bluuebunny/crossref_metadata_2025_split huggingface dataset:
Je bois donc je suis
Authors: Beck Sylvain 
Published: March 2021

Cet article se propose d’argumenter la nécessité de pratiques réflexives pour les travailleurs sociaux et intervenants sociaux impliqués par les problématiques de personnes associant alcool et sans-abrisme. À partir d’une étude menée pendant un an auprès d’une association parisienne dans un dispositif d’accueil avec alcool pour les personnes sans-abri, il s’agit de mettre en évidence les enjeux sociologiques et les difficultés rencontrés par les travailleurs sociaux et les intervenants sociaux. Partant du constat que l’alcool est majoritairement tabou, souvent objet de conflits dans les équipes et soumis à des représentations sociales et normatives, cet article se focalise sur la dimension réflexive dans le rapport à soi des professionnels et bénévoles avec les usages d’alcool. Dans une société moderne à économie capitaliste, basée notamment sur la culture du vin, il s’agit ainsi d’interroger ce qui « pose problème », en dépassant les cadres normatifs fondés sur des recommandations médicales et hygiénistes. En effet, l’alcool est un produit addictif commun aux sociétés modernes, que ce soit par adhésion ou par rejet de sa consommation, par sobriété ou par excès dans le comportement. Lorsqu’il est associé à la déviance, la délinquance ou au sans-abrisme, l’alcool des personnes sans-abri devient un parangon de stigmatisation et d’exclusion qu’il est intéressant d’explorer avec un regard sociologique dans une approche globale de l’existence de la personne, décalé des approches médicales et psychologiques, souvent hygiénistes et normatives.
Jean Lecanuet maire de Rouen : le Centre introuvable (1953-1993) ?
Authors: Wanner Warren 
Published: March 2021

Qui était Jean Lecanuet ? À travers une approche biographique centrée sur l’ancien sénateur-maire de Rouen, cet article éclaire ce que sont le centre et le centrisme en France sous la Cinquième République. Dans cette optique, les notions de pouvoir et de territoires jouent un rôle clé : l’ancrage politique local de Lecanuet, associé à sa renommée nationale, a grandement contribué à en faire l’une des grandes figures de la vie politique française du second 20 e siècle. Pour autant, ce centrisme local, à Rouen, ne manque pas d’interroger : son système électoral, fondé très tôt sur les alliances politiques, ne renvoie-t-il pas aux grandes évolutions perceptibles à l’échelon national ? Qu’en est-il de son autonomie ?
Middle ear ossiculoplasty – an experience of a single surgical unit
Authors: Jayaweera J. M. R. G. 
Published: March 2021

BackgroundMiddle ear ossiculoplasty refers to the reconstruction of the middle ear ossicular chain when there is an in continuity or fixation of the ossicular chain due to disease process or trauma. Various materials and techniques have been used to regain the function and continuity of the ossicular chain. But the ideal reconstruction materials and techniques are yet to be developed. The first ossiculoplasty was reported in modern medical literature by Matte in 1901. (1) Since then, various people have used different materials and techniques for ossiculoplasty(2).In a Sri Lankan setting, only a few centres of the country perform ossiculoplasty though almost all the Ear nose throat departments in the country perform myringoplasty for CSOM (Chronic suppurative otitis media). The main purpose of myringoplasty is to make the ear safe from recurrent ear infection. Improving hearing is not the main aim for myringoplasty in Sri Lanka though some patients get the hearing benefit.Material and methodGray’s total ossicular replacement prosthesis (TORP )and partial ossicular replacement prosthesis (PORP) were used. Retrospective data analysis was carried out from patients who underwent surgery from 1st of July 2017 for three-year periods and calculated the success rate using the improvement of hearing in postoperative audiograms.Conclusion and recommendationsOur experience in ossiculoplasty with TORP and PORP showed a reasonable success rate on hearing for traumatic or infective conductive hearing loss. We recommend carrying out it routinely with myringoplasty in the case of damage ossicular chain in the middle ear. We also recommend the ministry of health to make available other types of ossicular prostheses like angular clip prosthesis and malleus replacement prosthesis in addition to TORP and PORP.
An evaluation of paranasal sinusitis related vertigo and nape Pain
Authors: Seevaratnam K. 
Published: March 2021

