bluuebunny/crossref_metadata_2025 huggingface dataset:
Management of concomitant gallbladder and common bile duct stones: one stage versus two stages
Authors: Mohamed Hossam Mahmoud Ibrahim , Elkatieb Abd Elmoniem Mohamed Ismail , Abdallah Ahmed Mohamed Ali , Elrazik Mahmoud Hasab Elnabi Abd
Published: October 2023

Background

The ideal management plan for patients diagnosed with concomitant cholelithiasis and choledocholithiasis has been a great matter of debate among hepatobiliary surgeons. Some surgeons prefer a single-stage approach (laparoscopic cholecystectomy LC with laparoscopic common bile duct exploration, LCBDE), while others prefer two-stage approaches (preoperative endoscopic stone extraction followed by interval LC). Herein, we compare the outcomes of the previous two approaches in our Egyptian tertiary care setting.

Methods

Sixty-four patients were eligible for our randomized trial and were randomly assigned into two groups: Group A was scheduled for the single-stage approach and Group B was scheduled for the two-stage approach. Periprocedural outcomes, including success rates, were assessed in the two groups.

Results

Failed stone extraction was encountered in three patients in Group B (success rate 90.62%). However, we were able to completely free the CBD in all patients in Group A (100% success). Operative time was significantly prolonged in Group A (173.13 vs. 75.97 min in Group B). However, Group A patients had a shorter hospitalization period compared with Group B (5 vs. 7 days). Bile leakage was more encountered in Group A, while the incidence of pancreatitis was higher in Group B. All patients were conservatively managed with no further intervention.

Conclusion

A higher, but not statistically significant, success rate was reported with the single-stage approach. Despite this, this technique was preferred due to a shorter hospital stay and higher clearance rates reported in our study.
Using qSOFA and SIRS scores in predicting the outcomes of patients with sepsis in Emergency Department of Menoufia University Hospitals
Authors: Lasheen Athar Fekry , Rageh Tarek Mohey , Al-Abassy Mahmoud Magdy , Selima Ahmed Ragab Abdo
Published: October 2023

Background

Sepsis is a life-threatening illness in which an infection causes widespread inflammation and organ failure. Quick Sequential Organ Failure Assessment (qSOFA) is a screening tool, which was established by the sepsis-3 task force and depends on respiration rate, systolic blood pressure and altered mental state. The SIRS criteria were too nonspecific to accurately identify cases of systemic inflammation brought on by infection.

Objective

To determine the predictive performance of qSOFA, and SIRS scores for adverse outcomes of patients presenting to the Emergency Department of Menoufia University Hospitals with suspected infection.

Patients and methods

This comparative research was performed in the Emergency Department of Menoufia University Hospital. The study was conducted to 60 patients presented to the resuscitation room of the Emergency Department with infection from April 2022 to November 2022.

Results

There was a statistically significant difference among the examined groups concerning Relation between survival and vital data. There was no statistically significant difference among the examined groups concerning Demographic data (age, sex), comorbidities of the studied patients, Source of infections, cause of sepsis and Outcomes of the studied patients (n=60).

Conclusion

When it came to identifying cases of sepsis, the qSOFA score was both sensitive and predictive. The qSOFA score was very useful in predicting mortality from both the ER and later on in the hospital.
A Comparative study of suture fixed versus nonfixed mesh techniques in laparoscopic trans-abdominal preperitoneal repair of noncomplicated adult inguinal hernia
Authors: Thabet El Ashraf M. , Ali Ahmed M. , Essawy Ayman
Published: October 2023

Aim

This study aimed at comparing the effect of sutured mesh fixation and non-fixation in cases of laparoscopic trans-abdominal preperitoneal (TAPP) in terms of operative time, hospital stay, and complications particularly recurrence and chronic groin pain (CGP).

Patients and methods

This prospective randomized comparative study included 40 patients diagnosed with noncomplicated inguinal hernias admitted to the Department of Surgery at Fayoum University Hospital, Egypt from March 2019 to July 2021. Cases were divided into two groups by draw of lots; group A as mesh fixation (n=20) and group B as nonfixation (n=20).

Results

The results were calculated with χ
2test (P value). Results were found to be not significant in demographic features, in-hospital stay, hernia characteristics, and complications i.e. (intraoperative, postoperative, and long term) and were significant as regards operative time and early postoperative pain in favor of nonfixation group and results were highly significant (P < 0.001).

Conclusion

TAPP repair without mesh fixation shows advantages over mesh fixation, which include significantly less early postoperative inguinal pain and operative time, with comparable intraoperative, postoperative, and long-term complications (with no increase in hernia recurrence), hospital stay, and mean operative time. Hence, our study favors TAPP without mesh fixation a valuable alternative option.
Choose your own adventure
Authors: Moukaddam Nidal , Tucci Veronica Theresa
Published: October 2023

Psychiatric advanced directives (PADs) are utilized by mental health patients to direct their psychiatric care including assigning surrogates for medical decision-making, listing preferred inpatient psychiatric/treating facilities, preferred medication regimens to stabilize acute psychiatric condition and to facilitate the patient's overall interaction with the mental health system. This article reviews the rationale behind PADs, how they can be utilized to reduce the need for de-escalation techniques, restraints and chemical anxiolysis by partnering with patients in the delivery of their care. This paper will also briefly address some of the practical limitations that Emergency Physicians and allied health care providers might face in attempting to honor PADs including the inability to admit to preferred facilities due to staff shortages or other issues associated with the global COVID-19 pandemic.

