bluuebunny/crossref_metadata_2025_split huggingface dataset:
L’objet du détail
Authors: Dissez Nicolas 
Published: April 2024

Le détail est, dans la vie courante, ce qui dénote, surprend et qu’à ce titre nous négligeons, ce dont nous ne voulons habituellement rien savoir. Dans le champ clinique, il est au contraire essentiel à la position du praticien de pouvoir prendre en compte sa fonction pour permettre de réinterroger une situation clinique particulière, voire de renouveler de la théorie comme telle. D’où le détail tire-t-il son pouvoir étrange de venir surprendre, déranger mais également subvertir tout savoir constitué ? L’étymologie du terme détail – dé-taillier – permet de considérer que sa fonction est d’opérer, dans le champ de la représentation, une découpe inédite, inattendue, voire inconvenante, qui vient cerner le registre de l’objet dit a . On en donnera ici quelques illustrations extraites de l’enseignement de Jacques Lacan, comme de son expérience personnelle.
A = A, équation : la vérité ! Contribution à l’histoire du rationalisme morbide
Authors: Allen David Frank , Martin Lucien , Dapussy Liliane , Macary-Garipuy Pascale , Borgnis Desbordes Emmanuelle 
Published: April 2024

Thésard du Pr Henri Claude, le Dr Klein publia son livre en 1937 : cette publication aux Éditions Médicales fut complétée par un fascicule de quelques pages vers 1938. Hongrois, Klein fréquenta Joseph Gabel avant la Seconde Guerre mondiale, on perd sa trace vers 1941. Klein fut pour Gabel ce que le président Schreber fut pour Freud.
Les clés de la nouvelle candidature de Donald Trump
Authors: de Charentenay Pierre 
Published: April 2024

Nous sommes encore à plusieurs mois de l’élection présidentielle américaine. Tous les sondages donnent un large avantage à Donald Trump. Est-ce une garantie de victoire pour novembre 2024 ? Les institutions américaines sauront-elles l’arrêter ? L’Amérique est-elle prête à sacrifier la démocratie pour apaiser quelques-unes de ses angoisses : la place de l’immigration, la peur de la Chine, l’intérêt du soutien à l’Ukraine ?
Appel à contributions
Authors: Louveaux François , Louveaux Marie-José 
Published: April 2024

Fidèle à sa vocation de faire le lien entre la recherche et les enseignants, L’Information géographique propose une nouvelle rubrique « géographies enseignées ». De l’école à l’université comment des enseignements de géographie aident à construire de jeunes adultes responsables et engagés.
De l’idée en littérature : le cas Senancour
Authors: Le Scanff Yvon 
Published: April 2024

L’œuvre de Senancour propose une image de la pensée qui rompt avec le paradigme classique et ouvre vers l’ambition romantique d’une pensée immédiate, voire immanente. Elle se caractérise par sa naturalité ; c’est une pensée du chemin plus que de la méthode : une rêverie, à savoir une idée-paysage plus qu’une idée-machine. C’est une Idée esthétique singulière, singulative même, qui donne accès à une forme de connaissance comme par effraction (l’abduction) et qui la différencie de l’idée philosophique par sa circonstancialité, son affectivité (esthétique de l’idée).
Au-delà de l’art engagé ? Renouvier et Guyau interprètes et critiques de Victor Hugo
Authors: Haber Stéphane 
Published: April 2024

Charles Renouvier (1815-1903) et Jean-Marie Guyau (1854-1888) ont été, chacun à sa manière, des commentateurs avisés de l’œuvre de Hugo. Critiques, l’un comme l’autre, de « l’art pour l’art », ils prirent également en compte le motif hugolien de l’art « utile », immanent à la vie, participant aux combats éthiques et politiques du présent, mais en cherchant à l’infléchir ou à le redéfinir sur de nouvelles bases, plus larges. Cette tentative prometteuse s’est heurtée cependant à un certain nombre de limites.
Topiques, narrativité et effets dramatiques du « Rex tremendae » de la Grande Messe des morts de Berlioz
Authors: Kiuchi Mariko 
Published: April 2024

