bluuebunny/crossref_metadata_2025_split huggingface dataset:
Canguilhem, Dumézil, Hyppolite: Georges Canguilhem and his Contemporaries
Authors: Elden Stuart 
Published: April 2024

Dans la première préface à sa thèse Folie et déraison, Foucault remercie trois hommes qu’il considérait comme ses maîtres et qui ont considérablement influencé son travail. Ainsi, dans sa conférence inaugurale au Collège de France en décembre 1970, ces mêmes noms sont invoqués par Foucault : Georges Canguilhem, Georges Dumézil et Jean Hyppolite. Le rapport de ces trois figures, considérées individuellement, à Foucault a été sujet de discussions plus ou moins détaillées. Cet article explore les affinités intellectuelles et les tensions entre ces trois intellectuels. Canguilhem et Hyppolite avaient été contemporains à l’École Normale Supérieure dans les années 1920, et, des années après, collègues à l’Université de Strasbourg. Notamment, en 1965, ils participent à l’entretien télévisé médié par Alain Badiou et Dina Dreyfus. Même si Dumézil et Hyppolite avaient été collègues au Collège de France, ils n’ont pas discuté les travails l’un de l’autre. Dumézil, il semble, n’a pas discuté le travail de Canguilhem ; ce dernier, en revanche, a considéré soit l’œuvre de Dumézil que celle d’Hyppolite. Cet article analyse le compte rendu de Les mots et les choses par Canguilhem , où il signale l’importance de Dumézil pour le livre de Foucault ; et un rapport d’un séminaire très peu connu, qui a eu lieu dans l’automne 1970, dont Foucault discute les travaux de Dumézil et Canguilhem répondit. L’article donc considère la lecture d’Hyppolite par Canguilhem dans son texte « Hegel en France », et dans les hommages qu’il a écrit à son ami et collègue, après la mort d’Hyppolite en 1968. Une analyse de la lecture de Canguilhem de ses deux contemporains nous aide à mieux situer Canguilhem dans le contexte des débats intellectuels de la première moitié du XX e siècle.
Temptations of the Milieu
Authors: Muhle Maria 
Published: April 2024

L’article esquisse une histoire de la notion de milieu en confrontant l’article de Georges Canguilhem, « Le vivant et son milieu » (1946), à celui de Leo Spitzer « Milieu et ambiance » (1942). Alors que Spitzer conteste l’opposition entre un milieu abstrait et un environnement « chaud », Canguilhem entend transformer les éléments d’une compréhension mécaniste du milieu en une idée vitaliste et productive de l’interaction mutuelle entre milieu et organisme. L’article se concentre ensuite sur la perspective littéraire et esthétique de la discussion de la relation entre le vivant et son milieu, à partir de l’Histoire de la littérature anglaise de Taine. Dans deux textes de 1930 et 1931, Canguilhem présente une critique véhémente de Taine et oppose à la compréhension déterministe du milieu un concept esthétique qu’il réinvestit pour les sciences de la vie : le concept de création. En repensant la notion de milieu à travers une « esthétique du milieu », l’article conclut en opposant les critiques de Spitzer et de Canguilhem adressées à la compréhension déterministe du milieu et montre que l’opposition radicale entre détermination et création, que Canguilhem semble établir dans ses premiers textes, est reformulée dans son étude postérieure sur Le normal et le pathologique . La vie est créatrice relativement à son milieu au travers des déplacements vers un nouveau milieu, qui est lui-même, à son tour, vulnérable, précaire et inachevé. Pour penser une telle esthétique du milieu, il faut remodeler la notion d’activité artistique à partir d’un concept du vivant qui se forme dans sa confrontation constante avec son milieu.
Prevalence of Motoric Cognitive Risk Syndrome Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis
Authors: Jiang Shan , Guan Ruitong , Guo Caixia , Wei Chunyan 
Published: April 2024

Purpose:
To systematically review the prevalence of motoric cognitive risk syndrome (MCR) among community-dwelling older adults and provide evidence-based support for policymakers planning health and social care policies.

