bluuebunny/crossref_metadata_2025_split huggingface dataset:
Les mouvements de « la transition » ou l'importance de la complémentarité
Authors: Flipo Fabrice 
Published: September 2013

Apparue il y a moins de 10 ans, la transition peine à être clairement identifiée et définie à travers les grilles d’analyses politique et sociale traditionnelles. La plupart de celles-ci se heurtent à la difficulté d’interpréter ce mouvement tant ce dernier semble éloigné de la conception unifiée fondée sur le modèle de la lutte des classes que nous connaissons. Le caractère protéiforme de la transition ne facilite pas son étude même si l’on peut distinguer un trait commun autour de l’insistance « du faire », en posant des actes dans l’espace public. Fabrice Flipo s’attache ici à donner des pistes de réflexion à partir d’éléments théoriques pouvant dévoiler certains aspects de la stratégie de ces mouvements. À travers la réflexion de Sartre sur la notion d’« ensembles pratiques », il apporte un éclairage sur la structure de ces collectifs. Puis, en s’attardant sur le travail de Moscovici, il livre des éléments de compréhension sur les rapports et les modalités d’influence entre minorité et majorité, délivrant ainsi ses pistes sur l’orientation suivie par la transition.
Skin Sensitivity to Aeroallergens in Allergic Rhinitis
Authors: Kumar Raj , Mishra Meenakshi , Chakravarti Arunabha 
Published: September 2013

ABSTRACT

Background
Allergic rhinitis is a common IgE-mediated inflammatory condition of the nasal mucosa. Skin prick test (SPT) remains the most useful test for detecting specific allergic triggers associated with allergic rhinitis.

Objective
Our objective was to study the sensitivity to common aeroallergens in allergic rhinitis patients using SPT

Materials and methods
We conducted SPT to 65 common aeroallergens on 100 patients more than 12 years of age with symptoms suggestive of allergic rhinitis.

Results
Sixty-one patients (61%) tested positive for at least one aeroallergen, of which, 54 patients (88.52%) showed polysensitization while seven patients (11.48%) showed monosensitization. The most common aeroallergen group implicated in SPT positivity was insects (48%); housefly (34%) being the most commonly implicated insect.

Conclusion
This study highlights a high prevalence of sensitivity to aeroallergens in the Indian scenario. It stresses upon the fact that environmental control measures might still prove to be the mainstay of treatment in our scenario, owing to housefly being the most commonly implicated aeroallergen.

How to cite this article
Mishra M, Chakravarti A, Kumar R. Skin Sensitivity to Aeroallergens in Allergic Rhinitis. Clin Rhinol An Int J 2013;6(2):64-66.
Role of Intranasal Steroid in the Prevention of Recurrent Nasal Symptoms after Adenoidectomy
Authors: Sobhy Tamer S 
Published: September 2013

ABSTRACT
Nasal obstruction is one of the main symptoms of adenoid hypertrophy, as they are also presented with chronic rhinorrhea, snoring, hyponasal speech and obstructive sleep disorder. Adenoidectomy can reduce both nasal obstructions and upper respiratory infections. Some patients display clinically significant persistent nasal symptoms even after surgery. Symptoms, such as nasal obstruction or recurrent upper respiratory infections, persist in 19 to 26% of patients. Factors influencing the outcome of intranasal steroids therapy have not been identified. The treatment with nasal steroids may obtain successful results in children to avoid surgery for adenoid recurrence.

How to cite this article
Sobhy TS. Role of Intranasal Steroid in the Prevention of Recurrent Nasal Symptoms after Adenoidectomy. Clin Rhinol An Int J 2013;6(2):80-83.
Endoscopic vs Conventional Septoplasty: A Comparative Study
Authors: Jain Nitin Kumar , Vashistha Siddharth , Kaushik Sandeep 
Published: September 2013

ABSTRACT

Objective
Traditional surgeries of the nasal septum improve the nasal airway but recent developments of endoscopic techniques have brought focus over several aspects of possible advantages over traditional techniques. These are due to better visualization and illumination, better accessibility and evaluation of exact pathology, lesser need of unnecessary manipulation, resection and overexposure of the septal framework and improving the scope for a revision surgery if required later.

