bluuebunny/crossref_metadata_2025_split huggingface dataset:
Multidisciplinary prehabilitation in patients undergoing abdominal wall surgery.
Authors: López-Cantarero García-Cervantes M , García Bretones M , Martínez Carrillo M , Cisneros Ramírez A , Oehling de los Reyes H , Romera López AL , Mirón Pozo B 
Published: December 2024

Resumen

La prehabilitación antes de procedimientos abdominales se presenta como una estrategia integral para mitigar riesgos y prevenir complicaciones quirúrgicas. Esta incluye diversas intervenciones destinadas a optimizar aspectos cruciales como la nutrición, el control glucémico y el estado funcional del paciente, abarcando tanto la fase intraoperatoria como el periodo postoperatorio. Requiere la colaboración de especialidades médicas diversas, como cirugía, anestesia, endocrinología, nutrición y neumología, para abordar de manera integral las posibles comorbilidades del paciente.

La prehabilitación ha demostrado ser efectiva para reducir el estrés fisiológico asociado con cirugías abdominales, especialmente en procedimientos electivos. La coordinación multidisciplinaria es esencial para diseñar estrategias que minimicen la morbilidad perioperatoria y mejoren los resultados globales. La creciente adopción de la prehabilitación por parte de cirujanos refleja la importancia de esta aproximación.

La evidencia científica respalda la eficacia de la prehabilitación en la optimización de los resultados quirúrgicos específicamente en cirugías de la pared abdominal. La investigación futura desempeñará un papel esencial al proporcionar información adicional sobre los efectos de la prehabilitación, contribuyendo así a la formulación de protocolos más refinados.

Esta tendencia hacia la prehabilitación sugiere un cambio en la atención quirúrgica, con la anticipación y la intervención proactiva en factores de riesgo como elementos esenciales para mejorar la seguridad y los resultados en pacientes sometidos a procedimientos abdominales. La creación de protocolos basados en la investigación continuará impulsando una práctica clínica más avanzada y orientada hacia la mejora constante de la atención quirúrgica.
Surgical treatment of recurrent Dieulafoy's disease.
Authors: Aparicio López D , Montoro Huguet M , Santolaria Piedrafita S , Ligorred Padillas LA , Casamayor Francos C 
Published: December 2024

Resumen

Introducción: La enfermedad de Dieulafoy es una causa infrecuente de hemorragia digestiva alta debida a la rotura de una arteria submucosa.

Caso Clínico: Presentamos el caso de un paciente con hemorragia digestiva alta recidivante sin causa filiada que tras dos meses y más de una decena de endoscopias digestivas es sometido a gastrectomía total con hallazgo anatomopatológico de Enfermedad de Dieulafoy.

Discusión: El manejo endoscópico (diagnóstico y terapéutico) es efectivo en el 70% de los casos; pudiendo beneficiarse de radiología intervencionista en los casos restantes. La cirugía continúa siendo el tratamiento para aquellos pacientes con hemorragia persistente no controlable por otros medios (2-6%).

Conclusiones: La enfermedad de Dieulafoy continúa siendo un reto diagnóstico y terapéutico que debe tenerse en cuenta en el diagnóstico diferencial de la hemorragia gastrointestinal. La endoscopia es la principal herramienta diagnóstica y terapéutica siendo la cirugía la alternativa para aquellos pacientes con hemorragia persistente no controlable por otros medios.
Formación Semiótico-Epistemológica, Objetivación del Investigador e Injusticia Lingüística
Authors: Gutiérrez Barba Blanca Estela , Rodríguez Salazar Luis Mauricio 
Published: December 2024

