bluuebunny/crossref_metadata_2025 huggingface dataset:
Motivación en las sentencias de Femicidio desde la perspectiva de género
Authors: Acosta Teneda Paulina Elizabeth , Gavilanes Dominguez Christian
Published: January 2025

Una de las principales obligaciones de la Función Judicial es respetar, proteger y garantizar los derechos de todas las personas, y brindar atención prioritaria a aquellas inmersas en vulnerabilidad manifiesta, como son las víctimas de las relaciones de poder, situación que se torna frecuente e incluso con expresiones cada vez más lacerantes; de ahí, la importancia de analizar con perspectiva de género la motivación en las sentencias de femicidio emitidas por el Tribunal de Garantías Penales de Tungurahua entre los años 2021-2022, estudio que utilizó un enfoque cualitativo, en razón de obtener una comprensión global del tema en estudio; así también, con la investigación descriptiva se ha sistematizado las características, factores y circunstancias que rodean a este fenómeno que fue abordado desde la recolección de información bibliográfica y de campo, mediante encuestas aplicadas a agentes fiscales de las unidades especializadas en violencia de género, a defensores públicos y abogados.
El manejo de una úlcera por presión en un paciente con movilidad reducida. Estudio de Caso
Authors: Riaño Acosta Susana
Published: January 2025

Este estudio de caso evalúa la efectividad de un enfoque de enfermería basado en el Modelo de Autocuidado de Orem para el manejo de una úlcera por presión en un paciente con movilidad reducida. La revisión de la literatura resalta la importancia de los enfoques de autocuidado en la prevención y tratamiento de las úlceras por presión. El estudio utilizó un abordaje cualitativo, incluyendo la revisión de registros médicos, observaciones y entrevistas. Los resultados muestran que el plan de cuidados, que incluyó medidas de prevención y educación al paciente y su familia, llevó a una evolución favorable de la úlcera. El enfoque de autocuidado demostró ser efectivo, fomentando la participación activa del paciente. En conclusión, este estudio de caso resalta los beneficios del Modelo de Autocuidado de Orem en el manejo de las úlceras por presión. Se recomienda su implementación en la práctica clínica y la realización de más investigaciones en diversos contextos.
Snibbo
Authors: McNaughton Neil
Published: January 2025

Oil IT Journal Editor Neil McNaughton looks back on 2024 through the lens of a 100 year-old meme.
Eleições indiretas no atual ordenamento jurídico nacional: contradições, excepcionalidades e incertezas
Authors: Barreto Alvaro Augusto de Borba
Published: January 2025

O artigo discute a inserção da eleição indireta para o Poder Executivo no atual ordenamento jurídico nacional, por meio do estudo de decisões judiciais, propostas legislativas, contribuições de intérpretes e hermenêutica de normas legais. Analisa a previsão existente na Constituição da República Federativa do Brasil de 1988 (CRFB) para o cargo de Presidente, as condições excepcionais que a motivam, as tentativas e as possibilidades de modificar tal determinação e regulamentá-la, caso algum dia se torne necessário efetivá-la. De igual forma, debate como tem sido disciplinada e realizada a eleição indireta pelos entes subnacionais, com especial atenção ao modo como o Judiciário se tem manifestado sobre o tema, as nuances de suas interpretações e os impactos que essas variações têm produzindo na efetivação de tais pleitos. Por fim, observa a inexistência de coerência no modo como a questão da eleição indireta está regulamentada ou tem sido interpretada especialmente pelos diferentes entes federativos, na vigência da CRFB
Entre percepções e memórias: uma análise exploratória da circulação e consumo de açaí e tapioca em Portugal
Authors: Ardenghi Juliana , Sá Rui Moutinho
Published: January 2025

As grandes navegações fomentaram a circulação de ingredientes. O presente trabalho pretendeu investigar a motivação dos consumidores de açaí e tapioca na região metropolitana de Lisboa. Recorrendo ao método exploratório através de deambulações urbanas e observações etnográficas, os consumidores destes alimentos foram identificados e selecionados para a pesquisa. Quando os colonizadores portugueses chegaram ao Brasil esses alimentos estavam já incorporados na cultura alimentar tradicional dos povos indígenas do Brasil. Sua popularidade no mercado internacional vem crescendo, obrigando a uma análise sobre essa circulação transnacional. Os resultados sugerem que estes alimentos são consumidos principalmente por imigrantes brasileiros, mas também por cidadãos portugueses e de outras nacionalidades devido a um conjunto de fatores relacionados com: (1) uma alteração de hábitos alimentares que tende a privilegiar uma alimentação mais saudável; (2) dietas; ou (3) à sustentabilidade alimentar. Este trabalho aborda algumas reflexões sobre os consumidores de tapioca e açaí em Portugal, estabelecendo as bases para um debate mais amplo sobre a circulação desses dois alimentos.
A comensalidade em cafeterias e os rituais de consumo de café no Brasil e em Portugal
Authors: Teixeira Lucas de Vasconcelos , Lima Aline Marques , Barbosa Sara Carolina
Published: January 2025

