bluuebunny/crossref_metadata_2025_split huggingface dataset:
Quand le pluralisme de l’information des réseaux numériques devient toxique : les tactiques de sous-exposition médiatique et de repli relationnel
Authors: Figeac Julien , Beliard Anne Sophie , Bideau Laëtita , Rives Liza 
Published: May 2024

Pour comprendre les incertitudes soulevées par la crise du Covid-19, les personnes ont diversifié leurs pratiques d’information en consultant des nouvelles alternatives diffusées dans les réseaux numériques, par exemple par des « journalistes citoyens ». Cet article cherche alors à comprendre dans quelle mesure ce contexte a pu alimenter le sentiment d’être exposé à une masse d’informations peu fiables et anxiogènes. Sur la base d’une enquête par questionnaire (n = 2 541) et d’entretiens (n = 30), nous présentons les trois principales tactiques mises en place par les participants pour contrer les effets négatifs de cette surinformation. Beaucoup ont décidé de recentrer leurs pratiques autour de certains contenus jugés moins stressants, comme les informations régionales. D’autres se sont détournés de certains médias, notamment des chaînes d’information en continue, pour investir des médias perçus comme moins anxiogènes et plus fiables, comme les stations de Radio ou la presse écrite. D’autres enfin ont pris de la distance avec ceux qui ont pu partager des informations dérangeantes dans les réseaux numériques. Cet article illustre ainsi les dérives de la surexposition à des sources diversifiées et à des idées contraires. Il démontre ce que les personnes perçoivent comme les bienfaits, en temps de crise, de l’alignement sur la ligne éditoriale des médias traditionnels et du repli dans l’entre soi des discussions avec des personnes ayant des positions idéologiques convergentes.
La difficile application des lois sur la sûreté publique sous le Directoire
Authors: Le Quang Jeanne-Laure 
Published: May 2024

Dans un contexte de menaces persistantes, assurer la sûreté publique représente un enjeu majeur pour les autorités sous le Directoire. En témoignent les nombreuses lois de sûreté publique votées, dont il faut pourtant questionner l’application dans les espaces ruraux. L’article prend pour terrain d’études deux départements bourguignons, la Saône-et-Loire et l’Yonne. L’application de la loi constitue un défi complexe dans ces territoires qui sont traversés par des tensions constantes, mais dotés de peu de moyens humains pour assurer la sûreté publique. Alors que certaines communes prennent des initiatives zélées, mais outrepassant la lettre de la loi, d’autres sont dépassées par l’application d’une loi inadaptée aux réalités locales. Le poids des circonstances doit enfin être interrogé : suite au coup d’État de fructidor an V, alors que les exigences de contrôle sont renforcées, les difficultés des autorités locales à appliquer la loi perdurent et les tensions restent vives.
Quand les ouvriers « font la loi » : l’impression du Bulletin des lois à l’imprimerie de la République
Authors: Milleron-Besenval Juliette 
Published: May 2024

Le processus et les modalités de l’impression de la Loi sous le Directoire dans les ateliers de l’imprimerie de la République donnent à voir les fragilités du moment directorial. En instaurant un établissement unique et central, seul responsable de l’impression du Bulletin des lois, le pouvoir politique s’est assuré de garder un contrôle sur la production quotidienne du texte législatif, l’imprimerie de la République devenant ainsi l’instance de légitimation de l’authenticité du texte législatif. Or, ce modèle s’accompagne d’un certain nombre de contraintes. La production des textes de loi, diffusés rapidement sur l’ensemble du territoire, transforme l’organisation du travail au sein des ateliers et nécessite la participation d’une main-d’œuvre qualifiée et suffisamment rémunérée pour rester à son poste. Dans un contexte de crises économiques, le financement de l’établissement est menacé et met en péril le versement des salaires : la fabrication de la loi dépend ainsi des ouvriers qui la fabriquent.
Les conséquences des élections et du principe de majorité sur les pratiques de travail au sein des assemblées directoriales – 1797-1798
Authors: Antunes Séverine 
Published: May 2024

