortality. Logistic regression analysis was used to investigate whether admission routine biomarkers can be used as predictors.

RESULTS:

The case fatality was 40.8%. Admission glycaemia level, neutrophil to lymphocyte ratio and mean platelet volume were significantly different between groups (p = 0.001, p = 0.024, p = 0.038, respectively). There was no significant difference in all other routine biomarkers. On multivariate analysis, admission higher mean BG level (odds ratio [OR]: 1.010, 95% confidence interval [CI]: 1.001-1.019, p = 0.026) and neutrophil to lymphocyte ratio (OR: 1.070, 95% CI: 1.008-1.136, p = 0.027) emerged as predictors.

CONCLUSION:

In very old patients with lobar SICH, higher BG level and neutrophil to lymphocyte ratio are associated with increased risk of short-term death.
Integrative computational approach for gene expression profiling of metastatic breast cancer
Authors: Ashraf Aaliya , Yadav Ruchi
Published: June 2023

Background:

Breast cancer (BC) is one of the most common cancers in women worldwide, including an estimated 570,000 deaths in 2015. More than 1.5 million women (25% of all women with cancer) are diagnosed with BC every year worldwide. BC is a metastatic cancer and usually spreads to distant organs such as bone, liver, lungs and the brain. Early detection of the disease can lead to better prognosis and higher survival rates. After genome sequencing, DNA microarray analysis has become the most widely used source of genome scale data in life sciences. Microarray's definition studies produce a large number of genetic expression and other genomics performance data, which promises to provide key information on genetic functioning and interaction within and within metabolic pathways.

Aim:

Prediction and functional enrichment of significant genes expressed in Breast Cancer.

Materials and Methods:

Microarray data for this study were downloaded from NCBI gene expression omnibus (GEO) database (http://www.ncbi.nlm.nih.gov/geo), with accession number of GSE157737. It includes four different kind sets of samples, i.e., healthy control neutrophils, healthy donor monocytes, metastatic BC patient G-myeloid-derived suppressor cell (G-MDSCs) and sepsis patient G-MDSCs. The statistical method was applied to identify the differentially expressed gene (DEGs) using Limma package and significant analysis of microarray (SAM) test.

Results:

The top ten DEGs were identified between different sample sets using Limma package. Out of 32,321 genes, 93 genes were identified to be the significant genes through SAM test. The functional annotation of significant genes was done using different databases such as gene ontology, Kyoto Encyclopedia of Genes and Genomes and Database for Annotation, Visualisation and Integrated Discovery. Significant genes were found to be enriched in haematopoietic cell lineage pathway and the cancer-causing pathway.

Conclusions:

This research identifies the important genes that have function in BC and regulation of such genes and pathway can be a potential treatment for the BC and prevent the tumour growth.
Eating behaviours and perception about body shape among adolescent girls of Panjab University, Chandigarh
Authors: Kaur Harleen , Goel Naveen Krishan , Sharma Manoj Kumar , Rohilla Ravi , Bishnoi Mamta , Kaur Ravneet
Published: June 2023

Introduction:

Indians are experiencing nutritional and lifestyle transitions due to globalization and westernization. The study aimed to find out the current eating patterns and body shape concerns and various factors that influence eating behaviors and body shape concerns of late-adolescent girls.

Material and Methods:

A cross-sectional study was conducted among 230 undergraduate adolescent girl university students from 12 departments in the age group of 17–19 years. Eating attitude and body shape concerns of adolescents were determined by using the standard eating attitude test-26 (EAT-26) and body shape questionnaire (BSQ-34).

Results:

The duration of the study was 6 months and participants were selected by simple random sampling. The mean age of the study subjects was 18.52 (±0.63) years. The majority of subjects had an urban background (85%). Less than half had an exercise routine (44%) which was followed daily. As per body mass index (BMI) distribution, 19.57% were underweight, 11.3% were overweight and only 2.17% were obese. An unfavorable eating attitude was found in 18% of subjects whereas 38.2% had mild to the marked concern of body shape. There was a significant positive correlation between BSQ with BMI (r = 0.387, P ≤ 0.01) and BSQ-34 with EAT-26 (r = 0.367, P ≤ 0.01).

Conclusion:

Current study shows that late adolescent urban females are susceptible to eating disorders and are body image conscious. Institutional mechanisms should be brought in place to address the need of improving their eating habits and modification of lifestyle.
Applicability of near-miss tools to address maternal mortality
Authors: Kanwar Dhanak , Bakshi Ravleen Kaur , Singh Mahendra , Sharma Nandita , Sadiq Sabiha , Aggarwal Pradeep
Published: June 2023

In India, there is a mandate to increase institutional delivery, which has led to an overwhelming response in health-care delivery. The maternal mortality rate has been an essential yardstick, used by health-care planners to assess the quality of obstetric services. As of late, there has been a shift in focus to maternal near-misses (MNMs) as a more valuable indicator of maternal health than the maternal mortality rate. The aim of this research article was to compare various standardized tools to address MNM, namely, the World Health Organization MNM tool, The Government of India's facility-based MNM review tool, etc.
Utilization of Ophthalmic Management in Patients with Head-and-Neck Trauma Secondary to Firearms
Authors: De Niear Matthew Allen , Tang Vincent Duong , Nguyen Michael , Lin Lily Koo
Published: June 2023

Introduction:

This retrospective cohort study presents the epidemiology of severe firearm-related ophthalmic injury and the level of ophthalmology involvement in the multidisciplinary management of head-and-neck gunshot injuries.

