bluuebunny/crossref_metadata_2025_split huggingface dataset:
Résilience : évaluation d’une initiative pédagogique auprès d’étudiantes et d’étudiants de 2 ème année en science infirmière
Authors: Harrison Suzanne , Landry Lucie-Anne , McGraw Monica , Schlosser Danika 
Published: November 2016

Introduction : la résilience nous permet de s’adapter et croître lors de moments difficiles. Contexte : les écoles de science infirmière doivent cultiver la résilience chez leurs étudiantes car cela impacte la qualité des soins. Malgré la popularité croissante du concept, peu d’études ou d’initiatives pédagogiques ont été recensées en science infirmière. Objectif : cet article décrit les résultats de l’implantation d’une initiative pédagogique canadienne dans le cadre d’un cours touchant le soin et la chronicité. Méthode : l’initiative à quatre volets visait l’approfondissement des connaissances reliées à la résilience et leur application lors d’une entrevue auprès d’une personne faisant preuve de résilience. Un sondage rempli par 42 étudiantes a permis d’apprécier l’atteinte des objectifs pédagogiques. Résultats : plus de trois quarts des étudiantes ont effectué le transfert des nouvelles connaissances et plus de deux tiers témoignent que la réalisation de ce projet influencera leurs futures interactions avec les personnes soignées. Discussion : l’analyse des données confirme l’importance de développer la résilience chez les professionnels de la santé dès leur formation initiale. Conclusion : plusieurs recommandations sont émises pour améliorer et étendre l’initiative à l’école de science infirmière mais aussi dans d’autres programmes de formation en sciences de la santé.
Le dévoilement de soi chez les hommes vivant avec la schizophrénie
Authors: Jacques Marie-Claude , St-Cyr Tribble Denise , Bonin Jean-Pierre 
Published: November 2016

Le dévoilement de soi des personnes souffrant de schizophrénie est crucial pour la mise en place du lien thérapeutique afin de prodiguer des soins sécuritaires et de qualité. Cependant, il peut être difficile pour ces personnes de se dévoiler entièrement. Si le dévoilement est lié au besoin d’aide et a le potentiel de réduire la stigmatisation, il expose aussi la personne à des conséquences négatives. Cette étude a pour but de décrire comment les hommes vivant avec la schizophrénie se dévoilent. Il s’agit de résultats tirés d’une recherche plus vaste ayant utilisé la théorisation ancrée. Des mesures du soutien social perçu, des comportements et des symptômes, et des comorbidités psychiatriques ont aussi été recueillies. Les résultats décrivent le processus de modulation du dévoilement, composé de quatre sous-catégories : être invité à parler de façon authentique, avoir la capacité de se dévoiler, s’attendre à être effectivement aidé et craindre la stigmatisation. Les résultats mettent en lumière les particularités du dévoilement de soi des personnes vivant avec la schizophrénie. Les soignants devraient être attentifs à ces éléments lorsqu’ils s’interrogent sur la qualité du dévoilement de soi de leurs patients souffrant de schizophrénie.
Évaluation d’un nouvel outil d’information dans un service d’Urgence
Authors: Pouessel Anne , Chauvin Anthony , Truchot Jennifer , Resche-Rigon Matthieu , Galichon Bertrand , Plaisance Patrick 
Published: November 2016

Introduction : les services d’urgences représentent des entités uniques et complexes qui se doivent d’être comprises par l’usager. Objectifs : augmenter, par la mise en place d’écrans dédiés, le nombre d’informations intégrées par les patients au cours de leur attente avant prise en charge médicale.	Méthode : étude prospective, évaluative, monocentrique, avant/après mise en place d’écrans d’information. Par un hétéro-questionnaire, les patients ont été interrogés sur leurs droits, leur connaissance générale du lieu, son organisation. Le critère principal de jugement a été le niveau de la qualité de l’information reçue. Les distributions des réponses ont été comparées entre les groupes à l’aide des tests de Fisher et Wilcoxon. Tous les tests ont été réalisés de façon bilatérale au risque alpha de 5 %.	Résultats : 267 dossiers ont été colligés ; 128 à la première période, 139 à la seconde. Le critère principal est significativement différent entre les deux groupes (p = 0,049). La connaissance du type de population accueillie (40 % versus 23 %), de la notion de propriété du dossier médical (83 % vs 53 %), de l’identification du personnel (46 % vs 18 %) a été significativement augmentée par la lecture des écrans.	Conclusion : les écrans ont eu un impact positif sur les informations reçues par les patients et accompagnants.
Activating KIR2DS4 Is Expressed by Uterine NK Cells and Contributes to Successful Pregnancy
Authors: Kennedy Philippa R. , Chazara Olympe , Gardner Lucy , Ivarsson Martin A. , Farrell Lydia E. , Xiong Shiqiu , Hiby Susan E. , Colucci Francesco , Sharkey Andrew M. , Moffett Ashley 
Published: November 2016

