bluuebunny/crossref_metadata_2025_split huggingface dataset:
Réseaux : réactions et adaptation à la charge et au confinement
Authors: Tual Aurore , Toustou Laurent 
Published: September 2024

La crise sanitaire de la Covid-19, en particulier pendant le confinement du printemps 2020, a eu de forts effets sur les usages et les réseaux. Une augmentation importante de trafic (d’environ 30 % pendant le premier confinement) a notamment pu être constatée. Cette situation a tout d’abord posé un certain nombre de questions sur le fonctionnement d’Internet : le dimensionnement des réseaux était-il suffisant pour supporter l'augmentation de trafic liée à la crise ? Quelles bonnes pratiques adopter pour qu’Internet continue à fonctionner ? Comment garantir le respect de la neutralité du Net dans cette situation exceptionnelle ? Cette crise inédite nous a aussi rappelé à quel point les réseaux sont indispensables à la vie du pays, et qu’ils doivent donc continuer à être un « bien commun ». La mise en place des solutions de traçage des contacts pour lutter contre l’épidémie a remis en avant le caractère incontournable des systèmes d’exploitation et a reposé la question d’étendre le principe d’ouverture d’Internet à ces acteurs. L’explosion des usages numériques pendant cette période a également renforcé le besoin d’approfondir l’analyse de l’impact environnemental de cet écosystème, et de s’inscrire dans un numérique plus soutenable pour l’environnement.
L’économie de la fonctionnalité des données qualifiées au cœur d’une croissance vertueuse
Authors: Vaileanu Ingrid , Paun Florin 
Published: September 2024

L’intégration de la « valeur extra-financière » (Dessertine, 2023) est au cœur des évolutions de paradigme de valorisation pour une croissance vertueuse et éthique face aux crises multiformes (écologique, économique, de confiance), par l’accès aux données qualifiées ou qualifiables d’impact et d’opinion. L’exemple de l’outil numérique issu de l’innovation Deeptech Xvaluator relève de l’impact potentiel majeur de l’Intelligence Artificielle (IA) européen dans le monde des données et des stratégies nouvelles de valorisation de leurs valeurs financières et extra-financières. Pour contrer les crises, les modèles économiques de croissance post-fordiens, industriels, serviciels et financiers désignent comme « externalités ou valeurs extra-financières » le « capital social et environnemental » (Laperche, Uzunidis, 2012). Cela se traduit aujourd’hui par l’intégration ex ante des impacts perçus par une valeur augmentée centrale. Il est ainsi possible d’envisager une nouvelle croissance vertueuse capable d’être perçue collectivement au travers de nouveaux outils numériques « d’agilisation » des organisations et leurs processus « d’innovation ouverte » (Chesbrough et al ., 2008 ; Paun, 2018 ; Barbaroux, 2020 ; Adatto, 2018) issues de l’innovation Deep tech en France et en Europe.
Big Data et Open Data
Authors: Monino Jean-Louis 
Published: September 2024

« Big Data » et « Open Data » constituent des gisements d’informations encore sous-exploités. La question associée à cet article considère quels éléments peuvent éclairer une meilleure intégration de leur potentiel. Par un travail d’analyses conceptuelles, seront montrées leurs aptitudes à transformer « business », gouvernement et société. Le Big Data donne le pouvoir d’analyser et changer le monde. L’ Open Data assure que ce pouvoir soit partagé et favorise des démarches d’innovation ouverte, suivant, d’une part des organisations détenant des données exploitables, d’autre part des entreprises créatives, dont startups et PME, fournisseuses de technologies innovantes, cela aboutissant à faire émerger des solutions radicalement nouvelles. Avec l’évolution de la démarche d’analyse, des modèles économiques basés sur les stratégies de monétisation sont donc à construire. En devenant le socle actif de nouveaux produits et services, le Big Data Analytics appelle une révision profonde des modèles économiques, désormais nécessairement orientés données.
Innovation collaborative à l’ère du Big et de l’ Open Data
Authors: Thiaw Cheikh Abdou Lahad 
Published: September 2024

