bluuebunny/crossref_metadata_2025_split huggingface dataset:
Natural theology after Darwin
Authors: Haught John F 
Published: April 2023

Has Darwinian science made natural theology obsolete, as many Christian scholars now believe? In this article, the author assumes that natural theology does not take place in a religious vacuum but instead borrows its sense of god from this or that specific faith tradition. Its task is not to arrive at an understanding of the divine mystery different from that of systematic or doctrinal theology. As the author shall argue here, however, the empirical grounding essential to natural theology must be considerably more comprehensive and more profound than that provided by the natural sciences, mainly because the latter usually leave out any mention of the most striking of all natural phenomena – the human mind and its mysterious operations.The author maintains that an exclusively Darwinian narrative cannot fully explain why your mind is restless for truth or why you should trust your mind. The point of natural theology is to ask whether nature as a whole is intelligible apart from the reality of God. The author’s point is that an empirical survey of nature that restricts itself to following the modern scientific method’s habitual exclusion of thought from its survey of nature cannot succeed in making nature intelligible.Contribution: This article argues that evolutionary explanations alone are not enough to account for all that is happening in human understanding and knowing. In the light of evolutionary biology, we must note that even human intelligence, which formerly seemed to elevate our species to a perch above nature, now appears to be an unexceptional product of chance, deep time and natural selection. ‘Thought’, the name we may give to the most splendid of all evolutionary outcomes, is taken to be a product of impersonal natural selection and so also are our moral instincts.
Beads of agency: Bemba women’s imbusa and indigenous marital communication
Authors: Kaunda Mutale M. 
Published: April 2023

In this article the author argues that indigenous Bemba women of Zambia used their culture of symbolic communication for marital sex agency. African women are often portrayed as not having agency and negotiating power when it comes to sex whether in marital or casual relationships. However, through imbusa teachings, Bemba women of Zambia had the negotiating power and agency over their sexual desires using indigenous beads as a marital communication tool before Christianity, interaction with various cultures, and colonial activity infiltrated the institution of imbusa. Missionaries were consistently and insistently invading the space of imbusa claiming the need to be made aware of what was being taught. Missionaries claimed that they wanted to prepare a manual for new arriving priests so that they would include Christianity to the teachings in order to teach the Bemba women Christian ways of marriage. As a result, much of the indigenous imbusa teaching was portrayed as demonic and Bemba women needed to disregard them in order to be Christian married women. Using symbolic interactionism, this article will demonstrate the teachings of imbusa that gave Bemba women agency to express and negotiate their sexual desires in marriage. Bemba women had a ritual of hanging beads on the wall or placing them on the bed at certain times in their marriage. For instance, when they were menstruating, they hung red beads which was to communicate that they were not available for sexual relations.Contribution: This article contributes to the African indigenous cultural understandings and positions held by indigenous women prior to their interactions with diverse cultures and religious views. Contemporary indigenous women can leverage some positive feminist approaches from within the culture.
The Gibean solution (Jgs 19-21) - a mirror to reclaiming women dignity in Zimbabwe
Authors: Mwandayi Canisius , Chirongoma Sophia 
Published: April 2023

Chronicling the history of gendered and sexualised violence in Zimbabwe, our article upholds the view that what transpired in Judges 19:20–48 offers the contemporary readers some important lessons that are worth pondering over. Looking through feminist hermeneutical lenses, we engage in a comparative analysis of the gender-based violations, human rights abuses, and the lack of hospitality depicted in Judges 19–21 with the lived realities of Zimbabwean women in our contemporary times. The discussion draws to a close by proffering a theology of restorative justice. It is our argument that Zimbabwe needs healing through a non-retaliative response to some wrongdoing that prioritises repairing harm and the recognition that maintaining positive relationships with fellow humans is a core human need. This is the only way forward to reclaim and restore the humanity and dignity of women exposed to diverse forms of gender-based violence in our Mother Earth.Contribution: This article reveals the link between the violations and brutality endured by the woman in Judges 19–21 with the history of sexualised violence in Zimbabwe. It is worth noting that in African Traditional Religion, the three worlds (spiritual, natural, and human) are intertwined and make up the cosmic totality; sexually violating women is tantamount to desecrating Mother Earth.
Look in or book in: The case for type 2 diabetes remission to prevent diabetic retinopathy
Authors: Cripps John , Cucuzzella Mark 
Published: April 2023

