bluuebunny/crossref_metadata_2025_split huggingface dataset:
« Tranchetoison ». Onomastique, héraldique et sigillographie de la maison vicomtale des Trencavel (XI e –XIII e siècle)
Authors: Macé Laurent 
Published: October 2021

Ce dossier revient sur l’attribution du surnom occitan de « Trencavel » que la lignée des vicomtes de Béziers, de Carcassonne, d’Albi et du Razès a adopté du xi e siècle jusqu’à leur disparition de la scène politique à la fin du xiii e siècle. La construction sémantique de ce qualificatif nous amène à le traduire et à le comprendre comme l’équivalent de « Tranchetoison ». L’analyse des sceaux et de l’héraldique, dont ces derniers sont porteurs, permet de déterminer l’adoption et la figuration d’une étoffe de vair dans l’emblématique parlante des princes de la fin du xii e siècle (vers 1180), mise en code du nom qui évolue dans le temps lorsque la croisade contre les Albigeois (1209–1229) provoque une césure dynastique. Les prétentions de l’héritier à recouvrer les domaines de ses ancêtres s’accompagnent d’une modification formelle des armes paternelles avant que le roi de France ne procède lui-même à un changement de fourrure pour signifier la dévolution du domaine vicomtal au souverain Louis IX, ainsi que la fin de la geste héroïque des « Tranchetoison ».
Une étude philologique du rapport entre deux ballades du ms. Turin, BNU, J.II.9 et la troisième famille des chansonniers en langue d’oïl
Authors: Barale Elisabetta 
Published: October 2021

Cet article propose l’étude philologique de deux ballades (77 et 71 I) du codex musical « de Chypre » (ms. Turin , BNU, J.II.9) qui présentent respectivement la réécriture de deux chansons courtoises remontant à une époque comprise entre la fin du xii e et le troisième quart du xiii e siècle : Ire d’amors qui en mon cuer repaire de Gace Brulé et Se j’ai chanté sans guerredon avoir de Robert de Castel. La comparaison des pièces « chypriotes » avec ces poèmes met en lumière les techniques d’insertion citationnelle et de remaniement adoptées par leur auteur, en offrant quelques renseignements sur les sources qu’il aurait pu consulter. En effet, l’examen des variantes permet d’avancer l’hypothèse que le compositeur s’est fondé sur une copie des chansons proche de celle qui a été transmise par le chansonnier lorrain U, en invitant à supposer qu’il avait des contacts avec le nord-est de la France ou qu’il en était même originaire.
Mental Health Issues Among Farmers: An Online Continuing Education Program for Nurses
Authors: Jones M. Susan , Main M. Eve , Garrett-Wright Dawn , Malin Catherine M. , Pennington Alicia 
Published: October 2021

Background:
An asynchronous online continuing education (CE) program was created to increase nurses' awareness and knowledge of occupationally related mental health issues among farmers.

Method:
The ADDIE (analysis, design, development, implementation, evaluation) model was followed to create the CE program. Articulate Storyline 3 (Articulate 360), a software tool, was used to build an interactive, e-learning, and virtual training module.

Results:

The course was completed by 113 nurses. Eighty-two (72.5%) of these nurses completed the course evaluation. Of these, 69 (84.1%) reported that the course met their expectations. The majority of respondents indicated that the material was presented in a clear, organized manner (80.0%,
n
= 80) and that all course objectives were met, including being able to identify sources of stress among farmers (86.3%,
n
= 80), recognize manifestations of stress among farmers (86.4%,
n
= 81), understand farmers' mental health status (86.3%,
n
= 80), and identify mental health nursing practices (87.3%,
n
= 79).

Conclusion:

Nurses can provide more salient care to the farming population when they are equipped with an understanding of the culture and stress associated with farming. This online educational program has the potential to improve mental health care for farmers and their families.

