Physicians and Conflicts of Interest

In medical practice, the most commonly observed conflicts of interest are the ones existing in the relations between professionals and industries linked to health or between the former and health services. These relations are no longer a partnership in search of the best to be offered to patients and tend to take up a commercial role, in a seduction game where, each one, in their own manner, seeks benefits. The purpose of this study is to analyze the existence of these conflicts of interest, in an exploratory and qualitative study, with physician focal groups. The results were grouped in two categories: benefits received by physicians and the justifications provided by them for the establishment of these partnerships. The most common benefits are: percentages over orthoses and prosthetics received by the industry;discounts and credits on rent or condominium fees for exam indications and procedures;rewards offered by the pharmaceutical industry for the indication of their products. Physicians have pointed out as main determinants for ethical missteps that involve conflicts of interest, the character and family formation as well as the lack of denunciations. The fact that efficient and widespread laws for resolution of conflicts of interest do not exist makes it necessary to recognize their existence with mechanisms of management and transparency, perhaps as the only way to avoid negative interference in physician behavior.

Conflicts of interest in nutritional sciences: The forgotten bias in meta-analysis

Awareness of conflicts of interest(COI) in medicine began in the 1980 s. More recently, the problem has gained notoriety in nutritional sciences. COI with industry could bias study conclusions in the context of research activities and scientific publications on nutritional sciences. The issue of COI in nutritional sciences deserves more attention and requires careful analyses as biased information can negatively impact the development of dietary guidelines and, ultimately, population health. Decision-making is generally based on available, published evidence, but when the results are ambivalent, it is easier to opt for the status quo and ask for more studies. Readers might wonder if research is subsidized by industry as a counterbalancing strategy based on levels of evidence-only to slow down eminent positions and/or legislation on the food sector? How can this problem be overcome without producing paranoia and Mc Carthyism while trying to be as methodological as possible?

Detecting conflicts of interest in credit rating changes:a distribution dynamics approach

In this study,we compare the adjustments of credit ratings by an investor-paid credit rating agency(CRA),represented by Egan-Jones Ratings Company,and an issuer-paid CRA,represented by Moody’s Investors Service,vis-à-vis conflict of interest and reputation.A novel distribution dynamics approach is employed to compute the probability distribution and,hence,the downgrade and upgrade probabilities of a credit rating assigned by these two CRAs of different compensation systems based on the dataset of 750 U.S.issuers between 2011 and 2018,that is,after the passage of the Dodd–Frank Act.It is found that investor-paid ratings are more likely to be downgraded than issuerpaid ratings only in the lower rating grades,which is consistent with the argument that investor-paid agencies have harsher attitudes toward potentially defaulting issuers to protect their reputation.We do not find evidence that issuer-paid CRAs provide overly favorable treatments to issuers with threshold ratings,implying that reputation concerns and the Dodd–Frank regulation mitigate the conflict of interests,while issuerpaid CRAs are more concerned about providing accurate ratings.

Mental Health Consequences among Sudanese Due to the Armed Conflicts and Civil Unrest of 2023: One Year Later