Materials and methods
Sixty cases of deviated nasal septum (DNS) refractory to conservative medical treatment were divided into two groups of 30 patients and underwent correction surgery for nasal septal deformity using both endoscopic and conventional techniques.

Results
The postoperative follow-up was done at 1, 2, 4 weeks and 3 months. The clinical results of endoscopic septoplasty were found better as compared to conventional techniques with lesser complications and lesser period of hospitalization. However, the statistical analysis did not show a difference between the two groups.

Conclusion
The use of endoscopic techniques offers lesser complications and lesser period of hospitalization. However, this study of limited series needs further extensive evaluation to statistically establish the proposed results in future.

How to cite this article
Kaushik S, Vashistha S, Jain NK. Endoscopic vs Conventional Septoplasty: A Comparative Study. Clin Rhinol An Int J 2013;6(2):84-87.
Invasive Sino-orbital Aspergillosis in an Immunocompetent Host selecting a Surgical Approach: Changing Trend
Authors: Karnik Prabodh , Kulkarni Anuja Santosh , Nataraj Uma 
Published: September 2013

ABSTRACT
Invasive aspergillosis in an immunocompetent host is a rare clinical entity. The purpose of this article is to create awareness of existence of invasive sino-orbital aspergillosis in an immunocompetent, young, otherwise healthy host and its management with emphasizing the importance of balancing open surgical approach with endoscopic approach in order to achieve the optimum clearance of disease. A 48 years old female patient presented with 6 months history of nontender swelling over the left maxilla, 5 months history of left-sided nasal blockage and 2 months history of left orbital proptosis.

How to cite this article
Kulkarni AS, Karnik P, Nataraj U. Invasive Sino-orbital Aspergillosis in an Immunocompetent Host selecting a Surgical Approach: Changing Trend. Clin Rhinol An Int J 2013;6(2):100-105.
Inflammation and coagulation in atherosclerosis
Authors: Krychtiuk K. A. , Kastl S. P. , Wojta J. , Speidl W. S. 
Published: September 2013

SummaryCardiovascular diseases remain to be the leading cause of death in Western societies. Despite major findings in vascular biology that lead to a better understanding of the pathomechanisms involved in atherosclerosis, treatment of the disease has only changed slightly within the last years. A big body of evidence suggests that atherosclerosis is a chronic inflammatory disease of the vessel wall. Accumulation and peroxidation of LDL-particles within the vessel wall trigger a strong inflammatory response, causing macrophage and T-cell accumulation within the vessel wall. Additionally, B-cells and specific antibodies against LDL-particles, as well as the complement system are implicated in atherogenesis. Besides data from clinical trials and autopsy studies it was the implementation of mouse models of atherosclerosis and the emerging field of direct genmodification that lead to a thorough description of the pathophysiological mechanisms involved in the disease and created overwhelming evidence for a participation of the immune system. Recently, the cross-talk between coagulation and inflammation in atherogenesis has gained attention. Serious limitations and disparities in the pathophysiology of atherosclerosis in mice and men complicated the translation of experimental data into clinical practice. Despite these limitations, new anti-inflammatory medical therapies in cardiovascular disease are currently being tested in clinical trials.
Proposed Treatment Protocol for Frostbite: A Retrospective Analysis of 17 Cases Based on a 3-Year Single-Institution Experience
Authors: Woo Eun-Kyung , Lee Jong Wook , Hur Gi-Yeun , Koh Jang-Hyu , Seo Dong-Kook , Choi Jai-Ku , Jang Young-Chul 
Published: September 2013

Background This paper discusses the treatment protocol for patients with frostbite.
Methods We performed a retrospective analysis of a series of 17 patients with second- and higher-degree frostbite who had been treated at our medical institution between 2010 and 2012.
Results Our clinical series of patients (n=17) included 13 men and four women, whose mean age was 42.4±11.6 years (range, 22-67 years). The sites of injury include the foot in six patients (35.3%), the hand in six patients (35.3%) and the facial region in five patients (29.4%). Seven patients with second-degree frostbite were completely cured with only conservative treatment during a mean period of 12.7±3.3 days (range, 8-16 days). Of the five patients with third-degree frostbite, two underwent skin grafting following debridement, and the remaining three achieved a complete cure with conservative treatment during a mean period of 35±4.3 days (range, 29-39 days). Five patients with fourth-degree frostbite were treated with surgical procedures including amputation.
Conclusions With the appropriate conservative management in the early stage of onset, surgeons should decide on surgery after waiting for a sufficient period of time until the demarcation of the wound. Continuous management of patients is also needed to achieve functional recovery after a complete cure has been achieved. This should also be accompanied by patient education for the avoidance of re-exposure to cold environments.
Expression of Extracellular Superoxide Dismutase Protein in Diabetes
Authors: Kim Chul Han 
Published: September 2013

