bluuebunny/crossref_metadata_2025_split huggingface dataset:
Œdipe et Ulysse, Freud et Kohut
Authors: Granek Michel 
Published: March 2020

En s’appuyant sur le stratagème d’Ulysse simulant la folie afin de sauver Télémaque, son enfant encore bébé, Kohut propose de « saper le pouvoir du mythe qui a soutenu le concept de Freud » et de substituer un paradigme ulyssien au paradigme œdipien ; il veut ainsi minimiser l’importance théorique du conflit des générations et souligner au contraire celle de la continuité dans la filiation. Or, d’après la mythologie grecque, la postérité d’Ulysse est remarquablement… œdipienne. Pour nous, malgré lui, Kohut démontre le conflit des générations – son conflit avec Freud – et l’ubiquité et la puissance du complexe d’Œdipe.
Le personnage au psychodrame, ou comment passer de un à deux
Authors: Morel Alexandre 
Published: March 2020

L’évocation clinique d’une cure par le psychodrame questionne l’apport des ressources figuratives du « personnage » en scène. Sa relative inconsistance, tant transitionnelle que fictionnelle, permettrait une rencontre mesurée avec l’objet, tout en assurant la constitution spécifique de diverses triangulations qui abritent la possibilité de devenir « un » pour pouvoir ensuite être « à deux ». Il est à la fois un porte-parole et un provocateur d’affect qui permet un corps à corps renouvelé, précieux attracteur figuratif du transfert. Il introduit à la dualité de la bisexualité psychique, structurante en tant que limite, en même temps qu’à la diversité féconde des polarités identificatoires de la scène primitive.
Étude critique du savoir psychanalytique
Authors: Denis Anne 
Published: March 2020

La relation épistémique qui s’établit entre un individu et son objet de savoir véhicule une série d’obstacles qui montrent combien le contact avec l’objet épistémique est chargé de fantasmes et de défenses diffractantes dont la « liste » (inexhaustive) est établie dans cette étude. Une Critique étudie les conditions de possibilité d’une connaissance étant donné les caractères de l’esprit humain (Kant), auxquels il faut ajouter les caractères de la psyché que la métapsychologie a dévoilés. Le savoir psychanalytique appartenant aux domaines de la science, de l’art, et de la nescience, la synthèse de cette hétérogénéité dans sa visée objective ne peut plus être attribuée au moi.
L’émergence d’un espace de danse dans la rencontre des systèmes
Authors: Ait Issad Mathilde , Bakomba Diong , Defossez Philippe , Flabat Marc 
Published: March 2020

Émergence, un service ambulatoire bruxellois dans lequel une jeune équipe accompagne des enfants et des adolescents présentant des troubles du comportement, en famille ou en mise en autonomie. Cet article présente trois concepts revisités à partir de leurs pratiques : les positionnements et postures de l’intervenant, les isomorphismes conscients et la résistance créative.
Exploring the lived experience of one Rural Teacher in Indigenous context in Chilean Northern Territory: A narrative inquiry
Authors: Baeza Angela Rossana 
Published: March 2020

The high rates of teachers’ attrition in Chile, particularly in Indigenous schools, requires an understanding of how the experiences of teachers working in these contexts impact on their professional practice. Through the teachers’ lens, using a narrative inquiry design, this study seeks to understand how educators face the challenges of teaching in rural and Indigenous settings. Findings of this study show Chilean teachers’ lack of knowledge about Indigenous culture and tradition. Teachers do not know about Indigenous students' characteristics and this is affecting teaching. Also was found that some elements are causing teachers’ exhaustion in rural and Indigenous context. These are teachers’ wrongs expectations about rural lifeways, extreme living conditions, emotional and geographic isolation and the lack of professional recognition.
The finding of this study may contribute to future research and education stakeholders and universities that are in the process of finding improvements to teaching practices and teachers’ education programs.
Wongi mi bardup (doing it our way)
Authors: Marriott Rhonda , Reibel Tracy , Coffin Juli , Barrett Terri-Lee , Gliddon Janinne , Robinson Melanie , Griffin Denese , Walker Roz 
Published: March 2020

