bluuebunny/crossref_metadata_2025_split huggingface dataset:
Après la nature
Authors: Wanneau Krystel , Fabri Éric , Arantes Virginie 
Published: December 2023

Que se passe-t-il si nous prenons au sérieux le vivant comme concept politique ? En partant de l’abandon de l’ontologie moderne fondée sur la distinction entre nature et culture, cet article explore les perspectives ouvertes par le tournant du vivant et poursuit deux objectifs : distinguer les principaux objets conceptuels et débats qui constituent le champ de la recherche sur le vivant, et distinguer l’intérêt qu’il y a à investir le vivant comme sujet et/ou objet politique pour la pensée critique contemporaine. Pour faire du vivant un objet politique, nous partons du constat que ce dernier impose la reconnaissance d’une réalité hybride, où l’agentivité qui caractérise une multitude d’êtres leur permet de faire territoire sur un lieu où émerge une vie sociale interespèces organisant cet espace. Nous abordons ces trois débats en mobilisant des travaux qui réalisent par leur parti pris pour le vivant une avancée dans l’« art d’observer » les alliances entre humains et non-humains dans des endroits parfois inattendus. Cette démarche nous permet ensuite d’appréhender ce qui vient après la nature en discutant trois modèles de relation des humains au vivant : celui de la soustraction qui prend le contre-pied de l’actuelle domination sur la nature, celui de légation où la relation avec le vivant mène l’humain à composer son action et son territoire avec d’autres vivants, et celui de la coexistence qui tient compte de l’historique moderne et entend bien éviter de reconduire une telle tragédie en s’efforçant de sanctuariser des zones pour laisser libre cours au vivant. Nous complétons cette discussion ontologique par un questionnement du rôle des sciences, notamment pour ouvrir de nouvelles médiations. Nous concluons sur les luttes émancipatrices qui agissent pour le vivant, sans la nature.
Une conjoncture de crise démographique en Inde du Sud au XIXe siècle. La famine de 1876-1878
Authors: Lardinois Roland 
Published: December 2023

Résumé Lardinois Roland. — Une conjoncture de crise démographique en Inde du Sud au XIXe siècle: la famine de 1876-1878.	1 La famine de 1876-1878 est une illustration exemplaire des qrises de subsistance qui frappent le sous-continent indien au xix* siècle. Elle est déclenchée par une sécheresse qui, s'étendant sur plusieurs années, occasionne un déficit de la pluviosité moyenne de 50 % à 60 % selon les régions./ Les prix des denrées alimentaires de base sont multipliés par trois, quatre ovjl cinq. En quelques mois, les décès sont multipliés par cinq à dix tandis que les conceptions s'effondrent de moitié. L'examen du rapport entre famine et épidémies révèle la complexité des deux phénomènes. Au début de la crise, maximum des prix et maximum de la mortalité générale coïncident avec une pointe du choléra tandis que, dans les mois suivants, le relais est pris, entre autres, par la variole et les maladies digestives. La reprise de la fécondité est facilitée par une nuptialité à la fois intense et précoce mais la crise n'a pas modifié l'âge moyen au mariage. Dans un modèle de mariage pubertaire tel qu'on le trouve en Inde, la nuptialité ne peut pas être au centre d'un mécanisme d'auto-régulation. Ceci pose de nouveau le problème de l'équilibre entre la population et les subsistances dans l'Inde coloniale.
Détermination d'une table de mortalité : la conversion des taux en quotients
Authors: Caselli Graziella , Calot Gérard 
Published: December 2023

