bluuebunny/crossref_metadata_2025 huggingface dataset:
Experiences of Patients Living with Heart Failure: A Qualitative Study in Jordan
Authors: Saifan Ahmad Rajeh , Hayeah Haneen Abu , Dimitri Alexandra , Alsaraireh Mahmoud , Alakash Hikmat , Al-Yateem Nabeel , Subu Muhammad Arsyad
Published: May 2023

BACKGROUND:
Many studies described Health-Related Quality of Life among patients with Heart Failure objectively and statistically using quantitative designs in developed and developing countries. Despite the significance of these studies, some aspects remained unclear and not well understood because Health-Related Quality of Life is subjective in nature. Therefore, exploring Health-Related Quality of Life from patients’ perspectives, especially in developing countries where the incidence is increasing, reveals how the disease will affect their lives and might help in identifying interventions to improve it.
METHODS: The aim of this qualitative study was to provide an understanding of the Health-Related Quality of Life from the perspectives of patients diagnosed with Heart Failure recruited purposefully from the cardiac clinics of public and private hospitals in Amman, Jordan. Data was generated using face-to-face semi-structured interviews, audio-recorded, transcribed verbatim, and analyzed using thematic analysis.
RESULTS: Three major themes were identified: (1) Perceptions of Heart Failure as a disease; (2) Perceptions of Heart Failure impact on patients' Health-Related Quality of Life domains (physical, psychosocial, spiritual, cognitive and economic); and (3) Recommended strategies to enhance Health-Related Quality of Life.
CONCLUSION: Physical domain was the most affected domain in the Health-Related Quality of Life of patients with Heart Failure. It is highly recommended that healthcare professionals find solutions to improve the physical domain of these patients, which would be reflected in the other domains and improve the Health-Related Quality of Life.
The Compatibility of Chest CT Scan with RT-PCR in Suspected COVID-19 Patients
Authors: Asriyani Sri , Alfonso Albert Alexander , Muis Mirna , Zainuddin Andi Alfian , Djaharuddin Irawaty , Ilyas Muhammad
Published: May 2023

Background: Thoracic CT scan plays a role in detecting and assessing the progression of COVID-19. It can evaluate the response to the therapy given. In diagnosis, the CT scan of the chest may complement the limitations of RT-PCR. Several recent studies have discussed the importance of CT scans in COVID-19 patients with false-negative RT-PCR results. The sensitivity of chest CT scan in the diagnosis of COVID-19 is reportedly around 98%. This study aimed to determine the compatibility of CT scan of the thorax with RT-PCR in suspected COVID-19 patients. Materials and methods: This research was conducted in the Radiology Department of the Wahidin Sudirohusodo Hospital Makassar from April to December 2020 with 350 patients. The method used was a 2x2 table diagnostic test. Results: The study included 188 male patients (53.7%) and 162 female patients (46.2%). The most common age group was 46–65 years (35.4%). The most common types of lesions were GGO (163 cases), consolidation (128 cases), and fibrosis (124 cases), mostly found in the inferior lobe with a predominantly peripheral or subpleural distribution. The sensitivity of the CT scan to the PCR examination was 86%, and the specificity was 91%. Conclusions: Thoracic CT scan was a good modality in establishing the diagnosis of COVID-19. CT scan of the chest with abnormalities could confirm the diagnosis in 88% of cases based on RT-PCR examination. It excluded the diagnosis in 91% based on the RT-PCR examination. The accuracy of the thoracic CT scan was 88% with RT-PCR as the reference value.
Modeling of Survival Analysis of Recovery Rate of Dengue Hemorrhagic Fever Patients at Dr. M. Djamil Padang Hospital
Authors: Masrizal Masrizal , Pradipta Yudi , Wahyuni Sari Laila , Novirsa Randy , Alfarezi Muhammad
Published: May 2023

BACKGROUND: DHF is one of the endemic diseases with the highest cases in Indonesia. According to WHO data in 2020, the incidence of DHF has increased more than 8 times over the last two decades, from 505,430 cases in 2000, to more than 2.4 million in 2010 and 5.2 million in 2019.
AIM: This study aims to analyzed the recovery rate of DHF patients at Dr. M. Djamil Padang Hospital During the COVID-19 period and the factors that influence it.
METHODS: This study is a quantitative study with a retrospective cohort study design. Data were taken from the medical records of DHF patients during the COVID-19 period (March 2020-February 2022). The sampling technique used was simple random sampling. The analysis used the Kaplan-Meier ̧ Cox Regression method, and the Cox Proportional Hazard analysis.
RESULTS: The average time it takes a patient to recover from DHF at Dr. M. Djamil Padang is 10 days. Patients who experienced the event were 32.7%, with an incidence rate of 0.061%. DHF patients at RSUP Dr. M. Djamil Padang, most of them were >14 years old, male, duration of fever before hospitalization >4 days, platelet level 100,000, hematocrit level >20%, and patients using insurance.
CONCLUSION: DHF patients aged >14 years, duration of fever before hospitalization 4 days, hematocrit level 20% had a longer recovery rate. It is recommended to the hospital to be better prepared to handle DHF patients according to risk factors and to collaborate for health education.
Identification of Risk Factors for Nasal Colonization of Methicillin-resistant Staphylococcus aureus and Vancomycin-resistant Staphylococcus aureus in Health Workers at a Tertiary Hospital, Indonesia
Authors: Rohmah Siti Nur , Asdie Rizka Humardewayanti , Yasopa Ida , Daryadijaya Daya
Published: May 2023

BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) and Vancomycin-resistant S. aureus (VRSA) frequently cause nosocomial infections yearly. During the COVID-19 pandemic, the potential for excessive use of antibiotics is a global threat to the increasing incidence of multiresistant bacteria.
AIM: This study aimed to determine MRSA and VRSA colonization and identify factors associated with the risk of MRSA and VRSA nasal colonization in health workers at Dr. Soemarno Sosroatmodjo General Hospital, Kuala Kapuas, as one of the type C hospitals in Indonesia.
METHODS: This cross-sectional analytic study at Dr. Soemarno Sosroatmodjo General Hospital, a tertiary hospital in Indonesia. A 128 health workers’ subjects had undergone nasal swab screening for MRSA and VRSA colonization examinations. Then, they were asked to complete a questionnaire concerning the risk factors of MRSA and VRSA infections.
RESULTS: Nasal swab results obtained as many as 30 (23.5%) MRSA positive subjects and 6 (4.7%) subjects with positive VRSA. The most common risk factors that led to MRSA colonization included a history of positive MRSA in the previous hospital (60%), a history of ear, nose, and throat infection (41.7%), and did not do hand rub/handwash (36.7%). In comparison, the most risk factors for VRSA colonization were having pigs farm at home (33.3%), a history of positive MRSA in the previous hospital (20%), and a history of hospitalization in the past 6–12 months (16.7%). The results of multivariate analysis showed the most powerful and statistically significant risk factors in influencing nasal MRSA colonization were a history of positive MRSA in the previous hospital (OR 13.69, 95% confidence intervals [CI]: 1.34–140.25, p = 0.028) and did not do hand rub/handwash (OR 2.95, 95% CI: 1.167–7.49, p = 0.023). Meanwhile, marital status (OR 0.160, 95% CI: 0.02–1.06), p = 0.058) and home care service (OR 6.10, 95% CI: 0.79–46.96, p = 0.082) were the strongest risk factors for nasal colonization of VRSA but not statistically significant.
CONCLUSION: As many as, 23.5% and 4.7% of healthcare workers’ subjects were found with nasal colonization of MRSA and VRSA, respectively. Accordingly, strict policies are needed to minimize the transmission of these organisms from the hospital setting to the community.
Comparative SEM study of the marginal adaptation of MTA and Biodentine after apical resection (in vitro study)
Authors: Radeva Elka , Uzunov Tsonko
Published: May 2023

Introduction: Successful periapical surgery requires appropriate root resection, preparation, and adequate sealing.

Aim: The aim of the present study was to assess the marginal adaptation of MTA and Biodentine after apical resection with an Er:YAG laser and a diamond turbine bur using a scanning electron microscope (SEM).

Materials and methods: The crown part of forty-eight extracted single-root human teeth was removed, and the root canal length of 15 mm was standardized. The root canals were prepared using rotary Ni-Ti Revo-S files up to an apical stop – AS40 and filled with MTA Fillapex and gutta-percha points (cold lateral condensation). The teeth are divided into 2 main groups: group 1 (n=24) after apical resection with a turbine bur, ultrasonic preparation of the retrograde cavity at 3 mm depth and retrograde obturation with Biodentine and MTA; group 2 (n=24) after apical resection with an Er:YAG laser, ultrasonic preparation of the retrograde cavity at a depth of 3 mm and retrograde obturation with MTA and Biodentine. A SEM was used for assessment of the marginal adaptation of the material to the root dentin. The data was entered into and analyzed with IBM SPSS Statistics 22.0.

Results: In the group with apical resection with a turbine bur, a statistically significant difference in the gap size between the material and dentin was found in both materials we studied (MTA and Biodentine). The higher mean value was in MTA (1.72 µm), in Biodentine it was 1.08 µm. In the group with apical resection with Er:YAG laser, no statistically significant difference in the gap size between the material and dentin was found in both studied materials: MTA – 1.88 µm, Biodentine – 1.32 µm.

Conclusions: In the present study, MTA and Biodentine showed good sealing capabilities after apical resection. Biodentine displayed better marginal adaptation when resecting the root tip using a turbine bur. The Er:YAG laser-assisted apical resection shows sealing of the open dentinal tubules around the resected root surface.
Prophylaxis of postoperative hypoparathyroidism in thyroid surgery
Authors: Dolidze David , Shabunin Аlexey , Vardanyan Arshak , Melnik Kirill , Covantsev Serghei
Published: May 2023

Introduction: There are a number of thyroid gland diseases that require surgical treatment. Therefore, it is important to improve the surgical approaches and treatment tactics in patients that need such surgery.

Aim: To provide an algorithm to prevent parathyroid gland damage during surgery.

Materials and methods: This work was based on treatment results of 226 patients with different thyroid diseases. All patients received extrafascial surgical interventions using modern methodological approaches. For prevention of postoperative hypoparathyroidism, we used the “stress-test”, 5-aminolevulenic acid, and a method of double visual-instrumental registration of photosensitizer-induced fluorescence of parathyroid glands.

Results: Transient hypoparathyroidism was registered in four (1.8%) cases after surgery. Permanent hypocalcemia in patients was not recorded. Autotransplantation of parathyroid gland was required only in one case (0.44%). A deficiency or low level of vitamin D was detected in 35% of the cases, and in the majority of those cases, it was due to secondary hyperparathyroidism. The deficiency was corrected with the administration of vitamin D in all cases. In 10.17% (23 patients) of cases, there was no proper visual glow effect after administration of 5-aminolevulinic acid (5-ALA), which required proceeding to the second part of the proposed method (a helium-neon laser and registration of fluorescence using a laser spectrum analyzer).

