bluuebunny/crossref_metadata_2025_split huggingface dataset:
Gérer des stocks halieutiques communs : un défi entre la Norvège et la CEE (1977-1989)
Authors: Andersson Magnus 
Published: August 2024

Cet article se concentre sur l’octroi du premier fonds européen dont le Portugal a été bénéficiaire – le fonds d’aide de pré-adhésion – et plus particulièrement sur sa mise en œuvre dans le secteur de la pêche. Il analyse les projets approuvés et réalisés, leur raison d’être et leurs objectifs, ainsi que l’impact et la contribution que le secteur en attendait. Cette étude de cas montre qu’en dépit de l’importance du secteur de la pêche pour l’économie et la société portugaises, les fonds alloués aux projets d’aide de pré-adhésion ont été assez limités dans ce domaine et n’ont concerné que trois projets sur un total de plus de 70.
Un relâchement introuvable. Marges et applications de la « non-intervention » française durant la guerre d’Espagne (1936-1939)
Authors: Salmon Pierre 
Published: August 2024

La posture de la France du Front populaire à l’égard de la guerre d’Espagne (1936-1939) peut être interrogée à nouveaux frais. Si le gouvernement a bien infléchi sa politique de « non-intervention » dans le conflit en laissant transiter nombre de matériels de guerre étrangers, à partir de l’été 1937, cette politique n’est en aucun cas durable, inconditionnelle, ni totale. Agissant, le gouvernement n’a pas hésité à transformer la question espagnole en objet de tractation diplomatique. Des résistances se font sentir aussi bien à l’échelle locale qu’au sein des ministères pour des ouvertures frontalières qui, somme toute, se signalent par leur intermittence. Dans l’absolu, le « relâchement » du contrôle demeure introuvable.
Les connexions aériennes entre Cuba et le Chili sous l’Unité Populaire : antécédents, synchronies et ruptures (1970-1973)
Authors: Moralès Étienne 
Published: August 2024

La compagnie privée chilienne ALA-CINTA relia brièvement et sans grand succès commercial le Chili et Cuba en 1957-1959 jusqu’à sa faillite. À partir de 1959, ce fut pour des fins politiques que la compagnie nationale cubaine, Cubana de aviación, contrôlée par le gouvernement de Fidel Castro, chercha à organiser des vols spéciaux vers le Chili. Presque complètement isolé du continent américain sur le plan aérien par une politique de blocus défendue par l’Organisation des États américains (OEA), Cuba établit des relations aériennes avec le Chili d’Allende pendant la période de l’Unité Populaire. Alors que la ligne de Cubana de aviación fut un vecteur essentiel des rapports cubano-chiliens pendant la période du gouvernement d’Allende, jusqu’au 11 septembre 1973, la compagnie chilienne LAN n’inaugura jamais la ligne de La Havane tant de fois annoncée à cause de logiques commerciales et politiques, mais également de pressions extérieures.
Le rôle professionnel des conseillers « RSA » (Revenu de Solidarité Active) : entre conflits perçus et sentiment de reconnaissance
Authors: Gohin Audrey , Cazals Marie-Pierre , Croity-Belz Sandrine 
Published: August 2024

La loi du Revenu de Solidarité d’Activité (RSA) a succédé au Revenu Minimum d’Insertion (RMI) en 2008. Le RSA poursuit la même logique que le RMI pour les bénéficiaires du RSA : des droits (l’allocation financière) et des devoirs (rechercher un emploi). Les conseils départementaux opérationnalisent la prise en charge des bénéficiaires du RSA par la voie d’accompagnements soit sociaux, soit à visée professionnelle. Au bout de la chaine, les conseillers/référents RSA accompagnent ces bénéficiaires dans leur recherche d’emploi. Comment ces conseillers/référents RSA font-ils pour accompagner les bénéficiaires du RSA, souvent éloignés de l’emploi ? Entre les exigences en matière d’employabilité et les valeurs de l’accompagnement, comment gèrent-ils ces logiques qui peuvent entrer en contradiction, voire mener à des conflits ? Se perçoivent-ils suffisamment reconnus dans l’exercice de leur rôle professionnel ? Pour répondre à ce questionnement, nous avons réalisé une enquête par questionnaire auprès de 211 conseillers/référents RSA. Les réponses au questionnaire ont été analysées par des Analyses Factorielles : des Analyses en Composantes Principales pour créer des indicateurs et une Analyse Factorielle des Données Mixtes (AFDM), correspondant à notre jeu de variables qualitatives et quantitatives, pour étudier les corrélations entre les variables. Les résultats de cette analyse montrent trois types de profils chez les conseillers/référents RSA. Un premier profil de professionnels qui s’inscrivent dans une dynamique conflictuelle dans l’orientation de leur rôle professionnel. Un deuxième profil de conseillers/référents RSA qui s’inscrivent dans un rapport de reconnaissance perçue avec l’institution. L’Analyse Factorielle des Données Mixtes (AFDM) montre un troisième profil plus inattendu : les conseillers/référents RSA qui sont expérimentés sur le poste perçoivent à la fois de la reconnaissance et de la surcharge de travail, ce qui questionne quant à une forme instrumentalisée de la notion de reconnaissance.
Sinus venosus atrial septal defect device closure
Authors: Reddy G. B Chandra Shekara , Srinivas Arun , Chawath Siddarth Kumar , Prasad H. P Guru 
Published: August 2024

