bluuebunny/crossref_metadata_2025_split huggingface dataset:
La parole politique en confrontation dans les médias
Authors: Bovet Alain , Malbois Fabienne 
Published: October 2021

Résumé La confrontation des analyses d’un débat télévisé et d’un talk show radiophonique en termes de cadre de participation permet de montrer des différences importantes mais aussi des convergences imprévues. Les différences portent sur le footing assigné aux intervenants : alors que le débat télévisé assigne un footing unique et ne tolère aucun jeu, le talk-show semble se définir par la multiplicité et la labilité des positions depuis lesquelles les participants sont appelés à parler. Dans les deux cas, ces rapports très distincts au cadre de participation vont pourtant de pair avec une configuration aussi rigide que conventionnelle de l’enjeu et des positionnements qui s’y rapportent. Ce constat invite à nuancer, par le biais d’un approfondissement de l’analyse du cadre de participation, les thèses selon lesquelles les mutations plus ou moins récentes de la parole publique médiatisée contribuent à un renouvellement des espaces publics démocratiques.
La parole politique en confrontation dans les médias
Authors: Desterbecq Joëlle 
Published: October 2021

Résumé Diffusée sur la chaîne de service public belge francophone RTBF, l’émission Répondez @ la question propose de confronter une personnalité du monde politique à un trio de journalistes. Nous montrerons que le matériel sémiotique verbal du programme s’appuie sur le matériel visuel afin de configurer une interaction agonistique, fondée sur le jeu stratégique du discours politique dans un contrat de parole marqué par l’« opacité » constante de l’instance de médiation.
La parole politique en confrontation dans les médias
Authors: Dufiet Jean-Paul 
Published: October 2021

Résumé Nous analysons une séquence médiatico-politique au cours de laquelle le Président de la République française Nicolas Sarkozy affronte l’opposition qui manifeste contre sa politique anti-crise des subprimes . Il déploie une communication de crise composée de deux interventions télévisuelles (5 et 18 février 2009). Dans la première émission, à l’intérieur d’un format et d’un dispositif télévisuels soucieux des manifestants, le Président associe un comportement interactionnel d’écoute à une stratégie argumentative polémique : il plaint les manifestants tout en repoussant leurs exigences. La seconde émission est une simple allocution solennelle du Président : ce dernier annonce des mesures anti-crise sans renoncer à sa stratégie argumentative polémique. Dans cette séquence, le Président projette un éthos sensible qui devrait lui permettre de poursuivre sa politique d’avant la crise. Notre étude montre qu’il y a interaction directe entre le plan médiatique, le plan discursif, et les plans social et politique.
L’appropriation de la figure du zombie dans le cinéma coréen
Authors: Coppola Antoine 
Published: October 2021

L’acclimatation de la figure du zombie dans le cinéma sud-coréen s’est confrontée à un imaginaire horrifique traditionnel réfractaire. Pourtant, les zombies se sont peu à peu imposés avec des films à succès qui ont touché un large public à partir des années 2010 ( Train to Busan , Peninsula ). La coréanisation du zombie n’est cependant sans effets : en reproduisant le passage, réalisé en Occident, du zombie transcendantal (liés aux esprits de la métaphysique) au zombie immanent (corporalisé et « naturalisé ») pouvant être utilisé comme métaphore au service d’une critique sociale (clivages sociaux, aliénations industrielle et communicationnelle), un changement de paradigme de l’imaginaire coréen se fait jour. La famille, particulièrement mise en scène dans ces films, et sa sacralisation traditionnelle sont particulièrement touchées. Au-delà de son caractère subversif au niveau socio-politique, le zombie coréen, dans sa nouvelle nature, après être passé par une forme hybride avec le fantôme traditionnel, annonce un être futuriste post-humain, issu de l’homme mais sans l’humanité.
Prediction of post-induction hypotension in young adults using ultrasound-derived inferior vena cava parameters: An observational study
Authors: Mohammed Sadik , Syal Rashmi , Bhatia Pradeep , Chhabra Swati , Chouhan Ravindra S , Kamal Manoj 
Published: October 2021

