bluuebunny/crossref_metadata_2025_split huggingface dataset:
Caracterização do componente curricular Odontologia para Pacientes com Necessidades Especiais nos cursos de Odontologia do estado da Paraíba
Authors: Penha Elizandra Silva , Tenório Danilo Almeida , Fonseca Fátima Roneiva Alves , Guênes Gymenna Maria Tenório , Montagna Erik 
Published: April 2018

A regulamentação da especialização em Odontologia para Pacientes com Necessidades Especiais surgiu por meio da resolução 25/2002 do Conselho Federal de Odontologia (CFO). De acordo com a lei nº 9.394/96, os cursos de graduação possuem autonomia didático-científica para estabelecer sua estrutura curricular. Dessa forma, conteúdos relacionados à Odontologia para Pacientes com Necessidades Especiais (OPNE) poderão ou não estar presentes na matriz curricular dos cursos de Odontologia. O objetivo da pesquisa foi caracterizar a disciplina de OPNE nos cursos de Odontologia do estado da Paraíba. Trata-se de um estudo transversal de abordagem quantitativa. Um formulário foi produzido e as informações foram coletadas nos sítios web dos cursos. Foi possível coletar informações de nove dos onze cursos em funcionamento no estado. Em seis deles os conteúdos estavam presentes e a nomenclatura variava de uma instituição para outra. A oferta da disciplina foi obrigatória em 100% dos cursos avaliados e em cinco a abordagem era teórico/clinica, sendo que em um não constava informação. Dois cursos disponibilizavam a disciplina no 8º e 9º semestres, com carga horaria média de 62,2 horas. Em 50% dos casos os conteúdos tinham conexão com outras disciplinas e em 60% funcionavam como disciplina independente. Conclui-se que os cursos de graduação em Odontologia do estado da Paraíba possuem, na sua maioria, a disciplina de OPNE em sua estrutura curricular. Não existe uma padronização quanto à nomenclatura, carga horária e período em que a mesma é ofertada.
Outcome of Patients with Gullain Barre syndrome at Tertiary Care Hospital in Eastern Nepal
Authors: Kafle Dilli Ram , Shah Surendra 
Published: April 2018

Background: Gullain Barre syndrome is the most common cause of acute flaccid paralysis. Early diagnosis and treatment improves survival in patients with Gullain Barre Syndrome.Material and Methods: The purpose of the study was to note the common clinical features and identify predictors of outcome in Patients with Gullain Barre Syndrome. It is a prospective study which was conducted at Nobel Medical College Teaching Hospital from April 2015 to March 2016.Results: Time between onset of symptoms, presentation to hospital and admission was 5 ± 4 days. Four Patients (20%) gave history of upper respiratory tract infections and 12 (60%) had diarrhoea. Limb weakness was the most common symptom, which was documented in 20 (100%) patients. Other common symptoms were limb paresthesia, limb pain, and bladder dysfunction. Cerebrospinal Fluid protein was raised in 16(80%) patients to more than 45 mg/dl. All of our patients had CSF cell count less than 10. One (5%) patient had normal nerve conduction study initially. Eight (40%) patients had axonal (AMAN) variant of GBS, 3(15%) had AMSAN variant of GBS, while 8(40%) had demyelinating neuropathy (AIDP). The mean duration of hospital stay was7.4 ±2.7 days. Three months after hospital discharge 12(60%) patients achieved complete recovery. Eight (40%) patients still needed some support with ambulation. Predictors of worse outcome were old age, rapid progression of disease and AMSAN variant of GBS.Conclusion: Gullain Barre syndrome is an important cause of acute flaccid paralysis in children and adults. Early diagnosis is based on history of symmetrical limb weakness, CSF Findings and nerve conduction study. Majority of patients improve with supportive care while some develop respiratory failure and needs mechanical intubation. Journal of Nobel Medical College Volume 6, Number 2, Issue 11 (July-December, 2017) Page:20-24
Prevalence of co-morbid conditions in Heart failure: an experience at tertiary care hospital
Authors: Dhungana Sahadeb Prasad , Chaparia Ankit , Sharma Sanjib Kumar 
Published: April 2018

