bluuebunny/crossref_metadata_2025_split huggingface dataset:
DIAGNOSTIC CRITERIA AND SURGICAL APPROACHES TO THE TREATMENT OF OVARIAN TUMOR NOMINATIONS
Authors: Shcherbina M. O. , Shcherbina I. M. , Saltovsky O. V. 
Published: February 2021

Resume. The aim of the work was to study modern diagnostic criteria and surgical approaches to the treatment of ovarian tumors.
The objectives of the work were to highlight the arsenal of diagnostic and therapeutic capabilities of modern medicine for various ovarian tumors, discuss the advantages and disadvantages of methods and select the optimal algorithm for managing patients with this pathology.
Materials and methods. A retrospective study of cases of ovarian tumors in patients over the past 5 years, studied the current data of the world literature on this topic.
The conclusions of the work indicate the need for a comprehensive approach to the diagnosis and treatment of ovarian tumors and an individual approach to the patient in each case.
Constraints on the Rate of Supernovae Lasting for More Than a Year from Subaru/Hyper Suprime-Cam
Authors: Moriya Takashi J. , Jiang Ji-an , Yasuda Naoki , Kokubo Mitsuru , Kawana Kojiro , Maeda Keiichi , Pan Yen-Chen , Quimby Robert M. , Suzuki Nao , Takahashi Ichiro , Tanaka Masaomi , Tominaga Nozomu , Nomoto Ken’ichi , Cooke Jeff , Galbany Lluís , González-Gaitán Santiago , Lee Chien-Hsiu , Pignata Giuliano 
Published: February 2021

Abstract
Some supernovae, such as pair-instability supernovae, are predicted to have a duration of more than a year in the observer frame. To constrain the rates of supernovae lasting for more than a year, we conducted a long-term deep transient survey using Hyper Suprime-Cam (HSC) on the 8.2 m Subaru telescope. HSC is a wide-field (a 1.75 deg2 field-of-view) camera and it can efficiently conduct transient surveys. We observed the same 1.75 deg2 field repeatedly using the g-, r-, i-, and z-band filters with the typical depth of 26 mag for four seasons (from late 2016 to early 2020). Using these data, we searched for transients lasting for more than a year. Two supernovae were detected in two continuous seasons, one supernova was detected in three continuous seasons, but no transients lasted for all four seasons searched. The discovery rate of supernovae lasting for more than a year with the typical limiting magnitudes of 26 mag is constrained to be

. All the long-lasting supernovae we found are likely Type IIn supernovae and our results indicate that about 40% of Type IIn supernovae have long-lasting light curves. No plausible pair-instability supernova candidates lasting for more than a year are discovered. By comparing the survey results and survey simulations, we constrain the luminous pair-instability supernova rate up to z ≃ 3 is of the order of 100 Gpc−3 yr−1 at most, which is 0.01–0.1% of the core-collapse supernova rate.
An Unsupervised Method for Identifying X-enriched Stars Directly from Spectra: Li in LAMOST
Authors: Wheeler Adam J. , Hogg David W. , Ness Melissa 
Published: February 2021

Abstract
Stars with peculiar element abundances are important markers of chemical enrichment mechanisms. We present a simple method, tangent space projection (TSP), for the detection of X-enriched stars, for arbitrary elements X, even from blended lines. Our method does not require stellar labels, but instead directly estimates the counterfactual unenriched spectrum from other unlabeled spectra. As a case study, we apply this method to the 6708 Å Li doublet in LAMOST DR5, identifying 8428 Li-enriched stars seamlessly across evolutionary state. We comment on the explanation for Li-enrichment for different subpopulations, including planet accretion, nonstandard mixing, and youth.
Rapid Ortho-to-para Nuclear Spin Conversion of H2 on a Silicate Dust Surface
Authors: Tsuge M. , Namiyoshi T. , Furuya K. , Yamazaki T. , Kouchi A. , Watanabe N. 
Published: February 2021