L’expression originale du « Rex tremendae » de la Grande Messe des morts de Berlioz a longtemps fait l’objet de critiques. Les choix du compositeur concourent non seulement à un audacieux remaniement du texte liturgique, tel un livret d’opéra, mais également à la construction d’une forme par juxtaposition d’éléments musicaux hétérogènes. Quels sont alors les styles musicaux mis en œuvre ? Comment le compositeur procède-t-il pour attirer l’attention et susciter les réactions émotionnelles du public ? Le présent article a pour objectif de mettre en lumière la forme narrative du mouvement et, surtout, la stratégie rhétorique du compositeur concourant à élaborer une architecture hautement dramatique. Cette étude se fonde sur une analyse par les topiques et par les signes des vecteurs rhétoriques. Cette analyse révèle ainsi que Berlioz exploite une série de topiques plutôt conventionnels pour l’époque. Grâce à certains procédés musicaux qui agissent directement sur les attentes de l’auditeur – l’alternance fréquente de différents topiques, l’intervention de silences inattendus et l’emploi fréquent de l’accord de septième diminuée dont la résolution est interrompue par les silences soudains –, Berlioz agit sur les différents processus inférentiels possibles pour produire une série d’imprévus et accumuler la tension jusqu’à son paroxysme. L’analyse montre finalement et avant tout que la nature éminemment dramatique de ce Requiem se révèle dans l’agencement subtil d’intrigues purement musicales.
Une double absence dans les quartiers populaires ?
Authors: Lévêque Antoine 
Published: April 2024

Alors que la ségrégation urbaine est aujourd’hui bien renseignée, alors qu’une attention fine est désormais déployée à l’égard de l’inscription territoriale des comportements politiques, c’est à la médiation des intérêts sociaux dans l’action publique et à ses traductions territoriales que cet article est consacré. En revenant sur le traitement de la desserte en transport en commun des quartiers populaires de Vaulx-en-Velin – l’une des communes les plus pauvres en France –, nous interrogeons l’évolution du rapport de l’offre politique aux espaces populaires de l’abstention. À mesure que les élus perdent leur ancrage dans les sociabilités populaires marquées par une démobilisation électorale, c’est aussi la façon de représenter les intérêts sociaux dans l’action publique urbaine qui évolue. Dans cette commune, l’intégration progressive des maires aux espaces de gouvernement de l’agglomération n’a pas empêché la relégation des quartiers populaires dans l’action publique. Celle-ci résulte notamment de leur socialisation aux cadrages et aux dispositifs d’action qui circulent dans ces espaces et produisent une hiérarchie des territoires.
À qui s’adressent les dispositifs participatifs dans les quartiers populaires ?
Authors: Lang Marion 
Published: April 2024

Depuis le début des années 2000, les dispositifs participatifs se multiplient dans les quartiers populaires, cherchant à toucher des individus présentés par les pouvoirs publics comme souffrant d’un déficit de citoyenneté. Le développement d’un panel de dispositifs et de procédures de participation publique a transformé les tissus associatifs et fait émerger des « entrepreneur·es de participation ». Basé sur une enquête ethnographique dans deux quartiers de Marseille et Barcelone, l’article prend pour point de départ ces entrepreneur·es qui jouent un rôle central dans l’appropriation locale de la participation publique. Il interroge leur contribution à la mise en œuvre de la participation et montre comment leur position oscille entre intermédiaires et destinataires des dispositifs délibératifs. Les entrepreneur·es, en tant qu’intermédiaires, sont chargé·es par les agents et agentes administratives de mobiliser un public habitant lors des réunions de participation. L’étude des logiques de mobilisation montre pourtant que les agent·es institutionnels sont peu attentifs aux pratiques sélectives des entrepreneur·es. En outre, on assiste à une fermeture de certains dispositifs participatifs autour des entrepreneur·es qui en deviennent les principaux publics.
Efficacy of Liposomal Bupivacaine in Reducing Opioid Use After Posterior Lumbar Spinal Decompression and Fusion
Authors: McClure Amber , Silveri Olivia C. , Foddrell Megan , Duteil Karen , Madarász Laura E. , Silveri Christopher P. 
Published: April 2024

Background:
Despite improvements in drug therapy and treatment of lumbar spinal disorders, dependence on opioid medication for postoperative pain control remains a concern nationwide. This study assessed the ability to diminish the reliance on opioid medication postoperatively with the Food and Drug Administration-approved local anesthetic liposomal bupivacaine in open posterior lumbar decompression and fusion procedures. In addition, the possible effects of this modality on other parameters were studied regarding patients and their recovery.

