bluuebunny/crossref_metadata_2025 huggingface dataset:
Eficacia del encuadre en campañas sociales: una cuestión de género
Authors: Crespo Tejero Natividad , Fernandez Lores Susana , Fernández Hernández Ruth
Published: May 2024

Introducción: Durante los primeros meses de la pandemia por el COVID-19, las medidas de salud pública para reducir la transmisión del virus eran las únicas medidas que las instituciones sanitarias podían adoptar. Por ello, numerosas campañas de publicidad social fueron puestas en marcha con el fin de concienciar y promover su adopción.
Propósito/objetivos: El objetivo del presente estudio es identificar el tipo de mensaje persuasivo que resulta más eficaz en campañas de publicidad social diseñadas para mejorar las actitudes hacia el cumplimiento de las medidas de prevención de la pandemia del COVID-19 entre los jóvenes españoles. También, se pretende analizar el impacto emocional que genera cada campaña en función del género.
Metodología: Se ha realizado un diseño experimental, con tres condiciones en tres grupos (3x1), una para cada campaña seleccionada. Esto nos permitió comparar los efectos de diferentes estrategias de comunicación y sus resultados, diferenciando por la variable género.
Resultados y discusión: Los resultados muestran que la estrategia de mensaje enmarcado en un encuadre de pérdida ha resultado más eficaz para generar cambios actitudinales en los jóvenes. Además, el estudio clarifica el impacto diferencial de las campañas entre hombres y mujeres.
 Aportación/originalidad de la contribución: El estudio presentado pone de manifiesto que el impacto de las estrategias de persuasión utilizadas en las campañas de comunicación social si es sensible a la cuestión de género. Por lo que es necesaria la incorporación de la variable género en el diseño de las campañas sociales. Los responsables de las instituciones sanitarias deberían incluir estrategias específicas para los hombres, si quieren realmente movilizar y conseguir resultados con estas acciones.
Sanatını Filistin’in Özgürlüğüne Teksif Eden Edebiyatçı: Gassân Kenefânî
Authors: Sarıkaya Hasan
Published: May 2024

Novels and stories, which are types of prose in literature, deal with the social, individual and psychological events experienced by individuals and society from different aspects. Thus, a topic or event is conveyed in a more exciting, emotional, dramatic and literary way by making the heroes talk and is presented to the appreciation of the readers. As it is known, the most dramatic social event of the 20th century was the massacre of Palestinians, their exile from their homeland and their becoming refugees. To this day, the oppression and persecution of a small number of people who have not left their homeland has continued, and the killing of a few Palestinians every week has become an ordinary event. The few Palestinians living in difficult conditions in their homeland have been brutally murdered in front of the world since October 7, 2023. One of the Arab writers of the 20th century who saw and experienced these troubles before and devoted his art to the Palestinian cause is Ghassan Kenefani. He wrote works in the field of novels, stories and theater and expressed in a literary way the troubles, pain, despair he experienced during the occupation of his homeland and the exile of his people, the sadness of living away from the homeland, and the ways of returning there again. He is one of the rare literary figures who concentrated his art in this field. Again, he encouraged his people with his works and ideas and tried to motivate them to defend the homeland and return to his country. The author chose most of the subjects he discussed in his works from real life. In the study, first of all, attention will be drawn to the life, works and literary aspects of Gassân Kenefânî. At this point, some topics and events that Kenefânî deals with will be touched upon, and the general characteristics of some of the characters in his novels, the subject of time and place, and narrative techniques will be included. Then, his language and literary style will be examined, especially based on some of the novels and stories he wrote. While doing this, some of the similes, descriptions and symbols he used in his novels and stories, as well as some sentences with literary characteristics, will be presented to the attention of the scientific and literary world. In the last part of the study, some criticisms directed at Kenefânî and his novels will also be included. Key Words: Arabic Language and Rhetoric, Ghassan Kenefani, Palestinian Literature, Novel, Style, Homeland
Zażalenie do innego składu sądu w sprawach cywilnych – instytucja usprawniająca rozpoznanie spraw w sądowym postępowaniu cywilnym? Przyczynek do dyskusji
Authors: Demendecki Tomasz
Published: May 2024

Ustawą z 4 lipca 2019 r. o zmianie ustawy Kodeks postępowania cywilnego oraz niektórych innych ustaw ustawodawca zdecydował o modyfikacji modelu instytucji zażalenia w postępowaniu cywilnym. W konsekwencji do kodeksu postępowania cywilnego dodany został przepis art. 3941a oraz zmieniony przepis art. 3942, które łącznie regulują kolejno: zażalenie do innego składu sądu I instancji oraz zażalenie do innego składu sądu II instancji. Obie prezentowane regulacje zostały następnie zmodyfikowane ustawą z 9 marca 2023 r. o zmianie ustawy Kodeks postępowania cywilnego oraz niektórych innych ustaw. Jako zalety wprowadzenia tych przepisów prawnych, co podkreśla się w piśmiennictwie oraz w orzecznictwie sądowym, wskazywano zoptymalizowanie ekonomiki postępowania zażaleniowego (skrócenie czasu trwania tegoż postępowania), wyeliminowanie trudności organizacyjnych związanych z koniecznością przekazywania akt do sądów drugiej instancji, doprowadzenie do sprawniejszego i wydajniejszego rozpoznawania środków odwoławczych. Ustawodawca zamierzał również w ten sposób wyraźnie rozgraniczyć kompetencje sądu I i II instancji, temu drugiemu pozostawiając merytoryczną kontrolę wyniku postępowania i odciążając go od rozstrzygania kwestii drobnych. Niniejszy artykuł stanowi próbę odpowiedzi, czy założenia ustawodawcy, zasługujące na aprobatę, zostały zrealizowane. W ocenie autora wprowadzone rozwiązania legislacyjne nie są wystarczające i albo nie prowadzą ostatecznie do przyspieszeniaczasu trwania postępowań, albo przyspieszają je kosztem prawidłowego sposobu rozpoznania sprawy. Powyższe jest zaś konsekwencją zachwiania równowagi pomiędzy określeniem, czy zasadą pozostaje wnoszenie zażalenia pionowego, czy też poziomego. Taki stan wymaga więc dalszej interwencji ustawodawcy. Przeprowadzenie analizy instytucji wymagało zastosowania różnorodnych metod badawczych: dogmatyczno-językowej, porównawczej, analizy orzecznictwa, a uzupełniająco także historycznej.
Apelacja w sprawach kredytów w walutach obcych. Wybrane zagadnienia sporne
Authors: Gontarski Waldemar , Parchimowicz- Gontarska Iwona
Published: May 2024