Conclusions: The proposed methodological approach allows prevention of persistent hypoparathyroidism and reduces the frequency of transient hypoparathyroidism and other complications in surgical treatment of patients with various thyroid gland diseases.
Description of a new montane freshwater crab (Arthropoda, Malacostraca, Decapoda, Potamonautidae) from the Eastern Cape, South Africa
Authors: Peer Nasreen , Gouws Gavin , Maliwa Lazola , Barker Nigel , Juby Paul , Perissinotto Renzo
Published: May 2023

A new species of freshwater crab, Potamonautes amatholesp. nov., is described from the Winterberg-Amathole mountain range in the Eastern Cape Province, South Africa. Morphologically, P. amathole Peer & Gouws, sp. nov. most closely resembles P. tuerkayi but can be distinguished by key morphological characters including the variation in the shape of the subterminal segment of gonopod 2 between both species. Genetically, P. amathole Peer & Gouws, sp. nov. is placed within the clade of small-bodied, mountain-dwelling crabs including P. parvispina, P. parvicorpus, P. brincki, P. tuerkayi, P. baziya, and P. depressus. The new species is found in slow-moving mountain streams and pools at high altitudes. The continued discovery and description of new freshwater crab species reinforces the need for ongoing research, especially in under-sampled regions.
La tête qui tourne, sortir du cloître
Authors: Wasser Marita , Wasser Marita
Published: May 2023

L’enfermement des adolescents est ici considéré comme une immobilité psychique empêchant le symptôme de se constituer. Le transfert avec son mouvement de liaison-déliaison permettrait la régression transformant ainsi le sadisme primordial en masochisme érogène. Le principe de plaisir peut alors devenir un véritable gardien de la vie psychique.
Refus précoce, traversée adolescente et relation éducative
Authors: Prignot Virginie , Gaillard Georges
Published: May 2023

Dans le cadre d’une mission éducative en prévention spécialisée, les auteurs s’attachent à mettre en lumière les mouvements convoqués dans l’accompagnement d’enfants « mal accueillis » lors de la traversée adolescente. Ces suivis attractent vers les contrées de l’archaïque, entre remaniements et compulsion de répétition, mais peuvent trouver une issue en appui sur « un autre secourable », participant du « travail de culture », pour renouer avec l’humanité.
La délivrance des visas rattrapée par l’idéologie sécuritaire
Authors: Bourgeois Loïc , Pollono Fleur
Published: May 2023

Face à une politique des visas devenue un implacable outil de régulation de l’immigration, la justice est amenée à annuler 40 % des décisions de refus dont elle est saisie. Mais la multiplication des obstacles dressés par l’administration dans le parcours d’une population fragilisée par la distance et la suspicion la rend inaccessible à l’immense majorité des personnes qui se voient refuser un visa d’entrée en France.
Droit d’asile : la Cour au bord de l’implosion
Authors: Des avocat·es militant·es
Published: May 2023

À la veille d’une réorganisation en profondeur de la Cour nationale du droit d’asile (CNDA), caractérisée par sa déterritorialisation et la généralisation du juge unique, des avocat·es dénoncent une politique du chiffre et l’obsession de la réduction des délais, qui affectent gravement la qualité de la « plus grande juridiction administrative de France » depuis une dizaine d’années. Un processus que la réforme ne saurait qu’aggraver.
Le « parquetier » : un magistrat à contre-emploi
Authors: Henriot Patrick
Published: May 2023

En marge des textes applicables, les magistrats du parquet concourent activement à l’identification des personnes étrangères qui connaîtront l’enfermement en centre de rétention administrative tandis que, oubliant leur mission constitutionnelle, ils se révèlent très discrets dans le contrôle de ces privations de liberté.
Droit des étrangers : quelle confiance accorder au Conseil constitutionnel ?
Authors: Slama Serge
Published: May 2023

Si les décisions prises dans le cadre des questions prioritaires de constitutionnalité (QPC) ont permis de « nettoyer » le droit français des discriminations xénophobes les plus criantes, l'institution se montre bien plus timorée dès que les QPC portent sur la sphère plus régalienne liée à la police des étrangers.
Attestation d’accueil : au bon vouloir des maires
Authors: Bezannier Gaëlle
Published: May 2023

Une enquête réalisée auprès de 120 communes, agissant dans ce domaine en agents de l’État, sur leurs pratiques en matière de délivrance d’attestations d’accueil – nécessaires aux personnes étrangères qui sollicitent un visa de court séjour – fait apparaître des disparités dans l’application mais aussi l’interprétation d’un dispositif mal encadré, qui devrait pourtant être unifié sur le territoire national.
Le hirak sur la place Saïd Mekbel à Bejaïa (Algérie). Ethnographie des gaâdates (rencontres) politiques
Authors: Aggoun Atmane
Published: May 2023

Bien qu’utilisé lors de rassemblements protestataires, le « microphone du peuple » reste peu étudié par les chercheur·e·s en science sociales. Je tenterai dans cette contribution de défricher le terrain quant à son utilisation au sein des gaâdates (rencontres) politiques sur la place Saïd Mekbel à Béjaïa en Kabylie, concomitantes aux manifestations hebdomadaires du hirak . Là où l’on pourrait n’y voir que des manifestations d’histoires personnelles, on repère l’agrégation de corps unis dans un même mouvement. Dès lors, émerge un processus politique car la prise de parole rend compte, certes, de singularités publicisées, mais aussi et surtout d’un désir d’être là, et finit par constituer une politique des affects. Nous souhaitons dans un premier temps décrire les formes variées du « dire » élaborées par les participants pour dans un second temps mettre en relief une sociologie de « l’affect politique ».
Pandemic within a pandemic! Policy Implications of community-based Interventions to mitigate violence against women during COVID-19 in Urban Slums of Lucknow, India
Authors: Kajal Fnu , Mishra Ram Manohar , Mehrotra Amit , Chattu Vijay Kumar
Published: May 2023

Background

The COVID-19 pandemic has brought an unprecedented adverse impact on women's health. Evidence from the literature suggests that violence against women has increased multifold. Gender-based violence in urban slums has worsened due to a lack of water and sanitation services, overcrowding, deteriorating conditions and a lack of institutional frameworks to address gender inequities.

