bluuebunny/crossref_metadata_2025_split huggingface dataset:
La joie, critère d’une éthique de la vie. D’une « joie merveilleuse » à la « plénitude de l’action »
Authors: Calmeyn Marie-Laetitia 
Published: September 2023

Un colloque de l’Académie pontificale pour la Vie tenu en 2021 présentait à nouveaux frais une éthique de la vie pour répondre aux questions liées notamment à la contraception et à l’insémination artificielle homologue. Une lecture des Actes de ce colloque conduit à reprendre les notions de vie et de joie dans une perspective théologique et biblique pour en dégager ensuite quelques critères de discernement. On interroge d’autre part la méthode de recherche qui se caractérise par la « transdisciplinarité ». Cette méthode permet-elle de vérifier la plénitude de l’acte théologique lui-même, au service d’une plus grande connaissance du mystère de Dieu et du mystère de l’homme ?
Chronicité ou a-chronie ?
Authors: Chaltiel Patrick 
Published: September 2023

Penser la dite « chronicité » de la maladie mentale, après plus de cinquante ans de pratique de Secteur (psychiatrie inclusive) nécessite de déplacer quelques repères traditionnels. Ainsi, l’auteur propose un point de vue qui situe la question de la chronicité du côté du soin et du soignant…face à « l’a-chronie » de la psychose. Il propose aussi de redéfinir la « compliance » aux soins en la déportant , elle aussi, du côté de la responsabilité soignante. Il donne au soin, comme perspective moderne, dépassant la fameuse « continuité » fondatrice de la psychiatrie de secteur, l’objectif de son propre effacement, au profit d’une « continuité d’attention » aux personnes concernées, dans leur ensemble (patients, proches, amis, voisins…) Il propose de restaurer la dimension de la temporalité, (abrasée tant par la maladie que par un « soin chronique ») par une pratique de la « dispute d’équipe », inscrivant tout soin dans une dialectique collective institutionnelle. Il défend ainsi l’idée qu’aucune « bonne pratique psychiatrique» ne saurait être dictée ni protocolisée, mais qu’elle émerge d’un débat contradictoire, dans lequel les positions les plus audacieuses (peu conformes à un« principe de précaution » prônant le risque zéro) soient envisagées et débattues, en équipe pluri-professionnelle.
La crise des urgences
Authors: Pateron Dominique 
Published: September 2023

La crise des urgences hospitalières peut être analysée comme le reflet amplifié de la crise des établissements hospitaliers mais elle ne se résume pas aux difficultés de ces établissements. Il existe des éléments spécifiques de la crise des structures d’urgence ou plus généralement de la médecine d’urgence : crise d’identité de la plus jeune des spécialités médicales, difficultés liées à l’augmentation d’activité et surtout aux difficultés d’hospitalisation des malades pris en charge par les services d’urgence, enfin qualité de vie des urgentistes.
Athletic Trainers’ Observations of Social Determinants of Health in the Collegiate Setting: A Card Study
Authors: Picha Kelsey J. , Welch Bacon Cailee E. , Evans Windsor Cassidy , Lewis Joy H. , Snyder Valier Alison R. 
Published: September 2023

Context
Addressing social determinants of health (SDOH) in all populations improves patient outcomes, leading to better patient-centered care. Despite known influences of SDOH, little is known about the ability of athletic trainers (ATs) to observe SDOH in practice.

Objective
To explore ATs’ observations of SDOH and describe actions taken at the point of care in collegiate and university settings.

Design
Descriptive via an observational card study.

Setting
Athletic training facilities.

Patients or Other Participants
Collegiate and university ATs (23 participants across 20 institutions).

Data Collection and Analysis
The ATs used a modified observation card to document observations of SDOH during patient encounters in the collegiate or university setting. The cards contained instructions for completion and a table with 4 columns: (1) a list of 19 predetermined SDOH, (2) a checkbox for observed SDOH, (3) a checkbox for the perceived negative influence of observed SDOH on patient health, and (4) an open box to write in what actions, if any, were taken to address the observed SDOH.

