Search

A key challenge of implementing advance care planning lies in the fact that decisions made in advance require patients and their family members to imagine what their clinical picture will look like rather than knowing or experiencing the clinical circumstances as they unfold. Even more important is the acknowledgment of the unpredictability of a given clinical course. This type of situation requires adaptiveness and flexibility in decision-making that frequently occurs in the moment(s) triggered by changes in health state(s). We describe an alternative frameshifting approach called Adaptive Care Planning (AdaptCP), which features an evolving communication between physicians and patients/families with ongoing incorporation of the patients/familys perspective. This process continues iteratively until each decision can be reached in a way that is both harmonious with the patients/familys perspective and is consistent with medical treatment options that are actionable for the healthcare team. We include a table of tools drawn from the literature that can help clinicians when implementing AdaptCP.

Extreme weather events affect many areas around the world. How a country or region reacts to it can take many forms. In this article, we concentrate on policy responses, as typically found in laws, acts, or strategies. Recent research in climate change adaptation or environmental governance concluded that the degree of severity of extreme events is a crucial indicator that policy action should be taken. The event alone is a necessary, but insufficient condition for policies to be introduced. In this context, we ask: Which conditions must be at stake so that an extreme event is able to deploy its focal power and induce policy introduction or change? To answer this question, we studied more than two centuries of flood risk management in Switzerland. We relied on qualitative and quantitative data, as well as process tracing techniques, to relate event characteristics, media, political, and policy contexts to policy change in flood risk management. Results indicate that two conditions made floods turn into focusing events and support paradigm shift: high economic damage and a policy subsystem’s actor constellation favorable to change. We are convinced that our results are also replicable for other natural disasters and other countries than only Switzerland. [ABSTRACT FROM AUTHOR]

This paper seeks to construct a narrative woven around the academic ventures and tribulations of third-year students who, in their initial university chapter, stumbled on the academic hurdles of General English 1 and 2 examinations and to immerse in a realm where digital game-based learning takes centre stage, exploring its potential as a naturally intuitive learning modality, and perhaps, a catalyst for educational triumphs within a structured programme. The journey ventures deep into the playful innateness of students, where learning subtly intertwines with inherent literacies developed in worlds beyond academia. As we navigate through this paper, we shall delineate the nuances of digital game-based learning, meander through pertinent theoretical terrains, and unfold the findings from our venture where students at the University of Montenegro were gently nudged to embrace English language acquisition within a milieu strikingly divergent from traditional academic paradigms. The question that underpins our research paper is: Can game-based learning not just illuminate paths of academic advancement but also meaningfully elevate those traversing its trails? If such a methodology does indeed hold the promise of not just aiding but elevating students to loftier academic realms, its integration into second language programmes within our university warrants profound consideration and deliberate action. In quest of answers, our study sought to unearth the potential impacts of digital game-based learning over a single academic year, approximately spanning ten months, diligently exploring whether it could indeed be a positive force for student advancement. Within the Montenegrin academic landscape, to our knowledge, no such longitudinal study has been previously undertaken. Thus, our endeavour does not only seek to fill a research void but also aspires to kindle further explorations into this intriguing academic frontier, infusing the Montenegrin educational landscape with fresh perspectives and perhaps, unveiling new pathways for student success. [ABSTRACT FROM AUTHOR]

AbstractThe renewed interest in psychedelics as treatments for mental health disorders is often referred to as the “Psychedelic Renaissance.” This article assesses whether this resurgence truly constitutes a paradigm shift in psychiatry, as some proponents claim, or if it should be viewed as an integration of existing therapeutic approaches. We explore historical contexts, noting that psychedelics were extensively researched in the mid-20th century and argue that many of the current claims about their novelty overlook prior knowledge and research from that period. While psychedelics do introduce novel aspects, such as rapid therapeutic effects and unique modes of action, we challenge the idea of a full paradigm shift, suggesting that these developments are better understood as enhancements to existing frameworks rather than a wholesale replacement. We emphasize the importance of integrating psychedelics within a broader bio-psycho-social model of psychiatry, combining pharmacological, psychological, and contextual factors. The therapeutic potential of psychedelics in psychotherapy has previously been described as working as “nonspecific amplifiers” of psychological processes, rather than introducing entirely new mechanisms. We suggest a balanced, integrative approach that incorporates psychedelics into existing mental health care models, cautioning against “psychedelic exceptionalism” and the risk of overselling their potential as a revolutionary treatment. [ABSTRACT FROM AUTHOR]