Methods

The SAMBHAV (Synchronized Action for Marginalized to Improve Behaviors and Vulnerabilities) initiative was launched between June 2020 to December 2020 by collaborating with the Uttar Pradesh state government, UNICEF and UNDP. The program intended to reach 6000 families in 30 UPS (Urban Poor settlements) of 13 city wards. These 30 UPS were divided into 5 clusters. The survey was conducted in 760 households, 397 taken from randomly selected 15 interventions and 363 households from 15 control UPS. This paper utilized data from a baseline assessment of gender and decision-making from a household survey conducted in the selected UPS during July 03–15, 2020. A sample size of 360 completed interviews was calculated for intervention and control areas to measure changes attributable to the SAMBHAV intervention in the behaviours and service utilization (pre- and post-intervention).

Results

The data analysis showed a significant difference (p-value < 0.001) between respondents regarding women's freedom to move alone in the control and intervention area. It also reflected a significant difference between control and intervention areas as the respondents in the intervention area chose to work for the cause of gender-based violence.

Conclusion

The SAMBHAV initiative brought an intersectional lens to gender issues. The community volunteers were trained to approach issues based on gender-based violence with the local public, and various conferences and meetings were organized to sensitize the community. The initiative's overall impact was that it built momentum around the issue of applying the concept of intersectionality for gender issues and building resilience in the community. There is still a need to bring multi-layered and more aggressive approaches to reduce the prevalence of gender-based violence in the community.
Desafíos poliéticos de las transiciones energéticas
Authors: Almazán Adrián , Riechmann Jorge
Published: May 2023

Son vastas y múltiples las dimensiones éticas del uso de la energía (dimensiones ético-políticas, poliéticas, para quienes pensamos que hay continuidad entre ética y política). Tras esbozar un mapa de este campo de problemas, nos centramos en las dificultades que afrontan las transiciones energéticas y argumentamos que solo encarando una profunda transformación de las formas de producción y los modos de vida se podrían evitar, quizá, los escenarios peores. Las técnicas humildes deberían desplegarse en marcos de ecofeminismo de subsistencia o ecosocialismo descalzo.
Límites y potenciales tecnosostenibles de la energía: una mirada heterodoxa y sistémica
Authors: De Castro Carlos
Published: May 2023

Las fuentes de energía no renovables (fósiles y nucleares) están doblemente limitadas, tanto por su finitud como por los perjuicios ecológicos y sociales que causan. Las fuentes de energía renovable tienen flujos en la biosfera muy grandes, sin embargo, los sistemas tecnológicos que las captan no son renovables y por tanto tienen limitaciones tecnológicas, ecológicas y sociales también. Aunque una buena parte de la literatura científica ha venido estimando que estos factores limitantes son pequeños frente a los políticos y económicos, aquí se muestra que esta literatura ha venido sobreestimando la capacidad tecno-sostenible obtenible a lo largo del presente siglo, en buena medida por un tecno-optimismo implícito y una falta de pensamiento sistémico. Este potencial podría ser del orden de entre la mitad y la cuarta parte del uso actual de energía, lo que apunta, dada la necesaria transición hacia fuentes renovables por problemas ambientales, a un fuerte decrecimiento de la matriz energética que sostiene nuestras sociedades a escala global.
Oveja negra, cordero blanco. La creación de lana para teñir por selección artificial de la oveja doméstica
Authors: Díaz Núñez de Arenas Víctor Manuel , Negro Juan José
Published: May 2023

La oveja (Ovis aries) es el primer animal domesticado para consumo en un hito histórico que marca el inicio de la sedentarización de las comunidades humanas al comienzo del Neolítico. Durante milenios, fueron semejantes al muflón asiático (Ovis orientalis), su ancestro salvaje. Las razas primitivas supervivientes en el norte de Europa son oscuras, mudan el pelo estacionalmente, tienen cuernos en ambos sexos y apenas producen lana. Los ancestros de las modernas surgieron hace unos 3.500 años. Se seleccionaron para producir lana blanca, que crece indefinidamente y se colecta anualmente. Este proceso coincide con la invención de las tijeras de esquilar y con el descubrimiento de tintes como la púrpura. Solo la lana blanca puede teñirse de cualquier color, permitiendo trasladar al tejido las mismas señales que quizá antes nos pintábamos con ocre sobre el cuerpo. La oveja, un herbívoro social muy manejable, sumaba al suministro de alimento el de una fibra abrigada y modificable en su color distintiva de quienes la visten. Un lienzo en blanco donde trasponer las expresiones estéticas antes restringidas al cuerpo, al arte rupestre y al mobiliar. De ahí que diversas mitologías contemplen una relación simbólica especial con ellas. La revolución estética propiciada por las ovejas blancas zozobra en el siglo XX con la aparición de nuevas fibras y el abaratamiento de otras. Hoy, los arquetípicos y blancos rebaños característicos de la iconografía occidental tienden a una coloración mixta al devaluarse la lana. Otras especies domésticas con fibras que solo recientemente se han apreciado comercialmente, como las cabras de angora (Capra hircus) o las llamas (Lama glama), siguen un proceso idéntico al emprendido con las ovejas hace milenios para tornarse blancas. Presentamos las implicaciones estéticas que han estimulado la selección artificial de ovejas con lanas blancas desde un punto de vista transdisciplinar. Siguiendo la corriente bioevolutiva, que entiende nuestra conducta estética y sus manifestaciones como parte de nuestra etología, veremos cómo ese largo proceso estuvo incentivado por nuestro deseo de teñir los tejidos para expresar un fenotipo extendido creando una nueva señal social. Esa nueva señalización, operante en el plano de la selección sexual, se va complicando al desarrollarse nuestras capacidades simbólicas y tecnológicas, siendo sintomática del entorno causal en el que se produce.
Visiter Versailles sous l’Empire et la Restauration : musée, palais ou lieu de mémoire ?
Authors: Vial Charles-Éloi
Published: May 2023