Methods:

A retrospective study identified 207 patients with firearm-related injuries involving the head and neck treated at an Academic Tertiary Care Institution from 2010 to 2020.

Results:

Ophthalmology consulted on 29% of patients with head-and-neck firearm injuries. At least one of the services managing facial trauma (plastic surgery and otolaryngology) consulted on 71.5% of cases (P < 0.001). Of patients evaluated by ophthalmology, 93.3% survived to discharge; 78.2% of patients who were not evaluated survived to discharge (P = 0.009). Ophthalmology consulted on all patients with open globe injury (10.6%) (P < 0.001), all of which were evaluated by the facial trauma service (P = 0.002), 77.3% by otolaryngology (P = 0.42), 50% by neurosurgery, 36.4% by plastic surgery, 13.6% by orthopedic surgery, and 4.5% by vascular surgery. Ophthalmology consulted on 76.5% of patients with orbital fracture (32.9%) (P < 0.001); 83.8% were evaluated by the facial trauma service (P = 0.006), 69.1% by otolaryngology (P = 0.014), 54.4% by neurosurgery, 27.9% by plastic surgery, 10.3% by orthopedic surgery, and 2.9% by vascular surgery. For patients with orbital fractures, 92.3% survived when ophthalmology was consulted (P = 0.698); 43.8% survived when not consulted (P = 0.001).

Conclusions:

Firearm-related injuries of the head and neck frequently involve ocular and orbital structures, often causing serious vision-threatening injuries. Multispecialty management is common and early ophthalmology specialist evaluation and co-management are indicated to best identify ophthalmic injuries.
Severe Hypercalcemia due to Drowning in an Onsen (Hot Spring)
Authors: Ueno Daisuke , Shiino Yasukazu , Takahashi Jiro , Inoue Takahiro
Published: June 2023

Hypercalcemia is generally caused by primary hyperparathyroidism, malignancies, and drugs. Herein, we report a case of severe hypercalcemia due to drowning in hot springs. A 55-year-old woman was found floating in a public bath at a hotel and was admitted to a nearby hospital. The patient was intubated because of hypoxia and shock, and noradrenaline was titrated. Computed tomography revealed bilateral aspiration pneumonia. Blood tests revealed hypercalcemia (serum total calcium [Ca]: 18.7 mg/dL). Hyperparathyroidism, malignancy, and drug-related factors were ruled out as the causes of hypercalcemia. In addition, the public bath in which the patient drowned contained high concentrations of Ca. We concluded that the reason for hypercalcemia was accidental ingestion of the hot spring water containing a high concentration of Ca through the gastrointestinal tract. In the case of drowning and hypercalcemia, the cause may be clarified by examining the components that were accidentally swallowed.
Role of Triphala in Oral Health: A Systematic Review and Meta-Analysis
Authors: Raja B. Kumara , Devi Kavitha
Published: June 2023

Aim:

Critically assessed reviews on the effectiveness of Triphala for the promotion of oral health are hard to come by. As a result, the goal of this study was to conduct a systematic evaluation of the existing literature to determine the impact of Triphala on oral health.

Materials and Methods:

PubMed, PubMed Central, Campbell systematic review, Cochrane, Embase, Google Scholar, and Scopus were used to perform a systematic review of the literature. This review includes only randomized control trials (RCTs) comparing Triphala to chlorhexidine (CHX) or placebo. To perform risk of bias and meta-analysis, relevant information was collected from chosen publications.

Results:

The overall risk of bias was high for the majority of the included studies except two studies showed an unclear risk of bias and one study showed a low risk of bias. Statistically significant differences were observed in favor of Triphala when compared with placebos for gingival, plaque and modified plaque indices (gingival index: mean difference [MD] = −0.53, 95% confidence interval [CI] (−0.83, −0.23), P = 0.006; plaque index: MD = −0.57, 95% CI (−0.99, −0.16), P = 0.007; Quigley-Hein Plaque Index: MD = −1.12, 95% CI (−1.52, −0.72), P = 0.0001). No statistically significant difference was found between herbal and CHX mouthwashes.

