bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prayojana and Phala: Reception of the Mahābhārata Through Its Commentaries
Authors: Bidnur Jahnavi , Dharurkar Chinmay 
Published: September 2024

Abstract
This paper aims to explicate the hermeneutic engagement of the commentators with the epic. The engagement is better revealed in the opening of the commentaries, particularly while commenting upon the maṅgala of the epic. This paper offers a comparison of insights on maṅgala and anubandhacatuṣṭaya in the three commentaries: Devabodha (11 ce), Vādirāja (16 ce) and Nīlakaṇṭha (17 ce). The singularity of this engagement is that it deals with the text as one meaningful whole. While doing so they not only analyse the text, but also renew the text by offering it its own due textuality. The due textuality is understood in contrast to the view of modern scholars who have dealt with the epic text as a conglomerate of several parts. The contexts and departures that commentators have with the text of the epic are obviously different from ours and are therefore of significance to us. The antiquity, grandeur and complexity of the epic are the obvious challenges before us as we attempt to comprehend the text. The commentaries come through as a resource as they offer their reading and comprehension of the epic. The very names of the commentaries illuminate the specific hermeneutic engagement of the commentators with the epic. Thus, Devabodha’s commentary is called Jñānadīpikā or the Lamp of Knowledge, whereas Nīlakaṇṭha’s commentary has been named as Bhāratabhāvadīpa, or the Lamp Illuminating Inner Meaning (of the Mahābhārata).
Comparing Rhetoric in Antiquity: The Greek and Indian Cases in Perspective
Authors: Leite Priscilla Gontijo 
Published: September 2024

Abstract
The understanding of rhetoric has been heavily influenced by the Western tradition, particularly the Greco-Latin tradition. Rhetoric was traditionally considered a creation of the Greeks and a unique feature of the West. However, theoretical perspectives such as Axial Age, Comparative History, Global History, and Comparative World Rhetoric offer new insights into the relationship between communication and persuasion. This paper aims to compare certain characteristics of Greek rhetoric and Indian rhetoric using the perspective of Comparative World Rhetoric. To do this, I analysed the Vedic texts, Aristotle’s Rhetoric, and the Nyāya Sūtra. I concluded that the comparison was a fundamental aspect of the rhetorical exercise in antiquity, as it allowed the speaker to better connect with the audience.
Interrelationship between depression and low back pain-related disability among patients seen at orthopedic clinics in Al Qassim region, Saudi Arabia: Prevalence, severity, and determinants
Authors: Alsughier Naif Abdullah 
Published: September 2024

Objectives Low back pain (LBP) is a widespread health problem that poses a severe economic burden on both affected patients and the societies in which they live. The purpose of this study was to examine the association between depression and low back pain among patients seen at an orthopedic clinic and determine the association with physical disability. Methods A cross-sectional study was carried out in the orthopedic clinics of Al-Badaya General Hospital in the Qassim Region, Saudi Arabia. All patients with LBP seen in the clinic between April and June 2024 were included in the study. A questionnaire was administered that collected demographic information, asked about medical history and behaviors, and included the Arabic-validated version of the Roland-Morris Disability Questionnaire (RMDQ) and the Patient Health Questionnaire (PHQ-9; depression). Multivariate logistic regression analysis was performed to identify correlates of depression. Results A total of 365 patients were included in the study. Age ranged between 18 and 85 years, with a mean of 47.9 years (55.6% female). The overall prevalence of depression was 56.2%; 40.3% was mild, 13.2% moderate, and 2.7% moderately severe or severe based on PHQ-9 cutoff scores. Patients with moderately severe/severe depression had the highest disability score, while those with no depression had the lowest disability score. Multivariate logistic regression analysis revealed that with each unit increase in disability score, there was a 20% increase in depression (adjusted odds ratio = 1.20, 95% CI = 1.14-1.26, P < 0.001). Conclusion Depression, although mostly mild, was common in this clinic sample of orthopedic patients with chronic LBP and was frequently associated with disability. Disability can be a serious complication of chronic LBP and is often closely linked with depression. As a result, patients with chronic LBP seen at orthopedic clinics in Saudi Arabia (and likely other Middle Eastern countries) should be screened for depression and managed accordingly.
An Integrative Approach for Endometriosis-Related Pain
Authors: Zubedat Ayat , Liebergall-Wischnitzer Michal , Solnica Amy , Zusman Nurit , Dior Uri 
Published: September 2024

