bluuebunny/crossref_metadata_2025_split huggingface dataset:
L’éternel retour de la « Malebête » : appropriations télévisuelles et cinématographiques du mythe de la Bête du Gévaudan, des années 1960 aux années 2020
Authors: Papin Bernard 
Published: June 2024

De 1764 à 1767, un prédateur aussi mystérieux que monstrueux tue plus d’une centaine de personnes, essentiellement des femmes et des enfants, et en mutile des dizaines d’autres aux confins des provinces du Vivarais et du Gévaudan. La « malebête » du Gévaudan provoque au fil du temps de multiples interrogations quant à sa nature exacte, avant d’accéder au rang de mythe et d’être transformée, après sa mort et comme cela est de mise dans le mythe, en « totem ». Aujourd’hui, le mystère n’en est plus un aux yeux des historiens mais le prédateur mystérieux fascine toujours et se trouve pris dans un flux continu de propositions fictionnelles qui mettent en scène et questionnent le mythe. Des années 1960 aux années 2020, cinq émissions de télévision et un film de cinéma en proposent des lectures très différentes Il ne s’agit pas d’adaptations car il n’y a pas à proprement parler d’hypotexte, si ce n’est des archives très inégalement exploitées, ni même de remakes : il s’agit bien plutôt de variations autour d’un même thème, un thème qui hante l’inconscient collectif et qui s’est enrichi et opacifié au fil du temps. Après avoir essayé de comprendre comment un fait divers, certes hors normes et particulièrement dramatique, a pu se transformer en mythe et s’inscrire durablement dans la conscience collective, l’article explore ces variations afin de confronter des lectures qui varient en fonction des supports de diffusion et des conditions de réception des œuvres, des genres cinématographiques ou télévisuels et des choix esthétiques des réalisateurs. Toutes ces propositions témoignent – à leur façon, avec des modalités différentes en fonction de l’époque qui les a vus naître – de la fascination qui reste la nôtre pour une histoire qui engage notre rapport à la monstruosité.
La précarité des conditions d’emploi et de travail des aides-soignantes en Argentine révélée par la crise du Covid-19
Authors: Mellado Virginia , Ramacciotti Karina 
Published: June 2024

La crise sanitaire du Covid – 19 a mis en lumière l’hétérogénéité et la précarité du groupe professionnel des aides – soignantes en Argentine, tant au niveau des qualifications que des conditions d’emploi et de travail : elle a révélé les situations de pluri – emploi d’une large part de cette population qui, en plus d’un emploi principal dans l’hôpital public, cumule différents emplois dans les secteurs public et privé, de manière plus ou moins déclarée. La volonté des hôpitaux de constituer des équipes fixes pour limiter les contagions s’est heurtée à la grande diversité des emplois occupés par les aides – soignantes qui interviennent aussi dans des établissements médico – sociaux (grand âge, handicap) et des services d’aide à domicile. L’article vise à restituer les conditions d’emploi et de travail de ce groupe professionnel féminisé et soumis à l’autorité professionnelle du corps médical, ainsi que le vécu des aides – soignantes lors de la pandémie de Covid – 19. L’analyse repose sur une enquête quantitative par questionnaire réalisée auprès de 1 483 aides – soignantes de l’ensemble du pays et sur 274 entretiens semi – directifs avec des personnels de santé de différents niveaux de qualification.
Précieuses raretés des Indes : de la curiosité exotique au placement financier
Authors: Lauthelier-Mourier Rachel 
Published: June 2024

Cet article évoque l’intérêt que les collectionneurs et investisseurs français portent, dès le premier quart du xviie siècle, aux objets en provenance de l’océan Indien. Grâce à la structuration d’un réseau d’intermédiaires, Fabri de Peiresc est l’un de ceux qui ont contribué à structurer une filière méditerranéenne d’importation de curiosités indiennes. Les milieux mondains et financiers de Paris privilégient quant à eux la filière d’approvisionnement hollandaise et, de toute évidence, les critères d’acquisition de ces objets exotiques sont en mutation : plus que des curiosités exotiques à exposer dans des cabinets, ce que les acquéreurs recherchent, ce sont les matières précieuses, particulièrement valorisées pour leur liquidité financière.
Lobular capillary hemangioma with an intraosseous feeder vessel through an accessory buccal foramen in the mandible: A unique case report
Authors: Raj Subash Chandra , Mishra Asit Kumar , Tabassum Shaheda , Baral Debajani 
Published: June 2024

