Present Day Research Articles

Histopathological study of lungs, kidney and spleen in death due to burns

Burn injuries occur universally and have plagued mankind ever since antiquity till the present day. As burns continue to be a major problem, a prospective study of demographic and pathological profile in deaths due to burns was conducted at the Department of Pathology Karnataka Institute of Medical Sciences Hubballi. To study the demographic profile, histopathological changes in lungs, kidney and spleen and to find the cause of death in cases due to burns. : The present study was carried out in the Department of Pathology, Karnataka institute of medical sciences, Hubballi, during the period of one year from 1-11-2014 to 31-10-2015. Total of 44 cases with burn injuries were used as material for study purpose and the collection of tissues were done for histopathology examination. This study includes 44 autopsy cases of death due to burn, of which majority were females. The age of the subjects ranged from 13 years to 65 years. Maximum numbers of victims were found in the age group of 21-30 years were 22 cases (50.00%).Most of the female victims were married and housewives. Most common manner of the burn were said accidental burns in 27 cases (61.36%) and 13 cases (29.54%) were due to suicidal burns, 4 cases (9.09%) were homicidal burns.Burns were more common in females most were married. Age group most commonly found was between 21-30 years of age probably related to dowry related issues, inexperience in cooking styles, house hold works, and inability to bear stress. Most common place of burns were kitchen. Most common manner of burns were said accidental. Most common cause of burns was due to said kerosene spill over or self pouring. TBSA involved more than 76%, in maximum number of cases. Maximum finding were seen in lung. Most common findings were diffuse alveolar damage, acute tubular injury and congested splenomegaly.

Religion and Individual in a Traditional Multi-Religious Vietnam

From ancient times to the present day, religion has played a multifaceted role in human existence, encompassing various aspects of individual life such as rites of passage, daily routines, and the formation of lifestyle. Traditional Vietnamese spiritual practices draw upon a syncretism of Confucianism, Buddhism, and indigenous beliefs, resulting in a cultural landscape where many Vietnamese individuals do not readily identify themselves as adherents to any single religious tradition. This juxtaposition gives rise to a notable paradox within Vietnamese religious life. While there may appear to be a lack of overt religious devotion in daily practices, religion manifests itself prominently in nearly all significant events in Vietnamese life. This article aims to explore the presence of these traditional religions in Vietnam to elucidate the underlying reasons for this paradox within traditional Vietnamese individual life.

From public to market use: a historical perspective on the changes in health data collection and use in France from 1930 to the present

Purpose This study aims to understand the progressive marketization of health data collection and use, through a study of its historical development in France, from the 1930s to the present day. Design/methodology/approach The authors collected a set of legal, institutional, political and media data. These came from the INA (National Audiovisual Institute), the French national newspaper websites and the websites legifrance.gouv.fr and vie-publique.fr. The authors then conducted a thematic content analysis. Findings The study results highlight the changes in the health-care system related to the increased use of data in France over three major periods. The first period – 1930s to 1980s – is marked by the creation of the French social security system to collect large sets of data to better manager people’s health care. The second period – 1980s to 2000s – is characterized by the adoption and assimilation of tools to manage patient data through several national and European regulations. The last period – 2000s to the present – saw the introduction of measures in favor of the digitalization of health care, and consequently of data, in parallel with the advancement of digital technologies in general. The institutional dynamics in healthcare have evolved with the nature of the actors and their practices, in connection with new perceptions about health data. Originality/value This research sheds light on the historical transformation of health data collection and use in France, revealing the involvement of diverse stakeholders, the discourses driving data development and the need for regulation. It exposes the dual nature of health data collection and use, initially sanctioned by the state and public entities but later exploited for private interests.

The Changing Role of the Faculty of Military Leadership in Czech Military Education (2004–2018)

Educational mission of the Faculty of Military Leadership (until 2014 as Faculty of Economics and Management) of the University of Defence (Brno, Czech Republic) underwent since its origin in 2004 to 2018 number of changes. By analysing the structure of study programmes and the number of employees and students, the goal of this article is to identify the main periods in the development of the faculty as well as its role in the educational system. The results are as follows.The first period was a reaction to a process of professionalization of army, i.e., the replacement the conscript army by professionals that led into decrease of number of military students and parallel orientation towards civilian study programmes in national security. The second stage was influenced by the financial crisis of 2007–2008; that is why a gradual reduction of military study took place as well as serious considerations about the dissolution of the faculty and university, respectively. The third, final, period began in 2013–2014. Its main element was the change of characteristics of study programmes and their connection to the “militarization” of the faculty; reorganization of the structure of the faculty in 2014; the gradual increase of the number of military students at the expense of civilian students; and, finally, the cancelation of civilian study programmes. Year 2018, when personal changes in management of faculty took place together with a consideration about principles of a new study programme, could be regarded as the beginning of a qualitative new period in history of Faculty of Military Leadership that lasts until present day – and as such is out of focus of this study.