O objetivo deste trabalho é examinar o consumo de cafés especiais sob a ótica sociocultural no intuito de realizar um estudo comparativo sobre hábitos e rituais de consumo de frequentadores de cafeterias no Brasil e em Portugal, bem como analisar como uma dessas cafeterias trabalha para educar seus clientes a respeito dos cafés especiais. Os aportes teóricos utilizados englobam comensalidade, rituais de consumo e hospitalidade. Os procedimentos metodológicos abarcam análise de conteúdo de entrevistas semiestruturadas de consumidores de café em Portugal e no Brasil e também de gestores de uma rede de cafeterias com lojas em ambos os países. Como resultados, tem-se que o consumo de cafés especiais ainda se encontra em estágio de descoberta e curiosidade para portugueses e brasileiros, havendo discrepâncias nos polos da produção e da recepção no que se refere às ações comunicativas.
A entrevista na pesquisa em alimentação e comensalidade
Authors: Pellerano Joana
Published: January 2025

O objetivo do trabalho é discutir o uso da entrevista social nas pesquisas em alimentação e comensalidade, localizando as situações em que essa é a melhor escolha metodológica. Para tanto, a metodologia adotada é uma pesquisa bibliográfica a partir da qual analisamos as particularidades da entrevista não apenas como uma técnica, mas como uma relação social a partir da qual podemos levantar dados de pesquisa, além de abordarmos as necessidades de pesquisa no campo da alimentação que esse método atende.
Arthroscopic Repair of Gluteus Medius Tears in Hip Arthroplasty Patients
Authors: Christoffersen Kory , Scott Gavin , Nguyen Dzi-Viet , Spangler Jason , Mall Sharal , McDermott Michael , Urse John
Published: January 2025

Background
Greater trochanteric pain syndrome (GTPS) affects up to 25% of people and was once thought to be caused mainly by trochanteric bursitis. However, newer studies suggest that gluteus medius and minimus tendinopathy or tears are often the main issue in patients with these symptoms, especially in patients who have had hip replacements. This study was designed to characterize the presenting symptoms of patients with a glute medius or minimus tears, and report on the outcomes of their surgical repair. 

Methods
We reviewed 10 patients who had endoscopic repairs of the gluteus medius with previous hip replacements. We compared preoperative and postoperative Modified Harris Hip Scores (MHHS) to measure functional improvement. Diagnoses were confirmed through physical exams, using the a 30-second Trendelenburg test, single-leg squat, and single-leg bridge test, along with ultrasound imaging performed by musculoskeletal-trained radiologists.

Results
All patients had lateral hip pain and weakness. After surgery, MHHS scores significantly improved from an average of 29 to 81. All patients reported pain relief, and follow-up ultrasounds showed good tendon healing.

Conclusion
This study supports endoscopic repair as an effective, minimally invasive option for gluteus medius tears in patients with hip replacements. Our results indicate possible benefits over open surgery, such as less pain and quicker recovery. More studies are needed to confirm long-term outcomes and the advantages of double-row fixation.
Intramedullary Fixation Plating of a Distal Metadiaphyseal Femoral Fracture for Provisional Stabilization and Definitive Osteosynthesis
Authors: Fink Jason , Fink Bradley
Published: January 2025

The authors present a case involving a closed complex distal metadiaphyseal femoral fracture that lacked inherent stability to allow conventional provisional stabilization prior to definitive fixation. Comminution, traumatic soft tissue stripping and poor bone quality due to osteopenia or intramedullary bone loss may make provisional stabilization of complex fractures difficult. An intact periosteal and myofascial envelope provides inter-fragmentary stability as well as blood supply for bone union. An intramedullary plate was successfully used primarily to maintain provisional reduction but was retained as a part of the definitive construct. This technique should be familiar to any surgeon that operatively manages complex fractures in which conventional techniques for provisional stabilization fail or are not optional.
Intelligent Waste Management Optimization Through Machine Learning Analytics
Authors: Ogbolumani Omolola A. , Adekoya Muiz
Published: January 2025

Waste management presents serious obstacles to making metropolitan regions more habitable. Conventional waste management techniques are not usually optimized, resulting in overflowing bins, wasteful waste collection trips, and various negative environmental effects. This study addresses these challenges by developing an intelligent system integrating the Internet of Things (IoT) and machine learning technologies. This study aims to develop an intelligent waste management system that optimizes waste collection routes and schedules through machine learning. (ML) models and Internet of Things (IoT) powered smart bins. The system utilized Support Vector Machines (SVM) and Artificial Neural Networks (ANN) for data analysis, complemented by dynamic route optimization algorithms. Data collection over 90 days across 47 sites encompassed bin fill levels, battery status, and environmental parameters such as temperature and humidity. Results demonstrated significant operational improvements, with the system achieving 89% accuracy in fill-level prediction and enabling a 35% reduction in collection frequency. Implementation led to a 42% decreased fuel consumption and a 2.4-hour reduction in daily collection times. Commercial zones exhibited 1.8 times higher fill rates than residential areas, while weekend waste generation peaked at 2.1 times weekday. The findings indicate that IoT-ML technology integration substantially enhances urban waste management efficiency through data-driven decision-making. Phased implementation, prioritizing high-waste-volume areas, integrating with existing metropolitan systems, and developing standardized data protocols are recommended. This research contributes to the growing body of evidence supporting smart technology adoption in urban waste management, offering a scalable solution for improved operational efficiency and environmental sustainability.
La Corte Constitucional de Ecuador y el Estado constitucional de Derechos y justicia
Authors: Velázquez Velázquez Santiago
Published: January 2025

La obra LA CORTE CONSTITUCIONAL DEL ECUADOR Y EL ESTADO CONSTITUCIONAL DE DERECHOS Y JUSTICIA busca aproximar al lector a la novedosa forma de estado introducida por la constitución ecuatoriana 2008 que resalta la importancia de los derechos, introduce múltiples garantías de los mismos de distinta naturaleza e incorpora el pluralismo jurídico de doble vía: externo e interno al ordenamiento jurídico ecuatoriano. Esta forma de estado constituye, a través de la incorporación de múltiples rasgos del Neoconstitucionalismo, una superación del estado de derecho y del estado social de derecho. Dentro de este rediseño constitucional se introduce un nuevo órgano de control y justicia constitucional denominado Corte Constitucional, cuya estructura, competenciasy misión dentro de la nueva forma de estado son estudiadas y analizadas.
Justicia Restaurativa y Justicia Penal
Authors: Miguel Barrio Rodrigo
Published: January 2025

El actual interés por la figura de la víctima y su reparación ha conllevado un estudio de la Justicia Restaurativa. El legislador no se ha quedado al margen dando respaldo a las instituciones a través del Estatuto de la víctima del delito.