Abstract:
The aim of this case report is to present a unique and rare finding in a 29-year-old male with the chief complaint of swelling in the gums related to the back teeth of the lower left jaw, since 20 days. In the absence of any alarming findings on the intraoral periapical radiograph and blood profile, an excisional biopsy of the provisionally diagnosed pyogenic granuloma was planned with a high-power diode LASER (Light Amplification by Stimulated Emission of Radiation). Following the excision, an unusual amount of bleeding was encountered from a single point on the buccal cortical plate between the teeth #35 and #36. On reevaluating the left face with advanced radiodiagnostic methods, an accessory buccal foramen was reported distal to #35 which housed a thin, tortuous, and aberrant branch of the inferior alveolar artery. The swelling was histopathologically diagnosed as lobular capillary hemangioma, and the aberrant artery was labeled as its feeder vessel. The patient had no episode of recurrence until 2 years of follow-up.
Salvaging the second molar with platelet-rich fibrin and photobiomodulation (970 nm diode laser) following third molar extraction
Authors: Deepthi M. , Gowda Triveni Mavinakote , Shah Rucha , Kumar A. B. Tarun , Priya Saloni 
Published: June 2024

Abstract:
Second molars are more susceptible to periodontitis when present adjacent to periodontally hopeless third molars. It is crucial to restore the health of the second molar and to prevent a dry socket after third molar extraction. To ensure complete eradication of infection along with regeneration, mere nonsurgical periodontal therapy might be inadequate. Thus, in this case report, high-level laser therapy (HLLT), advanced-platelet-rich fibrin (A-PRF), and low-level laser therapy (photobiomodulation [PBM]) were adapted to obtain a synergistic effect. HLLT was accomplished for decontamination and clot stabilization following the third molar extraction. Further, A-PRF was placed and irradiated with PBM on 3rd, 7th, 15th, and 21st days, postoperatively. There was reduced clinical probing depth and gain in clinical attachment level with a significant radiographic bone fill distal to second molar at 3 months follow-up. This combined use of HLLT, and PBM along with PRF could be a reliable treatment approach for regeneration, particularly in acute infections.
Inflammatory profile of patients with different weight diagnoses and similar periodontal condition: A systematic review
Authors: Feijo Juliana dos Santos , Pontes Ana Flávia Leite , da Silveira Taciane Menezes , Pola Natália Marcumini , Muniz Francisco Wilker Mustafa Gomes 
Published: June 2024

Abstract:

Background:
This study aimed to systematically review the literature regarding the inflammatory profiles, measured by cytokines and chemokines, of individuals with different diagnoses of weight, but with the similar periodontal condition.

Materials and Methods:
Searches were performed in five databases (Scopus, EMBASE, PubMed, Web of Science, and Cochrane-Central). Studies that compared the inflammatory profile of normal-weight individuals to those with obesity and evaluated the same cytokine, collection method, and periodontal diagnosis (periodontal health, gingivitis, or periodontitis) were included. Cross-sectional studies underwent evaluation by independent researchers using the Joanna Briggs Institute Critical Appraisal Checklist. The GRADE (Grades of Recommendation, Assessment, Development and Evaluation) system assessed evidence certainty.

Results:
Twelve studies were included. The diagnosis of obesity was done on the basis of body mass index, waist circumference, and waist–hip ratio. Pro-inflammatory cytokines (interleukin-6 [IL-6], tumor necrosis factor-α [TNF]-α, IL-1β, IL-31, and IL-34) were analyzed in serum, saliva, gingival crevicular fluid (GCF), and plasma. Periodontal diagnoses varied across studies. TNF-α expression was significantly higher in individuals with obesity and periodontal health or periodontitis. Serum IL-1β levels showed mixed results, but salivary IL-1β levels were elevated in obese individuals. IL-6 levels were higher in obese individuals, regardless of periodontal status. IL-34 and IL-10 showed no significant differences across groups. Monocyte chemoattractant protein-4 (MCP-4) levels were higher in obese individuals with periodontitis or periodontal health. IL-31 and IL-34 in GCF showed no significant differences between obese and nonobese individuals, without periodontitis.

