bluuebunny/crossref_metadata_2025_split huggingface dataset:
Stimuler la motricité sur le Crawliskate
Authors: Barbu-Roth Marianne , Soyez-Papiernik Evelyne , Dumuids-Vernet Marie-Victorine 
Published: December 2023

Dans cet article nous présentons les démarches et les tests que nous avons mis en place en amont, pour évaluer les risques d’utiliser un nouveau protocole pour stimuler la motricité de grands prématurés en les entraînant à la marche quadrupède sur un mini skate dès leur sortie de néonatologie. Méthode : cette étude a été effectuée sur une population pilote de 44 grands prématurés qui ne présentaient pas de lésion cérébrale majeure mais qui étaient néanmoins à risque de développer des anomalies du développement moteur. Les sujets ont été séparés en trois groupes : un groupe Crawli entraîné sur un mini skate, le Crawliskate, un groupe Tapis entraîné à la position sur le ventre sur un tapis et un groupe Contrôle sans entraînement. Les entraînements ont été effectués 5 minutes par jour pendant 8 semaines consécutives à domicile par des professionnels. Les effets délétères éventuels de l’entraînement Crawli ont été surveillés lors de l’entraînement et en suivant les sujets jusqu’à 12 mois d’âge corrigé avec l’échelle de l’ATNAT (évaluation neurodéveloppementale d’Amiel-Tison). Résultats : les rapports relevés lors des entraînements par les professionnels ont montré une bonne tolérance des enfants et de leurs parents. Tous les nourrissons prématurés du groupe Crawli étaient capables de se propulser avec des mouvements quadrupèdes avec l’aide du Crawliskate sans effets délétères ensuite au cours de leur première année de vie. En revanche, les nourrissons positionnés directement sur le tapis sans le Crawliskate étaient incapables de se déplacer et ont développé une hyperextension transitoire du tonus passif de l’axe à 2 mois corrigés. L’entraînement Crawli semble donc plus adapté pour commencer, dès leur sortie du service de néonatologie, une intervention stimulant le développement moteur/locomoteur de grands prématurés dans une fenêtre temporelle maximale de la plasticité de leurs structures neuro motrices.
Des communs positifs aux communs négatifs
Authors: Maurel Lionel 
Published: December 2023

La notion de Communs s’est dans une grande mesure diffusée dans la littérature académique en France à partir des travaux de l’économiste Elinor Ostrom autour des Commons Pool Resources . Dans cette conception, les Communs sont toujours des éléments intrinsèquement marqués positivement, en tant qu’ils constituent des biens pourvus d’utilités venant satisfaire des besoins humains (réserves en eau, bois, ressources halieutiques, etc.). Cette vision a permis un temps une meilleure prise en compte des questions écologiques dans le champ de l’économie, en mettant en lumière des pratiques de gestion partagée pouvant contribuer, dans certaines conditions, à la durabilité des ressources. Mais elle est aussi fortement marquée par une perspective « environnementaliste » et « développementiste » peu adaptée à la situation ouverte par l’Anthropocène et les défis qui la caractérisent. Dans un monde marqué par l’urgence climatique, il importe sans doute de rompre avec l’approche « bucolique » des communs positifs pour envisager en tant que Communs négatifs non plus les choses suscitant un désir d’appropriation, mais celles que plus personne au contraire ne souhaite posséder (déchets, ruines industrielles). Penser les Communs au-delà de la ressource et de l’usage permet aussi de penser comme Communs négatifs des éléments dont l’abandon ou la limitation devient critique (énergies fossiles, plastique, viande, trafic aérien, etc.).
Désaffecter les communs négatifs
Authors: Bidet Alexandra , Rigoulet Vincent 
Published: December 2023

Cet article en forme de dialogue, clin d’œil à Bruno Latour, interroge le travail éducatif appelé par l’Anthropocène. La connaissance de la contradiction entre les conditions d’habitabilité de la planète et certains de nos attachements ne peut suffire à porter la redirection écologique. Renoncer aux activités nuisibles à la planète implique dans le même mouvement d’en aimer de nouvelles, compatibles avec la biosphère, tout en étant sources de contentement durable, d’accomplissement et de créativité pour tout un chacun. Si l’enfance est une période déterminante pour la formation des « goûts et des couleurs », alors il importerait d’enquêter dès l’école primaire sur ces activités du « bon infini » et les manières de les cultiver et partager.
Soigner les communs négatifs en temps de pandémie
Authors: Monnin Alexandre 
Published: December 2023