La mediación penal ha sido vista como la “herramienta perfecta” para la inclusión de la filosofía reparadora en el sistema procesal penal español.

Así las dificultades y críticas a la institución han potenciado un análisis de la misma, superando aquellos inconvenientes expuestos en su contra en tiempos pretéritos. No obstante, si tal y como muestra el panorama actual, es posible la integración de la Justicia Restaurativa en el ordenamiento jurídico español, es de vital importancia analizar todas las posibilidades que la filosofía permite. La existencia de otras instituciones tales como “Conferencing” y “circles”, que facultan una mayor interacción de la comunidad en la resolución de conflictos, integran a la sociedad y al sistema de justicia dentro de la reparación de la disputa. Su virtualidad reside en la posibilidad de obtención de un acuerdo reparador y resocializador que no sólo ponga fin al conflicto específico, sino que sirva de precedente para la pacificación social.

La obra actual recoge un estudio pormenorizado de las diferentes instituciones restaurativas: origen, expansión, teoría dogmática y práctica y sus posibilidades de adaptación a nuestro proceso penal. Se pretende ofrecer al lector un conocimiento específico de las prácticas reparadoras ya mencionadas así como la posibilidad existente, aun las críticas y recelo existente, de adaptación a nuestro sistema penal como métodos voluntarios de resolución de conflictos que ofrezcan una mejora en el actual panorama penal y una satisfacción a la comunidad a través de la reparación a la víctima y resocialización del victimario.
La externalización de las funciones de control e inspección en materia de protección del medio ambiente
Authors: Casado Casado Lucía
Published: January 2025

Tanto la toma de decisiones en el ámbito de la protección del medio ambiente como su posterior implementación, reclaman una intervención mayor de la sociedad y de la diversidad de actores que la conforman para garantizar tanto la legitimidad comola eficacia de las políticas en este ámbito.

Particularmente, cobra interés el estudio de las funciones de inspección y control ejercidas por particulares con la finalidad de garantizar la mayor eficacia en el cumplimiento por parte de los actores económicos de los límites que a su actividad impone el Derecho ambiental.

Los autores han intentado, dentro de la evolución general que se opera en las relaciones entre el poder público y sujetos privados en el marco del Derecho ambiental, analizar las tendencias en relación con la externalización de las funciones públicas de control e inspección que se dan en este sector, prestando atención a las entidades colaboradoras de la Administración, que suponen una nueva forma de organización de la actividad administrativa.

Estas entidades ofrecen a la Administración la posibilidad de disponer de capacidad de reacción ante las innovaciones tecnológicas que se van produciendo y, con ello, constituyen una garantía de la eficacia de la actuación de los poderes públicos, supliendo las lagunas e incapacidades que estos tienen, dado el actual desarrollo científico-técnico. No puede decirse que se haya encontrado la fórmula adecuada y definitiva para encajar estas entidades colaboradoras en el marco jurídico vigente, de modo que este trabajo intenta ofrecer tanto un panorama general de la evolución en el ordenamiento jurídico español, como las claves para interpretar la función y el fundamento de las entidades colaboradoras de la Administración en el marco del Derecho público.
Pengaruh Kualitas Dan Promosi Produk Terhadap Keputusan Pembelian Produk Le Minerale Di Palembang
Authors: Gunanda
Published: January 2025

Penelitian ini bertujuan untuk mengkaji pengaruh kualitas produk dan strategi promosi terhadap keputusan pembelian konsumen terhadap produk Le Minerale di Kota Palembang. Metode penelitian yang digunakan adalah pendekatan kuantitatif dengan survei menggunakan kuesioner yang melibatkan 102 responden. Data yang dikumpulkan dianalisis menggunakan regresi linier berganda dengan bantuan perangkat lunak SPSS. Hasil analisis menunjukkan bahwa kualitas produk secara signifikan memengaruhi keputusan pembelian, terutama melalui keunggulan seperti rasa yang menyegarkan, kemasan yang aman, dan mutu yang konsisten. Selain itu, promosi yang dilakukan, seperti iklan digital, sponsorship, dan kampanye media sosial, juga memiliki pengaruh yang signifikan terhadap keputusan konsumen dengan meningkatkan kesadaran terhadap merek. Hasil ini menggarisbawahi pentingnya kombinasi antara kualitas produk yang unggul dan promosi yang inovatif dalam membangun daya saing Le Minerale di pasar air minum kemasan di Palembang. Penelitian ini memberikan saran kepada perusahaan untuk terus berinovasi dalam kualitas produk dan memperkuat promosi agar dapat mempertahankan posisi di pasar serta meningkatkan loyalitas konsumen.
Permintaan Dan Penawaran Beras Pada Pasar Tradisional di Kota Manado
Authors: Natasya L. Rawung  , Anderson G. Kumenaung  , Irawaty Masloman
Published: January 2025