Résumé Calot Gérard, Caselli Graziella. - Détermination d'une table de mortalité: la conversion des taux en quotients L'article est consacré à la détermination des formules permettant de déduire le quotient de mortalité à un âge i donné lorsqu'on connaît l'un ou l'autre des taux Tp ou Tc calculés respectivement dans le parallélogramme et dans le carré du schéma de Lexis. Si on néglige les migrations et si on suppose que les dates de ie anniversaire sont uniformément réparties, la formule simplifiée de conversion d'un taux en quotient : Q # l-e-r s'applique en première approximation. On peut cherchera améliorer cette formule pour tenir compte : —	du fait qu'elle ne vaut qu'au premier ordre : il faut alors pousser les développements au deuxième ou au troisième ordre, ce qui fournit la formule de Reed et Merrel, applicable en l'absence de migrations et sous l'hypothèse d'uniformité des distributions des dates de ie anniversaire; —	de la non-uniformité de la distribution des dates de ie anniversaire au sein de la génération concernée (taux Tp) ou du couple de deux générations consécutives concernées (taux Tc); —	des migrations. En pratique, il s'avère que l'on peut s'en tenir à la formule simplifiée si on travaille dans un découpage annuel de l'âge et du temps, car les corrections à apporter sont généralement négligeables, sauf, dans le cas du taux Tc, lorsque l'une des deux générations concernées a une date moyenne d'anniversaire qui s'écarte notablement du milieu de l'année (générations nées au début ou à la fin d'une guerre). La formule de Reed et Merrel conduit à une correction négligeable lorsqu'on considère des taux par simple année d'âge, mais qui est 25 fois plus importante en valeur relative lorsqu'on considère des taux par groupes quinquennaux d'âge.
Capital psychologique positif et comportement innovant au travail : une revue systématique de la littérature
Authors: Blasco-Giner Carlos , Meneghel Isabella , R.M Déprez Guillaume 
Published: December 2023

Ces dernières années, les concepts de capital psychologique positif (PsyCap) et du comportement innovant au travail (IWB) ont attiré l’attention des académiques et des professionnels des ressources humaines en raison des avantages qu’ils apportent aux organisations. Les objectifs de cet article sont les suivants : a) présenter une vue d’ensemble du PsyCap, de sa relation et de son influence en tant qu’antécédent, médiateur et modérateur de l’IWB ; b) analyser la variété des instruments qui ont été utilisés pour mesurer ces deux concepts dans les articles examinés. Une analyse systématique de la littérature a été menée pour obtenir et analyser 39 publications dans lesquelles les termes « capital psychologique » et « comportement innovant au travail » apparaissaient, en adoptant une série de critères d’exclusion et d’inclusion dans notre liste finale. Nos résultats démontrent la relation entre les différents rôles de PsyCap et de l’IWB, et présentent les outils les plus couramment utilisés pour explorer cette relation, ainsi qu’une série de suggestions pour faciliter la recherche future.
Use of the VenaSeal closure system for the treatment of varicose veins
Authors: Lee Chih-Hsien 
Published: December 2023

Abstract

Background:
The VenaSeal Closure System (Medtronic, Dublin, Ireland) is an approved non-tumescent, non-thermal, and non-sclerosant treatment for patients with symptomatic varicose veins. All patients with the great saphenous vein (GSV) having a closure rate of 100% experienced minor complications, indicating the safety and effectiveness of the VenaSeal Closure System as venous reflux disease treatment.

Objectives:
Venous reflux disease treatment includes surgical high ligation and stripping of the GSV in association with phlebectomy of individual varicosities. However, the procedure requires general anesthesia and several days of hospitalization, causing side effects such as postoperative pain, bruising, and sensory nerve damage. Recently, the VenaSeal Closure System is the only approved non-tumescent, non-thermal, and non-sclerosant treatment for patients with symptomatic varicose veins. Thus, this study aimed to evaluate the safety and effectiveness of the VenaSeal Closure System as a treatment option for patients with venous reflux disease.

Methods:
This retrospective clinical study used data from 19 patients who received the VenaSeal Closure System for venous reflux disease from October 2019 to December 2020 in a general district hospital.

Results:
The analysis identified 19 patients, of which two had bilateral leg involvement. The mean patient age was 62.21 ± 15.15 years. The GSV mean diameter was 8.57 ± 5.56 mm. The procedure time was 25 ± 2.89 min. Of the 21 legs, 19 had symptoms, mainly severe pain. Among those 21 legs with the branch of the touristy vein from the GSV, seven needed adjunctive therapy like phlebectomy. The overall complication rate was low. Of these 21 legs, 17 had no major complications, one had mild erythematous change, two had mild edema, and one had redness with pain at the medial thigh. The closure rate of the GSV was 100% as detected by sonography after 1 month in all patients.

