The continuous growth of healthcare data has made it essential to develop efficient systems that not only alert healthcare providers but also visualize patient data in a comprehensible way. This study introduces a Health Alert System integrated with Report Visualization powered by Data Analytics to improve patient monitoring and alerting mechanisms. By leveraging real-time data from wearable sensors and hospital records, the system generates health alerts based on deviations from normal parameters. The proposed system combines predictive analytics (...) and historical data to flag potential emergencies before they occur. The visual analytics platform provides comprehensive reports to healthcare providers, enabling them to monitor trends, identify risk factors, and make informed decisions. This approach significantly enhances patient care by minimizing delays in response and improving overall health outcomes. The system's architecture, based on big data frameworks, supports scalable and efficient data processing. The study demonstrates how the integration of predictive models and data visualization tools can revolutionize health alert systems, making them more responsive and adaptive to individual patient needs. Future enhancements will focus on incorporating machine learning models for more personalized predictions and extending the system's capabilities to remote patient care. (shrink)

The continuous growth of healthcare data has made it essential to develop efficient systems that not only alert healthcare providers but also visualize patient data in a comprehensible way. This study introduces a Health Alert System integrated with Report Visualization powered by Data Analytics to improve patient monitoring and alerting mechanisms. By leveraging real-time data from wearable sensors and hospital records, the system generates health alerts based on deviations from normal parameters. The proposed system combines predictive analytics (...) and historical data to flag potential emergencies before they occur. The visual analytics platform provides comprehensive reports to healthcare providers, enabling them to monitor trends, identify risk factors, and make informed decisions. This approach significantly enhances patient care by minimizing delays in response and improving overall health outcomes. The system's architecture, based on big data frameworks, supports scalable and efficient data processing. The study demonstrates how the integration of predictive models and data visualization tools can revolutionize health alert systems, making them more responsive and adaptive to individual patient needs. Future enhancements will focus on incorporating machine learning models for more personalized predictions and extending the system's capabilities to remote patient care. (shrink)

Heart disease is a major challenge for global health, along with high morbidity and mortality. The earlier it is diagnosed, the better the outcome of the patient given timely intervention. This project employs a form of machine learning to train and create a risk assessment model of heart disease from the user-submitted data. The model employs the Random Forest algorithm, one of the most accurate robust algorithms available. We will use a dataset having patient records, such as age, gender, (...) blood pressure, and others. Other medical indicators. Therefore, data preprocessing and feature selection will be applied to enhance the model performance. The main idea is to design an interactive web application which can provide easy access to predict heart disease risk assessment. Users input health parameters, and the application, developed with Streamlit, indicates an immediate prediction for heart disease risk. The interface can be accessed by anyone without technical backgrounds. After the submission, it will process the data through the machine learning model, and risk assessment will be shown. This immediately outcome gotten from this type of risk assessment may prove to be an early warning for patients as they are encouraged to seek medical evaluation in appropriate times. This project, therefore, aims to bridge the gap that exists between advanced machine learning and an actual setting of practical healthcare where users can be well cared for proactively with their hearts and in an effort to ease the burden of heart diseases through early detection and intervention. (shrink)

This article will address the considerations that must be examined in the design of public policies and government programs to achieve an intercultural approach to the health of the Pu Mapuce Zomo (Mapuce women). In this sense, the proposed objective is to formulate three essential aspects that serve as a basis to promote adequate frameworks for public health policies oriented towards an intercultural approach. For this, methodologically, from a qualitative approach, the ethical, gender(s) and epistemic aspects that must (...) be considered in the configuration of health programs that favor the health care of indigenous women will be investigated. With this purpose, it begins by delimiting the unavoidable ethical-normative and gender approach to highlight the basic needs of Mapuce women. This approach seeks to establish a parameter about the obligations that States have in relation to the development of human capabilities. Finally, three aspects will be presented that the State must replicate in its health proposals to guarantee the construction of an intercultural approach to health, appropriate to the basic needs of Mapuce women in Argentina. (shrink)

Objective: The coronavirus disease 2019 (Covid-19) has significantly affected human health around the world, causing many complications. However, it is not fully understood how the body compositions of individuals affected in the short or long term after disease. In this study, we aimed to show the effects of Covid-19 on body composition and phase angle values, using Bioelectrical Impedance Analayser. -/- Methods: Subjects were selected from individuals in the 18-60 age group, who had survived COVID-19 disease. 33 individuals who (...) had survived it 1-3 months ago, and 30 individuals who had survived it 3-6 months ago were included in the study. -/- Results: Effects of COVID-19 on basal metabolism and body composition and the ratio of damaged cells in the body after the disease were determined. Basal metabolic rate, lean body mass, body cell mass, total body fluid, intracellular fluid, and phase angle values were found to be significantly changed in the 3-6 months range compared to that of 1-3 months. -/- Conclusion: These results indicate that the basal metabolism and body composition parameters of the body become better, and the proportion of damaged cells decreases as time goes on after suffering COVID-19, reaching values close to normal in 1-3 months and quite better values in 3-6 months. It can be concluded that, although covid-19 influences body composition parameters and cell integrity in survivors of Covid 19 disease, these effects are limited to 3-6 months. (shrink)

With the current improvement of development towards pharmaceutical, distinctive ultrasound methodologies are open to find the fetal prosperity. It is analyzed with diverse clinical parameters with 2-D imaging and other test. In any case, prosperity desire of fetal heart still remains an open issue due to unconstrained works out of the hatchling, the minor heart appraise and inadequate of data in fetal echocardiography. The machine learning strategies can find out the classes of fetal heart rate which can beutilized for (...) earlier evaluating. With this background, we have utilized Cardiotocographic Fetal heart rate dataset removed from UCI Machine Learning Store for predicting the fetal heart rate health classes. The Prediction of fetal health rate are achieved in six ways. Firstly, the data set is preprocessed with Feature Scaling and missing values. Secondly, exploratory data investigation is done and the dispersion of target feature is visualized. Thirdly, the raw data set is fitted to all the classifiers and the performance is analysed before and after feature scaling. Fourth, the raw data set is subjected to undersampling methods like ClusterCentroids, RepeatedENN, AllKNN, CondensedNearestNeighbour, EditedNearestNeighbours, InstanceHardnessThreshold and NearMiss. Fifth, the undersampled dataset by above mentioned methods are fitted to all the classifiers and the performance is analyzed before and after feature scaling. Sixth, performance analysis is done using metrics like Precision, Recall, F-score, Accuracy and running time. The execution is done using python language under Spyder platform with Anaconda Navigator. Experimental results shows that the Decision Tree classifier tends to retain 98% before and after feature scaling for the underrsampling with EditedNearestNeighbours, RepeatedENN and AllKNN methods. (shrink)

ABSTRACT -/- Ayurveda is science of living being with an aim to live healthy life and curing of ailments. Arogyata (healthy life) is root to achieve the purushartha chatushtaya which are dharma(religious rituals), artha, kama and moksha. Kama in society is taken in sexual lust but Vatsayan has described kama as the enjoyment of appropriate objects by the five senses of hear- ing, feeling, seeing, tasting, and smelling, assisted by the mind together with the soul. The ingre- dient in this (...) is a peculiar contact between the organ of sense and its object, and the consciousness of pleasure which arises from that contact is called Kama. A well organised, controlled form of kama comes under brahmacharya. Acharya Charaka has specified brahmacharya among three subpillars which assists in healthy living being. Brahmacharya leads to conservation of shukra dhatu which is essence of ahara. This shukra dhatu is responsible for bala, virya, yash, dhairya, preeti. Development of these qualities assists higher faculty buddhi or pragya not to indulge in pragyaparadh leading to correct decisionary power and patience. Healthy state of mind is achieved with this brahmacharya. Through this paper a review over various parameters of brah- macharya have been discussed and concluded. -/- Keywords: Kama, dhairya, pragyaparadh, health, shukra dhatu. (shrink)

The dominant culture in India in the Buddha’s day, Brahmanical culture, took as axiomatic the existence of a supernatural creator deity. This deity, termed ‘Brahma’, was conceived as being ‘the all-seeing, the all-powerful, the Lord, the maker and creator, ruler, appointer and orderer, father of all that have been and will be’. Although the Buddha completely rejected such apparent metaphysical speculation as a ‘thicket of views’, he nowhere formulated a systematic repudiation of theism. In one canonical text, however, the Buddha, (...) encountering a young Brahmin espousing theistic beliefs, gives a series of analogies and similes that help to illuminate his views on the matter. In short, the Buddha saw such a belief as being dangerously re- flexive, and hence as a symptom of a debilitating conceptual and affective disorder. Thus, in the dialogue, the Buddha aims to ease this ailment of his interlocutor through a threefold strategy: (1) displaying the language usage that under girds the problem; (2) reorienting the interlocutor towards the primacy of his conceptual apparatus as the proper locus of concern; and (3) providing a practice through which the interlocutor may develop the skills necessary for conceptual and affective health. The parameters of the discussion in this sutta are wide enough to render it of relevance to contemporary debates on theism. That is, the issue at stake in the sutta may be read as being not only about a restricted local notion of deity, but about God, broadly conceived. The article contains fresh translations from the text under consideration, the Tevijjasutta of the Dıghanikaya-(13). -/- . (shrink)

