bluuebunny/crossref_metadata_2025_split huggingface dataset:
La révision du Règlement intérieur de la Chambre des députés du 24 août 1830 : rupture ou continuité ?
Authors: Le Verge Matthieu 
Published: March 2021

Dans le prolongement de la Révolution de juillet 1830, la Charte constitutionnelle du 4 juin 1814 fait l’objet d’une révision constitutionnelle qui a pour principal objectif de manifester son caractère éminemment contractuel, celui d’un pacte conclu entre le peuple français et le nouveau Roi qu’il a lui-même choisi. Institutionnellement, cela se traduit principalement par la volonté d’un rééquilibrage des rôles respectifs des Chambres législatives et du Roi dans l’exercice de la prérogative souveraine par excellence : celle d’édicter la loi. À une époque où les dispositions théoriques des textes constitutionnels français ne déterminent qu’assez faiblement le fonctionnement des institutions, les Règlements intérieurs des deux Chambres législatives sont dès lors un moyen privilégié pour fixer les choses en pratique, en particulier celui de la Chambre des députés. Ce n’est donc pas un hasard, si dès le mois d’août 1830, cette dernière procède à une révision de son Règlement ; révision d’autant plus importante que, de son issue, allait dépendre la possibilité d’accentuer ou non la parlementarisation du nouveau régime. Or, si ce moment révisionnel semble, a priori , propice pour rompre définitivement avec les pratiques du régime déchu, dans les faits, force est de constater que la tradition et le conservatisme l’emportent largement dans les rangs des députés. Si une révolution politique était inévitable, dans leur esprit le désordre ne peut cependant se pérenniser et les solutions retenues lors de cette révision marquent justement un coup d’arrêt à cet élan libéral à l’œuvre depuis les Trois Glorieuses. À ce titre, cet épisode est annonciateur de l’avènement de cette politique de la « Résistance » qui, tout au long du régime de Juillet, ne cessera de repousser toute velléité de changement au profit d’un conservatisme qui mènera le régime à sa perte.
Rates of Bleeding, Thrombosis, and Survival in Patients who Underwent Hematopoietic Cell Transplantation at King Abdulaziz Medical City, Riyadh, Saudi Arabia
Authors: Alqahtani Sultan , Alragea Ahmed , Alqahtani Basil , Alhoshan Nawaf , Aljasser Ibrahim , Alobaied Abdulaziz , Alassiri Mohammed , Masuadi Emad , Alzahrani Mohsen 
Published: March 2021

BACKGROUND:
Bleeding tendency and thrombosis are two major hematological complications observed in patients after hematopoietic cell transplantation (HCT). Although these complications are well reported in western communities, they are not well established in Saudi Arabia.

OBJECTIVES:
This retrospective study investigated the rates of bleeding, thrombosis, and survival in Saudi and non-Saudi patients who underwent HCT at King Abdulaziz Medical City, Riyadh, Saudi Arabia, from 2010 to 2017.

METHODS AND MATERIALS:
A total of 372 Saudi and non-Saudi patients of both sexes with leukemia, anemia disorders, lymphoma, and other types of pathological disorders who underwent autologous or allogeneic HCT were included in this study. Patient data including age, sex, nationality, type of cancer, transplant type, coagulation profile, date of operation and discharge, treatment, and other outpatient notes were collected and analyzed using the Chi-square test.

RESULTS:
The majority of our patients undergoing allogeneic transplantation had leukemia and other types of anemia disorders including aplastic anemia, sickle cell anemia, and β-thalassemia (79%). However, the majority of patients undergoing autologous transplantation (73.4%) had lymphoma and other types of pathological disorders, including liver cell carcinoma, nephroblastoma, neuroblastoma, myelodysplastic syndromes, and primitive neuroectodermal tumors. Among patients with leukemia, anemia disorders, lymphoma, and other pathological disorders, 2.2%, 1.4%, 1.4%, and 2.8% suffered from thrombosis (overall, 1.9%) and 9.5%, 8.6%, 5.6%, and 11.2% suffered from bleeding, respectively (overall 8.9%). Moreover, the 7-year survival rate among those patients was 82.5%.