W systemie polskim przyjęto model apelacji pełnej. Sąd drugoinstancyjny orzeka na zasadach da mihi factum, dabo tibi ius oraz facta probantur, iura novit curia. Toteż do nieobligatoryjnych zarzutów apelacji należy naruszenie prawa materialnego. I ten składnik apelacji w sprawach kredytów w walutach obcych okazuje się najbardziej kontrowersyjny, co wynika z najnowszego orzecznictwa Trybunału Sprawiedliwości Unii Europejskiej, na czym skupia się niniejsza publikacja. Trybunał w wyroku w sprawie mBank, C140/22 przedstawił w opozycji do uchwały (7) Sądu Najwyższego z 7 maja 2021 r. III CZP 6/21 wykładnię nietransponowanych do systemu polskiego art. 6 ust. 1 in fine i art. 7 ust. 1 dyrektywy 93/13. Według Trybunału zagwarantowana przez utrwalone orzecznictwo luksemburskie możliwość sprzeciwiania się przez konsumenta stosowaniu dyrektywy 93/13 nie może być rozumiana w ten sposób, że nakłada na niego, w celu dochodzenia praw, które wywodzi z tej dyrektywy, pozytywny obowiązek powołania się na przepisy tej dyrektywy w drodze sformalizowanego oświadczenia złożonego przed sądem. Oznaczałoby stosowanie przepisów dyrektywy na wniosek, a nie ex lege, jako wyraz zawieszonej bezskuteczności do czasu zakończenia tego stanu przez zainteresowanego konsumenta, zamiast wymaganej prawem Unii nieważności bezwzględnej (ex tunc, ex lege) – to po pierwsze; po drugie, art. 6 ust. 1 in fine i art. 7 ust. 1 dyrektywy sprzeciwiają się wynagrodzeniu banku z tytułu pozaumownego korzystania przez konsumenta z kredytu w przypadku nieważności bezwzględnej i całkowitej umowy, w tym w postaci możliwości obniżenia roszczeń dochodzonych przez konsumenta o równowartość odsetek kapitałowych, które bank otrzymałby, gdyby umowa ta pozostała w mocy. Logiczną konsekwencją i uszczegółowieniem powyższego jest wyrok w sprawie Getin Noble Bank, C-28/22, gdzie TS sprzeciwił się na tyle absurdalnej wykładni zawartej w uchwale majowej SN, że wyłączone zostało, kosztem interesów konsumenta, stosowanie przepisów ogólnych, w myśl których początek biegu przedawnienia roszczeń restytucyjnych banku wobec konsumenta i vice versa biegnie już od momentu, gdy konsument w banku zakwestionował ważność umowy o kredyt, czyli od wezwania o zwrot kwot rat spłaconego kredytu, tj. po tym jak przedsiębiorca ten otrzyma wezwanie do zwrotu tych kwot. Oba wyroki oznaczają powrót do wykładni z okresu sprzed wydania uchwały majowej SN.
Zażalenie do Sądu Najwyższego – uwagi de lege lata i de lege ferenda
Authors: Szanciło Tomasz
Published: May 2024

Artykuł dotyczy jednego ze specyficznych środków zaskarżenia – zażalenia do Sądu Najwyższego, a więc wnoszonego nie do sądu powszechnego. Ustawodawca przewidział bardzo wąski zakres orzeczeń, które mogą zostać zaskarżone tym zażaleniem, co jest zrozumiałe, gdyż Sąd Najwyższy jest sądem nadzwyczajnym, do którego można wnieść ściśle określone środki (oprócz tego zażalenia – przede wszystkim: skargę kasacyjną, skargę o stwierdzenie niezgodności z prawem prawomocnego orzeczenia i skargę nadzwyczajną). Wiąże się z tym ściśle określony (bardzo wąski) katalog orzeczeń, które mogą zostać zaskarżone zażaleniem do Sądu Najwyższego. Ze względu na specyfikę omawianego zażalenia pojawia się szereg wątpliwości, począwszy od tego, w którym sądzie mają być badane wymagania formalne i fiskalne. W związku z tym w artykule omówiono obowiązujące rozwiązania dotyczące tego środka zaskarżenia oraz przedstawiono rozwiązania, które powinny zostać wprowadzone, aby usunąć istniejące wątpliwości i wadliwe rozwiązania.
Uchwały abstrakcyjne Sądu Najwyższego w sprawach cywilnych – wstęp do badań
Authors: Góra-Błaszczykowska Agnieszka
Published: May 2024