IntroductionAt Homagama Base Hospital there are approximately 100 patients looked after by the ENT clinic. Among the clinic attendees, paranasal sinusitis with vertigo and nape pain is a common observed phenomenon. In Sri Lanka data on these aspects are rare. Method Cross sectional descriptive study at the ENT Clinic of Base Hospital Homagama. Patients diagnosed as Paranasal Sinusitis amongst the patients attending the ENT clinic, age above 12 years. Patients diagnosed as Paranasal Sinusitis further evaluated for Vertigo and Nape pain. Total 425 patients taken for study. Result Patients diagnosed as Sinusitis, 425, 100%Patients diagnosed as Vertigo, 396 – 93.176%Patients diagnosed as Nape Pain, 322 – 75.76%There were Clinical improvement of Sinusitis – 423, 99.523%, among the research group. Patients with Vertigo – 396, all the symptomatic patients improved. Nape Pain – 322, all the symptomatic patients improved. ConclusionRhino Sinusitis can cause symptoms like vertigo and nape pain. Whilst treating nape pain and vertigo, sinusitis should be considered in the differential diagnosis.
Juvenile nasal angiofibroma (JNA) - review of management with a special focus on surgical approach and resection
Authors: Drahaman A. M. P. , Sharma S. K. , Lakshan M. T. D. 
Published: March 2021

Juvenile Nasal Angiofibroma is a condition which almost exclusively occurs in young males who present with features of nasal obstruction and epistaxis. Over the past few decades there has been a paradigm shift in how we manage this condition with changes in diagnostic criteria, imaging modalities, staging as well as surgical approaches. Endoscopic and Endoscopic Assisted resection techniques have been increasingly popular over the past two decades and have shown to decrease surgical time, post-operative stay as well as intraoperative blood loss. It is our recommendation that future surgeons be adequately exposed and trained in endoscopic resection techniques of angiofibroma, as the authors believe, given the data at hand that this is the way forward.
Motor integrated electro larynx; a novel, less expensive electro larynx
Authors: Jayasena K. D. N. U. D. , Dayaratne S. M. , Bandara Y. M. H. N. 
Published: March 2021

IntroductionTotal laryngectomy results in a muted person. Electro larynx is one method of sound production for speech in such patients. We introduce a novel, less expensive electro larynx. ObjectivesTo assess the usability of the novel electro larynx. MethodsA new electro larynx was developed. Imbalanced motor was used as the vibrator and hence it could be operated with a 3V battery. It is made as a rechargeable device using a mobile phone charger. Fifty Sinhala and English words and 20 numbers were read by a researcher. It was listened and recorded by 5 listeners and documented. Correctly identified words and numbers were analyzed. Test was done both with and without lip reading. ResultsThe new device could generate sound for speech. Eighty-eight percent of English and 89.2% of Sinhala words could be identified with lip reading. For numbers it was 97.6%. ConclusionsNovel electro larynx could be used for effective communication in post laryngectomy patients.
Regulatory B Cells in Autoimmune Diabetes
Authors: Ben Nasr Moufida , Usuelli Vera , Seelam Andy Joe , D’Addio Francesca , Abdi Reza , Markmann James F. , Fiorina Paolo 
Published: March 2021

