bluuebunny/crossref_metadata_2025_split huggingface dataset:
Fermi-LAT Detection of the Supernova Remnant G312.4-0.4 in the Vicinity of 4FGL J1409.1-6121e
Authors: Chambery Pauline , Lemoine-Goumard Marianne , Jardin-Blicq Armelle , Sinha Atreyee , Eagle J. 
Published: December 2023

Abstract
Gamma-ray emission provides constraints on the nonthermal radiation processes at play in astrophysical particle accelerators. This allows both the nature of accelerated particles and the maximum energy that they can reach to be determined. Notably, it remains an open question to what extent supernova remnants contribute to the sea of Galactic cosmic rays. In the Galactic plane, at around 312° of Galactic longitude, Fermi-LAT observations show an extended source (4FGL J1409.1−6121e) around five powerful pulsars. This source is described by one large disk of 0.°7 radius with a high significance of 45σ in the 4FGL-DR3 catalog. Using 14 yr of Fermi-LAT observations, we revisited this region with a detailed spectro-morphological analysis in order to disentangle its underlying structure. Three sources have been distinguished, including the supernova remnant G312.4−0.4 whose gamma-ray emission correlates well with the shell observed at radio energies. The hard spectrum detected by the LAT, extending up to 100 GeV without any sign of a cutoff, is well reproduced by a purely hadronic model.
Variation of the High-mass Slope of the Stellar Initial Mass Function: Theory Meets Observations
Authors: Dib Sami 
Published: December 2023

Abstract
We present observational evidence of a correlation between the high-mass slope of the stellar initial mass function (IMF) in young star clusters and their stellar surface density, σ
*. When the high-mass end of the IMF is described by a power law of the form

dN

/

d
log

M

*

∝

M

*

−
Γ

, the value of Γ is seen to decrease weakly with increasing σ
*, following a

Γ
=
1.31

σ

*

−
0.095

relation. We also present a model that can explain these observations. The model is based on the idea that the coalescence of protostellar cores in a protocluster-forming clump is more efficient in high-density environments where cores are more closely packed. The efficiency of the coalescence process is calculated as a function of the parental clump properties, in particular the relation between its mass and radius as well as its core formation efficiency. The main result of this model is that the increased efficiency of the coalescence process leads to shallower slopes of the IMF, in agreement with the observations of young clusters, and the observations are best reproduced with compact protocluster-forming clumps. These results have significant implications for the shape of the IMF in different Galactic and extragalactic environments and have very important consequences for galactic evolution.
Correlation between Total Lymphocyte Count, C Reactive Protein, and Neutrophil Lymphocyte Ratio Levels with Gastrointestinal Manifestations in Covid-19 Patients Treated at Ulin Hospital, Banjarmasin
Authors: Sanjaya Bernadet Maria , Soefyani Achmad , Fajari Nanang Miftah , Cahyawati Wiwit Agung Sri Nur , Rudiansyah Mohammad 
Published: December 2023

BACKGROUND: Coronavirus disease can affect the digestive system and cause gastrointestinal manifestations. The increase in C-reactive protein (CRP) correlates with the severity of the disease. The neutrophil-to-lymphocyte ratio (NLR) is a useful prognostic factor in the early screening of patients with COVID-19. A low lymphocyte count can also predict gastrointestinal involvement.
AIM: This study aims to determine the correlation between TLC, CRP, and NLR levels on gastrointestinal manifestations in COVID-19 patients treated at Ulin General Hospital, Banjarmasin.
METHODS: This study used a cross-sectional design. Data were taken consecutively using the medical records of confirmed COVID-19 patients with gastrointestinal manifestations. The number of subjects in this study was 88 patients.
RESULTS: A decrease in TLC levels (<1740 g/dL) was not proven to have a significant correlation with gastrointestinal manifestations in COVID-19 patients (p = 0.176). Increased levels of CRP (>48 mg/L) had a significant correlation by 5.71 times compared to subjects who did not experience increased CRP (p < 0.00001). Increased levels of the NLR (>6 mg/L) had a significant correlation by 2.82 times compared to subjects who did not experience an increase in NLR (p = 0.032).
CONCLISION: An increase in CRP levels >48 mg/L and levels of NLR >6, respectively, allowed the subject to experience gastrointestinal symptoms by 5.71 times and 2.82 times when infected with COVID-19, while a decrease in total lymphocyte count <1740 was not proven to have a significant correlation with gastrointestinal manifestations.
Figures de Bethléem
Authors: Miró Gabriel , Roullière Yves 
Published: December 2023