ABSTRACT
With technical advancements, transcatheter closure of sinus venosus atrial septal defect (SVASD) proves safe and effective, even in developing countries. A 38-year-old male with recurrent palpitations underwent transesophageal echocardiography and cardiac computerized tomography, confirming a 14 mm SVASD with left-to-right shunt. Under GA and mechanical ventilation, we deployed a 19–25 mm ZYPHER-covered peripheral stent using 22 mm × 60 mm Z-Med II Balloon guidance. An angiogram confirmed adequate defect coverage. Postprocedure, occasional ventricular premature contractions and intermittent atrioventricular block were noted on 72-h Holter. Follow-up showed symptom resolution, with transthoracic echocardiography confirming stent placement and no residual shunt, endorsing device closure as a viable alternative to surgery.
Unveiling acute myocardial infarction in young adults of rural India: Exploring demographic, clinical, and angiographic profiles
Authors: Bhattacharjee Manna , Nagarwal Amitesh , Prakash Sai Durga , Gaurab Vishal , Yadav Bijay Prakash , Charan Sheshkaran Singh , Wakade Vishvajit Magan , Mishra Sundeep 
Published: August 2024

ABSTRACT

Introduction:
Cardiovascular disease, particularly myocardial infarction (MI), remains a leading cause of mortality globally and in India. The prevalence of coronary artery disease (CAD) among young adults in India presents unique challenges, marked by earlier onset and distinct risk factor profiles. However, comprehensive data on young MI patients in rural areas are scarce, necessitating an investigation into their demographics, clinical characteristics, and outcomes.

Materials and Methods:
This institution-based, cross-sectional study was conducted at the Department of Cardiology, NIMS Super Specialty Hospital, Jaipur, focused on individuals under 45 years old admitted with MI. Data encompassing demographic, clinical, echocardiographic, and angiographic profiles were collected and analyzed. The study spanned from December 2022 to December 2023.

Results:
Among 45 young MI patients studied, males constituted a substantial majority (86.67%). Lower socioeconomic status (SES) was prevalent (71.11%), and risk factors such as smoking (51.11%) and hypertension (35.56%) were notable. Troponin-T/CPK MB levels were significantly elevated in 57.78% of cases, indicating myocardial damage. Angiographic assessments revealed predominance in left anterior descending (LAD) artery abnormalities (55.56%) and a significant proportion underwent primary percutaneous transluminal coronary angioplasty (PTCA) (46.67%).

Conclusion:
The study highlights the concerning prevalence of MI among young adults in rural areas of India, with a predominance of males and a high prevalence of traditional risk factors such as smoking and hypertension, as well as the notable influence of low SES (P = 0.0046). Contrary to previous studies that linked higher SES and sedentary lifestyles to an increased risk of CAD, this study underscores the significant burden of CAD among young individuals from lower socioeconomic groups. The elevated levels of troponin-T and CPK-MB, along with the predominance of LAD artery abnormalities, emphasize the severity and distinct coronary involvement patterns in this demographic. These findings highlight the urgent need for targeted preventive strategies and improved access to health-care services for young adults in lower socioeconomic groups in rural areas.
Aberrant right subclavian artery – A roadblock for radial interventionalists
Authors: Sahu Ankit Kumar , Goel Pravin K. 
Published: August 2024

