Background: Nurse-patient communication is a unique clinical skill in the healthcare professions that promotes good quality care and patient outcomes. This communication can be disrupted by many barriers that impact the therapeutic relationship and deliver of care. Purpose: The study aims to identify the barriers affecting nurse-patient communication at primary health centers in Almadina Munawara City, Saudi Arabia. Methods: A cross-sectional study was performed among 212 nurses and 214 patients utilizing a self-reporting questionnaire. A version of the same file was (...) then uploaded into NVivo, and data that were coded under all communication barriers including language discordance among patients and healthcare providers (e. g., subtheme: patient prefers a mother tongue speaking doctor), cultural-religious difference and environmental cues between the involved parties to determine their importance in this context as well (see Table 2). Results: The results showed that language, cultural and environmental differences had an extensive influence on how nurses communicated with patients. Key barriers included nurse shortages, limited communication time and low income. Our results suggest that these barriers differ in their effect with language barrier and habitat disturbance being the most important ones. Conclusions: This study concludes that nurse-patient communication is a complex multi-sectional process, constrained by numerous barriers. Strategic intervention aimed at addressing these barriers can strengthen nurse-patient interaction and accelerate patient care. Communication remains a cornerstone in all the best practices of delivering healthcare effectively and keeping patients happy. (shrink)

The anterior cingulate cortex (ACC) is a complex and continually evolving brain region that remains a primary focus of research due to its multifaceted functions. Various studies and analyses have significantly advanced our understanding of how the ACC participates in a wide spectrum of memory and cognitive processes. However, despite its strong connections to brain areas associated with hippocampal and olfactory neurogenesis, the functions of the ACC in regulating postnatal and adult neurogenesis in these regions are still insufficiently explored. Investigating (...) the intricate involvement of the ACC in neurogenesis could enhance our comprehension of essential aspects of brain plasticity. This involvement stems from its complex circuitry with other relevant brain regions, thereby exerting both direct and indirect impacts on the neurogenesis process. This review sheds light on the promising significance of the ACC in orchestrating postnatal and adult neurogenesis in conditions related to memory, cognitive behavior, and associated disorders. (shrink)

Résumé Juste avant sa mort précoce il y a près de vingt ans, Edward Saïd nous a légué en signe de testament l’un de ses derniers ouvrages Humanisme et démocratie dans lequel il a étalé sa vision du monde futur et montré l’impact que doit avoir l’humanisme sur la conception démocratique de la praxis politique. Son projet consiste en effet à réhabiliter l’humanisme pris déjà pour cible par le courant structuraliste antihumaniste au milieu du vingtième siècle et à le réintégrer (...) dans le processus démocratique de l’action politique et sociale. Il s’agit en effet, comme il l’exprime, « d’une méditation approfondie sur les possibilités concrètes de l’humanisme comme pratique durable et non comme propriété, sur ce qu’une activité humaniste implique, plutôt qu’une énumération des qualités souhaitables chez un humaniste ». Tout en se référant aux événements politiques des dernières décennies et à ses expériences propres dans ce domaine, particulièrement son engagement pour la cause palestinienne, Edward Saïd considère que l’humanisme présente une base solide pour bâtir une société et une culture séculaires ouvertes au monde dominé actuellement par l’impérialisme et la mondialisation. Ce qui lui importe au fond le plus, « c’est l’humanisme en tant que praxis utile aux intellectuels qui veulent comprendre ce qu’ils font, à quoi rime leur engagement en tant que chercheurs, et qui veulent également relier ces principes au monde dans lequel ils vivent comme citoyens ». Ce n’est pas en vérité une recette toute prête à résoudre les crises ou les problèmes politiques actuels mais, à la lueur de la synthèse théorique et pratique qu’il opère dans cette œuvre, Saïd nous permet aujourd’hui de relire et comprendre les événements des révolutions arabes et d’en tirer les conséquences critiques, car son projet offre la possibilité de se pencher de manière critique sur le rôle public que doit jouer l’intellectuel dans la consolidation du processus démocratique. Il indique également comment on peut participer à l’élaboration d’une culture humaniste de coexistence et de partage à la place d’une culture d’exclusion, de terreur et de guerre telle qu’on est en train de vivre actuellement dans plusieurs pays du monde. Notre feuille de travail tend à rappeler le trajet qu’a suivi Edward Saïd dans son cursus théorique et pratique depuis la parution de son écrit l’Orientalisme tout en passant par Culture et impérialisme jusqu’à Humanisme et Démocratie, et de mettre en exergue les idées fortes de cette œuvre et leurs répercussions sur les études post-orientalistes et postcoloniales. (shrink)

