bluuebunny/crossref_metadata_2025_split huggingface dataset:
Hellénisme et diaspora : les réseaux des Grecs et la crise de leur État-nation
Authors: Bruneau Michel 
Published: March 2021

Dans son analyse de la crise que traverse la société et l’État grecs, Georges Prévélakis adopte une approche en termes de réseaux et fait appel à la notion d’hellénisme. La diaspora, l’Église orthodoxe du patriarcat œcuménique et la marine marchande, qui en sont des composantes essentielles, devraient permettre de sortir du carcan que constitue, pour les Grecs, leur petit état surendetté, en les reliant à la dimension mondiale et à la longue durée de leur histoire plurimillénaire. Michel Bruneau avait précédemment étudié la généalogie de l’hellénisme et construit une modélisation graphique de cette notion : s’il rejoint G. Prévélakis sur la dimension réticulaire, M. Bruneau ne pense pas que les Grecs, peuple-monde de la longue durée européen, puissent compenser la faiblesse démographique, économique et politique de la Grèce en recourant à cette dimension mondiale religieuse, diasporique et maritime, au moment où ils entrent dans le projet chinois des « Nouvelles routes de la soie ». Ils ne peuvent échapper au tropisme occidental de leur diaspora et de leur appartenance à l’Union européenne.
Émergence et diffusion du rugby à XV en Géorgie
Authors: Le Lay Yvonnick 
Published: March 2021

Ancré en Géorgie depuis 1959, le rugby à XV y est longtemps demeuré un sport confidentiel, avant que le pays ne devienne une « nation émergente » du rugby mondial. En lien avec les performances de l’équipe nationale masculine, les Lelos, toujours qualifiée en Coupe du monde depuis 2003, sa pratique s’est progressivement diffusée au sein du territoire géorgien. L’étude de cette diffusion est fondée sur les travaux d’Hägerstrand, Rogers, Brown et Blaut. Au-delà des aspects classiques de la diffusion spatiale, l’article met en valeur les rôles spécifiques de la médiatisation, de la financiarisation et de la construction culturelle du rugby à XV qui a acquis le rang de sport national en Géorgie.
Comprendre la dynamique et les enjeux de coordination des parcours de santé : proposition d’un cadre d’analyse à partir des phénomènes de rupture
Authors: Aubert Isabelle , Kletz Frédéric , Sardas Jean-Claude 
Published: March 2021

La promotion de la logique du parcours, destinée à faire évoluer la prise en charge des patients vers une approche coordonnée et globale, imprègne le champ de la santé depuis une quinzaine d’années en France. Pourtant, l’observation des parcours réels témoigne de la survenue encore fréquente de ruptures dans leur déroulement, entraînées par des désajustements de la réponse aux besoins des patients et des défauts de coordination entre les acteurs. L’objet du présent article est d’analyser les modalités de construction et de déconstruction de cet équilibre précaire et évolutif entre l’offre et les besoins d’aides et de soins, d’en tirer des enseignements sur la notion de rupture, et de proposer un cadre d’analyse adapté à la complexité de cette notion. Nous mobilisons le cadre théorique de la sociologie des parcours de vie (Bidart, 2006 ; Grossetti, 2006 ; Abbott, 2009 ; Bessin, 2009), afin d’appréhender les étapes et ingrédients conduisant à une rupture, que nous complétons par le cadre gestionnaire d’analyse de l’activité de coordination des professionnels entre eux et avec le patient, spécifique aux parcours de santé (Bloch et Henaut, 2014 ; Frattini et Naiditch, 2015). La méthode de recherche adoptée est qualitative et repose sur une étude de cas multiples, fondée sur la reconstitution de parcours de personnes âgées en situation complexe et sur des entretiens réalisés avec les professionnels de santé d’un territoire et une aidante d’un patient. Nos résultats permettent d’enrichir l’analyse des parcours de santé par la mise en lumière du processus et des mécanismes à l’origine des ruptures et, sur ce fondement, de proposer une contribution théorique à la compréhension du phénomène de rupture d’un parcours de santé.
Biomass cogeneration plants integrated into poultry slaughterhouses for reducing industry costs with energy
Authors: Siqueira Abilio Teixeira de , Bazzo Edson , Lo Giudice Pedro , Burin Eduardo 
Published: March 2021