Abstract
Since they were discovered almost three decades ago, a subset of B cells denoted as regulatory B cells (Bregs) have elicited interest throughout the immunology community. Many investigators have sought to characterize their phenotype and to understand their function and immunosuppressive mechanisms. Indeed, studies in murine models have demonstrated that Bregs possess varied phenotypic markers and could be classified into different subsets whose action and pivotal role depend on the pathological condition or stimuli. Similar conclusions were drawn in clinical settings delineating an analogous Breg population phenotypically resembling the murine Bregs that ultimately may be associated with a state of tolerance. Recent studies suggested that Bregs may play a role in the onset of autoimmune diabetes. This review will focus on deciphering the different subclasses of Bregs, their emerging role in autoimmune diabetes, and their potential use as a cell-based therapeutic.
A Simple High-Performance Liquid Chromatography Method for the Assay of Flavonoids in Ginkgo biloba Leaves
Authors: Wu Dan-Dan , Qu Cheng , Liu Xin-Guang , Li Ping , Gao Wen , Yang Hua 
Published: March 2021

Objective:

Ginkgo biloba leaves, as an herbal medicine or dietary supplement, have been widely used worldwide. In this study, an integrated analytical method was established for the comprehensive analysis of flavonoids in G. biloba leaves.

Materials and Methods:
A practical chromatographic method combining high-performance liquid chromatography fingerprint analysis and quantitation was used to simultaneously determine 11 flavonoids (6 flavonol glycosides and 5 biflavones) in G. biloba leaves from different regions.

Results:
A total of 11 characteristic peaks were identified accurately, and the similarity of fingerprints ranged from 0.944 to 0.996. Methodology validation revealed appropriate linearity (R
2 ≥ 0.9997), precision, repeatability, stability, and recovery. The total contents of the six flavonol glycosides and five biflavones were within the range of 2.142-8.378 mg/g and 3.759-5.675 mg/g in 19 batches of samples, respectively. Among them, two coumaroyl flavonol glycosides were the predominant components.

Conclusions:
In this study, a convenient and reliable approach was successfully employed for the comprehensive evaluation of flavonoids in G. biloba leaves, which also provided a reference for its quality standard.
Clinical Manifestations and Outcomes in Disease-Modifying Antirheumatic Drug-Naive Adult Patients with Chronic Chikungunya Arthritis
Authors: Medina-Cintrón Nicolle , Martínez Idali , Pérez-Ríos Naydi , Berríos-López Yaritza , Vilá Luis M. 
Published: March 2021

ABSTRACTMost studies on chronic chikungunya virus (CHIKV) arthritis include patients treated with disease-modifying antirheumatic drugs (DMARDs), likely altering the expression of clinical manifestations and outcome. Therefore, we sought to evaluate the clinical features and correlates in DMARD-naive patients with chronic CHIKV arthritis. We conducted a case–control study in adult patients with serologically confirmed CHIKV infection in Puerto Rico. Demographic features, clinical manifestations, comorbidities, disease activity (per Clinical Disease Activity Index [CDAI]), functional status (per Health Assessment Questionnaire Disability Index [HAQ-DI]), and pharmacologic treatment were ascertained. Patients with and without chronic CHIKV arthritis were compared. Furthermore, a sub-analysis was performed among patients with chronic CHIKV who presented with mild disease activity versus moderate-to-high disease activity at study visit. In total, 61 patients were studied; 33 patients had chronic arthritis and 28 had resolved arthritis. Patients with chronic arthritis had significantly more diabetes mellitus, chronic back pain, and fever, tiredness, and myalgias on the acute phase. The mean (SD) HAQ score was 0.95 (0.56), and 57.6% had moderate-to-high disease activity. Patients with moderate-to-high disease activity had higher scores in overall HAQ-DI and HAQ-DI categories (dressing and grooming, arising, hygiene, reaching, and activities) than in those with mild activity. In conclusion, in this group of DMARD-naive patients with chronic CHIKV arthritis, nearly 58% had moderate-to-high disease activity and had substantial functional disability. Diabetes mellitus, chronic back pain, and some manifestations on acute infection were associated with chronic CHIKV arthritis.
Pengaruh Intervensi Rafiq Al Wilada Terhadap Kecemasan Saat Proses Bersalin Pada Ibu Primigravida Di Rsia Asri Purwakarta
Authors: Anggi Geuis , Widiasih Restuning , Ermiati Ermiati 
Published: March 2021

