Regular Residents Research Articles

Research on Summer Indoor Air Conditioning Design Parameters in Haikou City: A Field Study of Indoor Thermal Perception and Comfort

Escalating global climate change and the intensification of urban heatwaves have led to an increase in summer air conditioning cooling energy consumption. This phenomenon is particularly critical in tropical regions, as it may trigger an energy crisis. The rational setting of indoor thermal design parameters can help conserve energy to the maximum extent while ensuring thermal comfort for occupants. This study selected Haikou City, a unique tropical city in China, as the research location. Indoor environment measurements and a questionnaire survey were conducted with participants, and the outdoor thermal environment sensitivity, population attributes and differences in thermal sensation, thermal neutral temperature, and comfort range were calculated and analyzed. The following results were obtained. Based on the overall population, long-term residence, and temporary residence classification, the indoor thermal comfort needs of residents in tropical cities in Haikou were effectively identified. The actual thermal neutral temperature of the overall population is 25.7 °C, and 90% of the acceptable thermal comfort temperature range is 23.2 °C–28.0 °C. The actual thermal neutral temperature of the regular residents is 27.3 °C, and 90% of the acceptable thermal comfort temperature range is 23.3 °C–31.4 °C. The actual thermal neutral temperature of the temporary population is 25.5 °C, and 90% of the acceptable thermal comfort temperature range is 23.0 °C–28.0 °C. These research results have an important reference value for improving the setting of the temperature of air conditioning in tropical areas in summer and further reducing energy consumption, which is conducive to sustainable development.

Differences in the Elderly Care Service Demand,Preference,and Tendency Between Urban and Rural Areas in the Pearl River Delta

Objective To understand the differences in the demand,preference,and tendency for elderly care services between urban and rural areas in the Pearl River Delta (PRD),and to provide reference for the planning and balanced allocation of elderly care resources in urban and rural areas. Methods Using the multi-stage stratified random sampling method,we selected 7 community health service centers in 2 prefecture-level cities in the PRD and conducted a questionnaire survey on the elderly care service demand,preference,and tendency among 1919 regular residents aged 60 years and above who attended the centers. Results A total of 641 urban elderly residents (33.4%) and 1278 rural elderly residents (66.6%) were surveyed in the PRD.The urban and rural elderly residents showed differences in the child number (χ2=43.379,P<0.001),willingness to purchase socialized elderly care services (χ2=104.141,P<0.001),and attitudes to the concept of raising child to avoid elderly hardship (χ2=65.632,P<0.001).The proportion (71.8%) of rural elderly residents who prefer family-based elderly care was higher than that (57.1%) of urban elderly residents (χ2=41.373,P<0.001).The proportion (62.2%) of urban elderly residents clearly expressing their willingness to choose institutions for elderly care was higher than that (44.0%) of rural elderly residents (χ2=57.007,P<0.001).Compared with family-based elderly care,the willingness to choose institutional or community-based in-house elderly care was low among the urban elderly residents with surplus monthly household income or balanced income and expenditure;urban males,those with college education background or above,and those who purchased socialized elderly care services tended to prefer community-based in-house elderly care.In rural areas,the elderly residents who had local household registry were prone to choose institutional or community-based in-house elderly care,while those who had more than one child and those who were satisfied with the current living conditions were less willing to choose community-based in-house elderly care. Conclusions It is suggested that the urban-rural differences in the elderly care service demand,preference and tendency should be fully considered in the planning and allocation of urban and rural elderly care resources.Efforts remain to be made to develop diversified social elderly care services tailored to the characteristics of urban and rural areas.

IMPACT OF PUNCTUALITY AND REGULARITY ON LEARNING BEHAVIORS AND CLINICAL SKILLS IN POST-GRADUATE RESIDENTS AT NISHTAR HOSPITAL MULTAN

: Punctuality and regularity are crucial traits in medical education that can significantly impact learning behaviors and clinical skills development. However, there is a lack of empirical evidence investigating their impact on postgraduate residents in the Pakistani healthcare system. This qualitative study aims to explore the experiences and perceptions of doctoral residents regarding punctuality and regularity in their clinical and learning activities at Nishtar Hospital Multan. The study also seeks to identify the perceived effects of punctuality and regularity on residents' learning behaviors and clinical skills development, highlight any barriers or facilitators to maintaining punctuality and regularity in the residency program, and provide insights to inform future interventions or policies aimed at promoting punctuality and regularity among postgraduate residents. The study found that punctuality and regularity significantly enhance postgraduate residents' learning behaviors and clinical skills. Punctual and regular residents reported better time management skills, increased exposure to different cases, and improved academic performance in their clinical and learning activities. However, some residents faced barriers to maintaining punctuality and regularity, such as long working hours and inadequate supervisor support. The study suggests that interventions aimed at promoting punctuality and regularity should consider the unique challenges and opportunities of the Pakistani healthcare system and prioritize the needs and experiences of postgraduate residents.

