bluuebunny/crossref_metadata_2025_split huggingface dataset:
Histoire et Histoires : sur le temps et le visage
Authors: Sánchez León Maria Cristina 
Published: July 2017

Maints théoriciens et historiens de l’art ont traité la question de différentes manières et alternatives pour comprendre le monde représenté et le monde intérieur, comme des formes de la temporalité artistique. Le travail que je veux développer expose trois formes sous lesquelles on peut accéder à la compréhension du lien entre l’histoire de l’art et l’esthétique : premièrement, la forme temporelle du symptôme, deuxièmement la forme temporelle du visage et finalement la temporalité que ces deux formes suscitent et provoquent, c’est-à-dire la compréhension temporelle de l’œuvre. Le lien entre l’histoire de l’art et l’esthétique sera ainsi exprimé quand, grâce à deux exemples d’œuvres d’art contemporain, nous mettrons en évidence le besoin de créer à chaque fois des catégories ayant une affinité à l’histoire contemporaine et aux nouveaux exercices de critique et esthétique.
Liturgie et totalitarisme dans la thèse de doctorat de Joseph Ratzinger : « Peuple et maison de Dieu dans l’ecclésiologie de saint Augustin » (1951)
Authors: Baudry Pierre 
Published: July 2017

Le présent article se propose d’étudier le lien entre la liturgie et la question du totalitarisme dans la thèse de doctorat de Joseph Ratzinger/Benoît XVI : « Peuple et maison de Dieu dans l’ecclésiologie de saint Augustin » (1951). Nous tenterons de déterminer comment le jeune Ratzinger part d’une problématique spécifiquement théologique (qu’est-ce que l’Église ?) pour arriver à des analyses qui ont une portée théologico-politique en lien avec des débats qui ont agité le catholicisme allemand dans les années 1930. En particulier, le futur pape étudie la distinction entre « peuple de Dieu » comme concept liturgique et toute forme de sacralisation d’un peuple qui se déclarerait supérieur. Le rejet d’une certaine idéologie nationale-socialiste et de son culte de la « race élue » constitue donc un des arrière-fonds de ce travail qui guidera le théologien allemand durant toute sa carrière.
There’s no place like home: Integrating pulmonary rehabilitation into the home setting
Authors: Macrea Madalina , ZuWallack Richard , Nici Linda 
Published: July 2017

<p>Traditional, outpatient pulmonary rehabilitation provided to stable COPD patients leads to significant improvements in dyspnea, exercise capacity and health related quality of life. Also, when started during or shortly after a hospitalization for a COPD exacerbation, pulmonary rehabilitation improves these patient-centered outcomes and arguably reduces subsequent health care utilization and mortality. Despite these benefits, the uptake of traditional pulmonary rehabilitation remains disappointingly poor. Home-based pulmonary rehabilitation, a safe and effective alternative to traditional, center-based programs, can broaden access. While proven improvements in dyspnea, exercise capacity and health status justify implementation of home-based pulmonary rehabilitation, it would be helpful to know whether it can also decrease health care utilization and be cost-effective. </p>
Preoperative cardiac risks in noncardiac surgery: The role of coronary angiography
Authors: Lombardi Carlo , Sbolli Marco , Cani Dario , Masini Garbriele , Metra Marco , Faggiano Pompilio 
Published: July 2017

<p>The preoperative evaluation of patients candidates to noncardiac surgery requires a knowledge of factors related both to type of surgery and to features of the single patient, potentially responsible for perioperative cardiovascular complications , fatal and nonfatal. The assessment of symptoms and/or noninvasive testing indicating the presence of coronary artery disease may suggest the need for medical therapy optimization and, eventually, coronary arteriography before the scheduled timing of noncardiac surgery. There is no evidence favoring a prophylactic myocardial revascularization (percutaneous or surgical) and more studies are needed to define the role of coronary artery disease diagnosis and treatment before high-risk non cardiac surgery.</p>
Evaluation of neck node metastasis from oral cancer in an Indian population: A comparative pilot study
Authors: Mohan M , Paul G , Thomas S , Jaber M 
Published: July 2017

