bluuebunny/crossref_metadata_2025_split huggingface dataset:
Tiers-lieux et développement territorial : des initiatives locales à la co-construction d’une politique nationale
Authors: Liefooghe Christine 
Published: December 2023

Concept proposé par Oldenburg (1989), le tiers-lieu est un espace de sociabilité publique hors des cadres familiaux et professionnels. À l’ère d’Internet, sont nommés tiers-lieux des espaces de travail collaboratif ( coworking , makerspaces …) initiés par des collectifs locaux d’usagers. Structures émergentes au modèle économique fragile, ces lieux d’innovation économique et/ou sociale ancrés dans leur territoire sont des leviers de développement local. L’article explore l’émergence de politiques – locales, régionales et nationales – en faveur des tiers-lieux. L’analyse multi-scalaire de ces politiques et des réseaux d’acteurs plaide pour une circulation interterritoriale de la notion de tiers-lieu, dont la définition varie selon le type de politique et l’échelle d’action. Alors que s’opposent les valeurs et pratiques des tiers-lieux (ouverture, liberté) et de l’action publique (procédures, contrôle), un cadre de référence socio-technique commun à ces deux mondes émerge de la co-construction d’une politique nationale innovante dans le cadre d’une gouvernance partenariale.
Espaces de coworking et territoires non métropolitains : des relations paradoxales
Authors: Baudelle Guy , Tremblay Diane-Gabrielle , Krauss Gerhard , Le Gall Sébastien , Marinos Clément , Ross Eve 
Published: December 2023

Les espaces de coworking ont essaimé hors des grands centres urbains où ils ont été moins étudiés, malgré les espoirs de développement territorial fondés sur eux. À partir d’une enquête internationale attentive aux dimensions territoriale, collaborative et individuelle des entrepreneurs, on montre que ceux fréquentant les espaces hors métropole entretiennent des relations paradoxales avec leur territoire d’accueil. Les résultats ne concordent guère avec les analyses métropolitaines proposées par la littérature. Si le cadre de travail permettant de concilier qualité de vie et accès aux ressources numériques est plébiscité, la dimension collaborative interne reste en effet discrète tout comme les relations avec le milieu local ou les collectivités. Ce paradoxe s’explique par le profil et le parcours professionnel des entrepreneurs, rarement originaires de leur territoire d’implantation. L’impact de leur installation sur le développement local est notable mais ne saurait donc être surestimé.
Risk of Low Energy Availability, Disordered Eating, and Menstrual Dysfunction in Female Collegiate Runners
Authors: Dambacher Leah , Pritchett Kelly , Pritchett Robert , Larson Abigail 
Published: December 2023

Context
Collegiate female distance runners may be at risk for low energy availability (LEA) due to increased exercise energy expenditure with or without decreased energy intake. Furthermore, this population has an increased risk of disordered eating (DE), which can lead to LEA and negative health consequences, such as menstrual dysfunction (MD).

Objective
To (1) investigate risk of LEA, DE, and MD; (2) compare DE, training volume, and weight dissatisfaction between female collegiate runners at risk and those not at risk for LEA; and (3) compare the risk for LEA between National Collegiate Athletic Association Division I, II, and III female collegiate runners.

Design
Cross-sectional study.

Setting
Free-living conditions.

Patients or Other Participants
A total of 287 female runners who competed on a National Collegiate Athletic Association Division I, II, or III cross-country team, track team, or both.

Main Outcome Measure(s)
Participants completed a 45-item questionnaire that included the Low Energy Availability in Females Questionnaire (LEAF-Q) and the Disordered Eating Screen for Athletes (DESA-6).

Results
We observed that 54.4% (n = 156) of runners were at risk for LEA (LEAF-Q score ≥ 8), 40.8% (n = 117) were at risk for DE (DESA-6 score ≥ 3), and 56.5% (n = 162) reported MD (LEAF-Q menstrual function subsection score ≥ 4). Athletes at risk for LEA had higher DESA-6 scores than athletes not at risk for LEA (P &lt; .001). Athletes at risk for LEA had greater weight dissatisfaction than those not at risk for LEA ( = 15.92, P = .001). Higher weekly training volume was not associated with risk for LEA ( = 4.20, P = .11).