Desde un enfoque semiótico-epistemológico de base piagetiana, la adquisición de la lengua nativa, la pragmática de su habla y su escritura se sustentan en acciones simbólicas preoperatorias. En cambio, la adquisición de una segunda lengua se subordina a procesos operatorios sintético-semánticos. Esta diferencia es sustantiva para analizar la injusticia lingüística que puede cometerse al entrevistar aspirantes con diferentes esquemas semiótico-epistemológicos. Bajo este enfoque, se analizó la interacción docente-aspirante en entrevistas de admisión a un posgrado en sustentabilidad en México, generalizable a cualquier posgrado de países latinos hispanohablantes nativos. La interacción se refiere inglés-español como lenguas nativas y segundas lenguas: docentes hispanohablantes con inglés como segundas lengua, relacionados, en la entrevista, con aspirantes anglófonos nativos y anglófonos como segunda lengua oficial, en los que el español es su segunda lengua. Tenemos así aspirantes anglófonos nativos (L1); anglófono con inglés como lengua oficial (L2), hispanohablantes nativos (L1’) y docentes hispanoparlantes (L1’) y con inglés como segunda lengua (L2’). Con esta categorización, construimos tres escenarios de interacción semiótico-epistemológica. Aportamos a llenar el vacío investigativo respecto al inglés y el español más allá de su dominio instrumental en cuanto a segundas lenguas. Se alerta sobre el peligro de la admisión inequitativa y utilitaria.
Le « brouilloscope », un nuancier pour éclairer les troubles de la perception
Authors: Korzybska Helma 
Published: December 2024

Pour cette contribution, je propose de présenter le « brouilloscope », un outil de recherche que j’ai développé avec l’illustratrice Marianne Tricot dans le cadre de mes travaux sur l’apprentissage perceptif de personnes ayant perdu la vue ou l’ouïe et qui sont appareillées respectivement avec des implants rétiniens et cochléaires. Au sein de mes préoccupations méthodologiques quant à l’étude d’expériences ineffables, l’objectif de cette collaboration était de passer par une interprétation graphique des descriptions sonores et visuelles des personnes rencontrées sur le terrain, afin de mieux comprendre les transformations sensibles qui les animent. Cet article retrace le processus d’élaboration de cet objet, en partant des récits sensoriels des patients rencontrés dans des centres d’implantation, pour montrer la réflexion menée sur l’interprétation graphique afin de signifier différents caractères et processus sensibles (auditifs et visuels). Cette recherche, menée parallèlement à l’analyse des données de terrain, a permis une meilleure compréhension de la nature des transformations dans l’apprentissage de la vision et de l’audition bioniques, dont l’apparence protéiforme se montre comme fondamentalement attentionnelle.
Table ronde autour d’une performance dans un panier en osier
Authors: Buob Baptiste , Demesmaeker Jérémy , Maillot Laurence , Lavery Carl , Rioux Vincent 
Published: December 2024

En guise de résumé, voici quelques lignes écrites par un lecteur de cet article, lecteur lui-même contributeur de ce numéro sur les « Anthropologies plastiques » et féru de topologie lacanienne.Quatre personnes, Laurence, Baptiste, Vincent et Jérémy, qui travaillent ensemble depuis quelques années sur une réimagination, une réécriture, une performance, une réinscription et une reprogrammation (« incrémentielle ») inspirées par le film Les Maîtres fous de Jean Rouch, sont invitées par une cinquième personne, Carl, à parler de ce qu’elles ont fait, et à montrer ce qu’elles ont fait, de telle sorte que l’article lui-même rejoue, et donc transforme le rituel académique de la « table ronde ». Selon moi, cela consiste à transformer la table ronde en une table tore, le tore étant la forme topologique qui problématise l’intérieur et l’extérieur. Le texte perturbe l’idée habituelle d’un document « contenant » un travail déjà réalisé. Le lecteur a effectivement une idée du travail effectué au fil des ans, mais l’objet de l’article n’est pas un historique ou un « retour » sur le projet, mais plutôt un re-tore. Il s’agit d’un regard simultané vers le passé et vers l’avenir, sur la manière dont les individus qui ont participé, ces quatre-là du moins, se sont mis au travail et continuent à suivre un désir de se mettre au travail dans une relation quadruple avec : i) Les Maîtres fous de Rouch ; ii) la performance de la compagnie Dodescaden également intitulée Les Maîtres fous ; iii) les cinquante heures de film de la performance ; iv) la programmation d’une machine, une installation artistique, nommée Performance in absentia, qui propose des agencements possibles de ces films de telle sorte qu’elle rejouerait la performance d’une manière à la fois contrôlée, parce que paramétrée, mais aussi incontrôlée parce que le programme a en lui la capacité de produire des résultats inattendus.
La langue, matière à machines
Authors: Thévenin Pierre , Ducourneau Emmanuel , Stavrianakis Anthony 
Published: December 2024

