bluuebunny/crossref_metadata_2025_split huggingface dataset:
La bienveillance à l’épreuve des soins palliatifs : regards croisés sur l’Idéal soignant
Authors: Chemin-Sauque Blandine , Routens Frédéric 
Published: July 2019

La bienveillance est un pilier de l’accompagnement, qui, poussée à l’extrême, peut porter le germe inattendu d’une grande violence. Là où la tentation de l’altruisme est forte doit se poser la question de notre désir pour l’Autre. Est-il toujours congruent avec les aspirations du sujet et sur quels fondements s’érige-t-il ? Face aux phénomènes de la vie et de la mort, l’excès de bienveillance s’apparente à une quête d’apaisement personnel : velléité d’aseptiser la mort, maternage impulsif hérité du fantasme de « mère Idéale » seraient symptomatiques du besoin de maîtrise réactionnel à l’angoisse et à l’impuissance. Par ailleurs, la bienveillance poussée à son paroxysme peut être entendue comme l’expression d’un désir inconscient de réparation. Qu’il s’agisse de deuils réels ou symboliques, les équipes de soin se trouvent souvent confrontées à la réminiscence de deuils passés douloureux. Mal cautérisés, ils entrent en résonance avec les situations professionnelles éprouvantes, engendrant des attitudes ambivalentes. Ce désir de réparation témoigne aussi de la culpabilité profonde de certains. Enfin, cet excès de bienveillance peut se lire comme la traduction d’une fragile estime de soi, le surinvestissement du patient visant à une réparation narcissique. L’acharnement bienveillant n’est pas sans conséquences : emprise exercée sur le patient, angoisse de régression et d’abandon et sentiment de dette impossible à régler. L’excès de bienfaisance prend sa source dans de multiples motivations, peu conscientisées. Le partage en équipe permet l’analyse de nos mouvements affectifs et la gestion de nos frustrations liées à notre Idéal du Soin Palliatif.
Heliatek : les films photovoltaïques, de la paillasse à l’usine
Authors: Le Séguillon Thibaud 
Published: July 2019

Heliatek est passée d’un démonstrateur de laboratoire universitaire à une ligne de fabrication industrielle autour d’une ambition : remplacer les panneaux solaires par des films adhésifs souples et légers. Cette technologie, clé pour la transition énergétique, a convaincu les industriels du secteur...
François COMBARNOUS and Eric ROUGIER (eds.). The Diversity of Emerging Capitalisms: Globalization, Institutional Convergence and Experimentation, London, Palgrave Macmillan, 2017, 462 p.
Authors: Nicole Sindzingre Alice 
Published: July 2019

Cet ouvrage constitue une contribution originale à la littérature sur les systèmes institutionnels ainsi qu’à celle sur les « variétés de capitalisme ». Fondé sur la comparison d’un échantillon de pays émergents et de pays en développement, il contribue également à la littérature sur le « capitalisme comparatif ». L’une de ses principales conclusions est de montrer la diversité des options institutionnelles qui peuvent conduire au développement. Classification JEL : O11; O57; P51
A Clinical Trial Evaluation of Pager vs Smart-device Efficacy in an Academic Hospital Setting
Authors: Hamid Kamran S , Nwachukwu Benedict U , Hsu Eugene , Dutta Sayon , Babcock Sharon N , Baker Brett W , Wohler Andrew D , D’Agostino Ralph B , Lang Jason E 
Published: July 2019

ABSTRACT

Introduction
Health care delivery is contingent on efficient communication among providers. We hypothesized that using smart-device two-way communication would result in faster provider responses when compared with alphanumeric paging among resident physicians in an academic medical center.

Methods
Resident physicians were given an Apple iPad Mini smart device with a Health Insurance Portability and Accountability Act-compliant smart-device two-way communication application. Patient care messages were randomized for transmission via smart-device two-way texting or standard one-way paging. Physician response time was recorded as the primary outcome measure.

Results
The study was halted after participation of the first 24 residents due to safety concerns. A technical glitch was identified in which the smart devices automatically powered off to conserve battery life. The first 72 smart devices to first 37 pager communication response times were similar (8 vs 6 minutes, p = 0.43). In analysis of responses within 5 minutes of communication (the time smart devices powered off), smart-device responses occurred significantly faster (1 vs 2 minutes, p < 0.05) but the response frequency was less in the smart-device group (33 vs 62%, p< 0.05), and thus the study was ended early due to safety concerns.