Conclusions
A substantial percentage of collegiate female runners were found to be at risk for LEA and DE and to report MD. These findings demonstrate that the risks for DE, MD, and weight dissatisfaction are associated with risk for LEA.
Anaesthesia Management of Congenital Alveolar Synechiae Release in a Neonate
Authors: Salgaonkar Sweta Viraj , Kudalkar Amala Gurunath , Patil Yogita Sanjivkumar , Walavalkar Dhwani Sanjiv 
Published: December 2023

Abstract
A neonate, with complete fibrous congenital alveolar synechiae and amniotic band syndrome affecting the upper and lower limbs, was posted for surgical release of synechiae under anaesthesia. A neonate with no mouth opening poses many anaesthesia challenges. The surgical and anaesthesia plan was discussed with ear, nose and throat surgeons. Topicalisation of airway, small aliquots of intravenous (IV) ketamine and propofol and sevoflurane inhalation helped achieve adequate depth of anaesthesia to carry out flexible intubating video endoscope-guided nasotracheal intubation successfully. Post-surgery, a check laryngoscopy with D-Blade of C-MACR (Karl Storz Video Macintosh Laryngoscope) video laryngoscope revealed a Cormack Lehane view of grade IV. The trachea was not extubated on table and the baby was shifted back to the neonatal intensive care unit with pressure support ventilation and followed by tracheal extubation next morning. Rest of the course for the baby was uneventful. Anticipation, planning, preparedness, vigilance and team work during anaesthesia management led to a successful outcome in this case.
Anaesthetic Challenges in Recurrent Respiratory Papillomatosis with Unyielding Lesion
Authors: Srinivasan Suganya , Senthilnathan Muthapillai , Ganesan Sivaraman , Mohan VK 
Published: December 2023

Abstract
Recurrent respiratory papillomatosis (RRP) is one of the most common laryngeal lesions in children. A 14-year-old female presented with complaints of a change in voice and noisy breathing. She underwent excision of laryngeal papillomatosis thrice before. Fibreoptic laryngoscopy revealed that the lesion was occluding the entire glottic chink except for a small opening through which she was breathing. As there was a risk of seeding of the distal airway following tracheostomy, the initial plan of tracheostomy was deferred. Anaesthesia was induced with sevoflurane. C-MAC™ laryngoscopy revealed that the entire glottic chink was occupied with the papillomatous lesion, and no opening was visualised. The lesion could not be negotiated with a 4 mm endotracheal tube and started bleeding. Immediately, surgeon was asked to perform a tracheostomy. With each recurring incidence of RRP, the probability of the papilloma’s non-yielding nature may increase, making the negotiation of the lesion impossible.
Anticipated and Experienced Pain Associated with Root Canal Treatment in a Teaching Dental Hospital in India: A Survey
Authors: Gupta Natasha , Singh Neelam 
Published: December 2023

Abstract

Introduction:
The pain associated with endodontic therapy brings about a lot of fear and anxiety. This fear sometimes leads to patient avoiding to get the appropriate treatment and save the tooth. It becomes very important that the patient is well guided so he can resort to save the tooth rather than extract it. This study was undertaken to evaluate the pain which is felt before getting the treatment (anticipated pain) and also pain which was actually experienced (experienced pain).

Methodology:
This pilot study was conducted on a population of 100 in government dental colleges and hospitals. The consent was taken, and two questionnaires were got filled pretreatment and posttreatment. These questionnaires used a Modified Visual Analog Scale (0–3, 0 = no pain, 1 = mild, 2 = moderate, and 3 = severe).

Results:
The data were analyzed using the Chi-square test and Kruskal–Wallis test. To statistically compare anticipated and experienced pain scores, the Wilcoxon test was used.

