bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stereotactic depth electrode investigation of the insula in the evaluation of medically intractable epilepsy
Authors: Desai Atman , Jobst Barbara C. , Thadani Vijay M. , Bujarski Krzysztof A. , Gilbert Karen , Darcey Terrance M. , Roberts David W. 
Published: October 2010

Object
The authors describe their experience with stereotactic implantation of insular depth electrodes in patients with medically intractable epilepsy.

Methods
Between 2001 and 2009, 20 patients with epilepsy and suspected insular involvement during seizures underwent intracranial electrode array implantation at the authors' institution. All patients had either 1 or 2 insular depth electrodes placed as part of an intracranial array.

Results
A total of 29 insular depth electrodes were placed using a frontal oblique trajectory. Eleven patients had a single insular electrode placed and 8 patients had 2 insular electrodes placed unilaterally. One patient had bilateral insular electrodes implanted. Postoperative imaging demonstrated satisfactory placement in all but 1 instance, and there was no associated morbidity or mortality. Fourteen patients underwent a subsequent resection, involving the frontal lobe (9 patients), temporal lobe (4), or frontotemporal lobes (1), and of these, 11 currently have Engel Class I outcome. Two patients (10%) had seizures originating within the insula and another 5 patients (25%) demonstrated early specific insular involvement. Neither patient with an insular seizure focus went on to resection. All 5 of the patients with early specific insular involvement underwent an insula-sparing resective procedure with Engel Class I outcome in all cases.

Conclusions
Stereotactic placement of insular electrodes via a frontal oblique approach is a safe and efficient technique for investigating insular involvement in medically intractable epilepsy. The information obtained from insular recording can be valuable for appreciating the degree of insular contribution to seizures, allowing localization to the insula or clearer implication of other sites.
Risk of ventriculostomy-related hemorrhage in patients with acutely ruptured aneurysms treated using stent-assisted coiling
Authors: Kung David K. , Policeni Bruno A. , Capuano Ana W. , Rossen James D. , Jabbour Pascal M. , Torner James C. , Howard Matthew A. , Hasan David 
Published: October 2010

Object
Intracranial stenting has improved the ability to treat wide-neck aneurysms via endovascular techniques. However, stent placement necessitates the use of antiplatelet agents, and the latter may complicate the treatment of patients with acutely ruptured aneurysms who demonstrate hydrocephalus and require ventriculostomy. Antiplatelet agents in this setting could increase the incidence of ventriculostomy-related hemorrhagic complications, but there are insufficient data in the medical literature to quantify this potential risk. The aim of this study was to directly quantify the risk of ventriculostomy-related hemorrhage in patients with acute aneurysmal subarachnoid hemorrhage treated with stent-assisted coiling.

Methods
The authors retrospectively identified 131 patients who underwent endovascular treatment for an acutely ruptured aneurysm as well as ventriculostomy or ventriculoperitoneal (VP) shunt placement. The rate of hemorrhagic complications associated with ventriculostomy or VP shunt insertion was compared between patients who underwent coiling without a stent (Group 1) and those who underwent stent-assisted coiling and dual antiplatelet therapy (Group 2).

Results
One hundred nine ventriculostomies or VP shunt placement procedures were performed in 91 patients in Group 1, and 50 procedures were undertaken in 40 patients in Group 2. The rates of radiographic hemorrhage and symptomatic hemorrhage were significantly higher in Group 2 (32% vs 14.7%, p = 0.02; and 8% vs 0.9%, p = 0.03, respectively). On multivariate analyses, Group 2 had 3.42 times the odds of a radiographic hemorrhage (95% CI 1.46–8.04, p = 0.0048) after adjusting for antiplatelet use prior to admission.

