bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prognostic value of chest computed tomography in adult inpatients with coronavirus disease 2019 pneumonia in Goma, in the Democratic Republic of the Congo
Authors: Ndabahweje Didier Ndyanabo , Mukuku Olivier , Kahindo Charles Kangitsi , Tshikwela Michel Lelo , Mvila Gertrude Luyeye , Aundu Antoine Molua , Mukaya Jean Tshibola , Wembonyama Stanislas Okitotsho , Tsongo Zacharie Kibendelwa 
Published: April 2024

Objectives:
Chest computed tomography (CT) plays a crucial role in evaluating patients with coronavirus disease 2019 (COVID-19) pneumonia. This study aimed to assess the association between initial chest CT findings and mortality in adult inpatients with COVID-19 in the city of Goma, North Kivu province, the Democratic Republic of the Congo.

Materials and Methods:
This was a multicenter retrospective study of patients hospitalized in Goma with COVID-19 pneumonia who underwent chest CT from January 1, 2021, to December 31, 2022. For each patient included, two experienced radiologists independently reviewed the initial chest CT. A multivariate logistic regression was performed to identify chest CT findings associated with mortality at the 5% significance level.

Results:
Of 76 patients included in the study, 26 (34.2%) died. The degree of lung parenchymal involvement >25% (adjusted odds ratio [aOR] = 16.27 [3.30–80.16]) and the presence of consolidations (aOR = 3.33 [1.00–11.47]) were predictive of mortality with an area under the receiver operating characteristic curve of 0.8392. Sensitivity was 73.08%, specificity was 82%, positive predictive value was 67.86%, and negative predictive value was 85.42%.

Conclusion:
Lung involvement >25% and consolidations on chest CT appear to predict death in adult inpatients with COVID-19 pneumonia.
De la santé à la maladie et vice-versa : des procès de transition d’un état à l’autre
Authors: Darrault-Harris Ivan 
Published: April 2024

Existe Définie comme un des droits fondamentaux de tout être humain, la santé, pour l’OMS, est un état de complet bien-être physique, mental et social et ne consiste donc pas seulement en une absence de maladie ou d'infirmité. Cette redéfinition ambitieuse multiplie, on le voit, les sources de mal-être et autant de nécessaires transitions, à examiner, pour atteindre et maintenir sur toutes ces dimensions un bien-être total. On envisagera dans cette perspective certains modes de transition emblématiques entre ces deux états : ainsi la guérison – sans transition - miraculeuse et instantanée, la guérison comme processus complexe impliquant une gradation des étapes soumises à la véridiction, voire une inscription, avec la maladie, dans la chronicité. Ainsi l’actuelle épidémie pose le problème d’un allongement duratif et inédit des symptômes, dans le cas du « Covid long » : transition interminable vers l’état de santé et dénonçant une illusoire guérison. Mais l’examen, si minutieux soit-il, de la temporalité transitionnelle ne saurait éluder la question des actants, multiples, convergents ou non, du changement, intimement liés à l’économie même des types de transition.
Réussir les transitions en s’inspirant de pratiques traditionnelles, un paradoxe ? Entre idéalisation et pragmatisme, la fluctuation
Authors: Brun Jean-Louis 
Published: April 2024

Les transitions qui sont les enjeux actuels de civilisation appellent une évolution de notre rapport au monde. Nous avons étudié, par l'observation participante et la description dense, l'évolution du rapport au monde dans deux pratiques fondées sur des textes : le Karatédo et la franc-maçonnerie. Une homologie est montrée entre le dispositif pédagogique de ces pratiques et l'auto-organisation des systèmes vivants. Dans les deux cas, entre un texte-mémoire que l'on pourrait croire déterministe et une interaction cohérente, adaptative et évolutive avec l'environnement, une médiation relevant d'un "ordre par fluctuations", procédant à la fois de déterminisme et de créativité, se révèle comme facteur simultané de stabilité et d’évolution. Ce phénomène pourrait être inspirant pour la réussite des transitions : une pédagogie fondée sur ces principes pourrait favoriser l'adoption d'un nouveau rapport au monde et stimuler une inventivité porteuse de solutions innovantes pour l'avenir.
Des Dieux aux hommes et de la Terre à Gaïa. Transitions dans les mythes et dans certains discours contemporains : éléments pour une caractérisation sémiotique de la transition
Authors: Guillén Santiago 
Published: April 2024