Conclusions:
Heterogeneous results were noted for IL-6, IL-1β, IL-31, IL-34, TNF-α, and MCP-4, hindering conclusions on weight’s impact on inflammatory profiles in periodontal patients.
Bilateral ultrasound-guided erector spinae plane block for postoperative pain relief in major traumatic spine surgery: A randomized controlled trial
Authors: Pegu Baby , Gupta Babita , Ayub Arshad 
Published: June 2024

Introduction:
Spine fixation surgery for traumatic vertebral fractures is associated with severe pain and is often difficult to control. Traditionally systemic opioids have been the mainstay of analgesia for these procedures, which can lead to hyperalgesia, nausea, ileus, sedation, cognitive impairment, dependence, etc., limiting usage of opioids. The Erector spinae plane block (ESPB) is a novel ultrasound-guided procedure with easily identifiable sonoanatomy. We hypothesized that a multimodal approach involving ESPB to a conventional analgesic regimen with local infiltration for patients undergoing major traumatic spine surgeries might provide better perioperative analgesia and reduce the need for postoperative opioid requirements.

Material and Methods:
A randomized control prospective trial was conducted on 34 ASA grade I –II patients aged 18 to 65 years who were scheduled to undergo elective posterior spine fixation surgery with ASIA B to E after traumatic spine fracture under general anesthesia. Patients were randomized to Group A which included patients who received general anesthesia with ESPB, and Group B, or the control group, included patients who received general anesthesia with systemic analgesics and postoperative local infiltration without ESPB. Intraoperative total fentanyl consumption, VAS score at 0, 3, 6, 12, 18, and 24 hours, time to activate patient-controlled analgesia (PCA) pump, total morphine consumption, and opioid-related side effects were monitored and compared in both groups.

Results:
Postoperative PCA morphine consumption was significantly lower in group A patients who received ESPB than those in the control group (17.06 ± 9.59 vs 37.82 ± 9.88 P value = <0.0001). VAS scores at rest and movement at 0, 3, 6, 9, 12, 18, and 24 hours were significantly lower (P value = 0.05) in the ESPB group compared with the control group at all time points.

Conclusion:
Bilateral ultrasound-guided Erector spinae plane block, when administered in traumatic spine patients undergoing spine fixation surgery, provides better analgesia with statistically decreased VAS scores and less postoperative opioid requirement.
Effect of bispectral index on intra-operative awareness: A meta-analysis of randomized controlled studies
Authors: Cheriyan Thomas , Bai Kevin , Bayyapureddy Shreya , Dua Anterpreet , Singh Paramvir , Sun Zhuo , Patel Chhaya , Kumar Vikas 
Published: June 2024

Background:
Randomized controlled trials (RCTs) investigating the efficacy of bispectral index (BIS) to reduce intra-operative awareness (IOA) have reported conflicting results. The purpose of this meta-analysis is to consolidate results from RCTs to assess the efficacy of BIS in reducing IOA when compared to controls. Secondary outcomes included time to extubation, time to spontaneous and/or verbal eye opening, PACU discharge time, and utilization of inhaled anesthetics.

Methods:
RCTs which reported on one of the primary and/or secondary outcomes were included. Literature search utilized keywords “randomized control trial” and “intraoperative awareness.” Meta-analysis was performed using RevMan 5.

Results:
Twenty-seven RCTs were included in the study with a total of 35,585 patients, with 18,146 patients in the BIS and 17,439 in the control group. Eighteen of 14,062 patients (0.12%) and 42 of 16,765 (0.25%) reported definite IOA in the BIS and control group, respectively, with no statistically significant difference. BIS was effective in reducing the time to spontaneous eye opening by an average of 1.3 minutes and the time to extubation by an average of 1.97 minutes. There was no difference in PACU discharge times among the groups. There was a significant decrease in consumption of sevoflurane but no difference in desflurane and propofol compared to the control group.