Conclusions
The application of dual antiplatelet therapy in stent-assisted coiling of acutely ruptured aneurysms is associated with an increase in the risk of hemorrhagic complications following ventriculostomy or VP shunt placement, as compared with its use in a coiling procedure without a stent.
Mass Psychogenic Illness among Learners at Jaforabad High School, in Hathazari, Chittagong, Bangladesh
Authors: Amin MR , Mahmood S , Rabbi SF , Hossain AA , Sharif HM 
Published: October 2010

Objectives: Mass psychogenic illness involves people with real symptoms that are often triggered by misunderstood or false information. We investigated symptoms of sharing among 15 learners at a high school in Hathazari , Chittagong districts of Bangladesh. Methods: In 4th August, 2007, a student of 8th grade of jaforabad high school noticed feverish feeling in his classroom, and soon thereafter he had a headache, nausea, vertigo, tingling sensation of limbs and burning sensation of the body. Within an hour another 14 learner of different grade suffers same symptoms except fever. An investigation was performed by several government agencies. Results: We were unable to find a medical or environmental explanation for the reported illnesses. The persons who reported symptoms came from 10 classrooms scattered throughout the school. The most frequent symptoms were headache, vertigo, nausea, and abdominal pain. Blood and urine specimens of admitted 3 learners showed no evidence of organic illness. A questionnaire administered two days later show that the reported symptoms were significantly associated with female sex, seeing another ill person and knowing that a classmate was ill. Conclusions: This illness, had features of mass psychogenic illness - notably, widespread subjective symptoms thought to be associated with psychosocial impact. Key words: Mass psychogenic illness; learners. DOI: 10.3329/jdmc.v18i2.6267 J Dhaka Med Coll. 2009; 18(2) : 105-111
Indication of Caesarean Section Operation in Preterm Pregnancy and Its Outcome  A Study of 100 Cases
Authors: Wazed F , Jahan S , Tanira S 
Published: October 2010

A prospective study of 100 cases of preterm pregnancy was done in the Department of Obstetrics & Gynaecology of Dhaka Medical College Hospital and Mitford Hospital, Dhaka from September 2002 to August 2003. The incidence and indications for caesarean section operation were eclampsia 24%, preeclampsia 20%, antepartum haemorrhage (APH) 15%, premature rupture of membrane (PROM) 8%, PROM with chorioamnionitis 4%, preterm labour with previous caesarean section 9%, foetal distress with labour pain 7%, less foetal movement 6%, malpresentation with cord prolapse 3%, multiple pregnancy 2% and diabetes mellitus with polyhydramnios 2%. Emergency caesarean section was done in 98 cases and elective operation in 2 cases. Live birth was 93% and perinatal mortality was 32%. Neonatal morbiditites were prematurity and birth asphyxia. Maternal mortality in preterm caesarean section was 16%. Key words: Preterm pregnancy; Caesarean section; Indication; Outcome. DOI: 10.3329/jdmc.v18i2.6271 J Dhaka Med Coll. 2009; 18(2) : 124-126
Status of Early Mortality in Newly Diagnosed Cases of Acute Promyelocytic Leukaemia (APL) in BSMMU Hospital
Authors: Rahman F , Yunus ABM , Kabir AL , Begum M , Aziz A , Shah S , Rahman F , Rahman MJ 
Published: October 2010

Background: Acute promyelocytic leukemia (APL), is now curable in most cases with current treatment strategies. But limited available data suggest that the rate of early mortality is high and long term survival is poor in many developing countries. To improve the survival rate by reducing early mortality, study of the status of early mortality as the main cause of treatment failure for the management of APL as a heamatological emergency appears to have a great significance. Materials and method: Diagnosis of acute promyelocytic leukemia was done from bone marrow morphological study by experienced haematologist. After that cytogenetic study to see chromosomal translocation 15 and 17 and molecular study to see PML-RARá fusion protein was also done. Clinical and laboratory evaluation was done to all of them. Chemotherapy according to IC-APL protocol was given to 30 out of 40 patients. Incidence of early mortality (death within 14 days of diagnosis) was recorded and also categorized according to cause of death. Pattern of supportive cares given to the patients such as management of coagulopathy. ATRA syndrome or sepsis to treat the disease as a medical emergency was also recorded. Result: Selected clinical, laboratory and outcome data of 40 cases of APL who were admitted in Haematology department of BSMMU was surveyed. The median age overall was 32 yrs. The median WBC count at diagnosis was 7.75×109/L and median platelet count 25×109/L. Laboratory evidence of DIC was noted in 37.5% of patients. Death occurred within 14 days of diagnosis (early death) in 10 (25%) cases. Bleeding was the most common cause of early death, then infectious complication and ATRA syndrome. Among 30 patients who got chemotherapy complete remission (CR) was 66.6%. So only 50% of the total study population was able to achieve CR. So due to early mortality, a significant portion of the study population could not receive protocol based treatment. Conclusion: To improve outcome by reducing initial mortality early recognition and treatment of APL is required in specialized institutions, by prompt and aggressive supportive therapy as well as immediate starting of antileukemic agent such as ATRA, arsenic trioxide etc. Key words: Acute Promyelocytic Leukaemia (APL); mortality. DOI: 10.3329/jdmc.v18i2.6277 J Dhaka Med Coll. 2009; 18(2) : 150-154
Les « secondes victimes » : vivre au quotidien auprès des personnes atteintes de la maladie d'Alzheimer
Authors: Samitca Sanda 
Published: October 2010