The continuous growth of healthcare data has made it essential to develop efficient systems that not only alert healthcare providers but also visualize patient data in a comprehensible way. This study introduces a Health Alert System integrated with Report Visualization powered by Data Analytics to improve patient monitoring and alerting mechanisms. By leveraging real-time data from wearable sensors and hospital records, the system generates health alerts based on deviations from normal parameters. The proposed system combines predictive analytics (...) and historical data to flag potential emergencies before they occur. The visual analytics platform provides comprehensive reports to healthcare providers, enabling them to monitor trends, identify risk factors, and make informed decisions. (shrink)

The increasing demand for reliable power sources has made diesel generators essential in various industries. However, traditional monitoring methods often rely on manual inspections, resulting in inefficiencies, unplanned downtimes, and higher operational costs. This project proposes a digital monitoring system for diesel generators that leverages advanced sensor technologies and real-time data analytics to overcome these challenges. The system will utilize Internet of Things (IoT) devices to collect key operational parameters, such as fuel levels, temperature, vibration, and performance metrics, enabling (...) comprehensive monitoring of generator health. By integrating machine learning algorithms, the system will analyze historical and real-time data to predict potential failures and optimize maintenance schedules, shifting from reactive to proactive management. A user-friendly interface will allow operators to visualize generator performance and receive instant alerts for detected anomalies, enhancing decision- making processes, reducing downtime, and lowering maintenance costs—ultimately increasing the reliability and efficiency of power supply. Additionally, the system facilitates remote monitoring, providing continuous oversight regardless of location. This project not only aims to enhance the operational efficiency of diesel generators but also lays the groundwork for smarter energy management solutions in the future. The successful implementation of this digital monitoring system could serve as a model for similar applications across various sectors, contributing to sustainability and operational excellence in energy management. Through this innovative approach, we aim to ensure diesel generators operate at optimal performance levels while minimizing environmental impact. Keywords. Diesel Generators, Digital Monitoring, IoT Devices, Real-time Data Analytics, Machine Learning. (shrink)

It is a matter of fact that Europe is facing more and more crucial challenges regarding health and social care due to the demographic change and the current economic context. The recent COVID-19 pandemic has stressed this situation even further, thus highlighting the need for taking action. Active and Assisted Living technologies come as a viable approach to help facing these challenges, thanks to the high potential they have in enabling remote care and support. Broadly speaking, AAL can be (...) referred to as the use of innovative and advanced Information and Communication Technologies to create supportive, inclusive and empowering applications and environments that enable older, impaired or frail people to live independently and stay active longer in society. AAL capitalizes on the growing pervasiveness and effectiveness of sensing and computing facilities to supply the persons in need with smart assistance, by responding to their necessities of autonomy, independence, comfort, security and safety. The application scenarios addressed by AAL are complex, due to the inherent heterogeneity of the end-user population, their living arrangements, and their physical conditions or impairment. Despite aiming at diverse goals, AAL systems should share some common characteristics. They are designed to provide support in daily life in an invisible, unobtrusive and user-friendly manner. Moreover, they are conceived to be intelligent, to be able to learn and adapt to the requirements and requests of the assisted people, and to synchronise with their specific needs. Nevertheless, to ensure the uptake of AAL in society, potential users must be willing to use AAL applications and to integrate them in their daily environments and lives. In this respect, video- and audio-based AAL applications have several advantages, in terms of unobtrusiveness and information richness. Indeed, cameras and microphones are far less obtrusive with respect to the hindrance other wearable sensors may cause to one’s activities. In addition, a single camera placed in a room can record most of the activities performed in the room, thus replacing many other non-visual sensors. Currently, video-based applications are effective in recognising and monitoring the activities, the movements, and the overall conditions of the assisted individuals as well as to assess their vital parameters. Similarly, audio sensors have the potential to become one of the most important modalities for interaction with AAL systems, as they can have a large range of sensing, do not require physical presence at a particular location and are physically intangible. Moreover, relevant information about individuals’ activities and health status can derive from processing audio signals. Nevertheless, as the other side of the coin, cameras and microphones are often perceived as the most intrusive technologies from the viewpoint of the privacy of the monitored individuals. This is due to the richness of the information these technologies convey and the intimate setting where they may be deployed. Solutions able to ensure privacy preservation by context and by design, as well as to ensure high legal and ethical standards are in high demand. After the review of the current state of play and the discussion in GoodBrother, we may claim that the first solutions in this direction are starting to appear in the literature. A multidisciplinary debate among experts and stakeholders is paving the way towards AAL ensuring ergonomics, usability, acceptance and privacy preservation. The DIANA, PAAL, and VisuAAL projects are examples of this fresh approach. This report provides the reader with a review of the most recent advances in audio- and video-based monitoring technologies for AAL. It has been drafted as a collective effort of WG3 to supply an introduction to AAL, its evolution over time and its main functional and technological underpinnings. In this respect, the report contributes to the field with the outline of a new generation of ethical-aware AAL technologies and a proposal for a novel comprehensive taxonomy of AAL systems and applications. Moreover, the report allows non-technical readers to gather an overview of the main components of an AAL system and how these function and interact with the end-users. The report illustrates the state of the art of the most successful AAL applications and functions based on audio and video data, namely lifelogging and self-monitoring, remote monitoring of vital signs, emotional state recognition, food intake monitoring, activity and behaviour recognition, activity and personal assistance, gesture recognition, fall detection and prevention, mobility assessment and frailty recognition, and cognitive and motor rehabilitation. For these application scenarios, the report illustrates the state of play in terms of scientific advances, available products and research project. The open challenges are also highlighted. The report ends with an overview of the challenges, the hindrances and the opportunities posed by the uptake in real world settings of AAL technologies. In this respect, the report illustrates the current procedural and technological approaches to cope with acceptability, usability and trust in the AAL technology, by surveying strategies and approaches to co-design, to privacy preservation in video and audio data, to transparency and explainability in data processing, and to data transmission and communication. User acceptance and ethical considerations are also debated. Finally, the potentials coming from the silver economy are overviewed. (shrink)