L’article propose une analyse prospective d’un phénomène nouveau, l’exploitation des données du Big et de l’ Open Data afin d’accéder à plus de connaissances clés pour irriguer l’innovation collaborative. À l’ère des datas, l’objectif est de proposer une articulation nouvelle de la co-innovation au sein des clusters , permettant aux acteurs engagés de profiter pleinement des opportunités d’innovation permises par les données. Les résultats de l’étude exploratoire autorisent la conceptualisation de modèles de clusters « nomades » (Thiaw, 2022), faisant référence à des espaces d’innovation translocaux , fondés sur la mutualisation de ressources et de connaissances au profit d’acteurs hétérogènes décidés à collaborer pour innover ensemble. L’originalité du modèle réside dans la non-nécessité de la proximité géographique des parties prenantes et la prise en compte des données dans les processus de co-innovation, pour s’adapter aux réalités de la nouvelle économie.
Organisational justice and deviance in academia: Is there a moderating effect of personality?
Authors: Obalade Grace O. , Mtembu Vuyokazi , Maharaj Ashika 
Published: September 2024

Orientation: Social exchange theory (SET) posits that employees reciprocate injustice with workplace deviance. However, studies reveal this may not always be the case because of the differences in employees’ personality traits.Research purpose: To examine the moderating role of Honesty-Humility, Emotionality and Agreeableness (H-HEA) of the HEXACO personality domain on the relationship between organisational justice (OJ) and workplace deviance among employees of selected public universities in South-West Nigeria.Motivation for the study: It becomes imperative to study workplace deviance behaviour (WDB) because of its costs and prevalence in the organisation. Hence, this study integrates the situational and individual antecedents of workplace deviance, using the HEXACO personality domain to moderate the relationship between OJ and personality.Research approach/design and method: The study adopted a quantitative approach; a survey was conducted among 572 employees of three public universities in Nigeria. Data collected were analysed using partial least square structural equation modelling.Main findings: The findings revealed that WDB reduces with OJ and increases with injustice. Essentially, the moderating effect of E-HEXACO selected by the Structural Equation Modeling (SEM) is found to be insignificant.Practical/managerial implications: The study recommends that university management and government alike should ensure justice in the public universities as this helps to reduce WDB.Contribution/value-add: This study proposes that employees’ personality traits will determine whether they will reciprocate feelings of injustice with deviant behaviour. This study has contributed to the literature by examining the HEXACO personality traits, which are scarcely being examined in Nigerian literature.
Scaling-up Telemedicine: Challenges and Opportunities Seen in ASEAN
Authors: Uy Kathleen Nicole , Co Faith Abigail , Bagon Apol Clarissa 
Published: September 2024

Abstract
In six ASEAN countries, over 50% of the population resides in rural and remote areas with limited access to health-care facilities and skilled personnel, exacerbated by the emigration of health-care workers. Digital health initiatives, particularly telemedicine, offer a promising solution to enhance health-care access, quality, and affordability in low- and middle-income countries. However, significant challenges hinder widespread telemedicine adoption. Implementation science provides a framework for understanding and addressing these challenges, emphasizing the translation of evidence-based interventions into the real-world practice. To effectively scale-up telemedicine, several recommendations are proposed. First, attention to technical factors such as simplicity and interoperability is crucial, along with the early engagement of government and nonstate actors to ensure alignment with existing systems. Second, strong leadership and political will are essential for garnering decision-maker buy-in and promoting sustainability. Finally, the active involvement of local leaders, stakeholders, and communities is indispensable for successful implementation and user acceptance.
Clinico-epidemiologic Profile of Premature Infants Screened for and Diagnosed with Retinopathy of Prematurity at a Tertiary Government Hospital in Northeastern Luzon, Philippines
Authors: Tan Roland Joseph Dugay 
Published: September 2024

Abstract

Aim:
This study aims to determine clinical profiles and outcomes of premature infants screened with retinopathy of prematurity (ROP) at a hospital in Isabela in 2023.

Materials and Methods:
Analytical study of premature infants screened for ROP at the Department of Ophthalmology of a Tertiary Government Hospital in Northeastern Luzon, Philippines, in 2023.