The « second victims »: people living with patients suffering from Alzheimer's disease
Caring for a relative suffering from Alzheimer's disease put the family in complex and difficult circumstances, and remain the object of few studies. This paper stress the role of the informal carers for the care of Alzheimer' s disease patients, and how they become the « second victims » of the disease. Various types of reaction and coping strategies are experienced by the caregivers and are to be undestood for an adequate management of the patients.
Marginalité contraceptive et figures du féminin : une expérience de la contraception injectable hormonale en France
Authors: Bretin Hélène 
Published: October 2010

Marginal contraception and feminine representations: an experience with injectable hormone contraception in France
In France, where the pill and the IUD are used extensively, injectable hormone contraception is more of an exception. What meaning does it have in this context? This article, which draws on data from sociological and epidemiological research undertaken in the suburbs of Paris (1986-1990), examines the experiences of women and prescribing doctors. The medical conception of the method as a « last resort » induces a form of marginality associated with particular representations of the feminine as regards control of fertility. The reproductive trajectories of the users interviewed are less clear-cut than the social categories defined by doctors. For these women in socially and economically underprivileged situations, injectable hormone contraception is a compromise in which the inequalities characterizing social uses of contraception and the tensions between reproductive and contraceptive necessities are revealed.
La contraception, levier réel ou symbolique de la domination masculine
Authors: Bajos Nathalie , Ferrand Michèle 
Published: October 2010

Contraception: actual or symbolic lever of maie domination
The development and diffusion of medical contraception can be thought to have promoted gender equity in areas of social life such as sexuality, family and work over the last three decades, period during which the feminist agenda has slowly been institutionalized in policies and laws. This article shows, however, that the advent of medical contraception was unable to subvert the gender hierarchy. Indeed, this technology does not challenge, but rather consolidates, the construction of female identities based on motherhood. While the use of medical contraceptives allows women to conciliate with greater ease professional activity and motherhood, this practice does not question the sexual division of productive and reproductive work, which remains an important component of social order. An analysis of practices and représentations in the sphere of sexuality reveals the persistancy of a gender divide.
L'espace du fauteuil roulant. Sociabilité ambulatoire en institution gériatrique
Authors: Hédouin Arnaud 
Published: October 2010

El espacio de la silla de ruedas. Sociabilidad ambulatoria en la institución geriátrica
En un establecimiento geriátrico, la silla de ruedas es un objeto ordinario. Aún así su utilización no déja de ser problemática. No solamente su utilización pone en evidencia los límites impuestos a la movilidad por la organización física del espacio, sino que muchas veces necesita la intervencicón de un tercero. Esta particularidad da cuenta de la dimensión social que requiere el hecho de desplazar este objeto en el espacio. En este sentido, la silla de ruedas determina un marco de sociabilidad ambulatoria en el interior del edificio, esquematizado aqui en forma de metáfora de autopista. La silla de ruedas reparte los lugares y las identidades de los individuos alrededor de su uso, al mismo tiempo que le permite apropiarse de esos espacios a los ancianos que dependen de ella.
Diagnostic prénatal de la drépanocytose et interruption médicale de grossesse chez les migrantes africaines
Authors: Bonnet Doris 
Published: October 2010

Antenatal diagnosis of sickle-cell and therapeutical abortion for African immigrant women
French Doctors recommend to pregnant women from Africa, the antenatal detection of sickle-cell, a widely spread genetical disease. When the foetus has a severe type of disease, they are offered a therapeutic abortion. The practice of medical abortion, while it is forbidden in their native countries, and the idea of giving birth to a handicap child, while the perception of this disease is not linked to a handicap, send them back to a new health pattern. In this context, the African woman experiments a normative, but also emancipatory scheme of the medical System.
Incidence du pronostic sur la construction des modèles explicatifs de la maladie d'Alzheimer à l'île de la Réunion
Authors: Enjolras Franck 
Published: October 2010