Abstract
Tissue-specific NK cells are abundant in the pregnant uterus and interact with invading placental trophoblast cells that transform the maternal arteries to increase the fetoplacental blood supply. Genetic case-control studies have implicated killer cell Ig-like receptor (KIR) genes and their HLA ligands in pregnancy disorders characterized by failure of trophoblast arterial transformation. Activating KIR2DS1 or KIR2DS5 (when located in the centromeric region as in Africans) lower the risk of disorders when there is a fetal HLA-C allele carrying a C2 epitope. In this study, we investigated another activating KIR, KIR2DS4, and provide genetic evidence for a similar effect when carried with KIR2DS1. KIR2DS4 is expressed by ∼45% of uterine NK (uNK) cells. Similarly to KIR2DS1, triggering of KIR2DS4 on uNK cells led to secretion of GM-CSF and other chemokines, known to promote placental trophoblast invasion. Additionally, XCL1 and CCL1, identified in a screen of 120 different cytokines, were consistently secreted upon activation of KIR2DS4 on uNK cells. Inhibitory KIR2DL5A, carried in linkage disequilibrium with KIR2DS1, is expressed by peripheral blood NK cells but not by uNK cells, highlighting the unique phenotype of uNK cells compared with peripheral blood NK cells. That KIR2DS4, KIR2DS1, and some alleles of KIR2DS5 contribute to successful pregnancy suggests that activation of uNK cells by KIR binding to HLA-C is a generic mechanism promoting trophoblast invasion into the decidua.
To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation
Authors: Singh Jagat , Yadav SPS , Gulati Ankit , Singh Surender , Bishnoi Anamika 
Published: November 2016

ABSTRACTObjectiveTo study the effect of nasal packing on blood oxygen saturation.Materials and methodsStudy was conducted on 30 patients of deviated nasal septum, who underwent septoplasty under local anesthesia followed by anterior nasal packing. The pulse oximetry was carried out three times on each patient to record the blood oxygen saturation (SpO2) by using digital pulse oximeter. The first reading of SpO2was taken before nasal packing, second after 24 hours of nasal packing and third 3 weeks after surgery. Statistical analysis was done by Chi-square test and paired t-test.ResultsA total of 33.3% patients were below 20 years of age, whereas 60% were between 20 and 30 years of age and 6.7% were above 30 years. Males were 80%. It was observed that preoperative mean SpO2was 98.3 ± 0.794%, after 24 hours of nasal packing was 97.17 ± 1.744% and 3 weeks after surgery was 98.87 ± 0.629%. On statistical analysis, the difference in SpO2was highly significant (p < 0.001).ConclusionThe application of nasal packs can be risky in old patients, more so having cardiopulmonary disease. The use of packs with airflow is recommended in these patients who should ideally be monitored with pulse oximetry.How to cite this articleSingh S, Singh J, Kakkar V, Yadav SPS, Bishnoi A, Kathuria B, Gulati A, Sharma C. To Evaluate the Effect of Nasal Packing on Blood Oxygen Saturation. Int J Otorhinolaryngol Clin 2015;7(2):41-44.
Management of Smoke Inhalational Laryngotracheal Injury: A Modest Experience
Authors: Raman Eswaran Venkata , Anand Vellore Thiruvengadam , Kumari Ainippully Mohanan Anitha , Thaoroijam Dhana Devi , Jose Chacko 
Published: November 2016

ABSTRACTSmoke inhalation injury (SII) to the airway is frequently seen in victims of accidental or contrived fires. However, with limited publications our knowledge and understanding about SII; and its management is just evolving over the last 50 years. Here, we discuss our experience with the challenges, we apprehended in managing survivors of SII with the objective of contributing to the existing guidelines of management.How to cite this articleRaman EV, Anand VT, Kumari AMA, Thaoroijam DD, Jose C. Management of Smoke Inhalational Laryngotracheal Injury: A Modest Experience. Int J Otorhinolaryngol Clin 2015;7(2):60-63.
Venous Ectasia: A Potential Mimicker for Laryngocele Radiology Covers the Road
Authors: Ashish Gaurav 
Published: November 2016

ABSTRACT

Introduction
Venous ectasia is rare causes of neck mass. Among neck veins, ectasia of the internal jugular vein (IJV) are extremely uncommon. However, this is to be kept in mind when considering differentials for laryngocele.

