bluuebunny/crossref_metadata_2025_split huggingface dataset:
La restauration du théâtre du château de La Roche-Guyon
Authors: Giordano Riccardo 
Published: July 2024

Inauguré en 1768 dans une salle hypogée préexistante du pavillon d’Enville, le théâtre du château de La Roche-Guyon (Val-d’Oise) constitue un très rare exemple de théâtre de société du troisième quart du xviiie siècle ayant conservé ses dispositions générales, bien que des loges d’avant-scène et des balcons aient été ajoutés au début du siècle suivant. Il a exceptionnellement conservé une part significative de la machinerie de scène d’origine et de nombreuses traces d’éléments aujourd’hui manquants. Pour leur interprétation, des parallèles ont été dressés, entre autres analogies, avec le théâtre de la Reine à Versailles.À l’abandon depuis des décennies, cet ensemble théâtral unique par son positionnement chronologique précoce nécessite une opération de sauvegarde et restauration d’envergure, ayant donné lieu depuis les années 1990 à l’établissement d’études successives.Sa conservation étant aujourd’hui fortement menacée, il a nécessité une restauration fondamentale pour laquelle le cabinet d’architecture Arch-R, placé sous la direction de l’auteur et associé à un groupement de maîtrise d’œuvre pluridisciplinaire, établit actuellement le projet.
Machines de théâtre et théâtres-machines des années 1960-1970
Authors: Dubouilh Sandrine 
Published: July 2024

En 1961, lors du colloque de Royaumont, le peintre et scénographe René Allio énonce un principe devenu une règle, celui du « théâtre comme instrument », plaidant pour l’efficacité de l’outil scénique, dans une période de forte remise en question du théâtre à l’italienne. Les tentatives de mise en œuvre de machineries expérimentales répondant aux aspirations de l’époque ont été rares, et peu couronnées de succès. De cette période, seule la maison de la culture d’Amiens conserve une trace physique encore potentiellement exploitable. Assurer l’activité régulière d’un théâtre ne laisse pas de place à la conservation de scènes inadaptées ou dysfonctionnelles. Pour autant, avec ces équipements disparaissent les jalons d’une histoire riche en questionnements et en expériences.
Standardized Patient Encounter to Enhance Care to LGBTQIA+ Patients
Authors: Snyder Melissa Marty , Singleton K. Michelle , Marinaro Laura , Armstrong Kirk J. 
Published: July 2024

Context
Athletic trainers provide care for a variety of patients with diverse backgrounds, including members of the lesbian, gay, bisexual, transgender, queer, intersex, other diverse sexualities, other gender identities, or other gender expressions (LGBTQIA+) community. Learners who gain experience with patients who identify as LBGTQIA+ should be better prepared clinicians.

Objective
The purpose of this paper is to describe a standardized patient (SP) experience for a patient who is gay and concerned about a sexually transmitted infection after a conversation with a previous partner.

Background
Patients who identify as LGBTQIA+ report substandard care and have poor health care experiences. Standardized patients are used in athletic training education as a method to teach and assess skills and can be used to improve the care that learners provide to patients who identify as gay.

Educational Advantage
Education drives clinical practice, and incorporating SP cases in which learners must provide care for a patient who is gay will help the learners provide better inclusive patient-centered care as a clinician.

Conclusions
Faculty may consider using a SP encounter to better prepare learners to provide care for a patient who is gay.
Serum Protein Electrophoresis Patterns in Patients with Osteoarticular Tuberculosis
Authors: Sinha Poonam , Ranjan Ranjay Kumar , Kumar Rakesh , Prasad Priyanka , Roshan Reetesh , Kumar Santosh 
Published: July 2024

Context and Aims:
Tuberculosis (TB) is a leading cause of infectious disease deaths in India. It is also one of the most challenging diseases to diagnose and treat effectively. TB can occur both in the lungs and in extrapulmonary locations through hematogenous spread. Osteoarticular TB is a type of extrapulmonary characterized by atypical presentation. If diagnosed early, it can be treated effectively with reduced risk of mortality.

Subjects and Methods:
At Nalanda medical college and hospital, an 18-month prospective research was undertaken. The study included a total of 120 patients with osteoarticular TB. Serum electrophoresis of blood samples was performed at baseline, 2 months, and 4 months following antitubercular medication administration. The fractions of albumin, α1, α2, β, and γ globulins were estimated and compared with the baseline value.