In the 1940s, Georges Canguilhem has established the concept of biological normativity on the level of the organism in his key work on “ The Normal and the Pathological ”. We would like to present a contemporary analysis of Canguilhem’s work, set it in context with more recent results from the field of complexity and immunology, and evaluate the problematic whether normativity is a genuine capacity of the organism. Based on Canguilhem’s conditions of the definition of biological normativity, we show (...) that the immune system as one of the complex systems of the living equally shares the capacity to be normative. We will then conclude that normativity can also be conceptually independently displayed on the level of complex systems of the living. (shrink)

Mit diesem Band wendet sich der Philosoph Mohamed Turki gegen die Behauptung, dass geisteswissenschaftliche Debatten in der arabisch-islamischen Welt ausschliesslich vom Diskurs des Glaubens beherrscht werden. In fundierter und zugleich überblickender Manier wird zunächst der historische Wandel von Bestimmungen des Rationalitätsbegriffs nachgezeichnet und verständlich gemacht, um anschliessend einzelne Diskurse der Gegenwart darzustellen. Deutlich wird dabei das Ineinandergreifen von Konzepten wie Glaube, Vernunft, Offenbarung und Interkulturalität, aber auch Konfliktlinien innerhalb der Diskussion. Die beziehungsreichen Aufsätze des Bandes vereinen Themen wie Pluralität, (...) Toleranz, Frieden und Menschenrechte aus dem Blickwinkel des arabisch-islamischen Denkens und verdeutlichen, dass eine Verbindung zum klassischen Kanon der abendländischen Geistestradition immer schon bestand und keinesfalls dazu im Widerspruch steht"-- Back cover. (shrink)

Résumé Frantz Fanon s’est concentré principalement sur la violence comme moyen de résistance et de libération anticoloniale, mais aussi sur l’humanisme et les possibilités de sa réalisation. Il s’agit pour lui de dépasser la conception manichéenne de l’Europe, mais aussi de la Négritude à propos de l’homme et d’inventer comme il dit « l’homme total ». Le silence a régné assez longtemps sur la réception des œuvres de Fanon après sa mort, à l’exception de sa réhabilitation vingt ans après aux (...) Antilles lors d’une commémoration. Depuis sa disparition, on est passé de la simple critique du colonialisme à partir du champ économique et politique vers le champ culturel plus complexe et l’essai d’une compréhension plus approfondie de notions telles que celles de « nation », « identité », « imaginaire » ou « hybridité ». De plus, à cette évolution a participé aussi bien le discours foucaldien à propos des pouvoirs que les études abordées par Gilles Deleuze et Jacques Derrida sur la connaissance et le sujet. Ces thèmes ont influencé énormément les auteurs américains des Études postcoloniales dans leurs approches critiques du fait colonial et des phénomènes socioculturels qui en résultent. Ce fut surtout le cas pour Edward Said ainsi que pour d’autres penseurs tels Achille Mbembe, Gayatri Chakravorty Spivak, Homi K. Bhabha et bien d’autres. Mais ce sont avant tout Aimé Césaire, Frantz Fanon et Albert Memmi qui furent les théoriciens pionniers de ce mouvement. Ils ont en effet vécu la situation coloniale de manière directe et l’ont problématisée conceptuellement de sorte qu’ils ont dévoilé les différents aspects d’oppression et d’exclusion du colonialisme et donné ainsi une voix aux colonisés, subalternes et marginalisés. Cet article va tenter tout d’abord de rappeler la part critique de Frantz Fanon à l’égard de l’humanisme classique européen, mais aussi à celui de la Négritude. Par la suite il essaie de présenter sa conception d’un humanisme radical qui prend en considération l’homme, dire même l’humanité dans toute sa totalité, et à la fin il aborde les répercussions de la pensée fanonienne sur l’évolution politique actuelle ainsi que sur les Études postcoloniales. (shrink)