Barangay Officials’ Manifestation of Basic Functions in Addressing Public Safety and Security Threats

This study investigated the correlation between Barangay Officials' level of manifestation of basic deliverables within the framework of the Local Government Code of 1991 and the seriousness of public safety and security threats. Utilizing a quantitative descriptive correlational design, data were collected from 401 regular residents and Barangay Officials. Results indicate that Barangay Halang officials perform strongly in executive, legislative, and judiciary functions, with mean scores of 3.65, 3.68, and 3.68, respectively, classified as "Fully Manifested." A significant discrepancy was observed between resident and official assessments, evidenced by a T-test value of 3.42 and a p-value of less than .001, with officials rating their performance higher. Public safety and security threats were rated "Very Serious" in areas such as health and social welfare services, hygiene and sanitation, beautification, solid waste collection, "katarungang pambarangay," and infrastructure facilities, with mean values ranging from 3.60 to 3.75. Additionally, significant moderately small positive correlations (p &lt; 0.001) were identified between the officials' performance in basic deliverables and the perceived seriousness of public safety threats. The study concludes that while Barangay Halang officials perform strongly, there are opportunities for improvement, especially in stakeholder collaboration and addressing diverse community needs.

Issues and challenges of homeless women in Mumbai city

This research paper highlight on the issues and challenges faced by women living condition who are living on the street or without home in Mumbai city. Homelessness is a major issue in India. The Universal Declaration of Human Rights defines 'homeless' as those who do not live in a regular residence due to lack of adequate housing, safety, and availability. The phenomenon of homelessness violates the most basic of human rights for all populations, women without housing and living on the streets suffer the most severe kinds of abuse and violence.

The relationship between depressive and anxious symptoms and school attendance among adolescents seeking psychological services in a public general hospital in China: a cross-sectional study

BackgroundSchool attendance problems (SAPs), whether absenteeism or dropout, are strongly associated with poor outcomes for adolescents. We examined multiple variables that influence SAPs to identify potential leverage points for improving school attendance.MethodsSelf-reported SAPs and demographic information was collected from 392 adolescents in adolescents presenting to the general hospital for psychological services. PHQ-9 and GAD-7 were applied to assess the severity of depressive and anxious symptoms. We constructed logistic regression analysis and the Chi-Square Automatic Interaction Detection (CHAID) segmentation analysis via SPSS Decision Tree to identifying risk factors for the development of SAPs in adolescents.ResultsSAPs were self-reported by 252 (64.3%) adolescents. The SAPs group and non-SAPs group showed a significant difference in age, PHQ9 total scores, GAD7 total scores, schools, siblings, residence, parental marital quality, general health, regular exercise, and regular diet. A post hoc comparison between the two groups showed that the frequency of SAPs was significantly higher in the moderately-severe and severe depressive groups compared with other three groups (none, mild, moderate). The frequency of SAPs in severe anxious groups was significantly different from the none-anxious group. According to the binary logistic regression analysis, the depressive severity, siblings, residence, marital quality of parents, general health, and regular diet were correlated with the SAPs among adolescents. The adjusted OR of SAPs according to moderately-severe depressive symptoms was 10.84 (95%CI: 1.967–59.742) and severe depressive symptoms was 6.659 (95%CI: 1.147–38.666). In the decision tree model, PHQ-9 severity was extracted as the first splitting variable, with regular exercise and residence as the second, and siblings as the third. The ROC curves for predicting SAPs showed a fair diagnostic accuracy of the model with AUCs of CHAID model (0.705,95%CI:0.652–0.759, P = 0.000) and logistic regression model (0.777,95%CI:0.729–0.824, P = 0.000).ConclusionOur study provides insights into the associations between depressive symptoms and poor school attendance and identifies a number of risk factors associated with SAPs. Effective intervention by mental health practitioners, more attention by policy makers, and further research in this area are urgently needed for adolescents.

