bluuebunny/crossref_metadata_2025_split huggingface dataset:
La perspective symbiotique. Une nouvelle forme de perspective en art
Authors: Logé Guillaume 
Published: February 2024

Pourquoi peut-on parler de l’émergence d’une nouvelle forme de perspective en art, quelque six cents ans après les théorisations de la perspective linéaire de la Renaissance des xv e et xvi e siècles qui ont ouvert la voie de la modernité ? Quelles sont les caractéristiques de cette nouvelle perspective ? De quelles façons est-elle intimement liée au contexte écologique que nous connaissons ? Que dit-elle de notre époque et qu’ouvre-t-elle comme horizons ? Le contexte est celui d’une « Renaissance sauvage » dont nous observons aujourd’hui les premières manifestations (cf. Renaissance sauvage. L’art de l’Anthropocène , Puf, 2019). La « perspective symbiotique » est la forme de perspective associée à ce basculement possible de civilisation. Comme toute perspective, elle témoigne d’une certaine manière de voir et se traduit en méthode de construction d’une œuvre. Elle accouche d’un nouvel espace et de nouveaux rapports. Loin de se limiter à un terme technique, la perspective, peut-être comme aucun autre instrument, parle du monde, de sa dynamique de fond et de son avenir. Elle touche aux questions écologiques les plus sensibles.
« Attention, passage de clowns à l’hôpital ! »
Authors: Bodelet Claire 
Published: February 2024

Cet article s’intéresse au travail d’un groupe d’artistes spécialisés dans la régulation des fêtes, les « clowns à l’hôpital ». À partir d’une enquête ethnographique menée dans des services pédiatriques de deux hôpitaux (pédiatrie générale, urgences, oncologie et neurologie pédiatriques), il montre que ces clowns sont pris dans une tension permanente entre la nécessité de s’insérer dans les services et celle de déranger leur organisation. En effet, les prestations de clowns à l’hôpital ne sont pas préparées à l’avance et les clowns doivent chaque jour négocier les formes et les moments de la fête en tenant compte des lieux, des publics et des contextes. À travers l’analyse de différentes situations de travail, on découvre comment les clowns pilotent leur action à l’hôpital et comment ils et elles parviennent à y conserver leur identité de clowns, y compris quand la fête n’est pas au rendez-vous.
Les fêtes de la jeunesse communiste : mobilisation militante et ouverture culturelle (1954-1981)
Authors: Sklower Jedediah 
Published: February 2024

Le mouvement communiste a tôt érigé un puissant dispositif festif syncrétique, qui a trouvé sa forme la plus accomplie dans le modèle de la Fête de L’Humanité . Dans l’après-guerre, le dense réseau des fêtes communistes met en branle l’ensemble du conglomérat rouge, manifestant sa puissance politique ainsi que son autorité dans le champ culturel. Alors que les formes de la mobilisation militante à l’occasion des fêtes de la Jeunesse communiste (JC) sont relativement stables, leurs contenus culturels évoluent tout au long du second xx e siècle, des dernières « fêtes champêtres » au tournant des années 1950 aux grandes fêtes nationales des années 1970, censées illustrer l’ aggiornamento de la JC et la marche confiante des forces de gauche vers la conquête du pouvoir. Par étapes, la JC s’ouvre aux nouvelles formes culturelles, se convertissant partiellement au principe de démocratie culturelle, concurrent des options « démocratisatrices » du mouvement communiste depuis les années 1930, au risque d’une festivalisation et d’une dilution de son identité sociale et politique.
NG2 molecule expression in acute lymphoblastic leukemia B cells: a flow-cytometric marker for the rapid identification of KMT2A gene rearrangements
Authors: Bisegna Maria Laura , Peragine Nadia , Elia Loredana , Matarazzo Mabel , Milani Maria Laura , Intoppa Stefania , Di Trani Mariangela , Malfona Francesco , Martelli Maurizio , De Propris Maria Stefania 
Published: February 2024

