bluuebunny/crossref_metadata_2025_split huggingface dataset:
Précarité, recto verso
Authors: Chaudin Maxime , François Étienne , Hochart Manon , Lopes Sandra , Pérez-Simon Maud 
Published: September 2024

Qu’est-ce qu’une personne sans domicile fixe – il est dans la norme aujourd’hui de dire « sans domicile stable » – et que ressent-elle quant au regard du complexe sociétal dans lequel elle évolue, qu’elle le souhaite ou non ? Qu’est-ce que l’exclusion : est-elle du fait de l’exclu ou des excluants ? Le clivage entre la sociologie et ce que nous avons choisi de nommer la philosophie Politique est-il irréconciliable ? Forts de ces questionnements, nous avons allié la théorie et une expérience de terrain qui nous a empêché de dormir la nuit la suivant. Nous avons tenté de mettre en lien le non-recours aux droits (sociaux) et l’ostracisme. Nous avons essayé de faire le lien avec la culture, celle de la rue, celle des personnes dites « normales ». Nous avons évoqué la norme et le stigmate, l’intégration dans la société qui construit, déconstruit ou reconstruit une personne intégrant une société dans la société au sens plus générique du terme, au sens d’Etat-Nation comme nous l’entendons en occident. Nous avons discuté de la place d’une personne sans toit dans notre société ; nous avons discuté de l’emploi en lien avec la notion de sans-abrisme ; nous avons discuté de la place de la classe sociale d’origine vers la classe sociale d’arrivée. Nous avons discuté du repli communautaire à condition qu’une communauté existe. Cet article n’a aucune vocation exhaustive mais présente simplement une étude d’un groupe d’étudiants qui ont mené une étude sérieuse quant aux problématiques sociales des personnes sans domicile stable.
Marguerite de Navarre et ses porteurs de lettres : manœuvres diplomatiques et interventions poétiques
Authors: Patterson Jonathan 
Published: September 2024

Dans le flux des négociations et des échanges diplomatiques, le porteur de lettres stabilise la communication épistolière. À long terme, il est un instrument essentiel du maintien des alliances. Dans l’Europe du xvi e siècle, personne n’a sans doute mieux perçu que Marguerite de Navarre les avantages de ces « porteurs suffisants ». Cette étude interroge sur les porteurs choisis par la reine de Navarre pour leur service fidèle dans son entourage domestique, surtout pour surmonter les défis de la communication à longue distance. Les lettres qu’ils portaient, parfois nourries de références bibliques et d’échos littéraires, nous ouvrent les yeux sur les complexités émotionnelles de Marguerite de Navarre. Ainsi elle instrumentalise la voix épistolaire – qui s’ajoute au message oral du porteur de la lettre – à des fins personnelles et politiques.
Dynamiques discursives du figement/défigement en langue des signes française : aux sources de la créativité lexicale et de l’économie linguistique en langue des signes
Authors: Garcia Brigitte 
Published: September 2024

Après avoir souligné les problèmes théoriques posés par l’affirmation du caractère doublement articulé des LS, nous montrons que les deux procédés de création lexicale les plus représentés dans notre corpus d’unités lexicales (UL) en LSF attestent la conscience épilinguistique qu’ont les locuteurs de l’inscription des composants sub-lexicaux dans des paradigmes d’items forme-sens. Nous soulignons ensuite le rôle joué par la dynamique discursive du défigement : si un troisième procédé de création consiste en le figement d’unités de transfert, on observe en discours la prégnance du phénomène inverse : le défigement des UL. Nous proposons que l’intégration, dans la LS, du « dire en montrant », associée à une organisation sémantico-lexicale particulière, fait du jeu du figé/défigé un vecteur structurant tant de la créativité lexicale que, surtout, de l’économie discursive dans ces langues.
Les guerres de destruction
Authors: Hoffmann Christian 
Published: September 2024

La politisation de la guerre depuis Clausewitz s’est déplacée à notre époque sur la crainte des guerres de destruction. Les considérations psychanalytiques sur ces guerres et ses cruautés obligent à prendre conscience d’un au-delà de Freud sur cette question par l’abandon de l’espoir d’un retour à la raison et à la culture pour renouer les pulsions dans un équilibre entre vie et mort. Un sursaut démocratique pourrait être envisagé à travers la problématisation que fait Jean Luc Nancy de la nostalgie du père, dans son dernier livre Cruor , qui se fonde sur une conception nominaliste du père et de la pensée. En effet le père n’existe pas en temps qu’essence, ni en temps qu’être, pour être seulement un nom. C’est à partir de cette conception nominaliste du père que nous pouvons parler du père par dérivation à partir d’un vide primordial, d’où on peut évoquer les substituts du père : Dieu, le leader, le pater familias.
Quelques figures et fonctions de haines ordinaires
Authors: Bernat Joël 
Published: September 2024