Prawną podstawą wydania uchwały o charakterze abstrakcyjnym (ogólnym) jest art. 83 § 1 ustawy z 8 grudnia 2017 r. o Sądzie Najwyższym, zgodnie z którym: jeżeli w orzecznictwie sądów powszechnych, sądów wojskowych lub Sądu Najwyższego ujawnią się rozbieżności w wykładni przepisów prawa będących podstawą ich orzekania, Pierwszy Prezes Sądu Najwyższego lub Prezes Sądu Najwyższego może, w celu zapewnienia jednolitości orzecznictwa, przedstawić wniosek o rozstrzygnięcie zagadnienia prawnego Sądowi Najwyższemu w składzie siedmiu sędziów lub innym odpowiednim składzie, tj. całej danej izby, dwóm lub większej liczbie izb, albo też pełnemu składowi Sądu Najwyższego. Rozstrzygnięcie danego zagadnienia musi mieć charakter abstrakcyjny, czyli oderwany od realiów konkretnej sprawy, choć zazwyczaj konkretne zagadnienie powstaje w związku z wątpliwościami występującymi w konkretnej sprawie. Uchwała Sądu Najwyższego, będąca zasadą prawną albo mająca moc wiązania w konkretnej sprawie jako prejudykat instancyjny, jest szczególnym rodzajem normy prawnej, która jednak nie powstaje w procesie legislacyjnym, a więc nie ma cech źródła prawa. Rozstrzygnięte uchwałą zagadnienie prawne albo udzielona wykładnia mają służyć przede wszystkim uzyskaniu wypowiedzi Sądu Najwyższego wtedy, gdy uprawnione podmioty stwierdzą taką potrzebę, popartą oczywiście złożeniem odpowiedniego wniosku w odpowiedniej formie. Może się tak stać w razie stwierdzenia, że różne sądy lub poszczególne składy SN podejmują odmienne orzeczenia w analogicznych stanach faktycznych i prawnych. Omawiane uprawnienie Sądu Najwyższego jest swoistym nadzorem judykacyjnym Sądu Najwyższego nad orzecznictwem sądów powszechnych (ale i orzecznictwem SN). Musi być zatem oceniane w powiązaniu z art. 1 ustawy o SN i wyznaczonymi w niej zadaniami i pozycją SN.
Effect of Material and Binders on Storage and Burning Quality Of Biomass Briquettes
Authors: R K. Sharma  , G. C. Wakchaure  , D. V. K. Samuel
Published: May 2024

This paper deals with the effect of material and concentration of binders on the storage and burning quality of biomass briquettes. The briquettes were prepared using tree leaves, saw dust and wheat straw. Two binding materials namely, molasses and sodium silicate at varying concentration were used in the preparation of briquettes. It was found that the calorific values were higher for briquettes prepared using molasses as binder than those with sodium silicate. The maximum bulk density of briquettes was found to be 954 kg/m3 • The bulk density and calorific values of briquettes decreased with increase in storage time for all types of briquettes. An overall reduction of bulk density by II% and calorific value by about 5% was found. However, all the briquettes remained stable up to 2 months of storage.
Physico-mechanical Properties of Date Palm Leaf Particle Board
Authors: S. K. Ghosh  , L. K. Nayak  , S. K. Bhattacharya
Published: May 2024

Particle board of different sizes (150x 150 x 12.5]mm, (250 x 250 x 12.5) mm and (600 x 600 x 12.5) mm, both on bench scale and on large scale basis was prepared from Date-palm leaves, Phoenix Dactylifera L, the renewable agrowaste, having ultimate fibre length of 1.25 - 2.50 mm and a cellulose content of about 60%. Two types of synthetic resins (Urea Formaldehyde and Phenol Formaldehyde) were used in various concentrations. The physico-mechanical properties viz. density, average thickness, swelling in water, impact strength, tensile strength of the boards were measured and compared with that of the jute stick particle board and wood board. Boards prepared using the PF resin showed higher mechanical properties and low swelling in water as compared to other particle boards. The treatment with 1.5% paraffin wax (used as the water repellent chemical) reduced the swelling of the boards in the water.
Ergonomic Evaluation of Improved Sickles in Wheat Harvesting
Authors: M. Dilbaghi  , S. Gandhi  , Bimla
Published: May 2024

Wheat harvesting is one of the important farm activity predominantly performed by rural women in Haryana. During harvesting season, they spend nearly 8-9 h daily to perform the activity. The aim of present stu4y was to evaluate the performance of improved sickle over conventional sickle in terms of output and reduced drudgery. Experiment was conducted on 20 rural women aging 25-45 years of age with four sickles comprising one conventional sickle (SO) and three improved sickles viz., SI, S2 and S3. SO sickle Was the heaviest measuring 234 g followed by S2 (217 g) and S3 (198 g). SI sickle was the lightest in weight (186 g). 81ades of all the improved sickles were made up of high carbon steel except for conventional sickle that was made up of iron. In terms of physical fitness index, two-fifth of the respondents had high average PFI whereas 40% had good PH Output was found maximum for S2 sickle (64.9 kg). S2 sickle resulted 4.8% more out put over conventional sickle resulting 16.4% increase in area covered. Average working heart rate (107 bpm) and corresponding energy expenditure (8.37 KJ/min) was found minimum for S2 sickle. Total cardiac cost of work for all the sickles ranged from 1020 beats to 1283 beats. Reduction in TCCW of improved sickles over conventional (SO) sickle was maximum for S2 (20.5%) followed by SI (20.4%). S2 sickle resulted in minimum grip fatigue after the activity (3.8%). Regarding musculo-skeletal discomforts, maximum reduction in pain was reported in thighs (43.3%) followed by wrist joint (42.3%), shoulder joint (41.8%), feet (33.5%) and neck (30010).
Effect of Wire Loop Spacing, Tip Height and Threshing Drum Speed on Threshing Performance of Pedal Operated VL Paddy Thresher
Authors: K R Singh  , M. Kumar  , Ajay Kumar  , A. K. Srivastva
Published: May 2024