Au-delà des lieux communs sur l’oubli dans lequel Versailles serait tombé après 1789, de nombreux témoignages montrent que le château a continué à attirer les voyageurs français ou étrangers. D’un récit à l’autre, les regards changent toutefois. Certains cherchaient les vestiges d’un monde disparu ou à alimenter leur nostalgie, d’autres au contraire considéraient déjà le château comme un musée de l’art français ou un lieu de mémoire dédié à la gloire de Louis XIV. Pour les plus rares, Versailles et son domaine, en particulier Trianon, demeurait en revanche un lieu vivant, appelé à servir d’habitation à la cour de l’Empereur ou à celle des Bourbons restaurés. Les autobiographies publiées ou manuscrites, les correspondances privées et familiales, les cartons de la série O des Archives nationales et les témoignages parus dans la presse permettent de mieux comprendre qui visitait Versailles entre 1800 et 1830, dans quelles conditions se faisaient les visites, mais aussi pourquoi le lieu était toujours fréquenté, laissant entrevoir la muséification précoce du château, parallèle à celle en cours au même moment dans les palais effectivement habités par la cour.
Un mythe ambigu : les « Versailles d’Italie » (xixe-xxe siècle)
Authors: Merlotti Andrea
Published: May 2023

De la fin du xviiie siècle à nos jours s’est instauré l’usage, en Italie, d’une expression, « le Versailles italien », pour désigner tel ou tel palais royal de la Péninsule. Aujourd’hui, cette expression est essentiellement utilisée à des fins que l’on pourrait qualifier de publicitaires. L’objectif étant de magnifier la résidence en question, la comparer au château du Roi-Soleil sert à en souligner la valeur et le caractère unique. Il s’agit donc bel et bien d’un « slogan ». Et ce slogan est fréquemment employé dans un esprit campaniliste pour mieux affirmer la supériorité du palais royal d’un ancien État italien sur le palais royal d’un autre ancien État : Caserte contre Monza, par exemple. Un positionnement qui est lié, la plupart du temps, à des polémiques municipalistes, parfois vigoureuses, souvent alimentées par la politique italienne contemporaine. Mais il n’en a pas toujours été ainsi : au xixe siècle, l’expression « le Versailles italien » revêtait une signification politique fortement négative. Plusieurs historiens et hommes politiques progressistes ont en effet usé de la formule pour condamner l’Ancien Régime dont le château français était, à leurs yeux, le symbole le plus achevé. Ainsi, dans le poème Versaglia que Giosuè Carducci a écrit en 1871, la description du château et des jardins était avant tout prétexte à célébrer la mort de l’Ancien Régime. Le présent essai vise à analyser l’utilisation politique de l’expression « le Versailles italien » durant la période 1780-1918 et à reconstruire l’histoire que le château du Roi-Soleil a laissée dans l’imaginaire politique italien entre la fin de l’Ancien Régime et l’Unification.
Versailles and Dresden: Myths and Models
Authors: Cassidy-Geiger Maureen
Published: May 2023

Notwithstanding some pioneering exhibitions and publications in recent years, art historians who study the reigns of Augustus the Strong and Augustus III typically focus their attention on the electoral court in Dresden, with little consideration of the broader Saxon-Polish realm or the royal court in Warsaw. Further, there is a proclivity to view the residence of the Sun King at Versailles as the primary model for the court of Augustus the Strong in Dresden. Hence, there is a tendency to marginalize or even ignore the probable influence of other royal seats in France, and beyond, that were known to the Saxon princes from their respective Grand Tours, or from state visits, as when Augustus the Strong was at the Prussian court in 1709 and 1728. Even if some have considered the silver furniture acquired for Saxony to be retardataire, as opposed to au courant, it seems there was an aspirational awareness of the representational significance of silver furnishings, whether French or German, that made such products timeless instead of antiquated. Indeed, silver was so emblematic of the wealth of the state of Saxony that miners were featured and celebrated in court festivities, as in the concluding event of the 1719 wedding, the Festival of Saturn.
La vue d’optique, vecteur de diffusion du mythe versaillais dans la culture visuelle du xviiie siècle ?
Authors: Daniel Johanna
Published: May 2023