Background: B-lineage acute lymphoblastic leukemias (B-ALL) harboring rearrangements of the histone lysine [K]-Methyltransferase 2A (KMT2A) gene on chromosome 11q23 (KMT2A-r), represent a category with dismal prognosis. The prompt identification of these cases represents an urgent clinical need. Considering the correlation between rat neuron glial-antigen 2 (NG2) chondroitin sulfate proteoglycan molecule expression and KMT2A-r, we aimed identifying an optimized cytofluorimetric diagnostic panel to predict the presence of KMT2A-r. Materials and Methods: We evaluated 88 NG2+ B-ALL cases identified with a NG2 positivity threshold >10%, from a cohort of 1382 newly diagnosed B-ALLs referred to the Division of Hematology of ‘Sapienza’ University of Rome. Results: Eighty-five of 88 (96.6%) NG2+ B-ALLs harbored KMT2A-r and were mainly pro-B ALL (77/85; 91%). Only 2 B-ALLs with KMT2A-r showed NG2 expression below 10%, probably due to the steroid therapy administered prior to cytofluorimetric analysis. When compared to KMT2A-r‒ cases, KMT2A r+ B-ALLs presented a higher blast percentage, a significantly higher mean fluorescence intensity (MFI) of CD45, CD38 and CD58, and a significantly lower CD34, CD22, TdT and CD123 MFI. The differences in CD45, CD34, CD22 and TdT MFI were confirmed within the same immunologic EGIL (European Group for the immunological classification of leukemias) group, suggesting no influence of the B-ALLs EGIL subtype on the peculiar KMT2A-r+ B-ALLs immunophenotype. Conclusions: Our data show how the association between NG2 and KMT2A-r in B-ALLs identify a peculiar immunophenotypic pattern, useful for rapid identification in diagnostic routines of these subtypes of B-ALLs with a poor prognosis, that benefit from a specific therapeutic approach.
Using a Public Value Management theory to identify features of citizen-centric e-governance in Namibia
Authors: Fröhlich Karin A. , Jain Karishm , Pinomaa Antti , Nieminen Marko 
Published: February 2024

Background: The utilisation of e-government by citizens in Africa remains limited due to resource constraints and various socioeconomic challenges. Nevertheless, Namibia, for example, has shown a strong interest in adopting and implementing e-government, as evidenced by the periodic release of policy frameworks encouraging this use.Objectives: The aim of this research was to comprehend the expectations of Namibian citizens regarding e-government. Specifically, the study focused on identifying the key components of a citizen-centric e-government framework. A citizen-centered e-government can generate value for citizens according to Public Value Management.Method: A mixed methodology (qualitative and quantitative) was used to gather data. Namibian government officials were engaged through interviews while a questionnaire survey was used to collect data from citizens. Exactly 196 respondents took part in the study.Results: The findings show that citizen-centric e-government could be attained by using information and communication technologies (ICTs) in meeting socially desirable outcomes, enhancing the efficiency of public organisations and the delivery of public services.Conclusion: Governments need to embrace citizen-centric e-government and avail a supportive infrastructure to improve adoption. Citizens need to see the opportunity of deriving value from e-government use for early adoption.Contribution: This study extends the public value theory to e-government. The study found minor differences or additions in terms of what participants value in this context. For instance, participants in this study value a complete e-service for e-government, efficiency that saves time and money, openness that promotes data government, and a need for funding for such projects.
Cardiovascular health awareness, risk perception, behavioural intention and INTERHEART risk stratification among middle-aged adults in Malaysia
Authors: Lee Siew-Keah , Chua Ang-Lim , Fong Clement Heng Yew , Cong Ban Hao Brian , Ng Wen Ling , Kong Jing Feng , Chew Yik-Ling , Liew Kai Bin , Shao Yang 
Published: February 2024

Objective:
To investigate the interrelationship between cardiovascular health awareness, risk perception, behavioural intention, and INTERHEART risk stratification in a middle-aged adult population in Malaysia.

Methods:
A cross-sectional survey with convenience sampling was conducted during November 2022 and January 2023. Participants completed validated questionnaires assessing cardiovascular health awareness, risk perception of cardiovascular diseases, behavioural intention towards adopting healthy habits, and INTERHEART risk stratification score (IHRS) based on established risk factors. A total of 602 respondents were included in the final analysis. Data were analysed with independent t-test/one-way ANOVA or Mann- Whitney/Kruskai-Wailis to test the differences, Pearson correlation or linear regression test to analyze the association of independent and dependent variables.

