bluuebunny/crossref_metadata_2025 huggingface dataset:
A COMPARATIVE STUDY BETWEEN ONLAY VS RETRORECTUS MESH REPAIR IN DIABETIC PATIENTS
Authors: Devi A. K. Kalpana , Kanthan Anandan , Bhaskaran Shree Venkatesan
Published: December 2024

Hernias of the abdominal wall are quite common, prevalence -1.7% for all ages and 4% for > 45 years. The tension-free
repair using synthetic mesh is the main stay for treatment. The main objective of this study is to f Objective: ind out which
method Onlay vs Retrorectus mesh repair is suitable for ventral hernia repair including incisional hernia in diabetics
with less surgical site infections in our institution. Secondary objective: To find out performance status of patient
postoperatively in terms of functionality and chronic post operative pain An Analytical Materials And Methods:
Comparative study was done at Rajiv Gandhi government General Hospital, Chennai for 80 patients who are diabetic
with ventral hernia between December 2020 – September 2022 Results: In this study 51.2% of the participants were
included in onlay repair group while 48.8% accounted to retro rectus group.Surgical site infection was seen in 8% in
onlay group and none in retrorectus group.The post operative duration of hospital stay in onlay group was mean 12 days
and in other group it was 8 days. Sublay (Retromuscular) mesh repair is a good alternative to onlay Conclusion: mesh
repairs especially in diabetic patients.Not only it has low surgical site infection rate but also has better post op outcome
in terms Qol's.
OPTIMAL SELECTION OF OVERHEAD VS UNDERGROUND TRANSMISSION LINES TO MITIGATE ENERGY LOSSES
Authors: Sankhwar Pravin
Published: December 2024

The power transmission and distribution system undergo losses due to many factors.The losses account for 5-7% of the
total transmitted power to the end user.This accounts for the losses from the given system itself which adds further to the
efficiency of the appliances and equipment connected at user end. It becomes crucial to evaluate the reasons for the
losses at transmission and distribution and provide with recommended approach in reducing these. One of the major
issues with transmission and distribution is to select optimal paths for the conductors to ensure reduced lengths of travel
to the substations and from substations to end customers. Additional considerations from the underlying cause of
increased losses from heating and ambient temperature of exposure offer an area to evaluate how underground lines
become a viable choice as they operate at significantly lower ambient temperatures than their overhead counterpart
during summer days. Regions with more summer days may benefit from underground lines, and those with higher
winter days from overhead lines.In varying regions in India,the temperature to which the transmission lines are exposed
varies. Some regions experience higher summer days compared to rest. For typical transmission line length and
equivalent savings from 1-degree Celsius drop in temperature was projected for all proposed transmission line
conversion from overhead to underground and vice versa.
WEBER SYNDROME: A RARE CASE REPORT
Authors: Rani Anita , Vanshika Vanshika , Karhana Ekta , Singh Jaishree
Published: December 2024

S t u rge - Web e r s y n d ro m e ( S W S ) , a l s o k n ow n a s
encephalotrigeminal angiomatosis, is a type of neuro
cutaneous syndrome with peculiar features such as angiomas
on the face, choroid, and leptomeninges. The capillary
vascular malformation involving the face is also known as a
port-wine stain or nevus flammeus; it is more commonly
observed in the area supplied by the trigeminal nerve, rarely
extending to the trunk and/or arms. After neurofibromatosis
and tuberous sclerosis, this is the third most common
1
neurocutaneous syndrome . The most common presenting
neurologic manifestation of SWS is seizure, such as atonic,
tonic, or myoclonic types, with the age of onset ranging from
2
birth to 23 years . Although the incidence of this syndrome is
not reported accurately, it is estimated to be 1 in 20,000-
1
50,000 live births . There is no gender or race predilection for
SWS .
COMPARISON BETWEEN GLASGOW COMA SCALE(GCS) AND FULL OUTLINE OF UNRESPONSIVENESS (FOUR) SCORE FOR ASSESSING OUTCOME IN SEVERE TRAUMATIC BRAIN INJURY
Authors: S Ananthu , C G Ranjith , Peetakandy Vijayan
Published: December 2024

Background & Objectives: The Glasgow Coma Scale (GCS) is widely used to assess consciousness in head injury
patients but has limitations, such as the inability to evaluate verbal responses in intubated patients and challenges in
differentiating vegetative states. This led to the development of the Full Outline of Unresponsiveness (FOUR) score,
which assesses brainstem reflexes and respiratory patterns .The FOUR scores assess the brainstem reflex and
respiratory pattern in addition to the motor score and eye-opening, which can be reliably used in intubated patients as
well as in identifying the vegetative state of patients. This study aims to compare the prognostic accuracy of GCS and
FOUR score in patients with severe traumatic brain injury. Methods:A prospective observational study was conducted
in Government Medical College Hospital Thrissur with 44 severe traumatic brain injury patients. The GCS and the FOUR
scores were recorded in a proforma, and an outcome assessment was done using the Glasgow outcome score. The data
were analysed using the Mann-Whitney test and the student t-test. The correlation was identified using the Spearman
rank correlation. The predictive value was calculated by receiver operating characteristic analysis (ROC). Results &
Discussion:Of the 44 patients studied, 44.7% had mortality, and 11.6% were in a vegetative state. The AUC for the GCS
was 0.693, with a sensitivity of 60.9 and a specificity of 71.4. At the same time, the AUC for the FOUR score was 0.763, with a
sensitivity of 60.8 and a specificity of 81.0. The Spearman correlation showed a coefficient of 0.908 with a p-value of
<0.001, indicating a perfect correlation between the GCS and FOUR scores. Conclusion: The FOUR score has good
predictive accuracy for mortality among severe traumatic brain injury patients, but the correlation between GCS and
FOUR scores is good. Hence, the FOUR score appears to be a better scoring system in these patients' intensive care units
DOES ZIRCONIA IN GIC PREVENT THE FAILURE OF A RESTORATION?
Authors: L. Priyanka Kalimireddy. , Prabhakar A. R. , Mohanty Arun Kharavela
Published: December 2024

