Digital Commons Network^™

Predictive Instability-Driven Escalating Teleoperator Authority With Temporal Fall Triage And Menu-Based Recovery Selection For Humanoid Robots, Divya Garikapati

Defensive Publications Series

Humanoid robots maintain dynamic balance continuously, and disturbances such as collisions, surface irregularities, or payload shifts can lead to falls. Such falls cause damage and can injure nearby people. Balance recovery is conventionally fully autonomous, and remote operators are excluded from the recovery loop, even though many falls develop over several seconds. This disclosure describes a staged approach in which a composite stability health score is computed from multiple balance metrics. When instability is detected, the predicted time to the point of no return is used to classify the event into one of four temporal classes. Each class is routed …

تأثير سيادة الأمّة على واجبات الموظفين, جورج شقير

Proche-Orient, Études juridiques

No abstract provided.

نظام ضمان الودائع المصرفية في لبنان: محاولة تنظير, سليمان الجميّل

Proche-Orient, Études juridiques

No abstract provided.

L'Expropriation Pour Cause D'Utilité Publique, Antoine Moarbès

Proche-Orient, Études juridiques

No abstract provided.

Le Discours Politique De L'Élite Musulmane Traditionnelle Au Liban : 1943-1975, Hala Soubra

Proche-Orient, Études juridiques

No abstract provided.

Les Allocations Familiales Au Liban : 45 Ans Après Leur Institution, Leila Azouri Jamhoury

Proche-Orient, Études juridiques

No abstract provided.

Le Principe De Spécialité De L'Objet À L'Épreuve De L'Évolution Contemporaine Des Groupements De Droit Privé, Samia Nassar Asmar

Proche-Orient, Études juridiques

No abstract provided.

Le Problème De La Valeur Juridique Des Principes Généraux Du Droit, Adnan Dannaoui

Proche-Orient, Études juridiques

No abstract provided.

Avant-Propos, Poej

Proche-Orient, Études juridiques

No abstract provided.

La Solidarité Culturelle Franco-Libanaise À L’Épreuve Des Événements, Nada Klink

Proche-Orient, Études juridiques

No abstract provided.

La Société Holding Au Liban, Patrick Soumrani

Proche-Orient, Études juridiques

No abstract provided.

From Syntax To Semantics: An Agentic Rag Framework For Autonomous Iam Least Privilege Governance, Sameesh Bedi

Defensive Publications Series

Cloud Identity and Access Management (IAM) is foundational to cloud security. Maintaining the principle of least privilege (PoLP) in complex cloud environments remains a significant challenge for modern enterprises.Tools like AWS IAM Access Analyzer are genuinely good at what they do: catching public access, unused permissions, anything a policy technically allows that it probably shouldn't. But "technically allowed" and "actually intended" are not the same question, and no amount of formal verification can answer the second one on its own. A permission can pass every reachability check a system throws at it and still contradict what the business actually approved …

Dynamic Calibration Of Voice Activity Detection For Conversational Systems, Sundarrajan Raman

Defensive Publications Series

Conversational voice systems that use fixed silence timeouts for voice activity detection (VAD) may prematurely interrupt users who have speech dysfluencies or natural hesitations, potentially leading to incomplete inputs and erroneous system responses. Techniques are described for analyzing a mirrored audio stream in a parallel, out-of-band process to detect acoustic patterns indicative of speech dysfluency, for example, without adding substantial latency to the live conversation. Based on this real-time analysis, a calibration engine can calculate and apply an extended silence timeout for the user's active session. This dynamic, in-session adjustment of the VAD parameter may improve the likelihood that a …

Autonomous Vulnerability Reproduction Engine With Air-Gapped Llm Orchestration And Pre-Warmed Environments, N/A, N/A

Defensive Publications Series

The disclosed technology automates vulnerability reproduction using a multi-agent orchestration framework where specialized large language model agents parse vulnerability reports and generate execution plans. The framework stores these plans in a structured, declarative “cookbook” file, enabling deterministic and iterative processing. The system executes a proof-of-concept exploit within a bifurcated infrastructure, separating a staging environment with internet access from a fully air-gapped execution environment to ensure safety. An in-flight command interception middleware intercepts all model-generated shell commands to sanitize them and enforce security policies before execution. To support high-throughput operations, a pre-warmed environment pool manager reduces provisioning latency by providing access …

وثيقة الوفاق الوطني وتعديل الدستور, إدمون رباط

Proche-Orient, Études juridiques

No abstract provided.