Conclusion:
While BIS monitoring results in decreased incidence of intra-operative awareness by half, it was not statistically significant. BIS provides modest benefits with regard to reducing the time to extubation, the time to spontaneous eye opening, and consumption of sevoflurane.
Level of evidence: I.
A case series of fluoroscopy-guided neurolytic splanchnic nerve block for chronic pancreatitis pain
Authors: Jyothi B , Mitragotri Milon V. , Ladhad Dharmesh A. , Kurdi Madhuri , Kurugodiyavar Mahesh D. , Jadhav Sanjivani 
Published: June 2024

Context:
Splanchnic nerve block (SPN) with local anesthetic and steroid is used to relieve the pain of chronic pancreatitis. However, it does not provide long-lasting relief. We hypothesize that the use of 70% alcohol will give adequate analgesia for more than months.

Aims:
The primary objective was to find out the analgesic efficacy of the use of 70% alcohol with SPN. Secondary objectives included the incidence of side effects, analgesic consumption postintervention, quality of life (QOL) assessed via a self-reported quality of life scale, and repeat block during the 1-year follow-up period.

Settings and Design:
Retrospective analysis of all patients with chronic pancreatitis who received bilateral SPN over the last 4 years.

Methods and Materials:
SPN was performed using the posterior retrocrural approach with the patient in the prone position as described in the literature using a 23 G × 90 mm spinal needle bilaterally at the level of T12 using C-arm/fluoroscopy guidance. Data were collected from the procedure book of the pain clinic and medical records.

Statistical Analysis Used:
Quantitative data for change in pre- to post-block VAS score was collected using the non-parametric Wilcoxon signed ranks test.

Results:
The baseline VAS, post-procedure VAS, and VAS at 3 months follow-up was 7.69 ± 1.3,2.44 ± 0.96 and 1.56 ± 1.15. A pairwise comparison of VAS performed between baseline and immediate post-procedure, baseline, and VAS at 3 months was found to be highly significant.

Conclusions:
Fluoroscopy-guided neurolytic SPN with 70% alcohol gives significant pain relief for more than 3 months. It also leads to improvement in 3 months QOL.
Incidence of post-dural lumbar puncture headache (PDLPH) in comparison between emergency and elective lower segment cesarean section (LSCS) with 26G Quincke–Babcock cutting-beveled spinal needle
Authors: Kambale Monika , Jadhav Sammita J 
Published: June 2024

Background:
C-section is usually performed under spinal anesthesia also known as a subarachnoid block (SAB) over general anesthesia. Because of the lesser amount of dose used, there is a lower risk of local anesthetic toxicity and minimal transfer of drugs to the fetus. Obstetric patients have a higher risk of having post-dural puncture headache (PDPH). PDPH occurs due to leakage of the cerebrospinal fluid (CSF) through the hole created by a spinal needle. There are many elements affecting the frequency of PDPH, these elements can also consist of age, female sex, needle size, and types, pregnancy, preceding records of PDPH, median–paramedian distinction in approach, a puncture level. PDPH is commonly in the form of a frontal, occipital, or retro-orbital headache that starts in 12–72 h after the dural puncture and will increase when standing and decrease when lying down or resting. We aimed to learn about headache frequency between elective and emergency lower segment cesarean section using 26-G Quincke spinal needle in full-term pregnant patients.

Objectives:
To study the incidence of PDPH using the 26G Quincke spinal needle. To analyze the causal factors/determinants such as adequate preloading of fluids, size of spinal needle, number of pricks, and technique of lumbar puncture effects on the incidence of PDPH.

Methodology:
This study is a prospective questionnaire-based comparative observational study using the convenience sampling method. The patients were interviewed with a structured questionnaire at the Symbiosis University Hospital and Research Centre, Lavale, Pune. The patients observed for the study were between 20 and 40 of age group, posted for emergency or elective lower segment cesarean section, with body mass index (BMI) less than 14.5 to 24.9 and with ASA I and II grades. Patients with any comorbidities, recurrent headaches, obesity, and spine deformity were excluded. According to the review of the literature and with the help of a formula, the sample size was calculated as 20; 10 patients for elective LSCS, and 10 patients for emergency LSCS.