A pedal operated paddy thresher (VL Paddy thresher) was designed and developed at VPKAS. Almora. Uttrakhand. Polycarbonate sheet was used which reduced the weight (30%) as well as noise level (5%) of the thresher. It is equipped with an adjustable seat and also its height can be adjusted according to the need of the operators. The performance of the thresher was evaluated for three levels each of wire loop spacing and wire loop tip height and two levels of threshing drum speed. The best threshing performance (threshing capacity and threshing efficiency) of VL paddy thresher was obtained at 0.040 m wire loop spacing, 0.060 mtip height and 7.3 m/s threshing drum speed. The machine parameters set for the highest threshing performance were further tested for 5 hill varieties of rice namely VL-61, Thapa Chini, China-4, VL-62 and VL-85. Test results indicated that the machine performed best with rice variety VL-61 (Threshing capacity=l 00.9 kg/h, Threshing efficiency =98.7 %). One man can easily operate the thresher. This machine is getting overwhelming response among hill farmers. VPKAS, Almora has sold more than 500 machines to hill farmers
A Case Report of Kasabach-Merritt Syndrome with Splenomegaly and Splenic Hemangioma
Authors: Margrat Beny , Priya A. , Chander K. Arun
Published: May 2024

Kasabach-Merritt syndrome is characterized by a combination of thrombocytopenia, microangiopathic hemolytic anemia, hemangioma, and hypofibrinogenemia. KMP (Kasabach- Merritt Phenomena) usually presents with an enlarging purpuric lesion involving the trunk extremities, face, and retroperitoneum. Hemangiomas are benign neoplasms characterized by the abnormal proliferation of blood vessels. It can occur anywhere in the body. Hemangioma can involve numerous solid organs, including the liver, spleen, gastrointestinal tract, brain, and lungs. The term hemangiomatosis may be applied in the setting of very large or numerous hemangiomas. Intralesional fibrinolysis is the main reason for abnormal laboratory values, including elevation of the international normalized ratio and D-dimer level. As a consequence, Kasabach-Merritt syndrome can result in severe disturbances of blood coagulation, such as disseminated intravascular coagulation. Disseminated intravascular coagulation is characterized by the widespread activation of coagulation, which results in the intravascular formation of fibrin and ultimately the thrombotic occlusion of small and midsize vessels. The aim of this report is to describe the clinical course of the patients before and after the treatment, which will hopefully guide future treatment in Kasabach-Merritt syndrome with splenomegaly and splenic hemangioma. There is no universally applicable treatment or procedure for Kasabach-Merritt syndrome, but based on several studies, some treatments have been found to be effective, which include embolization, radiation therapy, laser therapy, sclerotherapy, the use of corticosteroids, interferon, and chemotherapy.

Key words: Kasabach-Merritt syndrome, Video-assisted thoracoscopic surgery, Disseminated intravascular coagulation, Kaposiform hemangioendothelioma, Tufted Angioma, Fresh Frozen Plasma
Strategic Management Practices and Organisational Performance in Akwa Ibom State Civil Service
Authors: E. U. Abasiama , D. B. Christabel , L. U. Kingsley
Published: May 2024

The study centered on strategic management practices and organisational performance in Akwa Ibom State Civil Service Commission. The survey research design was used in the study. Two objectives, two research questions and two null hypotheses were formulated for the study. The population of the study was 886 staff of the studied ministries, while the sample size was 276. A proportional and simple random sampling technique was applied in the study. Using simple linear regression analysis, results from the analysis showed that strategic planning has a positive and significant influence on the performance of Akwa Ibom State Civil Service Commission (R2 = 0.685, < P.0.000) and strategic choice has a positive and significant effect on the performance of Akwa Ibom State Civil Service Commission (R2 = 0.793, < P.0.000). It was concluded that strategic management process has a significant and positive effect on the performance of Akwa Ibom State Civil Service Commission. It was recommended that the strategic planning process in the studied ministries should be improved through adequate resource allocation as this will improve the performance of the organisation, and strategic choices should be made based on the prevailing economic developments to ensure optimal realisation of corporate goals.
The anti-inflammatory effects of NaCl with KCl as a potent graphene exfoliator in a patients with interstitial pneumonia by epithelial-mesenchymal transition
Authors:   Department of Emergency Medicine, New life Hospital Bokhyun-dong, Bukgu, Daegu, Korea., Chin Chur
Published: May 2024

A 72-year-old man with normal pressure hydrocephalus to our hospital with a history of productive cough, sputum, fever, dyspnea combined with nasal cannula oxygen therapy, chest radiography, vital signs: Total leukocyte count of 11800/cmm and Erythrocyte Sedimentation Rate (ESR) 53 mm in the first hour using Westergren method, C-reactive protein (CRP) 11.2 mg/dl [1]. The intravenous infusion of a solution consisting of 250mL normal saline with of potassium chloride (KCl) over 6 h , vitamin C intake with supportive care resulted in recovery, intramuscular injections of the graphene previously [2,3]. After the injection, ESR, CRP was 40-1.91 and segmental neutrophil was 79.6%. Alveolar epithelial cells underwent Epithelial-Mesenchymal Transition (EMT) in the progression of Acute Interstitial Pneumonia (AIP). AIP is characterized by acute respiratory prodrome including sore throat, headache, cough, dyspnea, and often fever with abrupt onset and short duration . AIP was defined Diffuse Alveolar Damage (DAD). The pathologic progress of DAD three phases: acute exudative phase, characterized by interstitial edema, hyaline membrane, and acute interstitial inflammation accumulation; proliferative phase,characterized by in alveolar spaces; and fibrotic phase,characterized by enlarged fibrotic septa and laminated intra-alveolar fibrosis. Epithelial-mesenchymal transition defined by the loss of epithelial characteristics and the acquisition of a mesenchymal phenotype [4].
Analysis of genotype and phenotype in congenital hypogonadotropic hypogonadism with reversible gonadotropin deficiency: A case report
Authors:   Department of Endocrinology, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China., Li Fangping
Published: May 2024