The following core competencies are addressed in this article:

Patient care, Interpersonal and communication skills, and Systems-based practice.
The perception of the medical faculty and undergraduate students regarding online teaching in the era of COVID-19
Authors: Gupta Meeta , Singh Manish , Gupta Rajesh , Sobti Shalini , Gupta Puneeta , Gupta Vanita , Gupta Aditya
Published: October 2023

Introduction:

In this COVID-19 epidemic, most of the countries are facing issues regarding health care from the points of management, academic, and treatment. Online medical education as an alternate source has been utilized, but it entails certain solutions to the problems encountered in this new methodology of medical education. The study was conducted to enhance the knowledge about the barriers and the concurrent solutions and help improve online medical education in COVID era.

Materials and Methods:

A prospective, cross-sectional study was conducted on 336 undergraduate medical students 61 medical faculty members of ABVMS, Jammu. The two online intake forms in the form of a voluntary, self-administered questionnaires were used to collect the data; whose link was made active from May 15, 2020, to May 30, 2020. The questionnaire was designed with 10 questions for faculty and 7 for students. The questions encompassed different subjects related to their preferences and perception of online learning. The data were entered in MS Excel and analyzed using the SPSS software version 20.0. P <0.05 was considered statistically significant.

Results:

The medical faculty perceived online class discussions and assessments of the students as difficult barriers (27.87% and 40.99%, respectively) and access to books/images for teaching and lectures making and delivering as easy (50.82% and 52.46%, respectively). The students felt that the ease of theoretical learning was best with downloadable AV lectures (54.46%). A total of 48.15% students and 31.15% faculty members supported the use of online education in future (P < 0.0001).

Conclusion:

The coronavirus pandemic appears to be an inflection point that is forcing disruption in how we teach medicine. While in the midst of this COVID-19 crisis, the medical faculty and the students are willing for a favorable change from offline to online medical education in view of an online instructional support/training, and infrastructural change.

The following core competencies are addressed in this article:

Interpersonal and communication skills, Practice-based learning and improvement.
Estimation of the Prevalence of Occupational Exposure to Biological Fluids among Anesthesiologists: A Survey Study
Authors: Sureshan Roopesh , Opneja Sonali , C Jashma , P Joona , D Namratha , Pai Rohini V. , Kambli Deependra , M Riyas
Published: October 2023

Background and Aims:

Percutaneous injuries caused by sharps and exposure to biological fluids are a serious concern for anesthesiologists and pose a significant risk of transmission of blood-borne pathogens.

Materials and Methods:

The aim of this study was to estimate the prevalence of exposure to biological fluids among anesthesiologists. A questionnaire designed initially was validated after it was sent to 10 anesthesiologists with more than 5 years’ experience. The validated questionnaire was then administered using Google Forms and the link was circulated electronically (e-mail, WhatsApp, and Telegram). This self-administered questionnaire was completed by 100 anesthesiologists. The various types and methods of body fluid years of exposure were also identified.

Results:

The prevalence of occupational exposure to body fluids was 100%. Exposure to either blood or cerebrospinal fluids by sharps was seen in 82%. Majority of the pricks were encountered during recapping of used needles followed by pricks during intravenous cannulation. Body fluid exposure onto the bare skin most frequently encountered was blood, mostly obtained during intravenous cannulation. There were 8% patients who had exposure to human immunodeficiency virus (HIV) and hepatitis B or C patients for which they had taken postexposure prophylaxis.

Conclusion:

Prevalence of exposure to biological fluids among anesthesiologists is alarmingly high. This poses a high risk for transmission of diseases. The use of protective gears and changing our casual attitude can prevent majority of the exposures. The practice of recapping of used needles should be stopped.
Early Doffing among Frontline Healthcare Workers Working in the COVID Areas in Resource-Limited Settings: Lessons Learned and Interventions Taken
Authors: Bhatia Ridhima , Aggarwal Richa , Ravichandrane Banupriya , Rajendrakumar Karthiga , Ahmed Aasim , Sahoo Debasis , Soni Kapil Dev , Khanna Puneet , Trikha Anjan
Published: October 2023

Background:

In the fight against the pandemic, personal protective equipment (PPE) has played a vital role. However, working with PPE has its own difficulties and problems. The aim of this study was to find out the reasons of early doffing, that is, in doffing in emergency situations before the shift among healthcare workers (HCWs) working in PPE in the COVID areas in resource-limited settings.

Methods:

This cross-sectional, survey-based study was carried out on healthcare workers involved in direct care of patients with COVID-19 in tertiary care COVID center, India. The questionnaire was sent as a Google form through email and social media platforms like WhatsApp and Facebook. The data was reported as the mean ± SD for continuous variables and as the percentage for categorical variables.

Findings:

Among 252 healthcare workers who participated in the survey, 145 (57.5%) participants doffed early on 300 occasions. Out of these 145, 50% doffed early only once and rest doffed early multiple times. The most common reason of early doffing was found to be breach in PPE (15.33%) followed by fogging (14%) and headache (12%), and most commonly, breach was in mask or coverall/gown (32.6% each).

