bluuebunny/crossref_metadata_2025_split huggingface dataset:
Implantable Cardiac Device Infections Prevalence: Diagnostic and Therapeutic Implications
Authors: Yahia Hend , Alazab Abdo , Aly Randa , Elmaraghi Sameh , Andraos Ashraf 
Published: September 2021

Background: It has been demonstrated that the use of cardiac implanted electronic devices (CIED) improve mortality and survivability in a variety of patient populations. Nevertheless, CIED related infection is a serious complication characterized by a high rate of mortality and morbidity.
Objectives: To evaluate the prevalence of CIED related infections, risk factors, clinical and demographic characteristics, causative organisms, and the management and outcome of patients presented in the Critical Care Department, Cairo University.
Methods: A retrospective analysis was conducted in 1871 individuals who had been implanted with a cardiac device with a total number of devices of 1968 and 2270 procedures performed from January 2007 to December 2017.
Results: 59 infectious episodes were identified with an estimated incidence of 2.99% of inserted devices and 2.6% of total procedures. The infection rate was considerably higher in patients with multiple procedures than those who had a single procedure (9.27% vs. 1.18%; P<0.001). The individuals with a dual-chamber implantable cardiac defibrillator (ICD) and cardiac resynchronization therapy devices (CRTD) had the highest infection rate of 6.25% & 6.85%, respectively. The rate of pocket infection (PI) and CIED related endocarditis (CDE) was 1.54% & 1.06% of total devices respectively. Numerous risk factors have been found; the most significant of those are diabetes mellitus, recurrent procedures, the device's complexity, and the existence of more than one lead. Gram-positive cocci were the most isolated organisms in all positive cultures (69.23%). Echocardiography revealed lead vegetations and valvular vegetations in 22 patients and 2 patients respectively. In 53 cases (89.83%), the devices were removed; in 41 cases, the entire system was removed; and in 12 cases, only the generator was removed. The mortality rate was found to be 10.17%, having a considerably higher prevalence in CDE individuals than in pocket infection individuals (20.83% vs. 2.86%; P=0.025).
Conclusion: In our center, while the rate of CIED implantation continues to increase, the incidence rate of CIED-related infection continues to decline. Until now, the infection burden associated with secondary intervention is still significantly high. The management strategy of selection is to eliminate the entire system for patients presented with infection especially those with CDE. However, the mortality rate is still high.
Sanctions secondaires américaines : du vieux vin dans des outres neuves ?
Authors: Marineau Sophie 
Published: September 2021

La pratique des sanctions secondaires par les États-Unis n’est pas récente, mais Donald Trump l’a portée à un niveau inégalé. Le président républicain a fait preuve d’une grande défiance à l’égard des alliés traditionnels de Washington, qui s’est particulièrement fait ressentir sur les dossiers russe et iranien. Les Européens ont mis en place un nouveau mécanisme – baptisé INSTEX – pour tenter de contourner les sanctions américaines, mais il a rapidement montré ses limites.
Vers la fin de vingt ans de guerre contre le terrorisme ?
Authors: Tenenbaum Élie 
Published: September 2021

Vingt ans après le 11 Septembre, le bilan de la « guerre contre le terrorisme » est contrasté : lourd coût financier et humain, affaiblissement des « centrales » mais diffusion des implantations, fatigue des guerres sans fin… Les puissances occidentales n’ont jamais pu traiter les problèmes politiques qui survivaient à leurs succès militaires. Une nouvelle hiérarchie des défis sécuritaires semble devoir remettre le terrorisme à sa juste place : un problème stratégique parmi de nombreux autres.
Le mouvement barelvi : du soufisme au terrorisme
Authors: Hyvrier Olivia 
Published: September 2021

Le barelvisme a été créé au début du xx e siècle par Ahmad Riza Khan. Il s’agissait à l’origine d’un mouvement religieux soufi qui s’est peu à peu politisé. Ses membres militent pour l’islamisation de la société, tout en s’opposant à d’autres groupes inspirés du wahhabisme. Après les attentats du 11 Septembre, le soufisme a été présenté comme une alternative à l’islam radical. Néanmoins, une fraction des barelvis a elle-même basculé dans le terrorisme et cette violence a fini par toucher l’Europe.
Énième retour sur la critique du « gouvernement des juges »
Authors: Mastor Wanda 
Published: September 2021