The Birthing on Noongar Boodjar project investigated the cultural birthing practices of Aboriginal women living on country (Noongar Boodjar) in an urbanised environment; and their experiences of interactions with maternal health care providers (especially midwives). The evidence from the five year study identified changes required in health systems to adequately support Aboriginal women and their families during the significant cultural and life event of childbearing.
This paper sets out the methodological and theoretical considerations which framed how the Birthing on Noongar Boodjar project was conducted by the Aboriginal and non-Aboriginal investigators. We provide a brief project background before describing the Indigenous research methodologies and practices crucial to exploring the research questions, collecting data in culturally secure ways and using cultural lenses to analyze and interpret the data. The study design and results are reported in other publications.
Association between body mass index (BMI) percentile and asthma in children of 5–12 years old: A case–control study using electronic medical records in Primary Health Care Corporation, Qatar 2016–2017
Authors: Veettil Shajitha Thekke , Alnuaimi Ahmed Sameer 
Published: March 2020

ABSTRACT

Background: Over the last several decades, obesity and asthma prevalence have risen among children. The increase in overweight and obesity has been associated with an increased risk of asthma in children. Most epidemiological studies have proposed that a high body mass index (BMI) at infancy and early childhood increases the risk of asthma in children. A recently adopted electronic recording system for health service encounters in Primary Health Care Corporation of Qatar has provided a convenient opportunity to assess the possible link between asthma and obesity in children aged 5–12 years.

Objectives:

To calculate the prevalence rate of overweight and obesity among asthmatic children aged 5–12 years using primary health care centers during 2016–2017.

To measure the strength of the association between BMI and asthma in children aged 5–12 years after adjusting for age, gender, and nationality.

Methodology: This was a case–control study on the electronic health records of children aged 5–12 years who visited one of the primary health care centers during the two-year study period (2016–2017). A total of 9889 children with a diagnosis of asthma and valid BMI measurements were included in the case group, and an identical number of children who visited the health care centers for other reasons and had valid BMI measurements were randomly enrolled in the control group.

Results: The prevalence of obesity (BMI-for-age Z-score >2) was significantly higher among asthmatics (24.9%) compared with non-asthmatic controls (17.7%). Asthma significantly increased the risk of being obese by 41% in bivariate analysis. The calculated risk estimate for the association between asthma and obesity increased to 70% after adjusting for the confounding effect of age, gender, and nationality.

Conclusions: The present observational study based on a large sample of 5 to 12-year-old children documented a strong association between asthma and obesity (BMI-for-age Z-score 2 or above). This positive association between asthma and high BMI was stronger among older children, females, and Qatari nationals.
Antibiotic prophylaxis for transrectal ultrasound-guided prostate needle biopsy: Compared efficacy of ciprofloxacin vs. the ciprofloxacin/fosfomycin tromethamine combination
Authors: Morin Alexandre , Bergevin Marco , Rivest Natalie , Lapointe Steven 
Published: March 2020