Conclusion:

Although PPE decreases the risk of infection, it is challenging for HCWs to work in PPE leading to instances of early doffing. The most common reason for early doffing in our study was the breach in PPE and the most common component of breach was found to be mask and coverall/gown. Therefore, we suggest that the proper sizes of the PPE should be made available and proper training in donning should be imparted to HCWs working in PPE.
Investigating the challenges faced by denture wearers, such as denture stability, comfort, and esthetics, and their preferences for different types of dentures
Authors: Chavda Ravindra Mandanbhai , Patel Rahulkumar R. , Munia Vipul , Pandya Mahek
Published: October 2023

Background:

Dentures are common prosthetic devices used to replace missing teeth; however, wearers often encounter challenges related to stability, comfort, and esthetics. Understanding these challenges and preferences for different denture types is crucial for improving oral health outcomes and quality of life.

Materials and Methods:

We conducted a comprehensive study involving 500 denture wearers. Participants were assessed for denture stability, comfort, and esthetics using standardized measures. In addition, their preferences for various denture types, including conventional complete dentures, implant-supported overdentures, and partial dentures, were explored through structured interviews.

Results:

In this study, 25% of participants found denture stability to be “very challenging,” 40% considered it “somewhat challenging,” and 35% did not find it challenging. Twenty percent of participants found denture comfort to be “very challenging,” 36% considered it “somewhat challenging,” and 44% did not find it challenging. In the study, 15% of participants found denture esthetics to be “very challenging,” 30% considered it “somewhat challenging,” and 55% did not find it challenging. Thirty percent of participants prefer implant-supported dentures, while 70% do not prefer them.

Conclusions:

Denture wearers commonly experience challenges associated with stability, comfort, and esthetics. Preferences for denture types differ, highlighting the need for personalized treatment options based on individual needs and circumstances.
Pattern of smartphone use, prevalence and correlates of problematic use of smartphone and social media among school going adolescents
Authors: Vaghasiya Shailly , Rajpopat Niyati , Parmar Bharatkumar , Tailor Krishika A. , Patel Hardik V. , Varma Jagdish
Published: October 2023

Background:

Adolescents are likely to quickly adopt newer technologies and face detrimental effects of the same.

Aim:

This study assessed the prevalence and correlates of problematic smartphone and social media use among school-going adolescents.

Methods:

Cross-sectional study was conducted amongst class 8–10 students. Data were collected using an anonymous survey in English which included (a) sociodemographic information, (b) pattern of smartphone use and smartphone addiction scale-short version (SAS-SV), and (c) pattern of social media use and social media disorder (SMD) scale. Educative session on responsible smartphone use was followed by post-session data collection which included patient health questionnaire (PHQ-2), generalized anxiety questionnaire (GAD-2), hyperactivity subscale of strength and difficulty questionnaire (SDQ), and conscientiousness and emotional stability subscales of ten-item personality inventory questionnaire (TIPI) and post-session feedback.

Results:

Three hundred and twenty out of 325 responses were analyzed (180 male and 140 female). About 8% (n = 27) used smartphone for more than four hours. Prevalence of problematic smartphone use was 12.5% and problematic social media use was 11.9%. Problematic smartphone use was associated with duration of smartphone use per day and problematic social media use, which was in turn found to be associated with Facebook use and frequency of Instagram posts. About 80.6% (n = 256) participants agreed that such sessions should be conducted in schools.

Conclusions:

One in ten school going adolescents are likely to be having problematic smartphone and social media use. Awareness sessions in schools about responsible mobile phone use may be an acceptable strategy.
Relapse during opioid use disorder treatment: A pilot study to understand the reasons for opioid use during treatment
Authors: Singh Virendra V. , Dhawan Anju , Sarkar Siddhartha , Mishra Ashwani K. , Chadda Rakesh K.
Published: October 2023

Background:

Opioid use is a cause of concern in many parts of the world. About 2.1% Indians use opioids. Opioids are also the most common drugs used by injection drug users in India. Despite various treatment strategies used to manage opioid use disorders (OUDs), relapse is common. A good treatment program would make efforts to address lapses and prevent relapse. Hence, there is a need to understand the factors associated with relapse in OUD.

Method:

One hundred and twenty patients completed a baseline assessment that included socio-demographic details and the Maudsley Addiction Profile (MAP). They were followed up for three months and assessed using telephonic interview for opioid use. All those who relapsed were assessed using the Reasons for Relapse Questionnaire (RRQ). The patients who relapsed were compared with the patients who were abstinent. Relapse was defined as any use of opioid during follow-up.

Results:

Forty participants relapsed during the 90 days of the study period. Relapsed patients had a greater number of conflict days with family members, used a higher amount of heroin and cannabis at baseline, were less likely to be discharged on buprenorphine, and were more likely to drop out. Participants cited mood and social reasons more often than cue/craving and unwell domains of RRQ.