Cet article présente l’aspect matériel de l’inscription du langage comme l’enjeu d’une poétique, d’une clinique psychique et d’une cartographie « machinée ». Les poésies sonores et concrètes isolent la composante acoustique de la langue orale et la dimension visuelle de l’écriture. Une figure de l’art brut invente de nouveaux alphabets pour saisir l’être des mots. Un designer cherche à appliquer sa méthode « onto-cartographique » au-delà des seuls objets techniques. Intégrant ces trois enquêtes à la faveur d’une même expérience, nous entreprenons de méta-modéliser la manière dont l’investissement des valeurs plastiques et sonores du langage dilate le champ de la signification. Expérimentale, notre méthode suppose de construire une machine. Celle dont nous présentons la genèse repose sur l’up-cycling d’une borne de jeu vidéo. Sa conception réfléchit tour à tour quatre « plans matériels » d’un poème de Bernard Heidsieck et une série d’images « auto-géométriques » de Francis Palanc.
De la contagion à la cogitation : le zombie évolutif de la télévision
Authors: Scott Paul 
Published: December 2024

La figure du zombie est aussi malléable que résistante, et cet article analyse deux séries télévisées récentes proposant des variations sur les morts-vivants qui prennent place dans un courant de représentations de zombies conscients et pensants à l’échelle mondiale. Les ressuscités de Resurrection (États-Unis, 2014-2015) et Glitch (Australie, 2015-2019) sont des figures humanisées et discriminées qui souffrent des préjugés et des soupçons de petites communautés isolées du Missouri rural et du désert victorien en Australie. À travers leurs reconfigurations respectives du récit de zombie classique, qui met en scène des envahisseurs inquiétants, ces séries font de leurs morts-vivants des protagonistes avec lesquels entrer en sympathie, qui offrent de puissantes métaphores des migrations et marginalisations socioéconomiques.
Predictors of mortality in severe community acquired pneumonia in an intensive care unit of Sri Lanka
Authors: Nadarajah T. , Dharmalingam L. , Galhena H. T. , Rangana R. L. P. , Perera N. , Priyankara W. D. D. 
Published: December 2024

Background: Severe community-acquired pneu-monia (SCAP) carries high mortality. This study describes the predictors of mortality in SCAP.Method: A prospective cross-sectional study was conducted in the Medical Intensive Care Unit (MICU) of National Hospital of Sri Lanka (NHSL) recruiting patients with SCAP admitted from July to December 2023. Disease outcome, complications and organ support received were documented.Results: Among 56 participants, 36 (64.3%) were males and 33 (58.9%) were ≥50 years of age. Septic shock requiring vasopressors was seen in 36 (69.6%), acute kidney injury (AKI) in 24 (42.9%) and 40 (71.4%) required mechanical ventilation (MV). There were 20 (35.7%) deaths.A higher number of non-survivors had respiratory failure (100% vs 55.6%, p<0.0001), PaO2/FiO2 ratio<250 (100% vs 77.8%, p=0.02) and required MV (100% vs 55.6%, p<0.0001) compared to survivors. Length of MV was higher in non-survivors than survivors (8 vs 2.5 days p<0.001).History of chronic renal failure (OR 6.214, 95% CI 1.84 - 20.99, p=0.003), presence of AKI (OR 9.0, 95% CI 2.54 - 31.80, p=0.001) and need for renal replacement therapy (OR 13.44, 95% CI 3.07 -58.71, p=0.001) were associated with mortality. Patients who had septic shock and required vasopressors (OR 15.2, 95% CI 1.833 - 126.07, p=0.01) had a higher risk of death. In a multivariable logistic regression model, AKI independently predicted mortality (adjusted OR 5.3, 95% CI 1.26 - 28.28, p<0.02).Conclusion: Presence of respiratory failure, AKI and septic shock predicts mortality in patients with SCAP.
Capabilities, well-being and intention to leave of financial accounting students
Authors: Van den Berg Elette , Rothmann Sebastiaan 
Published: December 2024