Objectives
To recognize the similarities between laryngocele and ectasias of the IJV and the differences in their presentation and management.

Study design
Observational.

Setting
Tertiary care hospital, India.

Conclusion
Presenting a 7-year-old boy with a left-sided soft, non-tender neck mass that fluctuated in size with coughing and straining for the past 1 year, presentation classical of laryngocele. Computed tomography (CT) demonstrated marked asymmetrical dilatation of the left IJV in the neck. Color-flow Doppler ultrasonography revealed a solitary cystic lesion with evidence of high venous blood flow in the IJV area. The relevance of radiological evaluation in neck swelling is being highlighted.

How to cite this article
Ashish G, Kurien M. Venous Ectasia: A Potential Mimicker for Laryngocele Radiology Covers the Road. Int J Otorhinolaryngol Clin 2015;7(2):64-67.
Transoral Laser Excision of Schwannoma in Base of Tongue: A Case Report with Review of Literature
Authors: Ashish Gaurav , Sundereshan Rajan S , Philip Ajay 
Published: November 2016

ABSTRACT
Shwannoma, better known as neurilemmomas, are benign, slow growing, usually solitary and encapsulated tumor, originating from Schwann cells of the nerve sheath. They are exceedingly rare in the base of tongue and, therefore, not immediately thought of as a differential diagnosis of oropharyngeal tumors. However, the key to the diagnosis lies in the histopathologic examination. A number of surgical approaches have been proposed for tongue base Schwannomas with varying degree of postoperative morbidity.
We report a case where a 19-year-old woman presented to us with progressive dysphagia, occasional dysarthria, and was found to have a large tongue base lesion. Diagnosis was confirmed by imaging studies and biopsy. Transoral laser assisted excision of the tumor was done. Histologic identification of Antoni A and B areas along with strong and diffuse staining with S-100 stain confirmed the diagnosis of Schwannoma.

How to cite this article
Ashish G, Sundereshan RS, Philip A. Transoral Laser Excision of Schwannoma in Base of Tongue: A Case Report with Review of Literature. Int J Otorhinolaryngol Clin 2015;7(2):68-71.
Chondrosarcoma of Larynx: A Case Report with Review of Literature
Authors: Mundhe Rajesh , Tarte Sagar , Patil Prerana , Malik Majeda , Bano Salawa , Chinoy Roshan 
Published: November 2016

ABSTRACT
In spite of being the most common nonepithelial neoplasm, chondrosarcoma makes up only about 0.2% of all head and neck malignancies and approximately 1% of all laryngeal tumors. Primary laryngeal chondrosarcoma is rare with only 300 cases being reported in literature.
Herein, we present a case of 61-year old male who presented with long-standing neck mass. Histopathological examination, revealed it to be a chondrosarcoma arising from cricoid cartilage of larynx. Microscopic features with differential diagnoses and review of literature is being discussed.

How to cite this article
Mundhe R, Tarte S, Patil P, Malik M, Bano S, Chinoy R. Chondrosarcoma of Larynx: A Case Report with Review of Literature. Int J Otorhinolaryngol Clin 2015;7(2): 72-74.
Fish in Hypopharynx: A Rare Case Report
Authors: Khatua Rabindra Kumar 
Published: November 2016

ABSTRACT
We present a case of a 10 years old child who swallowed a live fish, which resulted in severe upper airway obstruction. The child presented to the casuality with severe airway obstruction with a history of accidental slippage of a live Koi fish into the throat. He was restless, dysphasic, dyspneic, typically placing his hands in front of his neck. On physical examination, there was suprasternal retraction and bilateral decreased breath sound. Direct laryngoscopy was done and fish was removed from hypopharynx as an emergency procedure. We outline our emergency airway management strategies and focus our discussion on the technique used to remove the impacted fish from the upper airway, which was paramount for the successful outcome of this case.

How to cite this article
Khatua RK. Fish in Hypopharynx: A Rare Case Report. Int J Otorhinolaryngol Clin 2015;7(2):81-82.
Tuberculous Pleural Effusion Presenting with Prevertebral and Cervical Emphysema: An Unusual Presentation
Authors: Singh Ishwar 
Published: November 2016

ABSTRACT
We present a case of a 45-year-old male presenting with acute onset swelling on anterior aspect of neck, dysphagia and dyspnea. Clinical examination revealed bilateral submandibular space emphysema and retropharyngeal bulge. The preliminary diagnosis was made of an evolving deep neck space infection. Further, computed tomography (CT) of chest and neck was done which showed heterogenous collection in retropharyngeal space with air pockets and right-sided pleural effusion. Pleural tap was sent for cytology and adenosine deaminase (ADA) levels, which were found to be significantly raised. Thus, a final diagnosis of tuberculous pleural effusion was made and patient was started on anti-tubercular treatment.