Conclusion:

Triphala mouthwash is more effective than placebo mouthwashes in reducing gingivitis, although there was no statistically significant difference between Triphala and CHX mouthwashes in the included studies. Because of their herbal nature, Triphala mouthwashes might be regarded as an alternative to CHX mouthwashes in maintaining oral hygiene.
Assessing Patient Satisfaction toward Mobile Dental Clinics using Digital Feedback form in Delhi, India
Authors: Jain Swati , Mohanty Vikrant
Published: June 2023

Introduction:

Quality healthcare is a multi-dimensional concept. Patient satisfaction is an important indicator for measuring the quality of health care. The evolution of digital feedback forms has gained momentum nowadays. The present study aims to evaluate patient satisfaction regarding community dental care services provided through mobile dental clinics using digital feedback forms and to assess various factors influencing oral health-seeking behavior.

Methods:

A descriptive cross-sectional study on randomly selected patients (n = 1228) reporting for dental treatment in Mobile Dental Clinics from January 2019 to December 2019 was considered for the study. The patients were interviewed about their satisfaction with the services provided and other factors which influence their health-seeking behavior in Mobile Dental Clinics. The responses were recorded in digital feedback form in software named Kobo Collect 1.2 RC1 (1006) toolbox.

Results:

Almost 80%–90% of the patients were completely satisfied based on various criteria with the treatment services given to them in Mobile Dental Clinics. Around 89.4% (n = 1098) of study participants responded that no dental services were available in nearby dispensaries which was the major factor influencing the health-seeking behavior in Mobile Dental Vans. The qualitative assessment of patient satisfaction showed that around 15.6% (192) of patients “appreciated our project and staff members behavior and work.”

Conclusion:

Quality assessment of health-care services is essential. Digital feedback forms not only save time but are also safe to keep our environment green. The findings of this study could facilitate attending to the concerns of patients seeking treatments in Mobile Health Units.
Nonmissile Penetrating Spinal Cord Injury: A Case Report and Review of the Literature
Authors: Diyora Batuk , Devani Kavin , Purandare Anup , Wankhade Ravi , Sharma Archana , More Nilesh
Published: June 2023

The spinal cord can injure due to either blunt or penetrating injury. Most spinal cord injuries are blunt and result from a motor vehicular accident. Penetrating spinal cord injuries (PSI) are a relatively rare entity affecting the young male population worldwide. PSI can result from either missiles or nonmissiles (NM)-related injury. The former is more common. Both types of PSI give rise to permanent disabilities for the affected patient and major socioeconomic crises for the patient and the family. We report a case of NM penetrating spinal injury in a transgender person who presented with paraplegia due to retained knife. He underwent operative intervention for the removal of a foreign object. However, there was no change in his neurology at the time of discharge. Due to the unusual nature of civilian NMPSI, there are no clear guidelines available. We report a case of NMPSI and review the available literature to manage such patients.
A Comparative Analysis of Patients Undergoing Type 1 Tympanoplasty Using Platelet-Rich Fibrin versus Patients Undergoing Conventional Type 1 Tympanoplasty Without the use of Platelet-Rich Fibrin
Authors: Arora Kanika , Kaintura Madhuri , Maithani Tripti , Hernot Sharad , Pandey Apoorva Kumar , Varma Arvind , Dogra Rishabh
Published: June 2023

Aim:

The aim of this study was to compare the outcome (graft uptake, success rate, and hearing gain) among patients undergoing type 1 tympanoplasty with and without topical use of platelet-rich fibrin (PRF) over the graft.

Materials and Methods:

This randomized, prospective, comparative study was conducted among 60 patients divided into two groups: cases and control consisting of 30 patients each, having inactive mucosal Chronic otitis media who underwent type I tympanoplasty with or without cortical mastoidectomy along with the use of PRF for enhancing the graft uptake versus patients who underwent tympanoplasty with or without cortical mastoidectomy without the use of PRF.

Results:

There was a significant improvement in the uptake of the graft after the use of PRF: 28 (93%) as compared to control 22 (73%). Preoperative and postoperative air-bone gap (A-B gap) was calculated at the end of 1 year and compared, and it was found to be statistically significantly better both in the case and control group (P < 0.05). The improved postoperative success rate in the platelet-rich fibrin-aided type 1 tympanoplasty group emphasizes the presence of growth factors which leads to better healing, with the added benefit of the antimicrobial effect of platelet-rich fibrin.

Conclusion:

Our results have shown that PRF indeed increases graft uptake, and is a useful adjunct, particularly in large central perforations.
Nonrecurrent Laryngeal Nerve
Authors: Akhtarzai Assadullah , Mohamad Shwan Hameed , Ibraheem Nawal Ahmed
Published: June 2023

The nonrecurrent laryngeal nerve (NRLN) is a rare anatomical variation of the recurrent laryngeal nerve (RLN), in which the nerve enters the larynx directly from the cervical vagus nerve without descending to the thoracic cavity. Knowledge of the anatomy of the RLN and its variations, as well as its identification and careful dissection, is essential to avoid injury to the nerve during thyroid surgery. If not predicted intraoperatively, this anatomical variation can put the nerve at risk with subsequent vocal fold palsy. We report this rare case to highlight the importance of anatomical knowledge to identify NRLN during thyroid and parathyroid surgery.
An ELF-Oriented Corpus-Based Analysis into the EMI Lecturers’ Use of Spatial Deixis across Two Different Teaching Media
Authors: Picciuolo Mariangela
Published: June 2023