[
J Contin Educ Nurs
. 2021;52(10):482–488.]
Otra narrativa de la Transición : las crónicas de sucesos de Margarita Landi en la revista Interviú
Authors: Ortega Muñoz Víctor J. 
Published: October 2021

De multiples discours convergent sur la scène publique espagnole pendant la période de transition. Au-delà des questions politiques et des récits officiels largement étudiés, nous voulons attirer l'attention sur des thèmes inhabituels : les faits divers publiés par la précurseure Margarita Landi dans Interviú. Ce magazine a assumé dès le départ les nouvelles libertés politiques et morales qui surgissent avec la Transition vers la démocratie, combinant l'information politique et la dénonciation avec l'érotisme, éléments novateurs qui s'additionnent pour obtenir une base de lecteurs considérable et devenir l'un des médias de référence. Dans sa configuration, l'inclusion de faits divers représente un élément essentiel. Le pari pris pour cette section sera confirmé en 1980 avec la signature de la journaliste vedette d'El Caso, Margarita Landi, une professionnelle reconnue, qui jouit de la faveur du lectorat. À travers son regard acéré et les exemples de rupture de la normalité rassemblés dans les pages d’Interviú, nous abordons la société actuelle et ses problèmes.
El 23-F online : tratamiento de la retransmisión de la « noche de los transistores » en las webs de radio españolas
Authors: García-Gil Samuel , Berdón-Prieto Pablo 
Published: October 2021

La radio en Espagne a connu un événement social majeur entre les 23 et 24 février 1981 lui permettant de faire un bond en avant en termes de média d’information. La retransmission du coup d'État manqué du 23-F a été nommée comme « la nuit des transistors », un des événements les plus importants de l'Histoire de la radio en Espagne. Le but de cette recherche est d'analyser le traitement de cette émission faite par les sites des quatre chaînes radio les plus importantes d'Espagne : Cadena SER, Cadena COPE, Onda Cero et Radio Nacional de España. Des témoignages des journalistes et travailleurs qui ont vécu cette nuit, en plus des morceaux et résumés de l'émission originale, ont été retrouvés. Cependant, aucune des chaînes susmentionnées n’a mis à disposition des usagers l'enregistrement intégral de façon permanente et accessible.
The Dancing Moominvalley: A Choreographic View on Tove Jansson’s Illustrations and Texts
Authors: Happonen Sirke 
Published: October 2021

Cet article vise à mettre l’accent sur un aspect de la littérature de Tove Jansson, qui est lié à la danse et au mouvement. Il s’intéresse à son travail en tant que constructions chorégraphiques, aux images et textes qui renvoient à la danse. Cette dernière était une forme d’expression personnelle importante chez Tove Jansson, que l’on peut retracer dans son œuvre. Dans les livres sur les Moumines, l’acte de danser exprime différents sentiments et phases de la narration – joie de vivre, envie de s’échapper, rébellion et libération. Cependant, Jansson utilise aussi ces formes d’expression chorégraphiques lorsqu’elle décrit et illustre des événements qui sont associés à la danse, à l’instar de certains mouvements de la nature, de positions et postures humaines qui semblent particulièrement expressifs et esthétiques. De nombreux personnages dans l’œuvre de Jansson ont un langage qui renvoie au mouvement qui leur est propre. Lorsqu’elle retranscrit ces impressions, Jansson emprunte aux conventions de la danse de salon, du ballet et de la danse moderne. À travers ces registres de la danse ou apparentés, elle met en scène des nuances exceptionnelles dans sa narration et son art et parvient ainsi à exprimer son sens de l’humour très personnel.
Complete Rockall Score in Predicting Outcomes of Elderly Patients with Acute Non-Variceal Upper Gastrointestinal Bleeding
Authors: Bhattacharyya Ankur , Das Subha Lakshmi 
Published: October 2021

Background:
Upper gastrointestinal bleeding (UGIB) is a common life-threatening emergency with an overall mortality rate of around 10%. Complete Rockall score is designed to identify patients who are at greater risk of adverse outcome. The aim of this study was to assess the Rockall score as a predictor of adverse outcome in elderly population presenting with non-variceal UGIB.

Materials and Methods:
This study was an observational study conducted in 116 patients of age >60 years. After stabilizing the patient, endoscopy was performed using a Pentax endoscope. Severity of bleeding was assessed with complete Rockall scoring. The statistical significance was fixed at 5% level (P-value <0.05).

Results:
The mean age of the study population was 70.16 ± 6.01 years with male-to-female ratio of 2.63:1. Majority of patients (55.17%) presented with both hematemesis and melena. The most common lesion was duodenal ulcer (33.62%). The mean blood transfusion was 1.56 ± 1.14 U. The mean Rockall score was 4.37 ± 2.12. The mean hospitalization was 3.26 ± 1.69 days. Rebleeding occurred in 12.93% of the patients and 8.62% of the patients expired during hospitalization. Out of the 10 patients expired, 20.0% belonged to the moderate-risk and 80.0% belonged to the high-risk Rockall groups, which were found to be statistically significant (P-value <0.001).

