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27 pages, 480 KiB  
Article
Navigating the Tension Between Christianity and Confucianism in Walter Henry Medhurst’s Translation of The Shoo King
by Yanlin Zhang and Guilu Ge
Religions 2025, 16(7), 916; https://doi.org/10.3390/rel16070916 - 16 Jul 2025
Viewed by 371
Abstract
Walter Henry Medhurst’s translation of The Shoo King (尚書/書經) represents the first complete English rendering of this classic Chinese text. However, limited attention has been given to how Medhurst navigated the tension between Confucian thought in The Shoo King and his own religious [...] Read more.
Walter Henry Medhurst’s translation of The Shoo King (尚書/書經) represents the first complete English rendering of this classic Chinese text. However, limited attention has been given to how Medhurst navigated the tension between Confucian thought in The Shoo King and his own religious beliefs, as well as his treatment of this tension in comparison to James Legge, Joseph de Prémare, Walter Gorn Old, and his interpretation in contrast to Cai Shen’s annotated edition of The Shoo King. This study adopts a “history of the book” approach to examine how Medhurst, as a Protestant missionary, translated key Confucian anthropocentric concepts, including “Ren” (仁), the Doctrine of Mind-Nature, people-centered governance, and religious ideas related to the divine. Through extensive textual analysis and comparison with other scholars’ translations, this study finds that Medhurst adhered to the principle of textual fidelity, striving to minimize the interference of his religious stance with the original meaning of Confucian philosophy. His translation of terms varied according to the context, especially reflecting the shift in The Shoo King from the idea of “Heaven’s mandate is inviolable” to “Heaven is not trustworthy.” Additionally, he enhanced the communication of the original text’s meanings through paratextual elements such as illustrations and footnotes, while retaining Cai Shen’s historical background interpretations and significantly reducing the philological commentary, presenting a “concise and focused” annotation approach. These findings highlight Medhurst’s unique contribution to the cross-cultural transmission of the Confucian canonical text. Full article
12 pages, 1443 KiB  
Article
The Influence of School Backpack Load on Dynamic Gait Parameters in 7-Year-Old Boys and Girls
by Paulina Tomal, Anna Fryzowicz, Jarosław Kabaciński, Dominika Witt, Przemysław Lisiński and Lechosław B. Dworak
Sensors 2025, 25(13), 4219; https://doi.org/10.3390/s25134219 - 6 Jul 2025
Viewed by 489
Abstract
School-aged children are routinely exposed to additional physical stress due to carrying school backpacks. These backpacks often exceed recommended limits and can contain not only books and notebooks but also laptops, water bottles, and other personal items. The present study aimed to evaluate [...] Read more.
School-aged children are routinely exposed to additional physical stress due to carrying school backpacks. These backpacks often exceed recommended limits and can contain not only books and notebooks but also laptops, water bottles, and other personal items. The present study aimed to evaluate the impact of different backpack loads (10%, 15%, and 20% of body weight) on dynamic gait parameters in 7-year-old girls and boys. Twenty-six children (13 girls, 13 boys) participated in the study. Gait analysis was performed using the Footscan® system (RSscan International, Olen, Belgium; 2 m × 0.4 m × 0.02 m, 16,384 sensors) equipped with Footscan software version 7 (Gait 2nd generation), examining peak force (FMAX), peak pressure (PMAX), contact area (CA), and time to peak force (Time to FMAX) across five anatomical foot zones. The study revealed significant changes in all parameters, particularly at loads of 15% and 20% of body weight. Increases in plantar pressure, contact area, and asymmetry were observed, along with delays in time to peak force. These findings support the recommendation that children’s backpack loads should not exceed 10% of their body weight to prevent potential adverse effects on postural and musculoskeletal development. Full article
(This article belongs to the Section Intelligent Sensors)
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13 pages, 240 KiB  
Article
Wittgenstein and the Old Testament
by Esther Heinrich
Religions 2025, 16(6), 774; https://doi.org/10.3390/rel16060774 - 13 Jun 2025
Viewed by 338
Abstract
I start this paper by giving a general account of Wittgenstein’s relationship to the Bible, especially to the Old Testament. I will then examine those passages in his work where he explicitly refers to the Old Testament. It will turn out that all [...] Read more.
