bluuebunny/crossref_metadata_2025 huggingface dataset:
Des charpentiers à l’œuvre
Authors: Voisenat Claudie , Monferran Jean-Christophe
Published: July 2024

La reconstruction à l’identique de la charpente de Notre-Dame de Paris a imposé le recours (et parfois la redécouverte) de techniques traditionnelles, dont la plus importante, et la moins médiatisée du fait de sa complexité, est le tracé d’une épure. Ce recours à l’épure a été particulièrement déterminant pour la reconstruction de la flèche, ouvrage d’une extrême complexité, et s’est retrouvé au cœur des discussions entre charpentiers, architectes et ingénieurs des bureaux d’étude, mettant en évidence les difficultés et les paradoxes d’une reconstruction à l’identique mais respectueuse des normes (de sécurité par exemple) des sociétés contemporaines. Circulant entre les métiers et leurs enjeux, l’épure de la flèche de Notre-Dame a aussi circulé entre les générations : pour la concevoir, il a en effet fallu recourir aux archives de Viollet-le-Duc et de l’entreprise Bellu, dont le gâcheur Henri Georges, un compagnon dit « Angevin, l’enfant du Génie », avait réalisé la flèche originelle, et travailler également d’après l’épure dessinée en 1970, à partir d’un relevé détaillé de la flèche, par trois aspirants compagnons qui en avaient réalisé la maquette comme travail de réception. Mais ce qui s’est transmis entre ces générations à travers la logique de construction de la flèche c’est, plus qu’un savoir-faire, peut-être surtout un état d’esprit, un système de valeurs, une conception du travail.
IoT for Smart Cities Intelligent Healthcare Using Machine Learning Techniques
Authors: Muthukumaran V. , Udhayakumar R. , Vennila B. , P. Rose Bindu Joseph , Munirathnam Meram , Thillaiarasu N.
Published: July 2024

Smart cities aim to sustainably increase urbanization, lower energy consumption, improve inhabitants' economic and quality of life, and protect the environment. The idea of smart cities revolves around ICT since it makes it easier to formulate policies, make decisions, execution, and ultimately the supply of helpful offerings. In addition to utilizing digital technologies, the concept of the “smart city” is a response to the political, social, and economic issues that post-industrial civilizations are facing at the beginning of the new millennium. In this chapter, the authors discuss several IoT-based machine learning techniques that are applied, among other things, in the aforementioned domains. Furthermore, a review of the assessments and a report on the lessons learned are presented, with an emphasis on the fundamental role that machine learning techniques should play in internet of things networks.
Design and Development of Autonomous and Unmanned Vehicles for Submarine Applications
Authors: B. Swapna , M. Kamalahasan , G. Kavitha , M. Sujitha , Chandran S. Reshma , D. Surendiran Muthukumar , S. Bhuvaneswari
Published: July 2024

AUVs are robotic submarines that are a part of the emerging field of autonomous and unmanned vehicles. This project shows the design implementation of an AUV as a miniature size and its test bed platform for a variety of research in underwater technologies especially involving small-scale, surface water, and low-cost underwater robots. The general design and its consideration are well discussed in this chapter. The AUV prototype has been developed by SolidWorks. It will have a fixed mechanical system and body, having a modular electronic system that allows the development of various controllers. The controller and motors have been tested in small-scale surface water, and the result is encouraging. Some factors affecting AUV performance are also elaborated for future research in this area. Underwater robots can explore areas of the ocean that are too dangerous or too difficult for humans to go.
The Study of Disordered Eating in Pregnant and Postpartum Women
Authors: Tyson Caleigh
Published: July 2024

Pregnancy has presented unique challenges in eating disorder treatment, as well as constraints on maternal success. Body image dissatisfaction is a leading cause of disordered eating in women, and when coupled with anxiety around motherhood and physical changes, it can exacerbate preoccupations with food in weight in women with or without prior eating disorders. Additionally, concern for fetal health may lead to a decrease in disordered eating habits in women who suffered from an eating disorder prior to conception. This chapter will dissect the many studies that discuss the effect of eating disorders on women in the gestational period and postpartum. Furthermore, discussion of prenatal screening will also be examined, although no clinically-based screen for eating disorders in pregnant women has been developed. Lastly, this chapter will emphasize the need for obstetricians to receive better education on detecting disordered eating during pregnancy, and the importance of implementing a comprehensive plan upon identification of an eating disorder.
Investigating the Impacts of Disabilities on Familial Relationships With Their Children
Authors: Mullen Molly
Published: July 2024

Having a child with a presenting disability can have an impact on families, especially on mothers who oftentimes assume the role of a primary caretaker. This research chapter aims to explore the defining categories of children with disabilities and the impacts families and mothers who have a child with a disability, may have. By calling attention to the roles and responsibilities of families but specifically mothers who are raising a child with disabilities, which is oftentimes a neglected subject in society, this paper hopes to increase awareness and understanding surrounding this subject.
Arts Education as a Protective Factor for the Effects of Poverty and Parental Stress on Child Development
Authors: Campbell Kandace Maya
Published: July 2024