Introduction: Patients with heart failure (HF) have various co-morbidities that complicate management and may adversely affect outcomes. HF guidelines provide little discussion on this topic and evidence is sparse.Material and Methods: This is a descriptive cross-sectional study on 240 consecutive patients with HF admitted from September 2016 to July 2017 at B.P. Koirala Institute of Health Sciences (BPKIHS), Nepal. All patients admitted with diagnosis of HF with reduced or preserved ejection fraction (NYHA functional class III/IV) based on Framingham Criteria and echocardiography assessments were included. Pre-defined co-morbid conditions were assessed.Results: Mean age of patients was 53.5 years and 53% were female. Most patients were in NYHA class III or IV (25% and 75% respectively) and 28.3% had ischemia as a cause of HF. Among co-morbidities, 85% of patients with HF had at least one co-morbidity. Anemia (68.3%), coronary artery disease (30.4%), hypertension (26.6%), diabetes (18.7%) and chronic kidney disease (7.5%) were the co-morbidities with the highest prevalence. Chronic obstructive pulmonary disease (3.7%), sleep apnea (2.5%), hypothyroidism (2.5%) and stroke (2.5%) were less common. Of all patients, only 15% had no co-morbidity, 40% had one co-morbidity, 22% had two co-morbidities, and 13 % had three or more co-morbidities.Conclusion: Co-morbidities are common problems and anemia is the most common in our scenario which could be of multi-factorial etiology. Careful attention to the diagnosis and management of specific co-morbidities may help to improve outcomes in patients with HF. Journal of Nobel Medical CollegeVolume 6, Number 2, Issue 11 (July-December, 2017) Page:35-41
Profile on ECG Changes in different types of Stroke in Patients at Tertiary Level Hospital in Eastern Nepal
Authors: Thakur Manoj Kumar , Chhetri Gaurav , Shrestha Risab 
Published: April 2018

Background : Physician knew for centuries that primary cardiac disorders leads to stroke, but it is recent realization that strokes may produce cardiac abnormalities. It is essential to distinguish whether cardiopulmonary abnormalities are caused by the stroke or unrelated. It is very difficult to distinguish because pre-existing cardiac abnormalities are highly prevalent in stroke. This study is designed to see ECG changes in stroke that can help for further evaluation and management.Methods and Materials: This descriptive Cross-Sectional hospital-based study was conducted to describe the ECG changes, character of ECG abnormalities in patients with stroke. All the patients admitted in the Nobel Medical College in one-year meeting inclusion criteria and residing in Eastern part of Nepal were included. Both Ischaemic and Haemorrhagic stroke were taken. ECG changes includes QTc-prolonged, AF (Atrial Fibrillation), T inversion, QRS prolonged, PR prolonged, ST elevation, ST depression, Hyperacute T wave in different types of stroke was evaluated on the basis of age, sex, smoker, HTN and DM.Result : The total participants were 100. Out of which 65 were male and 35 were female and 72.0% were 60 years and above and 28.0% below 60 years with Mean Age in year ± Standard deviation of male and female was (64.74 ± 12.62) and (63.69 ± 13.53) respectively. Ischemic and Haemorrhagic stroke was 87.0% and 13.0% respectively. ECG changes were found in 84.0%.Conclusion: Ischaemic stroke (87.0%) was more common than Haemorrhagic stroke (13.0%). ECG changes were in 84.0% and QTc-prolonged (29.0%) was the most common followed by AF (27.0%).Journal of Nobel Medical CollegeVolume 6, Number 2, Issue 11 (July-December, 2017) Page: 42-47
Serum Cystatin C as an Endogenous Marker of Renal Function in Patients with Chronic Kidney Disease (CKD)
Authors: Faraji Md Anwarul Haque , Anwar Mohammed Rashed , Debnath Dilip Kumar , Alam Md Babrul , Morshed Syed Mahbub , Hasan KAM Mahbub 
Published: April 2018