In the last two decades, English-Medium Instruction (EMI) has fast increased in non-Anglophone universities, with the result that non-native English speaker (NNES) lecturers are increasingly using English as a lingua franca (ELF) to interact with their NNES students in the classroom. As such, EMI represents “a prototypical ELF scenario” (Smit 2017, 387). This paper identifies and describes language variations that occurred in EMI lecturers’ talk in a comparable corpus of six EMI engineering lectures taught in two different teaching modalities: in-person and virtual synchronous classrooms. By means of a corpus-based methodology, this study particularly focuses on lexical spatial deixis as it allows the lecturer to direct students’ attention towards a common referent so as to ensure students’ comprehension and participation (Hyland 2005). The findings indicate that the use of proximal deictics differs according to the context, with interactional and pedagogical implications beyond EMI.
Situación de leishmaniasis en España. Años 2019, 2020 y 2021
Authors: Fernández Martínez Beatriz
Published: June 2023

Introducción: La leishmaniasis es una zoonosis endémica en España, donde es causada por Leishmania infantum y transmitida por picadura de Phlebothomus. Puede cursar clínicamente como leishmaniasis cutánea (LC), mucocutánea (LMC) o visceral (LV). El objetivo del estudio fue conocer la situación epidemiológica de leishmaniasis humana en España de 2019 a 2021.
Método: Análisis epidemiológico descriptivo de los casos de leishmaniasis notificados a la Red Nacional de Vigilancia Epidemiológica de 2019 a 2021. Se analizaron variables sociodemógraficas (edad, sexo, lugar de residencia), clínicas (categoría clínica, hospitalización, defunción, fecha de síntomas) y de exposición (lugar). Se describió la distribución temporal desde 2016 y se comparó la información de ambos trienios (2019-2021 vs 2016-2018).
Resultados: Hubo 1.074 casos notificados, de los que 1.041 fueron autóctonos. La evolución de las tasas de incidencia (TI) de casos autóctonos de 2016 a 2019, fue estable, con descenso marcado en 2020. Las TI más elevadas se observaron en C. Valenciana y Baleares tanto en 2019-2021 como en 2016-2018. El 65,7% fueron hombres, con TI superiores durante todo el período. La mayor TI correspondió a los menores de 1 año y de 1-4 años. El tipo clínico fue LV en el 48,6% de los casos, con diferente distribución porcentual según región. La proporción de hospitalizaciones fue de 49,6%, superior en LV (92,2%) y la tasa de letalidad fue de 1,9%. Hubo 33 casos importados, el 45,5% menores de 15 años procedentes principalmente del Magreb. La proporción de valores perdidos superó el 20% en algunas variables. 
Conclusiones: la tendencia en los últimos años ha sido estable, con disminución en años pandémicos. La leishmaniasis se distribuye por todo el territorio, con zonas de mayor riesgo en el Mediterráneo. Los grupos de riesgo varían según grupo de edad y sexo. Existe margen de mejora en la cumplimentación y disponibilidad de variables.
Diagnostic performance of loop-mediated isothermal amplification (LAMP) and Ultra-sensitive PCR in diagnosis of malaria in western Saudi Arabia
Authors: Solimam Rasha H. , Martin-Ramirez Alexandra , Rubio Jose M. , Khalifa Eman A. , Hussein Bushra E. , Wahab Maha M. , Lanza Marta , Hawash Yousry A.
Published: June 2023

Malaria diagnosis continues to be one of the most important steps in the cycle of control specially in endemic countries with low parasitic load infections. Loop-mediated isothermal amplification (LAMP) and ultrasensitive PCR (Us-PCR) are two promising candidates for malaria diagnosis. A cross sectional study performed at King Faisal Hospital, Taif KSA involved patients suffering from signs and symptoms suggesting of malaria, 35 blood samples diagnosed by Nested Multiplex PCR as a reference method (13 P. falciparum, 17 P. vivax, 3 mixed P. falciparum and P. vivax) plus two negative controls were selected to be included in this study to analyse the performance of two LAMP methods (LAMP OptiGene® and LAMP WarmStart®) and two ultrasensitive PCRs (Us-PCR TARE-2 and Us-PCR Var-ATS). LAMP OptiGene® and LAMP WarmStart® performances were identical and better than the performance of Us PCR TARE 2 and Us-PCR var-ATS for P. falciparum, achieving 93.75% sensitivity, 100% specificity and 97.17% accuracy versus 87.5% sensitivity, 100% specificity and 94.29% accuracy for the Us PCR TARE 2 and 81.25% sensitivity, 94.74% specificity and 88.57% accuracy for the Us PCR var-ATS respectively. In P. vivax diagnosis LAMP OptiGene® performed excellently with 100% sensitivity, specificity, and accuracy while LAMP WarmStart® and Us-PCR Cox1 achieved 100% sensitivity, specificity 93.33% and 97.14% accuracy. The study results highlighted the benefits of using LAMP techniques for field diagnosis of malaria in different settings where the need for a more sensitive and reliable molecular tool is mandatory but at the same time removing the high cost, long turnaround time and the need of highly specialized trained technicians to perform more sophisticated molecular techniques.
La dedica di Axios e Kapo ad Artemide Nanaia e il Phosphorion del Pireo
Authors: Canopoli Micaela
Published: June 2023