Orientation: Student mental health and dropout, specifically in accounting education, is an important focus area for research.Research purpose: This study investigated financial accounting students’ capabilities, well-being and intention to leave a higher education institution.Motivation for the study: The well-being of financial accounting students in South Africa is crucial because of academic pressures, socio-economic challenges and employability concerns. Fostering students’ holistic development enhances academic performance and job readiness. However, there is a critical lack of understanding of the relationship between students’ capabilities, well-being and intention to leave. Addressing this gap is essential for creating inclusive support systems that promote students’ resilience, retention and long-term success.Research approach/design and method: A cross-sectional survey was used with a sample of 102 financial accounting students. The participants completed four measuring instruments: the Capability Set for Work Questionnaire, the Cynicism Scale of the Burnout Assessment Tool (BAT), the Mental Health Continuum – Short Form and the Intention to Leave the University.Main findings: The capability set of financial accounting students was negatively associated with cynicism and positively related to social well-being (SWB). High levels of cynicism and low emotional well-being (EWB) significantly impacted students’ intentions to leave. Finally, a strong capability set and low cynicism were associated with flourishing and a low intention to leave.Practical/managerial implications: Higher education institutions should enhance students’ capabilities by fostering knowledge application, meaningful relationships and valuable contributions to improve SWB and reduce cynicism. Prioritising EWB through intervention programmes is crucial for student retention.Contribution/value-add: This study’s findings provide scientific evidence of the relationship between capabilities, well-being and intention to leave among financial accounting students.
Genotype-phenotype correlation: Clinical implications of CYP1B1 analysis in primary congenital glaucoma
Authors: Tanwar Mukesh , Dada Tanuj , Sihota Ramanjit , Dada Rima 
Published: December 2024

Purpose:
Mutations in cytochrome P4501B1 (CYP1B1) gene are a predominant cause of congenital glaucoma (PCG). We have planned this study to identify CYP1B1 gene mutations in PCG patients.

Methods:
After ethical clearance a total of seventy five unrelated PCG patients and 75 healthy controls were enrolled in the study. CYP1B1 gene was screened for mutations by polymerase chain reaction and DNA sequencing.

Results:
A total of 32/75 (42.66%; 13 with homozygous mutations, 8 with compound heterozygous and 11 with heterozygous mutations) patients were positive for heterozygous/ homozygous CYP1B1 mutations (Table 1). Furthermore, six already reported single nucleotide polymorphisms were also identified in the less conserved region of CYP1B1 both in controls and patients in addition to pathogenic CYP1B1 mutations. A total of 21 sequence changes in CYP1B1 gene were identified in this study. We observed higher mean IOP and corneal diameter in mutation positive cases as compared to mutation negative cases. This is in accordance with the idea of associating the severe phenotype with defective CYP1B1 allele. Mutation positive cases had poor prognosis as they may require multiple surgeries and have poor visual outcome as compare to mutation negative cases (usually underwent surgery once and had good visual outcome).

Conclusion:
The information derived from this study has both basic and clinical relevance. Thus mutation analysis is an essential pre-requisite in diagnosis workup in PCG and in future can be used as diagnostic/prognostic marker for detection and charting the path for analysis of the disease progression. This may help in adopting most appropriate therapy (medical and surgical) and also providing comprehensive genetic counseling to at risk families.
Overcoming the Fear of Strabismus Case Presentation
Authors: Joshi Deepti , Gupta Isha , Krishnaprasad R. 
Published: December 2024

Purpose:
The purpose of this article is to give a guide map to successfully presenting a strabismus case for postgraduate practical examination.

Methods:
A literature search was performed in Pubmed and compiled with author’s approach to the clinical examination of the strabismus case to give a simplified flow chart and diagrams relevant to the strabismus case presentation.

Conclusions:
A methodical approach to strabismus case in an examination can shorten the time required and boost the productivity of a student giving a practical examination, along with covering all important steps of a strabismus case presentation.
Changes in Tear Film after Phacoemulsification and Manual Small Incision Cataract Surgery in Tertiary Care Hospital: A Prospective Study
Authors: Shirwadkar Shruti , Shinde Chhaya , Waghmare Rahul , Ganvir Amol , Yadav Abhilasha , Joshi Sanyukta , Apte Monisha 
Published: December 2024

Background:
An adequate and consistent layer of tears on the surface of the eye is essential to keep your eyes healthy, comfortable, and well. Consequences of dry eyes range from subtle but constant eye irritation to significant inflammation and even scarring of the front surface of the eye. This study was to evaluate the changes in the tear film. The aim of this study was to compare subjectively and objectively the course of surgically induced tear film changes in terms of dryness of eyes induced surgically after phacoemulsification and manual small incision cataract surgery (SICS) in tertiary care hospital.

