bluuebunny/crossref_metadata_2025_split huggingface dataset:
La genèse de la Politique commune de la pêche (1960-1990)
Authors: Cudennec Annie 
Published: August 2024

La politique commune de la pêche (PCP), conçue à l’origine dans une logique essentiellement productiviste, a tout d’abord dû intégrer les exigences du contexte international guidé par l’emprise étatique croissante sur les mers – et donc sur les ressources – bordant leurs côtes. Ce contexte a favorisé la reconnaissance de la compétence exclusive de l’Union européenne pour assurer la conservation des ressources biologiques de la mer dans le cadre de la PCP. Par la suite, celle-ci a évolué afin de respecter les exigences de la protection de l’environnement. Ces exigences sont désormais partie intégrante des principaux outils de cette politique : le régime de conservation et d’exploitation durable des ressources biologiques marines d’une part, la gestion des capacités de pêche de la flotte européenne d’autre part.
Self-Learning in Industry 4.0: Fostering Technological Training-Seeking Behaviors
Authors: Chassaing-Monjou Clement , Cangialosi Nicola , Bazine Nicolas , Peña-Jimenez Marco , Odoardi Carlo , R.M Déprez Guillaume 
Published: August 2024

Cette étude s’intéresse à la relation entre orientation vers le futur, tâches stimulantes et comportements de recherche de formations technologiques dans l’environnement technologique que sont les industries 4.0. Les industries 4.0 sont sources de différents défis (Cascio & Montealegre, 2016 ; Culot et al., 2020) et notamment concernant les compétences requises dans ces dernières. Il nous semble donc normal de nous interroger sur les facteurs menant à des comportements d’auto-formation, ici sous la forme des comportements de recherche de formations technologiques. Nous proposons que la perception des compétences cognitives nécessaires médie la relation entre orientation vers le futur et comportements de recherche de formations technologiques et qu’elle médie aussi la relation entre tâches stimulantes et comportements de recherche de formations technologiques. Un questionnaire a été soumis auprès de 290 salariés d’une entreprise aérospatiale italienne. Des analyses en équations structurelles ont montré que la perception des compétences cognitives nécessaires médie partiellement la relation entre orientation vers le futur et comportements de recherche de formations technologiques et médie totalement la relation entre tâches stimulantes et comportements de recherche de formations technologiques. Cette étude apporte plus d’éléments à la littérature sur les comportements d’auto-formation par le biais des comportements de recherche de formations technologiques. Ces résultats mettent en évidence la nécessité pour les entreprises d’engager leurs salariés à s’orienter vers le futur et à se confronter à des tâches stimulantes pour déclencher des comportements d’auto-formation.
Increasing prevalence of smokeless tobacco consumption in the Northeastern region of India: An analysis of two rounds of Global Adult Tobacco Survey I and II (2009–10 and 2016–17)
Authors: Nongrum Melari Shisha , Lewis Melissa Glenda , Sivakami Muthusamy 
Published: August 2024

Abstract:

INTRODUCTION:
Tobacco claims over 8 million lives, with over 80% of the 1.3 billion users residing in low- and middle-income nations. India ranks highest in the proportion of users globally, notably in the Northeastern states. This paper aims to analyze the overall trends of smoking and smokeless tobacco (SLT) in the Northeast Region (NER) of India between the two rounds of the Global Adult Tobacco Survey (GATS) while analyzing the factors influencing tobacco used in the context of the region.

MATERIALS AND METHODS:
Descriptive analysis, estimation, and comparison of the prevalence of smoking and SLT were conducted for both rounds of GATS. The Chi-square test was employed to examine the association between variables such as gender, age, residence, education level, occupation, marital status, and caste while adjusting for GATS weight.

RESULTS:
The prevalence of smoking tobacco in GATS-II in NER is 19.3%, a decrease of 12% from GATS-I. While the use of manufactured cigarettes decreased by 33.7%, the use of bidi smoking and rolled tobacco in paper/leaf increased by 15.9% and 9.2%, respectively. The prevalence of SLT in GATS-II was 40.5%, a significant increase of 17% from GATS-I. While both genders exhibited increased tobacco usage, females experienced a particularly significant rise (18%) between the two survey rounds. No formal schooling, gender, rural residence, older age group, and occupation were significant factors in influencing the increased use of SLT.