Dedication of Axios and Kapo to Artemis Nanaia and the Phosphorion of Piraeus Nanaia is a Babylonian deity who was associated with Artemis in Hellenistic times. She is identified as a moon goddess as well as a deity of love and war, and as a protector of the sovereign and the country. The reason behind the assimilation between this oriental deity and Artemis lay in the commonality of functions between the two. The presence of a goddess called Artemis Nanaia is attested in Attica by an inscription found at Piraeus which is the only testimony of the presence of this cult in Greece. Like the goddess Nanaia, Artemis was a moon goddess, identified as a protector of political order. This function in Attica is expressed by the adjective Boulaia and by the practice, widespread since the second century B.C., of offering a sacrifice to Artemis Boulaia and Artemis Phosphoros before political assemblies in the Athenian Agora. The aim of this paper is to put into perspective the characteristics of the cults of Artemis Nanaia as attested in two important sanctuaries in the Middle East, including the sanctuary of Nanaia at Susa and the sanctuary of Artemis Nanaia at Dura-Europos, with the testimonies related to the cult of Artemis attested at Piraeus. The testimonies, and the characteristics of the cult attested in these three areas will be analysed together in order to etter understand the reasons behind the dedication of Axios and Kapo and its original location.
Hunc deum quis credet? Some Considerations on the Belief in the Divinity of Emperors
Authors: Alarcón Hernández Carmen , Lozano Gómez Fernando
Published: June 2023

There are abundant examples of negative assessments of cultic honors to Roman emperors by nineteenth- and twentieth-century researchers. In the minds of historians raised in modern societies, in which monotheistic Abrahamic religions usually reign supreme, this is a completely understandable a priori approach; nevertheless, it hinders a correct understanding of Roman society in antiquity. This paper examines the need to provide a complex answer to the question of whether the inhabitants of the Roman world really believed in the divinity of their rulers. A complex answer to the question can only emerge from a historical contextualization of the phenomenon under analysis, an examination of the imperial cult within the wider changes that were taking place in Roman religion at the time, and application of the necessary empathetic approach.
The Imperial Cult: A Cretan Perspective
Authors: Bowsky Martha W. Baldwin
Published: June 2023

Forty years after the publication of Sanders’ Roman Crete, a broader range of evidence for the imperial cult on Crete is available—temples and other structures, monumental architectural members, imperial altars, portraiture and statuary, coinage, statue and portrait bases, other inscriptions, priest and high priests, members and archons of the Panhellenion, and festivals—and far more places can now be identified as cities participating in the imperial cult. This evidence can be set into multiple Cretan contexts, beginning with the establishment and evolution of the imperial cult across Crete, before locating the imperial cult in the landscape of Roman Crete. The ultimate Cretan contexts are the role of emperor worship in the lives of the island’s population, as it was incorporated into Cretan religious and social systems.
Integralna legitymizacja konstytucji
Authors: Bożek Michał
Published: June 2023

The Integral Legitimacy of the Constitution The aim of the article is an attempt to formulate main assumptions of the concept of integral legitimacy of the constitution. The first one is an opinion that the integral legitimacy is included in the nature of the constitution and is a necessary element of the core of constitution. The second one is an opinion that there is an unbreakable bond between the form and the content of the constitution, which decides about legitimacy of the constitution. The third one is an opinion that the integral legitimacy of the constitution is two-stage legitimacy. The first degree is a necessary element of each constitution. It provides the overall framework of the constitutional order. The second degree is an extension of the first degree of legitimacy and results from the decision of the society concerning the form and the content of the constitution. The last one is an opinion of multidimensional character of the legitimacy of the constitution. The legitimacy is based on belief in social acceptance for the principles of the idea of constitutionalism, which are reflected in rules and values creating the core of the constitution.
Godność jako cecha podmiotów zbiorowych lub cecha ugruntowana instytucjonalnie. Typy godności – propozycja systematyzacji (część 2)
Authors: Piechowiak Marek
Published: June 2023

Dignity as an Attribute of Collective Entities and Dignity as an Institutionally Grounded Attribute: Types of Dignity – a Proposed Systematisation (Part 2)

