bluuebunny/crossref_metadata_2025 huggingface dataset:
Du surtravail émotionnel : quand l’organisation du travail oblige à sourire et bouillir
Authors: Darbus Fanny , Legrand Emilie
Published: May 2024

Sourire et discuter même lorsque l’on n’en a pas envie. Cette exigence, qui s’applique aux travailleurs.ses des métiers de service, résume le travail émotionnel. Si ce dernier est l’ordinaire de ces métiers, certaines organisations de travail conduisent à la production d’un surtravail émotionnel. Avec l’étude de cas d’un salon de coiffure fonctionnant sans rendez-vous, nous montrons que l’organisation du travail choisie induit un flux de clientèle permanent qui, conjuguée au sous-effectif et à l’absence de coulisses, impose un travail particulièrement intense. Cette intensité oblige à la production d’un surtravail émotionnel, lequel s’avère coûteux pour la santé, en particulier pour celle des coiffeuses.
De l’analyse des émotions comme risque à la construction de la santé par la coloration collective des affects et des situations
Authors: Loriol Marc
Published: May 2024

La gestion des émotions, notamment dans les métiers de service, est souvent analysée comme un risque. La notion de travail émotionnel, développée par Arlie Russell Hochschild, incite également à concevoir le travail sur ses émotions et celles d’autrui comme une charge qui devrait être rémunérée en tant que telle. Pourtant, la dimension affective des relations de travail peut aussi être gratifiante. La régulation collective des émotions dans le travail peut agir sur la valence des affects, donner du sens aux efforts réalisés, augmenter le pouvoir d’agir et le contrôle des travailleuses et travailleurs sur la situation; et donc, au final, participer à la construction de la santé. Après avoir brièvement rappelé les différents travaux sur la régulation collective des émotions et de la santé, cet article s’intéresse à un aspect particulier de cette régulation : la coloration affective des situations qui vise, après coup, à peser sur la valence, la signification et l’empreinte traumatique ou euphorique des affects. Des émotions potentiellement perturbatrices comme la peur, l’humiliation ou la colère peuvent alors servir de levier pour valoriser une action, appuyer des savoir-faire de prudence, réparer des identités mises à mal. Des recherches auprès de policiers, de diplomates ou d’ouvrières permettront d’illustrer et d’étayer cette hypothèse.
Représenter les failles dans Le Roi Lear
Authors: Rivier-Arnaud Estelle
Published: May 2024

En s’appuyant sur deux grandes mises en scène du Roi Lear en France au tournant du XXIe siècle, celle d’André Engel à l’Odéon-Théâtre de l’Europe (2006) et celle de Jean-François Sivadier (Festival d’Avignon et tournée, 2007), cette étude s’intéresse à la façon dont les failles, qu’elles soient concrètes ou abstraites, c’est-à-dire physiques ou géologiques, politiques ou psychologiques, sont représentées dans l’espace scénique et à travers le rôle principal de la pièce : Lear. Les divers moyens qu’offre la scénographie, influencée ces dernières années par l’évolution concomitante des autres médias et des réseaux sociaux, engagent les metteurs en scène à adapter l’œuvre non pas uniquement à des fins esthétiques et novatrices mais afin de questionner toujours davantage l’adéquation d’un répertoire ancien avec les préoccupations de notre époque. Créer une tempête en scène, de même que transposer la lande anglaise où errent un Lear devenu fou et un Gloucester aveugle en proie au suicide, constituent des enjeux majeurs pour le scénographe, précisément parce que ces repères géographiques n’étaient pas visibles sur la scène shakespearienne. Abordées avec précision et ingéniosité de nos jours, ces scènes mythiques créent le spectaculaire tout en sondant et mettant possiblement en lumière les creux – ou failles – du protagoniste ainsi que le sens profond de la fable.
The TNFSF12/TWEAK Modulates Colonic Inflammatory Fibroblast Differentiation and Promotes Fibroblast–Monocyte Interactions
Authors: Matellan Carlos , Kennedy Ciarán , Santiago-Vela Miren Itxaso , Hochegger Johanna , Ní Chathail Méabh B , Wu Amanda , Shannon Christopher , Roche Helen M , Aceves Seema S , Godson Catherine , Manresa Mario C
Published: May 2024

Fibroblasts acquire a proinflammatory phenotype in inflammatory bowel disease, but the factors driving this process and how fibroblasts contribute to mucosal immune responses are incompletely understood. TNF superfamily member 12 (TNFSF12, or TNF-like weak inducer of apoptosis [TWEAK]) has gained interest as a mediator of chronic inflammation. In this study, we explore its role as a driver of inflammatory responses in fibroblasts and its contribution to fibroblast–monocyte interaction using human primary colonic fibroblasts, THP-1 and primary monocytes. Recombinant human TWEAK induced the expression of cytokines, chemokines, and immune receptors in primary colonic fibroblasts. The TWEAK upregulated transcriptome shared 29% homology with a previously published transcriptional profile of inflammatory fibroblasts from ulcerative colitis. TWEAK elevated surface expression of activated fibroblast markers and adhesion molecules (podoplanin [PDPN], ICAM-1, and VCAM-1) and secretion of IL-6, CCL2, and CXCL10. In coculture, fibroblasts induced monocyte adhesion and secretion of CXCL1 and IL-8, and they promoted a CD14high/ICAM-1high phenotype in THP-1 cells, which was enhanced when fibroblasts were prestimulated with TWEAK. Primary monocytes in coculture with TWEAK-treated fibroblasts had altered surface expression of CD16 and triggering receptor expressed on myeloid cells-1 (TREM-1) as well as increased CXCL1 and CXCL10 secretion. Conversely, inhibition of the noncanonical NF-κB pathway on colonic fibroblasts with a NF-κB–inducing kinase small molecule inhibitor impaired their ability to induce a CD14high phenotype on monocytes. Our results indicate that TWEAK promotes an inflammatory fibroblast–monocyte crosstalk that may be amenable for therapeutic intervention.
Personalized Full-Body In-Bed Gym at home: lessons from personal experiences
Authors: Carraro Ugo
Published: May 2024

