bluuebunny/crossref_metadata_2025_split huggingface dataset:
Le premier congrès international eugénique (Londres, 1912) : une communauté épistémique transnationale ?
Authors: Bruneau Marius 
Published: July 2024

Cet article étudie les enjeux du premier congrès international eugénique, qui s’est tenu à Londres en juillet 1912. Après avoir rappelé les origines de l’eugénisme, il interroge la manière dont il est possible de qualifier ce rassemblement, en testant les concepts de « communauté épistémique » et de « champ transnational » à partir d’une triple perspective : d’abord une histoire des idées exprimées au congrès et de son organisation à différentes échelles ; une analyse sociale des congressistes ; une réflexion sur les effets du congrès eugénique à court, moyen et long termes. La thèse défendue est que le concept de « communauté épistémique », suggéré par divers historiens, s’applique mal au congrès de Londres, intellectuellement et socialement fragmenté, tandis que la piste du « champ transnational » paraît plus fructueuse.
Désindustrialisation, désenchantement et vote d’extrême droite
Authors: Carrez Maurice 
Published: July 2024

Cet ouvrage a pour ambition de montrer, de manière nuancée et précise, les effets de la désindustrialisation sur un territoire de l’est de la France. Celle-ci peut changer les comportements électoraux d’une population dont les habitus ont été bouleversés par la fermeture des entreprises et la dislocation de la communauté qu’elles avaient contribué à forger. Une autre évolution participe à ces évolutions : le vieillissement de la population et le départ des jeunes, qui s’accélère après les années 2000. L’ancien monde commence aussi à se disloquer sous l’effet de facteurs comme l’entrée dans la société de consommation et l’étiolement des pratiques religieuses.
Une émouvante soirée d’hommage à Missak Manouchian avant sa panthéonisation
Authors: Maurel Chloé 
Published: July 2024

Le 5 février 2024, au siège du PCF, s’est tenue une importante soirée d’hommage au leader de la MOI, Missak Manouchian, à l’occasion du vernissage de l’exposition commémorative qui lui est consacrée et en vue de sa panthéonisation du 21 février 2024. Devant un public très nombreux et passionné, des personnalités ont prononcé des discours marquants et engagés, un film inédit a été projeté et l’exposition, présentée à l’intérieur de l’Espace Niemeyer et sur les grilles à l’extérieur, a été dévoilée. Tous ces éléments ont permis au public de mieux connaître l’histoire des résistants de la MOI et aux spécialistes d’en apprendre davantage grâce à l’exploitation récente de nouvelles archives.
Rescue one-stage hybrid perventricular and percutaneous device closure of multiple muscular ventricular septal defects using the new multifunctional occluder
Authors: Padovani Paul , Ly Mohamedou , Baruteau Alban-Elouen 
Published: July 2024

ABSTRACT
Data on the safety and efficiency of perventricular device closure of complex ventricular septal defects (VSDs) are scarce. We report successful one-stage combined hybrid perventricular and percutaneous closure of the muscular VSDs in a critically ill 4-kg infant, using the new multifunctional occluder.
Regenerating the ailing heart: Stem cell therapies for hypoplastic left heart syndrome
Authors: Choubey Udit , Srinivas Varsha , Trivedi Yash Vardhan , Garg Nikita , Gupta Vasu , Jain Rohit 
Published: July 2024

ABSTRACT
Hypoplastic left heart syndrome (HLHS) is a complex congenital heart defect (CHD) characterized by a spectrum of underdeveloped left-sided cardiac structures. It is a serious defect and warrants either 3-staged surgical palliation or a heart transplant. Despite numerous surgical advancements, long-term outcomes remain challenging and still have significant morbidity and mortality. There have been notable advancements in stem cell therapy for HLHS, including developments in diverse stem cell origins and methods of administration. Clinical trials have shown safety and potential benefits, including improved ventricular function, reduced heart failure, and fewer adverse events. Younger myocardium seems particularly receptive to stem cell signals, suggesting the importance of early intervention. This review explores the potential of emerging stem cell-based therapies as an adjunctive approach to improve the outcomes for HLHS patients.
Analgesic efficacy of ultrasound-guided retrolaminar block in truncal surgeries: A narrative review
Authors: Kumari Poonam , Kumar Amarjeet , Sinha Chandni , Kumar Ajeet , Singh Kunal 
Published: July 2024