I start this paper by giving a general account of Wittgenstein’s relationship to the Bible, especially to the Old Testament. I will then examine those passages in his work where he explicitly refers to the Old Testament. It will turn out that all these mentions relate to books of the so-called wisdom literature or to texts that are close to it. I will argue that Wittgenstein’s selection is not arbitrary but reflects his interest in wisdom—an interest that is, however, motivated by critique and reservation. Full article
(This article belongs to the Special Issue New Work on Wittgenstein's Philosophy of Religion)
16 pages, 6101 KiB  
Article
Deciphering Ageing Effects in Green-Dyed English Wool Carpet Yarns from the 1840s
by Terry T. Schaeffer, Jacob Mobberley and Laura Maccarelli
Heritage 2025, 8(6), 216; https://doi.org/10.3390/heritage8060216 - 7 Jun 2025
Viewed by 651
Abstract
In 1842, carpet manufacturer W.H. Worth of Kidderminster, England, began assembling a sample book of wool yarns dyed with natural dyestuffs. This paper reports on a study of the “Greens” section, which contains sixteen yarn samples—six still green and ten now ranging from [...] Read more.
In 1842, carpet manufacturer W.H. Worth of Kidderminster, England, began assembling a sample book of wool yarns dyed with natural dyestuffs. This paper reports on a study of the “Greens” section, which contains sixteen yarn samples—six still green and ten now ranging from tan to dark brown. The accompanying recipes list similar ingredients: old fustic and either “mixture” or extracet of indigo. To verify whether Worth’s recipes were followed, the yarns were analyzed using HPLC-DAD and FORS. Additionally, mock-ups were prepared according to Worth’s green dye recipes and subjected to thermal ageing to explore potential causes of discoloration. Preliminary analysis of the historic samples revealed that the discoloured yarns contain both indigo and indigo carmine, while the still-green samples contain only indigo carmine. This suggests that one or more components of the indigo vat may have contributed to discoloration. To test this hypothesis, contemporary wool yarns were dyed using a Worth green recipe, with and without indigo, at varying pH levels. These were thermally aged, and their colour changes monitored. HPLC-DAD and FORS analyses of the mock-ups were compared to the historic samples to identify dyeing conditions that may have led to the observed browning. Full article
(This article belongs to the Special Issue Dyes in History and Archaeology 43)
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13 pages, 2023 KiB  
Article
Empowering Culture and Education Through Digital Content Creation, Preservation, and Dissemination
by Iulia-Cristina Stănică, Costin-Anton Boiangiu and Codrin Tăut
Sustainability 2025, 17(11), 4842; https://doi.org/10.3390/su17114842 - 25 May 2025
Viewed by 488
Abstract
Digital content can bring many advantages to a sustainable world, such as higher accessibility, flexibility, reduction in natural resource consumption, or storage issues. Probably one of the biggest advantages is related to the possibility of preserving any type of document without the use [...] Read more.
Digital content can bring many advantages to a sustainable world, such as higher accessibility, flexibility, reduction in natural resource consumption, or storage issues. Probably one of the biggest advantages is related to the possibility of preserving any type of document without the use of typography machines, as digital content does not suffer from deterioration. This approach can prove to be extremely useful in the case of important documents for human culture and history. Our paper presents some of the most successful cases of digitization of physical papers, including books, newspapers, and old manuscripts. The analysis of international models of digital libraries is followed by a case study of digitization in Romania, with an analysis of their future perspectives on sustainability. Full article
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32 pages, 2334 KiB  
Review
Undernutrition and Intestinal Infections in Children: A Narrative Review
by Maria Clara da Cruz Carvalho, Samilly Albuquerque Ribeiro, Lélia Sales de Sousa, Aldo Ângelo Moreira Lima and Bruna Leal Lima Maciel
Nutrients 2025, 17(9), 1479; https://doi.org/10.3390/nu17091479 - 28 Apr 2025
Cited by 1 | Viewed by 1571
Abstract
Undernutrition affects thousands of children under five years old worldwide, and various factors are related to its onset, among which we highlight enteric infections and gastrointestinal barrier dysfunction. The cycle of intestinal infections and undernutrition has long-term consequences, such as cognitive deficits, poor [...] Read more.