This study aims to identify various meanings of the expression (name) “dignity”, with particular emphasis on the meanings of this expression as it appears in the text of the Constitution of the Republic of Poland. The meaning of the name “dignity” is the concept of dignity; in turn, the different concepts of dignity encompass dignity of particular types. Twelve different meanings of the expression “dignity” are indicated – twelve different concepts of dignity, and thus twelve types of dignity. Half of them are meanings (concepts) that recognize dignity as something belonging to a human being as a subject of law. They were considered in the essay Godność jako właściwość osoby. Typy godności – propozycja systematyzacji [Dignity as a Quality of Person – a Proposed Systematisation]. This group of meanings includes three concepts of dignity which recognize dignity as something constitutive of being a person: (1) inherent dignity of the person, (2) dignity established by qualities specific to a thinking being, and (3) dignity as a historically emergent social status of all human beings. The second group of meanings, treating dignity as something with which the human being (the person) is endowed, includes concepts which encompass (4) personal dignity (honour and good reputation), (5) dignity as moral excellence, and (6) dignity as appropriateness of attitude or behaviour.

Dignity as an attribute of collective entities and dignity as an institutionally grounded attribute are a subject of this paper. The Constitution of the Republic of Poland speaks of (1) the dignity of the Nation, (2) the dignity of office or function, and (3) public dignity. The expression “the dignity of the Nation” can be understood in four different ways: (i) analogously to the understanding of dignity of the person, (ii) of personal dignity, (iii) of dignity as moral excellence, and (iv) of dignity as appropriateness of attitude or behaviour. The expression “dignity” when designating something institutionally grounded can designate (4) the dignity of social roles, (5) the dignity of a profession, and – specifically to the Polish language – (6) dignity meaning a surname.

The author argues that it is unacceptable to ascribe different concepts of dignity to the expression “dignity” appearing in a specific legal provision.
O nieprzydatności testu Ástráðsson wobec prezydenckiej prerogatywy – glosa do wyroku Naczelnego Sądu Administracyjnego z dnia 4 listopada 2021 r. (III FSK 3626/21)
Authors: Sułkowski Jarosław
Published: June 2023

On the Inappropriateness of the Ástráðsson Test against the Presidential Prerogative: A Gloss to the Judgment of the Supreme Administrative Court of November 4, 2021 (III FSK 3626/21) The Supreme Administrative Court in the commented judgment unfortunately made an unsuccessful attempt to carry out the Ástráðsson test with regard to a person appointed by the President at the request of a politically subordinate (in violation of the Constitution) National Council of the Judiciary. Failure to do so is a kind of paradox of the commented judgment. A significant part of it relates to supranational and international law. „Europeanness” is ubiquitous in the judgment and was additionally included in its thesis. According to its content, assessors and judges are European judges. However, this otherwise catchy statement is not confirmed by the application of the judgment of the ECtHR to the assessment of an judge. On the constitutional level, the judgment also deserves criticism. The court considered it justified to refer to the judicature of the Supreme Administrative Court, the Supreme Court and the Constitutional Tribunal, referring to some extent to the presidential prerogative of appointing judges at the request of the National Council of the Judiciary, in order to reach a conclusion about the almost „magically healing” effect of the presidential act of appointment to the office of judge. The NSA also did not comment on the total deprivation of any real influence of the judiciary on the nomination procedure. Therefore, one should ask what is the balancing of the legislative and executive powers with the judiciary power absent from the National Council of the Judiciary?
The inspirer of the Shikotan group of artists O.N. Loshakov
Authors: Хайрулина А.В.
Published: June 2023

Статья посвящена творчеству академика Российской академии художеств, заслуженного художника Российской Федерации, профессора Олега Николаевича Лошакова. Материалы исследования расширяют диапазон представлений о годах творчества мастера на Дальнем Востоке. Вместе с организованной им группой молодых живописцев и графиков, первых выпускников Владивостокского художественного училища, он несколько десятилетий писал пейзажи на острове Шикотан. В статье представлены произведения живописи членов Шикотанской группы, обозначены характерные стилевые, композиционные и колористические особенности их работ. Проводится анализ творчества О.Н. Лошакова, в частности, выявляются новые аспекты его пейзажной живописи 1960-х годов, также рассмотрены работы зрелого и позднего периодов в контексте развития отечественного искусства второй половины XX – начала XXI века. Актуальность статьи определяется ограниченным количеством исследований о творчестве О.Н. Лошакова и художников Шикотанской группы, чьи работы являются яркой страницей в истории изобразительного искусства Приморья.