Conclusion:

Baseline treatment and prospective factors are associated with relapse in OUD. Addressing these factors can help in reducing relapse in OUD patients.
Comparison of Echocardiography and Computed Tomography Angiography in the Evaluation of Pulmonary Arteries and Pulmonary Annulus in Congenital Heart Diseases with Right Ventricular Outflow Tract Obstruction
Authors: Joshi Shraddha , Guleria Munish , Kumar Dinesh , Bhatt Dheeraj , Arora Suryansh , Jadon Ravindra Singh
Published: October 2023

Background:

Congenital heart diseases (CHDs) are the most commonly occurring birth defects. Clinically significant CHD necessitates percutaneous or operative intervention early in life. Accurate knowledge of the morphology and caliber of the pulmonary arteries and pulmonary valve is important in surgical planning, postoperative complications, and long-term outcome of various CHDs. This study aimed to compare echocardiography and computed tomography angiography (CTA) in the evaluation of the pulmonary arteries and pulmonary annulus in children with cyanotic CHD with right ventricular outflow obstruction.

Materials and Methods:

Our study was a cross-sectional study involving 39 children under the age of 2 years with diagnosed cyanotic CHD. Spectrum included were tetralogy of Fallot (TOF), TOF with pulmonary atresia, double-outlet right ventricle-TOF type, pulmonary atresia, and pulmonary stenosis. All patients underwent transthoracic echocardiography, followed by CTA. Images were reconstructed and analyzed, and the results were compared with echocardiography.

Results:

There was a good correlation between echocardiography and CTA in the evaluation of the caliber of pulmonary arteries and pulmonary valve, with a Pearson’s correlation coefficient of 0.85, 0.69, 0.62, and 0.73 for the main pulmonary artery (MPA), right pulmonary artery (RPA), left pulmonary artery (LPA), and pulmonary valve, respectively. There was an underestimation of the caliber of the main, right, and left pulmonary arteries with echocardiography (with a bias of 0.73 ± 1.96 mm, 0.01 ± 2.3 mm, and 0.17 ± 1.3 mm for the MPA, RPA, and LPA, respectively) and overestimation of the caliber of the pulmonary annulus (with a bias of −0.07 ± 2.20 mm).

Conclusions:

Despite a good correlation and agreement in the measurement of vessel diameters, echocardiography may misdiagnose certain cases of valvular or arterial stenosis as atresia, or may fail to visualize the structures entirely. In such patients, further evaluation with CTA may be required.
Tricuspid Atresia with Pulmonary Atresia and Intact Ventricular Septum (Type 1a) with Ductus-dependent Circulation and Multiple Other Anomalies
Authors: Shukla Madhu , Mohan Jagdish Chander
Published: October 2023

A neonate with type 1a tricuspid valve atresia with quadrivalvular involvement is described. There were other associated abnormalities as well. Such a combination is extremely unusual and is being reported here for its uniqueness.
Comparison of the LMA BlockBuster and intubating LMA as a conduit to blind tracheal intubation
Authors: Kaur Kiranpreet , Verma Vishvas , Kumar Prashant , Singhal Suresh K. , Kaur Svareen , Mahor Vaishali , Nandal Nancy , Kaur Tavleen
Published: October 2023

Background and Aims:

Primary aim of the study was to evaluate the performance of Intubating LMA (ILMA) and blockbuster LMA in terms of first pass success rate, ease and duration taken for blind tracheal intubation.

Material and Methods:

The present prospective randomised study was conducted on 70 patients of either sex aged 18-60 years belonging to ASA physical status I or II. Patients were randomly allocated to either, group I and group B of n = 35 each. In group I and B patients were intubated using ILMA and LMA BlockBuster respectively. Insertion time and ease of placement of supraglottic device, total time taken for successful intubation, number of attempts for endotracheal tube (ETT) placement, and ease of placement of ETT, were recorded.

Results:

In both groups, the supraglottic device was placed on the first attempt in 88.6% patients. The first-attempt success rate for ETT placement was 71.4% in group I versus 94.3% in group B, (P = 0.01) with an overall success rate of 88.5% in group I and 100% in group. More failure rate was observed in group I (11.4%) compared to group B (0%). The total time taken for successful intubation in group I was 11.53 ± 6.410 sec and 9.17 ± 2.749 sec in group B (P = 0.04).

Conclusion:

We conclude that the modifications in the design of LMA Blockbuster (>95° angle, availability of the parker flex tube 27–30°angle of the emergence of airway tube) make it a more convenient, effective, simpler, and faster intubating device than ILMA.
Combinatorics
Authors: Keevash Peter , Samotij Wojciech , Sudakov Benjamin
Published: October 2023

Combinatorics is an area of mathematics primarily concerned with counting and studying properties of discrete objects such as graphs, set systems, partial orders, polyhedra, etc. Combinatorial problems naturally arise in many areas of mathematics, such as algebra, geometry, probability theory, and topology, and in theoretical computer science. Historically, such questions were often studied using ad hoc arguments. However, over the last few decades, the development of general and powerful methods have elevated combinatorics to a thriving branch of mathematics with many connections to other subjects. The workshop brought together the established leading experts and the brightest young talents from different parts of this very broad area in order to discuss the most exciting recent developments, current themes and trends, and the most promising new directions for future research.
Mini-Workshop: Free Boundary Problems Arising in Fluid Mechanics
Authors: Alonso-Orán Diego , García Claudia , Velázquez Juan J.L.
Published: October 2023