The adverse effects of poverty on child development are well documented and can have far reaching outcomes. This review of literature looks at the effects of poverty on child development indirectly through parenting. Positive parenting techniques are particularly important in sensitive periods of development, and negative parenting, influenced and exacerbated by the stress of poverty can set children back cognitively and emotionally. A relatively recent area of research explores the effects of creative arts engagement on the developing brain and the academic and social outcomes of children. Many of the positive benefits of arts engagement bolster areas of development that parenting plays a role in shaping. The collection of data suggests that at-risk children have the most to gain form early intervention, long-term arts education.
Grief on Pause
Authors: Russell Tobi Yvette
Published: July 2024

This chapter reviews the experience of grief that focuses on avoidance. Avoidance can be adaptive in certain situations, including in some cultural practices. However, at other times, avoidance can be maladaptive for the griever. When avoidance is maladaptive for the griever, both physical and emotional concerns can cause long-term difficulties for the grieving process. The purpose of this chapter is to provide the reader with an understanding of grief avoidance behavior. The chapter will describe the common patterns that are seen in grief avoidance behavior, types of experiences leading to grief avoidance behavior, the physical and emotional outcomes of grief avoidance behavior, various assessment tools for grief avoidance behavior and evidence-based treatment for prolonged grief disorders. Dr. Wolfelt created a framework of common patterns of grief avoidance that included: the postponer, the displacer, the replacer, the minimizer, and the somaticizer.
Children Grieve Too
Authors: Bradley Kailey , Horton Emily
Published: July 2024

Children represent an often-forgotten group of mourners. Helping professionals must be cautious about making assumptions regarding the inherent resilience of children. Moreover, helping professionals need to avoid minimizing the deleterious effects of grief on young clients. Grief impacts all children differently. Because children's grief often manifests differently than adults' grief, bereaved children can go underassessed and undertreated. Grief support groups in local school settings can be an efficacious way of supporting bereaved youth. The facilitative nature of peer support can promote healing through elements of universality and shared experiences. Due to their developmental level, students may benefit from knowing a fellow student has navigated something similar. In this chapter, the authors detail a grief support group model for mental health professionals tending to the unique mental health needs of bereaved youth.
Advancing the Wellbeing of Bereaved People Toward Effective Rehabilitation
Authors: Olatomide Onijuni
Published: July 2024

Among the inevitable traumatic hazards that people encounter is death of a loved one. A notable reaction to such loss is grief. Individuals in grief could develop a crisis and suddenly start to function with diminished capacity. While some individuals navigate their grieving phase with minimal damage and return to functionality, others lack the requisite resources to manage the phase, leading them to crisis. This latter group needs counsellors to assist them navigate the phase and return to pre-crisis functionality. This chapter provides two-way effective grief and trauma counselling therapies. To social supports, it provides empathic listening, tolerating awkward responses from the bereaved, and observing a task that needs to be done and do it vicariously, etc. To the bereaved, it offers cognitive restructuring, self-monitoring of thoughts and recording, increasing help-seeking behaviours, Premack principle, time out, self-compassion, bibliotherapy, and reinforcement, among other therapies, to manage grief and trauma during bereavement.
Role of Peer Support on Grief and Trauma Counseling During the Pandemic
Authors: Nair Megha M. , Prabhu Adithi Priyadarshini , Kachhi Zidan
Published: July 2024

Peer support happens when people assist one another with information, skills, emotional support, social support, or practical assistance. It is important to understand what peer support is, how it can help an individual, and why it should be encouraged and practiced. The chapter focuses on peer support, especially online peer support that was provided during the covid era for those going through grief and trauma. The chapter's goal is to gather as much research and data regarding peer support for grief and trauma counseling during the COVID-19 pandemic. It aims to enlighten the importance of peer groups and the types of peer group support that exist. The chapter will enable future counselors to understand the isolation aspect of grief and trauma and provide guidance to individuals to get the necessary peer support.
Support Sisters
Authors: Cox Michelle R.
Published: July 2024

Those who lost loved ones to illness other than COVID-19 during the pandemic may have experienced feelings of confusion, isolation, and loneliness. Losing a spouse during the COVID-19 pandemic was a phenomenon. As society feared the coronavirus, some individuals fought deadly cancer diseases. Victims of cancer may not have received the proper and due medical care during the pandemic due to limited hospital beds, priority of care given to COVID-19 patients, or there may have been reduced medical staff. The author shares her personal story about her connection to group of women who met each other after the loss of their husbands to cancer during the COVID-19 pandemic. This chapter reviews the benefits of creating support groups after the COVID-19 pandemic, and counseling implications of how grief support counseling groups are proven to be compassionate, encouraging, resourceful, comforting, and life changing.
From Instinctive Medicine to Scientific Medicine
Authors: Nardi Maria Luisa
Published: July 2024