Sous le Directoire, les conséquences des élections annuelles sont multiples au sein du pouvoir législatif, alors divisé en deux assemblées, dénommées Conseil des Cinq-Cents et Conseil des Anciens. Dépassant les préceptes visant à faire de l’élu le dépositaire d’une volonté souveraine, le principe de représentation conduit sur cette période à une entreprise politique nouvelle. Au sein des Conseils, cela se traduit par l’élection mensuelle du bureau de chaque assemblée qui reflète la majorité issue des élections législatives et, de manière corrélative, par la mise en place d’un programme politique. Un jeu parlementaire secoué par les différentes majorités et oppositions se développe, caractérisé par la prédominance institutionnelle des commissions. Celles-ci constituent des organes clés à différents égards. Ainsi, sur le plan politique, elles sont le porte-parole des assemblées face au Directoire exécutif lors des crises du régime, comme on peut le constater avec le rôle des inspecteurs de la salle au moment du 18 fructidor an V. Mais les commissions sont également des acteurs clés incontournables de la construction de la loi. Ainsi, la pérennité d’une partie d’entre elles s’explique par la spécialisation de leurs membres, induisant la naissance d’une technocratie à l’œuvre qui rend impossible les réformes du mode de fonctionnement interne des assemblées.
Un Landgraben et deux landgraviats : l’Alsace en elle-même
Authors: Jordan Benoît 
Published: May 2024

Le Landgraben trace une ligne fictive, une frontière intérieure, entre la Haute-Alsace et la Basse-Alsace. Cette ligne de séparation correspond certes à une réalité historique, mais dont le tracé et la conception ont varié dans le temps. La même racine Land renvoie aux termes de landgraviat, de Landvogt, de Landweibel… Ces désignations font l’objet d’interrogations et d’exposés qui les présentent comme des éléments intrinsèques à l’histoire de l’Alsace, renvoyant à toute la région ou seulement à une partie de son territoire. Y aurait-il, dans la réalité historique autant que dans l’imaginaire collectif d’érudits, deux Alsaces, celle du Nord et celle du Sud, un patriotisme de la petite patrie régionale et un autre de la patrie locale ?
Le désordre comme voie pour sortir des contraintes de l’analyse structurale et de la linéarité descriptive du récit historique alsacien
Authors: Bruant Benoît 
Published: May 2024

Le marché de l’art en Alsace en 1900 et le début du processus de patrimonialisation du camp de concentration de Natzweiler-Struthof en 1949-1954 sont deux cas d’étude qui permettent de replacer sujet et événement au cœur du raisonnement.Les nombreux groupes d’acteurs qui apparaissent à la lecture de sources renouvelées ; administrations étatiques, témoins, artistes, ou organisations sociales, permettent de dégager les affiliations auxquelles ils se rattachent ou s’opposent, leurs interactions.L’analyse des intentions ou velléités projectives permet de dépasser le cadre trop simpliste des polarités nationales ou celui de la modernité artistique résumée par la marche des « avant-gardes ». Elle permet d’accéder à des échanges en prises avec les débats du monde et de leur temps. Ceux d’acteurs aux aspirations contradictoires, parfois tentés par le renoncement et dont on a souvent simplifié les tiraillements par le binôme exclusif universel / particulier. La complexité permet de replacer ce particulier au cœur de l’universel.
Onzichtbaar voor de overheid: eerste schatting van het aantal “administratieve verdwijningen” in het Brussels Hoofdstedelijk Gewest
Authors: Moriau Jacques , Malherbe Alain , Sanderson Jean-Paul , Pierre Adèle , Leclercq Alexandre 
Published: May 2024

En Belgique, la domiciliation donne accès aux droits fondamentaux par l’inscription des personnes au Registre National. Le Registre National centralise toutes les données qui sont recueillies par les communes. L’invisibilisation administrative a donc des conséquences directes sur la jouissance des droits sociaux. Elle a trois origines distinctes : l’absence d’inscription, la radiation, la suppression de personnes du Registre National. Au départ de l’analyse des données du Registre National, cet article s’intéresse aux phénomènes d’« invisibilisation administrative », c’est-à-dire à la disparition ou la radiation, volontaire ou involontaire, des registres administratifs. Une analyse anthropologique des pratiques administratives concernant la domiciliation des personnes introduit l’article qui est poursuivi par une quantification et une spatialisation du phénomène d'invisibilisation administrative et enfin une enquête sociologique auprès des personnes victimes d’invisibilisation administrative éclaire leurs parcours d’exclusion.
Single-Leg Hop Performance After Anterior Cruciate Ligament Reconstruction: Ready for Landing but Cleared for Take-Off?
Authors: Rush Justin L. , Murray Amanda M. , Sherman David A. , Gokeler Alli , Norte Grant E. 
Published: May 2024

Context
Although the landing phases of the single-leg hop for distance (SLHD) are commonly assessed, limited work reflects how the take-off phase influences hop performance in patients with anterior cruciate ligament reconstruction (ACLR).

