bluuebunny/crossref_metadata_2025_split huggingface dataset:
Place et rôle du médecin réanimateur dans le processus de réflexion relatif aux directives anticipées
Authors: Quenot Jean-Pierre , Mezher Chaouki , Lesieur Olivier , Van Der Linden Thierry , Taha Alicia , Labruyere Marie , Andreu Pascal , Jacquier Marine , Rigaud Jean-Philippe 
Published: June 2024

Les directives anticipées (DA) qui faisaient partie du dispositif législatif français depuis le 22 avril 2005 s’imposent au médecin depuis la loi du 02 février 2016. Elles sont désormais l’expression de la volonté du patient et non plus celle de son souhait. Il est raisonnable d’imaginer dès lors que les DA puissent être réfléchies et rédigées à tout moment du parcours de soin du patient, mais également qu’elles puissent aborder toutes les potentialités évolutives de la maladie et, en particulier, l’éventualité d’une admission en réanimation. Dans cet article, les auteurs discutent de la place du médecin intensiviste comme interlocuteur priviligié dans le parcours de soin du patient et de son rôle potentiel dans l’élaboration anticipée d’objectifs thérapeutiques pouvant inclure la rédaction de DA. Il est abordé la question des outils et les stratégies utiles pour répondre à ces objectifs, y compris la question de la pertinence d’une admission en réanimation. Des pistes de réflexion sont également discutées, comme l’amélioration de la communication et l’anticipation des discussions qui pourraient être tracées dans l’espace internet développé par l’Assurance Maladie : « Mon Espace Santé », rubrique « Entourage et Volontés ».
Students' Ability to Solve Story Problems on Systems of Linear Equations Using John Dewey's Approach
Authors: Suryanti Suryanti , Solikhah Bety Maratus , Suliana Riki , Pramesti Cicik , Sari Ayu Silvi Lisvian 
Published: June 2024

Students can study everyday mathematics with a story problem. Through this problem, students gain critical thinking experience in solving problems. The ability of students to solve problems through John Dewey's approach is also seen to deepen students' mathematical concepts in three-variable linear equation systems. Problem solving with John Dewey's approach consists of five stages. This method of research uses a qualitative descriptive approach with three persons as the subject of the research, with good, sufficient, and less as the categories of ability. The results of the research showed the subject's ability to solve a story problem with the John Dewey approach. Four given questions showed that the subject with a category of good ability can solve two problems with clear mathematical concepts. Whereas the student with sufficient ability can only solve one problem with an obvious mathematical concept, However, the subject with less ability is only able to solve a problem until the stage of inventorying several solutions, which is the third stage of problem solving with the approach of John Dewey.
Horizontalité et verticalité dans le dispositif d’intervention : la fonction de jonction du contre-transfert anticipé
Authors: Falla Willy 
Published: June 2024

Willy Falla , Horizontalité et verticalité dans le dispositif d’intervention : la fonction de jonction du contre-transfert anticipé L’intervention dans des dispositifs d’analyse des pratiques ou d’analyse institutionnelle auprès de groupes institués du champ médicosocial met fréquemment en exergue une panne de la fonction interprétante entravée par des logiques organisationnelles accentuées par la crise sanitaire. Cette panne de la fonction interprétante est souvent à mettre en lien avec une déconnexion de l’équipe de la dimension instituante, déconnexion que la dimension organisationnelle vient recouvrir. Cette difficulté s’actualise au sein du dispositif d’intervention où la dialectique entre horizontalité et verticalité permet de renouer avec un rapport instituant au langage. Le récit d’une intervention dans le cadre d’un dispositif d’analyse des pratiques illustre comment le travail d’élaboration par l’intervenant de l’investissement contre-transférentiel de son propre dispositif mettant l’accent sur l’émergence de l’inattendu, permet à l’équipe accompagnée de refaire lien avec une verticalité instituante.
Les effets des traumas sociétaux, combats identitaires et idéologiques… sur l’analyse des pratiques : comment (re)créer un espace de travail commun ?
Authors: Maboungou Élisabeth 
Published: June 2024