Cet article étudie la notion de transition en relation aux concepts de devenir (Zilberberg et Fontanille), de parcours/passage (Basso Fossali) et de concept (Bergson). Après une lecture critique de la littérature existante, nous définissons les phénomènes de transition sur les plans figuratif, narratif, énonciatif, axiologique et praxéologique. Nous étudions ensuite un ensemble de textes mythiques puis de discours contemporains sur la transition écologique dans le but de mieux comprendre la tension inhérente aux institutions symboliques entre l’être et le devenir, le transitif et l’intransitif, l’abstraction fixiste de l’être et du concept dans le logos, et la réalité du devenir donnée à voir par le mythe. Notre article est guidé par la problématique suivante : en quoi l’étude de la transition dans les textes mythiques peut-elle nous permettre d’avancer sur certaines problématiques sémiotiques actuelles et nous aider à mieux analyser les discours contemporains sur la transition et en relation à la crise environnementale ?
Religiosité d’intonation et régimes conversationnels au cinéma. Sokourov et ses dialogues avec Soljénitsine
Authors: Ghazaryan Madlena 
Published: April 2024

Le sujet de cet article est l’étude de l’intonation religieuse dans des conversations attestées dans le cinéma documentaire, intonation qui émerge toujours à partir d’une transition fragile entre régimes de communication poussés au-delà de l’intimité. Dans certaines attestations cinématographiques, la tension entre intimité et universalisation des valeurs peut apporter un pli religieux au discours, et ce pli peut se voir renforcé par l’énonciation filmique. Le cas d’étude analysé, à savoir le film documentaire d’Alexandre Sokourov Le Nœud. Dialogues avec Soljénitsine, tourné en 1998 pour le studio Nadezhda (Saint-Pétersbourg), démontre que certains films documentaires focalisés sur l’attestation d’une rencontre peuvent échapper à la définition d’une simple interview et se rapprocher d’une conversation intime, imprégnée d’une intonation religieuse. Notre recherche s’inscrit dans la quête de ce qu’on appellera une « intonation religieuse » de la conversation, se situant ainsi au croisement de la sémiotique visuelle et la linguistique interactionnelle.
THE NEED FOR BUSINESS MODELS IN ACCESSIBLE, INCLUSIVE AND SUSTAINABLE TOURISM
Authors: Mendes Hugo João de Assunção , Paiva Teresa Maria Dias de , Felgueira Teresa Maria Monteiro , Alves Catarina Afonso , Costa Adriano Azevedo 
Published: April 2024

Objective: Accessible, Inclusive and Sustainable Tourism has gained significant prominence, reflecting a growing global awareness of the need for inclusive and environmentally responsible travel practices. The literature gap found regarding the absence of a comprehensive business model is the main goal of this research.

Theoretical Framework: This study systematically compiled and evaluated the recent research studies on Accessible, Inclusive and Sustainable Tourism to contribute to the evolution of business models in the broader scope of tourism and tourism services.

Method: A three-step process was followed to achieve this goal, comprising an initial research phase and a detailed performance analysis using various bibliometric techniques and visualisation tools, culminating in carefully selecting pertinent articles.

Results and Discussion: The study confirmed the scarcity of articles that address this topic, with a tendency to conceptualise entirely new business models instead of adapting existing frameworks with new value propositions making them more accessible, inclusive, and sustainable.

Research Implications: The practical and theoretical implications of this research provided insights into how the results can be applied or influence practices in the field of tourism. These implications could encompass all tourism areas, from hospitality to restaurant offers. It presents an important managerial clue to guarantee the tourism businesses' true inclusiveness and sustainable characteristics.

Originality/Value: This study contributes to the literature by filling a gap. The relevance and value of this research are its managerial contributions, which confirm the need to incorporate characteristics of accessibility, inclusion and sustainability into any tourism business model.
THE ROLE OF ENTREPRENEURSHIP EDUCATION IN GUIDING UNIVERSITY STUDENTS TO CREATE THEIR PERSONAL AND PROFESSIONAL PROJECTS WITHIN THE FRAMEWORK OF A STARTUP
Authors: Matoug Sabir Ben , Zehouani Abderrazzak , Lazhar Belkacemi Mohammed , Ziadi Sami , Belarbi Ghania , Abada Mustapha 
Published: April 2024

Objective: This resvalueearch paper aims to shed light on the role of entrepreneurship education in realizing the personal and professional project of a university student within the framework of a startup. This is considering that entrepreneurial learning or (entrepreneurship education as some call it) is one of the basic courses that help the university student form a vision about future projects and professions.

Theoretical Framework: Entrepreneurship education is a set of formal education methods that is based on informing and training any individual who wishes to participate in social economic development, through a project aimed at enhancing entrepreneurial awareness, establishing business projects or developing small business projects.

