bluuebunny/crossref_metadata_2025_split huggingface dataset:
La barrière de la langue, la barrière de la culture
Authors: Mpacko Anne-Sophie , Hamada Yoko , Kunieda Takahiro , Okada Akiyoshi 
Published: April 2024

Le « migrant », « l’expatrié » et « le réfugié » représentent des vécus migratoires appartenant à des réalités allant du privilégié au vulnérable. L’exploration qualitative de l’expérience subjective de cet événement de vie, à travers le vécu de la maternité, nous montre l’impact de la migration sur le fonctionnement psychique. Comment cerner l’impact du vécu migratoire sans critiquer le jeu de catégorisation derrière la figure du migrant ? Cette recherche explore la maternité en situation de migration de mères françaises et de leurs nourrissons au Japon. Pendant deux mois, les mères se sont confiées, filmées en interaction avec leurs bébés, sur leur parcours migratoire. Les obstacles rencontrés en termes de différences culturelles ont pu contribuer à accentuer les vulnérabilités psychiques des processus de maternalité . D’autres recherches comparatives permettront de cerner le vécu migratoire en fonction des représentations collectives des sociétés d’accueil.
La honte dans le processus suicidaire
Authors: Peter Frédéric 
Published: April 2024

L’étude du processus suicidaire, dominé par l’épidémiologie, exclut toute approche phénoménologique, limitant ainsi la valeur clinique des résultats. Certaines théorisations d’inspiration nord-américaine tentent de modéliser la crise suicidaire, telle que la théorie interpersonnelle du suicide. Nous souhaitons étoffer ces résultats en réhabilitant une émotion largement méconnue : la honte. Sur le plan ontologique, la mors voluntaris se conçoit alors comme défaillance du sentiment même de l’existance humaine. Cliniciens et chercheurs sont donc invités à remettre en pensée la question de l’estime de soi et de l’identité dans la problématique suicidaire.
Comparison of Step-Based Metrics Under Laboratory and Free-Living Conditions in Femoroacetabular Impingement Syndrome
Authors: Alrashdi Naif Z. , Aguiar Elroy J. , White Collin E. , Saunders Anna K. , Momaya Amit M. , Emblom Benton A. , Ryan Michael K. , Motl Robert W. , Ithurburn Matthew P. 
Published: April 2024

Context
Femoroacetabular impingement syndrome (FAIS) causes pain and functional limitations. Little is known regarding walking characteristics, volume, and intensity evaluated in laboratory and free-living conditions and whether these measures differ between those with FAIS and uninjured individuals.

Objective
To examine the differences in laboratory gait measures and free-living step-based metrics between individuals with FAIS and uninjured control participants.

Design
Comparative, cross-sectional study.

Patients or Other Participants
We enrolled 25 participants with FAIS and 14 uninjured controls.

Main Outcome Measure(s)
We evaluated laboratory spatiotemporal gait measures (cadence, velocity, step length, stride length) during self-selected and fast walking speeds using an instrumented walkway. Participants then wore an accelerometer around the waist during waking hours for 7 consecutive days. Free-living step-based metrics included average daily steps, peak 1- and 30-minute cadence, and average daily time spent in walking cadence bands. We compared laboratory gait measures and step-based metrics between groups.

Results
The groups did not differ in laboratory spatiotemporal gait measures during both speeds (all P &gt; .05). The FAIS group took fewer daily steps (5346 ± 2141 versus 7338 ± 2787 steps/d; P = .030) and had lower peak 1-minute (92.9 ± 23.9 versus 119.6 ± 16.3 steps/min; P &lt; .001) and 30-minute cadences (60.9 ± 27.1 versus 86.8 ± 22.4 steps/min; P = .003) compared with uninjured controls, respectively. The FAIS group also spent less time in slow (6.0 ± 3.6 versus 10.3 ± 3.4 min/d; P = .001), medium (4.5 ± 4.2 versus 8.9 ± 4.4 min/d; P = .005), and brisk/moderate (4.5 ± 6.2 versus 12.2 ± 10.3; P = .020) cadence bands compared with uninjured controls.

