bluuebunny/crossref_metadata_2025_split huggingface dataset:
Homogamie éducative et générations : quels effets sur les inégalités de niveau de vie en France ?
Authors: Courtioux Pierre , Lignon Vincent 
Published: October 2023

Il est admis que l’homogamie éducative – c’est-à-dire la tendance à observer des mises en couple entre personnes ayant le même niveau de diplôme – renforce les inégalités socioéconomiques au sein de la population. Pour autant, les travaux disponibles dans la littérature écartent généralement de leurs estimations une partie des individus les plus âgés, afin de ne pas introduire de biais de génération. Les indicateurs ainsi produits ne peuvent être comparés directement avec les indicateurs usuels d’inégalités de niveau de vie calculés en population générale. Cet article propose une méthode originale pour contrôler ce biais de génération afin de quantifier la part des inégalités imputables à l’homogamie éducative en population générale. À l’aide d’une modélisation logistique des probabilités d’appariement des conjoints selon le diplôme, l’évolution de la structure des diplômes au fil des générations est identifiée de manière fine, ainsi que son rôle sur les inégalités liées à l’homogamie éducative. Les résultats obtenus sur les données françaises pour la période 2003-2013 montrent que l’impact de l’homogamie éducative sur les inégalités de niveau de vie est statistiquement significatif mais très faible. Elle affecte plus particulièrement le haut de la distribution des niveaux de vie et nécessite pour être mise en évidence de bien contrôler les effets de génération.
Comment faire alliance pour protéger un enfant en danger ? L’accompagnement des tiers à la Réunion
Authors: Séraphin Gilles 
Published: October 2023

Un projet de recherche Erasmus+ portant sur l’interprofessionnalité, lui-même intégré à un programme de recherche plus vaste concernant les « Enfants protégés confiés à un proche » (EPCP), étudie dans le département français de La Réunion, situé dans l’océan Indien, les façons dont les acteurs et actrices font alliance. L’objectif est d’analyser les fondements des relations interprofessionnelles, interinstitutionnelles et les liens entre des institutions, des enfants, des proches et des parents, dans l’élaboration et la mise en œuvre d’un nouveau dispositif de protection d’enfants en situation de vulnérabilité psycho-sociale, plus spécifiquement d’enfants en danger protégés par les autorités publiques. Dans ce contexte, l’article étudie les enjeux, ressources et limites en ce qui concerne chacun des axes de l’interprofessionnalité repéré dans le cadre de ce projet : communiquer avec d’autres, clarifier les rôles et identités professionnelles, résoudre des conflits, travailler en collaboration/en équipe, exercer un leadership collaboratif, instaurer des pratiques centrées sur la personne par l’implication des bénéficiaires. Il apparaît que pour dessiner un « climat » favorable à l’interprofessionnalité, le préalable indispensable repose sur une organisation clairement établie, exposée et partagée entre institutions, acteurs professionnels et bénéficiaires.
Du conjuguicide aux violences conjugales
Authors: Vanneau Victoria 
Published: October 2023

Depuis le xix e siècle, la justice s’empare des violences dans le couple et s’efforce, en dépit de l’autorité maritale qui érige le mari en chef de la famille et enjoint l’épouse à l’obéissance, d’en faire un enjeu de l’intervention de la norme pénale. Dans la négociation concrète des normes, les magistrats s’attachent à légitimer leur action pour que la loi protège la faiblesse contre la tyrannie de la force. Au xix e siècle le savoir-faire des juges suffit ; au siècle suivant, la justice s’appuie sur la législation familiale pour saisir ce que désormais l’on nomme les violences conjugales.
Le féminicide excusé par le discours juridique
Authors: Duffuler-Vialle Hélène 
Published: October 2023

De 1810 à 1975, la loi a, par la technique juridique de l’excuse, « excusé » dans certaines circonstances le meurtre de l’épouse par l’époux. Les dispositions de l’article 324 du Code pénal sont claires : le mari qui tue son épouse et l’amant de celle-ci s’il les surprend en flagrant délit d’adultère au sein du domicile conjugal verra sa peine considérablement réduite. Le présent article analyse le contexte d’adoption de ce texte ainsi que ses justifications dans les débats législatifs et doctrinaux des xix e et début du xx e siècles et révèle une acceptation du féminicide conjugal dans le discours juridique au-delà de la lettre du texte. La perspective diachronique permet ainsi de comprendre que si aujourd’hui le scandale des féminicides éclate, et s’il parait maintenant totalement inadmissible qu’une femme meure sous les coups de son conjoint, il s’agit d’un changement de paradigme juridique relativement récent.
Porter plainte pour violences sexuelles
Authors: Lejbowicz Tania 
Published: October 2023