Conclusion:
Acute UGIB is a medical emergency and Rockall score is ideal to stratify elderly patients to anticipate outcome and prognosis.
Donor Selection and Deferral Pattern in Convalescent Plasma Donor in Plasmapheresis Unit of a Tertiary Care Hospital
Authors: Sharma Adity , Ahmed Zarika , Rahman Mustafizur 
Published: October 2021

Context:
The novel coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) began in Wuhan, China, in December 2019. The management plan is supportive care with oxygen supplementation and mechanical ventilation. US FDA approved convalescent plasma (CP) for COVID-19 for clinical trials and as an emergency investigational new drug. Although numerous trials are currently investigating the safety and efficacy of CP in COVID-19 patients, there is a paucity of ongoing and published studies evaluating the CP donors' side. This retrospective study reports the CP donors' selection and deferrals.

Aim:
To evaluate and analyze the donor deferral pattern and its causes among CP donors in a tertiary care hospital blood bank apheresis unit.

Settings and Design:
Hospital-based retrospective analysis.

Subjects and Methods:
Donors aged 18–65 years who had recovered from COVID-19 at least 4 weeks previously coming for plasma donation were retrospectively analyzed from July 25, 2020 to January 24, 2021 for a period of 6 months at blood bank apheresis unit, Assam Medical College and Hospital.

Results:
A total of 396 potential plasma donors were screened during the study period. The donor deferral rate was 39.1%. The permanent deferral was 36.8%, and the temporary deferral was 63.2%. The maximum number of donors deferred because of low antibody (18.7%) followed by low hemoglobin (14.8%). Associated comorbidities, low platelet count, repeat reverse transcription-polymerase chain reaction positivity, transfusion transmitted infection reactivity, intake of medicines, infections, vaccination, and underweight were other causes identified.

Conclusion:
The pattern of donor deferral is an important tool for blood safety and also provides key areas to focus on a demographic region or policy formulation for donor selection as well as to ensure donor safety.
Prevalence of Antimicrobial-Resistant Infection Among Patients Attending Assam Medical College and Hospital, Dibrugarh
Authors: Gogoi Gourangie , Dutta Mousumi , Choudhury Gargi 
Published: October 2021

Background:
The burden of antimicrobial resistance (AMR) is increasing globally at an alarming rate, especially among hospitalized cases. However, there is still lack of knowledge about morbidity and mortality due to AMR infections among different populations. The present study was aimed to provide a brief insight on the prevalence of AMR infection among the patients attending Assam Medical College and Hospital, Dibrugarh, Assam, India.

Materials and Methods:
A retrospective cross-sectional study was conducted among the patients admitted in the hospital from April 2018 to April 2019. Blood culture reports of AMR-positive cases were collected from the Microbiology Department and hospitalization records including clinical and demographic data were retrieved from the Medical Records Department.

Results:
Overall, 251 blood culture reports positive for AMR infection were obtained during the study period. Of this, 96 cases (38.25%, 96/251) were females and 155 (61.75%, 155/251) were males. AMR infection was mostly prevalent among younger age group (0–1 month) with 85.65% (215/251). Methicillin-resistant Staphylococcus aureus, Acinetobacter baumannii, and Klebsiella pneumonia were the most frequently identified AMR pathogens in the study population with 31.47% (79/251), 23.90% (60/251), and 17.93% (45/251), respectively.

Conclusion:
The identified AMR pathogens were mostly prevalent among young infants and characterized with multidrug resistance. However, the extended study in increased population mostly among hospitalized cases may provide insights for understanding the burden of AMR and associated risk factors.
Effect of diffusion of anaesthetic gases on fibre-optic view change of laryngeal mask airway and post-operative laryngo-pharyngeal morbidity in children – A randomised controlled trial
Authors: Bharti Neerja , Bala Indu , Lokala Revathi , Sahni Neeru , Samujh Ram 
Published: October 2021