Cet article revient sur la pandémie de Covid et, s’inspirant de textes et concepts inscrits dans la mouvance de l’auto-défense sanitaire, défend l’assimilation de la perspective des communs négatifs avec un communisme du désastre ou du soin. La pandémie interroge selon nous l’exposition des travailleur-euses à un risque léthal du fait de la contrainte de subsister en travaillant pour des organisations. À l’instar du propos d’Yves Citton dans ce même numéro, cet état de fait invite à imaginer d’autres modèles de protection sociales adaptés à une économie du soin des communs négatif. Revenant sur la pandémie, à partir du concept de « diagonalisme » proposé par William Callison et Quinn Slobodian, il apparaît que c’est le défaut d’une telle économie qui contribua à pousser des foules de free-lances à se radicaliser sur YouTube ou Twitter, sur un mode conspiritualistes, alors que les cadres pouvaient télétravailler via Zoom ou Teams. Une économie de l’incurie s’est ainsi substitué à une économie du soin.
L’Europe ou rien
Authors: Caminiti Lanfranco , Galmozzi Chicco , Mantelli Brunello 
Published: December 2023

L’invasion de l’Ukraine est la tentative de la Russie de fermer militairement sous un talon de fer le processus politique qui a commencé avec la chute du mur de Berlin et le rapprochement progressif de l’Est vers l’Ouest, après la longue « césure » de la seconde moitié du XX e siècle. Le destin de l’Europe se joue donc en Ukraine. Il n’est donc ni fortuit ni étrange que ceux qui n’ont jamais cru à un processus de construction et de refondation de l’Europe aient pris parti, tant à droite que dans la gauche radicale contre l’Ukraine. L’Ukraine est un « prétexte », tout comme elle l’est pour Poutine – la grande cible, c’est l’Europe. La question politique posée par la guerre en Ukraine est celle de l’Europe. Une Europe qui est aujourd’hui faible, fragile, indécise. Seule la montée en puissance de nouveaux mouvements de justice sociale peut prendre en charge la construction d’un espace européen. Tel est le « défi politique » que pose la guerre en Ukraine – la « troisième voie » entre la guerre et la paix. Transformer la guerre en acte fondateur de la Fédération européenne.
Humaines fractures, cercles soignants, cercles de formation
Authors: Vannotti Marco , Gennart Michèle 
Published: December 2023

Dans cette section, qui fait suite à l’article « Le phénomène pathique et la rencontre thérapeutique » publié dans le même numéro, nous aborderons la question de savoir comment développer une formation à la psychothérapie qui tienne rigoureusement compte de l’implication du soignant dans le champ même où s’exercent son savoir et son savoir-faire. L’apprentissage de la psychothérapie aurait pour fondement un savoir- être : une initiation vivante et pensante à la condition humaine et à sa nature pathique fondamentale. Dans son cheminement, l’étudiant doit pouvoir compter sur l’expérience de formateurs engagés qui le soutiennent et le guident, et sur une solidarité active du groupe de condisciples, pour faire face au déconcertant, au périlleux, mais aussi au transformateur de l’expérience pathique.
Ilizarov pelvic support osteotomy in a case of post-infective pathological fracture-dislocation of hip
Authors: Pal Jitendra Nath , Bera Amiya Kumar , Roy Amarendra Nath 
Published: December 2023

Abstract
Various pelvic support osteotomies provide improved hip stability. Unequal limb length remains a major disability. Ilizarov hip reconstruction procedure could additionally correct excessive distal limb valgus, inequality of limb length, and flexion contracture of the hip. This procedure is applied to the present case to note the short-term result. A 16-year-old girl presented 9 years after the initial infection with the sequel of septic arthritis of the right hip. She had frequent pain over her groyne and a significant Trendelenburg gait. Scanogram showed 5 cm proximal femoral migration, but 4 cm shortening at knee level. A 10° flexion contracture with a significant reduction of all movement, except adduction, is noted. After preoperative planning and confirming under C-arm image proximally femur is osteotomized at the level of ischium to achieve 50° abduction (40° maximum abduction + 10° over correction) and fixed using 6 mm Schanz pins. The distal ring is connected to the middle ring by a motor on the lateral and hinges on the medial aspect. Distraction starts on the 3rd day to obtain 10° varus and 2 cm lengthening, which aligns knees at the same level and equidistance from the midline. Osteotomies are united in 4 months and the frame is removed after 5 months. The length is equalised, correction of Trendelenburg gait, exaggerated lumbar lordosis and pain-free groyne. Available pain-free movements are as that of the preoperative stage except for adduction. Harris hip score improved from 49.2 to 94. Ilizarov hip reconstruction procedure improves Trendelenburg gait, equalises limb length discrepancy, alleviates groyne pain, and corrects pelvic tilt.
Hindfoot fusion with various auxiliary techniques in Charcot’s management
Authors: Ramakanth Rajagopalakrishnan , Sundararajan Silvampatti Ramasamy , D’souza Terence , Rajasekaran Shanmuganathan 
Published: December 2023