Le mouvement #MeToo a mis en lumière l’ampleur des difficultés associées aux traitements policiers et judiciaires des violences sexuelles. À travers l’étude d’entretiens réalisés auprès de femmes victimes de ces agressions, cet article s’intéresse aux dénonciations à la police et à la justice. Les analyses montrent que plusieurs éléments entravent ces procédures : les discordances temporelles entre les acteurs et actrices impliqués ainsi que la dureté des démarches. Mais certaines caractéristiques peuvent faire varier l’intensité de ces difficultés, comme les raisons qui poussent à initier une plainte ou les conditions d’accueil, de témoignage et d’enquête.
Reproduction of Merluccius merluccius (Actinopterygii: Merlucciidae) from the northern Atlantic coasts of Morocco based on histological analysis of gonads
Authors: El Bouzidi Chaimae , Segner Helmut , Oufdou Halima , Benziane Meryem , Chiaar Abberrahim , Bakkali Mohammed , Hassani Zerrouk Mounir 
Published: October 2023

The hake (Merluccius merluccius) fishery occupies an important place in the Moroccan trawl fishery. Despite the ecological and commercial value of this species, the reproductive biology of European hake populations in Moroccan coastal waters has been little studied. Here, we describe the seasonal variations of gonad histology of hake collected from August 2017 to August 2018 along the northern Atlantic coast of Morocco. The histological changes were compared with macroscopical changes, and the body length at first maturity (L50) was calculated. The results revealed differences between macroscopic and histological maturity staging of the gonads. The L50 was estimated to be 34.7 cm for females and 28.6 cm for males (histology-based) and 30.6 cm for females and 26.8 cm for males (macroscopy-based). In addition, the observations of ovarian maturity indicated the presence of a protracted spawning season throughout the year with a peak around January and in midsummer.
Prospective of Professionals toward Role of Speech-language Pathologist in Assessment and Management of Dysphagia
Authors: Mishra Ajay Kumar , Sharma Mukesh , Kumar Santosh , Parmar Mansha 
Published: October 2023

Abstract

Background:
Dysphagia is a disorder of swallowing and/or feeding. It is associated with malnutrition, dehydration, pulmonary pneumonia and increased mortality. Timely assessment and management of dysphagia carried out by speech and language pathologist is necessary. Speech Language Pathologist (SLP) evaluates and treats patients with dysphagia by using dysphagia therapy, postural changes, swallowing maneuvers and recommends texture modified dysphagia diet.

Objective:
The aim of the present study was to explore the level of awareness medical practitioner have regarding dysphagia and speech and language pathologist’s role in dysphagia.

Methodology:
A non-experimental, descriptive survey was conducted for the purpose of this research. Information was gathered by mean of a self-designed questionnaire. The data was collected from Sumandeep Vidhyapeeth University, Vadodara, Gujarat. The sample of the study consists of 100 medical practitioners (60 males and 40 females) working in different department, in which speech and language services were available and speech and language pathologists were accessible fulltime.

Results:
The data analysis was carried out with SPSS version 17.0 for windows. The score obtained by the participants were shows that medical practitioners do not have adequate knowledge regarding the assessment and management of patients who suffer from eating and drinking difficulties.

Conclusion:
On the basis of the present research, it was concluded that medical practitioners lack in their knowledge and understanding of basic dysphagia assessment and management practices. Their lack of awareness of SLP role results in decrease SLP referrals.
Speech Language and Hearing Aspects in West Syndrome: A Single-Case Report
Authors: Sharma Mukesh , Parmar Mansha , Kumar Santosh 
Published: October 2023

Abstract
West syndrome (WS), or infantile spasms, is a rare type of epilepsy that usually appears in the 1st year of life. It is characterized by a specific type of seizure called a spasm, which involves sudden, brief jerks of the arms, legs, or trunk. These spasms can occur in clusters and may be accompanied by other seizure types. The cause of WS is not clear, but it is thought to be related to abnormal brain development or damage. In some cases, it may be associated with genetic mutations or other underlying conditions such as Down syndrome or tuberous sclerosis. Early diagnosis and treatment are important, as untreated WS can lead to developmental delays and intellectual disability. In this article, a 2-year and 7-month-old male was diagnosed with WS; his hearing evaluation was carried out to assess the impact of syndrome on audition. Audiological test battery was used which reveals hearing sensitivity within normal limits in both the ears. Speech and language skills development were delayed.
Combined Influences of Stress and Fibromyalgia on Voice: A Single-case Report
Authors: Kumar Santosh , Sharma Mukesh 
Published: October 2023