Aim: - To compare and evaluate the marginal leakage of zirconia infused glass ionomer cement with conventional glass
ionomer cement. 12 non-carious therapeutically extracted premolars were selected and randomly divide Methods: - d
into 2 groups (Group I– Conventional GIC and Group II – Zirconomer)of 6 each and class V cavities of standard
dimensions were prepared buccally and lingually on each tooth which were then restored with test materials.. The whole
surface of the teeth was coated with nail varnish except 1mm around the restoration and was allowed to dry. Later these
samples were immersed in Rhodamine B (0.5%) solution and left for 24 hours. Coronal portions of the teeth were then
sectioned buccolingually and 22 samples were examined under stereo microscope to assess the marginal leakage.
Scoring was done according to Michal Staninec and Mark Holts scoring system. - The results showed a Results: 'p' value
of 0.029 which is statistically significant (p<0.05) where in the Group II samples showed lesser marginal leakage than
group I samples. - Marginal leakage was reduced with respect to Zirconia infused GIC compared to Conclusion:
conventional GIC.
MENSTRUAL HYGIENE AMONG REPRODUCTIVE AGE GROUP WOMEN; A KAP STUDY
Authors: Dedeepya Kobaku , Dulipala Phanindra
Published: December 2024

Background: The issue of menstrual hygiene among women is not adequately addressed and proper attention is
needed. The usage of sanitary pads and adequate cleaning of the genital area are essential for maintaining good
menstrual hygiene. Objectives: To assess the knowledge, attitude and practice regarding menstrual hygiene among
reproductive age group women. Methodology: This is a Descriptive,Cross- sectional study conducted in the month of
December 2020.A self-designed, semi structured questionnaire was circulated through online social media platforms.
114 women responded.The data was entered into Microsoft Excel and analysed for descriptive statistics. Results:Out of
114 women,those who were not aware of menstruation before menarche were found to be 57(50%).7(14.9%) stated that
menstruation is not a physiological process.Sanitary pads were used by 105(92.1%).Disposal of absorbents in dustbin
by 94(82.5%). Absorbents (pads/clothes) were disposed without wrapping with paper by 7(6.1%). Conclusion: By
providing essential services and adequate knowledge regarding menstrual hygiene and proper way of disposal of
absorbents which is accessible at a cost that a community can afford is needed.
SEPTIC ARTHRITIS IN A TERTIARY CARE NICU IN EASTERN INDIA- A CASE SERIES.
Authors: Ghosh Saugat , Uttam Kheya Ghosh , Khemka Priti , Kumari Priyanka
Published: December 2024

Purpose - This is a retrospective descriptive study of septic arthritis in a neonatal intensive care unit.There is no guided
protocol of neonatal septic arthritis.The aim of this study is to know the clinicoetiological spectrum of septic arthritis in
newborn,its complications and the treatment outcome with the currently practiced management techniques. Methods -
20 newborns were recruited in the study over a three-year period. The risk factors were analysed and joint
predilection,its complications were noted. The causative organisms were analysed and treated with appropriate
antibiotics.The outcomes after arthrotomy and antibiotic therapy were studied in terms of clinical and laboratory
parameters at discharge and after 3 months. Results - Staphylococcus aureus was found to be the predominant organism
in this series.Term babies are more commonly affected and they present with restricted mobility,tenderness,swelling
with or without fever.The hip joint was predominantly involved . Ultrasound is an effective tool for diagnosing joint
effusion but MRI is required in detecting early osteomyelitis.CRP is an effective marker to guide the duration of therapy.
Those with mild joint effusion and difficult to access joints,prolonged antibiotic therapy is the only option.In babies with
significant joint effusion both open arthrotomy and prolonged antibiotic therapy was given.Even with open arthrotomy
and adequate antibiotic therapy,restricted mobility and limb shortening are noted in some of them. Conclusion - Septic
arthritis is a deep-seated infection in neonates. Being immunocompromised the newborns are more susceptible to
aggressive joint damage and bony deformity,so they need early targeted therapy to prevent future complications.Even
with open arthrotomy and prolonged antibiotic therapy,still there are chances of bone and joint deformity.
COMPARISON OF EARLY POSTOPERATIVE OUTCOME OF LAPAROSCOPIC AND OPEN INGUINAL HERNIA MESH REPAIR
Authors: Rizwin Rizwin , T Kempraj , L Yogeshraj , Ajay Kumar Avulareddygari
Published: December 2024