Beras merupakan komoditas pangan Indonesia yang sangat penting, dikarenakan menjadi makanan pokok di seluruh penjuru Indonesia. Kota Manado merupakan bagian dari Indonesia yang menjadikan beras sebagai makanan pokok. Dengan menjadikan beras sebagai komoditas pangan pokok, tentunya beras mengalami dinamika yang kompleks di berbagai faktor-faktor yang mempengaruhi baik pada konsumen untuk memenuhi permintaan dan dalam hal penawaran yang di dalamnya ada pasokan beras dari distributor kepada pedagang beras, khususnya pedagang beras pada pasar tradisional di kota manado. Tujuan penelitian ini adalah untuk memahami dinamika permintaan dan penawaran beras di pasar tradisional di kota manado. Penelitian ini menggunakan pendekatan kualitatif dengan mengumpulkan data dari pedagang beras dan konsumen di 5 pasar tradisional di kota manado lewat wawancara dan kuisioner. Metode analisis yang digunakan dalam penelitian ini adalah analisis kualitatif deskriptif diolah menggunakan teknik reduksi data. Hasil peneltian ini menunjukkan bahwa faktor kebiasaan konsumsi konsumen mempengaruhi permintaan terhadap beras dan ketidakstabilan harga dan distribusi juga mempengaruhi keberlanjutan pasokan beras yang menjadi penawaran antara perusahaan distributor dan juga pedagang beras di pasar tradisional di kota Manado.
Analisis Pengendalian Persediaan Bahan Baku Produksi Kerupuk 818 di Jalan Sukabangun 2
Authors: Calvin  , Ruben  , Aditya  , Maria
Published: January 2025

Penelitian ini bertujuan untuk menguji : (1) Persediaan bahan baku pada usaha kerupukTenggiri Kerupuk 818, (2) Penggunaan metode economic order quantity (EOQ), Persediaan pengaman (Safety stock), titik pemesanan ulang (Reorder Point) dan biaya total (total cost) dalam persediaan bahan baku kerupuk 818 dan (3) Perbandingan persediaan bahan baku ukm dengan persediaan bahan baku kerupuk 818 dengan metode economic order quantity (EOQ), Persediaan pengaman (Safety stock), titik pemesanan ulang (Reorder Point) dan biaya total (total cost). Rancangan penelitian ini adalah penelitian kualitatif yang digolongkan kedalam penelitian lapangan (field research). Metode pengambilan data menggunakan metode observasi, interview dan pengumpulan data kepada pemilik ukm Kerupuk 818. Hasil penelitian menunjukkan (1) Persediaan bahan baku saat ini di Ukm Kerupuk 818 menggunakan metode konvensional dalam penetapan pembelian bahan baku, (2) Penggunakan Metode economic order quantity (EOQ), Persediaan pengaman (Safety stock), titik pemesanan ulang (Reorder Point) dan biaya total (total cost) baik digunakan pada Usaha karena dapat menghemat biaya yang harus dikeluarkan oleh ukm Kerupuk 818 Usaha, dan (3) adanya perbandingan yang signifikan terhadap metode konvensional dengan menggunakan economic order quantity (EOQ), Persediaan pengaman (Safety stock), titik pemesanan ulang (Reorder Point) dan biaya total (total cost) pada Ukm Kerupuk 818.
Udfyld alternative tekster til billeder
Authors: Fogtmann-Schulz Alexandra
Published: January 2025

For at sikre at alt indhold på tidsskriftets side er tilgængeligt for alle, er det vigtigt at udfylde alternative tekster til alle billeder, der uploades. En person, der ikke kan se, kan bruge en skærmlæser til at få læst indhold højt, og når skærmlæseren støder på et billede, bliver billedets alternative tekst læst højt som erstatning for at kunne se billedet. Her vises et par eksempler på, hvordan du udfylder den alternative tekst til forskellige billedtyper, der kan uploades på dit tidsskrifts side på tidsskrift.dk. Der kan være andre steder end eksemplerne i denne vejledning, hvor du uploader et billede, og her skal du også huske at udfylde den alternative tekst.
Les règles discursives de l’exclusion raciale. Portrait d’un racisme limite pendant les
épidémies de tuberculose, d’H1N1, d’Ebola et du Zika
Authors: Roy Mélissa
Published: January 2025

Des études sur l’altérisation en période d’épidémie montrent une
instrumentalisation récurrente d’éclosions de maladies pour reproduire des exclusions
raciales. Inspiré par les études du nouveau racisme et appuyé sur l’outil conceptuel du
« racisme limite », cet article s’attarde à la normativité argumentative de cette exclusion
raciale, en analysant les logiques argumentatives de discours différentialistes et en
interrogeant les discours qui sont formulés de façon « acceptable » en tant qu’outils
(potentiels) d’exclusion raciale. Nous avons analysé des discours pancanadiens mis en
circulation dans des articles de médias (n = 2437), des publications d’autorités sanitaires
(n = 533) et des commentaires publiés par des internautes (n = 3441) lors d’éclosions
internationales de tuberculose, d’H1N1, d’Ebola et du Zika. Par une analyse rhétorique des
cadres, nos résultats montrent que l’exclusion raciale s’opère par trois axes de
catégorisation (le risque sanitaire posé par l’appartenance nationale, les attributs et le
rapport épistémique), les deux premiers étant objets de critiques et de désapprobation
sociale, et le dernier servant d’argument principal pour justifier une exclusion raciale.
Nous problématisons cet usage discursif comme l’articulation d’un racisme limite commode
dans une atmosphère rhétorique de « crainte de post-vérité ».
3D genomic features across >50 diverse cell types reveal insights into the genomic architecture of childhood obesity
Authors: Trang Khanh B , Pahl Matthew C , Pippin James A , Su Chun , Littleton Sheridan H , Sharma Prabhat , Kulkarni Nikhil N , Ghanem Louis R , Terry Natalie A , O'Brien Joan M , Wagley Yadav , Hankenson Kurt D , Jermusyk Ashley , Hoskins Jason , Amundadottir Laufey T , Xu Mai , Brown Kevin , Anderson Stewart , Yang Wenli , Titchenell Paul , Seale Patrick , Kaestner Klaus H , Cook Laura , Levings Megan , Zemel Babette S , Chesi Alessandra , Wells Andrew D , Grant Struan FA
Published: January 2025

