bluuebunny/crossref_metadata_2025_split huggingface dataset:
Esteatose Hepática Aguda Da Gestação: Relato De Caso
Authors: Alves Bettina Chrispim Ferreira , Neto Attilio Brisighelli 
Published: November 2023

Introdução: A Esteatose Hepática Aguda da Gestação (EHAG) é rara e potencialmente letal, ocorrendo principalmente no terceiro trimestre da gestação, podendo encontrar-se no pós-parto imediato, estando presente em 1 a cada 16.000 gestações. Ocorre, principalmente, em primigestas, associado a pré-eclâmpsia, recém-nascido do sexo masculino, gravidez múltipla, IMC < 20 e à obesidade materna. Os sinais e sintomas são inespecíficos e podem evoluir para casos graves, até mesmo óbito materno e fetal. É feito diagnóstico com base nos critérios de Swansea. O único tratamento efetivo é o parto e o tratamento de suporte é essencial. Objetivo: Relatar um caso de EHAG atendida em nosso serviço.
Relato de caso: Paciente de 28 anos, primigesta, com Diabetes Mellitus Gestacional sem tratamento, idade gestacional a termo, apresentando dor em baixo ventre, diminuição da movimentação fetal e bradicardia fetal. Realizado parto cesárea no qual foi evidenciado descolamento prematuro de placenta. Paciente evolui com hipoglicemia, mal estado geral, coagulopatia e icterícia. A mesma apresentou encefalopatia hepática, sendo revertida. Após 19 dias de internação, evolui com melhora clínica, tendo alta hospitalar e seguimento ambulatorial com equipe multidisciplinar.
Conclusão: A EHAG é exclusiva da gravidez, associando-se com uma evolução clínica potencialmente fatal, podendo cursar à falência múltipla dos órgãos. Independente do período em que a EHAG possa ocorrer, a sua apresentação é semelhante e indistinguível. A única consideração que deve ser assumida é o tratamento adequado em cada um dos períodos, tendo sempre em consideração que o parto é o único tratamento que estabelece a cura.
Evidence for a multidimensional account of cognitive and affective theory of mind: A state-trace analysis
Authors: Jarvis Amy L. , Keage Hannah A. D. , Wong Stephanie , Weightman Michael , Stephens Rachel G. 
Published: November 2023

AbstractTheory of mind (ToM) has been argued to be a multidimensional construct, with ToM inferences depending on distinct processes across affective and cognitive ToM tasks and across first-order cognitive and second-order cognitive ToM tasks. Behavioural evidence for a multidimensional account has primarily depended on dissociations identified via analysis of variance, a statistical approach insufficient for assessing dimensionality. Instead, state-trace analysis (STA) is a more appropriate statistical technique to uncover dimensionality. The current study first applied STA to two summary datasets that had previously identified key dissociations between cognitive and affective ToM; these reanalyses did not support a multidimensional account of ToM. Next, STA was applied to a more detailed dataset to reveal whether ToM is based on multiple processes in a sample of 115 older adults aged 60–85 years (M = 68.5, SD = 5.92, 61.7% female) with higher or lower emotion perception ability. Participants made ToM judgements about different social exchanges (e.g., sarcasm or lying). STA results supported a multidimensional account of ToM across first-order cognitive, second-order cognitive, and affective ToM subdomains. These results lay a more rigorous foundation for subsequent studies to further examine the dimensionality of ToM and to apply formal modelling, progressing the field’s understanding and measurement of the cognitive processes driving ToM judgements.
Estrategias Didácticas con TIC en la Enseñanza-Aprendizaje de Lengua y Literatura
Authors: Solano Solano Liliana Noemy , Chillogallo Ordóñez Jaime Efrén , Yaguana Ordoñez Yajaira Fernanda , Padilla Benalcazar Jodie Lissette 
Published: November 2023