Introduction: Some authors advocate an increase in post-prostate needle biopsy (PNB) infections associated with emergent quinolone resistance in E. coli, urging re-evaluation of antibioprophylaxis. In this study, we compared rates of post-PNB urosepsis associated with two oral regimens of antibioprophylaxis: ciprofloxacin (CIP) vs. ciprofloxacin and fosfomycin tromethamine combination (CIP/FOS).
Methods: This retrospective pre-post intervention study included all patients who underwent PNB in two Canadian hospitals from January 2012 to December 2015. The primary outcome was urosepsis within one month of PNB. Urosepsis rates were analyzed according to antibioprophylaxis using log-binomial regression, considering the propensity scores weights of collected risk factor data.
Results: We reviewed 2287 PNB patients. A total of 1090 received CIP and 1197 received CIP/FOS. Urosepsis incidence with CIP was 1.1% (12/1090) and fell to 0.2% (2/1197) with CIP/FOS. Our analysis indicates that CIP/FOS significantly decreased the risk of urosepsis compared to CIP alone (adjusted relative risk [aRR] 0.16; p=0.021). The isolated pathogen was E. coli in 12/14 cases, including seven bacteremias. Among E. coli cases, seven strains were CIP-resistant. Eleven of 12 E. coli, including all CIP-resistant strains, were isolated in patients on CIP alone. One case of B. fragilis bacteremia occurred in the CIP/FOS group. No cases of C. difficile infection were identified in the three months post-PNB.
Conclusions: The adoption of CIP/FOS antibiotic prophylaxis significantly lowered the rate of post-PNB urosepsis. Conveniently, this regimen is oral, single-dose, and low-cost.
Are urologic surgeons performing robot-assisted radical prostatectomy at the University of Alberta meeting surgical quality performance benchmarks? The PROCURE-02 quality assurance study
Authors: Beech Ben , Follett Graeme , Ghosh Sunita , Rudzinski Jan K. , McLarty Ryan , Haines Trevor , Dean Nick , Tong Steve , Fairey Adrien S. 
Published: March 2020

Introduction: Robot-assisted radical prostatectomy (RARP) is a standard of care primary treatment for men with clinically localized prostate cancer (CLPC). The 2010 Canadian Urological Association (CUA) consensus guideline examining surgical quality performance for radical prostatectomy suggested benchmarks for surgical performance. To date, no study has examined whether Canadian surgeons are achieving these benchmarks. We determined the proportion of University of Alberta (UA) urologic surgeons achieving the CUA surgical quality performance outcome (SQPO) benchmarks.
Methods: A retrospective quality assurance analysis of prospectively collected data from the PROstate Cancer Urosurgery Repository of Edmonton (PROCURE) was performed. Men who underwent RARP for CLPC between September 2007 and May 2018 by one of seven surgeons were analyzed. SQPO were an unadjusted pT2–R1 resection rate <25%, blood transfusion rate <10%, rectal injury rate <1%, and 90-day mortality rate <1%. Descriptive statistics were used to determine the proportion of surgeons achieving the benchmarks.
Results: Data were evaluable for 2821 men. Seven of 7 (100%) surgeons achieved a blood transfusion rate <10%, rectal injury rate <1%, and 90-day mortality rate <1%. However, only six of seven surgeons achieved an unadjusted pT2–R1 resection rate <25%; one surgeon had an unadjusted pT2–R1 resection rate of 27.9%. Limitations include the lack of centralized pathology review for surgical margin status by a dedicated genitourinary pathologist.
Conclusions: UA surgeons are achieving the CUA SQPO benchmarks for blood transfusion, rectal injury, and perioperative mortality. However, not all UA urologists are achieving a pT2– R1 resection rate <25%. Surgical quality performance initiatives designed to improve cancer control may be warranted.
Clinical Profile of Dengue Fever in a Tertiary Hospital of Rural South India – A Retrospective Study
Authors: Raghu Ritvik , Manokaran C. , Sathiyanarayanan J. 
Published: March 2020