Abstract
The H2 molecule has two nuclear spin isomers, the so-called ortho and para isomers. Nuclear spin conversion (NSC) between these states is forbidden in the gas phase. The energy difference between the lowest ortho and para states is as large as 14.7 meV, corresponding to ∼170 K. Therefore, each state of H2 differently affects not only the chemistry but also the macroscopic gas dynamics in space; thus, the ortho-to-para abundance ratio (OPR) of H2 has significant impacts on various astronomical phenomena. For a long time, the OPR of nascent H2 upon formation on dust grains has been assumed to have a statistical value of 3 and to gradually equilibrate in the gas phase at the temperature of the circumstances. Recently, the NSC of H2 was experimentally revealed to occur on water ice at very low temperatures and thus incorporated into gas–dust chemical models. However, H2 molecules should form well before dust grains are coated by water ice. Information about how the OPR of H2 behaves on bare silicate dust before ice-mantle formation is lacking. Knowing the influence of the OPR of H2 is desirable, if the OPR changes even on a bare silicate surface within an astronomically meaningful timescale. We report the first laboratory measurements of the NSC of H2 physisorbed on amorphous silicate (Mg2SiO4) at temperatures up to 18 K. The conversion was found to occur very rapidly.
Le désir-de-l’analyste et l’analyse dite didactique
Authors: De Neuter Patrick 
Published: February 2021

Parcourant l’enseignement de Lacan, l’auteur tente de cerner le désir-de-l’analyste que celui-ci pense être le « pivot » le plus opérant de la cure analytique. Ce désir averti, assoupli, marqué par la castration symbolique et restructuré par sa cure personnelle est le résultat d’une confrontation de l’allant-devenant analyste à l’ Hilflosigkeit originaire et à son être pour la mort. Il suppose la guérison de sa névrose de transfert, le dépassement du plan des identifications aliénantes, des croyances dans un souverain Bien valable pour tous, dans des relations sexuelles pleinement satisfaisantes et dans l’existence d’un Maître qui saurait ce qui serait bon pour lui. Il s’agit d’un désir plus fort que les autres désirs qui peuvent habiter l’analyste en tant que personne, un désir qui accepte d’incarner dans le semblant l’objet qui cause le désir de son analysant et qui renonce à faire de celui-ci l’objet de satisfaction de sa jouissance. Il est le résultat d’une analyse personnelle menée suffisamment loin, complétée par une expérience clinique élaborée à l’occasion de contrôles ou de supervisions et d’autres rencontres cliniques avec ses pairs.
Devenir psychothérapeute d’orientation analytique : dialogue entre deux parcours
Authors: Colomb Stéphanie , Pereira Bianca 
Published: February 2021

À travers cet article nous retraçons les parcours que nous avons traversés pour devenir psychothérapeute, à partir de la naissance d’un désir pour la clinique psychanalytique à l’université jusqu’à aujourd’hui, dix ans après notre rencontre sur les bancs de la faculté de psychologie. Nous avons choisi de donner à cet article la forme d’un dialogue, forme de prolongement de nos échanges au fil des années sur nos impressions, nos réflexions, nos affects contrastés autour de nos cheminements de psychothérapeutes analytiques. Nous avons souhaité nous arrêter sur les quatre piliers fondamentaux qui ont fait repère durant ce parcours : de notre cursus universitaire jusqu’à notre expérience personnelle de la cure, en passant par la formation de troisième cycle en psychothérapie et par la pratique d’une clinique supervisée. Une écriture “à quatre mains” et certainement à “deux voix”. À partir de l’histoire de nos parcours, nous essayons de rendre compte des points qui nous ont semblé essentiels dans celui-ci, mais aussi de ce qui a pu y manquer et ce qui nous y a posé question. Nous aimerions ainsi pointer quelques éléments de ce qui, à ce point de notre parcours, nous semble essentiel dans une formation à la psychothérapie.
Des biens et des liens
Authors: du Fayet de la Tour Yolande 
Published: February 2021

L’autrice croise plusieurs disciplines : sociologie, anthropologie, psychologie pour comprendre ce qui se passe et s’échange dans l’intimité de nos cabinets. Sortir du tabou et du non-dit et mettre en lumière l’inter-dit, tel est le défi qu’elle s’est fixé dans une réflexion qui se veut ouverte à la recherche clinique de chacun. Sont esquissées quelques questions et réponses concernant la boucle vertueuse du don : demander, donner, recevoir, rendre et son exact opposé : ignorer, prendre, refuser, garder. S’appuyer sur ces distorsions du cycle peut faire grandement avancer une Gestalt-thérapie.
Travail social et Santé mentale en Pays de l’Adour
Authors: Godart Pierre 
Published: February 2021

Les textes qui suivent reflètent les deux questions dont nous avons débattu : De quelles façons nos réalisations sur la longue durée ont-elles impacté la formation des travailleurs sociaux ? Comment la nécessité de la prise en compte du social a impacté le travail au quotidien des assistants de service social ? A la lecture des réponses à ces interrogations, il est possible de formuler quelques hypothèses.
À propos de ...
Authors: Haliday Héloïse 
Published: February 2021

