Full Sense Research Articles

Algérie 1962: une histoire populaire. Par Malika Rahal

Early in her remarkable ‘histoire populaire’ of the advent of Algerian independence, Malika Rahal, Director of the Institut d’histoire du temps présent, twice cites Benjamin Stora. As the pre-eminent scholar of the conflict, Stora appears in his expert capacity, but also as a witness to the lived experience of a revolutionary moment. The eleven-year-old Jewish boy who left Constantine with his family in June 1962 takes his place among the exiled pieds-noirs, in counterpoint to myriad ‘indigenous’ Algerian voices, as Rahal weaves a complex narrative that throughout exemplifies the writer’s commitment to letting the subaltern speak. Wide-ranging, frequently moving, and — inevitably — at times disturbing, these collectively inspirational testimonies reveal the fine grain of profound societal change. As Rahal’s incisive study makes clear, this process was not only practical and organizational, but also conceptual and symbolic. Her historical assemblage mobilizes interviews conducted in Arabic and French, underpinned by extensive archival research and related primary documentation. The ­investigation also draws upon prominent scholarship in the field, notably that of ­Natalya Vince in her own pioneering oral history of female nationalist combatants (Our Fighting Sisters: Nation, Memory and Gender in Algeria, 1954–2012 (Manchester: Manchester University Press, 2015)). Rahal thus offers an intricate and engrossing chronicle of a pivotal year, her structuring chronology punctuated by three key events: the ceasefire instituted by the Accords d’Évian (19 March); the national celebration of Algerian independence (5 July); and the proclamation of the Algerian Republic (25 September). This essential contextualization allows the author to develop a detailed case study in each of her twenty-two substantive chapters. The resulting analyses are as individually absorbing as they are cumulatively compelling, so allowing 1962 to emerge as a political and cultural totality: simultaneously event and effervescence, empowerment and performance, things falling apart while others coalesce in modes ranging from the patriotically heroic to the festively euphoric. Rahal maintains the coherence of this ambitious project by dividing her findings into four thematic sections: ‘Violences’, ‘Corps’, ‘Espaces’, ‘Le Temps’. These broad headings provide an appropriately inclusive space for her compendium of telling tales, as male and female, young and old, urban and rural, arabophone and francophone contributors find a space in which to articulate their imbricated stories of this year of revolution(s). ‘Le long 1962’, as scrutinized by Rahal, is a crux in the fullest sense: a touchstone to Algeria’s past, present, and future, in which the all-too-evident threats — military, diplomatic, economic — are counterbalanced by hitherto unimaginable social opportunities. Rahal charts this post-conflict reordering in spheres as diverse as medicine and agriculture, education and housing, political infighting and trade union organization. Elsewhere, she targets demobilization, returns from exile and liberation from captivity, reunions for some and the often drawn-out confirmation of loss for others. Through this close reading of a momentous year, Rahal makes a substantial contribution to our understanding of the transition from colonial rule to Algerian sovereignty and thereby to the broader histories of France in Algeria and Algeria since independence. Her monograph is essential reading in our own times and is likely to remain indispensable for future scholars.

MP46-20 EVALUATION OF URODYNAMIC OUTCOMES AND INCONTINENCE SPECIFIC HEART-RELATED QUALITY OF LIFE IN PATIENTS TREATED WITH ROBOT-ASSISTED RADICAL CYSTECTOMY WITH INTRACORPOREAL Y-MODIFIED NEOBLADDER THE BORDEAUX NEOBLADDER

