bluuebunny/crossref_metadata_2025_split huggingface dataset:
La médiation du local
Authors: Nouguez Étienne , Moyal Anne 
Published: July 2024

Alors que l’analyse de la gestion de la pandémie de Covid-19 en France s’est essentiellement concentrée sur le niveau national, cet article entend examiner le rôle médiateur des acteurs locaux. Que l’on pense aux Agences régionales de santé et aux préfectures, aux organisations de soins primaires, aux établissements médico-sociaux ou encore aux collectivités territoriales et aux associations de santé publique, ces différents acteurs ont activement contribué à la gestion de la pandémie. Ils ont pu « remédier » aux manques ou aux absences de l’État lors des premiers moments de la pandémie, puis en « médier » les décisions prises au plan national pour les adapter aux spécificités des populations et des territoires. Cet article propose ainsi de tirer les leçons nationales de ces expériences locales, en repensant les modalités d’articulation entre politiques nationales et politiques locales de santé publique.
Les mots du 13-Novembre
Authors: Lacoste Charlotte , Pincemin Bénédicte , Heiden Serge , Peschanski Denis , Klein-Peschanski Carine , Eustache Francis 
Published: July 2024

Résumé : La présente étude, menée dans le cadre du « Programme 13-Novembre » consacré à la mémoire des attentats de novembre 2015 en France, porte sur un corpus de près de 1 000 témoignages recueillis en 2016 auprès de personnes diversement impactées par ces événements (rescapés, intervenants professionnels, proches de victimes, habitants des quartiers touchés, habitants d’autres villes de France, etc.). Pour mettre au jour les marqueurs linguistiques les plus spécifiques de certains sous-corpus, ces témoignages ont été analysés à l’aide d’un logiciel d’analyse de données textuelles. L’objectif est d’en apprendre davantage sur la manière dont s’élabore la mémoire collective, en faisant la part des facteurs sociaux susceptibles de déterminer la fabrication des souvenirs individuels.
O USO E OCUPAÇÃO DA TERRA, 1984 – 2022, COMO INDICADOR DA DEGRADAÇÃO AMBIENTAL NA BACIA DO RIBEIRÃO PARACATU/PR
Authors: Giacomini Fábio de Oliveira , Souza Marta Luzia de 
Published: July 2024

A intervenção antropogênica relacionada com o uso e ocupação da terra, 1984, 1997, 2010 e 2022, foi abordada como um indicador da análise da degradação ambiental na bacia do ribeirão Paracatu, localizada no Norte Central do Paraná, o qual abrange partes dos municípios de Nova Esperança, Atalaia e Presidente Castelo Branco. A análise foi subsidiada por levantamentos bibliográficos e em campo, através da historicização socioeconômica e caracterização físico-natural correlacionada ao emprego de técnicas de geoprocessamento que proporcionaram a elaboração de cartas de uso e ocupação da terra, além da declividade que foi associada às formas do relevo. Constatou-se que nas análises comparativas das cartas de uso e ocupação de 1984, 1997, 2010 e 2022, os usos da terra geraram pressão quanto ao desenvolvimento à degradação ambiental, destacando o desenvolvimento de processos erosivos e assoreamento de cursos d’águas, associados à supressão da vegetação ciliar nas margens do córrego Paracatu e do ribeirão Caxangá. Os resultados obtidos ressaltam a necessidade de ações conjuntas das prefeituras municipais, poder público e privado, órgãos ambientais estaduais que englobam a referida bacia hidrográfica, para que a produção do espaço seja planejada considerando os interesses socioambientais.

Palavras-chave: Impactos Ambientais. Geoindicadores. Bacia Hidrográfica.
CARACTERIZAÇÃO PETROGRÁFICA E ESTRUTURAL DOS DERRAMES VULCÂNICOS DA VOLTA GRANDE DO ALTO RIO URUGUAI, SUL DO BRASIL
Authors: Biffi Vitor Hugo Rosa , Santos Marcos César Pereira , Gasparetto Nelson Vicente Lovatto 
Published: July 2024