Abstract
Postoperative pain management in patients undergoing thoracoabdominal surgery always remains challenging for the anesthesiologist. As a method of pain management, multimodal analgesia is commonly used. In recent years, interfascial plane blocks like erector spine plane block (ESPB), retrolaminar block (RLB), transverse thoracic plane block, and pectointercostal plane block have been increasingly utilized as important components of acute postoperative pain management in truncal surgeries. Here, we reviewed the analgesic efficacy of ultrasound (US)-guided retrolaminar block in patients undergoing truncal surgeries. The primary objective of this review was total opioid consumption within 24 hours of the postoperative period. The secondary objectives were postoperative pain score, time to first analgesic requirement, and adverse effects. All articles relevant to the retrolaminar block were searched in six major databases (PubMed, Embase, Medline, Ovid, PMC, and Google Scholar). A total of 706 records were identified, out of which only 11 kinds of literature were included in this review article, based on our inclusion criteria. The published literature suggests that retrolaminar (RLB) provides more effective analgesia in comparison to the erector spinae block (ESP), is associated with reduced opioid consumption and numeric rating scale (NRS) score, and is not inferior to paravertebral (PVB). There is an evidence that a retrolaminar block can effectively relieve pain during truncal surgery. RLB had a lower rate of complications, was simpler to perform, and required shorter hospital stays.
Role of ultrasound-guided sacral erector spinae plane block for post-operative analgesia in pilonidal sinus surgery: A randomised trial
Authors: Elghamry Mona R. , Messbah Wail E. , Abduallah Mohammad A. , Elrahwan Shimaa M. 
Published: July 2024

Abstract

Background and Aims:
Pilonidal sinus surgery (PSS) can be done with local anaesthetic infiltration, spinal anaesthesia, or general anaesthesia (GA). Erector spinae plane block (ESPB) is used for peri-operative analgesia. Erector spinae muscles extend to the sacral region, so it can provide post-operative analgesia in PSS. We evaluate the post-operative analgesic efficacy of ultrasound-guided sacral ESPB, a novel technique, in patients undergoing PSS under GA.

Material and Methods:
Seventy patients aged 20–60 years, ASA class I and II, and scheduled for PSS under GA were included. Patients were randomly assigned to group I (control group), who received GA only, and in group II (SESPB group), sacral ESPB was performed after induction of GA. The primary outcome was post-operative pain evaluated by visual analogue score (VAS) at arrival to the post-anaesthesia care unit (PACU), 1, 2, 4, 8, 12, and 24 hours post-operative. The secondary outcomes were time to first analgesic request post-operative, intra-operative fentanyl consumption, and complications.

Results:
There were significantly higher VAS scores in group I compared to group II at arrival to PACU, 1, 2, 8, and 24 hours post-operative (P = 0.017, <0.001, <0.001, <0.001, and 0.031, respectively), and no considerable changes between groups at 4 and 12 hours (P = 0.664 and 0.923, respectively). A significant decrease in intra-operative fentanyl consumption with prolonged duration to time of first analgesic request post-operative in group II compared to group I was observed (P < 0.001). No reported complications were observed.

Conclusion:
Sacral ESPB could provide an effective post-operative analgesia for PSS with no reported complications.
Weight regain after intragastric balloon for pre-surgical weight loss
Authors: Abbitt Danielle , Choy Kevin , Kovar Alexandra , Jones Teresa S , Wikiel Krzysztof J , Jones Edward L 
Published: July 2024

