bluuebunny/crossref_metadata_2025_split huggingface dataset:
MODELING OF KOARMADA MARINE OPERATIONS II BASED ON THE THREAT PREDICTION FROM INTELLIGENCE WITH A MULTI CRITERIA DECISION MAKING APPROACH
Authors: Muhammad Fa'iq Mumtaz , Wirjodirdjo Budisantoso , Suharyo Okol Sri , Perdana Yudha Sukma 
Published: June 2021

Indonesia as archipelagic country, needs strong maritime sector security. The Indonesian Navy in Law Number 34 Year 2004 has been given the mandate to safeguard the sovereignty of the Republic of Indonesia. The Armada II Command as Kotamaops annually carries out Military Operations Other Than War (OMSP) which is carried out under the command of Guspurla and Guskamla. Intelligence information regarding the estimated threat / contingency that will occur is very influential on decision makers in operational planning. With the contingency provided by the intelligence staff, it is necessary to have an appropriate marine operation modeling. In a multi-operation operation, it is necessary to have a supporting attribute, that is, a base ship. The purpose of this study is to formulate an operation modeling using the selection of a headquarter ship which is preceded by the determination of contingency priorities. This study uses MCDM which consists of MCDA and MCDO which uses the integration of the Delphi method, AHP, Fuzzy weighting, Goal programming and linear Integer-Zero one programming. Based on the processing of Delphi and AHP, in determining the threat of OMSP, it is influenced by the number / intensity of incidents of 20.4%; impact of Ipoleksosbudhankam 29.4%, Capabiity 38.2% and involvement factor of 12.1% where national jurisdiction marine security operations are selected as the first priority. Meanwhile, in the selection of the headquarters ship which functions to coordinate the KRI in carrying out sector patrols, using the FWH and IGP, the KRI was chosen as the Sigma class to be the headquarters ship. This modeling uses 22 of the 24 KRI that have been allocated by obtaining an increase in the optimization of the coverage area and fuel savings..
Keywords: OMSP, MCDM, Contigency, headquarters warship and Maritime Security Operations
L’intime dans la relation transférentielle : quels mots pour le dire ?
Authors: Druet Laurence 
Published: June 2021

Je développe dans ce texte l’idée que toute personne crée de manière très personnelle et unique un récit subjectivé, une fiction intime de son vécu. Le travail en analyse consisterait donc en une rencontre avec un récit non pas linéaire, ni chronologique de l’histoire du sujet mais avec une intrigue, et ses soubassements souterrains. Aussi, je souligne l’importance du silence en séance, du temps nécessaire pour que les mots justes se posent ; du nid transférentiel indispensable, en résonance avec le nid originel, pour permettre au (à la) patient(e) une rencontre intime avec lui (elle)-même, vers une éventuelle transformation.
À l’ombre d’éros
Authors: Galdo Giovanna 
Published: June 2021

Comment entendre les mots « masculin » et « féminin » et les qualités qu’on leur attribue ? Comment entendre leur radicale mise en discussion, à l’œuvre depuis quelques décennies ? Traditionnellement on associe à ces deux mots les concepts jungiens d’anima et d’animus. Toutefois deux autres concepts issus également de la théorie jungienne, à savoir l’éros et le logos, et plus précisément le très ancien et profond clivage qui a été acté entre eux, peuvent être fort utiles dans la tentative de comprendre et d’expliquer les importantes modifications que connaît aujourd’hui l’articulation du « masculin » et du « féminin » tant au niveau individuel que collectif.
Le tournant de la charité sociale au XIX e siècle : la dimension théologale au défi de l’efficacité
Authors: Fino Catherine 
Published: June 2021

Cet article analyse l’évolution de la charité sociale du xix e siècle jusqu’au concile Vatican II, en trois lieux significatifs : le soin aux malades, l’aide sociale et la philanthropie, avant de vérifier si les mêmes déplacements caractérisent la référence à la charité dans la doctrine sociale de l’Église. La technicisation et la professionnalisation du soin médical et social comme de la philanthropie révèlent la primauté accordée à l’efficacité, caractérisée par le vocabulaire de l’assistance. Le mot charité désigne désormais l’assistance non qualifiée. La doctrine sociale de l’Église réussit mieux à ressaisir la quête d’efficacité au profit d’une définition théologale de la charité. Aujourd’hui, la critique du « paradigme technocratique » et la perception de la vulnérabilité des vivants comme source de créativité désabsolutisent la quête d’efficacité au profit de l’écoute des « pauvres » et des « périphéries ».
L’implication des cisterciennes dans la vie religieuse urbaine
Authors: Hélias-Baron Marlène 
Published: June 2021