Background and Aims:Inferior vena cava (IVC) diameter and its respiratory variability have been shown to predict post-induction hypotension with high specificity in a mixed population of patients. We assessed whether these parameters could be as reliable in healthy adult patients as in a mixed patient population.Methods:In the present prospective observational study, 110 patients of either sex, aged between 18 and 50 years, belonging to American Society of Anesthesiologists class I and II, fasted as per the institutional protocol and scheduled for elective surgery under general anaesthesia were enroled. Prior to induction, ultrasound examination of IVC was done and variation in IVC diameter with respiration was assessed. Maximum and minimum IVC diameters [(dIVCmax) and (dIVCmin), respectively] over a single respiratory cycle were measured and collapsibility index (CI) was calculated. Vitals were recorded just before induction and at every minute after induction for 10 min. Episodes of hypotension (mean arterial pressure [MAP] <65 mmHg or fall in MAP >30% from baseline) during the observation period were recorded. The receiver operating characteristic (ROC) curve was constructed for determining optimum cut-off with sensitivity and specificity of IVC diameters and CI for development of hypotension.Results:IVC was not visualised in 22 patients. Out of the remaining 88 patients, 17 (19.3%) patients developed hypotension after induction. The dIVCmax, dIVCminand CI were comparable between patients who developed and who did not develop hypotension. The area under curve of ROC for CI, dIVCmaxand dIVCminwas 0.51, 0.55 and 0.52, respectively, with optimum cut-off value of 0.46, 1.42 and 0.73, respectively.Conclusion:Ultrasound-derived IVC parameters demonstrate poor diagnostic accuracy for prediction of hypotension after induction in healthy adult patients.
Point-of-Care Ultrasound (POCUS) for the assessment of volume status and fluid management in patients with severe pre-eclampsia: A systematic review and meta-analysis
Authors: Bajwa Sukhminder Jit Singh , Kurdi Madhuri S. , Sutagatti Jagadish G. , Bajwa Sukhwinder K. , Theerth Kaushic A. 
Published: October 2021

Background and Aims:Appropriate volume assessment and fluid management can prevent maternal deaths in the severely pre-eclamptic (SPE) parturients. We planned a systematic review and meta-analysis (MA) to evaluate the role and ability of point-of-care ultrasound (POCUS) in the assessment of volume status and early detection of lung oedema in an SPE parturient.Methods:An e-literature search was done from several databases. Data were extracted under five domains including POCUS-derived parameters like echo comet score (ECS), lung ultrasound (LUS) scores, B-patterns, optic nerve sheath diameter (ONSD), E/e’ ratio, presence of pleural effusion, pulmonary interstitial syndrome and pulmonary congestion. The risk of bias was assessed. Extracted data were analysed using MetaXL and Revman 5.3. Heterogeneity in the studies was evaluated using the Cochrane Q test and I2statistics. Funnel plots were used for the assessment of publication bias.Results:Seven prospective studies including 574 parturients (including 396 pre-eclamptics) were selected. POCUS included lung, optic nerve, cardiac and thoracic US. In two studies, the ECS and LUS scores pre-delivery were higher in pre-eclamptics. Two studies found a mean ONSD of 5–5.84 mm before delivery. MA revealed a significantly lower mean ECS score at post-delivery than pre-delivery, and the summary prevalence of B-pattern and pleural effusion among SPE parturients was found to be 0.28 (0.03–0.84) and 0.1 (0–0.2), respectively. A good correlation was observed between B-line patterns and diastolic dysfunction (increased E/e’ ratio), LUS score and thoracic fluid content, ONSD and ECS in individual studies.Conclusion:POCUS parameters can be useful as early markers of fluid status and serve as useful tools in the precise clinical management of pre-eclampsia.
Risk of Hepatic Toxicity and Drug Response in Patients with Chronic Suppurative Otitis Media
Authors: Rafi SM Tariq , Mehboob Shafaque , Mejabeen  , Tariq Naila , Khan Hurithmina , Mehboob Moona 
Published: October 2021

Objective:
The aim of the current study was to evaluate the risk of hepatic and renal toxicity in patients with chronic suppurative otitis media (CSOM) and the effects of antibiotics (ciprofloxacin and co-amoxicillin) on it.

Methods:
This is a case–control study conducted on patients and healthy volunteers divided into four groups; G1 (negative control), G2 (positive control), G3 (patients treated with ciprofloxacin), and G4 (patients treated with co-amoxicillin). The study was conducted in Jinnah Postgraduate Medical College in Karachi, Pakistan, from May 2018 to October 2018.