You have accessJournal of UrologyCME1 Apr 2023MP46-20 EVALUATION OF URODYNAMIC OUTCOMES AND INCONTINENCE SPECIFIC HEART-RELATED QUALITY OF LIFE IN PATIENTS TREATED WITH ROBOT-ASSISTED RADICAL CYSTECTOMY WITH INTRACORPOREAL Y-MODIFIED NEOBLADDER THE BORDEAUX NEOBLADDER Erika Palagonia, Benedetta Bianchi, Marilena Gubbiotti, Valentina Giommoni, Anastasios D. Asimakopoulos, Saba Khorrami, Michele De Angelis, Richard Gaston, and Filippo Annino Erika PalagoniaErika Palagonia More articles by this author , Benedetta BianchiBenedetta Bianchi More articles by this author , Marilena GubbiottiMarilena Gubbiotti More articles by this author , Valentina GiommoniValentina Giommoni More articles by this author , Anastasios D. AsimakopoulosAnastasios D. Asimakopoulos More articles by this author , Saba KhorramiSaba Khorrami More articles by this author , Michele De AngelisMichele De Angelis More articles by this author , Richard GastonRichard Gaston More articles by this author , and Filippo AnninoFilippo Annino More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003292.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To present the urodynamic features of our intracorporeal Y-modified neobladder Bordeaux Neobladder and the incontinence specific health-related quality-of-life (HRQoL) outcomes. METHODS: We performed a prospective evaluation of a series of 26 patients who underwent robot-assisted radical cystectomy with intracorporeal Y-modified orthotropic neobladder reconstruction called the Bordeaux Neobladder, between September 2018 and November 2020 in a high-volume referral center, operated by the same surgeon. All the patients were managed following a modified ERAS protocol. Three months and 1 year after surgery, consenting patients underwent clinical evaluation and multichannel urodynamics. The incontinence quality of life (I-QoL) questionnaire was used to evaluate HRQoL. Continence was classified into day-time and night-time and clinically defined as the use of zero pads. RESULTS: The mean age at surgery was 65.4 years. The mean follow-up was 27 months. Regarding the operative time, the mean time for proximal bladder reconstruction was 192 minutes. Urodynamic outcomes data were collected in 17/23 patients for early evaluation and in 13 patients for early and dilated testing. 2/17 patients had I-II grade of hydronephrosis on the left kidney. No cases of hyperchloremic acidosis were identified in the blood gas analysis. The continence rate was 58.8% (10/17) for the day and 23.5% (4/17) for the night and the mean postoperative of the quality-of-life score was 103.3. The mean maximum bladder capacity was 430 cc (range 200-553) ant the average compliance was 33.1 ml/cm h2o. The mean post-voiding residue was 100 ml (0-310). The first sensation of bladder fullness was perceived at an average volume of 337 cm³. The mean max flow at 3 months was 15 ml/s and at 1 year was 18 ml/s. The rate of clean intermittent self catheterization was 17,6%. We did not observe significant changes in urodynamic outcomes during follow-up. Concerning the parameters of the storage phase, there was only a significant reduction in the volume of the first sensation of bladder fullness. CONCLUSIONS: The initial analysis of both invasive and non-invasive urodynamic parameters shows that the Bordeaux Neobladder has adequate functional characteristics in terms of capacity, post-voiding, residual and compliance. It is associated with a reduced chance of upper urinary tract abnormalities and metabolic complications that improve quality of life. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e641 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Erika Palagonia More articles by this author Benedetta Bianchi More articles by this author Marilena Gubbiotti More articles by this author Valentina Giommoni More articles by this author Anastasios D. Asimakopoulos More articles by this author Saba Khorrami More articles by this author Michele De Angelis More articles by this author Richard Gaston More articles by this author Filippo Annino More articles by this author Expand All Advertisement PDF downloadLoading ...

Diachronic Synodality: Synodality Within Tradition

Diachronic Synodality: Synodality Within Tradition Gregory F. LaNave THE ANNOUNCEMENT OF a “synod on synodality” and the subsequent efforts of dioceses to engage great numbers of the faithful in the preparations give the topic an air of extreme moment. In the West, at least, there has been a temptation to equate synodality with a move toward democratization in the Church—a prospect regarded variously with enthusiasm or dismay. Whether this association is fair or not, it brings to mind a comment G. K. Chesterton made about democracy and tradition: “Democracy tells us not to neglect a good man’s opinion, even if he is our groom; tradition asks us not to neglect a good man’s opinion, even if he is our father.”1 Chesterton’s maxim is a fitting thematic statement for this article. Synodality is, arguably, very much of a piece with Tradition within the Christian life. But at the same time, it stands in tension with Tradition—and the primacy of Tradition in its fullest sense must be acknowledged. I. Definitions Aside from the existing documents for the synod on synodality, the most important documents for establishing the meaning and parameters of synodality are (1) Pope Francis’s address commemorating the fiftieth anniversary of the Synod of Bishops (Oct. 17, 2015); (2) the apostolic constitution [End Page 173] Episcopalis Communio (2018); and (3) the International Theological Commission’s “Synodality in the Life and Mission of the Church” (2018).2 While the term “synod” is of ancient origin in the Church— being roughly synonymous with “council”—the noun “synodality,” so ubiquitous now, is a neologism.3 The ITC sees it as springing from the emphasis in the Second Vatican Council on the common mission and destiny of the members of the Church.4 It is well known that the Second Extraordinary Synod of Bishops in 1985 spoke of “communion” as the key ecclesiological concept of the council.5 It follows, in the view of the ITC, that one can speak of the way in which the Church lives out the reality of this communion, and this is the meaning of synodality: “In this ecclesiological context, synodality is the specific modus vivendi et operandi of the Church, the People of God, which reveals and gives substance to her being as communion when all her members journey together, gather in assembly and take an active part in her evangelising mission.”6 “Synod” suggests a body gathered to walk a path together,7 and nods toward the good of having a permanent body in the Church dedicated to this “walking together,” such as the Synod of Bishops. “Synodality” emphasizes rather the way in which a gathering of believers would walk together. “Synod” is a thing; “synodality” is a quality. And it is the latter that is particularly emphasized in the current discussions. [End Page 174] For our purposes the above description will suffice as a definition of synodality. A brief description of Tradition is also required, for understanding the relationship of synodality and Tradition requires seeing Tradition in light of its formal distinction from Scripture and the magisterium.8 Christ handed on to the apostles the full revelation of the Gospel, which they passed on to the whole Church. This encompasses “what they themselves had received—whether from the lips of Christ, from his way of life and his works, or whether they had learned it at the prompting of the Holy Spirit” (Dei Verbum, 7).9 Formally, tradition is the handing down of what was received; materially, Tradition is the content of what was received. The preeminent expression of this Tradition is Scripture, the truth of which is guaranteed by the grace of inspiration. The task of authentically—authoritatively—interpreting revelation is “entrusted to the living teaching office of the Church alone” (DV, 10), that is, the magisterium. But in addition to Scripture and the magisterium we distinguish a wide realm of Tradition, the manifold ways in which the revelation of the Gospel exists and is passed down in the Church. Any way [End Page 175] by which the Gospel is received and passed on can in principle be called part of Tradition. However, it is common to...