BACKGROUND
Over one-third of Americans carry the diagnosis of obesity, many also with obesity-related comorbidities. This can place patients at increased risk of operative and postoperative complications. The intragastric balloon has been shown to aid in minor weight loss, however its weight recidivism in patients requiring short interval weight loss has not been well studied.
AIM
To evaluate weight loss, ability to undergo successful elective surgery after intragastric balloon placement, and weight management after balloon removal.
METHODS
This study is a retrospective review of patients in a single academic institution undergoing intragastric balloon placement from 2019-2023 to aid in weight loss prior to undergoing elective surgery. Clinical outcomes including weight loss, duration of balloon placement, successful elective surgery, weight regain post-balloon and post-procedure complications were assessed. Exclusion criteria included those with balloon in place at time of study.
RESULTS
Thirty-three patients completed intragastric balloon therapy from 2019-2023 as a bridge to elective surgery. All patients were required to participate in a 12-month weight management program to be eligible for balloon therapy. Elective surgeries included incisional hernia repair, umbilical hernia repair, inguinal hernia repair, and knee and hip replacements. The average age at placement was 53 years ± 11 years, majority (91%) were male. The average duration of intragastric balloon therapy was 186 days ± 41 days. The average weight loss was 14.0 kg ± 7.4 kg and with an average percent excess body weight loss of 30.0% (7.9%-73.6%). Over half of the patients (52.0%) achieved the goal of 30-50 lbs (14-22 kg) weight loss. Twenty-one patients (64%) underwent their intended elective surgery, 2 patients (6%) deferred surgery due to symptom relief with weight loss alone. Twenty-one of the patients (64%) have documented weights in 3 months after balloon removal, in these patients the majority (76%) gained weight after balloon removed. In patients with weight regain at 3 months, they averaged 5.8 kg after balloon removal in the first 3 months, this averaged 58.4% weight regain of the initial weight lost.
CONCLUSION
Intragastric balloon placement is an option for short-term weight management, as a bridge to elective surgery in patients with body mass index (BMI) > 35. Patients lost an average of 14 kg with the balloon, allowing two-thirds of patients to undergo elective surgery at a healthy BMI. However, most patients regained an average of 58% of the original weight lost after balloon removal. The intragastric balloon successfully serves as a tool for rapid weight loss, though patients must be educated on the risks including weight regain.
The combined detection of carcinoembryonic antigen, carcinogenic antigen 125, and carcinogenic antigen 19-9 in colorectal cancer patients
Authors: Gong Ling-Zhen , Wang Qian-Wen , Zhu Jie-Wen 
Published: July 2024

BACKGROUND
Hepatic metastases are common and difficult to treat after colorectal cancer (CRC) surgery. The predictive value of carcinoembryonic antigen (CEA), cancer antigen (CA) 125 and CA19-9 combined tests for liver metastasis is unclear.
AIM
To evaluate predictive value of combined tests for CEA, CA125, and CA19-9 levels in patients with liver metastases of CRC.
METHODS
The retrospective study included patients with CRC alone (50 cases) and patients with CRC combined with liver metastases (50 cases) who were hospitalized between January 2021 and January 2023. Serum CEA, CA125 and CA19-9 levels were compared between the two groups, and binary logistic regression was used to analyze the predictive value of the combination of these tumor markers in liver metastasis. In addition, we performed receiver operating characteristic (ROC) curve analysis to assess its diagnostic accuracy.
RESULTS
The results showed that the serum CEA, CA125 and CA19-9 levels in the CRC with liver metastasis group were significantly higher than those in the CRC alone group. Specifically, the average serum CEA level in the CRC with liver metastasis group was 162.03 ± 810.01 ng/mL, while that in the CRC alone group was 5.71 ± 9.76 ng/mL; the average serum CA125 levels were 43.47 ± 83.52 U/mL respectively. and 13.5 ± 19.68 U/mL; the average serum CA19-9 levels were 184.46 ± 473.13 U/mL and 26.55 ± 43.96 U/mL respectively. In addition, binary logistic regression analysis showed that CA125 was significant in predicting CRC liver metastasis (P < 0.05). ROC curve analysis results showed that the areas under the ROC curves of CEA, CA125 and CA19-9 were 0.607, 0.692 and 0.586.
CONCLUSION
These results suggest that combined detection of these tumor markers may help early detection and intervention of CRC liver metastasis, thereby improving patient prognosis.
Percepción de los directivos acerca de la evaluación del aprendizaje del nivel de educación inicial en las instituciones fiscales de la parroquia José Luis Tamayo
Authors: Solórzano Mayra Rojas , Espinoza Margot García 
Published: July 2024