Background Diabetes is characterized by chronic hyperglycemia, which can increase reactive oxygen species (ROS) production by the mitochondrial electron transport chain. The formation of ROS induces oxidative stress and activates oxidative damage-inducing genes in cells. No research has been published on oxidative damage-related extracellular superoxide dismutase (EC-SOD) protein levels in human diabetic skin. We investigated the expression of EC-SOD in diabetic skin compared with normal skin tissue in vivo.
Methods The expression of EC-SOD protein was evaluated by western blotting in 6 diabetic skin tissue samples and 6 normal skin samples. Immunohistochemical staining was also carried out to confirm the EC-SOD expression level in the 6 diabetic skin tissue samples.
Results The western blotting showed significantly lower EC-SOD protein expression in the diabetic skin tissue than in the normal tissue. Immunohistochemical examination of EC-SOD protein expression supported the western blotting analysis.
Conclusions Diabetic skin tissues express a relatively small amount of EC-SOD protein and may not be protected against oxidative stress. We believe that EC-SOD is related to the altered metabolic state in diabetic skin, which elevates ROS production.
Nasal Carriage of 200 Patients with Nasal Bone Fracture in Korea
Authors: Lee Jun Wook , Kim Young Joon , Kim Hoon , Nam Sang Hyun , Shin Bo Moon , Choi Young Woong 
Published: September 2013

Background Pathogens in the nasal cavity during nasal surgery could lead to a systemic infectious condition, such as bacteremia, nosocomial infection, or toxic shock syndrome. However, there is no research about the prevalence of nasal carriage in patients with nasal bone fracture.Methods This was a prospective, double-blind, randomized study about the rate of nasal carriage in 200 patients with nasal bone fracture in Korea. Nasal secretions were taken from both the middle nasal meatus and colonized. All analyses were carried out using SPSS software.Results Pathogens were identified in 178 of the 200 cases. Coagulase-negative staphylococci (CNS) were the most cultured bacteria in 127 (66.84%) of the 190 total patients after excluding 10 cases of contaminated samples, and methicillin-resistant coagulase-negative staphylococci (MRCNS) were found in 48 (25.26%). Staphylococcus aureus was the second most identified pathogen, found in 36 (18.95%), followed by 7 cases (3.68%) of methicillin-resistant Staphylococcus aureus (MRSA). The prevalence rate of MRSA in the females was higher than that in the males (RR=4.70; 95% CI, 1.09-20.18), but other demographic factors had no effect on the prevalence rate of MRSA and MRCNS.Conclusions The prevalence rate of these pathogens in patients with nasal bone fracture in Korea was similar to other reports. However, few studies have addressed the prevalence rate of CNS and MRCNS in accordance with risk factors or the change in prevalence according to specific prophylaxis against infectious complications. Additional research is needed on the potential connections between clinical factors and microbiological data.
Multidirectional Vector Excision Leads to Better Outcomes than Traditional Elliptical Excision of Facial Congenital Melanocytic Nevus
Authors: Oh Seung Il , Lee Yoon Ho 
Published: September 2013

