bluuebunny/crossref_metadata_2025_split huggingface dataset:
L’éducation inclusive à l’épreuve du décès parental : adaptation et poursuite de la scolarité chez des enfants orphelins
Authors: Clerc Jérôme , Julier-Costes Martin , Fawer Caputo Christine , Desombre Caroline 
Published: March 2021

Différentes études ont montré que la situation d’orphelinage génère chez les élèves un certain nombre de difficultés d’ordre cognitif, social et affectif. Ces difficultés devraient amener les enseignants à proposer des aménagements didactiques, pédagogiques et éducatifs en réponse aux besoins des élèves orphelins, dans une perspective pleine et entière d’éducation inclusive. Pour apporter des réponses adéquates, nous proposons d’identifier d’une part, les besoins exprimés par les enfants orphelins eux-mêmes et d’autre part, les besoins des enseignants. Pour ce faire, nous nous appuyons sur différentes enquêtes à destination d’enfants orphelins ou d’orphelins devenus adultes, ainsi que sur des entretiens semi-directifs menés auprès d’enseignants. Les résultats de ces analyses montrent l’importance de proposer des espaces de parole aux élèves orphelins sans injonction à parler ; le bénéfice que peuvent tirer les orphelins de temps d’errance intellectuelle ; ainsi que la nécessité de former, informer et sensibiliser les enseignants afin de les soutenir dans l’accompagnement d’enfants orphelins dans une démarche écosystémique.
L’association La Nouvelle Forge à l’épreuve du confinement
Authors: Paparelle Valérie , Durand Bernard 
Published: March 2021

L’Oise a été le premier département touché gravement par la crise sanitaire avec l’apparition de clusters importants et le premier décès, dû à l’épidémie de Covid-19, d’un professeur de collège. La situation qui a connu une aggravation rapide, a nécessité, dès la fin février, des mesures immédiates et drastiques ayant conduit à la fermeture des établissements scolaires et des établissements médico-sociaux pour enfants et adolescents, dans « les villes clusters » dans un premier temps, puis ensuite sur l’ensemble du département. Les CMP, hôpitaux de jours autorisés en psychiatrie infanto-juvénile, les CMPP, ont eux aussi été fermés à l’accueil du public. 15 jours plus tard, la France entière entrait dans une période de confinement généralisé. Les structures ambulatoires pour adultes ont alors aussi été fermées : les CMP, CATTP, les accueils de jour, les ESAT ainsi que les Groupes d’entraide mutuelle. Ayant conscience de l’impact d’une telle mesure pour les personnes, vivant avec des troubles psychiques et/ou en situation de handicap et leur famille, La Nouvelle Forge qui gère un secteur de psychiatrie infanto-juvénile et de nombreux établissements et services médico-sociaux a mis en œuvre une nouvelle organisation à l'échelle de l’ensemble de l'association. Les équipes de la Nouvelle Forge volontaires se sont immédiatement mobilisées pour construire des réponses de proximité en soutien aux personnes les plus vulnérables. Ces réponses ont été effectives pendant toute la période de confinement jusqu‘au début de l’été.
Vraie et fausse libération sexuelle
Authors: Richard François 
Published: March 2021

La « libération » sexuelle contemporaine correspond en fait à une conflictualité psychosexuelle classique entremêlée à des perturbations nouvelles. En ce sens, elle serait à la fois vraie et fausse. On y trouve un dérèglement de la pulsion, de sa source à l’objet en passant par sa poussée et son but et une tendance au clivage entre la morale sexuelle toujours plus civilisée et un morcellement pervers, jusqu’à un néo-puritanisme. Cette liberté biaisée n’abolit pas le déterminisme ni le hasard selon Darwin : les finalités de la « nature » peuvent utiliser l’évolution des sexualités et de la parenté. La notion de perversion se dilue-t‑elle dans le polyérotisme narcissique contemporain ? Le cas clinique de Nadia permet d’analyser le passage de conduites d’allure perverse vers une subjectivation de l’histoire infantile adolescente puis vers une rencontre amoureuse – grâce à une articulation spécifique entre un transfert œdipien et un contre-transfert interrogé par le féminin.
La visite de Jacques Lacan au Liban
Authors: Khoury Maurice , Osseiran Mouzayan 
Published: March 2021