Impact of the prognostic into the construction of disease's explanatory models: the Alzheimer's disease in l'île de la Réunion
While the diagnosis of Alzheimer's disease used to be more confined in the occidental society, it is presently found in Creole society, in particular in l'île de la Réunion. The cultural perception of this disease reminds processes described for others diseases. It shows the evolution of the relationship between a part of the population of l'île de la Réunion and senility's disorders. This article shows up firstly how the evolution of the care system in l'île de la Réunion depends on news economic data and on cultural processes as creolization, and presents researches on environmental data around Alzheimer's disease. Central in the apprehension of this disease, the investigation of the notion of memory gives an opportunity to think over the inscription of the Alzheimer's disease in the White Creole population. Finally, the way families cope with the diagnosis of the disease refers to already well known mechanisms and emphasized the importance of the prognosis in the construction of explanatory models.
Serum and Urinary Cell–free MiR-146a and MiR-155 in Patients with Systemic Lupus Erythematosus
Authors: WANG GANG , TAM LAI-SHAN , LI EDMUND KWOK-MING , KWAN BONNIE CHING-HA , CHOW KAI-MING , LUK CATHY CHOI-WAN , LI PHILIP KAM-TAO , SZETO CHEUK-CHUN 
Published: October 2010

Objective.Recent studies showed that micro-RNA play important roles in the pathogenesis of autoimmune diseases. We studied the levels of miR-146a and miR-155 in the serum and urinary supernatant of patients with systemic lupus erythematosus (SLE).Methods.The serum and urinary supernatant levels of miR-146a and miR-155 were determined by real-time quantitative polymerase chain reaction in 40 patients with SLE and 30 healthy controls.Results.Compared to controls, serum miR-146a and miR-155 levels were lower, and the urinary level of miR-146a was higher, in SLE. Estimated glomerular filtration rate (eGFR) correlated with both serum miR-146a (r = 0.519, p = 0.001) and miR-155 (r = 0.384, p = 0.014). Serum miR-146a inversely correlated with proteinuria (r = −0.341, p = 0.031) and the SLE Disease Activity Index (r = −0.465, p = 0.003). Serum miR-146a and miR-155 levels also correlated with red blood cell count, platelet count, and lymphocyte count. After treatment with calcitriol for 6 months, serum miR-146a level of SLE patients increased significantly (p < 0.001), and its change inversely correlated with the level of calcium-phosphate product (r = −0.466, p = 0.003).Conclusion.The results suggested that serum miR-146a and miR-155 participate in the pathophysiology of SLE and might be used as biomarkers of SLE.
Sociologies de la musique
Authors: Ravet Hyacinthe 
Published: October 2010

Résumé Qu’est-ce que « la sociologie de la musique » ? Et d’ailleurs, peut-on parler d’ une sociologie de la musique ? En interrogeant la manière d’aborder le fait musical de plusieurs sociologues français (J.-L. Fabiani, A. Hennion, P.-M. Menger et E. Pedler), contributeurs à ce numéro spécial de L’Année sociologique et parmi les principaux auteurs à avoir insufflé un développement de ce champ disciplinaire dans les années 1980 en France, l’article montre la diversité des conceptions théoriques et empiriques en sociologie de la musique. Le rapport personnel et scientifique qu’entretient chacun des auteurs avec la musique n’y est pas étranger. Cette entreprise nécessite au préalable de questionner le caractère réputé « insaisissable » de la musique et de reconstituer les débuts de la discipline en France. Elle conduit à souligner comment, en retour, la musique et les sociologies de la musique interrogent la musicologie et la sociologie de manière générale.
La question de la tonalité : retour sur le partage nature-culture. relire Lévi-Strauss avec des lunettes pragmatistes ?
Authors: Hennion Antoine 
Published: October 2010