Method: In order to be able to become familiar with this topic and address the problem at hand, we relied in this study on the descriptive and analytical approach, by describing entrepreneurship education, and analyzing the extent of the role that entrepreneurship education plays in guiding and assisting university students in establishing a startup project.

Results and Discussion: The study reached several results, the most important of which is that entrepreneurship education plays a major role in creating personal and professional projects for university students and transforming them into a startup capable of finding innovative solutions to the problems at hand. The study also found that building a university student’s personal and professional project requires many acquisitions and skills that qualify him to establish a startup enterprise, such as: teamwork and team building skills, leadership skills, effective communication skills, and problem-solving skills.

Originality/Value: This study contributes to the literature by emphasizing the importance of entrepreneurship education in realizing the personal and professional project of a university student especially in the form of startups, which would lead to its itegration in Higher education programmes.
Las soberanías yuxtapuestas: los piratas y los narcotraficantes en la literatura latinoamericana y su relación con el Estado
Authors: Cupic Tijana 
Published: April 2024

RESUMEN: El objetivo de este trabajo es comparar las novelas latinoamericanas sobre la piratería del siglo XIX con las novelas sobre el narcotráfico del siglo XX para demostrar que los negocios del crimen organizado crean su propia soberanía yuxtapuesta a la soberanía estatal y que tanto los piratas como los narcotraficantes están en la constante renegociación de su relación con el Estado. Las novelas que se tomarán en cuenta son: del siglo XIX, El filibustero (1864), del escritor mexicano Eligio Ancona, y Los piratas en Cartagena (1886), de la escritora colombiana Soledad Acosta de Samper; del siglo XX, Contrabando (1991), del escritor mexicano Víctor Hugo Rascón Banda, y La Virgen de los Sicarios (1994), del escritor colombiano Fernando Vallejo. El trabajo se divide en dos apartados; el primer apartado trabaja la relación entre los piratas y narcotraficantes con el Estado. Se discuten las actitudes de los escritores de la época hacia el Estado y las implicaciones de los actores estatales en el negocio ilegal. El segundo apartado discute la existencia de las soberanías yuxtapuestas que se representan a través la creación del imaginario social de la piratería y del narcotráfico. Partiendo de los recursos históricos y políticos sobre la piratería y el narcotráfico, este trabajo pretende crear un ambiente interdisciplinario para discutir el crimen organizado en la literatura y su influencia política en la sociedad.

Palabras clave: la piratería, el narcotráfico, la soberanía, el Estado, la ambigüedad, la literatura instrumental

ABSTRACT: The aim of this paper is to compare 19th-century Latin American novels about piracy with 20th-century novels about drug trafficking in order to demonstrate that organized crime creates its own sovereignty juxtaposed with state sovereignty and that both pirates and drug traffickers are constantly renegotiating their relationship with the state. The literary corpus from the 19th century includes El filibustero (1864), by Mexican writer Eligio Ancona, and Los piratas en Cartagena (1886), by Colombian writer Soledad Acosta de Samper; from the 20th century, Contrabando (1991), by Mexican writer Víctor Hugo Rascón Banda, and La Virgen de los Sicarios (1994), by Colombian writer Fernando Vallejo. This paper is divided into two sections; the first section deals with the relationship between pirates and drug traffickers and the State. It discusses the attitudes of the writers towards the State and the implications of the State actors in the illegal business. The second section discusses the existence of juxtaposed sovereignties represented through the creation of the social imaginary of piracy and drug trafficking. Drawing on historical and political resources on piracy and drug trafficking, this paper aims to create an interdisciplinary environment to discuss organized crime in literature and its political influence on society.

Keywords: piracy, drug trafficking, sovereignty, State, ambiguity, instrumental literature
El poder de la voz y del acto de narrar en <em>La amante de Gardel </em>de Mayra Santos Febres
Authors: Piazza Sarah Maria 
Published: April 2024

RESUMEN: Este artículo analiza la narración femenina en La amante de Gardel (2015) de la autora puertorriqueña Mayra Santos-Febres según los planteamientos de Mladen Dolar al conceptualizar la voz como objeto y las definiciones del sujeto que proponen Patricia Collins y bell hooks. El trabajo sitúa la novela en relación con la producción literaria anterior de Santos-Febres para mostrar cómo La amante de Gardel comparte algunas de las mismas preocupaciones a la vez que se distingue por ser narrada en primera persona por una protagonista afrodescendiente, Micaela Thorné. El artículo demuestra cómo los rasgos ambiguos del objeto voz del cantante Carlos Gardel, convertido en personaje, provocan la narración de la protagonista. Al narrarse a sí misma, Micaela se apropia de la voz de Gardel y se afirma como sujeto al mismo tiempo que reconoce y cuestiona los discursos sexistas y racistas que pretenden limitarla, en particular la dicotomía mente y cuerpo.
Palabras clave: Mayra Santos-Febres, objeto voz, feminismo, subjetividad, racismo, Carlos Gardel