Muscles and mobility deteriorate with age, and exercising is the only sure countermeasure. It is useful to offer safe and toll-free rehabilitation training, such as the Full-Body In-Bed Gym, easy to learn and perform at home. Based on my own experience, I suggest a 10-20-minute daily routine of easy and safe physical exercises that may improve the main 200-300 skeletal muscles used for everyday activities. Many of the exercises can be performed in bed (Full-Body In-Bed Gym), so hospital patients can learn this light workout before leaving the hospital. The routine consists of a series of repetitions of bodyweight exercises to be performed one after the other, without time breaks in between. Alternating sequences of arm and leg exercises are followed by moving body parts in lying and sitting positions in bed and by standing and sitting down. Progressive improvements can be tested by a series of push-ups on the bed or the floor. Starting from 3-5, the number of repetitions is increased by adding 5 more every week. To maintain or even shorten the total daily time of workout, each movement is then speeded up. The devoted time every morning (or at least 5 days a week) to train all the major muscles of the body can remain under 15 minutes. Because there are no breaks during and between sets, the final push-ups become very challenging. At the end of the daily workout, heart rate, depth, number of spontaneous ventilations, and frontal perspiration increase for several tens of minutes. Here is an example of how to implement the progression of the Full-Body In-Bed Gym, presenting an educational case report of a trained 80-year-old person in stable pharmacological management. Details of the workouts and the related results are presented in the 2024 book, How to Rejuvenate at 80’s. Positive results on quality of life, mental wellness, and persistence in a group of older adults were recently reported in a scientific publication. Although performed in bed, in addition to strengthening the main muscles, ventilatory ones included, Full-Body In-Bed Gym at home is a resistance training equivalent to a short jog. Started in early winter and continued regularly throughout spring and summer, Full-Body In-Bed Gym can help maintain the independence and mental wellness of elderly people. It is a simple approach that deserves further clinical trials.
Contextual analysis of the first SARS-CoV-2 RNA screening period in nasopharyngeal swabs, 2020-2022: a comparison of two diagnostic tests
Authors: Scomparin Elisabetta , Di Matteo Roberta , Bigucci Valentina , Repetto Valentina , Bonelli Haymanot , Berta Erika , Bolgeo Tatiana , Maconi Antonio
Published: May 2024

Background: exceptionally consistent COVID-19 laboratory diagnostics are crucial for case identification, patient management and contact tracing. The Coronavirus-2019 (COVID-19) pandemic affected over 771.407.825 people up until October 2023, with over 6.9 million deaths. The current process of clinical laboratory consolidation, impacting large geographic areas, presents an opportunity for the efficient and cost-effective implementation of novel laboratory technologies, as well as advancements in translational research and development. The aim of this study was to assess which of the two instruments could offer the most effective support to our laboratory’s activities, minimizing errors during the pre-analytical phase, optimizing human resources, and reducing the Turn-Around-Time (TAT). Materials and Methods: the diagnostic instruments available in the Microbiology laboratory of the Azienda Ospedaliero- Universitaria SS Antonio e Biagio e Cesare Arrigo (AOUAL) were the COBAS 6800 and the ALINITY platforms. Conclusions: the Alinity platform offers clinicians a more user-friendly approach to understanding patient infectivity, compared to the closed Cobas system. It permits clinicians to review curves and access a cumulative Cycle Threshold (Ct), facilitating the hypothesis of acute or initial/final infection stages. This positions Alinity by Abbott as the preferred system over other instruments.
Cytological diagnosis of gouty tophi over the elbow as an initial manifestation in an asymptomatic patient
Authors: Bharti Sushma , Bairwa Renu , Bairwa Devender , Sharma Tarun
Published: May 2024

Fine needle aspiration (FNA) cytology (FNAC) is becoming the preferred diagnostic method over biopsy to diagnose periarticular nodules. A 56-year-old male patient presented with a solitary soft-tissue nodule surrounding the right elbow. There was no associated joint pain, swelling, deformity, or history of trauma in the past. Soft-tissue neoplasm was taken into consideration clinically. The chalky white aspirate was obtained by FNA, and needle-shaped crystals seen in amorphous granular debris were visible on smears, under the light microscope with condenser down. The needle-shaped crystals are the characteristic feature of monosodium urate crystals A gouty tophi diagnosis was made on cytology. Following that, further investigations were performed including serum uric acid level and X-ray, which were normal. Pathologists should be knowledgeable about the cytological characteristics of gouty tophi as FNAC is a useful diagnostic tool for the diagnosis of periarticular nodules, particularly in cases of unusual presentation.
Comparative study of single vs. dual plating in distal femur fracture
Authors: Shah Arvind , Agarwal Saurabh , Nagaich Abhishek
Published: May 2024

Background:

Despite recent advances in techniques and implants, the treatment of intra-articular, multifragmentary distal femoral fractures OTA type C remains a challenge. Fracture shortening with extension and varus deformities of the distal articular surface is typical. During the fixation of such injuries, the surgeon aims to achieve anatomical articular reduction and preserve the blood supply while providing rigid, stable, fixation that is strong enough to withstand early functional mobilization.