Réflexions À L’Occasion Des Arrêts De La Cour D’Appel Du Mont-Liban Du 14 Avril 1992 Et De La Cour De Cassation Du 9 Juillet 1992 Relatifs Aux Clauses Attributives De Compétence En Droit International Privé Libanais, Nasri Antoine Diab

Proche-Orient, Études juridiques

No abstract provided.

Législateurs Déguisés En Juges Ou Fidèles Serviteurs De La Loi?, Michel Halbecq S.J.

Proche-Orient, Études juridiques

No abstract provided.

Les Effets Du Jugement Étranger Invoqué Indépendamment De L'Exequatur, Abdo Ghossoub

Proche-Orient, Études juridiques

No abstract provided.

Molecular Prevalence And Determinants Of Adenovirus And Norovirus Among Diarrhoeic Children In Ilorin Metropolis, Kwara State, Nigeria, Mutiat Busayo Odebisi-Omokanye, Suleiman Muhammed Mustapha, Mariam Kehinde Sulaiman, Augustine Okechukwu Udeze, Abdulbasit Bolaji Ajibade

Maaen Journal for Medical Sciences

Viral gastroenteritis remains a major public health concern and a leading cause of morbidity among children under five worldwide. Adenovirus (Adv) and Norovirus (Nv) are important etiological agents, yet data on their prevalence and determinants in North-central Nigeria are limited. A cross-sectional study involving 100 children under 5 years with acute diarrhoea was conducted at the Children’s Specialist Hospital, Ilorin, Kwara State between February to December, 2024. Virus detection was performed using qPCR, while a semi-structured questionnaire collected sociodemographic and environmental data. Associations were analyzed using chi-square tests and multivariable logistic regression. Adenovirus prevalence was high (71%), while Norovirus GI …

Bioactive Resin-Based Composites For Direct Posterior Restorations: A Contemporary Narrative Review, Ruaa Neamah Muslim, Ghadeer Shakir Shabaa, Wasan Abdulridha Hasan

Maaen Journal for Medical Sciences

Background and Rationale: Failure of dental restorations due to secondary caries remains one of the common problems in restorative dentistry. In order to solve the shortcomings of conventional bioinert materials, bioactive composite resins have recently been developed, allowing fluoride, calcium, and phosphate ion delivery as well as reducing the acidic activity of biofilm.

Aim of the Review: This literature review evaluates chemistry, mechanisms of action, clinical effectiveness, and physical handling properties of resin-based bioactive materials used for direct posterior restoration in permanent dentition.

Material Categories Examined: This literature review includes such material categories as resin-modified glass ionomers, S-PRG-giomers …

Fmea Reveals Ppe Noncompliance As The Priority Grinding Machine Accident Risk In An Indonesian Vocational School Workshop, Salman Fawwas Albaihaqi, Marsono Marsono, Imam Muhtarom, Mingchang Wu

Jurnal Pendidikan: Teori, Penelitian, dan Pengembangan

Occupational Safety and Health (OSH) in vocational school workshops represents an urgent priority given that students interact directly with high-risk equipment such as grinding machines, yet often demonstrate low compliance with safety protocols. This research aims to identify failure modes on grinding machines in SMKN 1 Jenangan workshop and formulate evidence-based risk control recommendations. A quantitative descriptive approach using Failure Mode and Effects Analysis (FMEA) was employed, involving 10 purposively selected respondents (practical instructors and technicians). The research instrument was validated using Content Validity Index (CVI) by three experts in occupational safety and mechanical engineering. Results identified 15 failure modes …

Role Of Oxidative Stress In Male And Female Infertility: Pathophysiology, Molecular Mechanisms, Diagnosis, And Therapeutic Perspectives., Saud N.A.