Results:
There was a significant (P < 0.05) increase in total bilirubin, direct bilirubin, alkaline phosphatase, Serum glutamic pyruvic transaminase (SGPT), and Gamma-glutamyl transferase (GGT) in patients of G2 (positive control) as compared to G1 (negative control). However, the treatment with antibiotics may recover the normal liver enzyme levels except direct bilirubin and SGPT. An insignificant increase in blood glucose levels and urea was found in G2, G3, and G4 with insignificant increased creatinine levels.

Conclusion:
Hepatic toxicity may be induced in patients with CSOM, particularly if not properly treated. Therefore, precautions with proper follow-up of liver function test should be taken in CSOM.
Effectiveness of Intratympanic Dexamethasone as Salvage Therapy in Treating Sudden Sensorineural Hearing Loss
Authors: Gyawali Bigyan Raj , Pradhanaga Rabindra Bhakta , Rayamajhi Pabina 
Published: October 2021

Introduction:
The steroid is the drug of choice in patients with sudden sensorineural hearing loss (SSNHL). Thirty to fifty percent of cases, despite receiving steroids may have incomplete recovery. Furthermore, there are a significant number of patients in whom systemic steroids are contraindicated such as cases with uncontrolled diabetes, uncontrolled hypertension, and pregnancy. Intratympanic steroids can play a vital role as salvage therapy in these cases. The aim of this study was to evaluate the effectiveness of intratympanic Dexamethasone as salvage therapy in cases who fail to respond with systemic steroids, who present late (>1 week) after the onset of symptoms and cases, in whom systemic steroids are contraindicated.

Materials and Methods:
This was a retrospective study conducted in the Department of ENT-Head and Neck Studies, T.U. Teaching Hospital, Kathmandu, Nepal. Approval from the Institutional Review Committee was taken. A prospectively set record data of cases with SSNHL receiving intratympanic Dexamethasone as a salvage therapy from April 2018 to April 2020 were analyzed for improvement in hearing outcome. We used SPSS version 25 for the statistical analysis. Chi-square test and Fisher's exact test were used to draw statistical co-relation. Value of P < 0.05 was considered statistically significant.

Results:
A total of 34 cases met the inclusion criteria. M: F was 3:1 with the majority of cases in the third–fifth decades of life. A total of 11 cases showed partial improvement and one case had complete improvement. There was no statistically significant co-relation between hearing outcome and time interval (from the onset of symptoms to intratympanic injection), level of hearing loss, comorbidities, and prior use of systemic steroid therapy (P > 0.05).

Conclusion:
Intratympanic Dexamethasone has audiological benefits as a salvage therapy in cases with SSNHL failing to respond with systemic steroid therapy.
Conducting Fukuda Stepping Test in a Noisy Clinic and the Effects of Sound
Authors: Teh Carren Sui Lin , Gima Erica Anak , Mamat Hani Binti , Lye Meng Hon , Din Sobani Bin , Prepageran Narayanan 
Published: October 2021

Context:
The Fukuda stepping test (FST) is used to assess the labyrinthine function via the vestibulospinal reflex. The test is meant to be conducted in a quiet room, but in a busy clinic setting, it is often performed in the clinic itself, and individuals are exposed to environmental sounds.

Aims:
The aim of this study was to assess the effects of environmental sounds and the effects of fixed directional sound on the outcome of FST.

Settings and Design:
This is an observational study.

Subjects and Methods:
Thirty healthy participants performed the FST in the otorhinolaryngology clinic, in a sound-treated room, and then in a sound-treated room with the presence of a fixed directional sound where the angle of rotation, angle of displacement, and distance of displacement were compared.

Statistical Analysis Used:
Independent t-test and Chi-squared test were used for statistical analysis.

Results:
There was no statistical difference in the angle of rotation and angle of displacement in all three settings. Although the mean distance of displacement was above 50 cm in all three settings, there was a significant reduction between clinic versus sound-treated room (P = 0.016) and clinic versus room with sound-treated directional sound (P = 0.002). Fixed directional sound had no significant influence on the direction of rotation in all the participants.