Objectives:

The purpose is to compare and evaluate the functional outcome, subjective outcome, radiological outcome of union, and complications of single vs. dual plating.

Materials and Methods:

An observational study was conducted from 2021 to 2022 among patients presenting with all distal femur fractures OTA type C in the age group 20–65 years. About 20 patients were managed by single plating with a lateral surgical approach, and 20 were managed by dual plating with a modified swashbuckler approach.

Results:

The dual plating group showed better functional results than the single plating group according to the knee society score. The age distribution of patients was bimodal, and there was no significant difference between the sex ratio of males and females in both groups. Comparing the range of motion, the dual plating group showed excellent results. The mean union time in the dual plating group was statistically significant. In the single plating group, complications such as varus deformity, wound dehiscence, and implant failure were observed in some cases.Complications in some cases of dual plating induced wound dehiscence and infection.

Conclusions:

On comparing the dual plating cases with the single plating, we found that the dual plating group is superior to that of the single plating group both in terms of functional outcome and the extent of complications. Also, the dual plating group has a better knee range of motion. The medial and lateral locking plate technique demonstrates a higher union rate with possible lower rates of revision surgery compared to a single lateral plate in highly comminuted distal femur fractures.
Failed nonunion subtrochanteric femur fracture managed with uncemented total hip replacement
Authors: Kumar Ashutosh , Singh Ishank , Agarwal Anant , Somasekarapp Thimarappa
Published: May 2024

Subtrochanteric fracture is a fracture between the lesser trochanter and 5 cm distal to the lesser trochanter. It accounts approximately for 10%–30% of all hip fractures and affects persons more than 60 years of age. Bimodal distribution has greater incidences in 20–40 years of age and persons more than 60 years of age. Deforming forces on the proximal fragment are abduction by the gluteus medius and minimus, flexion by iliopsoas, and external rotation by short external rotators; whereas, deforming forces on the distal fragment are adduction and varus by adductors. Failure of subtrochanteric fracture treatment is frequently associated with unstable fracture patterns, poor bone quality, or suboptimal position of fixation devices. Such complications following treatment failure may result in nonunion, leading to pain or malunion, severe bone defects, infection, articular cartilage damage, and even post-traumatic arthritis hip, which poses a significant challenge in subsequent surgeries. Therefore, in this particular case, we were left with only two options, such as (1) re-osteosynthesis using limb reconstruction surgeries (LRS) and (2) and prosthetic replacement. We opted for uncemented long stem total hip replacement to get diaphyseal hold as it has many advantages over LRS like a high success rate, a better quality of life, improved early mobility, and life-long lasting results. LRS was not opted as a choice of surgery as it has some disadvantages like pin-tract infection, more maintenance and compliance needed, the frame being bulky and cumbersome, and the risk of fracture at the pinhole site. Moreover, in this particular case, bone grafts from all accessible sites were used from previous surgeries. Uncemented long-stem total hip replacement can serve as an efficient salvage procedure in such cases. Post-operatively on follow-up at 2 months, the patient was able to fully bear weight without support. The range of motion at the right hip joint where the patient was able to do flexion 100ʹ, abduction 50ʹ, and adduction 30ʹ. We were able to correct limb length discrepancy by 5 cm (pre-operative discrepancy was 7 cm). Our achievement shows that uncemented long stem total hip replacement is a beneficial and effective procedure for salvaging the failed treatment of subtrochanteric fractures. Such procedures have shown satisfactory functional outcomes, stable fixation, and survival rates for these complex situations.
Food temperature altered macronutrients induced changes in satiety hormones; glucagon - like peptide -1 and cholecystokinin and their correlation with subjective satiety
Authors: Hamid Naila , Malik Muhammad O. , Hajira Bibi , Shah Inayat , Azhar Mahnoor
Published: May 2024

BACKGROUND:

The benefits of dietary macronutrients for weight management depend on the integrity of gut hormones. The role of food temperature in the release of satiety hormones and satiety needs elucidation. We aimed to determine the impact of different food temperatures with varying macronutrient compositions on satiety-related gut hormones glucagon-like peptide-1 (GLP-1) and cholecystokinin (CCK) and find the correlation of satiety hormones with appetite scores and remainder-day food (energy) intake.

MATERIALS AND METHODS:

Thirteen healthy participants (eight males and five females) aged 25–35 years with body mass index 18.5–24.9 kg/m2 with no medical illnesses or eating disorders consumed three compositions of meals (high carbohydrate, high fat, and high protein meals) each at three temperatures (cold, warm, and hot) in a randomized, double-blinded, controlled crossover design. Plasma concentrations of peptide hormones were determined at 0, 30, and 240 minutes by enzyme-linked immunosorbent assay, and 24-hours food recall was used for remainder-day food intake (remainder energy). Data were analyzed using SPSS version 27.0. The change in plasma levels of gut hormones with time was assessed using Friedman test; Kruskal-Wallis test was employed to compare GLP-1 and CCK hormonal levels across nine meals.