Maaen Journal for Medical Sciences

Infertility is a multifaceted reproductive disorder that affects about 15% of couples and constitutes a significant health burden with medical, psychological and socioeconomic implications. Historically, infertility has been linked to anatomical, hormonal and genetic defects; however, recent research has shown that oxidative stress is a key factor in the pathophysiology of male and female infertility. Overproduction of reactive oxygen species (ROS) can interfere with spermatogenesis, inhibit oocyte maturation and cause DNA damage, resulting in impaired embryo quality. Further, oxidative stress has been implicated in mitochondrial dysfunction, activation of apoptosis and inflammatory pathways such as nuclear factor kappa-B (NF-κB) and nuclear …

Effects Of A Program Promoting Advance Care Planning And Reducing Death Anxiety Among Thai Hemodialysis Patients: A Randomized Controlled Trial, Thanarak Boonkerd, Yaowarat Matchim, Pattharawin Pattharanitima, Saowalak Khakhong

Journal of Health Research

Background: Patients on hemodialysis face severe physical and psychological strain, including death anxiety. Guided by the Theory of Planned Behavior, we assessed a program to increase patients’ intention to engage in advance care planning (ACP) and reduce death anxiety.

Methods: In a single-blind randomized controlled trial at a tertiary-care hospital in Thailand, patients were randomly assigned to either the intervention or control group (n = 33, each group). The intervention comprised a 2-week ACP promotion program including an educational video, a discussion card game, and individualized counseling. Outcomes were assessed at baseline, immediately after the intervention (Week 2), and …

Role Of Perceived Control Over Falls In Older Adults, Kanjanaporn Tantrongphak, Kanthee Anantapong, Duangporn Suriyaamarit

Chulalongkorn Medical Journal

Falls among older adults constitute a significant public health challenge, often leading to severe physical injuries, reduced independence, and a diminished quality of life. Perceived control, a critical psychological construct, plays a significant role in sustaining physical health, cognitive function, and overall life satisfaction and is strongly associated with positive health outcomes. This review aims to examine the role of perceived control in fall risk among older adults. Concern about falling (CaF) is a prevalent psychological factor that influences fall risk by impacting behaviors linked to physical activity, balance, and adaptive responses. Perceived control theory provides a framework for understanding …

Antibiotic Resistance Genes In Diabetic Foot Ulcer Microbiomes: Molecular Mechanisms And Clinical Management Strategies, Fitra Adi Prayogo

Chulalongkorn Medical Journal

Background: Diabetic foot ulcers (DFUs) affect 19-34% of diabetic patients lifetime, representing a major global health burden with over 18 million cases annually. The polymicrobial nature of DFU infections, combined with emerging antibiotic resistance genes, poses unprecedented clinical management challenges. Methicillin-resistant Staphylococcus aureus (MRSA) prevalence reaches 84% and extended-spectrum beta-lactamase (ESBL) producing Enterobacteriaceae exceeds 50% in some regions, creating urgent therapeutic concerns.

Objective(s): This comprehensive review examines current understanding of microbial communities in diabetic foot ulcers and their associated resistome, analyzing molecular mechanisms underlying antibiotic resistance and clinical implications to identify evidence-based management strategies.