The article is devoted to the study of the work of Oleg Nikolaevich Loshakov, the Academician of the Russian Academy of Arts, Honored Artist of the Russian Federation, Professor. He organized a group of young artists, consisting of his first graduates of the Vladivostok Art School, and together with them painted landscapes on Shikotan Island for several decades. The analysis of the paintings of the Shikotan group representatives made it possible to identify their characteristic stylistic, compositional and coloristic features. The research materials expand the range of ideas about the years of Loshakov's work in the Far East, reveal new aspects of his landscape painting of the 1960s, as well as the works of the mature and late periods in the context of the development of Russian art in the second half of the 20th – early 21st centuries. The relevance of the article is determined by the lack of an extensive study of the works of art by O.N. Loshakov and other artists of the Shikoltan group, whose artwork is a bright page in the history of Primorye fine art.
Penerapan Spiritualitas Keugaharian Melalui Pembelajaran Sekolah Minggu
Authors: Hidayat Udin Firman
Published: June 2023

Di era digital ini, generasi digital sedang diperhadapkan pada persoalan merebaknya budaya konsumerisme dan hedonisme di kalangan anak-anak muda. Budaya konsumerisme dan hedonisme bermuara pada sikap hati yang selalu merasa tidak puas dan keserakahan. Dengan menggunakan metode penelitian kualitatif dengan pendekatan study kepustakaan peneliti mengusulkan penerapan model spiritualitas keugaharian dalam pembelajaran Sekolah Minggu untuk menjawab persoalan ini. Hasil penelitian ini menunjukkan bahwa penerapan model spiritualitas keugaharian dapat dilakukan dengan pengambilan kebijakan gereja yang sesuai, keteladanan guru Sekolah Minggu, materi bahan ajar dan metode pembelajaran yang relevan bagi semangat berkecukupan.In this digital era, the digital generation is being confronted with the problem of the spread of a culture of consumerism and hedonism among young people. The culture of consumerism and hedonism leads to a feeling of dissatisfaction and greed. By using a qualitative research method with a literature study approach, the researcher proposes the application of the model of frugality spirituality in Sunday school learning to answer this problem. The results of this study indicate that the application of the frugality spirituality model can be carried out by adopting appropriate church policies, exemplary Sunday school teachers, teaching materials, and learning methods that are relevant to the spirit of being sufficient.
Rancang Bangun Aplikasi Presensi Pegawai Berbasis Area Menggunakan Geolocation
Authors: Muhammad Bambang Firdaus  , Putra Gubtha Mahendra , Putra Muhammad Wisdan Pratama , Wulan Sari Nariza Wanti , Anam M Khairul , Yumami Eva
Published: June 2023

Kehadiran merupakan salah satu faktor disiplin yang diupayakan untuk mendorong disiplin kelembagaan. Sistem absensi yang khas di suatu sekolah atau universitas adalah dengan memanfaatkan sidik jari atau secara manual yaitu dengan menuliskan nama atau membuat inisial. Peneliti berharap dapat memberikan solusi dengan mengembangkan aplikasi sistem absensi berbasis android yang mampu mengatasi beberapa kekurangan dari sistem absensi manual tersebut, seperti menghentikan siswa membubuhkan tanda tangan atau ada yang curang untuk memodifikasi waktu di jari. mencetak. Pengujian ini memastikan bahwa setiap bagian sesuai dengan alur proses yang ditentukan, dan bahwa fitur aplikasi beroperasi sesuai dengan perannya. Hasil pengujian Black Box Testing menunjukkan sistem aplikasi presensi online dapat berjalan dengan baik, setelah dilakukan pengujian diimplementasikan di Kantor Kesehatan Pelabuhan Samarinda Kalimantan Timur. Sistem aplikasi presensi online memiliki 2 jenis user yaitu admin dan user.
Blotchbelly Anole (Anolis maculiventris)
Authors: Arteaga Alejandro
Published: June 2023

This is the species account about the Blotchbelly Anole (Anolis maculiventris), a chapter in the Reptiles of Ecuador book. This account summarizes novel as well as historical information (recognition, natural history, distribution, conservation, etymology, and relevant literature) about the species and provides maps and images to facilitate identification of this reptile in the field.
E-ADMINISTRACIÓN TRIBUTARIA: VALORACIÓN CRÍTICA DE OPORTUNIDADES Y RETOS
Authors:   Universidad CEU San Pablo, Martín Palacios Pilar
Published: June 2023

Este trabajo tiene por objetivo analizar el proceso de digitalización de la Administración tributaria española. Reconociendo el carácter transformador de las nuevas tecnologías y su transversalidad en toda la sociedad, nuestro cometido es valorar los retos y oportunidades que éstas ofrecen a las Administraciones tributarias. Se analiza el cambio de paradigma experimentado por la Administración, evaluando la inserción de las tecnologías disruptivas (Inteligencia Artificial, Big Data y Blockchain) en su funcionamiento. Por último, se resalta la necesaria protección, en este contexto, de los derechos y garantías de los contribuyentes.
LOS IMPUESTOS AUTONÓMICOS PROPIOS: ¿UNA ESPECIE EN PELIGRO DE EXTINCIÓN?
Authors:   Universidad Rovira i Virgili de Tarragona, Salassa Boix Rodolfo ,   Universidad Pompeu Fabra de Barcelona
Published: June 2023