Background: Cystatin C is being considered as a potential replacement for serum creatinine as a filtration marker.Objectives: This present study was conducted to determine the validity of Cystatin C as a renal function test and to compare the Cystatin C and serum creatinine level between the CKD cases and person not having CKD.Methodology: The present case control study was conducted in the department of Nephrology of Dhaka Medical College Hospital during the period of January 2009 to December 2009 with the aim to find out the serum Cystatin C as diagnostic markers of chronic kidney disease. In the present study total 100 respondents were included. Among them 50 were CKD patients and another 50 were without CKD. Results: It was an age and sex matched study. Out of 50 patients with CKD, 29 (58.0%) were in the stage IV followed by 15 (30.0%) were in the stage III and rest 6 (12.0%) were in the stage V. In CKD group 31 (62.0%) had glomerulonephritis, 18 (36.0%) had HTN, 11 (22.0%) had DM and 3 (6.0%) had obstructive uropathy. In without CKD group 9 (18.0%) had HTN, 6 (12.0%) had DM. Mean±SD of Serum Creatinine in CKD and without CKD groups were 5.73±2.69 and 0.85±0.11mg/dl respectively. Mean±SD of Serum Cystatin C in CKD and without CKD groups were 3.59±1.21 and 0.71±0.09 mg/dl respectively. In all patients sensitivity of Cystatin C to diagnose CKD was 100.0% and specificity also100.0%. Sensitivity of serum creatinine to diagnose CKD was 88.0% and specificity was 100.0%.Conclusions: Cystatin C proved more reliable than creatinine and was comparable to plasma creatinine and Cockcroft-Gault estimation. Serum Cystatin C had higher diagnostic accuracy with high sensitivity and specificity to detect renal function and is a reliable marker of renal function. Journal of Current and Advance Medical Research 2017;4(1):3-12
Knowledge of Snake Bite Management among Health Service Providers at a Rural Community of Bangladesh
Authors: Ahsan HM Nazmul , Rahman Md Ridwanur , Amin Robed , Chowdhury Enamul Hoque 
Published: April 2018

Background: Snake bile is a very common incidence among the rural people.Objective: This study was aimed to assess the pattern of snakebite in rural community through community engagement.Methodology: It uses the methodological triangulation qualitative and quantitative approach as well as a case study design in analyzing data, whereby the exploratory-descriptive design is followed. The findings from survey study on snake bite have been elicited from face to face interview with 243 number of medical professionals/health service providers consisting of 113 number of MBBS doctors, 86 number of nurses and 46 number of other health practitioners. The study area consisted of 5 zilla sadar hospitals and 15 upazilla health complexes. We purposively select the 243 sample(Doctors, Nurses, Paramedics ,Others) from the selected districts and its consisting random upazillas from the govt. sector hospitals keeping in mind gender balance (Male -Female) as a primary total target population. So in total, 5division and itsconsisting random upazilas hospital including union health complex hospital personnel will be interviewed throughout mention areas of Bangladesh. Result: Most of the health professionals (93.8%) stated that the existence of facilities in their respective hospitals is not adequate to manage the treatment of snake bite victims. Of the total number of medical personnel - around 30.0% of the health professionals had the opportunity to manage snake bite in their respective span of service (50.4% of MBBS docs + 11.6% of nurses + 11.4% of other practitioners).The findings show that majority of 87.6% of doctors, 85.0% of nurses and 95.5% of other practitioners mentioned rainy season as the most prevalent time for occurrence of snake bite in rural areas of Bangladesh. As for whether all snake bites are poisonous- around 17.0% of doctors followed by 18.6% of nurses and 16.0% of other practitioners are found to have wrong notion about mentioning that all snake bites are poisonous but in reality this is not true.Conclusion: There is insufficient knowledge, skill and experience of how to treat snake bite victims. Journal of Current and Advance Medical Research 2017;4(1):17-22
Les ascariérythréens, créateurs de frontières
Authors: Le Houérou Fabienne 
Published: April 2018

Les ascari érythréens, créateurs de frontières, Fabienne Le Houérou.
Cette étude présente les premiers résultats d'un chantier de recherche sur les supplétifs érythréens recrutés par l'armée coloniale italienne. La fonction des ascari lors de la période coloniale et le croisement de leurs témoignages avec ceux d'autres acteurs politiques, les anciens combattants du Front de libération de l'Erythrée font apparaître leur rôle dans la formation d'une identité érythréenne.
Encadrer et contrôler le documentaire de propagande sous l'occupation
Authors: Bertin-Maghit Jean-Pierre 
Published: April 2018

Encadrer et contrôler le documentaire de propagande sous l'Occupation, Jean-Pierre Bertin-Maghit.
Parmi les instruments de propagande dans la France occupée, le documentaire a été récupéré et mis au service des idéolo- gies du gouvernement de Vichy, des collaborationnistes et de l'occupant nazi. Ces images renvoient aux luttes d'influence qui existaient entre les différents émetteurs. Les réalisations adoptèrent des styles spécifiques à chacun des discours propagés. Il est ainsi possible d'établir une chronique de ces films à travers les quatre années d'Occupation. C'est dire que le cinéma de propagande ne constitue pas un bloc homogène et figé de 1940 à 1944.
Changer la ville. la question urbaine au milieu du 19e siècle
Authors: Bourillon Florence 
Published: April 2018