CONCLUSION:
Bleeding occurred at a higher rate after HCT, and the overall 7-year survival rate was relatively high.
Study of Coagulation Profile in Patients Admitted to a Trauma Center in a Tertiary Care Hospital
Authors: Kulkarni Kalpana Ketan , Bhandari Anup Pravin , Rathod Pallavi 
Published: March 2021

CONTEXT:
Globally, trauma is the leading cause of death in young adult population, with approximately accounting for 10% of all deaths. Trauma-induced coagulopathy (TIC) is an independent predictor of morbidity and mortality.

AIMS:
The aim of the study was to find the prevalence of abnormal test results of coagulation on admission to a trauma center and correlate them with mortality.

SETTINGS AND DESIGN:
This was a cross-sectional observational study conducted on patients admitted to a trauma center of a tertiary care hospital.

SUBJECTS AND METHODS:
A total of 149 patients with an Injury Severity Score >15 were included in the study. Blood samples of the patients were collected within 24 h of trauma and 2 h of admission and tested for platelet (PLT) count, prothrombin time (PT), activated partial thromboplastin time (APTT), and fibrinogen (FIB) level. The patients were stratified into two groups – presence/absence of TIC and followed for 2 weeks for mortality.

STATISTICAL ANALYSIS USED:
Data analysis was done using Microsoft Excel and statistics software SPSS 20 version.

RESULTS:
Among the 149 patients, 84 had TIC, out of which 71.43% of the patients showed mortality. Of the remaining patients who had no TIC, 35.38% reported mortality. If all the four parameters, that is, PT, APTT, FIB, and PLTs, were considered together, then the percentage of mortality increased to 89.47%. If PT and APTT were studied together, then the percentage of mortality increased to 85.71%. If PT, APTT, and FIB were studied together, the mortality was 84.62%, whereas for parameters PT, APTT, and PLTs together, the mortality was 80%.

CONCLUSIONS:
Coagulopathy is a strong predictor of mortality in major trauma patients. Basic coagulation tests appear to be sensitive tools for identifying patients at high risk of early death and can be used for early minute diagnosis of TIC. Patients with TIC should be managed aggressively to prevent mortality.
Presentation and management of postcircumcision meatal stenosis at Hawari Center, Benghazi, Libya: A clinical review of 86 cases
Authors: Elkhafifi Muftah 
Published: March 2021

Abstract
Background: Circumcision is a commonly practiced surgical procedure particularly in Islamic countries. As any other surgical procedure, it is attended by some complications of either early (e.g., bleeding) or late (e.g., meatal stenosis [MS]). Objectives: This study was designed to study the different clinical pictures, age at presentation, and management and outcome of postcircumcision MS. Patients and Methods: This is a retrospective study involving 86 children diagnosed with symptomatic MS and underwent meatotomy during the period from January 2010 to December 2018 at Hawari Center for Urology and Otolaryngology, Benghazi. The medical records of the patients reviewed included age at presentation, different clinical pictures, management, and outcomes. All patients were circumcised during the neonatal or infancy period. Results: Patients' age ranged between 3 and 13 years with a mean age of 5.14 years. More than three-quarters of the patients (84.8%) were between 3 and 8 years of age. Forty-six patients (53.4%) presented with pain (burning) during micturition; 17 patients (19.7%) with thin casting stream; 13 patients (15.11%) with thin dorsally deviated stream; five patients (5.8%) with sudden urge to micturiate; 3 (3.40%) patients with frequency of micturition; and only two patients (2.3%) with prolonged voiding time. All our patients operated by meatotomy as a day case procedure under general anesthesia, and there were no recurrences of MS symptoms in any case during the follow-up period. Conclusion: MS is a frequent late complication of neonatal circumcision; it should be excluded by careful meatal examination in any child who is circumcised particularly at the neonatal or nappy period and presented with abnormal micturition or even lower abdominal pain.
Botulinum Toxin Treatment of Temporomandibular Joint Pain in Patients with Bruxism
Authors: Kaya DI , Ataoğlu H 
Published: March 2021

Background:
Bruxism is a parafunctional habit, usually performed in sleep, by rhythmic and involuntary teeth being squeezed or squeaked. The most common methods of treatment are the use of occlusal splints.

Aims:
The aim of this study was to compare the efficacy of occlusal splinting with botulinum toxin administration in the treatment of TMJ pain.