De tous les grands écrivains espagnols du XX e siècle, Gabriel Miró (1879-1930), romancier et nouvelliste, est sans nul doute celui qui a eu le contact le plus intime avec la Bible dans son ensemble, au point de lui consacrer une partie de son œuvre. Dans cette veine, Miró s’y livre à de minutieuses descriptions de « vieilles estampes » bibliques, écrit-il, « par naïveté, désir naïf, c’est-à-dire inculqué en mon sang et mes os depuis l’enfance, de regarder de près l’horizon chrétien, reconstruisant ce que ne nous disaient pas les textes directs et sacrés ». L’auteur n’a jamais fait mystère de l’influence, sur son œuvre, des « compositions de lieu » que proposent les Exercices spirituels, comme dans ce texte daté de 1918.
L'économie au service de la vie bonne
Authors: Lasida Elena , Viveret Patrick , Sarthou-Lajus Nathalie 
Published: December 2023

En temps de crise et face aux risques écologiques, l’économie est souvent remise en question. Sur tous les fronts, l’homme est renvoyé aux limites des ressources naturelles et à sa propre finitude. Comment échapper au discours catastrophiste dominant et imaginer un autre modèle de développement et de croissance ? Le christianisme est-il appelé à jouer un rôle important dans l’initiation de ce nouveau modèle économique ?
Innovation et tradition en christianisme pluriel
Authors: Abel Olivier , Fédou Michel , d’Aloisio Christophe 
Published: December 2023

Les trois confessions chrétiennes, la catholique, l’orthodoxe et la protestante, ont un rapport en apparence différencié à la tradition et à la nouveauté. Si l’orthodoxie, voire le catholicisme, semblent valoriser la continuité de la tradition, cultivant jalousement la fidélité à l’égard d’un héritage immémorial, la Réforme protestante paraît mettre l’accent sur la rupture que signifie le projet de recommencer l’Église sur des bases authentiques. À y regarder de près, la situation se nuance et se complexifie. La Réforme se veut un retour aux premiers temps de l’Église et reproche précisément à l’Église romaine d’avoir introduit des « innovations » qui trahissent le message évangélique. Par ailleurs, les Églises « traditionnelles » (catholique et orthodoxe) ont connu des événements de réforme (Vatican II pour la première en est l’exemple le plus récent), déclenchant d’ailleurs le rejet des « traditionalistes ». C’est pourquoi il a paru bon que figure dans ce numéro une contribution à trois voix. Un protestant, un catholique et un orthodoxe réfléchissent en écho sur ces notions apparemment antinomiques de tradition et d’innovation.
Changer le rapport à l'école
Authors: Nemo Yvan 
Published: December 2023

On dit souvent que, face aux déterminismes sociaux et culturels, l’école ne peut pas faire de miracle. Il en est pourtant un qui est à sa portée : modifier le rapport que les personnes entretiennent avec l’école. S’inspirant d’une expérience menée au sein de son école, un directeur témoigne de la force des initiatives locales.
Le défi politique du posthumanisme
Authors: Hunyadi Mark 
Published: December 2023

Le posthumanisme désigne ce courant de pensée qui prône l’amélioration de l’humain par les technologies, sur la base notamment d’une convergence nouvelle entre nanotechnologies, biotechnologies, sciences informatiques et sciences cognitives. Comment ce projet entre-t-il en résonance avec nos modes de vie ?
Islam et démocratie
Authors: d'Iribarne Philippe 
Published: December 2023