ABSTRACT
Extreme difficulty was faced while negotiating diagnostic catheter in a septuagenarian hypertensive male undergoing transradial coronary angiography due to the long tortuous course of the aortic arch. Biplane imaging helped in unearthing an aberrant right subclavian artery originating anomalously from the descending thoracic aorta.
Evaluation of the Prevalence and Pattern of Dyslipidemia in Newly Detected Type 2 Diabetes Mellitus Patients and Nondiabetic Controls
Authors: Shekhawat Vikram Singh , Behera Vineet , Nayak Akshay Kumar , Kamal Kiran Deep , Ramamoorthy Ananthakrishnan , Kumar Ritu Ranjan , Roy Sudeep Kumar 
Published: August 2024

Abstract

Introduction:
Dyslipidemia comprises disorders of lipoprotein metabolism, which is usually characterized by increased plasma levels of total cholesterol (TC), triglycerides (TG), low-density lipoproteins (LDL), or reduced plasma level of high-density lipoprotein (HDL). Dyslipidemia is commonly found in Type 2 Diabetes Mellitus (T2DM) patients causing an increased risk of atherosclerosis and cardiovascular disease. Many studies done previously show variable prevalence of dyslipidemia (68 to 85 %) in known diagnosed patients of T2DM (with unknown history of onset), however, only limited studies have been done for finding prevalence of dyslipidemia in newly detected T2DM patients.

Aim:
This study is a cross-sectional observational study done in a tertiary care hospital in Mumbai (India), aiming to study prevalence and pattern in newly detected T2DM patients. The secondary objective is to compare the prevalence and pattern of dyslipidemia in newly detected T2DM patients with non-diabetic controls.

Material and Method:
For this, 100 newly detected T2DM patients were chosen along with 100 cases of age & gender-matched non-diabetic controls. Their clinical profile and lipid profile of both groups were observed and compared.

Result:
Results showed higher prevalence of dyslipidemia in newly detected T2DM patients (64%) which was significantly more than the control group (32%). Moreover, the pattern of dyslipidemia showed greater mean levels of TC, TG, and LDL and low mean levels of HDL in T2DM patients compared to the control group.

Conclusion:
These findings show that there is an increased risk of Dyslipidemia in new onset T2DM patients.
Prognostic Significance of Caudal-type Homeobox Gene 2 and Sex-determining Region Y-Box 2 Immunohistochemistry Markers in Gastric Cancer – A Clinicopathological Study
Authors: Mishra Aabhas , Singh K. J. , Gahlot G. P. S. , Pal Seerat 
Published: August 2024

Abstract

Background:
Gastric cancer is one of the most commonly diagnosed cancers and the third leading cause of cancer-related deaths in the world as it has a poor prognosis due to its delayed presentation. Adenocarcinoma (intestinal or diffuse type) is the most common type histologically, and tumor, node, and metastasis staging is essential for prognosis and treatment planning. Gastric cancer patients may have different clinical presentation even within the same cancer stage group, hence it is important to evaluate additional markers in such patients which can help in prognosticating them to aid in effective management of such patients. This study evaluates two new immunohistochemistry (IHC) markers and their clinical correlation which will help in prognosticating gastric cancer patients.

Materials and Methods:
Biopsy tissues from 30 patients between April 2016 and April 2019, who underwent upper gastrointestinal endoscopy in a tertiary care center of Armed Forces and were found to have gastric cancer, were studied. Caudal-type homeobox gene 2 (CDX2) and sex-determining region Y-box 2 (SOX2) immunoreactivity was correlated with histomorphology, clinical presentation, and staging of tumor.

Results:
CDX2 positivity (P = 0.002) as well as SOX2 negativity (P = 0.058) was associated with an advanced stage of disease in our study. CDX2+/SOX2− profile was also noted to be statistically correlating (P = 0.014) with poor prognosis in gastric cancer.