MP60-11 A PRELIMINARY STUDY OF SEX DIFFERENCES IN PREFRONTAL CORTICAL OXYHEMOGLOBIN CONCENTRATION DURING NATURAL BLADDER FILLING

You have accessJournal of UrologyCME1 Apr 2023MP60-11 A PRELIMINARY STUDY OF SEX DIFFERENCES IN PREFRONTAL CORTICAL OXYHEMOGLOBIN CONCENTRATION DURING NATURAL BLADDER FILLING Gabrielle Grob, Helen Query, Linda S. Burkett, Peter Daniels, Mina P. Ghatas, Michael Shields, Devin Rogers, abigail Kaufmann, Lynn Stothers, Adam P. Klausner, and John E. Speich Gabrielle GrobGabrielle Grob More articles by this author , Helen QueryHelen Query More articles by this author , Linda S. BurkettLinda S. Burkett More articles by this author , Peter DanielsPeter Daniels More articles by this author , Mina P. GhatasMina P. Ghatas More articles by this author , Michael ShieldsMichael Shields More articles by this author , Devin RogersDevin Rogers More articles by this author , abigail Kaufmannabigail Kaufmann More articles by this author , Lynn StothersLynn Stothers More articles by this author , Adam P. KlausnerAdam P. Klausner More articles by this author , and John E. SpeichJohn E. Speich More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003318.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Sex differences during bladder filling are poorly understood. Functional near infrared spectroscopy (fNIRS) allows non-invasive measurement of cortical brain oxygenated hemoglobin concentration (O2Hb), which has been shown to increase during bladder filling. The objective of this study was to use fNIRS to compare differences between sexes in cortical O2Hb during natural bladder filling. METHODS: Control participants with no known urologic conditions and a negative urgency screen (ICIq-OAB and OAB-V3 surveys) completed a validated oral hydration protocol. During the protocol, participants recorded real-time sensation of bladder fullness (0-100%) and reported “first desire” to void using a Sensation Meter. Prefrontal cortical fNIRS continuous recording of O2Hb was completed during filling and voiding with a 24 channel template. Matlab was used to analyze data between “first desire” to void and 100% sensation, defined in this study as the period of “elevated urgency.” Channels were sub-divided by cortical regions: right (9), left (9), middle (6). RESULTS: Male (n=4) and female (n=4) participants were enrolled with mean age of 39 years and BMI of 25. There were no differences in age, BMI, race, daily fluid intake or OAB scores between sexes. Mean time between first desire and 100% sensation (minutes) was 12.9±6.01 and did not differ between groups (13.8±7.97 female vs 12.0±4.3 male, p=0.70). The difference in O2Hb throughout high urgency was similar between groups in each of the 24 individual channels, with greatest changes in the lateral prefrontal cortex (figure 1). The association between the change in O2Hb and filling did not differ between sexes (R-squared > 0.5 in 72.9% females and 82.3% males, p=0.27). O2Hb generally increased with a positive slope of the exponential fitted curve in 92% participants and did not differ between sexes by individual participant or in all 24 channels. CONCLUSIONS: We found that prefrontal cortical O2Hb concentration generally increases during natural filling and does not appear to differ between male and female controls. Ultimately, fNIRS might enable objective identification of specific neuroexcitation patterns to allow office-based diagnosis and improved treatment of voiding dysfunction. Source of Funding: NIH R21DK128649 & K12HD108269, VCU Presidential Research Quest Fund © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e847 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Gabrielle Grob More articles by this author Helen Query More articles by this author Linda S. Burkett More articles by this author Peter Daniels More articles by this author Mina P. Ghatas More articles by this author Michael Shields More articles by this author Devin Rogers More articles by this author abigail Kaufmann More articles by this author Lynn Stothers More articles by this author Adam P. Klausner More articles by this author John E. Speich More articles by this author Expand All Advertisement PDF downloadLoading ...