Conclusion:
All patients with GSV having a closure rate of 100% experienced minor complications, indicating the safety and effectiveness of the VenaSeal Closure System as venous reflux disease treatment.
Unique presentation of rat-bite fever: Polyarthritis with petechial lesion on palms and soles
Authors: Hsieh Chi-Ta , Liao Wei-Chih 
Published: December 2023

Abstract
Rat-bite fever is a rare disease because of its challenging diagnosis and propensity to mimic other conditions that present with symptoms, such as rash and polyarthritis. However, when left untreated, this illness can persist for weeks or even months and has been associated with a reported mortality rate of approximately 10%. Furthermore, rat-bite fever can lead to severe complications including septic arthritis, endocarditis, pericarditis, pneumonia, and meningitis. In this case report, we present the clinical findings of a 36-year-old male patient who presented to our department with intermittent fever and polyarthritis persisting for 1 week. After a thorough evaluation, the patient was ultimately diagnosed with rat-bite fever through blood culture analysis.
Rhodanine Stain Improves Utility of Leipzig Score to Diagnose Hepatic Wilson’s Disease in Noncholestatic Patients with Fibrosis
Authors: Vijayalekshmi Balakrishnan , Kodiatte Thomas Alex , Amirtharaj G. Jayakumar , Christudoss Pamela , Zachariah Uday , Nellickal Arun Jose , Ramakrishna Banumathi , Balasubramanian Kunnisery Ananthsubramanian , Eapen C. E. , Goel Ashish 
Published: December 2023

Abstract

Introduction:
Cholestasis may increase the difficulty of diagnosing Wilson’s disease (WD). We aimed to compare Leipzig score including hepatic parenchymal copper concentration or rhodanine stain, to diagnose hepatic WD, in noncholestatic patients with fibrosis.

Materials and Methods:
We defined cholestasis by biochemical and/or histological criteria. Of noncholestatic patients who had liver fibrosis and liver copper estimation, those with isolated hepatic WD comprised WD study group and those with liver disease other than WD, with either low serum ceruloplasmin, high urinary copper, or Kayser–Fleischer ring, were controls. WD diagnosis by Leipzig score was labeled highly likely, probable, or unlikely.

Results:
Twenty WD study group patients (12 males; 21 [6–52] years; median [range]) and 18 controls (13 males; 32 [10–69] years, all had high urinary copper) were recruited. Rhodanine stain was positive in 60% WD patients and in 33% of controls. With rhodanine stain, Leipzig score had sensitivity of 100% (95% confidence interval: 83.2%–100%), specificity of 66.7% (41%–86.7%), and positive likelihood ratio of 3 (1.56–5.77) to diagnose probable/highly likely WD. In contrast, on adding hepatic parenchymal copper concentration, Leipzig score had sensitivity of 100% (83.2%–100%), but specificity was 38.9% (17.3%–64.2%). In controls, Leipzig score (including rhodanine stain) of ≤ 2 ruled out WD.

Conclusion:
On excluding cholestatic patients, rhodanine stain performs better than hepatic parenchymal copper concentration to diagnose hepatic WD using Leipzig score in patients with fibrosis. Widespread availability is an added advantage of rhodanine stain.
Glossopharyngeal Neuralgia following Coronavirus Disease 2019 Infection
Authors: Sapru Komudi , Caprara Ana Letícia Fornari , Rissardo Jamir Pitton 
Published: December 2023

Abstract
Glossopharyngeal neuralgia is a rare and painful syndrome that affects the sensory distribution of the glossopharyngeal nerve. Coronavirus disease 2019 (COVID-19) was first discovered in the Wuhan province of China in November 2019 and was declared a pandemic by the World Health Organization in early 2020. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus strain that was responsible for COVID-19, may affect the central nervous system and cause neurological manifestations. We report a case of a 46-year-old female presenting with pain in her right ear and pharynx on swallowing, coughing, and sneezing. On physical examination, normocephaly, normal hearing, no oropharyngeal lesions, and bilaterally normal tonsils were observed. On neurologic examination, her speech was fluent without any abnormalities and testing revealed COVID-19 positivity. Cranial computed tomography scan, brain and spinal magnetic resonance imaging (MRI), cranial magnetic resonance angiogram, and soft-tissue neck MRI with and without contrast were unremarkable. Carbamazepine was initiated for neuropathic pain with success. Heightened awareness and early recognition of neurological complications related to SARS-CoV-2 infection may improve the prognosis. Monitoring the long-term nervous system complications of SARS-CoV-2 infection, including psychological and neurocognitive domains, is also necessary.
Assessment of Patient Satisfaction Level with the Services Available in the Inpatient Departments at a Tertiary Care Hospital
Authors: Kumar Raj , Javia Mayankkumar , Mehta Harshad , Kamlesh  
Published: December 2023

Abstract

Background:
Patients are the important stakeholders in any country’s health-care delivery system. They can accurately assess and provide feedback regarding the quality of the health-care delivery system of a hospital. We aimed to assess the patient satisfaction level with the services available in inpatient departments (IPDs) of medicine and surgery at a tertiary care hospital.

