Johanna Knapstein,1 Daniel Grimm,1 Marcus A Wörns,1 Peter R Galle,1 Hauke Lang,2 Tim Zimmermann111st Department of Internal Medicine, Johannes Gutenberg-University, Mainz, Germany; 2Department of General, Visceral and Transplantation Surgery, Johannes Gutenberg-University, Mainz, GermanyIntroduction: Hepatitis C virus reinfection occurs universally after liver transplantation, with accelerated cirrhosis rates of up to 30% within 5 years after liver transplantation. Dual antiviral therapy with pegylated interferon-2a and ribavirin only reaches sustained virological response rates of ~30% after liver transplantation. With the approval of viral (...) NS3/4A protease inhibitors telaprevir, boceprevir, and simeprevir and the NS5B polymerase inhibitor sofosbuvir, combination therapy offers new therapeutic options for HCV-infected patients, resulting in considerably higher sustained virological response rates in the nontransplant setting. Case presentation: We report three cases of TVR-based triple antiviral therapy in HCV genotype 1 reinfected patients after liver transplantation, of whom a 57-year-old Caucasian female and a 43-year-old Caucasian male were therapy naïve, and a 49-year-old Caucasian male patient was pretreated ineffectively. After 4 weeks of therapy, viral load decreased one to three log10 and became negative in weeks 6 to 8 in the therapy naïve patients. The pretreated patient showed a negative viral load in week 4. TVR was administered over 12 weeks, 750 mg thrice daily. Doses of immunosuppression with cyclosporine were reduced four to six fold. Initial peg-IFN and RBV doses ranged from 135–180 µg/week and 800–1,200 mg/day, according to the patient's body weight. Doses of peg-IFN and RBV were adapted to 90–135 µg/week and 400–800 mg/day after 2 to 12 weeks of protease inhibitor therapy. Dual therapy was continued for 36 weeks with total treatment duration of 48 weeks in the therapy naïve patients leading to a sustained virological response 12 weeks after the end of therapy. In the pretreated patient a breakthrough was detected in week 24 and therapy was discontinued. Overall, antiviral therapy was well tolerated. Side effects included dysgeusia and anemia leading to erythropoietin application and blood transfusions. Conclusion: This case series emphasizes that triple therapy with TVR is an efficient treatment for therapy naïve HCV genotype 1 reinfected patients after liver transplantation. But therapeutic options for pretreated patients require improvement. Keyword: cyclosporine, interferon, ribavirin, hepatitis C, protease inhibitor. (shrink)

In recent times, a previously unchallenged and longstanding communis opinio concerning the extant manuscript tradition of Valerius Flaccus' Argonautica has been shattered by Prof. W.-W. Ehlers in his revelation that the fifteenth-century Laurentianus plut. 39.38, L, written by the Florentine scholar, Niccolò Niccoli, is independent of the much exalted oldest witness, Vaticanus Latinus 3277, V, copied in Fulda in the second quarter of the ninth century. With equally silent subservience to the hazardous and now discredited principle, vetustissimus et optimus, second (...) place in the tradition had commonly been given to a manuscript of similar age to that of V, namely S, discovered in 1416 at the monastery of St. Gall by three humanist scholars, Poggio Bracciolini, Cencio Rustici and Bartolomeo da Montepulciano, and subsequently lost, except through reconstruction from six extant fifteenth-century apographa, each instantly recognizable from the fact that they contain only 1.1–4.317. Between V and S, however, as Ehlers and others before him have argued, a common exemplar, a, must be deduced to exist. (shrink)

Conditions are stated under which the "argument by analogy" is consistent with the principle of inverse probability. It is contended that the argument by analogy, in conjunction with a crucial test, has a legitimate place in scientific logic. As an example the astrophysical problem of solar granulation is discussed in detail and other examples are mentioned more briefly.

This book delves into esoteric knowledge, describing the structure of the universe (Brahmanda or Cosmic Egg) as a series of astral biospheres. These biospheres, or lokas, are linked to spiritual consciousness and degrees of divine bliss (Ananda). Advanced spiritual figures, such as Rishis and Mahatmas, can navigate these realms and help others evolve. The article presents a detailed comparison between “Puranic Hinduism” and “Sanatana Dharma”, specifically addressing their differences in cosmogenesis and spiritual evolution. The difference between the cosmogenesis of Puranic (...) Hinduism and Sanatana Dharma is that while the former is founded on the concept of Trimurti as taught by the Puranas, the latter is a Manu-centric and Guru-centric spiritual system. This has a lot of significance concerning the rituals and the social order they have produced. Here, the Cosmic Purusha is identifiable with Manu, not with Trimurti or the God of Abrahamic religions, because of their different spiritual status in the cosmological hierarchy. (shrink)