Connaissant un succès considérable dans l’Europe de la seconde moitié du xviiie siècle, la vue d’optique a contribué à la diffusion et à l’enracinement d’un imaginaire visuel partagé des espaces urbains. Ces estampes à caractère topographique, destinées à être visualisées dans un dispositif optique qui accentue l’effet perspectif du paysage gravé, forment à la fois un divertissement de salon et une attraction de rue, par l’intermédiaire de montreurs d’optique itinérants. On étudiera ici la façon dont le palais et les jardins de Versailles ont été représentés dans ce genre particulier d’estampes, en questionnant au préalable les modalités de production propres à la vue d’optique, notamment dans leurs dimensions économiques et formelles. Il apparaît que les schémas iconographiques employés sont de seconde main, et reprennent des compositions gravées antérieures, inventées par les Perelle, Pierre Aveline et Jacques Rigaud. La fiabilité documentaire n’apparaît pas comme un critère déterminant dans la sélection des sources : l’effet visuel et spectaculaire prévaut. Plutôt que de façonner une représentation nouvelle ou originale de Versailles, la vue d’optique cristallise une image canonique et stéréotypée du palais et de ses jardins, participant d’une normativité du regard.
La famille Jabłonowski à Versailles au xviiie siècle : impressions et inspirations
Authors: Kuras Katarzyna
Published: May 2023

La présente contribution a pour but d’interroger les attitudes que les aristocrates polonais adoptent vis-à-vis de Versailles, depuis leurs impressions à la découverte du lieu, jusqu’à la façon dont ils se l’approprient dans leur vie quotidienne et le fonctionnement de leurs résidences en Pologne. Une attention toute particulière est accordée aux séjours de Józef Aleksander Jabłonowski qui se rend à Versailles à plusieurs reprises (1729–1730, 1748, 1756, 1763). Il appartient à une famille polonaise dont les représentants cultivent la tradition du voyage éducatif, ou Grand Tour, en Europe. Pendant ses visites, Józef Aleksander Jabłonowski relate volontiers ses impressions. Il s’intéresse cependant peu au château et semble plutôt utiliser Versailles pour magnifier sa propre image sur la scène politique et sociale en Pologne. Ses séjours à la cour de France et sa proximité avec la famille royale (il est cousin de la reine Marie Leszczyńska) lui confèrent en effet un certain prestige et montrent sa place parmi les représentants de l’élite européenne. Il s’avère néanmoins très difficile de constater une influence directe de Versailles sur le cérémonial ayant cours dans ses résidences, notamment à Lachowice. Les sources disponibles ne permettent pas à ce niveau de tirer des conclusions définitives.
Entre fascination et désillusion : attitudes des nobles hongrois devant la cour de Versailles à l’époque des Lumières
Authors: Tóth Ferenc
Published: May 2023

Au début du xviiie siècle, quelques membres de la haute noblesse hongroise se réfugièrent en France après l’échec des luttes d’indépendance et certains furent bien accueillis à la cour de Versailles. Le prince François II Rákóczi fut certainement le plus éminent d’entre eux. Ses témoignages (surtout dans sa Confession d’un pêcheur) ou ceux de son entourage (comme le Journal d’Ádám Szathmári Király) nous montrent un émerveillement devant un centre de pouvoir dont ils espéraient un concours pour leurs projets. Le château de Versailles attirait de nombreux voyageurs de la haute noblesse hongroise qui le visitèrent avec curiosité. Le cas de Joseph Teleki illustre bien la découverte d’un monde différent à travers les yeux d’un noble protestant hongrois. Il nous a laissé un récit de voyage très captivant qui traduit à la fois l’émerveillement et la désillusion. De retour dans leur pays natal, ces aristocrates s’inspirèrent des modèles français lors de l’édification de leurs résidences. L’exemple le plus connu fut le château d’Eszterháza, surnommé par les historiens le « Versailles hongrois », qui fut célèbre pour ses constructions prestigieuses et ses fêtes splendides.
‘A landmark of the transience of all earthly greatness, glory and power!’ Versailles and the Myth of the Ancien Régime in the Writings and Collections of the Swedish Marquis Claes Lagergren (1853−1930)
Authors: Eliasson Sabrina Norlander
Published: May 2023

Born a Swedish farmer’s son, Claes Lagergren trained as a tradesman in Paris in the early 1870s. An unexpected inheritance made him financially independent and enabled him to begin his travels in Europe. Whilst in Rome, he converted to the Roman Catholic faith, an important step in a social career that rapidly introduced him to the upper echelons of Roman nobility – and particularly to those families that had stayed true to the Pope in the aftermath of the unification of Italy. Lagergren was introduced to the Papal court and to Pope Leo XII, who favoured him. Eventually, he was honoured with the title of marquis and became one of the Pope’s chamberlains. The Marquis was a diarist and published his memoirs in nine volumes in the 1920s. His writings are a barely explored source of his political and cultural views – and of his love for Versailles. During his many visits to the palace, informed by his reading of guidebooks and memoirs, he wrote about his sensations and experiences of the former royal site. Politically, Lagergren considered himself a legitimist who honoured the values of the Ancien Régime, and he treasured the Restoration. From this perspective, Versailles and its palace constituted a strong symbol and lieu de mémoire of pre-revolutionary Europe. In the early 1880s, Lagergren married the wealthy American Caroline Russell. The couple bought seventeenth-century Tyresö Castle, outside Stockholm − a home that Lagergren would bequeath to a Stockholm museum, the Nordiska museet, after his death in 1930. Tyresö became a place where Lagergren displayed his collections, in particular portraits of members of the French Bourbon dynasty that he had seen at Versailles.
Reducing COVID-19 vaccine hesitancy and improving vaccine uptake in Nigeria
Authors: Eguavoen Amenze , Larson Heidi J. , Chinye-Nwoko Fejiro , Ojeniyi Toluwanimi
Published: May 2023