Fluid mechanics is one of the classical areas in the study of partial differential equations and has been a vast subject of research in the last centuries. A relevant class of problems are those in which the evolution of fluids of different nature and their interaction is described through the dynamics of their common boundary. Such problems are called free-boundary problems. The key topic of this workshop deals with recent advances on the analysis of free-boundary problems which open up a whole new area of research activity. More precisely, we will address problems as the vortex- patch, the study of water waves, interface flows in porous media and Hele- Shaw cells as well as atmospheric front dynamics where the formation of finite time singularities is a fundamental open question.
MATRIX-MFO Tandem Workshop: Stochastic Reinforcement Processes and Graphs
Authors: Heydenreich Markus , Holmes Mark , Kleptsyn Victor , Mailler Cécile
Published: October 2023

Stochastic processes with reinforcement are the central theme of the present tandem workshop. We assembled a diverse group of international experts that worked on reinforcement dynamics from several different perspectives. We discussed progress and future strategies around a number of key open problems in the area of interacting urns with graph based interaction, preferential attachment, and reinforced random walks.
Random Graphs: Combinatorics, Complex Networks and Disordered Systems
Authors: Coja-Oghlan Amin , Friedrich Tobias , Kang Mihyun , Panagiotou Konstantinos
Published: October 2023

Since the turn of the millennium the theory of random graphs has advanced by leaps and bounds. Random graphs have found very many applications, and many unexpected applications, in a remarkable variety of disciplines, and they are nowadays studied by mathematicians with various backgrounds (combinatorialists, probabilists, mathematical physicists), computer scientists and physicists. While this diversity has led to a proliferation of new models, questions and results, the community also has shattered, and by now different methods, terminologies and research agendas have come to coexist without much interaction. The workshop brought together distinct communities, who don’t typically interact at their own intra-community events, but have each made significant contributions to the recent advancements in the theory. The workshop provided an effective platform for exchanging ideas, sharing insights, and building bridges across their respective domains.
Arithmetic of Shimura Varieties
Authors: Fargues Laurent , Görtz Ulrich , Viehmann Eva , Wedhorn Torsten
Published: October 2023

The aim of this workshop was to discuss recent developments on the arithmetic of Shimura varieties and on related topics within the Langlands program, and to initiate and support further research in this direction. The talks presented new methods and results covering topics ranging from geometric questions on the reduction of Shimura varieties to representations in their cohomology, automorphic forms, and questions on the geometry and arithmetic of moduli spaces of bundles on the Fargues-Fontaine curve.
Mini-Workshop: Skew Braces and the Yang–Baxter Equation
Authors: Brzeziński Tomasz , Colazzo Ilaria , Doikou Anastasia , Vendramin Leandro
Published: October 2023

The workshop was focused on the interplay between set-theoretic solutions to the Yang–Baxter equation and several algebraic structures used to construct and understand new solutions. In this vein, the YBE and properties of these algebraic structures are used as a source of inspiration to study other mathematical problems not directly related to the YBE.
On the symmetric rearrangement of the gradient of a Sobolev function
Authors: Amato Vincenzo , Gentile Andrea
Published: October 2023

In this paper, we generalize a classical comparison result for solutions to Hamilton–Jacobi equations with Dirichlet boundary conditions, to solutions to Hamilton–Jacobi equations with non-zero boundary trace.

As a consequence, we prove the isoperimetric inequality for the torsional rigidity (with Robin boundary conditions) and for other functionals involving such boundary conditions.
Hong Kong-Zhuhai-Macao Bridge: the environmental logic of three EIAs
Authors: Kwok David Y K
Published: October 2023

This article discusses the Hong Kong-Zhuhai-Macao Bridge from the perspective of environmental protection. What is peculiar about this bridge is that three different sets of environmental impact assessment (EIA) obligations were relevant during its developmental stage. The reason why we see such an oddity is because the Hong Kong-Zhuhai-Macao Bridge, as its name tells, links three different jurisdictions, which are in the same country. As each jurisdiction has its own EIA law, different priorities, values and expectations are engendered. It will be argued that the conflicting laws only hampered environmental protection, in particular, the protection of the marine ecology of the Pearl River Estuary over which the Hong Kong-Zhuhai-Macao Bridge crosses.
The universe identification and sampling design of consumer surveys in trade mark lawsuits
Authors: Zhan Qian
Published: October 2023

A consumer survey is a scientific method of presenting evidence of mental associations by canvassing a representative sample of the relevant population. Its admissibility and probative weight depend upon an evaluation of the quality of the survey’s methodology. Since courts have found many different requirements for a proper universe and representative sample, these areas have become constant sources of criticism for survey evidence. This article focuses on two aspects of a consumer survey: the determination of the relevant universe of consumers and the sampling method of a consumer survey. Section 1 briefly discusses the use and application of consumer surveys in China trade mark lawsuits. Section 2 explores the determination of the relevant universe and Section 3 investigates the representativeness of the survey sample. Section 4 examines the current problems in the judicial treatment of survey evidence and offers some possible solutions.
Judicial and legislative approaches to employee patent rights in France
Authors: Voropaev Konstantin
Published: October 2023