A technical and economic feasibility analysis was performed concerning biomass cogeneration to supply the thermal and electricity demands of poultry slaughterhouses. The analysis considers measured data referring to the annual energy consumption from an existing industry as well as the characteristics of equipment available in the Brazilian market. The cogeneration plant is equipped with a water tube steam generator and a condensing-extraction steam turbine in a Rankine cycle. Four different configurations were evaluated, including impulse and reaction turbines at two steam pressure/temperature levels (43 bar / 450 °C and 68 bar / 520 °C). A steady state full load operation is considered at cogeneration mode on the weekdays and at Rankine power plant mode on the weekends, when there is no process steam consumption. The technical analysis pointed out the reaction turbine at 68 bar / 520 ºC as the best alternative, leading to the highest overall efficiency. In addition, this plant configuration showed economic advantages represented by an Internal Rate of Return (IRR) of 21%, a Net Present Value (NPV) of US$ 10.93 million, and a payback time of 6 years, enabling a reduction on the industrial cost with energy in the slaughterhouse to 19 US$/ton of product (-30% in comparison to the base case). Finally, the calculated LCOE of 73 US$/MWh was lower than the current price of the electricity in the market, indicating potential economic feasibility of the proposed concept.
Oncological cases and complications in Urology
Authors: Bernabei Massimiliano , Di Domenico Antonia , Falcao Gil , Fragkoulis Charalampos , Benelli Andrea , Beverini Martina , Pinheiro Luís Campos , Carneiro Cabrita , Fabbri Nicolò , Glykas Ioannis , Greco Salvatore , Introini Carlo , Ntoumas Konstantinos , Papadopoulos Georgios , Rutigliani Mariangela , Stamatakos Panagiotis , Barreira João Vasco 
Published: March 2021

This collection of cases describes some unusual urological tumors and complications related to urological tumors and their treatment.
Case 1: A case of left hydronephrosis referred four years after a right radical mastectomy for lobular breast carcinoma was described. Computed tomography scan revealed a left hydronephrosis with dilated ureter up to the proximal third. An exploratory laparoscopy was performed and the definitive histopathology examination showed a recurrence of the carcinoma with a right tubal metastasis and peritoneal carcinosis.
Case 2: A rare case of an extensive penile squamous cell carcinoma in a young man. The patient was treated with radical surgery and modified inguinal lymphadenectomy. No recurrence was noticed so far.
Case 3: A rare case of left sided Inferior Vena Cava (IVC) in a patient diagnosed with renal cell cancer who underwent open left partial nephrectomy.
Case 4: A case of urethrorrhagia, caused by a recent trauma from an urinary catheter placed in a patient submitted to gastric resection due to a neoplastic pathology. Urethrorrhagia only temporarily responded to conservative treatment and ultimately resolved by coagulation with an endoscopic approach.
Comparison of Complete Rockall Score, Glasgow–Blatchford Score, and AIMS 65 Score for Predicting In-Hospital Mortality in Patients Presenting with Upper Gastrointestinal Hemorrhage at a Tertiary Care Hospital in Southern India
Authors: Totagi Anand , Srinivas Usha , Paramasivan Piramanayagam , Krishnan Sankaranarayanan , Palaniswamy Kallipatti Ramasamy , Mohan A. T. , Parameswaran Sarojini Ashok , Dhus Ubal , Hariharan Muthuswamy , Revathy M. S. , Murugan Natarajan , Premkumar Karunakaran , Venkatesh Seshadri , Mahalingam Preethi , Kumar Santhosh 
Published: March 2021

Background:
Multiple risk assessment scores are available to triage and stratify patients presenting with upper gastrointestinal (GI) hemorrhage. This study was conducted to compare the accuracy of complete Rockall score (CRS), Glasgow–Blatchford score (GBS), and AIMS65 score (AIMS65-albumin, INR >1.5, impaired mental status, systolic pressure <90 mm Hg, and age >65) in predicting in-hospital mortality in patients presenting with upper GI hemorrhage to the gastroenterology department at a tertiary care hospital in Southern India. The secondary objectives were to compare these three scores in predicting the need for blood transfusion, any intervention (endoscopic or radiological or surgical intervention), or rebleeding in patients presenting with upper GI hemorrhage.

Materials and Methods:
This was a retrospective analysis of prospectively recorded data which included 207 patients with acute upper GI hemorrhage admitted at a tertiary care hospital at Chennai over 2 years. Demographic, clinical, laboratory, and endoscopic parameters were recorded. CRS, GBS, and AIMS65 scores were calculated. Data regarding in-hospital mortality, need for blood transfusion, endoscopic intervention, radiological intervention, surgical intervention, and rebleeding were collected. Area under receiver operating characteristic curve (AUROC) was compared between the three scores in predicting in-hospital mortality, need for blood transfusion, intervention, and rebleeding.