RESULTS:

A comparison of the three meals at the three temperatures (total of nine groups), showed that the GLP-1 and CCK plasma concentrations were significantly different (P < 0.001). GLP-1 and CCK responses increased more after hot meals than cold meals. Overall, high-fat meals had more effective gut hormone secretions. The area under the curve was increased for GLP-1 in high-fat meals and for CCK in hot meals. The peptide hormones (GLP-1 and CCK) were positively correlated with satiety scores and inversely with remainder food intake.

CONCLUSION:

The temperature of food was found to be an effective stimulus for the regulation of CCK and GLP-1 secretion. Hot food temperature increased satiety hormones (CCK and GLP-1), independent of food macronutrient composition.
CBCT: A Comprehensive Overview of its Applications and Clinical Significance in Dentistry
Authors: Baccher Simranjeet , Gowdar Inderjit M. , Guruprasad Yadavalli , Solanki Rajendra N. , Medhi Reeturaj , Shah Mona J. , Mehta Dhaval N.
Published: May 2024

ABSTRACT

This review provides a comprehensive overview of cone beam computed tomography (CBCT) in dentistry. It covers the basic principles, various applications, advantages, limitations, considerations, and future prospects of CBCT in the field of dentistry.
Assessment of Serum Insulin and VASPIN Levels Among Type 2 Diabetes Mellitus Patients with or Without Obesity: A Cross-sectional Analytical Study
Authors: Sihag Sapna , Mathur Ranjana , Bissa Madhu Shekhar , Bhawani Jayshree
Published: May 2024

ABSTRACT

Introduction:

A collection of diverse conditions together referred to as diabetes mellitus frequently manifest as periods of hyperglycemia and glucose intolerance, which can be caused by insufficient insulin, improper insulin action, or both. A medical condition known as obesity is the accumulation of excess body fat to the point that it may be harmful to one’s health. It has been determined that the adipokine vaspin (visceral adipose tissue-derived serpin A12) belongs to the family of serine protease inhibitors. Insulin, a polypeptide hormone, is released by the pancreatic beta cells. This hormone is both anti-catabolic and anabolic. Insulin decreases blood glucose levels by preventing its synthesis and encouraging its storage and use.

Methodology:

In total, 125 male and female participants of various ages participated in the current study. They included 25 healthy controls, 50 non-obese and 50 obese non–insulin-dependent diabetes mellitus patients, who visited the MDM Hospital’s outpatient clinic in Jodhpur, Rajasthan. Commercially available reagents and kits were utilized for the analysis of serum insulin and vaspin samples. Standard statistical tools were utilized to evaluate the parameters.

Results and Discussion:

When results were compared with healthy participants and non-obese NIDDM subjects, obese NIDDM subjects showed statistically significant higher fasting serum insulin and serum vaspin levels (P < 0.0001).

Conclusion:

Our study’s conclusions demonstrated a strong correlation between blood insulin and vaspin levels and diabetes and obesity. Vaspin has a positive impact on insulin resistance, obesity, type 2 diabetes, and metabolic syndrome. It also enhances glucose tolerance and insulin sensitivity, reducing diabetes complications. This novel biomarker has the potential to enhance diabetes mellitus outcomes by facilitating prompt diagnosis, improved management, and reduction of complications.
Avanapparambu Maheswaran Namboothirippad – a life which preserved the knowledge of Ayurveda Vishachikitsa and Hastyayurveda
Authors: Nair Devi R , Shankar Kizhakke Meladam Pratap , Maneeri Akashlal
Published: May 2024

Avanapparambu Maheswaran Namboothirippad (AMN), a legendary physician of Vishachikitsa (toxicology) and Hastyayurveda (treatment of elephants through Ayurveda), has worked tirelessly to preserve these disciplines during their time of decline. Information on his life was collected through interviews with his family members and various secondary sources, including journals, books, and gray literature. His life epitomizes the transformation and upliftment that happened to Vishachikitsa in Kerala during his lifetime, along with the contributions of Ayurveda to the Indian public health care system through him. The lineage of Vishachikitsa will always pay tribute to the efforts of AMN in sustaining this knowledge in full glory during the time of its declining importance.
Acharya Priyavrata Sharma: A life that personified the term “Apta” in the modern era
Authors: Singh Neelam Kumari , Charde Vaibhav , Archana Kumari , Narasimhaji C Venkata
Published: May 2024

Acharya Priyavrata Sharma, who enlightened the wisdom of Ayurveda in the twentieth century, is known for shaping the postgraduate specialty of “Dravyaguna” in Ayurveda’s curriculum. His noted literary works have enriched contemporary Ayurveda literature. He published over 500 articles and 50 books and guided many scholars of Ayurveda through his visionary academic skills. He stressed the need to follow the principles of Ayurveda in research while advocating modern techniques to understand the therapeutic action of different drugs. His disciplined, passionate, and devoted life encourages us to walk the path of dedication, hard work, and diligence for the cause of Ayurveda.
Vaidya Brihaspati Dev Triguna: A healing philanthropist who was a physician to the elite
Authors: Thakur Rinky , Soman Athira
Published: May 2024