This chapter explores the evolution of medicine from instinctive practices to scientific methods, and the bioethical principles that have emerged as a result. It examines the historical development of medical practices, the role of scientific advancements in shaping modern medicine, and the ethical considerations that arise in the application of medical knowledge. The chapter also discusses the importance of bioethics in ensuring that medical practices are conducted in a responsible and ethical manner, and the challenges that arise in balancing scientific progress with ethical considerations.
Training Courses to Educate in Investigation Using Artificial Intelligence Tools and Apps
Authors: Bucci Laura
Published: July 2024

Creating a training course to educate pupils in the field of investigation using artificial intelligence tools and apps involves a comprehensive curriculum that covers the theoretical foundations of A.I., practical applications, and ethical considerations. The innovative use of A.I. in course delivery not only makes the learning process more efficient but also aligns with the subject matter, providing a dynamic and engaging educational experience. The use of AI can support the visualization of content, promote an interactive atmosphere and improve student immersion in learning. The importance of inquiry-based teaching in developing students' learning skills is also highlighted. After an overview of possible uses, this chapter focuses on the use of AI in inquiry-based teaching can improve teaching effectiveness and foster better learning outcomes.
Impact of Talent Management on Employee Engagement in Vietnam Through Perceived Organizational Support
Authors: Phan Luc Tan
Published: July 2024

This study explores the impact of talent management on employee engagement through perceived organizational support. Data were collected from a survey of 304 talented Vietnamese employees and analyzed using Partial Least Squares – Structural Equation Modeling (PLS-SEM). The research results show that talent management not only has a direct effect but also an indirect effect on cognitive and emotional engagement through perceived organizational support. Additionally, perceived support positively affects cognitive and emotional engagement. According to this study, the efficacy of organizational support systems is determined by both the activities themselves and how employees perceive them. The study provides implications for managers to increase employee engagement of talented employees by creating a culture of development, providing opportunities for growth and development, fostering a positive work environment, and using feedback for talent management decision-making.
Cross-Cultural Influences for Sustainable HRM Practices in Indian Organizations
Authors: S Dhanabagiyam , Murthy T. R. Narayana , Irfan Mohammad
Published: July 2024

The impact of cultural diversity on individual and organizational development in many developing countries must be considered. As globalization and organizational expansion continue to shape the business landscape, cross-cultural HR practices have become increasingly important, especially in Indian companies operating within diverse cultural contexts. It is imperative to understand that people from different cultures have distinct systems, values, and beliefs, which can significantly affect organizational growth. Adopting cross-cultural HR practices that recognize and leverage cultural diversity is critical to achieving organizational goals. The human resources department must consider formulating comprehensive guidelines to preserve cross-cultural employment and establish a robust mechanism for addressing related issues. It is established that individuals from diverse cultural backgrounds tend to possess different perspectives, which can impact organizational communication and lead to conflicts among colleagues. Because India is renowned as the most culturally diverse nation, the workforce will probably comprise individuals with diverse cultural, ethnic, and social backgrounds.
Climate Change Mitigation Through AI Solutions
Authors: R. Selvapriya , M. Gopinath , D. Velmurugan , P. Tamilchelvan
Published: July 2024

Climate change is a serious hazard that has already harmed urban and natural systems and resulted in over $500 billion in economic losses worldwide.These problems could be partially resolved by artificial intelligence,which incorporates internet resources to provide quick recommendations based on precise climate change projections.Our research revealed that raising energy efficiency can greatly lessen the effects of climate change.Smart manufacturing, in instance, can reduce energy consumption in buildings by 30 to 50 percent.It can also reduce waste and carbon emissions by 30 to 50 percent.Artificial intelligence technologies are used by almost 70% of the world's natural gas industry to improve the precision and dependability of weather forecasts. Artificial intelligence and smart grids can be used to maximise power system efficiency and cut electricity costs by 10–20%.Intelligent transport systems have a 60% reduction in CO2 emissions potential. Furthermore,artificial intelligence may be used to manage natural resources and build resilient cities, further advancing sustainability.
A Study on CSR Eco-System in India
Authors: Singh Kuldeep , Misra Madhvendra , Vinodini Devi G.
Published: July 2024

This chapter provides a critical look at the definition of CSR based on the subject matter literature available. Because CSR is an emerging term in both definition and reality, this study aims to illustrate CSR in relation to the different stakeholders and entities termed as CSR ecosystem in this study. Furthermore, this study also offers an outline of factors, interactions, and contexts under review, such as CSR, Section 135 of the Indian Companies Act 2013, the effect of the Act on corporate bodies' CSR operations, the impact of CSR on societal and environmental concerns, contrasting CSR schools of thinking, and gaps in the views of management, government, shareholders, and stakeholders.
Challenges and Opportunities Within the Evolving CSR Landscape in India
Authors: Safiullah Md , Anchal  , Iqbal Md Ismail , Parveen Neha
Published: July 2024