Pourquoi tant de haines ? Malgré les morales, les religions, les lois, l’éducation, haine et violence ne cèdent pas de terrain, voire, défendent toujours ignorance et barbarie contre les cultures. Peut-être ont-elles des fonctions psychiques importantes, premières ? Et particulièrement dans la construction de la singularité d’un être, dans son rapport à l’autre, car l’un ne va pas sans l’autre, comme on dit : et c’est peut-être là le point de difficulté où la haine s’offre comme solution très économique. Mais peut-être aussi que haine et violence ont des fonctions psychiques à visée antidépressive ?
Antipsychotics and chronic dystonia at a Botulinum Toxin clinic
Authors: Thosago Mahlatse , Asmal Laila 
Published: September 2024

Background: Chronic dystonia, characterised by sustained muscle contractions and abnormal postures, poses clinical challenges, especially when associated with antipsychotic medication use.Aim: To delineate the demographic and clinical profiles of adults with dystonia and examine the association with antipsychotic medication.Setting: Botulinum Toxin Clinic at Tygerberg Hospital, Cape Town, South Africa.Methods: We conducted a retrospective cohort study of adult patients seen at the Botulinum Toxin Clinic between January 2018 and June 2022.Results: Of the 119 patients studied, those assessed with antipsychotic-induced dystonia (32.69%) presented at a younger age (p 0.001), were more likely female (p = 0.04), received higher average dose of Botulinum toxin (p 0.001), and incurred a higher estimated Botulinum toxin treatment cost (p = 0.01) compared to those with primary dystonia. Logistic regression identified age and Botulinum toxin dose as factors associated with psychotropic-related dystonia (p = 0.005 and p = 0.012, respectively).Conclusion: Clinical and demographic factors are associated with dystonia in adults taking antipsychotic medication. These patients generally manifested symptoms at an earlier age, had a higher male prevalence, and required prolonged treatment with Botulinum toxin, leading to increased costs. In those assessed with antipsychotic-induced dystonia, a comorbid diagnosis of a mood disorder was more common than that of a psychotic disorder.Contribution: By identifying the demographic and clinical profile of individuals with dystonia because of antipsychotic medication, this study provides a basis for preventative strategies and enhanced patient care.
Correlation of Pseudocholinesterase Level with Clinical, Biochemical Parameters Including Cardiac Profile and the Outcome in Organophosphorus Poisoning
Authors: Kumar Arvind , Chaudhary Shyam Chand , Usman Kauser , Kumar Vivek , Sawlani Kamal Kumar , Patel Munna Lal , Singh Abhishek , Kumar Amit , Sonkar Gyanendra Kumar , Rathore Shiuli 
Published: September 2024

Background:
Poisoning is a significant health hazard and a leading cause of morbidity and mortality worldwide. India, being a predominantly agrarian country, routinely employs organophosphate (OP) pesticides in farming, and they are readily available “over the counter.” OPs exert their toxicity by interfering with the normal function of acetylcholine, an essential neurotransmitter throughout the autonomic and central nervous systems. Due to the limited availability of facilities and resources in health-care systems, and economically restraining patients, it is necessary to rely more on clinical features to assess the severity of poisoning and manage the condition properly.

Methodology:
It was a hospital-based prospective observational study that included patients aged >13 years in a tertiary care hospital. All patients were clinically evaluated based on their history and examination. The diagnosis was made based on characteristic clinical manifestations or evidence of exposure to organophosphorus compounds (corroborative evidence such as empty containers and the odor of gastric aspirates). Clinical severity was assessed and categorized according to the Peradeniya Organophosphorus Poisoning Scale (POP scale). A score of 0–3 is considered mild poisoning, 4–7 as moderate poisoning, and 8–11 as severe poisoning.