Background: Pain is a common, severe symptom related to endometriosis. Despite this prominent feature, there is limited literature regarding its description and use of integrative treatment methods. Objective: We aimed to describe endometriosis-related pain characteristics, severity, and association with an integrative approach encompassing pharmacological and non-pharmacological methods. Methods: A cross-sectional descriptive correlational study was conducted using convenience sampling of adult women with endometriosis-related pain. Three questionnaires were utilized: a demographic and general health questionnaire, a visual analog pain scale (VAS), and the short-form McGill pain questionnaire (SF-MPQ). Results: Participants included 93 women with a mean general pain level of 6.2/10 (SD = 2.7) on the VAS. The total mean pain score on the SF-MPQ was 26.25/45 (SD = 10.1). Sixty-four women (68.8%) reported experiencing pain at the time of completion of the questionnaire (mean: 1.6/4, SD = 1.3). All participants utilized analgesia; those who used opioids reported a higher overall mean pain score of 2.3 (SD = 1.3) than patients who did not use opioids reported a mean of 1.4 (SD = 1.2; z = 9.59; P < .001). Present pain intensity was significantly higher for women using opioids than those not using opioids. In all, 77 women (82.8%) used integrative methods to alleviate the pain symptoms. Women who utilized nutritional therapy as part of the non-pharmacological method experienced lower mean (SD) overall pain (4.4 [2.5]) compared with patients who did not utilize nutritional therapy (6.75 [2.5]; P < .01). Conclusions: More studies are needed to find evidence-based treatment options for women for integrative pain relief for endometriosis-related pain.
Incorporating Social Determinants of Health in Infectious Disease Models: A Systematic Review of Guidelines
Authors: Ali Shehzad , Li Zhe , Moqueet Nasheed , Moghadas Seyed M. , Galvani Alison P. , Cooper Lisa A. , Stranges Saverio , Haworth-Brockman Margaret , Pinto Andrew D. , Asaria Miqdad , Champredon David , Hamilton Darren , Moulin Marc , John-Baptiste Ava A. 
Published: September 2024

Background Infectious disease (ID) models have been the backbone of policy decisions during the COVID-19 pandemic. However, models often overlook variation in disease risk, health burden, and policy impact across social groups. Nonetheless, social determinants are becoming increasingly recognized as fundamental to the success of control strategies overall and to the mitigation of disparities. Methods To underscore the importance of considering social heterogeneity in epidemiological modeling, we systematically reviewed ID modeling guidelines to identify reasons and recommendations for incorporating social determinants of health into models in relation to the conceptualization, implementation, and interpretations of models. Results After identifying 1,372 citations, we found 19 guidelines, of which 14 directly referenced at least 1 social determinant. Age ( n = 11), sex and gender ( n = 5), and socioeconomic status ( n = 5) were the most commonly discussed social determinants. Specific recommendations were identified to consider social determinants to 1) improve the predictive accuracy of models, 2) understand heterogeneity of disease burden and policy impact, 3) contextualize decision making, 4) address inequalities, and 5) assess implementation challenges. Conclusion This study can support modelers and policy makers in taking into account social heterogeneity, to consider the distributional impact of infectious disease outbreaks across social groups as well as to tailor approaches to improve equitable access to prevention, diagnostics, and therapeutics. Highlights Infectious disease (ID) models often overlook the role of social determinants of health (SDH) in understanding variation in disease risk, health burden, and policy impact across social groups. In this study, we systematically review ID guidelines and identify key areas to consider SDH in relation to the conceptualization, implementation, and interpretations of models. We identify specific recommendations to consider SDH to improve model accuracy, understand heterogeneity, estimate policy impact, address inequalities, and assess implementation challenges.
Rebound characteristics of flexible and stiff jute rubber/epoxy hybrid composite under low-velocity impact
Authors: Iftekhar Hassan , Nazir Muhammad Shahid , Mehboob Ali , Majeed Khaliq , Nawab Yasir , Ali Zulfiqar 
Published: September 2024