La démocratie pluraliste peine à s’implanter dans les pays musulmans. C’est que, selon l’auteur, l’islam donne une importance centrale au consensus de la communauté comme source sûre de vérité et accueille difficilement la démarche critique. Quel peut être l’avenir du monde musulman dans son rapport à la démocratie ? La tradition mystique paraît dessiner une voie.
Le malaise européen, de la crise des dettes au défi de l’intégration
Authors: Castillo Monique , Ferry Jean-Marc , Sarthou-Lajus Nathalie 
Published: December 2023

De la crise des dettes au défi de l’intégration, le malaise européen s’exprime sur tous les plans, économique, social et politique. Creusement des inégalités entre le Nord et le Sud, décrochage entre les élites et les populations, les risques de montée des divisions et des ressentiments sont nombreux. Comment redonner toute sa légitimité et sa force au projet européen ?
Pourquoi regardons-nous les séries télévisées ?
Authors: Damour Franck 
Published: December 2023

Qui fera l’histoire culturelle du début du XXI e siècle ne pourra faire l’impasse sur les séries non seulement comme phénomène de société, mais aussi comme témoin de notre temps et comme expression artistique à part entière : les séries peuvent concurrencer, sans rougir, le cinéma. Comment expliquer cette mutation ?
La faim en Guyane française : un fléau endémique amplifié par la crise sanitaire
Authors: Huber Florence , Basurko Célia , Oberlis Margot , Alcouffe Leslie , Rousseau Cyril , Le Poulain Katell , Gonzalez Adriana , Osei Lindsay , Kpossou Karl , Vignier Nicolas , Boceno Claire , Wiedner-Papin Solène 
Published: December 2023

En 2020, des pénuries alimentaires sont survenues dès l’entrée en vigueur du confinement destiné à contrôler la pandémie de COVID-19. En Guyane Française, où une forte proportion de la population vivait déjà sous le seuil de pauvreté, des alertes préoccupantes ont émané d’acteurs de santé. En parallèle du déploiement d’une aide alimentaire massive, une première enquête transversale a été menée en août 2020, ciblant les quartiers précaires des environs de Cayenne. Les résultats étaient particulièrement inquiétants : plus de 80 % des ménages avaient souffert de la faim dans le mois, avec une baisse médiane de revenus de 46 %. Deux autres enquêtes ont suivi, en février, puis en août 2021. Avec l’allègement des mesures sanitaires, la situation s’était sensiblement améliorée dans la région de Cayenne, mais deux ménages sur trois restaient impactés, avec des carences quantitatives et une diversité alimentaire insuffisante. La situation semblait particulièrement critique parmi les enfants. Au vu de cette situation, nous proposons de créer un observatoire de l’insécurité alimentaire en Guyane, tout en maintenant ce sujet en tête des priorités sanitaires. En outre, la lutte contre l’insécurité alimentaire ne peut se limiter à l’aide matérielle : la stratégie, multisectorielle, doit être pensée en globalité, intégrant les problématiques sanitaires et sociales, les enjeux de l’aménagement du territoire, de l’accès à la terre et à l’eau, de l’accès aux droits et à l’insertion sociale. Un ciblage juste des actions vers les publics les plus exposés et vulnérables est également un enjeu important, indépendamment de la situation administrative et du droit au séjour des personnes concernées.
Risk factors for development of pneumothorax in patients with COVID-19 at a government health facility in North India: An exploratory case-control study
Authors: Baidya Manabendra , Pandey Sandeep Kumar , Solanki Hariom Kumar , Singh Ankur Deep , Giri Samaksh , Altamash Syed 
Published: December 2023

Objective:
To explore risk factors for the development of pneumothorax in patients with COVID-19 during the second COVID-19 wave at a northern Indian level 2 health facility.