Conclusions
Clinical/laboratory gait measures alone may not be representative of real-world walking-related physical activity behavior in individuals with FAIS.
Robotic Partial Nephrectomy for Multiple Renal Masses
Authors: Stravodimos Konstantinos G , Moulavasilis Napoleon , Manousakis Emmanouil , Fragkiadis Evangelos 
Published: April 2024

Background:
Partial nephrectomy is strongly recommended by the EAU guidelines as the primary treatment option for T1 Renal Cell Carcinoma. Robotic assisted partial nephrectomy has been gaining ground as an approach with similar oncological results to open and laparoscopic approaches, while outperforming them in secondary endpoints, such as functional and perioperative results.

Materials and Methods:
We present our cohort of multiple renal tumors treated with robotic partial nephrectomy. 4 patients were treated for double kidney tumours. We demonstrate patients' demographics and tumour preoperative assessment, our surgical technique, operative details, such as the perioperative outcomes and complications.

Conclusion:
Our experience in the treatment of multiple renal masses with robotic partial nephrectomy suggests favourable outcomes for our patients extending the oncological, functional and perioperative results of RAPN.
SARS-CoV-2 infection associated with hemopathies: An experience of a clinical hematology center in sub-Saharan Africa, Senegal
Authors: Niang El Hadji Daouda , Mwamba Serge , Sarr Khadim , Maserigne Soumaré Pape , Gaye Ibrahima , Fortes Louis , Fall Seynabou , Ndiaye Fatou Samba Diago 
Published: April 2024

Abstract:

INTRODUCTION:
Many studies have reported the association of SARS-CoV-2 with benign and malignant hemopathies. Data from African series are scarce. This work was conducted in sub-Saharan Africa and aimed to study the clinical, biological, and evolutionary features of hemopathies associated with this infection.

MATERIALS AND METHODS:
It was a retrospective, cross-sectional study carried out over 32 months including 86 patients with benign or malignant hemopathies who underwent coronavirus disease-2019 (COVID-19) confirmed by the real-time reverse transcriptase-polymerase chain reaction or presenting with atypical clinical signs associated with highly suggestive computed tomography (CT) scan signs.

RESULTS:
The mean age of patients was 48.3 ± 18.7 years with a sex ratio of 0.75. The main benign hemopathies were sickle cell trait (SCT) (n = 51), sickle cell disease SS (n = 8), and sickle cell disease SC (n = 1), while malignant hemopathies were represented by multiple myeloma (n = 5), non-Hodgkin lymphoma (n = 5), and chronic lymphocytic leukemia (n = 4). The clinical symptoms mainly featured anemic syndrome (16.3%) and a vaso-occlusive crisis was found in 9.3% of homozygous sickle-cell patients. The infection was moderate in 48% of cases and severe in 19.7%. The severe forms were commonly found in patients with malignant hemopathies (47.6%) and the benign forms were noted in benign hemopathies (38.4%). Full blood count outlined anemia in 32.5% and lymphopenia in 23.2% of cases. On imaging, the CT scan reported severe lesions in 41.3% of cases. The outcome resulted in full recovery in 76.7% of cases, and mortality occurred in 23.3%. In univariate analysis, death was mainly noted in patients with lymphoid hemopathies (15%). Comorbidities (P < 0.0001), lymphoid hemopathies (P < 0.0001), and the severity of COVID-19 (P < 0.0001) had a positive impact on death occurrence in univariate analysis.

CONCLUSION:
The association between SARS-CoV-2 and hemopathy is not uncommon and is dominated by benign hemopathies. Malignant hemopathies are at-risk underlying conditions justifying a hospital follow-up of mild forms, allowing better survival. Particular attention must be paid to SCT with comorbidities and those with sickle cell disease of disease.
Comparison between all-on-four and all-on-six treatment concepts on stress distribution for full-mouth rehabilitation using three-dimensional finite element analysis: A biomechanical study
Authors: Pandey Aishwarya , Durrani Farhan , Rai Sanjay Kumar , Singh Nishant Kumar , Singh Preeti , Verma Rati , Kumar Jitendra 
Published: April 2024

Abstract

Purpose:
The current study intended to provide a comparison of biomechanical behaviors of two different treatment concepts for full-mouth rehabilitation with dental implants placed according to the “All-on-four” concept and “All-on-six” concept with analysis of the stress patterns of the implant support system using three-dimensional finite element analysis (FEA).