The present study is an attempt to understand the historical development of corporate social responsibility in India. The present study classified the development of corporate social responsibility in five different phases as phase of individual philanthropy, phase of social movement philanthropy, phase of state philanthropy, phase of corporate philanthropy, and finally CSR Law in India. The present study has also highlighted corporate social responsibility violations and penalties associated with. The study analyzed the major challenges in corporate social responsibility implementations in India. The study adopted doctrinal and archival research methodology. The findings indicate that there has been an increase in CSR activities because it has been made compulsory by the law. However, the challenges are still there such as local communities disapproving of firms supporting CSR initiatives due to lack of knowledge and public awareness, businesses being dissatisfied with local agencies' transparency, and lack of funding, etc.
Savant Electronics Sustainability or Corporate Social Responsibility
Authors: Kumar Jitender , Gupta Ashish , Dharwal Mridul , Govindrajan Usharani Hareesh
Published: July 2024

Mr. Prabhu Savant, CEO of Savant Electronics, has to convince the management that sustainability is different from CSR. Savant has to develop a plan to address the local communities' CSR (corporate social responsibility) issues he would be facing while setting up the new plant. The case discusses achieving sustainability while deploying CSR as a strategy. The case looks at the Greenfield sustainable manufacturing plant project (electrical and electronics devices) in Madhya Pradesh, India, by Savant Electronics. According to the case study, this would describe the project's provenance, the various stakeholders who participated and what they thought of the project, Savant Electronics' involvement, and what they did to achieve a long-term sustainable economic and social assessment of the local community members as well as other beneficiaries who were included in the CSR initiative and became responsible “corporate citizens.” The case illustrated Savant Electronics' perspective on the social, environmental, and economic sustainability challenges related to this specific project. The case investigated the repercussions of establishing manufacturing units, particularly in developing nations, and critically analyzed corporate-society interaction. The case also evaluates the trade-off between promoting sustainability efforts and the impact of such mega-infrastructure projects on society and the environment. The case also prepares the students to analyze whether sustainability promotion causes more risk than benefits and how managers should mitigate the risks to maximize the benefits.
Elevating SME Success
Authors: Sitorus Bernadine Adel , Ambad Sylvia Nabila Azwa , Robert Dawayan Cynthia
Published: July 2024

This study examines the impact of TikTok influencers on the Malaysian cosmetic industry, focusing on source credibility dimensions (trustworthiness, expertise, attractiveness) and their effect on consumers' attitudes toward advertisement. The data was gathered via a Google Form survey, targeting 18-34 year old active TikTok users, analysed using SmartPLS 4.0. Findings show that trustworthiness and attractiveness of influencers positively influence attitudes toward advertisements for local cosmetics, but expertise does not. The implications of this study include insights for influencer marketing dynamics on TikTok, especially for SMEs in utilising influencers to advertise their cosmetic products.
Entrepreneurial Strategies for Sustainable Performance of Small and Medium Enterprises in Unprecedent Times
Authors: Mashingaidze Mugove , Kalayakgosi Segolame , Govere Ephraim
Published: July 2024

This chapter aims at examining the effect of entrepreneurial strategies on the sustainable performance of SMEs in Harare, Zimbabwe. The target population of the study was 3000 manufacturing SMEs in Harare. Data were drawn from a sample of 302 manufacturing SMEs using cross-sectional primary data collected from Harare. The chapter employed both descriptive and inferential statistics to estimate the effect of entrepreneurial strategies on sustainable performance. The results revealed that entrepreneurial marketing strategy, strategic partnerships, technological innovation, and business model innovation are positively and significantly related to sustainable performance. Hence, the chapter concludes that SMEs need to employ sustainable entrepreneurial strategies to enhance their survival in a rapidly changing marketing environment. SMEs with a strong orientation towards entrepreneurial orientation have better sustainable performance in developing countries. The major limitation of the chapter is that it focuses only on manufacturing SMEs in Harare, Zimbabwe.
Factors Affecting Green Purchase Behaviors for Small and Medium Enterprises (SMEs) in Uganda
Authors: Shafik Wasswa
Published: July 2024

This study examines the environmentally conscious purchasing patterns of small and medium-sized enterprises (SMEs) in Uganda through several approaches. This research offers a critical analysis of the definition and significance of the term, emphasizing the worldwide importance and relevance of environmentally conscious consumption to small and medium-sized enterprises in Uganda. This study examines the viability of Uganda's SMEs in terms of sustainability. The study found that economic, environmental, regulatory, and customer variables influence small and medium-sized enterprises' green purchasing. This study employs the ideas of planned behavior and the diffusion of innovation to predict these acts. The study acknowledges the limitations in its sample size and data-gathering methods despite conducting a thorough examination. Finally, considering the limitations imposed by SME constraints, the study suggests conducting further research on green procurement and learning from the experiences and insights gained.
Striking the Balance
Authors: Ng Shir Li
Published: July 2024