Results:
Out of the 50 patients enrolled in the study, 17 (34.00%) were aged <20 years, 19 (38%) were in the 20–30 years age group, and 14 (28%) were aged >30 years. Ingestion is the only mode of exposure to poisoning. None of the patients had history of contact or inhalational exposure. Of the 50 cases, 12 (24.0%) were in the mild category, 26 (52.0%) in the moderate category, and 12 (24%) in the severe category on the POP grading. A comparison of the mean serum pseudocholinesterase, troponin-T, and pro-BNP levels with severity was performed. In mild OP poisoning, the mean serum PChE level was 2766.58 ± 1120.44; in moderate, it was 1969.35 ± 1330.07, and in severe, it was 701.83 ± 961.17. Pseudocholinesterase levels decreased progressively with increasing clinical severity from mild-to-severe cases, and this association was statistically significant (P < 0.001). Two-dimensional echocardiography screening done in all patients did not show any significant abnormalities.

Conclusion:
This study shows that serum PCE is reduced in OP poisoning and correlates with the clinical severity grading done by the POP scale and is also associated with an increase in the duration of intensive care unit stay. No significant evidence of direct cardiac injury was observed in this study. A low Glasgow Coma Scale score and an increased respiratory rate at presentation are associated with poor outcomes.
Utility of Various Activation Procedures in Provoking Ictal and Interictal Patterns, during Routine Electroencephalogram (rEEG) Recording
Authors: Nazish Saima , Shariff Erum , Zafar Azra , Aljaafari Danah , Alshamrani Foziah , Alkhaldi Norah A. , Alsulaiman Feras , Shahid Rizwana , Albakr Aishah , Alsulaiman Abdullah , Alabdali Majed , Soltan Nehad , Alkhaldi Modhi 
Published: September 2024

Background:
Activation procedures (APs) are adopted during routine electroencephalography (rEEG) to provoke interictal epileptiform abnormalities (EAs). This study aimed to observe interictal and ictal (EAs) of different EEG patterns, provoked by various APs.

Methodology:
This cross-sectional study was performed in the neurology department of King Fahd hospital of university, Saudi Arabia. The EEGs and medical records of patients who presented for EEG recordings were screened initially, then 146 EEGs provoked EAs due to utilization of APs, were included for analysis.

Results:
Among all EEGs with provoked EAs, Non-rapid eye movement sleep (NREM) provoked EAs in 93 (63.7%) patients with following patterns, focal spike wave discharges (FSWDs) 45 (P= 0.01), focal spike wave discharges with bilateral synchrony (FSWDBS) 27 (P=0.03) and generalized spike wave discharges (GSWDs) 46 (P=0.01). Intermittent photic stimulation (IPS) most significantly provoked FSWDs in 07 patient (P =0.01) and GSWDs in 30 patients (P=<0.001) 7 patients (P = 0.01) and GSWDs in 30 patients (P < 0.001). Hyperventilation (HV) was associated with a higher occurrence of GSWDs in 37 patients (P =0.01). Female sex 7 (P = 0.02), provoked GSWDs 3 (P = 0.03), NREM sleep 8 (P = 0.04), prolonged EEG record 3 (P = 0.02), clinical events during recording 5 (P ≤ 0.01), diagnosis of genetic 05 (P = 0.03), and immune-mediated epilepsies 2 (P = 0.001) were associated with the provocation of ictal EAs; however, in multiple logistic regression analysis, no statistically significant association of these variables (P ≥ 0.05 each) was noted.

Conclusion:
The provocation of EAs in rEEG with different APs varies according to circumstances, including seizure types, epilepsy etiology, and the type of AP applied. These clinical and procedural parameters affect the diagnostic yield of rEEG and need careful consideration during rEEG recordings. APs adopted during rEEG recording can induce FSWDs, FSWDBS, and GSWDs in the form of either interictal or ictal EAs in various etiologies of epilepsy. Ictal EAs may appear in the form of GSWDs, during NREM sleep, in prolonged EEG records; however, their independent association needs to be evaluated in larger sample studies. Further, prospective cohort studies with adequate sample sizes are warranted.
Chronic Psychosis in a Patient with Usher Syndrome
Authors: Bhat Abhay Keshava , Meshram Sheetal Reshram , Umate Maithili S. , Jain Prakhar D. 
Published: September 2024