This present work aims to assess the low-velocity impact response of novel configuration based on jute/rubber/epoxy flexible and stiff composites having varying layup sequences using an experimental study. The Charpy and drop weight impact tests are done according to the standards. Drop weight low-velocity impact test at an energy level of 15J was performed using a conical shape impactor. Carboxylated Nitrile Butadiene Rubber (XNBR) containing carbon fillers ( N330 and N550) consisting 35 phr concentration each is used in the stacking sequence of the composite due to its high toughness and energy dissipation property. During drop weight tests conducted at a 15J energy level, the flexible RJRJR composite exhibited a peak force of 486 N, whereas the stiffer RJEJR composite demonstrated a peak force of 1075 N. The flexible composite shows no damage for the energy level tested. However, the stiff composite made using epoxy in between jute layers fails due to the matrix cracking in the composite. The peak force and specific energy absorption is dependent on stacking configuration and increases with the addition of rubber interface in the stiff composite. The energy absorption of stiff composite is higher as compared to flexible composite as indicated by the peak force.
Beliefs About Donating Human Milk to a Milk Bank: A Theory-Based Salient Belief Elicitation
Authors: Hamilton Lydia J. , Middlestadt Susan 
Published: September 2024

Background: Pasteurized donor human milk provides a safe and desirable alternative when a parent’s own milk is insufficient or unavailable. Currently, the demand for donor human milk exceeds the available supply. Little is known about the beliefs breastfeeding individuals have about milk bank donation. Research Aims: The aims of this exploratory study were to (a) provide a preliminary estimate of how well intention can be predicted, and to suggest which of the global constructs of the Reasoned Action Approach has the most influence on intention; and (b) identify the salient, top-of-the-mind beliefs underlying the intention to donate some of the milk an individual is currently producing to a milk bank. Methods: An exploratory, cross-sectional study design, based on the Reasoned Action Approach, was used to measure the theory’s global constructs and elicit beliefs underlying the intention to donate milk of lactating individuals ( N = 118) living in Indiana, Illinois, Missouri, and Kentucky. Thematic and frequency analyses and multiple regression were performed. Results: Quantitative analyses found that injunctive norm and the autonomy component of perceived behavioral control were independently associated with intention. Qualitative analyses identified the advantages (e.g., help and save babies, won’t waste milk), referents who support (e.g., husband, family), and facilitators (e.g., having a convenient, close location, having more knowledge and information) of donating milk. Conclusions: This research provides insight into how milk banks might recruit and retain donors. Additional quantitative research with a larger sample is necessary to confirm the preliminary findings of this study.
Needs for discharge planning and facilitators-barriers to implementing discharge plans for patients with SLE: A qualitative study
Authors: Liu Shu-Ting , Xia Xue-Ying , Song Zi-Cheng , Hu Jia-Jia , Zhao Wei 
Published: September 2024