This life profile delves into the extraordinary life and contributions of Vaidya Brihaspati Dev Triguna, an exemplary physician and visionary in the realm of Ayurveda. His unparalleled expertise in Nadi Pariksha (Ayurvedic pulse examination) has left an indelible mark on the legacy of Ayurveda in India. The life profile meticulously unfolds through a comprehensive methodology, encompassing an extensive literature review, personal interviews with his son Vaidya Devender Triguna and members of Rashtriya Ayurveda Vidyapeeth (RAV), and insights gathered from various sources, providing a holistic understanding of his family background, education, and his national and international contributions for Ayurveda. This work is a tribute to a visionary who enriched Ayurveda and left an enduring imprint on the global landscape of holistic health.
Professor Shivcharan Dhyani - Exponent of new concepts on Ayurveda principles
Authors: Layeeq Shaizi
Published: May 2024

Professor Shivcharan Dhyani hailed as a beacon in the realm of Ayurveda, embodied the quintessence of an exemplary educator, researcher, and visionary. His origins in a remote village in Uttarakhand marked the beginning of a journey characterized by an insatiable thirst for knowledge and an unwavering commitment to excellence. Throughout his illustrious career, Prof. Dhyani left an indelible mark on the field with his multifaceted contributions. His pioneering research in Dravyaguna brought about a paradigm shift in Ayurvedic pharmacology. By employing rigorous scientific methodologies, he successfully bridged the gap between traditional wisdom and contemporary scientific understanding. As an educator, he transcended conventional teaching methods, fostering a deep connection with his students, and igniting their passion for learning. His eloquence and literary insight further enriched his teaching, rendering intricate concepts accessible to a diverse audience. Professor Shivcharan Dhyani’s contributions to Ayurveda transcend temporal constraints, leaving an enduring legacy that continues to inspire future generations of practitioners and researchers alike. His life serves as a poignant reminder of the transformative potential of education and the profound impact of a selflessly devoted existence dedicated to the pursuit of knowledge and service to humanity.
Biography of Pandit Divi Gopalacharlu: A revolutionary reformer of Ayurveda in preindependent India
Authors: Prasad Goli Penchala , Lavaniya Vinod Kumar , Chincholikar Mukesh Bhagwanrao
Published: May 2024

Pandit Divi Gopalacharlu was a legendary Ayurvedic physician who provided valuable service to Ayurveda and made a remarkable contribution to the upliftment of Ayurveda. His primary education and Sanskrit studies were held in Machalipatnam, and he completed his studies at Mahant school in Tirupati and was conferred with the title “Acharya.” He completed his Ayurveda education at Maharajah’s Ayurveda Oriental School in Mysore. The British Government recruited him as a special plague officer in 1895. He succeeded in curing and controlling the disease. His services were applauded across India for his exceptional contribution and successful management of an emergency epidemiological condition through Ayurveda. Later, he worked as Chief Physician at a free dispensary hospital of Kanyaka Parameswari Devasthanam and Charities. He established the Ashramam of Ayurveda. He started teaching Ayurveda in Telugu and tried to create awareness among people about Ayurveda. He started Ayurvedashrama Granthamala and published nearly 20 Ayurvedic texts. He wrote translations and commentaries in Telugu for the classical Ayurvedic texts. He also started a journal, Dhanvantari, to publish various research outcomes of Ayurveda. He deciphered many inscriptions that had medical importance. He was honored with many awards and worked as the president of many committees. Through Kanyaka Parameswari Devasthanam and Charities, he started a free hospital and Ayurveda college. He established Madras Ayurveda Laboratory and started manufacturing and supplying Ayurvedic medicines all over India. He prepared hundreds of medicines and set standards for the preparations. This article covers his contributions and scholarliness in detail.
Revitalizing classical Ayurveda practice in urban India—Contribution of Vaidya V. R. Padmanabha Rao
Authors: Rao Vibhuti , Sharma Ahalya
Published: May 2024

The renaissance of Ayurveda in contemporary times owes much to the remarkable contributions of exemplary practitioners. This paper explores the journey of Dr. V. R. Padmanabha Rao (1953–2020), an Ayurveda clinician who not only demonstrated excellence in clinical practice but also spearheaded the creation of “Agnivesha Ayurveda Anushthana,” an exclusive organization devoted to the education and training of Ayurveda doctors. Dr. Rao played a pivotal role in influencing and guiding numerous Ayurveda graduates to transition from allopathy to Ayurvedic clinical practice. His therapeutic knowledge was disseminated in a number of national and international forums, especially with regard to his successful treatment of male infertility. Central to his teachings was the concept of “How to be a successful Ayurveda clinician,” anchored in the three pillars of dual diagnosis (integrated Ayurveda and modern methods), the utilization of self-prepared classical medicines (single-herb therapy), and the cultivation of excellent clinical and administrative skills including documentation of clinical cases.
Ms. Savita Satakopan—A doyen of research in the field of Pharmacognosy
Authors: Pattona Aswathi Mohan , Kusuma Ganji , Nartunai Govindarajan , Ilavarasan Raju
Published: May 2024

