Nostalgia, emotionality, and ethno-regionalsim in Pontic parakathi singing

This dissertation explores the multilayered connections between music, emotionality, social and cultural belonging, collective memory, and identity discourse. The ethnographic case study for the examination of all these relations and aspects is the Pontic muhabeti or parakathi. Parakathi refers to a practice of socialization and music making that is designated insider Pontic Greek. It concerns primarily Pontic Greeks or Pontians, the descendants of the 1922 refugees from Black Sea Turkey (Gr. Pontos), and their identity discourse of ethno-regionalism. Parakathi references nightlong sessions of friendly socialization, social drinking, and dialogical participatory singing that take place informally in coffee houses, taverns, and households. Parakathi performances are reputed for their strong Pontic aesthetics, traditional character, rich and aesthetically refined repertoire, and intense emotionality. Singing in parakathi performances emerges spontaneously from verbal socialization and emotional saturation. Singing is described as a confessional expression of deeply personal feelings and memories that ideally entails the sharing of pain. Sharing and expression of memories, personal feelings, and pain take place through the dialogical performance of short poetic forms, distichs, sung to riff-like tunes played by the Pontic fiddle, the lyra. This dissertation documents the poetics, aesthetics, rhetorics, and pragmatics of the intimate emotional socialization, nostalgic remembering, and participatory dialogical singing that characterize parakathi and illustrates how these processes negotiate the broader discourses of ethnicity, nationalism, and regionalism that contextualize Pontic Greek senses of belonging. This analysis demonstrates the musical limits of discursivity, the special connection between music and emotion, the significance of music for imagined communities of sentiment, and the importance of musical performance in the cultural negotiations of collective memory, subjectivity, and emotionality. It also provides important information about the aesthetics, styles, structures, and genres of Pontic music, which remain rather understudied, contributing to the expansion of the ethnomusicological field

Pediatric trauma and emergency surgery: an international cross-sectional survey among WSES members

Background: In contrast to adults, the situation for pediatric trauma care from an international point of view and the global management of severely injured children remain rather unclear. The current study investigates structural management of pediatric trauma in centers of different trauma levels as well as experiences with pediatric trauma management around the world. Methods: A web-survey had been distributed to the global mailing list of the World Society of Emergency Surgery from 10/2021-03/2022, investigating characteristics of respondents and affiliated hospitals, case-load of pediatric trauma patients, capacities and infrastructure for critical care in children, trauma team composition, clinical work-up and individual experiences with pediatric trauma management in response to patients´ age. The collaboration group was subdivided regarding sizes of affiliated hospitals to allow comparisons concerning hospital volumes. Comparable results were conducted to statistical analysis. Results: A total of 133 participants from 34 countries, i.e. 5 continents responded to the survey. They were most commonly affiliated with larger hospitals (> 500 beds in 72.9%) and with level I or II trauma centers (82.0%), respectively. 74.4% of hospitals offer unrestricted pediatric medical care, but only 63.2% and 42.9% of the participants had sufficient experiences with trauma care in children ≤ 10 and ≤ 5 years of age (p = 0.0014). This situation is aggravated in participants from smaller hospitals (p < 0.01). With regard to hospital size (≤ 500 versus > 500 in-hospital beds), larger hospitals were more likely affiliated with advanced trauma centers, more elaborated pediatric intensive care infrastructure (p < 0.0001), treated children at all ages more frequently (p = 0.0938) and have higher case-loads of severely injured children < 12 years of age (p = 0.0009). Therefore, the majority of larger hospitals reserve either pediatric surgery departments or board-certified pediatric surgeons (p < 0.0001) and in-hospital trauma management is conducted more multi-disciplinarily. However, the majority of respondents does not feel prepared for treatment of severe pediatric trauma and call for special educational and practical training courses (overall: 80.2% and 64.3%, respectively). Conclusions: Multi-professional management of pediatric trauma and individual experiences with severely injured children depend on volumes, level of trauma centers and infrastructure of the hospital. However, respondents from hospitals at all levels of trauma care complain about an alarming lack of knowledge on pediatric trauma management

Correction to: Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members

Background: The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision making in ES as well as their changes over time during the last two pandemic years. This second WSES COVID-19 emergency surgery survey investigates the impact of the SARS-CoV-2 pandemic on ES during the course of the pandemic. Methods: A web survey had been distributed to medical specialists in ES during a four-week period from January 2022, investigating the impact of the pandemic on patients and septic diseases both requiring ES, structural problems due to the pandemic and time-to-intervention in ES routine. Results: 367 collaborators from 59 countries responded to the survey. The majority indicated that the pandemic still significantly impacts on treatment and outcome of surgical emergency patients (83.1% and 78.5%, respectively). As reasons, the collaborators reported decreased case load in ES (44.7%), but patients presenting with more prolonged and severe diseases, especially concerning perforated appendicitis (62.1%) and diverticulitis (57.5%). Otherwise, approximately 50% of the participants still observe a delay in time-to-intervention in ES compared with the situation before the pandemic. Relevant causes leading to enlarged time-to-intervention in ES during the pandemic are persistent problems with in-hospital logistics, lacks in medical staff as well as operating room and intensive care capacities during the pandemic. This leads not only to the need for triage or transferring of ES patients to other hospitals, reported by 64.0% and 48.8% of the collaborators, respectively, but also to paradigm shifts in treatment modalities to non-operative approaches reported by 67.3% of the participants, especially in uncomplicated appendicitis, cholecystitis and multiple-recurrent diverticulitis. Conclusions: The SARS-CoV-2 pandemic still significantly impacts on care and outcome of patients in ES. Well-known problems with in-hospital logistics are not sufficiently resolved by now; however, medical staff shortages and reduced capacities have been dramatically aggravated over last two pandemic years

Efficiency decompositions for heterogeneous technologies

This paper examines firms operating under different technologies but under a common metatechnology and provides a decomposition of their efficiency into input-invariant and output-invariant components. To achieve this, it reviews known definitions of technical and scale efficiency and provides alternative expressions, which incorporate a firm operating at the most productive scale size. By extending this approach, analogous decompositions are derived for the gap between two technologies and the (technical) efficiency difference between two firms operating under two distinct technologies or metatechnologies. Two indicative case-studies are also presented in order to illustrate the applicability of the proposed framework.Production efficiency Most productive scale size Data envelopment analysis

Intelligent modification for the daltonization process of digitized paintings

Daltonization is a procedure for adapting colors in an image or a sequence of images for improving the color perception by a color-deficient viewer. In this paper an intelligent/enhanced daltonization method for individuals suffering from protanopia is proposed. The algorithm implements logical image masking in order to modify the colors that are confused and to preserve those colors that are perceived correctly. The proposed method modifies iteratively the parameters for image daltonization after the provision of the initial conditions. The distinctive characteristic of the proposed approach is that when it is combined with a color-checking module, optimum daltonization parameters are effectively identified. Examples are provided in details, as well as screenshots from the algorithm when it is applied in digitized paintings/artworks

Intelligent modification for the daltonization process of digitized paintings

Daltonization is a procedure for adapting colors in an image or a sequence of images for improving the color perception by a color-deficient viewer. In this paper an intelligent/enhanced daltonization method for individuals suffering from protanopia is proposed. The algorithm implements logical image masking in order to modify the colors that are confused and to preserve those colors that are perceived correctly. The proposed method modifies iteratively the parameters for image daltonization after the provision of the initial conditions. The distinctive characteristic of the proposed approach is that when it is combined with a color-checking module, optimum daltonization parameters are effectively identified. Examples are provided in details, as well as screenshots from the algorithm when it is applied in digitized paintings/artworks