Introduction: Cervical node metastasis in oral cancer is an indicator of advanced disease. It is therefore important to evaluate neck node involvement as a predictor of progression and treatment planning.Materials & Methods: Eleven patients with age range between 38 to 63 years (median age 54 years) undergoing neck dissection simultaneously with the resection of primary intraoral squamous cell carcinoma formed the basis of the present study. A pre-operative assessment of neck by clinical examination, ultrasonography and computed tomography scan was done, which was then compared to the histopathological assessment. The histopathological examination formed the reference.Results: The percentage of sensitivity by clinical examination was 46%. The percentage of sensitivity by ultrasonogram was 69%. The percentage of sensitivity by computed tomography (CT scan) was 85%. These were against the histopathological examination.Conclusion: The study reported an error of almost 50% for the clinical examination alone. The margin of error decreases when combining ultrasonography or CT scan in the examination. However, in the existing economic condition in India, even the use of CT scan can be prohibitive. Nevertheless, it is advised to combine other diagnostic modalities during the clinical examination of cervical metastasis.
Efficacy of spirulina supplementation on isometric strength and isometric endurance of quadriceps in trained and untrained individuals – a comparative study
Authors: Sandhu J , Dheera Bhardwaj , Shweta Shenoy 
Published: July 2017

Objective: To determine the efficacy of spirulina supplementation in enhancing isometric muscle strength and endurance in trained and untrained human beings.Design: Placebo controlled, different subject experimental.Setting: University level athletes and college students of Guru Nanak Dev University, Amritsar, India.Subjects: Forty healthy subjects (20 trained and 20 untrained) participated in the study and were divided into 4 groups, supplemented untrained (n=10), placebo untrained (n=10), supplemented trained (n=10), placebo trained (n=10). Subjects in both supplemented groups volunteered to take spirulina for 8 weeks in addition to their normal diet. Subjects in the placebo groups served as control and were given capsules filled with flour.Outcome measures: Peak force, average force and fatigue index of dominant quadriceps muscle were measured before and after 8 week of supplementation. Values were compared within and between the groups.Results: The results show that spirulina supplementation is effective with time in increasing peak force (p<0.01), average force (p<0.01) and decreasing fatigue index (p<0.01) on paired t-test. Significant group and supplementation effects were also found with ANOVA analysis for peak and average force. However no significant effects (p>0.05) were found between the groups with ANOVA in decreasing fatigue index.Conclusion: Spirulina for 8 weeks is effective in increasing the isometric muscle strength and isometric muscle endurance. Spirulina supplementation with training was found to be better than the spirulina only and training only in increasing muscle strength but no group was found to be better in increasing muscular endurance.
Relationship of diabetes control to periodontal status in type 1 diabetic patients
Authors: Abufanas Salem , Omer Suleiman , Jaber Mohamed , Thomas Sam 
Published: July 2017

Objectives: To find the relationship of diabetes control to periodontal status in type 1 diabetic patients and to compare the severity of periodontal disease of type-1 diabetics (IDDM) and non-diabetics and to further compare the periodontal status in the controlled and uncontrolled diabetics in a group of Libyan population to form a baseline reference for future researches.Materials & Methods: The periodontal status of 30 diabetic and 30 control subjects was examined. The diabetic group was further subdivided into controlled and uncontrolled groups.Results: There were significant differences between the whole diabetic group and the control group in terms of the periodontal status. A comparison between the controls and diabetic subgroups revealed that controlled diabetic patients had poor periodontal health than controls. Within the diabetic subgroups, there was more loss of attachment in the uncontrolled diabetics.Conclusion: Better periodontal health in the diabetic patients may be related to good control of diabetes, indicating better resistance of the periodontium.
Plasma zinc and copper levels in children of families with history of cardio-vascular disease
Authors: Sheriff S , Sheriff Dhastagir , Jarari Abdalla 
Published: July 2017