Results:
AIMS 65 score >3 (AUROC 0.92) was a better predictor of in-hospital mortality than GBS (AUROC 0.77) and CRS (AUROC 0.69). AIMS65 was a better predictor of rebleeding (AUROC 0.804) than GBS (AUROC 0.676) or CRS (AUROC 0.623). GBS was a better predictor for need of blood transfusion (AUROC 0.785) than AIMS65 (AUROC 0.691) or CRS (AUROC 0.629).

Conclusion:
AIMS 65 score (>3) was a better predictor of in-hospital mortality than GBS or CRS in patients presenting with acute upper GI hemorrhage due to either variceal and nonvariceal etiology. AIMS 65 was also a better predictor of risk of rebleeding. GBS was a better predictor of need for blood transfusion and need for intervention.
Clinical and Laboratory Profile of COVID-19 Patients Admitted at a Tertiary Care Center in New Delhi and Assessment of Factors Predicting Disease Severity
Authors: Jain Piyush , Sinha Nitin , Prasad M. K. Hari , Padole Vaibhav 
Published: March 2021

Background:
This study was conducted in nonintensive care unit COVID-19 patients admitted in a tertiary care center, to assess the clinical profile and find surrogate markers to predict the severity of COVID-19 at the time of admission.

Methodology:
It is a cross-sectional observational study. Clinical and laboratory data were compiled of patients admitted in COVID wards in a tertiary care center. Patients were stratified clinically according to the severity of COVID pneumonia. The admission clinical and laboratory parameters were compared between the severe and nonsevere COVID patients.

Results:
The study included 63 patients of which 46 were males, with a mean age of 47 years. Patients were classified into mild (32%), moderate (19%), and severe (49%) categories according to national guidelines. Fever (81%), cough (67%), and dyspnea (67%) were the most commonly observed symptoms. In comparative analysis, mean C-reactive protein (CRP), serum ferritin, and neutrophil–lymphocyte ratio (NLR) were significantly higher in severe COVID-19 patients and the admission PaCO2 significantly lower compared to nonsevere patients.

Conclusion:
The study shows that raised NLR, CRP, serum ferritin, and low PaCO2 levels at the time of admission are important predictors of disease severity.
Satisfaction of Malaria Patients with Care by Community Health Workers Trained in Microscopy: A Mixed-Methods Study in Palawan, the Philippines
Authors: Akiko Matsumoto-Takahashi Emilie Louise , Tongol-Rivera Pilarita , Villacorte Elena Andino , Angluben Ray Uyaan , Jimba Masamine , Kano Shigeyuki 
Published: March 2021

ABSTRACTPalawan is the malaria-endemic province with the highest prevalence of malaria in the Philippines, and microscopists (community health workers) have been allowed to deliver early diagnosis and prompt treatment of malaria throughout the province since 1999. To improve the quality of care, the present mixed-methods study attempted to identify the factors associated with satisfaction of patients in Palawan with their microscopists by analyzing the patients’ perspectives. First, a quantitative cross-sectional study was conducted among 48 ex-patients and their nine microscopists. Ex-patients were asked about their satisfaction with care, and microscopists were asked about their job satisfaction and ability. Structural equation modeling was conducted for data analysis. Second, a qualitative cross-sectional study was performed using narrative interviews. Data were analyzed using the NVivo 10 software program. As a result, both studies revealed high patient satisfaction with microscopists. The quantitative study showed that ex-patients’ satisfaction with their microscopists was independently enhanced by two factors: high ability in malaria microscopic observation and low household wealth of the patients. Particularly, specific subpopulations (those with lower household wealth, relatively old people, and ethnic minorities) were more satisfied with the microscopists’ care. The qualitative study strengthens this finding by showing that their microscopists offered prompt and precise diagnosis and effective treatment for free. In conclusion, microscopists were shown to have an important role in narrowing the disparities in malaria care in Palawan. It is important to maintain/enhance the ability of microscopists in malaria microscopy to satisfy their patients.
Lumbar Puncture-Related Knowledge, Attitudes, and Practices among Patients, Caregivers, Doctors, and Nurses in Zambia
Authors: Elafros Melissa A. , Belessiotis-Richards Clara , Birbeck Gretchen L. , Bond Virginia , Sikazwe Izukanji , Kvalsund Michelle P. 
Published: March 2021