Undernutrition affects thousands of children under five years old worldwide, and various factors are related to its onset, among which we highlight enteric infections and gastrointestinal barrier dysfunction. The cycle of intestinal infections and undernutrition has long-term consequences, such as cognitive deficits, poor growth, and metabolic diseases in adulthood. This review explores factors linked to childhood undernutrition, focusing on intestinal infections and markers of intestinal permeability that affect child development. This narrative review was conducted using Medline/PubMed, Web of Science, and Scopus, from July 2024 to March 2025. Studies involving children under five years old and addressing undernutrition, intestinal infections, or intestinal permeability markers were included. Exclusion criteria comprised studies without therapeutic focus, and books, case reports, or academic theses. No language restrictions were applied, and registration on global platforms was not required. Overall, the studies reported a close relationship between enteric pathogens, diarrheal and non-diarrheal stools, and undernutrition. Among the pathogens most frequently found in the feces of malnourished children were Shigella, enterotoxigenic Escherichia coli, enteroaggregative E. coli (EAEC), and Cryptosporidium. The studies also showed the relationship between gastrointestinal barrier function and undernutrition, with the deterioration of nutrient absorption and, consequently, repercussions on development, linear growth, and weight in children. Although the studies analyzed had different designs and heterogeneity in the age range of the studied children, it was possible to observe the relationship between the infection/undernutrition cycle. Future studies should optimize personalized nutrient-based therapies, assess long-term effects on gut health and growth, and explore the gut microbiome’s role in enteric infection susceptibility and undernutrition. Full article
(This article belongs to the Special Issue Malnutrition and Gastrointestinal Disease)
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12 pages, 331 KiB  
Article
Much More than a Triumphal Entry: The Old Testament Interweaving in Mk 11:1-11
by Ianire Angulo Ordorika
Religions 2025, 16(5), 552; https://doi.org/10.3390/rel16050552 - 26 Apr 2025
Viewed by 427
Abstract
Studies on the presence of the Old Testament (OT) in the New Testament (NT) have evolved significantly over time. Scholars have moved from a focus on identifying the textual version employed by the evangelists to attempts to systematize the various levels of the [...] Read more.
Studies on the presence of the Old Testament (OT) in the New Testament (NT) have evolved significantly over time. Scholars have moved from a focus on identifying the textual version employed by the evangelists to attempts to systematize the various levels of the OT’s presence, classifying them as quotations, allusions, or echoes. In reality, biblical references permeate the NT, often going unnoticed. Unveiling them and, above all, approaching them through the interpretative logic characteristic of Judaism at the turn of the era imparts a surplus of meaning to the NT text. This is what this article demonstrates through an example from the Gospel according to Mark. There is no doubt about the strong biblical resonances in the passage describing Jesus’ entry into Jerusalem (Mk 11:1-11). In addition to a quotation from Psalm 118 (Mk 11:9-10), scholars recognize an allusion to Genesis and multiple references to texts from the book of Zechariah. This article will illustrate how drawing upon Jewish exegetical tradition from the turn of the era sheds light both on the way these OT references are interpreted and on how the various biblical references interconnect, enriching and expanding the meaning of the Gospel passage. Full article
14 pages, 341 KiB  
Article
The Permanence and Indissolubility of Marriage Against the Background of Deuteronomy 24:1
by Grzegorz Bzdyrak and Przemysław Kubisiak
Religions 2025, 16(3), 292; https://doi.org/10.3390/rel16030292 - 26 Feb 2025
Viewed by 951
Abstract
This article is an interdisciplinary study. The authors (a canon lawyer and a biblical theologian) endeavour to examine the text of the Book of Deuteronomy 24:1 through both canonical and exegetical lenses. They look at whether and to what extent it is aligned [...] Read more.