Avec l’essor de la santé mentale dans la communauté, du rétablissement et des pratiques territoriales, la psychothérapie institutionnelle apparaît comme un corpus dépassé. Nous tentons dans cet article de démontrer qu’il n’en est rien, en comparant les travaux d’auteurs majeurs de ce courant et les discours de professionnels de la santé mentale actuellement en exercice au sujet de ce qui fait équipe. Nous indiquons que la P.I. avait déjà su en son temps anticiper deux caractéristiques fondamentales du travail pluriprofessionnel : la distinction entre statut, rôle(s) et fonction(s) et la collectivisation de la fonction de décision. En éclairant la façon dont les professionnels vivent ces questions aujourd’hui, nous affirmons que le sentiment de collégialité relève d’un véritable travail psychique d’équipe, et que les élaborations de la P.I. à ce sujet pourront s’avérer utiles à l’heure où la coordination inter-institutionnelle est la clé de voûte des parcours de rétablissement des usagers.
Effect of Mindfulness-Based Stress Reduction Program on Psychological Symptoms, Quality of Life, and Symptom Severity in Patients with Somatic Symptom Disorder
Authors: Zargar Fatemeh , Rahafrouz Leila , Tarrahi Mohammad Javad 
Published: February 2021

Background:
Patients with somatic symptom disorder (SSD) had a poor quality of life and suffered from depression, anxiety, and stress. Mindfulness-based stress reduction (MBSR) is a psychological treatment with remarkable effects on several psychological disorders. This study aimed to evaluate the effect of the MBSR program on psychological symptoms, quality of life, and symptom severity in patients with SSD.

Materials and Methods:
The patients with SSD were randomly divided into two groups of receiving venlafaxine alone and venlafaxine with an 8-week MBSR program. Depression, anxiety, and stress with their severities were assessed along with the quality of life, the number of physical symptoms and their severities, as well as SSD severity before and after the intervention. Subsequently, the results were compared between the two groups.

Results:
This study included 37 patients with SSD who referred to Shariati Psychosomatic Clinic, Isfahan, Iran, with a mean age of 37.08 ± 8.26 years. It should be noted that 37.8% of the participants were male. The intervention group obtained significantly lower scores in depression, anxiety, stress, and their severities, compared to the control group. Moreover, the number of physical symptoms, their severity, and the severity of SSD were significantly decreased more in the intervention group rather than the controls.

Conclusion:
The MBSR accompanied by prescribing venlafaxine can significantly reduce the severity of SSD, as well as the number and severity of physical symptoms. Moreover, it can reduce depression, anxiety, stress, and their severity. The MBSR can be used as complementary medicine for the treatment of patients with SSD.
Community-based assessment of postnatal care in Puducherry—A cross-sectional study
Authors: Selvaraj Ramya , Ramakrishnan Jayalakshmy , Sahu Swaroop kumar , kar Sitanshu Sekhar , Roy Gautam 
Published: February 2021

Introduction:
Postnatal period is a neglected period compared to the antenatal period. Providing adequate care to infant and mother during this vital period is essential.

Objectives:
To assess the postnatal care (PNC) received by the mothers and newborn children in Puducherry.

Materials and Methods:
Community-based cross-sectional study done among the postnatal mothers under the care of two urban Primary Health Centers (PHC A and PHC B) in Puducherry in 2015–2016. Eligible mothers were contacted at their houses within 4 weeks of completion of their postnatal period to assess the postnatal care.

Results:
Out of 227 postnatal mothers in the study, only 37.4% (85) (95%CI 31.3–43.9) of the mothers had received adequate counselling services on topics of nutrition, hygiene, contraception, essential newborn care, breastfeeding, and immunization. Cord care was given for 99.1% of the babies and breastfeeding position was checked for 88.5% of the babies. Among the mothers who had normal deliveries, 48.1% (76) (95% CI 40.4–55.9) of the mothers had initiated breastfeeding within 1 h of normal delivery and within 4 h of delivery for 72.4% (50) (95% CI 61.1–82.0) among the mothers who had a cesarean section. Only 20.7% (47) (95%CI 15.8–26.3) of the mothers and newborns had received at least one postnatal home visit and none of the mothers had received adequate postnatal home visits as per Indian Public Health Standards guidelines. Out of the 126 eligible mothers for JSY benefits, only 46% (58) (95% CI 37.5–54.8) of them had registered. Among those who were not registered, 20.6% had reported that they were unaware of the scheme. Out of 227 births, 14.1% (32) of them were of low birth weight (<2.5 kg) and 1.3% (3) were of very low birth weight (<1.5 kg) category.