Background and Aims:The diffusion of nitrous oxide (N2O) into the air-filled cuff of the classic laryngeal mask airway (LMA) may lead to an increase in cuff pressure (CP) and displacement of LMA affecting its performance. This study was conducted to evaluate the change in optimal position of LMA by fibre-optic bronchoscope, the changes in cuff pressure and oropharyngeal leak pressure (OLP), and post-operative laryngo-pharyngeal morbidity during N2O–oxygen (O2) anaesthesia in children.Methods:After ethics committee approval and written informed consent, 84 children, aged 2 to 8 years undergoing lower abdominal surgery using LMA were included. Anaesthesia was induced with sevoflurane and maintained with either 33% O2in air (Group 1) or with 33% O2in 67% N2O (Group 2) along with sevoflurane. The position of LMA using fibre-optic bronchoscope, CP and OLP were recorded at 30, 60 and 90 minutes and at the end of surgery. The incidence of post-operative sore throat, hoarseness of voice and dysphagia was assessed for 24 hours.Results:A mild (Grade 1) change in fibre-optic position of LMA was observed in 6 out of 42 children maintained with N2O–O2anaesthesia. The cuff pressure was higher than baseline in group 2 at all three time points with the maximum at 90 minutes (93.23 ± 14.86 cm H2O vs. 39.78 ± 7.75 cm H2O;P< 0.05). The OLP was comparable between the groups during the initial 60 minutes and then increased in group 2. The incidence of post-operative sore throat was significantly higher in group 2 (P= 0.008).Conclusion:The diffusion of anaesthetic gases into the air-filled cuff does not change the fibre-optic position of the LMA significantly but increases the cuff pressure and incidence of post-operative laryngo-pharyngeal complications in children.
NUTRIC score as a predictor of outcome in COVID-19 ARDS patients: A retrospective observational study
Authors: Kumar Neeraj , Kumar Abhyuday , Kumar Ajeet , Pattanayak Arunima , Singh Kunal , Singh Prabhat K. 
Published: October 2021

Background and Aims:The Nutrition Risk in Critically ill (NUTRIC) score is an appropriate nutritional assessment tool in mechanically ventilated patients. We retrospectively observed the applicability of the NUTRIC score for predicting outcomes in coronavirus disease (COVID)-19 acute respiratory distress syndrome (ARDS) patients.Methods:All adult COVID-19 ARDS patients admitted to the intensive care unit and requiring various forms of oxygen therapy were included in the study. The demographic characteristics and clinical information about the patients were obtained from the hospital’s medical records department. The nutritional risk for each patient was assessed using the NUTRIC score at 72 hours of ICU admission. The discriminating power and ability of NUTRIC score, Sequential Organ Failure Assessment (SOFA) score, age and Acute Physiology and Chronic Health Evaluation (APACHE) II to predict the 28-day mortality and need for mechanical ventilation (MV) was calculated using receiver operating characteristic curves and area under this curve.Results:A total of 80 COVID-19 ARDS patients fitted into the inclusion criteria. Among non-survivors, the median Glasgow Coma Score, APACHE II score, NUTRIC score and SOFA score were 10, 16, 6 and 4, respectively. The cut-off values for NUTRIC score, SOFA, and APACHE II to predict 28-day mortality and need for MV was obtained as 3.5, 3.5 and 11.5, respectively. These cut-off values of NUTRIC score, SOFA score, and APACHE II have a sensitivity of 62%, 72.5% and 75.5%, respectively, and specificity of 95%, 72% and 83% for predicting mortality.Conclusions:Most COVID-19 ARDS patients requiring MV in the ICU are at nutritional risk, and a high NUTRIC score is associated with higher mortality.
Comparison of post-cataract surgery endophthalmitis rates using syringing or regurgitation on pressure over the lacrimal sac as a preoperative screening tool for nasolacrimal duct obstruction: An impact assessment of protocol alteration due to the COVID-19 pandemic
Authors: Shenoy Pratik , Mehta Sonali , Shah Chintan , Joshi Rajesh , Sen Pradhnya , Patidar Narendra , Kohli Gaurav Mohan , Sen Alok 
Published: October 2021

Purpose:
To compare the post-cataract endophthalmitis (PCE) rates among eyes undergoing syringing or regurgitation on pressure over the lacrimal sac (ROPLAS) test prior to cataract surgery.

Methods:
We performed a single-center, retrospective, comparative analysis of eyes developing PCE who underwent syringing prior to cataract surgery (group A) in the pre-COVID-19 era between November 1 2019 and January 31, 2020 and the eyes that underwent ROPLAS test prior to cataract surgery (group B) in the COVID-19 era between November 1, 2020 and January 31, 2021.