The prevalence of childhood obesity is increasing worldwide, along with the associated common comorbidities of type 2 diabetes and cardiovascular disease in later life. Motivated by evidence for a strong genetic component, our prior genome-wide association study (GWAS) efforts for childhood obesity revealed 19 independent signals for the trait; however, the mechanism of action of these loci remains to be elucidated. To molecularly characterize these childhood obesity loci, we sought to determine the underlying causal variants and the corresponding effector genes within diverse cellular contexts. Integrating childhood obesity GWAS summary statistics with our existing 3D genomic datasets for 57 human cell types, consisting of high-resolution promoter-focused Capture-C/Hi-C, ATAC-seq, and RNA-seq, we applied stratified LD score regression and calculated the proportion of genome-wide SNP heritability attributable to cell type-specific features, revealing pancreatic alpha cell enrichment as the most statistically significant. Subsequent chromatin contact-based fine-mapping was carried out for genome-wide significant childhood obesity loci and their linkage disequilibrium proxies to implicate effector genes, yielded the most abundant number of candidate variants and target genes at the BDNF, ADCY3, TMEM18, and FTO loci in skeletal muscle myotubes and the pancreatic beta-cell line, EndoC-BH1. One novel implicated effector gene, ALKAL2 – an inflammation-responsive gene in nerve nociceptors – was observed at the key TMEM18 locus across multiple immune cell types. Interestingly, this observation was also supported through colocalization analysis using expression quantitative trait loci (eQTL) derived from the Genotype-Tissue Expression (GTEx) dataset, supporting an inflammatory and neurologic component to the pathogenesis of childhood obesity. Our comprehensive appraisal of 3D genomic datasets generated in a myriad of different cell types provides genomic insights into pediatric obesity pathogenesis.
Impact of Gender-Affirming Hormone Therapy on Cardiovascular Health
Authors: Bartolomé Roca M. Camila , Masson Walter , Falconi Mariano , Iroulart Juan M. , Blanco Rocío , Pizarro Rodolfo
Published: January 2025

Despite advances in the management of cardiovascular risk factors, the approach to the transgender population receiving hormone therapy is not completely defined. Transgender patients are those who present with "gender incongruence," that is, a discrepancy between the individual's expressed gender and the designated gender, which generally corresponds to the biological sex. In these cases, hormonal treatment differs from the "traditional" approach in that it is a "crossover" hormonal treatment. Multiple studies have evaluated the relationship between gender affirming hormone therapy (GAHT), the development of cardiovascular risk factors and the occurrence of cardiovascular events, both for the transfeminine and transmasculine population. These findings are particularly relevant, as cardiovascular disease is the second leading cause of mortality in the transgender population. However, studies that have attempted to stratify this group according to their cardiovascular risk have faced notable difficulties and limitations. The aim of this review is to investigate the impact of GATH on cardiovascular health, to assess the need to reconsider risk stratification and therapeutic targets for these patients, and to discuss the applicability of general recommendations to this specific population.
Cardiogenic Shock: Evolution According to Gender in Latin America
Authors: Thiele Holger
Published: January 2025

Cardiogenic shock is still the most important cause of death in patients hospitalized with acute myocardial infarction. When insufficient evidence is available and mortality still high, evidence from observational data is important and additive to randomized data. This is particularly true for sex specific differences in cardiogenic shock because often women are underrepresented in the large-scale randomized controlled trials. As such, it can only be supported to see the publication of the LATIN Shock registry . The LATIN Shock registry supports no relevant outcome differences in cardiogenic shock based on sex. More efforts should be directed towards cardiogenic shock registries and a higher number of patients will help to define the best treatment strategies to improve outcome in cardiogenic shock also with respect to sex specific differences.
Evaluation of Macronutrient and Selected Micronutrient Contents of Peanut Butter Fortified with Moringa Leaf Powder
Authors: Balogun Olanike O. , Deniran Igbagboyemi A. , Owolabi Kayode P. , Fawole Abisola.O  , Olawale Olaide R. , Ogundiran Tumilara S.
Published: January 2025