A Volta Grande do alto rio Uruguai corresponde a uma importante área para a compreensão das ocupações humanas pré-coloniais no contexto do sul do Brasil. Nessa área, são escavados sítios arqueológicos no âmbito do projeto POPARU onde foi identificada e descrita a cultura material (materiais líticos e cerâmicos) presente nas ocupações dos últimos 12.000 anos AP. Na indústria lítica, as matérias-primas ainda são uma questão em aberto e, inicialmente, hipóteses foram levantadas que se trata de matérias primas obtidas em contexto local. Neste trabalho, foram investigados e caracterizados os derrames vulcânicos da área, visando reconhecer a litologia local e eventuais fontes de matéria-prima. Foram identificadas as seguintes litofácies: fácies com estruturas de segregação (Bv), fácies vulcânicas afaníticas com vesículas esparsas (Bam, Bvc), fácies vulcânicas afaníticas a hipocristalino colunares (Bac), fácies Autobrechas Basálticas (Br) e Depósitos Vulcanoclásticos Máficos (DVM), se destacam os DVM por constituírem uma ampla variabilidade de feições de interação vulcano-sedimentares que podem ter sido utilizadas como fonte de matéria prima, embora sejam relativamente distintas daquelas encontradas nas coleções líticas dos sítios arqueológicos da VGUR.

Palavras-chave: Arqueologia. Matéria Prima. Serra Geral.
A CATEDRAL DIOCESANA CRISTO REI: AS MARCAS DA TERRITORIALIZAÇÃO CATÓLICA, EM CORNÉLIO PROCÓPIO (PR)
Authors: Silva Evandro Del Negro da , Lima César Augusto de 
Published: July 2024

A Paróquia Cristo Rei, instalada inicialmente no local considerado marco zero do espaço urbano de Cornélio Procópio - a Praça Brasil - no final da década de 1930 caracterizava-se como uma construção simples. Nos anos quarenta, quando sua localização mudou para outro ponto da área central da cidade, essa recebeu uma edificação arquitetônica mais imponente. A partir daí sua influência na organização e dinâmica tornou-se cada vez mais notória, sobretudo em 1973 ao se transformar em Catedral Diocesana Cristo Rei. O artigo tem como objetivo evidenciar a articulação existente entre seu poder eclesiástico e o desenvolvimento da malha urbana, identificando as marcas e símbolos do fenômeno religioso produzidos no território. Metodologicamente o trabalho possui um levantamento bibliográfico pautado na temática de análise, trabalho de campo realizado em agosto de 2017, duas entrevistas, a primeira concedida pelo atual pároco Orisvaldo José Caladro, no dia 24 de agosto de 2017, e a segunda realizada com um sacerdote da Diocese de Cornélio Procópio, em 26 de abril de 2022, com alguns apontamentos sobre as questões atuais da área de estudo. Nesse sentido, tece-se no presente estudo uma das diversas possibilidades analíticas do fenômeno religioso em sua articulação com organização territorial, qual seja uma abordagem sob o viés da geografia para a compreensão da territorialidade religiosa desse templo eclesiástico.

Palavras-chave: Transformação Socioespacial. Território. Sagrado.
O TEMA GERADOR DA SEGREGAÇÃO SOCIOESPACIAL NA GEOGRAFIA ESCOLAR - UMA VIVÊNCIA EM ALCÂNTARAS/CE
Authors: Lopes Francisco Clébio Rodrigues , Ximenes Francisco Flúvio Nascimento 
Published: July 2024

O presente artigo apresenta a pesquisa realizada na cidade de Alcântaras/CE, com o objetivo de analisar a relevância de conteúdos oriundos da realidade na formação de uma consciência crítica por parte dos estudantes da E.E.F. Inocência Alcântara Freire. Para atingir esse fim, utilizou-se a metodologia dos temas geradores visto que permite criar problemáticas a partir do universo dos discentes. A temática escolhida foi a da segregação socioespacial porque ela se faz presente na sede urbana do município, apesar do seu tamanho demográfico. A investigação percorreu o seguinte caminho: visita ao Morro Santa Cruz para registros fotográficos dos ambientes e observação das dificuldades dos habitantes; depois, conversas com a diretora da instituição escolar selecionada, observação das aulas e sondagem como os educandos sobre as suas condições de moradia. Nesse sentido, conclui-se que os temas podem ser indutores de questionamentos, debates e da construção da cidadania.