Quarante ans après la mort de Jean-Paul Sartre et à un moment où les bouleversements liés à la mondialisation déchirent l'humanité, cet ouvrage rappelle son engagement de philosophe et d'intellectuel après la Seconde guerre mondiale. Sartre n'a eu de cesse de transformer le mode contemporain de penser notre existence individuelle et collective en plaçant la liberté au centre de l'agir humain. Son oeuvre littéraire et ses prises de position politiques contre le racisme et le colonialisme ont rappelé vigoureusement qu'il fallait (...) prendre parti pour la liberté, l'égalité et la fraternité. La relecture critique de son oeuvre permet aujourd'hui de découvrir tant l'ampleur de son engagement que son ambiguïté pour une culture fière d'être humaniste. (shrink)

This book tells the story of how the Platonic vision of Michael Polanyi – the Hungarian-British chemist and philosopher – bridges the gap between speculative metaphysics and scientific practice, thus making sense of the broad swathe of human experience in a phenomenologically satisfying fashion. The central proposal is that Polanyi is a Platonist due to his affirmation of the ontological status of abstract objects, with particular focus placed on the question of uninstantiated universals. The book engages contemporary, speculative realists from (...) both continental and analytic traditions as it introduces Polanyi’s influential epistemology and unpacks the fascinating metaphysics implied thereby. It then proceeds to develop Polanyi’s rather unsystematic metaphysics into a coherent, post-critical Platonism which incorporates his well-known theory of tacit knowledge, thus achieving something akin to the ancient Neoplatonic synthesis of Plato and Aristotle in our contemporary, scientific context. (shrink)

Applying the resolution–scale relativity principle to develop a mechanics of non-differentiable dynamical paths, we find that, in one dimension, stationary motion corresponds to an Itô process driven by the solutions of a Riccati equation. We verify that the corresponding Fokker–Planck equation is solved for a probability density corresponding to the squared modulus of the solution of the Schrödinger equation for the same problem. Inspired by the treatment of the one-dimensional case, we identify a generalization to time dependent problems in any (...) number of dimensions. The Itô process is then driven by a function which is identified as establishing the link between non-differentiable dynamics and standard quantum mechanics. This is the basis for the scale relativistic interpretation of standard quantum mechanics and, in the case of applications to chaotic systems, it leads us to identify quantum-like states as characterizing the entire system rather than the motion of its individual constituents. (shrink)

This paper provides a critical review of economic outcome metrics used in healthcare value assessment, emphasizing the evolving landscape of resource allocation, patient-centered approaches, and standardization efforts. With healthcare costs rising globally, the efficient allocation of limited resources is essential. Metrics like Quality-Adjusted Life Years (QALYs), Disability-Adjusted Life Years (DALYs), Incremental Cost-Effectiveness Ratios (ICERs), and Cost-Benefit Analysis (CBA) are central to guiding funding decisions, influencing insurance coverage, and shaping treatment prioritization. Emerging trends, such as the integration of artificial intelligence (AI) (...) and big data, are enhancing the precision of these assessments, while patient-centered metrics underscore the importance of patient satisfaction and quality of life. Additionally, there is a growing push for the standardization of these metrics to create consistent frameworks across diverse health systems. This paper explores case studies, practical applications, and future directions to provide insights into how healthcare systems can adopt more effective, globally aligned economic assessments. (shrink)

Medical paternalism has long been a common medical practice. However, patient autonomy in healthcare has been recently adopted by doctors and patients alike. This study explored whether doctors and patients in a tertiary care hospital in Saudi Arabia preferred autonomy or paternalism in shared decision‐making. A total of 118 participants (51 patients requiring total knee replacement, owing to stages 3–4 of osteoarthritis, and 67 doctors) from the Eastern province, Saudi Arabia. responded to a 17‐question category‐based questionnaire involving four scales of (...) autonomy. Descriptive statistics and chi‐square test results revealed that in this hospital, patients preferred a paternalistic approach toward their medical care along with a full disclosure of the risks related to surgical procedures. We recommend health education regarding the specific autonomy subscales (doctor knows best, patient should decide, right to non‐participation, and obligatory risk information), and the implementation of protocols that protect patients' rights and enhance personal autonomy. (shrink)