Conclusions:
Performing FST in the standard clinic will not affect the results. Concurrently, we suggest omitting measurement of the distance of displacement in FST as it is not reproducible in our normal sample and is highly susceptible to auditory cues but to focus on the angle of rotation.
Impact of the COVID-19 pandemic on the management of surgical patients presenting in an emergency setting -Report from a tertiary referral centre
Authors: Deshpande AA , Das AA , Deotale SB , Takalkar YP 
Published: October 2021

Introduction:
At the onset of the first wave of COVID-19 pandemic, the publications on managing surgical emergencies were sparse. Health care personnel were facing an unprecedented problem with limited information. On this background, we have reviewed the operational challenges faced and the protocols followed by us while managing emergency surgical patients. The clinical presentations, RT-PCR testing rates, trend of COVID-19 positivity in emergency surgical patients and its comparison to the general population, swab positivity among screen positive and negative patients, grade of COVID-19 affection, the outcomes in emergency surgical patients, and COVID-19 affection in treating personnel is studied.

Patients and Methods:
A protocol for triaging patients at presentation into screen positive or negative for COVID-19 was instituted. A proforma for all admitted patients over the period of March 2020 to August 2020 was maintained. A retrospective review of this data was carried out after Institutional Ethics Committee permission.

Results:
A total of 222 patients presented to the surgical emergency, of which 110 required admission. Of the admitted patients, 28 were COVID-19 positive. The positivity amongst admitted and operated patients increased to 50% and 66.67%, respectively in August. The difference in mortality rate amongst the operated COVID-19 positive (11.1%) and negative (14.28%) patients was nonsignificant. None of the treating doctors had to be quarantined during this period.

Conclusions:
The number of COVID-19 positive patients rose serially over the study period. The outcome was not affected by the COVID-19 status in mild cases. A high rate of COVID-19 positivity was seen in patients requiring emergency surgery. Universal precautions ensured delivering treatment to emergency patients in standard time. Testing should continue for all as screening alone is not effective as the virus spreads into the population. Proper protocols helped us to protect the health care workers.
CHALLENGES FACED BY GIRLS IN THE COURSE OF THEIR SECONDARY SCHOOL EDUCATION
Authors: Mutuku Magdalena Mueni , Njeru Enos , Mburugu Edward 
Published: October 2021

Purpose: The purpose of this study was to identify the challenges faced by girls in the course of their secondary school education.
Methodology: This study utilized the exploratory research design. The study targeted specific girls within the secondary schools and those who dropped out of school aged between 14-24 years in the last four years. The sample was drawn from form two, form three and forms four secondary students. Data was generated from both secondary and primary sources. Purposive sampling was applied to get the division and the district in which units of observation have the required characteristics. The three schools in Chuluni division purposively selected were Kaluva Mixed day and boarding secondary school, Mbitini mixed day secondary school and Mbitini girls' secondary school. Snowball sampling was used to reach girls out of school. The study targeted specific girls within the secondary schools and those who dropped out of school aged between 14-24 years in the last four years. It also targeted, teachers, parents and education officer in the secondary schools in Chuluni Division The tool for data collection was a set of semi-structured questionnaires specifically designed for the students in and out of school. A key approach adopted by the study was Focus Group Discussion (FGD) supplemented by in-depth interviews and also the study made use of direct observations that were guided by observation guide or checklist. Furthermore, inferential and descriptive statistics were used for data analysis. Data were coded and entered into the computer for analysis using Statistical Package for Social Sciences, version 23.
Results: The girls out of school indicated that they had dropped out of school due to financial constraints. Additionally, due to poverty parents fail to support the girl child through secondary school education in preparation for higher education. This makes this group of young girls face the risk of early sexual exposure, early marriage and sexual abuse.
Unique contribution to theory, practice and policy: The study findings validates the Theory of liberal feminist that all sexes should be treated with equality. The government should embark on ensuring that policies do not discriminate against girls and women - in education, in employment or in gaining access to leadership positions. Measures should be put in place to create a balance in favor of girls - by offering scholarships or school feeding programmers, through making schools girl-friendly with proper and separate sanitation, by employing more women teachers for the security of girls and as role models.
ELUSIVE QUEST BY WOMEN FOR LEGISLATIVE NUMBERS IN KENYA’S NATIONAL ASSEMBLY OF THE 11TH PARLIAMENT (2013 -2017)
Authors: Miruka Simon , Ngare Grace , Okemwa Pacificah 
Published: October 2021