Élisabeth Maboungou , Les effets des traumas sociétaux, combats identitaires et idéologiques sur l’analyse des pratiques : comment (re)créer un espace de travail commun ? Au travers deux vignettes cliniques, nous interrogeons la conduite des groupes d’analyse des pratiques, dans le contexte « social historique » actuel, à savoir les traumatismes collectifs, les effets des politiques de désinstitutionnalisation, de transparence, et de surveillance des établissements accueillant des sujets en difficulté d’inscription sociale. L’enjeu principal étant de trouver dans le travail d’équipe un sens commun.
Intonation et émotions chez des patients dysphoniques : quand la voix et la parole s’en mêlent
Authors: Pillot-Loiseau Claire , Schuermans Camille , Behaghel Pauline , Le Pape Gaétane 
Published: June 2024

Cette contribution s’intéresse à l’analyse acoustique de la fréquence fondamentale ( f o ) dans des phrases françaises identiques avec différentes émotions produites, d’une part, par un enfant dysphonique (avec trouble vocal) et un enfant chanteur (étude de cas) et, d’autre part, par 55 patientes dysphoniques après thyroïdectomie, dont 28 avec suspicion d’atteinte du Nerf Laryngé Supérieur (NLS), et 27 femmes témoins. La f o baisse chez tous les dysphoniques pour la colère et la joie mais elle ne permet pas de les différencier. La colère est moins bien perçue par les dysphoniques que les autres émotions. Les patientes avec suspicion d’atteinte du NLS présentent les réductions les plus sévères de f o et des ressentis de gêne vocale plus marqués. Une diminution du degré de liberté de leur fonction vocale réduit la flexibilité vocale de ces dysphoniques dont le trouble vocal affecte la prosodie émotionnelle dans son versant intonatif.
Can we talk about a ‘Made in Latin America and the Caribbean’ evaluation? Some food for thought
Authors: Ghiano María C. 
Published: June 2024

Background: This article affirms and confirms the existence of evaluation epistemologies and methods that are unique to Latin America and the Caribbean (LAC).Objectives: Inspired by the Dr Sulley Gariba Memorial Lecture series, ‘Made in Africa Evaluation’, which has been hosted in various continents, Latin America has delved into the matter, setting out to explore the differences and similarities between us and our sister continent, Africa, and comparing our practice and worldviews with those of others in the Global South.Method: The preliminary results of that research were used to spark debate and collective reflection at the 2022 LAC Evaluation Conference in Quito, Ecuador.Results: The aim of this article is to share some key elements of evaluation from a decolonisation perspective that explains and denounces inequities while enabling us to imagine fairer democratic systems in LAC.Conclusion: ReLAC – our own regional evaluation network – is proud to have spent the last 20 years strengthening the monitoring evaluation (ME) profession and sharing the distinctive ways that our evaluation communities experience, perceive and understand knowledge in highly diverse cultural, political, social and economic territories throughout the region.Contribution: We show that evaluation theory and practice must begin with a study of the past, our ancestral and local cultures in order to learn from them and construct our present accordingly. We urge to face the challenge of working with respect, otherness and the dignity of communities, their peoples and territories as we build horizons of meaning for our evaluative practices.
Why do Chinese multinationals in South Africa get benefits from digital business strategy?
Authors: Rong Kuizhen , Liu Ruhong 
Published: June 2024

Background: Chinese multinational enterprises (MNEs) are obsessed with implementing digital business strategy in global competition, but there is limited knowledge about how and when the MNEs can achieve performance.Aim: This study aims to clarify the influence of digital business strategy on MNEs’ performance in South Africa, and whether this impact is mediated by exploratory and exploitative learning and moderated by organisational memory level and dispersion.Setting: Senior executives from the MNEs participated in the year-long survey. Before the survey, the participants were communicated and agreed, and the survey was completed by email.Method: Two-stage data from 314 MNEs in South Africa were obtained. Hierarchical regression analysis and Hayes Process Macros were used.Results: The results show that digital business strategy positively influenced performance, and the relationship was mediated by exploratory and exploitative learning. Organisational memory level and dispersion had an inverted U-shaped moderating effect on the relationship between digital business strategy and exploratory and exploitative learning.Conclusion: This study provides the first insight into the relationship between digital business strategy and MNEs’ performance in South Africa. It reveals the mediating mechanism and boundary conditions of this relationship, making an important contribution to the literature concerning digital business strategy.Contribution: This study encourages MNEs in South Africa to implement digital business strategies according to local conditions. What’s more, exploratory and exploitative learning is a strategic process that cannot be ignored, and moderate organisational memory can help these MNEs benefit from digital business strategy better.
External Oblique Intercostal Plane Block for Open Cholecystectomy - A Novel Technique
Authors: Christopher Somita , Sahithi Raganaboina , Gopal T. V. S. , Rajesh K. C. 
Published: June 2024