Methods: A narrative review approach was …

Incidental Leftward Displacement Of The Appendix Due To Redundant Sigmoid Colon: A Case Report Of Anatomical Variation, Sony Sutrisno, Ronny Ronny

Chulalongkorn Medical Journal

A left-sided appendix is an uncommon clinical entity, often attributed to congenital anomalies such as situs inversus or intestinal malrotation; however, it can also result from anatomical displacement by other organs. We report a case of a 22-year-old woman presenting to the emergency department with right lower quadrant pain which was initially suspected as appendicitis. A non-contrast computed tomography (CT) scan identified a right kidney stone as the source of pain, alongside an incidentally discovered, non-inflamed appendix displaced entirely into the mid-left lower quadrant. A radiological review was done to exclude congenital causes of the presentation, such as non-rotation. The …

Pre-Excited Atrial Fibrillation In A Woman With Minimal Pre-Excitation: A Case Report, Komsing Methavigul

Chulalongkorn Medical Journal

Introduction: A 46-year-old Thai woman presented with palpitation. A 12-lead electrocardiogram (ECG) showed rapid rate of preexcited atrial fibrillation (AF). The subsequent ECG after electrical cardioversion demonstrated minimal preexcitation with short PR interval, and apparently small delta waves only in leads II, III, V₄, and V₅. An electrophysiologic study was performed and showed sinus rhythm with short H-V interval compatible with preexcitation. A programmed electrical stimulation showed orthodromic atrioventricular reentrant tachycardia utilizing left lateral accessory pathway. The catheter ablation was successfully performed via retrograde aortic approach to left lateral accessory pathway. There was no recurrence of …

Covid-19 Vaccination Is Associated With Lower Mortality And Intensive Care Unit Admission Among Hospitalized Patients With Covid-19: A Retrospective Cohort Study, Julian Madrid

Chulalongkorn Medical Journal

Background:

The development of vaccines has played a significant role in managing the pandemic of COVID-19. The objective of this study was to investigate the impact of COVID-19 vaccination on mortality and intensive care unit (ICU) admissions.

Methods:

This retrospective, single-center cohort study included hospitalized COVID-19 patients with confirmed vaccination status from July 2021 to February 2022. Outcomes such as mortality and ICU admission were evaluated using clinical data. We used logistic regression and advanced statistical methods, including LASSO regression, to analyze differences in hospitalized COVID-19 patients based on vaccination status.

Results:

The study encompassed 167 patients (69% male, mean …

Association Of Vegf Gene Polymorphisms And Breast Cancer Susceptibility: An Updated Systemic Review And Meta-Analysis, Dr.Santhosh Kumar Y, Sushma Sree Kintali, Vignesh N

Chulalongkorn Medical Journal

Breast cancer is among the most common malignancies in women worldwide with genetic predispositions and environmental factors and identified low-penetrance genes such as BRCA1 and BRCA2 with implications in breast cancer susceptibility. Vascular endothelial growth factor polymorphisms of VEGF coding for VEGF protein that plays an important part in carcinogenesis through angiogenesis required for tumor growth, invasion, and metastasis. There are five polymorphisms associated with the VEGF gene; 936 C > T, 2578 C > A, 634 G > C, 460 T > C, and 405 C > G which have been linked to altered risks in cancer. Despite inconsistency in many results ascribed to …

Epidemiological Analysis Of Scorpion Sting Cases In Qeshm County, Hormozgan Province, Iran: A Four-Year Retrospective Study (2021-2024), Hassan Nasirian, Seyed Mohsen Mohebi Nodez, Abbas Poudat

Chulalongkorn Medical Journal

Background: Scorpion stings are a major public health issue in tropical and subtropical regions of Iran, especially in Hormozgan Province, which has a high incidence rate. This study aims to analyze the epidemiological, clinical, and therapeutic aspects of scorpion sting cases in Qeshm County over a four-year period (2021-2024).

Methods: A retrospective cross-sectional study analyzed hospital records of 408 scorpion sting cases. Information on demographic, temporal, geographical, clinical, and treatment factors was collected. Descriptive statistics (frequency, percentage, mean ± SD) and analytical tests (Chi-square for categorical variables) were employed for analysis.

Results: The majority of victims were male (63.7% ± …