Subjects and Methods:
For this purpose, 40 patients with bruxism were divided into two groups and one group was treated with occlusal splint and the other group received masseter muscle botulinum toxin injection. Then, the participants in both groups were evaluated in terms of pain, functional movement, and maximum bite force change at 2 weeks, 6 weeks, 3 months, and 6 months. Mann–Whitney U test was used to examine the differences between two independent groups. While Friedman test was used for differences between dependent groups, the Wilcoxon test was used for the differences between two repetitive measurements. Chi-square test was used to examine the relationship between categorical variables. Results: When pain was evaluated, both methods were effective in pain reduction, botulinum toxin injection was found to be less effective in reducing pain but no difference was found between the two methods. The maximum bite force decreased in the 2nd and 6th weeks and increased in the 3rd and 6th months in patients receiving botulinum toxin. In patients using occlusal splints, there was no change until the 3rd month and an increase was seen in the 6th month. In this study, it was observed that low dose BTX-A and occlusal splint use were effective in eliminating bruxism-related pain but not superior to each other.

Conclusions:
According to these results, low dose botulinum toxin can be considered as an alternative treatment in patients who cannot use occlusal splint for various reasons.
Vitamin D and Bone Mineral Status of Newborn-Maternal Pair Delivering at a Tertiary Hospital in Nigeria
Authors: Elechi HA , Oduwole A , Idris HW , Faruk MB , Alhaji MA 
Published: March 2021

Background:
Vitamin D plays a vital role in the maintenance of bone health. The fetuses and exclusively breastfed neonates depend on maternal vitamin D store to meet their need. Widespread vitamin D deficiency among pregnant women have been reported with adverse fetal outcome. Nigeria lacks guideline on Vitamin D supplementation in pregnancy and infancy due to the paucity of data. We thus determined serum vitamin D of delivering mothers and their offsprings and other indicators of bone mineral health.

Aims:
This study aimed to determine serum Vitamin D and other indicators of bone mineral health of delivering mothers and their offspring.

Material and Method:
A cross-sectional study of delivering mothers and their newborns recruited consecutively until the minimal sample size was reached. Relevant information was obtained on a questionnaire. Maternal and cord serum vitamin D, calcium, albumin, phosphate, and alkaline phosphatase were determined. Data management was done using SPSS version 16.0.

Results:
Of the 84 newborn-mother pairs studied, 17 (20.2%) of the mothers were Vitamin D deficient and 23 (27.4%) insufficient. Seven (8.3%) of the mothers were hypocalcaemic and 3 (3.6%) hypophosphataemic, while 19 (22.6%) had elevated alkaline phosphatase. Only 15 (17.9%) of the neonates were vitamin D insufficient and none of them was vitamin D deficient, hypocalcaemic, hypophosphataemic nor had elevated alkaline phosphatase. There was strong positive correlation between cord and maternal blood vitamin D level (r = 0.740, P = < 0.001).

Conclusion:
Vitamin D deficiency and insufficiency is high among pregnant women in Maiduguri while insufficiency is common among the neonates. We recommend vitamin D supplementation to pregnant women and newborns in Maiduguri.
Physical Therapy Enhances Functions and Quality of Life in Older Patients with Breast Cancer-Related Lymphedema
Authors: Kostanoglu A , Tarakcı E 
Published: March 2021

Background:
Lymphedema of the arm is one of the most common complications following breast cancer surgery.

Aims:
The primary aim of this study was to evaluate the effects of complex decongestive physical therapy (CDPt) on upper extremity functions, activities of daily living (ADL), and quality of life (QoL), and secondly the effects of the degree of lymphedema on post-treatment differences in older patients with breast cancer-related lymphedema (BCRL).

Subjects and Methods:
Sixty-eight patients who had BCRL were included between 2015 and 2017. Arm function was evaluated with the Constant-Murley scale, while ADL was measured with the Lawton Instrumental Activities of Daily Living Scale, and QoL was measured with the Lymphedema Functioning, Disability and Health Questionnaire as pre- and post-treatment tests. The patients underwent a CDPt program for 6 weeks.

Results:
There were statistically significant improvements for all outcome measurements in older patients with Grade 1 and 2 lymphedemas after the treatment (P < 0.001). The Grade 1 patients had a greater difference at mobility, participation in the life and social activities, and their total scores of quality of life had a significance level of P < 0.001.