OC-053 POSTERIOR COMPONENT SEPARATION AND THE USE OF BOTULINUM TOXIN IN ABDOMINAL WALL RECONSTRUCTION: NEED TO LEARN THE TECHNIQUE DURING THEIR RESIDENCY?

Abstract Tittle Posterior component separation and the use of botulinum toxin in abdominal wall reconstruction: need to learn the technique during their residency? Aim We aim to evaluate the transversus abdominis release (TAR) and the use of botulinum toxin A (BTA) in abdominal wall reconstruction learning curve based on proper identification of muscle layers and nervous component in the surgery and by US. Material and Methods Prospective study including patients submitted to TAR and preoperative BTA injection (n 15), perform by 3 seniors surgeons and a group of residents (10). Resident's acquisition and development of fundamental skills were evaluated by comparing pre (theorical: identification of muscle layers and by US and in images of the surgeries) and post-course (identification of muscle layers by US, BTA injection, and in surgery) assessment measurements. Results Out of 20 captured attempts by novices, 20 successful trials were evaluated. An increase in identification post-course of the abdominal wall components by US was shown in comparison of the attempt´s pre-course (p ≤ 0.023) and application of BAT in the patients was success in all the patients. Components of the abdominal wall (muscles layers and nervous component) improve after theorical course (p ≤ 0.048). Conclusions Correct identification by US and images of all the components during training showed to be effective in determining acquisition and development of basic surgical skills. The outcomes indicated that skills in vivo improved and that this training should therefore be part of the regular residency training program.

Very sneaky crimes

Milan is an increasingly safe city. Despite this, the insecurity perceived by citizens is growing. Particularly in social housing districts, squatting is considered by institutions, public opinion, but also by most regular residents, as one of the principle causes of urban insecurity. Based on ethnographic research conducted in Milan between 2015 and 2017, this article proposes an anthropological analysis of policies, norms, practices, and narratives related to the governance of housing illegality, showing how these representations contribute to producing a stigmatized, morally connoted, and criminalized image of squatters. In broader terms, starting with the ethnographic case of squatting, the article explores the anthropopoietic dynamics of social class construction and the centrality of moral categories in the production of urban inequality.

Beyond bacteria: Reconstructing microorganism connections and deciphering the predicted mutualisms in mammalian gut metagenomes.

Numerous gut microbial studies have focused on bacteria. However, archaea, viruses, fungi, protists, and nematodes are also regular residents of the gut ecosystem. Little is known about the composition and potential interactions among these six kingdoms in the same samples. Here, we unraveled the complex connection among them using approximately 123 gut metagenomes from 42 mammalian species (including carnivores, omnivores, and herbivores). We observed high variation in bacterial and fungal families and relatively low variation in archaea, viruses, protists, and nematodes. We found that some fungi in the mammalian intestine might come from environmental sources (e.g., soil and dietary plants), and some might be native to the intestine (e.g., the occurrence of Neocallimastigomycetes). The Methanobacteriaceae and Plasmodiidae families (archaea and protozoa, respectively) were predominant in these metagenomes, whereas Onchocercidae and Trichuridae were the two most common nematodes, and Siphoviridae and Myoviridae the two most common virus families in these mammalian gut metagenomes. Interestingly, most of the pairwise co-occurrence patterns were significantly positive among these six kingdoms, and significantly negative networks mainly occurred between fungi and prokaryotes (both bacteria and archaea). Our study revealed some inconvenient characteristics in the mammalian gut microorganism ecosystem: (1) the community formed by members of the analyzed kingdoms reflects the life history of the host and the potential threat posed by pathogenic protists and nematodes in mammals; and (2) the networks suggest the existence of predicted mutualism among members of these six kingdoms and of the predicted competition, mainly among fungi and other kingdoms.