El estudio pretende fortalecer el uso de tecnologías de la información y comunicación (TIC) tanto en estudiantes como en profesores. Asimismo, se muestran los resultados obtenidos con el empleo de estrategias didácticas con TIC en la enseñanza-aprendizaje. Se planteó como objetivo determinar la repercusión de las estrategias didácticas con TIC, mediante una propuesta pedagógica para el mejoramiento de la enseñanza-aprendizaje de Lengua y Literatura. Se trabajó con un enfoque mixto el cual permitió recopilar, interpretar y analizar datos, tanto cuantitativos como cualitativos, facilitando la comprensión de las realidades del problema de investigación. La obtención de la muestra se definió de manera no probabilística por conveniencia; los resultados que se obtuvieron evidencian que el 67% de los estudiantes llegó dominar los aprendizajes requeridos y el 33% restante de los evaluados ha alcanzado los aprendizajes requeridos, por lo que se concluye que: la aplicación de la propuesta pedagógica aportó positivamente en el desempeño de los estudiantes, especialmente en aquellos que enfrentaban dificultades en el aprendizaje de Lengua y Literatura.
Clarification of the taxonomic status of Acanthochitona discrepans (Brown, 1827) with new data for the North-East Atlantic Acanthochitona (Polyplacophora, Acanthochitonidae)
Authors: Vončina Katarzyna , Mikkelsen Nina , Morrow Christine , Ang Rory , Sigwart Julia 
Published: November 2023

The genus Acanthochitona can be easily distinguished from other chitons by having eighteen tufts of bristles on the dorsal side of the densely spiculose girdle. In the North-East Atlantic, five species of this genus have been recognised so far: A. crinita (Pennant, 1777), A. discrepans (Brown, 1827), A. fascicularis (Linnaeus, 1767), A. oblonga Leloup, 1968 and A. pilosa Schmidt-Petersen, Schwabe et Haszprunar, 2015. The nomenclature of A. crinita, A. discrepans and A. fascicularis was confused for a very long time until Kaas (1985) designated type specimens for them and provided a brief key. However, his work lacked detailed descriptions of the three species and some authors doubted that A. discrepans constitutes a separate species. Subsequently, the taxonomic status of A. discrepans has remained unclear.
Here, we implemented an integrative approach which combined morphology and molecular evidence to show that Acanthochitona discrepans is, indeed, a valid species and we present re-descriptions for A. crinita, A. discrepans and A. fascicularis.
La dimension territoriale des financements d’action sociale des Caf
Authors: Vabre Frédéric 
Published: November 2023

Trèsdécentraliséeàl’origine, l’actionsociale des caisses d’Allocations familiales (Caf) s’appuyait essentiellement sur des fonds locaux que leurs conseils d’administration utilisaient de manière autonome dans leur périmètre territorial. Progressivement, l’avènement de politiques publiques nationales en faveur du développement des services aux familles (crèches, centres de loisirs…), a accompagné la forte croissance de fonds nationaux, fléchés sur des dispositifs modélisés, indifférents aux caractéristiques des territoires. Cette orientation a été cependant nettement infléchie depuis une dizaine d’années. En effet, la branche Famille de la Sécurité sociale, regroupant les Caf et leur caisse nationale – la Cnaf – a développé des dispositifs de financement sur mesure, qui permettent de mieux s’adapter aux réalités locales grâce à des mécanismes de rééquilibrage socio-territoriaux plus marquées. L’analyse du « design » de ces financements, entendu comme la conception des règles d’attribution et de calcul de ces financements est très utile pour expliquer les recompositions de l’approche territoriale dans les politiques d’action sociale de la branche Famille.
À l’heure du malade – temporalité et altérité dans le soin psychique
Authors: Bastiani Flora 
Published: November 2023

Cette communication se propose de réfléchir à l’importance du temps dans les soins. Considérant que le temps vécu par chacun relève d’une construction individuelle, cette dimension peut-elle devenir un obstacle à la relation de soin ? L’impossibilité de la synchronie dans le soin peut-elle rendre impossible la rencontre entre le soignant et le patient ? Tout en abordant le rapport au temps particulier de la maladie psychique (renvoyant à différentes structures psychiques), nous souhaitons montrer comment chacun des vécus du temps renvoie à une relation à l’altérité.
Sommes-nous des véliplanchistes ? Microtemporalités et soins palliatifs
Authors: Binet Michel Gustave Joseph , Cotovio Martins Alexandre , Monteiro David , Rainho Brás Oriana 
Published: November 2023

L’article propose une exploration des microtemporalités constitutives des interactions, qui a pour base empirique un corpus d’enregistrements sonores de réunions et d’échanges téléphoniques au sein d’une Équipe intra-hospitalière en soins palliatifs, collecté dans le cadre d’une recherche sociologique et interdisciplinaire menée au Portugal. Cette exploration a pour principal cadre théorique et méthodologique l’analyse de conversation ethnométhodologique. L’enregistrement et la transcription du travail des professionnels de la santé et du travail social permettent de dresser des cartes détaillées des « basses terres marécageuses » (Donald Schön) où s’exercent ces métiers, pleines de contingences irréductibles que les praticiens gèrent dans l’ici-et-maintenant de leur agir professionnel, avec une expertise et des compétences qui tendent à échapper au radar des instruments d’évaluation du travail et du management des organisations. Chemin faisant, l’article développe une discussion qui rejoint une métaphore proposée par Bruno Latour, celle de la planche à voile, pour penser l’ordre microtemporel des actions situées et concevoir les dispositifs de recherche les mieux adaptés à son étude.
« X se disant » : l’incarcération des mineurs isolés étrangers
Authors: Daadouch Christophe 
Published: November 2023