Introduction: Dengue fever is a globally important arboviral infection transmitted by the Aedes genus of mosquito found in tropical and subtropical regions. Fluid therapy and the identification of the critical phase are the most important aspects of management.
Objectives: To study the clinical profile of patients with Dengue Fever.
Methodology: The patients diagnosed with Dengue Fever would be considered for the study. Data pertaining to the clinic-socio demographic profile of dengue fever would be collected from the patient’s records and analyzed.
Results: It was observed that majority of patients had myalgia as the common associated symptoms with fever and bleeding manifestations was present in 7.7% of patients. Dengue NS1 was positive in 79% of patients. Platelet transfusion was given for 20% of patients. Amongst those who received platelet transfusion 52% patients had bleeding manifestations. Antibiotics was given for 65% of patients which had no significant effect on the duration of stay in hospital and platelet values.
Conclusion: Dengue fever despite its aggressive nature can be effectively managed by maintaining hydration and hemodynamic stability. Platelet transfusion and antibiotic therapy has failed to show any significant improvement in disease outcomes and should be reserved for Severe Dengue Haemorrhagic Shock.
Neuroendocrine Tumor of the Small Intestine Diagnosed With Transabdominal Ultrasonography: A Case Report
Authors: Tsujimura Kazuma , Takushi Yasukatsu , Nakachi Atsushi , Teruya Tsuyoshi , Iha Kouji 
Published: March 2020

Background
Tumors of the small intestine are rare. In addition, clinical symptoms are nonspecific, and neoplasm-related symptoms occur late.

Methods
We report a case of neuroendocrine tumor of the small intestine that was diagnosed early with transabdominal ultrasonography (US). The patient was a 61-year-old man. Abdominal contrast-enhanced computed tomography (CT) was performed because the patient complained of abdominal pain. The CT showed a tumor lesion in the mesentery. Transabdominal US was undertaken to evaluate this tumor lesion, and a tumor lesion of the small intestine was found nearby. A diagnosis of lymph node metastasis of a small intestine tumor was made as a preoperative diagnosis. A laparotomy was performed with partial resection of the ileum, together with the small intestine mesentery, including an enlarged lymph node.

Results
Histologic examination revealed neuroendocrine tumor of the ileum and lymph node metastasis. Transabdominal US is useful in the diagnosis of small-intestine NET.
Gratophyllum pictum (L.) Griff Extract as Anti-Inflammatory on Wistar Rats With Experimental Hemorrhoids
Authors: Prasetyo Sigit Adi , Wisnu Prajoko Yan , Agung Nugroho Eriawan , Dharmana Edi , Susilaningsih Neni , Riwanto Ignatius 
Published: March 2020

Background
The ethanol Graptophyllum pictum (L.) Griff extract (EGPE) exerts an anti-inflammatory effect on inflammatory-induced rat feet and has been used as a traditional medicine in Indonesia for treating hemorrhoids.

Aim
The aim of this study was to evaluate the effects of EGPE as an anti-inflammatory on Wistar rats with experimentally induced hemorrhoids.

Methods
Twenty-eight Wistars were allocated into 4 groups. Groups 2, 3, and 4 hemorrhoids were induced with 6% croton oil into the anus, whereas group 1 was not induced. Groups 1 and 2 were given physiologic saline, and groups 3 and 4 were given EGPE 100 and 300 mg/kg body weight (BW), respectively. On day 9, blood was aspirated from the retro-ocular region for the examination of serum interleukin (IL)-6, cyclooxygenase-2 (COX-2), and tumor necrosis factor (TNF)-a (ELISA method) and serum glutamic oxaloacetic transaminase (SGOT), serum glutamic-pyruvic transaminase (SGPT), urea, and creatinine levels. The anus was prepared for microscopic examination to count leucocytes.

Results
The induction of 6% croton oil significantly increased TNF-α, IL-6, COX-2, and leucocyte count. An EGPE dose of 100 mg/kg BW significantly decreases TNF-α, IL-6, COX-2, and leucocyte counts, whereas a dose of 300 mg/kg BW significantly decreased TNF-α and leucocyte count. SGOT, SGPT, blood urea, and creatinine levels were not significantly different among groups.