Tujuan penelitian ini untuk mengetahui perbandingan tingkat kecemasan sebelum dan setelah intervensi rafiq al wilada saat kehamilan trimester tiga sampai setelah proses bersalin pada ibu primigravida di RSIA Asri Purwakarta. Metode yang di gunakan Pre-Experimental dengan one group pretest and posttest design. Subjek penelitian adalah ibu hamil trimester tiga hingga setelah proses bersalin, sedangkan subjek intervensi adalah seluruh subjek penelitian dan suami. Teknik pengambilan sampel dengan consecutive sampling. Jumlah sampel 25 (n=25). Pengambilan data dilakukan bulan Juni hingga Agustus 2019. Pengukuran kecemasan dengan menggunakan kuisioner HRS-A yang telah dikembangkan oleh Hawari untuk kecemasan ibu hamil. Hasil uji validitas p<0,05 dan reliabilitas 0,06. Analisa data, menggunakan Wilcoxon. Hasil menunjukkan bahwa tingkat kecemasan sebelum intervensi sebagian besar mengalami kecemasan berat sebanyak 20 orang (80%) dengan skor nilai 28-41 sedangkan setelah dilakukan intervensi sebagian besar mengalami kecemasan sedang sebanyak 11 orang (44%) dengan skor 21-27 dan kecemasan ringan 10 orang (40%) dengan skor 14-20. Rata-rata skor kecemasan sebelum intervensi 33,08 (SD 5,992) dan setelah intervensi 22.76 (SD 4,737), menunjukan adanya penurunan skor kecemasan sebesar 10,2 (95% IK 8–12). Terdapat perbedaan signifikan rerata tingkat kecemasan sebelum dan setelah intervensi dengan nilai p value 0,001. Oleh karena itu intervensi rafiq al wilada dapat dijadikan sebagai alternatif intervensi untuk mencegah dan mengatasi kecemasan pada ibu hamil hingga setelah proses bersalin. Kesimpulan Terdapat pengaruh signifikan intervensi rafiq al wilada terhadap penurunan kecemasan saat proses bersalin pada ibu primigravida dengan nilai p value 0,001. Saran intervensi rafiq al wilada dapat dijadikan sebagai alternatif intervensi untuk mencegah dan mengatasi kecemasan pada ibu hamil hingga saat proses bersalin.
Tăng men gan ở bệnh nhân Basedow
Authors: Bùi Thị Tuyết Mai , Vũ Bích Nga 
Published: March 2021

Basedow là bệnh cường chức năng tuyến giáp kết hợp với bướu giáp phì đại lan tỏa do tăng tiết quá nhiều hormon tuyến giáp vào trong máu, sự bài tiết quá nhiều hormon Triiodothyronin (T3) và Tetraiodthyronon (T4) quá mức so với nhu cầu của cơ thể gây ra tình trạng nhiễm độc hormon tuyến giáp ảnh hưởng đến nhiều hệ thống cơ quan bao gồm hệ thống tim mạch, đường tiêu hóa… Trên lâm sàng, thường quan sát thấy các bất thường về xét nghiệm chức năng gan ở bệnh nhân cường giáp chưa được điều trị. Tuy nhiên, tỷ lệ lưu hành báo cáo khác nhau giữa các nghiên cứu khác nhau, dao động từ 37% đến 78%. Cho đến nay, một số yếu tố được cho là góp phần gây rối loạn chức năng gan trong bệnh cảnh cường giáp. Tuy nhiên, mối liên quan giữa các chỉ số chức năng tuyến giáp và tổn thương gan vẫn còn gây tranh cãi và các dữ liệu chứng minh các yếu tố hoặc các thông số sinh hóa góp phần gây ra các bất thường về chức năng gan do Basedow gây ra vẫn còn hạn chế.
Nghiên cứu biến chứng mắt ở bệnh nhân đái tháo đường tại Bệnh viện Đa khoa Trung tâm Tiền Giang
Authors: Châu Mỹ Chi 
Published: March 2021