Conclusion:
Although the antenatal care is satisfactory in the study setting, implementation of PNC needed further attention and active guidance via health system strengthening.
Human brucellosis
Authors: Ghugey Satish L. , Setia Maninder S. , Deshmukh Jyotsna S. 
Published: February 2021

Introduction:
Brucellosis is a recognised occupational threat among animal handler and raw animal product consumers. In India, there is a likelihood of missed diagnoses and under-reporting cases by physicians causing an extended debilitating illness. We steered research to conclude the seroprevalence and risk factors allied with Human Brucellosis (HB) among the rural population in Nagpur District, Maharashtra, India.

Methods:
Closed-ended questionnaires used for a cross-sectional study to collect data for demographics and risk exposure variables. 382 subjects' serum-samples were tested by using Rose-Bengal (RBPT) and ELISA technique. An odd ratio calculated for risk factors for HB reported positive or negative. Data were analysed by using SPSS.

Results:
The brucellosis seroprevalence in rural Nagpur was 1.83%. The mean age was 42.32 years, 78.5% were male, and 21.5% were female. Prevalence was higher among males [85.7%] than females [14.3%]. The risk for brucellosis among males (OR = 1.65, 95% CI = 0.19–13.92, P = 0.64) was more than females. Handling raw meat had more risk (OR = 3.14, 95% CI = 0.40 – 28.6, P = 0.23) than those not handling raw meat. Milking animal was protective (OR = 0.88, 95% CI = 0.80 – 0.96, P < 0.001) for brucellosis than those not milking animal. Subjects reported more likely to be a seropositive to human brucellosis those involved in assisted animal delivery (P = 0.001), drinking unpasteurised milk (P<0.001), consuming milk products made from raw milk (P<0.001) and eating raw meat (P = 0.001)

Conclusion:
Health education program is essential to generate awareness for brucellosis in the rural community to prevent animal to human disease transmission.
Vaccine wastage at primary, secondary, and tertiary level of healthcare system—A study from Northern India
Authors: Oberoi Simmi , Mishra Prabhakar , Gupta Vikram k. , Patnaik Siriesha , Garg Ayushi , kaur Ravneet 
Published: February 2021

Background:
High vaccine wastage results in escalation of budget of immunization program.

Objective:
To analyze vaccine wastage at three levels of service delivery under public sector, such as at district level, community health Centre (CHC), and sub center (SC).

Study Design:
A retrospective cross-sectional record based study in a north Indian state.

Materials and Methods:
The record from January to June 2016 was taken from randomly selected 5 districts of the state at 3 levels; for number of doses of vaccine used and number of children vaccinated for BCG, OPV, Hepatitis B, Pentavalent, DPT, IPV, Measles, and TT (vaccines being given in state in the study year). A total of 67,550 vaccine doses in routine immunization were studied.

Statistical analysis used:
Data were presented in mean ± standard deviation. One-way ANOVA test was used to compare the means among three levels.

Results:
Vaccine wastage for Pentavalent was remarkably low (4.86% at district level, 8.35% at CHC and 11.50% at SC) in contrast to other similar 10 dose vials of vaccines like DPT, TT, Hep B. For both the lyophilized vaccines, interestingly BCG wastage was not only significant but over the permissible levels at 60.39%, whereas it is not so for measles. Result indicated that mean difference of the vaccine wastage among three levels was significant for the BCG, OPV, Hepatitis B, Pentavalent, and TT (P < 0.05); while insignificant for the DPT, IPV, and Measles (P > 0.05).

Conclusions:
Not all vaccine wastage is preventable, but pruning the corners where feasible and allowing where it is desirable should depend on prioritizing stakeholders at the receiving end.
Efficacy evaluation of rubber cup and air polishing techniques using glycine in plaque and stain removal - A clinical trial
Authors: kaur Avineet , Bhardwaj Arvind , kansil Shanam , kaur Rasveen , kaur Supreet , Gambhir Ramandeep S. 
Published: February 2021

Background:
Researchers have proved Glycine to be safe, less abrasive, sweet and comfortable for patients. It is beneficial in removing plaque as well as stains. The present study aims to compare the plaque and extrinsic stain removal efficacy of the air-polishing device and rubber cup prophylaxis technique along with a comparative evaluation of the gingival trauma caused by both the techniques.