Inertial Propulsion Devices: A Review

Google Scholar produces about 278 hits for the term “inertial propulsion”. If patents are also included, the number of hits increases to 536. This paper discusses, in a critical way, some characteristic aspects of this controversial topic. The review starts with the halteres of athletes in the Olympic games of ancient times and then continues with some typical devices which have been developed and/or patented from the second quarter of the twentieth century to the present day.

THE TAIWAN PROBLEM IN CHINA-USA RELATIONS

The China - Taiwan conflict is one of the most relevant and sensitive topics in China-US relations. Territorial conflict with Taiwan is one of the few issues that can potentially lead to escalation of tension between the United States and China. This article analyzes the China - Taiwan conflict in contemporary Chinese and American foreign policy. The historical conflicts between China and Taiwan from World War II to the present day are examined, showing the role of the United States in escalating the issue. The evolution of Sino-American relations in Northeast Asia in the 21st century and its impact on Taiwan is also explored.

Persuasion in Social Speeches

The study of the political speeches has drawn the attention of scholars since its revelation up to the present day. Many scholars have attempted to study specific features of it. One of these features that has been at the core of interest is persuasion. This research was aimed to elaborate on the concept of persuasion in the political speeches and to find out the persuasive strategies used in the speeches of queen Rania (queen of the Hashemite kingdom of Jordan) The study has confined itself to three main objectives. These are discussing the concept of persuasion as manifested in the political speeches, Identifying the persuasive strategies used, and naming the most common and the least common ones. By using a model based on persuasive communication theory and other related concepts, researcher analyzed the data using quantitative-qualitative research method. The analysis started with a comprehensive reading of queen Rania speech and then identifying the tokens of persuasive strategies. The results were put in numerical form and discussed both quantitively and qualitatively. The study findings show that persuasion is one of the basic concepts in the political speeches due to the nature of this text which aimed at persuading people to follow the righteous course of action and belief. It is also found that all the persuasive strategies included in the model appeared in the text under study. Finally, the study revealed that metaphor is the most commonly used persuasive strategies while personification is the least.

PNPLA3 fatty liver allele was fixed in Neanderthals and segregates neutrally in humans

ObjectiveFat deposition is modulated by environmental factors and genetic predisposition. Genome-wide association studies identified PNPLA3 p.I148M (rs738409) as a common variant that increases risk of developing liver steatosis. When and...

Addressing Barriers to Timely Orthopaedic Follow-up for Foot and Ankle Fractures After Emergency Department Visits.

Foot and ankle fractures present common challenges in emergency departments, warranting careful follow-up protocols for optimal patient outcomes. This study investigates the predictors of orthopaedic follow-up for these injuries after an emergency department (ED) visit. A retrospective observational study of 1450 patients seen in the ED with foot or ankle fractures from July 2015 to February 2023 was conducted. All included patients were discharged with instructions to follow-up with an orthopaedic provider. Demographic data, fracture details, and follow-up patterns were extracted from medical records. Social vulnerability was assessed using the Centers for Disease Control (CDC) Social Vulnerability Index. Univariate and multivariate analyses were performed to identify predictors of follow-up. A subgroup analysis comparing patients who followed up >7 days from ED presentation (ie, delayed follow-up) to those who followed up within 7 days of presentation was then performed. Statistical significance was assessed at P < .05. Overall, 974/1450 (67.2%) patients followed up with orthopaedics at an average time of 4.16 days. After risk adjustment, Medicaid coverage (odds ratio [OR] = 0.56, P = .018), increased overall social vulnerability (OR = 0.83, P = .032), and increased vulnerability across the dimensions of socioeconomic status (P = .002), household characteristics (P = .034), racial and ethnic minority status (P = .007), and household type and transportation (P = .032) were all associated with lower odds of follow-up. Phalangeal fractures were also associated with decreased odds of follow-up (OR = 0.039, P < .001), whereas ankle fractures were more likely to follow-up (OR = 1.52, P = .002). In the subgroup analysis, patients of older age (P = .008), non-white race (P = .024), motor vehicle accident (MVA) (P = .027) or non-private insurance (P = .027), those experiencing phalangeal fractures (P = .015), and those seen by an orthopaedic provider in the ED (P = .006) were more likely to present with delayed follow-up. Patients with increased social vulnerability and Medicaid insurance are less likely to seek follow-up care after presentation to the ED with foot and ankle fractures.