Abstract
Fibromyalgia may occur due to muscle tension while speaking or singing inaccurately. Symptoms of fibromyalgia are pain, fatigue, alteration in sleep, cognitive dysfunction, anxiety, depression, intestinal disorders, voice, and mood. Women are more affected than men. Voice was evaluated using the GRBAS scale and Dr. Speech software. Perceptually, voice was minimal dysphonia, and acoustically, voice parameters were within normal limits except harmonic–to-noise ratio.
DeepCerviCancer - Deep Learning-Based Cervical Image Classification using Colposcopy and Cytology Images
Authors: Kalbhor Madhura , Shinde Swati , Lahade Sagar , Choudhury Tanupriya 
Published: October 2023

INTRODUCTION: Cervical cancer is a deadly malignancy in the cervix, affecting billions of women annually.OBJECTIVES: To develop deep learning-based system for effective cervical cancer detection by combining colposcopy and cytology screening.METHODS: It employs DeepColpo for colposcopy and DeepCyto+ for cytology images. The models are trained on multiple datasets, including the self-collected cervical cancer dataset named Malhari, IARC Visual Inspection with Acetic Acid (VIA) Image Bank, IARC Colposcopy Image Bank, and Liquid-based Cytology Pap smear dataset. The ensemble model combines DeepColpo and DeepCyto+, using machine learning algorithms. RESULTS: The ensemble model achieves perfect recall, accuracy, F1 score, and precision on colposcopy and cytology images from the same patients. CONCLUSION: By combining modalities for cervical cancer screening and conducting tests on colposcopy and cytology images from the same patients, the novel approach achieved flawless results.
Optimal Therapeutic Drug Monitoring Strategy for IV Aminoglycosides and IV Vancomycin in People with Cystic Fibrosis: A Systematic Review
Authors: Jiang Jessie , Giunio-Zorkin Nicole , Su Victoria , Dagenais Renée 
Published: October 2023

Background: Given altered pharmacokinetics in people with cystic fibrosis (pwCF), there is debate regarding optimal strategies for therapeutic drug monitoring (TDM) for aminoglycosides and vancomycin administered intravenously.
Objectives: To determine the TDM strategy for IV aminoglycosides and IV vancomycin associated with optimal clinical outcomes in pwCF.Data Sources: Several databases (MEDLINE, Embase, CINAHL, Web of Science, Cochrane Central Register of Controlled Trials, and ClinicalTrials.gov) were searched from inception to November 15, 2020, with searches rerun on February 13, 2023.
Study Selection and Data Extraction: Full articles evaluating TDM strategies and clinical outcomes in pwCF receiving IV aminoglycosides or IV vancomycin were included.
Data Synthesis: Three studies met the inclusion criteria for IV aminoglycosides, and 1 study met the inclusion criteria for IV vancomycin. Data are presented with descriptive analyses.
Conclusions: The available evidence is insufficient to determine an optimal TDM strategy for IV aminoglycoside or IV vancomycin therapy in pwCF.
RÉSUMÉ
Contexte : Étant donné que la pharmacocinétique des personnes atteintes de fibrose kystique est altérée, un débat existe concernant les stratégies optimales de suivi thérapeutique des médicaments (STM) pour les aminoglycosides et la vancomycine administrés par voie intraveineuse.
Objectif : Déterminer la stratégie de suivi thérapeutique des médicaments pour les aminoglycosides et la vancomycine par voie intraveineuse associée aux résultats cliniques optimaux chez les personnes atteintes de fibrose kystique.
Sources des données : Plusieurs bases de données (MEDLINE, Embase, CINAHL, Web of Science, Cochrane Central Register of Controlled Trials et ClinicalTrials.gov) ont été consultées depuis leur création jusqu’au 15 novembre 2020, avec des recherches répétées le 13 février 2023.
Sélection des études et extraction des données : Les articles en texte intégral évaluant les stratégies de suivi thérapeutique des médicaments et les résultats cliniques chez les personnes atteintes de fibrose kystique recevant des aminoglycosides ou de la vancomycine par voie intraveineuse ont été inclus.
Synthèse des données : Trois études répondaient aux critères d’inclusion pour les aminoglycosides par voie intraveineuse, et une étude répondait aux critères d’inclusion pour la vancomycine par voie intraveineuse. Les données s’accompagnent d’analyses descriptives.
Conclusions : Les éléments probants disponibles sont insuffisants pour déterminer une stratégie optimale de suivi thérapeutique des médicaments pour la thérapie par aminoglycosides par voie intraveineuse ou la vancomycine par voie intraveineuse chez les personnes atteintes de fibrose kystique.
Complementary and Alternative Medicine for Pain Management in Cancer Patients
Authors: Naramala Srujana 
Published: October 2023