Background The elliptical excision is the standard method of removing benign skin lesions, such as congenital melanocytic nevi. This technique allows for primary closure, with little to no dog-ear deformity, but may sacrifice normal tissue adjacent to the lesion, resulting in scars which are unnecessarily long. This study was designed to compare the predicted results of elliptical excision with those resulting from our excision technique.
Methods Eighty-two patients with congenital melanocytic nevus on the face were prospectively studied. Each lesion was examined and an optimal ellipse was designed and marked on the skin. After an incision on one side of the nevus margin, subcutaneous undermining was performed in the appropriate direction. The skin flap was pulled up and approximated along several vectors to minimize the occurrence of dog-ear deformity.
Results Overall, the final wound length was 21.1% shorter than that achieved by elliptical excision. Only 8.5% of the patients required dog-ear repair. There was no significant distortion of critical facial structures. All of the scars were deemed aesthetically acceptable based on their Patient and Observer Scar Assessment Scale scores.
Conclusions When compared to elliptical excision, our technique appears to minimize dogear deformity and decrease the final wound length. This technique should be considered an alternative method for excision of facial nevi.
Fibrin Sealant and Lipoabdominoplasty in Obese Grade 1 and 2 Patients
Authors: Mabrouk Amr Abdel Wahab , Helal Hesham Aly , Al Mekkawy Soha Fathy , Mahmoud Nada Abdel Sattar , Abdel-Salam Ahmed Mohamed 
Published: September 2013

Background Ever since lipoabdominoplasty was first developed to achieve better aesthetic outcomes and less morbidity, the rate of seroma formation, especially in obese patients, has disturbed plastic surgeons. The aim of this study was to evaluate the effect of fibrin sealant in the prevention of seroma formation after lipoabdominoplasty in obese patients.
Methods Sixty patients with a body mass index (BMI) between 30 and 39.9 were assigned randomly to 1 of 2 groups (30 patients each). Group A underwent lipoabdominoplasty with fibrin glue, while group B underwent traditional lipoabdominoplasty; both had closed suction drainage applied to the abdomen. The patients' demographics and postoperative complications were recorded. Seroma was detected using abdominal ultrasound examinations at two postoperative periods: between postoperative days 10 and 12 and, between postoperative days 18 and 21.
Results The age range was 31 to 55 years (38.5±9.5 years) in group A and 25 to 58 years (37.8±9.1 years) in group B, while the mean BMI was 31.4 to 39.9 kg/m2 (32.6 kg/m2) in group A and 32.7 to 37.4 kg/m2 (31.5 kg/m2) in group B. In group A, the patients had a complication rate of 10% in group A versus 43% in group B (P<0.05). The incidence of seroma formation was 3% in the fibrin glue group but 37% in the lipoabdominoplasty-alone group (P<0.05).
Conclusions Lipoabdominoplasty with the use of autologous fibrin sealant is a very effective method that significantly reduces the rate of postoperative seroma.
Effects of a Westernized Diet on the Reflexes and Physical Maturation of Male Rat Offspring During the Perinatal Period
Authors: Ferro Cavalcante Taisy Cinthia , Lima da Silva Jennyffer Mayara , da Marcelino da Silva Amanda Alves , Muniz Gisélia Santana , da Luz Neto Laércio Marques , Lopes de Souza Sandra , Manhães de Castro Raul , Ferraz Karla Mônica , do Nascimento Elizabeth 
Published: September 2013

AbstractThis study evaluates the effects of a westernized diet during the perinatal period on the maternal performance and growth and development of rat offspring. Female Wistar rats were fed with either a control (C) diet, with casein as the protein source or a westernized (W) diet, during pregnancy and lactation. The pups were divided, eight per group, into the same diet groups as their dams. During lactation, the body weight (day 1, W = 6.85 ± 0.62 g, C = 5.81 ± 0.49, p < 0.05; day 21, W = 55.42 ± 3.78, C = 47.75 ± 3.45, p < 0.001) and somatic growth (body length day 1, W = 53.24 ± 2.16, C = 50.641 ± 1.79, p < 0.05; day 21, W = 124.8, C = 119.903 ± 3.71, p < 0.001) in the male offspring showed significant differences among the groups. The physical appearance and reflex maturation showed differences between day 1 and day 3. With the westernized diet, during the perinatal period, no alterations in maternal weight gain, gestation or performance were observed; however, changes in the coefficients of feed efficiency and energy during lactation were noted. Besides, blood glucose was found to be elevated at the end of lactation (C = 3.67 ± 0.35 mmol/l, W = 5.2 0 ± 0.49 mmol/l). At 21 days, the male pups from the dams on the westernized diet were 15 % heavier, and the maturation of the neural reflexes and physical characteristics were found to occur earlier. Therefore, the consumption of a westernized diet during the perinatal period was independent of maternal energy intake, and influenced the growth and development of offspring.
Examining the impact of clinical quality and clinical flexibility on cardiology unit performance—Does experiential quality act as a specialized complementary asset?
Authors: Nair Anand , Nicolae Mariana , Narasimhan Ram 
Published: September 2013

