bluuebunny/crossref_metadata_2025 huggingface dataset:
Les politiques sociales en Pologne. Héritage, tendances et défis
Authors: Weber Pierre-Frédéric
Published: October 2024

Après un rattrapage économique réussi, au prix social néanmoins élevé, la Pologne post-communiste est entrée dans l’Union européenne en 2004 sur une vague de croissance régulière qui a assuré au pays une économie solide, même pendant la crise financière internationale de 2008. Confortés par la faible syndicalisation des salariés polonais, les gouvernements libéraux successifs n’ont toutefois guère œuvré à la redistribution sociale des fruits de cette croissance, erreur comprise par le parti national-conservateur Droit et Justice, arrivé au pouvoir en 2015. Sa politique sociale généreuse et, à certains égards, populiste à l’égard des familles était également motivée par la volonté d’endiguer le déclin démographique de la Pologne, marqué par une importante émigration, un taux de natalité en berne et le vieillissement de la population. Cette situation est une source de difficultés importantes pour le système public des retraites et de la santé, dont le modèle hybride – public et privé – accentue les inégalités sociales. À moyen terme, la Pologne n’aura d’autre choix que le recours à l’immigration croissante pour résorber le suremploi et financer sa politique sociale.
Les enjeux de la réplicabilité et de la reproductibilité dans la sociologie quantitative
Authors: Sage Lucas
Published: October 2024

Cet article propose une introduction aux récents débats concernant la réplicabilité en sociologie quantitative internationale, à l’attention des lecteurs francophones. Dans un premier temps, il examine plusieurs des causes de ce que l’on désigne communément comme la « crise de la réplicabilité », en mettant en évidence les particularités propres à la discipline. Il soutient que les problèmes de réplicabilité ne sont pas exclusivement liés à la fraude intentionnelle, mais plutôt à deux éléments majeurs : d’une part, les pratiques à la frontière de la fraude, parfois regroupées sous le terme de p-hacking, qui sont encouragées par une structure d’incitation favorisant la nouveauté et les résultats statistiquement significatifs ; d’autre part, l’ensemble des microdécisions nécessaires à la production d’un résultat. Dans une seconde partie, l’article discute les solutions proposées dans la littérature internationale. Il examine notamment les pistes visant à valoriser les efforts de réplication, les pratiques relevant de la science ouverte et le préenregistrement des études.
Voir et faire voir les graphes de réseaux personnels
Authors: Garin Hélène , Bidart Claire , Ibrahim Rym , Lorant Vincent , Nicaise Pablo , Tubaro Paola
Published: October 2024

L’analyse des réseaux personnels étudie les relations sociales des individus et utilise de plus en plus la visualisation de ces réseaux en situation d’enquête. Cependant, le fait de voir son réseau objectivé dans une image ne laisse pas une personne inchangée. S’appuyant sur deux protocoles de recherche différents, cet article présente quelques réactions que suscite la co-construction du réseau personnel à l’aide de visualisations et examine l’impact de l’interaction entre personnes enquêtrices et enquêtées dans l’appropriation des résultats finaux. Les enjeux sont éthiques, dans la mesure où ils concernent le sort d’autrui au sens large, au-delà du respect des règles formelles. Nous mobilisons la réflexivité comme un moyen d’apprendre de nos propres expériences de recherche dans les domaines de l’entrepreneuriat et de la santé mentale respectivement. L’article contribue ainsi à un débat plus large sur l’éthique de la recherche en sociologie, qui englobe les impacts et qui, nous croyons, nécessite la participation active des chercheurs et chercheuses de terrain.
L’éthique des modèles de simulation : une question d’interprétation ?
Authors: Rouchier Juliette
Published: October 2024

L’éthique de la recherche est devenue centrale ces dernières années, jusqu’à concerner des pratiques qui n’incluent aucun sujet humain. Ainsi, la communauté de la modélisation agents en sciences sociales a-t-elle élargi la liste des recommandations à suivre pour réaliser une recherche éthique. On évoquera ici trois dimensions des problèmes éthiques dans ce domaine. Depuis le début des années 2000, des questions de reproductibilité des résultats ont incité à établir des règles de communication et de transparence. Dans le même temps, les tentatives d’application de ces modèles à la décision publique, face à des problèmes complexes et contestés, ont amené les praticiens à concevoir des normes d’accompagnement des décideurs. C’est seulement très récemment qu’il est apparu que la question-même des ontologies choisies pour les modèles pouvaient être problématique en reproduisant des imaginaires dominants. C’est surtout l’interprétation et l’usage des modèles qui posent alors des problèmes éthiques difficiles à résoudre, collectivement comme individuellement.
Des réformes contestées du financement des hôpitaux
Authors: Kunkel Kalle
Published: October 2024

Depuis le milieu des années 2000, l’adoption d’un nouveau mode de financement des hôpitaux fait peser une forte pression économique sur le personnel soignant, dans un contexte d’érosion de la convention collective de branche. En réponse, le syndicat des services, ver.di, cherche à imposer des accords d’établissement, qui fixent un taux d’encadrement des patients afin d’alléger la charge de travail du personnel soignant. La décentralisation de la négociation collective et un nouveau projet de loi de réforme fondamentale du financement des hôpitaux, dont l’adoption est attendue à l’automne 2024, entraînent actuellement un regain de conflits dans le secteur.
La réalité virtuelle au collège, quelles pratiques inclusives ? Retours d’expérience d’un enseignant ordinaire
Authors: Arneton Mélissa , Bousson Julien
Published: October 2024