Background: Diabetic retinopathy (DR) remains the leading cause of legal blindness in 18- to 74-year-old Americans and in most developed nations. Screening for DR has increased minimally over four decades.Aim: Primary care physicians are critical to improve both visual and systemic outcomes in patients with diabetes. Diabetic retinopathy screening affords clinicians the opportunity to discuss type 2 diabetes (T2D) remission with patients. Primary care is well positioned to manage, and lower risks, of the systemic-associated diseases predicted by DR. The goal of this review was to assess the current literature on DR, new technology to enhance primary care-based screening, and the science and practical application of diabetes remission. A two-pronged strategy, bringing attention to ophthalmologists the potential of diabetes remission, and family physicians, the importance of retinopathy screening, may reduce the prevalence of blindness in patients with diabetes.Methods: Embase, PubMed, Google Scholar, AMED, and MEDLINE databases were searched using keywords ‘diabetic retinopathy; diabetic retinopathy screening, diabetes remission, diabetes reversal, and AI and diabetic retinopathy’.Results: Robust literature now exists on diabetes remission and international consensus panels are aligning on the strategies and the definition.Conclusion: Diabetic retinopathy remains the leading cause of legal blindness. Novel primary care friendly imaging would benefit nearly half of Americans from earlier detection and treatment of DR still not receiving such care. The most powerful way a primary care clinician could impact DR would be assisting in making the T2D go into remission. Prevention or slowing of progression of DR would greatly improve both visual and systemic outcomes patients with diabetes.Contribution: This article highlights the importance of addressing DR and metabolic health to reduce not only the eye effects of T2D but the multisystem complications.
Integration of traditional medicine into the mental healthcare system in Tshwane, South Africa
Authors: Masemola Vusi F.J. , Thobakgale Ellen M. , Govender Indiran 
Published: April 2023

Background: Mental healthcare providers have a negative attitude towards the integration of traditional health medicine (THM) into the mental health system. The attitude is based on their lack of trust in traditional practices, which are not supported by substantial evidence-based medical research. The study was conducted to determine mental healthcare providers views on the integration of traditional health medicine into the mental healthcare system.Methods: The study was conducted at a psychiatric hospital in the Tshwane district, Gauteng province, South Africa. A cross-sectional, descriptive research design was conducted on 85 respondents who consented to participate. Data were collected using a survey questionnaire from 23 psychiatrists and 62 psychiatric nurses. Data were analysed using descriptive statistics and presented in the form of graphs, frequencies and percentages.Results: Mental healthcare providers displayed a negative attitude towards integrating THM in psychiatric hospitals. The results showed no significant difference between psychiatrists and psychiatric nurses in their preference for modern mental healthcare practices (p = 0.25).Conclusion: There is still doubt among the mental healthcare providers on whether to support integration of the THM into mental health system or not. The doubt is based on the two-health system isolated from each other especially in South Africa.Contribution: This study contributed by showing the need and importance of understanding a patients’ cultural background, which supports the integration of a traditional health system into the mental healthcare system, which in turn will lead to the appropriate management of mental illnesses.
Grotesque bodies in the book of Job: A psychoanalytic perspective
Authors: Van der Zwan Pieter 
Published: April 2023