La evaluación del aprendizaje es un proceso dinámico y multifacético que tiene como misión promover el desarrollo óptimo de cada niño, asegurando que reciban el apoyo y la orientación necesarias para alcanzar su máximo potencial desde el inicio de su trayectoria educativa. Este artículo Analizar la percepción de los directivos acerca de la evaluación del aprendizaje del nivel de Educación Inicial en las Instituciones Educativas fiscales ubicadas en la parroquia José Luis Tamayo. Además, este estudio es desarrollado bajo el enfoque cualitativo, diseño no experimental, de alance descriptivo. La población estuvo conformada por las Instituciones Educativas de la Parroquia José Luis Tamayo, el muestreo fue no probabilístico por conveniencia con un total de 8 directivos. Se elaboró un cuestionario de 10 preguntas basadas en las subcategorías: Aspectos de la evaluación, Elementos de la evaluación, Momentos del proceso de evaluación y el Instructivo para la evaluación, y fue aplicada mediante la técnica de entrevista a los directivos. Los resultados obtenidos, evidencian que, la mayoría de los directivos se enfocan en aspectos cuantitativos, lo que indica, que existe una brecha de conocimiento por parte de los directivos sobre los lineamientos que establece el Currículo de Educación Inicial.
ĐẶC ĐIỂM MÔ BỆNH HỌC CỦA UNG THƯ BIỂU MÔ TUYẾN GIÁP BIỆT HÓA TẠI BỆNH VIỆN NỘI TIẾT TRUNG ƯƠNG NĂM 2023
Authors: Nguyễn Thị Quỳnh Giang , Đỗ Tiến Dũng , Phạm Thái Bình , Nguyễn Văn Chủ 
Published: July 2024

Mục tiêu: Mô tả đặc điểm mô bệnh học của ung thư biểu mô tuyến giáp biệt hóa theo phân loại của WHO 2022 tại Bệnh viện Nội tiết Trung ương. Đối tượng và phương pháp nghiên cứu: nghiên cứu mô tả cắt ngang trên 506 bệnh nhân được phẫu thuật và chẩn đoán ung thư biểu mô tuyến giáp biệt hóa tại Bệnh viện Nội tiết Trung ương từ 01/02/2023 đến 30/11/2023. Kết quả: tỷ lệ nữ/nam là 5,9/1. Độ tuổi trung bình mắc bệnh là 46,0 ± 12,3 tuổi. Phần lớn u chỉ phát hiện trên một thùy tuyến giáp (72,3%) và u đơn ổ là chủ yếu (92,8%). Kích thước u thường gặp là 0,1-0,5 cm với 46,1%. Ung thư biểu mô tuyến giáp biệt hóa bao gồm ung thu nhú, ung thư nhú típ nang có vỏ xâm nhập, ung thư nang, ung thư tế bào ưa axit có tỷ lệ lần lượt là 96,9%, 0,8%, 2,1% và 0,2%. Trong ung thư nhú tuyến giáp, dưới típ thông thường chiếm chủ yếu với 86,7%, đứng thứ 2 là dưới típ nang xâm nhập với 7,6%. Kết luận: Qua nghiên cứu 621 u tuyến giáp trên 506 bệnh nhân chúng tôi thấy rằng phần lớn u có kích thước dưới 1cm (84,1%), thường phát hiện trên 1 thùy tuyến giáp(72,3%) và u đơn ổ là chủ yếu (92,8%).Ung thư nhú tuyến giáp là ung thư tuyến giáp biệt hóa hay gặp nhất với tỷ lệ 96,9%, trong đó chủ yếu là ung thư nhú dưới típ thông thường với 86,7%.
ĐẶC ĐIỂM RỐI LOẠN LIPID MÁU Ở BỆNH NHÂN ĐỘT QUỴ NÃO CAO TUỔI TẠI BỆNH VIỆN HỮU NGHỊ ĐA KHOA NGHỆ AN
Authors: Ngô Đức Kỷ , Lê Đình Sáng 
Published: July 2024