Materials and Methods:
The edentulous mandible was treated with two different implant designs. “All-on-Four” implant placement concept was used in Model 1 with two central axial implants and two distally tilted implants at 17° and in Model 2, “All-on-Six” concept was applied with six vertically placed implants. Individual vertical and horizontal load of 100 N and oblique load of 141 N at 45° was applied to all implants. To evaluate and compare the results in terms of maximum principal stress, we used FEA.

Results:
All-on-six showed smaller maximum principal stress values on the cortical bone and implants. However, maximum principal stress values obtained on trabecular bone was smaller in the All-on-four design for vertical and horizontal loading conditions.

Conclusions:
The All-on-six approach showed more favorable biomechanical behavior.
Various surgical methods of impacted maxillary canine exposure: A case series
Authors: Balasuppramaniem Meenalochani T. , Anitha A. , Manovijay B. , Ravi Saranyan 
Published: April 2024

Abstract
Impacted tooth is often a common problem in dentistry. Maxillary canines are seen impacted most commonly in patients undergoing orthodontic treatment without reaching the line of occlusion. These impactions are commonly due to physical obstructions and the difference in the direction of movement of the tooth. Canines are the cornerstones for esthetic smile and functional occlusion. Hence, surgical exposure of these impacted canines, guiding them toward the line of occlusion, plays a very important role in the maintenance of the health of periodontium. A series of cases are discussed on various techniques that can be used in guiding the direction or altering the direction of impacted canines to bring them into a proper occlusion without disturbing the health of periodontium.
Gingival hyperplasia: An initial oral manifestation of acute myeloid leukemia
Authors: Sharan Jitendra , Mohapatra Sonali , Chhabra Gaurav , Padhi Somanath , Biswal Sandhya , Barhate Uday Hemant , Jena Ashok Kumar 
Published: April 2024

Abstract
Various systemic diseases can manifest oral signs and symptoms early, which may be crucial for diagnosis and outlining the treatment plan. This case report highlights the presentation of acute leukemia (a malignancy of white blood cells) in a young female. An 11-year-old girl presented with gingival overgrowth and bleeding from the gingiva, weakness, and recent history of weight loss. A detailed workup consisting of complete blood count, bone marrow examination, flow cytometric immunophenotyping, cytogenetics, and molecular studies were carried out. The investigations confirmed the infiltration of blast cells of myelomonocytic origin, and a confirmatory diagnosis of acute myeloid leukemia (French–American–British classification M5) was made. The patient was put on induction chemotherapy and responded well. She developed febrile neutropenia following chemotherapy, which was managed conservatively. Gingival overgrowth subsided after the chemotherapy, and at the time of discharge, she was asymptomatic and hemodynamically stable. The oral health-care professionals must recognize that gingival overgrowth/enlargement may represent an initial manifestation of an underlying systematic disease.
The implication of mitochondrial DNA mutation and dysfunction in periodontal diseases
Authors: Kannan Balachander , Arumugam Paramasivam 
Published: April 2024

Abstract
Periodontitis is a chronic oral inflammatory disease that is caused by dental plaque pathogens. Periodontal disease development and evolution are based on the host immune system, humoral and cellular immunity, the integrity of the tissues, and certain endocrine and nutritional factors. Mitochondria are significantly involved in periodontal infections and inflammation, which play a role in the inflammatory response in a variety of ways. In general, oxidative stress causes a stressful environment that subsequently leads to tissue damage and chronic inflammation. Several mutations and alterations in mitochondrial DNA lead the disease to an aggressive condition, by causing dysregulated mitochondrial function. Such mutations are significantly associated with various diseases. Numerous studies indicate chronic periodontitis patients have a decreased level of mitochondrial membrane potential, as well as adenosine triphosphate, and an increased level of reactive oxygen species production, which causes cell death in the periodontium and affects tissue growth. Further studies into the association between mitochondria and periodontitis might be helpful for the treatment and prevention of the diseases.
Smoking Behavior in Adolescents: The Role of Psychological Distress and COVID-19
Authors: Alalwan Abdulaziz I. , Shihah Abdulelah S. Bin , AbuDujain Nasser M. , Alekrish Yazeed , Jradi Hoda 
Published: April 2024

Abstract

Background:
Young people are an important market for the tobacco industry since most smokers try their first cigarette before they are 18 years. The early onset of smoking among adolescents has been significantly associated with the diagnosis of major depressive disorder, but the direction of causality is not yet known. Therefore, this study aimed to investigate the association between smoking and mental health among adolescents during the COVID-19 pandemic.