Results:
Out of 20 patients, 10 patients were posted for elective LSCS, and the rest 10 patients were for emergency LSCS under spinal anesthesia. The incidence of PDPH was found only in 2 out of 10 emergency LSCS patients, and no patients from elective LSCS cases showed up with the incidence of PDPH.
A Diagnostic Algorithm for Detection of Leishmania spp. in Human Fresh and Fixed Tissue Samples
Authors: Silva-Flannery Luciana M. , de Almeida Marcos E. , da Silva Alexandre J. , Bollweg Brigid C. , Fair Pamela S. , Ritter Jana M. , Paddock Christopher D. , Martines Roosecelis B. , Zaki Sherif R. 
Published: June 2024

ABSTRACT.
Leishmaniasis is an important travel-related parasitic infection in the United States. Treatment regimens vary by Leishmania species and require an accurate diagnosis. The sensitivity and specificity of diagnostic methods depend on the type and condition of specimen analyzed. To identify the best algorithm for detection of parasites in fresh and fixed tissue samples, we evaluated parasite cultures, two PCR methods, and Leishmania immunohistochemistry (IHC) in samples received by the CDC from 2012 through 2019. The sensitivity and specificity of IHC assays were evaluated in fresh specimens tested. Diagnostic accuracy for formalin-fixed tissue was evaluated by using PCR-based methods and IHC. Of 100 suspected cases with fresh tissue available, Leishmania spp. infection was identified by PCR in 56% (56/100) of specimens; from these, 80% (45/56) were positive by parasite culture and 59% (33/56) by IHC. Of 420 possible cases where only fixed specimens were available, 58% (244/420) were positive by IHC and/or PCR. Of these, 96% (235/420) were positive by IHC and 84% (204/420) by PCR-based methods. Overall parasite detection using all methodologies was similar for fresh and formalin-fixed tissue specimens (56% versus 58%, respectively). Although PCR-based methods were superior for diagnosis of leishmaniasis and species identification in fresh samples, IHC in combination with PCR increased the accuracy for Leishmania spp. detection in fixed samples. In conclusion, PCR is the most effective method for detecting Leishmania infection in fresh tissue samples, whereas for formalin-fixed samples, IHC and PCR-based methods should be used in combination.
Case Report: Severe Community-Acquired Pneumonia in Réunion Island due to Acinetobacter baumannii
Authors: Rotini Giacomo , de Mangou Axel , Combe Agathe , Jabot Julien , Puech Bérénice , Dangers Laurence , Nativel Mathilde , Allou Nicolas , Miltgen Guillaume , Vidal Charles 
Published: June 2024

ABSTRACT.
Acinetobacter baumannii (Ab) is a well-known nosocomial pathogen that has emerged as a cause of community-acquired pneumonia (CAP) in tropical regions. Few global epidemiological studies of CAP-Ab have been published to date, and no data are available on this disease in France. We conducted a retrospective chart review of severe cases of CAP-Ab admitted to intensive care units in Réunion University Hospital between October 2014 and October 2022. Eight severe CAP-Ab cases were reviewed. Median patient age was 56.5 years. Sex ratio (male-to-female) was 3:1. Six cases (75.0%) occurred during the rainy season. Chronic alcohol use and smoking were found in 75.0% and 87.5% of cases, respectively. All patients presented in septic shock and with severe acute respiratory distress syndrome. Seven patients (87.5%) presented in cardiogenic shock, and renal replacement therapy was required for six patients (75.0%). Five cases (62.5%) presented with bacteremic pneumonia. The mortality rate was 62.5%. The median time from hospital admission to death was 3 days. All patients received inappropriate initial antibiotic therapy. Acinetobacter baumannii isolates were all susceptible to ceftazidime, cefepime, piperacillin-tazobactam, ciprofloxacin, gentamicin, and imipenem. Six isolates (75%) were also susceptible to ticarcillin, piperacillin, and cotrimoxazole. Severe CAP-Ab has a fulminant course and high mortality. A typical case is a middle-aged man with smoking and chronic alcohol use living in a tropical region and developing severe CAP during the rainy season. This clinical presentation should prompt administration of antibiotic therapy targeting Ab.