Job is suffering from illness without understanding it. His impairment and exclusion render him disabled in an abled, gloating but threatened society for which he is the laughing stock despite his exceptional piety. His psychic and spiritual breakthrough comes when God makes him reflect on and in the mirror of the wild and disorderly bodies of the two monstrosities, Behemoth and Leviathan, elsewhere in the Hebrew Bible exemplifying chaos, but now unexpectedly celebrated. Even as possible relief thanks to light-hearted humour these grotesque bodies emancipate the object of body-politics by subverting the centre of certainty and power. In this study the Bakhtinian critique of the ‘monologisation’ of the human body and its experience promised to be fruitfully combined with psychoanalytic insights about imprisoned body-images to enrich the relevance of the book of Job.Intradisciplinary and/or interdisciplinary implications: The interface of biblical hermeneutics and exegesis with other research fields in the social sciences and humanities such as psychoanalytic theory and literary criticism expanded the horizon of insight for all parties involved, not only for biblical studies.
‘Sinawe’ [we are with you]: Local churches as change agents in the lives of traumatised youth
Authors: Knoetze Johannes J. , Black Timothy J. 
Published: April 2023

The church has a key role to play in addressing the chronic levels of grief and trauma experienced by the youth in South Africa. It has a biblical mandate to bring hope and healing and has a unique station within South African society that positions it to bring about real transformation. ‘Sinawe’ (Zulu for [we are with you]) is a programme developed by Scripture Union South Africa to equip local churches as change agents through a relational youth ministry model that engages trauma, grief and holistic needs, both physically and spiritually. This is an important first step for churches wanting to reach and minister to young people.The South African church has an important and legitimate role to play in the lives of young people. Research indicates that although the church is considered by local residents as an important community resource, it remains ineffectual in intentional community-based youth ministry that leverages significant opportunity. This research identifies the church as an important community change agent and encourages church leaders to step into the open gap to reach local young people while providing the methodology with which to do so. This research paper examines the current South African social context, outlines a theological mandate for church involvement and presents a methodology for a supportive and effective approach to community engagement in the lives of young people led by local churches.Interdisciplinary: The article is relevant to the following disciplines within theology; missiology, family and youth ministry and pastoral care. It also has interfaces with education and sociology.
A mission made to last: Paul as a sustainable leader according to the Book of Acts
Authors: Stenschke Christoph W. 
Published: April 2023

This essay examines how the Book of Acts portrays Paul as a sustainable leader. Paul not only preached the Gospel, but also gathered his converts into communities, trained and installed their leaders, visited these communities regularly, and co-operated with a large group of co-workers whom he would train to take over from him. He readily made himself available as an example for others to follow. Paul established churches in major urban centres, which would take the Gospel to their surrounding areas. In all of this, he not only followed some early Jewish practises but also emulated the example of Jesus, who likewise carefully prepared a group of people to continue his ministry after his departure. While Paul’s circumstances and strategies cannot simply be copied in the different contexts, this presentation closes by describing what can be learnt from this portrayal for sustainable leadership in today’s churches and other organisations.Intradisciplinary and/or interdisciplinary implications: This article not only contributes to our understanding of the Book of Acts but also the way it characterises the ministry of Paul who dominates the second half of the Acts. In some instances, this portrayal challenges the understanding of Paul as he is seen in much of New Testament scholarship based solely on the letters of Paul. The research also contributes to practical theology/Christian leadership studies as it, based on the historical Paul, indicates some ingredients of sustainable leadership in Christian and in secular contexts. The research is also of relevance for secular leadership studies and social sciences.
Prevalence of dry eye, its categorization (Dry Eye Workshop II), and pathological correlation: A tertiary care study
Authors: Bhatt Kriti , Singh Satyaprakash , Singh Kamaljeet , Kumar Santosh , Dwivedi Kshama 
Published: April 2023

Purpose:
To study the prevalence of dry eye disease (DED), further categorize using DEWS II protocol, grade squamous metaplasia in each group, and determine associated risk factors in a tertiary care hospital.