Si, en France, c’est bien l’ouvrage d’Édouard Lambert qui va donner des allures de spectre au « gouvernement des juges », la paternité de l’expression tout comme sa réalité sont américaines. L’analyse approfondie de ces prémisses théoriques permet de démontrer l’inconsistance de l’appropriation de l’expression par les juristes français. La dénonciation du gouvernement des juges a été détournée, instrumentalisée par une certaine théorie qui refuse la part créative du juge, de même qu’elle alimente aujourd’hui les discours populistes qui tentent par tous les moyens de discréditer la justice. Critiquer le gouvernement du juge en France est l’aveu d’une faiblesse. Ne parvenant à prouver que le discours du juge est l’expression d’une vérité, certains s’attaquent aux résultats qu’ils qualifient de « politiques ». Ce faisant, ils alimentent la peur qu’ils entendaient combattre : dire que les juges « gouvernent », c’est quitter le terrain des arguments juridiques pour rejoindre le ring idéologique.
La justice fragmentée
Authors: Schaff Aurélia 
Published: September 2021

Les évolutions démographiques de la société française, la technicisation croissante des contentieux soumis aux juges, le recours accru aux nouvelles technologies, ont entraîné un mouvement de recomposition de l’organisation de la justice en France. Si ce mouvement n’épargne aucun corps de l’État, il pose toutefois des enjeux particuliers pour le monde judiciaire. Trouver la juste mesure en assurant une spécialisation des magistrats, pour répondre à la demande pressante exprimée par les citoyens et leurs représentants politiques, tout en maintenant un ancrage fort du juge dans la cité pour traiter les incivilités du quotidien, garantir la variété des parcours professionnels sans menacer l’unité du corps, tels sont quelques-uns des impératifs contradictoires auxquels la justice est confrontée, et qui questionnent plus que jamais ce que doit être l’office du juge au xxi e siècle.
Entre justice privée et justice étatique : Facebook et le legalwashing de sa « cour suprême »
Authors: Gaye-Palettes Matthieu 
Published: September 2021

L’annonce par Facebook de la création d’un organe quasi juridictionnel vient institutionnaliser une compétition entre les systèmes judiciaires étatiques traditionnels et les systèmes juridiques privés en construction dans le monde digital. Bien qu’il n’y ait aucune confrontation ouverte, ce « Conseil de surveillance » pourrait bien servir d’outil de legalwashing afin de fonder une légitimité extra-étatique à l’autorité des décisions rendues par les entreprises privées.
Zooarchaeology and Taphonomic Aspects of Later Stone Age Faunal Assemblage from Loiyangalani Site in Serengeti National Park, Tanzania
Authors: Masele Frank 
Published: September 2021

The paper presents detailed zooarchaeological and taphonomic results on the Later Stone Age (LSA) faunal assemblage. The contributions of various taphonomic agents in the formation of the assemblage are accentuated. The assemblage is well-preserved and the majority of specimens are not highly weathered. Fluvial disturbance did not play a significant role and can be ruled out as a significant taphonomic agent in the formation. Results indicate that LSA humans exploited high-quality nutritional resources mainly of the large-sized animals and aquatic resources as extra sources of meat and fat. The assemblage preserves stone tools butchery marks (cut marks and percussion marks) and carnivore marks (tooth marks) albeit few. Overall, the faunal assemblage exhibits high anthropogenic inputs and marginal carnivore involvement.
Keywords: Zooarchaeology; Taphonomy; Later Stone Age; Serengeti National Park; Loiyangalani; Tanzania
Utilization of Iron Filings as Partial Replacements for Sand in Self-Compacting Concrete
Authors: Olawale Simon O. , Kareem Mutiu A. , Muritala Habeeb T. , Adebanjo Abiola U. , Alabi Olusegun O. , Olawuyi Oluwole A. , Fadipe Olusola O. 
Published: September 2021