Mục tiêu: khảo sát sự thay đổi các chỉ số lipid máu và tìm hiểu mối liên quan chỉ số lipid máu với một số đặc điểm trên bệnh nhân cao tuổi bị đột quỵ não. Đối tượng và phương pháp nghiên cứu: nghiên cứu mô tả cắt ngang 188 bệnh nhân đột quỵ não cao tuổi điều trị nội trú tại Bệnh viện Hữu nghị Đa khoa Nghệ An từ 09/2022 đến 12/2022. Kết quả: Tỷ lệ bệnh nhân nam 55,3% (104/188) và tỷ lệ rối loạn lipid tăng dần theo nhóm tuổi, nhóm tuổi trên 80 có 80% bệnh nhân có rối loạn lipid máu, tỷ lệ này ở nhóm tuổi 70 - 79 là 76,3%, ở nhóm tuổi 60 - 69 là 54,1%. Có 68,6% bệnh nhân có rối loạn lipid máu ở bệnh nhân đột quỵ não, trong đó ở nhóm nhồi máu não là 68,4%, ở nhóm xuất huyết não là 70%. Tỷ lệ giảm HDL-C (45,7%), tăng LDL-C (44,7%), tiếp theo đó là tăng Cholesterol (38,3%) và thấp nhất là rối loạn tăng Triglycerid với tỉ lệ 18,1%. Có mối tương quan nghịch giữa giữa chỉ số HDL-C với huyết áp tâm thu (r = -0,149; p = 0,041) và tâm trương (r = -0,157; p = 0,032). Có mối tương quan thuận giữa chỉ số LDL-C với trị số huyết áp tâm thu (r = 0,145; p = 0,047) và tâm trương (r = 0,168; p = 0,021). Kết luận: bệnh nhân đột quỵ não có rối loạn lipid máu chiếm đa số, chủ yếu giảm HDL-C, tăng LDL-C. Bệnh nhân tuổi càng cao thì tỉ lệ rối loạn lipid máu càng cao.
Da narrativa paternalista à negociação e conflito: o reassentamento Itaparica nas vozes dos trabalhadores rurais ribeirinhos do submédio São Francisco (1986 - 1988)
Authors: Marcos Manoel do Nascimento Silva  
Published: July 2024

A Usina Hidrelétrica Luiz Gonzaga (UHLG), localizada no município de Petrolândia/PE, foi construída pela Companhia Hidrelétrica do São Francisco (CHESF), entre as décadas de 1970 e 1980, sob o ideal da modernização conservadora para produzir e distribuir energia elétrica, e expandir o polo agroindustrial no Submédio São Francisco. Dando origem ao reassentamento compulsório Itaparica, entre os estados de Pernambuco e Bahia, com implicações que perduram até a atualidade, muitas foram as narrativas construídas a respeito desse empreendimento político-econômico. Dessa forma, por meio de uma análise comparativa entre a narrativa presente no livreto Mudar para Melhor, de autoria da CHESF, e as vozes dos próprios trabalhadores rurais nas reportagens Barragem: a ocupação – 1986, e Barragem II – 1986, objetivou-se demonstrar a existência de um processo de negociação e conflito, omitido na narrativa paternalista oficializada pelo Estado.
Sterilisasi masker N95 dengan uji kualitas masker N95
Authors: Gunawan Heru , ERLITA UPIK ARI 
Published: July 2024

Permasalahan yang diakibatkan peningkatan kasus covid-19 di Indonesia menyebabkan beberapa permasalahan seperti peluapan kebutuhan masker N95 dimasa pandemi covid-19, mahalnya harga masker N95 dimasa pandemi covid-19, kurangnya stok ketersediaan masker N95 di fasilitas kesehatan dan banyak limbah masker N95 dimasa pandemi covid-19. Dari permasalahan diatas dapat diatasi dengan pembuatan alat sterilisasi masker N95 menggunakan komponen lampu UV dan Heater sangat evektif dalam sterilisasi masker N95 karena mampu mempertahankan kualitas masker N95 dan uji kualitas masker N95 mampu membantu dalam mengetahui kelayakan masker N95 melalui pembacaan nilai respirasi masker N95. Alat Sterilisasi masker N95 dilengkapi dengan fitur uji kualitas masker N95 ini digunakan dengan cara memasukkan masker N95 kedalam kotak yang telah disediakan dan disterilisasi selama 60 menit dan untuk uji kualitas masker N95 dengan cara menempelkan masker pada alat pressure dan nilai respirasi masker N95 yang akan dibaca oleh sensor MPX5010dp. Hasil validasi dari ahli materi yang didapat 81% dan ahli media 80% yang berarti alat ini sangat laik untuk digunakan.
Gambaran Keluhan Muskuloskeletal Pada Siswa-Siswi Kelas XI SMAN 11 Banjarmasin
Authors: Hamzah Arfian , Fauziah Enny , Rahmah Aulia , Putri Maulida Wijaya 
Published: July 2024