The current changes to the treatment recommendations and the diagnostic categorization of trans* identities in the ICD‐11 require a new consideration of past therapeutic methods and approaches. The depathologization of trans* lives in the ICD‐11 finally enables trans* people to access psychotherapeutic services more freely, as the compulsory therapy that has thus far been required for access to transition‐related treatments, as well as the so‐called "diagnosis" and "treatment" of "transsexuality", have been removed. Trans* people will nevertheless be interested in qualified psychotherapeutic treatment options. Due to the decades‐long discrimination and treatment in the health system that has disregarded the human rights of trans* people, a trans*‐affirmative approach is necessary, one that takes into account the context of the treatment and critically reflects upon one's own position as a health professional. This affirmative and self‐reflective approach provides the basis upon which therapeutic concerns and topics related to a life lived in accordance with a self‐determined (gender) identity, related needs, and the fulfillment of those needs, can be discussed. The consequences of experiences of discrimination, violence and exclusion are, moreover, important elements of therapy that require a structural and social contextualization in order to address internalized trans*‐negativity and to empower trans* people in their self‐assertion. [ABSTRACT FROM AUTHOR]

This paper applies the distinction that Owen Barfield drew between 'the history of thought' and 'the history of thinking' (or 'the evolution of consciousness') to standard accounts of the transition from traditional to modern logic. It shows that most standard accounts of the history of logic fail to account for changes in consciousness that underlie developments in the history of ideas, and therefore stand to be deepened and enriched by Barfield's insights. [ABSTRACT FROM AUTHOR]

This study explored Namibian science teachers' perceptions of and approaches towards integrating inquiry-based instruction in science education. A survey questionnaire with 133 participants determined their opinions, attitudes, and beliefs revealing a strong preference for inquiry-based methods, with an average rating of 4.36 on a five-point Likert scale. Teachers emphasised its effectiveness in engaging learners, fostering critical thinking, and connecting scientific principles to real-world scenarios. The study examines key factors that impact the enactment of inquiry-based instruction, including teachers' prior experiences, understanding of inquiry, and philosophical viewpoints on the nature of science. The findings from this study showed that the allocation of time in the curriculum, the behaviour of learners, and the availability of resources were recognised as important factors impeding the successful implementation of inquiry-based instruction. The study suggests tailored professional development to address challenges and enhance teachers' ability to embrace inquiry-based practices effectively. These insights contribute to understanding determinants influencing innovative pedagogical approaches in Namibian science classrooms, informing educational policies and initiatives for teacher training in the country. [ABSTRACT FROM AUTHOR]

This paper examined the imaginaries of viable and assertive nationhood in the face of fragmented, oppressive and tyrannical regimes that pervert post-independence and postcolonial African states. To do justice to this paper, the qualitative approach and critical textual analysis using postcolonial theoretical framework was adopted for this study. In the plays under review, Onukaba and Idada, conscript two contemporary revolutionary visionary leaders in the post-independence/postcolomial African politics; namely, Ken Saro-Wiwa and Thomas Sankara, to deliberate on the decadence that pervert African political consciousness, creating lessons for all. The two visionary leaders in context are metaphorically summoned to the court of history to reflect on socio-political reality of Africa's politics and governance. The two real-life personalities whose audacious stance against neocolonial African state created great political tension and struggles and thus they suffered martyrdom in their different efforts at national self-retrieval and struggle for true independent African nationhood. The two playwrights creatively endowed their protagonists with true heroic, democratic, nationalistic and populist revolutionary temperaments. The study while teaching a lesson to African politicians and people, concludes that postcolonial Africa is in dire need of revolutionary transformation from the neocolonialist and imperialist vestiges, despite the setbacks that have been experienced over the years. The paper further postulates that a radical temperament such as depicted by the texts under review, remains relevant for birthing a viable African nationhood that will free Africa from the dungeon of slavery, and concludes that attention must be given to the pitfalls of those who have made such moves in the past and failed for the sake of correction and fresh paradigms in such patriotic pursuits. [ABSTRACT FROM AUTHOR]