Methods:
Patients suffering from SARS-CoV-2 infection during the second wave of the COVID-19 pandemic in India (January -June 2021) at a tertiary care teaching hospital and level 2 COVID care facility were included. Cases who suffered from SARS-CoV-2 infection but did not develop pneumothorax were selected as matched controls. All details regarding demographics, clinical presentation, treatment, and outcome were recorded in a semi-structured proforma.

Results:
Eleven patients with COVID-19 developed pneumothorax during the study period and 40 controls were included in the study. Five cases were smokers in comparison to only two in the control group. Type 2 diabetes mellitus was the most common comorbidity among both groups. Median change in C-reactive protein overall for cases and controls were around +14.0 and −41.9 and was statistically significant.

Conclusions:
Inflammatory markers like C-reactive protein have significant correlations with the development of pneumothorax in COVID-19-infected patients. There is no sex predisposition to develop pneumothorax among patients with COVID-19.
Embryonic, genetic and clinical outcomes of fresh versus vitrified oocyte: A retrospective cohort study
Authors: Dao Phuong Thi , Dang Son Truong , Nguyen Thuan Duc , Pham Anh Van , Do Anh Tuan , Van Hanh Nguyen 
Published: December 2023

Objective:
To compare embryonic development, ploidy status and clinical outcomes between fresh and frozen-thawed oocytes.

Methods:
This retrospective cohort study evaluated 83 fertilization cycles including both fresh and frozen oocytes from 79 patients at the HP Fertility Center of Hai Phong International Hospital of Obstetrics and Pediatrics in Vietnam. The patient underwent several ovarian stimulation cycles to accumulate a certain number of oocytes that would be vitrified. In the last oocyte retrieval, all patient's oocytes including both frozen and fresh would be fertilized. The outcomes included the rates of oocyte survival, cleavage embryo, blastocyst, ploidy status, pregnancy, biochemical pregnancy and clinical pregnancy.

Results:
The oocyte survival rate after thawing was 96.5%. No statistically significant difference was found when comparing fresh and frozen oocytes regarding fertilization rate (78.1% vs. 75.5%, P=0.461), usable cleavage embryo rate (86.9% vs. 87.2%, P=0.916) but usable blastocyst rate was found higher statistically in the frozen oocyte group (44.4% vs. 54.0%, P=0.049). The percentages of euploid, aneuploid and mosaic embryos between the fresh group and the vitrified group had no significant differences (33.8% vs. 31.6%, P=0.682; 51.0% vs. 54.2%, P=0.569; 15.2% vs. 12.4%, P=0.787; respectively). The rates of pregnancy, biochemical pregnancy and clinical pregnancy had no statistical difference (68.8% vs. 64.8%, P=0.764; 12.5% vs. 3.6%, P=0.258; 37.5% vs. 46.4%, P=0.565). 17 Mature oocytes are the minimum to have at least one euploid embryo.

Conclusions:
Oocyte vitrification does not affect embryonic, genetic and clinical results. The number of mature oocytes should be considered for fertilization in some cases.
Detection of rifampicin resistance in methicillin-resistant Staphylococcus aureus isolates from the medical centers at Ahmadu Bello University
Authors: Akpudo Maryloveth Oluchukwu , Oche Dominic Agbo , Adikwu Peter , Agbo Augustine Ameh , Atolagbe Cecilia Towobola , Jimoh Olanrewaju , Olayinka Busayo Olalekan 
Published: December 2023

Objective:
The aim of this study was to evaluate the prevalence of rifampicin resistance among methicillin-resistant Staphylococcus (S.) aureus (MRSA) isolates obtained from patients in two health facilities at Ahmadu Bello University, Zaria.

Methods:
A total of 200 non-duplicate presumptive Staphylococcal isolates were collected from the health facilities. The isolates were confirmed using mannitol salt agar, and biochemical tests were performed to identify S. aureus. The confirmed S. aureus isolates underwent antibiotic susceptibility tests, and the results were interpreted according to the guidelines provided by the European Committee on Antimicrobial Susceptibility Testing (EUCAST). Polymerase chain reaction (PCR) was used to investigate virulence and antibiotic resistance determinant, such as Spa, mecA, and rpoB.