Stigmatisés dans les discours sur la délinquance, les mineurs isolés étrangers poursuivis pour délit font l’objet d’un traitement différencié dans les établissements pénitentiaires. Deux éducateurs de la Protection judiciaire de la jeunesse et syndicalistes témoignent des conditions de vie carcérale dégradées qui sont réservées à ces jeunes. Sont-ils réduits à n’être qu’une variable d’ajustement face à la pénurie de moyens et à la surpopulation carcérale ?
Abolir la (sur)pénalisation des personnes étrangères
Authors: Coquet Margaux 
Published: November 2023

Qu’est-ce que l’abolitionnisme pénal ? Comment cette pensée critique, évolutive et plurielle, peut-elle être mobilisée pour questionner la criminalisation des personnes étrangères et leur surreprésentation dans le système pénal ? Retour sur les débats qui traversent la remise en cause de l’appareil pénal et policier dans son ensemble et les fonctions que joueraient, dans ce système d’interprétations, la surpénalisation des personnes étrangères.
La curiosité : morale de la bonne distance
Authors: Vian Thibault 
Published: November 2023

Cette contribution traite du problème de la curiosité du point de vue de l’éducation et de la morale. La curiosité pose en effet le triple problème de l’intrusion dans la sphère d’autrui, de l’errance dans le sensible et de son rapport à l’orgueil et à notre volonté de savoir. Si elle participe d’une « sortie de soi », elle présente à l’excès une dimension prédatrice qui consiste à dérober les secrets d’autrui. Dans la tradition augustinienne, la critique morale de la curiosité est avant tout une critique de la sensibilité, de la concupiscence de la chair et de l’usage des cinq sens. À cette curiosité indiscrète nous opposons, à travers l’exemple du philosophe-voyageur à Varanasi, en Inde, la curiosité surprise, laquelle participe d’une atmosphère, ou d’une situation, sans appropriation d’un savoir ni irruption dans la sphère de l’autre. Toujours en recherche, elle demeure dans un rapport de bonne distance éthique qui rappelle la médiété aristotélicienne.
Éduquer au sens des limites et de l’illimité à l’ère de l’Anthropocène
Authors: Lamarre Jean-Marc 
Published: November 2023

L’Anthropocène met en cause le modèle capitaliste de croissance indéfinie et de consumérisme effréné. Pour affronter le dérèglement climatique, les hommes doivent s’autolimiter. Qu’est-ce qui peut les motiver à l’autolimitation sans qu’ils renoncent à la réalisation de soi ? Comment éduquer au sens des limites ? Nous montrons qu’on ne peut pas éduquer au sens des limites sans éduquer à celui de l’illimité en réorientant le potentiel humain d’illimitation, de l’illimité matériel vers l’illimité relationnel et poétique.
Accompagner jusqu’au bout, ou le récit d’une expérience personnelle
Authors: Bazantay Christian 
Published: November 2023

Accompagner jusqu’au bout ou le récit d’une expérience personnelle, celle d’un bénévole d’accompagnement auprès de personnes en fin de vie dans des services de soins palliatifs ou dans divers services hospitaliers, voilà le propos de cet article. Nous insisterons sur quelques points : tout d’abord un bénévole d’accompagnement chez JALMALV (Jusqu’À la Mort Accompagner La Vie, association reconnue d’utilité publique) n’est pas un amateur. Il est bénévole mais reçoit une formation et est supervisé régulièrement. On expliquera le rôle du bénévole qui n’est ni le personnel soignant, ni la famille, ni les amis. Sa place est particulière et nous verrons au travers deux exemples comment celui-ci se place au service du malade qu’il accompagne et qui peut avec et au travers de ces accompagnements délivrer et vivre un autre moment. Nous décrirons un comportement du malade souvent observé, celui d’un « détricotage affectif » envers ses proches lui permettant d’y trouver une position antalgique à la douleur induite par son processus d’acception de sa propre mort.
Therapeutic Photobiomodulation Before Strenuous Exercise Attenuates Shoulder Muscle Fatigue
Authors: Crow Joshua A. , Stauffer John W. , Levine David , Dale R. Barry , Borsa Paul A. 
Published: November 2023

Context
Photobiomodulation therapy (PBMT) applied as a preconditioning treatment before exercise has been shown to attenuate fatigue and improve skeletal muscle contractile function during high-intensity resistance exercise. Practical implications for preconditioning muscles with PBMT before fatiguing exercise include a safe and noninvasive means to enhance performance and reduce the risk of musculoskeletal injury.