Abstract
The conversion of laparoscopic to open cholecystectomy with a large oblique subcostal incision may be associated with severe pain, leading to basilar atelectasis, delayed post-operative recovery and respiratory failure. Various techniques like thoracic epidural block, paravertebral blocks, erector spine block, transverse abdominis plane blocks and anterior quadratus lumboram plane block can be practised to alleviate the pain. In this particular case, we describe an External Oblique Intercostal Block which was given for postoperative analgesia after open cholecystectomy.
Anesthetic Management of a Child with a Bizarre Foreign-body Impaction in the Oral Cavity
Authors: Chugh Amitesh Mohan , Kumari Heena , Saroa Richa , Palta Sanjeev , Yogendra Sakshee 
Published: June 2024

Abstract
Pediatric airway management can be a challenging task for any anaesthesiologist. A foreign body compromising the airway only adds to the difficulties. Airway management requires skill, expertise and a dynamic approach to ensure patient safety and facilitate a smooth surgical intervention. We present the case of a boy who presented with an unusal foreign body in his airway and the novel techniques applied for airway management.
Midpoint Transverse Process to Pleura Block for Postoperative Analgesia in Laparoscopic Cholecystectomy: A Pilot Study and Review of Literature
Authors: Agarwal Jyotsna , Khanuja Samiksha , Panjiar Pratibha , Gupta Mahima , Thukral Vanshika , Prasad Divya 
Published: June 2024

Abstract

Background:
Midpoint transverse process to pleura block (MTPB) provides a close anatomical alternative to paravertebral block (PVB). The extent of the drug spread in MTPB and analgesic equivalence of MTPB with PVB and other “paravertebral by proxy” blocks are still under study.

Methodology:
Ten patients posted for elective laparoscopic cholecystectomy were administered general anesthesia, followed by bilateral ultrasound-guided MTPBs. A total of 20 mL of the drug mixed with iohexol dye solution was injected in each block. Postoperative pain scores were assessed. The spread of drug dye solution under ultrasound and fluoroscopy was studied.

Results:
Eighty percent of patients had NRS < 3 in the postanesthesia care unit. “Pain score” at 24 h was 2 for three patients and 1 for all other patients. The dye spread under fluoroscopy was observed to extend up to 5–7 levels of cephalad and 5–6 levels of caudad from the point of injection. Sonographic drug spread in the paravertebral space was visualized in 13 out of 20 (65%) blocks.

Conclusion:
With the results of our study and review of literature, it reflects that MTPB is an effective analgesic adjunct in thoracic surgeries and appears promising in abdominal surgeries as well. In laparoscopic cholecystectomies, its potential role in reducing shoulder pain should be explored further. Currently, it is not possible to recommend MTPB over PVB or erector spinae plane block (ESPB). Yet, it is to acknowledge the presence of the “midpoint transverse process to pleura” area as a definite injection target, which may confer some advantages over PVB and ESPB.
Perioperative Venous Air Embolism during Transurethral Resection of Prostate
Authors: Jindal Ravi , Jhingan Sumeet Kumar , Singh Guneet 
Published: June 2024

Abstract
Understanding various complications associated with transurethral resection of the prostate (TURP) is extremely important. There have been rare reports of venous air embolism during TURP. We present a report of one such case in an 87-year-old male who suffered venous air embolism due to Ellik evacuator. TURP is the standard treatment for benign prostatic hypertrophy and is among the most common procedures in the geriatric male population. Venous air embolism during TURP is extremely uncommon, and there are very few case reports of the same.
Diabetes and Anaemia: A Myth or Reality
Authors: Narang Deepak , Singh Tejveer , Sinha Rakhee , Goswami Poulami , Kumar Shikhar , Sahoo Nivedita , Surana Pratik 
Published: June 2024

ABSTRACT

Introduction:
Chronic diabetes develops when the pancreas does not release enough insulin or the body cannot use it. Anemia is a disorder characterized by reduced hemoglobin or red blood cells. The body needs hemoglobin to transport oxygen. Diabetics with anemia may have micro and macro vascular problems, lowering quality of life and increasing medical costs.