Results:
This study revealed a S. aureus isolation rate of 22 (11.0%), and 18.2% of these S. aureus isolates were methicillin-resistant, with the highest prevalence of resistance (9.1%) found in wound swab. The results further showed that 75.0% of the MRSA isolates were resistant to rifampicin. The molecular analysis showed that all the isolates carried the virulence gene (Spa), with a prevalence of 10.0% for mecA and 20.0% for rpoB genes, respectively.

Conclusions:
This study underscores the prevalence of rifampicin resistance among MRSA isolates in medical centers, advocating for the development of alternative strategies to combat the current trends in antibiotic resistance and control of rifampicin-resistant MRSA.
Prediction of Preterm Delivery among Low-risk Indian Pregnant Women: Discriminatory Power of Cervical Length, Serum Ferritin, and Serum Alpha-fetoprotein
Authors: Jyothi Lakavath , Datta Mousumi , Mitra Divyangana , Biswas Jhuma , Maitra Arghya , Kar Kaushik 
Published: December 2023

Abstract

Background:
Around 80% of preterm births (PTBs) occur spontaneously. Various biomarkers are being evaluated to assess the possible role of chorioamniotic inflammation in PTBs.

Aim:
The aim of this study was to establish the accuracy of serum bio-markers( cut off values of ferritin and alpha-fetoprotein [AFP] at midtrimester) along with cervical length [CL] assessment to predict preterm delivery among low-risk women.

Methods:
Three hundred low-risk pregnant women attending the antenatal clinic of a tertiary health care facility were included and underwent CL measurement during mid-trimester by transvaginal ultrasonography and their serum levels of ferritin and AFP were recorded. All were followed up till delivery.

Results:
Receptor-operated characteristic curves for ferritin, AFP, and CL were constructed. Area under curves and Youden Index calculated for each marker were very low (<0.5) which is statistically considered very poor for a screening test.

Conclusion:
Serum ferritin and AFP together with CL measurement in the second trimester of pregnancy had poor discriminatory value in predicting preterm delivery among low-risk asymptomatic pregnant women.
A Case of Dyke-Davidoff-Masson Syndrome with Hypoplasia of the Kidney: An Unusual Association
Authors: Patel Prem Shankar , Krishna Amresh , Archana  , Kumar Om 
Published: December 2023

Abstract
Dyke-Davidoff-Masson syndrome (DDMS) is a rare neuro-osteal syndrome of childhood and a constellation of cerebral hemiatrophy, facial asymmetry, seizures, osseous changes, and hemiplegia. It commonly presents with seizures and hemiplegia. The involvement of the kidney in DDMS is not known in the available literature, except in a case report that described ectopic kidney in DDMS. We present the case of a 15-year-old boy who presented with recurrent seizures, right facial palsy, left hemiparesis, and advanced renal failure. The neuroimaging revealed diffuse right cerebral atrophy, dilatation of the ipsilateral lateral ventricle, and ipsilateral thickening of the calvaria. The nephrological evaluation suggested the diagnosis of chronic kidney disease stage VD, probably secondary to congenital hypoplasia of the kidney.
Situational Analysis of Water, Sanitation, and Hygiene in Health-care Facilities of a District in Central India
Authors: Ganesan Madhu Balan , Shukla Arvind , Galhotra Abhiruchi , Agrawal Sanjana 
Published: December 2023

Abstract

Background:
Water, sanitation, and hygiene (WASH) in health-care facilities is fundamental for providing quality, people-centered care and critical to achieving quality and accessible health services. This study aimed to assess the status of the WASH infrastructure in health-care facilities of Raipur district, Chhattisgarh, India.