Savita Satakopan, born in 1927, was a renowned figure in drug standardization and quality control in Ayurveda, Siddha, and Unani systems of medicine. She spent 25 years researching and analyzing Ayurvedic drugs and raw materials, focusing on identifying genuine classical crude drugs, adulteration, and developing quality standards for sample analysis. Miss. Satakopan traveled to various countries in the 1970’s to develop analytical methods for Ayurvedic drugs and published numerous papers that contributed to the quality control measures of Ayurvedic drugs. As a member of the Ayurvedic Pharmacopeia Committee, she provided guidelines and established basic principles for pharmacopeial test methods. She also advised botanical studies and contributed to the Ayurvedic pharmacopeia of India. At 94, she passed away, leaving behind a remarkable legacy in botany. Her passion for research and dedication inspired aspiring young scientists, ensuring her impact would be felt for generations to come.
Vaidyaratna Captain G. Srinivasa Murthy: A legend who revived Indian Medicine
Authors: Pattona Aswathi Mohan , Kusuma Ganji , Ilavarasan Raju
Published: May 2024

Captain Dr. G. Srinivasa Murthy, born in 1887, was a multifaceted personality with a strong background in both Allopathic and Indian systems of medicine. He played a significant role in the recognition and encouragement of indigenous systems of medicine. Dr. Murthy was a member of the Usman Committee formed to report on how the indigenous systems of medicine could be best developed. He produced a report, “The Science & the Art of Indian Medicine,” for the committee as his magnum opus. He founded the School of Indian Medicine in 1925 and developed an integral system combining Ayurveda and Allopathy. He was the founder president of the Indian Medical Practitioners Co-operative Pharmacy & Stores. His unselfishness and passion inspired the younger generation in the field of Indian medicine. Dr. V Narayana Swamy, a disciple of Murthy, founded the Captain Srinivasa Murthy Research Institute in 1963, which later became part of the Central Council for Research in Ayurvedic Sciences.
Pioneering contributions of Vaidyaraj Atmaram Waman Datar Shastri in Panchabhautik Chikitsa of Ayurveda
Authors: Kolhe Rasika , Pawar Gajanan , Gurav Arun
Published: May 2024

The resemblance between the universe and the human body is defined by five constituents, viz. earth, water, fire, air, and space are called Panchamahabhuta in Ayurveda. This fundamental concept of Panchamahabhuta is popularized by its application in diagnosis, prognosis, and treatment by Vaidya Atmaram Waman Datar Shastri, known as a pacesetter for Panchabhautik Chikitsa across India. He wrote six books on this concept. For his significant contribution to the clinical examination of Agni Samstha (seat of Agni/digestive system) and preparation of medicines, he was felicitated with “Brihattrayeeratna” by Arya Vaidya Pharmacy, Coimbatore. He founded a charitable trust in Sangli, Maharashtra. After his demise on December 25, 1995, his legacy is being carried forward by students in various ways. This study aims to delve into the life and works of Vaidya Atmaram Waman Datar Shastri. It sheds light on his invaluable contributions to the field and the enduring relevance of Panchabhautik Chikitsa in Ayurvedic practice.
Perioperative oxygen administration for adults undergoing major noncardiac surgery: a narrative review
Authors: Wang Huixian , Wang Zhi , Wu Qi , Yang Yuguang , Liu Shanshan , Bian Jinjun , Bo Lulong
Published: May 2024

Perioperative oxygen administration, a topic under continuous research and debate in anesthesiology, strives to optimize tissue oxygenation while minimizing the risks associated with hyperoxia and hypoxia. This review provides a thorough overview of the current evidence on the application of perioperative oxygen in adult patients undergoing major noncardiac surgery. The review begins by describing the physiological reasoning for supplemental oxygen during the perioperative period and its potential benefits while also focusing on potential hyperoxia risks. This review critically appraises the existing literature on perioperative oxygen administration, encompassing recent clinical trials and meta-analyses, to elucidate its effect on postoperative results. Future research should concentrate on illuminating the optimal oxygen administration strategies to improve patient outcomes and fine-tune perioperative care protocols for adults undergoing major noncardiac surgery. By compiling and analyzing available evidence, this review aims to provide clinicians and researchers with comprehensive knowledge on the role of perioperative oxygen administration in major noncardiac surgery, ultimately guiding clinical practice and future research endeavors.
Endodontic retreatment of a mesotaurodontic mandibular first molar with C-shaped configuration in a patient with multiple taurodonts: A case report and review of literature
Authors: Davaji Mina , Karimpour Sahar
Published: May 2024

Taurodontism is a dental anomaly characterized by an apical displacement of the pulp chamber floor, resulting in a large pulp chamber with short roots. It can be associated with certain syndromes and abnormalities, although it is common to occur as an isolated characteristic. This anomaly can occur along with other root canal system anomalies such as C-type configuration. The aim of this report is to present the successful endodontic management of a C-shaped mesotaurodontic mandibular molar and review the literature available on this matter. A 23-year-old Persian female was referred by her dental surgeon to complete the root canal treatment of her right mandibular first molar (#46). Clinical examination showed a temporized cavity with no response to pulpoperiapical tests or visible pocket depth while an elongated root trunk with slight periodontal ligament widening, incomplete obturation of the root canal system, and periapical radiolucency was evident on the intraoral radiograph. Cone-beam computed tomography (CBCT) revealed a taurodontic and type III C-shaped root canal configuration. With a diagnosis of previous treatment and asymptomatic apical periodontitis, the patient was scheduled for root canal retreatment. The same anomaly was discovered in other molar teeth on the panoramic radiograph taken before the primary treatment of tooth #46. At a 2-month follow-up session, the tooth was found asymptomatic clinically and radiographically. The past publications about the management of nonsyndromic taurodontic molars were also reviewed. The review of 29 similar articles showed that preoperative CBCT, magnification with illumination, along with active irrigation are helpful items in managing such cases.
Adoption of rotary instrumentation among general practitioners in Qassim region, Saudi Arabia: A cross-sectional survey
Authors: Alotaibi Badi B.
Published: May 2024

Introduction:

In contemporary dentistry, nickel–titanium (NiTi) rotary instrumentation is the standard of care. General dental practitioners (GDPs) should acquire and adopt rotary root canal instrumentation in their practices. Therefore, this study aimed to investigate the application of rotary root canal instrumentation among GDPs in the Qassim region of Saudi Arabia.