Materials and Methods:
A retrospective chart review of 198 patients who underwent an open posterior lumbar laminectomy and fusion surgery with instrumentation treated by a single surgeon in a single institution was conducted. Ninety-nine patients who received liposomal bupivacaine administered intraoperatively were then matched by age, sex, and procedure with the same number of patients treated prior to the availability of liposomal bupivacaine. We evaluated how the use of liposomal bupivacaine affected the requirement for postoperative opioid medication, as well as related changes in length of stay, the use of antiemetics, and urinary retention postoperatively.

Results:
The patients who received liposomal bupivacaine required less than half of the morphine milligram equivalents of narcotic medications during their hospital stay compared with patients who did not receive liposomal bupivacaine (approximately 57% reduction).

Conclusion:

The findings of this study suggest that the addition of liposomal bupivacaine to traditional pain management modalities can augment pain management for patients undergoing posterior lumbar surgery, as evidenced by the significant decrease in postoperative morphine milligram equivalents required. [
Orthopedics
. 2024;47(4):244–248.]
A Randomised Controlled Trial on the Effect of Hamulectomy on Hearing Outcomes in Cleft Palate Patients - A Comparative Study
Authors: Mathew P. C. , Goyal Manoj , Mittal Neeti 
Published: April 2024

Abstract

Introduction:
Cleft palate, a common congenital craniofacial defect, requires surgical repair and many surgical approaches have been employed for the same to reduce the risk of post-operative complications and improve outcomes. In order to achieve tension free closure, fracture of pterygoid hamulus has been advised. However, the effect of this manoeuvre on auditory functions remains debatable. The study was designed to evaluate the effect of hamulectomy on auditory function during the post-operative period after palatoplasty.

Materials and Methods:
The present study enrolled 100 participants aged 10 months–2 years with isolated cleft palate defect. They were randomly divided into two groups: palatoplasty with hamulectomy (n = 50) and palatoplasty without hamulectomy (n = 50). Hearing outcomes were evaluated using objective measures (otoscopy, tympanometry, and otoacoustic emission [OAE] tests) at 1-month and 6-month post-operative follow-up visits. The Chi-square test was used to analyse the data and significance level was kept at P ≤ 0.05.

Results:
The findings of otoscopy, tympanometry and OAE tests were statistically similar between the two study groups (P > 0.05; Chi-square test) at both one month and six months follow-up visits. Another noteworthy observation was improvement in auditory function during follow-up period indicating recovery of middle ear function following palatoplasty.

Discussion:
The addition of hamulectomy to the palatoplasty treatment may improve the hearing outcomes for cleft palate patients and can be adopted to achieve tension free closure.
Case Series of Berry syndrome: A rare constellation of fatal cardiac anomalies
Authors: Tandayu Kevin Moses Hanky Jr , Kurniawati Yovi , Atmosudigdo Indriwanto Sakidjan , Lilyasari Oktavia 
Published: April 2024

ABSTRACT
Berry syndrome is an extremely rare constellation of several congenital cardiac anomalies consisting of aortopulmonary window, aortic origin of the right pulmonary artery (AORPA), interrupted aortic arch or hypoplastic aortic arch or coarctation of the aorta, and an intact ventricular septum with high neonatal mortality rates. The disease is fatal with high mortality (90%) in the neonatal period with surviving patients mostly developing pulmonary hypertension. We describe the clinical presentation and diagnostic clues in two patients with Berry syndrome.
Are children with mitral valve prolapse more anxious?
Authors: Beyazal Meryem , Orun Utku Arman , Sayici Ilker Ufuk 
Published: April 2024

ABSTRACT

Background:
Mitral valve prolapse (MVP) is a common valvular disease in children. Symptoms in children with MVP are not explained by the severity of mitral regurgitation alone. Hence, we sought to correlate symptom status with the incidence of anxiety disorder in this population.