Abstract
Usher syndrome refers to a group of inherited disorders characterized by visual and auditory impairment. The risk of psychosis in Usher syndrome is higher than that in the general population and is difficult to approach and treat in light of sensory impairment. We present a case of a male with continuous psychotic symptoms for 20 years, in the setting of undiagnosed progressively deteriorating visual and auditory function, with details of treatment given. Possible underlying mechanisms of psychosis in such cases are discussed in brief.
Predictive Value of the Postural Difference in Antero-Posterior Diameter of Renal Pelvis on Ultrasonography of Unilateral Ureteropelvic Junction Obstruction in Determining the Need For Surgery
Authors: Suman Bijay Kumar , Singh Ram Jeewan , Manekar Aditya Arvind , Sahoo Subrat Kumar , Tripathy Bikasha Bihari , Mohanty Manoj Kumar , Mohakud Sudipta 
Published: September 2024

Abstract

Background:
Ureteropelvic junction obstruction (UPJO) is the most common cause of antenatal hydronephrosis. Although majority of them improve with time, none of the existing diagnostic modalities can accurately predict which hydronephrotic kidney is at the risk of progressive renal damage and will benefit from early surgery. Postural variations in the anteroposterior pelvic diameter (APPD) of the hydronephrotic kidney in children during follow-up postnatal ultrasonography (USG) reflect the intrapelvic tension, which might help in predicting the need of surgery amongst these patients.

Materials and Methods:
We designed this prospective observational study in all unilateral UPJO patients on postural variation in the APPD of renal pelvis on ultrasonography. The mean age of all patients were 2.15 years (0-5 years) and managed at our institute at All India Institute of Medical Sciences, Bhubaneswar. The study duration was from July 2019 to May 2021. The management of these patients was done as per the standard institutional protocol and there was no deviation due to inclusion in this study. We documented the variations in postural APPD both amongst the conservatively managed group and the surgically managed group of patients. Linear correlation between two continuous variables was explored using Pearson’s correlation (if the data were normally distributed) and Spearman’s correlation (for non-normally distributed data).

Results:
We found a higher prone APPD than supine APPD in all these patients indicating the obstruction at ureteropelvic junction. However, in the surgical group, there was less variation in the postural APPD compared to the conservative group, and when there was no variation in the postural APPD, the need of surgery was 100%. The limitation of our study was the small sample size (n = 36). A study involving a larger population or involving multiple institutions may further add significance to our findings.

Conclusion:
We found less postural variation in APPD on USG to be more likely associated with severe UPJO requiring early surgery. This may indicate a non-compliant renal pelvis. However, it was statistically not significant.
Staged Shoulder and Elbow Reconstruction in a Child with Obstetric Brachial Plexus Palsy: Six-year Follow-up
Authors: El-Beshry Shady Samir , Aly Ahmad Saeed , El-Sobky Tamer A. 
Published: September 2024

Abstract
The management of obstetric brachial plexus palsy (OBPP) can be challenging, particularly in neglected patients. We report the long-term results of the surgical management of a late-presenting adolescent girl with severe left shoulder and elbow flexor paralysis secondary to OBPP. She was subjected to staged shoulder and elbow reconstruction in the form of trapezius transfer and latissimus and teres major transfer to enhance shoulder abduction and lateral rotation, and flexor-pronator transfer to the anterior distal humerus to enhance elbow flexion. Flexor-pronator plasty was successful in restoring elbow flexion and function and maintaining joint stability in the long term in a patient with severe OBPP. This further consolidates its role as a feasible secondary reconstructive procedure in carefully selected patients with elbow flexor paralysis. Shoulder function improved less remarkably, yet it augmented the overall upper extremity function and correlated with pre-operative residual shoulder function. Fulfilling the candidacy for each surgical procedure is important to a successful outcome.
Interference screw-dependent internal bracing for anterior cruciate ligament reconstruction: a comparative study
Authors: Badawy Ehab R. , Ismaeil Ali H. , Abououf Alaa A. , Gaarour Osama S. 
Published: September 2024