La visite de Jacques Lacan au Liban en 1973 survint deux mois après le drame de la perte de sa fille Caroline dans un accident de voiture. Adnan Houbballah, l’un des pionniers de la psychanalyse libanaise organise ce périple qui condense visites archéologiques, découvertes, moments de loisir et rencontres avec politiciens, philosophes et hommes de lettres. Il donne à voir également l’homme, le geignard, le capricieux, le touriste et bien évidemment, l’ami, le curieux, le déterminé, le penseur et le théoricien de 72 ans qui avait déjà élaboré l’essentiel de sa pensée. Parallèlement, un débat avec intellectuels et spécialistes de la santé mentale au Liban donne lieu à un échange qui résume ses hypothèses sur le langage, l’affect, la femme, la psychosomatique et la psychiatrie. La rencontre avec un Liban millénaire donne lieu à des réflexions singulières entre Lacan et l’analyste libanais, réflexions que les auteurs de cet article tentent de restituer.
Entre hôpitaux et auberges. L’accueil du voyageur en Cévennes à la fin du Moyen Âge
Authors: Brechon Franck 
Published: March 2021

Le sud-est du Massif central est traversé par un réseau de routes importantes qui relient les hautes terres montagneuses aux plaines périphériques. Dès le xii e siècle au moins, plusieurs trafics s’y cumulent, notamment pérégrinants et commerciaux. Alors que plusieurs espaces d’altitude peu peuplés et au climat rigoureux imposent des contraintes de circulation fortes, l’accueil du voyageur est essentiel au bon fonctionnement de la route. Dans ce contexte, un semis d’hôpitaux de diverses natures se développe, auquel les principaux établissements monastiques régionaux contribuent peu, ou indirectement. En revanche de nombreux petits établissements se développent spécifiquement en lien avec l’accueil routier, notamment sous l’impulsion de l’hôtel-Dieu du Puy, dans le sillage du pèlerinage marial. À compter de la fin du xiii e siècle, les hôpitaux dédiés à l’accueil du voyageur déclinent, tandis que l’accueil commercial se développe sensiblement dans la première moitié du xiv e siècle. Un dense réseau d’auberges succède alors aux hôpitaux routiers, reprenant la même logique d’implantation sur les sections de routes les plus difficiles. Ces auberges rurales peuvent être totalement isolées, sur des cols ou des landes d’altitude. Souvent modestes, elles n’offrent que quelques places et s’apparentent parfois à une maison d’hôte, dotée de quelques lits dans la demeure même du propriétaire. Les hôpitaux routiers et les établissements commerciaux qui leur succèdent répondent manifestement bien aux besoins de la route en offrant une infrastructure fonctionnelle. D’abord charitable alors que le trafic de pèlerins était manifestement dominant, l’accueil du voyageur devient commercial lorsque le trafic marchand prend de l’importance. Initialement consacré aux soins du corps des âmes, le lieu d’hébergement du voyageur demeure toujours un lieu de soin des corps, mais devient en outre un lieu de transaction et de négoce commercial.
Microplastics in beach sand and potential contamination of planktivorous fish <em>Sardinella gibbosa</em> inhabiting in coastal waters of Negombo, Sri Lanka
Authors: Ranatunga R. R. M. K. P. , Wijetunge D. S. , Karunarathna K. P. R. 
Published: March 2021

Microplastic pollution has become the most significant marine environmental concern. There has been a surge of information on microplastic contamination in various marine environments worldwide. However, the level of microplastic contamination in marine environments is just begun to understand in Sri Lanka. The present study looked at the microplastic contamination level in the beach sand of Pitipana, Catamaran, and Dūwana beaches along the coast of Negombo, Sri Lanka. Sampling was conducted bi-monthly from March to November in 2017. Beach sand samples were collected from the surface (0-1cm) and subsurface (10-11cm) layers and three regions representing the low-tide, high-tide, and vegetation line of each beach. Sand samples were filtered through 5mm and 1mm sieve-set, and particles greater than 5mm were discarded since they are not considered microplastics. Particles retained in 1mm sieve and the filtrate were collected separately. Microplastics were density separated and categorized into two size classes as 1-5mm and smaller than 1mm. Microplastics in the 1-5mm size-class were categorized as fiber, foam, fragment, and pellet. Microplastics <1mm were subjected to FTIR spectroscopy and identified based on the polymer type. Further, goldstrip sardine, Sardinella gibbosa samples were obtained from the coastal waters of Pitipana and tested for possible microplastic contamination in commercial fishes. Results revealed that the Pitipana beach sand was highly contaminated with 1-5mm category microplastics reporting a mean abundance (±SD) value of 7.2±7.66 particles/m3 by number compared to other sites. The fragment was the dominant type found in Catamaran and Dūwana beaches, while foam was the predominant type in Pitipana beach. However, pellets were not recorded in any of the sites sampled. Polyvinyl chloride (PVC) was the major polymer type recorded in Pitipana beach sand, and polyester was dominant in Dūwana and Catamaran beaches. The FTIR spectra revealed the presence of polyethylene and polypropylene in gut contents of Sardinella gibbosa, suggesting contamination of microplastics in planktivorous fish and potential for accumulation along the trophic chain.
Neutrophils and IL-1α Regulate Surfactant Homeostasis during Cigarette Smoking
Authors: Milad Nadia , Pineault Marie , Lechasseur Ariane , Routhier Joanie , Beaulieu Marie-Josée , Aubin Sophie , Morissette Mathieu C. 
Published: March 2021