Results:
There was a significant positive correlation between medical knowledge related to cardiovascular disease (CVD) and knowledge related to CVD risk prevention, risk perception, behavioural intention and IHRS (P<0.05, Pearson correlation). Notably, individuals with higher IHRS tended to have lower knowledge related to CVD and CVD risk prevention, risk perception, and behavioural intention. Males, laborers, active/former smokers, individuals with lower household income and educational levels, those involved in occupations not related to the healthcare sector, and those who did not receive the CVD health brochure or are unaware of health self-assessment tools are likely to have lower levels of knowledge, risk perception, and poorer behavioural intention regarding cardiovascular health (P<0.05, one-way ANOVA). While educational level, smoking status, awareness about CVD poster, self-assessment tools were repeatedly significantly associated with knowledge related to CVD and CVD risk prevention, risk perception, behavioral intention and/or IHRS (P<0.05, linear regression).

Conclusions:
These findings underscore the importance of promoting cardiovascular health awareness and risk perception among middle-aged adults to foster positive BI and reduce CVD risk. Tailored interventions targeting specific risk factors identified by INTERHEART may enhance risk stratification accuracy and facilitate targeted preventive strategies.
The Efficacy of Paxman Scalp Cooling System in Preventing Hair Loss in Breast Cancer Patients Receiving Chemotherapy in Western India – Multi-centre Retrospective Cohort Study
Authors: Mekha Mangesh , Joshi Ashish , Maniar Vashishth , Maheshwari Udip , Joshi Kshitij , Kalaskar Pritam , Sheth Smit , Kendre Pradip , Morzaria Disha , Korgavkar Reshma , Pethe Chandrashekhar , Dhande Sonal 
Published: February 2024

Abstract

Aim:
Chemotherapy-induced alopecia (CIA) is the most common side effect of systemic treatment in breast cancer patients. Scalp cooling gained worldwide acceptance in preventing or mitigating CIA in patients undergoing chemotherapy. The objective of this study was to evaluate the efficacy and safety of the Paxman scalp cooling system (PSCS) in Indian breast cancer patients.

Materials and Methods:
This is a multi-centre, retrospective-observational study including patients registered from 1st March, 2019 to 30th April, 2021 undergoing chemotherapy for breast cancer by using PSCS. The primary end-point was the incidence of CIA after completing cycles of chemotherapy.

Results:
A total of 91 female patients were enrolled in the study, with a median age of 53 years (IQR: 44–62 years). The prevention of alopecia (grade 0 and grade I) was seen in 81%, while more than 50% hair loss (grade 2) was seen in 16.48% after completion of treatment. The univariate analysis results showed that CIA was significantly higher in patients who received anthracyclines (OR: 2.69; 95% CI: 1.04–6.958; P = 0.041) and in patients with a post-infusion cooling time of >150 minutes (OR: 8.409; 95% CI: 2.295–30.787; P = 0.001). The incidence of grade 2 (>50% hair loss) alopecia was 81.3% in patients <6 weeks and was 18.8% at >6 weeks of start of chemotherapy (P < 0.0001). No adverse events were reported in 71.4% of patients, and the most common adverse event was headache (18.7%).

Conclusion:
PSCS is an effective and well-tolerated treatment modality for preventing CIA among breast cancer patients undergoing chemotherapy.
Accuracy of a Non-Invasive Home Glucose Monitor for Measurement of Blood Glucose
Authors: Mondal Himel , Biri Sairavi Kiran , Pipil Neha , Mondal Shaikat 
Published: February 2024

Abstract

Introduction:
Patients with diabetes mellitus monitor their blood glucose at home with monitors that require a drop of blood or use a continuous glucose monitoring device that implants a small needle in the body. However, both cause discomfort to the patients which may inhibit them for regular blood glucose checks. Photoplethysmogram (PPG) sensing technology is an approach for non-invasive blood glucose measurement and PPG sensors can be used to predict hypoglycaemic episodes. InChcek is a PPG-based non-invasive glucose monitor. However, its accuracy has not been checked yet. Hence, this study aimed to evaluate the accuracy of InCheck, a non-invasive glucose monitor for the estimation of blood glucose.

Methods:
In a tertiary care hospital, patients who came for blood glucose estimation were tested for blood glucose non-invasively on the InCheck device and then by the laboratory method (glucose oxidase-peroxidase). These two readings were compared. We used International Organization for Standardization (ISO) 15197:2013 (95% of values should be within ± 15 mg/dL of reference reading if reference glucose <100 mg/dL or within ± 15% of reference reading if reference glucose ≥100 mg/dL and 99% of the values should be within zones A and B in consensus error grid), and Surveillance Error Grid for analyzing the accuracy.