Methods:
This cross-sectional hospital-based study screened 897 patients ≥30 years via systematic random sampling. Patients with both symptoms and signs as defined by the Dry Eye Workshop II protocol were considered as DED, further categorized, and subjected to impression cytology. Categorical data were assessed using the Chi-square test. P value < 0.05 was considered statistically significant.

Results:
In total, 265 (of 897) patients were defined as DED based on the presence of symptoms (DEQ-5 ≥6) and at least one positive sign (fluorescein breakup time [FBUT] <10 s or OSS ≥4). DED prevalence was thus 29.5% with aqueous deficient dry eye (ADDE), evaporative dry eye (EDE), and mixed type seen in 92 (34.71%), 105 (39.62%), and 68 (25.7%) patients, respectively. The risk of developing dry eye was higher in the age above 60 years (33.74%) and in the third decade. Females, urban dwellers, diabetics, smokers, history of previous cataract surgery, and usage of visual display terminal devices were found to be significantly associated with risk factors of DED. Squamous metaplasia and goblet cell loss were more severe in mixed compared to EDE and ADDE.

Conclusion:
Hospital-based prevalence of DED is 29.5% with a preponderance of EDE (EDE 39.62%, ADDE 34.71%, and mixed 25.71%). A higher grade of squamous metaplasia was seen in the mixed type compared to other sub-types.
5-Fluorouracil as a targeted lacrimal gland therapy for chronic Stevens-Johnson syndrome: A pilot study
Authors: Singh Swati , Basu Sayan 
Published: April 2023

Purpose:
The surgical technique of periglandular 5-fluorouracil (5-FU) injection and its effects on the morphology and function of the main lacrimal gland of patients with severe dry eye disease due to Stevens–Johnson syndrome (SJS) are reported.

Methods:
5-FU, as a potential antifibrotic agent, is given in the dose of 0.1 ml (50 mg/ml), subconjunctivally into the periglandular fibrosed area of the palpebral lobe of the main lacrimal gland. The injection is given using 30G needle into the subconjunctival plane and not into the substance of palpebral lobe.

Results:
Eight eyes (eight lobes) of seven chronic SJS patients (mean age, 32.5 years, <5 mm Schirmer) received the injection. All eight lobes demonstrated a visible reduction in the conjunctival congestion and scarring over the lobar area. The mean OSDI scoring improved from 65.3 to 51.1. Three patients with mean pre-injection Schirmer I values of 4 mm showed a mean change of 1 mm at four weeks following a single injection. The tear flow rate per lobe for the above three patients improved from 0.22, 0.12, and 0.16 µl/min to 0.31, 0.12, and 0.21 µl/min, respectively. Another patient with pre-injection Schirmer of 4 mm showed no change in tear flow. Three eyes with zero baseline Schirmer values (no visible secretory opening) had no improvement in tearing or ocular surface staining.

Conclusion:
Local 5-FU injection alters morphology of the conjunctiva overlying the palpebral lobe in SJS patients, but fails to show any significant effect on tear secretion.
Comparing the efficacy of sodium hyaluronate eye drops and carboxymethylcellulose eye drops in treating mild to moderate dry eye disease
Authors: Salim Sreelakshmi , Kamath Sumana J , Jeganathan Sangeetha , Pai Shobha G , Mendonca Teena Mariet , Kamath Ajay R 
Published: April 2023

Purpose:
Aim of this study was to compare the efficacy of sodium hyaluronate (SH) and carboxymethyl cellulose (CMC) eye drops in treating mild to moderate dry eye disease in terms of relief of symptoms, mean change in tear film breakup time, Schirmer’s test, and impression cytology of conjunctiva from baseline.

Methods:
An observational study was carried out during a 2-year period in our tertiary referral hospital. The study consisted of 60 patients randomly allotted to two groups to receive SH and CMC eye drops for an 8-week period. Ocular surface disease index, tear film breakup time, and Schirmer’s test were performed at baseline visit and 4 and 8 weeks of treatment, and impression cytology of conjunctiva was performed at baseline and 8 weeks.