Background: Laparoscopic hernia has all the benefits of a tension free repair.The aim of this study was to compare the
early postoperative outcome of laparoscopic and open inguinal hernia mesh repair. Methods: This is a prospective
study conducted at VICTORIA and B&LC HOSPITAL ,Bangalore from APRIL 2022 to APRIL 2023.70 cases of inguinal were
included in the study hernia diagnosed clinically and radiologically who fulfilled the inclusion and the exclusion
criteria.The principal operative techniques were laparoscopic hernioplasty (LH) and open inguinal mesh hernioplasty
(OH). Results: 35 patients each were allotted to two group (LH and OH). The mean age was 50.53. LH group had
significantly less postoperative pain than the OH group on 12,24 and 72 hrs (P <0.05).Although the vas pain scores of LH
group were also comparatively lower on postoperative day 14,these differences were not statistically significant.Than
mean operative time was significantly higher for LH group (131.86 vs 80.29 min) although in bilateral cases the
difference was considerably less but was still significant (138 vs 107 min).The mean hospital stay after surgery was less
for LH group (2.68 vs 3.25 days) but was not statistically significant. (p = 0.073). Chronic pain persisted for 2 patients
(5.7%) in OH group whereas none had chronic pain in LH group. Conclusions: Laparoscopic hernioplasty is equivalent
to open repair in the treatment of inguinal hernia, with less post-operative pain, lower risk of wound infection, shorter
duration of hospital stay, and less incidence of chronic pain however requires a long learning curve and is more
expensive.
Gli scritti di Riccardo Del Punta sul diritto sindacale: la memoria del passato, l’intelligenza del presente, la volontà di riformare
Authors: Borgogelli Franca
Published: December 2024

The subject of this contribution is an analysis of Del Punta's essays on trade union law. Although concerning a branch of labour law apparently not at the centre of his field of interest, such writings highlight the peculiar features of his methodological approach in his considerations on labour regulation and on the role and values of the discipline. These studies allow to reconstruct the complex passages in the evolution of regulation and to understand the present; at the same time, they offer important insights to identify and evaluate future choices, also linking up with the general reflections on the theoretical and axiological foundations of labour law that have characterised the author's thought in the last few years.
Delega di funzioni e delega di firma nel lavoro pubblico contrattualizzato e in quello privato tra obblighi, diritti e responsabilità
Authors: Boscati Alessandro
Published: December 2024

The essay analyses, with regard to the public and private sector, the impact of organizational-management models based on the delegation of functions and signature on the definition of the object of the contractual obligation of the worker, whether managerial or otherwise, and of the related responsibilities, reaching the conclusion of the equal motivation for the use of these institutions, without prejudice to the structural differences between delegation of functions and signature, connected to a need for functionality of the administrative and entrepreneurial action, and the prevalence on the level of the employment relationship of elements of commonality also with regard to the powers, rights and responsibilities of the delegating party and the delegate
L’art. 2103 c.c. dopo il Jobs Act e la latitudine dell’obbligo datoriale di repêchage
Authors: Calcaterra Luca
Published: December 2024

The essay analyzes the impact of the reform of art. 2103 c.c., which linked the employer’s ius variandi to the collective bargaining’s classifications, on the obligation to employ the worker in different tasks to avoid dismissal (cd. repêchage). After criticizing the lack of attention of the legislator for the consequences of the 2015 reform, the work focuses on the effort made in the last contract renewals, that in many sectors have linked classifications to the professionalism of the workers, highlighting that these efforts do not seem sufficient to solve the problems posed by the reform of art. 2103 c.c. The pivot of the system is then identified in the obligation of training provided for under art. 2103 c.c. third paragraph, seen as a form of reasonable arrangement as those provided for by the UN Convention of 2006, EC Directive 2000/78 and national legislation. It is highlighted that the logical background common to all forms of adaptation of the organization aimed at avoiding dismissals is that of the resolution for excessive burdens referred to in art. 1467 c.c. On this basis, finally, the jurisprudence that identifies the limit of organizational adaptations useful to avoid dismissal in the possession by the worker of the professionalism necessary for the performance of the tasks of destination is criticized.
Ancora due interventi della Corte costituzionale sul regime sanzionatorio del licenziamento illegittimo
Authors: Cester Carlo
Published: December 2024

The article discusses two recent Constitutional Court rulings, nos. 7 and 22 of 2024, concerning sanctions against unlawful dismissals. The first decision rejected the constitutional challenge (also in relation to European law) regarding the exclusion of reinstatement in cases of unlawful collective dismissals due to a violation of the selection criteria among workers, as provided by Article 18 of Law no. 300/1970. In the second ruling, however, the Court declared the unconstitutionality of the provision in Legislative Decree no. 23/2015 (Jobs Act), which allowed reinstatement only when nullity was explicitly provided for by law. The author generally agrees with both rulings, albeit with some clarifications.
I controlli della malattia
Authors: Della Rocca Giada
Published: December 2024

The article addresses the topic of disease checks, starting from Del Punta's writings on "The suspension of the employment relationship" of 1992 and on "Disease checks" of 2004, analyzing the discipline provided for by the art. 5 of the Workers' Statute and subsequent implementation measures. In particular, it analyzes the provision of on-call time slots, with the related obligation on the worker, the justified reason for absence and the sanctions for unjustified absence. Finally, it focuses on the relevance of the worker's extra-work behaviors during sick leave and the related non-health checks.
Cosa nascondono le grandi dimissioni? Riflessioni di un giuslavorista sul rifiuto del lavoro
Authors: Fontana Giorgio
Published: December 2024