Background: Pembrolizumab, an inhibitory anti-PD-1 antibody, has led to significantly meaningful improvements in advanced melanoma. This meta-analysis discusses and presents the efficacy and safety of pembrolizumab versus control treatments in randomized controlled trials. Methods: Electronic databases were searched systematically for RCTs using pembrolizumab in advanced melanomas. Pooled estimates were calculated under random-effect models for overall response rates, PFS, OS, and TRAEs. Results: Nine RCTs including 5132 patients were analyzed. Pembrolizumab significantly realized better results in ORR, PFS and OS HR 0.62, (...) 95% CI 0.54, 0.71, P < 0.001 and HR 0.70, 95% CI 0.63, 0.78, P < 0.001 for control. PFS and OS were consistently better in first, second, and further lines and in groups stratified for PD-L1 status. Grade 3–5 TRAEs were lower with pembrolizumab than with chemotherapy 13.3% vs. 25.9% and ipilimumab 16.9% vs. 27.3%. Conclusions: Pembrolizumab monotherapy meaningfully improves ORRs, delays progression, and prolongs survival in advanced melanoma compared to current standard regimens, with the latter given its favorable toxicity profile. As such, pembrolizumab should be considered the new standard of care for treatment-naïve and previously treated subjects. (shrink)

Religion is among the determinants of human beliefs and values in various societies, shaping people’s behaviours in a range of life aspects, including the workplace. In view of the influence of religion in Malaysia, this issue becomes highly significant. With regard to the profound impact of religion on creating individual and collective behaviours, the present study aims to investigate the effects of religious behaviours (RBs) on organisational commitment (OC) among Malaysian healthcare workers (HCWs) in 2022, by a survey method implemented (...) using standardised questionnaires for data collection. The statistical population comprised of 2500 HCWs from 10 hospitals in Kuala Lumpur, Georgetown and Malacca, Malaysia, selected by the simple random sampling among the Muslim staff. The data analysis was further fulfilled using the AMOS software package for structural equation modelling (SEM). In general, the study results demonstrated a significant and positive relationship between RBs and OC among Malaysian HCWs (p-value = 0.84, t-statistic = 6.50).Contribution: As demonstrated by the study results, it is possible to inspire OC among employees through strengthening RBs and take advantages of the results. Thus, RBs shown by employees can definitely bring positive results to organisations; therefore, OC in Malaysian HCWs improves. (shrink)

Type 2 diabetes mellitus (T2DM) is a multifaceted chronic condition characterized by insulin resistance and hyperglycemia. This review synthesizes evidence on the influence of lifestyle factors such as diet, physical activity, and stress on the development and progression of T2DM. It highlights the intricate relationship between obesity, insulin resistance, and β-cell dysfunction, with a particular focus on the role of psychological stress in exacerbating disease outcomes. Through the analysis of recent studies, the review explores how lifestyle interventions, including dietary changes, (...) exercise, and stress management, can improve glycemic control and reduce complications. This comprehensive review underscores the need for integrated, personalized management strategies in T2DM care, emphasizing the importance of addressing both physiological and psychological factors to optimize outcomes and prevent complications. (shrink)

This current study aims to examine the importance of anesthesia for humans. Secondly, what are the types of anesthesia currently used in operations, and what is the role of anesthesia in preserving human life. A questionnaire was prepared via Google Drive and distributed to residents aged 25-55 years, men and women, in the city of Mecca. As for the questionnaire, it was distributed via the social media program (WhatsApp) for the purpose of distancing for fear of the presence of the (...) Corona virus. 380 questionnaires were distributed, and 370 responses were obtained via email to the main researcher. it concluded that requires continuing to work on continuous on advanced anesthesia methods. (shrink)