Aim and Objectives:
To examine the prevalence of anemia among type 2 diabetics, its predictive value, and the connection between anemia and type 2 diabetes.

Methodology:
A prospective study was conducted on 2000 people with and without type 2 diabetes at the medical and diabetology wards of Punjab’s Desh Bhagat University and hospital for medicine and health sciences from June 2022 to June 2023.

Results:
A statistical significance threshold of 0.005 determined that the mean hemoglobin value was 8.44 in oral hypoglycemics, 7.93 in insulin, and 4.45 in combined insulin and oral hypoglycaemics.

Conclusion:
Diabetics with type 2 diabetes mellitus and anemia were more likely to have CAD, making anemia a chronic condition that negatively impacts quality of life and accelerates disease consequences.
Comparative Analysis of Surgical Approaches in the Treatment of Proximal Humerus Fractures: A Retrospective Study
Authors: Sivaram J , Asati Shubham , Bothra Himanshu , Pagare Gaurav S. , Panja Supantha , Tirunamalli Reshma , Kalsi Jasmine 
Published: June 2024

ABSTRACT

Background:
“Proximal humerus fractures [PHFs]” are common orthopedic injuries, often requiring surgical intervention for optimal outcomes. However, the choice of surgical approach remains controversial, with varying outcomes reported in the literature.

Methods:
A retrospective research was overseen among subjects who had surgery for PHFs. Three surgical approaches were compared: “Open Reduction Internal Fixation (ORIF)”, “Hemiarthroplasty [HA]”, and “Reverse Shoulder Arthroplasty [RSA]”. Demographic data, fracture characteristics, surgical details, and postoperative outcomes were analyzed.

Results:
ORIF confirmed smaller operative time and shorter complication levels compared to HA and RSA. Complications included surgical site infection, implant-related issues, and reoperation. Age, fracture type, and surgeon experience influenced the choice of surgical approach.

Conclusion:
This research provides valuable insights into the outcomes of different surgical approaches for PHFs. ORIF may offer advantages in select cases, but individualized treatment decisions are necessary. Further research is warranted to refine treatment algorithms and optimize patient outcomes.
Whether Present Era Demand Change in Pharmaceutical Promotional Ways to be More Eco- and Doctor-Friendly? An Observational Study
Authors: Chaudhury Spandana , B. Kuldeep G. , V. Swati P. , Lekshmi R. S. , Manohar Balaji , Mahajan Akriti , Duseja Shilpa , Tiwari Rahul 
Published: June 2024

ABSTRACT

Aim:
Pharmaceutical promotion is the principal aspect of the healthcare system. In this study, we aimed to portray the opinion of doctors and medical representatives (MRs) on conventional pharmaceutical ways (usage of promotional or educational paper materials and physician drug samples) for pharmaceutical promotion.

Materials and Methods:
In this cross-sectional observational study, data were collected from doctors and MRs across India using self-administered Google forms. Data were analyzed, and results were drawn.

Results:
A total of 314 doctors and 272 MRs participated in the study. As per 95.5% of doctors, continuing medical education (CME)/books/online information is the most common and convenient method to update medical knowledge, whereas 67.9% of MRs also think the same. Only 5.5% of doctors prefer paper material provided by pharmaceutical companies to update their knowledge. Most doctors say paper materials provided by pharmaceutical companies contribute less than 25% to product information, rather CME, books, and online information contribute significantly. MRs also think similarly. 66.2% of MRs agree that more than 25% of paper material gets wasted due to non-distribution. 73.2% of doctors and 75.4% of MRs agree that the use of paper materials for product promotion is not cost-effective, even if it contributes to deforestation. Only 51% of doctors use more than 50% of medical samples in patient care and only half of doctors and MRs think expired medical samples are disposed of correctly. 56.1% of doctors and 71.4% of MRs think a significant amount of medical samples are wasted and are hazardous to the environment.

Conclusions:
Both doctors and MRs are of the opinion that the conventional method of paper promotion, that is, paper material and drug samples, is not cost-effective and also not eco-friendly. Hence, need to rethink – is there a need to change with time?
In vitro Assessment of the Antimicrobial Properties of Orthodontic Bonding Materials
Authors: Alam Mohammad K. , Hajeer Mohammad Y. , Alfuhigi Mashael Z. , Eldosary Faisal A. , Alsenani Faisal N. , Alsayil Lama N. 
Published: June 2024

ABSTRACT

Background:
Orthodontic bonding materials are extensively used in dentistry, but their antimicrobial properties are of growing concern due to the risk of biofilm formation and associated complications. Understanding the antimicrobial efficacy of these materials is crucial for maintaining oral health during orthodontic treatment.