Objective
To compare trunk and lower extremity biomechanics between individuals with ACLR and matched uninjured controls during take-off of the SLHD.

Design
Cross-sectional study design.

Setting
Laboratory setting.

Patients or Other Participants
Sixteen individuals with ACLR and 18 uninjured controls.

Main Outcome Measure(s)
Normalized quadriceps isokinetic torque, hop distance, and respective limb symmetry indices were collected for each participant. Sagittal and frontal kinematics and kinetics of the trunk, hip, knee, and ankle as well as vertical and horizontal ground reaction forces were recorded for loading and propulsion of the take-off phase of the SLHD.

Results
Those with ACLR had weaker quadriceps peak torque in the involved limb (P = .001) and greater strength asymmetry (P &lt; .001) than control individuals. Normalized hop distance was not statistically different between limbs or between groups (P &gt; .05), and hop distance symmetry was not different between groups (P &gt; .05). During loading, the involved limb demonstrated lesser knee flexion angles (P = .030) and knee power (P = .007) than the uninvolved limb and lesser knee extension moments than the uninvolved limb (P = .001) and controls (P = .005). During propulsion, the involved limb demonstrated lesser knee extension moment (P = .027), knee power (P = .010), knee (P = .032) and ankle work (P = .032), and anterior-posterior ground reaction forces (P = .047) and greater knee (P = .016) abduction excursions than the uninvolved limb.

Conclusions
Between-limb differences in SLHD take-off suggest a knee underloading strategy in the involved limb. These results provide further evidence that distance covered during SLHD assessment can overestimate function and fail to identify compensatory biomechanical strategies.
Application of nonsteroidal anti-inflammatory drugs in aortic aneurysm
Authors: Moro Rodríguez Rubén T. , Olivera Daylin Ricardo , Valdes Cantero Jose Luis , Ferrer Vielka Gonzalez 
Published: May 2024

INTRODUCTION:
Aortic aneurysms have among their main factor for rupture, growth, produced by the weakening of the aneurysmal wall influenced by different risk factors.

MATERIAL AND METHOD:
A 5-year investigation was carried out with a group of 63 patients with aortic aneurysms who, for different reasons, were not operated on during the study period. They were divided into two groups, one called a study with 48 patients and another with 15 who use in the study group, ibuprofen-based medical treatment (non-steroidal anti-inflammatory drugs [NSAIDs) in doses of 800 mg per day and sixmonthly ultrasound controls throughout the period of the investigation, measuring the aneurysmal diameters to demonstrate the growth, detection or reduction of the same.

RESULTS:
The usefulness and efficacy of the use of NSAIDs in the field of medical treatment of aortic aneurysms was demonstrated, since during the investigation of the two study groups, we achieved higher survival rates for the group treated with NSAIDs.

CONCLUSIONS:
Through growth control as the main rupture factor and therefore a complication that in most cases is fatal, we achieved a reduction in the aneurysmal diameter in a number of patients with higher survival rates than in the control group. Graphs up to 5 years are presented that support the results achieved.
Molecular mechanism of Si-Miao-Yong-An decoction in the treatment of diabetic foot microcirculation and network pharmacology information analysis results
Authors: Wei Zhao , Mingyang Dong , Dikang Pan , Yanbo An , Le Tong , Zhongkai Yang , Jing Zhang , Bonan Lv , Xiaoming Shi 
Published: May 2024

OBJECTIVE:
This study aims to explore the effect and mechanism of Si-Miao-Yong-An decoction (SMYAD) on diabetic foot by simulating the microenvironment of diabetic foot in vitro, and further verify these results using bioinformatics analysis technology, in order to provide a basis for the treatment of diabetic foot with traditional Chinese medicine.

MATERIALS AND METHODS:
Human umbilical vein endothelial cells (HUVECs) were cultured under hypoxia to simulate the microcirculation of diabetic foot. Then, these were administered with SMYAD for intervention. Afterward, the cell viability was detected by MTT assay, the apoptosis was detected by flow cytometry, and the STAT3 signaling pathway and Bcl-2 and Bax protein expression were detected by Western blot. Next, TCMSP was used to determine the chemical composition and target gene information of the SMYAD, and the GeneCards database was used to search for the disease-related target gene information of diabetic foot. Furthermore, the Venny 2.1 online software was used to screen and obtain the drug–disease common target genes for the SMYAD and diabetic foot. The common target genes were entered into the STRING database for retrieval, in order to construct the network diagram for protein-related action, and the R software was used to analyze the pathway enrichment, in order to explore the mechanism of the SMYAD in the treatment of diabetic foot microcirculation.