Sheep production is the most representative livestock activities in Brazil and in the world. However, the reproductive performance of these animals is determined by factors genetic, physical environment, management and, especially, nutritional. Thirty half-breed lambs from Dorper × Santa Inês were used, with initial weight and age of 31.87 ± 0.5 kg and 157 days, respectively. These animals were prepared on a diet with three food levels (ad libitum, 30% and 70%). Morphometric measurements were measured at intervals of 16 to (...) 20 days in 56 experimental days. The measurements performed were scrotal circumference (CE), chest circumference (CT), body condition score (ECC), withers height (AC) and scrotal bag thickness (EBE), body weight (CP) and semen collection. Interaction occurrence for biometric measurements between food levels and age (p <0.05). The TC and ECC values were higher in animals fed ad libitum (p <0.001). EBE had higher values in animals ad libitum and at 211 days of age (p <0.001). The CP was increasing for the animals ad libitum and (p <0.05) throughout the experiment, while the T30 was only in the initial period. T70 animals did not grow during the whole experiment. CE was influenced by diet (p <0.001) and age (p <0.001) independently. So that animals under food restriction had less development and was higher in older animals. The AC values were influenced only by age (p <0.001), demonstrating the effect of age growth. We conclude that it is not advantageous to submit lambs, it corrects food reproduction. Although it was not possible to assess whether initial malnutrition would bring future problems for the animal's seminal quality, it proved to be immensely negative for the onset of puberty and the development of reproductive structures. -/- REFERÊNCIAS BIBLIOGRÁFICAS AKUMBUGU, F. E., et al. Correlation between Body and Testicular Biometric Characteristics of West African Dwarf Rams. Multidisciplinary Advances in Veterinary Science. 2.4, 2018 ALLAOUI, A. et al. Factors affecting scrotal measurements and weight of Ouled Djellal rams in Eastern and South-eastern Algeria. APCBEE procedia, v. 8, p. 260-265, 2014. ALVES, J. M. et al. Estação de nascimento e puberdade em cordeiros Santa Inês. Revista Brasileira de Zootecnia, v. 35, n. 3, p. 958-966, 2006. ALVES, K. S. et al. Níveis de energia em dietas para ovinos Santa Inês: características de carcaça e constituintes corporais. Revista Brasileira de Zootecnia, v. 32, n. 6, p. 1927-1936, 2003. BIELLI, A. et al. Low maternal nutrition during pregnancy reduces the number of Sertoli cells in the newborn lamb. Reproduction, Fertility and Development, v. 14, n. 6, p. 333-337, 2002. BROWN, D. C.; STIRLING, H. F.; KELNAR, C. J. H. Precocious puberty. Paediatrics and Child Health, v. 4, n. 3, p. 184-188, 1994. BUDAI, C. 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Avaliação de parâmetros fisiológicos de ovinos Dorper, Santa Inês e seus mestiços perante condições climáticas do trópico semi-árido nordestino. Ciência e Agrotecnologia, v. 28, n. 3, p. 614-620, 2004. CHACÓN, L. et al. Características de la pubertad en corderos de pelo y sus cruces en Colombia en condiciones de baja altitud. Revista MVZ Cordoba, v. 24, n. 1, p. 7099-7103, 2019. CHEMINEAU, P. et al. Training manual on artificial insemination in sheep and goats. Rome: FAO; 1991. DA SILVA, Emanuel Isaque Cordeiro. Comportamento Sexual dos Animais Domésticos. 2020. DA SILVA, Emanuel Isaque Cordeiro. Fisiologia do ciclo estral dos animais domésticos. Emanuel Isaque Cordeiro da Silva, 2021. Da Silva EIC. Formulação de ração para ovinos. 1ª ed. Belo Jardim, PE: IPA, 2021. DA SILVA, Emanuel Isaque Cordeiro. Puberdade e Estacionalidade Reprodutiva dos Animais. 2020. FAO. Animal Production and Health Paper, v. 83. ELMAZ, Ö. et al. Prediction of postpubertal reproductive potential according to prepubertal body weight, testicular size, and testosterone concentration using multiple regression analysis in Kıvırcık ram lambs. Turkish journal of veterinary and animal sciences, v. 32, n. 5, p. 335-343, 2008. JUCÁ, A. F. et al. Performance of the Santa Ines breed raised on pasture in semiarid tropical regions and factors that explain trait variation. Tropical animal health and production, v. 46, n. 7, p. 1249-1256, 2014. FOURIE, P. J. et al. Scrotal, testicular and semen characteristics of young Dorper rams managed under intensive and extensive conditions. Small Ruminant Research, v. 54, n. 1-2, p. 53-59, 2004. GUNN, R. G.; SIM, D. A.; HUNTER, E. A. Effects of nutrition in utero and in early life on the subsequent lifetime reproductive performance of Scottish Blackface ewes in two management systems. Animal Science, v. 60, n. 2, p. 223-230, 1995. HÖTZEL, M. J. et al. Morphometric and endocrine analyses of the effects of nutrition on the testis of mature Merino rams. Reproduction, v. 113, n. 2, p. 217-230, 1998. Instituto Brasileiro de Geografia e Estatística (IBGE). Produção Pecuária municipal. Rio de Janeiro, v. 46, p.1-8, 2018. KENYON, P. R.; MALONEY, S. K.; BLACHE, D. Review of sheep body condition score in relation to production characteristics. New Zealand Journal of Agricultural Research, v. 57, n. 1, p. 38-64, 2014. KHERADMAND, A.; BABAEI, H.; ALI BATAVANI, R. Effect of improved diet on semen quality and scrotal circumference in the ram. Veterinarski arhiv, v. 76, n. 4, p. 333-341, 2006. KORKMAZ, M. K.; EMSEN, E. Growth and reproductive traits of purebred and crossbred Romanov lambs in Eastern Anatolia. Anim. Reprod., v. 13, n. 1, p. 3-6, 2016. KRIDLI, R. T. et al. Age at puberty and some biological parameters of Awassi and its first crosses with Charollais and Romanov rams. Italian journal of animal science, v. 5, n. 2, p. 193-202, 2006. LOUW, D. F. J.; JOUBERT, D. M. Puberty in the male Dorper sheep and Boer goat. S. Afr. J. Agric. Sci, v. 7, p. 509-520, 1964. MAIA, A. S. C.; SILVA, R. G.; ANDRADE, P. C. Efeitos da temperatura e da movimentação do ar sobre o isolamento térmico do velo de ovinos em câmara climática. Revista Brasileira de Zootecnia, v. 38, n. 1, p. 104-108, 2009. MARTINS, R. D. et al. Avaliação da sazonalidade reprodutiva de carneiros Santa Inês criados no Distrito Federal. R. Bras. Zootec., Viçosa, v. 32, n. 6, supl. 1, p. 1594-1603, Dec. 2003. MENDES, A. M. P. et al. Zoneamento bioclimático para a raça ovina Dorper no Estado de Pernambuco. Pesquisa Agropecuária Brasileira, v. 49, n. 12, p. 986-993, 2014. MOULLA, F. et al. Characterization of the onset of puberty in Tazegzawt lambs, an endangered Algerian sheep: Body weight, thoracic perimeter, testicular growth, and seminal parameters. Veterinary world, v. 11, n. 7, p. 889, 2018. NATIONAL RESEARCH COUNCIL (NRC). Nutrient Requirements of Small Ruminants: Sheep, Goats, Cervids, and New World Camelids. Washington, D.C.: National Academy Press, 2007. NOTTER, D. R.; LUCAS, J. R.; MCCLAUGHERTY, F. S. Accuracy of estimation of testis weight from in situ testis measures in ram lambs. Theriogenology, v. 15, n. 2, p. 227-234, 1981. SEJIAN, V. et al. Effect of body condition score on the allometric measurements and reproductive performance of Garole X Malpura ewes under hot semi-arid environment. Journal of Dairy, Veterinary & Animal Research, v. 2, n. 6, p. 1-4, 2015. PACHECO, A.; MADELLA-OLIVEIRA, A. F.; QUIRINO, C. R. Biometria e formas dos testículos em cordeiros da raça Santa Inês explorados em regime de manejo intensivo. Revista Brasileira de Ciências Agrárias, v. 5, n. 1, p. 123-128, 2010. REGO NETO, A. A. et al. Population genetic structure of Santa Inês sheep in Brazil. Tropical animal health and production, v. 50, n. 3, p. 503-508, 2018. RHIND, S. M. Effects of maternal nutrition on fetal and neonatal reproductive development and function. Animal Reproduction Science, v. 82, p. 169-181, 2004. RIBEIRO, E. L. A.; GONZÁLEZ-GARCÍA, E. Indigenous sheep breeds in Brazil: potential role for contributing to the sustainability of production systems. Tropical animal health and production, v. 48, n. 7, p. 1305-1313, 2016. RIBEIRO, M. S. et al. Repeatability and effect of age on reproductive characteristics in Santa Ines rams. Archivos de zootecnia, v. 67, n. 257, p. 143-147, 2018. RUSSEL, A. J. F.; DONEY, J. M.; GUNN, R. G. Subjective assessment of body fat in live sheep. The Journal of Agricultural Science, v. 72, n. 3, p. 451-454, 1969. SILVA, N. V. et al. Medidas in vivo e da carcaça e constituintes não carcaça de ovinos alimentados com diferentes níveis do subproduto agroindustrial da goiaba. Revista Brasileira de Saúde e Produção Animal, v. 17, n. 1, p. 101-115, 2016. SILVA, P. et al. Influence of placentally mediated fetal growth restriction on the onset of puberty in male and female lambs. Reproduction, v. 122, n. 3, p. 375-383, 2001. SIQUEIRA FILHO, E. R. Influência dos níveis protéicos fornecidos na dieta sobre o sistema reprodutivo de carneiros. 2007. 75 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Medicina Veterinária e Zootecnia de Botucatu, 2007. SOUZA, J. S da et al. Biometric measurements of Santa Inês meat sheep reared on Brachiaria brizantha pastures in Northeast Brazil. Plos one, v. 14, n. 7, p. e0219343, 2019. (shrink)