Results
Overall, 424 cards were collected. Of 725 observed SDOH, access to social media (153/725, 21.1%), academic stressors (131/725, 18.1%), and behavioral health issues (71/725, 9.8%) were the most commonly observed. Nearly 39% (281/725) had a perceived negative influence. Of those, academic stressors (49/281, 17.4%), behavioral health issues (46/281, 16.4%), and transportation issues (32/281, 11.4%) were most common. For the 23.0% (166/725) of SDOH acted upon, ATs used counseling and education (73/166), provided additional resources (60/166), referred to others (29/166), or communicated with others (4/166).

Conclusions
Because ATs are positioned to accurately assess SDOH, they can promote better patient-centered care and improve patient outcomes. Our results suggest that many SDOH observed by ATs in the collegiate or university setting have a negative influence on patient health. Better support for patients with academic stressors and behavioral health issues is important because of these SDOH.
Prevalence of age-related macular degeneration and associated factors in Indian cohort in a tertiary care setting
Authors: Hamati Jacqueline , Prashanthi Sai , Narayanan Raja , Sahoo Niroj , Das Anthony Vipin , Rani Padmaja Kumari , Behera Umesh Chandra , Khanna Rohit , Murthy Gudlavalleti V S 
Published: September 2023

Purpose:
To report a big data analysis of risk and protective factors in patients with AMD, as well as report on the age-adjusted prevalence in a geriatric Indian cohort in a hospital setting.

Methods:
This retrospective, observational study of all patients older than 60 years of age. Multiple logistic regression was performed for the binary outcome and the presence of AMD. Variables analyzed include age, gender, socioeconomic status, occupation, urban–rural–metropolitan distribution, self-reported history of diabetes mellitus (DM), hypertension (HTN), or coronary artery disease (CAD), ocular comorbidities, history of cataract surgery, and presenting VA. Odds ratios (OR) and 99% confidence intervals were calculated.

Results:
Of the 608,171 patients over the age of 60 years who attended our clinics, 1.68% of subjects had a diagnosis of AMD (N = 10,217). Less than half (4,621 of 10,217 with AMD) of them were diagnosed to have dry AMD. Cataract, glaucoma, and diabetic retinopathy were associated with lower risk of AMD. Cataract surgery was associated with the higher risk of AMD (OR = 1.20; 99% CI 1.13-1.29). Smoking was not associated with AMD.

Conclusion:
Big data analysis from a hospital setting shows that the prevalence of AMD above the age of 60 years is low. More patients with wet AMD present for treatment compared to dry AMD. Smoking was not associated with AMD in the Indian population. Cataract surgery was associated with higher prevalence of AMD.
Outcomes of resident physician-performed cataract surgery in a diverse veterans affairs health system population
Authors: Meer Elana , Gutkind Naomi , Hua Peiying , Ying Gui-Shuang , Sulewski Michael , Bhatt Nirali 
Published: September 2023

Purpose:
To evaluate visual acuity (VA) outcomes and complications from resident physician-performed cataract surgery in a diverse Veterans Affairs Hospital population.

Methods:
A retrospective chart review was conducted for patients who underwent cataract surgery performed by resident physicians from 01/01/2013 to 12/31/2015 at the Veterans Affairs Medical Center. Intraoperative and postoperative clinical information, best-corrected VA (BCVA) (1 day, months 1, 2-3, and 6), and surgery complications were extracted. Univariable and multivariable linear regression models were performed for risk factors of BCVA change.

Results:
This study included 1183 patients, with mean (SD) age of 70.8 (9.3) years. 1154 (97.5%) were males, 493 (41.7%) African-American, and 681 (57.6%) Caucasian. The mean (SD) VA in logMAR was 0.69 (0.74) at baseline, improved to 0.19 (0.36) at 1 month, 0.16 (0.34) at 2-3 months, and 0.14 (0.36) at 6 months. 1080 (91.3%) patients experienced VA improvement from baseline and 1023 (86.5%) patients achieved at least 20/40 BCVA at 1 month. There were 86 (7.3%) complications, most commonly including 47 (4.0%) posterior capsular tears and 64 (5.4%) vitreous loss. In multivariable analysis, younger age (P < 0.0001), worse baseline VA (P < 0.0001), and absence of iris prolapse (P < 0.001) were significantly associated with greater improvement in VA at 1 month.