One Hundred and Thirty-Five Years of Ornithology in Bulgaria: The Role of the National Museum of Natural History at the Bulgarian Academy of Sciences in the Development of Ornithology in Bulgaria—Representatives, Collections and Achievements

For the first time, an attempt has been made to present, chronologically and in a systematized form, the development of ornithological studies at the National Museum of Natural History in Sofia (Bulgaria) from its foundation in the last decades of the 19th century to the present day. This 135-year period (1889–2024) includes the work of 12 curators of the ornithological collections. Their major contributions and most-significant ornithological publications are also presented.

A history of the McGill Department of Surgery: the first 100 years (1923-2023).

SummaryIn 1923, just over 100 years ago, Edward William Archibald was appointed the first chair of surgery in McGill University's Faculty of Medicine. This milestone provides an opportunity to reflect on where the department has come from and how it has progressed to the present day. Although the size, breadth, and diversity of the department members have changed notably over the century, the core values of innovative clinical care, research, and education established a century ago continue to this day. To reflect his values, the Archibald Chair of Surgery was established in 1990 and is today held by the department chair.

Laparoscopic modified e-tep repair of concomitant inguinal and ventral hernias.

Laparoscopic hernia repair in recent times has gained the most acceptance among both the surgical community and the patient groups, as it has proven benefits of lesser postoperative hospital stay and less pain scores. The incidence of both inguinal and ventral hernias has increased significantly in the present days. Various methods have been postulated by different surgical groups for repairing the same but no there is no standard consensus on managing concomitant inguinal and ventral hernias. The conventional e-TEP requires an extensive dissection with increased operative time. We present our experience in managing cases with both inguinal and primary M2/M3 and W1 ventral hernias with or without divarication of recti using a modified up to down approach for inguinal hernia followed by down to up approach for the ventral hernia, from a tertiary care center in South India. We managed 16 cases with simultaneous incidence of inguinal and primary M2/M3 and W1 ventral hernias with or without divarication of recti between January 2022 and November 2023. Institute ethical committee clearance and informed consent was obtained from all the 16 patients. They were all subjected to an extra peritoneal repair of both the hernias. All the demographic data, intraoperative data, postoperative complications and follow up were digitally stored. All patients were followed up for six months after surgery. Out of 16 patients, 15 were males and 1 was female. The mean age was 48years and the mean BMI of all the patients was 29.2kg/m2. The postoperative recovery was smooth in all patients and being discharged within 24h after surgery. The pain scores of all patients were significantly lower than patients who underwent intraperitoneal repair. e-TEP hernia repair is gaining popularity and has amused the hernia surgical community. Our method of e-TEP RS repair in cases with concomitant inguinal and primary M2/M3 W1 ventral hernias with or without divarication helps in addressing both the hernias in the extra-peritoneal space. Our technique reduces the area of dissection needed for mesh placement and preserves the integrity of abdominal musculature in the upper abdomen when compared with the conventional technique. It further allows extension of the e-TEP inguinal space into the Rectro rectus space without much alteration in the port arrangement allowing simultaneous repair of groin and umbilical hernias. Good knowledge of anatomy and laparoscopic skills are pertinent for safe and effective hernia repair by this technique.

The Use of Cultural Landscape Fragmentation for Rural Tourism Development in the Zemplín Geopark, Slovakia

This study outlines the creation of hiking routes in Slovakia’s cultural landscape, focusing on regions with marginal interest, low tourism engagement, and predominant monocultural blocks. The methodology was systematically applied to the Zemplín Geopark in eastern Slovakia, drawing upon historical cartographic records from the Josephine mapping period (1764–1787) to the present day. The investigation identified and delineated 14 hiking trails, offering historical and tourism significance while promoting multifunctionality. Our research introduces sustainable development avenues for regions with marginal interest, providing ecological and tourist benefits that enhance the overall quality of life. The findings align with the Common Agricultural Policy’s objectives for 2021–2027, addressing challenges related to large-scale field fragmentation. Two identified obstacles include property-legal challenges and issues arising from inadequate map registration, which current methods, unfortunately, fail to address.