Zinc and copper are beneficial to health, growth and development, and also for the prevention of cardiovascular- disease (CVD) with regard to improved dietary habits as a preliminary step in CVD prevention. This study was conducted among 2-18-year old children with significant family risk for premature CVD in comparison to controls.Materials and Methods: One hundred randomly selected children of parents who had premature myocardial infarctions were included in the study. The controls were 100 individuals randomly selected from the case group's neighbors and matched for age, sex and socioeconomic status. A four-day food record questionnaire was used to assess zinc and copper intakesResults: The daily average intake of zinc was significantly lower in the case than in the control group (6.89±2.97 vs. 8.30±2.45 mg, P=0.047). The mean serum zinc level was not significantly different between both groups (82.12±14.1 vs. 92.26±23.7 μg/dL, P>0.05). The daily intake and serum level of copper were not significantly different between the case and the control groups. No case of copper deficiency was found. The mean systolic blood pressure was not significantly different between the zinc-deficient and zinc-sufficient subjects.Although the mean diastolic blood pressure of the former was higher than the latter, there was no statistically significant difference. About 23.7% of all studied sample had mild to moderate degrees of failure to thrive, with significantly lower daily intake and serum zinc level than other subjects (5.41±1.06 mg, 82.09±12.74 μg/dL vs. 6.89±2.14 mg, 99.25±27.15 μg/dL, respectively, P<0.05).Conclusion: We propose that children, especially those with significant family risk of premature CVD, place increased emphasis on the consumption of foods rich in zinc.
Technical note: Minimally invasive ‘second look’ in the era of laparoscopic surgery
Authors: Hussey Keith , Chircop Kieran , Ali Abdulmajid 
Published: July 2017

Benefits associated with minimally invasive surgery, in both elective and emergency practice, are well established. In recent years, laparoscopic surgery has been embraced, and has gained increasing popularity. We describe a modification of a previously described technique in the context of the ‘second look’ in the era of laparoscopic surgery.A seventy year old patient with type one respiratory failure presented with an acute abdomen. Pre-operative imaging suggested mesenteric ischaemia. A decision was made to proceed with laparoscopic surgical intervention. An infarcted small bowel segment was identified and resected. A primary anastomosis was constructed, but in view of the underlying pathological process, it was felt that a ‘second look’ was required. This was facilitated by leaving an 11mm port in left lower quadrant after the primary procedure, so that twenty four hours post-operatively the anastomosis could be inspected.The concept of the ‘second look’ is well established in the context of mesenteric ischaemia. A laparoscopic ‘second look’ following open surgery has been previously described. We have embraced the ‘second look’ concept and we were able to perform both procedures in a minimally invasive fashion.
Causes and pattern of tooth mortality among adult patients in a Teaching Dental Hospital
Authors: Thomas Sam , Al-Maqdassy Summer 
Published: July 2017

Aim: This study aims to determine the causes and pattern of tooth mortality among adult patients visiting the dental clinics of Ajman University of Science and Technology (AUST), Faculty of Dentistry, UAE, and compare results with other international studies. The study was also aiming to determine the future preventive measures.Materials & method: Retrospective study design, 1000 files of the adult patients from September 2006 till April 2007 have been selected randomly. Results: Out of 519 patients undergone extraction, 1301 teeth were extracted for different reasons. The results of the study show that the major reason for extraction was caries (40.96%) followed by periodontitis (33.7%), 21.1% for the endo-perio lesions. Patients were commonly from the twenties age group (28.1%). Male patients were generally more than female patients except in the age group 12-30. Minitab 15 was used to statistically analyze the data. Conclusions: Caries was the main reason for tooth loss in AUST dental clinics among all patients, upper molars were the teeth most commonly extracted and the twenties age group was the commonest age group came for extraction.
Chronic musculoskeletal pain in females as a manifestation of vitamin D deficiency in Saudi Arabia
Authors: Siddiqui Aisha 
Published: July 2017