ABSTRACT: This article analyzes the female narration of La amante de Gardel (2015) by Puerto Rican author Mayra Santos-Febres in light of Mladen Dolar’s theorization of the object voice and the definitions of the subject proposed by Patricia Collins and bell hooks. The essay situates the novel in relation to Santos-Febres’ earlier works in order to show how La amante de Gardel shares some of the same concerns while distinguishing itself through its first-person narration by an Afrodescendant protagonist, Micaela Thorné. The article shows how the ambiguous qualities of Carlos Gardel’s object voice inspire the protagonist’s narration. By narrating her story, Micaela appropriates Gardel’s voice and affirms herself as a subject at the same time that she recognizes and questions the sexist and racist discourses that attempt to limit her, in particular the mind/body dichotomy.
Key words: Mayra Santos-Febres, object voice, feminism, subjectivity, racism, Carlos Gardel
Short-term changes in the physiology of the primary motor cortex following head impact exposure during a Canadian football game
Authors: Vinet Sophie-Andrée , Martens Géraldine , Guay Samuel , Apinis-Deshaies Amélie , Merbah Johan , Caré Bertrand R. , Corbin-Berrigan Laurie-Ann , Wagnac Eric , De Beaumont Louis 
Published: April 2024

OBJECTIVE
This study investigated the association between head impact exposure (HIE) during varsity Canadian football games and short-term changes in cortical excitability of the primary motor cortex (M1) using transcranial magnetic stimulation (TMS).

METHODS
Twenty-nine university-level male athletes wore instrumented mouth guards during a football game to measure HIE. TMS measurements were conducted 24 hours before and 1–2 hours after the game. Twenty control football athletes were submitted to a noncontact training session and underwent identical TMS assessments. Between-group changes in short-interval intracortical inhibition (SICI) ratios over time were conducted using two-way ANOVAs. The relationship between HIE (i.e., number, magnitude, and cumulative forces of impacts) and SICI (secondary outcome) was also investigated using Pearson correlations.

RESULTS
Relative to controls, the group of athletes who had played a full-contact football game exhibited a significant intracortical disinhibition (p = 0.028) on the SICI 3-msec protocol (i.e., short interstimulus interval of 3 msec) within hours following the game. Moreover, exposure to ≥ 40g hits positively correlated with SICI disinhibition (p < 0.05).

CONCLUSIONS
Athletes exposed to subconcussive hits associated with Canadian football exhibit abnormal M1 corticomotor inhibition function, particularly when the recorded impact magnitude was ≥ 40g. Given the deleterious effects of decreased inhibition on motor control and balance, systematically tracking head impact forces at each game and practice with contacts could prove useful for injury prevention in contact sports.
Impact of collagen matrix on reconstructive material selection and postoperative complications in endoscopic endonasal skull base surgery
Authors: Tanji Masahiro , Oishi Masahiro , Sano Noritaka , Terada Yukinori , Kikuchi Masahiro , Nakagawa Takayuki , Sakamoto Tatsunori , Matsunaga Mami , Kuwata Fumihiko , Kitada Yuji , Yamashita Masaru , Mineharu Yohei , Miyamoto Susumu , Arakawa Yoshiki 
Published: April 2024

OBJECTIVE
The aim of this study was to investigate the impact of collagen matrix on reconstructive material selection and postoperative complications in endoscopic endonasal skull base surgery.

METHODS
The authors retrospectively reviewed the data of consecutive patients who underwent purely endoscopic endonasal skull base surgery from January 2015 to March 2023. Intraoperative CSF leakage was classified according to the Esposito grade, and skull base repair was tailored to the leakage grade. The patients were divided into two groups: before (group A) and after (group B) collagen matrix implementation. The rates of autologous graft harvesting (fat, fascia, and nasoseptal flap), postoperative CSF leakage, and donor-site complications were compared between the two groups.