How to cite this article
Chauhan A, Rajan S, Singh I. Tuberculous Pleural Effusion Presenting with Prevertebral and Cervical Emphysema: An Unusual Presentation. Int J Otorhinolaryngol Clin 2015;7(2):83-84.
An Interesting Case of Spontaneous Pneumomediastinum with Subcutaneous Emphysema following Oral Provocative Manoeuvre
Authors: Pratibha CB , Satish Deepthi , Gopal Suraj 
Published: November 2016

ABSTRACT

Aim
To discuss a case of spontaneous pneumomediastinum with pneumothorax with subcutaneous emphysema presenting with stridor due to laryngeal edema with relevant review of literature.

Background
Spontaneous pneumomediastinum is a rare condition that has been described in healthy individuals following Valsalva manoeuvre, excessive and prolonged cough or emesis. Laryngeal involvement in these cases has not been reported so far.

Case description
We present an interesting case of spontaneous pneumomediastinum with pneumothorax with pneumopericardium and cervicofacial emphysema with suspected ingestion of foreign body. In view of stridor due to laryngeal edema tracheostomy was done. No obvious cause for the air leak was found on further investigations. The foreign body sensation could have led to oral provocative manoeuvres by the patient causing increased intra-alveolar pressures and air leak.

Conclusion
Spontaneous pneumomediastinum with cervicofacial emphysema with pneumopericardium with laryngeal involvement is very rare. Tracheostomy is essential in case of airway compromise. A thorough evaluation for the underlying condition is essential to prevent further air leak.

Clinical significance
In a case of spontaneous pneumomediastinum with airway compromise due to involvement of the larynx, tracheostomy is essential to secure the airway and could also help in resolution of emphysema.

How to cite this article
Pratibha CB, Satish D, Gopal S, Balasubramanya AM. An Interesting Case of Spontaneous Pneumomediastinum with Subcutaneous Emphysema following Oral Provocative Manoeuvre. Int J Otorhinolaryngol Clin 2015;7(2):93-96.
Adult Retropharyngeal Abscess: A Retrospective Case Series
Authors: Kumar Naveen 
Published: November 2016

ABSTRACTIntroductionRetropharyngeal abscess (RPA), is a deep tissue neck infection. It is a serious and occasionally life-threatening infection due to the anatomic location and the potential for obstruction of the upper airway. The retropharyngeal space is found posterior to the esophageal wall and anterior to the prevertebral fascia. Lymph nodes found in this space drain the nasopharynx, paranasal sinuses and middle ear. Often infections of these areas will lead to infection in the retropharyngeal space. Atrophy of these lymph nodes at or before puberty has been found as an explanation of the predominance of RPAs in young children. In fact, some believe that they atrophy after 4 years of age. Once almost exclusively a disease of children, is observed with increasing frequency in adults. Retropharyngeal abscess poses a diagnostic challenge for the ENT surgeon because of its infrequent occurrence and variable presentation.Materials and methodsTen cases of adult retropharyngeal abscess were reviewed. The diagnostic criteria were radiological evidence of widening of pre-vertebral soft tissue shadow and presence of pus in the swelling.ResultsSore throat, fever, muffled speech, painful swallow and stiffness of the neck were common presenting symptoms. Lateral X-ray of the neck was diagnostic. Commonest organism isolated wasStreptococcus pyogenes. Airway obstruction was the commonest complication.DiscussionMost of the patients had history of trauma prior to the development of RPA. Computed tomography (CT) scan of neck and thorax has an important role in planning the management in addition to lateral X-ray of the neck. Transoral surgical drainage in association with antibiotics is the treatment of choice in abscesses confined to the retropharyngeal space.ConclusionTuberculosis is no longer the commonest cause of adult retropharyngeal abscess. Sore throat or dysphagia, disproportionate to clinical findings in the throat should arouse suspicion of RPA. Early intervention with antibiotics reduces the chances of the development of complications.How to cite this articleKumar N. Adult Retropharyngeal Abscess: A Retrospective Case Series. Int J Otorhinolaryngol Clin 2015;7(2):100-103.
A Retrospective Study of Bony Erosion Patterns in Cases of Fungal Rhinosinusitis
Authors: Mehrotra Ashish , Sharma Vinit K , Iqbal Zafar , Nigam Kunal 
Published: November 2016