Fondée à la fin du xii e siècle pour accueillir des prostituées repenties, Saint-Antoine-des-Champs est devenue, en 1204, une abbaye cistercienne de femmes à l’initiative de l’évêque de Paris, Eudes de Sully. Loin d’être isolée, elle a été implantée dans un espace en cours d’urbanisation sur la rive droite de la Seine, à l’extérieur de la muraille de Philippe-Auguste. Ce monastère suburbain apparaît en relation constante avec la ville et ses habitants, par sa position sur une voie de communication importante entre la capitale et Vincennes, par le recrutement de ses moniales, mais aussi par l’organisation d’un pèlerinage et par l’accueil de prédicateurs influents. Favorisé par un contexte porteur pour les établissements de cisterciennes, il a reçu de nombreux actes mettant en évidence les liens tissés avec les Parisiens, notamment à travers la documentation testamentaire. À la fin du xiii e siècle, il est complètement intégré à l’offre religieuse parisienne.
Religion civique ou affiliation communautaire ?
Authors: Bourlet Caroline , Bove Boris 
Published: June 2021

Le concept de « religion civique » est le plus souvent abordé sous l’angle des pratiques religieuses collectives. Les processions paniques de 1412 permettent d’établir qu’elles tournent autour des reliques des saints royaux et des saints parisiens, mais qu’elle est moins royale au xv e siècle qu’elle ne le sera durant les guerres de religion, et aussi moins structurée autour culte de sainte Geneviève. Une approche individualisée de la question à travers un corpus de 69 testaments du xiii e - xv e siècles permet de poser la question de la réalité de l’adhésion des citadins à ces rituels collectifs. Il en ressort que les bourgeois ne cherchent pas plus leur salut auprès des saints royaux que des saints civiques. Au contraire, ils recherchent surtout les prières des pauvres de l’Hôtel-Dieu, des Quinze-Vingts et des léproseries de Paris, qui prennent en charge toutes les facettes de l’assistance à l’échelle de la ville. Cette dévotion partagée entre différentes strates de la société relève moins de la religion civique, que d’une affiliation communautaire dans le cadre d’un catholicisme corporatif à l’échelle de la ville, gage d’une très forte identité urbaine.
Full-Diffractive Multifocal Intraocular Lens Posterior Optic Capture for Selected Pediatric Cataracts
Authors: Huang Yusen , Dong Xiaojin , Zhang Jing , Wan Xiaomei , Wang Menghan , Xie Lixin 
Published: June 2021

PURPOSE:
To evaluate the short-term outcomes of implantation of a full-diffractive multifocal intraocular lens (IOL) with optic capture for selected pediatric cataracts.

METHODS:
In this prospective study, patients with pediatric cataract aged 3 to 14 years were selected to receive multifocal IOL (Tecnis ZMB00; Abbott Medical Optics) posterior optic capture. Visual acuity, stereopsis, visual quality, and complications were assessed.

RESULTS:

Forty-five patients (66 eyes) were recruited with a follow-up of 9.09 ± 5.93 months (range: 6 to 24 months). The cataract was bilateral in 21 patients and unilateral in 24 patients. At the last follow-up visit, the mean distance-corrected distance, intermediate, and near visual acuity was 0.28 ± 0.25, 0.43 ± 0.24, and 0.39 ± 0.27 logMAR, respectively. Among the patients with bilateral cataract, postoperative corrected distance visual acuity (CDVA) was 20/40 or better in 79% (33 of 42) of the eyes and 20/20 in 26% (11 of 42) of the eyes. Of the patients with unilateral cataract, 54% (13 of 24) achieved a CDVA of 20/40 or better but none obtained a CDVA of 20/20. All patients developed stereopsis postoperatively (
P
< .05). There was no significant difference in modulation transfer function cut-off and Strehl ratio between the eyes with a multifocal IOL and the healthy eyes of patients with unilateral cataract (
P
> .05). Objective Scatter Index values were significantly better in the healthy eyes (
P
< .05). No posterior capsule opacification, posterior synechiae, secondary glaucoma, pigmentary IOL deposits, or IOL decentration was observed during the follow-up period.