Conclusions:
This study showed that the anticipated pain was more than experienced pain. The two major reasons for the patients to withdraw from getting the treatment are the cost factor and the pain associated while getting the treatment done. Good anesthesia techniques help reduce the pain experienced and hence reduce the overall anxiety of the patient.
Nonsyndromic Gemination-associated Microdontia: A Report of an Unusual Case
Authors: Ghorai Laboni , Bhattacharya Mayukh 
Published: December 2023

Abstract
Tooth gemination is a dental anomaly that results from an incomplete attempt of a single tooth germ to separate during morphodifferentiation stage of odontogenesis, and it usually exhibits a large bifid crown with a single common root and root canal. This developmental anomaly more commonly affects primary dentition than the permanent, with an infrequent occurrence reported of posterior teeth. Among the posterior teeth, mandibular second premolars have reportedly shown an elevated possibility of agenesis, delayed odontogenesis, and variability of crown morphology. Both unilateral and bilateral cases of isolated macrodontia of mandibular second premolar secondary to gemination or fusion have been reported, but there is no evidence of microdontia associated with gemination in the literature till date. This case presentation reports an unusual case of isolated unilateral gemination-associated microdontia of the left mandibular second premolar in a nonsyndromic patient.
Evaluation and Comparison of Color Change in Two Commercially Shade Guides after Disinfection
Authors: Nair Athira K. , Vijayaraghavan Vasantha , Mundhe Darshana , Bhave Rohan P. , Pol Bhushan , Jadhav Madhura Kad 
Published: December 2023

Background:
Due to the close proximity to the oral cavity, shade guides are prone to contamination with saliva. Hence, disinfection of shade guides is important to prevent cross infection in clinics. This study has compared and evaluated the color change in VITA shade guide and the WALDENT shade guide after disinfecting with 70% isopropyl alcohol.

Objectives:
The objective of this study was to compare and evaluate the amount of color change in the VITA shade guide and WALDENT shade guide after disinfecting them with 70% isopropyl alcohol for the simulated time of 6 months and 1 year.

Materials and Methods:
Four commonly used shade tabs, namely A2, A3.5, B2, and C1 of two shade guides – VITA Classical Shade Guide and Waldent shade guides – were chosen for this study. VITA Easyshade spectrophotometer measured the shade, and the values were recorded in the International Commission on Illumination L*a*b* Scale. Baseline values of 8 shade tabs were obtained followed by surface disinfection using 70% isopropyl alcohol using gauze. The testing process was done to simulate a 6-month period and 1-year period.

Results:
Unpaired t-test was used for statistical analysis. It was found that shade tabs underwent significant changes in short period of time.

Conclusion:
Within the limitations of this study, it was found that shade guides undergo significant changes in color when disinfected with 70% isopropyl alcohol during a simulated period of 6 months.

Clinical Significance:
If shade guides are not periodically evaluated using a control (preferably unused) shade guide, they may have a profound impact on resulting restoration.
Cost-minimization Analysis in Iron-deficiency Anemia Comparing Intravenous Ferric Carboxymaltose to Standard of Care in Pregnant Women in Algeria
Authors: Aladham Lama , Benmouhoub Nacera , Bradai Mohamed , Dammene-Debbih Amel , Frigaa Issam , Layaida Karim , Mahi Lamine 
Published: December 2023

Abstract

INTRODUCTION:
Anemia due to iron deficiency is frequent during pregnancy and increases morbidity and mortality of mothers and infants. The objective of this study was to assess the economic consequences of intravenous ferric carboxymaltose (FCM) in anemic pregnant women in Algeria.

METHODS:
The economic analysis was a cost-minimization model comparing the strategy for treating pregnant women with intravenous iron sucrose to FCM. The perspective of Algerian health-care providers was adopted to calculate costs savings. Cost related to treatment of iron-deficiency anemia included infusion, iron workup, medical time, iron vials acquisition, and absenteeism. Data were obtained mostly from available scientific literature and public health data and were validated by expert opinion. A budget impact model was also developed for the population of Algerian women needing intravenous iron treatment to evaluate the gross impact on payers’ budget if FCM treatment was prescribed.

RESULTS:
Treatment of pregnant women with iron-deficiency anemia (mean weight, 65 kg; hemoglobin 7.5 g/dL) needed 7 hospital visits and 14.9 doses for iron sucrose treatment to be compared to 2 hospital visits and 2 doses for FCM treatment. Total cost was Algerian dinar (DZD) 69,222 per patient for iron sucrose and DZD 57,452 for FCM (cost savings per patient: DZD 11,769, i.e., 17%). If all 192,000 pregnant Algerian anemic women eligible for injectable iron treatment received FCM, global cost savings would be DZD 2,259,820,627 per year.