Cơ sở lý luận: Tại Việt Nam, gần 6% người lớn tuổi mắc bệnh đái tháo đường và có nguy cơ mất thị lực do các biến chứng đáy mắt của bệnh lí Võng mạc đái tháo đường (VMĐTĐ). Phát hiện sớm và điều trị kịp thời võng mạc đái tháo đường có thể làm giảm mất thị lực. Mục tiêu: Xác định tỉ lệ biến chứng mắt trên bệnh nhân đái tháo đường tại bệnh viện Đa khoa Trung tâm Tiền Giang và tìm mối liên quan giữa biến chứng mắt và một số yếu tố nguy cơ. Phương pháp: Nghiên cứu cắt ngang mô tả bao gồm 111 bệnh nhân đái tháo đường tại bệnh viện Đa khoa Trung tâm Tiền Giang. Tất cả bệnh nhân được sàng lọc bệnh võng mạc bằng máy Canon EOS 60Da. Kết quả: Tỷ lệ bệnh mắt đái tháo đường chiếm 32,43%. Trong đó đục thủy tinh thể là 11,71%; bệnh võng mạc đái tháo đường 23,42%, R1M0 là 14,41%, R1M1: 2,7%, R2M0:0,9%, R2M1: 1,8%, R3M1: 0,9%. Bệnh mắt đái tháo đường có liên quan đến thời gian mắc bệnh đái tháo đường, giới tính, tăng huyết áp, mức đường huyết và bệnh thận mạn. Kết luận: Bệnh võng mạc có thể gây mù lòa. Việc phát hiện và điều trị sớm rất quan trọng. Để ngăn ngừa bệnh mắt đái tháo đường hoặc làm chậm tiến triển bệnh nên quản lý tốt đường huyết, huyết áp và cholesterol, và bỏ thuốc lá nếu có hút.
Validity of Cognitive Behaviour Play Therapy Module (DBPT Module)
Authors: Ab Razak Nor Hamizah , Abdul Aziz Abdul Rashid , Zakaria Mohd Zaliridzal 
Published: March 2021

Decision making and resilience are the most important element in addressing social and emotional issues among gifted and talented students (GTS). Therefore, Cognitive Behavior Play Therapy Module (CBPT Module) is conceived as an intervention to improve the decision-making skills and resilience among GTS. The purpose of this research is to assess the content validity of this module. The content validity of CBPT Module analyzed by five experts in the field of module construction, gifted students and play therapy. The findings indicated that the coefficient value of the content validity was .92 and based on the sub module and activities was .909. The research proves that CBPT Module has a high content validity hence it is suitable to apply for the GTS that encloses an inadequate and mediate decision-making skills and resilience level.
Taizé, les protestants français et Marc Boegner (1940-1970)
Authors: Boulet François 
Published: March 2021

La communauté de Taizé suscite chez les protestants français, notamment auprès du pasteur et président Marc Boegner, pour le moins un étonnement et une interrogation. Elle divise les huguenots. Certains sont enthousiastes, d’autres sont intrigués ; enfin une forte proportion est franchement irritée par cette communauté monastique, avec des « frères » d’origine protestante, parfois pasteurs, qui semblent se rapprocher du catholicisme dans les années 1948-1970. Marc Boegner, engagé dans l’« exigence » œcuménique, découvre de mieux en mieux la « communauté », se rendant au moins six fois sur le colline de Taizé entre 1951 et 1966. Il s’étonne d’abord de ses « erreurs », de ses « maladresses » puis il se met à aimer Taizé, notamment via la spiritualité de frère Roger Schutz. Il est intéressant d’appréhender historiquement ce paradoxe : les polémiques des protestants français contre Taizé et l’enthousiasme final du président Boegner pour Taizé comme un « haut lieu du protestantisme français et international », une prophétie de l’unité retrouvée, œcuménique, et pour le dire dans une expression toute boegnérienne, une « grande grâce ». Des archives inédites permettent de suivre assez précisément cette relation de trente années, de 1940 à 1970, entre Taizé, les protestants français et Marc Boegner.
Use of proton pump inhibitors in patients with COVID-19 infection: Are we doing more harm than good?
Authors: Kamran Muhammad , Jafri Wasim 
Published: March 2021