Prevalence and patterns of refractive error among adults in Sagamu, South-West Nigeria

Background: The study was part of community-based research towards strengthening the provision of optical services within a local governmental area in Nigeria.Aim: To describe the prevalence of refractive errors in the southwestern Nigerian adult population.Setting: Adults of age 30 years and above who were regular residents of the local governmental area.Methods: A multistage stratified random cluster sampling method was used to select the subjects. The sampling unit was the different households. A random sample of them were refracted and then refractive errors were analysed. Analyses excluded participants with history of cataract surgery. Associations with myopia (−0.50 dioptres [D] or more) and hyperopia (≥ 0.50 D) were evaluated in logistic regression analyses.Results: The prevalence of refractive error in the study sample was 33.8% (95% confidence level [CI]: 27.1–34.4) using study participants with 6/9 presenting visual acuity but improvement by at least a line with pin hole. The prevalence of hyperopia was 46.9% and higher in women (51.8%), while that of myopia was 21.9% but higher in men (25.0%). The prevalence of hyperopia increased from 29% for 40–49 years of age to 65% for 50–59 years of age and tended to decline thereafter. Prevalence of myopia decreased from 17% in persons 40–49 years of age to 11% in those 50–59 years of age but increased after 60 years of age. A higher prevalence of myopia was positively associated (p 0.05) with lifetime occupations requiring near work, nuclear opacities, posterior subcapsular opacities and glaucoma. Factors associated with hyperopia were the same as for myopia, except for occupation, and in the opposite direction.Conclusion: The high prevalence of refractive errors strongly supports the need for an affordable and accessible optical service in the local government.

‘There were many problems even before Covid.’ Recurrent narratives of crisis in policies for migrants’ regularisation

ABSTRACT Exploring the case of the temporary regularisation for migrants promoted by Portugal in March 2020, this article problematises ‘recurrent narratives of crisis’. Narratives of crisis tend to depict migration as an exception and a violation of a supposed norm. Their recurrent use by politicians and media conveys the idea of a permanent state of emergency, allows the introduction of short-term measures, and drifts attention off the need for systemic changes. Regularisations have been used several times in European countries to manage migration ‘crises’. Yet, many scholars and activists have voiced doubts on their effectiveness, especially when regularisations only granted a temporary permit. In March 2020, Portugal acknowledged to foreign nationals with pending cases at the Foreigners and Frontiers Service (SEF) the possibility to be considered regular residents for the duration of the national state of emergency. The article sheds light on the discrepancy between the way this measure was presented by politicians and how it was received on the ground. Through new and timely evidence collected during this project, I build on the concept of ‘anti-crisis’ to advocate for a shift from crises narratives onto a more open discussion on systemic issues.

Population Dynamics Reveal a Core Community of the Common Bottlenose Dolphin (Tursiops truncatus) in Open Waters of the South-Western Gulf of Mexico

The presence of transient and temporary individuals in capture-mark-recapture studies may violate the assumption on equal catchability, and thus yield biased estimates. We investigated the effects of residency patterns on population parameters of bottlenose dolphins inhabiting the coastal waters off the Alvarado Lagoon System (ALS), Veracruz, Mexico. We hypothesized that this population is open but there exists a “core community” that behaves as a closed population. Between 2006 and 2010, we conducted 75 photo-identification surveys and recorded 263 dolphin group encounters, in which 231 dolphins were identified. Individuals present during only one season, classified as transients (n= 85), were excluded from the study, and a standardized residency index (IH4) was computed for each dolphin that remained in the sample (n= 146). We used the K-means clustering method to split the sample into groups based on individual (seasonal, annual) IH4values. These clusters were named as regular residents (RR,n= 55), occasional residents (OR,n= 45), and occasional visitors (OV,n= 46). The cumulative frequency of newly identified individuals displayed an asymptotic trend for the whole sample and all clusters, indicating that most of the individuals present in the study area during the study period were identified. The assumption of demographic closure was tested to define the core community, and was rejected for the whole sample and the OV cluster (p&amp;lt; 0.001 in both cases), indicating that the population is open. The closure assumption was not rejected for RR and OR clusters (χ2= 6.88, DF = 13,p= 0.91, and χ2= 17.8, DF = 16,p= 0.33, respectively), indicating that these clusters were demographically closed over the 5-year period. Thus, we defined this aggregation of individuals as the “core community”. The closed population model Mthindicated that the total abundance of this core community was 123 individuals (95% CI: 114–133). Our results provide quantitative evidence of the existence of a core community in open waters of the Gulf of Mexico, and points toward residency pattern as a main driver of population dynamics. These results highlight the importance of considering residency patterns when dealing with heterogeneity in the sample of a highly mobile species.