Sous la forme d’un entretien, un enseignant de technologie partage ses pratiques pédagogiques et ses questionnements didactiques avec une technologie de l’information éducative en développement : la réalité virtuelle. Dans le cadre d’une pratique inclusive en collège, il a expérimenté pendant quatre ans à tous les niveaux scolaires qu’il avait en charge, et tout particulièrement avec des élèves en grande difficulté scolaire en Segpa, l’utilisation et la création de ressources numériques immersives.
Économie des outre-mer français : une introduction
Authors: Hoarau Jean-François , Chantreuil Frédéric , Lebon Isabelle , L’Horty Yannick , Mathouraparsad Sébastien
Published: October 2024

Bien qu’ils se caractérisent par leur diversité géographique, démographique et institutionnelle, les territoires d’outre-mer français partagent, de par leur taille et leur exposition aux chocs, des difficultés qui poussent la littérature dédiée à se concentrer sur leurs vulnérabilités économiques. Il s’agit tout d’abord des vulnérabilités subies résultant des caractéristiques structurelles des économies ultramarines, mais également des vulnérabilités construites lorsqu’elles découlent de choix politiques inadaptés. Ce numéro spécial consacré par la Revue économique aux outre-mer français aborde l’une et l’autre de ces problématiques à travers sept contributions qui, au-delà d’identifier et d’évaluer les problèmes rencontrés, s’attachent à définir des pistes de solutions.
Zabrana diskriminacije – u središtu međunarodnopravne zaštite ljudskih prava na univerzalnoj i regionalnoj razini
Authors:   Sveučilište u Zagrebu Pravni fakultet, Grgurev Ivana , Šošić Trpimir ,   Sveučilište u Zagrebu Pravni fakultet
Published: October 2024

Bez razumijevanja ishodišta, razloga i poticaja za razvoj pravne zaštite, nemoguće je razumjeti važeću pravnu zaštitu. U radu se, stoga, proučavaju koraci koji su doveli do postojeće antidiskriminacijske zaštite u međunarodnom pravu općenito, te u pravu Vijeća Europe i pravu Europske unije. Poticaj za ovaj rad predstavljaju novine koje su se u posljednjih nekoliko godina zbile u ovom području, iz čega je proizašla polazna teza da osam desetljeća razvoja antidiskriminacijske zaštite kroz izvore ljudskih prava na univerzalnoj i regionalnoj razini nije bilo dostatno da se na adekvatan način spriječi diskriminacija, već i dalje postoji potreba za daljnjim unaprjeđenjem te zaštite. Dakle, polazi se od teze da je zabrana diskriminacije u središtu zaštite ljudskih prava jer je prisutna u svim izvorima kojima se štite ljudska prava, i na univerzalnoj i na regionalnoj razini međunarodnopravne zaštite. Međutim, unatoč tomu, i dalje postoji potreba za njezinim unaprjeđenjem jer praksa i dalje obiluje primjerima diskriminacije i neadekvatnom zaštitom žrtava diskriminacije. Ovaj je rad pokušaj traženja odgovora na pitanje pronalazi li međunarodna zajednica ispravne puteve suzbijanja diskriminacije te radi li se, u tom kontekstu, dostatno i na regionalnom planu. Prošlo je 80 godina od Philadelphijske deklaracije, 75 godina od osnivanja Vijeća Europe i isto toliko godina od usvajanja Opće deklaracije o ljudskim pravima, pa su te obljetnice prigoda da se pristupi toj analizi.
Indian Road Damage Detection Using Deep Learning
Authors: Dutta Dipankar , Banerjee Rudranath
Published: October 2024

Road maintenance technology is crucial for safe driving and accident prevention. Traditional methods using sensor-equipped trucks are costly for many local governments. Affordable devices like smartphones can scan road surfaces. Machine learning (ML) and deep learning (DL) models can effectively detect road damages. The authors used various versions of the “You Only Look Once” (YOLO) algorithm (YOLOv3, YOLOv5, YOLOv6, YOLOv7) with the Road Damage Detection 2020 (RDD 2020) dataset. Data augmentation through transformations and generative adversarial network (GAN) enhanced the dataset. DL models were trained using three methods: from scratch, transfer learning, and hyperparameter tuning. YOLOv6, trained with GAN-based augmentation and hyperparameter tuning, achieved the best results: 0.80 Precision, 0.85 Recall, 0.676 mAP@0.5, and 0.438 mAP@0.5:0.95. Dynamic range quantization reduced the model size by 75% without compromising accuracy. This study highlights YOLOv6 with GAN-based augmentation and hyperparameter tuning as a cost-effective road maintenance solution.
Cloud Computing Paradigms with the Internet of Things for Automating Business Processes
Authors: Pal Kamalendu
Published: October 2024

The fusion of cloud computing and the Internet of Things (IoT) in industrial applications and business process automation has sparked significant interest in the scientific community. This strategy, which combines the unique capabilities of IoT and cloud-based technologies, presents substantial advantages. However, it also brings formidable challenges that necessitate further research and innovation. One benefit is creating a new information system supporting various business services through continuous interactions. This chapter uses an apparel business case study as an example of decentralized data integration. Furthermore, the chapter describes the Apparel Business Decentralized Data Integration (ABDDI) information system's architecture, which describes a logic-based knowledge representation scheme for information modelling and reasoning to provide web services semantic interoperability with the help of ontology. The chapter also presents an example of the service composition ontology's similarity assessment and concludes with concluding remarks.
Enhancing Agriculture Through AI Vision and Machine Learning
Authors: Padhiary Mrutyunjay , Kumar Raushan
Published: October 2024