An in-depth analysis of earlier work for sustainable development has revealed that well-intentioned and rigorous efforts globally towards achieving sustainability have at best achieved marginal results. The problem appears to be certain inherent contradictions within the contemporary paradigm of development. The article explores these unaddressed contradictions and argues that the present model of development is fundamentally incapable of resolving the prevalent problems of contemporary times. Hence, a strong need is felt to relook at sustainability more fundamentally and work towards a paradigm shift. Such a shift in the paradigm of development would put emphasis on sustainable consumption—a shift from sense gratification to actual human happiness and from treating nature as a resource for consumption to appreciating the inherent balance based on interconnectedness in nature. [ABSTRACT FROM AUTHOR]

Global changes occur in all aspects of human life. The church as a community in the midst of society is also not spared from the impact of change due to changing times. The Evangelical Church in Minahasa is a church that grows and develops in the midst of Minahasa society which is also experiencing changes. Change gave birth to a new paradigm in the church. The problem is whether the change is a synthesis of the old and new paradigms or really gives birth to a new paradigm? Perhaps even a return to the old ecclesiological order adapted to the current context? GMIM has historically tried to answer its calling in the midst of a changing world. GMIM is the largest church in North Sulawesi that has influenced the development of the region. Ecumenism in the local church is strongly influenced by the ecclesiology set by the church. In this paper, the author uses a qualitative method and uses a historical research approach to dissect changes in the ecumenical paradigm from 1934-2016. The author compares ecumenical theories from several Indonesian and foreign figures and theories about paradigm shifts. The results show that there was a shift in GMIM ecumenical ecclesiology through the discussion of sessions, seminars, discussions among theological experts. [ABSTRACT FROM AUTHOR]

Within governance agencies, academia, and communities alike, there are increasing calls to recognize the value and importance of culture within social‐ecological systems and to better implement Indigenous sciences in research, policy, and management. Efforts thus far have raised questions about the best ethical practices to do so. Engaging with plural worldviews and perspectives on their own terms reflects cultural evolutionary processes driving paradigm shifts in 3 fundamental areas of natural resource management: conceptualizations of natural resources and ecosystems, processes of public participation and governance, and relationships with Indigenous Peoples and communities with differing worldviews. We broadly describe evolution toward these paradigm shifts in fish and wildlife management. We then use 3 case studies to illustrate the ongoing cultural evolution of relationships between wildlife management and Indigenous practices within specific historical and social‐ecological contexts and reflect on common barriers to appropriately engaging with Indigenous paradigms and lifeways. Our case studies highlight 3 priorities that can assist the field of wildlife management in achieving the changes necessary to bridge incommensurable worldviews: acknowledging and reconciling historical legacies and their continued power dynamics as part of social‐ecological systems, establishing governance arrangements that move beyond attempts to extract cultural information from communities to integrate Indigenous Knowledges into dominant management paradigms, and engaging in critical reflexivity and reciprocal, accountable relationship building. Implementing these changes will take time and a commitment to processes that may initially feel uncomfortable and unfamiliar but have potential to be transformative. Ethical and culturally appropriate methods to include plural and multivocal perspectives and worldviews on their own terms are needed to transform wildlife management to achieve more effective and just management outcomes for all. [ABSTRACT FROM AUTHOR]

