bluuebunny/crossref_metadata_2025 huggingface dataset:
Destin d'un idéal
Authors: Defrenet Bernard
Published: June 2024

L’intention des fondateurs du Quatrième Groupe au regard de leurs expériences institutionnelles passées est limpide. Elle est celle de promouvoir un fonctionnement institutionnel justifié théoriquement en y inscrivant le moins d’ingérence possible dans le processus de formation. Jean-Paul Valabrega n’aura cessé d’affirmer les registres antinomiques du psychanalytique et de l’institutionnel. Son combat contre l’institution de l’appartenance et ses effets d’embrigadement, d’aliénation, le conduira à la voie du pluri-référentiel, de l’inter-analytique et à ouvrir par la théorisation et la pratique, tant à de nouvelles modalités de supervision avec l’analyse quatrième, qu’à l’organisation des sessions inter-analytiques. Érigé sous sa plume comme règle d’or, le principe du minimum institutionnel aura révélé cependant au fil des décennies comment il pouvait contribuer à un effet paradoxal et négatif de désimplication des membres. S’il garde toute sa pertinence de nouvelles modalités de rencontre entre l’analyste en formation et le pluri-référentiel institutionnel permettront de lui redonner une valence positive.
Destin d'un idéal
Authors: Dollé-Monglond Brigitte
Published: June 2024

À travers une multiplicité d’angles possibles pour évoquer ce sujet, c’est la transmission par la psychanalyse qui serait à souligner à mes yeux : ce qu’elle incarne, ce dont elle est le porte-parole, laquelle s’effectue par un psychanalyste. Si les axes de notre société contemporaine et les exigences de la psychanalyse sont profondément antagonistes, la demande auprès d’un psychanalyste demeure et nous avons à repenser certaines modalités de notre exercice sans affecter pour autant nos fondamentaux au plus près du sexuel infantile et de la nécessité de la défense de la vie intérieure/de l’intime.
La dette en questions
Authors: Dubanchet Robert
Published: June 2024

La cure analytique depuis ses débuts avec Freud, repose sur un dispositif qui relève d’abord d’une prise en compte de la réalité psychique. Le paiement des séances fait partie d’une des modalités constitutives du cadre et reste, encore aujourd’hui, une exigence nécessaire à la réalisation d’un processus d’investissement psychique. Le maintien d’un mode de paiement stable, séances manquées comprises, est donc un élément essentiel en ce sens qu’il organise la temporalité du patient dans un éprouvé de permanence et de fiabilité. En institution, cette question peut être abordée différemment, mais elle est aussi à saisir du côté des modalités transférentielles et donc, à ce titre, doit être prise en compte comme partie intégrante du processus analytique.
La dette en questions
Authors: Bazalgette Gérard
Published: June 2024

Il s’agit, pour tout Sujet, de conquérir une liberté et une autonomie au-delà des impératifs du surmoi en direction d’une réalisation pulsionnelle possible qui sera toujours à la recherche, à la fois, d’un passage et d’une limite. Comprendre la dette, c’est essayer de saisir cet ineffable mouvement de conquête et de dessaisissement de soi à renouveler en permanence au contact d’un Autre. Ce travail vers un au-delà du surmoi et des idéaux, c’est le travail du Je en quête de vérité . Et c’est en ce travail d’héritage et de transformation que peut se réaliser une castration asymptotiquement symbolique c’est-à-dire créatrice de symbole. La question posée dans cet article est celle du devenir de cette problématique énoncée par l’auteur il y a plus de vingt ans. Que devient cette problématique en notre monde de « post-vérité » dès lors que les concepts même de vie pulsionnelle et de surmoi sont tombés en désuétude ?
Clinique du couple et de la famille
Authors: Robert Philippe , Drweski Philippe
Published: June 2024

Cette fiche reprend les différentes étapes qui ont mené au développement d’une approche psychanalytique du couple et de la famille. Il est ainsi question du passage d’une psychanalyse d’abord centrée sur la dimension intrapsychique à une psychanalyse prenant en considération les dimensions inter- et transsubjective de la psyché. C’est grâce ces apports théoriques et cliniques que de nouveaux dispositifs de soins ont pu se mettre en place pour traiter les liens pathogènes dans le couple et la famille.
Clinique du couple et de la famille
Authors: Hiers Lana
Published: June 2024

La thérapie multifamiliale (TMF) apparue dans les années soixante est très répandue en Amérique latine et dans les pays hispanophones. Elle est née d’une double influence : celle de la thérapie systémique et celle de la psychanalyse. Cette fiche reprend les principes d’organisation de la communauté thérapeutique psychanalytique à structure multifamiliale, conçue par le psychiatre-psychanalyste argentin Jorge E. García Badaracco (1923-2010).
Psychogérontologie clinique et pathologique
Authors: Menecier Pascal
Published: June 2024

L’apathie va au-delà du symptôme de la dépression ou d’une maladie neurologique. Elle peut être envisagée comme un trouble invalidant, fréquent chez des sujets âgés, fragiles ou malades. Sa reconnaissance est essentielle pour en rechercher le contexte et les causes. Ses conséquences pour la personne âgée, comme le fardeau pour les entourages, ne peuvent être minimisées face au peu d’expression spontanée de plainte.
Psychogérontologie clinique et pathologique
Authors: Menecier Pascal
Published: June 2024