Smart farming is the integration of artificial intelligence (AI), machine learning (ML), and computer vision technologies in the agricultural sector. This chapter explores the impact of AI vision and ML on agricultural practices, focusing on their applications in crop output, quality, and resource management. AI vision systems provide real-time evaluations, where machine learning also aids in predictive analytics, providing valuable information for climate modelling, planting cycles, and harvesting optimization. Implementing AI vision technology involves integrating data collection methods, IoT frameworks, and advanced machine learning algorithms for insightful analysis. Research shows the impact of AI vision on agricultural output and sustainability. However, obstacles like technology availability, ethical concerns, and data privacy protection remain. The chapter envisions a future where AI, ML, and vision technologies will revolutionize the agricultural sector, significantly improving productivity, sustainability, and the entire farming ecosystem.
Intelligent Process Automation and Its Relevance to Various Industries
Authors: Thangam Dhanabalan , K. A. Pavan , Patil Shashikala , Park Jin Yong , Kandasamy Ravindran , Chikkandar Rehmath Jahan
Published: October 2024

Intelligent process automation represents a significant leap forward in the integration of artificial intelligence and robotic process automation to streamline and enhance various business operations. As industries strive to improve efficiency, reduce costs, and stay competitive, the adoption of IPA has gained considerable momentum. This chapter explores the transformative potential, current applications, and future trends and innovations of IPA. The primary objective is to provide a comprehensive analysis of how IPA is being utilized across diverse industries, including finance, healthcare, manufacturing, retail, telecommunications, and insurance. It addresses key questions regarding the components and technologies underpinning IPA, its benefits and challenges, and future research opportunities. A multi-method approach was employed, including a thorough review of existing literature and interviews with industry experts. The chapter is structured to provide an in-depth overview of IPA, followed by detailed examinations of its applications across various industries. Benefits such as increased efficiency, cost reduction, and improved accuracy are discussed alongside challenges like system integration and data security. Future trends and innovations in IPA are highlighted, and real-world case studies provide practical insights. The chapter concludes with strategic recommendations and a summary of key findings, aiming to guide further research and development in the field of IPA.
Empowering Distributors by Leveraging Consumer Tenacity With Advanced Marketing Intelligence Systems and Intelligent Process Automation
Authors: Arumugam Thangaraja , Hameed Shahul , Ehya J. A. S. Mohamed , Krishnaraj Renuga , Subbulakshmi S. , K. Sankar Ganesh
Published: October 2024

Distributors must match rising consumer expectations while optimising operational efficiency in a fast-changing, competitive industry. A strategic method to empower distributors is explored by integrating sophisticated marketing intelligence systems (MIS) and intelligent process automation (IPA). Using big data analytics, AI, and machine learning, advanced MIS provides deep insights into market trends, consumer behaviour, and competitive dynamics. Distributors may improve customer loyalty and happiness by making informed judgements, optimising pricing strategies, and personalising customer interactions using these insights. IPA automates repetitive operations and improves supply chain management, reducing operational costs and increasing agility. MIS and IPA work together to promote distribution network collaboration and transparency, promoting responsibility and continual development. Despite high initial expenditures, specialised labour requirements, and data privacy concerns, integrating this technology improves marketing and operational effectiveness.
Predictive Analytics
Authors: A. S. Anurag , Johnpaul M.
Published: October 2024

Supply chain management (SCM) is a critical management function in any organization. After the pandemic in 2019, the global supply chain faced drastic disruptions, compelling policymakers worldwide to seek ways to manage them. Integrating artificial intelligence (AI) technologies into supply chain processes has revolutionized it. Predictive analytics is a vital tool that helps supply chain managers anticipate future trends and make informed decisions. Based on statistical principles and machine learning algorithms, predictive analytics encompasses techniques such as linear regression, decision trees, cluster analysis, time series models, and logistic regression. Unlike traditional supply chains, which often lack visibility, supply chains integrated with predictive analytics offer enhanced transparency. Mastering these intelligent technologies becomes imperative for organizations seeking to thrive in today's dynamic market landscape. This chapter provides readers with a comprehensive grasp of predictive analytics and its indispensable role in SCM processes.
Security, Transparency, and Traceability
Authors: Anurag A. S. , Johnpaul M.
Published: October 2024

The chapter explores the profound impact of blockchain technology on Supply Chain Management, tracing its historical development across diverse industries. Through its decentralized ledger system, blockchain ensures the integrity of digital transactions via cryptographic encoding, thereby enhancing security, traceability, and transparency within SCM processes. The chapter illustrates blockchain's effectiveness in streamlining supply chain processes. It also examines the challenges in implementing blockchain technology, including scalability issues, regulatory constraints, and cultural and sustainability considerations. Emerging trends in technologies like digital currency and asset tokenization hold promise for further improving cross-border transactions and asset tracking capabilities. The chapter suggests collaboration, leadership commitment, and the development of supportive regulatory frameworks to harness blockchain's full transformative potential.
Illuminating the Convergence of Artificial Intelligence (AI) and Business Intelligence (BI) in E-Commerce and Fin-Tech in India
Authors: Basuvaraj M. , Rastogi Keshvi
Published: October 2024