ABSTRACT
Erosion of bone with or without extension of disease into adjacent anatomic spaces is observed among some patients with fungal rhinosinusitis (FRS). Preoperative computed tomographies is very important to determine the sites of bony erosion. Patients with bony erosions are classified based on the involved subsite and the extent of erosion.
Bony erosions was seen in 37.5% cases. Six patients were having bone erosions on CT scan. 40 % erosions were present in patients belonging to younger age group. Erosion of sinus boundaries were more common in male patients (60%). The ethmoid sinus complex was most commonly involved (46.6%). This was followed in frequency of involvement by the maxillary sinus (26.6%), the sphenoid sinus (20%) and the frontal sinus (6.6%). The most common site of erosion was the lamina papyracea (33.3%), followed by the medial maxillary wall (20%).
Bony erosions due to FRS were mainly due to long-term mechanical compression by the fungal mass. A case of chronic rhinosinusitis with bony erosions in CT scan may indicate a fungal etiology.

How to cite this article
Sharma VK, Sharma R, Mehrotra A, Iqbal Z, Nigam K. A Retrospective Study of Bony Erosion Patterns in Cases of Fungal Rhinosinusitis. Clin Rhinol An Int J 2016;9(2):62-64.
Middle Ear Dysfunction: Connection to Allergic Rhinitis
Authors: Sharma Shilpam , Srivastava Abhinav , Sharma Chander Mohan 
Published: November 2016

ABSTRACT

Introduction
The correlation between middle ear pathology due to Eustachian tube dysfunction and nasal allergy has been a topic of debate since long. Studies of the pathogenesis of otitis media have identified interactions among infection, allergic reactions and Eustachian tube dysfunction. AIMS- The aim of this study was to evaluate the relationship between Eustachian tube dysfunction and nasal allergy and to evaluate the efficacy of oral steroids and intranasal steroidal spray on Eustachian tube dysfunction.

Materials and methods
The patients were diagnosed according to the diagnostic criteria of allergic rhinitis. A total of 50 patients having moderate/severe symptoms who had not taken any treatment for allergic rhinitis in the past 6 weeks with deranged middle ear function were included in the study. Group I patients were given Prednisolone, 30 mg once daily for 10 days in tapering dose along with intranasal steroid spray for 6 weeks. Group II patients were given only intranasal steroid spray for 6 weeks. Impedance audiometry was repeated at the end of 6 weeks and results were statistically analyzed.

Result
This study demonstrated the outcome of systemic steroids and intranasal steroidal spray in the treatment of middle ear dysfunction. In our study impedance audiometry was done at the start of study and showed type B tympanogram in 36% ears in group I and 21% in group II and type C tympanogram in 60% in group I and 50% in group II. Impedance audiometry was repeated at 10 days of treatment and showed reversal to type A curve in 26% of ears in group I and 14% of ears in group II. Impedance audiometry at the end of treatment demonstrated reversal to type A tympanogram in 64% of ears in group I and 48 % of ears in group II.

How to cite this article
Sharma S, Srivastava A, Sharma CM. Middle Ear Dysfunction: Connection to Allergic Rhinitis. Clin Rhinol An Int J 2016;9(2):65-67.
Mucociliary Function: Its Variations with Disease
Authors: Kumar Satish C , Preetham AP , Feshan Musarrat 
Published: November 2016

ABSTRACT

Introduction
This study compares the nasal mucociliary clearance time of patients with chronic sinusitis (pre- and postoperatively) and smokers, with controls, attending the ear, nose, and throat outpatient department at Southern Railway Headquarters Hospital, Perambur, Chennai.

Materials and methods
Saccharin granule was used to study mucociliary clearance as it is safe, easy, fast, and reliable. A total of 32 patients in each group were studied. In chronic rhinosinusitis patients, the test was done preoperatively and 4 weeks postoperatively.

Results
The average mucociliary clearance time pre- and post-operatively in chronic rhinosinusitis patients was 29.54 ± 28.68 and 12.17 ± 5.84 respectively. Cigarette smokers had a longer mucociliary clearance time (27.63 ± 21.11) compared with beedi smokers (24.04 ± 24.93). Controls had the fastest mucociliary clearance rate of 9.67 ± 4.62 among the study subjects.

Conclusion
Surgery for chronic rhinosinusitis improves both the overall symptoms of chronic rhinosinusitis and the protective functions of the nose and paranasal sinuses. Smokers had an impaired clearance rate compared with normals. As age advances, the mucociliary clearance rate becomes slower.

How to cite this article
Vamanshankar H, Kumar SC, Preetham AP, Feshan M. Mucociliary Function: Its Variations with Disease. Clin Rhinol An Int J 2016;9(2):68-73.