Method:
Web of Science, PubMed, and Cochrane Library databases were searched for cross-sectional, prospective cohort, or population-based longitudinal studies of community-dwelling older adults aged ≥60 years with MCR from inception of the database through December 18, 2021.

Results:

Seventeen studies were included. Pooled prevalence of MCR was found to be 10% (95% confidence interval [8%, 12%], I
2
= 98.4%). Results of a subgroup analysis revealed a combined prevalence of MCR of 8.2% in males and 9.2% in females. Pooled prevalence of MCR was 9.7% in Asia and 10.2% in other regions.

Conclusion:

Prevalence of MCR in community-dwelling older adults is high. Our research may improve the epidemiological understanding of MCR, draw attention to older adults with MCR, and thus promote research of MCR and the formulation of relevant public health policies. With early identification and intervention of MCR, cognitive function can be improved, and the onset of dementia can be delayed or prevented. [
Journal of Gerontological Nursing, 50
(4), 16–24.]
Health Trajectories of Skilled Nursing Facility Patients With Alzheimer's Disease and Related Dementias: Evidence for Practicing Nurses
Authors: Toles Mark , Ulmer Cameron , Leeman Jennifer 
Published: April 2024

Purpose:
Older adults with Alzheimer's disease and related dementias (ADRD) are at high risk for acute medical problems and their health trajectories frequently include hospital admission and care in a skilled nursing facility (SNF). Their health trajectories after SNF discharge are poorly understood. Therefore, in the current study, we sought to describe health trajectories and factors associated with hospital read-missions for older adults with ADRD during the 30 days following SNF discharge.

Method:
We conducted a secondary analysis of data from a clinical trial of transitional care of older adults with transitions from SNF to home and assisted living. A multiple case study design was used in the analysis of the health trajectories of 49 SNF patients with ADRD, 51% discharged from SNF to their own home, 34% discharged to a family member's home, and 15% transferred to assisted living.

Results:
Within 30 days of discharge, 20% of patients with ADRD experienced new or recurrent acute needs and hospital readmission.

Conclusion:

Our findings suggest the need for nursing interventions to support patients with ADRD during care transitions, such as focusing care on the patient–caregiver dyad, providing transitional care, referring patients for palliative care consultation, and conducting nurse-led research to improve care transitions of these patients and their caregivers. [
Journal of Gerontological Nursing, 50
(4), 34–41.]
“Off-Hour” Surgical Start Times Do Not Influence Surgical Precision and Outcomes in Middle-aged Patients and Patients 65 Years and Older With Hip Fractures
Authors: Merrell Lauren A. , Gibbons Kester , Ganta Abhishek , Konda Sanjit R. , Egol Kenneth A. 
Published: April 2024

Background:
Previous studies show the “off-hour” effect impacts outcomes after surgery in non-orthopedic settings. This study assessed if the off-hour effect impacts surgical precision and outcomes in middle-aged patients and patients 65 years and older with hip fractures.

Materials and Methods:
All operative patients in an academic medical center's institutional review board-approved hip fracture registry were reviewed for demographics, hospital quality measures, operative details, radiographic parameters, and outcomes. Patients were grouped into standard (7 am to 4:59 pm) and off-hour (5 pm to 6:59 am) cohorts depending on surgical start time and comparative analyses were conducted. Two subanalyses were conducted: one comparing the quality of reduction for patients with intertrochanteric hip fractures and another comparing the rates of inpatient transfusion and postoperative dislocation for patients treated with arthroplasty.

Results:
A total of 2334 patients underwent operative treatment. The off-hour cohort had hospital quality measures and outcomes similar to the standard cohort, including length of stay, rates of inpatient complication, mortality, and readmission. Sub-analysis of 814 intertrochanteric hip fractures demonstrated similar tip-apex distance, residual calcar step-off, and post-fixation neck-shaft angle, while subanalysis of 713 patients undergoing arthroplasty showed similar rates of transfusion and dislocation between cohorts.