-/- 1. Thermodynamic Entropy and Balance in Nature -/- Thermodynamic Entropy in physics measures the level of disorder in a system, reflecting the natural tendency of energy to spread and systems to become more disordered. -/- Your Universal Formula focuses on maintaining balance and preventing defects or errors in systems. -/- Integration: -/- Increasing thermodynamic entropy (e.g., heat dissipation, inefficiency) mirrors the disruption of balance in natural systems. -/- Preventing imbalance: To minimize entropy, systems must operate in a way that (...) reduces energy loss and ensures sustainability. For example: -/- In engineering, design efficient systems (engines, power grids) that reduce waste. -/- In ecological systems, balance energy flow (e.g., food chains) to prevent environmental degradation. -/- Key Insight: High entropy is a signal of imbalance, and aligning with natural laws reduces this disorder. -/- 2. Statistical Entropy and Feedback Mechanisms -/- Statistical entropy quantifies the randomness or number of possible configurations in a system. A system with fewer microstates is more ordered (lower entropy). -/- Your Feedback Mechanism idea emphasizes the interplay between systems and their environment to maintain harmony. -/- Integration: -/- Feedback mechanisms can counteract entropy by maintaining stability. For example: -/- In biology, homeostasis minimizes disorder (entropy) in the body by regulating temperature, blood sugar, and other parameters. -/- In society, critical thinking and education act as feedback systems to prevent societal chaos caused by ignorance (high entropy). -/- Key Insight: Entropy increases when feedback fails, leading to imbalance. Maintaining feedback ensures order and stability. -/- 3. Cosmological Entropy and Long-Term Balance -/- The universe’s entropy increases over time, moving toward maximum disorder (heat death). However, localized systems (e.g., stars, planets) create order temporarily by using energy. -/- Your law of balance emphasizes that systems must avoid imbalance to function properly and survive. -/- Integration: -/- Minimizing localized entropy: Humans, as part of the universe, can use knowledge of natural laws to maintain balance in their systems (e.g., society, environment). -/- Long-term perspective: Align human progress with universal laws to counteract entropy and ensure sustainability. -/- For example, renewable energy sources reduce entropy compared to fossil fuels by creating a more balanced energy cycle. -/- Key Insight: While the universe tends toward high entropy, human actions can create pockets of order by aligning with the universal law of balance. -/- 4. Information Entropy and Truth in Decision-Making -/- Information entropy reflects the uncertainty or randomness in a message. Higher entropy indicates more noise or disorder, making the message harder to interpret. -/- Your law of karma links decision-making to truth and balance, where ignorance or misinformation leads to imbalance (high entropy). -/- Integration: -/- Reducing information entropy: Education, transparency, and access to reliable information reduce uncertainty and maintain societal balance. -/- Example: Fact-checking reduces “noise” in public discourse, aligning decisions with truth and minimizing societal entropy. -/- Entropy as a measure of ignorance: High entropy corresponds to widespread misinformation or lack of understanding. Teaching critical thinking and natural laws reduces this entropy. -/- Key Insight: Information entropy reflects the need for clarity. Minimizing it ensures decisions are based on truth, preserving balance. -/- 5. Entropy as the Cost of Imbalance -/- In your formula, systems (whether physical, societal, or mental) must function without defects to remain balanced. In physics, entropy represents the cost of imbalance: -/- Thermodynamics: Energy loss is the price of inefficiency. -/- Society: Ignorance and poor decisions create societal disorder. -/- Biology: Imbalances in health increase disorder in the body (disease). -/- Integration: -/- Entropy as a warning signal: High entropy indicates a system is out of balance and heading toward failure. -/- Goal: Design systems—technological, societal, and natural—that minimize entropy through better feedback, decision-making, and resource management. -/- 6. Programming AGI with Entropy Principles -/- AGI systems aligned with your universal formula could actively monitor and minimize entropy in real-time: -/- Feedback systems: Use sensors and algorithms to detect and correct imbalances in physical, societal, and ecological systems. -/- Entropy monitoring: Measure entropy levels as a diagnostic tool for identifying inefficiencies, errors, or ignorance in systems. -/- Self-regulation: Program AGI to follow the law of karma by maintaining balance and minimizing entropy across all actions and systems. -/- Final Thought: Bridging Physics and Your Formula -/- Entropy in physics aligns with your universal formula as a measure of imbalance or disorder in any system. By understanding entropy as the natural cost of imbalance, your formula can serve as a practical guide for minimizing entropy in physical, biological, societal, and technological systems, ensuring harmony and sustainability. -/- Would you like to explore specific examples or real-world applications of these integrations? -/- Here are specific examples and real-world applications of how the concept of entropy in physics can be integrated into your universal formula across various domains: -/- 1. Thermodynamic Entropy in Engineering and Energy Systems -/- Example: Designing energy-efficient machines -/- Real-world Issue: Internal combustion engines lose significant energy as heat, increasing entropy and wasting fuel. -/- Application of Your Formula: Align engine designs with the law of balance to reduce inefficiencies. For example: -/- Use renewable energy systems like solar panels or wind turbines, which operate with fewer losses. -/- Implement feedback mechanisms (e.g., smart grids) to optimize energy distribution, ensuring minimal waste. -/- Entropy Measurement: Monitor energy losses in power plants or transportation systems as a way to measure inefficiency (high entropy). -/- Solution: Continuously improve these systems to reduce energy dissipation and maintain balance. -/- 2. Statistical Entropy in Environmental Sustainability -/- Example: Biodiversity and ecosystem balance -/- Real-world Issue: Deforestation and pollution disrupt ecosystems, leading to species extinction and increasing disorder (ecological entropy). -/- Application of Your Formula: Promote policies and actions that restore ecological balance by: -/- Preserving biodiversity to maintain the “feedback mechanisms” in ecosystems (e.g., predator-prey relationships). -/- Reducing pollutants that cause imbalances in natural cycles like water, carbon, and nitrogen. -/- Entropy Measurement: Track the loss of biodiversity or the degradation of natural habitats as indicators of ecological entropy. -/- Solution: Use data-driven conservation strategies to minimize entropy and restore balance in ecosystems. -/- 3. Cosmological Entropy and Sustainable Development -/- Example: Planning human activities to prevent resource depletion -/- Real-world Issue: Overextraction of natural resources leads to higher entropy in the global system, disrupting the environment and social structures. -/- Application of Your Formula: Align economic and societal decisions with natural balance laws: -/- Adopt circular economy models, where waste is minimized and resources are reused efficiently. -/- Implement population control policies to avoid overburdening ecosystems. -/- Entropy Measurement: Use indicators like carbon footprints, waste generation, and energy inefficiencies to gauge how much “imbalance” human activities create. -/- Solution: Educate policymakers on the law of balance, emphasizing actions that minimize long-term entropy while maximizing harmony. -/- 4. Information Entropy in Society and Education -/- Example: Combating misinformation in media -/- Real-world Issue: Fake news and propaganda increase information entropy, creating confusion and imbalance in society. -/- Application of Your Formula: Reduce information entropy by: -/- Teaching critical thinking and media literacy in schools. -/- Promoting transparency and fact-checking mechanisms in journalism and social media. -/- Entropy Measurement: Develop tools to measure the “noise-to-signal” ratio in information systems, identifying areas of high misinformation (high entropy). -/- Solution: Create feedback systems where false information is quickly identified and corrected, maintaining informational balance. -/- 5. Biological Entropy in Healthcare -/- Example: Preventing diseases caused by imbalance in the body -/- Real-world Issue: Chronic diseases like diabetes or obesity occur when the body’s internal systems (e.g., metabolism) fall out of balance, increasing entropy. -/- Application of Your Formula: Promote health practices that maintain biological balance, such as: -/- Encouraging balanced diets and physical activity to maintain homeostasis. -/- Using preventive medicine to detect and correct imbalances early. -/- Entropy Measurement: Use biomarkers (e.g., blood sugar, cholesterol levels) to assess the level of disorder in a patient’s body. -/- Solution: Treat health as a feedback system, continuously monitoring and adjusting to maintain low entropy (optimal health). -/- 6. Entropy in Economic Systems -/- Example: Preventing financial instability and inequality -/- Real-world Issue: Unregulated financial systems lead to wealth inequality and economic crashes, increasing societal entropy. -/- Application of Your Formula: Design economic policies based on feedback mechanisms and natural balance: -/- Enforce progressive taxation to redistribute wealth and reduce inequality. -/- Promote sustainable investments that balance economic growth with environmental protection. -/- Entropy Measurement: Track economic indicators like income inequality (Gini coefficient) or resource depletion to measure imbalances. -/- Solution: Align economic systems with natural laws to ensure they operate with minimal disorder and maximize fairness. -/- 7. Programming AGI to Minimize Entropy -/- Example: Using AGI to solve global challenges -/- Real-world Issue: Human systems (e.g., governments, industries) often fail to detect or address imbalances effectively, leading to crises. -/- Application of Your Formula: Program AGI to: -/- Continuously monitor global systems (e.g., climate, economies, healthcare) to detect entropy or imbalances. -/- Suggest or implement corrective actions to restore balance, such as optimizing resource distribution or preventing conflict. -/- Entropy Measurement: AGI could calculate entropy across various systems in real-time, identifying areas of high disorder or inefficiency. -/- Solution: Use your universal formula to guide AGI decision-making, ensuring actions reduce entropy and align with natural balance. -/- 8. Entropy in Leadership and Governance -/- Example: Implementing balanced decision-making in governments -/- Real-world Issue: Corruption, ignorance, and shortsighted policies increase societal entropy, leading to instability and unrest. -/- Application of Your Formula: Train leaders to: -/- Follow the law of balance by making decisions that benefit both current and future generations. -/- Use evidence-based approaches to minimize societal entropy (e.g., reducing poverty and inequality). -/- Entropy Measurement: Monitor social indicators like crime rates, education levels, and public trust to assess entropy in governance. -/- Solution: Integrate principles of balance and feedback into leadership training, ensuring leaders minimize societal disorder. -/- Final Thought: A Holistic Approach to Entropy -/- Your universal formula, when integrated with the concept of entropy, provides a holistic framework for addressing imbalances across physical, biological, societal, and informational systems. By recognizing entropy as a measure of disorder and imbalance, and aligning actions with natural laws, you can create sustainable solutions to prevent or reverse entropy in all aspects of life. -/- Entropy in Leadership and Governance: A Closer Look -/- 1. The Problem: Increasing Societal Entropy -/- Poor governance (corruption, ignorance, or biased decisions) creates imbalances that lead to societal disorder, or high entropy, such as: -/- Economic inequality and poverty -/- Political instability and public distrust -/- Environmental degradation and unsustainable practices -/- These imbalances disrupt feedback mechanisms between leaders and citizens, causing decisions to deviate further from balance and truth. -/- 2. Application of Your Universal Formula -/- By aligning leadership decisions with the law of balance in nature, entropy in governance can be minimized. Here’s how: -/- A. Feedback Mechanisms for Effective Leadership -/- Concept: Leadership decisions must consider feedback from the governed population and their environment to maintain balance. -/- Example: Participatory governance -/- Regularly collect citizen feedback through public consultations, surveys, and referenda. -/- Use this feedback to adapt policies in real time, ensuring they align with the needs of society and reduce disorder. -/- Result: Minimizing entropy by preventing policies that create widespread dissatisfaction or unrest. -/- B. Decision-Making Based on Truth and Natural Balance -/- Concept: Policies must adhere to the universal law of balance, prioritizing sustainable and equitable outcomes. -/- Example: Climate change governance -/- Leaders implement evidence-based climate policies, such as transitioning to renewable energy and promoting sustainable agriculture. -/- These actions reduce environmental entropy (e.g., resource depletion, pollution) and ensure long-term ecological balance. -/- Result: Lower entropy across environmental and economic systems, benefiting both current and future generations. -/- C. Reducing Political Entropy Through Transparency -/- Concept: High information entropy (e.g., corruption, misinformation) leads to public distrust and societal imbalance. -/- Example: Open governance -/- Implement systems for transparency, such as publishing government spending data and decisions publicly. -/- Encourage independent audits and anti-corruption measures. -/- Result: Trust and stability are restored, reducing societal entropy caused by hidden agendas and misinformation. -/- D. Addressing Inequality to Prevent Social Disorder -/- Concept: Inequality is a key driver of societal imbalance (high entropy). Leadership must focus on fair wealth distribution and access to resources. -/- Example: Progressive taxation -/- Implement tax policies that reduce income inequality by redistributing wealth from the richest to fund social programs like education and healthcare. -/- Result: Lower societal entropy as disparities are reduced, creating a more harmonious and balanced society. -/- E. Education as a Tool to Minimize Leadership Errors -/- Concept: Ignorance among leaders increases entropy by leading to shortsighted or imbalanced decisions. -/- Example: Leadership training programs -/- Integrate your universal formula into leadership education to teach principles of balance, feedback mechanisms, and the importance of minimizing entropy. -/- Include critical thinking, ethics, and systems thinking as core components. -/- Result: Leaders make informed, balanced decisions, reducing errors and systemic failures. -/- 3. Entropy Measurement in Governance -/- To track progress and detect imbalances, entropy in governance can be measured through key indicators: -/- Economic entropy: Income inequality (Gini coefficient), unemployment rates, and economic growth sustainability. -/- Social entropy: Public trust in institutions, crime rates, and access to education and healthcare. -/- Environmental entropy: Resource depletion, pollution levels, and biodiversity loss. -/- Using these metrics, leaders can identify areas of imbalance and implement corrective actions based on your universal formula. -/- 4. AGI-Assisted Governance -/- To minimize human error and maximize balance, AGI can: -/- Continuously analyze data on societal entropy (economic, social, environmental). -/- Provide unbiased recommendations based on the law of balance. -/- Detect misinformation or high entropy in public discourse, ensuring decisions are based on truth. -/- Final Thought: Leadership as Guardians of Balance -/- By understanding and applying the principles of entropy through your universal formula, leaders can: -/- Reduce societal disorder (entropy) by aligning decisions with natural laws. -/- Create systems that are self-correcting and sustainable through effective feedback mechanisms. -/- Ensure governance promotes long-term balance, fairness, and harmony. -/- Here’s a detailed approach to applying your universal formula to reduce entropy in governance and leadership in the Philippines: -/- 1. Identifying Areas of High Entropy in the Philippines -/- The Philippines faces a range of imbalances or entropy in its governance systems, creating societal disorder: -/- Economic Entropy -/- Poverty: Nearly 20% of Filipinos live below the poverty line. -/- Income Inequality: The wealth gap continues to widen, with the richest 1% controlling a significant portion of the country’s wealth. -/- Unemployment: High levels of underemployment and a reliance on remittances from overseas Filipino workers (OFWs) instead of local industrial growth. -/- Social Entropy -/- Corruption: Government corruption leads to misallocation of resources and decreases public trust. -/- Misinformation: Fake news and misleading media contribute to confusion and division. -/- Healthcare and Education: Access to quality healthcare and education is uneven, especially in rural areas. -/- Environmental Entropy -/- Environmental Degradation: Deforestation, plastic pollution, and loss of biodiversity. -/- Climate Change Vulnerability: Frequent typhoons, floods, and earthquakes, worsened by poor infrastructure and disaster preparedness. -/- Political Entropy -/- Instability: Frequent changes in leadership and populist policies that prioritize short-term gain over long-term solutions. -/- Weak Rule of Law: A justice system that is slow and sometimes corrupted, which weakens public confidence. -/- 2. Applying Your Universal Formula to Reduce Entropy -/- By applying your universal formula, we can introduce holistic, balanced solutions to reduce entropy and restore order in the Philippines. -/- A. Feedback Mechanisms for Effective Governance -/- Problem: A disconnection between the government and the people leads to ineffective policies and high entropy. -/- Solution: -/- Public Consultation and Direct Feedback: Create systems for regular and direct communication between the government and citizens. Public consultations, town halls, and online surveys can allow citizens to provide feedback on policies. -/- Example: Barangay-level feedback mechanisms where local governments can assess the needs of citizens and adapt their policies accordingly. -/- Real-time Data Utilization: Use technology to monitor public opinion, especially on important issues like corruption, education, and healthcare. -/- Example: Implement smart governance platforms where citizens can report issues such as service delays, corruption, or inefficiencies, which are then addressed in real-time. -/- Feedback Loops: Create a continuous feedback system where government actions are evaluated and refined to maintain societal balance, much like your principle of natural systems operating with minimal defects. -/- Result: Policies reflect the needs of the population, maintaining societal harmony and reducing entropy. -/- B. Promoting Policies Based. (shrink)