Jerusalemite Passions in the Poetry of the Crusades (Victory)

The research studies Jerusalem and poets at the full sense of the word (passions): the meaning of love complaints, sadness, anger, and triumph, these are the religious, real, psychological, and emotional meanings that most poems tackled the situations/conditions that Jerusalem survived. However, the research focused only on the dimension of victory which is clearly shown in two topics: the setting on conquest plans, the process of victory and the image of the Victorians. The researcher approaches his topic in a critical analytical way based on historical events to reveal the inner feelings of poets and their emotions towards blessed Jerusalem, and to provoke and encourage rulers and governors to conquest it. They approached this gradually as every stage requires. Some looked like strategic experts who can figure out the central point of danger and its geographical dimensions to invest the appropriate opportunity to conquest new areas. But with the advent of great leaders provocation for conquest, turned to be a mechanism to defend Muslims and Islam across all countries. This, as a result, would enable Salah din Al Ayoubi to conquest Jerusalem. The poets then started singing and praising the conquerors and drawing a clear image in the heart of the crowd as well as in their minds, rich with love, and full appreciation and thanks to the Almighty for the great victory. This clearly appeared in the consciousness of poets who were fully aware of its religious and urban importance. This was clearly reflected in their poems in a monologue with oneself and the historical reality. But due to being a literary genre, it represents vision that was able to explain the self as well as the world around, which in turn created an interactive environment among poets, the feeling of the group, an its legal dreams in creating a better future. Keywords: Jerusalem, Crusades, Conquest plans, Conqueror.

Obstructed Defecation Syndrome in Young Women

Obstructed Defecation Syndrome (ODS) is characterized by excessive straining at stool, incomplete rectal evacuation, and needing for perineal splinting. This condition is prevalent in young women suffering from constipation, approximating 7-15% [6]. ODS is refractory to laxative use. Typically, the block is found in the rectosigmoid portion. The main causes are divided into mechanical and functional. Mechanical causes interfere with stool passage, as can be found for instance in rectal prolapse. Functional causes include various neurologic or behavioral disorders, leading to pelvic floor dysfunction, discoordination of the defecatory process, and impaired rectal sensation. In dyssynergic defecation, that affects many young women with chronic constipation, there is an inability to coordinate the abdominal and pelvic floor muscles to evacuate stools. Paradoxical contraction of the pelvic floor muscles during defecation hinders evacuation [10-12]. ODS is characterized by persistent sensation of rectal fullness and painful prolonged or excessive straining, accompanied by a sensation of incomplete evacuation and clustering, often, digital manipulation. Hemorrhoids and fissures are also related to functional ODS due to the psychological condition to avoid pain during defecation. A holistic approach is needed for patients with ODS, considering that most of these young women present with psychological distress, either anxiety or depression. Anismus affects many ODS patients [8].

Centring anti-oppressive justice: Re-envisioning dentistry's social contract.

We re-envision dentistry's social contract and elaborate on the idea that it is not neutral and free from such things as racism and white supremacy and can act as a tool of oppression. We critique social contract theory through examination of classical and contemporary contract theorists. More specifically, our analysis draws from the work of Charles W. Mills, a philosopher of race and liberalism, as well as the theoretical and praxis framework of intersectionality. Social contract theory supports hierarchies and inequities that may be used to sustain unfair and unjust differences in oral health between social groups. When dentistry's social contract becomes a tool of oppression, its practice does not promote health equity but reinforces damaging social norms. Dentistry must embrace an anti-oppression framing of equity and elevate the principle of justice to one of liberation and not just fairness. In doing so, the profession can better understand itself, act more equitably and empower practitioners to advocate for justice in health and healthcare in its fullest sense. Anti-oppressive justice supports health not as merely an obligation but as a human duty.