Abstract
Cigarette smoke exposure induces inflammation marked by rapid and sustained neutrophil infiltration, IL-1α, release and altered surfactant homeostasis. However, the extent to which neutrophils and IL-1α contribute to the maintenance of pulmonary surfactant homeostasis is not well understood. We sought to investigate whether neutrophils play a role in surfactant clearance as well as the effect of neutrophil depletion and IL-1α blockade on the response to cigarette smoke exposure. In vitro and in vivo administration of fluorescently labeled surfactant phosphatidylcholine was used to assess internalization of surfactant by lung neutrophils and macrophages during or following cigarette smoke exposure in mice. We also depleted neutrophils using anti–Ly-6G or anti–Gr-1 Abs, or we neutralized IL-1α using a blocking Ab to determine their respective roles in regulating surfactant homeostasis during cigarette smoke exposure. We observed that neutrophils actively internalize labeled surfactant both in vitro and in vivo and that IL-1α is required for smoke-induced elevation of surfactant protein (SP)–A and SP-D levels. Neutrophil depletion during cigarette smoke exposure led to a further increase in SP-A levels in the bronchoalveolar lavage and increased IL-1α, CCL2, GM-CSF, and G-CSF release. Finally, macrophage expression of Mmp12, a protease linked to emphysema, was increased in neutrophil-depleted groups and decreased following IL-1α blockade. Taken together, our results indicate that neutrophils and IL-1α signaling are actively involved in surfactant homeostasis and that the absence of neutrophils in the lungs during cigarette smoke exposure leads to an IL-1α–dependent exacerbation of the inflammatory response.
Health-related quality of life of patients on antiretroviral therapy at the Federal Medical Center, Makurdi, Nigeria
Authors: Shaahu Vivian , Adebimpe Wasiu , Asuzu Michael , Belabo D , Popoola O , Uchendu O 
Published: March 2021

Abstract
Context: Health related quality of life (HRQL) indices could provide information about the effects of disease progression and the effectiveness of medical interventions that cannot be obtained using objective clinical measures. Aim: The aim of this study is to assess HRQL of patients on highly active antiretroviral therapy (HAART) at the Federal Medical Center, Makurdi in North Central Nigeria. Settings and Design: The study was a cross-sectional survey among people living with HIV/AIDs (PLWHAs) on HAART. Methods: The 546 PLWHAs on HAART were selected using systematic sampling technique. A modification of the 36-Item Short-Form Health Survey Version 2 questionnaire was used to assess respondents' HRQL in eight dimensions: Physical functioning (PF), role-physical (RP), role-emotional (RE), social functioning (SF), bodily pain (BP), vitality (VT), mental health (MH), and general health (GH). Data generated after measuring and scoring HRQL using standard methods were analyzed using the SPSS 17. Results: Good HRQL ratings included: PF (98.9%), RE (98.7%), SF (98.2%), VT (96.9%), RP (96.5%), MH (96.3%), BP (94.1%), and GH (93.4%). Predictors of good HRQL were as follows: Age <40 years (odds ratio [OR] = 4.26, confidence interval [CI] = 1.49–12.11) and being currently employed (OR = 3.20, CI = 1.08–9.49) (RP); and having a caregiver (OR = 4.94, CI = 1.33–18.27). Predictors of less likelihood of good HRQL were: Enjoying social support (OR = 0.12, CI = 0.03–0.55) (RP; MH); being without spouse/partner (OR = 0.43, CI = 0.21–0.91) (GH). Conclusions: HAART improves HRQL of HIV patients. Clinicians need to be responsive to factors related to disclosure, having a caregiver, and social support as a means of improving HRQL.
A New and Feasible Uterine Compression Suture Technique in Uterine Atony to Save Mothers from Postpartum Hemorrhage
Authors: SEL G , Arikan İİ , Harma M , Harma Mİ 
Published: March 2021

Background:
Postpartum hemorrhage (PPH) is one of the emergency situations of obstetrics practice that constitutes of 1 to 5% of vaginal and cesarean deliveries. Uterine atony is the number one cause of PPH and is responsible for at least 75% of PPH cases. Uterine compression sutures have been regarded as an effective method in PPH cases, as well as preserving fertility by preserving the uterus.