RESULTS:
Compared with the control group, the SMYAD increased the activity of HUVECs cultured in the hypoxia state but decreased the apoptosis rate. Furthermore, the protein expression of p-STAT3 and Bcl-2 increased, and the protein expression of Bax decreased (P < 0.05). A total of 235 drug-related target genes were found by screening, and 4553 target genes related to diabetic foot were obtained. The Venny software analysis revealed that there were 171 drug–disease interaction target genes. The STRING database and the GO and KEGG functional enrichment analysis revealed that STAT3, AKT, MAPK, and other proteins were involved, and that these may be correlated to the mechanism of the SMYAD in the treatment of diabetic foot microcirculation.

CONCLUSION:
SMYAD can affect the expression of Bcl-2 and Bax genes by regulating the activity of the STAT3 signaling pathway, playing a role in the treatment of diabetic foot.
Screening for Psychosocial Morbidity in Children with Type 1 Diabetes Mellitus in an Urban Setting
Authors: Ali Mazher , Mateen Syed , Ahmed Arifuddin , Vaseem Ayesha , Nasirabadi Minhaj Zafar , Sethi Bipin Kumar , Rahman Ateeq Ur 
Published: May 2024

Background:
Type 1 diabetes mellitus (T1DM) is an autoimmune disease caused by absolute insulin deficiency. As per 2015 estimates, the number of affected children (<15 years) in India is estimated to be 70,200 children,[1] contributing almost 8% of the global burden. It poses additional challenges in the form of emotional stress and psychosocial adjustment problems.

Materials and Methods:
This was a cross-sectional study on 101 subjects. The Strengths and Difficulties Questionnaire (SDQ) was used to survey mental health symptoms and positive attitudes. The Quality of Life (QoL) Questionnaire was used to assess the QoL.

Results:
The prevalence of Total difficulties score (TDS) with clinically significant problems was seen in 17.6% of the children. A statistically significant positive correlation was found between HbA1c levels and parent-reported TDS scores (r = 0.692, P < 0.0001). As the HbA1c levels increase, the peer problems (r = 0.322, P = 0.008) and prosocial behavior problems (r = −0.254, P = 0.028) significantly increased.

Conclusion:
The most common abnormal SDQ scores were found in conduct problems (38.2%) and emotional problems (35.3%). Regular monitoring of lipid profile, blood pressure, and renal indices is important to observe the effects of T1DM on end organs, along with timely screening of children and adolescents for diabetes and psychosocial illness, educating the caregivers about diabetes, monitoring of diet, psychosocial illness, and means to cope with them, which can also improve the psychological well-being and in turn QoL of children and adolescents.
Coronary arteriopathy in a patient with Noonan phenotype: Case report
Authors: Jain Simran , Ravindra M. S. , Sathe Yogesh Chintaman , Kulkarni Snehal M. , Banpurkar Ashish 
Published: May 2024

ABSTRACT
Noonan syndrome (NS) is a pleomorphic genetic disorder. Up to 50-80% of individuals have associated congenital heart disease. The scope of cardiac disease in NS is quite variable depending on the gene mutation. The most common forms of cardiac defects include pulmonary stenosis, hypertrophic cardiomyopathy (HCM), atrial septal defect and left-sided lesions. Amongst the rare vascular abnormalities few case reports have been mentioned about coronary artery lesions apart from sinus of Valsalva aneurysm, aortic dissection, intracranial aneurysm. This is a case report a rare case of asymptomatic coronary artery aneurysm in a young male with NS. There is lack of unified protocol for the screening, diagnosis, treatment, and follow-up of coronary artery disease in patients with NS. We conclude, echocardiography is sufficient in most cases in children. But a CT scan is appropriate in adults or when other lesions are suspected.
Alternative technique for femoral access in neonates undergoing cardiac catheterization
Authors: McCay Nicola , Walsh Keviin 
Published: May 2024

ABSTRACT
We report an alternative technique for femoral access in neonates <3.5 kg undergoing cardiac catheterization. By modifying a 0.014” Balance middleweight Elite wire and using a 24-gauge Galt introducer needle, we have noted increased ease and success in obtaining vascular access in this challenging cohort.
Aortico right atrial tunnel – Clinical presentation, transcatheter management, and follow-up from a large cohort of patients
Authors: Sivakumar Kothandam , Singhi Anil Kumar , Sankarakuttalam Ramkishore , Rajendran Monica 
Published: May 2024

ABSTRACT

Background:
Aortico right atrial tunnel (ARAT) is a rare extracardiac communication between the aorta and the right atrium with two anatomical types. A recent global review identified 59 patients.