La dépression, maladie plus fréquente avec l’avancée en âge, ne doit pas être confondue avec des signes psychologiques du vieillissement. La souffrance dépressive de sujets âgés peu symptomatique ou moins spontanément exprimée doit être recherchée plutôt qu’attendue. La clinique varie alors, avec diverses formes symptomatiques et masques, sous-tendant les difficultés de diagnostic et les freins dans l’accès à des soins adaptés.
Situations extrêmes
Authors: Liguori Marco
Published: June 2024

La bouffée délirante aiguë vient indexer un moment extrême dans la trajectoire développementale. Soignants et institutions font face à un défi clinique majeur : pris dans les mouvements de mort et d’abolition subjective du sujet délirant, ils doivent accueillir et déconstruire l’urgence pour laisser les déterminants de la crise se déployer afin d’être dépassée.
Clinique des groupes
Authors: Riand Raphaël , Robert Philippe
Published: June 2024

Les groupes de parole si fréquents dans la clinique souffrent d’une absence de théorisation spécifique notamment dans la prise en compte des modes d’expression pluriels (présence du non verbal) et la dynamique groupale.
« Nous ne détenons pas toutes les clés »
Authors: Campos Éric , Hervieu-Léger Benoît , Hourcade Jean-Charles
Published: June 2024

Souvent pointés du doigt face à l’enjeu écologique, les acteurs financiers ne peuvent néanmoins se substituer aux volontés politique et sectorielle. Explications.
Gérer la diversité in/capacitaire en compétition : les dynamiques de participation dans un sport collectif en fauteuil à catégorie unique
Authors: Paccaud Laurent
Published: June 2024

Gérer les différences corporelles et de capacité des athlètes est une préoccupation constante du monde du sport. La principale réponse apportée est la mise en place de catégories sportives, le plus souvent basées sur les différences entre les corps biologiques (le « sexe », l’âge, le poids). Le monde du handisport propose des innovations catégorielles qui dépassent cette lecture biomédicale des corps. Dans les compétitions de powerchair hockey, un sport pour les personnes vivant avec des maladies dégénératives qui constitue l’étude de cas de cet article, femmes et hommes, enfants et adultes, de même que des personnes aux types et degrés de déficience divers jouent au sein d’une catégorie unique. À partir d’une ethnographie multisituée de ce handisport, cet article vise à comprendre la façon dont la diversité in/capacitaire peut être gérée au sein de compétitions à catégorie unique. Il met également au jour les manières dont cette gestion façonne les dynamiques de participation des athlètes. Malgré certaines inégalités capacitistes persistantes, ce système permet d’adapter sa façon de jouer et de maintenir sa participation au cours de l’aggravation des atteintes du corps, et de la diminution du volume de capacité physique, sans être (trop) dévalué·e au sein du collectif.
Research on pattern dynamics of a class of predator-prey model with interval biological coefficients for capture
Authors: Gao Xiao-Long , Zhang Hao-Lu , Li Xiao-Yu
Published: June 2024

Due to factors such as climate change, natural disasters, and deforestation, most measurement processes and initial data may have errors. Therefore, models with imprecise parameters are more realistic. This paper constructed a new predator-prey model with an interval biological coefficient by using the interval number as the model parameter. First, the stability of the solution of the fractional order model without a diffusion term and the Hopf bifurcation of the fractional order $ \alpha $ were analyzed theoretically. Then, taking the diffusion coefficient of prey as the key parameter, the Turing stability at the equilibrium point was discussed. The amplitude equation near the threshold of the Turing instability was given by using the weak nonlinear analysis method, and different mode selections were classified by using the amplitude equation. Finally, we numerically proved that the dispersal rate of the prey population suppressed the spatiotemporal chaos of the model.
Identification and Estimation in Many‐to‐One Two‐Sided Matching Without Transfers
Authors: He YingHua , Sinha Shruti , Sun Xiaoting
Published: June 2024

In a setting of many‐to‐one two‐sided matching with nontransferable utilities, for example, college admissions, we study conditions under which preferences of both sides are identified with data on one single market. Regardless of whether the market is centralized or decentralized, assuming that the observed matching is stable, we show nonparametric identification of preferences of both sides under certain exclusion restrictions. To take our results to the data, we use Monte Carlo simulations to evaluate different estimators, including the ones that are directly constructed from the identification. We find that a parametric Bayesian approach with a Gibbs sampler works well in realistically sized problems. Finally, we illustrate our methodology in decentralized admissions to public and private schools in Chile and conduct a counterfactual analysis of an affirmative action policy.
Setbacks, Shutdowns, and Overruns
Authors: Feng Felix Zhiyu , Taylor Curtis R. , Westerfield Mark M. , Zhang Feifan
Published: June 2024

We investigate optimal project management in a setting plagued by an indefinite number of setbacks that are discovered en route to project completion. The contractor can cover up delays in progress due to shirking either by making false claims of setbacks or by postponing the reports of real ones. The sponsor optimally induces work and honest reporting via a soft deadline and a reward for completion that specifies a bonus for early delivery. Late‐stage setbacks trigger randomization between minimally feasible project extension and (inefficient) cancellation. Because extensions may be granted repeatedly, arbitrarily large overruns in schedule and budget are possible after which the project may still be canceled.
Reply to: Comment on
“A Modern Gauss–Markov Theorem”
Authors: Hansen Bruce E.
Published: June 2024