ABSTRACTLumbar puncture (LP) is underused for neuroinfectious disease diagnosis in Zambia, but reasons for poor uptake remain speculative. This cross-sectional study assessed LP knowledge, attitudes, and practices among patients/caregivers and healthcare workers (HCWs) and predictors of LP completion. Patients with suspected central nervous system infection, caregivers, and HCWs at the University Teaching Hospitals in 2016 were eligible. Questions adapted from the existing literature were used for a LP knowledge score. Predictors of knowledge scores were assessed independently for patients/caregivers and HCWs. Predictors of LP completion were assessed using multivariable logistic regression. Among 123 patients/caregivers, LP knowledge was poor. Pediatric caregivers were more likely than adult patients/caregivers to report LP could be replaced by neuroimaging (90% versus 78%, P < 0.001) and cause paralysis (57% versus 39%, P = 0.01). There were no significant predictors of the knowledge score among patients/caregivers. Among HCWs, 28% said LP makes patients clinically worse, and 60% reported it could cause paralysis. The increased knowledge score was associated with greater wealth (P = 0.03) and personally knowing someone who underwent LP (P < 0.001). Lumbar puncture was completed on 67/112 (57%) patients and was associated with an increased knowledge score (OR: 1.62 [95% CI: 1.19–2.23]). Pediatric patients (OR: 0.18 [95% CI: 0.07–0.47]) and those with a fear of paralysis (OR 0.29 [95% CI: 0.11–0.77]) were less likely to undergo LP. Improving LP-related knowledge may improve uptake. Healthcare workers sense of LP risk may also play a role in encouraging/discouraging use.
Sensitive and Prolonged Detection of Dengue Virus RNA in Whole Blood
Authors: Waggoner Jesse J. , Stittleburg Victoria , Natrajan Muktha S. , Paniagua-Avila Alejandra , Bauer Desiree , Olson Daniel , El Sahly Hana M. , Asturias Edwin J. , Anderson Evan J. , Munoz Flor M. 
Published: March 2021

ABSTRACTMolecular detection of dengue virus (DENV) RNA from serum or plasma provides an accurate acute-phase diagnostic (< 7 days after symptom onset). Detection may be prolonged in whole blood, although data are limited. We tested for DENV by real-time reverse transcription–PCR in 345 paired acute-phase plasma and whole blood samples from individuals with a Flavivirus-like illness in southwestern Guatemala. In 18/18 cases with detectable DENV RNA in plasma, whole blood samples were positive and yielded similar cycle threshold values. In seven individuals with convalescent samples obtained 2–3 weeks later, DENV RNA remained detectable in whole blood but not plasma. In three additional cases, DENV RNA was only detectable in whole blood at the acute visit. In two cases, whole blood detection was linked to a virologically confirmed DENV infection 6–11 weeks earlier. Whole blood DENV RNA detection is sensitive for acute dengue infection and may remain positive for weeks to months.
Epidemiological and Clinical Characteristics of Alveolar Echinococcosis: An Emerging Infectious Disease in Alberta, Canada
Authors: Houston Stan , Belga Sara , Buttenschoen Klaus , Cooper Ryan , Girgis Safwat , Gottstein Bruno , Low Gavin , Massolo Alessandro , MacDonald Clayton , Müller Norbert , Preiksaitis Jutta , Sarlieve Philippe , Vaughan Stephen , Kowalewska-Grochowska Kinga 
Published: March 2021

ABSTRACTHuman alveolar echinococcosis (AE) is a zoonotic cestode infection which is usually fatal in the absence of treatment. Treatment involves major surgery or indefinite antiparasitic therapy. The incidence is rising in Europe and Asia, with an increased risk observed in immunocompromised individuals. Previously, AE acquisition in North America was extremely rare, except for one remote Alaskan Island. Recent studies have demonstrated a new European-like strain of Echinococcus multilocularis (Em) in wildlife and in human AE in western Canada. We report the experience of all AE patients diagnosed in Alberta. Each was diagnosed by histopathology, serology, and PCR-confirmed by a reference laboratory. Seventeen cases of human AE, aged 19–78 years, nine females, were diagnosed between 2013 and 2020: all definitely or probably acquired in Alberta. Six lived in urban areas, and 14 had kept dogs. In eight, the lesions were found incidentally on abdominal imaging performed for other indications. Six were immunocompromised to varying degrees. Six were first diagnosed at surgery. All have been recommended benzimidazole therapy. One died of surgical complications. Clinicians should be aware of this diagnostic possibility in patients presenting with focal nonmalignant hepatic mass lesions. Greater urbanization of coyotes, the predominant definitive host of Em in Alberta, and growing numbers of immune suppressed individuals in the human population may lead to increasing recognition of AE in North America.
The Call for Global Health Research Mentorship for Doctorally Prepared Nurses in Low- and Middle-Income Countries
Authors: Buser Julie M. , Cranmer John N. , Dzomeku Veronica M. , Ngoma-Hazemba Alice , Ngabirano Tom , Bakari Ashura , Lori Jody R. 
Published: March 2021