This article is an interdisciplinary study. The authors (a canon lawyer and a biblical theologian) endeavour to examine the text of the Book of Deuteronomy 24:1 through both canonical and exegetical lenses. They look at whether and to what extent it is aligned with the contemporary Catholic teaching on the permanence and indissolubility of marriage. They frame the research problem through a series of questions: Is the analysed text contrary to the Catholic Church’s position on the inadmissibility of divorce? Does it imply consent to divorce? Or does it permit marital separation but solely under specific conditions? First, the authors discuss the Catholic teaching on the permanence and indissolubility of marriage. They highlight a distinction between the two terms. They seek to expose the process of evolution of the institution of marriage from the Creation, i.e., God’s original intention in relation to marriage, through the Old Testament period of “hardness of heart”, i.e., from the original sin to the time of Jesus, to the third stage since Jesus, who restored the original order destroyed by sin and elevated the conjugal bond of two baptized people to the dignity of a sacrament. The authors then examine the concept of marital separation. By its very nature, it does not sever the marital bond. The authors explain the legal grounds for separation, among them adultery and failure to maintain marital fidelity. Next, they conduct an in-depth semantic analysis of the studied text and discuss divorce proceedings in the light of Deuteronomy 24:1. They close the discussion with conclusions. Due to the interdisciplinary nature of the work, the authors relied on the literature from the domains of biblical studies and canon law. Full article
20 pages, 1460 KiB  
Article
Using Tangible User Interfaces (TUIs): Preliminary Evidence on Memory and Comprehension Skills in Children with Autism Spectrum Disorder
by Mariagiovanna De Luca, Ciro Rosario Ilardi, Pasquale Dolce, Angelo Rega, Raffaele Di Fuccio, Franco Rubinacci, Maria Gallucci and Paola Marangolo
Behav. Sci. 2025, 15(3), 267; https://doi.org/10.3390/bs15030267 - 25 Feb 2025
Viewed by 1026
Abstract
Autism spectrum disorder (ASD) is a complex neurodevelopmental condition involving persistent challenges with social communication, as well as memory and language comprehension difficulties. This study investigated the effects of a storytelling paradigm on language comprehension and memory skills in children with ASD. A [...] Read more.
Autism spectrum disorder (ASD) is a complex neurodevelopmental condition involving persistent challenges with social communication, as well as memory and language comprehension difficulties. This study investigated the effects of a storytelling paradigm on language comprehension and memory skills in children with ASD. A traditional approach, using an illustrated book to deliver the narrative, was compared to a novel paradigm based on Tangible User Interfaces (TUIs) combined with multisensory stimulation. A group of 28 children (ages between 6 and 10 years old) was asked to listen to a story over four weeks, two times a week, in two different experimental conditions. The experimental group (n = 14) engaged with the story using TUIs, while the control group (n = 14) interacted with a corresponding illustrated book. Pre- and post-intervention assessments were conducted using NEPSY-II subtests on language comprehension and memory. At the end of the intervention, a trend of improved performance was found. In particular, a greater number of subjects benefited from the intervention in the experimental group compared with the control group in instruction comprehension and narrative memory-cued recall. These preliminary findings suggest that TUIs may enhance learning outcomes for children with ASD, warranting further investigation into their potential benefits. Full article
(This article belongs to the Special Issue Neural Correlates of Cognitive and Affective Processing)
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11 pages, 961 KiB  
Review
The Ural Owl as a Keystone Species in Interspecific Interactions Among Avian Predators—A Review
by Łukasz Kajtoch
Diversity 2025, 17(2), 109; https://doi.org/10.3390/d17020109 - 1 Feb 2025
Cited by 1 | Viewed by 1312
Abstract
Ural owls are one of the largest owls in Europe, exhibiting known aggressive behaviour toward other raptors. They are known to interact with nearly all sympatric owls and many diurnal raptors. To summarise these interactions, a literature search was undertaken in the Web [...] Read more.