Methods:
A cross-sectional study was carried out in Riyadh, Saudi Arabia. A self-designed questionnaire was used to assess participants’ smoking behavior including the validated Arabic Youth Mental Health Scale.

Results:
The study achieved a 75% response rate. Overall, 186 (24.4%) participants reported being cigarette smokers. Of these respondents, 5.92 (9.56–13.67%) were male, and many of them lived with a smoker (tobacco or shisha). Beyond this, smoking e-cigarettes (odds ratio [OR] =20.16, 95% confidence interval [CI]: 8.09–50.25, P < 0.001) and living with shisha smoke (OR = 9.60, 95% CI: 4.15–22.16, P < 0.001) were independently associated with shisha use. Poor mental health was associated with smoking, either e-cigarette (OR = 1.8, 95% CI: 1.03–3.31 P = 0.037), cigarette (OR = 2.23, 95% CI: 1.14–4.37 P = 0.02) or shisha (OR = 2.76, 95% CI: 1.25–6.09, P = 0.01). Approximately 61% of the participants reported little knowledge of COVID-19, whereas 63% reported taking low precautionary measures against COVID-19.

Conclusion:
It has been discovered that smoking traditional cigarettes increases your likelihood of using an e-cigarette or shisha, as well as having a smoking family member. It is advised to enact comprehensive smoke-free regulations, raising the price of tobacco products, impose additional taxes, and launch national public awareness media campaigns as tobacco prevention and control measures.
Caricature-based Antenatal Breastfeeding Education Trial: A Randomized Controlled Trial
Authors: Alhreashy Fouzia Abdulaziz , Mobeirek Arwa Abdulelah , Mobeirek Osama Abdulelah , Al-Suwaidan Salem Dakheel , AlRajeh Nawal Mohammed , Alhorishi Monirh Abdulaziz 
Published: April 2024

Abstract

Objectives:
Cartoons, comics, and caricatures have been incorporated in health education. This trial aimed to evaluate the effectiveness of caricature-based breastfeeding education at improving breastfeeding knowledge, attitudes, self-efficacy, and practice among pregnant women.

Materials and Methods:
A randomized controlled clinical trial was carried out at Riyadh First Health Cluster in Saudi Arabia. A total of 85 pregnant women were randomly assigned to the intervention group (n = 41) or the control group (n = 44). The intervention was two caricature-based versus one standard online lecture in breastfeeding. The participants were followed up for 3 months postpartum. The primary outcome was full breastfeeding (predominant and exclusive breastfeeding) by the time infants were 3 months old. The secondary outcomes were prenatal and postnatal breastfeeding self-efficacy, Iowa Infant Feeding Attitude Scale (IIFAS) scores, and satisfaction with the education.

Results:
The participants were mostly Saudi (97.6% vs. 90.9%) and housewives (79% vs. 86.4%) for the intervention and control groups, respectively. The full breastfeeding rate at 3 months postpartum was 32.5% for the intervention and 31.6% for the control (P = 0.808; 95% confidence interval 0.539–1.965; relative risk = 1.029). Prenatal breastfeeding, postnatal self-efficacy, and IIFAS scores were compared between the intervention and control groups; no statistically significant difference was found (P > 0.05). In both arms of the study, participants’ experiences with the health education were satisfactory.

Conclusion:
Caricature use in antenatal breastfeeding education was a pleasant experience, but its effect on self-efficacy, attitudes, and behavior could not be determined from this trial. Large-scale, multi-center, multi-component research is recommended.
The Impact of Workload during Coronavirus Disease 2019 Pandemic on Clinical Laboratory Workforce in Riyadh, Saudi Arabia
Authors: Alghamdi Sawsan Ali , Bugis Bussma Ahmed , Akiel Maaged A. 
Published: April 2024

Abstract

Background:
The coronavirus disease 2019 (COVID-19) pandemic has placed enormous pressure on different health-care systems globally. In Saudi Arabia, the COVID-19 pandemic has considerably increased the number of infected individuals and has caused a major concern among health-care professionals, including the laboratory workforce. This study aimed to measure the impact of COVID-19 workload on clinical laboratory workforce in Riyadh.