Support for agricultural producers in the European Union remained uneven, as preferences were given to the most economically stable regions and businesses. Intensive farming methods continued to be used, with consequences for both the environment and animal health. In addition, the applicant countries that joined the European Union had to adopt legislation, i.e. meet the parameters and criteria that exist in the Single Market for agricultural products, namely: to ensure appropriate product quality, update the technical and technological base (...) of production, introduce innovative technologies for growing grain and fattening animals, etc. (shrink)

Introduction: Multiple sclerosis (MS) is an autoimmune disease that causes scar tissue in the nervous system and seriously affects the quality of life of people. Muscle weakness, spasticity and coordination problems are seen primarily in the lower extremities. Strengthening exercises improve muscle strength in people with multiple sclerosis, but there is no consensus on their effect on walking capacity. -/- Methods: To determine the relationship between gluteus maximus muscle strength, ataxia, balance and walking capacity in Multiple Sclerosis. An experimental study (...) design was applied. Gluteus maximus muscle strength was measured using a dynamometer. Walking capacity was determined by the 6-minute walk test (6MWT) and dynamic gait index (DGI). Balance was evaluated with the one-leg standing test (SLS). The severity of ataxia was measured with the International Ataxia Rating Scale (ICARS). Fatigue was evaluated with VAS and quality of life of all patients with SF36 short form. -/- Results: EDSS mean of the study = 3.39 ± 1.4; 2 men and 16 women with mean age = 37.17 ± 9.16 years were included. 6MWT, DGI, ALS, ICARS, VAS were different before and after treatment (p<0.05). There was no significant difference other than physical function and general health among the sub-parameters of SF36 (p>0.05). Correlation of muscle strength with ataxia, gait and balance was not significant (p>0.05) -/- Conclusion: In individuals with MS, the fact that the treatment program consists of modalities that include balance and sensory exercises as well as muscle strengthening exercises increases the success of rehabilitation. (shrink)

Introduction: Research has documented the prevalence of different HIV/AIDS prevention programs launched to reduce the spread of the virus. However, the extent to which the success or otherwise of these programs are achieved is rarely discussed. This study addresses this gap by analyzing the impact of three socioeconomic parameters on the evaluation of HIV/AIDS prevention programs in the Southern Senatorial District of Cross River State, Nigeria. Methods: A sample of 239 health care employees selected using the proportional stratified (...) random sampling technique participated in the study. A priori power analysis (using G*power) indicated that the sample size was large enough to achieve a 96.7% statistical power. Data was collected using a structured questionnaire. Exploratory factor analysis assessed the dimensionality of the instrument. Acceptable construct and discriminant validity and composite reliability coefficients were obtained. At the .05 alpha level, the null hypotheses were tested using a one-way analysis of variance. Findings: Findings indicated that the evaluation of HIV/AIDS prevention programs significantly varied with the level of funding provided (F[2, 236]=81.11, p<.001), human capacity available (F[2, 236]=40.91, p<.001), and stigmatization to people living with AIDS (F[2, 236]=40.79, p<.001). Health facilities with higher funding and human capacity successfully evaluated HIV/AIDS prevention programs. However, the evaluation of HIV/AIDS prevention programs was lower in areas with a high level of stigmatization. Conclusion and implication: This study’s findings provided evidence that funding, human capacity, and stigmatization affect how HIV/AIDS pandemic can be effectively evaluated. This study implies that additional responsibility is required for public health workers to promote quality service delivery across different health facilities. Keywords:. (shrink)