This note makes a brief response to Portnoy (2022) and Pötscher and Preinerstorfer (2024), and discusses what instructors should teach about best unbiased estimation.
Diversity and Inclusion
Authors: Baporikar Neeta
Published: June 2024

Today, no country can claim that its business can be local or national due to the effects of globalization. The world of business has become international. In this new millennium, few economies can afford to ignore global business opportunities. The globalizing wind has broadened the mindsets of executives, extended the geographical reach of firms, and nudged international business into some new trajectories. One such new trajectory is global talent management, which has a tremendous impact on the subject matter of diversity and inclusion. Effective talent management is essential for a competitive edge and survival. Moreover, a volatile economic context makes talent management more crucial to organizational success. Similarly attracting, developing, and retaining talent particularly managerial, professional, and technical sustainably is a herculean task indeed. Hence, this chapter, through grounded research and in-depth literature review, intends to discuss how and why diversity and inclusion have become an imperative in global talent management.
Effective Talent Management Practices Implemented in the Hospitality Sector
Authors: Singh Amrik , Kumar Sanjeev
Published: June 2024

The hospitality industry is one of the significant contributors to financial development and survivability. As the biggest segment in the lodging business, the neighborliness business satisfies a substantial capacity to provide food for the necessities and needs of travelers. Hotels are transforming their business operations to stay ahead of this disruption. The hospitality industry is looking for skilled and talented people to fulfill the expectations of the industry. The management's prime duty is to allocate the right task to the right person to achieve the desired results and goals. This study proves the importance of talent management practices and the time to work together with academia and industry to fulfill the industry's expectations. The findings prove that T.M. is measured by talent attraction, talent development, and talent retention.
Employee Retention Strategies Through Predictive Data Analytics and AI
Authors: Bhanumathi P. , Anjali Naidu M. , Sathish Babu B.
Published: June 2024

One of the main challenges today's organizations face is retaining talented and competent employees. Managing and keeping employees has become a concern in the increased competition and changing market demand. The human resource management team should always be ready to meet such threats from the competitor's talent poaching attitudes and to retain their well-performing employees. It is strategically necessary to develop plans to identify the potential employees who may submit the papers due to short-term benefits and initiate preventive actions to stop them from leaving the organization. The conventional techniques of identifying such employees have often proven error-prone and ineffective due to delays in arriving at conclusions. There is a great opportunity available to management decision-makers to use digital assets, such as employee-centric data, to predict the chances of employees leaving the organization soon and create retention strategies around the outcome of data analysis.
Tuberculosis and Hematological Malignancies: Real-world Experience and Key Insights into Drug–Drug Interactions
Authors: Dewan Abhinav , Singh Reema , Sachdeva Ishita , Bhurani Dinesh , Agrawal Narendra , Ahmed Rayaz , Halder Rohan , Patra Pritish Chandra , Debadwar Sunil Ramrao , Bansal Nitin
Published: June 2024

Background:

Patients with hematological malignancies (HMs) have a higher incidence of tuberculosis (TB), and this is especially true in TB endemic country like India.

Materials and Methods:

All patients with microbiologically confirmed TB and HM were retrospectively analyzed in a single-center study conducted between January 2019 and December 2022.

Results:

A total of 59 patients (Mean age, 51 years) were evaluated. The most common associated hematological malignancy was acute myeloid leukemia (21/59, 35.59% of patients), followed by lymphoma (16/59, 27.12% of patients). Five patients got TB after stem cell transplant (SCT), and 6 got SCT while on antitubercular therapy (ATT). Standard ATT regimen was given to 34 patients (58.6%), whereas 24 patients (41.3%) received non-standard or modified regimen. Reason for giving non-standard regimen was drug–drug interaction in 12 (20.6%) patients. Non-rifampicin containing regimen was given to five patients, and for seven patients, rifampicin was interrupted while these patients were on interactive drug (venetoclax). For two patients, venetoclax (chemotherapy was modified) was not used due to its interaction with rifampicin. The median duration of ATT given to the study cohort was 9 months (range, 6–20 months). The median duration of follow-up among patients who completed ATT was 300 days (range, 287–1185 days), and none of these patients experienced a recurrence of TB. Five patients died prior to the completion of ATT, and the cause of death was not attributed to TB or ATT-related side effects in any of the patients.

Conclusion:

TB remains a key cause of morbidity in HM patients. Drug–drug interactions among TB drugs and drugs used to manage HM pose further challenge to management of HMs.
Emergency Immunization
Authors: Chawla Parvinder Kaur
Published: June 2024

Although immunization is often considered the domain of primary care physicians, there are many situations wherein emergency physicians are required to decide upon the need of active and/or passive immunization. Some of these situations include: (1) measles, varicella, and hepatitis A vaccination as postexposure prophylaxis and meningococcal, diphtheria, pertussis, mumps, and Haemophilus influenzae B vaccination for susceptible contacts for the purpose of outbreak prevention and control. (2) Passive immunization may be indicated for a pregnant woman with suspected/proven varicella (chickenpox) infection. (3) Both active and passive immunization may be indicated for rabies in patients with animal bites, tetanus in patients with injury/trauma, and hepatitis B in unimmunized health-care workers with needlestick injuries. Since emergency physicians are the ones often required to take decisions in these situations, their awareness regarding the correct recommendations is essential for optimal patient care.
Not so Narrow Escape-a Case Report on Symptomatic HIV-1 CNS Escape Presenting as Progressive Multifocal Leukoencephalopathy
Authors: Kuruvilla Dawn , Parasrampuria Sakshi , Abraham O. Cherian , Jasper Anitha
Published: June 2024