Aim: To investigate depression, anxiety, PTSD, and insomnia levels among Sudanese citizens after a year has passed since the start of Armed Forces conflict in Sudan. Methods: An online survey was distributed. It is composed of five parts, covering the following areas: 1) sociodemographic data;2) depression assessment;3) generalized anxiety disorder assessment;4) post-traumatic stress disorder assessment;and 5) insomnia assessment. Statistical Package for Social Sciences version 27 was used for data analysis;frequency and percentage were used to describe the qualitative variables. Spearman’s correlation analysis and Chi-square test were used for correlation and association analysis;a P-value equal to or less than 0.05 was considered statistically significant. Results: The study included 283 participants, primarily female (76.0%), with a mean age of 35.26 ± 6.96 years. The majority of participants were married (50.5%) and had a university level of education (50.2%). At the start of the war, 70.3% of participants were inside the war zones, and at the time of data collection, 73.5% were outside Sudan. The length of stay in the war zone ranged from 1 to 300 days, with a mean of 48.59 ± 70.284 days. Additionally, 63.3% of participants stated that they did not receive any form of mental health intervention, and the remaining did not provide an answer. There was a high prevalence of moderate-severe depression (50.5%), moderate anxiety (35.3%), PTSD (56.5%), and sub-threshold insomnia (53.4%) among the participants. Correlation analyses revealed associations between demographic factors such as sex, age, marital status, and education and mental health issues. Notably, female participants showed a higher prevalence of PTSD (53.0%) compared to male participants (67.6%). Conclusions: There is a substantial impact of war-related trauma on mental health, revealing a high prevalence of moderate-severe depression, moderate anxiety, PTSD, and sub-threshold insomnia among the participants. This emphasizes the importance of tailored interventions and support systems to address the unique needs of individuals affected by war trauma.

Characterisation of Human-Wildlife Conflicts around the Kahuzi-Biega National Park, Eastern Democratic Republic of Congo

The history of mankind contains so many illustrations of well-classified and violent struggles against various animals over crop production in agricultural fields, attacks on human life or competition in order to have access to certain natural resources. The aim of this study is to characterise the human-wildlife conflicts that occur around the KBNP, especially with regard to primates. Surveys were carried out in 260 households selected using the snowball method. The results showed that human-wildlife conflicts around the KBNP are characterised by the destruction of crops in riparian fields by monkeys, chimpanzees and gorillas, the destruction of houses, physical attacks and zoonoses. Despite the conservation and protection measures for wildlife and local populations put in place by the Park’s managers, conflicts between local populations and the Park’s wild animals are still visible. These conflicts lead to the detention of wild animals by local people roaming in the villages and to poaching on the Park’s boundaries. The weakness of the community management policy on the part of the park managers and the resentment of the indigenous peoples towards the restriction of their access to natural resources are the major constraints on the sustainable management of conflicts between the local populations and the wild animals in the KBNP. The strategies for the sustainable resolution of human-wildlife conflicts around the KBNP must be geared towards and integrated into a community conservation approach.

Joint Management of Shared Resources, Issues and Conflicts of the Nso and Oku Tribes in the Ngongbaa Montane Forest Area, NWR of Cameroon

Wherever people live together in or near homelands that harbour joint natural resources such as forest, water, minerals, oil etc., they must collaborate, co-exist and share these resources irrespective of their genetic, social, cultural, and political peculiarities. This is not always the case when self-interest, ethnic divisions, elitist politics, economic interest and power tussle set in. The Nso and Oku people who reside in the Ngongbaa Forest area constitute an example of joint management of resources where at one period, their relationship over the management of the Oku Mountain Forest was cordial and at another, the relationship became conflictive. This study was designed to study the influence of the KIFP forest management policies on the Nso indigenous forest Management system in Ngongbaa Forest, and its implications. The data collected for the study was secured through the administration of a questionnaire to residents of 10 villages adjacent to the Ngongbaa Forest, and forest users who carried out livelihood activities there between 1963 and 2015. These forest user groups include beekeepers, rat trappers, grazers, mushroom gatherers, ground honey/tree honey harvesters, carvers, etc. The investigation also extended to the traditional leaders of Nso and Oku who are in charge of the land tenure systems. The findings show that the Oku Mountain Forest is jointly owned by the Nso and Oku people. The Nso own the eastern half of the forest known as Ngongbaa Forest while the Oku own the western half, known as the Kilum Forest. The cordial relationship that existed between these people ensured the conservation of the forest. But the conflicts that later set in, especially due to the creation of the Kilum Mountain Forest Project in 1987 later changed to the Kilum Ijim Forest Project (KIFP) in 1992 sidelined the local communities which was contrary to the dispositions of the new Cameroon forest law enacted in 1994. Thus, the indigenous conservation practices became ignored which the local population never digested well. This seriously jeopardized the wellbeing of the forest in general.