Aims:
The main purpose of this study was to report on our results with a new uterine compression suture technique that was developed by us.

Subjects and Methods:
In this study we included all women who needed uterine compression sutures because of uterine atony while cesarean section from January 2014 to December 2018. Fifteen cases with PPH with uterine atony were reported, who were treated with our uterine compression suture technique after conservative medical and uterine massage treatment failure.

Results:
All of the cases in this study were managed successfully namely none of the patients needed a hysterectomy or reoperation because of bleeding again. One week, one month, three months later all patients were followed up. Six months later 11 patients were examined, four patients lost to follow-up, but they were reached by phone since they were outside of the city, they reported no complaints. Ultrasound examination was performed to follow up patients. Short-term follow-up revealed no complications such as pyometra, endometritis, reoperation, amenorrhea, or uterine necrosis.

Conclusions:
We described our practice with our uterine compression suture that is easy to learn and apply. All of the cases that participated in our study showed improvement to the compression sutures, so no other surgical interventions were applied. The same suture technique was applied by only one physician. This is a feasible and easy way to stop bleeding in uterine atony and in uterine preservation, especially in rural areas when help may not be available in case of complications.
Comparative Evaluation of the Cytotoxic Effects of Different Oral Antiseptics
Authors: Alpaslan Yayli NZ , Tunc S Keskin , Degirmenci B Unalan , Dikilitas A , Taspinar M 
Published: March 2021

Background:
Dental plaque is a major oral health problem with severe consequences. Oral antiseptics provide important means for controlling dental plaque formation and are widely used by the public. However, some of these antiseptics have been shown to have side effects on oral tissues.

Aim:
In this study, we aimed to investigate the time and dose-dependent cytotoxic effects of various antiseptics on primary human gingival fibroblasts (HGF).

Methods:
HGF cells were obtained using primary culture techniques. The effects of various doses of 5 antiseptics containing Chlorhexidine-Gluconate (CHX), CHX with Benzydamine-Hydrochloride (Benzydamine-HCl), Povidone-Iodine (PVP-I), Benzydamine-HCl and Essential-Oil on HGFs were analyzed by using 2,3-bis (2-metoxy-4-nitro-5-sulfophenyl)-5-[(phenylamino) carbonyl]-2H-tetrazolium hydroxide cell viability assay after 30, 60, and 180 s of exposure. Results: Cell viability analyses showed that cell death increased in an application time and dose-dependent manner. There was a statistically significant difference in the effects of each antiseptic on live-cell densities compared to the control group and each other (P < 0.001). Antiseptic containing 0.2% CHX showed the highest cytotoxicity on cells. The remaining viable cell density after administration of 0.2% CHX at a dose of 12.5% for 30 s is 35.19%. The high cytotoxic effect of 0.2% CHX was followed by 0.12% CHX with 0.15% Benzydamine-HCl, PVP-I and 0.15% Benzydamine-HCl groups. The lowest cytotoxic effect was observed for the Essential-Oil containing antiseptic solution.

Conclusions:
The results of this study show that these five antiseptic agents have variable effects on in vitro HGF proliferation. The doses and administration times of antiseptics should be controlled carefully during dental applications.
Evaluation of Facial and Palatal Alveolar Bone Thickness and Sagittal Root Position of Maxillary Anterior Teeth on Cone Beam Computerized Tomograms
Authors: Soumya P , Chappidi V , Koppolu P , Pathakota KR 
Published: March 2021

Background:
Amount of bone covering the facial and palatal surface of the root and the sagittal root position are important parameters while considering an immediate implant placement.

Aims:
This study measures the distance from cement-enamel junction (CEJ) to alveolar crest and thickness of alveolar bone of maxillary anterior teeth facially and palatally at 5 different points.