The case involved a 32-year-old male patient who experienced delayed puberty until the age of 18. He exhibited low levels of LH, FSH, and testosterone. Chromosome karyotyping revealed a 46XY genotype, while whole exon sequencing identified a missense mutation (c.337T>C) in the PROKR2 gene. Pituitary MRI did not indicate the presence of any masses, leading to a clinical diagnosis of Congenital Hypogonadotropic Hypogonadism (CHH). The patient underwent hormone replacement therapy with HCG for 3 years, followed by long-term testosterone treatment. Interestingly, the patient demonstrated spontaneous sperm production without the need for gonadotropin therapy. His wife conceived naturally on four occasions, resulting in two miscarriages and two successful deliveries, indicating a reversal of the patient’s gonadal function. Bioinformatics analysis and analysis based on the guidelines provided by the American College of Medical Genetics and Genomics (ACMG) confirmed that the missense mutation c.337T>C in the PROKR2 gene was a potential pathogenic variant. However, our study indicated that this specific mutation in the PROKR2 gene could not solely account for the observed reversal of gonadal function in this patient.
Melanoacanthoma simulating malignant skin lesions
Authors:   Professor, Dermatology Department, Medical School of Tecnológico de Monterrey, Campus Monterrey, Mexico., EC Cortes Peralta
Published: May 2024

Cutaneous melanoacanthoma is a rare benign epithelial lesion that typically presents as a solitary black plaque or nodule in elderly people. We present a case in a 90-year-old man with a peculiar lesion on the back with conflicting clinical and dermoscopic characteristics simulating a malignant skin tumor.
Antisynthetase antibody syndrome complicated by varicella-zoster virus infection in the nervous system: A case report
Authors:   Department of Neurology, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China., Yang Qinglin
Published: May 2024

Patients with antisynthetase antibody syndrome require long-term oral corticosteroids combined with immunosuppressants, which are prone to immune abnormalities and secondary infections. Varicella-zoster virus is a neurotropic virus that has long been latent in the posterior root of the spinal cord or the trigeminal ganglion. We describe a case of a case of antisynthetase antibody syndrome complicated by varicella-zoster virus infection of the nervous system, confirmed by next-generation sequencing of cerebrospinal fluid pathogens. This case aims to highlight that when a patient with an autoimmune disease and long-term use of immunosuppressants has an invasion of the cranial nerves by the herpes virus, performing imaging and CSF examinations (including etiology) is necessary to clarify the involvement of the central nervous system.
Improvement of graphene induced pulmonary edema by graphene exfoliator NaCl with KCl solution
Authors:   Department of Emergency Medicine, New life Hospital Bokhyun-dong, Bukgu, Daegu, Korea., Chin Chur
Published: May 2024

89-year-old man with left basal ganglia internal capsule post limb infarct to our hospital with a history of sputum, fever (37.8oC), dyspnea combined with nasal cannula oxygen therapy, vital signs: blood pressure 120 (systolic) / 60 (diastolic), heart rate 82, respiratory rate 21, O2 saturation 78%, total leukocyte count of 11200/cmm, Lactate Dehydrogenase (LDH) 330 IU/l, alkaline phosphatase 360 u/l, Blood Urea Nitrogen (BUN) 23.7 mg/dl and erythrocyte sedimentation rate (ESR) 50 mm in the first hour using Westergren method, C-reactive protein (CRP) 28.71 mg/dl. The intravenous infusion of a solution consisting of 250 mL normal saline with of potassium chloride (KCl) over 6 h , vitamin C intake with supportive care resulted in recovery of O2 saturation 94%, intramuscular injections of the graphene previously [1-4]. Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance in the circulation or fluid overload. Left ventricle (LV) failure is the most common and results in decreased cardiac output and increased pulmonary venous pressure. In the lungs LV failure will lead to dilatation of pulmonary vessels, leakage of fluid into the interstitium and the pleural space and finally into the alveoli resulting in pulmonary edema. Right ventricle (RV) failure is usually the result of long standing LV failure or pulmonary disease and causes increased systemic venous pressure resulting in edema in dependent tissues and abdominal viscera [5]. Abnormal left ventricular structure and function as in, for example, left ventricular hypertrophy or chronic heart failure, is associated with sudden cardiac death and, when the ejection fraction is depressed, with prolongation of the QT interval [6].
Spontaneous lens luxation in an 88-year old female with exfoliative glaucoma
Authors:   Department of Ophthalmology, University of Kinshasa, Democratic Republic of the Congo., Kaimbo D Kaimbo Wa
Published: May 2024

Spontaneous lens dislocation is a result of disruption of the ciliary body zonules and may develop because of damage of the zonule fibers that holds the lens in place. Lens luxation may occur spontaneously in association with ocular or systemic disease or can follow trauma. In exfoliative glaucoma, exfoliation material affects the zonular system, creating fragility and weakening of the zonular support leading to subsequent laxity of the lens [1-4]. We report herein an uncommon case of unilateral spontaneous lens luxation in a patient with exfoliative glaucoma.
Repeated mechanical thrombectomy in recurrent ischemic stroke due to large vessel occlusion: A case report and literature review
Authors:   Head, Neck and Neuroscience Department, Stroke Unit, San Camillo-Forlanini Hospital, Rome, Italy., Anticoli Sabrina
Published: May 2024

Introduction: Recurrent acute ischemic stroke due to large vessel occlusion is a rare condition that primarily affects patients with cardioembolic risk factors. This condition is more frequent in patients who lack sufficient anticoagulation therapy. Case presentation: We present a case of a 77-year-old woman with paroxysmal atrial fibrillation experienced an acute ischemic stroke due to occlusion of the M2 segment of the left middle cerebral artery. She underwent successful mechanical thrombectomy, leading to revascularization. However, two hours after the procedure, she developed acute left hemiplegia caused by occlusion of the proximal right middle cerebral artery. Another successful mechanical thrombectomy was performed. After a hospital stay of 7 days, the patient was discharged, exhibiting complete regression of the neurological symptoms. Conclusion: Although literature on this subject is limited, available data indicate that repeated mechanical thrombectomy is an effective and safe procedure.
The relationship between viral load status and fertility intention of HIV-positive women of reproductive ages in Addis Ababa: A hospital based study
Authors:   Six Selected Public Hospitals, Department of ART, Addis Ababa, Ethiopia., Alemayehu Hirut
Published: May 2024