RESULTS
In total, 270 patients were included. Group A included 159 patients and group B included 111 patients. There were no differences in patient characteristics, including age, pathology, and Esposito grade, between the two groups. The overall fat usage rate was significantly higher in group A (63.5%) than in group B (39.6%) (p = 0.0001), and the fascia usage rate was also significantly higher in group A (25.8%) than in group B (4.5%) (p < 0.0001). The nasoseptal flap usage rate did not differ between group A (32.7%) and group B (30.6%) (p = 0.79). Postoperative CSF leakage was similar between the two groups (0.63% in group A vs 1.8% in group B, p = 0.57), and the overall rate of CSF leakage was 1.1%. Donor-site complications occurred in 3 patients in group A, including 1 abdominal hematoma, 1 delayed abdominal infection, and 1 fluid collection after fascia lata harvesting.

CONCLUSIONS
Collagen matrix implementation significantly decreased autologous graft harvesting without increasing postoperative CSF leakage, contributing to less invasive surgery.
Leukocyte- and platelet-rich fibrin in cranial surgery: a single-blinded, prospective, randomized controlled noninferiority trial
Authors: Coucke Birgit , De Vleeschouwer Steven , van Loon Johannes , Van Calenbergh Frank , Van Hoylandt Anaïs , Van Gerven Laura , Theys Tom 
Published: April 2024

OBJECTIVE
CSF leakage is a major complication after cranial surgery, and although fibrin sealants are widely used for reinforcing dural closure, concerns exist regarding their safety, efficacy, and cost. Leukocyte- and platelet-rich fibrin (L-PRF), an autologous platelet concentrate, is readily available and inexpensive, making it a cost-effective alternative for commercially available fibrin sealants. This study aimed to demonstrate the noninferiority of L-PRF compared with commercially available fibrin sealants in preventing postoperative CSF leakage in supra- and infratentorial cranial surgery, with secondary outcomes focused on CSF leakage risk factors and adverse events.

METHODS
In a single-blinded, prospective, randomized controlled interventional trial conducted at a neurosurgery department of a tertiary care center (UZ Leuven, Belgium), patients undergoing elective cranial neurosurgery were randomly assigned to receive either L-PRF (active treatment) or commercially available fibrin sealants (control) for dural closure in a 1:1 ratio.

RESULTS
Among 350 included patients, 328 were analyzed for the primary endpoint (44.5% male, mean age 52.3 ± 15.1 years). Six patients (5 in the control group, 1 in the L-PRF group) presented with CSF leakage requiring any intervention (relative risk [RR] 0.20, one-sided 95% CI −∞ to 1.02, p = 0.11), confirming noninferiority. Of these 6 patients, 1 (in the control group) presented with CSF leakage requiring revision surgery. No risk factors for reconstruction failure in combination with L-PRF were identified. RRs for adverse events such as infection (0.72, 95% CI −∞ to 1.96) and meningitis (0.36, 95% CI −∞ to 1.25) favored L-PRF treatment, although L-PRF treatment showed slightly more bleeding events (1.44, 95% CI −∞ to 4.66).

CONCLUSIONS
Dural reinforcement with L-PRF proved noninferior to commercially available fibrin sealants, with no safety issues. Introducing L-PRF to standard clinical practice could result in important cost savings due to accessibility and lower cost.
Clinical trial registration no.: NCT03812120 (ClinicalTrials.gov).
UJI KINERJA PROTOTYPE KOMPOR OLI BEKAS DITINJAU DARI KOMPOSISI OLI TERHADAP LAJU ALIR BAHAN BAKAR
Authors: Febriana Ida , Yuka Fari Saputra  , Najib Nursal Alfarabi  , Erlinawati  , Yunanto Isnandar 
Published: April 2024

Oli merupakan salah satu limbah b3 (bahan berbahaya dan racun) dimana oli ini dapat mencemari lingkungan, termasuk mencemari air dan tanah. Oleh karena itu, limbah oli harus dikurangi dengan mengunakannya sebagai bahan bakar pembakaran. Dengan mencampurkan solar dengan oli akan membuat suhu pembakaran yang cukup tinggi. Pada penelitian ini didapatkan kondisi paling optimum yaitu pada campuran oli 50% :50% solar dengan mengoptimalkan pembakaran menggunakan laju alir udara 5,4-5,6 m/s agar dapat mengurangi terjadinya pembakaran tidak sempurna sehingga tidak dihasilkan asap yang pekat. Pada campuran oli 50% : 50% solar ini juga dihasilkan laju alir bahan bakar 1,8L/jam dan Air Fuel Ratio 24,69 dengan suhu pembakaran 530-550 °C yang memiliki nilai kalor 10772,149 cal/gram sehingga dapat disimpulkan Sampel ini merupakan Sampel paling optimum karena menggunakan oli 50% dari volume Sampel yang membuat pembakaran menjadi lebih ekonomis dimana oli memiliki nilai yang lebih ekonomis dan mudah diperoleh dibandingkan bahan bakar cair lain.