Schools are the most familiar learning spaces in the mind, which have undergone fundamental changes over time in various sectors, including architecture. The aim is to compare the architecture of Qajar and Pahlavi period schools and the effect of paradigm shift and transformation in Tabriz and Urmia schools. In this research, the evolution and continuity in the architecture of schools in the Qajar period was analyzed with regard to the spatial indicators and the body of learning the open space of Iranian schools. The research is important from two practical and descriptiveanalytical aspects, it is practical for exploiting all kinds of schools of the Qajar and Pahlavi periods and fundamental for how to face them in the space of transition from architecture in the city. The method of doing the work is mixed and qualitative-quantitative. First, library information is collected and then the interview technique is used. The components extracted in the questionnaire were compiled with a Likert scale and distributed among the experts. In the qualitative part of the interview method, he collects data, and in the Atlasti software, he extracts the components and changes of schools based on open and axial coding and the results of the questionnaire with the SPSS software, analysis of variance, regression (ANOVA) for data analysis with statistics. During the Qajar period, the arrival of modernity in Iran caused a transformation and a paradigm shift in school architecture. With the establishment of Dar al-Funun by Amir Kabir, a huge change in the model of schools took place, which led to the separation of schools from mosques. As a result, the educational spaces from the school mosque with the pattern of the central courtyard later changed to the schools with the elongated plan pattern, and the educational evolution in the Qajar period followed the concept of physical-shape continuity of the traditional Iranian architecture and items such as the central courtyard, module and frame. The arrangement of views and symmetry, introversion and appropriate geometry, etc. can be seen. [ABSTRACT FROM AUTHOR]

Copyright of International Journal of Linguistics, Literature & Translation is the property of Al-Kindi Center for Research & Development and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

When it comes to hospital administration, patient care, and medical data analysis, the Healthcare Internet of Things (HIoT) is nothing short of a paradigm revolution. We dive into this new paradigm to examine its farreaching effects and revolutionary possibilities in the healthcare system. The foundation is set by presenting HIoT as a groundbreaking innovation in healthcare. By leveraging IoT to connect various devices, this model enables real-time patient monitoring, efficient inventory management, and seamless telemedicine integration. HIoT is poised to revolutionize the healthcare industry by enhancing resource allocation, streamlining operations, and facilitating proactive patient care. Our investigation includes a thorough appraisal of how HIoT will affect many facets of medical treatment. We use many research approaches and quality indicators for this evaluation. We may evaluate the viability and scalability of HIoT solutions by testing them in experimental settings that mimic real-world healthcare settings. To provide a precise depiction of the healthcare system, dataset environments use well maintained medical data sources. The performance and efficacy of HIoT technologies may be evaluated using measurable criteria such as sensitivity (0.94), specificity (0.89), F1-Score (0.91), ROC-AUC (0.95), and cost savings ($150,000). To determine the relative importance of each part of the HIoT ecosystem, researchers undertake "ablation studies. Our findings provide a clear picture of the disruptive potential of HIoT. Better patient outcomes may be ensured via early interventions thanks to the improved accuracy (0.92), efficiency (9.2), and satisfaction (9.2) provided by the suggested HIoT technique for patient monitoring. When healthcare and telemedicine are combined, the success rate of remote consultations increases to 95%, response times decrease to 15 minutes, and more people have access to medical treatment. [ABSTRACT FROM AUTHOR]

The utilization of ICT, or Information and Communications Technology, in the pedagogical realm of English Language instruction is currently experiencing a significant surge in popularity and relevance. The field of English language instruction has witnessed a multitude of transformative advancements throughout the course of preceding centuries. Information and Communication Technology (ICT) has attained a state of omnipresence in the contemporary world, wherein its significance permeates across a multitude of domains encompassing health, sports, transportation, textiles, entertainment, and beyond. Given its perpetual growth and undeniable significance within the realm of Education, Information and Communication Technology (ICT) wields a transformative power within the classroom, seamlessly integrating itself into diverse approaches to language instruction. It facilitates a transition from a pedagogical paradigm centered around the teacher to one that prioritizes the needs and interests of the student. The conventional implements, namely chalk, chart, and their ilk, have been supplanted by more sophisticated apparatuses such as smart screens, projectors, and LCD screens equipped with speakers, microphones, and video capabilities, among other enhancements. This manuscript draws inspiration from an online course offered by IIT Bombay, delving into diverse approaches and methodologies pertaining to the utilization of information and communication technology (ICT) in the facilitation of the teaching-learning process. [ABSTRACT FROM AUTHOR]