Methodology:
This was a hospital-based cross-sectional study carried out in all public health-care facilities of Abhanpur block, Raipur district, Chhattisgarh, India, between 2019 and 2020 using an adapted version of joint monitoring program’s (JMP) core questions, indicators, and service ladder framework.

Results:
A total of 2 community health centers (CHCs), 7 primary health centers (PHCs), and 34 subhealth centers (SHCs) were included in the present study. All CHCs (100%) had essential water, sanitation, hygiene, and waste management services. Among PHCs, 85.7% had water from improved and hygienic sources, only 57.1% had basic sanitation, and 100% had vital essential waste management services. Among SHCs, 55.9% had essential water, 2.9% had basic sanitation, 20.6% had basic hygiene, and 35.3% had necessary waste management services. Overall, it was found that 62.8% of health-care facilities had necessary water services, 16.3% had basic sanitation services, 34.9% had essential hygiene services, and 48.8% had basic waste management services.

Conclusion:
The status of WASH infrastructure in health-care facilities of Raipur district is either limited or not available, especially concerning sanitation services, hygiene, and waste management services. It is the need of the hour to ensure a coordinated response that in all health-care facilities, WASH services are made available and accessible.
An Unusual Case of Hybrid Odontogenic Tumor in Type 1 Myotonic Dystrophy Patient
Authors: Unni Jiji V. , Daryani Deepak , Uthkal M. P. , Mustafa Shabil Mohamed 
Published: December 2023

Abstract
Myotonic dystrophy, also referred myotonic muscular dystrophy, is an autosomal dominant, slowly progressive, multisystem disease characterized by skeletal muscle weakness, wasting, and myotonia. A hybrid tumor of odontogenic apparatus is a lesion showing combined histopathological characteristics of two or more previously recognized odontogenic tumors and/or cysts of different categories. We, therefore, report a case of hybrid tumor (adenomatoid odontogenic tumor associated with calcifying cystic odontogenic tumor) in a myotonic dystrophic patient.
Prevalence, distribution, and risk markers for the development of gonadal germ cell tumors in patients with certain types of disorders of sexual differentiation with Y chromosome – A retrospective study
Authors: Das Darvin V , Jabbar PK , Gomez Ramesh , Nambisan Bindu , Bhuvitha MS , Nair Abilash , Jayakumari C 
Published: December 2023

Purpose:
To study the prevalence, subtypes, and risk markers for the development of gonadal germ cell tumors (GCT’s) among disorders of sexual differentiation (DSD) patients with the Y chromosome.

Materials and Method:
Design: A retrospective review of the patient’s case records from 2010 to 2020 in Government Medical College, Thiruvananthapuram, India was studied. The study participants included 54 subjects with DSD containing the Y chromosome. Demographic data, external masculinization scoring, associated congenital anomalies, karyotyping, intraoperative findings such as gonadal location and internal genital ducts, histopathology of the resected gonads, and its immunohistochemistry were collected. The prevalence of gonadal GCT’s was estimated from paraffin-embedded gonadectomy samples (S = 82).

Results:
The median age of occurrence of gonadal GCT’s was 18 years. The prevalence of malignant gonadal GCT’s was highest among the PAIS group (19.2%) followed by gonadal dysgenesis (15.8% each in MGD and CGD) and least among CAIS (7.7%) (p < 0.01). The most common type of malignant gonadal GCT’s in the descending order of frequency was dysgerminoma, seminoma, mixed GCT, and yolk sac tumor. Multivariance logistic analysis showed post-puberty and the presence of congenital anomalies were associated with the occurrence of gonadal GCT’s (P < 0.01).

Conclusion:
The overall prevalence of gonadal GCT’s (malignant and premalignant) among DSD with Y chromosomes is nearly 25%. Dysgerminoma is the most common malignant gonadal GCT’s. Age at or above 18 years and the presence of congenital anomalies like renal agenesis, retroperitoneal vascular defects, and congenital diaphragmatic hernia were independent risk markers for the development of gonadal GCT’s.