Conclusion:
In a diverse VAMC, resident-performed cataract surgeries achieved significant improvement in VA with a cumulative complication rate lower than previously reported. Resident physician education may benefit from specific focus on prevention of iris prolapse and better incision construction during surgery as these intraoperative events often led to delayed stabilization of visual outcome beyond 1 month.
Quantitative evaluation of retinal and choroidal microcirculation in inactive ocular sarcoidosis
Authors: Yalcinsoy Kubra Ozdemir , Erol Yasemin Ozdamar , Hondur Gozde , Ozdal Pinar Cakar 
Published: September 2023

Purpose:
To evaluate retinal and choroidal alterations in eyes with inactive ocular sarcoidosis and to compare the findings with healthy controls.

Methods:
This cross-sectional study included 11 patients with inactive ocular sarcoidosis (study group) and 11 healthy individuals (control group). Retinal and choroidal vascular differences were evaluated using optical coherence tomography angiography (OCTA) and enhanced depth imaging–optical coherence tomography (EDI-OCT).

Results:
A total of 21 eyes of ocular sarcoidosis patients without active inflammation and 22 eyes of healthy controls were analyzed. The mean whole-image deep capillary plexus vessel density was significantly lower in the study group than in the control group (P = 0.03). The acircularity index values were significantly higher, and the foveal density-300 values were significantly lower in the study group than in the control group (P = 0.01, both). The flow areas of the choriocapillaris at 1-, 2-, and 3-mm radius areas were also significantly lower in the study group (all P < 0.01). The mean choroidal thickness (CT) was significantly lower in all regions between nasal and temporal at 3000 μm in the study group (all P < 0.05). The choroidal vascularity index (CVI) values were also significantly lower in the study group (P < 0.01).

Conclusion:
Ocular sarcoidosis was associated with a reduction in CT and the CVI with a decrease in retinal vessel density and choriocapillary flow parameters. The combination of OCTA and EDI-OCT imaging may be useful in monitoring ocular sarcoidosis eyes to detect alterations in the retinal and choroidal layers.
Cerebral visual impairment and effect of phase-wise stimulation strategies—An interim analysis
Authors: Smitha KS , Kurbet Bhagyajyothi , Kamate Mahesh , Veenish Samvedya 
Published: September 2023

Context:
Cerebral visual impairment (CVI) is an overarching term, defined as a brain-based visual impairment with onset in childhood, unexplained by an ocular disorder and associated with unique visual and behavioral characteristics. Good vision and awareness of visual function in a child are highly essential as neuroplasticity is maximum in the first three years of life and response to intervention is utmost in this period. Awareness is lacking regarding CVI, and the diagnosis is largely missed. This can be easily addressed if a structured approach is employed.

Purpose:
This study aims to evaluate the etiology and radiological correlation with the severity of CVI and outcome after structured intervention in children with CVI.

Settings and Design:
Prospective—interventional study.

Methods and Material:
Children attending the Child Development Centre (CDC) of a tertiary care hospital in North Karnataka and diagnosed with CVI in the age group of six months to 12 years and meeting the sampling criteria were screened and enrolled consecutively after obtaining parental consent/assent. Statistical analysis used is nonparametric test with SPSS software.

Results:
Age showed a significant association with the phase of CVI. Perinatal insult was associated significantly with the severity of CVI. Magnetic resonance imaging (MRI) findings did not hamper the recovery of CVI.

Conclusions:
Enrolment in early intervention programs tailored according to child’s specific needs should be encouraged, with stress on ophthalmic screening of preterm and high-risk babies with perinatal hypoxia and history of convulsions, as early as six months.
High false-positive response in perimetry
Authors: Mansoori Tarannum 
Published: September 2023

Background:
In Humphrey visual field analyzer, the false-positive (FP) responses imply that the patient has pressed the response button despite no stimulus being seen at the time of response and FP rates >15% are flagged. The classical “Trigger happy” visual field has increased fixation loss, very high threshold retinal sensitivity with the values in supernormal range, “white scotoma” on grayscale map, high positive mean deviation (MD), glaucoma hemifield test (GHT) gives classification of “abnormally high sensitivity, ‘Excessive high false positive’ message is displayed,” and pattern deviation probability plot has more defects than total deviation probability plot known as “reverse cataract pattern.” However, these classical findings are not seen in all the cases of FP as the same thumb rule cannot be applied to all the visual fields with high FP.

Purpose:
This video emphasizes the significance of careful examination of all the parameters in a visual field printout of high FP to interpret the test results and the caution needed when an FP response is seen in a patient with advanced glaucoma.