Human immunodeficiency virus (HIV) can rarely cause symptomatic central nervous system (CNS) escape as a neurological complication. It is characterized by discordant viral replication in the CNS with adequately suppressed viral load in the serum and can have myriad presentations. We describe an HIV-infected man, nonadherent to antiretroviral therapy, who presented to us with multifocal brain involvement of subcortical white matter and meninges, with the compartmentalization of a drug-resistant strain of HIV within the cerebrospinal fluid.
Study of Examination-related Anxiety Levels and Coping Strategies Adopted by Undergraduate Students at a Medical College in Central Karnataka
Authors: Sindhu B. M. , Kumbar Abhinandan S. , Shashank K. J. , Rashmi B. M.
Published: June 2024

Background:

Worldwide, test anxiety is a common health problem among medical students. The magnitude of problematic test anxiety ranges from 0% to 52% in undergraduate medical students and has a detrimental effect on the academic achievement and success of students. Data on the prevalence of test anxiety among medical students are limited in this geographic area. Thus, the study aimed to assess the prevalence of test anxiety among medical students and the coping methods for the same.

Methodology:

A cross-sectional study was conducted among 172 medical undergraduate students using Google Forms. Test anxiety was measured using Westside Test Anxiety Inventory and Beck’s Anxiety Inventory (BAI).

Results:

15.7% of students had potentially concerning levels of anxiety. Examination stress was significantly less among those who practiced yoga/meditation/breathing exercises/physical exercises, did not use tobacco/alcohol, and did not do net browsing for stress relief. A negative correlation was seen between preuniversity course marks and Westside test anxiety scores (Spearman’s rho = −0.230, P < 0.01) and BAI scores (Spearman’s rho = −0.047, P > 0.05).

Conclusion:

A significant number of medical students had higher anxiety levels before exams.
Association of Fatty Liver with Severity and Clinical Outcomes in Patients with Acute Pancreatitis: A Prospective Study from a Tertiary Care Center in South India
Authors: Make Naveen Chand , Yewale Rohan , Parthasarathy G. , Doraiswami Babu Vinish , Jayaraman Kayalvizhi , Karthikeyan D. , Ramakrishna Balakrishnan S.
Published: June 2024

Background and Objectives:

Acute pancreatitis (AP) may be mild or severe, and early prognostication of severity is considered to be important. Fatty liver (FL) is a widely prevalent clinicopathologic entity that represents underlying chronic, systemic inflammation. This study was undertaken to determine whether the presence of FL was associated with severity outcomes of AP.

Methods:

Consecutive patients hospitalized with a diagnosis of AP were included. AP severity was graded as per the 2012 Revised Atlanta classification. FL was defined as a liver-to-spleen attenuation ratio <1 on noncontrast computed tomography of the abdomen. AP severity, length of hospital stay (LOHS), requirement of intensive care unit (ICU) admission, local complications, organ failure (OF), and mortality were compared between the FL and non-FL groups.

Results:

Of 88 recruited patients, 47.7% had FL. AP severity was significantly higher in the FL group (P < 0.05). The prevalence of local complications (52.4% vs. 19.6%, P < 0.05), OF (35.7% vs. 13%, P < 0.05), ICU admission (30.9% vs. 8.7%, P < 0.05) and mortality (11.9% vs. 0, P = 0.016) was significantly higher in patients with FL compared to non-FL. LOHS (11.6 ± 2.9 vs. 4.7 ± 0.3 days, mean ± standard deviation) was significantly higher in FL patients. Logistic regression analysis identified FL as a risk factor, independent of age and gender, severity, local complications, and OF in AP.

Conclusion:

FL is significantly associated with morbidity and mortality in AP. It can serve as a potential prognostic marker for integration into models for the prediction of AP severity.
Accuracy and Reproducibility of Laser-Scanned Digital Models Compared to Plaster Models – An in vitro Study
Authors: Singh Mandeep , Juneja Achint , Shetty Divya , Sharma Payal , Raza Monis , Jain Shubhangi
Published: June 2024

Purpose:

The present study aimed to assess the accuracy and reproducibility of laser-scanned digital models compared to plaster models.

Materials and Methods:

A total of 50 plaster models were scanned using the 3M ESPE Lava scan ST scanner to construct digital models. Various measurements, encompassing intra-arch and inter-arch from scans and plaster models, were estimated. The plaster models were measured using digital calipers and digital models using MiniMagics 3.0 software. Descriptive statistics were calculated, and the mean difference of the parameters between the two groups was tested by paired t-test.

Results:

No significant difference was detected between the digital and manual measurements in the majority of the parameters, and the values for the parameters showed significant differences that were not clinically applicable. The digital method showed good reproducibility for all the measurements (r > 0.7). Overbite showed a marked variation between the manual and digital measurements due to overlapping tooth structures in digital models with respect to ideal occlusion. Bolton's analysis did not show a significant difference between the manual and digital methods.