The field of Natural Health Sciences and Occult sciences is getting high attention and gaining importance in treatment of several diseases, that are not responding the traditional practice. However, the lack of extensive research and data supporting these fields is preventing them from becoming accepted method of treatment. Complementary and Alternative Medicine is not mysterious but science itself. In the last decade there is substantial research in these areas like aura, bioenergy or electromagnetic energy, radiation energy from bodies and techniques to measure these energies leading to wider acceptance. Holistic Healing is the practice of health that considers the entire person and all of the factors affecting the person and it is based foundational principles of Aurveda, Traditional Chinese Medicine and Herbal medicine. Holistic medicine uses Mind and Body techniques, Natural products, Energy and Spiritual healing. Survey released by National Center for Complementary and Alternative Medicine (NCCAM-NIH) revealed that 56% of population in US and in advanced countries uses CAM. Randomized Clinical studies conducted with 189 Patients undergoing standard chemotherapy, placebo or Reiki found that Energy healing (Reiki) was statistically significant in raising the comfort and well-being of patients post-therapy. Further, in the systematic review of 5 randomized clinical trials, two studies reported statistically significant reductions in pain when Reiki was used in addition to opioid agents. Additionally, energy healing on oncology patients undergoing infusion, showed 50% reduction in mean pain scores after each treatment. The investigations suggested that the sessions were considered helpful to improve well-being (70%), relaxation (88%), pain relief (45%). Similarly, in another cross over study, it was shown that in all sixteen cancer patients included in energy healing sessions, fatigue decreased, and quality of life was significantly improved with the reiki sessions compared with rest. Recent studies demonstrated that acupuncture was significantly associated with reduced cancer pain and can decrease the use of analgesics with moderate certainty of evidence. In addition, biology based practices like Herbal, probiotics and vitamins are also used to reduce pain. These methods are accepted by various professional certification agencies like National Certification Center of Energy Practitioners (NCCOEP) and Alliance of Energy practitioners (NAOEP) that is serving as resource for research and literature support. In summary, the complementary and alternative medicine field is upcoming and gaining acceptance as therapeutic method to increase patience confidence and reduce impact of ailment.
Entre a "loucura" e a hanseníase: interfaces históricas das práticas e políticas instituídas
Authors: Garcia José Ricardo Lopes 
Published: October 2023

A "loucura" e a hanseníase, dois quadros patológicos muito diferentes, apresentam em suas histórias diversas semelhanças e complementações no que diz respeito às práticas e políticas públicas de saúde. Foi a esta relação que este estudo atentou-se, verificando através do resgate da literatura, as interfaces existentes entre ambas, no que diz respeito aos seus aspectos históricos, sociais e culturais. Entre as principais semelhanças verificou-se todo um contexto de isolamento social, segregação, estigma e, em muitos momentos, descaso com as políticas de Saúde Mental e de Dermatologia Sanitária. Desde a disseminação dos antigos leprosários europeus na Idade Média, que posteriormente passaram a pertencer, por herança histórica, aos insanos, que a hanseníase e a "loucura" vivem na instituição do asilamento. Nos dias atuais, em especial no contexto brasileiro, onde presenciamos ainda um considerável índice epidemiológico da hanseníase e há mais de uma década o movimento antimanicomial, que busca garantia de direitos básicos de cidadania às pessoas com transtorno mental, vemos que estas duas realidades mantêm traços de seus processos históricos. As incapacitações físicas e dores da hanseníase e o sofrimento mental, não são as únicas dificuldades enfrentadas por seus portadores. Estes continuam à margem da sociedade, ainda incompreendidos por um contexto social que segrega o diferente.
Ser hanseniano: sentimentos e vivências
Authors: Eidt Letícia Mari 
Published: October 2023