Artificial Intelligence (AI), born out of the minds and ideas of intelligent individuals, is a revolution for humankind. It has the potential to transform the world as never seen before. From the e-commerce sector to the education sector and healthcare to the finance sector, AI can disrupt and restructure all the traditional models that have been working for ages, bringing forth a completely different conception before the world. It is an easy alternative to doing long, tedious tasks and eases people's efforts by assisting them. Business intelligence (BI) is a valuable technique for handling the vast amounts of data businesses deal with. It is converting those immense amounts of data into meaningful results for businesses. It helps companies to work on historical and current data and creates predictive analysis, allowing businesses to make informed and sound decisions.
Future Directions and Trends in AI-Powered Business Intelligence
Authors: Vineetha K. R. , Resmi K. R. , Amrutha K. , Omanakuttan Midhun
Published: October 2024

Business intelligence (BI) is the process of deriving relevant information from data to facilitate informed decision-making and reveal undiscovered resources for data management. With solid understanding of market trends and data-driven decision-making, business intelligence (BI) enables organizations to stay ahead in today's competitive world. This changes ways in which businesses operate by simplifying learning,refining procedures, automating operations, and reducing expenses with integrate AI. This chapter discusses Future Directions and Trends in AI-powered business Intelligence and addresses the disadvantages of traditional BI reporting and offers new possibilities for extracting value from data. Many of the top developing trends in business intelligence are mentioned in this chapter such as Mobile business intelligence (mobile BI), Advanced data visualization, Cloud-based BI - BI as a service, Data storytelling, Augmented analytics, Self-service analytics, Natural language processing (NLP), and Ethical data governance
Síndrome de Vogt-Koyanagi-harada
Authors: Varago Raíssa Coracini , Silvestri Iorran Noceti , Lima Lucas da Silva dex , Volpe Roberta Ayres Ferreira do Nascimento , Tasca Fabiola Menegoti
Published: October 2024

A Síndrome de Vogt-Koyanagi-Harada (SVKH), também conhecida como Síndrome Uveomeningoencefálica, é uma doença rara, multissistêmica e de provável etiologia autoimune, que envolve os tecidos contendo melanócitos como os olhos, sistema nervoso central, pele e ouvido interno. Foi primeiramente descrita no século XII pelo oftalmologista Ali ibn Isa e, no decorrer dos tempos, por cientistas como Vogt (1906), Harada (1926) e Koyanagi (1929), originando o epônimo Síndrome de Vogt-Koyanagi-Harada (SVKH).
Temas de Tecnologia Farmacêutica
Authors: Pereira Amanda Thiemy Watanabe , Lima Marli Miriam de Souza , Dutra Rita de Cássia , Araújo Daniela Cristina de Medeiros
Published: October 2024

Tema 1:Plantas da medicina tradicional chinesa:Estudos de estabilidade são realizados após o desenvolvimento de uma nova formulação, com intuito de prever, determinar ou acompanhar o seu prazo de validade. Estudo de estabilidade acelerada são projetados para acelerar a degradação química e/ou mudanças físicas de um produto farmacêutico em condições forçadas de armazenamento. A Medicina Tradicional Chinesa, incluída no SUS desde o ano 2006, baseia-se na divisão do universo entre dois princípios: yin e yang, que são subdivididos em fases de regulação, e são estas fases que mantêm o organismo em equilíbrio.
Tema 2: ESTUDO DO COMPORTAMENTO REOLÓGICO DE PREENCHEDORES DÉRMICOS EM DIFERENTES TEMPERATURAS
Os preenchedores de ácido hialurônico (AH) são os procedimentos estéticos mais populares e realizados no mundo. São compostos por biopolímeros biocompatíveis, e são amplamente utilizados para hidratação, aumento do volume facial e correção de rugas. Várias marcas de preenchimentos estão atualmente disponíveis no mercado, e suas características reológicas são extremamente variáveis. A reologia é uma área da física que estuda a deformação de uma amostra sob a influência de tensões. É de extrema importância diferenciar características como a extrusão do filler da seringa e sua degradação in vivo. Objetivo: Compreender como a influência da temperatura pode alterar as propriedades reológicas em preenchedores de AH.
Tema 3:
FILMES ODONTOLÓGICOS CONTENDO MICROPARTÍCULAS DE EXTRATO VEGETAL PARA TRATAMENTO DE DOENÇAS PERIODONTAIS
As doenças periodontais estão entre as mais comuns do mundo incluindo a periodontite, tornando se cada vez mais séria. Dentre os diversos fatores etiológicos da doença destacam-se, além da higiene oral precária, o tabagismo, infecções bacterianas no periodonto e fatores genéticos. Limonium brasiliense, conhecido como baicuru, é uma planta que apresenta atividade bacteriostática, antioxidante, antiviral e anti-inflamatória demonstrando grande potencial no tratamento da periodontite.
International Burn Disaster Nursing: Care, Commitment, Compassion, and Cost
Authors: Agyenim-Boateng Gideon , Ridkodim Natalia , Leitch Elizabeth , Hafer Kati , Ng Nina , Arbour Richard
Published: October 2024

Background

Burn mass casualty incidents can overwhelm local resources, challenging effective communication, triage, and provision of care. International responders can help by providing education and direct patient care.