Abstract

Introduction:
Management of Charcot’s arthropathy of the hindfoot (Sanders/Frykberg Type IV) is a challenging situation to address. Complex deformities linked with ankle/hindfoot Charcot’s disease are frequently multiplanar. Due to the collapse of the distal tibia and the two bones of the hindfoot, the talus, and calcaneus, the limb frequently shortens when the skeletal architecture is damaged. A varus ankle or heel results in increased lateral column plantar pressure of the foot due to changed foot pressure loading, predisposing the patient to develop lateral foot ulceration. Collapse and secondary avascular necrosis of the talus; additional stress on the injured bone exacerbates these deformities and contributes to ulcers in the foot, instability during walking, and limb-length discrepancy.

Management:
The primary indication for surgical ankle stabilization is a foot that cannot be braced and is unstable during walking. Other surgical indications include imminent ulceration, nonhealing ulcers, recurring ulcers, osteomyelitis, and/or severe pain. Achieving ankle and/or hindfoot arthrodesis and correcting these complex multiplanar deformities in this location stabilizes the hindfoot. Various auxiliary techniques that can be combined with Tibio-talo-calcaneal (TTC) are tricortical iliac crest graft and femoral head allograft to build hindfoot, plate augmentation, distally mobilized fibula as biological augmentation and multiple 6.5-mm screws. The choice between internal or exterior fixation is mostly determined by the presence or absence of an active infection and the quality of the bone.

Conclusion:
Surgical stabilization with TTC nail for Charcot’s arthropathy of the ankle and hindfoot is associated with good clinical outcomes. Despite the high likelihood of complications, limb salvage rates are between 80% and 90%. A meticulous selection of cases, a diligent multimodal strategy, and an experienced team are required to attain this result. Assessment of vascular status, glycemic control, optimum foot care, use of protective footwear during the acute inflammatory phase to prevent inadvertent trivial foot injuries, correction of calcium and vitamin D deficiencies, and cessation of tobacco and alcohol use are preoperative factors that can improve outcomes. Various auxiliary techniques can be combined with TTC nailing for optimum results.
Total contact casting in diabetic foot
Authors: Bandyopadhyay Abhijit 
Published: December 2023

Abstract
Total contact casting, commonly referred to as contact casting, is a therapeutic method for treating diabetic foot ulcers. To relieve pressure from the damaged area, lessen shear pressures and speed the healing of diabetic foot ulcers, a specific cast that covers the foot and lower leg is applied. This study is an overview of ‘Contact cast in diabetic foot’ to highlight its clinical use, indications, advantages and disadvantages. Apart from that, the steps of contact casting are also discussed.
The Effect of Cord Blood Lead Level on Neonatal Growth Parameters at a Tertiary Care Center in Southern India
Authors: Abinaya S. S. , Mannu Alexander , Vasudevan Jaishree 
Published: December 2023

Context:
Environmentally prevalent lead is a potentially hazardous metal. Depending on its absorption and desorption, lead causes detrimental effects. The growth of fetus and newborn is seriously impacted in utero due to lead exposure in mothers.

Aims:
(1) To determine the lead levels in cord blood and (2) to determine the relationship of blood lead levels with anthropometry in newborns.

Settings and Design:
Cross-sectional study, department of pediatrics for 6-month period (May 2022 to October 2022).

Subjects and Methods:
The study included term and preterm babies above 28 weeks of gestation, born to mothers without risk factors. Cord blood samples from 83 newborns were analyzed for lead levels by inductively coupled plasma optical emission spectrometry.

Statistical Analysis:
Taking power as 80% and alpha error as 5%, sample size (n = 83) was obtained using regression methods.

Results:
The average lead concentration in the cord blood was detected to be 0.4 μg/dL (0.05–1.90 μg/dL). Using Pearson’s correlation coefficient, decrease in birth weight with increasing lead levels was statistically significant (P = 0.0005, r = −0.464). The correlation between gestational age, length, head circumference, chest circumference of newborn, and cord blood lead level (r = −0.364, P = 0.001); (r = −0.343, P = 0.001); (r = −0.435, P = 0.0005); and (r = 0.446, P = 0.0005), respectively, was highly significant. A moderately significant correlation was found between abdominal circumference and cord blood lead level (r = −0.343, P = 0.001).