The aim of this case series report is to provide a new topical view of styletubation (video intubating stylet technique) in obese patients undergoing bariatric surgeries. In contrast to various conventional direct laryngoscopes (DLs), videolaryngoscopes (VLs) have been applied in such obese populations with potentially difficult airway complications. The safety and effectiveness of VLs have been repeatedly studied, and the superiority of VLs has then been observed in and advocated for routine use. In this article, among our vast use experiences with styletubation (more than 54,998 patients since 2016) for first-line routine tracheal intubation, we present the unique experience to apply the styletubation technique in obese patients undergoing bariatric surgery. Consistent with the experiences applied in other patient populations, we found the styletubation technique itself to be swift (the time to intubate from 5 s to 24 s), smooth (first-attempt success rate: 100%), safe (no airway complications), and easy (high subjective satisfaction). The learning curve is steep, but competency can be enhanced if technical pitfalls can be avoided. We, therefore, propose that the styletubation technique can be feasibly and routinely applied as a first-line airway modality in obese patients undergoing bariatric surgery. [ABSTRACT FROM AUTHOR]

This concept paper explores possible collective identities for a future wildland fire workforce. Taking inspiration from the work of futurists who foresee an end to the dominant fire exclusion/suppression paradigm, and assuming that an emerging fire restoration/resilience paradigm shift replaces it, this paper engages in speculative explorations of the process and product of this paradigm shift with respect to the future collective identities of a workforce conducting ecological fire management. Social constructionist assumptions from symbolic interactionist sociological theory, Gramscian political theory's concept of hegemony, and new social movement theory's concept of collective identity all provide the intellectual foundations for the discussion. This concept paper argues that in order to actualize a paradigm shift, more than advances in scientific research or reforms of government policies will be required—the wildland fire community will need to become (or join) a social movement engaged in collective actions. An imaginary social movement, the "Greenfire revolution," is invented to help illustrate how the selected theories and concepts might apply in the social construction of ecological fire management and the collective identities of its future workforce. [ABSTRACT FROM AUTHOR]

Event portfolios entail a holistic, integrative, and network mindset in assembling, designing, managing, and cross‐leveraging strategic multievent calendar programs as complex systems for obtaining multiple benefits. Primarily because their development calls for a disruptive change departing from the enduring predominant focus on standalone major events, they have remained a largely neglected phenomenon within event studies over the last 20 years. This commentary reviews incipient scholarship that has pushed towards a portfolio paradigm shift for making events more sustainable and resilient. It tracks down the emergence of event portfolio in Event Management–first made in 2003. All portfolio-related articles published until today in the journal are presented alongside research emerged elsewhere to reveal overarching themes and knowledge gaps. Aspiring to trigger interest in the subject and attract work that will build new knowledge, main directions for future studies are recommended: event populations, eventfulness, portfolio constitution/evolution, cross‐leveraging, and comparative studies among events/portfolios [ABSTRACT FROM AUTHOR]

Copyright of Hungarian Law Enforcement / Magyar Rendészet is the property of National University of Public Service and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article discusses emerging technologies in information systems project management. Project management is a modern discipline that began to take shape from 1900 and has evolved and adapted to the needs of society and business. Emerging technologies such as artificial intelligence, blockchain, augmented and virtual reality, and process automation are transforming the way information systems projects are managed. These technologies can be used to analyze large amounts of data, ensure data integrity and security, visualize a project's design and perform virtual testing, and automate tasks to reduce project time and cost. It is important for companies to be aware of these technologies and use them effectively to improve the efficiency and profitability of their projects. [ABSTRACT FROM AUTHOR]