Materials and Methods:
One hundred eyes of 100 patients were chosen for a prospective study. Those patients were included who had unilateral or bilateral cataracts without dry eye symptoms. By simple randomization, any abnormality in the tear film in pre- and postphacoemulsification and manual SICS was studied. Patients were tested for different parameters such as tear meniscus height (TMH), tear film breakup time, Schirmer test 1, and Rose Bengal staining. Eyes were tested 1 day before and 1 day, 1 month, and 3 months after surgery. Moreover, they were analyzed for possible causative factors. The association between categorical variables was analyzed using the Chi-square test. The paired t-test was used to compare the mean of quantitative variables. Preexisting ocular disease, surgery, trauma, and systemic diseases were ruled out.

Results:
There was no significant difference between the two groups at the end of 3 months. Fifty-three males and 47 females between the age group of 50 and 70 years were studied prospectively for changes in tear film after cataract surgery for 2 years from January 2015 to December 2016, i.e., 24 months. Group 1 consisted of manual SICS and Group 2 consisted of phacoemulsification surgery. Among 50 patients in Group 1, there were 23 (46%) females and 27 (54%) males, and among 50 patients in Group 2, 24 (48%) females and 26 (52%) males. TMH was evaluated by image software of the slit lamp. The difference between the two gender groups was insignificant (P = 1.000).

Conclusion:
As any kind of incision over the cornea or ocular surface be it clear corneal or incision over the sclera like in SICS causes disturbance in the ocular surface; it causes tear film changes postoperatively. It is observed that there are definitely tear film changes seen after the surgery as microscopic ocular surface damage during any kind of incision of cataract surgery seems to be one of the causative factors causing discomfort and dry eye. But the changes at the end of three months were tear film changes have no significant difference with reference to the kind of surgery performed.
Short-term Indian Experience with Micropulse Transscleral Cyclophotocoagulation Using Revised Micropulse Probe in Advanced Glaucoma
Authors: Salu M. , Ariga Murali , Roopesh K. Jeyasudha , Nivean Pratheebadevi 
Published: December 2024

Introduction:
Micropulse transscleral laser therapy, commonly referred to as micropulse transscleral cyclophotocoagulation (MP-TSCPC), is a safe and effective treatment for glaucoma.

Objective:
To evaluate the mean intraocular pressure (IOP)-lowering effect of micropulse diode laser cyclophotocoagulation performed using a revised micropulse probe and to observe any adverse events.

Materials and Methods:
A single-center retrospective study included 34 patients diagnosed with advanced glaucoma who underwent micropulse transscleral cyclophotocoagulation using a revised micropulse P3 probe. Data were collected from the electronic medical records of patients. Data noted at baseline-demographics, best-corrected visual acuity, IOP, prior glaucoma surgeries, and the number of anti-glaucoma medications. The procedure was performed by a single surgeon with standard laser settings. The eye was patched with topical moxifloxacin 0.5% combined with dexamethasone 0.1%. Anti-glaucoma medications were continued postoperatively. Postoperative data-IOP and the number of anti-glaucoma medications at postoperative 1 week and 3 months were noted.

Results:
Statistical analysis was performed using Minitab 19. Mean IOP (in mmHg) at baseline was 31.64 ± 6.97, and 22.20 ± 8.57 and 21.82 ± 7.56 at postoperative 1 week and 3 months, respectively, (P < 0.001). The mean number of antiglaucoma medications at baseline was 3.5 ± 0.74 and at 1 week after MP-TSCPC was 2.97 ± 0.79 and at 3rd month was 2.97 ± 0.83 (P < 0.001).

Conclusion:
MP-TSCPC using the revised micropulse probe is effective in lowering IOP, has an acceptable safety profile and tolerability, and can be considered for patients with advanced glaucoma.