Conclusion:

The time of day patients undergo hip fracture repair does not affect surgical outcomes or hospital quality measures. These results highlight the need for standardized hip protocols and treatment pathways to provide equitable care at all hours of the day. [
Orthopedics
. 2024;47(3):185–191.]
The interculturization of ethnobotanical practices in French Guiana: towards a new understanding of medical pluralism
Authors: Tareau Marc-Alexandre , Shepard Jr. Glenn H. 
Published: April 2024

This paper develops the concept of “interculturalization” as applied to the complex, polymorphic and dynamic exchanges among botanical herbal medicine that occur in modern and especially urban contexts. We develop this concept based on an analysis of herbal medical practice in French Guiana, building on and improving upon the concepts of “creolization,” “hybridization” and “medical pluralism” that have been used to date to understand these processes. Drawing on the work of Ladio and Albuquerque (2014) we identify a number of sub-processes that are detailed and illustrated with concrete examples from the fieldwork in French Guiana. In intensely intercultural social contexts such as those found in French Guiana, both practitioners and patients have access to a wide range of therapeutic options, giving rise to complex, “zigzag therapeutic routes” that can result in the addition of new medicinal species, relocations of exogenous practices and even inventions and reinventions of uses that arise from these dynamic cultural encounters. We explore how the notion of interculturalization in ethnobotany and medical anthropology might contribute to studying medical practices in different parts of the world.
Successful surgical management of cardiac tamponade following direct intrahepatic portosystemic shunt in a child with Budd–Chiari syndrome: A potentially life-threatening situation
Authors: Mishra Anand Kumar , Mandal Meenakshi , Mohamed Irshad R. , Lal Sadhna , Bhujade Harish 
Published: April 2024

ABSTRACT
Direct intrahepatic portosystemic shunt is a technique of portocaval shunting performed through the percutaneous route in patients with Budd–Chiari syndrome. Stent migration into right-sided heart chambers or perforations causing hemopericardium and cardiac tamponade is rare and underreported. In a child with a coexisting decompensated liver disease, surgical intervention and cardiopulmonary bypass can be challenging. However, surgical management in these life-threatening situations is better than redo interventions.
Double left atrial appendage: A diagnostic dilemma
Authors: Dutta Nilanjan , Das Debasis , Chakraborty Unmesh , Das Shubhadeep , Sharma Manish Kumar , Gajpal Shivani , Chattopadhyay Amitabha , Ghosh Sanjiban , Das Jayita Nandy 
Published: April 2024

ABSTRACT
We report a unique intraoperative finding of an additional double left atrial appendage (LAA) during an arterial switch operation with ventricular septal defect closure in a 4-month-old girl. Immediately after the procedure, a prolapsing mass within the left atrium (LA) on the transesophageal echocardiogram raised concerns of a possible thrombus. The LAA was clearly visible with a pressure monitoring line which was put intraoperatively. To investigate further, cardiopulmonary bypass was resumed, and the heart was arrested and explored. There was an appendage-like structure, separate from the one that had the pressure monitoring line, which was inverted inside. It was pulled out from outside clearly establishing a double LAA. This report illustrates an example of a diagnostic dilemma caused by a double atrial appendage which was invaginated into LA masquerading as a mass or thrombus.
An alternate technique of performing total cavopulmonary connection without cardiopulmonary bypass
Authors: Talwar Sachin , Tiwari Anjali , Sengupta Sanjoy , Choudhury Arindam , Satsangi Amitabh , Choudhary Shiv Kumar 
Published: April 2024

ABSTRACT
Total cavopulmonary connection (Fontan) without using cardiopulmonary bypass (CPB) may be superior to Fontan on CPB. In the experience of many, a Fontan operation without CPB may be associated with a reduced need for inotropic support, improved outcomes in the postoperative phase including faster time to termination of mechanical ventilatory support, reduced intensive care unit stay, lower volume of pleural and peritoneal effusions, and decreased hospital stay, thereby rendering it more cost-effective. However, the operation is technically more difficult to perform than Fontan on CPB and requires significant modifications of surgical technique and alteration in overall management strategy. In this article, an alternative technique of performing total cavopulmonary connection without CPB is described. Its advantages are briefly discussed.
SIGIRR gene variants in term newborns with congenital heart defects and necrotizing enterocolitis
Authors: Zaikova Ekaterina Konstantinovna , Kaplina Aleksandra Vladimirovna , Petrova Natalia Aleksandrovna , Pervunina Tatiana Mikhailovna , Kostareva Anna Aleksandrovna , Kalinina Olga Viktorovna 
Published: April 2024