Materials and Methods:
CBCT scans of 79 systemically healthy patients were evaluated by two calibrated and independent examiners. Measurements like: 1) distance from CEJ to Crest. 2) Thickness of facial and palatal alveolar bone at five different points a) Crest, b) 2 mm from the crest, c) mid root level, d) apical 3rd, e) apex. 3) Sagittal root position. 4) Labiopalatal distance at the apex. 5) Length of the bone from apex to the nasal floor for incisors. 6) Presence of fenestrations and dehiscences were assessed.

Results:
Healthy maxillary anteriors were evaluated and less than 2 mm bone was seen at all five points, 0.5 to 1 mm bone is seen in all anteriors at crest, 2 mm from crest, midroot, apical 3rd level. 1 to 2 mm is seen at apex. Labiopalatal width at apex ranged from 3 mm to 13 mm with a mean of 7.45 ± 2.24 mm for centrals, 7.69 ± 2.14 mm for lateral incisors, and 6.76 ± 2.42 mm for canines.

Conclusion:
The present study supports the finding of very thin facial bone over maxillary anteriors and frequent occurrence of fenestrations and dehiscences. Pre-treatment evaluation of alveolar bone surrounding the maxillary anteriors is important to avoid complications during implant placement.
Thumb Radial Abduction Angle and its Association with Handgrip Strength, Dexterity and Carpel Tunnel Syndrome Susceptibility among Saudi Dental Students
Authors: Wahhas WA , Ramadhan ZH , Ain TS , Togoo RA 
Published: March 2021

Background:
Dental professionals are prone to carpal tunnel syndrome (CTS) and other nerve-related disorders as they perform repetitive wrist work with static physical position for long hours.

Objectives:
To evaluate the relationship of thumb radial abduction angle with handgrip strength, hand dexterity, and CTS susceptibility among Saudi senior dental students and interns. The study also intends to compare thumb radial abduction angle based on the gender.

Methods:
A convenient sample of 100 Saudi dental students and interns participated in the study. Their handgrip strength, dexterity, and thumb radial abduction angle were measured by the use of Jamar dynamometer, nine-hole peg test, and goniometer, respectively. Questionnaires were distributed among the participants to assess CTS susceptibility and its association with thumb radial abduction angle. Regression analysis, Pearson's correlation, and independent t-test were performed to analyze the data.

Results:
A significant correlation between thumb radial abduction angle and handgrip strength was observed. An association of handgrip strength with CTS susceptibility was also found. No significant relationships were drawn considering hand dexterity. Handgrip strength and dexterity were found to be higher in males when compared to females, however, females were observed to be more susceptible to CTS.

Conclusion:
The study concludes a significant association between thumb radial abduction angle and handgrip strength that is further related with CTS. The results of the study can be used as a foundation for several academicians' research in this domain.
An Unusual Presentation of Choriocarcinoma Co-Existing with Pregnancy, Successful Delivery, and Treatment
Authors: Igbodike EP , Adepiti CA , Ajenifuja KO , Onwudiegwu UU , Adejuyigbe GB , Mogaji IK 
Published: March 2021

ABSTRACT
Choricarcinoma co-existing with pregnancy is rare often misdiagnosed with great potential for hemorrhagic complications and death. We present a case of a 34-year-old woman diagnosed with choriocarcinoma in her 3rd pregnancy with vaginal and pulmonary metastasis. Her first episode of vaginal bleeding was in the third trimester which was misdiagnosed. She had spontaneous vaginal delivery at 34 weeks of a healthy neonate. She was refered to gyneoncology unit of our hospital 5 weeks into puerperium from a nearby State hospital due to continouos vaginal bleeding and a growth from the postero-lateral wall of the lower third of the vagina. She had five courses of EMA-CO regimen. Her beta-human chorionic gonadotropin (hCG) has fallen from pretreatment value of 168,266 mIU/ml to <5 mIU/ml by the 5th course and the metastaic lesion regressed. She however developed WHO Stage III Oral Mucositis (with Oroesophageal Candidiasis) due to the side effects of chemotherapy which was co-managed successfully with the oral medicine specialist. She was subequently discharged home with follow-up visits. The quantitative beta-hCG has remained undetectable during her follow-up visits. Choriocarcinoma co-existing with pregnancy is rare, diagnosis often missed and confused with antepartum hemorrhage. Early and correct diagnosis can be life saving. High index of suspicion is needed to make the diagnosis. The role of chemotherapy and close follow-up with quantitative beta-hCG assays are key to survival.