Gout is an arthritis characterized by the deposition of sodium monoacid crystals in the synovial membrane, articular cartilage, and periarticular tissues that leads to an inflamatory process. In most cases, the diagnosis is established by clinical criteria and analysis of the synovial fluid for MSU crystals. However, gout may manifest in atypical ways and make diagnosis difficult. In these situations, imaging studies play a fundamental role in helping to confirm the diagnosis or even exclude other differential diagnoses. Conventional radiography is still the most commonly used method in the follow-up of these patients, but it is a very insensitive test, because it only detects late changes. In recent years, advances in imaging methods have emerged in relation to gout. Ultrasound has proven to be a highly accurate test in the diagnosis of gout, identifying MSU deposits in articular cartilage and periarticular tissues, and detecting and characterizing tophi, tendinopathies, and tophi enthesopathies. Computed tomography is an excellent exam for the detection of bone erosions and evaluation of spinal involvement. Dual-energy computed tomography, a new method that provides information on the chemical composition of tissues, allows identification of MSU deposits with high accuracy. MRI can be useful in the evaluation of deep tissues not accessible by ultrasound. In addition to diagnosis, with the emergence of drugs that aim to reduce the tophaceous burden, imaging examinations become a useful tool in the follow-up treatment of gout patients.
This paper applies Nida's dynamic equivalence theory to the appreciation of Hardy's masterpiece Tess of the D 'Urbervilles, discusses the translation of the meaning and spirit of the source text in terms of dialects, idioms and annotations from the perspective of functional equivalence theory, and further explores whether the spirit and value felt by the readers of the target text is dynamically equivalent to that felt by the readers of the source text. Finally, this paper shows the clever application of this theory and the determination to promote cultural exchange through Tess of the D 'Urbervilles.
Scholars widely agree that modular technologies can significantly improve environmental sustainability compared to traditional building methods. There has been considerable debate about the viability of replacing traditional cast-in-place structures with modular construction projects. The primary purpose of this study is to determine the feasibility of using modular technology for construction projects in island areas. Thus, it is necessary to investigate the potential problems and suitable solutions associated with modular building project implementation. This study is accomplished through the use of qualitative and quantitative methods. It systematically examines desk research based on the wide academic literature and real case studies, collating secondary data from government files, news articles, professional blogs, and interviews. This research identifies several important barriers to the use of modular construction projects. Among the issues are the complexity of stakeholder engagement, limited practical skills and construction methodologies, and a scarcity of manufacturing capacity specialised for modular components. Fortunately, these unresolved challenges can be mitigated through fiscal incentives and governmental regulations, induction training programmes, efficient management strategies, and adaptive governance approaches. As a result, the findings support the feasibility of starting and advancing modular building initiatives in island areas. Project developers will likely be more willing to embrace and commit resources to initiate modular building projects. Additional studies can be undertaken to acquire the most recent first-hand data for detailed validation.
Plasma thermal gasification can be one of the most relevant and environmentally friendly technologies for waste treatment and has gained interest for its use in thethermos-conversion of biomass. In this perspective, the objective of this study is to evaluate the gasification of sugarcane bagasse by studying the effective areas of operation of this process and to establish a comparison with conventional autothermal gasification. A thermochemical equilibrium model was used to calculate the indicators that characterize the performance of the process on its own and integrated with a combined cycle. As a result, it was obtained that plasma and gasification of bagasse is technically feasible for the specific net electrical production of 4 MJ with 30 % electrical efficiency, producing a gas with higher calorific value than autothermal gasification. The operating points where the electrical energy production and the cold gas efficiency reach their highest values were determined; then the effects of the operational parameters on these performance indicators were analyzed.
Artificial intelligence (AI) has rapidly evolved, transforming industries and addressing societal challenges across sectors such as healthcare and education. This study provides a state-of-the-art overview of AI research up to 2023 through a bibliometric analysis of the 50 most influential papers, identified using Scopus citation metrics. The selected works, averaging 74 citations each, encompass original research, reviews, and editorials, demonstrating a diversity of impactful contributions. Over 300 contributing authors and significant international collaboration highlight AI’s global and multidisciplinary nature. Our analysis reveals that research is concentrated in core journals, as described by Bradford’s Law, with leading contributions from institutions in the United States, China, Canada, the United Kingdom, and Australia. Trends in authorship underscore the growing role of generative AI systems in advancing knowledge dissemination. The findings illustrate AI’s transformative potential in practical applications, such as enabling early disease detection and precision medicine in healthcare and fostering adaptive learning systems and accessibility in education. By examining the dynamics of collaboration, geographic productivity, and institutional influence, this study sheds light on the innovation drivers shaping the AI field. The results emphasize the need for responsible AI development to maximize societal benefits and mitigate risks. This research provides an evidence-based understanding of AI’s progress and sets the stage for future advancements. It aims to inform stakeholders and contribute to the ongoing scientific discourse, offering insights into AI’s impact at a time of unprecedented global interest and investment.
The research addresses the importance of ethics in public administration, focusing on public servants in the municipality of Rionegro, Colombia. Ethics is presented as an essential element to promote transparency and combat corruption in public management. Despite the fact that the 1991 Constitution establishes ethical principles, their application in practice remains a challenge, with a high level of immorality in public service. The study highlights the diversity of professional profiles in public servants, which hinders consistent ethical management. In addition, it mentions that many civil servants lack political training and understanding of the importance of their role, which contributes to corruption. Ethics, according to the authors, is a key tool for strengthening institutions and regaining public trust. The research evaluated the impact of a professional ethics training program on public servants, finding significant improvements in their ethical knowledge and behavior. It concludes that, although ethics will not solve all corruption problems, it is an indispensable component for strengthening accountability and justice in public administration. It underscores the need to implement continuous training programs that promote ethical values as part of a strategy to improve efficiency and transparency in public institutions.
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