The use of industrial by-products in concrete production is part of concerted efforts on the reduction of environmental hazards attributed to the mining of conventional aggregates. Consideration of iron filings (IF), a by-product from steel production process, is an environmentally friendly way of its disposal which is expected to yield economic concrete production. Six self-compacting concrete (SCC) mixes were made by partially substituting river sand with IF at 5%, 10%, 15%, and 20% and the mix without IF (0% IF) served as the control. The water-binder (w/b) ratio of 0.45 was adopted for all mixes. The fresh state properties of SCC evaluated include: filling ability determined using slump flow and T500 mm slump flow tests, passing ability determined using L-box test and segregation resistance determined using V-funnel tests. The strength properties of SCC considered were compressive and tensile strengths. All the SCC mixes met the fresh properties requirements for filling capacity, passing ability, and segregation resistance. The 28-day compressive and tensile strengths of SCC increased by 3.46% and 8.08%, respectively, with IF replacement up to 15% compared to the control SCC. However, there was reduction in compressive and tensile strengths of SCC with IF replacement beyond 15%. The strength properties of SCC is considerably enhanced with the addition of up to 15% IF. Hence, the optimum content of 15% IF is considered suitable as a replacement for river sand in SCC.
Keywords: Self-compacting concrete; iron filings; fine aggregates; filling ability; passing ability
Assessment of Groundwater Quality in Areas Surrounding Thundulu Phosphate Mine, Phalombe District, Malawi
Authors: Jailos Philip , Chimtali Peter J. , Vunain Ephraim 
Published: September 2021

Water is one of the renewable resources essential for sustaining all forms of life and quality of drinking water is very fundamental for human health. Human activities such as mining act as sources of water contamination which consequently lead to ecological, environmental and health problems. To the best of our knowledge, no study has been conducted around the Thundulu Phosphate Mine to establish the quality of drinking water. In this regard, this study was carried out to evaluate the physico-chemical water quality parameters of areas surrounding the Thundulu Phosphate Mine in Phalombe District. Groundwater samples from the villages surrounding the Phosphate Mine were collected both during the wet and dry seasons for analysis of physico-chemical water quality parameters (pH, electrical conductivity, turbidity, nitrate, chloride, sulphate, fluoride, iron, calcium and magnesium). The study also investigated microbiological water characteristics mainly Escherichia coli and faecal coliforms. Results showed that pH, electrical conductivity, turbidity, nitrate, chloride, sulphate, phosphate, calcium and magnesium complied with the national and international standards set by Malawi Bureau of Standards (MBS) and World Health Organization (WHO). As regards to microbiological characteristics, it was revealed that water from three sources (B2, B3 and B4) was contaminated with Escherichia coli and faecal coliforms.
Keywords: Physico-chemical; Groundwater; Phalombe; Borehole; Electrical Conductivity; Turbidity; Phosphate;
An Age-Structured Model for Transmission Dynamics of Malaria with Infected Immigrants and Asymptomatic Carriers
Authors: Kalula Asha S , Mureithi Eunice , Marijani Theresia , Mbalawata Isambi 
Published: September 2021

An age-structured (children and adults) model for the transmission dynamics of malaria with asymptomatic carriers and infected immigrants has been analyzed. We first analyze a model without infected immigrants. It shows that the disease-free equilibrium exists and is stable when and unstable for . Also, we compute the sensitivity indices of the basic reproduction number. The basic reproduction number is most sensitive to the mosquito biting rate. Besides, the sensitivity of the basic reproduction number shows that the children's class parameters are more sensitive than those of adults. In the presence of infected immigrants, the model does not admit a disease-free equilibrium. The sensitivity of endemic equilibrium shows that the asymptomatic carrier parameters are more critical than that of infected immigrants. Also, the inflow of infectious immigrants is sensitive than that of infected immigrants. The results obtained indicate that strategies that target asymptomatic carriers and infected immigrants can help control malaria.
Keywords: Age-structure; malaria; immigrants; asymptomatic carrier; nonlinear ODE model
Approaches for the prevention and treatment of venous thromboembolism in a patient with anaplastic astrocytoma: a case report
Authors: Pavlova M. G. , Amergulov I. I. , Likhodey N. V. , Kurkina I. A. , Glinkina I. V. , Zheludkova O. G. , Gilyarov M. Yu. 
Published: September 2021

Venous thromboembolism occurs in 48–200 out of 1,000 patients with brain cancer per year, which is significantly more frequent than in general population.Case report. A female patient had surgical treatment of anaplastic astrocytoma following radiotherapy and chemotherapy (temozolomide, irinotecan, bevacizumab) at the age of 17 years old. She also received dexamethasone. At the age of 20 years, she developed cancer recurrence, that required chemotherapy. After chemotherapy had been initiated, the patient developed deep vein thrombosis of the legs. Rivaroxaban 20 mg/d for 2.5 months with the subsequent switch to enoxaparin 60 mg/d showed no recanalization. Enoxaparin dose increasing up to 160 mg/d demonstrated incomplete recanalization, however, superficial venous thrombosis of the legs developed. Combination therapy with enoxaparin plus warfarin resulted in further deep and superficial veins recanalization.Discussion. In cancer-associated venous thromboembolism that is resistant to low molecular weight heparin monotherapy, short-term combination therapy with low molecular weight heparin and vitamin K antagonists can be considered. However, in recurrent cancer standard treatment protocols can be ineffective.
More than one road goes to Rome: Understanding the complex behavioral solutions of mobile money clientele from the lens of fsQCA
Authors: Mintah Ampaw Enock , Adu-Sackey Albert , Baffoe Samuel , Frempong Joseph , Nte-Adik Nborlen Mark , Azaare Jacob 
Published: September 2021