Background to the Study: The increasing prevalence of malnutrition and micronutrient deficiencies, particularly in developing countries, necessitates the development of affordable, nutrient-dense foods.
Aim: This study aim to develop and evaluate the nutritional and sensory properties of peanut butter fortified with moringa leaf powder to enhance its macronutrient and micronutrient composition for addressing malnutrition.
Place and Duration of Study: Conducted in the dietetics kitchen of the Department of Human Nutrition and Dietetics, Lead City University, Ibadan, Oyo State, Nigeria, between February to May 2024
Methodology: Peanut butter was prepared using roasted groundnuts and fortified with varying levels of moringa leaf powder. A 70:30 ratio was applied for the peanut seeds and moringa powder respectively. The fortified peanut butter was prepared using standard methods, including sorting, roasting, de-hulling, grinding, and fortification. Nutritional analyses were conducted to determine proximate composition (protein, fat, fiber, ash, and carbohydrate) and micronutrient levels (iron, potassium, zinc, vitamin B6, and vitamin A). Sensory evaluation was performed using a 9-point hedonic scale to assess taste, texture, color, and overall acceptability. Data were analyzed using ANOVA with the Statistical Package for the Social Sciences (SPSS) Version 22.0, and differences between means were considered significant at p < 0.05.
Results: The results showed significant improvements in the nutritional composition of the fortified peanut butter compared to the control. Protein, fat, and fiber levels in the fortified product were 26.23 ± 0.08%, 52.66 ± 0.01%, and 4.87 ± 0.03%, respectively, compared to 24.84 ± 0.06%, 50.68 ± 0.01%, and 4.35 ± 0.01% in the control. Fortification also enhanced micronutrient levels, with iron and zinc increasing from 5.25 ± 0.02 mg/100 g and 3.24 ± 0.03 mg/100 g in the control to 7.14 ± 0.02 mg/100 g and 4.80 ± 0.03 mg/100 g in the fortified product. Sensory evaluation indicated higher scores for color but slightly lower scores for flavor and texture in the fortified samples (p <0.05).
Conclusion: Fortifying peanut butter with moringa leaf powder significantly enhances its nutritional profile, particularly for iron, potassium, zinc, vitamin B6, and vitamin A. This fortified product presents a viable, cost-effective intervention for combating malnutrition in resource-limited regions. The study emphasizes the potential for large-scale production and highlights the need for further research on consumer acceptability and shelf stability.
Efficacy of Bone Graft and Photobiomodulation in Alveolar Preservation: A Case Report in a Post-Bariatric Surgery Patient
Authors: Mello Erika da Silva , Machado Glaucia Gonçales Abud , Bezerra Cícero Dayves da Silva , Dalapria Vanessa , Salviato Luciana Toledo Costa , Horliana Anna Carolina Ratto Tempestini , Deana Alessandro Melo
Published: January 2025

Bariatric surgery has been shown to enhance health outcomes and quality of life in the obese population. However, post-surgical alterations in nutrient absorption may lead to impaired bone remodeling. In the context of dental extraction, bone grafts are commonly regarded as the preferred method for multidimensional alveolar ridge preservation. Photobiomodulation, which stimulates osteoblast activity, has proven effective in promoting bone neoformation. This case report describes the removal of residual roots of teeth 24, 25, and 26, along with a bone graft performed in a single surgical procedure on a patient with a history of malnutrition following bariatric surgery. The procedure was complemented by photobiomodulation applied to the alveolar ridge using a combination of red and infrared lasers (660 nm and 808 nm, respectively), delivering 18 J per point for 20 seconds at nine distinct points over a period of 26 weeks. Tomographic analysis revealed an increase in alveolar ridge bone height ranging from 6.85% to 16.07% compared to initial measurements. However, a reduction in alveolar ridge thickness between 26.55% and 51.42% was observed. Despite this, the remaining bone volume was deemed sufficient for the successful placement of dental implants. This clinical case underscores the potential benefits of combining red and infrared lasers in the preservation of alveolar ridge bone following tooth extraction in patients with a history of bariatric surgery and malnutrition, warranting further investigation in future studies.
Investigating the Anti-diabetic and Lipid-regulating Properties of Eclipta alba in Alloxan-induced Diabetes
Authors: Shohan FM. Sharifuzzaman , Dey Susmoy , Pranto Tasin Islam , Ullah Md. Rahmat , Tasnim Sadia , Baroi Juliana Aditi , Rasna Israt Jahan
Published: January 2025

Since the dawn of human civilization, humanity has used herbal medicine for medicinal purposes. Traditional medicine has experienced a substantial surge in popularity in recent years. This research sought to evaluate the antidiabetic effectiveness and lipid profile of Eclipta alba. We evaluated the antidiabetic efficacy using the alloxan-induced diabetic model. The dosages of 800 mg/kg and 1200 mg/kg in groups 5 and 6, respectively, yielded statistically significant findings (p < 0.05) regarding antidiabetic efficacy. The group receiving a 1200 mg/kg dosage had statistically significant outcomes for total cholesterol and LDL, with findings of 196.15 ± 8.91* and 123.77 ± 6.50*, respectively (p < 0.05). However, no groups exhibited statistically significant results for HDL and triglyceride levels, despite a reduction in these parameters in the blood after the administration of the extract. Group 6, with a dosage of 1200 mg/kg, exhibited statistically significant results (p < 0.05) for SGPT and SGOT, with values of 88.71 ± 6.23* and 92.82 ± 7.50*, respectively. In the kidney function test, groups 5 and 6 exhibited statistically significant results (p < 0.05) at doses of 800 and 1200 mg/kg. So ethanolic extract of this plant shows significant antidiabetic and antihyperlipidemic activity and further advanced research on this plant may add alternative medicine to the treatment system.
Common Isolates and Antibiotic Susceptibility Pattern of Urine Samples among Patients Attending a Tertiary Health Institution in South Nigeria
Authors: Ifeoma Obu, Sylvia , Eno Edet, Samuel , Okwudili Ojimba, Anastacia , Chinedu Ugoeze, Francis , Azubuike Osiatuma, Victor , Udo Johnson, Mfon , Uchenna Asiodu, Anthony , Jacob Akinkunmi Ibukun , Nkemjika Jisieike, Obianuju , Felix Olabisi, Olatunde , Ifeoma Emekekwue, Chinyelu , Chibuzo Eborah, Chukwuemeka , Chinyere Edom, Assumpta , Udoka Afamefune, Judith , Nnamdi Ude, Daniel
Published: January 2025