Synopsis:
The video presents some interesting visual fields in normal and glaucoma patients and the effect of high FP responses on MD, the different classification messages displayed for GHT, patterns of total deviation probability plot and pattern deviation probability plot, and how to identify the hidden FP.

Highlights:
This video highlights the importance of careful examination of all the parameters in a visual field printout to interpret the test results. One should be especially cautious when an FP response is noted in a patient with advanced glaucoma, as the retinal sensitivity values may not be in supernormal range but are significantly affected by the increased FP. Clinician should be able to identify this and repeat the test as high FP reponses can lead to underestimation of visual field loss.

Video link:
https://youtu.be/T2SGZf16UzA

Key words: High false positive, Humphrey visual field, glaucoma
Evaluation des performances du plantain en systèmes de cultures associées pérennes en zone savanicole au Kongo central en République Démocratique du Congo
Authors: Vangu Germaine Paka , Mobambo Kitume Ngongo , Omondi Bonaventure Aman , Staver Charles 
Published: September 2023

Le système de culture du plantain suscite un intérêt croissant à travers le monde scientifique, du fait de sa contribution à la productivité et à la durabilité de la culture. Diverses associations sont répertoriées en Afrique de l’Ouest et du Centre, mais la plupart d’entre elles sont limitées dans l’espace et dans le temps. L’objectif vise à élargir la gamme de systèmes de culture à base du bananier plantain en zone savanicole au Kongo central en RDC. Pueraria et vétiver ont été les deux cultures utilisées comme cultures intercalaires avec le plantain pendant trois cycles. Ils ont été évalués dans les conditions du centre de recherche, en comparaison avec la monoculture de banane plantain utilisée comme témoin. Les plantains associés à pueraria et au vétiver ont montré de bonnes performances agronomiques avec des poids moyens de régimes de 14711,98±1118,71 g ; 13532,11±1113 g respectivement, contre 11446,67±1098,58 g pour le témoin et des poids moyens de doigts de 210,29±15,7 g et 190,19±16,6 g respectivement pour le pueraria et le vétiver, contre 158,18±12,6 g pour le temoin. Les plantains associés au vétiver ont également montré une circonférence de 69±11,21 cm, plus grande que le témoin (66,3±1,05) y compris les autres associations. Le système plantain-pueraria-vétiver n’est pas plus performant.

English title: Evaluation of plantain performance in perennial associated cropping systems in the savannah zone in Kongo central in Democratic Republic of Congo
Plantain cropping system arouse an increasing interest across the scientific world, due to his contribution to banana plantain productivity and cultivation sustainability. Various associations are listed in West and Central Africa, but most of them are limited in the space and in the time. This study aims to expand the range of plantain cropping systems in the savannah zone in Kongo central in DRC. Pueraria and vetiver were the two crops used as intercrops with plantain during three cycles. They were assessed under research center conditions, in comparison with monoculture of plantain used as control. Plantain plants associated with pueraria and vetiver showed good agronomic performance with average bunches weights of 14711,98±1118,71 g ; 13532,11±1113 g respectively, against 11446,67±1098,58 g of the control and with average fingers weights of 210,29±15,7 g for pueraria and 190,19±16,6 g for vetiver, against 158,18±12,6 g of the control. Plantain plants associated with vetiver showed also a circumference of 69±11,21 cm, better than the control (66,3±1,05) and others systems. Plantain-pueraria-vetiver system is not more performant.
Importance et distribution de <i>Macrophomina phaseolina</i> associé aux semences de niébé au Burkina Faso- caractérisation préliminaire des isolats du champignon
Authors: Baikoro Manan Djamila , Zida Pawindé Elisabeth , Koala Moustapha , Soalla Wendoléan Romain , Neya Bouma James , Guissou Marie Laure 
Published: September 2023