By May 30, 2022, there were 526,182,662 confirmed COVID-19 cases and 6,286,057 deaths globally; of which Nigeria had recorded 256,028 confirmed cases and 3143 deaths. By the same time, Nigeria had received a total of 93.9 million doses of the COVID-19 vaccine, enough to vaccinate 25% of the population; however, only 27.4 million people (13.3% of the population) had received at least one dose of the vaccine. This article examines available evidence on COVID-19 vaccine hesitancy in Nigeria and makes recommendations for improving its uptake. Major causes of COVID-19 vaccine hesitancy identified in Nigeria were concerns around vaccine efficacy and safety, disbelief in the existence and severity of the disease, and distrust of the government. To reduce COVID-19 vaccine hesitancy and improve vaccine coverage in Nigeria, mapping vaccine acceptance and hesitancy across geographies and demographics is needed, as well as increased stakeholder communication, and effective community engagement.
Motivation factors of tourists in the Finger Lakes Region: Keuka and Seneca wine trails
Authors: Kural Melis Su
Published: May 2023

This paper investigates the socio-demographic factors of Keuka and Seneca winery visitors and their overall motivation factors. Although the Keuka and Seneca regions are well-known as the hotspot wine regions of the northeastern United States, they tend to take less global and national attention. Drawing from online surveys with 265 respondents, including local residents and the tourists, this paper analyzes consumer demographic profiles and consumption perceptions. Both Finger Lakes and non-Finger Lakes residents view wineries as enjoyable, comfortable, friends and family socialization places. When it comes to wine-related activities, the live music is an appealing factor for the local residents, the locality and home environment are the appealing factors for the tourists, and both Finger Lakes and non- Finger Lakes residents find food, culinary, and wine education events as attractive wine-related activities. As this data is limited to pre-pandemic preferences of the wine consumers, it is important to consider the cultural and structural changes of the consumers through the global pandemic.
The combined role of MRI prostate and prostate health index in improving detection of significant prostate cancer in a screening population of Chinese men
Authors: Chiu Peter KF , Lam Thomas YT , Ng Chi-Fai , Teoh Jeremy YC , Cho Carmen CM , Hung Hiu-Yee , Hong Cindy , Roobol Monique J , Chu Winnie CW , Wong Samuel YS , Sung Joseph JY
Published: May 2023

Using prostate-specific antigen (PSA) for prostate cancer (PCa) screening led to overinvestigation and overdiagnosis of indolent PCa. We aimed to investigate the value of prostate health index (PHI) and magnetic resonance imaging (MRI) prostate in an Asian PCa screening program. Men aged 50–75 years were prospectively recruited from a community-based PSA screening program. Men with PSA 4.0–10.0 ng ml−1 had PHI result analyzed. MRI prostate was offered to men with PSA 4.0–50.0 ng ml−1. A systematic prostate biopsy was offered to men with PSA 4.0–9.9 ng ml−1 and PHI ≥35, or PSA 10.0–50.0 ng ml−1. Additional targeted prostate biopsy was offered if they had PI-RADS score ≥3. Clinically significant PCa (csPCa) was defined as the International Society of Urological Pathology (ISUP) grade group (GG) ≥2 or ISUP GG 1 with involvement of ≥30% of total systematic cores. In total, 12.8% (196/1536) men had PSA ≥4.0 ng ml−1. Among 194 men with PSA 4.0–50.0 ng ml−1, 187 (96.4%) received MRI prostate. Among them, 28.3% (53/187) had PI-RADS ≥3 lesions. Moreover, 7.0% (107/1536) men were indicated for biopsy and 94.4% (101/107) men received biopsy. Among the men received biopsy, PCa, ISUP GG ≥2 PCa, and csPCa was diagnosed in 42 (41.6%), 24 (23.8%), and 34 (33.7%) men, respectively. Compared with PSA/PHI pathway in men with PSA 4.0–50.0 ng ml−1, additional MRI increased diagnoses of PCa, ISUP GG ≥2 PCa, and csPCa by 21.2% (from 33 to 40), 22.2% (from 18 to 22), and 18.5% (from 27 to 32), respectively. The benefit of additional MRI was only observed in PSA 4.0–10.0 ng ml−1, and the number of MRI needed to diagnose one additional ISUP GG ≥2 PCa was 20 in PHI ≥35 and 94 in PHI <35. Among them, 45.4% (89/196) men with PSA ≥4.0 ng ml−1 avoided unnecessary biopsy with the use of PHI and MRI. A screening algorithm with PSA, PHI, and MRI could effectively diagnose csPCa while reducing unnecessary biopsies. The benefit of MRI prostate was mainly observed in PSA 4.0–9.9 ng ml−1 and PHI ≥35 group. PHI was an important risk stratification step for PCa screening.
Performance evaluation of health houses in Iraq 2021–2022: A descriptive study
Authors: Al-Ashbal Mariam A. , Lami Faris H.
Published: May 2023

BACKGROUND:

A health house (HH) is a basic health facility in rural Iraq. The function of a HH is to provide simple health services and treatments such as giving injections, dressing simple wounds, and monitoring mother and child health. The duties also include dispensing medications, measuring blood pressure, and the daily monitoring of chlorine levels in water. These HHs also provide awareness on different subjects. The main objectives of this study are to assess the availability of the basic features of the HHs and core components of the framework of the World Health Organization (WHO) building blocks.