Palavras-chave: Urbanização. Ensino de geografia. Pequenas Cidades.
A MODERNIZAÇÃO DA AGRICULTURA NA MESORREGIÃO NORTE CENTRAL DO PARANÁ E OS PERCALÇOS NO ACESSO E USO DA TERRA
Authors: Oliveira Maiara Rodrigues da Silva 
Published: July 2024

Existe uma contradição no contexto da formação do espaço agrário da região Norte do estado do Paraná, por isso, objetiva-se compreender como os projetos, ações e políticas públicas que deveriam amenizar os problemas fundiários, acabaram por aprofundar ainda mais a crise. Esta pesquisa exploratória, pautada em revisão de literatura, discute o contexto da modernização do setor agrícola da Mesorregião Norte Central do Paraná, com ênfase no processo de divisão, uso e posse das terras. O que justifica sua relevância para a Geografia, de modo que há uma espacialização voltada para a produção no sistema capitalista. Entende-se que existiu a possiblidade de organizar a estrutura fundiária brasileira, redistribuindo as terras entre um maior número de potenciais produtores. Mas optou-se pela via da potencialização produtiva centrada nos ideais capitalistas, através de propriedades já estabelecidas, acirrando ainda mais as contradições e conflitos no campo brasileiro, com reflexos no Norte do Paraná.

Palavras-chave: Modernização da agricultura. Estrutura fundiária. Norte do Paraná. Espacialização.
Nurses’ Understanding and Practice of Minimal Stimulation in the Pediatric Intensive Care Unit
Authors: Burcie Shelley , Morris Angelica , Young Virginia , Sajwani-Merchant Zara , Patton Lindsey 
Published: July 2024

Background
Pediatric patients receiving neurologic and neurosurgical critical care undergo many procedures that result in stimulation of the sympathetic nervous system, which increases their risk of poor outcomes. Nurses typically implement a variety of interventions to minimize such stimulation; however, minimal stimulation has not been specifically defined in the literature or described as a standardized bundle of care.

Objective
To examine pediatric intensive care unit nurses’ interpretation and practice of minimal stimulation in patients with neurologic and neurosurgical conditions and specifically to triangulate nurses’ descriptions of this practice with related findings in the literature.

Methods
This was a qualitative, descriptive, exploratory study that used naturalistic inquiry.

Results
A total of 13 pediatric intensive care unit nurses participated in the study. Three primary themes were identified regarding minimal stimulation: (1) new knowledge and practice, (2) communication, and (3) impact of minimal stimulation.

Conclusions
The findings of this study help to establish a working definition of the nursing practice of minimal stimulation and provide a basis for future research. More detailed study is needed on the concept of a standardized minimal stimulation bundle and its impact on patient outcomes.
Clinical Factors Associated With Mode of Death Following Cardiac Arrest
Authors: Senay Blake , Ibekwe Elochukwu , Gokun Yevgeniya , Elmer Jonathan , Hinduja Archana 
Published: July 2024

Background
Death after resuscitation from cardiac arrest is common. Although associated factors have been identified, knowledge about their relationship with specific modes of death is limited.

Objective
To identify clinical factors associated with specific modes of death following cardiac arrest.

Methods
This study involved a retrospective medical record review of patients admitted to a single health care center from January 2015 to March 2020 after resuscitation from cardiac arrest who died during their index hospitalization. Mode of death was categorized as either brain death, withdrawal of life-sustaining therapies due to neurologic causes, death due to medical causes, or withdrawal of life-sustaining therapies due to patient preference. Clinical characteristics across modes of death were compared.

Results
The analysis included 731 patients. Death due to medical causes was the most common mode of death. Compared with the other groups of patients, those with brain death were younger, had fewer comorbidities, were more likely to have experienced unwitnessed and longer cardiac arrest, and had more severe acidosis and hyperglycemia on presentation. Patients who died owing to medical causes or withdrawal of life-sustaining therapies due to patient preference were older and had more comorbidities, fewer unfavorable cardiac arrest characteristics, and fewer days between cardiac arrest and death.

Conclusions
Significant associations were found between several clinical characteristics and specific mode of death following cardiac arrest. Decision-making regarding withdrawal of care after resuscitation from cardiac arrest should be based on a multimodal approach that takes account of a variety of personal and clinical factors.
Polyserositis as an Initial Manifestation of Chronic Lymphocytic Lymphoma
Authors: Aggarwal Sunita , Tomar Anshul , Singh Ranvijay , Kumar Pradeep , Nandi Sudipta , Singh Meeta , Garg Kamal , Kharche Dhananjay Muralidhar 
Published: July 2024