Teacher learning through dialogue with colleagues, self and students

ABSTRACT Background Although dialogue is often regarded as a vehicle for teacher professional development and learning, particularly in relation to verbal interactions between teachers, its uses remain limited. Deepening the understanding of dialogue in its fullest sense, and its potential applications in education, may help to unleash its power in supporting how teachers learn in various contexts. Purpose and sources This discussion paper aims to explore and conceptualise the complex construct of authentic dialogue for teacher professional learning. It draws on the notion of dialogue and other related concepts within the Bakhtinian tradition. For this purpose, it begins by situating this approach in the context of various views about dialogue. Forming the heart of the paper is the application of these concepts to a proposal for three channels of dialogue for teacher learning in professional contexts: dialogue with colleagues, dialogue with self, and dialogue with students. Main argument Diverging from the common notion of dialogue, Bakhtin’s dialogue connotes complexity, involving multiple perspectives from those present or absent from the dialogue, including super-addressees. Dialogue and related concepts in Bakhtin’s tradition can help us gain a fuller and more sophisticated understanding of how teachers learn through collaboration with different learning partners through space and time – including with self and students, in addition to colleagues. It is argued that adopting a Bakhtinian lens to dialogue can potentially engender complex but enriched teacher learning. Conclusion The paper offers an exploratory conceptual framework as a way of examining teacher learning through authentic dialogue. It promotes awareness of the need for researchers to sensitise themselves to the meaning of teachers’ utterances in particular contexts through time and space to better understand visible and invisible perspectives, as well as the voices influencing teachers’ words. The proposed early-stage framework has the potential to be developed and refined further through future theoretical and empirical research.

Hermeneutics as a Route to Translating Auditory Aspects of Emotion in Silvina Ocampo’s Fictional Worlds: An Analysis of “Okno, el esclavo”

Hermeneutical translation studies is increasingly interested in how interpretation works (Robinson 2020), and interpretation in the context of translation is inextricably linked to issues of understanding. As Hermans (2015) notes, the hermeneutic endeavour springs from a desire to understand, but the practice of gaining that understanding is an art. In fact, he remarks that translation occupies the most challenging end of the hermeneutic spectrum, in part due to the complexity inherent in voicing an understanding across languages. In addition to verbalisation, however, understanding in this context can also refer to hearing, and to having heard a text in its fullest sense. Indeed, Toolan (2016/2018: 250) suggests that written stories are “incompletely appreciated if the sounds and rhythms of their language are not registered, along with any implied meanings those sounds prompt readers to derive.” The auditory dimension of written texts thus seems an essential component of literary translation, whereby the translator must be able to hear, feel, and identify emotional aspects elicited from reading. As Bernofsky (2013: 229) highlights, a translator should hear a text’s heartbeat in the cadences of its phrases. Drawing on the affective literature in Translation Studies (e.g. Hubscher-Davidson 2017; Koskinen 2020; Robinson 1991), this chapter will explore the emotion-eliciting auditory aspects in Argentinian writer Silvina Ocampo’s haunting short story “Okno, el esclavo” (1988/2014). Combining close reading and computer-aided qualitative data analysis, salient characteristics will be discussed that provoke sound sensations (noise, music, silences) contributing to the story’s emotional impact and reader experience. In this way, it becomes possible to understand the translator’s daunting cognitive and affective task when (re)interpreting the soundscape of Ocampo’s atmospheric worlds.

Life-table analyses for the tomato leaf miner, Tuta absoluta (Meyrick) (Lepidoptera: Gelechiidae): effects of plant genotype.

Host plant resistance plays an important role in integrated pest management programs. Crop resistance assessments commonly focus on only a single dependent variable, such as larval survival/plant damage, which limits the ability to appreciate the impact of host plants on pest populations in the full sense. Therefore, we performed life-table analyses for tomato leaf miner Tuta absoluta, on 19 Solanum lycopersicum genotypes and a wild Solanum habrochaites accession. These analyses assess the ability of the pest to attain a high population density on different tomato genotypes. Based on the resulting ranking of tomato resistance at the vegetative stage (45-day-old plants), we tested the resistance of six selected genotypes at the reproductive stage (4-month-old plants). T. absoluta performance was significantly inferior on vegetative-stage S. habrochaites plants (LA 1777); time taken for the first instars to mine the leaves (5 ± 0.14 days), development time of early- and late-stage larvae (8.8 ± 0.2 and 4.2 ± 0.2 days, respectively), pupal period (11.2 ± 0.58 days), and total developmental time (29.4 ± 0.83 days) were significantly longer, fecundity was significantly lower (18.66 ± 7.24 days), and the highest total mortality (63.33%) also recorded compared with other genotypes, resulting in the lowest net reproductive rate (R0 ) (11.20 ± 2.51). For the six selected genotypes, the ranking of plant resistance did not change between plants at the vegetative and reproductive stages. This study suggested that of 20 screened tomato genotypes, LA 1777 and EC-620343 are the least suitable hosts for T. absoluta to establish fast-growing populations, and thus can be employed in integrated T. absoluta management. © 2023 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