Results:
Proportions of infants with any ROP and severe ROP were high (44% and 31%, respectively). More than half were lost to follow-up before retinal maturity which can further increase the number of infants with any and severe ROP in this study. The odds of developing any ROP were 26 × higher when an infant was <32 weeks old and weighing <1500 g compared to those referred for unstable clinical course only. The 57 infants with any ROP had a younger age of gestation (AOG) (P < 0.001) and lower birth weight (P < 0.001) compared to those without. AOG of infants with improvement and deterioration in the clinical course were significantly different (P < 0.03). The 2013 guidelines had the least number missed before its recommended initial examination of infants diagnosed with any ROP (2.5%), including no type 1 ROP.

Discussion:
This is the first clinico-epidemiologic study on ROP done outside National Capital Region and postpandemic. High proportions of ROP and severe ROP can be due to the inclusion of high-risk infants born outside but referred to the hospital. The higher odds of developing any ROP in those with combined risk factors highlight the need for more public health efforts to decrease premature birth and birth of low birth weight infants.
Pregnancy Outcome Among Grand Multiparous Women at Delta State University, Oghara, Nigeria
Authors: Ukah Christian E. , Okhionkpamwonyi Osamudia , Okoacha Innocent , Okonta Patrick I. 
Published: September 2024

Abstract

Background:
Grand multiparity presents a significant challenge to the obstetrician, especially in developing countries, including Nigeria.

Objective:
To determine the incidence and complications associated with grand multiparity at the Delta State University Teaching Hospital (DELSUTH), Oghara, Delta State, Nigeria.

Materials and Methods:
A retrospective descriptive study of grand multiparous women in DELSUTH between July 1, 2014, and June 30, 2023. Data retrieved from the hospital records and case files were analyzed.

Results:
The results revealed that during the period under review, the incidence of grand multiparity was 7.8% (146 grand multiparous women in 1874 deliveries). The majority (79.1%, n = 106) were para 5 and 6 (mean age: 37 ± 4.2 years). They were mostly farmers (49.3%) and housewives (17.9%) with a primary level of education (41.8%). Fifty-one percent (51.5%) were booked. Anemia (30.6%) and hypertensive disorders (12.7%) were the most common complications in the antenatal period, whereas hypertensive disorders (14.2%) were the most common complications seen during labor. The majority (61.9%) of the women had vaginal delivery. There was one case of maternal mortality (0.7%). The majority of the babies were of normal birth weight (57.3%, n = 82). One hundred and thirty-one of the babies (91.6%) were live births, whereas 8.4% (n = 12) suffered perinatal death.

Conclusion:
This study concludes that grand multiparity contributes to maternal and perinatal morbidity and mortality in Oghara, Nigeria.
Association of the Emergence of Hand Preference and Child Development in Autism Spectrum Disorder: A Cross-Sectional Study
Authors: Harini D. , Sethuraman Lakshmanan , Lingan Naveenan 
Published: September 2024

Abstract

Background:
Hand preference reflects the cerebral dominance associated with language, cognition, and manual skills development. Children with autism spectrum disorder (ASD) show less hand dominance as compared to typically developing children. This study aims to investigate the relationship between the development of hand preference and its association with developmental skills in children with ASD.

Objective:
The study aims to analyze the relationship between the emergence of hand preference and the primary developmental domains of children with ASD.

Study Design:
This was a cross-sectional study.

Methods:
A convenient sampling method was used for the sample selection. The study recruited children diagnosed with ASD between 3 and 6 years old. The study was conducted in a clinical setting at Dexterity Occupational Therapy Services, Bangalore. The children selected based on criteria were evaluated with the Indian Scale for Assessment of Autism (ISAA) for severity, the modified Edinburgh Handedness Inventory to assess hand preference, and the Developmental Assessment of Young Children-Second Edition (DAYC-2) to evaluate the primary developmental domains. Scores on DAYC-2 were correlated with the scores of the modified Edinburgh Handedness Inventory.

Results:
Fifty-four children were recruited, including 43 boys and 11 girls. The mean age of the children included in the study was 52.09 ± 9.08 months. ISAA scores revealed 25 children belong to mild, 26 belong to moderate, and 3 belong to the severe category of autism. The scores of the modified Edinburgh Handedness Inventory are significantly correlated with expressive (P = 0.029; 95% confidence interval [CI]: 0.029–0.521), receptive (P = 0.007; 95% CI: 0.100–0.571), socioemotional (P = 0.009; 95% CI: 0.088–0.563), adaptive behavior (P = 0.008; 95% CI: 0.094–0.567), and fine motor (P = 0.001; 95% CI: 0.174–0.620) domains of DAYC-2 with weightage to the age.