Local Problem

On November 5, 2021, a fuel tanker truck exploded in Freetown, Sierra Leone, killing or injuring hundreds of people. The needs of the severely burned survivors overwhelmed local resources, requiring an international response. Burn specialist teams from several countries, including the United States, were deployed to provide assistance.

Methods

Members of the US burn care team educated local health care practitioners about wound care, physical therapy, and fluid and pain management. Educational content was delivered through lecture and discussion, case studies, clinical application, and bedside teaching. Demonstration of cultural competence and humility, as well as attentiveness to nuances of local communication, helped avoid ethnocentrism and other barriers to collaboration. Public congratulations and formal completion certificates were used to provide meaningful recognition of successful class participation.

Results

Before the lecture and discussion intervention, 57 students participating in a pretest assessment had an average score of 53.9% (high, 80%; low, 27.5%). After the intervention, 38 students participating in a posttest assessment had an average score of 79.3% (high, 95%; low, 55%), and local health care providers delivered care with more attention to patient comfort and shared new knowledge with colleagues.

Conclusions

Providing optimal burn care and education under austere conditions requires cultural humility and a spirit of inquiry. Attentiveness to communication and cultural nuances promotes collaboration, improves educational effectiveness, and builds local burn care capacity.
Factors Affecting Crash Severity on Two Major Intercity Roads in Western Sri Lanka: A Random Parameter Logit Approach
Authors: Senasinghe Asiri P. , De Barros Alex , Wirasinghe S. C. , Tay Richard
Published: October 2024

Although Sri Lanka has significant traffic-related fatalities and injuries, only a limited number of studies have focused on the road safety challenge. This study applies the random parameters logit model to police reported crash data to identify the factors contributing to the severity of crashes in Sri Lanka. We find that severe crashes are associated with roadways that are unlit, in rural areas and have traffic controls, dual purpose vehicles, heavy vehicles, head-on and hit pedestrian crashes, drivers who are unlicensed, and casualties who are older (65 years and older) and do not use safety equipment, while minor crashes are associated with rear-end crashes, and female or younger (aged 25 years or younger) casualties. Several engineering, enforcement, and education measures are recommended based on the risk factors identified.
Awareness of autism spectrum disorder among final year medical students and public health midwives
Authors: Umasankar N.
Published: October 2024

No abstract available
Quality of life (QOL) of patients with schizophrenia and epilepsy attending an outpatient clinic in a tertiary care hospital in Sri Lanka
Authors: Alles P. S. , Amarakoon L. , Rohanachandra Y. M.
Published: October 2024

Background: Schizophrenia and epilepsy are chronic relapsing disorders, that share common disadvantages that affects QOL.Methods: A cross-sectional descriptive study was conducted on 68 patients with schizophrenia and 68 patients with epilepsy, presenting to psychiatry and neurology clinics of the Colombo South Teaching Hospital (CSTH). The validated Sinhala and Tamil version of the WHO QOL 100 was used to assess the QOL.Results: Schizophrenia group had poorer QOL in physical (p<0.05), social (p<0.01), independence (p<0.05) and environmental (p<0.05) domains, compared to epilepsy. Longer duration of illness (> 5 years) was associated with poorer QOL in the independence (p<0.05) and social domains (p<0.05) and longer duration of untreated illness was associated with lower QOL in the physical (p<0.01) and social domains (p<0.01) in schizophrenia group.Conclusions: Patients with schizophrenia had poorer QOL compared to patients with epilepsy. Longer duration of untreated illness was associated with poorer QOL in both groups.
Disease disclosure in the workplace in people living with rheumatic diseases: an exploratory study
Authors: Ostuzzi S.M.T. , Aiello E.N. , Ingegnoli F. , Pistarini C. , Poletti B. , Silani V. , Fiabane E.
Published: October 2024

Objective. Rheumatic musculoskeletal diseases (RMDs) are the causes of frequent absence from work and loss of productivity. As (in)visible diseases, it is up to the individuals to decide if disclosing their diagnosis, with important repercussions also within the workplace. Still little is known about disease disclosure in the workplace (DD-W) in patients with RMDs. This study aimed to investigate socio-demographic, clinical, and psychological predictors of DD-W among working patients with RMDs.
Methods. A cross-sectional Italian national study captured DD-W in people with RMDs. An online survey was developed using ad-hoc questions and scientific questionnaires to explore demographics and work-related, clinical, and psychological factors. Stepwise logistic regressions were run to identify significant predictors of DD-W.
Results. A total of 250 working rheumatic patients completed the survey; 81.2% of the participants enacted DD-W. DD-W behaviors were predicted by perceived visibility of the RMD (p=0.008), work type (p=0.022), general DD behaviors (p<0.001), and perceived family support (p=0.023). Among RMD patients, psoriatic arthritis participants had higher probabilities of DD-W (p=0.02), whereas lower probabilities were detected in fibromyalgia patients (p=0.003). Lower disease duration corresponded in the sample to higher probabilities of DD-W (p=0.036).
Conclusions. The majority of RMD patients in this study enacted DD-W. DD-W was associated with medical, occupational, and psychological factors, supporting the multidimensionality of the process. Further research on the subject might help foster better DD-W decision-making processes for RMD patients while promoting intervention strategies in education, policy, and culture.
Orthotopic renal autotransplantation: A step forward during postchemotherapy retroperitoneal lymph node dissection for germ cell tumor
Authors: Mor Akash , Gujela Ajit , Patel Sachin , Kumar Vineet , Prakash Gagan
Published: October 2024