Conclusion
The EGPE dose of 100 mg/kg BW has anti-inflammatory effects on hemorrhoids by suppressing IL-6, COX-2, TNF-α, and total leucocytes, whereas the inflammatory effects of 300 mg/kg BW reduced TNF-α and total leucocytes. EGPE is safe for the kidneys and liver.
Evaluation of Anastomotic Leakages Grading System Following Anterior Resection for Rectal Cancer
Authors: Huang Yi-Zhou , Xu Lei-Qi , Wang Dong-Yang , Yu Min-Hao , Wang Hao , Yu En-Da , Zhong Ming , Cong Zhi-Jie 
Published: March 2020

Introduction
Anastomotic leakage (AL) is generally accepted as a major complication of rectal resection surgery. However, there is still debate about the definition and evaluation of AL. The International Study Group of Rectal Cancer (ISREC) raised a definition of and grading system for AL in 2010.

Aim
In our study, we aimed to validate AL's present definition and grading system, which were proposed by ISREC in 2010.

Methods
Patients who underwent rectal anterior resection in 2 colorectal surgery centers from January 2012 to December 2014 were included and categorized into different groups according to the ISREC criteria; further, the rate, severity and clinical outcomes of their ALs were analyzed and compared.

Results
During a median follow-up period of 38.9 months, 984 patients were included in total. The overall AL rate was 5.0% (49/984), including 7 grade A patients (14%), 21 grade B patients (43%), and 21 grade C patients (43%). The rate of grade C AL in the protective diverting stoma group was significantly lower than that in the nonstoma group (0.6% versus 2.8%, P = 0.029). Patients with grade B or grade C AL had much longer hospital stays than grade A AL patients (P = 0.016). The overall 3-year survival rates of grades A, B, and C groups were 83.3%, 66.7% and 55.6% respectively, without statistical significance.

Conclusions
Patients who were divided into different groups according to the grading system proposed by the ISREC criteria had significantly different symptoms, clinical outcomes, management, and duration of hospitalization. Our study supported that the ISREC criteria are a simple but valid classification to evaluate the surgical performance of the rectal cancer resection.
Incidence and Risk of Cardiovascular Outcomes in Patients With Anorexia Nervosa
Authors: Tseng Mei-Chih Meg , Chiou Kuan-Rau , Shao Joni Yu-Hsuan , Liu Hung-Yi 
Published: December 2024

ImportanceAnorexia nervosa (AN) is commonly associated with cardiovascular complications.ObjectiveTo investigate the trajectories of the risk of cardiovascular conditions in a nationwide cohort of patients with AN in Taiwan.Design, Setting, and ParticipantsFrom a population-based health insurance database from January 1, 2011, to December 31, 2021, this longitudinal cohort study identified patients with AN and controls through propensity score matching at a 1:10 ratio according to sex, age, urbanization level of residence, socioeconomic status, and year of diagnosis. Data were analyzed from June 27, 2023, to February 23, 2024.ExposureFirst-time diagnosis of AN by psychiatrists during the study period.Main Outcomes and MeasuresIncidence and risk of composite cardiovascular conditions. Kaplan-Meier curves were used to estimate the cumulative incidence of major adverse cardiovascular events (MACE) and any cardiovascular condition. With adjustment for psychiatric comorbidities, conditional Cox proportional hazards regression analyses were performed to estimate the risk of cardiovascular events, which were presented as hazard ratios (HRs) and 95% CIs, relative to the comparison group. Risks of individual cardiovascular conditions were calculated during 3 follow-up periods after AN diagnosis.ResultsThe study population included 2081 patients with AN and 20 810 matched controls, for a total of 22 891 participants (mean [SD] age, 24.9 [9.9] years; 91.3% female). In total, 99 patients with AN (4.8%) had MACE vs 175 (0.8%) in controls, and 124 patients with AN (6.0%) had any cardiovascular condition vs 483 controls (2.3%). At the 5-year follow-up, the cumulative incidence rate of MACE was 4.82% (95% CI, 3.85%-6.02%) and of any cardiovascular condition was 6.19% (95% CI, 5.19%-7.53%). Compared with the control group, the AN group had significantly higher risks of MACE (adjusted HR [AHR], 3.78; 95% CI, 2.83-5.05) and any cardiovascular condition (AHR, 1.93; 95% CI, 1.54-2.41). The significantly increased risks of congestive heart failure, conduction disorder, and structural heart disease occurred in the initial follow-up period and disappeared after 60 months of follow-up. Notably, patients with AN did not have an increased risk of ischemic heart disease until after 60 months of follow-up (AHR, 3.01; 95% CI, 1.48-6.13).Conclusions and RelevanceIn this national matched cohort study, increased risk of cardiovascular conditions was found in different periods after AN diagnosis. Clinicians should monitor comorbid cardiovascular conditions among patients with AN at initial presentation, during treatment, and at follow-up.
Racial and Ethnic Differences in Outcomes of Neonates Born at Less Than 30 Weeks’ Gestation, 2018-2022
Authors: Boghossian Nansi S. , Geraci Marco , Edwards Erika M. , Horbar Jeffrey D. 
Published: December 2024