“The Modi-God Dialogues” by Mukundan PR begins with the story of Mahatma Modi, a saint troubled by the issues facing his country and the direction the world was taking. The book discusses a profound spiritual perspective, in the form of a dialogue with God, rooted in the teachings of Navajyoti Sri Karunakara Guru, that addresses the mystery of existence, the divine plan for the evolution of life, and the spiritual decline of humanity. According to this view, human life and the (...) universe are intertwined in a grand spiritual scheme that must be unraveled for one's life to gain true meaning and peace. Guru's teachings emphasize the importance of rediscovering this divine order, or God’s Will, and the consequences of humanity's deviation from it. -/- The book explores the fundamental basis of Hindu Dharma, contrasting the traditional view of the Trimurti (Brahma, Vishnu, and Shiva) as creators with the concept of Manu as the supreme Creator in Hindu philosophy. According to Navajyoti Sri Karunakara Guru, the Trimurti system, which gained prominence during the seventh Chatur Yuga of the current Vaivasvata Manvantara, has overshadowed the original understanding of Manu as the true Creator. Historically, Manu was regarded as the architect of creation, and the concept of time and space was linked to him through the Manvantaras. The idea of Brahma being the Creator, which gained traction through the Puranas, represents a distortion in Hindu spirituality. The Puranic tradition, which is largely focused on temple rituals, priestcraft, and the worship of deities like Shiva, Vishnu, and others, deviates from the original monotheistic vision of Sanatana Dharma. -/- The Guru critiques the shift in Hinduism from a Manu-centric system, guided by epochal Gurus (Kalanthara Gurus), to one centered around the Trimurti and devata worship. The spiritual administration of Manu Parampara, which focuses on universal and timeless truths, has been sidelined in favor of Puranic traditions that emphasize ritualistic worship. This shift led to the rise of caste-based divisions and priestly monopolies, distorting the true essence of Hindu Dharma. The Guru emphasizes that the goal of Hindu spirituality should not be limited to ritualistic worship but should focus on higher spiritual realization, mukthi (liberation), which can only be attained through the guidance of a realized Guru within the Manu Parampara. In essence, the basis of Hindu Dharma is not the Trimurti but Manu, the Cosmic Purusha, who is the true Creator according to the Vedic and Upanishadic teachings. The Guru calls for a return to this original understanding and highlights the importance of following the path of Kalanthara Gurus for spiritual evolution and liberation. -/- . (shrink)

It was shown by de Broglie and Bohm that the concept of a deterministic particle trajectory is compatible with quantum mechanics. It is demonstrated by explicit construction that there exists another more general deterministic trajectory interpretation. The method exploits an internal angular degree of freedom that is implicit in the Schrödinger equation, in addition to the particle position. The de Broglie-Bohm model is recovered when the new theory is averaged over the internal freedom. The model exhibits a strong form of (...) entanglement which implies a primary role for the wavefunction of the Universe. The conditions of autonomy are examined, and the viability of the theory is established by application to the measurement problem. (shrink)

India has produced several drafts of data policies. In this work, they are referred to [1] JBNSCR 2018, [2] DPDPR 2018, [3] NSAI 2018, [4] RAITF 2018, [5] PDPB 2019, [6] PRAI 2021, [7] JPCR 2021, [8] IDAUP 2022, [9] IDABNUP 2022. All of them consider Artificial Intelligence (AI) a social problem solver at the societal level, let alone an incentive for economic growth. However, these policy drafts warn of the social disruptions caused by algorithms and encourage the careful use (...) of computational technologies in various social contexts. Hence, the emerging data society and its implications in India's social contexts demand immense social science attention, which needs to be improved in the policy drafts, primarily because they are creations of industry stakeholders, technocrats, bureaucrats, and experts from tech schools. In the larger social milieu of digital infrastructure emerging, the fundamental question is whether India's national philosophy envisioned in the Indian constitution is reflected in the policy papers. The paper enquires whether the national data policy upholds the core values dispersed through the philosophy of the Indian constitution, which, among other things, is not confined only to inclusion, diversity, rights, liberty, justice and equality. By focusing on constitutional values, the paper seeks to offer a broader and more critical understanding of India's approach to AI policy by bringing together analyses of a wide array of policy documents available in the public realm. (shrink)