Conclusion:
This study concluded that the emergence of hand preference in ASD children had a clear association with the developmental domains of DAYC-2, which indicates that targeted intervention to strengthen hand preference may facilitate the child’s development.
Association of Vitamin D Levels and Handgrip Strength among Patients with Hypothyroidism: A Cross-sectional Study Design
Authors: Kumar Anupam , Pushkar Kumar , Singh Santosh Kumar , Arora Rahil , Singh Vani , Sehgal Parrina , Bhati Shaheen Khan 
Published: September 2024

Abstract

Introduction:
There is a notable association between hypothyroidism and reduced muscle function as well as compromised neuromuscular coordination. In this study, we aimed to investigate the potential link between Vitamin D and handgrip strength (HGS) in patients with hypothyroidism.

Methods:
The study involved 40 patients diagnosed with hypothyroidism and subclinical hypothyroidism while excluding individuals with hypothyroid medications, cardiovascular, pulmonary, renal, neurological, reproductive disorders, hand anomalies, Parkinson’s disease, and Vitamin D supplementation. They were evaluated for T3, T4, and thyroid-stimulating hormone (TSH) levels, HGS, and serum Vitamin D levels; triceps fold was measured using a Lange caliper, and a correlation between these variables was assessed.

Results:
The mean age of the study group was 39.95 ± 6.41 years, with the majority falling in the age group of 41–50 years. A female preponderance (70%) was observed among the study group. The mean value for Vitamin D and HGS was 14.69 ± 6.12 ng/ml and 19.65 ± 5.38 kg, respectively. The mean values for T3, T4, and TSH were 47.23 ± 14.56 ng/dl, 5.86 ± 2.12 μg/dl, and 18.28 ± 7.64 mIU/ml, respectively. A robust, significant positive correlation was found between HGS and Vitamin D (r = 0.42, P < 0.01). The correlation between body mass index (BMI) and Vitamin D was moderately positive but was not statistically significant (r = 0.26, P > 0.01). No significant correlation was observed between Vitamin D and T4, TSH, and triceps fold. A moderate negative correlation was observed for TSH and BMI but was insignificant (r = −0.27, P > 0.05).

Conclusion:
A strong, significant positive correlation was found between HGS and Vitamin D, while BMI showed moderate positive correlations. No significant correlation was found between Vitamin D, T4, TSH, or triceps fold.
A Study of the Knowledge, Attitude, Practices, and Burden of Full-time Family Caregivers in the Care of Older Adults in Bengaluru, India
Authors: Manjaly Steve Paul , Haridha  , Saji Deepa 
Published: September 2024

Abstract

Background:
Globally, the aging population is expanding rapidly, impacting every aspect of the society. In developing nations like India, where family members primarily serve as caregivers for older adults, inadequate knowledge about their complex needs increases caregiver burden. The topic of caregiving has been extensively studied worldwide, mainly focused on the negative aspects of caregiving. The present study aims to assess the knowledge, attitude, practice, and burden of family caregivers providing care to older adults at homes in South India.

Methods:
This was a descriptive, observational study, which was conducted using a questionnaire-based approach. In this study, a purposive sampling technique was used, and a total of 56 family caregivers participated, who were caregivers to the patients admitted to a tertiary hospital in South India.

Data Collection:
A prevalidated questionnaire from previous studies was used to explore the knowledge, practices, and attitudes of caregivers of older patients.Caregiver burden was measured using Zarit Burden Interview.

Results:
The data were analyzed using SPSS v21. Caregiver burden was found to be high among those who cohabited with the patient (P < 0.05). Sons/daughters and grandchildren had a better grasp about the medical conditions of older people, P < 0.05. Attitude toward caring for older adults was strongly positive irrespective of the age category.