Conclusions:
Reduction in neonatal anthropometric measurements, especially the birth weight, length, chest circumference, and head circumference, was noted with increasing lead levels in umbilical cord blood.
Assessment of serum and salivary visfatin levels in newly diagnosed patients of type-II DM
Authors: Jerusha Faith R. , Raghunath Vandana 
Published: December 2023

Background:
Type II diabetes mellitus (T2DM) is a metabolic disorder. It is thought to be an autoinflammatory disease, as inflammatory mediators are associated with the progression of the disease. Visfatin, an adipokine, is linked to insulin resistance.

Aims:
We aimed to study serum and salivary visfatin levels, at the time of diagnosis of T2DM, in middle-aged individuals, in the context of other diagnostic parameters like fasting blood sugar (FBS), postprandial blood sugar (PPBS), and glycated haemoglobin A1c (HbA1c).

Materials and Methods:
Thirty newly diagnosed T2DM (Group-I, T2DM) patients and 30 healthy nondiabetic individuals (Group-II, health controls [HC]) matched for age and sex were studied. In both the groups, we assessed serum and salivary visfatin levels, and serum high-sensitivity C-reactive protein (hs-CRP) levels. We also compared serum and salivary visfatin levels and serum hs-CRP levels between Group-I and Group-II individuals.

Statistical Analysis:
The correlation between the groups was tested using Pearson’s correlation. A P- value < 0.001 was considered to be statistically significant. The data was tabulated using software MS Excel and analysed using IBM Statistical Package for the Social Sciences (SPSS) Version 22.0.

Results:
A positive correlation with a value of 0.8836 and a P value of 0.001 was noted between serum and salivary visfatin of Group-I.

Conclusion:
This is the first study in the Indian scenario to study the serum and salivary visfatin in newly diagnosed T2DM individuals. Serum visfatin and hs-CRP levels increased in T2DM, thus defining the link between visfatin, inflammation and T2DM, but we failed to notice a positive correlation.
Significance of tumour budding and invasive characteristics in grading of oral squamous cell carcinoma
Authors: Selvaraj Freeda M. , Joseph Anna P. , Pillai Varun Raghavan , Ramani Pratibha , Pazhani Jayanthi , Mony Vinod 
Published: December 2023

Background:
Tumour budding has been recognized as a morphologic marker of tumour invasion. Invasive characteristics such as depth of invasion, mode of invasion and worst pattern of invasion are potentially powerful parameters predicting the regional metastasis.

Aim:
This study was done to understand the significance of tumour budding and various characteristics of invasion and their impact on grading of oral squamous cell carcinoma.

Materials and Methods:
An immunohistochemical study was performed on tissue sections obtained from 34 paraffin-embedded blocks of clinically and histologically diagnosed cases of oral squamous cell carcinoma. The sections were stained with pan cytokeratin and observed under high power magnification.

Results:
Tumour budding and the invasive patterns were found to be significant in OSCC. A proposed grading system based on tumour budding and cell nest was found to have a significant correlation with the WHO grading system.

Conclusion:
This study demonstrated the importance of using tumour buds as an additional parameter in the grading system and also assessed the importance of invasive patterns, cellular atypia and stromal contents in OSCC.
Evaluation of salivary MMP-9 in oral squamous cell carcinoma and oral leukoplakia using ELISA
Authors: Pazhani Jayanthi , Chanthu Krishnasree , Jayaraman Selvaraj , Varun B. R. 
Published: December 2023

Background:
Cancer of the lip and the oral cavity is collectively the sixth most common malignancy worldwide, out of which 90% are oral squamous cell carcinomas (OSCCs). Oral cancer survival rates depend mainly upon the stage in which it is diagnosed. Successful early detection would eventually increase the survival rate. OSCCs may be preceded by potentially malignant disorders (PMDs) that are characterised by visible clinical changes in the oral mucosa. Correct diagnosis and timely treatment of PMDs may help prevent malignant transformation in oral lesions. Oral leukoplakia (OL) is the best known potentially malignant disorder of the oral mucosa with a malignant transformation rate of about 3% to 33%. Tumour markers in saliva have emerged as a new diagnostic tool in the early detection of oral cancer. Matrix metalloproteinase 9 (MMP-9) is a gelatinase which plays an important role in tumourogenisis. The present study was done to evaluate the salivary levels of MMP-9 in OSCC and oral leukoplakia patients using enzyme-linked immunosorbent assay (ELISA).