That Moment

“That Moment” is about that moment of breathlessness, that suspension of both fear and pleasure, that lingering shiver that is felt more than feelings, that sense of void and fullness, when the curtain comes down and a film starts. In Cormac Donnelly’s words, “that moment ‘is’ the film.” It is the product of a displacement of emotions, what Sara Ahmed has called a rippling effect, inspired by Cormac Donnelly’s text on his emotions when as a child watched 2001: A Space Odyssey.

The Hong Kong National Security Law and the Changing Character of Rule in the China–Hong Kong Relationship

I discuss changes in the character and mechanisms of rule in the China–Hong Kong relationship after the promulgation of the Hong Kong National Security Law (HKNSL). I focus on the broader impacts of this particular legal norm on political order. By building on institutionalist theories of direct and indirect rule, I argue that HKNSL and the following changes brought about a compounded (amalgamated) type of rule of China over Hong Kong. It is based on a blend of aspects and mechanisms that do not account for direct governance in the full sense but utilise some elements of it. The post-HKNSL situation entangles new ruling mechanisms with those that had existed previously but were updated and strengthened in the post-HKNSL aftermath.

Sleep Disorders, Comorbidities, Actions, Lower Urinary Tract Dysfunction, and Medications ("Sleep C.A.L.M.") in the evaluation and management of nocturia: A simple approach to a complex diagnosis.

Nocturia arises from a fundamental mismatch between nocturnal urine production, storage capacity, and sleep architecture, which may be driven by abnormalities of the genitourinary tract, but also by sleep disorders, medical diseases, patient actions/lifestyle factors, or medications. This article introduces a novel system for organizing the complex differential diagnosis for nocturia, as proposed by an international collective of practicing urologists, physician specialists, and sleep experts: "Sleep CALM"-Sleep Disorders, Comorbidities, Actions, Lower Urinary Tract Dysfunction, and Medications. Narrative review of current evidence regarding the relevance of each "Sleep CALM" factor to nocturia pathogenesis, evaluation, and management. Nocturia and sleep disorders are highly intertwined and often bidirectional, such that nocturnal awakenings for reasons other than a sensation of bladder fullness should not be used as grounds for exclusion from nocturia treatment, but rather leveraged to broaden therapeutic options for nocturia. Nocturia is an important potential harbinger of several serious medical conditions beyond the genitourinary tract. Urologists should have a low threshold for primary care and medical specialty referral for medical optimization, which carries the potential to significantly improve nocturnal voiding frequency in addition to overall health status. Adverse patient actions/lifestyle factors, lower urinary tract dysfunction, and medication use commonly coexist with disordered sleep and comorbid medical conditions, and may be the primary mediators of nocturia severity and treatment response, or further exacerbate nocturia severity and complicate treatment. "Sleep CALM" provides a memorable and clinically relevant means by which to structure the initial patient history, physical exam, and clinical testing in accordance with current best-practice guidelines for nocturia. Although not intended as an all-encompassing diagnostic tool, the "Sleep CALM" schema may also be useful in guiding individualized ancillary testing, identifying the need for specialty referral and multidisciplinary care, and uncovering first-line treatment targets.

Characteristics and clinical features of cauda equina syndrome: insights from a study on 256 patients.