CONCLUSIONS:
Short-term follow-up results suggest full-diffractive multifocal IOL optic capture may benefit appropriately selected patients with pediatric cataract.

[
J Refract Surg
. 2021:37(6):390–397.]
Comparison of Imaging Characteristics on Computed Tomography and Magnetic Resonance Urography in Urological Conditions
Authors: Verma Nitya , Rastogi Rajul , Pratap Vijai , Pushkarna Arawat 
Published: June 2021

Introduction:
Urinary tract (UT) pathologies are common causes of morbidity presenting mainly as acute flank pain, obstructive uropathy, and hematuria with calculus being the commonest cause. Computed tomography (CT) (noncontrast, contrast enhanced and urography) of the kidney, ureter, and bladder region has been considered as the mainstay in evaluation of patients with UT symptoms. Limitations of radiation exposure and risks of contrast injection in CT have provided space for magnetic resonance urography (MRU) that has recently gain acceptance. However, MRU is limited by its availability and higher cost. Thus, with the aim of evaluating the scope of MRU in various UT pathologies, we planned a comparative study between CT scan and MRU.

Materials and Methods:
Thirty-five patients with UT symptoms (acute flank pain, obstructive uropathy, and hematuria) were evaluated with CT scan and MRU after obtaining approval from Institutional Ethics Committee and written informed consent from the participants of the study. CT scan was performed on 128-slice CT scanner while MRU was performed on 1.5T magnetic resonance scanner using the standard protocol. The data thus recorded in a single-blinded manner were analyzed using appropriate statistical methods and tools.

Results:
Compared with CT scan, MRU had a poor accuracy in detecting UT stones especially <6 mm and without secondary signs of obstruction. However, MRU performed very well in patients with obstructive uropathy and hematuria subgroup with no significant difference in accuracy from CT scan. Overall, MRU had a moderate sensitivity of 76.3%, high specificity of 96.9% and moderately high accuracy of 85.7%.

Conclusions:
Although MRU has lower sensitivity to small sized UT calculus but is very specific to secondary signs of obstruction as well as to causes of obstructive uropathy and hematuria. It can serve as an excellent alternative tool especially in patients with contraindication of contrast injection in CT scan as well as in children, during pregnancy and in conditions requiring repetitive examinations.
Retrospective Study of Tissue Transglutaminase Antibody Levels in Celiac Disease-Suspected Patients at Tertiary Care Hospital in Uttarakhand
Authors: Rajput Swati , Gupta Rohit , Patnaik Itish , Bahurupi Yogesh , Kumar Prashant , Meena Kiran , Bhat Nowneet Kumar , Rana Satyavati 
Published: June 2021

Introduction:
Celiac disease (CD) is a chronic gastrointestinal disorder arising due to gluten sensitivity in susceptible individuals. In India, one person per 100 is suffering from this disease. CD has been reported more in high wheat-consuming areas like northern India. However, the incidence of CD in patients attending tertiary care hospital of Uttarakhand has not yet been reported. Therefore, this study was planned.

Materials and Methods:
A retrospective study with 603 patients was done at AIIMS Rishikesh in Biochemistry Department. These patients were screened for CD by tissue transglutaminase antibodies (ttgA) levels using enzyme-linked immunosorbent assay method. Percentage of levels of ttgA <4 U/ml (normal value) and >4U/ml in male, female adults, and children was calculated. Chi-square test was applied to compare results.

Results:
Out of 603 patients, 23 (3.81%) had abnormally raised ttgA levels (>4 U/ml). Percentage (15.18%) of ttgA levels in male children was significantly (P = 0.01) higher than 2.56% in female children. Mean + standard deviation (SD) of normal and abnormal ttgA levels in patients was 1.17 + 0.45 versus 66.81 + 34.80 U/ml, respectively. Mean + SD of abnormal ttgA levels in children and adults was 72.84 + 41.91 versus 32.38 + 24.75 U/ml, respectively. There was a statistically significant difference in abnormal ttgA levels among children and adults with children predominantly being higher (P = 0.0235).