Conclusions:

Digital models could be compared to the gold standard plaster models.
An In vitro Comparative Evaluation of the Fracture Resistance of Teeth with Mesio-Occluso-Distal Preparations Restored with Different Esthetic Materials by Bulk-Fill and Incremental Methods
Authors: Goyal Shefali , Choudhary Monika , Jindal Neetu , Aggarwal Renu
Published: June 2024

Introduction:

One of the most popular restorative materials today is resin-based composite. Volumetric shrinkage is brought on by polymerization, which can cause contraction stress, microleakage, and adhesion failure. Adhesive restorations have several benefits, including the ability to preserve more healthy tissue and “reinforce” the remaining tooth structure. These benefits go beyond just being attractive.

Materials and Methods:

Eighty extracted human maxillary premolars were entrenched in a self-cured acrylic resin in a rubber mold cylinder (2.5 cm width-3 cm height). These were arbitrarily divided into 5 groups: 2 control groups (positive control group and negative control group) (n = 10) and 3 experimental (n = 20) groups (microhybrid composite, nanocomposite, and Giomer). The mesio-occluso-distal (MOD) cavities were prepared in 70 samples. After MOD cavities preparation, groups were further subdivided into two subgroups for bulk-fill and incremental methods. Universal Tofflemire Retainer and band were placed on the prepared cavities. The self-etch adhesive was applied on all aspects of the preparations and then it was light-cured using a light-curing unit for 15 s. Now, cavities were restored with different esthetic materials and methods. In the bulk-fill method, the MOD cavity was restored with a solitary increase of restorative material and light cured from all directions of tooth for 20 s each. In the incremental technique, the proximal box on both sides was reconstructed first in a gradual manner, in which two oblique increments and one horizontal increment were restored and treated for 20 s. Then, two oblique increments of material were used to reestablish the occlusal component, and it was once more light-cured for 20 s. Fracture resistance was checked using a steel bar with a diameter of 4.5 mm that was positioned in the middle of the occlusal surface and a crosshead speed of 3 mm/min, all of the samples were compressed axially loaded.

Results:

The fracture resistance of microhybrid composite resins in bulk technique was significantly higher than that of nanocomposites and Giomer. However, the fracture resistance of nanocomposite in the incremental method was significantly higher than the other two restorative materials.

Conclusion:

The quality of restoration depends both on the material and method used during the restoration procedure. Both factors are dependent on each other. Superior fracture resistance was shown by microhybrid composites when restored with the bulk-fill technique and nanohybrid composites when restored with the incremental technique.
Utilization of Processed Honey and Jaggery as an Oral Cyto-Fixative
Authors: Sah Kunal , Janardhana Amaranath B. J , Chandra Sunira , Ahmad Saad
Published: June 2024

Background:

Ethanol is reasonably used as a cyto-fixative. Owing to its confinements, researchers are in search of natural and eco-friendly cytological fixative. The present study was undertaken to evaluate the efficacy of 20% honey and 20% jaggery as a fixative for oral exfoliative cytology.

Materials and Methods:

Three oral smears were obtained from each individual (n = 60) by gently scraping the buccal mucosa. One smear was fixed in 95% ethanol second smear in 20% processed honey and third smear in 20% jaggery and was stained with Papanicolaou stain. Two separate pathologists who were blinded for the fixative used evaluated the slides based on the five parameters (cell morphology, nuclear and cytoplasmic staining, clarity, and uniformity of staining).

Results:

In the present study, it was observed that 20% processed honey showed overall promising results followed by Group A (95% alcohol) and Group B (20% jaggery), but no statistically significant difference was observed between the groups.

Conclusion:

Honey in lower concentration is an excellent alternative to ethanol and jaggery as a fixative for oral exfoliative cytological samples.
Indirect Sinus Lift in Maxillary Posterior Region using BAOSFE Technique
Authors: Varmudy Niveditha , Kambiranda Sapna Chengappa , Ahmed Syed Ghouse , Shetty Nitesh
Published: June 2024

Implant placement in edentulous posterior maxilla along the maxillary sinuses poses difficulties following tooth extraction due to ridge resorption and pneumatization of sinuses resulting in inadequate vertical bone height. The maxillary sinus lying close to the posterior maxillary edentulous ridge can be augmented by various methods such as lateral window sinus floor elevation, crestal approach, and grafting procedures. Summers introduced the less invasive approach for the sinus floor elevation known as osteotome sinus floor elevation technique in which the vertical bone height was attained by retaining and relocating existing bone using different graded osteotomes. He further modified this technique by addition of bone graft to the osteotomy site before sinus elevation known as bone added osteotome mediated sinus floor elevation (BAOSFE). This case report shows placement of implant in atrophic maxillary region using BAOSFE technique.
Primitive Neuroectodermal Tumor of Maxilla in a 4-year-old Child
Authors: Patil Pavan , Mishra Mithilesh Narayan , Chandavarkar Vidyadevi , Patil Seema Pavan
Published: June 2024

Primitive neuroectodermal tumor (PNET) belongs to the class of malignant round cell tumor. PNETs show varying degree of neuroectodermal differentiation. They are one of the most common tumors of childhood occurring in bone and also within soft tissues. Light microscopy with the aid of immunohistochemical stains was suitable for the diagnosis. Immunohistochemistry plays a pivotal role in differentiating this tumor entity. The EWSR1-FLI1 fusion is present only in PNET cells and codes for oncogenic protein. In this article, we present a case of maxillary swelling in a 4-year-old girl child who was diagnosed with PNET. We have highlighted the challenges of diagnosing the round cell tumors.
Containing the Contagion-Dental Practice Management Post-COVID-19
Authors: Bhat Padma K. , Nayana M. M , Jayachandra M. Y.
Published: June 2024