Discussion
Based on our initial findings, smart devices have potential to improve communication but technical issues must be addressed prior to usage as the sole means of communication.
Hamid KS, Nwachukwu BU, Hsu E, Dutta S, Babcock SN, Baker BW, Wohler AD, D’Agostino RB Jr, Lang JE. A Clinical Trial Evaluation of Pager vs Smart-device Efficacy in an Academic Hospital Setting. The Duke Orthop J 2016;6(1):1-6.
Dislocation Rate at Short-term Follow-up after Revision Total Hip Arthroplasty with a Dual Mobility Component
Authors: Wellman Samuel S , Attarian David E , McClellan Taylor R , Calderon Roberto D , Lachiewicz Paul F 
Published: July 2019

ABSTRACT
Patients undergoing a revision total hip arthroplasty (THA) are at increased risk for dislocation. The literature suggests dual-mobility components may decrease the frequency of dislocation. We conducted a retrospective study of one type of dual mobility acetabular component implanted in 82 revision THA cases that were considered at increased risk for dislocation. Of the 82 hips, 58 had a mean follow-up of 12 months (3–28 months). The indication for revision was instability in 18 hips (31%), adverse metal-on-metal reaction in 13 hips (22%), reimplantation for infection in 11 hips (19%), and aseptic loosening of the acetabular component in 9 hips (16%). In the course of follow-up, 6 hips developed a deep infection requiring reoperation. There were no early hip dislocations.
McClellan TR, Calderon RD, Bolognesi MP, Attarian DE, Lachiewicz PF, Wellman SS. Dislocation Rate at Short-term Follow-up after Revision Total Hip Arthroplasty with a Dual Mobility Component. The Duke Orthop J 2016;6(1):17-20.
Biomineralization and Biomaterial Considerations in Dentin Remineralization
Authors: Zhang Xu , Xiao Zuohui , Wang Haorong , Kishen Anil 
Published: July 2019

ABSTRACTDentin is a composite hard tissue, comprising of inorganic and organic matrices, and regulated by many proteins during development. The demineralization of dentin results from the loss of inorganic matrix [mainly hydroxyapatite (HAP)], but the organic matrix (mainly type I collagen) will sustain for a period of time after demineralization. Over the past decade, there has been a growing interest on the remineralization of demineralized dentin, primarily in connection with minimally invasive caries management. More and more biomaterials and methods are currently being evaluated to achieve newer approaches for the remineralization of demineralized dentin. These strategies are mostly based on biomimetic approaches and aim to achieve the characteristics of natural hard tissue. This article will present a complete review on the basic compositions and properties of dentin, which formed the basis for the biomimetic remineralization of demineralized dentin.How to cite this articleZhang X, Xiao Z, Wang H, Kishen A. Biomineralization and Biomaterial Considerations in Dentin Remineralization. J Oper Dent Endod 2016;1(1):7-12.
Pain Management in Endodontics
Authors: Pradeepkumar Angambakkam Rajasekaran 
Published: July 2019

ABSTRACTManagement of dental pain during and after endodontic treatment remains a big challenge. Dental anxiety can also influence the patient's perception of pain and is known to directly lower the pain threshold. Psychological intervention in acute dental pain may be a very effective noninvasive measure to reduce pain. However, the pulp that has been diagnosed with irreversible pulpitis, with spontaneous, moderate-to-severe pain may not respond to the local anesthetic (LA) enough for the operator to pursue a pain-less treatment. In this review, pain predisposing factors and pain prevention techniques are evaluated, and various strategies to overcome anesthetic failures are reviewed which will help the practitioner achieve effective pain management.How to cite this articleSubbiya A, Pradeepkumar AR. Pain Management in Endodontics. J Oper Dent Endod 2016;1(2):76-81.
Thyroid Status in Patients with Dysfunctional Uterine Bleeding in a Tertiary Care Hospital of Assam
Authors: Phukan Jadab K , Saharia Gautom K , Goswami Rohini 
Published: July 2019

ABSTRACT
Background
Dysfunctional uterine bleeding (DUB) is a major form of abnormal uterine bleeding, seen in at least 10% of all new outpatient department patients. The thyroid gland is known to play an important role in maintaining a healthy menstrual cycle.