CONCLUSION:
This economic model suggests that FCM is a cost-saving treatment compared to standard iron sucrose treatment in pregnant women with iron-deficiency anemia in Algeria.
Acute Myeloid Leukemia with Acute Spinal Cord Compression as the First Feature
Authors: Almohammadi Abdullah , Bahashwan Salem , Barefah Ahmad , AlAhwal Hatem , Radhwi Osman , Barefah Ghaith , Daous Yara 
Published: December 2023

Abstract
Malignant myeloid sarcoma (chloroma) is a rare extramedullary solid tumor that consists of immature myeloid precursor cells, constantly associated with acute myeloid leukemia (AML). Here, we report the case of a 35-year-old male who developed an acute paraplegia secondary to paraspinal chloroma associated with AML. A careful review of the patient’s history, blood smear, and bone marrow findings will decrease the chance of missing the diagnosis.
Efficacy of Photodynamic Therapy in the Treatment of Oral Premalignant Lesions: A Systematic Review
Authors: Goswami Arunima , Bordoloi Bharadwaj , Goswami Pinky , Tandon Aanchal 
Published: December 2023

Abstract
Photodynamic therapy (PDT) is considered a contemporary effective treatment option for oral premalignant lesions. This systematic review aims to evaluate the usefulness of PDT for the treatment of oral premalignant lesions. The focused question was “Is PDT effective in the treatment of oral premalignant lesions?” A literature search was made in PubMed/Medline and Google Scholar databases using different combinations of the following keywords: photodynamic therapy, oral premalignant lesions, oral leukoplakia (OL), erythroplakia, oral erythroleukoplakia (OEL), oral verrucous hyperplasia (OVH), and oral lichen planus (OLP). Review articles, preclinical studies, case reports, commentaries, letters to the editor, unpublished articles, studies on photodynamic therapy used in areas other than oral cavity, and articles published in languages other than English were excluded. The relevant information were summarized. Initial results were 23. Twenty-two studies were included. Oral premalignant lesions, which were investigated, were OL, erythroplakia, OEL, OVH, and OLP. The studies used either laser light or light-emitting diode. Photosensitizers used were aminolevulinic acid, chlorine-e6, meta-tetrahydroxyphenylchlorin, methylene blue, toluidine blue, methyl 5-aminolevulinate cream, and phenothiazine chloride. Study outcomes and recurrence rates were evaluated. PDT is an effective treatment option. Topical PDT is an easy-to-perform technique, well-tolerated treatment with encouraging achievements in the treatment of premalignant lesions.
Predictors of Periodontal Diseases in the Student Population of Caucasus International University: A Study of Risk Factors and Oral Health Optimization
Authors: Tsitaishvili Lela , Jikia Tamar 
Published: December 2023

Abstract

Introduction:
Periodontal diseases cause esthetic and functional disorders having an impact on oral and general health and the psychological and social status of a person. “Unhealthy oral cavity” as a problem is particularly painfully perceived by young patients, having concern predominantly about their appearance and personal social connections. The migration of foreigners to Georgia has made a great impact on dental referrals in Georgia last years. Foreign populations are different in lifestyle, diet, dental practices, and oral hygiene habits. They live, study, or work and are closely integrated into Georgian society; subsequently, their oral health may influence periodontal diseases’ overall prevalence in the country.

The Aim of the Study:
The aim of this study was to assess the periodontal status of Caucasus International University (CIU) students of different nationalities, study the risk factors, and oral health optimization by planning and implementing preventive measures.

Methods:
This was randomized research conducted on 820 students aged 18–35 years, including 370 Georgians and 450 foreigners, 369 boys and 451 girls.

Results:
Unhealthy periodontal tissues were observed in 46.3% of boys and 44.6% of girls. 34.8% of Georgians and 66.4% of foreigners were suffering from gum bleeding. Bleeding on probing of II and III degrees was common in the 1st (18–25) age group (40.5% and 31.0%, respectively) and I and II degrees in the 2nd (26–35) age group (39.4% and 44.9%, respectively).