The evolution of fintech significantly impacts the financial industry through technology and regulation. The chapter explores fintech's transformative journey, tracing its historical roots to its present-day importance in reshaping traditional financial processes. Addressing the challenges that emerge when fintech meets accounting regulations, the chapter seeks to highlight how important it is for the regulations to conform themselves with the aim of fostering the required innovation and managing risks. Some of the proposed ways of achieving harmonized compliance focus on international collaboration, adaptability of regulations, stakeholder engagement, and education initiatives. Additionally, the chapter features the importance of fostering a compliance culture, transparency, and investor confidence within the fintech landscape. Proactive measures and technological innovations drive fintech compliance, aiding in regulatory navigation. Overall, the chapter provides insights into the complex relationship between accounting regulatory compliance and standards in the fintech industry.
Why Do People Fall Prey to Chit Fund Scams in India?
Authors: Godara Vanisha , Singh Naveen Kumar
Published: July 2024

Chit fund schemes have historically been highly popular options for side investing when it comes to savings in Inida. Newspaper headlines about the failure of these funds and the misfortune of gullible investors frequently appear. Since there are thousands of cases of fraud, these media reports have not received much attention up until now. However, several scams involving thousands of crores of rupees have surfaced in recent years. Therefore, it is necessary to understand why people fall victim to these chit-fund scams. A customized questionnaire was used to gather data through convenient sampling to measure public knowledge about financial offense types, illegal chit-fund companies, and financial crime reporting. The findings showed that, compared to older individuals, the majority of investors, who are in the 18–35 age range, had a better understanding of chit-fund schemes. This study may further help to create laws and educate investors aimed at stopping and dealing with these types of scams.
Rehabilitation for Parkinson's Disease Using Virtual Reality (VR)
Authors: A. Sathya , V. Jeevika Tharini , A. Aruna
Published: July 2024

Virtual reality (VR) is an embarking technology in healthcare and acts as a prominent tool to balance patient impairments whereas it has recently been utilized in rehabilitating people with Parkinson's disease (PD). The incidence of degenerative disease like PD increases with life expectancy, which is observed across the world. VR permits the users to be involved in highly individualized and enriched behaviour in complex environments. Distinct postural control and repetitive exercises in diverse conditions can promote stimulus activity in PD patients. VR generates an imaginary world, and the perception is modified by the artificial stimulus creating a conflict in sensory movements, which alters the reflex in vestibulo-ocular. VR games and other rehabilitation activities improve the standard of living of the PD patient, which shows prominence in healthcare over traditional tools. The main intent of this chapter is to discuss the impact and significance of VR in Parkinson's disease (PD), rehabilitation games, telerehabilitation, and Wii Fit training with VR.
Engineering in Augmented and Virtual Realities
Authors: L. A. Anto Gracious , T. Venkata Ramana , K. Venkata Ramana , S. Prabha , R. Prem Kumar , V. Sharmila Bhargavi , T. P. Anish
Published: July 2024

The next generation of technology, VR and AR, is revolutionising engineering practices such as design, training, maintenance, and collaboration. This review examines the existing applications of AR and VR technologies in engineering, including their variety, integration of new technologies, and future possibilities. This study explores the widespread use of AR and VR technologies in industries including building, transportation, biomedical and environmental engineering. The chapter covers essential ideas of VR and AR, including design and user experience. In addition, it explores how blockchain, AI, and IoT are integrated with AR and VR to enhance engineering processes and results. The study emphasises the significance of digital twins for AR/VR integration. The chapter highlights the use of AR and VR technology in industrial settings, functional design, worker safety, and catastrophe management. The overview emphasises human-centric design, optimisation, and suggests future development. In-depth research will reveal the range of options, enabling future breakthroughs in the field.
Beyond Boundaries
Authors: Barua Ranjit , Datta Sudipto
Published: July 2024

Extending reality technology will be a common tool in the future. Virtual reality (VR) and augmented reality (AR) technology will be used by people for work, leisure, and a variety of other purposes. Utilizing pictures to aid surgery as well as medical education, medical augmented reality has developed throughout time. Furthermore, the majority of research is devoted to clinical applications, the most common being surgery or intervention, followed by applications in rehabilitation and therapy. An extensive body of research has also examined the application of augmented reality in medical training and teaching.
Magnifying the Effectiveness of Emotional Intelligence for Mental Health
Authors: Chakravarty Debashree , Satpathy Ipseeta , Jain Vishal , Patnaik B. C. M.
Published: July 2024

The increasing cases of depression and low self-esteem lead to the dysfunctioning of society. Individuals form groups and groups build society; hence, it is of outmost concern to priorities at the micro level first i.e.; the individual that eventually works on the maintenance of social harmony.Emotional Intelligence (EI) as a concept focuses on self-awareness and management, social awakens, relationship management and personality. EI helps in monitoring human emotions and understanding them differently. EI uses the conceived information to guide human behavior and thoughts Modern day issues with modern solutions, Artificial Emotional Intelligence (AEI) is a computing device that detects and analyses human emotions distinctly and help to undergo the cause of a certain mental illness. AEI is in its budding stage but with a mature intention of restoring mental health with human-robot collaboration via Emotional Intelligence. This paper intends to magnify the effectiveness of EI in the domain of mental health.
Ensemble Learning for Breast Cancer Prediction Using FNA Histopathology Images
Authors: Vasudevan Swetha , Harshavardhanan Pon
Published: July 2024