UnderstandingIn VivoDissolution of Immediate Release (IR) Solid Oral Drug Products Containing Weak Acid BCS Class 2 (BCS Class 2a) Drugs.

In vivo drug dissolution kinetics of BCS Class 2a IR solid oral drug products remains largely unknown. An understanding to what extent the solubility influences in vivo dissolution is needed to design appropriate in vitro dissolution methods. In this study, nonsteroidal anti-inflammatory drugs (NSAIDs) are used to investigate the in vivo dissolution of BCS Class 2a drugs based on numerical deconvolution analyses. The PK data were obtained from published literature or drug applications submitted to the FDA. It has been hypothesized that the in vivo drug dissolution rate would likely correlate to the solubility of NSAIDs in the media at gastrointestinal pH. Our findings show a short lag time of absorption (Tlag), comparable to the liquid gastric emptying time and independent of the solubility and formulation. In Vivo drug dissolution of NSAIDs was generally rapid and complete within the regular drug residence time in the small intestine while multi-phase absorption was observed in some subjects for all the NSAIDs. The comparisons of in vivo drug dissolution rate, which was characterized by in vivo dissolution half-life (Thalf), indicate that solubility has a minimal impact on in vivo drug dissolution rate for NSAIDs. Gastric emptying regulated by migrating motor complex (MMC) under fasted state most likely governs drug dissolution and absorption of NSAIDs. For BCS Class 2a IR solid oral drug products, large variability of gastric emptying and MMC as well as the strong driving force of intestinal absorption probably outweigh the impact of solubility on drug in vivo dissolution.

The well-being of newly regularized migrant workers: Determinants of their satisfaction with life as compared to undocumented migrant workers and regular local residents

Subjective assessments of well-being are becoming routine indicators, considering that material resources are insufficient to capture people’s satisfaction with life. Examining the unique situation of undocumented migrant workers, driven by aspirations for a better life but constrained by their limited rights in the country of destination, we assess their satisfaction with life and the factors that matter in their evaluations. Data were collected in Geneva (Switzerland), in a study comparing those who have just received a residency permit or about to obtaining it after submitting a regularization request (n = 195) with those who were still undocumented and/or had not submitted a regularization request at the time of our study (n = 231). In addition, comparisons were made with a sample of regular local residents (n = 175). Data obtained through standardized questionnaires include a range of material and non-material determinants, some unique to migrants and others common to the three populations. Satisfaction with life is significantly lower among undocumented migrant workers while those who are regularized and regular local residents report similar levels of well-being. Social participation, self-reported health and discrimination are associated to satisfaction with life among undocumented migrant workers. Among those being regularized, having been longer in the country of destination is associated with lower well-being. Among regular local residents, the only significant factor for a better satisfaction with life is having a partner. Material determinants, while distributed in vastly different levels, do not influence satisfaction with life. Despite the high satisfaction expressed by those who have recently been regularized, policy intervention still have to pay attention to their persisting difficult socioeconomic circumstances amidst a context of overall affluence.

A Survey of Knowledge on and Attitudes toward Cardiopulmonary Resuscitation and Automated External Defibrillators in China

Objectives: The aim of this study was to determine the current knowledge levels on cardiopulmonary resuscitation and automated external defibrillators of Chinese citizens. Methods: A face-to-face questionnaire survey on the knowledge of and attitudes toward the use of CPR and AEDs during an OHCA event was conducted in three high-traffic train stations in Hangzhou and Taizhou, China. The survey included questions on previous experience with CPR, recognition of cardiac arrest, CPR-related concerns, and AED knowledge. Results: A total of 6268 participants were surveyed about their knowledge of and attitudes toward the use of CPR and AEDs. A total of 5981 valid questionnaires, including 3008 from female respondents (50.2%) and 2973 from male respondents (49.8%), were retrieved. The participants were geographically distributed as follows: 18.5% from western China, 19.5% from central China, and 77.0% from eastern China. The educational level, regular residence, and sex of the respondents, as well as legislative policies, were relevant to the knowledge of and attitudes toward the use of CPR and AEDs for OHCA events. The results showed that men were more active than women in terms of CPR training and implementation, as well as had more knowledge and used AEDs more often. More people in eastern and central China had witnessed CPR performance, would pay for CPR training, and would be willing to perform CPR if there was a related legislative policy. Moreover, educational level was crucial to the knowledge of and attitudes toward the use of CPR and AEDs during OHCA events. Conclusions: Chinese citizens lack CPR and AED knowledge and training compared with people in developed countries. We recommend that the state should increase public awareness of CPR and AEDs in China. Mass education, policy implementation, specialized training, and legislative action should be carried out.