Background: People living with HIV/AIDS (PLHIV), like everyone else want and intend to have children. Although the fertility impact of HIV is already well acknowledged, women’s fertility behaviors could also largely be influenced by the level of their viral loads. Being sexually active and not taking contraception, women who never became pregnant had greater HIV viral loads. Objectives: To assess the relationship between viral load status and fertility intentions of HIV positive women of reproductive ages in six selected public health hospitals, in Addis Ababa, Ethiopia. Methods: A sample size of 432 reproductive ages HIV-positive women who got ART service at the selected public hospitals were interviewed. A binary logistic regression analysis was used to assess the relationship between viral load status and fertility intention. Results: Of the total respondents, 196(45.4%) had intention to give birth within the coming 3 years, while the remaining 236(54.6) had no intention. Fertility intention was 2.71 times higher among women of ages 25-34 compared to age >34 years (95% CI: 1.005-7.339). Moreover, married women had fertility intention 6.06 times higher (95% CI: 1.12-32.7) compared to widowed women. Further, fertility was higher among women who knew their partner HIV status. Intention was 5.63 times higher (95% CI: 0.846-37.484) and 19.28 times higher (95% CI: 2.533-148.326) among women who knew their partner HIV status to be positive and negative respectively, compared to those with no knowledge of their HIV status. On the other hand, fertility intention decreased for women with no formal education and primary by 95.1 (95% CI: 0.010-0.252) and 83.9 (95% CI: 0.039-0.662), respectively compared to secondary and above level of education. For women who believed they have enough number of children the odds of fertility intention decreased by 99.7 (95% CI: 0.001-0.011). Further, the odds of fertility intention of women who made decision on pregnancy or contraceptive use alone was lower by 71.5% compared to those who jointly made the decision. Conclusion and recommendation: A high proportion of HIV positive reproductive ages women desire to conceive. However, the finding witnessed that there was no significant association between viral load status and fertility intention. Beside that there was no fertility differentials between women who have undetectable and detectable viral loads. The findings strongly implicate the need for strengthening and proper implementation of the various health policies and guidelines pertaining to HIV/AIDS for increased uptake of reproduction health services by PLHIV women. The government and other stakeholders should reach young women including sexually active with HIV prevention, testing and treatment services.
Intestinal endometriosis: A rare clinical image of sigmoid presentation
Authors:   Department of Internal Medicine, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey., Bal Mert Doruk
Published: May 2024

A 47-year-old female patient with a history of umbilical endometriosis and iron deficiency anemia presented to the gastroenterology department with a year-long complaint of abdominal pain, rectal pain, and hematochezia during menstruation. The physical examination and the results of laboratory studies of the patient were unremarkable. A contrast MRI of the abdomen revealed pathological thickening of 1.5 cm in the middle segment of the rectum and chocolate cysts on both ovaries, and the patient was referred for colonoscopic evaluation with suspicion of infiltrative endometriosis or colon neoplasm. An upper endoscopy and colonoscopy were performed. An actively bleeding mass in sigmoid colon, partially restricting the lumen but allowing for the passage of the video colonoscope, was observed (Figure 1A,1B: Sigmoid lesion). Biopsy specimens from the sigmoidal mass showed features consistent with endometriosis. A diagnosis of endometriosis was made. The patient underwent surgical intervention by sigmoid colon resection, hysterectomy, and bilateral oophorectomy. The complaints ceased on postoperative follow-up.
Dendriform pulmonary ossification associated with severe SARS-CoV-2 pneumonia
Authors:   Radiology Resident, Universidad Nacional, Calle 26# 38a-11 Bogotá, Colombia., Velez Juan Felipe
Published: May 2024

Dendriform pulmonary ossification is an uncommon entity in which there is metaplastic bone formation in the lungs. Cicatricial organizing pneumonia has been described as one of its causes. We present the case of four patients who developed dendriform pulmonary ossification after having severe SARS-CoV-2 pneumonia.
Complete heart block and covid19- Is there a missed connection?
Authors:   Senior Consultant, BR Singh Hospital and Centre for Medical Education and Research, Kolkata, India., Bhattacharya Deepanjan
Published: May 2024

Tachy and bradyarrhythmias are reported complications of COVID19 infection. We report two adults with COVID19 infection induced complete heart block, with previously documented normal electrocardiogram.
Congenital hyperextension of the knee without dislocation in a child: A case report
Authors:   Mwanza Intervention Trials Unit/National Institute for Medical Research, PO. BOX 11936, Mwanza, Tanzania., Mutani Paul
Published: May 2024

Congenital hyperextension of the knee, also known as congenital genu recurvatum, is a rare medical condition with an incidence of 1:100,000 deliveries. It is typically diagnosed clinically at birth, aided by radiological findings. Treatment with serial casting and close follow-up has been demonstrated to provide most favourable results. A Tanzanian 15-years-old primigravid girl with a normal gynaecological history was enrolled into a clinical trial evaluating the immunogenicity of different doses of two human papillomavirus vaccines (clinicaltrials.gov identifier NCT02834637). Fifty-five weeks after she received the second dose of the bivalent vaccine, Cervarix®, she delivered a female infant by spontaneous vaginal delivery following normal labour, at an estimated gestational age of 41 weeks. The infant had a notable right knee deformity but was otherwise well. Five days later, the baby was examined at the research clinic and noted to have a right knee hyperextension with limited flexion. X- rays reviewed by a consultant orthopaedic surgeon revealed congenital hyperextension of the right knee without dislocation. The baby girl recovered fully after three months of serial casting.
Cholangiography via cholecystostomy in the follow-up assessment of acute cholecystitis
Authors:   General and Digestive Surgery, Consorci Sanitari Integral, Sant Joan Despí, Barcelona, Spain., Lopez Ruth
Published: May 2024