Le niébé, (Vigna unguiculata (L.) Walp.), principale légumineuse cultivée au Burkina Faso, est attaqué par plusieurs agents pathogènes dont les champignons. Parmi ces champignons, Macrophomina phaseolina (Tassi) Goidanich est responsable de la pourriture charbonneuse qui cause d’importantes pertes de production de 80 à 100%. Ces pertes pourraient être considérablement réduites à travers l’utilisation de variétés résistantes à la maladie. L’objectif de l’étude était de contribuer au renforcement des connaissances de l’agent pathogène de la pourriture charbonneuse du niébé pour une meilleure gestion de la maladie au Burkina Faso. A cet effet, une analyse sanitaire des semences, utilisant la méthode du papier buvard a été effectuée sur 27 échantillons de semences collectés dans 14 localités réparties dans les deux principales zones climatiques de production du niébé. La plupart des échantillons de semences collectés (96,30%) étaient infectés par M. phaseolina. Le champignon a été retrouvé dans les semences à des taux moyens d’infection de 35,25% dans la zone Soudanienne et 27,86% dans la zone Soudano-Sahélienne. Une caractérisation moléculaire préliminaire réalisée sur 51 isolats de Macrophomina a permis d’identifier M. phaseolina comme la principale espèce présente dans les semences de niébé dans les deux zones étudiées.

English title: Prevalence of Cowpea Charcoal Rot and Molecular Identification of Three Macrophomina Species in the Sudanian and Sudano-Sahelian Zones of Burkina Faso
Cowpea (Vigna unguiculata (L.) Walp.), the main legume crop cultivated in Burkina Faso, is attacked by several pathogens, including fungi. Among these fungi, Macrophomina phaseolina (Tassi) Goidanich is responsible for charcoal rot and leads to significant production losses ranging from 80 to 100%. These losses could be significantly reduced through the use of disease-resistant varieties. The objective of the study was to contribute to the strengthening of knowledge of the causal agent of cowpea charcoal rot for better management of the disease in Burkina Faso. For this purpose, a seed health analysis, using the blotter paper method. A sanitary analysis was carried out on 27 seed samples collected from 14 localities distributed in the two main climatic zones of cowpea production. Most of the seed samples collected (96.30%) were infected with M. phaseolina. The fungus was found in seeds at average infection rates of 35.25% in the Sudanian zone and 27.86% in the Sudano-Sahelian zone. A preliminary molecular characterization of 51 isolates of Macrophomina lead to identify M. phaseolina as the main species present in cowpea seeds in the two targeted areas.
Influence des pratiques Agricoles dans l’Amélioration de la Production de Banane dans le Sud du Mali
Authors: Dembele Mamadou , Sissoko Sory , Coulibaly Sina , Coulibaly Malamine , Samake Ibrahima 
Published: September 2023

La banane (Musa sp) est produite et consommée au Mali. Son rôle dans l’alimentation des populations fait d’elle un élément important de la sécurité alimentaire et la réduction de la pauvreté. Cependant, les producteurs sont confrontés à une chute de production de leur exploitation. Cette étude avait pour but d’évaluer l’influence des pratiques culturales dans l’amélioration de la production de cette culture. Les données collectées auprès de 800 producteurs dont 400 producteurs à Banco (Dioïla) et 400 à Koloningué (Koutiala) ont été classées via la méthode de la classification ascendante en trois groupes selon la taille des exploitations. L’analyse de régression a été appliquée pour estimer l’influence des facteurs culturaux. Les résultats ont montré que les pratiques culturales appliquées par les producteurs de banane dans lesdits sites de production influencent significativement les rendements. Les coefficients de régression des facteurs culturaux ont été convertis en exponentiel (ex) pour l’estimation des rendements des pratiques culturales. Les résultats montrent que les pratiques agricoles ont amélioré le rendement de 1,04 T/ha à 3,03 T/ha sur les sites de production. Cependant, la non application des pratiques culturales constituent un manque à gagner estimable à 1,33T/ha.

English title: Influence of agricultural practices on banana production in Southern Mali
Bananas (Musa sp) are produced and consumed in Mali. Its role in feeding the population makes it an important element in food security and poverty reduction. However, banana growers are facing a drop in production on their farms. The objective of this study was to assess the influence of cultivation practices in improving the production of this crop. Data collected from 800 growers, including 400 in Banco (Dioïla) and 400 in Koloningué (Koutiala), were classified using the bottom-up classification method into three groups according to farm size. Regression analysis was applied to estimate the influence of cropping factors. The results showed that the cultivation practices applied by banana growers in the said production sites had a significant influence on yields. The regression coefficients of the cultivation factors were converted into exponentials (ex) for estimating the yields of the cultivation practices. The results show that farming practices improved yields from 1.04 T/ha to 3.03 T/ha on the production sites. However, the non-application of farming practices resulted in an estimated loss of 1.33 T/ha.