This article deals with project management in information systems, whose relevance lies in the vital importance of these systems in modern companies. Information systems are essential for decision making and data management in today's interconnected world. Project management, on the other hand, coordinates elements such as scope, resources, costs, schedules and risks to achieve defined objectives. The systems development life cycle (SDLC) structures the process, encompassing phases such as scope definition, planning, execution, monitoring and closure. These phases are integrated with risk management, which identifies, evaluates and mitigates threats and opportunities. Mitigation strategies act before adversity, while contingency planning prepares for the unforeseen. That is why risk management is integrated throughout the project life cycle to anticipate and address challenges. The combination of both aspects is critical in a constantly evolving technology environment. In addition, organizational culture and communication play a critical role. A culture of awareness and accountability, transparency in communication and active stakeholder participation are essential. Training and continuous adaptation allow learning from past experiences and improving practices. [ABSTRACT FROM AUTHOR]

The pursuit of sustainability is a noble undertaking and unarguably 'a good thing'. The concept can hardly be denied as something good for future societal well‐being. However, beyond a superficial acknowledgment of the inherent 'goodness' of sustainability, there is much to be gained through reframing sustainability as an engineered byproduct, subject to trade‐offs, from an underlying system as opposed to a 'development goal.' A Mindshift is a change in assumptions, beliefs, and ways of thinking about something. In pursuit of a sustainability Mindshift, following an introduction and discussion of the sustainability landscape, three challenges for sustainable systems development are explored. The first Mindshift challenge examines sustainability as a byproduct of an underlying system. Thus, the focus is shifted from sustainability as a goal to sustainability as a purposefully designed outcome from an engineered system. The second Mindshift challenge explores sustainability through the lens of Systems Theory. Systems Theory is a set of axioms (taken‐for‐granted 'truths') and propositions (system concepts, laws, and principles) that govern systems' behavior, structure, and performance. The implications of Systems Theory have profound implications for how we view sustainability. The third Mindshift challenge suggests that sustainability can be enhanced through the purposeful identification, assessment, and resolution of violations of system propositions (pathologies) spanning system design, execution, and development. Thus, sustainability is a 'systems‐engineered byproduct' resulting from an underlying system and developed by addressing systems‐based disparities (pathologies) in the system. The paper closes with a capsule of Mindshift challenges for sustainability and their implications for supporting the INCOSE SE Vision 2035. [ABSTRACT FROM AUTHOR]

The discipline of forestry developed in 18th century Europe from the confluence of concerns about timber supply, industrialization and a disintegration of communal land rights. Out of this history, forestry has developed into an institution-a set of conventions, norms and legal rules influencing decisions made by foresters in their professional roles-that is rooted in a particular worldview that frames forests primarily as production systems to be managed for the satisfaction of human needs and preferences. We identify four institutional foundations of forestry drawing from textbooks, histories, university curriculum, professional societies’ codes of ethics, policy documents, peer reviewed literature and the writings of prominent foresters. We explore how these foundations can contribute to limiting considerations for diverse worldviews and values and impede the discipline’s utility in combating climate change, biodiversity loss and environmental injustice. To overcome these limitations and make forestry a more diverse and inviting field capable of addressing 21st century challenges, we propose revising these foundations based on relational thinking and suggest ways such a shift in the institution of forestry could be facilitated. We argue that these revised institutional foundations can make the discipline more open to diverse worldviews, more inviting to groups traditionally underrepresented in forestry, more trusted by the general public and better able to confront the challenges forests face under global change.

Purpose – This paper explores the intersection of global sustainability frameworks and local tourism management applying the Doughnut Economy model. The study aims to understand how destinations can bridge the gap between multidimensional, multilevel sustainability objectives and local execution, ultimately promoting a paradigm shift towards sustainable tourism. Methodology – We review the sustainable destination management literature as well as the Doughnut Economy framework and evaluate how the Doughnut model allows for an examination of how destinations can simultaneously address local needs and broader, systemic impacts. Findings – The integration of the Doughnut Economy model can help to ensure that the benefits and costs of tourism are in balance. Tourism destinations need to adopt consistent sustainable practices that align with both local aspirations and global sustainability targets. Digitalization can enhance the measuring and modelling of impacts and aid in steering behaviour. Implications – Destination managers have a role in the broader sustainability of tourism, and they will be required to apply comprehensive approaches such as the Doughnut model supported by digital solutions to balance social and ecological demands at local and global levels.