Methods:
The present cross-sectional study was conducted from August 2022 to October 2022 among 100 inpatients to assess the patient satisfaction level regarding the services provided in a tertiary care hospital’s IPD. The study was carried out after taking voluntary participation consent from all the participants. The five-point Likert scale questionnaire based on various points was used to collect data.

Results:
About 11.40% of patients were very satisfied with the various services of the medicine and surgery IPDs of the hospital, 44.73% of patients were satisfied with the various services, and 34.33% of patients graded the services on neutral scale; they were neither satisfied nor dissatisfied, whereas 7.53% of patients were dissatisfied with services provided.

Conclusion:
Majority of the participants were satisfied or very satisfied with the quality of food served to the patients, the drinking water facility, and quality of treatment of doctor, nursing care, laboratory, and radiology services.
Bacteriological Profile and Antibiotic Susceptibility Pattern of Pathogens Isolated in Ventilator-associated Pneumonia – A Single-center Study
Authors: Vaidhyswaran Ramya , Pawar Jyoti Amol , Karnam Ravishekhar , Chowdhary Abhay 
Published: December 2023

Abstract

Background:
Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in people receiving mechanical ventilation. VAP developed during the first 4 days of mechanical ventilation is early-onset, usually less severe, mostly caused by antibiotic-sensitive bacteria, and has a better prognosis. On the other hand, late-onset VAP develops five or more days after the initiation of mechanical ventilation, is caused by multidrug-resistant pathogens, and is usually associated with increased morbidity and mortality. VAP may be caused by a wide spectrum of bacterial pathogens that may be polymicrobial and are rarely due to viral or fungal pathogens in immunocompetent hosts.

Methods:
Data were collected retrospectively from case files of the medical records department corresponding to the identified clinical isolates. The study included a total of 143 ventilated patients of both sexes who were admitted to intensive care units (ICUs) and fulfilled the criteria of VAP as well as non-VAP.

Results:
A total of 102 patients suffered from VAP. The number of ventilator days was calculated to be 2940 days. With the estimated VAP cases to be 102, the VAP rate was calculated to be 34.69/1000 ventilator days. The commonly isolated organisms were Acinetobacter species, Pseudomonas aeruginosa, and Klebsiella pneumoniae, which showed proportions of 39.5%, 28.1%, and 15.3%, respectively.

Conclusion:
Our study highlights the organism distribution, antibiotic susceptibility patterns, and the VAP incidence rate in our center. These findings, if replicated across centers, can potentially inform the management of VAP.
Simple-Virilizing Congenital Adrenal Hyperplasia – A Rare Case Report
Authors: Sharma Niketa , Lohiya Sham B. 
Published: December 2023

Abstract
Simple-virilizing congenital adrenal hyperplasia (SV-CAH) is an inherited condition which transmission is autosomal recessive due to complete or partial enzyme deficiency which leads to defective cortisol synthesis. It involves five enzyme-linked steps. Insufficiency of any enzyme leads to different types of CAH. It can be classified into classic and nonclassic. Classic has two subtypes – salt wasting and simple-virilizing type. This case report of a 3½-year-old boy showing an increase in growth of genitals and increase in pigmentation of the skin. A probable diagnosis of virilizing CAH or precocious puberty was made. On laboratory investigation, there was a decrease in the level of cortisol and grossly raised level of 17-hydroxyprogesterone. This condition was diagnosed with SV-CAH after confirmation with laboratory parameters. The patient was managed accordingly. The aim of the treatment was to correct the level of cortisol and maintain balance of electrolytes. Hence, the patient was treated with hydrocortisone and fludrocortisone and discharged with advice to continue the same treatment.
Human Teeth: The Valiant Survivors
Authors: Saraf Bharti , Gupta Shekhar , Patel Shraddha Aditya , Bedia Aarti S. , Bedia Sumit , Chaudhary Meenal , Khan Samar , Gawande Madhuri Nitin 
Published: December 2023

Abstract

Background:
Fire accidents are an important cause of mortality and morbidity worldwide which includes automobile accidents, bomb explosions, electric accidents, etc., Soft tissues are easily destroyed and conventional identification becomes impossible. In such cases, forensic odontology has been an important medicolegal investigation in humans during fire accidents as the teeth can withstand high temperatures. Unlike soft tissues, teeth have a higher degree of resistance to temperature, could potentially provide valuable information, and allowing personal identification.