The coronavirus disease 2019 (COVID-19) pandemic, which originated in Wuhan, China, has now affected more than 100 countries around the world. In the light of the WHO declaring COVID-19 as a public health emergency of international concern, despite global efforts to contain the killer disease, the cases are still increasing due to community spread. Coronavirus or the severe acute respiratory syndrome coronavirus 2 is present abundantly in the infected person's salivary and nasopharyngeal secretions. The contagion occurs very easily through these droplets, which are very evident in any dental clinic. However, the dental clinics are open for emergency treatments. The aim of this article is to give a glance into the impact of COVID-19 on dentistry in India.
Comparing Original and Universal Screwdrivers in Terms of Torque Loss in the Abutment Screw
Authors: Alevizakos Vasilios , Achilles Nadine , Rahlf Björn , Jehn Philipp , Schiller Marcus
Published: June 2024

Objective:

The aim of this study was to examine whether tightening or loosening the abutment screw results in torque loss and whether there is a difference in this respect between original screwdrivers and universal screwdrivers.

Materials and Methods:

For the purpose of the study, two groups were formed, with the original screwdriver used in group 1 and the universal screwdriver used in group 2. One Straumann implant and one BEGO implant were each inserted into a stationary torque transducer. The next step was to screw 13 abutments into each implant with 13 original abutment screws, using the screwdriver assigned to the group with the torque specified by the manufacturer. To establish whether the torque transmitted to the abutment screw via the screwdriver is also transmitted to the implant rather than causing deformation of the screw head or being transmitted to the surrounding area, the actual torque transmitted from the screw to the implant was measured and recorded electronically during the experiment.

Results:

There was no loss of torque in the transmission of the tightening torque to the Straumann implant with either screwdriver (P > 0.05). There was a loss of torque in the transmission of the tightening torque to the BEGO implant when using the universal screwdriver but not with the original screwdriver (P < 0.01). Relative to the previously applied tightening torque, a loss of torque when loosening the screw was found with both screwdrivers, both Straumann (P > 0.05) and BEGO (P < 0.05).

Conclusion:

Using universal screwdrivers can result in loss of torque. The loosening torque is thus decreased, which in turn increases the likelihood of complications such as screw loosening.
New onset adult asthma attributable to tuberculosis
Authors: Mehta Kundan , Balani Kiran A. , Sahasrabudhe Tushar R.
Published: June 2024

Background:

In clinical practice, we encounter cases of bronchial asthma the onset of which correlates with past tuberculosis (TB), either pulmonary or extrapulmonary. Our study attempts to validate this observation and assess likelihood of new asthma that is attributable to TB.

Methods:

It was a single visit, cross-sectional study of persons who had TB within last 5 years (group 1). Preexisting asthma before TB, COPD cases, smokers, and persons with any active infective or diffuse lung diseases were excluded. Their spouse (group 2) and first-degree relatives (group 3) served as controls. All participants were subjected to detailed history, examination, and spirometry. Sample size was 225 (75 in each group).

Results:

About 62/75 participants in group 1 had intermittent or persistent symptoms suggesting obstructive airway disease that started within a year of TB diagnosis. Obstructive spirometry pattern was observed in 23/75 (30.6%) post-TB cases, compared to 6/75 (8%) in group 2 and 4/75 (5.33%) in group 3 participants. While, 11/75 (14.66%) post-TB cases in comparison to 7/150 (4.66%) controls were diagnosed as asthma after clinical correlation. About 24% of persons with post-TB lung scarring, 16% without lung scarring, and 4% with only extrapulmonary TB were diagnosed as asthma. Attributable risk for post-TB asthma was significant (0.1).

Conclusion:

This study suggests causative association between TB and asthma rather than just comorbidity. Further large-scale studies are warranted.
Sarcoidosis, tuberculosis, and the clinical dilemma of treating granulomatous inflammation
Authors: Luthra Kunal , Singh Jyoti
Published: June 2024

Sarcoidosis can have a varied presentation, including an overlap with tuberculosis (TB). It can precede or coexist with TB. Certain features such as cavitary consolidation, pleural effusion, and tree-in-bud nodules are highly suggestive of active TB. The perilymphatic distribution of micronodules and discrete lymph nodes are features suggestive of sarcoidosis. Identifying the coexistence of the diseases is essential, as the treatment of either disease is a paradox: immunosuppression in sarcoidosis and antitubercular therapy in TB. There are certain conditions in which immunosuppression is used in TB, e.g., tubercular meningitis, ocular TB, and TB pericarditis. This article aims to provide a better understanding of the clinical dilemma faced during the treatment of granulomatous inflammation and adds to the existing literature regarding the overlap between sarcoidosis and TB.
A case series of three infants having pulmonary tuberculosis
Authors: Chandra Alok , Dutt Prashi , Kumari Neha , Balkrishna  , Ranjan Alok , Singh Soumya , Kant Surya
Published: June 2024