Materials and Methods:
Groups were as follows: (a) MVP; n = 115; mean age: 13.5 ± 3.06 years and (b) control; n = 53; mean age: 15.1 ± 13.2. The Screen for Child Anxiety-Related Emotional Disorders (SCAREDs) scale was filled by all participants. The SCARED scores of 25 and above determined a warning for anxiety disorders.

Results:
The mean SCARED scale values of MVP and control groups were 29.2 ± 13.08 and 24.9 ± 14.17, respectively (P = 0.065). Although the SCARED scale score was higher among the MVP patients, no significant difference was found between the groups in terms of the mean SCARED score, or the number of participants with a score of 25 or more. While girls with MVP had higher anxiety scores compared to boys with the disorder, there was no difference with respect to SCARED scores in children with MVP and the general population when analyzed separately by gender. Moreover, the SCARED scale score was significantly higher in symptomatic MVP patients than in asymptomatic cases.

Conclusion:
Children with MVP did not have higher anxiety scores compared to those without the syndrome. However, MVP patients with higher anxiety scores may benefit from a psychiatric assessment since higher scores correlate with symptoms.
Comparison of risk stratification scoring system as a predictor of mortality and morbidity in congenital heart disease patients requiring surgery
Authors: Fakhri Dicky , Damayanti Ni Made Ayu Sintya , Nurhanif Muhammad 
Published: April 2024

ABSTRACT

Backgrounds:
Risk stratification systems have been important in reducing morbidity and mortality among congenital heart disease (CHD) patients requiring cardiac surgery. Multiple risk stratification scoring systems have been developed, including Aristotle Basic Complexity Score (ABC), Aristotle Comprehensive Complexity Score (ACC), Society of Thoracic Surgeons and European Association for Cardiothoracic Surgery (STS-EACTS), and Risk Adjustment in Congenital Heart Surgery (RACHS-1). This study aims to access the superior risk stratification scoring system model in predicting mortality and morbidity.

Methods:
The authors used Embase, PubMed, Scopus, and ProQuest as the primary databases for searching and included studies from hand searching. The area under the receiver operating characteristic curve was compared.

Results:
A total of 11 articles were included in this review. The AUC of ABC for predicting mortality ranges from 0.59 to 0.71, and morbidity ranges from 0.673 to 0.743. The AUC of ACC score for predicting mortality ranges from 0.704 to 0.87, and a study revealed the AUC of morbidity is 0.730. The AUC of RACHS-1 for predicting mortality ranges from 0.68 to 0.782. The AUC of STS-EACTS for predicting mortality ranges from 0.739 to 0.8 and 0.732 for predicting morbidity.

Conclusion:
ABC, ACC, RACHS-1, and STS-EACTS have acceptable to excellent discriminatory ability in predicting mortality and morbidity among CHD patients requiring cardiac surgery.
Failure to wean off after a routine total anomalous pulmonary venous connection operation: An uncommon association
Authors: Dhanak Riddhi , Halder Vikram , Shah Ritesh , Mishra Amit , Kothari Shyam S. 
Published: April 2024

ABSTRACT
A 6-month-old infant was operated on for supracardiac total anomalous pulmonary venous connection (TAPVC) with usual anatomy. The vertical vein was ligated. Weaning from bypass was attempted twice but was unsuccessful. Coronary sinus atresia was suspected and identified on the opening of the right atrium. A smooth postoperative course occurred after unroofing the coronary sinus. Coronary sinus atresia should be remembered as an uncommon association with TAPVC.
Unresolved Malady of Pyoderma Gangrenosum: A Study of its Profile and Outcome in a Tertiary Care Center
Authors: Prathibha JP , Madhukara J , Bhat Pernaje Ishwara , Gowda Inchara 
Published: April 2024

Introduction:
Pyoderma gangrenosum (PG) is a neutrophilic dermatosis of uncertain etiology characterized by rapidly progressive, painful skin ulcers, and is often difficult to diagnose. The common underlying disease associations include rheumatoid arthritis (RA), inflammatory bowel disease (IBD), autoimmune inflammatory conditions, and malignancies, both hematological and solid organ tumors.