Materials and Methods:
In this in vitro study, we evaluated the antimicrobial properties of various orthodontic bonding materials against common oral pathogens. Samples of bonding materials were prepared and exposed to microbial strains including Streptococcus mutans, Porphyromonas gingivalis, and Candida albicans. Antimicrobial activity was assessed using agar diffusion assays and microbial viability assays.

Results:
The tested orthodontic bonding materials exhibited varying degrees of antimicrobial activity. Material A showed a zone of inhibition of 12 mm against S. mutans, 8 mm against P. gingivalis, and 6 mm against C. albicans. Material B exhibited slightly higher antimicrobial activity with inhibition zones of 14 mm, 10 mm, and 8 mm against S. mutans, P. gingivalis, and C. albicans, respectively. Material C displayed the highest antimicrobial activity, with inhibition zones of 16 mm against S. mutans, 12 mm against P. gingivalis, and 10 mm against C. albicans. Microbial viability assays confirmed the efficacy of these materials in reducing microbial growth.

Conclusion:
Our findings demonstrate that orthodontic bonding materials possess varying degrees of antimicrobial properties. Material C exhibited the highest efficacy against the tested microbial strains. Incorporating antimicrobial agents into orthodontic bonding materials may contribute to the prevention of oral infections during orthodontic treatment.
In-Vitro Study of Osseointegration: Evaluating the Influence of Surface Modifications on Dental Implant Stability
Authors: Sghaireen Mohammed G. , Alam Mohammad Khursheed , Mohamedeissa Ahmed Azhari Salih , Kazma Jad Moriss 
Published: June 2024

ABSTRACT

Background:
Osseointegration is critical for the success of dental implants. Surface modifications of dental implants play a crucial role in enhancing osseointegration and implant stability. This in-vitro study aims to evaluate the influence of various surface modifications on dental implant stability.

Materials and Methods:
Dental implants with different surface modifications were prepared and subjected to in-vitro testing. Surface modifications included sandblasting, acid etching, and plasma spraying. Implant stability was assessed using resonance frequency analysis (RFA) and pull-out tests. Statistical analysis was performed to compare the stability of implants with different surface modifications.

Results:
The results showed that implants with sandblasted and acid-etched surfaces exhibited significantly higher stability compared with those with only a machined surface. The mean RFA values for sandblasted and acid-etched implants were 75 ± 5 and 80 ± 6, respectively, whereas machined implants recorded a mean RFA value of 60 ± 4. Similarly, pull-out tests demonstrated higher maximum tensile strengths for sandblasted and acid-etched implants compared with machined implants.

Conclusion:
Surface modifications, such as sandblasting and acid etching, significantly enhance dental implant stability in vitro. These modifications promote better osseointegration, which is crucial for the long-term success of dental implants in clinical practice.
Evaluation of the Marginal Fit of Virgilite Based Lithium Disilicate Ceramic Crowns: An In-Vitro Comparative Study
Authors: Sultan Sherif El Sayed , Alsabilah Khaled Ahmad Saud , Alharbi Bader Mahali , Alnaser Addulrhman Fahad 
Published: June 2024

ABSTRACT

Background:
Achieving optimal marginal fit is essential for the success of Virgilite Based Lithium Disilicate Ceramic crowns.

Materials and Methods:
In this in-vitro study, we compared the marginal fit of Virgilite Based Lithium Disilicate Ceramic crowns using two different CAD/CAM scanners, powder free (System A, Omnicam) and powder based (System B, Blue cam).

Results:
The mean marginal gap for System A was found to be 63.5 μm (standard deviation ± 10.2 μm), while for System B, it was 57.8 μm (standard deviation ± 9.8 μm). System B demonstrated a slightly superior marginal fit compared to System A, with a difference of 5.7 μm.

Conclusion:
Within the limitations of this study, it can be concluded that both Omnicam and Blue cam produced clinically acceptable marginal fit of Virgilite Based Lithium Disilicate Ceramic crowns. However, Blue cam exhibited a slightly better marginal fit compared to Omnicam. Further clinical studies are warranted to validate these findings.