Ural owls are one of the largest owls in Europe, exhibiting known aggressive behaviour toward other raptors. They are known to interact with nearly all sympatric owls and many diurnal raptors. To summarise these interactions, a literature search was undertaken in the Web of Sciences and Scopus databases using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology as well principal books on owl biology. The search revealed 22 relevant publications that (along with the book data) described the Ural owl’s relations with seven owls and six diurnal raptor species. The Ural owl is subordinate only to the largest predators like golden eagles and eagles, although only its chicks are known to be killed. Contrary to that, the Ural owls shape the distribution of numerous other species, mostly by strong competition (e.g., forcing tawny owls to breed in suboptimal habitats) or by predation (killing smaller owls and diurnal raptors). Their occurrence could be also protective for some species like boreal owls thanks to the removal of intermediate predators. The relations of Ural owls with goshawks are interesting, which seem to live in some balance—temporal avoidance of activity with frequent co-occurrence. Thanks to their association with old-growth forests and their impact on other predators in their territories, Ural owls act as keystone species in mountainous and boreal forests in Europe. Considering this ecosystem service, Ural owls should be effectively protected e.g., by designing forest-management-free zones around their nesting sites. Full article
(This article belongs to the Special Issue Birds in Temperate and Tropical Forests—2nd Edition)
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17 pages, 776 KiB  
Article
Awareness and Knowledge About Preconception Healthcare: A Cross-Sectional Study of Early Years UAE Medical Students
by Sara Maki, Shamsa Al Awar, Sara Alhosani, Latifa Alshamsi, Shamma Alzaabi, Mohammad Ali Alsaadi, Mahra Alhammadi, Hamad Alhosani, Gehan Sayed Salam, Stanisław Wójtowicz and Kornelia Zaręba
J. Clin. Med. 2025, 14(1), 181; https://doi.org/10.3390/jcm14010181 - 31 Dec 2024
Cited by 1 | Viewed by 1239
Abstract
Background: Preconception health is critical for improving maternal and child health. The main objective of the study was to explore medical students’ health habits, quality of life, and knowledge of preconception healthcare. Methods: We conducted a cross-sectional study between 15 March 2023 and [...] Read more.
Background: Preconception health is critical for improving maternal and child health. The main objective of the study was to explore medical students’ health habits, quality of life, and knowledge of preconception healthcare. Methods: We conducted a cross-sectional study between 15 March 2023 and 31 May 2024 among medical students at United Arab Emirates University. To determine awareness and knowledge of preconception health, we administered a survey consisting of an author’s questionnaire with 35 questions covering sociodemographic characteristics and general knowledge of preconception health, as well as the WHO Quality of Life Scale-BREF (WHOQOL-BREF). Results: The participants were predominantly under 25 years old (98.5%), Emirati (91.1%), single (92.6%), and female (95.8%); only 3.4% had been pregnant before. Regarding health awareness and behaviors, a significant number of females (58.0%) had never visited a gynecologist. The majority of students (72.4%) participated in sports activities. The overall level of knowledge was low, with a mean level of 7.5 (SD = 6.36) out of 24. The Internet (webpages, blogs, webinars) (64.5%) was the major source of knowledge regarding healthcare information, followed by social media platforms (Twitter, Facebook, TikTok, Instagram) and mobile applications (57.5%), books (48.6%), and family members (57.0%). There was a statistically significant correlation between knowledge levels and the Internet (p < 0.004) or family (p < 0.001) as a source of knowledge. Additionally, there was a statistically significant positive correlation between knowledge and quality of life across all four WHOQOL domains. Conclusions: Medical knowledge might positively affect general well-being. Fostering stronger social networks and support systems could benefit preconceptional awareness and knowledge. Full article
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37 pages, 2022 KiB  
Article
Probing the Relationships Between Mandaeans (the Followers of John the Baptist), Early Christians, and Manichaeans
by Brikha H. S. Nasoraia
Religions 2025, 16(1), 14; https://doi.org/10.3390/rel16010014 - 27 Dec 2024
Viewed by 3714
Abstract
Mandaeism is the only ancient Gnostic religion surviving to the present day from antiquity. ‘Gnosticism’ was a block of creative religious activity mostly responding to the early Christian teachings in unusual ways of cosmicizing Jesus, and presenting a challenge to the ancient church [...] Read more.