ImportancePrevious research has examined outcomes among very preterm newborns by the birthing parent’s race and ethnicity, but knowledge about these trends during the COVID-19 pandemic is limited.ObjectiveTo examine trends in outcomes among Black, Hispanic, and Asian preterm newborns compared with White preterm newborns.Design, Setting, and ParticipantsThis cohort study (2018-2022) took place at 774 neonatal intensive care units in the Vermont Oxford Network. Participants were newborns born at 22 to 29 weeks’ gestation.ExposureRace and ethnicity.Main Outcomes and MeasuresThe primary outcomes were mortality and complications, including respiratory distress syndrome, necrotizing enterocolitis (NEC), early-onset sepsis, late-onset sepsis (LOS), severe intraventricular hemorrhage (sIVH), severe retinopathy of prematurity, chronic lung disease, pneumothorax, and complication-free survival.ResultsAmong 90 336 newborns (47 215 male [52.3%]; 43 121 female [47.7%]; mean [SD] gestational age, 26.4 [2.1] weeks), 4734 (5.2%) were born to Asian, 20 345 (22.3%) to Hispanic, 31 264 (34.3%) to non-Hispanic Black, and 33 993 (37.3%) to non-Hispanic White birthing individuals. Rates of in-hospital mortality (4831 Black newborns [15.6%]; 3009 Hispanic newborns [14.9%]; and 4886 White newborns [14.4%]), NEC (2374 Black newborns [7.8%]; 1359 Hispanic newborns [6.9%]; and 2137 White newborns [6.5%]), LOS (3846 Black newborns [13.5%]; 2258 Hispanic newborns [12.3%]; and 3575 White newborns [11.5%]), and sIVH (2919 Black newborns [10.3%]; 1673 Hispanic newborns [9.2%]; and 2800 White newborns [9.1%]) were highest among Black and lowest among White newborns. Chronic lung disease and pneumothorax rates were lowest among Black and highest among White newborns. Over the study period, mortality rate differences were slightly higher for Black than White newborns, with no differences by 2022. NEC and LOS rates were consistently higher among Black than White newborns. By 2022, Black newborns had higher rates of NEC (rate difference, 1.3 percentage points; 95% CI, 0.46-2.2 percentage points) and LOS (rate difference, 2.7 percentage points; 95% CI, 1.4-4.0 percentage points). sIVH rates were higher for Black newborns in some years, whereas severe retinopathy of prematurity rates were lower. Hispanic newborns had mortality and complication rates similar to those of White newborns. Black and Hispanic newborns had lower respiratory complication rates and higher complication-free survival than White newborns.Conclusions and RelevanceIn this cohort study, there were no differences in mortality rates between Black and White newborns, but Black newborns had higher rates of NEC and LOS. Continued quality improvement and addressing social determinants of health are critical for promoting health equity in hospital outcomes and beyond.