The Upanishads reveal that in the beginning, nothing existed: “This was but non-existence in the beginning. That became existence. That became ready to be manifest”. (Chandogya Upanishad 3.15.1) The creation began from this state of non-existence or nonduality, a state comparable to (0). One can add any number of zeros to (0), but there will be nothing except a big (0) because (0) is a neutral number. If we take (0) as Nirguna Brahman (God without any form and attributes), then (...) from where and how did the universe come into existence? -/- The neutral power (0) cannot produce anything without having an element of duality in it. Although Nirguna Brahman is neutral, it has a positive, negative, and neutral pole, constituting its Prakriti or nature. Prakriti has three latent Gunas (modes or qualities): Satva, Rajas, and Tamas. They are related to Gyana Shakti (the power of knowledge) Sankalpa Shakti (the power of ideation), and Kriya Shakti (the power of action). Science says that Atom is the basic element from which the universe evolved. The Atom has three nuclei- electron, pluton, and neutron. The Satva, Rajas, and Tamas in Indian spirituality are nothing but the mystical names for the nuclei of an atom. -/- According to Bhagavata Purana, Prakriti is also constituted of the elements of Time, Karma (action/destiny) and Swabhava (innate nature). Time disturbs the equilibrium of Gunas. From the aspect of Karma is produced an entity called Mahat, in the form of intelligence. Mahat is dominated by Satva and Rajas. From Mahat manifests the next evolute dominated by Tamas with three predominant qualities – Dravya (substance), Kriya (action), as well as intelligence. It forms to become the Ego principle (Ahamkara). -/- Ahamkara has three modes – Satvic, Rajasic and Tamasic. Satvic is Jnana oriented, Rajasic action-oriented and Tamasic Dravya (substance) oriented. From the Tamasic Ahankara, five gross elements are produced (ether, air, fire, water, and earth - Akash, Vayu, Agni, Jal and Prithvi). From the Satvic Ahamkara, guardian deities (the sun and moon, deities of sense organs, and organs of action) and from Rajasic Ahamkara, ten senses (Indriyas), five senses of perception, five organs of action, the faculties of intellect and Prana (life breath) are produced. -/- Bhagavata says that since these energies, elements, and faculties remained disassociated, they were combined to form a Cosmic Egg. The egg floats in the primal waters for a thousand years. Then God enters this Cosmic Egg and manifests himself as the Cosmic Purusha. He is the first nucleus, the God particle equivalent to the number (1) which is the embodiment of everything in the universe. The concept of creation and dissolution in Hinduism can be compared to the waves in an ocean that appear and disappear incessantly. The Manvantaras are such successive episodes of creation emerging from the Cosmic Person, the Manu who is embodied God-Consciousness, God himself. These episodes of creation are measured in Hinduism in terms of Manvantaras, the epochs of Manus. -/- Manu is the ‘First-Born’ (1) of God, the Cosmic Purusha from whom the world has originated. This Cosmic Person (Purusha) has been described as having fourteen biospheres (heavens) that are inhabited by various life forms in the order of evolution of consciousness. If we begin from the human biosphere (Bhuloka), there are ten astral biospheres that a man must transcend to attain liberation or Mukti from the cycle of births and deaths. -/- The number (1) produces the primary numbers up to (9) through the transmutation of the creational energies and qualities. The process can be related to the descent and cyclical evolution of (1) through ten spiritual stages, finally merging with the nondual (0). The number (10) marks the merger of (1) with (0). The Hindu worldview is that all life forms in an episode of creation must evolve to become one with the non-dual state (0) to attain liberation from the cycle of births and deaths in a cyclical process. -/- . (shrink)

A woman and a man desire to come together stirred by the primal fire of Kama and the man deposits his egg in the womb of the woman. This egg develops into a human undergoing nine or ten months of evolution. This process is the microscopic replication of the method evolved by God to create the universe. Rigveda (10.121) mentions Hiranyagarbha, the Golden Egg as the source of the creation of the universe. It is said that God, wishing to create (...) the world, produced an egg as big as the cosmos. God meditated for a thousand years sitting inside the egg and when the egg burst, the Lord himself was born out of the egg as the Progenitor of the universe (“He made Himself by Himself.”, Taitiriya Upanishad: 2.7.1). The Rishis called the Egg Brahmanda (the Cosmic Egg), and the Progenitor Manu. Scientists have discovered that the universe has an oval shape. Like the nine months of the evolution of the human egg, the Cosmic Egg also undergoes nine stages of evolution before it gets dissolved during what we call ‘Maha Pralaya’. The Puranas mention that Brahmanda has 14 biospheres, seven nether and seven upper inhabited by different types of souls. If we count from the human world, there are ten dimensions of consciousness. Rishis called these astral biospheres Mandalas/Lokas with different wavelengths and colours. Sri Karunakara Guru referred to them as Avasthas, or spiritual stages. The Buddhists and Hindu esoteric sects such as the Theosophical Society explain these levels of the Absolute in terms of Physical plane, Astral plane, Mental plane, Buddhic plane, Atmic plane, Anupadaka plane, Adi plane and Shiv and Shakti. These Avasthas are related to the expanding consciousness reaching up to the core of the Cosmic Egg, the Paramatma. Like a spider which creates a web around it sitting in the centre, and withdraws it in the end, Paramatma creates and withdraws webbed multi-dimensional universes. Nobody can say when it started and when it will end as it is a beginningless and endless process. (shrink)

Bioethics has become a field of new challenges for Ibero-America and the Caribbean. A seeming uniformity in the region hides a rich heterogeneous society. A brief survey of bioethical developments in different Ibero- American countries is provided as well as the bioethical problems and approaches peculiar to the region. Some of the unique features of bioethics in this region, it is suggested, could infuse new life into the U.S. and European bioethics discussion. Finally, a bibliography of Ibero-American bioethics literature is (...) provided for North American and European readers. (shrink)

The geometrical structures implicit in the de Broglie waves associated with a relativistic charged scalar quantum mechanical particle in an external field are analyzed by employing the ray concept of the causal interpretation. It is shown how an osculating Finslerian metric tensor, a torsion tensor, and a tetrad field define respectively the strain, the dislocation density, and the Burgers vector in the “natural state” of the wave, which is a non-Riemannian space of distant parallelism. A quantum torque determined by the (...) quantum potential is introduced and the example of a screw dislocated wave is discussed. (shrink)