Results:
A total of 1223 samples were analyzed. There was a significant difference between the reference method glucose level (135 [Q1-Q3: 97 – 179] mg/dL) and monitor-measured glucose level (188.33 [Q1-Q3: 167.33-209.33] mg/dL) (P < 0.0001). A total of 18.5% of readings were following ISO 15197:2013 criteria and 67.25% of coordinates were within zone A and zone B of the consensus error grid. In the surveillance error grid analysis, about 29.4% of values were in the no-risk zone, 51.8% in slight risk, 18.6% in moderate risk, and 0.2% were in the severe risk zone.

Conclusion:
The accuracy of the InCheck device for the estimation of blood glucose by PPG signal is not following the recommended guidelines. Hence, further research is necessary for programming or redesigning the hardware and software for a better result from this optical sensor-based non-invasive home glucose monitor.
Screening of Individuals with Type 2 Diabetes on Anti-Diabetic Agents for Probable Hypoglycaemia Using the Stanford Hypoglycemia Questionnaire (SHQ) in Outpatient Settings: A Cross-Sectional Study from Outpatient Diabetes Care Centres in North India
Authors: Awasthi Rajiv , Pande Arun K. , Chandra Kumar P. , Agarwal Vivek , Gupta Mukulesh , Tewari Ajoy , Gupta Nitin , Chaubey Santosh , Chaudhary Sandeep , Ansari Sajid , Kumar Dinesh 
Published: February 2024

Abstract

Introduction:
The study was aimed at identifying the incidence of unreported probable hypoglycaemia in individuals with type 2 diabetes (T2DM) on anti-diabetic medications, using the screening Stanford Hypoglycemia Questionnaire (SHQ) in real-world situations.

Methods:
It was a multicentre cross-sectional study on consecutive individuals attending 10 diabetes care centres in Lucknow, Uttar Pradesh, India. The inclusion criteria were as follows: known individuals with T2DM, literate, age greater than or equal to 18 years, on at least one anti-diabetic agent for more than a month and not engaged in regular self-monitoring of blood glucose (SMBG).

Results:
This study was conducted from August 2017 to April 2018, involving 1198 participants. The mean age of the individuals enrolled was 53.45 years (±10.83), with males comprising 55.3% of the population. It was found that 63.6% of patients were on sulphonylurea (SU), 14.5% were on pioglitazone, 92.2% on metformin, 62.3% on Dipeptidyl peptidase (DPP4i) and 12.8% on Sodium-glucose cotransporter (SGLT2i). The mean SHQ score was 1.81 (±1.59). Probable hypoglycaemia was mild in 57.59%, moderate in 14.69% and severe in 1.41%. Those with diabetic neuropathy (P = <0.001), retinopathy (P = <0.001) and nephropathy (P = <0.001) had significantly higher SHQ scores. Insulin or SU use was associated with a significantly higher SHQ score. Concomitant statin use was associated with a lower incidence of mild, moderate and severe hypoglycaemia (P = 0.01). On multivariate analysis, we found that age, sex, systolic blood pressure (SBP), insulin use and fasting blood sugar were the most important factors associated with an increased risk of hypoglycaemia with an R2 cut-off of 0.7.

Conclusion:
SHQ was discovered to be a simple and cost-effective screening tool for outpatient detection of hypoglycaemia in an Indian setting, and it can add value to management.
Comparative study of the outcomes of newly developed polypropylene-based modified trabeculectomy and glaucoma shunt surgery in neovascular glaucoma
Authors: Bhadra Tania Ray , Ghosh Rudra Prosad , Mitra Ankita , Saurabh Kumar , Mandal Salil Kumar , Ghosh Asim Kumar 
Published: February 2024

Background:
Neovascular glaucoma (NVG) is a secondary glaucoma with a poor visual prognosis. Trabeculectomy with antifibrotic agents, glaucoma drainage devices (GDDs), and cyclo-destructive procedures are recommended in patients who are refractory to medical management. However, due to the poor success rate of conventional trabeculectomy and the higher cost of GDDs, alternative procedures need to be looked at.

Purpose:
To compare the surgical outcomes and economic aspects of a newly developed polypropylene suture bed-based modified trabeculectomy to Ahmed glaucoma valve (AGV) implantation for NVG.