Türkiye-Suriye ilişkilerinin son 40 yıllık seyrine baktığımızda en önemli kırılma anlardan birinin 1998 yılının Ekim ayında yaşandığını söylemek mümkündür. 1990’lı yılların ilk yarısında imzalanan güvenlik protokollerine rağmen Suriye’nin PKK faaliyetlerine desteğini sürdürmesi ve Abdullah Öcalan’ın Suriye topraklarında ikamet ediyor olması, 1998 sonbaharında iki ülkeyi savaşın eşiğine getirmiştir. Ekim 1998 Krizi'nin Adana Mutabakatı'nın imzalanması ile son bulması, iki ülke ilişkilerinde yeni bir dönemin kapılarının aralanmasına neden olmuştur. Bu çalışmada PKK faaliyetlerinin Türkiye-Suriye ilişkilerinde oynadığı inşa edici rol, Ekim 1998 Krizi üzerinden analiz (...) edilmektedir. Ekim 1998 Krizi’nin Suriye yönetiminin PKK faaliyetlerine destek vermeyeceğini resmen taahhüt ederek sonlanması, iki ülke ilişkilerinde uzlaşmazlıktan her alanda işbirliği dönemine geçişin başlangıç noktası olmuştur. Bu nedenle Ekim 1998 Krizi’ni bir kırılma noktası olarak değerlendirmek mümkündür. (shrink)

Bu çalışmada, Türkiye’de 1963 ile 2012 yılları arasında din psikolojisi alanında yapılan ve hala devam eden yüksek lisans ve doktora tezlerine ilişkin analizler yer almaktadır. Bunun yanında din psikolojisinin Türkiye’de akademide yer alışına dair kısa bir tarihçe vardır. Bu çalışmanın amacı, din psikolojisi doktora tezlerine ilişkin bir bibliyografya oluşturarak, araştırmacılara ve lisansüstü öğrencilerine bir katalog sunmaktır. Ayrıca, tezlere ait verilerin analizleriyle, yapılacak yeni çalışmalara yol göstermek amaçlanmıştır. Yöntem olarak literatür taraması yapılmış, farklı kurumların katalogları taranmış ve alandaki akademisyenlerle görüşülmüştür. Elde (...) edilen bilgiler doğrultusunda tezler, yüksek lisans ve doktora tezleri olarak tasnif edilmiş ve yazar referans alınarak alfabetik sıraya göre dizilmiştir. Tez başlıklarının içerdikleri konular tespit edilmiş ve bu veriler analiz edilmiştir. (shrink)

Kur’ân’da mescid kavramı daha çok Mescid-i Haram bağlamında gündeme gelmekte ve yeryüzünde kurulan ilk evin/maʿbedin Ka’be olduğu ifade edilmektedir. Mescidler, Mescid-i Haram gibi güven, huzur, istikrar veren özgün yapılardır. Mescidler; terbiye, eğitim, irşâd, tefekkür, birlik ve beraberlik, dayanışma, yardımlaşma vurguları ile toplumun sosyal açıdan gelişmesini sağlar. İslâm tarihinde camilerin ifa ettiği vazifeler, İslâm dininin diğer muharref dinler gibi dinle dünya işlerinin arasını ayırmadığını, dini kalbe hapsetmediğini göstermektedir. Hz. Peygamber ve sahabeler döneminde mescidler çok amaçlı mekânlar olarak kullanılmaktaydı. Mescidlerin Hz. Peygamber (...) dönemindeki fonksiyonelliğini kaybetmesi toplum üzerindeki etkinliğini zayıflatmıştır. Mescidler günümüzde sosyal etkinliklerle canlı duruma getirilmeli ve öyle ki mescidler/camiler hayat olmalıdır. Makalemizde mescid kavramın Kur’ân ve hadislerdeki yeri, önemi, işlevi incelenecek ve mescidlerin tarihsel serüveni ve fonksiyonları hakkında bilgi verilecektir. Çalışmamız, ülkemizde camilerin asli fonksiyonlarına dönmesi ve toplumsal alanda etkinliğinin arttırılması hedeflemektedir. Bunun için yapılması gereken bazı iyileştirme faaliyetleri üzerinde durulacak ve çözüm önerileri sunulacaktır. (shrink)