The essay deals with a topic little studied by labor law scholars, which concerns the disaffection and refusal of work in contemporary capitalist society. Recent studies on "big resignations" seem to demonstrate an “escape” from work, the causes of which can be identified, according to this contribution, in the transition from the guaranteed and stable work of Fordism to the precarious work of neoliberal capitalism. The author recalls studies on the topic of a sociological and political nature, to demonstrate how the refusal of work is linked to historically recent phenomena born precisely in this epochal transition. In the legal system these phenomena come into conflict with the duty to work, also stated by the Italian Constitution, in art. 4 of the Constitution. The author intends to critically discuss the contradictory co-presence of opposing imperatives: on the one hand work is identified as a duty and, in some cases, a real legal obligation of the individual, on the other the system creates the conditions to devalue work and destroy the "civilization of work", so as to fuel the refusal of work. The phenomenon, according to the author, is not marginal or secondary, becoming increasingly important and central with the birth of platform capitalism, in which work is subjected to a further and more radical transformation, while the production of value shifts in the network and becomes immaterial, invisible and distant from traditional forms of work.
Controllo a distanza e diritto alla protezione dei dati. Sulla complementarità dei due sistemi normativi
Authors: Ingrao Alessandra
Published: December 2024

The author examines the practical consequences of integrating Article 4 of worker’s Statute which regulates the limits of the employer's remote monitoring power, with the legal framework for privacy protection. The essay outlines some reflections on the role of trade unions in protecting workers from digital surveillance and proposes the establishment (through collective bargaining and/or legislation) of a trade union representative for data protection.
Le ‘scintille improvvise’ dell’abuso del diritto. Sull’utilizzo delle clausole generali nel diritto del lavoro, in dialogo con Riccardo Del Punta
Authors: Laforgia Stella
Published: December 2024

Often the reflections of labor jurists are intertwined with those which concern, in a broader perspective, the values ​​which require particular attention in order to prevent scientific and methodological rigor from being undermined. A very illustrative topic of how the study on positive data meets the reflection on values ​​is that of the abuse of law with which some "classic" themes of labor law can be reinterpreted such as, for example, dismissal for justified objective reasons. It follows that the use of general clauses or civil categories helps to "humanize" the law and, in labor law, in particular.
Considerazioni di tipo sistematico in tema di salute e sicurezza sul lavoro: a proposito di un saggio (e non solo) di Riccardo Del Punta
Authors: Lazzari Chiara
Published: December 2024

The paper aims to engage in a long-distance dialogue with some of Riccardo Del Punta's important writings on occupational safety and health, focusing on a number of issues of broad systematic scope. These are the functionalization of the employer powers involved in complying with the safety obligation, the nature of the limits placed on private economic initiative, and the reconstruction of the labor contract as an organizational contract that can be deduced from the rules governing the matter.
Etica e lavoro sostenibile nella società complessa
Authors: Lazzeroni Lara
Published: December 2024

In the face of the growing complexity of firms’ production systems, it is necessary to seriously consider a new focus on the values that have governed labour law discipline until now. On this basis, the present essay concentrates on the changing nature of social needs and on the exigency of redefining the guidelines for these needs through the lens of values such as responsibility, freedom, confidentiality, transparency, collaboration and sharing.
Il tempo nuovo del diritto del lavoro: crisi o opportunità?
Authors: Lovo Marco
Published: December 2024

The paper deals with the development of employment law over a fifteen-year period starting from
the early 1990s, in dialogue with a number of key figures (among whom those of Pietro Ichino,
Massimo D'Antona and Marco Biagi stand out) capable of bringing out with their contribution of
thought the progressive changes historically contextualized and, otherwise, anticipating their future
outcomes.These are issues that, although in different forms, are still current and in constant dialectic
between an increasingly pronounced crisis in employment law and the opportunities that on the other
hand are opening up. R. has skillfully grasped these opportunities also in this articulated piece of
writing, identifying the critical aspects but also knowing how to meet the challenges arising from
them.
Smart Factory, dignità del lavoratore ed intelligenza artificiale come forma di autoapprendimento
Authors: Maio Valerio
Published: December 2024

This article analyzes the impact of machine learning in the smart factory on the worker’s safety, freedom and dignity. First, the worker's enhancement is investigated starting from the evaluation of the psychological and moral impact of these devices. Therefore, cobots and automatic systems are studied that allow algorithmic management of working relationships, also for the need to contrast algorithmic opacity. Finally, this essay argues about the need for a general rule that introduces: a generalized right to human supervision for all automated decisions in the employment relationship; a general ban on the use of inductive and manipulative technologies in the workplace, also in the perspective of the impact on the autonomy of workers by the trend towards the gamification of work.
Sulle distorsioni giuslavoristiche della prospettiva rimediale
Authors: Nogler Luca
Published: December 2024

After distinguishing between the remedial conception of law and remedialist ideology, the author criticises that part of employment law doctrine that has recently argued that employment law analysis should put the focus on facts in brackets and concentrate only on discipline. This approach results in the tyranny of the principle of employment protection (Article 35 of the italian Constitution) and provokes a reaction of legalistic positivism that imprisons the italian employment law discourse within a dead-end track.
La filosofia dei valori di Riccardo Del Punta
Authors: Perulli Adalberto
Published: December 2024