Materials and Methods:

This cross-sectional survey was conducted in the Qassim region of Saudi Arabia. An online survey was sent to GDPs registered in the Qassim region through the Saudi Dental Society contact list. It consisted of 15 questions about gender, demographics, sector, and the extent of rotary root canal instrumentation adoption in their daily practices. The Chi-square test was used to compare the frequency responses between the groups. Fisher’s exact test was used when the expected outcome was <5.

Results:

Of the 153 GDPs contacted, 81 completed the online survey. Of the 81 participants, 71.6% performed root canal treatment in their daily practice, whereas only 51.9% reported using NiTi rotary instrumentation. NiTi rotary instrumentation was adopted significantly more frequently by GDPs who graduated from non-Saudi schools, worked in the private sector, and had more than 10 years of experience. The lack of required equipment was the most commonly reported reason for not adopting NiTi rotary instrumentation. Most participants were interested in receiving training in NiTi rotary instrumentation.

Conclusion:

Almost half of the GDPs in the Qassim region did not use rotary files in their practices. Lack of undergraduate training and unavailability of equipment were the most commonly reported factors for not adopting rotary instrumentation. There was a significant interest in receiving additional training on NiTi rotary instrumentation.
Dynamic cyclic fatigue resistance of RACE EVO in S-shaped canal with different angles of access: An in vitro study
Authors: Ayad Odena Essam , El Seoud Mohammed Abou , Kataia Engy M.
Published: May 2024

Introduction:

Nickel–titanium instruments annually undergo improvements to enhance the cyclic fatigue lifespan, especially with challenging canals. This study examines RACE EVO instrument in an S-shaped double-curvature canal in different angles of insertion 0°, 20°, and 40° to investigate the behavior of the heat-treated instruments in challenging canals.

Materials and Methods:

A total of 30 instruments were assigned to three groups (Group 0°, Group 20°, and Group 40°). RACE EVO instruments were tested in artificial canals. The canals had two curvatures: an apical one which its parameters are 70° angle and 2 mm radius and a coronal one which its parameters are 60° angle and 5 mm radius. The test was done using a cyclic fatigue apparatus. A statistical study was done by one-way analysis of variance groups, and Tukey’s honestly significant difference/Tukey–Kramer with a level of significance (α) was adjusted to 0.05.

Results:

The time until failure was reduced by the increase in the angle of insertion; however, Group 20° and Group 40° were not significantly different. All the instruments were broken apically. The scanning electron microscopic analysis showed typical characteristics of cyclic fatigue failure.

Conclusions:

Increasing the inclination during the insertion reduced the resistance of the RACE EVO instruments to cyclic fatigue failure despite the surface heat treatment of the instrument.
Analysis of Synergistic Effect of Energy Efficiency Improvement and Vocational Competence Development
Authors: Yang Chao , Tabasa Milagros L.
Published: May 2024

INTRODUCTION: Growing global energy demand and constant competition for energy resources have made energy efficiency a focus of international attention. At the same time, occupational competency development is crucial for sustained individual and overall economic growth.OBJECTIVES: This study explores the synergistic effects of energy efficiency improvement and occupational competence development to inform policy-making and business strategies.METHODS: A literature review summarises relevant theories and research progress on energy efficiency improvement and occupational capability development. Then, the relationship between energy efficiency improvement and vocational ability development was analyzed in depth using econometric models and a large amount of empirical data.RESULTS: There is a significant positive association between energy efficiency improvement and vocational ability development. Specifically, improving energy efficiency not only reduces the cost of energy consumption and enhances productivity but also helps promote technological innovation and industrial upgrading, which in turn enhances the level of occupational ability of workers. In turn, improving occupational ability further encourages technological innovation and productivity in enterprises, forming a virtuous circle and promoting the sustainable development of the economy.CONCLUSION: This study reveals the synergistic effect between energy efficiency improvement and vocational competence development, emphasizing the critical role of energy efficiency improvement and vocational competence development in promoting economic growth and achieving sustainable development.
Profil épidémiologique de l’insuffisance rénale aiguë au cours de la prééclampsie sévère au Togo
Authors: Tsevi Y.M. , Dolaama B. , Ketevi A. , Djagadou K. , Hadabia D. , Sabi K.A.
Published: May 2024