Impacts of Oil Exploration (Oil and Gas Conflicts;Niger Delta as a Case Study)

The discovery of Oil and Gas in Nigeria led to exploration of crude oil for revenue basis. Oil exploration and exploitation caused environmental problems which resulted into major conflicts in the Niger Delta area of Nigeria. The article examines the impact of oil exploration, and oil and gas conflicts in Niger Delta area and it highlights the problems of pipeline vandalism, structure of oil and gas and the general obstacles in the industry. It discovers that pipeline vandalism, crude oil theft, pollution, oil spillage causes serious environmental degradation which resulted into serious conflicts. The article discovered that environmental problems in the area dislodged the people of their means of livelihood both in the area of fishing and farming. It recommends that there should be a compelling environmental restoration of natural resources by deploying land treatment technologies. Government should sanction multinational companies discharging oils or creating environmental pollution through necessary laws and regulations.

Allocating Personal Data Rights: Toward Resolving Conflicts of Interest over Personal Data

Conflicts of interest over personal data arise from the variety of legal subjects involved and the value of personal data in today’s information society.This article attempts to resolve such conflicts of interest by examining the possibility of allocating data rights which balance competing interests.It suggests that the allocation of personal data rights should follow certain rules to ensure that the interests of relevant data subjects are protected.By examining the reasons for conflicts of interest over personal data,as well as the subjects and substance of such conflicts,the article puts forward an appropriate approach for allocating personal data rights by balancing the interests of different data subjects.For source data subjects,personal data rights are allocated,to protect personal information and data property interests;for data controllers,data property rights are allocated to protect their data property interests when they make data valuable,meanwhile liabilities are allocated to data controller,in case of infringing on other subjects'interests;for data supervisors(mostly the government),allocating the right to protect or make use of data on behalf of public interests and the power of supervising data use industry;for the data users,they are allocated data property rights with the consents of source data subjects and data controllers when make use of data.

Cultural Review of the Value Conflicts of Architectural Design

There exist multiple value conflicts in Chinese modern architectural design,mainly in three forms,that is,the incongruity between architecture and natural environment,the isolation between functionalism and emotionalism and the deficiency in the virtue of architects.These led to the acts of the inappropriate trade-off,blind plagiarism and hasty decision-making in the design process.The reason is that the current popular culture of architecture is always chasing the market-oriented benefits.Examining and integrating the value conflicts is helpful to explore the rational value system of modern architectural design from the cross-cultural perspective.

Ethical Decision-Making Framework Based on Incremental ILP Considering Conflicts

Humans are experiencing the inclusion of artificial agents in their lives,such as unmanned vehicles,service robots,voice assistants,and intelligent medical care.If the artificial agents cannot align with social values or make ethical decisions,they may not meet the expectations of humans.Traditionally,an ethical decision-making framework is constructed by rule-based or statistical approaches.In this paper,we propose an ethical decision-making framework based on incremental ILP(Inductive Logic Programming),which can overcome the brittleness of rule-based approaches and little interpretability of statistical approaches.As the current incremental ILP makes it difficult to solve conflicts,we propose a novel ethical decision-making framework considering conflicts in this paper,which adopts our proposed incremental ILP system.The framework consists of two processes:the learning process and the deduction process.The first process records bottom clauses with their score functions and learns rules guided by the entailment and the score function.The second process obtains an ethical decision based on the rules.In an ethical scenario about chatbots for teenagers’mental health,we verify that our framework can learn ethical rules and make ethical decisions.Besides,we extract incremental ILP from the framework and compare it with the state-of-the-art ILP systems based on ASP(Answer Set Programming)focusing on conflict resolution.The results of comparisons show that our proposed system can generate better-quality rules than most other systems.