Methods:
It was a prospective interventional study conducted at a tertiary care center between 2018 and 2020. Consecutive patients with NVG with a minimum follow-up of 18 months were included. Surgical outcomes are mainly based on intraocular pressure (IOP) control and the cost of surgery.

Results:
Sixty eyes were included out of which 40 (60.6%) underwent modified trabeculectomy and 20 (33.7%) underwent AGV. At the final follow-up, no significant difference (P < 0.05) was found between the surgical outcomes of both groups. The complete success rate (IOP < 21 mm Hg without antiglaucoma medications) was 60 and 65% while the qualified success rate (IOP < 21 mm Hg with antiglaucoma medications) was 30 and 25% in modified trabeculectomy and AGV groups, respectively, at final follow-up. The cost of surgery was significantly higher in the AGV group (P < 0.0001).

Conclusion:
Modified trabeculectomy as described might be a better alternative for NVG eyes.
15-Year Suicide Trends Using Media Reporting Methodology from the Tricity Region of Chandigarh: A Brief Analysis
Authors: Chauhan Nidhi , Chavan Bir Singh , Gupta Nitin 
Published: February 2024

Introduction:
Suicide has become a societal crisis owing to the recent increasing trends globally. Of the total suicide deaths globally, two-thirds occur in the developing countries including India. The available data on suicide in India reflect a rate of 11% (according to the National Crime Records Bureau 2013) with the highest rates in older adult males and an increasing trend of suicide deaths in younger age groups. Much of the literature is from the southern part of India with a relatively sparse data from North India.

Aim and Methodology:
The aim was to examine the 15-year (2004-2019) trend of suicide (age and gender distribution, methods used, and reasons) in an urban city in North India. Information was collected from the leading newspapers (English, Hindi, and Punjabi) of the area. Duplication of information was avoided, and statistical analysis was done using SPSS version 20.

Results:
Fluctuations in the total number of suicide cases over the 15-year period were observed with nearly 63% of people committing suicide being younger than 30 years of age, of whom 53% were male. More females in the younger age group and more males in the older age group were suicide victims. Of all the methods used, hanging was the most common (70%), followed by consuming poisonous substance, jumping from height, shooting self, and stabbing in the descending order. A ceiling fan was used for hanging by 32% of victims who hanged themselves, of whom 65% were male. Among the cited reasons, stress/depression was experienced by 19% of victims.

Discussion and Conclusion:
The trends with respect to age distribution, gender, and method used that is reported in the current study are in line with the trends reported globally. The preventive measures, especially using technological advances in designing fans not suitable for tying noose around it, can be explored.
Sociodemographic and Clinical Profile of Suicide Attempters: A Tertiary Care Center Study
Authors: Singh Hemendra , Chandramouli Swati , Kulkarni Ashwin 
Published: February 2024

Background:
Suicide is a primary health concern worldwide, and has a negative impact on the individual, family, and society. The literature suggests that females are more prone to attempt suicide and have more suicidal inclinations; however, males are more serious suicide attempters compared to females.

Objective:
The objective of this study was to assess the sociodemographic and clinical profile of patients admitted to acute care with the current suicide attempt.

Materials and Methods:
One hundred consecutive patients, aged between 18 and 60 years, who were medically stable and presented to the emergency or medical wards at the hospital with suicidal attempt, were included in this study. Beck’s Suicide Intent Scale (SIS), Beck Scale for Suicidal Ideation, Beck Hopelessness Scale, and Beck Depression Inventory–II were administered to assess the current suicidal intent and ideation, depression, and hopelessness.

Results:
The diagnostic breakup was – 69% mood (affective) disorders, 21% adjustment disorders, 4% schizophrenia, and 6% other disorders. Most suicide attempters were female (66% vs. 34%) and belonged to a younger age group (28.30 ± 10.08 years vs. 34.73 ± 13.97 years) compared to males (P < 0.05). Although both genders displayed high suicide intent, a significant difference in the SIS score was noted between females and males (36.53 ± 7.68 vs. 41.47 ± 8.82; P < 0.05).

Conclusion:
There is a difference in the clinical and demographic profile among male and female suicide attempters. Hence, appropriate interventions can be devised to prevent the future suicide attempts as per the demographic and clinical characteristics specific to the study population.