Results:
It was observed that as the disease progressed and became more chronic, there was a decrease in albumin and an increase in α1, α2, β, and γ globulin percentages of serum proteins. Upon follow-up, the serum electrophoresis revealed that these values observed during baseline could be reversed by the administration of antitubercular drugs.

Conclusions:
This study suggests that analyzing serum protein fractions could be a cost-effective strategy to determine the presence of osteoarticular TB and also aid in initiating antitubercular treatment.
A Comparative Study of Community-acquired Acute Kidney Injury and Hospital-acquired Acute Kidney Injury from a Tertiary Care Hospital in North India
Authors: Patel Munna Lal , Sachan Rekha , Kumar Rahul 
Published: July 2024

Background:
In this observational study, clinical characteristics, etiologies, and outcomes of patients admitted to the hospital with community-acquired acute kidney injury (CAAKI) have been compared in contrast to those who hospital-acquired Acute Kidney Injury (HAAKI).

Methods:
This was a prospective study of adults aged 18 years or above diagnosed with acute kidney injury (AKI) over a period of 17 months at a tertiary care hospital.

Results:
230 patients had AKI with the mean age of the study population being 45.33 ± 12.68 years. 178 (77.4%) patients were enrolled from medical unit, 25 (10.7%) from surgical unit, and 27 (11.7%) from obstetrical unit. The observed incidence of AKI was 15/1000 admissions. About 58.2% had CAAKI and 96 (43.7%) had HAAKI. Out of 230 patients, 170 (73.9%) patients were male and 60 (26.1%) were female. Sepsis was the most common (52.1%) etiology of AKI among the medical cases. Urosepsis, scrub typhus, and pneumonia were the most common causes of AKI. Sixty percent of AKI was Kidney Disease Improving Global Outcomes Stage 1 or 2 and 40% was in Stage 3. Oliguria was seen in 56.5%, hyperkalemia in 34.7%, fluid overload in 6.1%, and metabolic acidosis in 22.6%. The majority of patients had multiple organ involvement (52.1%) at the time of enrollment. About 116 (50.4%) had lung injury requiring mechanical ventilation and 95 (41.3%) were on inotropes. Mortality occurred in 19.5%. Anemia, the use of vasopressor drugs, and the need for intensive care support were independent predictive factors for mortality.

Conclusion:
AKI was common in hospitalized patients and leads to significant inhospital mortality. AKI is largely a CAAKI, and the lesser extent is due to HAAKI. Many causes are potentially preventable. Early fluid resuscitation, effective antibiotics, appropriate antidotes, and timely referral of established AKI patients to centers with dialysis facilities can improve AKI outcomes.
Impact of Migraine on Family Members – A Cross-sectional Study in Southern Part of India
Authors: Pradeep R. , Madhuri Nallapaneni Lakshmi , Nemichandra S. C. , Paneyala Shasthara , Harsha S. , Nair Anjana S. , Prajwala H. V. 
Published: July 2024

Background:
Migraine is a disabling primary headache disorder characterized by recurrent episodes of headache. Migraine not only imposes a burden on the sufferer but also imposes a burden on their family members too. A holistic approach is more essential in the management of migraine and family members should also be included in the management of migraine. There are no published studies done in India so far to look for the impact of migraine on partners and adolescent children (IMPAC). This pilot study was done to assess the IMPAC.

Objective:
The objective of the study was to study the IMPAC.

Materials and Methods:
In this descriptive study, 130 chronic migraine patients were observed in a row during 9 months. The impact of migraine on family members as well as migraine disability and Migraine-specific Quality of Life (MSQoL) was evaluated using validated questionnaires.

Results:
One hundred and thirty chronic migraine patients were studied as part of this study. The mean age of the study population was 34.43 ± 9.002 years, and two-third of the participants were female. The majority of the participants had a moderate-to-severe disability due to migraine and had negatively impacted their MSQoL. The impact of migraine on family members was moderate-to-severe grade in most of the participants and affected their family life negatively both with children and spouses. The males were more significantly affected than females in terms of MSQoL, anxiety, depression, and also on migraine’s impact on family members.