The essay deals with the thought of Riccardo del Punta, highlighting the latter’s ability to approach labor law with a unique interdisciplinary method.
Valori e diritto del lavoro: tra mercato globale e principi di dottrina sociale
Authors: Pessi Roberto
Published: December 2024

The author reconstructs the values of labour law and emphasises the relevance and continuing effectiveness of the values that emerge from Catholic social doctrine, both with reference to the more labour-related issues and those relating to social security.
Salario minimo legale: una soluzione semplicistica ad un problema complesso
Authors: Pisani Carlo
Published: December 2024

The essay deals with the debate around the provision of a legal minimum wage, which is absent in the Italian legal system. The author believes that the issue deserves to be well explored and cannot be resolved in a simplistic manner. According to the author's proposal, the role of collective bargaining should be enhanced, finally realising its general effectiveness.
Lavoro e terzo settore
Authors: Ranieri Maura
Published: December 2024

In a dialogue with Prof. Del Punta’s essays on the topic, the paper analyses the peculiarities of the relationship between labour, labour law and nonprofit organizations. To this aim, the A. explores the latest reform concerning such organizations, focusing on the distinction between volunteer and paid work — neat on a theoretical level but very promiscuous on an empirical one.
Finally, the article highlights the impact of the reform on the guarantees entitled to workers and volunteers and on the role in society of nonprofit organisations, which is rooted (and limited by) the fundamental principles established by the Italian Constitution.
La nozione di «licenziamento» e l’applicazione della l. n. 223/91. Un’ipotesi interpretativa in dialogo con Riccardo Del Punta
Authors: Renzi Samuele
Published: December 2024

The article deals with the interpretation of the notion of “dismissal”, developing a critical dialogue with the solutions proposed by the Court of Justice and the Italian Supreme Court. The examination of the main controversial issues regarding the interpretation of the notion of “dismissal” is accompanied by the formulation of some proposals for a reinterpretation of the institute.
Corte costituzionale e licenziamento collettivo
Authors: Romei Roberto
Published: December 2024

The author comments on Constitutional case law No. 7/2024, in a dialogue with the precedents of the same court aimed at understanding the current features of the dismissal system. By examining the most recent constitutional jurisprudence, the author dwells on some critical aspects of the discipline of collective redundancies.
«La sfuggente temporaneità»: un dialogo con Riccardo Del Punta sul lavoro a termine
Authors: Tiraboschi Michele
Published: December 2024

This paper explores the reform of fixed-term contracts and temporary agency work following the enactment of Article 24 of Decree-Law No. 48/2023, later converted into Law No. 85/2023. It provides an opportunity to revisit Riccardo Del Punta’s work on the evolution of these employment schemes in light of Council Directive No. 1999/70/EC, which transposed the framework agreement of 18 March 1999 between the European cross-industry organisations (ETUC, UNICE, and CEEP) representing employers and workers. The discussion begins with Professor Del Punta’s paper "The Elusive Temporariness: Consolidated Notes on Fixed-term Work and Temporary Agency Work," published in Industrial Relations Law, Vol. 4/XII, 2000. The author of this paper is particularly fond of Riccardo’s article, as it was expressly dedicated to Professor Marco Biagi, the cultural mastermind of Legislative Decree No. 368 of 6 September 2001, which integrated Council Directive No. 1999/70/EC into our legal system (Biagi, 2002a); Riccardo’s paper were precisely directed to this legislation.
Il diritto di whistleblowing come leva di capability
Authors: Tomassetti Paolo
Published: December 2024

This article analyses the right to whistleblowing as a lever for workers’ capability. Drawing on Riccardo Del Punta’s conceptualization of the capability approach in labour law, this article offers a critical interpretation of domestic and EU legislation on the protection for whistleblowers. Such legislation shows that the centrality of the value of freedom specific to the capability approach is not antithetical to classical labour law egalitarian premises. Conversely, the capability approach to labour law works at a “higher plane” that helps explain why the bargaining power of the parties need to be equalized, including by means of non-retaliation. Following the final remarks, an annex with a personal memory of Professor Del Punta concludes the article.
Dialogo con Riccardo del Punta: dal primo al secondo Manifesto
Authors: Treu Tiziano
Published: December 2024

The author develops a dialogue with the theses and thought of Riccardo del Punta, focusing his reflections on the work done together in drawing up the "Manifesto per un diritto del lavoro sostenibile" and "Il diritto del lavoro nella giusta transizione. Un contributo “oltre” il Manifesto"
Un approccio umanistico al lavoro digitale. Riflessioni a margine
Authors: Tullini Patrizia
Published: December 2024

The essay analyzes the humanistic approach of Del Punta to digital technologies and his proposals for the development of work in the digital economy. Technological change is not a homogeneous phenomenon, but strongly connected to the endowment of skills, territorial contexts and forms of employment. To develop the individual skills of the workers, it is necessary to rethink public intervention in the labour market, a design of active policies and the strengthening of employment services. The future of work and the work of the future, as wrote Del Punta, are played out on people's employability.
Dalla epistemologia breve del diritto del lavoro al dibattito odierno sul salario minimo
Authors: Valente Lucia
Published: December 2024