Conclusion:
Our study revealed that caregivers’ knowledge on the medical needs of the older population was inadequate. This study could pave the way for developing hospital policies, as well as planning action research, training, and counseling programs to strengthen family caregiver capacity and promote active and healthy aging.
Cutis Rhomboidalis Nuchae and Solar Lentigo with Squamous and Basal Cell Carcinoma – A Quartet of Chronic Sun Exposure
Authors: Trivedi Madhvi , Mehta Rajesh Dutt , Ghiya Bhikam Chand , Soni Prasoon 
Published: September 2024

Abstract
Aging is of two types, namely extrinsic and intrinsic aging. Extrinsic aging or photoaging is caused mainly due to damage caused by solar radiation. We report the case of a elderly male who presented with large growth on the scalp and ulcer on the face. However, on clinical examination, almost all the changes of photoaging, namely solar lentigo, cutis rhomboidalis nuchae squamous, and basal cell carcinoma were present. This case highlights the importance of thorough clinical examination needed in the geriatric population for the early diagnosis and timely management of their ailments. This will not only prolong but also improve their quality of life.
The Impact of Comorbidity–Polypharmacy Score on Geriatric Trauma Outcomes
Authors: Moorthy D. G. S. R. Krishna , Priya S. Manju 
Published: September 2024

Abstract

Background:
Trauma is one of the leading causes of death in older patients, who experience higher mortality rates even with less severe injuries compared to younger individuals. Many factors affect the outcomes in elderly trauma patients, with polypharmacy being one of the most significant. The Injury Severity Score (ISS) is an anatomical measure used to estimate the outcomes of trauma patients. This study compares the Comorbidity Polypharmacy Score (CPS) with the ISS to evaluate patient outcomes.

Aims and Objectives:
To assess the relationship between the Comorbidity–Polypharmacy Score (CPS) and injury severity score (ISS) on outcomes in geriatric trauma patients.

Materials and Methods:
This prospective observational study included 200 individuals aged over 60 years with clinical evidence of trauma who presented to the emergency department and were subsequently hospitalized. ISS and CPS scores were calculated in the Emergency Department and followed up until discharge. Patients were subdivided into two groups: Group A with a CPS of 0 to 7 and Group B with a CPS of more than 7.

Results:
The mean age of the 200 patients was 66.41 ± 6.89 years, with 148 men and 52 women. In the study, 42 people had a CPS of more than 7, while 158 had a CPS of 0 to 7. Based on the severity of injuries, 95 people were classified as mild ISS, 51 as moderate, 35 as severe, and 19 as very severe. Compared to Group A, Group B patients had prolonged hospital stays despite having lower ISS scores in the mild to moderate ISS groups. However, this association was not observed in patients with severe to very severe ISS in terms of ICU stay or mortality rates.

Conclusion:
In our population, patients with higher Comorbidity Polypharmacy Scores had prolonged hospital stays in the mild to moderate Injury Severity Score group. However, in patients with severe to very severe Injury Severity Scores, higher CPS did not affect the length of stay or mortality.
Dual Malignancies in Geriatric Cancer Patients: A Radiation Oncologist’s Perspective of Clinical Care
Authors: Bachheti Yamini , Gupta Sweety , Chakravarty Abhishek , Chophy Atokali , Raina Deepika , Joseph Deepa , Gupta Amit , Gupta Manoj 
Published: September 2024

Abstract

Background:
Data pertaining to dual malignancies in the geriatric population are not only sparse but also heterogeneous. The present study evaluated the pattern of care for geriatric dual malignancy patients at a tertiary care center.

Materials and Methods:
We retrospectively collected data from all dual malignancy patients of and above the age of 65 years registered in the radiation oncology department of a single tertiary care center.

Results:
456 geriatric cancer patients were registered between January 2019 and July 2021,out of which 48 patients had dual malignancy (10.5%). The distribution of index malignancy was six (12.5%) patients each of carcinoma oropharynx and prostate. Thirty-two (66.7%) patients developed metachronous malignancies. The mean difference in the development of the second malignancy was 3.4 years. Eleven (22.9%) patients developed carcinoma lung as a second malignancy. The primary treatment received by 38 (79.2%) patients was radical.

Conclusion:
Geriatric patients with synchronous malignancies pose a therapeutic challenge and the decision is achieved by a multidisciplinary approach.