Abstract
Chronic lymphocytic lymphoma (CLL) is a lymphoproliferative malignancy characterized by the generation and accumulation of CD5+ monoclonal B-cell lymphocytes, which are physically mature lymphocytes with aberrant immunological activity. The common presenting features are lymphadenopathy and leukocytosis. Because of its asymptomatic and indolent appearance, CLL requires a high index of suspicion to be diagnosed. Our patient presented with unusual symptoms of malignant polyserositis without substantial lymphadenopathy or hepatosplenomegaly. Ascitic fluid cytology and flow cytometry were done to confirm the diagnosis. The patient was staged modified Rai 0 and Binet A and categorized as low-risk status. Treatment is usually advised at Rai stage II and Binet stage B and higher. Although there is no mention of ascites or pleural effusion in the staging disease or deciding therapy, malignant polyserositis carries a poor prognosis and the decision to treat should be individualized. Our patient was offered chemotherapy but the patient denied it. He was on regular follow-ups receiving palliative therapy.
Comparative evaluation of bond strength and color stability of polyetheretherketone and zirconia layered with indirect composite before and after thermocycling: An in vitro study
Authors: Singh Pooja , Maiti Subhabrata , Shenoy Amrutha 
Published: July 2024

Aim:
This study investigates the interaction of zirconia and polyetheretherketone (PEEK) with indirect composite in fixed dental prostheses. This investigation aimed to assess the shear bond strength (SBS) and color stability of zirconia and PEEK before and after aging, addressing critical concerns in dental restorative applications.

Settings and Design:
The current in vitro study used 96 samples, 48 of which were divided into two groups, zirconia and PEEK, before and after thermocycling. A dual-axis chewing simulator was used for thermocycling. SBS was measured using a universal testing machine, and color stability was checked using a reflective spectrophotometer.

Materials and Methods:
Ninety-six samples were categorized into zirconia and PEEK groups, each with subgroups undergoing thermocycling. Samples were prepared using computer-aided design/computer-aided manufacturing milling and veneered with composite resin. Thermocycling involved 10,000 cycles, simulating stress levels equivalent to approximately 1 year of clinical use. SBS was assessed using standardized tests. Stereomicroscopic analysis was performed to evaluate the type of failure. Color stability of the core materials with indirect composite was done using a spectrophotometer before and after aging.

Statistical Analysis Used:
Statistical analysis included paired t-tests and independent t-tests in SPSS software.

Results:
The results revealed that SBS values for composite on PEEK decreased from 13.86 ± 0.164 MPa before thermocycling to 13.46 ± 0.185 MPa after thermocycling, with a significant difference (P < 0.005). However, both pre- and postthermocycling values for PEEK were higher than zirconia. The t-test confirmed the lower bond strength of composite to zirconia, with a noteworthy improvement after aging. Stereomicroscopic images revealed adhesive failure for the zirconia group and mixed (adhesive and cohesive) failure for the PEEK group. ΔE values were 3.21 ± 0.127 and 2.93 ± 0.142 for zirconia and PEEK groups, respectively (P < 0.005).

Conclusion:
Within the limitations of this study, it can be deduced that PEEK is a feasible substitute for zirconia when used in conjunction with indirect composite for the fabrication of dental prostheses.
Evaluation of Different Materials used in Prosthetic of Dental Implants: A Comparitive Study
Authors: Rahman Md Miftah ur , Gundala Rupasree , Gupta Kavita , Rami Diptesh S. , Bhanawat Nilesh , Dewan Harisha , Patel Vilas , Kommuri Sirisha 
Published: July 2024

ABSTRACT

Background:
Implant-supported prostheses have become a cornerstone of restorative dentistry, offering patients an effective solution for missing teeth. However, the choice of material for these prostheses can significantly impact their maintenance requirements and long-term success.

Methods:
Patient records of individuals who received implant-supported prostheses over a 2-year period were reviewed. Data on maintenance interventions, including adjustments, repairs, and replacements were collected and analyzed for metal alloys, ceramics, and composites.

Results:
Metal alloys exhibited slightly higher average numbers of adjustments compared to ceramics and composites. Ceramics required a higher mean number of repairs and replacements compared to other materials. Statistical analysis revealed significant differences in adjustment frequency between metal alloys and ceramics (P = 0.047), but no significant differences were observed for repairs or replacements.

Conclusion:
The outcomes imply that material choice plays a significant role in the maintenance requirements of implant dental prostheses. While metal alloys may require more frequent adjustments, ceramics and composites may necessitate more repairs and replacements over time. Clinicians should consider these factors when selecting materials for implant prostheses and develop tailored maintenance protocols to optimize treatment outcomes.
Evaluation of Prevention of Initial Enamel Lesions around Orthodontic Brackets by Using Different Remineralizing Agents: An Original Research
Authors: Pavethynath Velusamy , Rathore Bhupendra Singh , Krishna N Mothi , Pragnya B , Menon Ipseeta , Datla Praveen K. Varma , Pujari Priyanka R 
Published: July 2024

ABSTRACT

Objective:
The purpose of this study was to compare the efficacy of various remineralizing agents in stopping the early enamel lesions surrounding orthodontic brackets from progressing.