On Seeing Long Shadows: Is Academic Medicine at its Core a Practice of Racial Oppression?

Suggestions that academic medicine is systemically racist are increasingly common in the medical literature. Such suggestions often rely upon expansive notions of systemic racism that are deeply controversial. The author argues for an empirical concept of systemic racism and offers a counter argument to a recent suggestion that academic medicine is systemically racist in its treatment of medical trainees: Anderson et al.'s(Academic Medicine, 98(8S), S28-S36, 2023) "The Long Shadow: a Historical Perspective on Racism in Medical Education." Contra the authors of "The Long Shadow," the author argues that racial performance disparities in medical education cannot be validly attributed to racism without careful empirical confirmation; he further argues that standards of assessment in medical education cannot be properly deemed racist merely because minority trainees are disproportionately disadvantaged by them. Furthermore, the history of medicine and society in the Anglo-European West is not, as argued by the authors of "The Long Shadow," best viewed as one long tale of racial oppression culminating in the present day pervasive racism of academic medicine in the United States. Racism is a deplorable stain on our history and our present but it is not the historical essence of Christianity, European civilization, Western medicine, or contemporary academic medical institutions.

Kerklike tug: Verleentheid of nuwe geleentheid?

Church discipline: embarrassment or a new opportunity? In 2004, 2007 and 2011 the General Synod of the Dutch Reformed Church decided that the way in which church discipline functions in the church, should be researched and investigated. This article is based on the doctoral study of the co-author, who tragically died of COVID-19 during the pandemic of 2020-2021. She investigated the development of church discipline in the Dutch Reformed Church from 1652 to the present day, to determine why church discipline has become an embarrassment to the church. This article is based on a part of the outcome of her research. The article discusses the purpose, nature of and need for church discipline, and states that the way in which members of the church understand discipline in the church, should change. The authors emphasise that church discipline must be built on the foundation of brotherly love within the framework of tolerant care. This will not only help to change the understanding of informal and formal church discipline but will also challenge the church to create a safe space for confession, forgiveness, and reconciliation. By doing so, church discipline as tolerant care will become part of the spiritual journey of members of the church. As such, it will change from being an embarrassment to becoming a huge opportunity for spiritual growth.Intradisciplinary and/or interdisciplinary implications: The article focuses on church discipline as tolerant care. In doing so, church discipline does not only function as part of the study field of Church Polity, but it also incorporates Practical Theology. The most important implication is that discipline is understood as care.

Do Societies Have Emotions?

In recent decades, there has been a growing interest in the study of emotions, demonstrating their importance in understanding diverse human and social dynamics. However, as this field of study develops and diversifies, a structural yet simple question remains virtually undiscussed: Is it really possible to say that societies possess emotions or a certain sensitivity akin to individual experiences? This exploratory study, based on documentary analysis, endeavours to identify and examine emotional patterns across six different periods, spanning from the Middle Ages to the present day. Among the eight secondary findings, three fundamental conclusions stand out: (1) throughout history, societies have experienced different emotional atmospheres, sometimes simultaneously; (2) although societies generally propose an emotional model to follow, the reality does not always conform to it; and (3) it is mainly through the culture that society creates a certain emotional harmony, allowing the social body to remain cohesive and develop, thus postponing or preventing its disintegration. This study aims to offer a modest contribution to the complex and under-explored discussion on the correlation between specific emotional climates and particular social contexts.

AI - Current Landscape and Future Predictions

This paper is the introduction to the Artificial Intelligence (AI) landscape in the present day and its future properties. AI is now being used in numerous fields, such as technology, finance and banking, and healthcare to name a few. The current use of AI is in automation, to perform tasks at the same level or even better than humans can in terms of efficiency, accuracy and speed. This is why AI is being used in more businesses, and why understanding AI has become more important than ever before. The majority of people don't truly understand what AI even is, and assume that it’s a dangerous field filled with killer robots, however that couldn’t be farther than the truth. The following chapters in this paper will explain what AI actually is as well as comparing it to the public’s perception. Once a proper understanding of AI is established, the paper aims to show how AI is being applied into industries, and how they can skyrocket the success of all of them in vast ways that were never possible before the AI revolution.