The essay aims to verify the enduring relevance of the method developed by Riccardo Del Punta when, in 2012, he supported the legislator in the writing of a crucial text for the evolution of Italian labour law. On the basis of RDP's teaching in the process of building the discipline on the minimum wage, the labour law discourse should follow a communicative procedure open to dialectical confrontation between different points of view and leave room for interdisciplinarity, taking into account, above all, the economy. It is precisely the encounter between law and economics, and therefore the evaluation of the efficiency of the new rules, that can offer a valuable epistemological opportunity and contribute to giving more solid foundations to our subject.
Da una rivoluzione si può tornare indietro? Congedi parentali e indipendenza economica
Authors: Vitaletti Micaela
Published: December 2024

The paper draws on Riccardo Del Punta's paper on parental leave, published entry into force of the reform, to examine its subsequent evolution, questioning the relationship between the distribution of care responsibilities and women's labor market participation.
Riflessioni (in dialogo) sul contratto collettivo ‘di prossimità’, muovendo dalla sentenza della Consulta n. 52 del 2023
Authors: Zoppoli Antonello
Published: December 2024

The author, starting from the recent sentence of the Italian Constitutional Court No. 52/2023, retraces considerations of the doctrine on the subject of “proximity collective agreements” regulated by Article 8 of Law No. 148 of 2011, with specific reference to the work of Riccardo Del Punta. The focus is on the 2012 essay “Cronache da una transizione confusa (su art. 8, l. n. 148/2011, e dintorni)”, which, although dating back to the time of the introduction of the rule and, therefore, written in a different context from today, is extremely topical. The reading of Del Punta's essay and, specifically, the “collettive effort” he wishes for in supporting the already mentioned art. 8, lead the author to outline the nature of exceptionality of the norm at the temporal level as well, consequently hypothizing its constitutional, although transitory, legitimacy and limiting the relevance of trade unions’ representativeness at the national level.
La professionalità dei lavoratori tra legge e contrattazione collettiva
Authors: Zoppoli Lorenzo
Published: December 2024

The essay addresses the traditional yet very relevant topic of protecting workers' professional skills, with particular attention to the intricate relationship between the two main sources: law and collective bargaining. The latter is considered a fundamental "filter" for balancing the protection of professional skills between guarantees for the worker and organizational dynamism. Reexamining the relationship between the two sources from a historical-critical perspective in light of the text of Article 2103 of the Civil Code, revised in 2015, the author argues that the current framework effectively weakens the role of collective bargaining. Instead, it expands both the boundaries of the legal category of the worker and the scope of professional skills as a object of the contract that must be protected according to civil law rules. These rules, it is clarified, cannot be interpreted in a way that reduces the protections afforded to workers compared to any other contracting party, nor to bend labor law to notions of professionalism derived from other scientific approaches. The systemic limit arising from the classification of professionalism as an essential element of the contract (object) also applies to collective bargaining. However, the author ultimately believes that professionalism is a common good for both the worker and the organization and, as such, should be protected through more modern approaches and techniques, such as those found in recent legislation aimed at overcoming the gender pay gap.
Evaluating Vitamin E's Antioxidative Effect on Carbamazepine-Induced Spleen Damage in Rat Models
Authors: Ali Asma Basharat , Younus Nadia , Mukhtar Sahrish , Faisal Lubna , Kazmi Tayyaba , Atif Alina
Published: December 2024

Background: The spleen is essential for the body’s homeostasis and immune system. Carbamazepine (CBZ) is known to cause toxicity to several organs, including the spleen, through oxidative stress, however, vitamin E (Vit E) is a proven antioxidant against toxins. Thus, this study evaluated the antioxidative effect of Vit E on hematological and splenic toxic changes, caused by carbamazepine in rats.
Methods: This in-vivo preclinical experimental study was conducted from March-June 2020, at Jinnah Medical and Dental College, Karachi. Forty adult male rats, weighing 150-200 grams were included and randomly divided into 4 groups. Group I was control; Group II received oral Carbamazepine (50mg/kg/day), Group III received Carbamazepine (50mg/kg/day) with Vit E (200mg/kg/day), and Group IV received Vit E (200mg/kg/day) daily. After 6 weeks, animals were sacrificed, blood samples were drawn and splenic tissue was processed for morphological examination. SPSS version 22 was used, and ANOVA was applied to investigate the difference of means with p≤0.05 considered significant.
Results: Our findings showed that Group II rats had significantly decreased final body weights, and absolute and relative spleen weights compared to control. Lower hemoglobin, lymphocytes, and platelets, and significantly increased TLC and neutrophils were observed in Group II compared to control and Group IV. Histology showed a thickened capsule, reduced white pulp, and congested red pulp in Group II spleens whereas these toxic effects were reduced in Group III.
Conclusion: Our study demonstrated that the hematologic and splenic toxic effects of carbamazepine were lessened significantly with the antioxidative properties of vitamin E.
Keywords: Carbamazepine, Vitamin E, Spleen, Oxidative Stress, Hematology.
Prevalence of Type 2 Diabetes Mellitus Among Pulmonary Tuberculosis Patients in Pakistan
Authors: Mustafa Kamal , Jehangir Fatima , Kamal Farees , Rafique Tanzeel , Shah Auqib Ghulam , Murtaza Irfan
Published: December 2024

Background: Individuals with diabetes are vulnerable to a weakened immune response, increasing the risk of pulmonary tuberculosis (TB), particularly in low- to middle-income countries like Pakistan with prevalent poverty and unsanitary conditions. This study aimed to determine the prevalence of T2DM in Pulmonary TB patients.