Aim: To identify the main isolates in Urinary Tract Infection (UTI) and their antibiotic susceptibility patterns in Federal Medical Centre Asaba as a guide to developing corresponding antibiogram to support empirical treatment of these infections.
Study Design: A three - year retrospective cross-sectional study.
Place and Duration of Study: Federal Medical Centre, Asaba, Delta State, Nigeria between 1st of January 2019 to 31st December 2022.
Methodology: A three - year retrospective cross-sectional study carried out by reviewing laboratory records with a focus on identifying bacterial pathogens causing UTI as well as evaluating their antibiotics susceptibility in Federal Medical Centre, Asaba, Delta State, Nigeria. All Urine microscopy, culture and sensitivity results from the 1st of January 2019 to 31st December, 2022 were collected and reviewed.
Results: A total number of 2113 results of subjects, 683 males and 1430 females, that attended the tertiary hospital from the 1st of January 2019 to 31st December 2022 were reviewed. The bacterial strains identified/isolated among the population studied were Staphylococcus aureus 907 (42.9%), Escherichia coli 866 (41.9%), Klebsiella spp 232 (11.0%), Pseudomonas aeruginosa 54 (2.6%), Proteus spp 31 (1.4%), Streptococcus spp 2 (0.1%) and Pantoea spp 1.The records revealed that the organisms were isolated more in female subjects (66.7%) than male subjects (33.3%), Staphylococcus aureus 285 males, 622 females, Escherichia coli 294 males, 592 females, Klebsiella spp 62 males, 170 females, Pseudomonas aeruginosa 29 males 25 females, Proteus spp 13 males, 18 females, Streptococcus spp 2 females. Pantoea spp 1 female as well. The highest percentages of resistance have been observed against tested antibiotics.
Conclusion: Most of the isolates were extended spectrum β-lactamase producers and multidrug-resistant. We observed that Gram-negative bacteria were the main cause of UTIs where the predominant microorganism was E. coli.
Mapping Economies
Authors: Peck Jamie
Published: July 2023

This chapter elaborates a “substantivist” approach to spatialized economic analysis based on a generative reading of the work of Karl Polanyi. It is not concerned with the pursuit of some ostensibly “correct” or fixed reading of Polanyi, or with ironing out inconsistencies and ambiguities, but with an attempt to read the project as a whole for its methodological purpose and potential. The chapter also explores the complementarities between Polanyian socioeconomics and economic geography, two fields that share very similar objects of inquiry—culturally inflected, institutionally mediated, politically governed, socially embedded, and heterogeneous economies, understood in the plural. These fields also have recourse to an overlapping methodological repertoire, generally favoring the qualitative analysis of grounded and contextualized economic formations. This said, the engagement between Polanyian socioeconomics and economic geography has remained somewhat limited to date, despite the promise of mutually enriching approaches to substantivism as a method and form of practice.
Active Reading, and Activist Reading
Authors: Trower Shelley
Published: July 2023

This chapter returns to the concept of “shared authority,” extending beyond authorship to readers, in the context of literary theory since the 1960s that has attended to reading as a creative activity. It argues that the understanding of reading as active can be especially applicable to oral history in its polyphonic forms. Further, the chapter highlights the importance of considering multiple situated readers, moving on from the reading of oral histories, to oral histories with readers. Interviews of many kinds, including oral history interviews, have been used in studies of reading and of audiences more broadly, often contributing to arguments for how the consumption of texts is active rather than passive. Taking such insights about the activity of reading further, the chapter goes on to consider the role of reading in activists’ lives, and some of the ways in which reading/listening to oral histories might lead to action.
Coevolution of Species with Density-dependent Interactions
Authors: Arnold Stevan J.
Published: July 2023

In this chapter we explore trait coevolution in a model that allows the adaptive landscape to evolve as a consequence of the changing abundances of interacting species. As in the last chapter, we recognize that ecological interactions are mediated by phenotypic traits, and we use mathematical characterizations of those interactions to fold ecology into our treatment of trait coevolution. The primary new feature in this chapter is the recognition that fitness and population growth rate are equivalent currencies. We use that equivalence to build a formal bridge between population dynamics and trait coevolution. Using that bridge we follow McPeek’s treatment of the case of two interacting species (resource and consumer), in which interaction is mediated by a single trait in each species. Using McPeek’s equations for demographic dynamics and trait coevolution, we study his simulations to draw general lessons about coevolution, focusing on five take-away messages from this test case. (1) The two species can often reach a joint demographic and evolutionary equilibrium in which species coexist with stable population sizes and stable values of trait means. (2) Ecological interactions push this equilibration point downslope from the adaptive peak. (3) The approach to this equilibrium can be slow and circuitous with temporary as well as permanent maladaptation. (4) Because interaction affects the abundance of each species, their adaptive landscapes change through time. (5) Temporal change in the location and configuration of adaptive peaks can cause trait means to shift from one peak to another.
Compensation and Beyond
Authors: Mason Andrew
Published: July 2023