Purpose: The purpose of this paper was to highlight the use of proton pump inhibitors (PPIs) in the supportive treatment of COVID-19 infection and the potential effects associated with their use.
Methodology: This was a theoretical paper.
Findings: COVID-19 pandemic has had a profound negative impact worldwide on the economic and healthcare machinery. PPIs are important drugs used as supportive therapy for various medical conditions like heart-burn and acid peptic disease. There is an on-going deliberation regarding the probable useful versus deleterious effects of PPI use in patients with COVID-19 infection. Some authorities believe in their usefulness as anti-oxidant and anti-inflammatory agents, while others prove with evidence the potential harm caused by their use in terms of increased vulnerability to infections.
Recommendation: Given their possible side-effects, prudent usage of PPI therapy is warranted in patients with active COVID-19 infection.
Keywords: Pandemic, COVID-19, SARS-CoV-2, proton pump inhibitors
ASSESSMENT OF SOCIO-ECONOMIC IMPACT OF COVID-19 PANDEMIC AMONG THE RESIDENTS OF GWAGWALADA, FCT ABUJA, NIGERIA
Authors: Magaji J. Y., , Adekiya O.A., , Sarka S.W 
Published: March 2021

Purpose: The emergence of COVID-19 and the measures put in place to curtail the spread of the virus and the perceived hardship imposed on people prompted this study with the view to assess the level of awareness of COVID-19 pandemic among the residents of Gwagwalada, examine the level of their access to basic health, social facilities and identify needs and level of support they received during COVID-19 lockdown.
Methodology: A cross section survey research was employed and a stratified random sampling was employed in the selection of the respondents. Krejcie & Morgan, (1970) model was use in determining the sample size, a sample of 373 respondents out of 22308 population was selected and used for this study. The first respondent was selected at random and the subsequent ones systematically. The selected people were served with the questionnaire. The information collected were analyzed and the results were presented in tables and percentages.
Findings: The results showed that majority of the respondents are within the ages of 30-39yrs which constituted 38.6%. It showed that 55.4% of the respondents are married, 61% had tertiary education, 53.7% was farmers, and 18.3% was civil servants. The average monthly income of the respondents was between N18.000-N35, 000, results showed that 99% was aware of the COVID-19 pandemic. About 39% of them knew the symptoms of COVID-19 as cough, fever, tiredness, sore throat, and difficulty in breathing. Their sources of information include rumors (79%), social networks (70%), and TV/Radio jingles (75%). The lockdown affected the social and economic activities of the people such as education, family interaction, their leisure, security among others. Economic effects such as poverty, loss of job, closure of small and medium scale businesses among others. About 87% of the respondents indicated that they never received any assistance/support during the lockdown. As a coping strategies, the respondents sold their assets, reduce their rate of consumption, play games, accepted low wages etcetera and the youths went into protest which lead to looting COVID-19 warehouses in the study area in search of palliatives. The study recommends among others, prompt economy recovery plans in terms of expanded palliatives, social security safety nets and stimulus to residents and Small Medium Enterprises (SMEs).
A Comparative Study of Post-Marriage Nationality of Women in Legal Systems of Different Countries
Authors: Yamguchi Zentralarchiv , Quetelet Gigi 
Published: March 2021

In the nineteenth century, a school known as “The Unity System of Couples Nationality” stated the idea that women should acquire the nationality of their husbands after marriage. In other words, the nationality of men should be imposed on women. However, in the 20th century, a movement known as feminism emerged which led to the formation of a school named “System of Nationality Independence”. This school advocated the separation of marriage and nationality and believed that women’s nationality should not change the following marriage. The aforementioned legal schools have had different manifestations in the positive laws of different countries and sometimes it is hard to classify them into a single legal school. The legal systems of countries can be classified into two groups: legal systems advocating the imposition of husbands’ nationality on wives; legal systems opposing the imposition of husbands’ nationality on wives.