Conclusion:
Loss of SOX2 together with positive CDX2 expression had a good correlation with advanced disease and poor outcome. Further studies should be undertaken for targeted therapy for these IHC markers.
Strengthening Patient Care through Training Students in Mindfulness as a Part of the Medical Curriculum
Authors: Shrivastava Saurabh RamBihariLal , Bobhate Prateek Sudhakar , Badge Ankit , Tiwade Yugeshwari 
Published: August 2024

Abstract
Mindfulness clinical practice refers to the deliberate efforts to stay in the present moment while dealing with patients and not being judgmental. There is an immense need for health-care professionals to deliver an objective and compassionate response to their patients by demonstrating their genuine presence, better understanding, and empathy. Mindfulness practice by health-care professionals is linked with professional development and multiple benefits in patient care, and it is quite essential that medical students are trained in the same during their undergraduate period. This will essentially require systematic planning and collaboration between teachers, as exposure of mindfulness across the curriculum will play a defining role in facilitating the comprehensive development of medical students. In conclusion, acknowledging the multiple benefits of mindfulness to health-care professionals and improvement in the quality of patient care services, it is the need of the hour that every medical college or health-care establishment should take active interventions to plan and implement the same within their settings.
Management of Early Childhood Caries under General Anesthesia at a Tertiary Care Service Hospital: A Retrospective Study
Authors: Sharma Anoop , Jain Aditi , Chengappa M. M. Dempsy , Meshtha Nikhil Kumar , Goje H. K. 
Published: August 2024

Abstract

Introduction:
Early childhood caries (ECC) affects almost 50% of preschool children and may lead to chronic pain, halitosis, fever, trismus, poor growth and development, and repeated airway and gastrointestinal infections. Managing this is challenging in the face of anxiety, developmental delay, and other comorbidities in children. This necessitates their management under general anesthesia (GA).

Methodology:
We carried out a retrospective descriptive study to analyze the characteristics of pediatric patients who underwent oral rehabilitation under GA at a tertiary care service hospital.

Results:
The data of 20 children inflicted with ECC who underwent full-mouth rehabilitation under GA were analyzed. The majority were boys and the mean age was 69.5 months. Five of these children had comorbidities. The most common indication for GA was the uncooperation of the child. Inhalational induction was carried out for most of them, and postoperatively, two children had emergence delirium and one child had nausea and vomiting.

Conclusion:
We share our experiences toward standardization of safe anesthesia practices.
Knowledge, perception, and risk scoring of diabetes among rural nondiabetics in southern coastal Karnataka, India
Authors: Dsouza Agnes Moira Preethi , Bhat Sowmya , Kodyalamoole Nishanth Krishna , Suresh Sucharitha 
Published: August 2024

ABSTRACT

Background:
Diabetes is one of the top 10 contributors to death globally. It is affecting more and more younger populations due to lifestyle changes in India. Tools like the Indian Diabetic Risk Score (IDRS) help in screening high-risk individuals for diabetes. Early diagnosis and prompt treatment help in avoiding complications and disabilities due to diabetes. Hence, this study was conducted to calculate the risk of diabetes using IDRS and to determine the knowledge and risk perception of diabetes among the nondiabetics residing in the rural field practice area of a medical college.

Methodology:
A descriptive cross-sectional study was conducted in the rural field practice area of a medical college. A total of 885 people participated in our study. All nondiabetics above 18 years of age were involved. The data were collected using a questionnaire and the IDRS questionnaire was used to determine the risk of diabetes. Data were analyzed using IBM SPSS 20th version.

Results:
Majority of the participants were between the age of 18 and 50 years. About 65.8% of the study population had medium risk according to IDRS. There was a significant relationship between gender, body mass index, and IDRS. A majority had good knowledge about diabetes. Only 31.5% knew that diabetes can cause complications in other organs of the body.

Conclusion:
Compared to prior research on rural Indians, this study’s population knew more about diabetes. To encourage people to adhere to their medication and treatment, further health education sessions should concentrate on minimizing the risk factors and complications of diabetes.
Nursing care for respiratory failure in a patient with pulmonary edema and acidosis metabolic
Authors: Stefani Stefani , Emaliyawati Etika 
Published: August 2024