Progression of primary pulmonary tubercular infection to active disease is not common in infants. Bacterial pneumonia is usually an imposter and its suspicion usually delays a definitive diagnosis of pulmonary tuberculosis and starting antitubercular treatment. Although congenital tuberculosis infection from infective mother is a possibility but most commonly, they acquire postnatal disease by contact with an infectious adult source. We are sharing our experience of three infants referred to our side who were being treated as bronchopneumonia for a period of 15 to 20 days, and subsequently were diagnosed with post primary pulmonary tuberculosis for a period of 1 year.
Aortic Biological Prosthetic Valve Dysfunction Secondary to Endocarditis
Authors: Giuseppe Bottaro , Deste Wanda , Zappulla Paolo , Passaniti Giulia , Barbanti Marco , Criscione Enrico , Sgroi Carmelo , Tamburino Corrado
Published: June 2024

We present the case of a 69-year-old man with an aortic biological prosthetic valve. In May 2019, the patient experienced increasing dyspnea and fatigue: A diagnosis of prosthetic aortic valve dysfunction was made, leading to severe valvular insufficiency. The dysfunction of the prosthetic valve seemed to be linked to a previous infective endocarditis: after ruling out active endocarditis, the patient was treated with an off-label valve-in-valve transcatheter aortic valve implantation.
Concomitant Multiple Coronary Artery Embolizations and Bilateral Lower Limb Ischemia due to Dislodged Left Atrial Myxoma-Like Thrombus
Authors: Adali Mehmet Koray , Buber Ipek
Published: June 2024

The differential diagnosis of intracardiac masses is challenging. Cardiac myxomas are benign primary heart tumors and most often are confused with thrombi in diagnosis. In some cases, the embolic complication of intracardiac masses can be fatal. We present a patient who had two nightmare complications simultaneously. A mobile left atrial mass detected and decided surgical excision. But the mass had vanished one day after and caused ST-elevation myocardial infarction (STEMI) and bilateral lower limb ischemia.
Correlation between Myocardial Iron Overload Detected by CMRT2* and Left Ventricular Function Assessed by Tissue Doppler Imaging in Patients with Thalassemia Major
Authors: Najimi Mehdi , Ghandi Yazdan , Mehrabi Sarvenaz , Eghbali Aziz , Habibi Danial
Published: June 2024

Background:

Iron overload and cardiac dysfunctions are common complications in patients with thalassemia major (TM). Different imaging methods can be used to detect ventricular dysfunction in these patients. In this study, we aim to understand the value of tissue Doppler imaging (TDI) in the detection of myocardial dysfunction in patients with TM who have been diagnosed with iron overload using cardiovascular magnetic resonance CMRT2*.

Methods:

In this cross-sectional study, fifty patients with TM diagnosed with iron overload who had no clinical signs and symptoms of cardiac dysfunction were chosen as a case group. The control group included fifty sex- and age-matched healthy participants without a history of cardiac and hematological diseases. TDI, pulsed wave Doppler (PWD), and standard echocardiography were performed to study the left ventricular function, and cardiac iron overload assessed by CMRT2*. Then, the patients with TM were divided into two subgroups and compared with each other. Group 1a includes individuals with T2* value <20 ms and group 1b T2* value >20 ms.

Results:

There was no significant difference between the standard echocardiography results and PWD parameters of the case and control groups; however, CMRT2* findings and TDI parameters were different between the case and control groups. CMRT2* findings also were not correlated with PWD parameters. In group 1a, CMRT2* findings were negatively correlated with age, E', A', early deceleration time, and isovolumetric relaxation time and positively correlated with E/E' ratio. Finally, PWD and TDI parameters were significantly different between the two subgroups.

Conclusion:

TDI can detect ventricular systolic and diastolic dysfunctions in earlier stages among patients with iron overload. It seems that TDI could detect abnormalities more accurately, and it is better to consider subclinical cardiac dysfunction in patients with even CMRT2* value of more than 20 ms and reevaluate them in future.
A Multimodality Imaging for Definition and Treatment Selection of Multiple Coronary Aneurysms: A Case Report and Review of the Literature
Authors: Laterra Giulia , Mazzone Paolo , Rodi Giosofatto , Nicosia Antonino , Micari Antonio , Contarini Marco , Vizzari Giampiero
Published: June 2024

A 59-year-old woman, smoker, hypertensive, without a previous history of coronary artery disease referred several episodes of epigastric pain, after exercise electrocardiogram was referred to coronary angiography. It revealed extensive coronary calcification, with a suboccluded left anterior descending (LAD) and a calcified aneurysm of the right coronary artery (RCA), partially filled with thrombus. Coronary-computed tomography showed aneurysmal saccular dilatation of the proximal LAD entirely thrombosed with subocclusion, and a fusiform aneurysm in the proximal RCA, partially thrombosed. The patient was referred for surgical treatment. In our patient, congenital etiology of the aneurysms was unlikely, since the patient did not present congenital heart disease or known genetically inherited disorders. Among acquired aneurysms, the most common cause is represented by atherosclerosis. Other potential causes are connective tissue disorders, trauma, infections, iatrogenic, and Kawasaki syndrome. Usual complications include myocardial ischemia and infarction, embolism, rupture, fistulization, and thrombosis (clearly represented in our case). Current recommendations about management strategies of coronary artery aneurysms (CAAs) are focused on small case series and based on aneurysm’s location and morphology, patient’s characteristics, and clinical presentation. Medical treatment strategies include antiplatelet therapy or anticoagulant. Other therapeutical options are percutaneous coronary intervention (PCI) and coronary artery bypass graft. In our case, the heart team opted for surgical treatment due to the subocclusion of the proximal LAD and considering stable angina as admitting diagnosis. Moreover, the CAAs were placed in proximal segments, with a large amount of thrombus, so related with high risk for complications if PCI was performed.
Evaluation of Left Atrium/Left Atrial Appendage Function in Cases with Systemic Embolization in the Setting of Normal Transthoracic Echocardiography and Normal Sinus Rhythm
Authors: Samiei Niloufar , Ehsani Abdolali , Ghadrdoost Behshid , Behjati Mohaddeseh
Published: June 2024

Background:

Various left atrium (LA) and left atrial appendage (LAA) anatomies and functions could be associated with embolic events.