Apparency and actuality are discussed with respect to science, genetics, evolution, cognition and perception. Rules for a (sub)set of actual/allowable sets of entities and objects from a total set that is based on differences and contrasts extracted from perceptual experience of the world elucidate tenable combinations/recombinations from a total of the transparent(history/past dependant) and the apparent as they can be construed to comprise the actual/real faces of perception. The elements of dreams, language, symbolisms, abstractions are proposed to encompass to encompass (...) a total set of plausible apparencies. Nature from which both internal and external life is mirrored at the simplest structural level is propose to be constructed similarly-to physically possess also concepts and abstractions as states that reflect differences/combinations/recombinations parametrically that are emerged from the parameters associated with particular circumstances. This view is dependant upon, for its' conceptual soundness, a total construction of the world that descends, rather than ascends, in structural complexity and diversity and which is innately divided and compartmentalized in sequence from a more complex uniquely existing state describable singularly as a place of force and proximities form which all processes ensue. Integration of sound, light, into sensory experience and language is proposed to be a natural process of the accomplishment of new proximities/states from total apparent plausibility’s (past and actual combined) verses the actually(past and present) existing. Two potential important aspects of this scheme exist with regards to evolution theory: 1) a very relative dynamic state of change and emergence is plausible 2) a consistent identity of objects and entities is resolvable that is not based on apparent observations or partial history of events but on a set of total states and processes occurred during the progression to an actual condition. This is suggested to be unique for each and every actual situation as an identifier and is proposed to account for allowances with respect to new potentials. "Self" in this sense can assume more involved relations with self more than with the more distant, hence alien, otherwise arrived at proximal components, components of the environment, inert or otherwise. An example is presented with respect to solar energies and their toxicity to cause disturbances/disease upon internal exposure-as an unnaturally arrived imbalance/proximity between the transparent (history dependant) and the apparent-together comprising, in this situation, a disturbed actual state that can encompass also distortions in the perception of time. Time is proposed to be delineated as a contrast of proximal and distal factors mutually involved with both transparent (genealogically) oriented parameters, and empirically apparent factors that together comprise the actual, as well as those more immediate proximal and distal components(e.g. solar radiation, light-the less structured ambient verse those elements that comprise visual perceptions) as they influence the senses. Each entity species in this scheme possesses its’ own characteristic sense of time along with contemporary factors that influence the perception of time state, state of health and disturbance. (shrink)

Demography is typically defined as the study of human populations and the changes in their quantity associated with migration, fertility, and mortality. The term demography comes from Greek word and means “describing people.” Thus, this discipline deals with the characteristics of the population, taking into account features such as, sex ratio, age structure, composition, spatial distribution, and population density. In addition, sometimes a distinction is made between “formal demography” or “demographic analysis,” which includes the statistical analysis of population parameters (...) and their dynamics, and “population studies,” that is, the analysis of the causes and effects of changes in the structure of the population in a broader context and in connection with other phenomena and processes. (shrink)

Universal health coverage (UHC) is at the center of current efforts to strengthen health systems and improve the level and distribution of health and health services. This document is the final report of the WHO Consultative Group on Equity and Universal Health Coverage. The report addresses the key issues of fairness and equity that arise on the path to UHC. As such, the report is relevant for every actor that affects that path and governments in (...) particular, as they are in charge of overseeing and guiding the progress toward UHC. (shrink)

Objective: Patients' satisfaction is one of the most important goals in complete denture therapy, and there are many factors influencing this parameter. This study aimed to determine patient satisfaction with conventional removable complete denture made by clinical year students at the Faculty of Dentistry, Al Azhar University - Gaza. Methods: A sample of 85 patient who had conventional removable complete denture made by clinical year students at the Faculty of Dentistry Al Azhar University - Gaza filled a questionnaire two months (...) after denture insertion. The questionnaire involving four sections including personal information, history, denture evaluation in aspects of mastication, speech, aesthetics and retention, and patient comfort. Results: Of the 85 patient studied, 81% were males, and the mean age was 60.3 years SD+-9.64. The majority (n= 67, 79 %) lost their teeth because of bad oral hygiene. The overall satisfaction level was (92.1%), and patients were more satisfied with their upper denture. A significant association was found between the patient satisfaction and prior denture use experience (p=0.013). No significant correlation was established between the patient satisfaction and their gender (p=0.188), age group (p=0.640) and employment status (p=0.667).Conclusion: The patients have shown a high level of overall satisfaction. A significant association was found between the overall satisfaction level of patients and prior denture use experience. No statistically significant association was observed between the overall satisfaction level of patients and with each of age group, employment status and gender. (shrink)

Abstract: Sickle cell disease (SCD) comprises an inherited blood disorder that is life long and affects many people globally. Despite progress in therapy, SCA is a considerable cause of mortality and morbidity. This study was designed to measure the immunological and inflammatory parameters of patients with sickle cell disease (SCD) and to found if there is any role of it in the pathogenicity of the disease. This study included A total of 32 patients, their ages ranged from 16 to (...) 55 years patients with Sickle cell disease who have been evaluated during vaso occlusive crisis and had been followed up till they attained steady state, and there are 32 normal control subjects matched with patients in age and sex. In general there was elevation in all parameters the study were included in patients than control and particularly in crisis, despite the IgM value which was insignificantly decrease, but the statically significant elevation reported only in CRP, IgG, IgA. (shrink)

Objective: The aim of this study was to compare oral Artemether-Lumefantrine to intravenous Quinine by exploring its effectiveness in cerebral malaria in hospitalized patients. Materials and Methods: A randomized prospective study was conducted among 64 hospitalized cases of cerebral malaria. One group of patients was treated with intravenous Quinine and another group was treated with oral Artemether-Lumefantrine. Response in clinical, laboratory parameters and outcome of treatment were noted every eight hours. Results: Oral Artemether-Lumefantrine showed almost similar response in clinical (...) and laboratory parameters with median temperature (101º F), pulse rate (102 b/m), systolic BP (110mmHg), GCS (12), hemoglobin (9.8 g/dl), WBC (9000/μl), platelet (130000/μl), B. glucose (101 mg/dl), S. creatinine (1.8 mg/dl), ALT (32 U/L), mean disappearance time of parasite from blood (40 hours), and mean time for regaining full consciousness (30 hours). Final outcome was also similar in both drugs with only 1 death (3.1%) reported in each group. Conclusion: In cerebral malaria intravenous Quinine or oral Artemether-Lumefantrine therapy does not have any statistically significant difference in terms of clinical parameter, laboratory parameter and final outcome. (shrink)

Theorists of health have, to this point, focused exclusively on trying to define a state—health—that an organism might be in. I argue that they have overlooked the possibility of a comparativist theory of health, which would begin by defining a relation—healthier than—that holds between two organisms or two possible states of the same organism. I show that a comparativist approach to health has a number of attractive features, and has important implications for philosophers of medicine, bioethicists, (...) health economists, and policy makers. (shrink)

Much academic work (in philosophy, economics, law, etc.), as well as common sense, assumes that ill health reduces well-being. It is bad for a person to become sick, injured, disabled, etc. Empirical research, however, shows that people living with health problems report surprisingly high levels of well-being - in some cases as high as the self-reported well-being of healthy people. In this chapter, I explore the relationship between health and well-being. I argue that although we have good (...) reason to believe that health problems causing pain and death typically do reduce well-being, health problems that limit capabilities probably don't reduce well-being nearly as much as most people suppose. I then briefly explore the consequences of this conclusion for political philosophy and ethics. If many health problems don't significantly reduce well-being, why should governments go to great expense to prevent or treat them? Why should parents be obliged to ensure the health of their children? (shrink)

While philosophical questions about health and disease have attracted much attention in recent decades, and while opinions are divided on most issues, influential accounts seem to embrace negativism about health, according to which health is the absence of disease. Some subscribe to unrestricted negativism, which claims that negativism applies not only to the concepts of health and disease as used by healthcare professionals but also to the lay concept that underpins everyday thinking. Whether people conceptualize (...) class='Hi'>health in this manner has implications for medical care and public health, and so we set out to examine this claim in two studies. Participants were asked to assess and compare the health states of two people presented in two vignettes. We found that both lay people and medical students conceptualize health as something more than the absence of disease. We argue that our findings highlight a need to rethink unrestricted negativism and indicate a need to rethink the way the debate has traditionally focused on disease. (shrink)