This article examines the evolving landscape of employee patent rights in France, focusing on both judicial and legislative approaches. It highlights the challenges posed by intellectual property creation within legal frameworks that lack clear provisions for ownership. The article explores the changing nature of employee patent rights in France through the lens of case law and legislative amendments. It emphasizes the importance of judicial practice in addressing legislative gaps and providing clarity on various aspects of employee patent rights, including ownership, remuneration, formal procedures, and dispute resolution. Drawing comparisons with the German system, the article underscores the role of case law as a critical source of law in shaping the legal framework for employee patent rights. It concludes by highlighting the significance of ensuring inventors’ rights and fair compensation to foster innovation.
A influência dos movimentos antivacina sobre o plano vacinal infantil: uma revisão da literatura
Authors:   Universidade Potiguar - UnP, Natal, RN, Brasil., Oliveira Guilherme Guedes de , Vargas Fabiana Costa ,   Universidade Potiguar - UnP, Natal, RN, Brasil., Dore Gabriel Rocha Naylor ,   Universidade Potiguar - UnP, Natal, RN, Brasil., Lima Isabelle Catarine Reis ,   Universidade Potiguar - UnP, Natal, RN, Brasil., Costa Juliana Oliveira ,   Universidade Potiguar - UnP, Natal, RN, Brasil., Rodrigues Maria Beatriz Cavalcanti ,   Universidade Potiguar - UnP, Natal, RN, Brasil., Bezerra Maria Beatriz Leandro ,   Universidade Potiguar - UnP, Natal, RN, Brasil., Soares Ana Larissa Fernandes de Holanda ,   Universidade de São Paulo - USP, São Paulo, SP, Brasil.
Published: October 2023

Programas de vacinação, como o programa nacional de imunização (PNI), possuem extrema importância para a saúde e o desenvolvimento de crianças, sendo fator fundamental para combater doenças as quais elas serão expostas ao longo da vida, entretanto atividades que vão contra esses programas diminuem a sua eficiência. Nesta vertente, é importante discutir os impactos causados por movimentos antivacina, pois observou-se, recentemente, a influência desses movimentos durante o período da implementação de vacinas para combater a pandemia da Covid-19, responsáveis por colocar em questionamento a legitimidade de programas vacinais. Este trabalho consiste em apresentar uma revisão integrativa da literatura (doravante, RIL), seguindo todos os seis passos fundamentais para a elaboração de uma RIL com foco na pergunta norteadora “Qual é o impacto dos movimentos contra vacinas no programa de imunização do público infanto-juvenil?”. Sendo assim, foi possível selecionar 13 artigos para obtenção da discussão e da conclusão do trabalho e, com base nesses estudos, foi notória a influência dos movimentos no quadro de vacinação infantil, pois os pais demonstraram sofrer influência direta e indireta dessa ideologia antivacina para a tomada de decisão de deixar de vacinar os filhos, influenciados por meios de comunicação sem base científica, principalmente a internet. Foi possível, portanto, evidenciar ao longo deste trabalho que os movimentos antivacina já passaram de ser apenas um problema pontual e local, visto que impactam negativamente na adesão de crianças ao esquema vacinal, em virtude desses movimentos. Assim, faz-se necessária uma investigação sobre os efeitos da ideologia antivacina na saúde infantil.
PT Jamkrindo Surety Bond Product Marketing Strategy 2024-2026
Authors: Handoko Agustinus , Intan Anggun Pesona , Kurnia Pepey Riawati
Published: October 2023

The Indonesian government, under the leadership of President Joko Widodo for two terms, gave significant emphasis on infrastructure development, as reflected in the annual infrastructure capital expenditure. Infrastructure development aims to promote balanced development and open up new economic areas. In addition to infrastructure projects, the government also allocates a portion of the capital expenditure to strategic projects. The procurement process for goods and services, both for infrastructure development and capital expenditure, requires Surety Bonds issued by guarantee companies or Bank Guarantees issued by banks. PT Jamkrindo is one of the providers of Surety Bond products, however, its marketing strategy is not aligned with the marketing objectives of increasing the volume of guarantees and profitability. Therefore, a new marketing strategy for Surety Bond products is needed, utilizing the Mullins 4C model approach: context, customer, company, and competitor. These four aspects are analyzed using macro analysis, industry analysis, consumer decision-making process (CDMP), brand image, points of parity, and points of difference. Through this analysis, a new marketing strategy for Surety Bond products is formulated.
Road Damage Analysis on Brigjend Katamso Road-Berbek Road- Wadung Asri Road With SDI Method
Authors: Amirullah Rifki , Sholichin Ibnu
Published: October 2023

Jalan merupakan komponen yang berperan dalam meningkatkan perekonomian masyarakat dan populasi penduduk yang mengakibatkan peningkatan volume lalu lintas sehingga dapat mengakibatkan penurunan kualitas jalan dan mempengaruhi keamanan, kenyamanan dan kelancaran lalu lintas. Dalam penelitian ini dilakukan analisa kerusakan jalan pada ruas Jalan Brigjend Katamso – Jalan Raya Berbek – Jalan Raya Wadung Asri (STA. 0+000 – 5+000) yang berlokasi di Kabupaten Sidoarjo.