Objective: To determine the prevalence of vitamin D deficiency among females presenting with chronic musculoskeletal pain.Methods: One hundred female patients with chronic pain were screened between January 2007 and November 2008 in the medical out-patient clinics in King Abdulaziz University Hospital, Jeddah. Serum (25- hydroxycholecalciferol) and bone chemistry levels were done. Vitamin D deficient patients were identified, treated with supplements, and followed for improvement of symptoms.Results: 84% were vitamin D deficient. Of that group, 67% were of childbearing age, and 50% were noted to have a severe deficiency. Only 14% were hypocalcaemic, 8% had hypophosphatemia, while 13% had high alkaline phosphatase levels. All responded after vitamin D and calcium supplement therapy was initiated, and symptoms improved.Conclusions: Consideration of vitamin D deficiency during consultations for chronic musculoskeletal pain is warranted. Screening of such patients should be standard practice in clinical care. Diagnosis is missed or delayed if 25- hydroxycholecalciferol levels are not evaluated. Treatment is beneficial and improvement is rapid.
Laparoscopic management of acute cholecystitis: A single centre experience in Benghazi Libya
Authors: Glessa Abdalla , Elgazwi Khaled 
Published: July 2017

Background: Laparoscopic cholecystectomy (LC) is often performed early for treatment of acute cholecystitis (AC), and has become the treatment of choice for this diagnosis. This has reduced length of stay and is cost effective. It may, however, carry a higher morbidity and an increased rate of conversion to open cholecystectomy. In this article we evaluated the role of early laparoscopic cholecystectomy in surgical treatment of acute cholecystitis at our center.Patients and methods: A retrospective analytical review of 114 cases of acute cholecystitis treated by laparoscopic cholecystectomy is presented. All cases were performed by the authors between 2002 to 2008. All patient records were reviewed and analyzed for age, sex, duration of symptoms, operative findings, conversion rate to open cholecystectomy, length of hospital stay, and any postoperative complications.Results: the mean age of patients was 34.5 years (range 25 to 80). Female to male ratio was 4:1. Operative interventions were performed within the first five days from onset of attack. Operative findings included acute inflammation of the gall bladder with superficial adhesions in 84 (74%) patients. An inflammatory mass with difficult adhesions was found in 20 (18%) patients. Empyema of gall bladder was noted in 10 (9%) cases. Mean length of stay was 2.5 days. Conversion to open cholecystectomy totaled nine (7%) cases. Two cases (1.7%) developed postoperative bile leaks, two (1.7%) cases had postoperative bleeding, 10 (8.7%) cases had postoperative chest infections and two (1.7%) cases had wound infection at the entry port of extracting the gall bladder. There was zero mortality.Conclusion: Early laparoscopic cholecystectomy for acute cholecystitis is feasible and safe and is today's treatment of choice for this event. The primary benefits are shorter hospital stay and quicker recovery.
Emphysematous cystitis: An unusual disease of the bladder diagnosed on imaging
Authors: Sallami Sataa , Rhouma Sami , Horchani Ali 
Published: July 2017

Emphysematous cystitis (EC) is defined by the presence of gas in the urinary bladder wall. This rare disease entity is caused by gas fermenting bacterial and fungal pathogens. It complicates urinary tract infections especially in diabetic patients but other disabling general medical conditions may be present. Because the clinical symptoms are nonspecific, the diagnosis is often made incidentally on X-rays. Early diagnosis and treatment improve the outcome.We report a case of 83-year-old diabetic female who presented with fever, dysuria and gross hematuria. Ultrasonography and computed tomography revealed gas accumulation in the wall and lumen of the bladder leading to the diagnosis of emphysematous cystitis. She was treated with antibiotics, insulin, rehydratation and a Foley catheter placement.Diabetic patients with urinary tract infections who are severely ill should have radiological investigations to rule out the prsence of emphysematous complications.
Effects of radiation: The paradigm shifts, adaptive response and bystander models
Authors: Ugwu A , Imo A , Ikamaise V 
Published: July 2017