ABSTRACTLimited research about nursing mentorship in low- and middle-income countries (LMICs) is holding science back. This article describes the strengths and challenges associated with global health research mentorship for doctorally prepared nurses whose scholarship focuses on LMICs. Using reflexive narrative accounts from current and former nurse mentors and nurse mentees who participated in a NIH-funded global health doctoral research program, emerging themes revealed the perspectives of mentors and mentees, producing a global health mentoring model for nursing research mentorship relevant to LMICs. Identified themes, which applied across roles and primary affiliations, included 1) collaborative mentor–mentee relationships and 2) enthusiasm for global health nursing. Our global health nursing research mentor–mentee interaction systems conceptual model focuses on nursing science mentoring in LMICs incorporating interpersonal, institutional, and cultural factors. We describe successful components of global nurse researcher mentorship and summarize directions for future research in the field. Our model can be used to create more effective mentee-centered mentoring for nurses or health professionals conducting global research. To advance science, we encourage doctorally prepared nurses to support mentee-centered research mentorship experiences that are sensitive to the unique needs of interdisciplinary global health scholarship.
PENERAPAN METODE EKSPERIMEN UNTUK MENINGKATKAN HASIL BELAJAR SISWA PADA PEMBELAJARAN TEMA 5 SUB TEMA 1 TENTANG SIFAT-SIFAT CAHAYA
Authors: SUHERMAN LUKMAN 
Published: March 2021

Tujuan penelitian ini adalah: “untuk mengetahui peningkatan hasil belajar siswa kelas IV/A SDN Pangkalan pada pembelajaran tema 5 sub tema 1 pada materi sifat-sifat cahaya dengan menerapkan metode eksperimen. Jenis penelitian yang digunakan dalam penelitian ini adalah Penelitian Tindakan Kelas (Classroom Action Reseach). Subjek penelitian ini adalah siswa sekolah dasar kelas IV/A sebanyak 30 siswa yang terdiri dari 16 siswa laki-laki, dan 14 siswa perempuan. Instrument penelitian ini berupa; tes hasil belajar, lembar observasi, dan dokumentasi. Berdasarkan temuan penelitian tindakan kelas di SDN Pangkalan kelas IV/A Kecamatan Bojong, dapat dilihat hasilnya, yaitu : (1) Hasil belajar siswa setelah menggunakan metode eksperimen dalam materi pembelajaran tema 5 sub tema 1 muatan pelajaran IPA tentang sifat-sifat cahaya di kelas IV/A SDN Pangkalan Kecamatan Bojong selama dua siklus penelitian, dapat dilihat dari data tes formatif mencapai nilai rata-rata yang sudah menunjukkan adanya peningkatan hasil belajar siswa. Nilai rata-rata hasil test kondisi awal pembelajaran yaitu 36,67%. Nilai rata-rata tes formatif setiap siklus yaitu pada siklus kesatu 70,67%, dan siklus kedua 75,00%. Secara umum terjadi peningkatan dan telah mencapai ketuntasan belajar. Ketuntasan belajar siklus kesatu baru mencapai 70,00%, dan siklus kedua meningkat menjadi 90,00%. Pada siklus kedua pembelajaran sudah dianggap berhasil mencapai ketuntasan belajar dari batas minimal yang harus dicapai yaitu 85,00%; (2) observasi keaktifan siswa pada pembelajaran siklus kesatu mencapai nilai rata-rata 70,99% (kategori Cukup). Observasi keaktifan siswa pada pembelajaran siklus kedua mencapai nilai rata-rata 78,21% (kategori baik); (3) Siswa merasa senang dan mendapatkan pengalaman baru selama proses pembelajaran berlangsung, siswa merasa lebih tertarik dan tertantang untuk melakukan pembelajaran tema 5 sub tema 1 muatan pelajaran IPA sifat-sifat cahaya dengan melakukan percobaan dan pengamatan. Dalam memahami konsep-konsep materi IPA dengan pembelajaran yang diterapkan oleh guru siswa merasa lebih mudah dan percaya diri untuk mendapatkan hasil belajar yang lebih baik. Selain itu siswa lebih memahami materi sifat-sifat cahaya dengan melakukan percobaan dan pengamatan. Secara umum penerapan eksperimen dalam pembelajaran tema 5 sub tema 1 muatan pelajaran IPA sifat-sifat cahaya di kelas IV/A SDN Pangkalan mendapat tanggapan yang positif dari siswa.