We present the first and a rare case of orthotopic renal auto-transplantation in the management of postchemotherapy residual retroperitoneal mass encasing the left renal vessels but sparing the parenchyma in a 24-year-old patient with Stage IIIC nonseminomatous germ cell tumor after 4 cycles of chemotherapy. Immediate postoperative and 6 months’ follow-up renograms confirmed the maintained glomerular filtration rate of the transplanted kidney with no residual disease. This case report shows the feasibility of renal autotransplantation in carefully selected patients as they are young and have long-term survival.
Chikungunya encephalitis: A case report
Authors: Bhardwaj Nidhi , Kumar Vivek , Singh Pritam , Kaur Jaspreet
Published: October 2024

Rationale:

Transmitted to humans via the Aedes mosquito, Chikungunya virus (CHIKV) is associated with multi-system complications, sometimes collectively referred to as “atypical features.” However, a disorder of the nervous system appears to be the most common severe complication of CHIKV infection.

Patient’s Concern:

A seventy-five-year-old patient from India presented to the hospital with fever, chills, rigors, and multiple joint pains for which he was worked up.

Diagnosis:

CHIKV encephalitis.

Interventions:

The patient was treated initially on supportive therapy with antipyretics, intravenous fluids; however, during his hospital stay, the patient had altered sensorium during which he was managed in the intensive care unit; required mechanical ventilation.

Outcomes:

The patient sccumbed to his illness.

Lessons:

Treating clinicians should keep CHIKV disease in the differential diagnosis in cases of febrile exanthems associated with disabling arthritis, especially in a CHIKV-endemic country like India.
Unplanned intensive care admission leading to an adverse event: Incidence, preventability and feature analysis
Authors: Fuster-Cabré Maria , Ezquerro-Sáenz Santiago , Sánchez-Chueca Pilar , Tejada-Artigas Antonio , Esteban-Zubero Eduardo
Published: October 2024

Objective:

To compare the characteristics of patients between adverse event (AE) group and non-AE group, and to assess the causes, preventability, and severity of AE.

Methods:

A retrospective triple-phase medical record study was conducted at a Spanish tertiary hospital. Data was collected over a 6-month period, including all patients with an unplanned intensive care admission. Demographic characteristics, APACHE Π, length of ICU stay, mortality were compare between AE and non-AE group causes, preventability and severity were analyzed in AE cases.

Results:

597 Patients were included in the study. The overall incidence of AEs was 17.3% (n=103), of which 83.5% were considered preventable. Mortality within the AE group was higher than in the non-AE group (23.3% vs. 13.6%), making it 1.7 times more frequent in the AE group (95% CI: 1.143-2.071). The primary cause of AE was associated with surgical procedures (43.7%). Of the AEs, 18.4% were classified as mild, 58.3% as moderate, and 23.3% as severe.

Conclusions:

The incidence of unplanned intensive care admissions due to AE is high and potentially preventable. This is concerning given the high mortality observed in patients admitted to the intensive care unit because of an AE, although direct causality cannot always be established. The findings emphasize the importance of patient safety and underscore the need for improved quality and management of care resources. They also indicate where efforts should be directed to enhance care risk management.
Saliva as a Diagnostic Biomarker in Postmenopausal Women: A Systematic Review
Authors: Chandrasekar Muthulakshmi , Divya Bose , Narayan Madhu , Vasanthi V. , Kumar A. Ramesh , Rajkumar Krishnan
Published: October 2024

Background:

The main health problems faced by postmenopausal women include osteoporosis, vasomotor symptoms, cardiovascular diseases, urogenital atrophy, cancer, psychiatric symptoms, and cognitive problems. These manifestations can lead to postmenopausal syndrome, and the management of these manifestations has become a prime area of investigation in recent times.

Aim:

The aim of this systematic review is to critically analyze the literature to identify the salivary markers that can be used to diagnose diseases in postmenopausal women.

Materials and Methods:

Articles related to saliva as a diagnostic tool in postmenopausal women were collected in databases like PubMed and Google Scholar. Keywords used in this systematic review are saliva, diagnosis, postmenopausal women and disease. Articles included were based on the PRISMA guidelines.

Results:

A total of 692 articles were screened, out of which 674 articles were excluded as they failed to meet the expected criteria. Eighteen articles were selected based on title and abstract. After excluding all the articles which did not meet the criteria, totally 12 articles were included for review.

Conclusion:

The efficacy of salivary calcium levels to detect early bone changes in postmenopausal women has been studied the most in the literature. Studies with larger sample size are needed for saliva used as a substitute to serum calcium to diagnose osteoporosis. More studies are needed to analyze the significance of salivary alkaline phosphatase, parathormone, cortisol, salivary c-terminal of type I collagen, osteocalcin, and osteopontin in postmenopausal women.
Deviated Nasal Septum: A Comprehensive Review
Authors: Ashwinirani S. R. , Suragimath Girish , Telrandhe Shital , Suragimath Disha G
Published: October 2024