To determine the frequency, clinical presentation, and etiological factors of cauda equina syndrome (CES). This retrospective study was done on 256 participants, and aimed to analyze the frequency and patterns of clinical presentation in suspected cases of CES. The inclusion criteria included participants aged 18 or older with medical records available for review and having red-flagged symptoms for CES. The study collected information on various factors such as age, gender, confirmation of CES on MRI, neurological deficits, etiological factors, duration of symptoms, and more. The data collected was analyzed using descriptive statistics and logistic regression to identify significant variables between MRI-proven CES and suspected CES. The mean age was 58.05±19.26years, with 151 females (58.98%) and 105 males (41.02%). The majority (50.78%) had a neurological deficit, while other symptoms included difficulty initiating micturition or impaired sensation of urinary flow (17.58%), loss of sensation of rectal fullness (3.12%), urinary or faecal incontinence (35.16%), bilateral sciatica (21.88%), neurological symptoms in the lower limbs (25.00%), anaesthesia or any leg weakness (24.22%), and bilateral sciatica as the predominant symptom (21.88%). Symptoms were chronic in 47.27% and acute in 21.88%. The odds of MRI-proven CES increase by 3% per year of age. Neurological deficit was strongly associated with MRI-proven CES (OR=14.97), while loss of sensation of rectal fullness increased the odds by 10-fold (OR=10.62). CES can present with various symptoms, including the bilateral neurological deficit, urinary and faecal incontinence, and bilateral sciatica, with age, severe bilateral neurological deficit, and loss of sensation of rectal fullness being associated with MRI-proven CES. Early diagnosis and treatment are crucial for better outcomes.

Preoperative embolization of juvenile nasopharyngeal angiofibroma using medium to large size particles

Introduction. Juvenile nasopharyngeal angiofibroma are benign tumors, with locally aggressive behavior. Preoperative tumor embolization with polyvinyl alcohol particles can reduce intraoperative blood loss and facilitate surgical resection. Case outline. A 16-year-old male was admitted to hospital due to profuse epistaxis and sense of nose fullness. Multidetector computed tomographic angiography examination showed a tumor mass in the right nasal cavity with extension to the right maxillary sinus and ethmoidal cells on the right, and in the left nasal cavity. It rested on the nasal septum, but without bone destruction. After application of contrast agent, described mass became intensely opacified. Preprocedural digital subtraction angiography of external and internal carotid arteries of both sides showed extensive pathological vascularization, which received main contribution from branches of maxillary artery on right and, to a lesser extent, on left side. Due to danger of penetration of a particle embolization agent of smaller diameter into orbital branches and possible retrograde migration into carotid artery, we decided to apply particle embolization agent of larger diameter (500?700 ?m) than prescribed by modern standards. Tumor was completely surgically removed third day after embolization, and patient was discharged without any neurological deficit. Control contrast enhanced multidetector computed tomographic angiographies were performed at third and seventh month after surgery and showed no tumor residue or recurrence. Conclusion. The use of particles of larger diameter gave satisfactory results during operation ? surgical excision of tumor, when dangerous anastomoses do not allow use of particles of smaller diameter and can be safely performed without significant neurological nor systemic complications.

A stroke mimicker following inferior alveolar nerve block: a case report

Introduction: Local anesthesia administration albeit being the most common dental procedure is associated with complications that usually arise as a result of wrongly placed injections into local or distant sites. Here we present a case of an unexpected complication affecting the upper limb after dental anesthesia administration. Observation: A 26-year-old Malay female presented with the left upper extremity paralysis and paraesthesia following the administration of a local anesthesia block to the left inferior alveolar nerve, at a dental teaching center. The onset of the dental nerve block and left upper extremity weakness occurred and eventually subsided. As the provisional diagnosis was either a transient ischaemic attack or stroke, she was immediately referred to the Emergency Department. She was thoroughly assessed and monitored with the neurology team being consulted. Her vital signs remained stable and she showed no neurological deterioration throughout the observation period. She was discharged without further investigations after regaining full strength and sensation of her left upper extremity. The report tries to hypothesize the possible cause of this incident. Conclusion: This case highlights the importance of dentists being alert to possible effects of local anesthesia to regions beyond the head and neck area.

Allograft nerve repair to prevent sensorimotor loss after nerve sheath tumor resection

Acellularized nerve allografts (ANAs) have been developed as substitutes for nerve autograft to promote nerve regeneration after surgical repair. In this video, the authors demonstrate operative techniques for using ANAs to repair potentially functional nerve fascicles during tumor resection. A 67-year-old female with schwannomatosis requested resection of a painful enlarging mass of the left ulnar nerve proximal to the elbow. During surgery, neuromonitoring suggested that fascicles entering the tumor could be functional. Therefore, nerve allograft was used to repair the transected fascicles. The patient recovered with full strength and sensation in the ulnar distribution, with resolution of her preoperative symptoms. The video can be found here: https://stream.cadmore.media/r10.3171/2022.10.FOCVID22101.