Aims
To assess the thyroid hormone status in apparently euthyroid patients with DUB and to correlate it with incidence of DUB.

Materials and methods
Fifty DUB patients were selected on the basis of clinical history, examination, and relevant investigations. Equal numbers of age-matched women with normal menstrual cycle were taken as controls. Thyroid hormones, viz., thyroid-stimulating hormone, total triiodothyronine and tetraiodothyronine, were estimated by radioimmunoassay. Statistical analysis of the data was performed by using Microsoft Excel software.

Results
The most common menstrual abnormality was menorrhagia (48%) followed by metrorrhagia and polymenorrhea (14% each). Hypothyroidism was more prevalent among cases (85.7%) as compared with controls (14.3%). In patients with menorrhagia, 33.3% of patients had hypothyroidism.

Conclusion
Hypothyroidism occurs in DUB patients commonly. There is a need for mandatory thyroid screening in all patients with menstrual irregularities to help in early detection of the cause and treatment of DUB patients to avoid surgery.

How to cite this article
Phukan JK, Saharia GK, Goswami R. Thyroid Status in Patients with Dysfunctional Uterine Bleeding in a Tertiary Care Hospital of Assam. Indian J Med Biochem 2016;20(1):11-15.
Assessing Status of Iodine Nutrition in Union Territory of Chandigarh, India
Authors: Kaur Jasbinder , Gupta Seema , Agarwal Neeraj , Kaur Jaswinder , Jaswal Shivani , Kaur Harjeet , Swami HM 
Published: July 2019

ABSTRACT
Iodine deficiency disorders (IDDs) constitute a major public health problem in India. Goiter occurring in a large fraction of population (> 10%) is said to be due to iodine deficiency rather than any other cause. A community-based cross-sectional study was undertaken in the Union Territory of Chandigarh with the aim to track the elimination of IDD to determine the iodine status of school children unexamined for goiter status and excretion median urinary iodine concentration. Goiter was assessed by standard palpation technique in 6,517 school children, aged 6 to 12 years, selected through 30 cluster sampling methods. Spot urine samples of 823 children were collected for estimation of urinary iodine using modified method of Sandell and Kolthoff. Household salt samples of the 548 selected children from schools were analyzed for its iodine content by standard iodometric titration method. The overall prevalence of goiter was found to be 14.2% among the children examined. The median urinary iodine excretion (UIE) was 199 g/L. About 71.2% of the salt samples were adequately iodized, having iodine content of > 15 ppm. Since UIE reflects recent iodine nutrition at the time of measurement and thyroid size shows iodine nutrition over months or years, it can be said that this region is in transition phase from iodine-deficient to iodine-sufficient territory.
How to cite this article
Agarwal N, Kaur J, Kaur J, Gupta S, Jaswal S, Kaur H, Swami HM. Assessing Status of Iodine Nutrition in Union Territory of Chandigarh, India. Indian J Med Biochem 2016;20(1):38-41.
Patch Test Results in Patients with Suspected Contact Dermatitis at a Tertiary Care Hospital in a Semiurban Area in Rajasthan: A Cross-sectional Study
Authors: Goyal Pallavi , Jain Sinni , Jangra Rakesh 
Published: July 2019

ABSTRACTContact dermatitis is an inflammatory condition of the skin after exposure to any exogenous substance. It can be classified as irritant contact dermatitis (ICD) and allergic contact dermatitis (ACD). A cross sectional study was conducted in Mahatma Gandhi Hospital over a period of 3-month duration from March-May 2016 and total 68 patients with suspected contact dermatitis were subjected to patch test. Most common allergen found to be positive in both males and females was parthenium followed by fragrance mix.How to cite this articleGoyal P, Nijhawan M, Agrawal S, Jain S, Jangra R. Patch Test Results in Patients with Suspected Contact Dermatitis at a Tertiary Care Hospital in a Semiurban Area in Rajasthan: A Cross-sectional Study. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):1-4.
Cognition, Comprehension and Application of Biostatistics in Research by Postgraduate Medical Students of a Tertiary Care Teaching Hospital: Pretest and Posttest Study Design
Authors: Vohra Rajaat , Dubhashi Siddharth Pramod , Sharma Bhoopendra Nath , Saxena GN , Vohra Anusha 
Published: July 2019

ABSTRACT

Introduction
Biostatistics plays a key role in planning, conduct, analysis and reporting of a research. Teaching biostatistics and research methodology is often considered as a difficult task to medical students. The present study was undertaken to evaluate the cognition, comprehension and application of biostatistics in research in the 1st year postgraduate medical students.