Conclusion:
This study shows that levels of ttgA suggestive of CD in children are higher as compared to adults and more in males than females attending tertiary care hospital of Uttarakhand.
A Comparative Study of Magnetic Resonance Imaging and Colonoscopy in Evaluation of Colorectal Diseases
Authors: Khare Vaibhav , Rastogi Rajul , Mishra Amit , Neha  , Singh Abhishek Kumar , Kumar Sunil , Singh V. K. , Pratap Vijai , Yeshlawat Nitishkumar 
Published: June 2021

Introduction:
Colorectal disease, especially carcinoma, is an important cause of morbidity and mortality in modern era. With rising incidence of colorectal diseases and due to limitations of conventional flexible fiber-optic colonoscopy (gold standard tool), imaging plays a significant role in evaluation of these patients. Recent technical advancements coupled with noninvasive and radiation-free nature has made magnetic resonance imaging (MRI) an acceptable screening tool in colorectal diseases. Hence, we planned this study to evaluate role of MRI in colorectal diseases in our tertiary care, medical college, hospital.

Materials and Methods:
Forty-four patients with signs and symptoms of colorectal disease were evaluated by 1.5 Testa MRI followed by conventional, flexible, fiber-optic colonoscopy on the same day after obtaining approval from the institutional ethics committee and after obtaining written informed consent using strict criteria. Bowel preparation was done using polyethylene glycol. Data from MRI and colonoscopy were recorded in predesigned pro forma and compared with the final diagnosis. Appropriate statistical methods and tools were used to evaluate the results.

Results:
Majority of the patients in the study were in the age group of 21–40 years with male predominance. Altered bowel habit followed by bleeding per rectum was the most common presentations. Both MRI and colonoscopy overdiagnosed the lesions as malignant with higher errors by MRI. MRI was very effective in the detection of growth, strictures, diverticulosis, mucosal thickening/edema, and extracolonic manifestation but failed in detecting small polyps and ulcers. MRI had high sensitivity and negative predictive value (NPV) of 100% with an accuracy of more than 70%.

Conclusions:
Although conventional colonoscopy is considered as a gold standard tool in the diagnosis of colorectal diseases, it has several limitations including its invasive nature and low yield as a screening tool. Hence, MRI with its noninvasive and radiation-free nature along with its high sensitivity and NPV for malignant lesions should be considered over colonoscopy as well as computed tomography in evaluation of colorectal diseases.
The Relationship Between Motivational Persistence and Achievement Goal Orientations of Vocational School of Health Services Students
Authors: Uysal İbrahim , Aytuğ Koşan Ayşen Melek , Postacı Emine Sevinç , Tekin Murat 
Published: June 2021

Introduction:
One of the factors determining the quality of health service delivery is well-trained and qualified health personnel. In addition to receiving a quality education to train qualified health personnel, the importance of the learner being ready and motivated to learn is obvious. The purpose of this study is to examine the relationship between motivational persistence and achievement goal orientations of Vocational School of Health Services students.

Materials and Methods:
In this research, which is structured in relational comparison type besides its descriptive feature, we studied with 278 students studying at Health Services Vocational School. The data were obtained with "Motivational Persistency" and "Achievement Goal Orientation" scales. In the analysis of the data, correlation and path analysis were used as well as descriptive statistics.

Results:
When achievement goal orientation and motivational persistency are examined with all subdimensions, the motivation to follow long-term goals was positively significant with the learning approach. The motivation to follow the current goals was positively significant with the motivation to learning approach achievement and to follow long-term goals while was negative with motivation to approach the performance. The motivation to repeat unattainable goals has been found to be positively significant with the motivation to learn approach, learn avoidance achievement orientations and long-term goals, and to follow existing goals.

Conclusion:
The results of the research showed that students' achievement learning approach and motivational persistency were prone to iteration subdimensions of unattainable goals. Although the study parallels with the literature, it is important to provide a better understanding of how the achievement goal orientation of the students of the Vocational School of Health Services affects the processes of motivational persistency.
Utility of Fine-Needle Aspiration Cytology in Diagnosis of Cutaneous and Subcutaneous Metastasis
Authors: Nair Nidhi , Chikkannaiah Panduranga , Venkataramanappa Srinivasamurthy , Shivanna Ragunatha 
Published: June 2021

Introduction:
Cutaneous metastasis (CM) is an uncommon clinical presentation and poses trouble in diagnosis. However, it is remarkable and can occur due to a known or an unknown primary tumor. Despite the fact that clinical assessment helps in the diagnosis, Fine-needle aspiration cytology (FNAC) is a modest, basic, and quick principle line of investigation for the finding of CM.

Materials and Methods:
It was a retrospective study conducted in the department of pathology at a tertiary care teaching hospital. The study was conducted from January 2010 to May 2020. All cases of CM that has been diagnosed by FNAC were included.