Spousal Involvement in the Workplace of Doctors: What Is Defined as Appropriate or Inappropriate

Background: Workers spend a significant amount of time in the workspace. Involvement of a spouse in a doctor’s workplace can take different forms and come with different intentions. Objectives: The survey aimed to determine the prevalence and extent of spousal involvement in physicians’ workplaces as well as the outcome of such involvement on doctor’ swell-being, productivity, and relationship with colleagues. Methods: This cross-sectional online survey on spousal involvement in the workplace of doctors was conducted among 83 responding doctors from July to August 2023. Results: Among the respondents, 60 (72.3%) had witnessed a doctor’s spouse being involved in the workplace. The most common reason for spousal involvement in the workplace was to protect the spouse from what they perceived as a threat 34 (54.0%). Spouse’s ignorance of boundaries in the workplace (OR: 6.09 (95% CI: 1.70, 21.79) P: 0.003) and exertion of control by the spouse (OR: 11.2 (95% CI: 2.26, 56.41) P: 0.002) were significantly associated with higher odds of inappropriate spousal involvement in the workplace, while expression of love for spouse with acts of kindness was significantly associated with a lowered odd of inappropriate spousal involvement (OR: 0.11 (95% CI: 0.03, 0.36) P: 0.0001). Conclusion: Spousal involvement in the workplace is relatively common. Ignorance of the boundaries of the workplace and exertion of control by the spouse were significant enablers of inappropriate spousal involvement in the workplace of doctors. The establishment of workplace policies that define the limits of spousal involvement in the doctor’s workplace can foster a healthy workspace environment, enhance doctors’ well-being, and improve patient care.

Prevalence of Malnutrition and Anaemia in Children ≤ 5 Years of Age in Some Conflict Hit Areas of Meme Division of the South West Region of Cameroon

Malnutrition refers to the deficiency, imbalances, or excesses in a person’s intake of energy or nutrients [1]. Khan defines anaemia as below level of Haemoglobin in red blood shown by a lower number of functioning red blood cells [2]. The crisis in the North West and South West Regions of Cameroon has led to several negative effects on children’s living conditions. There has been an increase in malnutrition and anaemia in the South West Region and Kumba in particular. The main objective of this study was “to examine the prevalence of malnutrition and anaemia in children ≤ 5 years of age in some conflict-hit areas of Meme Division”. A descriptive cross-sectional study was conducted in 2023 from March to June. We recruited 200 children ≤ 5 years into the study from three hospitals. The regional hospital annex in Kumba, Presbyterian General Hospital Kumba and the Ntam Hospital in Kumba. Socio-demographic factors were assessed using questionnaire, nutritional status was assessed by the use anthropometric measurements and an auto haematology analyser was used to determine anaemia. The overall prevalence of malnutrition in the study area was 40.5%. The prevalence of malnutrition varied significantly (P < 0.001) with the study sites. The overall prevalence of anaemia in the study area was 70.5%. The prevalence of anaemia was not significantly associated with the study sites. The prevalence of Malnutrition and Anaemia in children ≤ 5 years of age is very high in the Kumba municipalities. This could be attributed to the ongoing crisis which has caused a lot of social migrations from rural areas to Urban areas which are safer.

Optimization of High-Concurrency Conflict Issues in Execute-Order-Validate Blockchain

With the maturation and advancement of blockchain technology,a novel execute-order-validate(EOV)architecture has been proposed,allowing transactions to be executed in parallel during the execution phase.However,parallel execution may lead to multi-version concurrency control(MVCC)conflicts during the validation phase,resulting in transaction invalidation.Based on different causes,we categorize conflicts in the EOV blockchain into two types:within-block conflicts and cross-block conflicts,and propose an optimization solution called FabricMan based on Fabric v2.4.For within-block conflicts,a reordering algorithm is designed to improve the transaction success rate and parallel validation is implemented based on the transaction conflict graph.We also merge transfer transactions to prevent triggering multiple version checks.For cross-block conflicts,a cache-based version validation mechanism is implemented to detect and terminate invalid transactions in advance.Experimental comparisons are conducted between FabricMan and two other systems,Fabric and Fabric++.The results show that FabricMan outperforms the other two systems in terms of throughput,transaction abort rate,algorithm execution time,and other experimental metrics.