Method: This cross-sectional study was conducted at the Primary Health Care (PHC) Center in Sikandar Abad and private clinics in Hyderabad, Pakistan. A total of 200 individuals, irrespective of age and gender, diagnosed with primary pulmonary tuberculosis and undergoing either first-line or second-line therapy, were recruited during a period of six months from 1st April 2022 to 30th September 2022 through simple random sampling. All TB patients were screened for Diabetes. The collection of relevant information, including demographic and clinical details, was executed using a standardized study proforma. Data analysis was performed using SPSS version 25, allowing for statistical exploration and interpretation of the findings.

Results: Prevalence of DM in TB patients was (38%) 19. The average age of the participants was 36.6+14.8 years. The computed BMI of 17.14+2.9kg/m2 revealed that the majority of the patients were underweight. Weight loss was the symptom that co-occurred with TB and DM.

Conclusion: Study revealed a notable 38% prevalence of Type 2 Diabetes Mellitus (T2DM) among Pulmonary TB patients, indicating a risk of co-occurrence. This co-morbidity poses an important public health concern, emphasizing the importance of understanding the interplay between these two conditions.

Keywords: Pulmonary Tuberculosis (PTB), Diabetes Mellitus(T2DM), BMI.
Clinical Presentation of Congenital Heterochromia Iridis in Pakistani Patients
Authors: Azad Beenish , llyas Muhammad , Naheed Sadaf , Irshad Sarah Bint-e- , Malik Sidra Batool
Published: December 2024

Heterochromia iridis is a rare genetic disorder, characterized by variation in the concentration and distribution of the melanin pigment. It is caused by a mutation in genes responsible for the synthesis of melanin pigment iris of the eye. Heterochromia Iridis is inherited as a simple Mendelian trait. Heterochromia is normally harmless and does not require any specific treatment. It can be caused by congenital and acquired conditions like Waardenburg and Horner syndrome. It also occurs due to eye trauma. Eye trauma leads to iron deposition in the eyes which darkens the human iris. There are four types of Heterochromia, such as complete, partial, central, and sectoral Heterochromia. Here we report 3 individuals, two with complete heterochromia iridis and one with sectorial/partial heterochromia iridis. Multiple disorders are associated with heterochromia iridis but these three individuals do not possess any other disorder. Counseling helps to reduce the psychological and mental pressure of the Heterochromia patients.
Case Report: “Precocious Puberty in a Child with Cortisone Reductase Type 2 Deficiency”
Authors: Almache Oswaldo Núñez , Lama Rómulo Lu de , Tejada Eliana Chávez , Robles Oscar Espinoza , Ibarcena Paola Pinto , Quispe Martha Calagua , Torre Miguel De los Santos La , Tafur Pamela Azabache
Published: December 2024

Cortisone reductase type 2 (CRD2) deficiency causes a failure in the regeneration of active cortisol from cortisone via the enzyme 11-beta-hydroxysteroid dehydrogenase (11β-HSD1), a deficiency that stimulates adrenal hyperandrogenism mediated by the increase in adrenocorticotropin (ACTH) causing peripheral precocious puberty in males. We present the first case in our setting of a 5-year-old boy carrying a rare pathogenic variant in 11β-HSD1 gene, who due to prolonged exposure to adrenal androgens developed central precocious puberty (CPP). We describe his evolution after 36 months of management, adding to the very small number of patients reported in the world, and drawing attention to the importance of an early diagnosis.
A Rare Occurrence of Caecal Volvulus and Sigmoid Volvulus
Authors: Soultana Rabie , Yassine Mohamed , Laiz Achraf , Abdenbi Azzi , Kallout Ibrahim , Issam Yazough , Said Ait Laalim
Published: December 2024

The caecal volvulus is the torsion of the first part of the colon around its mesenteric axis. This location remains exceptional compared to the sigmoid, which is the usual seat of the volvulus. We present the case of a patient who was operated on 7 years ago for a volvulus of the sigmoid, and who presents for a second episode of an occlusive syndrome of the caecal volvulus. The diagnosis was retained by an injected abdominal pelvic CT, and emergency surgical treatment was indicated with a straight hemicolectomy with double stomas. The post-operative follow-ups were without particularities and a return home on the 4th day.
Self-efficacy and Teamwork Attitude as Predictors of Career Sustainability Among Employees in the Nigerian Health Sector
Authors: Mulero ADEGBITE Waliu
Published: December 2024

Career sustainability, a crucial issue within human resources management, has attracted widespread attention in academics globally due to its link with various factors, including individual characteristics and workplace dynamics. Research has identified that personal traits, and organisational factors significantly shape an individual's career trajectory. According to the literature, developing self-efficacy and teamwork skills can impact career growth and sustainability, especially when individuals confidently perform their job responsibilities and work collaboratively with others. This study investigates how self-efficacy and teamwork influence career sustainability in Nigeria’s health sector. Based on the social cognition career theory, the study analyzed data from 292 nurses from a tertiary hospital in southwest Nigeria. A regression analysis was conducted using SmartPLS to test the study’s hypotheses. The study found that self-efficacy and teamwork had a significant and positive causal relationship with the career sustainability of the sampled employees. The study findings provide insight into how managers and employee stakeholders might improve career sustainability by enhancing self efficacy and encouraging teamwork among employees. To maintain a stable career, this study recommends that employees focus on working effectively in a team and building self confidence.
Gonococcal arthritis with systemic involvement: A case report
Authors: Ross N. , Funes A. , Cardinal N , Quiroga H.
Published: December 2024