AbstractEvidence accumulated over the last 50 years shows that radiation also has indirect ‘non-target’ actions in which effects of radiation on cells or tissues are transported to cells or tissues that were not ‘hit’ by radiation, leading to changes in their function. Radiation- induced cytotoxic and genotoxic effects by the bystander effect is in contrast to the observations of the adaptive responses, which are generally induced following exposure to low dose, low linear energy transfer radiation and which tend to attenuate radiation – induced damage. In this paper the evidence of the radiation induced bystander effect and adaptive response are discussed. The implications of these non-targeted effects to radiotherapy and radiation protection practices are also highlighted.
A secure and expandable electronic patient record system using web-based technology
Authors: Howie Michael , del Río Carlos , Khan Furrukh , Lopez Luis , Dzwonczyk Roger , Bergese Sergio 
Published: July 2017

Introduction: In its 2000 report regarding medical errors, the Quality Interagency Coordination Task Force highlighted the unacceptably high rate of errors in health care. The report recognized that information technology (IT) offers a tremendous opportunity to reduce errors and recommended the adoption of electronic patient records (EPRs). However, providing EPR-enabled solutions is challenging due to the constraints of security and confidentiality imposed by the healthcare domain. Adding to the complexity is the need for healthcare organizations to exchange confidential EPRs safely across the security policy boundaries of healthcare enterprises and its partners (e.g. insurance companies).Methods: We developed an EPR system that utilizes Microsoft Web Services architecture.Results: The current system has three components: OR-Eye, OR-Med and OR-Track. The system was built using Webbased communication technology; it offers the security, stability and expendability required for a hospital EPR system. Our most developed component of the EPR system, OR-Eye, allows authorized users to view real-time and achieve intraoperative patient data wirelessly in a graphical form similar to an intraoperative anesthesia record on a variety of available devices. A unique feature of OR-Eye is a time line graphic that displays the sequence of patient and hospital actions that can be viewed in detail and strung together to form various hospital records.Conclusion: Our EPR system is secure, stable and expandable. It interfaces with our existing hospital wireless network. It has the potential to improve patient care, patient safety and hospital efficiency as well as enhance medical research and medical education.
Percutaneous endoscopic gastrostomy: Experience at King Abdullah University Hospital, Jordan
Authors: Al-Rashdan Abdullah 
Published: July 2017

Background: Percutaneous endoscopic gastrostomy (PEG)tubes are widely used for nutritional support of patients with dysfunctional swallowing of various etiologies and an otherwise intact gastrointestinal tract. The short and longterm outcomes of enteral nutrition using this technique in Jordan are largely unknown.Objective: We aimed to describe the indications, the rate of successful placement, complication rates, and long term outcome of PEG tubes placed in a variety of patients at King Abdullah University Hospital in Northern Jordan.Methods: Between the period from April, 2003, until March, 2007, 155 consecutive patients with PEG tubes inserted during this period (using the Ponsky pull technique) were identified from our database. The demographic data, primary and secondary underlying medical conditions, and post-placement complications were analyzed. Phone calls with caregivers were made to gather information about the short and long-term outcomes of using PEG tubes.Results: Complete data were available for 85/155 (55%) of the patients reviewed. PEG tubes were successfully placed in 99% of cases, with no procedure-related complications. The most common indication for PEG tube placement was neuromuscular dysphagia documented in 46%, followed by decrease in level of consciousness or coma in 38% of the patients. Post placement major complications were noted in 5% of cases in the form of sepsis, bleeding, and stoma mucosa necrosis. Minor complications such as stoma leak, skin irritation, and gastrointestinal upset were noted in 41% of patients. At four year follow up, the overall mortality was 53%. Twenty-one percent of patients had their tube replaced, 27% recovered normal swallowing function and had their tube removed, while 20% of patients were still dependent on the tube for nutritional support.Conclusions: PEG tube placement at our institution has an acceptable success rate. Short and long-term outcomes are comparable to published series. Proper selection of patients with expected survival benefit would likely minimize the mortality and the complication rate.