Résumé L’auteur propose de relire la fameuse digression de Lévi-Strauss sur la musique qui ouvre les Mythologiques . L’intérêt de ce retour n’est pas de critiquer ou défendre ce texte provocant, mais de profiter de ses analyses, des critiques qu’il a essuyées, des incompréhensions qu’il a provoquées, et même de ses manques, pour poser à nouveaux frais la question de la tonalité, et se demander quelles remises en cause implique une telle entreprise : penser l’articulation entre les propriétés physiques du son et le langage musical. Lévi-Strauss lui-même ne cherchait pas à appliquer son modèle à la musique. L’articulation nature-culture que cet art réalise, réussite pour lui très mystérieuse, lui servait au contraire à pousser ses conceptions à leurs limites. En mettant en évidence une série de paradoxes, l’auteur revient notamment sur l’héritage du structuralisme, et en détache la position de Lévi-Strauss, qu’il éclaire depuis les apports des Science & Technology Studies ( sts ) et de la sociologie pragmatiste.
Live at the village Vanguard. Le paradoxe de l'écoute enregistrée du jazz
Authors: Fabiani Jean-Louis 
Published: October 2010

Résumé Le paradoxe de la musique de jazz tient tout entier dans le rapport complexe entre la revendication de la présence réelle et l’accès à l’altérité musicale par le biais du disque, sous ses formes successives. Il convient de décrire précisément les présupposés de l’appréciation du jazz comme musique improvisée et produite localement (1. Les sons et les lieux) . Il est alors possible de rendre compte de l’importance que le jazz a eue dans la constitution d’une ambivalence fonctionnelle concernant le rapport à l’écoute dans les sociétés contemporaines (II. La vie capturée et le rêve de l’amateur) . Dans un troisième moment, on développera une problématique de la présence réelle du jazz qui pourrait être susceptible de subir, sous certaines conditions, l’épreuve de la généralisation (III. La présence désincarnée du jazz) . Le jazz a été l’un des mondes sociaux au sein desquels le disque a été le plus fétichisé, non pas comme un substitut imparfait à la singularité du concert, mais comme un univers autonome. Ainsi l’ambivalence du jazz finit-elle par être inscrite dans la définition même de cet objet indécis.
Low levels of ethnic intolerance do not create large ghettos a discussion about an interpretation of Schelling's model
Authors: Forsé Michel , Parodi Maxime 
Published: October 2010

Résumé Dans les années 1970, Thomas C. Schelling a proposé un modèle pour expliquer le lien entre ségrégation spatiale et préférences individuelles concernant cette ségrégation. Au moyen de simulations, il cherche à montrer qu’un haut niveau de ségrégation globale peut être le résultat collectif de décisions individuelles qui sont loin de viser une telle ségrégation. Cet article montre cependant que les contraintes structurelles du modèle expliquent intégralement les niveaux de ségrégation atteints. Une faible exigence individuelle pour s’entourer de voisins identiques conduit à une ségrégation collective faible et une exigence forte conduit à une ségrégation forte. Les niveaux de ségrégation correspondant à un seuil donné de satisfaction individuelle n’ont rien de surprenant en regard du hasard et de ce que chaque individu souhaite réellement. Le modèle de Schelling ne permet pas de conclure que, de manière générale, de larges ghettos naissent d’innocentes décisions.
Efficacité comparée de deux stratégies de prévention des infections nosocomiales : impact sur les représentations et les pratiques autodéclarées
Authors: Quintard Bruno , Lecigne A. , Pascual A. , Rogues A.-M. , Parneix Pierre 
Published: October 2010

Résumé La présente recherche se propose de comparer l’impact de deux formations visant au respect des recommandations professionnelles édictées pour prévenir les infections nosocomiales ( in ). 74 infirmiers ( ide ) et aides-soignants ( as ) ont été répartis de façon aléatoire dans deux groupes. La « formation standard », privilégiait un contenu médical, à visée strictement didactique ; la condition « engageante », privilégiait la réflexion et la concertation, sans aucun apport relatif aux in (en référence aux théories de l’engagement de Joule et Beauvois, 1998). L’observance des recommandations professionnelles est meilleure après les interventions, et ce, quel que soit le contenu dispensé. Cette observance est optimisée chez les sujets qui ont bénéficié d’un contenu « engageant ». La condition engageante a un impact significativement plus favorable sur les ide que sur les as qui sont elles-mêmes plus sensibles à la formation « standard ». En revanche, on n’observe aucun effet significatif des deux types de formations sur les représentations que les soignants ont des in .