Methods:
This was a cross-sectional quantitative study. We distributed questionnaires via E-mail invitations and social media platforms to 252 individuals. The online survey comprised eligibility, demographic, and workload-related questions as well as the 12-item General Health Questionnaire.

Results:
A total of 123 respondents completed the questionnaire and fit the eligibility criteria. The data showed that the total workload burden remarkably increased the number of tasks among all laboratory workers by 30.0%. In addition, 44.7% of the laboratory personnel reported psychological distress and anxiety during the COVID-19 pandemic.

Conclusions:
Clinical laboratory workers reported a significant increase in workload burden during the COVID-19 pandemic. Middle age and limited years of experience were found to be risk factors for psychological distress and anxiety among the laboratory workers.
Preference in PowerPoint Presentation among First-year Medical Students: A Nationwide Online Cross-sectional Survey
Authors: Mondal Himel , Mondal Shaikat , Swain Sharada Mayee 
Published: April 2024

Abstract

Background and Aim:
PowerPoint slides are commonly used to project class materials such as text and images, offering enhanced visual aids. However, preference among medical students has not been thoroughly explored. Therefore, we conducted this study to investigate the preference in PowerPoint slides and its delivery method among medical students.

Materials and Methods:
We conducted a cross-sectional observational study involving undergraduate medical students studying in any Indian medical college. An online survey was administered using a pre-tested questionnaire distributed through the Google Forms platform. The survey items encompassed overall preference, content and arrangement preference, diagram preference, text preference, access preference, and ambiance preference.

Results:
The study included 728 students, with a gender distribution of 66.35% boys and 33.65% girls. PowerPoint presentations were found helpful by 68.27% of students, while 53.85% found the class enjoyable. Preferences included major points in slides (81.73%), large text size (86.54%), and different colored headings (87.5%). Images aided understanding (85.58%), animations made the class interesting (92.31%), and access to slides before and after class was preferred. Students liked a dimly lit hall, teacher facing them, and the use of a laser pointer or stick. Font preferences were blue (45%) and black for body text (57%), with Verdana as the preferred font (89%). A white background was favored by 86% of students, with 67% preferring a clear background and 33% a designed or textured background.

Conclusion:
Medical students prefer PowerPoint slides with clear organization, large text, and visual aids such as images and animations. Accessibility to slides before and after classes is valued, and a conducive learning environment includes proper lighting, teacher–student interaction, and effective presentation tools. These insights can guide educators in creating more engaging and effective presentations for medical students.
Association of Src with Nottingham Prognostic Index in Breast Cancer: Implications for Breast Cancer Prognostication
Authors: Rustamadji Primariadewi , Wiyarta Elvan 
Published: April 2024

Abstract

Background:
Breast cancer affects one out of every eight women worldwide. Although the Nottingham Prognostic Index (NPI) is an important tool for forecasting, its accuracy remains a matter of contention. The Src protein, which has been linked to cancer proliferation and metastasis, may provide improved prognostic information.

Aim:
The aim of the study was to investigate the relationship between Src expression levels and the NPI in breast cancer patients.

Methods:
From January 2019 to December 2022, breast cancer samples were collected retrospectively. Immunohistochemistry was used to quantify Src expression, followed by digital image analysis using ImageJ software. To assure consistency, expression levels were standardized to a control protein. The samples were then stratified according to their NPI scores, and t-test was used to determine the relationship between Src expression and NPI. P <0.05 was considered statistically significant.

Results:
Src expression demonstrated a wide range across the 60 samples analyzed. Although there were no significant associations between Src expression and age, tumor size, or lymphovascular invasion, there was a significant correlation between the NPI and Src expression (P = 0.046).

Conclusion:
Increased Src expression frequently indicated a worse prognosis. Despite the absence of significant correlations with conventional factors, the study discovered a crucial relationship between NPI and Src expression.