Results:
Significant improvement in patient symptoms, tear film breakup time, and Schirmer’s test from baseline was seen in both SH and CMC groups at 8 weeks posttreatment, whereas impression cytology of conjunctiva in both groups did not show significant improvement at 8 weeks of treatment. Data analysis using unpaired t-test showed comparable results.

Conclusion:
Both CMC and SH demonstrated equal efficacy in treating mild to moderate dry eye disease.
Dry eye disease in diabetics versus non-diabetics: Associating dry eye severity with diabetic retinopathy and corneal nerve sensitivity
Authors: Mangoli Mitali V , Bubanale Shivanand C , Bhagyajyothi BK , Goyal Dhruv 
Published: April 2023

Purpose:
To compare the prevalence of dry eye disease (DED) and assess corneal nerve sensitivity (CNS) in diabetic and non-diabetic patients. To study the association of severity of DED in patients with diabetic retinopathy (DR) and CNS in DED.

Methods:
A cross-sectional prospective comparative study was conducted on 400 patients attending the ophthalmology OPD. The patients above 18 years of age were divided into two groups—diabetic (T2DM) and non-diabetic. All patients were subjectively assessed for DED based on Standard Patient Evaluation of Eye Dryness (SPEED) questionnaire and objectively, using Schirmer’s II test and Tear Film Break-Up Time (TBUT). Visual acuity assessment, anterior segment, and posterior segment evaluation were done.

Results:
Considering the SPEED score, Schirmer II values, TBUT values, and Dry Eye Work Shop (DEWS) II diagnostic criteria, mild DED was seen in 23% diabetic and 22.25% non-diabetic groups, moderate DED in 45.75% diabetic and 9.75% non-diabetic groups, and severe DED in 2% diabetic and 1.75% non-diabetic groups. Moderate DED was more common within all grades of DR. CNS was reduced more in diabetic group and also in patients with higher degree of DED.

Conclusion:
Prevalence of DED is more in the patients with T2DM. CNS was reduced more in patients with T2DM and in patients with moderate DED. Our study also correlated that severity of DR affects the severity of DED.
Dry eye symptoms and digital eyestrain - Emerging epidemics among university students due to online curriculum amid the COVID-19 pandemic. A cross-sectional study
Authors: Jakhar Fiza , Rodrigues Gladys R , Mendonca Teena M , Nayak Rajesh R , Kamath Gurudutt , Kamath Sumana J , Kamath Ajay 
Published: April 2023

Purpose:
Increased screen time has been a major concern among the students who have adopted the online curriculum amid the pandemic. The study was conducted to shed light on the changing trends of symptoms pertaining to dry eye disease and digital eyestrain due to the online curriculum and its negative implications on the ocular health of students.

Methods:
A cross-sectional study was conducted among students of Manipal Academy of Higher Education who are currently following the E-learning curriculum amid the COVID-19 pandemic the participants were surveyed using a pre-validated structured questionnaire.

Results:
The mean age of study participants was 23.33 ± 4.604 years. In total, 97.9% (321/352) of the respondents experienced at least three symptoms associated with the usage of digital devices. 88.1% of the participants were exposed to an average screen time of more than 4 hours per day. An increased number of hours of digital device usage was found to be associated with higher total symptom scores (P = 0.04). The total symptom scores were found to be considerably higher for those with continuous contact with the screen (P = 0.02). Headache (69.9%, n = 246) is the most commonly reported symptom followed by neck pain (65.3%, n = 230), tearing (44.6%, n = 157), eye pain (40.9%, n = 144), and burning sensation (40.1%, n = 141).

Conclusion:
This study highlights a tremendous increase in the prevalence of symptoms related to dry eye and digital eyestrain among students attending online classes during the COVID-19 pandemic. Eye care professionals need to be aware of this emerging public health threat and the appropriate measures for its prevention.