Deviated nasal septum (DNS) is a condition where the nasal septum, the partition between the two nasal cavities, is misaligned from the midline. This deviation can significantly impact airflow, leading to various respiratory disorders such as nasal obstruction, sinusitis, and impaired breathing. DNS is diagnosed through clinical examination, including anterior rhinoscopy, nasal endoscopy, and imaging methods such as computed tomography (CT), magnetic resonance imaging, and cone-beam CT. These diagnostic tools help to assess the severity of the deviation and its impact on the nasal structures. The classification of DNS is crucial for defining the appropriate treatment plan. Various classification systems have categorized DNS depending on the type, location, and extent of the deviation. Treatment choices of DNS range from conservative nonsurgical remedies such as nasal decongestants and corticosteroids to surgical interventions like septoplasty, which aims to realign the septum and restore normal nasal airflow. This article reviews the prevalence of DNS, different classifications, and various diagnostic approaches for accurate determination and symptoms of DNS. The article also explores the most effective treatment strategies, highlighting the importance of accurate diagnosis and personalized treatment approaches to improve patient outcomes.
Unveiling Sex through Radiological Insights: Exploring the Potential Approach to Sex Estimation Using Hyoid Bone in Multi-detector Computed Tomography Scans
Authors: Patel Mansi , Debnath Manna , Ojha Santosh , Sharma Dolly A.
Published: October 2024

Background:

The identification of the individual from the corpse remains is one of the most difficult tasks in forensic science. Multiple markers in the human body can be used to generate a profile of a person. Using computed tomography (CT) scan images, we are attempting to determine the relevance of the hyoid bone for sexual dimorphism.

Materials and Methods:

Using the axial reconstructed images, 10 different measurements were taken using a digital imaging and communications in medicine viewer and analyzed for significance.

Results:

The hyoid body height, hyoid body length, maximum length of greater cornua of hyoid bone of the right side, and width of the proximal end of greater cornua of the right side measurements show statistically significant differences between males and females. The majority of male measures were much larger than those of females and also shows right side is more significant than the left side. The present study shows 82.1% correct classification for males and 81.5% for females.

Conclusions:

The present study concluded that the estimation of sex by hyoid bone using a multidetector CT scan can be useful in determining the sex.
Educational Institutions and Youth Contributing towards Meeting the Vision of Viksit Bharat
Authors: Singh Brij Raj , Gajbe Ujwal , Shrivastava Saurabh RamBihariLal , Bankar Nandkishor
Published: October 2024

In developing nations, resources of the country are being exploited in a limited manner, and there is an indispensable need to optimize material and human resources for the development of human society. Right now, the resources which are utilized are the employees whose number is limited. Apart from this, the human resources which can be utilized for welfare of nation are youth, and they will prove to be valuable assets in welfare of developing country like India. If we can use youth as a resource person with the knowledge of their stream, we can do miracle and contribute to make our country as Viksit Bharat in a fastest way. If the approach of education is 2-dimensional, it will be horizontal in nature with surface learning by students, but when the 3-dimensional approach is introduced, one can explore space and in-depth knowledge and understanding. To cater this, we are proposing a “Modified Attitude-Ethics-Communication (AETCOM) Model”, wherein interdisciplinary integration i.e. humanity, attitude, ethics and communication domains will be there and this will be the only tool which will make them disciplined healthy human resources workforce. In conclusion, the youth of today can act as either co-learner or as a human resource who can contribute their own knowledge and perspectives in the development of the society. In-fact, it won’t be wrong to state that their contribution in meeting the national vision of Viksit Bharat has immense potential.
An Insight into the Impact of Ergonomics on the Clinical Practice of Dentists in Gujarat: A Cross-sectional Study
Authors: Verlianey Nisha , Patel Nayana , Vachchani Radha , Sant Ankit , Panwar Sandhya , Desai Nehal , Jain Prachi Sanjeev
Published: October 2024

Background and Objective:

The role of knowledge, awareness, and practice of the principles of ergonomics in the dental profession needs to be highlighted to the dental fraternity as the prevalence and severity of musculoskeletal disorders (MSDs) are increasing in higher numbers leading to a shortened clinical life span of the dentist.

Materials and Methods:

A valid close-ended questionnaire was designed and circulated as a Google Form, and 200 dentists all over Gujarat consented to take part in the cross-sectional study. Data were collected and analyzed statistically to understand the relation between understanding and practice of the principles of dental ergonomics.

Results:

The result revealed approximately 89% of the dentists who had <5 years of clinical experience faced pain in their lower back/shoulder/arm/neck area irrespective of their gender. It was observed that the association between understanding the importance between proper illumination and magnification on a daily routine in a neutral posture was highly statistically significant with 73.8% of dentists aware and practicing it. However, we need a larger sample size to be followed for a longer time to establish and highlight the risk factors for the prevention of work-related injuries.