Mandaeism is the only ancient Gnostic religion surviving to the present day from antiquity. ‘Gnosticism’ was a block of creative religious activity mostly responding to the early Christian teachings in unusual ways of cosmicizing Jesus, and presenting a challenge to the ancient church fathers in the first-to-third centuries CE. Mandaeism, by comparison, has roots from John the Baptist rather than Jesus, although it is also important to recognize that this baptizing movement emerged in part as a survival of a very old indigenous ethno-religious grouping from Mesopotamia, its followers eventually settling in Mesopotamia’s middle and southern regions. Indeed, much of the Mandaeans’ thought and practice, especially their rituals of water ablution, have deep origins going back to Sumer, Akkad and Babylonia, reflecting regionally wide influences from right across the Fertile Crescent. Mandaean culture and the Mandaic Aramaic language was of high report in the so-called Patristic period covered by this Special Issue, even in the Arabian Peninsula up until the rise of Islam (634 CE onward), and Mandaeans were honored as a third “People of the Book”—the Sabians (Ṣābeʾun; or ṣobba in modern Iraqi Arabic)—in the Qur’an (2:62; 5:69; 22:17); in the Muslim world, many Mandaic speakers switched language to colloquial Iraqi Arabic and (Arabicized) Persian. This article aims to raise some basic questions, relevant to Patristics, about aspects of relationships between Mandaeans and both early ‘mainstream’ Christians and the other large grouping, the Manichaeans. These questions first concern the common flight of the followers of John and Jesus just before the Roman siege and destruction of Jerusalem (66–70 CE) and the role of the woman Miriai; second, the extent to which John and his followers affected the direction of early Christianity, and the consequences this had for ‘Baptist’/Christian relationships into the Patristic period, with attention paid to Mandaean views of Jesus; third, the process of the formation of early Mandaeism as it combined Hellenistic-Palestinian and Mesopotamian elements; and fourth, the signs that the Mandaeans not only influenced Mesopotamian Christian baptismal sects but were crucial in the emergence Manichaeism (from the 230s CE in Persian-dominated Iraq). This article will finish by concentrating on Mandaean–Manichaean relations in the light of a little known and previously secret Mandaic text (Diwan Razia), best known as Mani or Sidra d-Mani within a larger collection of unnamed occult texts. On the basis of the Mandaeans’ texts, we maintain that both Jesus and Mani apparently left their fold in turn. Full article
(This article belongs to the Special Issue Patristics: Essays from Australia)
18 pages, 356 KiB  
Article
Does the Mosaic Law Obligate Christians? The Fate of the Gentiles in Ḥizzuq ʾEmunah by 16th-Century Karaite Jewish Polemicist Isaac Ben Abraham of Troki
by Golda Akhiezer
Religions 2024, 15(12), 1465; https://doi.org/10.3390/rel15121465 - 30 Nov 2024
Viewed by 1485
Abstract
Ḥizzuq ʾEmunah (Faith Strengthened), written by the 16th-century Karaite Jewish scholar Isaac ben Abraham of Troki (Polish–Lithuanian Commonwealth), was one of the most renowned Hebrew anti-Christian polemical works, meriting translation into most European languages. Troki authored his book during the Polish Reformation, a [...] Read more.
Ḥizzuq ʾEmunah (Faith Strengthened), written by the 16th-century Karaite Jewish scholar Isaac ben Abraham of Troki (Polish–Lithuanian Commonwealth), was one of the most renowned Hebrew anti-Christian polemical works, meriting translation into most European languages. Troki authored his book during the Polish Reformation, a period marked by intense interactions and theological debates between Jews and Christians of various denominations. The author provides a comprehensive philological, grammatical, and historical analysis of the New Testament while relying heavily on the ideas and scriptural interpretations of radical Protestant theologians and Rabbanite scholars. Ḥizzuq ʾEmunah is unusual in a number of respects. This paper examines one such peculiarity—namely, the author’s view that the Torah and its commandments obligate Christians—as well as his eschatological model in which Christians will become part of Israel in the messianic age. His perspective is examined in our study with particular attention to the range of argumentative methods employed. Among these are the use of evidence from the New Testament, especially the accounts of Jesus and his disciples observing the commandments, and the contrast of early Christians’ conceptions and practices, which he views as close to the Mosaic law, with later Christian interpretations of the Old and the New Testament. Full article
18 pages, 1415 KiB  
Article
Open-Access 12-Minute MRI Screening for Acute Appendicitis: A Five-Year Retrospective Observational Study of Diagnostic Accuracy
by Andrew Owen Jones and James Nol
J. Clin. Med. 2024, 13(23), 7257; https://doi.org/10.3390/jcm13237257 - 28 Nov 2024
Viewed by 2972
Abstract
Objective: This retrospective observational diagnostic accuracy study aims to demonstrate that open-access rapid-sequence non-contrast magnetic resonance imaging (MRI) is accurate for exclusion or confirmation of acute appendicitis (AA). Methods: In 2017, a locally designed 12 min MRI protocol was made available [...] Read more.