Aims and Objectives of the Study:
Assess the demographics, clinical presentation and associated systemic diseases, and response to treatment of patients with pyoderma gangrenosum.

Materials and Methods:
In this retrospective study, all cases diagnosed as PG were evaluated along with disease associations and outcomes over a 5-year period.

Results:
A total of 42 patients’ charts were studied of which, ulcerative PG was seen in 86.4%, pustular in 16.8%, bullous in 14.4%, and vegetative in 2.4% patients, respectively. Thirty-six percentage of them had RA, 12% had non-RA connective tissue disease, 9.6% had IBD, 9.6% had chronic liver disease, and 4.8% had malignancy. Positive pathergy was seen in 57% of our study patients. Multiple morphological types with recurrences were more common in patients with positive pathergy. Mortality was seen in 9.6% of patients. Statistics: Descriptive statistics were reported as mean with standard deviation, number, and percentages. Association between the clinical characteristics of the variables was done using Chi-square test.

Conclusion:
PG with multiple morphological types with multifocality is frequently associated with exacerbation of the underlying disease. RA was the most common association found. Recurrent disease was more common in older patients (>40 years).
A Study of the Clinical Patterns of Hair Loss in Female Patients
Authors: Prabhu Sweta R. , Madhusudhana M , Bhute Soumya , Naveen Kikkeri N. , Athanikar S. B. 
Published: April 2024

Background:
Hair loss is the one of the most common complaints in dermatologic patients. The proper cause of female pattern hair loss is still unclear. Many studies have been done on the individual patterns of hair loss but there are very few studies available about the different clinical patterns of hair loss in females in a single study.

Objectives:
To evaluate the clinical patterns of hair loss in females which manifest in various disorders.

Materials and Methods:
120 subjects were studied in a hospital based descriptive study with detailed history, general physical examination, detailed hair, scalp, cutaneous examination, clinical tests, routine haematological investigations, biopsy where indicated.

Results:
Maximum subjects were in the age group of 20 – 40 years (66.6%). Majority of the subjects presented with a diffuse hair loss (55.8%). In our study although majority of the cases were not associated with any illness (52.5%), among the ones associated with illness the most common associated illness was history of COVID-19 (25.8%). Very few presented with scarring hair loss (5%).

Conclusion:
Telogen Effluvium was the most common cause of hair loss with maximum prevalence among females aged 20 to 40 years, with majority having hair loss over a period of 6 weeks to 6 month without any concurrent illness. The findings of this study provide baseline information on common clinical presentation of hair loss among women in our setting, thus helping in early clinical diagnosis and planning appropriate treatment.
A microbial assessment of instrumentation and noninstrumentation laser disinfection technique: An in vivo study
Authors: Alex Anaida Clara , Geeta I. B. , Chandra R. Vinay , Arvind B. 
Published: April 2024

ABSTRACT

Introduction:
The present study compares the reduction in microbial count of instrumentation versus noninstrumentation laser disinfection technique.

Methods:
Thirty patients with periapical lesions ranging 3–5 mm in single-rooted teeth were selected for the study. The groups were divided into two main groups: Group 1 – instrumentation technique and Group 2 – noninstrumentation technique subjected to laser disinfection. Group 2 was again subdivided into two groups: Group 2A – only laser disinfection and Group 2B – laser disinfection and medicament. The groups were analyzed for the reduction in microbial count. The Kruskal-Wallis test was used to compare mean differences in colony-forming unit (CFU) counts. Post operative mean CFU between the three groups were compared using Dunn’s Post Hoc analysis. The level of significance was set at P < 0.05.

Results:
Significant differences were noted in mean CFU counts between Group 1 and Groups 2A and 2B (P = 0.006 and P = 0.001, respectively). Among Groups 2A and 2B, the reduction in the microbial count of Group 2B is better than 2A although not significant.

Discussion:
The use of Er:YAG laser allows for effective use in disinfection due to its favorable properties such as antimicrobial effect, photoacoustic streaming, vapor bubbles effect, and lack of negative thermal impact on the periodontium.

Conclusion:
Significant shifts were observed in both the groups, but the impact of the shift was greater in the laser-assisted groups. Noninstrumentation laser disinfection technique shows promising results when compared to conventional techniques.