ABSTRACT

Background:
Necrotizing enterocolitis (NEC) is a common gastrointestinal emergency among neonates which is characterized by acute intestinal inflammation and necrosis. The main risk factors for NEC are prematurity, low birth weight, and some preexisting health conditions such as congenital heart defects (CHDs). Investigation of the potential genetic predisposition to NEC is a promising approach that might provide new insights into its pathogenesis. One of the most important proteins that play a significant role in the pathogenesis of NEC is Toll-like receptor 4 (TLR4) which recognizes lipopolysaccharide found in Gram-negative bacteria. In intestinal epithelial cells, a protein encoded by the SIGIRR gene is a major inhibitor of TLR4 signaling. A few SIGIRR variants, including rare p.Y168X and p.S80Y, have already been identified in preterm infants with NEC, but their pathogenic significance remains unclear. This study aimed to investigate the spectrum of SIGIRR genetic variants in term newborns with CHD and to assess their potential association with NEC.

Methods and Results:
A total of 93 term newborns with critical CHD were enrolled in this study, 33 of them developed NEC. SIGIRR genetic variants were determined by Sanger sequencing of all exons. In total, eight SIGIRR genetic variants were identified, two of which were found only in newborns with NEC (P = 0.12). The rare missense p.S80Y (rs117739035) variant in exon 4 was found in two infants with NEC stage IIA. Two infants with NEC stage III and stage IB carried a novel duplication c. 102_121dup (rs552367848) variant in exon 10 that has not been previously associated with any clinical phenotype.

Conclusions:
The presence of both variants only in neonates who developed NEC, together with earlier published data, may suggest their potential contribution to the risk of developing NEC in term infants with CHD and allow planning larger cohort studies to clarify their relevance.
Katz-Wachtel phenomenon in an adult with dilated cardiomyopathy
Authors: Bhasin Dinkar , Agarwal Ayush , Sharma Yash Paul , Sharma Arun , Ghosh Soumitra 
Published: April 2024

ABSTRACT
Katz-Wachtel phenomenon is an electrocardiogram (ECG) sign demonstrating large equiphasic precordial QRS complexes indicative of biventricular hypertrophy. This sign is most commonly seen in children with congenital heart disease and is rarely described in adults. We report a case where this ECG sign was noted in an adult with dilated cardiomyopathy and discuss the possible mechanisms for this unusual finding.
Antimicrobial efficacy of newly prepared nano-tricalcium silicate-58s bioactive glass-based endodontic sealer
Authors: Al-Sabawi Nawal Atiya , Al-Jubori Sawsan Hameed 
Published: April 2024

ABSTRACT

Objectives:
Endodontic sealers with antimicrobial impact are considered relevant to prevent re-infection and ensure healing of damaged periapical tissue. Hence, this study aimed to assist the antimicrobial effect of newly developed nano-tricalcium silicate-58s bioactive glass (BG)-based endodontic sealer (C3S-BG-P), and compare its results with Nishika Canal Sealer BG and BioRoot™ root canal sealer (RCS).

Materials and Methods:
The antimicrobial impact of endodontic sealers was evaluated by both agar diffusion test (ADT) and direct contact test (DCT) against Enterococcus faecalis and Candida albicans. In ADT, the diameter of inhibition zones was measured after 1, 2, and 3 days of incubation using Digimizer software program. In DCT, the sealers were allowed to set for 1, 7, and 14 days and then exposed to the microbial suspension for 24 h. The colony-forming unit was counted using ImageJ software program. The data were analyzed with ANOVA and Tukey’s tests.

Results:
In ADT, all the tested sealers showed antimicrobial effect after 3 days, with no significant difference after 1 day, but the impact of C3S-BG-P and Nishika significantly higher than that of BioRoot after 2 and 3 days. In DCT, C3S-BG-P and Nishika had an antimicrobial effect against both isolates even after 14 days of their setting, whereas BioRoot had an effect for 7 days of its setting and lost its impact after 14 days.