A 90-year-old multipathological female patient presented at the emergency department with right hypochondrial abdominal pain. Physical examination revealed a positive Murphy’s sign. Analytically, leukocytosis was evident with a normal hepatic profile. Abdominal CT scan confirmed acute cholecystitis. The decision was made to perform a cholecystostomy. Due to the lack of improvement in the patient’s condition, a trans-cholecystostomy cholangiography was performed, which revealed choledocholithiasis with complete occupation of the extrahepatic biliary tract (Figure 1).
Mycosis fungoides presenting as suspected allergic reaction
Authors:   Department of Hematology Oncology Fellowship, Kettering Health, Kettering, OH, USA., Harcha John
Published: May 2024

Mycosis Fungoides (MF) and Sezary Syndrome are the most common subtypes of cutaneous T cell lymphoma. MF is a mature T cell non-Hodgkin lymphoma with initial involvement of the skin, but as the disease progresses can involve lymph nodes, blood and viscera as illustrated in this case. Diagnosis is difficult due to the disease presenting similarly to benign allergic skin rashes. The median age of presentation for MF is between 50-60 years and affects males more than females. African Americans are more at risk although the exact reason is unknown.
HIV-associated “Pityriasis Rubra Pilaris” type 6: First case report from Turkey
Authors:   Faculty of Medicine, Department of Internal Medical Sciences, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Istanbul University, Turkey., Abdullayeva Zarifa
Published: May 2024

A 22-year-old newly diagnosed HIV male, homosexual, presented with rash and thin scaly peeling on bilateral knees and elbows. There were multiple orange-brown scaly plaques on the extensor surfaces of his extremities. Histopathologic examination was consistent with the clinical diagnosis of Pityriasis Rubra Pilaris. CD4+ T lymphocytes were 522/μl and virus load was 19 100 copies/μl. Acitretin and antiretroviral therapy was started and he responded well within 3 months.
Digital gangrene: A rare harbinger of Waldenström’s macroglobulinemia
Authors:   Assistant Professor, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India., Hasan Faheema
Published: May 2024

Waldenström’s Macroglobulinemia (WM) is a rare lymphoma characterized by monoclonal Immunoglobulin M (IgM) production and can remain asymptomatic for extended periods. Cryoglobulinemia is a known manifestation of WM, but cryoglobulinemic vasculitis causing digital gangrene as the initial presentation is exceedingly rare. We describe the case of a 40-year-old female who presented with cryoglobulinemic vasculitis-induced dry gangrene of her toes and fingers ten months before the diagnosis of WM. Digital gangrene in the absence of other clinical features pertaining to WM is unusual and should prompt consideration of underlying lymphoproliferative disorders. This case emphasizes the importance of considering underlying B-cell malignancies in the differential diagnosis of digital gangrene and the possibility that cutaneous manifestations may precede other disease manifestations by months or years.
Sodium glucose co-transporter-2 (SGLT) inhibitors in patients with compensated cirrhosis and diabetes: A prospective study
Authors:   Department of Gastroenterology, Sir Ganga Ram Hospital, New Delhi, India., Praveen Sharma , Anikhindi Akshay ,   Department of Gastroenterology, Sir Ganga Ram Hospital, New Delhi, India., Ashish Kumar ,   Department of Gastroenterology, Sir Ganga Ram Hospital, New Delhi, India., Anil Arora ,   Department of Gastroenterology, Sir Ganga Ram Hospital, New Delhi, India.
Published: May 2024

Aims and objective: Diabetes in patients with cirrhosis is common. SGLT-2 inhibitors are newer class of antidiabetic drugs with pleiotropic effects. Its safety and efficacy has not been evaluated in patients with advanced cirrhosis and diabetes. We evaluated safety and efficacy of SGLT-2 inhibitors in patients with compensated cirrhosis and diabetes. Material and method: Consecutive patients with compensated cirrhosis and diabetes who were started on SGLT-2 inhibitors were enrolled and followed every month for six months. Their clinical and biochemical parameters which include liver and kidney function tests, urine test, glycosylated haemoglobin (HbA1c), transient elastography (fibroscan), Mean Arterial Pressure (MAP) and change in weight since treatment initiation were noted. Any relevant side effects (urinary and genital infection, hypotension) were noted. Results: Twenty patients [(M:F: 13:7), age (55±11 yr), CTP score (6±1.3), etiology of cirrhosis (NASH related 17, HBV, n=1 and HCV, n=2), baseline MAP (91±5 mmHg)] were enrolled. Five patients had hypertension and taking angiotensin converting enzyme (ACE) inhibitors and 15 patients were also on carvidelol. Mean Fibroscan was (37±11kPa), large varices (n=3), small varices (n=16) and no varices were seen in one patient. All patients were followed up for 6 months. Patient were on dapagliflogin (n=11, 55%), empagliflogin (n=6, 30%) and remogliflogin (n=3, 15%). Twelve (60%) patients were also on metformin and 7 (35%) on Dipeptidyl peptidase 4(DPP4) inhibitors. Significant improvement was seen in total bilirubin Baseline (B), 1.19±0.5, Month 3 (Mo 3), 1.02±0.4 and Month 6 (Mo 6), 1.01±0.3 mg/dl], AST (B, 50.8±20.8, Mo 3, 49.4±20.5, Mo 6, 42.8±13.0 IU/L) and GGT (B, 63.8±24.5, Mo 3, 66.5±31.0 and Mo 6, 58.3±21.4 IU/dl) level at month 3 and 6. Glycemic index improved at month 3 and 6 and significant weight loss was seen at month 3 and 6. Serum creatinine, serum sodium level and mean arterial pressure remained unchanged at month 6. Urinary tract infection occurred in n=3 (15%), genital infection in (n=2, 10%) and compliant of frothy urine was seen in (n=4, 20%) without discontinuation of medicines.
SPECIAL ISSUE: Slow-Paced Contraction: An Evidence-Based Method for Increasing Heart Rate Variability
Authors: Shaffer Fred , Meehan Zachary M.
Published: May 2024