AbstractIn this study we examine the association of clinical quality and clinical flexibility capabilities on cardiology unit length of stay and cost performance. These relate to the operational performance of cardiology units and capture the timeliness and cost efficiency of cardiac care. We also investigate the complementary role played by the experiential quality in enhancing the impact of clinical quality and clinical flexibility on operational performance measure. Experiential quality relates to patient‐centered delivery of care by a hospital. We collect and combine data for 876 U.S. hospitals from four distinct sources and undertake multi‐level analyses that consider a hierarchical structure in which the hospital is nested within county and state. To disentangle the effects at the levels of states, counties, and hospitals, we use the mixed‐effects modeling approach. The results obtained from econometric analyses indicate that clinical quality and clinical flexibility reduce cardiology unit average length of stay. Clinical flexibility also helps in reducing the average cost of cardiology units. Experiential quality moderates the impact of clinical quality on length of stay and plays a complementary role in the relationship between clinical flexibility and cost. The paper discusses the implications of the findings and presents directions for future research.
Dietary intake measurement using 7 d diet diaries in British men and women in the European Prospective Investigation into Cancer-Norfolk study: a focus on methodological issues
Authors: Lentjes Marleen A. H. , McTaggart Alison , Mulligan Angela A. , Powell Natasha A. , Parry-Smith David , Luben Robert N. , Bhaniani Amit , Welch Ailsa A. , Khaw Kay-Tee 
Published: September 2013

The aim of the present study was to describe the energy, nutrient and crudev.disaggregated food intake measured using 7 d diet diaries (7dDD) for the full baseline Norfolk cohort recruited for the European Prospective Investigation into Cancer (EPIC-Norfolk) study, with emphasis on methodological issues. The first data collection took place between 1993 and 1998 in Norfolk, East Anglia (UK). Of the 30 445 men and women, aged 40–79 years, registered with a general practitioner invited to participate in the study, 25 639 came for a health examination and were asked to complete a 7dDD. Data from diaries with data recorded for at least 1 d were obtained for 99 % members of the cohort; 10 354 (89·8 %) of the men and 12 779 (91·5 %) of the women completed the diet diaries for all 7 d. Mean energy intake (EI) was 9·44 (sd2·22) MJ/d and 7·15 (sd1·66) MJ/d, respectively. EI remained approximately stable across the days, but there was apparent under-reporting among the participants, especially among those with BMI >25 kg/m2. Micronutrient density was higher among women than among men. In conclusion, under-reporting is an issue, but not more so than that found in national surveys. How foods were grouped (crude or disaggregated) made a difference to the estimates obtained, and comparison of intakes showed wide limits of agreement. The choice of variables influences estimates obtained from the food group data; while this may not alter the ranking of individuals within studies, this issue may be relevant when comparing absolute food intakes between studies.
Do Library Schools Adequately Prepare Students for Cataloguing in Irish Law Libraries: an Investigation
Authors: O'Dwyer Clare 
Published: September 2013

AbstractIn 2008, BIALL held a pre-conference workshop in Dublin entitled “Back to Basics: Cataloguing and Classification”. The workshop raised some interesting questions about the quality of cataloguing training provided by library schools and law libraries. Although cataloguing in British law libraries has been the subject of research, no study has yet explored cataloguing in Irish law libraries. This study by Clare O'Dwyer redresses this lack of information by focusing exclusively on the Irish context. The perceptions and expectations of cataloguers are examined using a multiple case study design combining interviews and questionnaires. The libraries selected for case study are representative of the three main types of law libraries in Ireland: a professional society law library, a government law library and a law firm library. Following analysis and discussion of the research findings, the study concludes with a series of recommendations regarding the curriculum for Continuing Professional Development (CPD) and further training of cataloguers in Irish law libraries.