Conclusion:

As oral care needs are increasing in the Indian population at an alarming rate, the need for a competent experienced dental fraternity will be a necessity for preventive as well as treatment-based dentistry. An ergonomically established dental setup in line with the practical implementation of the principles of ergonomics and lifestyle changes will lead to a reduction in MSD.
In vitro fertilization-induced extreme hypertriglyceridemia with secondary acute pancreatitis in emergency department: A case report and literature review
Authors: Thanh Nguyen Huu , Duong Trinh Van , Huyen Nguyen Thu , Hai Pham Dang
Published: October 2024

Acute pancreatitis is one of the severe complications of hypertriglyceridemia, which needs to be recognized early to provide appropriate treatment. Hypertriglyceridemia-induced pancreatitis has several causes, in which in vitro fertilization (IVF) is a rare etiology that is becoming increasingly popular. We report a 33-year-old female patient with a history of hypertension who has failed an IVF cycle and started a new IVF procedure 1 month before admission. She was diagnosed with severe triglyceridemia-induced acute pancreatitis with extremely high serum triglycerides (TGs) levels (18,547 mg/dL). We combined plasmapheresis and intravenous (IV) insulin and significantly reduced blood TG over a short time. She was discharged with a TG level of 366.7 mg/dL on the 10th day. It is essential to monitor serum TG levels in plasma before, during, and after this therapy, especially in the 1st month after initiating IVF. Although plasmapheresis combined with IV insulin is not officially recommended for acute triglyceridemia-induced pancreatitis, the therapy can be considered in cases with extremely high serum TG levels.
Unexpected consequences: A case of ketamine-induced seizure in procedural sedation
Authors: Az Adem , Doğan Yunus
Published: October 2024

This case report describes a 32-year-old male who underwent ketamine procedural sedation and experienced a generalized tonic–clonic seizure. Despite its rapid onset and favorable tolerance profile, this case emphasizes the potential convulsive side effects of ketamine, which is commonly used for procedural sedation. While ketamine has shown promise in treating acute pain, refractory status epilepticus, and treatment-resistant depression and schizophrenia, it is associated with side effects such as hallucinations, visual disturbances, dizziness, nausea, and vomiting. The patient in this case received a carefully titrated dose of 40 mg of ketamine intravenously and underwent successful shoulder reduction while under sedation. However, within 60 s of receiving the ketamine, the patient experienced a 60-s seizure that was stopped with the administration of 5 mg of diazepam intravenously. The patient was hospitalized for further evaluation, including an electroencephalography (EEG) that showed no abnormalities. This case highlights the need for health-care professionals to be aware of the potential convulsive side effects of ketamine and to carefully monitor patients who receive ketamine sedation.
Решетки расширений циклически упорядоченных множеств и компактификаций обобщенных циклически упорядоченных пространств
Authors: Sorin Georgii Borisovich
Published: October 2024

Введены понятия расширения и пополнения циклически упорядоченного множества. Установлено, что семейство всех расширений циклически упорядоченного множества имеет структуру полной решетки. Пополнения - циклически упорядоченные компактификации обобщенных циклически упорядоченных пространств - ее полные подрешетки.
Библиография: 9 названий.
Инварианты на перестановочно унитарных классах
эквивалентности фреймов Парсеваля
Authors: Sevost'yanova Victoria Vladimirovna
Published: October 2024

Рассматривается унитарная эквивалентность с точностью до
перестановки векторов на множестве фреймов конечномерного
пространства. Изучаются функции, постоянные на перестановочно
унитарных классах эквивалентности фреймов Парсеваля в $\mathbb{C}^n$. А именно, приводится набор инвариантов, который
разделяет такие классы эквивалентности в общем положении. При
получении этого результата описывается алгоритм, позволяющий
по значениям инвариантов восстановить фрейм Парсеваля
с точностью до перестановочно унитарной
эквивалентности. При этом классические вопросы об
эквивалентности жестких фреймов рассмотрены с алгеброгеометрической
точки зрения. Кроме того, при доказательстве основного
результата были найдены алгебраически независимые образующие
поля инвариантов для действия симметрической группы на
пространстве самосопряженных матриц.
Библиография: 12 названий.
Electric Vehicle Power Transfer System Using a Three-Phase Capable Coupler
Authors:   Truck and Bus Electrical Systems Committee
Published: October 2024

This document covers the general physical, electrical, functional, testing, and performance requirements for conductive power transfer to an electric vehicle using a coupler capable of, but not limited to, transferring three-phase AC power. It defines a conductive power transfer method including the digital communication system. It also covers the functional and dimensional requirements for the electric vehicle inlet, supply equipment connector, and mating housings and contacts. Moveable charging equipment such as a service truck with charging facilities are within scope. Charging while moving (or in-route-charging) is not in scope.
Сучасні методи та імперативи освіти в постковідний і воєнний часи: виклики, нормативи та умови ефективного освітнього процесу
Authors: Князєв Дмитро
Published: October 2024

У статті описано освітній процес та чинний механізм реалізації прав на освіту в державі, що діє, безумовно, спираючись на Конституцію і законодавство Суверенної Україні, так відповідно до постанови Кабінету Міністрів України від 28.07.2023 № 782 «Про початок навчального року під час воєнного стану в Україні», у закладах освіти. Порушено питання безпекової ситуації у кожній окремій адміністративно-територіальній одиниці освітянського процесу. Так про особливості освітнього процесу в умовах воєнного стану та заходи контролю добре відомо проте, регулятивна складова і «буква закону» є лише одним із необхідних методів реалізації освіти. Іншим, не менш важливим аспектом тут виступає узгодження методів і сама форма реалізації освіти, яка істотно видозмінена з періоду епідемії Covid – 2019 і понині, отже мова піде про цифрові механізми контакту і взаємодії, діджиталізацію та форми освіти в 2024 році, під час воєнного стану. Метою написання статті є висвітлення проблем та оцінка видозмін навчального процесу на всіх рівнях, аналіз методів взаємообміну, котрі взяли початок в період епідемії та успішно функціонують сьогодні, під час дефіциту електроенергії, необхідних умов перебування у сховищі, тривоги тощо.