Materials and methods
A predesigned and pretested questionnaire was used to collect data regarding knowledge and application of biostatistics from 65 postgraduate students registered. A series of 10 lectures were taken on various topics of biostatistics and research methodology. All students were subjected to Multiple Choice Questions covering all the topics before the 1st lecture and after the 10th lecture. Mean knowledge score was calculated and data were analyzed.

Results
Only 16.92% students had publication, 35.38% students have presented a paper/poster in any national or international conference while only 10.76% students have participated in any research methodology workshop. A total of 63.07% students said that they were aware of importance of biostatistics in research, 50.76% students said that they were having some knowledge of biostatistics. A total of 60% students have consulted statistician regarding the study while 23.07% students have attempted statistical analysis on their own. A total of 33.84% students are familiar with the use of MS-EXCEL spreadsheet. There was statistically significant improvement seen in the mean knowledge score of the students after the lectures in comparison to the mean knowledge score before the lectures.

Conclusion
Considering the fruitful outcome of structured training program in biostatistics, there is a need for provision of formal training in biostatistics to postgraduate students in all medical colleges. Capacity building initiative in this domain is the need of the hour.

How to cite this article
Vohra R, Dubhashi SP, Sharma BN, Saxena GN, Vohra A. Cognition, Comprehension and Application of Biostatistics in Research by Postgraduate Medical Students of a Tertiary care Teaching Hospital: Pretest and Posttest Study Design. J Mahatma Gandhi Univ Med Sci Tech 2016;1(1):5-9.
To evaluate and compare the Effectiveness of Sensorimotor Integration with that of Conventional Training for improving Balance and Gait in Stroke Hemiparesis: A Comparative Study
Authors: Jain Anjali 
Published: July 2019

ABSTRACT

Aim of the study
To evaluate and compare the effectiveness of sensorimotor integration with that of conventional training for improving balance and gait in stroke hemiparesis.

Materials and methods
The study design used for this research will be comparative study. Data will be taken from Mahatma Gandhi Hospital and Medical College, Jaipur and Mumbai.

Results
When both the groups were compared using unpaired t-test, sensorimotor group showed significant improvement in all outcome measures (p < 0.0001) except for MCTSIAB conditions 1 and 2 where the difference was not statistically significant.

Conclusion
Sensorimotor integration training is one of the novel treatment which can have a addictive effects along with the conventional training for balance.

How to cite this article
Agarwal G, Jain A. To evaluate and compare the Effectiveness of Sensorimotor Integration with that of Conventional Training for improving Balance and Gait in Stroke Hemiparesis: A Comparative Study. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):47-54.
Inguinal Herniation of Urinary Bladder
Authors: Dubhashi Siddharth P , Jenaw Ratnesh 
Published: July 2019

ABSTRACT
Urinary bladder hernia is evident into 1 to 3% of inguinal hernias. About 7% of bladder hernias are diagnosed preoperatively. The herniation of the bladder occurs in an acquired direct inguinal hernia with the bladder setting into the hernia along with the peritoneal sheath. This is a report of an elderly male with a para-peritoneal vesical hernia. This is a rare condition requiring a high index of suspicion to prevent complications like urinary tract infection, obstruction and incarceration of bladder wall.

How to cite this article
Dubhashi SP, Jenaw R. Inguinal Herniation of Urinary Bladder. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):66-67.
The Use of Diode Laser in Treatment of Oral Submucous Fibrosis
Authors: LNU Amit , Soni Ashish , Agarwal Prateek 
Published: July 2019