In this chapter, prediction of breast cancer has been carried out from fine needle aspiration (FNA) histopathology images using TensorFlow. The prediction accuracy has been improved by ensembling of neural networks with a custom NN and 2 pre-trained models MobileNet and VGG16. The FNA images are augmented and combined by concatenation, average and weighted average. Performance metrics like accuracy, loss, classification reports, and confusion matrices have been used. When these highly accurate and efficient models are employed for medical purposes, it serves as an invaluable assistance for early identification and detection of breast cancer which is highly advantageous to medical professionals and the society.
Advancing Precision Medicine
Authors: R. Bhuvaneswari , M. Prabu , M. Diviya , M. Subramanian , Natarajan Arul Kumar
Published: July 2024

Precision medicine, also known as personalized medicine, aims to tailor medical care to individual characteristics, genetic information, and lifestyle for more accurate disease risk predictions and personalized therapies. Traditional methods in precision medicine, such as clinical assessments, laboratory testing, and pathology testing, can be enhanced with AI models to improve accuracy, precision, and personalization. Genomic analysis, disease prediction, drug discovery, and imaging analysis are key components of precision medicine. Wearable devices support continuous monitoring for proactive intervention. ML algorithms like random forest and K-means clustering are used for prediction and early diagnosis of heart disease. A deep learning model for Alzheimer's disease diagnosis and a recommended application for maintaining health details are also suggested. Recursive feature elimination is used in disease prediction and treatment policy for diabetes.
The Pandemic Influence of Educational Technology, Student Teacher Attachment, and Language Instruction on Value of Education
Authors: Rugutt John , Chemosit Caroline C. , Kaloki Philip K.
Published: July 2024

This study used ANOVA and standard multiple linear regression to address the study research questions with a sample of 450 elementary and secondary school students. The measures used in the study assessed school culture elements. Regression results indicate that the overall model significantly predicts student value of education, R2 =.217, R2adj = .206, F (4, 370) = 20.29, p<.001 and the model accounted for 21.7% of variance in student value of education (SVE). Student teacher attachment and learning equity (STALE), educational technology usage (ETU), and English language arts (ELA) were significant predictors of SVE while gender and school level were not. STALE, ETU, ELA, and SVE Cronbach alpha reliability coefficients were .70, .80, .73, and .76 respectively. Elementary students had a higher SVE than secondary school students. ANOVA results indicated significant main effect for school level, F (1, 403) = 24.99, p < .001, η2 = 0.06. The study concluded with a discussion of the importance of ETU, STALE, ELA, and school level have on SVE.
Enhancing Learning Through Companionship in Distance Education
Authors: Coşkunserçe Ozan , Becit Gökçe
Published: July 2024

While distance education offers individuals the flexibility to learn at their own pace and location, it can also lead to feelings of isolation during the learning process. In order to get over this sensation of isolation, it is essential to establish a sense of learning companionship in distance education. Through the use of learning companionship, individuals in the group are encouraged to share responsibilities, acquire knowledge from one another, and collaborate on finding answers. Developing interaction among learners is crucial to ensure a sense of learning companionship. This connection not only enhances the learning process by making it more comprehensive, engaging, and purposeful, but also fosters cooperation and collaboration among learners. Although learner-learner contact is crucial in distance education, it is often insufficiently implemented and lacks sufficient focus on its enhancement. Learning companionship and learner-to-learner interaction in distance education have been greatly affected and changed by what happened during the COVID-19 pandemic.
Analysis of Handle Shape through Experiments on Hand Drill Performance
Authors: Ali Atahar , Khan Mohd Anas , Jahan Kishwar , Khan Abid Ali
Published: July 2024

Hand-powered tools are used in a large variety of operations in Industries/ Maintenance workshops. Our study mainly focuses on the effect of handle shape and workpiece orientation on hand discomfort levels and position. Long-term exposure to these discomforts or intense exposure to discomfort for even a short duration of time may cause Musculoskeletal disorders (MSDs). The present study was conducted in the Department of Mechanical Engineering, Aligarh Muslim University. To investigate – The design of the existing handle shape of hand-powered drill machines currently used in Industries. Modify/ Redesign the shape of tools with ergonomic aspects, According to Indian Anthropometric dimensions. At first, we perform drilling operations on different materials with different workpiece orientations with traditional handles and observe the levels and positions of discomfort. And according to the results we modify the existing handle’s design and experiment with these modified versions with the same working conditions. Then, compare the results with standards and their deviations. The experiment results show that modified handles have low a level of discomfort following the workpiece materials and orientations concerning the traditional handle. They are more comfortable than the existing ones. Additionally, they are more likely to have the perspective of gripping. Hence, it reduces the risk of (MSDs) and improves productivity.
Haematology quiz
Authors: Gooneratne I. K.
Published: July 2024

No abstract available
Control of Rickettsial infections: Preliminary observations through obstacles and challenges
Authors: Premaratna R.
Published: July 2024