Conclusion:
Migraine not only affects the sufferers, it also significantly affects their family members.
Characteristics of Stroke-related Seizures and their Predictive Factors: A Tertiary Care Center Experience
Authors: Shariff Erum , Nazish Saima , Zafar Azra , Shahid Rizwana , Aljaafari Danah , Soltan Nehad Mahmoud , Farhan Ahmed Mohamed , Alkhamis Fahd A , AlShurem Mohammed , Basheir Osama Faisal Hassan , Alshamrani Foziah , Albakr Aishah Ibrahim , Al Ghamdi Omar , AlSulaiman Abdulla A , Al Abdali Majed 
Published: July 2024

Background and Purpose:
Various risk factors have been described in the literature that increase the risk of seizures associated with stroke. This study was aimed to determine the occurrence rate of poststroke seizures (PSSs) and the associated risk factors in Arab population.

Materials and Methods:
Study included all stroke patients aged >18 years with a minimum follow-up of 24 months following stroke to identify seizure occurrence. Patient’s hospital records for all admissions and clinic visits were reviewed. Seizures were classified into early PSS if they occur within 1 week of stroke, and late PSS if they occur after 1 week of stroke.

Results:
Out of 594 patients, 380 were males. Seizure occurrence was higher in anterior circulation infarctions (94.8%, P < 0.05), cortical location (80.5%, P < 0.05), large artery atherosclerosis (63.8%, P < 0.05), lower activated partial thromboplastin time (APTT) (P = 0.0007), patients with ischemic heart disease (IHD) (P = 0.01), and those who underwent craniotomy (P = 0.001). Nonhigh-density lipoprotein cholesterol was inversely related to PSS (P = 0.01). Higher stroke severity (89%) and confusion (67%) at the time of presentation were independently related to PSS.

Conclusions:
Eighty-two (13.8%) patients had PSS. Greater stroke severity at presentation with altered sensorium was independent risk factors for the development of PSS. Patients with underlying IHD, lower APTT, and undergoing neurosurgical intervention require vigilant monitoring for PSS.
Management of True Gastroduodenal Artery Aneurysm: A Case Report and Literature Review
Authors: Abraham Siju T , Matad Siddharth , Nazareth Vinay Philip , Raj Sumanth , Anand Vivek 
Published: July 2024

Abstract
Gastroduodenal artery (GDA) aneurysms are rare forms of splanchnic artery aneurysms with varied etiopathogenesis. Mostly found incidentally, early identification with advanced imaging tools and timely intervention of these aneurysms are essential due to the associated high risk of rupture, morbidity, and mortality with GDA aneurysms. We report a case of successfully treated GDA aneurysm using endovascular coil embolization.
Coil Embolization of Isolated Gastroduodenal Artery Pseudoaneurysm
Authors: Sritharan Narayanan , Duraichi B Vella , Kumar S Prathap , Ravichandran Sasikumar , Jayachander K , Ilayakumar P , Ramya M 
Published: July 2024

Abstract
Gastroduodenal artery (GDA) aneurysm is very rare, and it comprises around 1.5% of all visceral artery aneurysms. More common in male (male:female = 4:1) patients attributed to increased alcoholism and incidence of pancreatitis. In this case report, we describe a successful coil embolization of GDA pseudoaneurysm.
Awareness about Cochlear Implantation in Parents of Deaf Children at a Tertiary Care Hospital in Pune
Authors: Gupta Mansi Sanjiv , Joshi Samir Vinayak , Havaldar Rajesh Radhakrishna 
Published: July 2024

Introduction:
A cochlear implant (CI) is a small, complex electronic device that can help to provide a sense of hearing to profoundly deaf people.

Objective:
The objective is to evaluate the level of awareness among the parents of deaf children about cochlear implantation, to know their willingness toward implantation, and to correlate their knowledge with their socioeconomic status.

Methodology:
A cross-sectional study was conducted on 45 parents of deaf children who came to tertiary care hospitals for treatment in. They were telephonically interviewed by a structured questionnaire with emphasis on their knowledge about the implantation. They were also enquired about their socioeconomic characteristics. Data were collected and analyzed using the Kuppuswamy scale, Microsoft Excel, and Kruskal–Wallis test.

Results and Discussion:
The mean awareness of parents was only 59.5%. Twenty-two percent of parents belonged to the upper middle, 24% to the lower middle, and 54% to the lower class. The median awareness among the lower class was 5 (1–8) while among upper middle and lower middle-class parents was 8 (7–10) and 8 (6–9), respectively. It can be observed that the maximum population of the sample size belonged to the lower socioeconomic group, but they had the lowest awareness, and this finding was statistically significant with P = 0.01.