Proceso de adaptación en pacientes diabéticos

Objetivo: determinar las características sociodemográficas y los modos adaptativos afectados en pacientes diabéticos atendidos en centros de salud del Distrito Chambo-Riobamba. Método: estudio con enfoque mixto, descriptivo–transversal, en población constituida por 157 pacientes con ECNT, de los centros del Distrito Chambo-Riobamba, Ecuador; seleccionando 40 mayores de 19 años, salud mental apta para llenar los instrumentos, con diagnóstico de diabetes Mellitus tipo II, residencia regular en los sectores mencionados y que estén de acuerdo con participar, durante el período abril-agosto 2017. Resultados: se observó que el 67,5% son de sexo femenino, mayores de 65 años, el 75% con instrucción básica y el 52,5% ama de casa. Tuvieron un 90% en el nivel medio y poca adaptación a las limitaciones por la enfermedad y el 82,5% pocas veces o nunca realiza actividad física. El 77,5% manifestó cambios emocionales y en relación con el apoyo familiar se evidenció que el 80% no lo recibió. Conclusiones: las características sociodemográficas distintivas en la población de estudio fueron: predominio del género femenino, adultos mayores, amas de casa, de instrucción básica. Tomando en cuenta los modos adaptativos en el fisiológico los pacientes manifiestan poca adaptación a la enfermedad. Mientras que de forma mayoritaria a veces o nunca realizaban actividad física. En el modo psicosocial, el auto-concepto se encuentra alterado; así como en el de interdependencia la mayoría de los individuos a veces o nunca recibían soporte familiar, relacionando con un déficit de búsqueda de sistemas de apoyo y el régimen terapéutico.

EFFICIENT BUILDING CATEGORY CLASSIFICATION WITH FAÇADE INFORMATION FROM OBLIQUE AERIAL IMAGES

Abstract. Building category refereed to categorizing structures based on their usage is useful for urban design and management and can provide indexes of population, resource and environment related problems. Currently, the statistics are mainly collected by manual from street data or roughly extracted from remote sensing data which are either laborious or too coarse. With remote sensing data (e.g. satellite and aerial images), buildings can be automatically identified from the top-view, but the detailed categories of single buildings are not recognized. Façade from oblique-view image can greatly help us to identify the categories of buildings, for example, balcony usually exist in resident buildings. Hence, in this paper, we propose an efficient way to classify building categories with the façade information. Firstly, following the texture mapping procedure, each building’s façade textures are cropped from oblique images via a perspective transformation. Then, the average colour, the stander deviation in R, G, B channel, and the rectangle Haar-like features are extracted and feed to a further random forest classifier for their category identifications. In the experiment, we manually selected 262 building façades that can be classified into four functional types as: 1) regular residence ; 2) educational building; 3) office ; 4) condominium. The results shows that, with 30% data as training samples, the classification accuracy can reach 0.6 which is promising in real applications and we believe with more sophisticated feature descriptors and classifiers, e.g., neuronal networks, the accuracy can be much higher.

Applicable Law to Insurance Contracts in the light Of Rome I Regulation – Challenges to Cross-Border Insurance Contracts in the EU

This article explores the current situation of cross-border insurance contracts within the EU. In contracts that do not involve a conflict of laws, the determination of the applicable law is hastily and of a relatively easy resolution, as they will be disciplined by the substantive law of the current legal order, which they only have contact with. When it comes to insurance contracts that are seen in a conflict of laws, defining the applicable law raises a question since these contracts are in contact with at least more than one legal order. In this case, there is a certain amount of uncertainty regarding which judicial order will govern the contract and the criteria that will dictate this resolution. When we refer to an insurance contract that involves a conflict of several laws, such as a policyholder with regular residence in MS A, who contracts an insurance contract with an insurer based in MS B, whose risk is in MS C. Due to this, there are several points of contact with different legal orders. As such, it will be necessary to establish what the contract's regulatory law should be. In the EU domain, the answer to this issue is to reflect on the regulations defining the applicable law. In this context, we highlight the Rome I Regulation, which establishes in its article 7 a special conflict rule, hence appearing as the starting point for the problem raised by us. This way, we will focus on the analysis of the solutions contained in article 7, related to large risk contracts and contracts covering mass risks whose unpredictability is located within the EU. Finally, we will explore legal solutions to establish an applicable law in association with the principle of free movement. In particular, as seen in a classic case of an active insurance seeking, where the policyholder, in the light of his freedom of movement, decides on his own to hire insurance from another legal system, apart from his home state.