ABSTRACT
Impaired performance of the respiratory muscle pump or lung dysfunction can lead to a severe condition of respiratory failure. Therefore, mechanical ventilation is used to sustain the life of individuals with this syndrome. Furthermore, this condition is harmful to the body and can cause complications. This study aimed to describe nursing care provided to patients with respiratory failure. The design was a case study with narrative analysis. The data were collected in October 2022 at a Government Teaching Hospital in Bandung. The nursing assessment shows that the patient (Mr. S) was unconscious and unresponsive to pain stimuli under sedation. The patient was in moderate acute respiratory distress syndrome, receiving mechanical ventilation with synchronized intermitten mandatory ventilation pressure control and pressure support (SIMV PCPS) mode, and was breathing spontaneously. Furthermore, there were rhonchi breath sounds, temporary gurgling sounds, pitting edema in the upper and lower extremities, and anuria. Impaired spontaneous breathing is the key nursing concern for this patient, along with poor airway clearance as well as fluid and electrolyte imbalance. In conclusion, ventilation is the primary management of the patient with respiratory failure. This intervention should be given appropriately to reduce the disease’s symptoms and the risk of complications. Therefore, maintaining a low tidal volume, prone position, continuous respiratory assessment, minimizing sedation, suctioning, and chest physiotherapy are essential to achieve a good outcome.
Psycho-ophthalmology: A detailed review
Authors: Vasanthakumar Anugraha , Sathyanath Shashwath , Kakunje Anil , Nishad P. M. A. 
Published: August 2024

ABSTRACT
In many areas of diagnosis and treatment, psychiatry and ophthalmology overlap significantly. A patient who has had a great deal of psychological stress may exhibit vision loss. The results of neuro-ophthalmological testing might influence the psychiatric diagnosis and course of therapy. There is a wide range of psychiatric signs and symptoms noted in various ophthalmological disorders which an ophthalmologist witnesses every day. As a result, there is a great deal of overlap between the two disciplines methods to treatment. It goes without saying that the connection between psychiatry and ophthalmology has not gotten the attention it merits.
Inflammatory cytokines, oxidative stress, and tau protein impairment in cognitive functioning in patients with diabetes mellitus
Authors: Kour Harpreet , Mishra Sanjay , Hattiholi Aishwarya 
Published: August 2024

ABSTRACT
Diabetes mellitus (DM) is a common endocrine disorder. It has an impact on various organs and systems in the body. Both hypo- and hyper-glycemia can lead to cognitive impairment through several metabolic pathways. Previously, the battery of studies has reported the decline in cognitive functions through preclinical studies using in vivo and in vitro methods as well as clinical studies in elderly populations. Previous reports of the clinical studies had limited to one domain of cognitive function, the elderly population, and inflammatory cytokines/chemokines and tau protein levels. The present review article attempts to find the various mechanisms and their inter correlation leading to cognitive impairment among patients with DM.
Hypoglycemia in hospitalized patients: A sleeping monster
Authors: Kuragayala Swarna Deepak , Nayak Sumita , Khatib Khalid 
Published: August 2024

ABSTRACT

Objective:
This study describes the incidence and clinical profile of hypoglycemia (including mild, moderate, severe, and recurrent) and its correlation with the time of the day, duration of diabetes mellitus (DM), administration of insulin/oral hypoglycemic agents (OHAs) and diagnosis at admission in hospitalized adult patients.

Materials and Methods:
This retrospective, observational study analyzed the data of hospitalized patients with episode(s) of hypoglycemia. For each patient, clinical profiles such as age, gender, antidiabetic therapy, timing of hypoglycemic event, duration of diabetes, working diagnosis, place of hypoglycemia, dietary changes, and mode of corrective action were studied.

Results:
Of 100 patients with a mean ± standard deviation age of 62.72 ± 3.54 years, hypoglycemia was the most common among those aged 61–90 years. There were 134 hypoglycemic events and mild hypoglycemia was the most common (72.39% vs. moderate 21.64% and severe 5.97%). There were 59 (44%) events of recurrent hypoglycemia. Hypoglycemic events were maximum during 4:00 am–7:59 am (34%). Longer duration of DM (>15 years, 42%) and insulin therapy were the high-risk factors. There was a statistically significant association between hypoglycemia and duration of diabetes (P < 0.0133), insulin therapy (P < 0.0001), OHA (P < 0.0192), and a combination of insulin and OHA (P < 0.0059) within 24 h before the event but not with the incidence and dietary changes.

Conclusion:
Patients above 60 years were the most vulnerable population for hypoglycemia, especially during the early hours of the day. Patients who had diabetes for >15 years, on insulin therapy, and those with pulmonary and renal diseases were the most vulnerable to overall and recurrent hypoglycemic events, respectively.