Aim:
The aim of the study was to investigate the macroscopic and stereomicroscopic findings of the teeth exposed to various temperature ranges from 80°C to 90°C, 250°C–350°C, 750°C–850°C, and 900°C–1000°C.

Materials and Methods:
Tooth extracted for orthodontic or periodontal purposes was placed in a furnace and heated at a rate of 20°C/min and the effects at the predetermined temperatures range of 80°C–90°C, 250°C–350°C, 750°C–850°C, and 900°C–1000°C were examined macroscopically and then observed microscopically using stereomicroscope.

Results:
Teeth can resist high temperatures and their change in color from lesser to high temperature was seen. The evident colour changes were ranging from light yellow to yellowish–brown, greyish–brown, bluish–grey, and chalky–white.

Conclusion:
Teeth can be a reliable source of identification in fire accidents if no other means of identification is available.
Self-evaluation of Ethical Competence in Senior Physiotherapy Practitioners – An Observational Study
Authors: Ronghe Rashmi , Chandani Anjali , Khairkar Prajakta 
Published: December 2023

Abstract

Background:
The core aspect of a health-care professional’s expertise is their ethical competence. It is considered part of expertise.

Methodology:
A descriptive-qualitative study was conducted in the setting of private physiotherapy centers through a convenient sampling for 18 months. Over 170 physical therapists with more tha10 years of clinical experience participated in the study. Participants were given a printed form Self-modified Physiotherapist’s Ethical Competence Evaluation Tool, and results were prepared accordingly.

Results:
Out of 170 physiotherapists, majority of the therapists are ethically aware, though there is a small percentage of therapists who are not scoring well and need further education or further uplift in ethical practices and official ethical education in all ethical aspects.

Conclusion:
Around 70%–80% scored well, and a very small percentage needs an update in ethical education. The ethically effective practices provided by physiotherapists represent physiotherapists’ self-worth in these situations. A number of strategies can be applied to enhance the development of ethical competence, including moral contemplation, ethics groups, multidisciplinary ethics committees, ethics counseling, and ethics resources (such as online).
Rehabilitation of Edentulous Patient with Customized Functional Palatal Contours
Authors: Beri Arushi , Pisulkar Sweta Kale , Bansod Akansha Vilas , Godbole Surekha , Shrivastava Akshay 
Published: December 2023

Abstract
To restore the stomatognathic system of the patient with an edentulous span of 12–13 years who presents flabby tissue in the maxillary tuberosity region, severe resorption in the mandible along with reduced masticatory efficiency, and speech impairments in his old dentures. Complete denture rehabilitation helps patients cope with the significant psychological and social consequences of tooth loss. In today’s image-conscious culture, dentures help sufferers reconnect with the world and re-establishes normal form, function, and esthetics. The most common complaints about prostheses are chewing, as well as poor esthetics and phonetics. Prosthetic rehabilitation for denture wearers should include more than just replacing missing teeth. The ultimate goals should be phonetics, esthetics, and oral function restoration. This article describes a simple, low-cost, practical, and beneficial procedure for the rehabilitation of people with complete dentures who have speech impairment, bone resorption, and flabby tissue. A 71-year-old male patient who is a teacher by profession and has a 30-year habit of chewing kharra paid a visit to the Department of Prosthetic Dentistry at Sharad Pawar Dental College and Hospital in Sawangi, Wardha. He was dissatisfied with his previous dentures because they did not provide adequate chewing quality, pronunciation, or esthetics. After compiling his dental history, it was discovered that he had previously worn dentures for 12 years and had missing teeth due to periodontal disease for 12–13 years. The case report affirms a simple and unique technique for the fabrication of dental prostheses. Palatograms are common, but the technique described in the case report is simple to implement. We achieved both form and function by resolving the issues of residual ridge resorption in the mandibular arch and flabby tissue in the maxillary arch. To summarize, deviations from natural speech immediately following complete denture rehabilitation are completely normal, and a pretreatment speech diagnosis is required for a more accurate comparison. Accustoming the patient to such instantaneous speech deviations must improve his adaptability. Palatograms are useful in identifying these deviations and confirming corrected palatal contours. Simple and low-cost, it is ideal for patients with total dentures and speech disorders.