Risk Factors and Public Assistance Role in Hypertension among Homeless Population: A Cohort Study

Homelessness is defined as a condition of people living without any regular nighttime residence [1]..

Child Custody in Islamic Law: Theory and Practice in Egypt since the Sixteenth Century by Ahmed Fekry Ibrahim

Reviewed by: Child Custody in Islamic Law: Theory and Practice in Egypt since the Sixteenth Century by Ahmed Fekry Ibrahim Gulay Yilmaz Child Custody in Islamic Law: Theory and Practice in Egypt since the Sixteenth Century. By Ahmed Fekry Ibrahim. Cambridge: Cambridge University Press, 2018. x + 278 pp. Cloth $99.99. There are few works on child custody in Islamic law in the literature. Ibrahim's work fills an important gap in the field, as it is well researched with an impressive bibliography. The book is informative on the theoretical aspects of child custody, discussing the different approaches of the Hanafi, Shafi'i, Hanbali, and Maliki legal schools. At the same time, it examines specific cases tried in Ottoman-Egyptian Shari'a courts in premodern and modern times. Ibrahim's attempt to contextualize the concepts of child custody and guardianship enables the reader to trace the historical development of the debates around child custody in modern Egypt. This contextualization is evident in both the periodization of the book and the organization of its chapters. Ibrahim examines approximately 600 cases drawn from eleven courts in Ottoman Egypt from the period 1517-1801. He views the Ottoman Hanafization policy after the French reconquest of Egypt as the first rupture in the application of Shari'a law on child custody cases (1801-1955) and examines hundreds of published Shari'a court records on child custody trials, especially between 1929 and 1954. Finally, the integration of Shari'a courts to the national court system and the incorporation of Islamic family law into a unified judiciary in 1955 marks a second turning point, which the author traces up to 2014. This long-term perspective highlights the complexity of child custody law in Egypt and its legacy in legal equitability in contemporary Egypt. There are six chapters in the book. Chapter 1 discusses the different juristic discourses on child custody. Chapter 2 outlines the approaches of various Islamic schools toward child custody and guardianship rules. These rules are analyzed under categories such as age and gender (the general attitude was to give custody to the mother during infancy and then transfer it to the father or relatives from the male line), remarriage of the mother or marriage of female relatives (the same restrictions did not apply to the father), lifestyle, religion of the parents, visitation rights and joint custody, relocation with the ward (again, only restrictive against the mother), and child maintenance. How jurists incorporated these categories in their custody deliberations in early modern [End Page 159] Ottoman courts in Egypt is examined in chapters 3 and 4. Finally, chapters 5 and 6 focus on the changing interpretations of child custody between the periods 1801–1929 and 1929–2014, respectively. One of the main arguments of the book is that despite the patriarchal nature of the Islamic juristic discourse and a very narrow sense of child welfare that was often associated only with gross abuse, there was flexibility in the application of law in Shari'a courts, attributable to pragmatism and the freedom of judges to adhere to different schools of law during the early modern era. Ibrahim examines private agreement deeds (khul) and argues that some jurists (mostly following the Maliki school of law) accepted them, allowing women to retain custody of their children in case of remarriage or travel with the ward away from their regular residence. This went against the dominant status, which did not consider these agreements binding. The author concludes that during the nineteenth century, the Hanafization of legal codes caused Islamic law to become less flexible. Child welfare ultimately became defined by the dogmatic rules of Hanafi jurists, leaving no room for private deeds or individual judges' interpretations. Ibrahim, however, explains that these private separation deeds (which actually constituted a minority in his sample) had ceased entirely by the 1670s. Therefore, the observed rigidity was not solely related with the Hanafization/codification of Islamic law. Ibrahim also argues that the process of Hanafization of Islamic law in the nineteenth century was highly influenced by European values and the "cult of motherhood," which resulted in a new family ideology. He posits that under this women's rights approach, it was unnecessary...