ABSTRACTOral submucous fibrosis (OSMF) is an established precancerous condition with increased prevalence in the Indian subcontinent. The treatment of OSMF is a challenging task for a clinician. Different authors have suggested variety of treatment modalities and have claimed success rates; still there is no universally acceptable protocol for the management of OSMF. In our case, transaction of bands was done by contact diode lasers (12 watt) under local anesthesia and it offered good results. Diode lasers offered excellent results and had many advantages over conventional surgical treatment.How to cite this articleSoni A, Sharma S, Chitlangia P, Amit, Agarwal P. The Use of Diode Laser in Treatment of Oral Submucous Fibrosis. J Mahatma Gandhi Univ Med Sci Tech 2016;1(2):79-81.
Quality of Life in Patients with Epilepsy: Study from a Northern Indian Teaching Hospital
Authors: Sureka RK , Yadav Kuldeep S , Agrawal Rishika , Nijhawan Madhu 
Published: July 2019

ABSTRACTObjectivesEpilepsy is a significant public health problem in the world today. The social stigma and impact on quality of life (QOL) may pose a bigger challenge than the clinical severity. In India, there are not many studies using quality of life in epilepsy (QOLIE-31) questionnaire to study the QOL in epileptic patients. This study may be useful in planning the management of patients with epilepsy. So, our study was conducted to determine the level of health-related QOL (HRQOL) of patients with epilepsy in a teaching hospital.Materials and methodsThis was a cross-sectional, questionnaire-based study conducted in a teaching hospital from March to October 2015. The subjects included both male and female adults of at least 18 years of age with a diagnosis of epilepsy, which was present for minimum 1 year. The QOLIE-31 was used for collecting data on HRQOL.ResultsTotally, 70 patients with epilepsy were included in the study. The standard deviation (mean) total score of QOLIE-31 in our study was 60.46. There was a significant difference in the total score of QOLIE-31 within the monotherapy and polytherapy group as the total score of QOLIE-31 was better in monotherapy group as compared with polytherapy group.ConclusionThe study revealed that patients who were on a single drug (monotherapy) had a much better QOL than the patients on more than one drug (polytherapy).How to cite this articleSureka RK, Yadav KS, Agrawal R, Nijhawan M. Quality of Life in Patients with Epilepsy: Study from a Northern Indian Teaching Hospital. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):10-13.
Diagnosis and Management of Chronic Gingival Overgrowth
Authors: Meena Meenakshi , Yadav Ashish , Goyal Kriti , Devaraj CG 
Published: July 2019

ABSTRACTIntroduction and objectivesChronic inflammatory gingival enlargement also called as chronic hyperplastic gingivitis is an enlargement of the gingiva as a result of chronic inflammation due to local or systemic factors; most important local factor appears to be the dental plaque and calculus. This case report aimed to present the clinical, histopathological features and treatment of inflammatory gingival enlargement which disturbed the esthetics and masticatory function of the patient.Materials and methodsA 34-year-old male patient reported with a chief complaint of swelling and bleeding in the gums of teeth in maxillary and mandibular anterior region. The enlargement was firm and fibrotic accompanied by an inflammatory component probably due to inability to maintain adequate personal oral hygiene. Periodontal surgical therapy was performed for good esthetic outcome.Results and interpretationNo recurrence was reported 6 months postsurgery. The importance of patient motivation and compliance during and after therapy as a critical factor in the success of treatment has also been highlighted through this case report.ConclusionGingival overgrowth interferes with mastication and speech of the patient. A thorough diagnosis and treatment planning is essential.How to cite this articleDevaraj CG, Yadav A, Sharma S, Meena M, Goyal K. Diagnosis and Management of Chronic Gingival Overgrowth. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):47-50.
Smile Design with All Ceramic Veneers
Authors: Soni Dileep , Prasad Ashwani B 
Published: July 2019

ABSTRACTThe use of porcelain laminate veneers to solve esthetic and/or functional problems has been shown to be a valid management option, especially in the anterior esthetic zone. In cases when patients decline orthodontic treatment, adhesively bonded porcelain veneers are a reliable treatment option to modify the appearance of tooth position and form, to close diastema or cervical embrasures, or to change the tooth shade. Porcelain veneers are one of the best corrective options available considering biological, functional, mechanical, and esthetic points of view. The present case report is about discolored anterior teeth in a healthy dentition by means of sectional porcelain veneers simply cemented onto the natural teeth and with minimal tooth preparation.How to cite this articleSoni D, Raisingani D, Prasad AB, Mital P, Srivastava H, Dixit A. Smile Design with All Ceramic Veneers. J Mahatma Gandhi Univ Med Sci Tech 2017;2(1):51-54.