Changing the City. The Urban Issue in Mid-19th Century, Florence Bourillon.
People in the 19th-c didn't use the expression "urban crisis". They noted, however, the dysfunctions and the inadaptability of the city to the strong demographic and economic pressures and complained of its lack of sanitation, disorder, the risk of exodus from the city center, and its lack of security. Historians have borrowed this term from late-20th-c architects and urbanists to designate the assessment of sick city to the decision to redevelop it. The major transformations began in Paris with the Second Republic. Napoleon III promoted the thinking on it in 1853 by appointing the Commission of Paris Embellishment and gave Baron Haussmann the job of renovation.
La prévention dans les politiques d'aménagement : le cas du protectorat français au Maroc
Authors: Baudouï Rémi 
Published: April 2018

Prevention in Development Policies : The Case of the French Protectorate in Morocco, Rémi Baudouï.
The notion of crisis isn't easily used in urban history even though the other social sciences as well as political and economic history use it freely. As for urbanists and planners, they use it all the time to justify their practical choices. The case of the development of Moroccan colonial cities is particularly enlightening. For Lyautey and his team, dividing cities up between native space and colonial space was one way of preventing crisis.
Les effectifs du parti social français
Authors: Thomas Jean-Paul 
Published: April 2018

Les effectifs du Parti social français, Jean-Paul Thomas.
L'étude de documents nouveaux permet une réévaluation de l'importance du Parti social français dirigé par le colonel de La Rocque dans la France de la fin des années 1930. Premier parti de masses de l'histoire de la droite en France, le PSF fut un phénomène inédit et spectaculaire, touchant les hommes aussi bien que les femmes, dans un pays et sous un régime traditionnellement peu favorables au rôle de partis politiques « populaires ». Le caractère massif du PSF annonce aussi, pour partie, le cas du RPF du général de Gaulle.
Le mémorandum sur les taches d'un plan de quatre ans d'Adolf Hitler
Authors: Murawiec Laurent 
Published: April 2018

Adolf Hitler's Memorandum of the Jobs of a Four-Year Plan, Laurent Murawiec.
For the first time and after a detailed presentation, the text of Hitler's Memorandum has been published in French. This text, written in 1936, announced the metamorphosis ofthe Third Reich's peace-time economy to one of wartime. Inspired by the practices and ideologies linked to the First World War wartime economy, taking up the general ideas of autarchy and planism, the Memorandum placed the economy totally in the service of political and military demands. It instituted Goering as the "economic dictator" and sealed the alliance between the military leaders and Hitler.
Les lumières de la ville. L'administration municipale à l'épreuve de l'électrification
Authors: Fernandez Alexandre 
Published: April 2018

Les lumières de la ville. L'administration municipale à l'épreuve de l'électrification, Alexandre Fernandez.
Au cours du premier 20e siècle, l'électrification fut un des signes majeurs de la modernité urbaine, et un défi nouveau pour les municipalités. Celles-ci se virent en effet confrontées à la nécessité de réguler un service collectif pour lequel elles ne possédaient ni compétence technique ni tradition de gestion. Rares furent les villes où se mirent en place des régies municipales. Le plus souvent, confrontées à la croissance du secteur de l'industrie électrique et à la mise en place d'entreprises fonctionnant en réseaux, les municipalités durent négocier des concessions avec ces dernières en s'efforçant de garder la maîtrise politique de leur alimentation. L'électrification des villes fut donc l'un des domaines d'apprentissage de la modernité administrative dans le cadre d'une véritable économie politique locale. La loi de régionalisation de 1982 leur rend désormais une capacité d'autonomie que la fin du monopole d'EDF, prévue pour 1999, devrait renforcer, sans que soit garantie pour autant la transparence et le caractère démocratique d'une gestion négociée avec le puissant secteur privé.
Stripping in temporal adverbial constructions
Authors: Overfelt Jason 
Published: April 2018

