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‘This is fucking nuts’: the role of payment intermediaries in structuring precarity and dependencies in platformized sex work

ABSTRACT This article explores the impact of governance developed and enforced by payment intermediaries on the working conditions of performers working on adult labour platforms. At the level of the payment infastructure, credit card networks Visa and Mastercard and payment processors set requirements for (adult) platforms on allowable content and how this should be moderated and verified. These rules are subsequently implemented by adult platforms. Based on interviews with 16 industry insiders, fieldwork, document analysis, and a survey amongst 117 online sex workers, the article demonstrates the impact of development and enforcement of these rules on sex workers. We argue that the rules set by payment intermediaries structure the industry in a way that prioritizes the interests of platforms over performers. These dynamics reinforce the already unequal labour relationship between platforms and performers, both by increasing the dependencies of performers on adult platforms and by creating content guidelines, content moderation, and consent verification systems that defer the risks onto performers. Sex workers experience substantial (financial) uncertainty and precarity, which is structured unequally. In particular, they contend with reduced opportunities for stable income, exacerbated health conditions, and increased reliance on third parties and undesired forms of work.

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EMERGENCY ESOPHAGECTOMY FOR ESOPHAGEAL PERFORATION FOLLOWING BALLOON DILATION DUE TO STENOSIS POST-ENDOSCOPIC SUBMUCOSAL DISSECTION FOR ESOPHAGEAL CANCER: A CASE REPORT

Introduction and importance: Esophageal perforation from endoscopic dilation is rare (0.53% to 0.6% incidence) but serious, with mortality rates of 12.5% to 20%. Optimal treatment is debated and depends on the medical facility’s capabilities, patient’s symptoms, extent of perforation, and severity of associated lesions. Treatment options include medical management (fasting, antibiotics), esophageal stenting, surgical closure, or emergency esophagectomy. Early diagnosis and treatment are crucial to reduce mortality and hospital stay. Case presentation: A 49-year-old male with lower third esophageal cancer (stage cT1aN0M0) underwent endoscopic submucosal dissection (ESD) and developed esophageal stenosis. Dilation attempts led to esophageal perforation, necessitating emergency esophagectomy with gastric conduit reconstruction. The patient improved and was discharged on day 10 post-operation without complications. Clinical discussion: Managing esophageal perforation post-endoscopic dilation is complex. This case highlights the importance of rapid recognition and intervention. Esophageal dilation, while effective for stenosis, carries a perforation risk. Treatment decisions must be tailored to individual patients, considering perforation severity, patient’s health, and facility resources. Here, severe perforation and clinical condition warranted emergency esophagectomy. The successful outcome underscores the efficacy of this surgical intervention when performed timely at specialized centers. Conclusion: Emergency esophagectomy with gastric conduit reconstruction for treating esophageal perforation due to stenosis post endoscopic submucosal dissection for esophageal cancer is considered a safe procedure and can be performed at an experienced esophageal surgery center.

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Implementasi Data Mining Klasifikasi Gejala Penyakit TB Menggunakan Algoritma Naive Bayes pada Studi Kasus Puskesmas Pegangsaan Dua B

Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis. The bacteria can enter the lungs, causing the patient to experience shortness of breath and chronic coughing. The infection process in TB progresses through three main stages: primary infection, latent infection, and active infection. During the primary infection stage, the bacteria enter the lungs through inhaled air. If the immune system successfully controls the bacteria, the infection becomes latent, where the bacteria remain inactive and cause no symptoms. However, if the immune system fails, the infection becomes active, and the bacteria attack healthy lung cells, leading to severe symptoms. Tuberculosis remains a major cause of global morbidity and mortality. According to the 2022 WHO report, Indonesia ranks second in the world with an estimated 969,000 TB cases, or 354 per 100,000 people, and a mortality rate of 144,000, or 52 per 100,000 people. This study aims to improve the accuracy of TB diagnosis through the application of the Naive Bayes algorithm, applied to patient data from the Pegangsaan Dua B Community Health Center. The dataset includes 1,527 training data and 1,029 testing data, covering attributes such as patient name, gender, age, identification number, registration date, address, diagnosis status, and diagnosis results. The results indicate that the Naive Bayes algorithm achieved an accuracy of 99.71%, showing its potential for early and accurate TB diagnosis prediction.

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Genotypic Variations Associated with Changes in Body Mass in Response to Endurance Training

ABSTRACT This study investigates the extent to which different genotypes can explain changes in body mass following an 8-week running program, in a UK population. Participants were randomly assigned to either a training (n = 17) or control group (n = 21). Participants’ diets were not altered, only the exercise regime was manipulated to isolate effects. The exercise group completed a periodized running program consisting of 20–30 min, over an agreed route, three times per-week, whilst the control groups refrained from daily exercise. Participants were screened at the end of the study for 1,000 gene variants using a DNA test kit. Results demonstrated a significant reduction in body mass, within the exercise, compared to the control group (p = .002). This reduction in body mass varied significantly (p = .024) between individuals within the exercise group. Moreover, genetic analysis identified 17 single nucleotide polymorphisms (SNPs) associated with this variation (r2 = .74; p < .001). These findings indicate that individuals with specific alleles are better predisposed to weight-management, compared to their counterparts, following an exercise program. This study helps to bridge the gap between population health and exercise science and can inform research in the application of genetics to help develop individually tailored health interventions.

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