Techniques:
Four groups were randomly allocated to a total of 100 participants: the control group (no treatment), calcium phosphate, casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), and fluoride varnish. Remineralizing chemicals were administered in accordance with manufacturer recommendations, and enamel lesions were created around orthodontic brackets. At baseline and follow-up visits, enamel lesion development was evaluated by visual inspection, quantitative light-induced fluorescence, and microhardness tests.

Results:
All treatment groups showed significant improvements in microhardness and decreases in lesion size compared to the control group (P < 0.05). Of all the treatment groups, CPP-ACP showed the most notable improvement in microhardness. Regarding the reduction of lesion size, there were no notable variations between the therapy groups (P > 0.05).

Conclusion:
Initial enamel lesions surrounding orthodontic brackets can be effectively prevented from progressing with the use of fluoride varnish, calcium phosphate, and CPP-ACP. Promising improvements in microhardness indicate that CPP-ACP may be a better treatment choice. Larger sample sizes and longer follow-up times are needed for future studies to validate these results and clarify the best strategy for maintaining the health of enamel throughout orthodontic treatment.
Evaluation of Long-Term Stability in Single-Piece Implant Systems: An Original Research
Authors: Kohli Arshdeep S. , Salkar Manjiri , Basavarajaiah Jeevan Matada , Ugale Vishakha , Chansoria Harsh , Rai Sajni , Mustafa Mohammed 
Published: July 2024

ABSTRACT

Background:
Because of its integrated design and possible benefits over conventional two-piece systems, single-piece implant systems have grown in favor in the field of dental implantology. There is, however, still a dearth of information about their long-term stability and clinical results. The purpose of this study was to assess the clinical results, such as implant survival rates, peri-implant tissue health, and marginal bone levels, to determine the long-term stability of single-piece implant systems.

Methods:
About 127 individuals who got single-piece implants at the tertiary care center were the subject of a retrospective analysis. Standardized procedures were followed for implant implantation, and patients were monitored for at least five years afterward. Through radiographic analysis and clinical tests, clinical indicators such as marginal bone levels, peri-implant tissue health, and implant survival rates were evaluated.

Results:
With low marginal bone loss and good peri-implant tissue health, the research showed a high implant survival rate of 96.5%. A statistical study revealed significant relationships between marginal bone loss (P < 0.01), peri-implant tissue health (P < 0.05), and implant survival.

Conclusion:
In this study, single-piece implant devices showed good long-term durability and clinical results. These results confirm its effectiveness as a dependable dental rehabilitation alternative, highlighting the significance of preserving the health of the peri-implant tissue and reducing marginal bone loss to guarantee implant success.
Efficiency of Oral Steroids and Steroidal Nasal Spray in Treatment of Chronic Rhinosinusitis: A Comparative Study
Authors: Ahmed Asma , Ajmeera Rajunaik , Bagrecha Mahavir Satishchand , Shetty Ganaraj , Mallika D. , Sharma Priyanka , Tiwari Raj Kumar 
Published: July 2024

ABSTRACT

Objective:
To assess how well steroidal nasal sprays and oral steroids work for treating CRS.

Methods:
Two hundred patients with CRS were included in a randomized controlled experiment. The patients were split into two groups: Group B received steroidal nasal sprays (fluticasone propionate 110 mcg/day in each nostril for 12 weeks) and Group A received oral steroids (prednisolone 30 mg/day for 14 days, followed by tapering over 7 days). The “Sino-Nasal Outcome Test (SNOT-22)” was used to quantify improvement in symptoms, the “Rhinosinusitis Disability Index (RSDI)” was used to measure quality of life, and the recurrence rate was measured at the 6-month follow-up.

Results:
At 12 weeks, SNOT-22 and RSDI scores significantly improved with both oral steroids and steroidal nasal sprays (P < 0.05). At the 6-month follow-up, however, oral steroids had a greater recurrence rate (25% vs. 12%, P = 0.02) when compared to steroidal nasal sprays. The two groups’ adverse effects were similar and of low severity.

Conclusion:
In conclusion, nasal sprays containing steroids seem to be a safer and more successful option than oral steroids for treating CRS, making them worthy of being used as the first line of treatment.