This paper argues that phrasal Temporal Adverbial Constructions (TACs; Kim left [before Bill]) are most amenable to a Stripping-like treatment. What I refer to as TAC-Stripping is low-adjunction of a TAC containing a truncated complement, viz. an extended vP. A single remnant is A-moved to a focus position outside the elided vP (Pancheva 2009, Weir 2014). The remainder of the paper adapts Takahashi 2008 to account for the sensitivity of TAC-Stripping to familiar constraints against embedding the antecedent or ellipsis site, which are not observed with VP-Ellipsis.
Sensualité, auto-sensualité et sexualité dans l’œuvre de Frances Tustin
Authors: Mitrani Judith 
Published: April 2018

En 1974, Frances Tustin a décrit deux aspects distincts de la mise en place du sentiment d’exister primaire du bébé : la sensualité qui est dirigée vers le corps de l’autre ressenti comme vivant et réactif-si-séparé de lui – et l’ auto-sensualité qui implique des aspects du corps propre du sujet et même des parties du corps de l’objet traitées comme si elles étaient une partie et une parcelle de sa propre structure corporelle. Le tri de ces différents aspects au cours de la petite enfance, de l’enfance et de l’adolescence joue un rôle considérable dans le développement d’une sexualité adaptée dans la vie adulte.
Les destins de la dyssensorialité. Enfant singulier, particularités plurielles
Authors: Guinot Michèle , Golse Bernard 
Published: April 2018

Après avoir rappelé le rôle de la polysensorialité dans le processus d’accès à l’intersubjectivité (correspondant à la possibilité de découvrir l’objet et de le vivre en extériorité), les auteurs présentent quatre observations d’enfants présentant des dyssensorialités diverses sans être pour autant devenus autistes.	Après quoi, en réfléchissant au passage de l’intersubjectivité à la subjectivation, certaines hypothèses sont alors proposées pour rendre compte de ce qui a pu protéger ces enfants d’un destin autistique.
Behaviour of culinary tourists: A segmentation study of diners at top-level restaurants
Authors: Daries Natalia , Cristobal-Fransi Eduard , Ferrer-Rosell Berta , Marine-Roig Estela 
Published: April 2018

Aim: The main aim of this research is to characterize the tourists visiting top-level restaurants to ascertain the profile of this type of customer, their behaviour and their influence on the destinations where they are located.Design/methodology: During the months of July to December 2016, a survey was conducted on a sample of 187 tourists who had visited Michelin-starred restaurants in order to highlight the most valued aspects during the process of choosing, consulting and booking the top-level restaurant service.Contributions and results: The results reveal the existence of two segments whose behaviour is different, where the individuals of the first consider the culinary experience as the main reason for their tourist visit to the destination. In contrast, the second segment considers that their visit to the destination is the main reason for their tourism. Moreover, the diners from both segments display different behaviour in terms of their post-purchase, recommendation and intention to return behaviour and the perception of the status with which their visit to the restaurant provides them.Limitations: The main limitation of this study is the fact that only the responses of tourists who have visited top-level restaurants in Spain have been studied.Practical implications: The results of this study may help both the managers of restaurants of a certain level and the public authorities responsible for tourism to make decisions, since these types of restaurants are becoming tourist resources of the first order. Social implications: Knowledge of the diner could facilitate the optimal management of the restaurant and help orient it as a tourist resource. In certain areas such a resource can become a pole of tourist attraction and contribute towards territorial balance thanks to the positive externalities it generates in the territory where such establishments are located.Added value: The present research focuses on the study of the behaviour of the culinary tourist in an increasingly popular type of tourism with high added value. Culinary tourism is also enormously important in the economy of the destination and for territorial development. Therefore, this work may be of interest both for public authorities and the managers of this type of restaurant, and to create synergies between the two. This work comes to fill a gap in the literature of segmentation in the restoration, since there are few research that focus on segmentation according to consumer's motivations and perceptions, and none focus on its relationship to tourism at the destination.
Asymptotic Continuous Orbit Equivalence of Smale Spaces and Ruelle Algebras
Authors: Matsumoto Kengo 
Published: April 2018

AbstractIn the first part of the paper, we introduce notions of asymptotic continuous orbit equivalence and asymptotic conjugacy in Smale spaces and characterize them in terms of their asymptotic Ruelle algebras with their dual actions. In the second part, we introduce a groupoid$C^{\ast }$-algebra that is an extended version of the asymptotic Ruelle algebra from a Smale space and study the extended Ruelle algebras from the view points of Cuntz–Krieger algebras. As a result, the asymptotic Ruelle algebra is realized as a fixed point algebra of the extended Ruelle algebra under certain circle action.