Materials and Methods:
The study was conducted among 102 subjects, which included 34 OSCC patients (group I), 34 OL patients (group II), and 34 healthy subjects (group III). Unstimulated saliva was collected by the passive drooling method from all the study subjects during the study period, centrifuged, and stored at -80°C. The salivary MMP-9 was estimated in mg/ml using the sandwich ELISA technique. The data were analysed using a statistical software package, EZR. One-way analysis of variance was used for the comparison of salivary MMP-9 levels in OSCC, OL, and normal oral mucosa. Scheffe’s multiple comparison was carried out to compare salivary MMP-9 levels among the different histological grades of OSCC and oral epithelial dysplasia. For all statistical interpretations, P ≤ 0.0 was considered the threshold for statistical significance.

Results and Conclusion:
The mean salivary MMP-9 level in OSCC, OL, and normal oral mucosa was 50.9 ± 5.7 ng/ml, 31.6 ± 6 ng/ml, and 16.2 ± 4.8 ng/ml, respectively. Patients with OSCC had significantly higher levels of salivary MMP-9 when compared to OL and normal mucosa. Higher levels of salivary MMP-9 were observed in poorly differentiated OSCC when compared to well and moderately differentiated OSCCs. The salivary MMP-9 was higher in severe oral epithelial dysplasia when compared to mild and moderate oral epithelial dysplasias. As malignant transformation rates are higher in patients with severe oral epithelial dysplasia when compared to mild and moderate oral epithelial dysplasia, salivary MMP-9 could be considered as a surrogate marker of malignant transformation.
Multiparentalidade: a possibilidade de cumulação das parentalidades socioafetiva e biológica no registro civil sob a perspectiva da afetividade
Authors: Sodré Marcilaine Faustina de Oliveira , Guerra Pâmela Bellório 
Published: December 2023

O presente artigo tem como principal objeto analisar o fenômeno da multiparentalidade. Este estudo tem início com uma breve retomada histórica a respeito dos modelos familiares e o instituto da filiação até os dias atuais. Para tanto, será tratada a parentalidade sob a ótica do princípio da afetividade, que norteia as relações familiares socioafetivas e dá embasamento para a formação da multiparentalidade, a qual, foi instituída pelos Provimentos de nº 63/2017 e 83/2019, atualmente incorporados no Provimento nº 149/2023 do Conselho Nacional de Justiça, uma vez que, desde 2017 tem sido realizado extrajudicialmente nos cartórios de registro civil de pessoa natural, desde que atendidos os requisitos exigidos, que serão analisados no presente artigo. Ressalte-se que o estudo foi elaborado por meio de fontes bibliográficas, artigos, revistas e jurisprudência acerca do assunto. Conclui-se que, a partir da existência de vínculo afetivo, é possível reconhecer a parentalidade socioafetiva, concomitantemente com a biológica, de maneira extrajudicial. E ainda, o intuito deste artigo é demonstrar que há outras formas de composição familiar além daquela contemplada por séculos, e que dependia da presença do Estado-Juiz, isto porque a forma com que tem sido tratada e realizada, tornou-se mais célere e acessível aos interessados que buscam, pautados na afetividade, ter sua situação familiar reconhecida e amparada juridicamente.
Approaches to Antitrust Regulation of Entrepreneurial Activities of Digital Platform Owners (Using the Example of Investigations Against Amazon)
Authors: Maslov A. О. 
Published: December 2023

Competition authorities around many jurisdictions are taking steps to develop legal approaches to antitrust analysis of economic activities of digital platforms owners. However, when applying these approaches the particular impact is not always effective and leads to positive effects for the competition law enforcement on the relevant commodity markets.The article provides a comprehensive analysis of legal framework of antitrust regulators in some jurisdictions during investigations against transaction digital platform owner called Amazon based on abuse of a dominant position on the relevant commodity markets, as well as the conclusion of anticompetitive agreements.Legal approaches in competition law enforcement for determining market power and product and geographic boundaries of the commodity market where the owner of the digital transaction platform operates are also explored.The article states that the main criteria of the market power of digital transaction platform owner is still a volume of market share.The Article deals with issue of legal interpretation of digital platform owner particular actions on product market from competition law points of view and at the same time evaluates the effectiveness level of remedies have been taken by competition authorities in some jurisdictions.