African Short Story Writers and Intrapersonal Conflicts: A Critical Perspective on a Selected Short Story

The article examines the concept of intrapersonal conflict,the ravaging wars within oneself,that which is truly deeper than indecisiveness,what is responsible for inner conflict,its origin,the consequences,and how to avoid it.It employs Dul Johnsons’“In the Jaws of Love”in his Why Women Won’t Make It to Heaven.The theory for the investigation is sociological theory which articulates the inevitable relationship between literature and society.The inquiry unearths that an individuals’attempt to satisfy the needs of one’s environment at the expense of sound reasoning,the individual’s inability to find a balance between the individual’s head and heart,and being religious are detrimental to one’s wellbeing.It creates intrapersonal conflict which is indeed destructive.The paper resolves that people should be able to tell themselves the truth,recognise and accept same,even if it comes from one with whom they disagree.It also explicates that people should not depend on religious and secular leader or people to take decisions for them,and that living in fear is devastating among other things.

Legal Coordination of Conflicts of Interests among Stakeholders in the Processing of Personal Data

The processing of personal data involves various stakeholders,such as natural persons,personal data processors,and supervisors.These stakeholders process or supervise personal data based on their respective interests or duties.However,because several interests are involved,conflicts may occur due to the value of the data in question.This paper builds a theoretical framework based on the methodology of interest measurement to alleviate conflicts of interest concerning data.It explores,from the perspectives of rights,obligations,and liabilities,the supervisors’duty of protecting the public interest.Regarding personal data of natural persons,corresponding rights are allocated according to the relevant provisions of the Civil Code and the Personal Information Protection Law of the People’s Republic of China.For personal data processors in superior positions,obligations and liabilities are allocated according to the relevant provisions of the above laws,and in light of the core of reasonable restrictions on individual standards against society’s standards,the duties of supervisors and protection of public interests are clearly defined.

Living in a Condominium Regime:Neighborhood Conflicts in Low-Income Housing,Tijuana,Baja California-A Secondary Publication

This paper analyzes neighborhood conflicts arising from the condominium property regime,under which social housing promoted by Mexican government institutions and private developers is acquired.This regime has facilitated access to housing for the salaried population,but it is far from contributing to the attainment of the right to housing.The research takes as case studies housing complexes located in the city of Tijuana,Baja California,Mexico.The analysis included a mixed methodology.Firstly,similar case studies were analyzed;secondly,a review of the Condominium Property Regime Law was carried out in order to understand its implications.In view of the pandemic situation,a virtual survey was applied to the inhabitants of these areas,as well as interviews with presidents of neighborhood committees of these complexes.From the above,it was found that this form of ownership generates conflicts,reflected in the dissatisfaction of the inhabitants with their housing,disagreements and controversies in their organization and coexistence.The inhabitants have to collectively solve the problems they face,related to the maintenance and use of common areas,insecurity,and cleanliness,among others.In addition,there is a lack of support from local authorities.With this,it is concluded that although the inhabitants have a space that solves their housing problem,it does not manage to be a space that adequately guarantees their right to housing.

Review of Load Balancing Mechanisms in SDN-Based Data Centers

With the continuous expansion of the data center network scale, changing network requirements, and increasing pressure on network bandwidth, the traditional network architecture can no longer meet people’s needs. The development of software defined networks has brought new opportunities and challenges to future networks. The data and control separation characteristics of SDN improve the performance of the entire network. Researchers have integrated SDN architecture into data centers to improve network resource utilization and performance. This paper first introduces the basic concepts of SDN and data center networks. Then it discusses SDN-based load balancing mechanisms for data centers from different perspectives. Finally, it summarizes and looks forward to the study on SDN-based load balancing mechanisms and its development trend.