Introduction : La fréquence de l’insuffisance rénale aigue chez les gestantes admises pour prééclampsie sévère est élevée. L’objectif était de déterminer sa fréquence à sa survenue à Lomé.
Méthode : Il s’est agi d’une étude transversale avec recueil rétrospectif des données. La période d’étude était de 36 mois, du 18 juillet 2019 au 17 août 2022 au Centre Hospitalier Universitaire Sylvanus Olympio de Lomé. Étaient inclus les gestantes ayant présentées une prééclampsie sévère et qui comportaient au moins un bilan rénal réalisé à l’admission et un bilan en cours d’hospitalisation. L’insuffisance rénale aigue était définit sur les critères KDIGO 2012.
Résultats: Au total 220 cas de prééclampsie sévère a été analysé durant la période d’étude, dont 44 cas compliqué d’insuffisance rénale aigue correspondant à une fréquence de 20%. L’âge moyen dans le groupe cas était de 30±5,40 ans. La créatininémie moyenne, le taux d’hémoglobine moyen et le taux de plaquettes moyen était respectivement de 26,41 +/- 19,79 mgl1 , de 10,05 +/-1,87 gdl1 et de 161,48 +/-53,87 Gl1 . L’hémodialyse avait été réalisée chez 11,4% des patientes et 40,9% avaient expulsé. Nous n’avons pas noté de décès maternel.
Conclusion : La fréquence de l’insuffisance rénale au cours de la prééclampsie sévère est élevé 20% à Lomé. Il serait nécessaire de rechercher les facteurs associés à sa survenue afin d’une bonne prise en charge.

Introduction: The frequency of acute kidney injury in pregnant women admitted for severe preeclampsia is high. The aim was to determine the frequency of occurrence in Lomé.
Method: This was a cross-sectional study with retrospective data collection. The study period was 36 months, from 18 July 2019 to 17 August 2022 at the Sylvanus Olympio University Hospital in Lomé. Pregnant women with severe preeclampsia who had at least one renal assessment performed on admission and one during hospitalisation were included. Acute renal failure was defined according to the KDIGO 2012 criteria.
Results: A total of 220 cases of severe preeclampsia were analysed during the study period, including 44 cases complicated by acute kidney injury, corresponding to a frequency of 20%. The mean age in the case group was e 30±5.40 years. Mean creatinine, haemoglobin and platelet counts were 26.41+/- 19.79 mgl-1, 10.05+/- 1.87 gdl-1 and 161.48 +/-53.87 Gl1 respectively. Haemodialysis had been performed in 11.4% of patients and 40.9% had expelled. No maternal deaths were noted.
Conclusion: The incidence of acute kidney injury in severe pre-eclampsia is high, 20% in Lomé. It would be necessary to identify the factors associated with its occurrence in order to ensure proper management.
Morsures de serpent au centre hospitalier régional (CHR) de Dapaong au Togo
Authors: Djalogue L. , Tchamdja T. , Mossi K.E. , Djagadou K.A. , Balaka A. , Ma Djibril
Published: May 2024

Objectif : Le but de cette étude était de décrire les aspects épidémiologique, clinique, thérapeutique et évolutif des morsures de serpent au CHR Dapaong au Togo.
Méthode : Il s’agissait d’une étude rétrospective qui a couvert la période du 1er janvier 2015 au 31 décembre 2021, dans les services de médecine, soins intensifs et de la pédiatrie du CHR de Dapaong.
Résultats : Au cours de la période d’étude, 2521 (3,2%) des 78891 patients ont consulté pour une morsure de serpent. L’âge moyen des patients était de 28,66 ± 10,55 ans (extrêmes de 10 ans et 71ans) avec une prédominance masculine (57,6 % des cas). Parmi les patients, 52,4% étaient des cultivateurs et dans 56,7% des cas les morsures avaient eu lieu au champ. Les troubles digestifs étaient les signes fonctionnels les plus retrouvés (40,5%). L’association œdème-saignement local et douleur-œdème étaient les principaux signes physiques retrouvés respectivement dans 48,1% et 31,4% des cas. Les complications les plus fréquentes étaient les troubles de la coagulation (52,8%). Le traitement traditionnel était utilisé par la majorité des patients (60,2%) avant l’admission en milieu hospitalier. En milieu hospitalier, 95,9% des patients avaient reçu du sérum antivenimeux. L’évolution des patients était marquée par une guérison dans 89,4% des cas, un décès dans 3,3% des cas, évasion des patients dans 0,8% des cas patients et dans 6,5% des cas les patients avaient signé une décharge.
Conclusion : Les morsures de serpent sont fréquentes en milieu hospitalier à Dapaong. Une prise en charge urgente et précoce permet d’éviter les complications.

Objective: The aim of this study was to describe the epidemiological, clinical, therapeutic and evolutionary aspects of snakebites at CHR Dapaong in Togo.
Method: This was a descriptive retrospective study, carried out from January 1, 2015 to December 31, 2021, in the medical, intensive care and paediatric departments of the Dapaong Regional Hospital.
Results: During the study period, 2521 (3.2%) of the 78891 patients consulted for a snakebite. The mean age of patients was 28.66 ± 10.55 years (ranges of 10 years and 71 years) with a male predominance (57.6% of cases). Of the patients, 52.4% were farmers and in 56.7% of the cases the bites occurred in the field. Digestive disorders were the most common functional signs (40.5%). The combination of oedema-local bleeding and pain-edema were the main physical signs found in 48.1% and 31.4% of cases, respectively. The most common complications were bleeding disorders (52.8%). Traditional treatment was used by the majority of patients (60.2%) prior to hospital admission. In hospitals, 95.9% of patients had received antivenom. The course of patients was marked by recovery in 89.4% of cases and death in 3.3% of cases.
Conclusion: Snakebites are common in hospitals in Dapaong. Urgent and early treatment can prevent complications.