The study was commissioned to investigate the complex behavioral dispositions of the mobile money service industry in Ghana, and its associated operational challenges. To achieve this, the views of 417, participants were sampled via a structured survey instrument. Tosmana and AMOS Graphics were used to analyze the sample data. The findings of the study demonstrate that the behavioral dispositions of mobile money clientele can be explained through twelve complex solutions. The six-factor model of the study constructs produced an overall solution coverage of 0.94, and an overall solution consistency of 0.80. Furthermore, the AVE and Cronbach’s alpha statistics of the study constructs were found to be above the recommended threshold of > 0.5 and ≥ 0.7, respectively. Moreover, cyber fraud, risky service landscape, poor network, insufficient electronic funds, unforgiven competition, and low financial literacy were identified as the main challenges bedeviling the mobile money industry. It is therefore, recommended that mobile money service providers as a matter of urgency must devise strategies to arrest these challenges in order to heighten service quality in the industry. Again, to ensure market leadership within the mobile money service industry, managers must develop varied product offerings to meet customers’ expectation in each stratum of the twelve complex solutions as enshrined in the findings of the study.
Citation: Ampaw, M. E., Adu-Sackey, A., Baffoe, S., Frempong, J., Nbolen, M. N. A. and Azaare, J. (2021). More than one road goes to Rome: Understanding the complex behavioral solutions of mobile money clientele from the lens of fsQCA. International Journal of Technology and Management Research (IJTMR), Vol. 6 (2): Pp.1－20.
Received: January 3, 2021Accepted: September 1, 2021
Relevance of Counselling Services among Graduate Students at Kwame Nkrumah University of Science and Technology, (KNUST), Kumasi, Ghana
Authors: Antwi Paul , De-Graft Adjei Victoria , Nuako Regina , Ofosuhene S. Peasah Bernice 
Published: September 2021

This is a study showcasing the utilization and knowledge of Counselling Services by Graduate Students at KNUST. The counselling Center of KNUST has been in existence over a decade and most of the clients that patronize its services are undergraduate students with few being Graduate Students. This paper was basically aimed at examining the level of awareness the KNUST Counselling Center, the services provided for members of the university community including graduate students and patronage of the services among Graduate students. There is minimal literature about studies done on Graduate students and counselling and there has not been such study to examine the impact of counselling among Graduate students in a university in Ghana. Therefore, it is hopedthat this study will lead to further studies among graduate students towards better ways of resolving their issues to improve their mental health. From the study, most Graduate students attest to the fact that Counselling is very important and some confirmed that they would recommend the KNUST-Counselling Center to other students. The services and benefits of the KNUST Counselling Center are described in this paper. Alternative ways for effective utilization of the services of the counselling center are explained to support graduate students to improve their mental heal while in school.

Citation:De-Graft Adjei, V., Nuako, R. and Peasah, B. O. S. (2021). Relevance of Counselling Services among Graduate Students at Kwame Nkrumah University of Science and Technology, (KNUST), Kumasi, Ghana. International Journal of Technology and Management Research (IJTMR), Vol. 6 (2): Pp.81-86.
Received: April 19, 2020Accepted: September 1, 2021
Bir aile hekimliği birimine başvuran hipertansiyon tanılı bireylerin hastalıkla ilişkili bilgi düzeyi ve tutumları
Authors: ATİLA Dinçer , KILIÇ ÖZTÜRK Yasemin , BARIŞIK Vatan , ÇALIKOĞLU Elif Okşan 
Published: September 2021