Abstract: INTRODUCTION Septic arthritis caused by N. gonorrhoeae is rare in our setting. Systemic
dissemination may present as a characteristic triad of skin rash, tenosynovitis and arthritis. CASE
PRESENTATION A 47-year-old man, previously healthy, had oligoarticular pain for seven days.
He developed polyarthralgia and skin lesions. Arthrocentesis, blood cultures and laboratory tests
with a rheumatological profile were performed. Antibiotic treatment was started and subsequent
arthroscopic debridement of the knee was performed after synovial fluid and laboratory analysis.
Blood cultures revealed N. gonorrhoeae . The patient complied with antibiotic treatment and evolved
favorably until he recovered completely. DISCUSSION N. Gonorrhoeae has a low systemic dissemination. Joint involvement may resolve spontaneously. Tenosynovitis affects more the dorsum of the
hands and wrists. The skin lesions are purplish macules that may develop into vesicles or pustules.
There may be immunological lesions. Cultures are often negative. Other pathologies with joint and
skin involvement should be known, such as systemic lupus erythematosus, psoriatic arthritis and
reactive arthritis. Treatment consists of surgical debridement and antibiotics. In contrast to other
septic arthritis, complications are rare and the prognosis is good.
Practical aspects of acute traumatic spinal cord injury in Ortho-pedic Surgery and Traumatology Literature review
Authors: Mayorga Naranjo David , Huguet Carmona Juan Luis , Ulldemolins Aznar Pablo
Published: December 2024

Abstract: Acute traumatic spinal cord injury consists of motor, sensory and/or autonomic involvement of the spinal cord after trauma. It is suspected in cases where a high-energy trauma occurs or
where radicular symptoms of a sensory, motor or autonomic type are present. It is the D of the ATLS
protocol, and must be assessed once the patient is stabilized. To describe the type of injury, the ASIA
scale is used, which classifies them based on whether these injuries are complete or incomplete.
These incomplete injuries will then be classified based on whether they preserve sensory, motor or
both functions. Surgical treatment will be indicated in those incomplete injuries, and should be
emergent ( ˂ 6-24h) in those that are evolving, and urgent ( ˂ 24-72h) in those that are not evolving.
A Review of AI Methods for Diagnosing Plant and Crop Diseases
Authors: N Shanmugapriya , Harika Thalluru , Reddy Mannem Vijitha , Subrahmanyam Manchikalapati , Teja Kolapalli Jaswanth
Published: December 2024

Plant diseases, caused by infectious organisms and unfavorable environmental conditions, pose a significant threat to agriculture. These diseases lead to notable decreases in crop yields, resulting in substantial economic losses. It is essential to address these challenges and safeguard the food supply and sustain effective farming practices. Though the detection of diseases in plants and crops through the traditional methods has always been a very difficult task to deal with the emergence of the AI (artificial intelligence) technologies has enhanced the efficiency and the accuracy of the diagnosis. This study presents a brief overview of the various machine and deep learning methods used for disease recognition in plants and compares the performance of the machine learning and deep learning algorithms in the detection of diseases in plants. The comparative study demonstrates that the deep learning methods achieve higher accuracy and better performance on complex tasks related to machine learning at the cost of increased computational resources and training time.
Perbedaan Faktor Maternal Sebagai Determinan Stunting
Authors: Dary Dary , Davidson Sarah Melati , Margiyati Margiyati , Astuti Yuni , Dayaningsih Diana , Sari Novita Wulan , Tauho Kristiani Desimina , Tampubolon Rifatolistia , Kalyani Ratana Subha Putri
Published: December 2024

Prevalensi stunting di Indonesia tergolong tinggi yaitu 24,4% sehingga harus segera ditangani dan dicegah agar tidak terjadi. Banyak studi menghubungkan stunting dengan dengan faktor maternal karena ibu adalah penentu tersedianya asupan dan perawatan kesehatan anak. Penelitian ini bertujuan untuk menganalisis perbedaan faktor maternal sebagai determinan stunting pada kelompok anak stunting dan tidak stunting. Desain penelitian adalah cross-sectional dengan membandingkan data pada kelompok kasus dan kontrol. Populasi penelitian yaitu balita usia 24-60 bulan di wilayah kerjasama pelayanan Puskesmas Karanggede. Jumlah sample penelitian sebanyak 30 pada masing-masing kelompok. Penelitian ini dilaksanakan pada Agustus sampai Oktober 2023. Analisis data menggunakan uji statistik non parametric Mann Whitney untuk menganalisis perbedaan faktor maternal pada kelompok stunting dan tidak stunting. Hasil penelitian menemukan bahwa faktor maternal yang berbeda secara signifikan antara kelompok stunting dan tidak stunting yaitu tinggi badan ibu (p-value=0,018), pendidikan ibu (p-value=0,000) dan LiLA ibu sebelum hamil subjek (p-value=0,039). Faktor maternal seperti usia ibu ketika menikah, usia ibu ketika hamil subjek, pekerjaan ibu, dan status gizi ibu tidak signifikan berbeda antara kelompok stunting dan tidak stunting (p-value>0,05). Penanganan stunting harus dilakukan secara multipihak dengan memperhatikan faktor maternal.