CONCLUSION:
The prevalence of SLT consumption in the NER is on the rise, even as overall trends indicate a decrease in smoking tobacco. To effectively address this issue, tobacco should be integrated as a crosscutting concern across all levels of health programs. Multisectoral collaborations involving communities and schools can achieve regulatory and meaningful reductions in tobacco use.
Perioperative use of Impella device in very high-risk coronary artery bypass grafting
Authors: Kapardhi P. L. N. , Subramanyam G. Rama , Vasireddy Sailaja , Kothawade Kamlesh 
Published: August 2024

ABSTRACT
This case study presents a high-risk coronary artery bypass grafting (CABG) patient with a recent anterior wall myocardial infarction and severely impaired left ventricular function. The patient underwent on-pump CABG with prolonged cardiopulmonary bypass support. The management strategy used hybrid mechanical circulatory support, intra-aortic balloon pump, and Impella CP, improved postoperative recovery, and prevented low cardiac output syndrome development.
Determinants of right coronary artery occlusion in patients with inferior wall myocardial infarction: A cross-sectional study from Western India
Authors: Yadav Bijay Prakash , Nagarwal Amitesh , Mishra Sundeep , Kushwaha Poonam 
Published: August 2024

ABSTRACT

Introduction:
In acute inferior wall myocardial infarction (IWMI) and occlusion of the right coronary artery (RCA), the most important element is to recognize the culprit artery and the location and size of the infarct, which is essential in the treatment. Adequate knowledge about clinical determinants can aid in prompt and effective management.

Materials and Methods:
A cross-sectional study was conducted to find determinants of RCA occlusion among 103 subjects with IWMI from rural western India.

Results:
About 86.4% of subjects were male. Females experienced IWMI at a later age than males (62.4 ± 10.3 vs. 58.6.1 ± 11.8 years). Bradycardia was more prevalent than tachycardia (44.66% vs. 15.53%). Males had a 5.17 times higher odds of having RCA involvement in IWMI. Subjects with deranged lipid profiles had 2.37 times higher odds of involvement of RCA. RCA involvement was significantly associated with bradycardia (P = 0.006, aOR = 15.31, 95% confidence interval [CI] = 2.21–105.7) but not with tachycardia (P = 0.903). Proximal site occlusion was significantly associated (P = 0.027; aOR = 0.103; 95% CI = 0.013–0.772) with bradycardia compared to distal sites. Triple-vessel disease had significantly (P < 0.05) 12.9 times higher odds than single-vessel disease. Total occlusion of RCA was 2.9 times higher than obstructive coronary artery disease.

Conclusion:
These findings suggest determinants associated with RCA involvement in IWMI, including gender, lipid profile, cardiac rhythm disturbances (particularly bradycardia), and the extent and site of coronary artery occlusion. Incorporating these factors into clinical practice, clinicians can better predict the underlying pathophysiology of IWMI, anticipate its hemodynamic and electrophysiologic consequences, and tailor management strategies accordingly.
Multivariable correlations of estimated glomerular filtration rate in 1020 consecutive PCIs in 16 months from a single center
Authors: Reddy Chandra Shekara , Srinivas Arun , Chawath Siddarth Kumar 
Published: August 2024

ABSTRACT

Background:
Contrast-induced nephropathy can occur post percutaneous coronary intervention (PCIs).

Objectives:
To establish the multivariable relationships in all post-PCI patients.

Methods:
Renal function assessed by calculating estimated glomerular filtration rate using the modification of diet in renal disease formula and then indexed to respective BSA in consecutive 1020 post-PCI patients from June 2021 to September 2022. The complete raw data of various variables were segregated and analyzed in Microsoft Excel under various headings. Then studied for their clinical significance and interrelationships. Statistical significance was studied with number, percentages, maximum, minimum, mean, standard deviation etc., and specific statistics (includes: descriptive statistics provides number, %, interquartile range, etc., correlation statistics-provides Pearson ‘r’ correlation and regression statistics-provides the relationships). Finally, all the results were presented in the form of tables and figures from the data visualization technique.

Results:
The complete analysis of all 1020 PCI patient’s data suggests that age, left ventricular ejection fraction by two-dimensional echocardiography, body mass index, pre-procedural serum creatinine values and volumes of contrast used, and diastolic blood pressure (BP) has directly related to good cardiorenal outcome.