Giriş: Bu çalışmada, İzmir Menemen 1 No’lu Aile Sağlığı Merkezine başvuran hipertansif hastaların hastalıkla ilgili bilgi ve tutumlarının araştırılması amaçlanmıştır.
Gereç ve Yöntem: Tanımlayıcı-kesitsel tasarımdaki bu çalışma 24 Mart - 30 Ağustos 2021 tarihleri arasında Menemen 1 No’lu Aile Sağlığı Merkezi’nde yürütülmüştür. Hastaların sosyo-demografik verileri, kronik hastalık öykülerive hipertansiyon tanı ve tedavisiyle ilgili bilgi düzeyi ve tutumlarına yönelik sorular içeren anket formu yüzyüze görüşme tekniği ile uygulandı. Verilerin analizi SPSS 16.0 paket programıyla yapıldı.
Bulgular: Katılımcıların 61 (%38,9)’i erkek, 96 (%61,1)’sı kadındı. Yaş ortalaması 60,73±11,24 (en küçük 34, en büyük 89) yıl idi. Katılımcıların çoğunluğu (%90,4) ilköğretim mezunuydu, 99 (%63,1) kişide kronik hastalık öyküsü saptandı, 39 (%24,8) kişi düzenli egzersiz yaptığını belirtti.
Sonuç: Araştırmada katılımcıların hipertansiyonla ilgili bilgi düzeylerinin yeterli olmadığı saptandı. Hastalar hipertansiyon konusunda bilgilendirilmeli, düzenli doktor kontrolü ve ilaç kullanımı konusunda yönlendirilmelidir. Topluma yönelik eğitim projeleri planlanmalıdır.
Our experience of laparoscopic partial adrenalectomy in surrenal adenomas
Authors: YILDIRIM Murat Baki , YETİŞİR Fahri , ÖZDEDEOĞLU Mesut , GÜRER Ahmet , DEMİRBAŞ Bülent , AKSOY Şemsi Mustafa , YALÇIN Abdussamed , KILIÇ Mehmet 
Published: September 2021

Aim: For adrenal lesions which are functional and bigger than four centimeters, the optional therapy is surgery. Laparoscopy for the surgery of adrenal masses is increasingly used today. In the past, total adrenalectomy was performed for any adrenal lesions without any exception; however, bilateral involvement of tumors like pheochromocytoma causes trouble and forced surgeons to try partial adrenalectomy. Recently, partial adrenalectomy is a routine surgical procedure for bilateral lesions and also becoming common for unilateral lesions. We aimed to present short-term results for patients who undergo laparoscopic total or partial adrenalectomy.
Material and Method: We collect data retrospectively for 33 patients who were operated on in our clinic for adrenal mass between January 2010 and December 2014. 3 patients were excluded from the study. All data were gained from personal patient medical records. Follow-up records were noted with one-by-one interviews by questioning steroid usage and symptoms of adrenal insufficiency.
Results: Patients were divided into two groups as total adrenalectomy group with 19 patients and partial adrenalectomy group with 11 patients. All patients who underwent total adrenalectomy have unilateral lesions, while 4 for 11 partial adrenalectomy patients have bilateral adrenal masses. Adrenal insufficiency developed in 3 patients for total adrenalectomy, 1 patient for unilateral partial adrenalectomy, and 1 patient for bilateral partial adrenalectomy.
Conclusion: Partial adrenalectomy appears to be protective for adrenal insufficiency for bilateral cases with a ratio of 75%. there was no significant difference between the total or partial unilateral adrenalectomy group, considering postoperative complications, recurrence rates, and insufficiency. As a result, laparoscopic partial adrenalectomy has similar results with less morbidity for unilateral lesions and an alternative method with less adrenal insufficiency for bilateral lesions. Laparoscopic partial adrenalectomy could be performed safely after the learning period was completed and should be considered for adrenal surgeries.
Not just pain and morning stiffness duration in the daily experience of patients with polymyalgia rheumatica. Does the rheumatologist listen to all patient-reported outcomes?
Authors: Manzo Ciro , Castagna Alberto , Sargin Betul 
Published: September 2021

Patient-reported outcomes (PROs) provide a means for patients to communicate with their care teams about their disease. Polymyalgia rheumatica (PMR) is considered to be one of the most common inflammatory rheumatic diseases in older adults. The Visual Analogue Scale (VAS) of pain is the only PRO assessed by the PMR activity score (PMR-AS), which is still the only validated score for monitoring disease activity in patients affected with PMR. Other PROs such as fatigue, sleep disturbances, depressive symptoms, and patient’s perspective related to adverse effects of prednisolone are still unmet needs. This short communication suggests the gerontorheumatological outpatient clinic as an answer.