Conclusion:
Older patients with Grade 1 BCRL had better mobility, participation in the life, and social activities. CDPt provides enhancement of arm functions, ADL, and QoL in older patients with breast cancer-related lymphedema.
Urological Emergencies in a Nigerian Teaching Hospital
Authors: Okeke CJ , Obi AO , Odoemene CA , Ojewola RW , Afogu EN , Odo C , Ogbobe UU 
Published: March 2021

Background:
Urological emergencies constitute a significant part of emergency presentations in various referral centers. Data on the prevalence of these emergencies in West African sub-region are sparse.

Objective:
The study is aimed at determining the pattern of urological emergencies in our center and is geared towards bridging the gap in knowledge of the epidemiology of urological emergencies in this sub-region as a means of achieving efficient use of scarce resources.

Subjects and Methods:
It was a retrospective study of all urological emergency cases that presented over six years in a Federal University Teaching Hospital in Nigeria. Data were collected from emergency register and theatre logs. Data analysis was done using SPSS version 25.

Results:
A total of 267 patients presented with urological emergencies during the period of study with 258 (96.6%) men and 9 (3.4%) women. The mean age of the patients was 50.6 ± 20.8 years. Urinary retention was the most common urological emergency accounting for 159 (59.6%) cases followed by Fournier's gangrene 23 (8.6%) and testicular torsion 23 (8.6%). Bladder and ureteral injuries accounted for 5 (55.6%) of the urological emergency presentations in women while both injuries accounted for only 4 (1.6%) in men (P = 0.000). Urethral catheterization was the most commonly performed procedure 139 (52.1%), followed by percutaneous suprapubic cystostomy (SPC) 31 (11.6%).

Conclusion:
Urological emergencies have varying presentations in both sexes. Urinary retention, and acute scrotum were the most common urological emergencies in our facility. This knowledge can be used in emergency preparedness planning which involves personnel training and resource allocation.
The Impact of Dysmenorrhea on Pulmonary Functions
Authors: Dogru HY , Oktay G , Ozmen ZC , Ozsoy AZ , Koseoglu HI 
Published: March 2021

Background:
Primary dysmenorrhea (PD) is characterized by symptoms including sweating, headache, nausea, vomiting, diarrhea, tremulousness, usually begins adolescence, those can be associated with autonomic dysfunction affecting pulmonary functions.

Aim:
The aim of the present study is to investigate the impacts of PD on pulmonary function tests.

Subjects and Methods:
A prospective cross-sectional design was selected. All subjects were invited to admit to the Department of Obstetrics and Gynecology outpatient unit for venous blood test detecting the levels of estrogen and progesterone during the follicular and luteal phase of their menstrual cycle. After drawing blood, women were taken to the pulmonary function tests laboratory to perform the test. The comparisons between Group PD and Group Control were performed by the independent samples t-test or Mann–Whitney U test. Intragroup comparisons were completed by paired samples t-test. Results: The comparisons between Group PD and Group Control among estrogen and progesterone in follicular and luteal phase, pulmonary function test results did not show any significance (P > 0.05). The intragroup comparisons of estrogen and progesterone levels, and pulmonary functions test results revealed no significant difference (P > 0.05).

Conclusion:
The present study showed that PD does not influence the spirometric measurements and also respiratory functions are not impaired by the different phases of menstrual cycle.
Prevalence of Cardiovascular Complications in Malaria: A Systematic Review and Meta-Analysis
Authors: Holm Anna Engell , Gomes Laura C. , Marinho Claudio Romero Farias , Silvestre Odilson M. , Vestergaard Lasse S. , Biering-Sørensen Tor , Brainin Philip 
Published: March 2021