Analisis kerusakan jalan dalam penelitian ini menggunakan metode SDI. Metode SDI merupakan metode yang menghasilkan nilai SDI untuk menentukan kondisi jalan dan bentuk pemeliharaan yang diperlukan. Nilai SDI diperoleh dari besar persentase luas retak, lebar retak, jumlah lubang per 100 m, dan kedalaman bekas roda atau alur.

Dari penelitian ini didapat jenis kerusakan jalan yang terjadi pada ruas Jalan Brigjend Katamso – Jalan Raya Berbek – Jalan Raya Wadung Asri (STA 0+000 – 5+000) yaitu 0,49% lubang, 3,73% bekas roda (alur), 87,62% retak, 2,31% bleeding, 3,42% pengelupasan butir, 2,07% tambalan, dan 0,35% jembul. Penilaian kondisi jalan dengan menggunakan metode SDI menunjukkan 98% dalam kondisi baik dan 2% dalam kondisi rusak ringan. Penanganan yang harus segera dilakukan pada ruas Jalan Brigjend Katamso – Jalan Raya Berbek – Jalan Raya Wadung Asri (STA 0+000 – 5+000) adalah laburan aspal, sealing, penambalan lubang, overlay, dan pemarkaan ulang.
Using Offensive Words as Unethical Advertising in Viral Marketing at Angkringan West Semarang
Authors: Ravanda Helga Hosea , Purnamasari Devi
Published: October 2023

Communication strategy is the main factor for doing marketing. Likewise, what was conducted by Angkringan West in order to increase the number of followers and customers in its culinary business, a communication strategy was chosen using offensive words which were considered controversial. The purpose of this study was to analyze the marketing communication strategy concept of the owner of Angkringan West interested in using offensive words in conducting marketing communications, to analyze the considerations and the expected impact of using offensive words as unethical advertising on Angkringan West. This research was conducted using a type of qualitative research. As for the results of the study, it was found that 1) the consideration of using offensive words was adapted to use the language of social communication, namely the Semarangan language which flows spontaneously; 2) choosing the strategy of using offensive words is not to cause discomfort, impolite or unethical in trading, but the acceptance of offensive words depends on the demographics of the audience and the willingness to join the Angkringan West community. Conclusion: offensive words are an appropriate marketing strategy to use with certain marketing targets.
Legal Analysis of Diversion Efforts on Criminal Acts of Sexual Violence by Children as Perpetrators
Authors: Prakoso Andre , Mardijono Adianto
Published: October 2023

This paper aims to explain diversion efforts in sexual violence crimes committed by children. Knowing the weaknesses of diversion efforts if these efforts are applied in sexual violence crimes committed by children. This paper uses a normative juridical method with a statutory approach as well as a conceptual approach with two legal materials, namely the law on criminal acts of sexual violence, the law on child protection and the law on the juvenile justice system. The result of this study is that the crime of sexual violence is a crime against the sexuality and dignity of another person's body. The perpetrators of this crime are not only adults but also children who will later be referred to as children in conflict with the law. The perpetrator's child has a different justice system as stated in the spa law with its specialty, namely diversion efforts. However, this does not support the goal of diversion itself which prioritizes the interests of the victim and provides a deterrent effect on children as perpetrators. It is said that diversion efforts will be enforced if the sentence is under 7 years, whereas there are articles that provide sentences under 7 years. The conclusion of this study is that the diversion effort does not fulfill the objective value of the diversion itself and can result in a loss of deterrent effect on the perpetrator so that the interests of the victim are not prioritized.
Morfometria em mamíferos: bases anatômicas, aplicações clínico-cirúrgicas e forenses - revisão de literatura
Authors: Carneiro Caroline , Carniatto Caio Henrique de Oliveira , Ataíde Junior Vicente de Paula , Garcia Rita de Cassia Maria
Published: October 2023

Os crimes contra a vida selvagem são uma preocupação mundial crescente e a sua materialização para efeitos legais depende da análise forense dos vestígios encontrados. A Zoomorfologia Forense é o campo da Medicina Veterinária que se dedica ao desenvolvimento de técnicas para a identificação animal a partir de seus vestígios, que podem ser ossos, pelos, carcaças, entre outros. O presente estudo teve como objetivo demonstrar a acurácia e a aplicabilidade das análises morfológicas e morfométricas consagradas em diferentes espécies de mamíferos, realizando uma revisão exploratória da literatura disponível sobre o tema, usando as bases de dados CAFe, Google, Elsevier, Research Gate e através de compartilhamento de referências com profissionais qualificados da área. Análises morfológicas e morfométricas como método para identificação de espécie, planejamento cirúrgico e reconstrução de achados arqueológicos são amplamente utilizados na medicina humana e em diferentes espécies de animais. O uso da morfometria gera dados objetivos por partirem de pontos de referência padronizados, resultando em níveis mais baixos de erros entre observadores, produzindo menos resultados indeterminados, podendo gerar padronização de medidas para objetos antes não estudados, independente da espécie a ser aplicada, além de ser uma técnica de investigação de simples reprodução, podendo ser realizada a partir de um paquímetro, a maneiras mais elaboradas como utilizando tomografia e softwares específicos.
Critical Discourse Analysis Of Child Marriage Practices In The Yuni’s Movie
Authors: Ardiani  , Sulaiman Aimie , Indra Citra Asmara
Published: October 2023