Purpose: Application of gender quotas in the 2013 general elections in Kenya led to 68 women legislators joining the National Assembly. This was the largest number of women elected to the legislature since independence in 1963. Studies show that such surges embolden women to pursue legislative agenda on gender equality and social welfare issues. This article examines women legislators’ quests for further increased numbers in Kenya’s National Assembly 2013 -2017 and the results.
Methodology: This was a descriptive study of Kenya’s National Assembly of the 11th parliament (2013 -2017). A total of 11 women and four key informants were identified through stratified and purposive sampling respectively. Data was collected using semi-structured interview schedules. Responses were recorded in writing and audio-tape. The study also did a content analysis of the Hansard. Data was transcribed, manually processed, analysed and discussed under each study objective. Quantitative data was captured in tables with descriptions while qualitative data was narrated with inferences.
Findings: The study established that efforts to increase women’s numbers in the legislature were unsuccessful because of resistance from male colleagues. However, women achieved an increase in committee membership and leadership. The article concludes that resistance to the proposed affirmative law to increase women’s legislative numbers was rooted in patriarchy and male entitlement to power.
Unique contribution to theory, practice and policy: The article demonstrates how the quest to embed affirmative action in law was frustrated by patriarchy. It states that for women to succeed on such pursuits, they need to be assertive and strategic. It further demonstrates that women’s occupation of parliamentary leadership positions enabled them to showcase their abilities and debunk the notion that they are inferior. This coheres with liberal feminism, that marginalising women denies the society the benefit of their talents. The article proposes that women should seek influential parliamentary committees instead of seeking a general spread in all of them. A constitutional amendment to have an unequivocal provision on elections that automates the desired proportions of women to men in the National Assembly is also recommended.
THE SPREAD OF THE AKURINU RELIGIOUS MOVEMENT
Authors: Mathioya Samuel 
Published: October 2021

Purpose: Akurinu community demonstrates the resoluteness and innovative originality of an African religious movement that in the context of a congested and contested religious space, where western Christianity has, with immense success, obliterated African cultural and religious beliefs to substitute them with foreign ones, this church remains stable. The general objective of the study was to examine the spread of the Akurinu religious movement
Methodology: The paper used a desk study review methodology where relevant empirical literature was reviewed to identify main themes and to extract knowledge gaps.
Findings: The study concludes that transformation changed the Akurinu way of life and practices such that they relaxed their dietary rules and could now eat in hotels, took active roles in politics, started seeking medical attention in hospitals and embraced formal education. Indeed, Akurinu became a church with well-organized leadership structures and operations. In this transformation, the Akurinu church conformed to a modernization crisis that demanded a search for new social adjustments and identities outside their traditional world mileu. However, there were sections of Akurinu who remained conservative and could not for instance visit hospital or seek medical attention from a doctor, as they believed in faith healing, while others could not participate in any political activity, like voting or vying for elective posts.
Recommendations: The study recommends that the Akurinu church will have to rediscover their prophetic calling which dares to anticipate the future and step out towards it by faith. There is an urgent need to rediscover a refinement of what it means to be a Mukurinu in the context of a global world of change.
THỰC TRẠNG, THÁCH THỨC VÀ GIẢI PHÁP VỀ MỐI QUAN HỆ GIỮA DOANH NGHIỆP VÀ CƠ SỞ GIÁO DỤC ĐẠI HỌC
Authors: Phạm Hữu Lộc , Đinh Văn Đệ 
Published: October 2021

Mối quan hệ biện chứng giữa doanh nghệp và cơ sở giáo dục đại học chưa được giải quyết tường minh cả về lý thuyết và qui hoạch thục nghiệm. Cơ sở giáo dục đại học cung cấp cho thế giới việc làm lực lượng lao động tri thức hùng hậu nhưng vẫn không đáp ứng kỳ vọng người sử dụng lao động. Nguyên nhân do đâu?
Bài toán có được đáp án khả dĩ khi và chỉ khi ta giải quyết được thực trạng, thách thức gắn kết giữ các cơ sở giáo dục với doanh nghiệp; có giải pháp đồng bộ, có tiếng nói chung về mối liên kết giữa cơ sở giáo dục và doanh nghiệp về chương trình đào tạo, về kiểm tra đánh giá, xây dựng kế họach đào tạo song hành, ..để đáp ứng mong đợi các bên liên quan.