ABSTRACTRecent studies have suggested that malaria may affect the cardiovascular system. The aim of this systematic review and meta-analysis was to determine the prevalence of cardiovascular complications in symptomatic malaria patients. We searched databases such as Pubmed, Embase, Cochrane, and Web of Science (January 1950–April 2020) for studies reporting on cardiovascular complications in adults and children with malaria. Cardiovascular complications were defined as abnormalities in electrocardiogram (ECG), cardiac biomarkers, and echocardiography on admission or during outpatient examination. Studies of patients with known heart disease or cardiovascular evaluation performed after the start of intravenous antimalarial medication were excluded. The study was registered in International Prospective Register of Systematic Reviews (PROSPERO) (No.: CRD42020167672). The literature search yielded 1,243 studies, and a total of 43 studies with symptomatic malaria patients were included. Clinical studies (n = 12 adults; n = 5 children) comprised 3,117 patients, of which a majority had Plasmodium falciparum (n = 15) and were diagnosed with severe malaria (n = 13). In random-effects models of adults, the pooled prevalence estimate for any cardiovascular complication was 7% (95% CI: 5–9). No meta-analysis was conducted in children, but the range of abnormal ECG was 0–8%, cardiac biomarkers 0–57%, and echocardiography 4–9%. We analyzed 33 cases (n = 10 postmortem), in which the most common cardiovascular pathologies were myocarditis and acute coronary syndrome. All histopathological studies found evidence of parasitized red blood cells in the myocardium. Cardiovascular complications are not uncommon in symptomatic adults and children with malaria. Additional studies investigating malaria and cardiovascular disease are encouraged.
INFLUENCE OF INDIVIDUAL DETERMINANTS ON SELF-REFERRALS AMONG PREGNANT WOMEN SEEKING DELIVERY SERVICES IN COAST GENERAL REFERRAL AND TEACHING HOSPITAL MOMBASA, KENYA (CGTRH)
Authors: Kivuva Elizabeth , Njoroge Kezia , Tenambergen Wanja 
Published: March 2021

Purpose: The purpose of this study was to establish the influence of individual determinants on self-referrals among pregnant women seeking delivery services in CGTRH
Materials and Methods: The study adopted a descriptive cross-sectional research. The study target population was all pregnant women seeking delivery services in coast general teaching and referral hospital at the maternity unit. Therefore, 6,420 formed the study population as it is from this sampling frame that a sample of mothers was obtained. A sample of 376 pregnant women was obtained. Systematic random sampling was used to select the pregnant women to be included in the sample. Data was collected using a structured questionnaire. The data collected were cleaned and coded, quantified and analyzed quantitatively. Quantitative data were analyzed using IBM SPSS where descriptive and inferential statistics were used to capture the data in order to understand the pattern and nature of relationships. Univariate analysis was done using descriptive statistics (frequencies and percentages,) in order to summarize the data, and the results were presented using charts, graph and tables.
Results: The findings indicated a significant relationship between education status and self-referrals whereby, the more educated the pregnant women were the more likely they were to make self-referrals at the referral facility. In particular, pregnant women with tertiary level of education were 4.2 times more likely to make self-referrals compared to those with no education. Further analysis using multivariable logistic regression at a significance level of 0.05 established that there was a significant difference between pregnant women with no education and those with tertiary education, with the latter being 4.4 times more likely to make self-referrals compared to the former.
Unique contribution to theory, practice and policy: The study recommends that hospitals ought to enhance their CRM policies so as to deliver quality services that satisfy Information technology infrastructure can revolutionize healthcare with the right policy choices. IT can foster new human connectivity thresholds and is a powerful tool of global convergence through the cross-border provision of services and can as well provide new opportunities for the production of knowledge and skills.
LOGISTICS MANAGEMENT FROM FIRMS’ PERFORMANCE PERSPECTIVE
Authors: Bagshaw Karibo Benaiah 
Published: March 2021

Purpose: The study was carried out to throw light on how effective logistics management has on on-time delivery and sales growth. Efficient and effective logistics management is viewed and regarded as competitive tool used as a means of increasing performance. This study empirically looked at the relationship between logistics management and performance of 122 selected firms across Rivers State, Nigeria. It focused on logistics management (using the dimension of transportation and physical distribution) on on-time delivery and sales growth.Methodology: The research framework was examined by empirical analysis of primary data collected through the use of questionnaire; hence the study adopted the research survey method.Results: The outcome of the analysis revealed that effective transportation and distribution influences on-time delivery and sales growth respectively.Contributions: Therefore, organizations should establish and maintain standard and vanilla logistics management system, so that the right amount of stock is held and economic order quantity is achieved through proper physical distribution of the product to achieve higher performance. Also, to attain reasonable on time delivery firms in general and managers in particular should be properly equipped with the newest technology in transportation.