This chapter argues that sometimes compensation is an appropriate response to the disadvantages created by appearance discrimination, both when it is morally permissible and when it is not. A practical and moral case is made for using a Dworkinian hypothetical insurance approach as a practical guide to the level and kinds of compensation that are justified, in effect treating being regarded as attractive as akin to possessing talents that are in high demand in the market. But the limitations of a strategy that seeks to prevent wrongful appearance discrimination from occurring, and then to provide compensation for those who are nevertheless disadvantaged by their appearance, are explored. The idea that the fundamental problem raised by appearance discrimination is that our societies place too much importance on appearance, and are governed by demanding, non-inclusive appearance norms, is endorsed in a qualified form and its implications considered.
Modernism and the Aristocracy
Authors: Parkes Adam
Published: July 2023

In a modern age of rising democracy, fading empire, and two world wars, Britain’s hereditary aristocracy found itself pushed from the center to the margins of the nation’s affairs. Widely remarked by commentators at the time, this radical redrawing of the social and political map provoked a newly intensified fascination with the aristocracy among modern writers. Undone by history, the British aristocracy and its Anglo-Irish cousins were remade by literary modernism. Modernism and the Aristocracy: Monsters of English Privilege is about the results of that remaking. The book traces the literary consequences of the modernist preoccupation with aristocracy in the works of Elizabeth Bowen, Ford Madox Ford, Aldous Huxley, D.H. Lawrence, Evelyn Waugh, Rebecca West, and others writing in Britain and Ireland in the first half of the twentieth century. Combining an historical focus on the decades between the world wars with close attention to the verbal textures and formal structures of literary texts, the book asks: What did the decline of the British aristocracy do for modernist writers? What imaginative and creative opportunities did the historical fate of the aristocracy precipitate in writers of the new democratic age? Exploring a range of feelings, affects, and attitudes that modernist authors associated with the aristocracy in the inter-war period—from stupidity, boredom, and nostalgia to sophistication, cruelty, and kindness—the book also asks what impact this subject-matter has on the form and style of modernist texts, and why the results have appealed to readers then and now. As it tackles those questions, the book argues for a reawakening of curiosity about connections between class, status, and literature in the modernist period.
Standing in Private Law
Authors: Liau Timothy
Published: July 2023

Standing in Private Law is the first monograph on the topic. It develops a simple idea: that we should attend more to ‘standing’, conceived as a power to hold another accountable before a court, as a distinct private law concept. Prominent lawyers have claimed that private law does not have or need standing rules. Yet this seems implausible. If private law is obligation‐imposing, we need rules about who can sue on these obligations to hold their bearers accountable. This book argues that a reason why standing has been relatively overlooked and under-conceptualized, receiving meagre attention from private lawyers, is because it has been obscured from plain sight: it has been swallowed up by the more dominant and capacious concept of a ‘right’. But standing is a distinct and separable private law concept that can and should be distinguished more clearly from ‘right’. Doing so is necessary for the continued rational development of private law doctrine. It is also necessary for a deeper theoretical understanding of standing’s significance, and its place within the remedial apparatus of private law. This book argues that an implicit standing rule exists across the law of obligations. It examines its justifiability, and the justifiability of exceptions to the rule. It also shows how and why recognizing standing’s distinctiveness can help us to interpret, develop, and resolve debates within different areas of private law, including the laws of contract, torts, unjust enrichments, and relatedly, the law of trusts.
Ameliorative Skepticism and the Nature of Health
Authors: Barnes Elizabeth
Published: July 2023

Having previously discussed some of the main puzzles and tensions in theorizing health, this chapter presents the book’s positive (or, as it happens, not so positive) view on the nature of health. The chapter argues that we need a skeptical account of health—that the tensions previously described are baked into our understanding of what health is and that nothing can resolve them. But the argument for this maintains that we need a middle ground between traditional forms of metaphysical skepticism—error theory, eliminativism, fictionalism—and various forms of realism. Health is real. We are tracking real things when we talk about health, and the things we’re tracking are interrelated and interdependent in such a way that we need to talk about them as a unified whole (the way that our idea of health attempts to do) rather than simply theorizing them individually. But there is also no way of giving a fully coherent, extensionally adequate theory of health. The resulting view is what this book calls ‘ameliorative skepticism’ about health. This chapter outlines what that view looks like—with the hope that it can be helpful as a way of understanding the confusions we encounter in grappling with health.
Untied Kingdoms
Authors: Jackson Alvin
Published: July 2023

This chapter summarizes the entire book. It argues that the history of the unions of Britain and Ireland has been intimately associated with a European and indeed global history of union states: British diplomacy served to export union in the early 19th century, and overseas union polities were a sustained influence on British and Irish constitutional debate. Unions failed because they lacked vision and were characterized by controversial birth narratives: they often failed to generate commemorative cultures. They lacked an overarching identity, although dynastic identities helped to fill part of this lacuna. Unions were often created with an economic purpose, and they were therefore susceptible to economic downturn; although the perception of unequal distribution within union polities was often more significant than objective impoverishment. Unions were often asymmetrical polities; and the pre-eminence of a single partner nation created a tendency towards dominance and homogeneity which in turn generated nationalist push-back. Unions often failed, however, because of the disillusionment and disinvestment of unionists. Failure came too when weakening union polities sought internal unity through external warfare. On the other hand, longevity and survival have been less understood themes in the historiography of union, although increasingly the historiographies of the United Kingdom and the Habsburg empire have been united by an emphasis upon their respective tenacity. Unions were characterized by unifying institutions such as monarchy, aristocracy, parliament, and state churches. Union polities often became highly successful at managing dissent—either through cultures of negotiation or through more direct and forceful strategies.