Conclusion:
Findings indicate a rather high prevalence of dental plaque-induced gingivitis in the CIU student population. Students do not receive adequate dental care and have negative attitudes toward oral hygiene skills and dental services. Management of periodontal problems with an emphasis on oral hygiene enhancement and promotion of oral prophylaxis accentuated the role of the university dental clinic in providing scientific and clinical experience to the CIU students.
Awareness of Periodontal Treatment Modalities among Dentists of Bathinda District of Punjab: A Questionnaire Survey
Authors: Kaur Prabhsimar , Arora Pooja , Singla Ruby 
Published: December 2023

Abstract

Introduction:
Periodontal disease is a chronic, inflammatory disease that can lead to various destructive changes in the periodontium as well as systemic health. Periodontology is a fast-growing dental specialty ranging from new advances in diagnosis and treatment. Despite these new advances, the knowledge of periodontal diagnosis and treatment in the minds of general dentists is still lagging. General dentists need to be aware of how to diagnose and treat periodontal disease in the early stage, so there is a need for periodontal health awareness programs to be held at regular intervals. This questionnaire study aims to identify the knowledge regarding periodontal diagnosis and treatment modalities available for patients among practicing dental professionals.

Materials and Methods:
Two hundred dental practitioners having their dental clinics in any area of Bathinda, Punjab, were interviewed through a questionnaire. Dental practitioners with minimum qualifications of BDS and experience of at least 1 year in the private clinical setup were included in the study. The questionnaire consisted of 15 questions ranging from the chief periodontal complaints of the patients, availability of the treatment, and different techniques used to the level of satisfaction of private dentists after the periodontal treatment.

Results:
There is enough awareness regarding periodontal problems and its management, as 157 dentists out of 200 refer their patients to periodontists. General dentists perform scaling and root planing, advice oral hygiene instructions, provide diet counseling, and refer to periodontists only for surgical procedure. Lack of maintenance and awareness toward oral hygiene measures was identified by the survey as the chief factor for recurrence of periodontal disease.

Conclusion:
Such studies performed at different time intervals can provide an idea about the changing trends and patterns of dental treatment performed by general dental practitioners.
Perfusion index as a predictor of hypotension during spinal anesthesia for lower segment cesarean section: A prospective, observational study
Authors: Jain Neena , Thada Beena , Singh Kapil , Yadav Ratan Lal , Kumar Pradeep , Patodi Veena 
Published: December 2023

Abstract

Background and Aims:
Hypotension following subarachnoid block (SAB) for lower segment cesarean section (LSCS) has adverse fetal and maternal implications. Perfusion index (PI) has been used for assessing peripheral perfusion dynamics. This study aimed to determine whether a baseline PI can predict hypotension after spinal anesthesia for LSCS.

Materials and Methods:
In this prospective, observational study, 152 term parturients were divided into two groups: Group I (PI of ≤ 3.5) and Group II (PI >3.5). SAB was performed using bupivacaine 0.5% (hyperbaric) 10 mg with dexmedetomidine 5 μg. PI, vital parameters, and correlation between baseline PI and hypotension were observed. Receiver operating characteristic (ROC) curve was plotted for PI and the occurrence of hypotension. Statistical analysis was performed using Chi-square test, independent sample t-test, Mann–Whitney U-test, and regression analysis with Spearman’s rank correlation coefficient test.

Results:
The incidence of hypotension was higher in Group II (57.89%) compared to Group I (18.42%) (P < 0.0001). The correlation between baseline PI >3.5, the number of episodes of hypotension, and the total dose of mephentermine required were also significant. The sensitivity and specificity of baseline PI of 3.5 to predict hypotension were 72.37% and 81.58%, respectively. The area under the ROC curve for PI to predict hypotension was 0.830.

Conclusion:
Parturients with baseline PI >3.5 are at higher risk of developing hypotension following SAB compared to those with baseline PI ≤3.5; hence, PI is a safe and reliable device for predicting hypotension following SAB.