Method:
This split-mouth randomized clinical trial was conducted on a total of 60 subjects in half of whom, left side was assigned to Glycine powder air polishing and the right side to rubber cup prophylaxis with (Glycine powder) and vice versa in the other half. All the subjects had their calculus removed one month prior to the intervention. Plaque index, Stain index and Trauma index were recorded and statistical analysis was done.

Results:
Both the techniques (RCP and AP) demonstrated a significant reduction in plaque and stains within their respective groups, but revealed non-significant differences between the study groups. Gingival trauma was found to be significantly higher in case of AP group. Rubber cup technique was preferred over air polishing by the subjects.

Conclusion
The data indicates that both the techniques were equally beneficial for plaque and stain removal, but rubber cup polishing technique has an advantage over the air polishing technique.
The prevalence of self-reported bleeding tendency symptoms among adolescents in Almadinah Almunawwarah, kingdom of Saudi Arabia
Authors: Zolaly Mohammed A. , Tarwah Ahmad , Albalawi Mohammed , Alwasaidi Turki , Owaidah Tarek 
Published: February 2021

Bleeding tendency is a common medical problem that is usually caused by either coagulation factors abnormalities, platelets disorders, or vasculopathy. Detection of patients with high bleeding risk through history taking and accurate diagnosis followed by appropriate management will help decreasing chances of significant complications.

Methodology:
A cross-sectional survey of a random sample of adolescent students in the preparatory year at Taibah University in Almadinah Almunawwarah, Saudi Arabia were interviewed using a validated semi-structured condensed bleeding tendency questionnaire generated from Molecular and Clinical Markers for the Diagnosis and Management of (MCMDM-1).

Results:
A total of 680 questionnaires were collected, the phase I data were analyzed to determine participants who gave a positive response to any related question while in Phase II respondents with at least one positive response of any bleeding symptom were interviewed. More than half 52.6% (358 out of 680) were positive for any bleeding symptoms. The incidence rose to 70.9% (482 out of 680) if “Mild” symptoms were also included. Epistaxis was positive in 21.8%, Cutaneous symptoms were reported by 22.65%, Bleeding from the oral cavity was reported in 39.6%, Gastrointestinal bleeding was observed by 5.9%, bleeding after the first surgery reported in 21% and Muscle hematomas/hemoarthrosis was observed by 3.2%, Among female papulation, 16.1% reported having 6-10 “Heavy Days” during their menstrual cycles.

Discussion:
High prevalence of bleeding symptoms having the possibility of the presence of an Inherited Bleeding Disorders were observed in our study in comparison to other studies, this might be attributed to the high percentage of consanguinity marriages in our area.

Recommendations:
Raising awareness among family doctors and pediatricians about the possibility of presence of bleeding tendency utilizing good history taking followed by appropriate examination and laboratory confirmatory testing will help in early detection and managements.
Parental perception on screen time and psychological distress among young children
Authors: Ishtiaq Annum , Ashraf Hiba , Iftikhar Sundus , Baig-Ansari Naila 
Published: February 2021

Objective:
We aimed to assess the parent-reported screen time of children, identify the perceived risk factors for increased screen time and its relationship to psychological distress in children.

Materials and Method:
A cross sectional study was conducted at a teaching hospital in karachi, Pakistan. A total of 230 employees from medical and non-medical departments were included. Participants were employees with child/children ages 4-12 year who consented to participate in the study, we included 135 fathers and 91 mothers. The questionnaire included (i) demographic data (ii) Media history exam form and (iii) parent reported strength and difficult questionnaire (SDQ).

Result:
The average daily screen time reported was 2.5 (1.5-5) hour for boys and 2 (1-4) hour for girls. Preschoolers had greater screen time as compared to school-aged children (Median (IQR): 3 (1.5-5.6) vs 2 (1-4), P = 0.46). The children owned devices with approximately equal distribution of preschoolers and school-aged children (19 (27.1%) and 48 (30%), P = 0.661 respectively). Emotional score was found higher in school-aged group in comparison to preschoolers (p = 0.036). Moreover, mother screen time and number of devices owned by a child were found to be positively associated with child's screen time.

Conclusion:
We conclude that as we are embracing the digital age providing a tech free zone to children is virtually impossible. Children screen time related activities in our part of the world exceeds the limitation. Parental awareness and co-viewing screen with their children are essential to avoid media related behavior problems.