This research highlights the crucial function of children’s library services in advancing literacy and competency development. It underscores the urgency for libraries to evolve beyond conventional roles, advocating for a comprehensive literacy framework that integrates reading, writing, digital literacy, and critical thinking. Through qualitative analysis, the study outlines strategic measures for transforming libraries into vibrant, interactive spaces that nurture children’s intellectual and social growth, positioning libraries as key facilitators of lifelong learning. It calls for a significant paradigm shift in children’s library services to adeptly address emerging educational demands, emphasizing innovation and inclusivity in service design. [ABSTRACT FROM AUTHOR]

Ketosis is currently regarded as a major metabolic disorder of dairy cows, reflective of the animal's efforts to adapt to energy deficit while transitioning into lactation. Currently viewed as a pathology by some, ketosis is associatively implicated in milk production losses and peripartal health complications that increase the risk of early removal of cows from the herd, thus carrying economic losses for dairy farmers and jeopardizing the sustainability of the dairy industry. Despite decades of intense research in the mitigation of ketosis and its sequelae, our ability to lessen its purported effects remains limited. Moreover, the association of ketosis to reduced milk production and peripartal disease is often erratic and likely mired by concurrent potential confounders. In this review, we discuss the potential reasons for these apparent paradoxes in the light of currently available evidence, with a focus on the limitations of observational research and the necessary steps to unambiguously identify the effects of ketosis on cow health and performance via controlled randomized experimentation. A nuanced perspective is proposed that considers the dissociation of ketosis—as a disease—from healthy hyperketonemia. Furthermore, in consideration of a growing body of evidence that highlights positive roles of ketones in the mitigation of metabolic dysfunction and chronic diseases, we consider the hypothetical functions of ketones as health-promoting metabolites and ponder on their potential usefulness to enhance dairy cow health and productivity. [ABSTRACT FROM AUTHOR]

This study aims to discern the ontological assumptions of the financial regulatory paradigm to clarify the meaning of a paradigm shift and the significance of the macroprudential turn in global financial regulation. An ontological understanding of financial markets is a key requirement to understand the hard core assumptions of the financial regulatory paradigm because the conflation of distinct ontologies makes it impossible to maintain the internal coherence of the financial regulatory paradigm. In terms of the ontological assumptions of the financial regulatory paradigm, the macroprudential turn in global financial regulations after the 2008 financial crisis fell short of leading to a paradigm shift in global financial regulation since it brought about an explanatory rather than ontological change. Macroprudential ideas rejected the explanatory reductionism of existing microprudential regulation without abandoning its ontological individualism. [ABSTRACT FROM AUTHOR]

Laryngoscopy for tracheal intubation has been developed for many decades. Among various conventional laryngoscopes, videolaryngoscopes (VLs) have been applied in different patient populations, including difficult airways. The safety and effectiveness of VLs have been repeatedly studied in both normal and difficult airways. The superiority of VLs then has been observed and is advocated as the standard of care. In contrast to laryngoscopy, the development of video-assisted intubating stylet (VS, also named as styletubation) was noticed two decades ago. Since then, sporadic clinical experiences of use have appeared in the literature. In this review article, we presented our vast use experiences of the styletubation (more than 55,000 patients since 2016). We found this technique to be swift (the time to intubate from 3 s to 10 s), smooth (first-attempt success rate: 100%), safe (no airway complications), and easy (high subjective satisfaction and fast learning curve for the novice trainees) in both normal and difficult airway scenarios. We, therefore, propose that the styletubation technique can be feasibly applied as universal routine use for tracheal intubation. [ABSTRACT FROM AUTHOR]