Conclusions:
Post-PCI acute kidney injury is a known entity. Renal functions were affected by multiple variables. Prerenal assessment and management, adequate (pre and post-PCI) hydration therapy, avoiding or minimizing nephrotoxic agents, BP control, staged PCI, precision PCI with additional procedures will not only reduce the contrast agent burden on kidney and will have good cardiorenal outcome.
Systematic review on Vitamin D supplement on hypercholesterolemia and coronary artery disease outcomes
Authors: Rahman Syed Azizur , Maitra Satwat 
Published: August 2024

ABSTRACT
Globally, Vitamin D insufficiency is a problem that has a considerable impact on people’s health. According to recent studies, Vitamin D may potentially have positive impacts on serum lipid profiles, enhancing coronary condition. Therefore, the main aim of the present review is to examine Vitamin D supplement on hypercholesterolemia and coronary artery disease (CAD). We conducted a comprehensive literature search from 2012 to 2023, comprising Medline, Web of Science, PubMed, Cochrane Library, and additional sources such as Google Scholar and clinicaltrials.gov. We reviewed a wide range of study types, including studies, trials, commentaries, and editorials. To assess bias, we used a recommended methodology, utilizing a two-part tool to address five specific domains: Selection bias, performance bias, attrition bias, selective reporting, and other biases. We also employed a quality assessment tool for evaluating the quality of diagnostic accuracy studies. In this review, we incorporated 11 studies. The mean age of the cases was 60.11 years. The Vitamin D supplement mean dose was 8772.42 IU/day. The Vitamin D supplement group showed mean variations in high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), triglyceride (TAG) cholesterol, and total cholesterol levels of 3.3 mg/dl, 8.6 mg/dl, 10.625 mg/dl, and 9.45 mg/dl, correspondingly. Whereas, the mean variation in HDL-C, LDL-C, TAG as well as total cholesterol levels in the placebo group was 4.185714 mg/dl, 2.60825 mg/dl, 6.50625 mg/dl, and 6.2875 mg/dl, respectively. Vitamin D supplementation demonstrated enhancements in serum levels of total cholesterol, LDL-C, HDL-C, and TAGs. Clinical tests for hypercholesterolemia should be implemented on patients at risk for heart illness and CAD, and Vitamin D supplements are beneficial. For individuals who are Vitamin D deficient, doctors may think about supplementing their routine cholesterol therapies with Vitamin D.
Screening Tools for Obstructive Sleep Apnea in Pregnant Women: An Extended and Updated Systematic Review and Meta-analysis
Authors: Amra Babak , Mansouri Masoud , Soltaninejad Forogh , Feizi Awat , Kaminska Marta 
Published: August 2024

Abstract
The prevalence of obstructive sleep apnea syndrome (OSA) increases in women during pregnancy and negatively affects maternal and fetal outcomes. The updated systematic review and meta-analysis aimed to evaluate the validity of the Berlin, STOP-Bang, and Epworth sleepiness scale (ESS) questionnaires in detecting OSA in pregnant women. PubMed, Embase, and Web of Science were searched systematically up to March 2022. After eligible studies inclusion, two independent reviewers extracted demographic and clinical data. Bivariate random effects models were used to estimate the pooled accuracy measures including sensitivity and specificity, positive (PPV) and negative predictive values (NPVs), diagnostic odds ratio (DOR), and receiver operating characteristic curve (ROC) curve. We included 8 studies including 710 pregnant women with suspected OSA. The performance values of Berlin, STOP-Bang, and ESS questionnaires were as follows: the pooled sensitivity were 61% (95% confidence interval (CI): 40%–80%), 59% (95% CI: 49%–69%), and 29%, (95% CI: 10%–60%); pooled specificity were 61% (95% CI: 42%–78%), 80% (95% CI: 55%–93%), and 80% (95% CI: 50%–94%); pooled PPVs were 60% (95% CI: 0.49–0.72), 73% (95% CI: 61%–85%), and 59% (95% CI: 31%–87%); pooled NPVs were 60% (95% CI: 0.49–0.71), 65% (95% CI: 54%–76%), and 53% (95% CI: 41%–64%); and pooled DORs were 3 (95% CI: 1–5), 6 (95% CI: 2–19), and 2 (95% CI: 1–3), respectively. It seems that the Berlin, STOP-Bang, and ESS questionnaires had poor to moderate sensitivity and specificity in pregnancy, with the ESS showing the worst characteristics. Further studies are required to evaluate the performance of alternative screening methods for OSA in pregnancy.
Conscious Sedation Using Nitrous Oxide and Midazolam for Dental Procedures in Pediatric Patients in Armed Forces Hospital – Our Experience
Authors: Singh Gunjan , Jahan Nikahat , Sharma Vineet , Dhiman Manoj , Bhattal Hiteshwar , Yadav Rahul , Chakrabarty Anubhav 
Published: August 2024

Abstract

Background and Aim:
Management of pain and anxiety associated with dental procedures in pediatric age group is a big challenge. In this part of the world, counselling has been the main modality for managing such patients. It is associated with mixed outcome. We share our experience of managing 23 patients using a combination of inhalational nitrous oxide- oxygen and intravenous midazolam with satisfactory outcomes.