Conclusion:
The knowledge and utilization of CI have to be increased in the lower socioeconomic group by conducting similar studies in multiple centers and by conducting awareness campaigns.
Dental Students Perception of Challenges Faced by Them during Administration of First Dental Injection in Patients
Authors: Shettar Vijaylaxmi , Kale Alka , Mali Rajendra 
Published: July 2024

Aim and Objectives:
This study aimed to note the dental students perception of challenges faced by them administering first dental injection in patients when they were undergraduates and the need to introduce simulator training for dental injections for undergraduates.

Materials and Methods:
A total of 120 dental students participated in the study. The study was conducted in national accredited A+ dental college of India, where the participants were presently pursuing postgraduation. The participants had completed their undergraduate programs from different dental colleges of India. The participants were provided with a validated structured questionnaire to note the challenges they faced when administering their first dental injection in patients when they were undergraduates if they had undergone any dental injection simulator training in dental colleges where they had completed their undergraduate program and the need of simulator training for dental injections. The data were collected and statistically analyzed.

Results:
During the administration of the first dental injection on patients, 82.5% of students were anxious. Students (100%) had not undergone any training for dental injections on simulators as undergraduates. Majority (85.8%) of students agreed that there is a need to introduce an inferior alveolar nerve block simulator for dental undergraduates.

Conclusion:
First dental injection in patients is associated with high anxiety levels in dental students. Mastering the skill of local anesthesia administration requires practice and time. Hence, the majority of the students agreed that including simulators for dental injections, especially for technically demanding blocks such as inferior alveolar nerve blocks at the undergraduate level, will make them less anxious and more confident.
Role of Vitamin D Supplementation in Treatment of BPPV Patients
Authors: Dhore Anagha , Hajare Priti 
Published: July 2024

Aim:
The aim of the study is to study the outcomes of Vitamin D supplements along with Betahistine as compared to Betahistine alone in the treatment of benign paroxysmal positional vertigo (BPPV) patients.

Background:
BPPV is the most prevalent neuro-otological circumstance which is characterized by episodes of vertigo.

Methodology:
The research was performed in a tertiary care center in the department of otorhinolaryngology and head-and-neck operation at tertiary care center, India. This was a randomized controlled trial research with records of 50 cases in the year 2021–2022. The average age of the subjects was ± 18 years. A total of 50 cases were classified into two groups, each including 25 patients (Group A: 25 and Group B: 25). Group A received 60,000 IU cholecalciferol weekly along with betahistine for 3 months, whereas Group B received only betahistine. The Institute Ethics Committee (Human Studies) examined and accepted the study protocol (Approval No. JIP/IEC/SC/2016/26/861; Annexure 3).

Results:
A total of 50 subjects reporting to the otolaryngology clinic with complaints of frequent attacks of dizziness were evaluated for vertigo using a dizziness history questionnaire that promotes greater accountability and flexibility and which is also a well-recognized method among students, physicians who aim to establish a practice in future. After complete preoperative evaluation, the cases were randomly separated into two groups: Group A received 60,000 IU cholecalciferol weekly along with betahistine for 3 months, and Group B received only betahistine. The results of the treatment were compared between two groups. The inter-group continuous variables and intragroup quantitative variables (n = 2) were compared using suitable tools of statistics such as unpaired Student’s t-test. The categorical data were expressed in terms of percentage, rate, and ratio. The association between the result and clinical and demographic characteristics was tested using the Chi-square test or Fisher’s exact test. In the present study, Vitamin D levels were compared between Group A and Group B. Before treatment, Group A had a Vitamin D level of 16.68, whereas Group B had a Vitamin D level of 17.48, whereas Group A showed 19.68 and Group B showed 18.42 posttreatment. In the present investigation, Group A patients showed better outcomes in contrast to Group B patients.

Conclusion:
This study proves that the addition of Vitamin D along with betahistine in the routine treatment of BPPV reduces the number of recurrent episode of BPPV as well as help with reducing the symptoms of other comorbidities such as migraine and tinnitus.
Reproducibility study of intravoxel incoherent motion and apparent diffusion coefficient parameters in normal pancreas
Authors: Liu Xiang , Wang Yi-Feng , Qi Xiao-Hui , Zhang Zhi-Lei , Pan Jiang-Yang , Fan Xue-Li , Du Yu , Zhai Ying-Min , Wang Qi 
Published: July 2024