A hanseníase, doença existente desde os mais remotos tempos, traz consigo marcas sociais e culturais indeléveis até os dias atuais. Os trabalhos sobre o tema em sua grande maioria, predominantemente quantitativos e normativos, pouco evidenciam ou aprofundam a questão humana da hanseníase, os sentimentos destes pacientes ou as experiências vivenciadas nesta trajetória. Surgiu, então, a proposta deste estudo que teve com objetivos evidenciar o significado da hanseníase na vida dos pacientes, as repercussões da doença sobre as relações intra e interpessoais e os sentimentos implicados neste processo. Esta pesquisa se realizou no período de dezembro de 1998 a dezembro de 1999, no Ambulatório de Dermatologia Sanitária, Porto Alegre – RS, e participaram do estudo onze doentes com idade entre 22 e 76 anos.As informações foram coletadas por meio de entrevista dialogada e semi-estruturada e, posteriormente, analisadas pelo método fenomenológico. Os resultados evidenciaram o desconhecimento da hanseníase, as dificuldades enfrentadas pelos doentes desde o diagnóstico até o término do tratamento, os diversos sentimentos vivenciados com a doença, a importância de cuidar e resgatar a auto-estima dos pacientes, o despreparo dos profissionais de saúde em manejar a hanseníase e acolher os doentes e a importância da educação para a saúde. A partir destes resultados são feitas algumas considerações aos serviços e profissionais que prestam atendimento aos doentes de hanseníase e às instituições de ensino responsáveis pela formação de futuros profissionais da saúde, objetivando o atendimento mais eficiente e humano ao hanseniano.
Eritema polimorfo hansênico ulcerado “ab initio”: uma apresentação atípica de hanseníase na faixa virchowiana
Authors: Contin Letícia Arsie , Delanina Wladimir F. B. , Barreto Jaison Antônio , Nogueira Maria Esther S. Nogueira , Souza Suzi O. T. Berbert de 
Published: October 2023

Paciente masculino, caucasiano, 49 anos, procedente do interior do estado de São Paulo, referiu estar em tratamento de hanseníase multibacilar há 2 meses, e que sua doença foi descoberta por meio de baciloscopia e biópsia de pele. Relatou que há 2 anos notou alteração de sensibilidade na parte distal lateral do pé esquerdo, associada a máculas eritematosas e hipocrômicas hipoestésicas no mesmo membro. Evoluiu com linfonodomegalia axilar e inguinal, placas eritematosas anulares bem delimitadas, disseminadas e dolorosas, algumas com ulceração central, além de nódulos dolorosos em membros, febre alta e mal estar geral. Internado em hospital geral, recebeu antibioticoterapia empírica, sem melhora do quadro, sendo então encaminhado para um infectologista que fez o diagnóstico de hanseníase na faixa virchowiana em reação. Iniciou tratamento com PQT-MB e prednisona, com melhora parcial das lesões, porém com desencadeamento de diabetes mellitus pelo corticoesteróide, e foi encaminhado para o Instituto Lauro de Souza Lima (ILSL). Na admissão, ao exame físico, além das placas, nódulos e discreta linfonodomegalia inguinal e axilar, o paciente não apresentava os sinais clássicos de hanseníase virchowiana, como infiltração difusa, madarose, desabamento nasal, perda de sensibilidade protetora em membros ou espessamento denervos consistentes. O exame histopatológico do bordo de uma placa mostrou quadro de hanseníase na faixa virchowiana e reação Tipo 2 no derma superficial (eritema polimorfo hansênico), baciloscopia de 5+ (bacilos granulosos). A baciloscopia de pontos índices foi positiva em 6 pontos, 3 a 4 +, bacilos granulosos. A dosagem de IgM anti-PGL-1 (glicolipídeo fenólico 1) por ELISA foi de 0,241 e o teste ML-Flow (teste de fluxo lateral para o M. leprae) foi de 4+. O hemograma mostrou anemia importante (Ht=25%) e leucocitose com desvio a esquerda e granulações tóxicas, VHS 101mm. O exame bacteriológico colhido de uma lesão ulcerada revelou S. aureus coagulase negativo. Foi reduzida a prednisona e acrescentada talidomida 300mg/dia com rápida involução das lesões. Discute-se a demora no diagnóstico, tanto diante das manifestações iniciais como diante do quadro reacional, a conduta terapêutica após o diagnóstico, e a patogênese da reação tipo 2 enquanto manifestação inicial, ou seja, antes do tratamento específico.