Cosmology, Place, and History in Varros's De lingua latina 5

This article interprets Varro’s etymological discussion of locus in book 5 of Delingua Latina (1-56) as representative of a Varronian “place-based” history. It argues thatVarro’s reconstruction of Rome’s loci as cosmically essential and structuring elementsof both the city and Roman culture in his present day depended upon the author’s peculiarunderstanding of the past and of historical truth – namely, that fundamental principlesof truth manifest both on different levels of reality, and at different points in time.Places – temples, hills, groves, or otherwise – therefore were particularly significant inproviding access to the essential meaning of Rome’s institutions, religion, and people.Varro’s consideration of the Septimontium is then analyzed within this framework. Theargument demonstrates how Rome’s natural environment, construed as part of an originalcosmos, could explain the social and political facts of the present in Varro’s reconstructionof word-history. In particular, the religious importance of the Capitoline hill,and the separation of the Aventine from the rest of the city in the first century BCE, areboth given etymological explanations that depend upon the long-lost natural topographyof the city.

Substantial unrealised global biodiversity of continental microcrustaceans

Abstract Freshwater ecosystems provide essential services for human well-being, with their conservation success reliant on the precise quantification of biodiversity. Diplostraca (= Cladocera) and Copepoda are diverse groups of microcrustaceans in aquatic ecosystems, important for a multitude of these services. We examined biodiversity trends of these groups, utilizing a comprehensive dataset, approximately 2341 studies, spanning from the early 19th Century to the present day, aiming at predicting the total number of microcrustacean species that will have been described by 2100. Descriptions increased until the 1900s, surged, and then declined after 1975. The predictive models indicate that by the year 2100, an additional 16–68% of cladoceran species and 37–126% of copepod species are likely to be identified, representing a significant portion of currently unrealised biodiversity. Eighteen prolific authors contributed to a quarter of these descriptions, with the rest spread among numerous authorities. Based on our extrapolation, the total number of microcrustacean species could potentially exceed 6114 by 2050 and 9046 by 2100, notwithstanding extinctions. These findings, which point to a significant amount of unrealised biodiversity, underscore the need to refine biodiversity estimates beyond conventional expert opinion. Such accuracy is crucial for addressing the underappreciated scale of the current biodiversity crisis.

A middle Miocene to Quaternary sedimentary and palaeoenvironmental record from the western continental shelf of South Africa

The sedimentary record of the western South African continental shelf is condensed compared to the continental slope and contains erosional unconformities, owing to periods of non-deposition, eustatic sea-level fluctuations, episodic uplift and intensified continental aridity. Despite this, the sedimentary record of the continental shelf provides important information on the depositional history and palaeoenvironmental evolution of the region. A core retrieved from the western shelf of South Africa was analysed for its sedimentary composition, lithological variation, foraminiferal content and its relation to the palaeoenvironment of the region. Four depositional facies were identified along the core, namely quartzitic sand, sandy mud, and glauco-phosphatic sand and a glauco-phosphatic gravel. The basal facies consisting of quartzitic sand is interpreted to have been deposited between 15.90 and 14.60 Ma, corresponding to the timing of the Mid-Miocene Climatic Optimum (MMCO). The highly quartzitic nature of the sediments indicate a high terrestrial influence from fluvial sources. The overlying sandy mud facies was deposited between 14.60 and 13.90 Ma based on planktic foraminiferal biostratigraphy. Foraminiferal analyses of these two facies that were deposited in the Langhian stage of the middle Miocene point to subtropical sea surface conditions and mesotrophic benthic environments. Sea level was noticeably higher during the MMCO and part of the cooling period following the MMCO. An erosional surface that spans 10.77 Myr, equal to the late Miocene (13.90 Ma) to early Pliocene (3.13 Ma), marks the boundary between the two Langhian facies and the overlying two Pleistocene facies, consisting of coarser grained glauco-phosphatic gravelly sand units. The Pleistocene environment on the shelf is interpreted to contrast with the Langhian environment, where cooler, shallower conditions and a more eutrophic benthic environment was prevalent, during a time that Benguela upwelling intensified with higher frequency and higher amplitude sea level fluctuations. Palaeobathymetric interpretations indicate that middle Miocene sea-level in the region were up to 77 m higher than present day and 101 m lower in the Pleistocene, in-line with previous global studies. Glauco-phosphatic content that increase up-core also marks the shallowing of the environment under high productivity conditions.