Objective
To examine the muscle fatigue–attenuating effects of PBMT on performance of the shoulder external-rotator muscle group when applied as a preconditioning treatment before high-intensity, high-volume resistance exercise.

Design
Sham-controlled, crossover design.

Setting
Laboratory.

Patients or Other Participants
Twenty healthy men (n = 8) and women (n = 12) between the ages of 18 and 30 years.

Intervention(s)
Photobiomodulation therapy was administered using a near-infrared laser (λ = 810/980 N·m, 1.8 W/cm2, treatment area = 80–120 cm2) to the shoulder external-rotator muscles at a radiant exposure of 10 J/cm2. Participants performed 12 sets of isokinetic shoulder exercise. Each set consisted of 21 concentric contractions of internal and external rotation at 60°/s. The sets were subdivided into 3 blocks of exercise (block 1: sets 1–4; block 2: sets 5–8; block 3: sets 9–12).

Main Outcome Measure(s)
Normalized peak torque (N·m/kg), average peak torque (N·m), total work (N·m), and average power (W).

Results
During the last block of exercise (sets 9–12), all performance measures for the active PBMT condition were 6.2% to 10% greater than the sham PBMT values (P &lt; .02 to P &lt; .001).

Conclusions
Photobiomodulation therapy attenuated fatigue and improved muscular performance of the shoulder external rotators in the latter stages of strenuous resistance exercise.
Injury and Treatment Characteristics of Middle School-Aged Patients Under the Care of Athletic Trainers From 2010 to 2022: A Report From the Athletic Training Practice-Based Research Network
Authors: McCarthy Mary , Sigmon Taylor , Marshall Ashley , Lam Kenneth C. , Koldenhoven Rachel M. 
Published: November 2023

Context
Exploring sports-related musculoskeletal injuries and treatment characteristics in middle school sports may help inform patient care decisions such as appropriate medical coverage.

Objective
To describe injury and treatment characteristics of middle school–aged athletes receiving care from athletic trainers within the Athletic Training Practice-Based Research Network (AT-PBRN).

Design
Descriptive study.

Setting
Middle school.

Patient or Other Participants
Middle school–aged athletes (n = 1011; male = 503, female = 506, 2 declined to answer) with sports-related musculoskeletal injuries.

Main Outcome Measures
Electronic patient records were analyzed from the AT-PBRN from 59 athletic trainers across 14 states between 2010 and 2022. Summary statistics (frequency, percentages, median, and interquartile ranges [IQR]) were used to describe injury (age at injury, sex, sport, body part, and diagnosis) and treatment characteristics (type of treatment, number of visits, and number of procedures per visit).

Results
Football (17.7%, n = 179), basketball (17.6%, n = 178), and soccer (14.9%, n = 151) reported the highest number of injuries. The ankle (17.2%, n = 174), knee (16.5%, n = 167), and head (14.1%, n = 143) were the most common injury locations. Concussion (13.0%, n = 131), ankle strain/sprain (12.4%, n = 125), and thigh/hip/groin sprain/strain (11.1%, n = 112) were the most reported diagnoses. Therapeutic exercise or activities (27.6%, n = 1068), athletic trainer evaluation or re-evaluation (24.7%, n = 957), and hot/cold packs (19.8%, n = 766) were the most common services, with a median of 2 visits (IQR = 1 to 4) and 2 procedures (IQR = 1 to 2) per visit.

Conclusions
Football, basketball, and soccer reported the most musculoskeletal injuries for middle school-aged athletes. Concussions were the most frequent diagnosis, followed by ankle sprains/strains. Our findings are similar to prior investigations at the high school and collegiate levels. Treatments at the middle school level were also similar to those that have been previously reported at the high school level with therapeutic exercise/activity, athletic trainer evaluation or re-evaluation, and hot/cold packs being the most common treatments. This information may be useful for informing patient care decisions at the middle-school level.
Comparison of acceptability & efficacy of thermal ablation (thermocoagulation) & cryotherapy in VIA positive cervical lesions: A pilot study
Authors: Verma Manju Lata , Sharma Parul , Singh Uma , Sachan Rekha , Sankhwar Pushp Lata 
Published: November 2023

Background & objectives:
The World Health Organization (WHO) has endorsed thermal ablation (thermocoagulation) as an efficient and safe modality for treatment of cervical pre-cancer lesions. More evidence is being looked up by WHO through rigorous studies for health delivery models using screen-and-treat strategies incorporating thermal ablation and studies comparing it against the conventional standard modality cryotherapy. The objective of this study was to assess the acceptability of thermal ablation both among the providers and clients and compare the same with cryotherapy.