Kebanyakan siswa-siswi SMA memiliki jadwal yang padat serta banyak ekstrakulikuler yang diikuti dan fase pertumbuhan yang mengalami masa perubahan cenderung lebih merasa cemas dan rentan terhadap rasa stres yang tinggi, sehingga dapat menimbulkan keluhan muskuloskeletal dapat disebabkan oleh penggunaan tenaga secara repetitif dan pergerakan yang cepat. Tujuan penelitian ini yaitu untuk mengetahui prevalensi regio yang paling banyak mengalami keluhan muskuloskeletal pada siswa-siswi SMAN 11 Banjarmasin dengan metode survei deskriptif menggunakan alat ukur kuesioner Nordic Body Map. Hasil penelitian menunjukkan bahwa sebagian besar responden yang paling banyak mengalami keluhan muskuloskeletal berusia 17 tahun dengan persentase 80,3%, berdasarkan distribusi jenis kelamin yang mengalami keluhan muskuloskeletal paling banyak yaitu perempuan dengan persentase 57,6%, berdasarkan distribusi Indeks Massa Tubuh kategori normal paling banyak mengalami keluhan muskuloskeletal dengan persentase 83,3%, dan prevalensi regio yang paling banyak mengalami keluhan muskuloskeletal yaitu pada pinggang dengan nilai rerata 1,90 dan gluteus dengan nilai rerata 1,57.
Kata Kunci: Pelajar, Keluhan Muskuloskeletal, Nordic Body Map
Administração da Saúde Pública do Brasil sob a perspectiva da Teoria da Burocracia: deficiência de médicos especializados e disparidade regionais na acessibilidade
Authors: Stocco Gisele Romagna , Mundim Deivson Fabio Viana Santana , Furtado Elcimar Neves de Araújo 
Published: July 2024

Introdução: A administração pública burocrática veio substituir as formas patrimonialistas de gestão, ganhando importância em função da necessidade de maior previsibilidade e precisão no tratamento das questões organizacionais. Objetivo: Este estudo tem como objetivo destacar a relação entre a disparidade regional no acesso aos serviços de saúde especializados no Brasil e a estrutura burocrática do Sistema Único de Saúde (SUS), examinando a gestão de saúde pública brasileira à luz da teoria da burocracia. Metodologia: Com base em pesquisa empíricas e documentos governamentais, incluindo análises de fontes como Sistema Único de Saúde (SUS), foram abordadas algumas questões relacionadas ao tema, incluindo reflexões sobre a burocracia, administração pública no Brasil, escassez de profissionais de saúde especializados e alocação de recursos, bem como as consequências adversas para a população quando não consegue acessar os serviços públicos de saúde. Resultados: Identificamos evidências que apontam para duas trajetórias distintas: uma para os cidadãos que residem em áreas urbanas e outra para os residentes de áreas rurais e remotas. Essa disparidade regional é atribuída à gestão precária com distribuição concentrada dos recursos de saúde. Conclusão: A carência de médicos especializados é um problema significativo que afeta ambas as trajetórias, tanto para os cidadãos que residem em áreas urbanas quanto para os residentes de áreas rurais e remotas. Essa carência resulta dos processos burocráticos relacionados à formação e à fixação desses profissionais, incluindo a distribuição desigual de vagas de residência médica e a falta de incentivos para a fixação de profissionais em áreas menos desenvolvidas.