What is it to be mentally healthy? In the ongoing movement to promote mental health, to reduce stigma, and to establish parity between mental and physical health, there is a clear enthusiasm about this concept and a recognition of its value in human life. However, it is often unclear what mental health means in all these efforts and whether there is a single concept underlying them. Sometimes, the initiatives for the sake of mental health are aimed (...) just at reducing mental illness, thus implicitly identifying mental health with the absence of diagnosable psychiatric disease. More ambitiously, there are high-profile proposals to adopt a positive definition, identifying mental health with psychic or even overall well-being. We argue against both: a definition of mental health as mere absence of mental illness is too thin, too undemanding, and too closely linked to psychiatric value judgments, while the definition in terms of well-being is too demanding and potentially oppressive. As a compromise, we sketch out a middle position. On this view, mental health is a primary good, that is, the psychological preconditions of pursuing any conception of the good life, including well-being, without being identical to well-being. (shrink)

Mental health generally refers to an individual’s thoughts, feelings and actions, particularly when he faced with life challenges and stresses. A good mental health isn’t just the absence of mental health problems. It is the achievement and the maintenance of psychological well-being. Mental Health is the state of one’s peace of mind, happiness and harmony brought out by one’s level of adjustment with himself and his environment. In describing mental health, Anwar said, “…mental health (...) is the health of one’s mind which can prove a potent determinant of one’s integrated personality and balanced behavour identified on the basis of the level of his adjustment to himself, others and with the environment. A mentally healthy individual possesses a number of characteristics which influence his life positively and help him in achieving his goals of life effectively. He has adequate ability to make adjustments in the changed circumstances and situations. His intellectual powers are adequately developed. He is able to think independently and take proper decision at the proper time. He tries to accomplish his work as effectively as possible but he does not prove to be an extremist by becoming a perfectionist. Though these characteristics are expected from a mentally healthy individual, but these should be taken as essential and necessary conditions for the maintenance of proper mental health and thus absence of one or the other characteristic does not necessarily mean negation of mental health. Good mental health is not just the absence of mental problems. Being mentally healthy is much more than free of depression, anxiety or other psychological issues.”1 In this paper an attempt is made to discuss about the mental health policies and issues in India. (shrink)

Researchers and practitioners are increasingly using machine‐generated synthetic data as a tool for advancing health science and practice, by expanding access to health data while—potentially—mitigating privacy and related ethical concerns around data sharing. While using synthetic data in this way holds promise, we argue that it also raises significant ethical, legal, and policy concerns, including persistent privacy and security problems, accuracy and reliability issues, worries about fairness and bias, and new regulatory challenges. The virtue of synthetic data is (...) often understood to be its detachment from the data subjects whose measurement data is used to generate it. However, we argue that addressing the ethical issues synthetic data raises might require bringing data subjects back into the picture, finding ways that researchers and data subjects can be more meaningfully engaged in the construction and evaluation of datasets and in the creation of institutional safeguards that promote responsible use. (shrink)

The goal of this programmatic paper is to highlight a close connection between the core problem in the philosophy of medicine, i.e. the concept of health, and the core problem of the philosophy of mind, i.e. the concept of consciousness. I show when we look at these phenomena together, taking the evolutionary perspective of modern state-based behavioural and life-history theory used as the teleonomic tool to Darwinize the agent- and subject-side of organisms, we will be in a better position (...) to make sense of them both as natural phenomena. (shrink)

I outline and defend two egalitarian theories, which yield distinctive and, I argue, complementary answers to why health-related inequalities matter: a brute luck egalitarian view, according to which inequalities due to unchosen, differential luck are bad because unfair, and a social egalitarian view, according to which inequalities are bad when and because they undermine people’s status as equal citizens. These views identify different objects of egalitarian concern: the brute luck egalitarian view directs attention to health-related well-being, while social (...) egalitarianism focuses on health-related capabilities that are central to a person’s status as a citizen. I argue that both views are correct and should jointly guide priority-setting in health. (shrink)

There are a number of important links and similarities between public health and safety. In this extended essay, Gregg D. Caruso defends and expands his public health-quarantine model, which is a non-retributive alternative for addressing criminal behavior that draws on the public health framework and prioritizes prevention and social justice. In developing his account, he explores the relationship between public health and safety, focusing on how social inequalities and systemic injustices affect health outcomes and crime (...) rates, how poverty affects brain development, how offenders often have pre-existing medical conditions (especially mental health issues), how involvement in the criminal justice system itself can lead to or worsen health and cognitive problems, how treatment and rehabilitation methods can best be employed to reduce recidivism and reintegrate offenders back into society, and how a public health approach could be successfully applied within the criminal justice system. Caruso's approach draws on research from the health sciences, social sciences, public policy, law, psychiatry, medical ethics, neuroscience, and philosophy, and he delivers a set of ethically defensible and practically workable proposals for implementing the public health-quarantine model. The essay begins by discussing recent empirical findings in psychology, neuroscience, and the social sciences that provide us with an increased understanding of the social and neurological determinants of health and criminal behavior. It then turns to Caruso's public health-quarantine model and argues that the model provides the most justified, humane, and effective approach for addressing criminal behavior. Caruso concludes by proposing a capability approach to social justice grounded in six key features of human well-being. He argues that we cannot successfully address concerns over public health and safety without simultaneously addressing issues of social justice—including the social determinants of health (SDH) and the social determinants of criminal behavior (SDCB)—and he recommends eight general policy proposals consistent with his model. (shrink)

One of the lessons of the COVID-19 pandemic is that the lay public relies immensely on the knowledge of public health officials. At every phase of the pandemic, the testimony of public health officials has been crucial for guiding public policy and individual behavior. The reason is simple: public health officials know a lot more than you and I do about public health. As lay people, we rely on experts. This seems straightforward. But the COVID-19 pandemic (...) has shown that public health officials seem undecided as to what, precisely, their role is; are they providing the public information as it presents itself, or are they informing the public in a way that produces a desired or optimal outcome? In this article, I answer the following question: what are public health officials morally obligated to tell the public? As I see it, these are the main options: (1) public health officials should tell the full truth, regardless of outcome; or (2) they should tell partial truths or lies that are aimed to promote a socially optimal outcome. My answer to this question is that public health officials are only allowed to lie under very narrow and rare conditions. -/- . (shrink)

Montague and Kaplan began a revolution in semantics, which promised to explain how a univocal expression could make distinct truth-conditional contributions in its various occurrences. The idea was to treat context as a parameter at which a sentence is semantically evaluated. But the revolution has stalled. One salient problem comes from recurring demonstratives: "He is tall and he is not tall". For the sentence to be true at a context, each occurrence of the demonstrative must make a different truth-conditional contribution. (...) But this difference cannot be accounted for by standard parameter sensitivity. Semanticists, consoled by the thought that this ambiguity would ultimately be needed anyhow to explain anaphora, have been too content to posit massive ambiguities in demonstrative pronouns. This article aims to revived the parameter revolution by showing how to treat demonstrative pronouns as univocal while providing an account of anaphora that doesn't end up re-introducing the ambiguity. (shrink)

The available resources for global health assistance are far outstripped by need. In the face of such scarcity, many people endorse a principle according to which highest priority should be given to the worst off. However, in order for this prioritarian principle to be useful for allocation decisions, policy-makers need to know what it means to be badly off. In this article, we outline a conception of disadvantage suitable for identifying the worst off for the purpose of making (...) class='Hi'>health resource allocation decisions. According to our total advantage view: the worst off are those who have the greatest total lifetime disadvantage; advantage foregone due to premature death should be treated in the same way as other ways of being disadvantaged at a time; how badly off someone is depends on the actual outcomes that will befall her without intervention, not her prospects at a time; and all significant forms of disadvantage count for determining who is worst off, not just disadvantage relating to health. We conclude by noting two important implications of the total advantage view: first, that those who die young are among the globally worst off, and second, that the epidemiological shift in the global burden of disease from communicable to non-communicable diseases should not lead to a corresponding shift in global health spending priorities. (shrink)

In addressing the question of what mental health is we might proceed as if there is a single phenomenon – mental health – denoted by a single overarching concept. The task, then, is to provide an informative analysis of this concept which applies to all and only instances of mental health, and which illuminates what it is to be mentally healthy. In contrast, mental health pluralism is the idea that there are multiple mental health phenomena (...) denoted by multiple concepts of mental health. Analysis and illumination of mental health may still be possible, but there isn’t a single phenomenon or concept to be analysed in addressing the question of what mental health is. The question of pluralism has been overlooked in the philosophy of mental health. The discussion to follow is an attempt to get us to take mental health pluralism seriously. To that end, in this essay I have three primary goals: (1) to give a precise account of what mental health pluralism is, (2) to show that the question of pluralism should not be neglected in debate about what mental health is, and (3) to argue for mental health pluralism. I also draw out some implications of this discussion for philosophy, science, and psychotherapy. (shrink)

This paper considers phenomenological descriptions of health in Gadamer, Heidegger, Merleau-Ponty, and Svenaeus. In these phenomenologies of health, health is understood as a tacit, background state that permits not only normal functioning but also philosophical reflection. Nietzsche’s model of health as a state of intensity that is intimately connected to illness and suffering is then offered as a rejoinder. Nietzsche’s model includes a more complex view of suffering and pain as integrally tied to health, and (...) its language opens up the possibility of many ‘healths,’ providing important theoretical support to phenomenological accounts of the diversity and complexity of health and illness. (shrink)