BACKGROUND
The consistency of pancreatic apparent diffusion coefficient (ADC) values and intravoxel incoherent motion (IVIM) parameter values across different magnetic resonance imaging (MRI) devices significantly impacts the patient’s diagnosis and treatment.
AIM
To explore consistency in image quality, ADC values, and IVIM parameter values among different MRI devices in pancreatic examinations.
METHODS
This retrospective study was approved by the local ethics committee, and informed consent was obtained from all participants. In total, 22 healthy volunteers (10 males and 12 females) aged 24-61 years (mean, 28.9 ± 2.3 years) underwent pancreatic diffusion-weighted imaging using 3.0T MRI equipment from three vendors. Two independent observers subjectively scored image quality and measured the pancreas’s overall ADC values and signal-to-noise ratios (SNRs). Subsequently, regions of interest (ROIs) were delineated for the IVIM parameters (true diffusion coefficient, pseudo-diffusion coefficient, and perfusion fraction) using post-processing software. These ROIs were on the head, body, and tail of the pancrease. The subjective image ratings were assessed using the kappa consistency test. Intraclass correlation coefficients (ICCs) and mixed linear models were used to evaluate each device’s quantitative parameter values. Finally, a pairwise analysis of IVIM parameter values across each device was performed using Bland-Altman plots.
RESULTS
The Kappa value for the subjective ratings of the different observers was 0.776 (P < 0.05). The ICC values for inter-observer and intra-observer agreements for the quantitative parameters were 0.803 [95% confidence interval (CI): 0.684-0.880] and 0.883 (95%CI: 0.760-0.945), respectively (P < 0.05). The ICCs for the SNR between different devices was comparable (P > 0.05), and the ICCs for the ADC values from different devices were 0.870, 0.707, and 0.808, respectively (P < 0.05). Notably, only a few statistically significant inter-device agreements were observed for different IVIM parameters, and among those, the ICC values were generally low. The mixed linear model results indicated differences (P < 0.05) in the f -value for the pancreas head, D -value for the pancreas body, and D -value for the pancreas tail obtained using different MRI machines. The Bland-Altman plots showed significant variability at some data points.
CONCLUSION
ADC values are consistent among different devices, but the IVIM parameters’ repeatability is moderate. Therefore, the variability in the IVIM parameter values may be associated with using different MRI machines. Thus, caution should be exercised when using IVIM parameter values to assess the pancreas.
Clinical efficacy of laparoscopic cholecystectomy plus cholangioscopy for the treatment of cholecystolithiasis combined with choledocholithiasis
Authors: Liu Chao-Hui , Chen Zhi-Wei , Yu Zhe , Liu Hong-Yu , Pan Jian-Sheng , Qiu Shuang-Shuang 
Published: July 2024

BACKGROUND
Currently, endoscopic retrograde cholangiopancreatography (ERCP) plus laparoscopic cholecystectomy (LC) is the main treatment for cholecystolithiasis combined with choledocholithiasis. However, the treatment is unsatisfactory, and the development of better therapies is needed.
AIM
To determine the clinical efficacy of LC plus cholangioscopy for cholecystolithiasis combined with choledocholithiasis.
METHODS
Patients (n = 243) with cholecystolithiasis and choledocholithiasis admitted to The Affiliated Haixia Hospital of Huaqiao University (910th Hospital of Joint Logistic Support Force) between January 2019 and December 2023 were included in the study; 111 patients (control group) underwent ERCP + LC and 132 patients (observation group) underwent LC + laparoscopic common bile duct exploration (LCBDE). Surgical success rates, residual stone rates, complications (pancreatitis, hyperamylasemia, biliary tract infection, and bile leakage), surgical indicators [intraoperative blood loss (IBL) and operation time (OT)], recovery indices (postoperative exhaust/defecation time and hospital stay), and serum inflammatory markers [C-reactive protein (CRP), tumor necrosis factor-α (TNF-α), and interleukin-6 (IL-6) were compared.
RESULTS
No significant differences in surgical success rates and residual stone rates were detected between the observation and control groups. However, the complication rate, IBL, OT, postoperative exhaust/defecation time, and hospital stays were significantly reduced in the observation group compared with the control group. Furthermore, CRP, TNF-α, and IL-6 Levels after treatment were reduced in the observation group compared with the levels in the control group.
CONCLUSION
These results indicate that LC + LCBDE is safer than ERCP + LC for the treatment of cholecystolithiasis combined with choledocholithiasis. The surgical risks and postoperative complications were lower in the observation group compared with the control group. Thus, patients may recover quickly with less inflammation after LCBDE.