Objective To investigate the needs of patients with SLE in terms of discharge planning, to outline the practical perspectives of clinical healthcare professionals regarding the enablers and impediments to SLE patients’ discharge planning, and to establish a basis for the creation of SLE discharge plans for subsequently diagnosed patients. Methods Descriptive qualitative research methodology was used in this study, with the researcher herself as the research instrument. Healthcare professionals formally employed in the rheumatology and immunology department, as well as SLE patients admitted to a tertiary-level hospital in Anhui Province between August and December 2023, were chosen for the study using a purposeful sample technique. In-person, semi-structured in-depth interviews were carried out, and used thematic analysis to analyze the interview data and distil themes. Result A total of 17 patients and 13 healthcare professionals were interviewed. Five themes and sixteen sub-themes in all were extracted: ①the needs of SLE patients for discharge planning; ②the present state of discharge planning implementation; ③factors conducive to the implementation of discharge planning; ④factors hindering the implementation of discharge planning; ⑤recommendations for implementing of discharge planning. Conclusion Planning for the discharge of SLE patients is essential, and in order to support patients’ successful discharge, management should strengthen training, thoroughly evaluate the needs of SLE patients, and create customized discharge plans.
The psychological impact of supervised quarantine facilities for the mitigation of COVID-19: A systematic review
Authors: Erickson Eric , Bressington Daniel , Mitchell David 
Published: September 2024

Background Government mandated quarantine outside the home was implemented to mitigate COVID-19 in some countries. Individual studies report that this can result in psychological distress. Investigating levels of distress and associated risk factors across different settings would inform public health models of care during future pandemics. However, no previous systematic reviews have been conducted on the topic. Therefore, we systematically reviewed international research on the prevalence and risk factors of psychological distress within supervised quarantine facilities during the COVID-19 pandemic. Methods A systematic review of the literature was conducted using Medline, Psychological and Behavioural Sciences, Psych Info, Cochrane databases and Google Scholar from January 2020 until June 2023. Relevant quantitative studies published in English were included. Results 13 studies (pooled participants n = 4366) were included in this review. The prevalence of psychological distress varied widely across the included studies (depression 4%–63%; anxiety 4%–100%; stress 1%–68%). Associated risk factors identified were also heterogeneous between studies and facilities. Conclusion In future pandemics, the benefits of infection mitigation need to be weighed against the risk of psychological distress. Models of care utilising specifically designed facilities, with greater freedoms, increased comfort and ease of access to mental health services may limit psychological distress.
Immersive Simulations in Surgical Training: Analyzing the Interplay Between Virtual and Real-World Environments
Authors: Lawson McLean Aaron , Lawson McLean Anna C. 
Published: September 2024

Background The adoption of immersive simulations in surgical education marks a nuanced shift towards bridging virtual and real-world experiences. Introduced by Johan Huizinga and further explored by Edward Castronova, the “Magic Circle” concept serves as a metaphorical boundary within which the standard constraints of reality are temporarily lifted, allowing for the emergence of unique learning and interaction dynamics. This framework, while new to the field of surgical training, presents a theoretical potential for improving educational outcomes by merging simulated environments with actual surgical operations. Aim This study aims to critically assess the introduction of immersive simulations in surgical education, with a particular focus on the interplay between virtual scenarios and their real-world counterparts. It seeks to evaluate the potential of the Magic Circle as a novel conceptual framework for enhancing the educational journey within surgical disciplines. Method Through qualitative analysis, this research explores the application of immersive simulation technologies in surgical fields. It examines the Magic Circle concept's influence on these educational paradigms, especially regarding its effect on the efficiency of learning, the transferability of skills, and levels of learner engagement. Results This paper proposes that embedding immersive simulations within the Magic Circle framework could lead to improved understanding of surgical procedures and heightened acquisition of skills. This conceptualization suggests a promising avenue for enriching the educational matrix in surgical training, bridging theoretical knowledge with practical application through a novel lens. Recommendation The study advises a judicious integration of immersive simulation technologies within surgical training programs, guided by the principles of the Magic Circle. It calls for further empirical research to validate and refine this conceptual approach, with an emphasis on maximizing the utility of immersive learning tools, enhancing the effectiveness of skill transfer, and ensuring an equitable and effective educational experience for all surgical trainees.
Estimation of Systolic and Diastolic Left Ventricular Blood Flow From Derivatives of Transesophageal Echocardiographic 3D Volume Curves in Cardiac Surgery Patients: A Proof-of-Concept Study
Authors: Jokiel Paul-Michael , Schweizer Thilo , Guensch Dominik P. , Berdajs Denis , Erb Joachim , Bolliger Daniel , Kamber Firmin , Mauermann Eckhard 
Published: September 2024