Содержание понятия "экзистенциальное самочувствие" в контексте близких по смыслу психологических феноменов

The article offers a comparative analysis of the concept of existential self-feeling with concepts close to it in meaning that have already entered the lexicon of psychological science. It is correlated with the concepts of the concepts of R. May, L. Binswanger, A. Lengle, R. D. Stolorou, A. Schopegauer, D. A. Leontiev, P. E. Astafiev, A. F. Lazursky, S. L. Frank, N. Kopteva, Holondovich and co-workers, etc. The specifics of the content of the concepts - well-being, sense of being, being-in-the-world, existential fulfillment, resilience, ontological confidence / uncertainty, psychological well-being, general well-being, direct self-being, ontological unconscious and their similarity and difference from the concept of existential self-sentiment are considered. The concept of existential self-sentiment means a person's experience of his existence as the most reliable of the facts of existence. This experience cannot be objectified or measured in its immediate manifestations, but it can be judged by how it is reflected in the qualitative characteristics of self-consciousness: a sense of fullness of being or emptiness; do we feel our serenity or concern; meaningfulness of being or meaninglessness - these and other qualities of self-perception indicate a certain dynamics of existential well-being, on which, in turn, the dynamics of the quality of our life as a whole depends. Existential self-feeling is not a function of the psyche, but it has a decisive functional significance in the entire structure of the mental, like a “background” that determines the properties and characteristics of any “figure” formed on this “background”. Understanding the essence of existential well-being in the order of our existence will provide an appropriate mental resource, both in terms of “vitality”, and in terms of the ability to fully and joyfully live our lives.

Changes of lower urinary tract function after robot-assisted radical prostatectomy: An urodynamic follow-up within 1 year.

This study investigated the changes of lower urinary tract function after robot-assisted radical prostatectomy (RaRP) with 1-year urodynamic follow-up. Clinically localized prostate cancer patients receiving RaRP were prospectively enrolled. We analyzed their clinical symptoms, stress urinary incontinence (SUI) and urge urinary incontinence (UUI) status, and videourodynamic studies (VUDSs) during the postoperative 1st year. In total, 74 patients were enrolled with a mean age of 69.4 ± 8.1 years, a mean total prostate volume of 34.7 ± 15.9 mL, a ≥pT3 stage proportion of 37.8%, and a positive surgical margin rate of 18.9%. The International Prostate Symptom Score significantly reduced from 7.3 ± 6.0 before surgery to 4.1 ± 4.1 at postoperative 1 year. Significantly increased full sensation, reduced detrusor voiding pressure, increased maximal urinary flow rate, and decreased bladder outlet obstruction index were noted at 1-year VUDS follow-up. The changes of VUDS parameters were significantly different between the patients with and without preoperative bladder outlet obstruction. At postoperative 1 year, 8.1% and 6.8% of patients experienced SUI and UUI, respectively. In multivariate analysis, the factors of T stage ≥3, preoperative detrusor overactivity (DO), and positive surgical margin were the independent predictors of immediate SUI and SUI at 3 and 12 months, respectively. During the 1st year after RaRP, patients experienced significant changes of lower urinary tract function demonstrated in VUDS with the improvement in clinical symptoms. Factors of T stage ≥3, preoperative DO, and positive surgical margin were the predictors of postoperative SUI.

ВНЕШНЕПОЛИТИЧЕСКАЯ СТРАТЕГИЯ ДЭН СЯОПИНА В ПЕРИОД ЭКОНОМИЧЕСКИХ РЕФОРМ И ОТКРЫТОСТИ (КОНЕЦ 1970-Х - 1990-Е ГГ.)

The study of the diplomatic art of Chinese leadership proceeds to attract more and more attention of Russian and foreign researchers. The paper analyzes the foreign policy strategies and concepts of the second leader of the People’s Republic of China Deng Xiaoping in the late 1970s – 1990s. Undoubtedly, the first China’s leader Mao Zedong and then Deng Xiaoping both had a significant impact on the evolution of Chinese foreign relations strategy. It was these leaders who set their own models in the spirit of the era, effectively dividing the history of China’s foreign policy into two periods. The famous concept “Taking low profile and trying not to show yourself in any way” strategy proposed by Deng Xiaoping leads to the formulation and development by Jiang Zemin, the Chinese leaders of the third generation, the concept of “peaceful rise”, which then became “peaceful development”, Hu Jintao’s “soft power” and “harmonious world” and other modern concepts of foreign policy. The leading approach to the study of the issue is the historical and comparative method. It appears that not all foreign policy strategies or theories of Deng Xiaoping have moved from simplistic generalizations, hypotheses to reliable analytical conclusions or solid concepts. Only Xi Jinping is beginning to shape holistic concepts in the full sense of the word. The main task of foreign policy concepts is to generalize and reveal the general patterns of international life and China’s foreign policy.