No abstract available
A Sri Lankan experience over a decade in obesity care and understanding future challenges
Authors: Bulugahapitiya U.
Published: July 2024

No abstract available
Diagnostic evaluation of autoimmune encephalitis
Authors: Weerathunga D. N.
Published: July 2024

Autoimmune encephalitis (AIE) is a complex neurological condition characterized by brain inflammation caused by autoantibodies targeting neuronal surface antigens or synaptic receptors resulting in direct antibody-mediated neuronal dysfunction. The aetiology of AIE includes malignancies and viral infections. However, significant proportion of these patients have no identifiable trigger.The clinical presentation of AIE is varied, ranging from memory deficits and psychiatric symptoms to seizures and movement disorders. The diagnosis is typically based on a combination of supportive clinical features and diagnostic tools such as EEG, MRI, and CSF findings. The detection of antibodies confirms diagnosis of specific autoimmune encephalitis syndromes.Early recognition and prompt treatment of AIE are crucial, as delayed intervention can result in permanent neurological damage. The primary treatment approach is immunotherapy, along with screening for underlying malignancies. With the evolving knowledge on different antibodies and their associated syndromes, it is important for clinicians to have a high degree of suspicion and rule out other differentials to ensure timely and appropriate diagnosis. Furthermore, the use of appropriate diagnostic criteria can help minimize delays in starting treatment.This review provides an overview of the current understanding of AIE, with a focus on pathophysiology, clinical presentation, diagnostics, and treatment modalities, specifically for the most commonly encountered types of AIE associated with cell surface and synaptic antibodies.
Self-assessment questions (Single best response)
Authors: Co-Editors
Published: July 2024

No abstract available
Picture quiz in Neurology – Answers
Authors: Co-Editors
Published: July 2024

No abstract available
Mediterranean Bioethics in the bioethically lessknown Mediterranean: a struggle for identity
Authors: Doričić Robert , Buterin Toni , Eterović Igor , Gensabella Furnari Marianna , Giacobello Maria Laura , Guć Josip , Kalokairinou Eleni , Kaluđerović Željko , Rinčić Iva , Poljak Tijana Trako , Grokša Ivana Tutić , Vantsos Miltiadis , Zagorac Ivana , Muzur Amir
Published: July 2024

Primarly as a reponse to mainstream bioethics – the one narrowed-down to issues related to medical ethics and research – various kinds of regional bioethics have emerged in an attempt to incoporate values other than those typical for the Anglo-Saxon culture. Among the most promising ones, the Mediterranean Bioethics, reflecting all the colorfulness of the Mediterranean microcosm and an expanded interest to the entire bios (faithful to the original ideas of Fritz Jahr and Van Renssealer Potter), has found its footholds particularly in Spain, Italy, Croatia, and Greece. Leaving aside those four countries with abundant literature and well-known contributions to the general history of bioethics, we wish to direct attention to other cultures and countries of the Mediterranean region, revealing a more complex struggle for identity.
Treatment priorities for patients with Type 2 Diabetes
Authors: Goldburgh Sharon
Published: July 2024

No abstract available.
Chronic Obstructive Pulmonary Disease (COPD)
Authors: Ker J.A. , Ker J.
Published: July 2024

No abstract available.
Drug-induced Liver Injury Following Prolonged use of Nitrofurantoin
Authors: Dhingra Manthan , Ghosh Abhra
Published: July 2024

Nitrofurantoin is the antibiotic of choice for treatment and prophylaxis of recurrent episodes of lower urinary tract infections. Although adverse effects such as anorexia, vomiting, and pulmonary hypersensitivity are commonly reported with nitrofurantoin use, studies have demonstrated that rarely nitrofurantoin can also induce diverse forms of liver injury, spanning from mild hepatitis to severe and potentially fatal fulminant liver failure. These occur especially in elderly females with preexisting liver or renal impairment. Here, we present a case of a 62-year-old female in good health who exhibited symptoms of fatigue, abdominal pain, and dark-colored urine. Through investigation, she was diagnosed with a case of drug-induced liver injury associated with the prolonged use of nitrofurantoin.
Medical Teachers’ Roles from the Students’ Perspective: A Moroccan National Survey-based Study
Authors: Touissi Youness , Kharkhach Ayoub , Hjiej Ghita , Hajjioui Abderrazak , Fourtassi Maryam
Published: July 2024

Background:

The present study aimed to explore medical students’ expectations from their teachers in Moroccan medical schools, regarding their primary educational roles.

Methods:

An online questionnaire was distributed to medical students from the five main public medical schools in Morocco using a snowball sampling strategy.

Results:

Two thousand four hundred and eighteen complete answers were collected and analyzed. The respondents gave the highest scores to “information provider” and the lowest scores to “Planner.” When asked about their most preferred role they would want to see in their teachers, 40.6% of the respondents chose “Facilitator.”