Slow-paced muscle contraction (SPC) is an easily learned method for increasing heart rate variability (HRV). SPC provides an alternative to slow-paced breathing (SPB) in clinical and optimal performance applications. SPB can be challenging (e.g., chronic pain), anatomically impossible (e.g., phrenic nerve damage), or medically contraindicated (e.g., diabetes and kidney disease). SPC may be especially helpful for clients who breathe dysfunctionally or who cannot slow their breathing to the resonance frequency (RF) range. The RF is an individual’s unique stimulation rate that maximally increases HRV. Wrist-core-ankle SPC increases several HRV metrics more than only contracting the wrists and ankles. Preliminary evidence suggests that combining wrist-ankle SPC with SPB may increase HRV more than either method alone.
NFT網路相關文章對閱聽眾之影響研究-以創新抵制理論之觀點
Authors: 邱于平 邱于平 , Yu-Ping Chiu 張巧欣
Published: May 2024

NFT自2021年蓬勃發展到2022年急速下跌，依然受到許多大眾關注。本研究發現，當前學術研究中較少針對NFT網路負面文章進行探討，透過內容分析法，釐清網路負面文章會否實際影響閱聽眾認知與應用。本研究從創新抵制理論（IRT）學術角度出發，探討哪些內容要素會影響消費者對NFT認知與應用。研究結果顯示NFT網路負面文章中功能障礙（使用障礙、價值障礙及風險障礙）和心理障礙（傳統障礙、心理障礙）各項不同子類目中出現佔比多數具顯著差異。研究結果於學術面有助提供後續研究人員探討消費者對NFT新創服務的抵制行為研究之參考依據；在實務面，相關從業人員了解網路負面文章可能導致消費者抵制行為產生，故應分享正面文章或針對負面內容進行解釋，降低消費者疑慮。

 

The NFT market experienced a flourishing period from 2021 to a rapid decline in 2022, yet it continues to capture widespread attention. This study identifies a gap in current academic research, which has insufficiently explored negative NFT-related online articles. Through content analysis, it aims to clarify whether negative online articles indeed affect audience perceptions and usage. This research adopts an academic perspective rooted in Innovation Resistance Theory (IRT) to investigate which content elements influence consumers’ understanding and utilization of NFTs.

The study’s results reveal significant differences in the prevalence of various subcategories of functional barriers (usage barriers, value barriers, and risk barriers) and psychological barriers (traditional barriers and image barriers) within negative NFT-related online articles. From an academic standpoint, these findings provide valuable reference points for future researchers examining the resistance behaviors of consumers to NFT innovations. It is crucial for industry professionals to understand that negative online articles can lead to consumer resistance. Therefore, sharing positive articles and providing explanations for negative content can ease consumer concerns.

 
探究臺北市社會住宅青創計畫輔導團隊對青創戶之培力運作－輔導團隊之觀點
Authors: 覃泰瑜 覃泰瑜 , 王永慈 王永慈
Published: May 2024

本文是從青創戶輔導團隊的觀點，加以探討臺北市社會住宅青創計畫的培力運用。本文依據三個方向進行分析：（一）輔導團隊的工作重點；（二）培力青創戶的模式；以及（三）培力青創戶對社宅的影響。首先。建置各社宅的輔導窗口，及規劃推動社宅的業務內容都是工作重點。第二是培力模式，共分為七大面向包括：初期說明會與工作坊、分組社區活動執行及社區行政事務、學習與轉化社區工作的know-how、個別輔導、團體輔導、成果檢核的輔導等。第三是對社宅的影響，社區內部的網絡開始發展，鄰避效應的問題也開始降低，同時，經濟／社會弱勢者參加社區活動的機會也增加。最後，社宅的青創戶政策可視為一種創新的社區工作模式，提供未來社區工作的參考。

 

The analysis framework of this study includes: the main focuses of the advisory team, the empowerment model, and the social impacts of this project. The important findings are as followings. Firstly, the advisory team learned lessons and accumulated experiences by try and error. The establishment of advisory staff in each social housing, and development of community activities were the focal tasks of the advisory team. Secondly, the operations of empowerment contained: the implementations of orientations and workshops, the labor divisions of young participants, the transformations and practices of know-how learned from the advisory team, individual and group consultations, as well as the review of outcome evaluation. The thirdly, some positive impacts of this project had been identified for the residents of social hosing and near-by areas. Finally, the empowerment model of social Housing for Youth Innovation project provided some valuable insights for the development of community work.

 
E-Government in Nigeria: Can Generative AI Serve as a Tool for Civic Engagement?
Authors: Abdulkareem Abdulrazaq Kayode
Published: May 2024

This paper examines the potential for using generative artificial intelligence (AI) to boost civic participation in Nigeria’s developing e-government ecosystem. Emerging generative technologies like ChatGPT demonstrate intriguing capabilities to make governance more interactive and engaging through conversational interfaces. Thoughtfully implemented AI tools could increase access and understanding of e-government, particularly for underserved groups. However, risks around bias, privacy, security and capability limitations pose challenges for public sector applications. Additionally, Nigeria’s substantial digital divides and defective trust in government institutions hamper e-government participation currently. This paper analyses opportunities and limitations for applying generative AI to advance civic engagement given Nigeria’s unique socio-cultural context. Findings suggest that while AI holds promise, targeted strategies focused on inclusion, accessibility, education and institutional legitimacy building are critical to realise benefits. Cautious optimism, human-centric design and responsible governance frameworks are needed to employ generative systems successfully. If challenges are addressed, AI could open innovative possibilities for energising civic participation. But further research and controlled pilot applications are required to determine optimal implementation.