Role of Media in Promoting Peace and Conflict Resolution in North Kivu, Democratic Republic of Congo

The research examined the role of media in promoting peace and conflict resolution in North Kivu,Democratic Republic of Congo.The security situation in the Democratic Republic of the Congo(DRC),particularly in the eastern region of North Kivu,has been deteriorating.The study was anchored in social identity theory.The research methodology employed for this study was qualitative,focusing on the analysis of Mr.Edgar Mateso’s contributions to Radio Okapi’s“Dialogue entre Congolais”program during the period from 2019 to 2023.The research was conducted within the broader context of the persistent war and conflict in the Democratic Republic of Congo,providing valuable insights into the dynamics and challenges of addressing the ongoing insecurity and violence in the region.The study found that media,exemplified by Radio Okapi,plays a multifaceted and significant role in promoting peace and conflict resolution in North Kivu,Democratic Republic of Congo(DRC).It serves as a critical source of accurate information,enabling informed decision-making regarding ceasefire agreements,peace talks,and humanitarian aid.Media fosters dialogue and understanding among different stakeholders,contributing to reconciliation efforts.Additionally,it raises awareness about the human cost of the conflict,challenges misinformation,monitors peace agreements,amplifies the concerns of the affected population,and promotes human rights and justice.Media also engages youth,serves as an early warning system,and attracts global attention to the conflict.It is recommended that media organizations in North Kivu continue their efforts to facilitate dialogue and understanding among different stakeholder groups.Additionally,media should maintain its focus on raising awareness about the human cost of the conflict,ensuring that the suffering of civilians remains in the spotlight and generates international empathy and support.Media outlets should also continue their role as watchdogs by closely monitoring the implementation of ceasefire agreements and reporting any violations transparently.To strengthen media’s role in promoting peace,there should be continued advocacy for peace through dedicated radio programs,news reports,and editorial content.Internationally,media should continue to provide comprehensive coverage of the conflict in North Kivu,attracting global attention and shaping the perception of the conflict on the global stage.Lastly,media organizations should preserve a lasting legacy of peace by archiving peace-related content,documentaries,and narratives of reconciliation.

Realism, Normativity and Professor Mearsheimer

International relations or politics are a dynamic discipline within politics. It concentrates upon the understanding or explanation of conflict and power between nations or countries. It is of course highly relevant today with much warfare or threats thereof. One central theory is the so-called realism or neorealism. Its foremost representative today is Professor Mearsheimer. Professor John Mearsheimer has put several of his well-known lectures on YouTube. In these he spells out how he looks upon international politics today through a neorealist approach. Very much worth listening to, we must though question consistency in his message.

Assessing Human-Wildlife Conflict in the Periphery of Loango National Park in Gabon

Human-Wildlife Conflict in Gabon is a reality occurring in almost all protected areas in the country. These conflicts create real threats both for the survival of wildlife species and of human beings. This study was carried out at the periphery of Loango National Park in Gabon. This area is particular of seeing elephants wandering around villages. Respondents for the study were drawn from a wide range of stakeholders (State administrators, farmers and NGOs). Data was collected through administration of structured questionnaires and interview guide on the;socio-economic activities. Crops produced/destroyed. Animals are involved and economic loss is incurred due to conflicts. Data was analysed using SPSS version 16 and Kobo tool box. For qualitative data chi-square, descriptive statistic and linear regression model were also used. The results of the study showed that the elephants account for (60.1%) of crop destroyed followed by Ungulates (30.4%) and lastly by rodents (0.9%). The economic damage caused by the wildlife to crops valued at 72,084 USD in the zone in 2022. An urgent solution to this conflict is needed because the consequences are visible as well as the illegal repression by communities that have led to poisoning and killing of wildlife in the study area.