Methods:
Patients with ARAT from two centers were analyzed for their demographics, symptoms, morphology, management, and follow-up thromboprophylaxis.

Results:
Among 21 patients including 8 males with a median age of 3 years (18 days–72 years) diagnosed as ARAT, 12 (57%) had posterior tunnels and 9 had anterior tunnels. Four patients had multiple exits. Eighteen tunnels were closed after arteriovenous circuit formation. Six patients (29%) weighing <10 kg presented early with heart failure. Transcatheter closure normalized the hemodynamics including in one infant after failed surgery. Two elderly patients (10%) above 60 years presented with angina and atrial fibrillation. The rest were asymptomatic. Occluders were positioned in the narrow proximal aortic end of the tunnel in all except two patients, where the distal atrial end was closed. All procedures were successful without complications. There was one late death after 1 year from subarachnoid hemorrhage. At a median follow-up of 96 months, all survivors were asymptomatic. Thromboprophylaxis with dual antiplatelets for 1–2 years followed earlier was recently changed to aspirin with Coumadin. Complete remodeling occurred when the proximal aortic end was closed, but partial persistence of the track was noted after distal closure.

Conclusions:
This largest cohort of ARAT showed the safety and efficacy of transcatheter closure even in neonates. The narrow proximal aortic end should be the target for closure rather than the distal atrial end to achieve complete remodeling.
Percutaneous closure of multiple atrial septal defects in a child utilizing three Occlutech Figulla septal occluders: A bailout
Authors: Bulbul Ziad , Hussein Haytham Bou , Sawaya Fadi , Bitar Fadi 
Published: May 2024

ABSTRACT
We describe a unique report of percutaneous closure of multiple secundum atrial septal defects in a child utilizing three Occlutech Figulla septal occluders deployed sequentially. The procedure was performed under live three-dimensional transesophageal echocardiography guidance.
Open-heart surgery in preterm infants: A single-center experience
Authors: Memon Danish , Bayya Praveen Reddy , Bendapudi Perraju , Jayashankar Jessin Puliparambil , Kottayil Brijesh Parayaru , Srimurugan Balaji , Kumar Raman Krishna 
Published: May 2024

ABSTRACT

Background:
Open-heart surgery is challenging in preterm neonates and infants, and its feasibility in low-resource settings has not been defined. We describe our institutional experience with open-heart surgeries performed on consecutive preterm infants.

Materials, Methods and Results:
This was a single-center retrospective cohort from a tertiary hospital in Southern India and included consecutive preterm neonates (<37 weeks) admitted for open-heart surgery. This report is limited to babies who were <3 months at the surgery. The salient features of the 15 preterm included twin gestation: 7 (46.7%); median gestational age at birth: 35 weeks (28–36 weeks); median corrected gestational age at surgery: 37 weeks (33–40 weeks); birth weight: 1.75 kg (1.0–2.6 kg); weight at surgery: 1.8 kg (1.2–2.9 kg); and small for gestational age: 12 (80%). The heart defects included transposition of the great arteries (7), total anomalous pulmonary venous return (3), large ventricular septal defect (VSD) (1), and VSD with coarctation of the aorta (4). Eleven (73%) were mechanically ventilated preoperatively and five had preoperative sepsis. The mean cardiopulmonary bypass time was 169.7 ± 61.5 min, and cross-clamp time was 99.7 ± 43.8 min. There was no inhospital mortality; one baby expired during follow-up at 1 month. Postoperative mechanical ventilation duration was 126.50 h (84.25–231.50 h), and intensive care unit stay was 13.5 days (9–20.8). The total hospital stay was 39 days (11–95 days). Two children (13.3%) had postoperative sepsis.

Conclusion:
Through collaborative multidisciplinary management, excellent outcomes are feasible in low-resource environments for selected preterm neonates undergoing corrective open-heart operations.