Results:
During the study period, a total of 37 cases of CM were observed, constituting 0.15% of all FNACs. The age of the patients ranged from 35 to 74 years, and the male: female ratio was 1.05:1. Primary tumor was known in all 37 cases. Among males, lung carcinoma was the more common whereas breast was the most common organ of primary among females. The most common lesion was a single nodule (27 cases), with predominant site being chest wall (32.5%), and the most common tumor at microscopy was metastatic adenocarcinoma.

Conclusion:
FNAC is a fast and safe procedure that can be utilized as a first line of investigation in diagnosing metastatic skin lesions. Basic assessment of cytomorphology alongside significant clinical subtleties could help in recognizing the site of an unknown primary.
The Correlation of E-cadherin Expression with the Modified Gleason Score and the Grade Group of Prostatic Adenocarcinoma
Authors: Hayder Sakar Azad , Raziq Alaa Hani 
Published: June 2021

Background:
E-cadherin is a cell adhesion molecule, its downregulation is associated with poorly differentiated tumors in many organs, and its loss is associated with adverse behavior of many tumors.

Objectives:
This study aims to find a correlation between E-cadherin status, the Grade Group, and the modified Gleason score in core biopsies obtained from prostatic carcinoma.

Materials and Methods:
This study is a retrospective and prospective cross-sectional study that was conducted on (50) paraffin blocks obtained from core biopsies of prostatic carcinoma. E-cadherin status was correlated with the Grade Group and the modified Gleason score. The E-cadherin staining pattern was also examined for its correlation with perineural invasion. Chi-square was used to determine the correlation between E-cadherin staining pattern on the one hand and the modified Gleason score, Grade Group, and perineural invasion on the other hand and P < 0.5% was considered as significant.

Results:
Only six patients (12%) fall in Grade Group 1 and according to the modified Gleason score, most patients had high scores. Regarding E-cadherin expression, 24 cases (48%) had aberrant E-cadherin expression, while the rest 26 cases (52%) had a complete strong membranous expression. Statistically, there was a significant correlation between aberrant E-cadherin expression and increasing grade according to the modified Gleason score and Grade Group with P values of 0.032% and 0.022%, respectively. In 24 patients (48%), perineural invasion was detected half of them had aberrant E-cadherin expression which was statistically notsignificant when both the parameters (perineural invasion and aberrant E-cadherin expression) are tested against the modified Gleason score and the Grade Group (P = 0.71%).

Conclusion:
Aberrant E-cadherin expression is associated with increasing modified Gleason score and Grade Group but has no significant correlation with perineural invasion.
Protection Against Paclitaxel-Induced Hyperalgesia and Allodynia by Pomegranate Seed Oil, Nucleo-CMP Forte®, and L-Carnitine
Authors: Ali Nidhal Abulkader Mohammed 
Published: June 2021

Background:
Hyperalgesia and allodynia are abnormal sensory signs which are usually seen along neuropathic pain (NP) in patients on paclitaxel (PT) chemotherapy. Pomegranate seed oil (PSO) has been used in the traditional medicine for the different kinds of pain. Nucleo-CMP Forte® (NCF) is a nucleotide-based drug and L-carnitine (LC) is a member of natural compounds have been shown effective in diverse peripheral neuroglial disorders. The aim of this study is to compare the anti-hyperalgesia and anti-allodynia activity of PSO, NCF, and LC in PT-induced neuropathy.

Materials and Methods:
Thirty adult male mice were divided equally into five groups of six mice in each group as follows: Control (C), PT, PSO (PTpso), NCF (PTn), and LC (PTc) groups. NP was induced by the administration of PT (6 mg/kg, i. p., once weekly) to the mice in all groups except C group. PSO, NCF, and LC were administered orally once daily to mice with PT-induced neuropathy in their corresponding groups. Different behavior parameters were used to test the anti-hyperalgesic and anti-allodynic effect of PSO, NCF, and LC on days 0, 7, 14, 21, and 28 of PT administration.

Results:
PSO, NCF, and LC significantly attenuated NP induced by PT from day 14 up to 28 days using the different behavioral tests for thermal hyperalgesia and allodynia.

Conclusion:
PSO, NCF, and LC have significant potential anti-nociceptive and analgesic activity against PT-induced NP and PSO was the most efficacious than NCF and LC.