BackgroundThe internal brace augmentation technique was introduced to protect the graft till the completion of the ligamentization process. This was achieved by adding a synthetic implant to the anterior cruciate ligament (ACL) graft. However, the rarity of reports comparing this principle to the traditional ACL reconstruction represents an obstacle to reaching a consensus about the effectiveness of this technique. Herein, we compared a simple economic modification of the internal brace augmentation technique during the ACL reconstruction with the traditional ACL reconstruction.Patients and MethodsThe study included skeletally mature patients diagnosed with ACL tears who underwent reconstruction surgery between January 2022 and January 2023 (46 patients were included). They were allocated into two groups: the case group, the internal brace group (IB), which included 21 patients, and the control group, the graft only group (GO), which included 25 patients. The patients were followed up for at least 1 year regarding the time of return to the previous level of activity, the International Knee Documentation Committee Subjective Knee Evaluation score at 1 year, the Lachman test, the pivot shift test, and the associated complication rate.ResultsAlthough both groups scored an excellent International Knee Documentation Committee Subjective Knee Evaluation score (>80), there was a higher statistically significant improvement in the IB group with a mean and SD of 94.8 ± 1.9 compared to the GO group with a mean and SD of 90.6 ± 2.54. Regarding the return to the preinjury activity level, the IB group showed statistically significant earlier return compared with the GO group with a mean and SD of 9 ± 1.6 months compared to 11.8 ± 1.5 months. Furthermore, the IB group showed a statistically significant superior improvement in the anteroposterior knee stability evaluated by the Lachman test.ConclusionThe interference screw-dependent internal bracing for ACL reconstruction has shown better short-term patient-reported outcome measurements, faster return to preinjury level, and better objective anteroposterior knee stability at 1 year when compared to the traditional technique with adding no extra cost at all.
Functional outcomes after re-insertion of posterior root tear of medial meniscus using a simple economic technique
Authors: Abdelrazek Begad H. , Younis Mohamed , Misbah Hisham , Soliman Alaa M.E.-D. , Waly Mohamed R. 
Published: September 2024

Background
Root avulsions of the meniscus cause loss of hoop stresses and therefore loss of the meniscal function. This in return is associated with increased peak contact stresses and risk of osteoarthritis. Root repair is therefore crucial to preserve normal biomechanics and kinematics. Many techniques have been used and expensive fancy equipment made the procedure easier, however, cost is of great importance.

Aim
To demonstrate the results and functional outcomes after root re-insertion using simple economic tools.

Patients and methods
Between March 2022 and May 2023, 25 patients with root tears were operated upon and followed-up for a mean of 12 months. Patients with acute traumatic tears, degenerative tears with grade 1–2 osteoarthritis, associated genu varum less than 5º and a BMI less than or equal to 35 were included in the study. All patients underwent diagnostic arthroscopy as part of the procedure. Pie-crusting of the medial ligament was performed routinely to facilitate visualization and instrumentation in the medial compartment. Bed preparation was performed using a motorized shaver. This was followed by passing polydioxanone suture (PDS) shuttling sutures through a grey cannula and into the posterior root meniscal tissue, this was then used to shuttle heavy poly-braided nonabsorbable suture material. A tunnel was created through the anterior tibial cortex using the anterior cruciate ligament (ACL) guide. The sutures are then tied over a post (4.5 mm screw). Lysholm, International Knee Documentation Committee (IKDC), and Tegner activity scores were used to evaluate the patients at 6 and 12 months.

Results
The mean Lysholm score improved from 50.16 ± 12.51 preoperative to 82.08 ± 12.90 postoperative. The mean IKDC score improved from 51.24 ± 11.06 to 84.36 ± 10.18. The mean Tegner activity score improved from 3 ± 1.32 ranging from 1 to 5 to 5.20 ± 1.53. Traumatic tears showed greater improvement as compared with degenerative tears.

Conclusion
Simple outside techniques can be used to perform adequate reliable root repair. This yields comparable results to other techniques described in the literature.
A comparative study of local application versus intravenous application of tranexamic acid preoperatively in cases of total hip arthroplasty
Authors: Ghanem Mohamed , Sabry Ahmed O. , Sameh Ahmed , Ahmed Ahmed A. , Younnes Mohamed , Salama Mohamed 
Published: September 2024

Background
One of the biggest issues associated with total hip arthroplasties is the amount of blood loss and the need for blood transfusions. Tranexamic acid (TXA) has been proven to decrease the amount of blood loss associated with these operations. However, there is no consensus regarding the best method of TXA application. Classically, TXA had been given through the intravenous route, however, recent papers have advocated local usage. This study aimed to compare the outcomes between both local and intravenous applied TXA and determine which had less blood loss and adverse effects.

Results
Fifty patients were included in this study and were split into two groups. Group A was given local TXA, while group B took intravenous TXA. Blood loss showed no significant difference between the two groups. There were no significant differences in the incidence of adverse effects however, group B had one case of deep venous thrombosis and one case of superficial thrombosis.

Conclusion
Both local and intravenous applied TXA help decrease blood loss. There is no significant difference between the two groups in blood loss however deep venous thrombosis cases were observed in the intravenous group. In cases with a high risk of vascular thrombosis undergoing total hip arthroplasty, we would suggest applying TXA locally.