Material and Methods:
Patients aged more than six years, American society of anaesthesiologists classification (ASA) I or II, procedure that could be finished within one hour like pulpectomies, root canal treatments, extraction and multiple restorations were accepted for conscious sedation. Complete blood count was done and pre-anaesthetic checkup (PAC) with written informed consent from the parent was taken for the dental procedure under conscious sedation. We placed the nasal mask of the Conscious sedation anesthesia machine and made the child inhale Oxygen/Nitrous oxide mixture. After inhaling variable concentration of nitrous oxide/ oxygen mixture in proportion increasing from 30:70 to 70:30, procedure was done. After completion of the procedure, the patient was administered hundred percent oxygen for five minutes.

Results:
We have done a total of twenty-three cases till now with ages between five to seventeen years. The duration of procedures ranged from 30 min to one and half hour. Two patients less than six years were found to be uncooperative for the procedure.

Conclusion:
Minimum age group that was suitable for conscious sedation was six years and above. Frequent meetings and counselling by the same team should be facilitated prior to taking up for the procedure.
Unveiling the Giants: A Descriptive Study of Giant External Auditory Canal Osteomas – An Uncommon Clinical Odyssey
Authors: Tandon Shruti , Malhotra Tarun , Naga Rahul , Singh Abhay Kumar 
Published: August 2024

Abstract

Background:
External auditory canal (EAC) osteoma, an uncommon manifestation within the mastoid bone, emerges as a particularly intriguing subject of study. Despite its low prevalence, the emergence of giant variants of these osteomas presents unique clinical and therapeutic challenges.

Aim and Objectives:
The study focuses on five patients presenting with giant bony osteomas, aiming to elucidate the prevalence, clinical features, radiological aspects, and optimal management strategies of these lesions.

Material and Methods:
Patients were selected from those presenting to the ear, nose, and throat outpatient department at a tertiary hospital between June 2022 and June 2023. Diagnosis was established through clinical examination and high-resolution computed tomography scans of the temporal bone. The diagnostic process underscored the importance of imaging studies in confirming osteoma characteristics, differentiating them from other conditions like exostosis. Management primarily involved surgical excision using a novel “eggshell thinning” technique to ensure minimal damage to the EAC skin and preserve natural canal contours.

Results:
The patients, predominantly young males, presented with symptoms ranging from hearing loss to ear pain and aural fullness. The outcomes across the cases were optimal, with surgical interventions resulting in symptom resolution. Notably, the innovative eggshell thinning technique facilitated complete removal while preserving skin flap integrity in 80% of cases. The contour of canal was well maintained.

Conclusion:
This research highlights the importance of recognizing and addressing the distinctive features of giant osteomas in the EAC. The findings emphasize the effectiveness of the surgical approach utilized, characterized by minimal trauma and successful preservation of skin flap integrity. The study calls for continued research and documentation to refine strategies for managing such rare entities, underscoring the necessity for a patient-centered, multidisciplinary approach in otologic surgery.
Effect of Preoperative Intravenous and Inhalational Dexmedetomidine on the Hemodynamic Response of Laryngoscopy: A Prospective Double-blinded Randomized Study
Authors: Singh Shivanya , Gupta Priyanka , Dhar Mridul , Pasha Arhan 
Published: August 2024

ABSTRACT

Objective:
Laryngoscopy induces potent noxious stimuli causing reflex autonomic activation manifested by an increase in blood pressure and heart rate (HR). Various drugs with different routes have been tried to prevent this response. The literature comparing inhalational dexmedetomidine with intravenous (IV) dexmedetomidine to prevent laryngoscopy response is limited.

Methods:
A total of 150 American Society of Anesthesiologists Physical Status Class I/II, undergoing elective surgery requiring laryngoscopy and intubation, were included and randomized into two groups. Patients in Group DINH received nebulized dexmedetomidine (1 μg/kg) and in Group DIV received IV dexmedetomidine (0.5 μg/kg), 15 min before anesthesia induction. For blinding, nebulized or IV saline was used simultaneously. The primary outcome was to compare the mean arterial pressure (MAP) and HR at laryngoscopy, intubation, and 1, 5, and 10 min after intubation. The secondary outcome was to compare sedation, following the administration of dexmedetomidine, propofol consumption during induction, and any side effects.