Aims and Objectives:

We aimed to investigate the impact of variation in LAA and LA functions on the occurrence of systemic embolization in normal sinus rhythm and normal echocardiography findings.

Materials and Methods:

This cross-sectional study was performed on 22 patients with documented peripheral emboli versus 32 control subjects.

Results:

LA area, LAA area, ejection fraction (EF) of LA/LAA, LAA velocity and tissue Doppler imaging (TDI) of LA walls, left ventricular diastolic function, and EF were determined. There were statistically significant differences between LAA area, LAA EF, TDI of lateral LA wall, and TDI of anterior LA wall in cases versus controls.

Conclusion:

Echocardiography findings in LAA and LA functions could help to identify high-risk patients for embolic events in normal sinus rhythm cases.
Assessing the Social Dimension of Health in Rural India: A Transverse Study
Authors: Arjaria Vibha , Mishra Badrinarayan
Published: June 2024

Introduction:

Social health will be formed with the help of a healthy family, a healthy and communicating society, an individual having basic knowledge of good and healthy living practices, an individual giving equal respect to all genders and each age group, and full utilization of his productive time with his own choice of work. Promoting health and active participation of people in social and civic behaviors is considered one of the indicators of youth development. The present study focuses on assessing the social health status of study participants in rural areas in terms of illiteracy, gender discrimination, unemployment, and substance abuse.

Objectives:

To assess the social health profile of the study population (illiteracy, unemployment, male gender preference, and domestic violence) and to associate the social health profile with the demographic profile of the study participants.

Materials and Methods:

The present study is a cross-sectional study done at the Rural Demographic Surveillance Site of the Native Institute. A total of 430 individuals in the 15–59 years age group, both male and female, were included in the study. Data are analyzed using percentage, proportion, mean, and standard deviation. The association between social health problems and demographic factors was estimated by confidence interval, significance level.

Results:

The most prevalent social health problem among the study participants was unemployment (45%), followed by illiteracy (43%), substance abuse (18%), domestic violence (11%), and attitudes favoring male gender preference (7%) in the descending order. On correlation analysis, illiteracy found to be associated with age, gender, marital status, family type, education, occupation, and socioeconomic status (SES). Male gender preference attitude is associated with age, marital status, education while domestic violence is associated with age, gender, marital status, education, occupation, and SES. Unemployment found to be associated with age, gender, marital status, education, occupation, and SES. Substance abuse is associated with age, gender, marital status, and type of family. On multivariate analysis, unemployment was found to be associated with gender, illiteracy was associated with age, gender, and type of family, substance abuse was found to be associated with age, gender, and education level, and attitudes favoring male gender preference were found to be associated with marital status, age, and education level.

Conclusion:

Various social health problems are prevalent in rural India, and these problems are not only associated with education level but also dependent on various other factors. A targeted approach can help reduce these problems and ultimately improve the social health status of rural populations.
Exploration of nasal drug delivery in Unani medicine: A review based on Unani pharmacopoeias
Authors: Naaz Farah
Published: June 2024

Introduction:

Nasal drug delivery has gained significant attention in recent years for its potential as a reliable and convenient route of administration in pharmaceuticals. This approach has historical roots in various traditional medical systems, including Unani medicine. The Unani system has a rich history of utilizing nasal drug delivery for its perceived benefits, such as efficient drug absorption, patient compliance, and targeted delivery to the brain. This systematic review aims to explore and analyze the nasal drug delivery approach documented in Unani Pharmacopoeias, shedding light on its principles, and applications in diverse clinical scenarios.

Methods:

The systematic review focused on exploring authoritative books of Unani Medicine, known as “Qarabadeens” or “Unani Pharmacopoeias.” Fourteen recognized books were examined, and keywords/dosage forms related to nasal drug delivery were searched. The literature search included identifying formulations used through the nasal route and categorizing them based on their physical states and clinical indications. The analysis involved eight selected books, and the findings were presented in a tabular format.

Results:

The review identified diverse nasal dosage forms in Unani medicine, including Shamūm, Lakhlakha, Sa‘ut, Ghāliya, Nashūq, ‘Aṭūs, Nafūkh, Bakhūr/Dhūnī, Qaṭūr, and Roghan. Among these, Shamūm, Lakhlakha, Sa‘ut, Ghāliya, Nashūq, and ‘Aṭūs were exclusively administered through intranasal routes. The analysis of clinical indications revealed a wide spectrum of applications, from neurological conditions to respiratory and cardiovascular issues.

Conclusion:

The Unani system exhibits a diverse array of nasal dosage forms with potential therapeutic applications. These formulations, rooted in classical manuscripts, offer advantages such as rapid drug absorption and systemic effects. The review emphasizes the need for further exploration of mechanistic intricacies, procedural standardization, and formulation optimization within the Unani framework. Nasal drug delivery in Unani medicine holds promise for enhanced patient care and represents a transformative phase in traditional medicine.