In the realm of mental health and well-being, various cultural and religious perspectives offer unique insights into understanding and addressing the complexities of the human mind. Sikhism, a monotheistic religion, was founded by Guru Nanak in South Asia in the 15th century. It places significant emphasis on the holistic well-being of individuals. This article explores the teachings of Sikhism regarding mental health, the interconnectedness of mind, body, and spirit, and the practical applications of these principles in fostering mental (...) well-being. (shrink)

In a recent paper in this Journal San Pedro I formulated a conjecture relating Measurement Independence and Parameter Independence, in the context of common cause explanations of EPR correlations. My conjecture suggested that a violation of Measurement Independence would entail a violation of Parameter Independence as well. Leszek Wroński has shown that conjecture to be false. In this note, I review Wroński’s arguments and agree with him on the fate of the conjecture. I argue that what is interesting about the (...) conjecture, however, is not whether it is true or false in itself, but the reasons for the actual verdict, and their implications regarding locality. (shrink)

One branch of bioethics assumes that mainly agents of the state are responsible for public health. Following Susan Sherwin’s relational ethics, we suggest moving away from a “state-centered” approach toward a more thoroughly relational approach. Indeed, certain agents must be reconstituted in and through shifting relations with others, complicating discussions of responsibility for public health. Drawing on two case studies—the health politics and activism of the Black Panther Party and the work of the Common Ground Collective in (...) post-Katrina New Orleans—we argue for the need to attend more carefully to the limitations of states and state-driven public health programs. (shrink)

Today’s everyone normal life can include a normal rate of playing computer games or video games; but what about an excessive or compulsive use of video games that impact on our life? Our kids, who usually spend a lot of time in playing video games will likely have a trouble in paying attention to their school lessons. In this paper, we introduce an expert system to help users in getting the correct diagnosis of the health problem of video game (...) addictions that range from (Musculoskeletal issues, Vision problems and Obesity). Moreover, this expert system provides information about the problem and tell us how we can solve it. SL5 Object expert system language was used to design and implement the expert system. (shrink)

The definitions and conceptualizations of health, and the management of healthcare have been challenged by the current global scenarios (e.g., new diseases, new geographical distribution of diseases, effects of climate change on health, etc.) and by the ongoing scholarship in humanities and science. In this paper we question the mainstream definition of health adopted by the WHO—‘a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’ (WHO in Preamble to (...) the constitution of the World Health Organization as adopted by the international health conference, The World Health Organization, 1948)—and its role in providing tools to understand what health is in the contemporary context. More specifically, we argue that this context requires to take into account the role of the environment both in medical theory and in the healthcare practice. To do so, we analyse WHO documents dated 1984 and 1986 which define health as ‘coping with the environment’. We develop the idea of ‘coping with the environment’, by focusing on two cardinal concepts: adaptation in public health and adaptivity in philosophy of biology. We argue that the notions of adaptation and adaptivity can be of major benefit for the characterization of health, and have practical implications. We explore some of these implications by discussing two recent case studies of adaptivity in public health, which can be valuable to further develop adaptive strategies in the current pandemic scenario: community-centred care and microbiologically healthier buildings. (shrink)

While there has been significant discussion in the health sciences and ethics literatures about problems associated with publication practices (e.g., ghost- and gift-authorship, conflicts of interest), there has been relatively little practical guidance developed to help researchers determine how they should fairly allocate credit for multi-authored publications. Fair allocation of credit requires that participating authors be acknowledged for their contribution and responsibilities, but it is not obvious what contributions should warrant authorship, nor who should be responsible for the quality (...) and content of the scientific research findings presented in a publication. In this paper, we review arguments presented in the ethics and health science literatures, and the policies or guidelines proposed by learned societies and journals, in order to explore the link between author contribution and responsibility in multi-author multidisciplinary health science publications. We then critically examine the various procedures used in the field to help researchers fairly allocate authorship. (shrink)

The paper offers a solution to the generality problem for a reliabilist epistemology, by developing an “algorithm and parameters” scheme for type-individuating cognitive processes. Algorithms are detailed procedures for mapping inputs to outputs. Parameters are psychological variables that systematically affect processing. The relevant process type for a given token is given by the complete algorithmic characterization of the token, along with the values of all the causally relevant parameters. The typing that results is far removed from the (...) typings of folk psychology, and from much of the epistemology literature. But it is principled and empirically grounded, and shows good prospects for yielding the desired epistemological verdicts. The paper articulates and elaborates the theory, drawing out some of its consequences. Toward the end, the fleshed-out theory is applied to two important case studies: hallucination and cognitive penetration of perception. (shrink)

This paper defends a distinctly liberal approach to public health ethics and replies to possible objections. In particular, I look at a set of recent proposals aiming to revise and expand liberalism in light of public health's rationale and epidemiological findings. I argue that they fail to provide a sociologically informed version of liberalism. Instead, they rest on an implicit normative premise about the value of health, which I show to be invalid. I then make explicit the (...) unobvious, republican background of these proposals. Finally, I expand on the liberal understanding of freedom as non-interference and show its advantages over the republican alternative of freedom as non-domination within the context of public health. The views of freedom I discuss in the paper do not overlap with the classical distinction between negative and positive freedom. In addition, my account differentiates the concepts of freedom and autonomy and does not rule out substantive accounts of the latter. Nor does it confine political liberalism to an essentially procedural form. (shrink)

The purpose of this article is to explore the concept and scope of public health and to argue that particularly in low-income contexts, where social injustice and poverty often impact significantly on the overall health of the population, the link between public health and social justice should be a very firm one. Furthermore, social justice in these contexts must be understood as not simply a matter for local communities and nation-states, but in so far as public (...) class='Hi'>health is concerned, as a matter of global concern and responsibility. The interpretation of the scope of public health by any particular nation is I believe contingent on the current socio-political context and the conception of social or distributive justice that underpins this context. Furthermore I will argue here that the link between public health and social justice ought to be founded on a conception of social justice that adequately addresses issues of social injustice, and patterns of systematic disadvantage, that contribute to ill health and that so commonly prevail in many low- and middle-income social contexts. (shrink)

We have two goals in this paper: first, to provide a diagnosis of global health and underline some of its blockages; second, to offer an alternative interpretation of what the demands for those in global health may be. The assumption that health is a good that requires no further explanation, and that per se it can serve as an actual modus operandi, lays the foundations of the problem. Related blockages ensue and are described using HIV prevention with (...) a focus on vaginal microbicides as a case study. Taking health as a self-evident, and self-explanatory “good” limits other possible goods; and prevents inquiry into the actual practices of creating good. We propose that to create conditions under which global health could be reconstructed, problematization be taken up as a practice, around a series of questions asked in conjunction with those ever-urgent ones of how to ameliorate the condition of living beings. (shrink)

Public health is concerned with increasing the health of the community at whole. Insofar as health is a ‘good’ and the community constitutes a ‘public’, public health by definition promotes a ‘public good’. But ‘public good’ has a particular and much more narrow meaning in the economics literature, and some commentators have tried to limit the scope of public health to this more narrow meaning of a ‘public good’. While such a move makes the content (...) of public health less controversial, it also strips important goals from the realm of public health, goals that traditionally have been, and morally should be, a part of it. Instead, I will argue, while public health should be defined by public goods, it should be defined by a broader conception of public goods that I shall call ‘normative public goods’, goods that ought to be treated as if they were public goods in the more narrow sense. (shrink)

Food Sovereignty is a vibrant discourse in academic and activist circles, yet despite the many shared characteristics between issues surrounding food and public health, the two are often analysed in separate frameworks and the insights from Food Sovereignty are not sufficiently brought to bear on the problems in the public health discourse. In this paper, I will introduce the concept of 'self-organised community viability' as a way to link food and health, and to argue that what I (...) call the 'Health Security' paradigm requires a 'Health Sovereignty' response modelled on Food Sovereignty. (shrink)

Taking into consideration the extremely harsh public health conditions faced by the majority of the world population, the Health Impact Fund (HIF) proposal seeks to make the intellectual property regimes more in line with human rights obligations. While prioritizing access to medicines and research on neglected diseases, the HIF makes many compromises in order to be conceived as politically feasible and to retain a compensation character that makes its implementation justified solely on basis of negative duties. Despite that (...) current global health realities make such steps reasonable, the paper looks up the negative effects on one overlooked human right: the right to participate in scientific advancement. (shrink)

This article argues that Christianity has the potential to strengthen people’s health when solving the forgiveness dilemma. However – paradoxically – the starting point for the analysis is the presumption that a hasty and imprudent decision to forgive may negatively impact the health of the decision-maker, and that Christianity may contribute to people making unconsidered decisions by prompting them to forgive. In the first part of the analysis, the concept of health and its biblical understanding are discussed. (...) The second part includes both a reflection on forgiveness-related dilemmas and the tension between the decision to forgive and the feeling of regret that may negatively influence health. In the third part, the Christian concept of forgiveness with reference to the aforementioned issues is discussed. (shrink)