Findings:
There was no significant difference in MAP (mmHg) postlaryngoscopy and intubation (immediate after intubation 78.5 ± 11.3 vs. 82.3 ± 16.0, P = 0.093). The mean HR was clinically similar in both groups postlaryngoscopy and intubation (immediate after intubation, 80.9 ± 12.5 vs. 76.3 ± 10.9). Patients in the DIV group were more sedated than the DINH (Ramsay Sedation Scale 3–4 vs. 1–2, P < 0.001). Bradycardia was seen in eight patients of the DIV group only.

Conclusion:
Preoperative nebulized dexmedetomidine is as effective as and safer than IV dexmedetomidine in preventing laryngoscopic response among adults.
Efficacy of Licorice as Adjunctive Therapy in Critically Ill Patients with COVID-19: A Randomized, Placebo-Controlled, Double-Blind Clinical Trial
Authors: Alikiaie Babak , Shalamzari Seyed Mohammad Hosseinian , Soltani Rasool , Yegdaneh Afsaneh , Mousavi Sarah 
Published: August 2024

ABSTRACT

Objective:
There is no definitive pharmacological strategy for COVID-19; thus, medicinal herbs can be an appropriate option for COVID-19 management. We investigated the efficacy of a D-reglis® tablet (root extract of licorice) as adjuvant therapy in critically ill patients with COVID-19 at intensive care units (ICUs) of Alzahra Teaching Hospital affiliated with Isfahan University of Medical Sciences, Isfahan, Iran.

Methods:
In the present double-blind, randomized, placebo-controlled clinical trial, critically ill cases with COVID-19 (n = 52) received a D-reglis® tablet (760 mg) or a placebo tablet for 5 days. The ICU stay length was the primary outcome. The secondary outcome included the changes in oxygen saturation, duration of mechanical ventilation, mortality rate, and Sequential Organ Failure Assessment (SOFA) Score during the study period.

Findings:
The ICU stay was significantly lower in the licorice group than in the placebo group (P = 0.015). No significant difference was detected between the groups regarding oxygen saturation, SOFA score, duration of mechanical ventilation, and mortality rate.

Conclusion:
The licorice tablet (D-reglis®) as an adjuvant treatment showed promising results regarding the ICU stay length in critically ill COVID-19 patients. However, further clinical trials with larger sample sizes, further duration of intervention, measurement of inflammatory markers, and further study about the molecular mechanism of the effect of licorice on COVID-19 should be done to obtain more conclusive findings.
Evaluation of the Antimicrobial Resistance Pattern of Nosocomial Infections in Patients Hospitalized in Chamran Heart Educational, Medical, and Research Center of Isfahan
Authors: Dianatkhah Mehrnoush , Davoodi Zeinab Sadat , Soltani Rasool , Shafiee Fatemeh , Hosseini Alireza 
Published: August 2024

ABSTRACT

Objective:
According to the importance of evaluating the antimicrobial resistance pattern in the management of nosocomial infections (NIs), we decided to investigate the prevalence of antimicrobial resistance in Chamran Heart Hospital.

Methods:
This retrospective cross-sectional observational study was performed for 6 months from February to July 2022 at Shahid Chamran Hospital of Isfahan, Iran. All hospitalized patients with any NIs were eligible for the study. Clinical specimens were obtained from patients with NIs. All specimens underwent microbial culture, and if bacterial growth developed, differential tests were performed. Antibiotic susceptibility testing also was performed per the standards of Clinical and Laboratory Standards Institute, 2022.

Findings:
Out of 201 examined samples, urinary infection (34.83%), pneumonia (27.86%), and sepsis (13.43%) were reported to be the most prevalent infections. Among Gram-negatives (76.12%), Citrobacter spp. (26.37%), Escherichia coli (24.87%), and Klebsiella spp. (11.44%) were the most common pathogens. About 54.9% of Citrobacter spp., 33.3% of E. coli, and 45.45% of Klebsiella spp. were resistant to carbapenems. About 1.88% and 15% of Citrobacter spp. were identified as pan-drug-resistant bacteria and extensively drug-resistant (XDR), respectively. In addition, 4.34% of Klebsiella spp. were identified as XDR. Among Gram-positives (23.88%), Enterococcus spp. (8.95%) was identified as the most common pathogen, and the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) was 11.11% and 61.11%, respectively.

Conclusion:
In our study, carbapenem-resistant Enterobacteriaceae accounts for about 50% of all NIs. Moreover, despite the low prevalence of MRSA, VRE was reported to be high in our center when compared with other studies.