This research generally strives to see the discourse of the marriage practices of children who are raised in the movie Yuni with the method of researching the critical discourse discharge of the Norman Fairclough known as 3-dimensional analysis is text, scholary practice) (socialche practice) and social practice. According to him there is a kind of dialectic that occurs between social context (macro) and language (micro) itself. Thus, Fairclough tries to combine linguistic traditional and socio-linguistic. According to him, to know the meaning of the text as a whole, not enough if it only sees the linguistic aspects that it is necessary to connect it to the social context. That way, although the film is part of the literary study, this study will not lose its sociological aspect. This study will analyze each scene containing text or discourse of child marriage practices, analyze how the audience interprets the film through the application that has comments and analyzes the social context outside the media affecting the text raised in the movie Yuni. Data collection was done through the analysis which was then captured the screen in the scene containing child marriage text. Not only that, researchers also collect data through library studies and documentation which then the overall data was analyzed using 3-dimensional analysis of Norman Fairclough. From the results of the analysis conducted by the researcher, at least 9 scenes containing discourse of child marriage practices in Yuni's film including themselves that there is still an assumption that education for women is not important, some societies do not know the existence of the law Article 7 Number 16 of 2019, the marriage of children is not equipped with physical, psychic and mature knowledge, the environment plays an important role in directing teenagers, the income of the pigs that encourage the practice of marriage of children, and the school that has not functioning maximally.
Navigating Cultural Desolation: Exploring T.S. Eliot's Depiction of Anxiety and Fragmentation in The Waste Land
Authors: Alam Mohammed Sarwar , Ismail Hayati
Published: October 2023

Thomas Stearns Eliot (1888–1965), a remarkable English literary figure, is best known for the depiction of his age in his literary works. In this regard, scholars suggest that he lived and wrote in “an age of anxiety” and this very “anxiety” is often attributed to “profound transformations in human modes of life” engendered by cultural and institutional practices of modern condition. In Eliot, one can easily sense this phenomenon particularly in his early poems. These poems are said to have embodied this “anxiety” with great depth. In this regard, The Waste Land considered as one of the representative poems of modernist English literature, captures the crisis and anxiety of his age provocatively. Here, he draws the picture of a cultural waste land of post war Europe where the traditional way of life was disintegrating through the decline of traditional values, authority and order. The waste-landers of Eliot, to a large extent, suffer from loss of faith, loss of social nature of personality that created fragmentations in their lives. In this paper, through a method of analytical understanding and interpretation of the poem The Waste Land relating to its social and historical contexts, we will make an understanding of it focusing nature and extent of cultural anxiety depicted by Eliot. Thus, our study would contribute further to clarify the Eliotic understanding of cultural anxiety in the context of modernity as depicted in The Waste Land.
Investigation on the Effect of Imbalance and NonLinear Load on 11kV Pama Feeder
Authors: Bamaiyi Daniel C , Daniel Isaac H , Shuaibu Alhassan , Kure Nicodemus , Gyuk Philibus M
Published: October 2023

In this research, the effect of imbalance and nonlinear load on power quality was investigated via the electronic method with the aid of a Fluke 435 power quality analyser and the results obtained compared with IEEE standards. The study was carried out on 11 kV Pama feeder Kaduna state, Nigeria, which is comprised of Nassarawa, Boro1, Pama 1, Pama 2, and Pama 4 substations. The analyzed result shows an average value of 230 and 1327 times voltage dips and swells, 11.74 % harmonics current, 2.33 % harmonic voltage, 5.96% imbalance voltage and 25% imbalance current respectively. When compared with the IEEE standard limits of 5 % and 2 % harmonic current and voltage, 10 % and 5 % imbalance current and voltage, it could be seen that these results imply the presence of harmonics within the system which are fundamentally due to imbalance and non-linear load, triggering operating complications on the distribution system. These complications include load disruptions, over current, over voltage,
heating, leading to forceful outages, increased power losses, faster ageing of insulations, unstable power supply, burnt cables, sockets and connectors, thus reducing capacity and ultimately resulting in premature failure of transformer.
On an operator method for constructing solutions to integral and differential equations with a singularity
Authors:   Khoja Akhmet Yassawi Kazakh-Turkish International University, Turmetov B.Kh. , Baimetova Z.N. ,   Khoja Akhmet Yassawi Kazakh-Turkish International University
Published: October 2023

In this paper, we consider new classes of fractional integral and derivative. These operators are generalizations of well-known integrals and the Riemann-Liouville derivative and the Caputo derivative. The article considers an operator method for solving integral and differential equations of fractional order. This method is based on the construction of normalized systems with respect to integral and differential operators. The algorithm for constructing normalized systems is given in the form of four steps. This method is first used to construct solutions to linear integral equations with constant coefficients. A theorem on the existence and uniqueness of a solution of the considered integral equation is proved. Solutions are defined explicitly and their representability in terms of multivariant functions of the Mittag-Leffler type is shown. These solutions are defined explicitly and they are represented in terms of multivariant functions of the Mittag-Leffler type.