Considerando que en los últimos años el Estado español ha establecido cada vez más impuestos ambientales, que tornaron incompatibles muchos impuestos autonómicos previos e impiden la implantación de nuevos impuestos autonómicos similares, parece que el Estado está acaparando gradualmente el ámbito competencial en materia ambiental. Teniendo en cuenta que la mayoría de los impuestos autonómicos propios son de carácter ambiental, nuestro objetivo consiste en determinar si la competencia autonómica para dictar impuestos, tal y como la conocemos hoy en día, se encuentra en peligro de extinción.
SITUACIÓN ACTUAL Y LÍNEAS DE MEJORA EN LOS IMPUESTOS LOCALES EN ATENCIÓN A SU RECAUDACIÓN: UN ANÁLISIS TERRITORIAL
Authors:   GEN-Universidade de Vigo, Vaquero García Alberto , Bastida Domínguez María ,   Universidad de Santiago de Compostela
Published: June 2023

A diferencia de la fiscalidad estatal y autonómica que viene experimentado importantes cambios periódicamente, el modelo fiscal de los Ayuntamientos en España data de hace más de 40 años. Pese a haber sido objeto de ligeros retoques, este modelo no ha permitido contar con un diseño óptimo de la capacidad fiscal propia de estas entidades locales. A ello debe añadirse que, los pocos cambios normativos han sido de naturaleza obligada por parte de sentencias de los tribunales, que de facto se han convertido en “legisladores” de los cinco principales tributos con los que cuentan los ayuntamientos. Además, durante todos estos años se han venido sucediendo numerosos “Libros Blancos” para la reforma tributaria en general y local en particular, que no han tenido reflejo en la compleja casuística fiscal de estas entidades locales. El resultado es una recaudación bastante limitada, poco transparente en el procedimiento de cálculo y con graves problemas para su justificación para algunos de los principios tributarios básicos. El objetivo de esta contribución es evaluar el funcionamiento de las principales figuras impositivas de los ayuntamientos para establecer posibles líneas de mejora.
LA NECESIDAD DE REVISAR EL PAPEL DE LOS INCENTIVOS FISCALES AL AUTOCONSUMO EN EL CONJUNTO DE LAS MEDIDAS DE APOYO A LA ENERGÍA SOLAR FOTOVOLTAICA
Authors:   Universidad CEU San Pablo, Villar Ezcurra Marta , Cámara Barroso María del Carmen ,   Universidad a Distancia de Madrid (UDIMA)
Published: June 2023

Este trabajo analiza los incentivos fiscales al autoconsumo de energía solar fotovoltaica, en el contexto europeo y español de transición energética y del incremento de precios de la electricidad, con un enfoque multidisciplinar. Su principal objetivo es valorar si estos incentivos son o no necesarios y suficientes, examinando la actual regulación española y de la Unión Europea. En el análisis realizado, se tienen en cuenta experiencias del Derecho comparado y se consideran, especialmente, los objetivos de sostenibilidad medioambiental, económica y financiera, así como los principios de igualdad, capacidad económica y progresividad. Se llega a la conclusión de que es necesario revisar la regulación vigente y plantear si el conjunto regulatorio consigue su finalidad de una manera justa y efectiva.
Fluoroscopy versus Transthoracic Echocardiography for Detection of Mitral Valve Calcification in Patients Undergoing Percutaneous Mitral Balloon Valvuloplasty
Authors: Awan Romana , Mengal Muhammad Naeem , Yaqoob Zia , Khanzada Muhammad Faisal , Ahmad Mahlika , Ashar Muhammad , Khan Areeb Ahmed
Published: June 2023

Objectives: Rheumatic heart disease remains a significant problem in developing countries, with mitral stenosis (MS) being a frequent manifestation. The objective of this study was to compare transthoracic echocardiographic (TTE) findings of mitral valve calcification with fluoroscopy.
Methodology: This cross-sectional study was conducted at the department of adult cardiology, National Institute of Cardiovascular Diseases (NICVD) Karachi. All patients were candidates for percutaneous mitral balloon valvuloplasty (PMBV), aged between 15 to 65 years of either gender. Patients who underwent TTE were subjected to fluoroscopy before PMBV. The Kappa coefficient was calculated to assess the agreement between the two modalities. An appropriate t-test or Mann-Whitney U test was applied, and a p-value ≤ 0.05 was taken as the criterion for statistical significance.
Results: A total of 160 patients were included in this study with a mean age of 34.01± 12.32 years, 119 (74.4%) were between 18 to 40 years of age, and 108 (67.5%) were female. Calcification was observed in 40.6% (65) on echocardiography and 50.6% (81) of the patients on fluoroscopy. A substantial agreement was observed between the two modalities with a Kappa coefficient of 0.75 for the detection of calcification.
Conclusion: No significant difference was observed in the detection of calcification on echocardiography and fluoroscopy, along with a substantial agreement between the two modalities for the detection of calcification. Echocardiography can be a less invasive alternative to fluoroscopy for the detection of calcification before PMBV.