Conclusion:

These results highlight that Moroccan medical schools should become more invested in training their faculty members to meet the rapidly changing demands and requirements of modern medical education.
Parkinsonism Associated with Snakebite
Authors: Verma Rajesh , Prabhu Vikas , Bal K. P. Arjun
Published: July 2024

Snakebites are a major cause of morbidity and mortality worldwide. Snake envenomation can cause acute local and systemic effects leading to severe complications, even death. Neurological complications such as intracranial hemorrhage, subarachnoid bleed, ischemic strokes, acute disseminated encephalomyelitis, and leukoencephalopathy have been reported. Anti-snake venom which forms the mainstay of therapy also has its own set of early and delayed complications. This report describes a rare case of snakebite resulting in leukoencephalopathy and parkinsonian features.
Stokes–Adams Syndrome as a Presenting Feature of Hypoadrenalism: A Rare Presentation
Authors: Kumar Kanishka , Kumar Rupam , Pandey Mahima , Verma Rajeev
Published: July 2024

Addison’s disease is known to cause hyperkalemia. However, heart block as a result of such hyperkalemia is very rare. We report one such case where Addison’s disease presented with hyperkalemia and resultant heart block and Stokes–Adam’s syndrome along with other features of hypoadrenalism.
Public’s Perception and Knowledge of Using Robotics in General Surgery in Eastern Region, Saudi Arabia
Authors: AlNaim Amjad Abdulhameed , AlNaim Noura , Al Nasser Fatimah , Albash Latifah , Almulhim Maryam , Albinsaad Loai
Published: July 2024

Background:

Robotics in general surgery is a field that involves the use of robotic systems to assist surgeons in performing various types of surgical procedures.

Objective:

The objective of this study was to evaluate the perception and knowledge of robotic surgery among the Eastern Region’s population.

Methods:

This cross-sectional study used an electronic questionnaire that was developed using Google Docs. It included males and females aged above 18 years who lived in the Eastern Province. Participants who were below 18 or above 65 years of age, or non-Saudi, or people who lived in other than the Eastern Region of Saudi Arabia were excluded from the study.

Results:

A total of 500 responses were received via the Google Form, and 81 subjects of them were excluded from the study. Approximately half of the participants were aware of the existence of general robotic surgery, while the other half had no prior knowledge about it. When assessing the participants’ understanding of how robotic surgery works, a significant proportion provided incorrect responses. In terms of the advantages of general robotic surgery, the most commonly recognized benefit was that it makes the doctor’s life easier, followed by more accurate surgical results. However, the participants’ understanding of the disadvantages of robotic surgery was not as accurate. A substantial portion of participants were unsure about the disadvantages.

Conclusion:

The general public of the Eastern Region in Saudi Arabia showed a derated level of knowledge about the use of robotics in general surgery. Furthermore, a major portion of people were unaware of the availability of robotic surgery in Saudi Arabia. Educational programs are warranted to facilitate the implantation of robotic surgery in Saudi Arabia.
Hyperkinesias in Leigh-like Syndrome with Complex-I Deficiency Due to m.10191T>C in MT-ND3
Authors: Newstead Shaundra M. , Finsterer Josef
Published: July 2024

Hyperkinesias in a patient with complex-I deficiency due to the variant m.10191T>C in MT-ND3 have not been previously reported. The patient is a 32 years-old female with multisystem mitochondrial disease due to variant m.10191T>C in MT-ND3, who has been experiencing episodic, spontaneous or induced abnormal movements since age 23. The abnormal movements started as right hemi-athetosis, bilateral dystonia of the legs, or unilateral dystonia of the right arm and leg. They often progressed to severe ballism, involving the trunk, and limbs. The arms were more dystonic than the legs. In conclusion, complex-I deficiency due to the variant m.10191T>C in MT-ND3 may manifest as multisystem disease including hyperkinesias. Neurologists should be aware of hyperkinesias as a manifestation of complex-I deficiency.
Traditional Versus Advanced Pulp Capping Materials in Primary Teeth
Authors: Bhardwaj Smita Singh , Gupta Kapil Dev , Yeluri Ramakrishna
Published: July 2024

In situations where pulp degeneration and carious lesions may coexist, pulp therapy is a regularly employed method. Mineral trioxide aggregate, a material that is now utilized for indirect pulp treatment (IPT), is nontoxic and nonmutagenic. There is proof that the restoration margin can be sealed to manage the caries lesion. In terms of the clinical and radiological outcome, it has been demonstrated that IPT is more effective and secure than direct pulp capping and pulpotomy. The pulp capping treatment’s goal is to protect the pulp from microorganisms as well as from thermal, electrical, chemical, and physical stimulation. There is evidence that suggests targeted caries clearance and composite restoration may stop caries lesions more effectively than full dentin removal. Various pulp capping materials that are available in the market were highlighted in this review, and the discussion of each material was expanded to demonstrate its clinical efficacy. Articles were specifically selected and discussed for the materials used for the IPT in the primary teeth as very few studies have been done so far in relation to this subject. A literature search in various libraries, including PubMed, Cochrane, ResearchGate, Scopus, ScienceDirect, and other libraries, was done for several available materials that have been used for the IPT procedure in primary dentition in the last 20 years.