Objective: This retrospective observational diagnostic accuracy study aims to demonstrate that open-access rapid-sequence non-contrast magnetic resonance imaging (MRI) is accurate for exclusion or confirmation of acute appendicitis (AA). Methods: In 2017, a locally designed 12 min MRI protocol was made available as a new open-access option (no booking needed) for any emergency department (ED) or acute surgical patient with any clinical presentation at the authors’ sites. Uninterrupted single-radiologist reporting availability was provided. A 5-year consecutive report list from 1 January 2019 to 31 December 2023 was recorded in an activity log, from which 3478 eligible reports were identified as ED-based referrals assessing for possible AA. There was “appendicitis possibility” in 581/3478 (17%) reports and “no evidence of appendicitis” in 2897/3478 (83%). These were retrospectively compared with the medical record findings of 557/3478 proven cases of AA (16%). Report availability and reliability metrics have been assessed. Results: Overall, 2583/3478 reports (74%) were finalized within 2 h of MRI study completion, 3254/3478 (94%) within 4 h. The 3478 reports combined had 98% sensitivity, 98% specificity, 98% accuracy, 94% positive predictive value, and 99% negative predictive value for AA (φ = 0.95). The largest 5-year subgroup, females 15–19 years old, 66/440 with proven AA, had 98% report accuracy. Pregnant women, 21/171 with proven AA, had 99% report accuracy. Conclusions: The described MRI protocol is accurate for appendicitis assessment and is a suitable first-imaging choice for children, young adults, and pregnant women. It does not require intravenous contrast and poses no radiation risk. Full article
(This article belongs to the Section Gastroenterology & Hepatopancreatobiliary Medicine)
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19 pages, 3429 KiB  
Article
Were Neanderthals the First Collectors? First Evidence Recovered in Level 4 of the Prado Vargas Cave, Cornejo, Burgos and Spain
by Marta Navazo Ruiz, Alfonso Benito-Calvo, María Carmen Lozano-Francisco, Rodrigo Alonso Alcalde, Pedro Alonso García, Héctor de la Fuente Juez, Marta Santamaría Diez and Paula Cristóbal Cubillo
Quaternary 2024, 7(4), 49; https://doi.org/10.3390/quat7040049 - 12 Nov 2024
Cited by 3 | Viewed by 14571
Abstract
Collecting is a form of leisure, and even a passion, consisting of collecting, preserving and displaying objects. When we look for its origin in the literature, we are taken back to “the appearance of writing and the fixing of knowledge”, specifically with the [...] Read more.
Collecting is a form of leisure, and even a passion, consisting of collecting, preserving and displaying objects. When we look for its origin in the literature, we are taken back to “the appearance of writing and the fixing of knowledge”, specifically with the Assyrian King Ashurbanipal (7th century BC, Mesopotamia), and his fondness for collecting books, which in his case were in the form of clay tablets. This is not, however, a true reflection, for we have evidence of much earlier collectors. The curiosity and interest in keeping stones or fossils of different colors and shapes, as manuports, is as old as we are. For decades we have had evidence of objects of no utilitarian value in Neanderthal homes. Several European sites have shown that these Neanderthal groups treasured objects that attracted their attention. On some occasions, these objects may have been modified to make a personal ornament and may even have been integrated into subsistence activities such as grinders or hammers. Normally, one or two such specimens are found but, to date, no Neanderthal cave or camp has yielded as many as the N4 level of Prado Vargas Cave. In the N4 Mousterian level of Prado Vargas, 15 specimens of Upper Cretaceous marine fossils belonging to the Gryphaeidae, Pectinidae, Cardiidae, Pholadomyidae, Pleurotomariidae, Tylostomatidae and Diplopodiidae families were found in the context of clay and autochthonous cave sediments. During MIS 3, a group of Neanderthals transported at least fifteen marine fossils, which were collected from various Cretaceous units located in the surrounding area, to the Prado Vargas cave. The fossils, with one exception, show no evidence of having been used as tools; thus, their presence in the cave could be attributed to collecting activities. These activities could have been motivated by numerous tangible and intangible causes, which suggest that collecting activities and the associated abstract thinking were present in Neanderthals before the arrival of modern humans. Full article
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