The suspicion of mediastinal alterations, always includes in its initial study, the chest radiography. The identification of mediastinal alterations in the X-ray is a priority. The knowledge of the mediastinal references and the identification of their alterations allows the suspicion of a pathology specific to each of the mediastinal spaces. When the semiology of mediastinal lesions, their location and the three most frequent pathologies are taken into account, the possibility of having an etiological diagnosis increases[1]. This is a review article based on a detailed literature search, in which radiological mediastinal references are studied, with emphasis on the epidemiological data of each one of them.
Objective: This study investigates the efficacy and safety of epidural infiltration with drugs and an oxygen-ozone mixture for treating cervicobrachialgia due to disc-radicular conflict or on a degenerative basis, utilizing both retrospective analysis and direct visualization techniques. Methods: A retrospective study involving 10 patients treated with epidural infiltrations of an oxygen-ozone mixture and cortisone was conducted. The procedures were performed under CT guidance to ensure precise delivery and to monitor the diffusion of the injected substances. Pain levels were assessed using the Numerical Rating Scale (NRS) and treatment efficacy was evaluated based on symptom relief and reduction in NSAID intake. Results: Significant pain reduction was observed post-treatment, with median NRS scores decreasing from 9 (baseline) to 2 (follow-up), and a significant decrease in on-demand NSAID intake. Only one minor complication of a headache was reported. The study also demonstrated the ability of ozone to diffuse through the epidural adipose tissue, potentially enhancing treatment efficacy. Conclusion: The combined use of an oxygen-ozone mixture and cortisone for epidural infiltration is an effective and safe treatment for cervicobrachialgia, offering significant pain relief and minimizing the risk associated with traditional epidural injections. This technique presents a viable non-surgical option for patients suffering from disc-radicular conflict or degenerative conditions.
Dredging and reclamation operations are pivotal aspects of coastal engineering and land development. Within these tasks lie potential hazards for personnel operating dredging machinery and working within reclamation zones. Due to the specialized nature of the work environment, which deviates from conventional workplace settings, the risk of workplace accidents is significantly heightened. The aim of this study is to conduct a comprehensive risk analysis of the safety aspects related to dredging and reclamation activities, with the goal of enhancing safety and minimizing the frequency and severity of potential dangers. This research comprises a thorough risk analysis, integrating meticulous hazard identification from sample projects and literature reviews. It involves risk assessment by gathering insights from experts with direct working experience and aims to assess potential risks. The study focuses on defining effective risk management strategies, exemplified through a case study of a nearshore construction project in Thailand. The study identified numerous high and very high-risk factors in the assessment and analysis of occupational safety in dredging and reclamation work. Consequently, a targeted response was implemented to control and mitigate these risks to an acceptable level. The outcome of this study will provide a significant contribution to the advancement of guidelines and best practices for improving the safety of dredging and reclamation operations.
Urban regeneration and gentrification are complex, interconnected processes that significantly shape cities. However, these phenomena in the Middle East and North Africa (MENA) region are often understudied and typically viewed through a Western lens. This systematic review of literature from 2010 to 2024 addresses this gap by synthesizing a comprehensive framework for understanding urban regeneration-led gentrification in MENA countries. The review delves into key themes: Gentrification contexts, the regeneration process, gentrification accelerators, and the aftermath of gentrification. It explores the diverse motives behind urban regeneration, identifies key stakeholders, and analyzes catalysts of gentrification. Findings reveal that informal areas and deteriorated heritage sites in major cities are most susceptible to gentrification. The study also highlights the critical issue of insufficient community participation and proposes a participation evaluation framework. The unique socioeconomic and political factors driving gentrification in the MENA region underscore the necessity of context-specific approaches, facilitating the identification of regional similarities and differences. Conclusively, the review asserts that gentrification is a cyclic process, necessitating core interventions through enhanced regeneration strategies or displacement plans to mitigate its effects.
This study analyzes the highly disruptive transportation business in Indonesia. The purpose of observation is to completely synthesize disruptive transportation that causes bad externalities in society. Data sources come from primary data of interviews and secondary data of related literature. The research method uses critical qualitative with a combination of in-depth interviews with several stakeholders. Key findings suggest that trust, consistency, capital ownership and proximity of new entrants to incumbents are important in disruptive innovation processes, empirical implications that transportation in Indonesia has undergone a definite economic shift. The results showed that although the government has publicly expressed its full support for any individual who will develop a business in the digital economy model, it is not effective enough to be consistent in the transportation business. Policy recommendations include adaptive training incentive programs for incumbent groups and accelerated funding assistance for new entrant groups, in addition to strengthening active collaboration between the government and the private sector is urgently needed.
This paper explores how compassion can be defined as a transformative moral technology through analysis of Martha Nussbaum’s idea. Nussbaum contends that compassion goes beyond just feeling pain for others’ suffering; it also involves acknowledging the severity of suffering, understanding that it is not solely the victim’s fault, and recognizing the suffering individual as one of our most important goals and projects. Through a literature review that considers reductive explanations, we establish that compassion encompasses cognitive, affective, and conative capacities that are crucial for moral reasoning, knowledge, and judgment, all stemming from the experience of human suffering. These capacities of cognition, affection, and conation are supported by the system of reasoning and moral perspective known as techne, episteme, and oikeiosis as systems of reasoning and morality perspective. We argue that compassion is more than just an emotion or feeling, it is catalyst for moral action, as its essence lies in “suffering with; suffering together.”
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