Results:
A total of 87,144 eyes underwent cataract surgery during the two time periods of the study. Syringing was performed in 48,071 eyes, whereas ROPLAS was performed in 39,073 eyes. In group A, 19 eyes (0.039%) developed PCE, whereas 20 eyes (0.051%) developed PCE in group B (P = 0.517). Between the two groups, the grade of anterior chamber cellular reaction (P = 0.675), hypopyon (P = 0.738), and vitreous haze (P = 0.664) were comparable. Gram-positive organisms were detected in 4 eyes in group A and 6 eyes in group B; 2 eyes in group A had gram-negative bacilli. The presenting visual acuity (Group A: LogMAR 1.42 and Group B: LogMAR 1.30) and final visual acuity (Group A: LogMAR 0.52 and Group B: LogMAR 0.5) were comparable between the two groups. (P = 0.544 and 0.384, respectively).

Conclusion:
The rates of PCE were comparable among the eyes undergoing either syringing test or ROPLAS prior to cataract surgery.
Surgical outcomes for esotropia in children with high accommodative convergence/accommodation ratio
Authors: Dass Sabrina E , Cheng Monique , Bahl Reecha S 
Published: October 2021

Purpose:
To assess if high accommodative convergence/accommodation (AC/A) ratio impacts surgical outcomes in children with esotropia (ET), and evaluate the appropriate target angle in surgical dosing in the presence of high AC/A ratio.

Methods:
A retrospective chart review identified patients who underwent primary bilateral medial rectus (BMR) recessions for ET. Patients were excluded if follow-up was ≤2 months. Basic demographic information, visual acuity, stereopsis, alignment, and target angle for surgery were collected. High AC/A was defined as ≥10 prism diopter (Δ) deviation at near compared to distance. Outcome parameters were near and distance deviations ≤10Δ within orthophoria, and/or stereopsis postoperatively. Yates’ continuity correction, unpaired t-test, regression analysis, and one-way ANOVA were used.

Results:
We identified 103 patients, 23 with high AC/A and 80 with normal AC/A, preoperatively. Mean age was 4.0 ± 2.5 years. Surgical success measured by postoperative alignment was 48% and 45% in the high AC/A and normal AC/A groups, respectively (P = 1.0). There was a statistically significant difference in preoperative near deviation between high AC/A and normal AC/A groups (P = 0.0015); however, there was no significant difference in preoperative distance deviation (P = 0.061). In addition, there was not a significant difference in preoperative or postoperative stereopsis between high AC/A and normal AC/A groups (P = 0.88 and P = 0.44, respectively). There was a significant difference in the normal AC/A and high AC/A groups when target angle was directed toward preoperative near deviation as determined by one-way ANOVA (F = 170.88, P < 0.0001 and F = 14.61, P = 0.0010, respectively).

Conclusion:
In the setting of ET treated with BMR recession, the presence of high AC/A does not affect surgical success as measured by alignment and stereopsis. In addition, when high AC/A is present, surgical dosing with a target angle toward near deviation was found to yield the best surgical outcomes in our patient population.
Femtosecond laser-assisted peripheral additive stromal keratoplasty for treatment of primary corneal ectasia: Preliminary outcomes
Authors: Jafarinasab Mohammadreza , Hadi Yasaman 
Published: October 2021

Purpose:
To report the preliminary results of a new surgical modality for the treatment of primary corneal ectasia, which consists of implanting allogeneic corneal tissue into the peripheral corneal stroma using a femtosecond laser system or femtosecond laser-assisted peripheral allogeneic stromal additive keratoplasty or FA-PASAK.

Methods:
This prospective, noncomparative case series includes patients with primary corneal ectasia including keratoconus and pellucid marginal degeneration. In the operating room, one or two ring or crescent-shaped allogeneic corneal segments were prepared using a handmade double-bladed punch, which were then implanted by a specially designed device, into stromal channels in the peripheral recipient cornea fashioned with a femtosecond-laser system.

Results:
A total of 15 eyes of 13 patients with mean age of 31.73 years were operated. There were significant improvements in uncorrected (0.68 to 0.3 logMAR) and corrected (0.44 to 0.16 logMAR) visual acuity, mean sphere, mean spherical equivalent refractive error, and mean keratometry (steep, flat, and average). Topographic and refractive astigmatism did not change significantly. Complications included a single case of bacterial keratitis secondary to epithelial defect, which was controlled with topical antibiotics eventually leading to an uncorrected vision of 20/25 one year after surgery.

Conclusion:
The use of allogeneic corneal ring or crescent shape segments may be a safe and cost-effective treatment for primary corneal ectasia, whereas a nomogram is necessary to be devised for general use of the technique.