Methods:
A randomized control trial was conducted for one year from September 2019 to October 2020 after obtaining ethics approval. Computer-generated random number table was used for randomization, and eligible candidates were divided into two groups following informed consent. Women with visual inspection with acetic acid (VIA) positive cervical lesions in Group A received cryotherapy and Group B received thermal ablation. After the procedure, the acceptability of the provider and the client were assessed using the International Agency for Research on Cancer-validated questionnaire for both the procedures. Immediate side effects and problems at six weeks and at six months were assessed as well. Efficacy was decided by the absence of VIA positivity at six months.

Results:
The overall VIA positivity in this study was 11.8 per cent. Thermal ablation (thermocoagulation) had better provision and client acceptability than cryotherapy (significant difference). The efficacy of thermal ablation was 97.6 per cent, while, it was 92 per cent for cryotherapy (not significant).

Interpretation & conclusions:
In the context of screen-and-treat programme in settings such as India, thermal ablation appears to be a better method of treatment than cryotherapy for cervical pre-cancerous lesions particularly in terms of better provision and client acceptability.
Acinetobacter baumannii in suspected bacterial infections: Association between multidrug resistance, virulence genes, & biofilm production
Authors: Gautam Deepan , Dolma Karma Gurmey , Khandelwal Bidita , Goyal Ramesh Kumar , Mitsuwan Watcharapong , Pereira Maria de Lourdes Gomes , Klangbud Wiyada Kwanhian , Gupta Madhu , Wilairatana Polrat , Siyadatpanah Abolghasem , Wiart Christophe , Nissapatorn Veeranoot 
Published: November 2023

Background & objectives:

Acinetobacter baumannii has emerged as a nosocomial pathogen with a tendency of high antibiotic resistance and biofilm production. This study aimed to determine the occurrence of A. baumannii from different clinical specimens of suspected bacterial infections and furthermore to see the association of biofilm production with multidrug resistance and expression of virulence factor genes in A. baumannii.

Methods:

A. baumannii was confirmed in clinical specimens by the detection of the blaOXA-51-like
gene. Biofilm production was tested by microtitre plate assay and virulence genes were detected by real-time PCR.

Results:

A. baumannii was isolated from a total of 307 clinical specimens. The isolate which showed the highest number of A. baumannii was an endotracheal tube specimen (44.95%), then sputum (19.54%), followed by pus (17.26%), urine (7.49%) and blood (5.86%), and <2 per cent from body fluids, catheter-tips and urogenital specimens. A resistance rate of 70-81.43 per cent against all antibiotics tested, except colistin and tigecycline, was noted, and 242 (78.82%) isolates were multidrug-resistant (MDR). Biofilm was detected in 205 (66.78%) with a distribution of 54.1 per cent weak, 10.42 per cent medium and 2.28 per cent strong biofilms. 71.07 per cent of MDR isolates produce biofilm (P<0.05). Amongst virulence factor genes, 281 (91.53%) outer membrane protein A (OmpA) and 98 (31.92%) biofilm-associated protein (Bap) were detected. Amongst 100 carbapenem-resistant A. baumannii, the blaOXA-23-like
gene was predominant (96%), the blaOXA-58-like
gene (6%) and none harboured the blaOXA-24-like
gene. The metallo-β-lactamase genes bla
IMP-1 (4%) and blaVIM-1
(8%) were detected, and 76 per cent showed the insertion sequence ISAba1.

Interpretation & conclusions:
The majority of isolates studied were from lower respiratory tract specimens. The high MDR rate and its positive association with biofilm formation indicate the nosocomial distribution of A. baumannii. The biofilm formation and the presence of Bap were not interrelated, indicating that biofilm formation was not regulated by a single factor. The MDR rate and the presence of OmpA and Bap showed a positive association (P<0.05). The isolates co-harbouring different carbapenem resistance genes were the predominant biofilm producers, which will seriously limit the therapeutic options suggesting the need for strict antimicrobial stewardship and molecular surveillance in hospitals.