Objectives To examine whether estimates of peak global systolic (S′) and diastolic (E′) left ventricular (LV) flow rates based on 3D echocardiographic volumes are feasible and match physiology. Methods In this retrospective feasibility study, we included patients undergoing major cardiac surgery. S′ and E′ were derived from 190 patients by taking the first derivative of the volume-time relationship of 3D ecg-gated transesophageal echocardiography (TEE) images. To examine the quality of images upon which the estimates of flow were based we correlated intraoperative 3D TEE and preoperative 2D transthoracic echocardiography (TTE) volumes. As a proof-of-concept, we then correlated S′ flow with stroke volume and S′ and E′ were compared by valve pathology. Results In each of the 190 images, S′ and E′ were derived. There was good correlation between 1) the ejection fraction (EF) of 3D LV images obtained intraoperatively by TEE and preoperatively by TTE (Pearson’s r = 0.65) and also 2) S′ and stroke volume (Pearson’s r = 0.73). Patients with aortic or mitral regurgitation showed higher S′ than patients without valve pathologies (−315 mL/s [95% CI −388 mL/s to −264 mL/s] P = 0.001, −319 mL/s [95% CI −397 mL/s to −246 mL/s] P = 0.001 vs −242 mL/s [95% CI −300 mL/s to −196 mL/s]). These patients also showed higher E′ than patients without valve pathologies (302 mL/s [95% CI 237 mL/s to 384 mL/s] P = 0.006, 341 mL/s [95%CI 227 mL/s to 442 mL/s] P = 0.001 vs 240 mL/s [95%CI 185 mL/s to 315 mL/s]). Patients with aortic stenosis showed no difference in S′ or E’ (−263 mL/s [95%CI −300 mL/s to −212 mL/s] P = 0.793, 255 mL/s [95%CI 188 mL/s to 344 mL/s] P = 0.400). Conclusions Estimates of global peak systolic and diastolic LV flow based on 3D TEE are feasible, promising, and match valve pathologies.
Fetal Vertebral Chondrostasis—Significance of Excessive Cartilage in Vertebral Bodies of Newborns
Authors: Gorman Emily , Staffa Steven J. , Kozakewich Harry , Zurakowski David 
Published: September 2024

Introduction: We describe an abnormality in fetal and neonatal vertebral bodies whose most conspicuous characteristic is an increase in cartilaginous matrix within cancellous osseous trabeculae. We have termed this finding fetal chondrostasis (FC). Methods: We initiated a retrospective review of autopsy reports in which this condition had been prospectively diagnosed during a 36-year period. The Chalkley point counting method was applied to histologic sections of vertebral bodies to assess the relative components of cartilage, bone, and bone marrow. The results were compared to those of three control groups whose causes of death were prematurity, birth trauma, and infection. Results: We found that on average, the cartilaginous content in the FC group was considerably greater in both preterm and term infants when compared to controls. FC seemed to evolve from diminished activity in the cartilaginous growth zone resulting in formation of excessively broad cartilaginous columns. These subsequently suffered from delayed resorption following their incorporation within cancellous bony trabeculae. Conclusion: Excess cartilage within cancellous bone of vertebral centra in newborns is merely one aspect of disturbed intrauterine osseous development but is seemingly more readily discernible than other features at this site. The most common clinical correlates for FC were multiple congenital anomalies, congenital heart disease, intrauterine growth retardation, prematurity, and certain maternal factors.