Global pesticide usage is 3.5 million tonnes at an average of 1.81kg/ha, while Indian usage is at 55,000 metric tonnes (2023) with an average of 0.517kg/ha. Compared to the pesticide market, the Indian biopesticide market remains small-cumulative annual biopesticide production at 9000 metric tonnes and a growth rate of 3-5% in consumption which is projected to reach a CGR of 8-10% by 2030. The utilization of biopesticides amounts to approximately 9% of overall pesticide use and is projected to increase to 50% of the total pesticide market by 2050. Among several microbial biocontrol agents, Entomopathogenic Nematodes (EPN) has been realised to be dependable IPM component against several insect pests. EPNs are soil-inhabiting beneficial nematodes that parasitize and kill insect pests, with immense potential for ecological services making them valuable tools in IPM. Worldwide, the demand for the development of EPN-containing products is mounting with several companies involved in their production, distribution and sales. India's estimated demand for EPN is 24,000 metric tonnes, while the current production is 1800 metric tonnes from 25-30 firms. In India and other developing countries, the current EPN production and supply chain are in their infancy and operate as a cottage industry. The market is flourishing with products that are spurious, expensive, and unregulated due to the wide gap between demand and availability of EPN products. The authors present an overview of the status and prospects of EPN as an IPM component, contemporary and futuristic issues for the transformation of the upcoming EPN industry to a self-reliant, self-sufficient and profitable enterprise and accomplish better uptake of EPN individually or in IPM. [ABSTRACT FROM AUTHOR]

Introduction: Urogenital fistula is a physically, socially and psychologically devastating condition for the patient. In developed countries, these fistulae are typically related to gynecological surgery, pelvic pathology like malignancy or post radiation therapy. In contrast, classical teaching is that urogenital fistulae in the developing countries like India are usually associated with prolonged labor and obstetric complications. This retrospective study conducted at a tertiary care health Institute shows a paradigm shift in epidemiology, etiology and management of genitourinary fistulae in India in recent times. Methods: This retrospective study included patients undergoing surgical repair for various genitourinary fistulae at our institute from 2016 to 2022. Epidemiology, etiology, site, size and number of fistulae, clinical presentation, and management records of these patients were recorded and reviewed retrospectively. Results: In our study, the mean age of the patients was 38.4 ± 10.2 years. Vesicovaginal Fistula (VVF) was found to be most common fistula in the study population (87.5%) followed by vesicouterine (7.1%) and urethrovaginal fistula (5.4%). The causes of genitourinary fistula were iatrogenic (73.2%), carcinoma of cervix (16.1%), obstructed prolonged labor (7.1%), and genitourinary tuberculosis (3.57%). Among the 48 vesicovaginal fistulas that underwent surgery, 45.8% were treated using a transvaginal approach, 29.2% were managed through a laparoscopic transabdominal repair, and 25% were addressed using a robotic approach. Recurrence occurred in 7.1% of the operated patients. Conclusion: Enhanced healthcare services in the country have contributed to a decrease in the incidence of obstructed labor, subsequently reducing related injuries. Iatrogenic injuries resulting from gynecological surgeries and carcinoma cervix have given rise to more complex fistulas, necessitating the implementation of advanced treatment strategies. [ABSTRACT FROM AUTHOR]

This paper initiates a novel discourse advocating for the anti-colonization of religious education (RE) in Africa South of the Sahara (ASoS). It illustrates how anti-colonial critiques can not only offer more precise theoretical perspectives but also generate a practical imperative for a paradigm shift in a school subject still influenced by what I have labeled as the neocoloniality of power. In some countries, attempts to decolonize RE through multi-faithism are being forsaken, reverting the subject to the Christonormativity of the colonial era. The paper contends that the process of reconceptualizing RE with an anti-colonial mindset should inspire innovative ideas for an anti-colonized RE aligned with the educational goals in an African postcolonial environment. [ABSTRACT FROM AUTHOR]