Conclusions:
C3S-BG-P explored antimicrobial impact superior to that of BioRoot and nearly comparable to that of Nishika against E. faecalis and C. albicans, which last even after 14 days of its setting.
Exploring dentists’ preferences for post-endodontic restorations in India: A questionnaire based study
Authors: Singh Reetika , Gupta Sachin , Nikhil Vineeta , Jaiswal Shikha 
Published: April 2024

ABSTRACT

Aim:
This study aimed to investigate the selection of postendodontic restorative materials and techniques for both anterior and posterior teeth by Indian endodontists and nonendodontists, along with other influencing factors.

Methods:
A total of 700 dentists, including both endodontists and nonendodontists, participated in this survey. The survey consisted of 22 questions and was administered through Google Forms and various online platforms. Participants were required to provide informed consent before completing the questionnaire.

Results:
The majority of endodontists (80.3%) and nonendodontists (72.6%) revealed a preference for resin composite as the primary restorative material for postendodontic restoration. Approximately half of the endodontists (50.0%) and 67.8% of nonendodontists typically waited for 1 week before proceeding with postendodontic restoration, with the presence of periapical lesions being the most common reason for this delay. Both endodontists (81.7%) and nonendodontists (73.4%) considered the amount of remaining tooth structure as the most crucial factor in guiding their choice of postendodontic restoration. The majority of both endodontists (75.3%) and nonendodontists (81.4%) preferred full-coverage crowns as the definitive postendodontic restoration. Furthermore, endodontists (95.4%) and nonendodontists (85.5%) reported that they only performed post and core restoration when necessary, and 84.7% of endodontists and 76.5% of nonendodontists believed that post and core restorations aided in supporting crowns.

Conclusion:
The outcomes of the survey imply that while endodontists in India demonstrate a more comprehensive comprehension of postendodontic restoration concepts, nonendodontists also exhibit a sufficient level of understanding essential for achieving clinical success.
Nagpur technique (triple wedge technique) for cleft lip repair in the first plastic surgery department of India: Principle and its evolution
Authors: Patil Surendrakumar B. , Gupta Neha 
Published: April 2024

ABSTRACT

Background:
Cleft lip chelioplasty can be approached with a wide array of different techniques. The ultimate goal of all techniques is to restore sphincter competence and aesthetically favorable outcome. Dr.C. Balakrishnan of Government medical college,Nagpur devised an original triple wedge technique,a form of three triangular flap,that was evolved independently of the triangular flap technique. Unfortunately he did not publish his technique,even today many of his 4th and 5th generation trainees perform triple wedge technique for cleft lip repair.[1-3] The history of cleft lip repair in Nagpur and it’s growth can not be dissociated from modern plastic surgery in India by the father of modern plastic surgery in India Dr. C.Balakrishnan himself,who established the first department of plastic surgery in India at GMC Nagpur,credited it with a new classification of cleft lip and palate, a new technique of cleft lip repair and propagated the principles of comprehensive cleft care. In our institute triple wedge repair for cleft lip is the repair of choice since 1950, although many modifications have been done in original technique since then. I was trained in KEM hospital,Mumbai and learned Millard’s repair there. After coming to Nagpur,I joined the department as lecturer under respected Dr S.M. Kale sir and I got the opportunity to learn triple wedge technique from him. Over the last 20 years I have added few modifications like changing the orientation of triangles,using the mucosal element for anterior palate repair which used to be discarded in original triple wedge technique and primary rhinoplasty.

Aims and Objectives:
In this original article we are describing the original triple wedge technique invented by father of modern plastic surgery in India Dr.C. Balakrishnan 2 and its evolution since then in the first department of plastic surgery in India.

Materials and Methods:
Patients operated in last 50 years at Government Medical college,Nagpur and data available in department.

Results:
Early and late postoperative pictures showing result of the technique.

Conclusion:
The purpose of this article is illuminating unpublished work of legend of plastic surgery in India Dr. C. Balakrishnan.