MATERIALS AND METHODS:

A multistage sampling technique was used to select 50 HHs out of 497 in Iraq. A questionnaire comprising closed-ended questions was developed to be completed using the researcher’s observations and interviews with the healthcare workers in the HHs. The questionnaire covered the basic features of HHs as recommended by the Iraq Ministry of Health (MOH) and the six WHO health system building blocks.

RESULTS:

Fifty HHs were enrolled in the study. The availability score of basic features was 43.6% and the general service score was 55.1%. The service-specific score was 23.3%, the health workforce score was 29.6%, and the health information system score was 79.5%. The availability of essential medicines score was 21.2%, the health financing system score was 0.0%, and the leadership and governance score was 66.7%.

CONCLUSION:

The HHs need to follow the standard criteria determined by the Iraq MOH to ensure the proper functioning of the health outlets.
Severity of acne, stress, and food habits of medical students at Taif University, Saudi Arabia
Authors: Basfar Abdullah S. , Jawhari Amjad M. , Alotaibi Mansour N. , Alzahrani Essam S. , Aseeri Ibrahim A. , Atalla Ayman A.
Published: May 2023

BACKGROUND:

Stress and food habits seem to be associated with acne, but no study has been reported from in Taif, Saudi Arabia. The aim of this study was to determine the association between the severity of acne, stress, and food habits of undergraduate medical students.

MATERIALS AND METHODS:

A cross-sectional study was conducted among 585 undergraduate medical students. Data was collected on students’ demographics, academic year, and level. The Global Acne Grading System (GAGS) was utilized for a clinical evaluation of acne severity and an assessment of the presence and location of acne lesions. To assess respondents’ stress, the Perceived Stress Scale (PSS) was employed, and adolescent food habits checklist (AFHC) assessed the food habits. To test for statistical significance, Chi-squared test was used for qualitative data, whereas Mann-Whitney U test and, Kruskal–Wallis tests were performed for quantitative variables.

RESULTS:

The mean age of students was 21.16 ± 1.81 years, 53.5% were female and 53.8% were in the preclerkship academic level. Of these, 9.7%, 78.5%, and 11.8% had low, moderate, and high stress levels. The overall prevalence of acne was 88.2%; Mild, moderate, severe and very severe acne were present among 59%, 23.9%, 3.9% and 1.4% of students respectively. Female students had a significant higher percent of severe acne and students in preclerk ship years had significant higher mean AFHC scores. Students with severe stress had a significant higher mean GAGS score and lower mean AFHC scores. A significant positive correlation was found between GAGS scores and PSS.

CONCLUSION:

The high rates of stress and acne of the study’s participants demand that medical students be given greater attention with regard to dermatology and psychiatric diseases.
Prognosticating Gross Tumor Volume in Head-and-Neck Cancer – Redefining Gross Tumor Volume Beyond Contouring
Authors: Ahmed Imtiaz , Krishnamurthy Sapna , Vinchurkar Kumar
Published: May 2023

Purpose:

Precision radiotherapy (RT) requires accurate delineation of gross tumor volumes (GTVs) for targeted dose delivery. Volumetric measurement of this GTV can predict the treatment outcomes. This volume has been limited for mere contouring and its potential as the prognostic factor is less explored.

Materials and Methods:

The data of 150 patients with oropharynx, hypopharynx, and larynx cancer undergoing curative intensity-modulated RT and weekly cisplatin between April 2015 and December 2019 were retrospectively evaluated. GTV-P (primary), GTV-N (nodal), and GTV-P+N were defined, and volumetric parameters were generated. Volume thresholds were defined as per the receiver operating characteristics, and the prognostic value of these tumor volumes (TVs) with respect to treatment outcomes was analyzed.

Results:

All patients completed 70 Gy, median chemotherapy cycles were six. Mean GTV-P, GTV-N, and GTV-P+N were 44.5 cc, 13.4 cc, and 57.9 cc, respectively. Oropharynx constituted 45% of cases. Forty-nine percent had Stage III disease. Sixty-six percent had complete response (CR). As per the defined cutoff values, GTV-P <30cc, GTV-N <4 cc, and GTV-P+N <50 cc had better CR rates with P < 0.05 (82.6% vs. 51.9%; 74% vs. 58.4% and 81.5% vs. 47.8%, respectively). At median follow-up of 21.4 months, overall survival (OS) was 60% and median OS was 32.3 months. The median OS in patients with GTV-P <30 cc, GTV-N <4 cc, and GTV-P+N <50 cc was better with P < 0.05 (59.2 vs. 21.4; 59.2 vs. 22.2, and 59.2 vs. 19.8 months, respectively).

Conclusion:

GTV should not just be limited for contouring but its role as an important prognostic factor has to be recognized.
Deep Inspiratory Breath-Hold Radiation for Left-Sided Breast Cancer using Novel Frame-based Tactile Feedback
Authors: Nangia Sapna , Khosa Robin , Piyushi Divya , Singh Maneesh , Singh Grishma , Sreedevi K. , Chauhan Sunil Kumar , Rout Sanjay Kumar , Oomen Saji
Published: May 2023

A frame providing tactile feedback for the reproducibility of deep inspiratory breath-hold (DIBH) is described. The frame, fitted across the patient, comprises a horizontal bar, parallel to the patient’s long axis, and holds a graduated pointer perpendicular to it. The pointer provides individualized tactile feedback for reproducibility of DIBH. Within the pointer is a movable pencil, bearing a 5 mm coloured strip which becomes visible only during DIBH, and acts as a visual cue to the therapist. The average variation in separation in the planning and pretreatment cone-beam computed tomography of 10 patients was 2 mm (confidence interval 1.95–2.05). Frame-based tactile feedback is a novel, reproducible technique for DIBH.