bluuebunny/crossref_metadata_2025_split huggingface dataset:
L’identité professionnelle des salariés fréquentantdes espaces de co-working sous tensions : une étude exploratoire
Authors: Taskin Laurent , Dombier Delphine 
Published: September 2023

Les recherches menées sur les espaces de co-working en GRH ont montré la capacité de ceux-ci à soutenir le développement de réseaux professionnels propices à la collaboration et à l’innovation, essentiellement par le développement d’un sentiment d’appartenance communautaire. Aujourd’hui, cependant, à côté des travailleurs indépendants et relativement isolés qui fréquentent ces lieux, une part croissante de salariés y trouve un lieu de travail et de services appréciés. Quels liens communautaires les salariés tissent-ils dès lors dans ces espaces, et comment cohabitent-ils avec les liens communautaires noués au sein de leurs organisations ? Afin de répondre à cette question de nature identitaire, nous avons interrogé 17 salariés fréquentant des espaces de co-working. Mobilisant la notion d’identité professionnelle pour caractériser ce rapport social en reconstruction, cet article montre que les communautés professionnelles sont choisies pour leurs complémentarités mais aussi pour la capacité de mise à distance du collectif de travail organisé qu’elles offrent.
Responsabilité sociale et didactique de l’histoire : comment articuler engagement(s) et forme scolaire ?
Authors: Buttier Jean-Charles 
Published: September 2023

Cet article se propose de mobiliser l’approche historico-didactique pour analyser la forme scolaire sous l’angle de la rupture, considérée comme un angle d’analyse didactique de celle-ci. La rupture, qu’elle s’inscrive dans l’histoire de la Révolution française ou de la pédagogie libertaire, sera articulée aux diverses formes d’engagements des jeunes d’aujourd’hui. Elle servira dès lors à questionner la responsabilité sociale de la de l’histoire telle qu’elle peut s’exprimer dans le cadre de la forme scolaire. Dans une seconde partie de l’article, il s’agira de voir comment l’engagement est un véritable point de friction entre la forme scolaire et les savoirs didactiques, ce qui permet de questionner la capacité émancipatrice de la didactique en s’intéressant aux savoirs pour agir sur le monde. C’est une invitation à appréhender la didactique sous l’angle de « l’engagement des savoirs » pour faire référence à l’ouvrage La saveur des savoirs (Astolfi, 2008).
Scolarisation de la formation professionnelle initiale : approche conventionnelle de la forme scolaire
Authors: David Pauline 
Published: September 2023

Dans le système de la formation professionnelle initiale, et en particulier au niveau 3, les enseignants tentent de limiter la place de la « forme scolaire » afin de reconstruire les liens entre les savoirs et les élèves. La plupart de ces derniers éprouvent des difficultés avec cette forme spécifique, qui s’appuie sur la convention académique et sur sa logique de compétition et de classement. Les écoles de production accueillent des élèves préparant des diplômes de niveau 3 ou 4. Ces écoles forment les jeunes à un métier en les faisant travailler et apprendre à partir de commandes réelles. En s’appuyant sur l’étude de cas de deux écoles de production et sur le cadre théorique de la sociologie des conventions, cet article vise à comprendre comment un établissement peut limiter le rôle de la forme scolaire dans son programme de formation. Les résultats de l’étude montrent que pour y parvenir, les établissements doivent faire face à l’hybridation des conventions et bâtir un compromis stable.
La prédiction du risque en justice pénale aux états-unis : l’affaire propublica-compas
Authors: Beaudouin Valérie , Maxwell Winston 
Published: September 2023

Un article publié par le média Pro Publica en 2016 considère que le logiciel Compas, utilisé aux États-Unis pour la prédiction de la récidive, porte préjudice à la population noire : « It’s biased against blacks ». La publication crée une onde de choc dans l’espace public et alimente les débats sur l’équité des algorithmes et sur le bien-fondé de ces outils de prédiction du risque. Ces débats étaient jusque-là confinés dans des sphères de spécialistes. En partant de l’affaire ProPublica-Compas, nous avons exploré les différents embranchements de la controverse dans l’arène des « data sciences » et dans celle du monde de la justice. Si, dans l’espace médiatique, l’affaire Compas illustre les dérives liées aux algorithmes et vient renforcer les inquiétudes autour de l’intelligence artificielle (peur du remplacement, du renforcement des inégalités et de l’opacité), dans le monde académique deux arènes s’emparent de l’affaire. Dans l’arène des data sciences, les chercheurs discutent des critères d’équité et de leur incompatibilité, montrant à quel point la traduction d’un principe moral en indicateurs statistiques est problématique. Ils débattent également de la supériorité supposée de la machine sur l’homme dans les tâches de prédiction. Dans l’arène de la justice pénale, espace beaucoup plus hétérogène, l’affaire ProPublica-Compas renforce la prise de conscience qu’il est nécessaire de mieux évaluer les outils avant de les utiliser, de comprendre comment les juges s’approprient ces outils en contexte et amène les ONG qui défendent les prisonniers et les législateurs à changer de posture par rapport à ces outils de prédiction. Tandis que l’arène des data sciences fonctionne dans un entre-soi disciplinaire, focalisé sur les données et les algorithmes hors contexte, dans l’arène juridique, qui assemble des acteurs hétérogènes, la question de l’inscription des outils dans la pratique professionnelle occupe une place centrale.
L’appropriation du « sport-santé » par l’instrumentation : l’exemple d’une fédération française omnisports
Authors: Illivi Frédéric 
Published: September 2023

Les enjeux contemporains autour du « sport-santé » suscitent la « convoitise » d’une pluralité d’intervenants. Pour se positionner sur ce marché comme « offreurs d’Activités Physiques et Sportives », le monde du sport associatif consacre ses efforts à la mise en place d’un ensemble d’outils ou d’instruments d’action publique (IAP). Il s’agit donc, ici, d’examiner comment une fédération omnisports crée, développe et organise sa propre technologie instrumentale. L’objectif pour le réseau fédéral est de participer pleinement à la diffusion et à la régulation territoriale de la lutte contre la sédentarité et l’inactivité physique, notamment, par le biais du dispositif de prescription introduit par la loi de modernisation de notre système de santé. Cette technologie représente-t-elle un passage obligé pour accéder à une légitimité professionnelle ? Favorise-t-elle l’intéressement du réseau fédéral aux enjeux du « sport-santé » et instaure-t-elle et/ou renforce-t-elle une dynamique partenariale avec d’autres acteurs, notamment le monde de la santé ?
Public satisfaction with the quality of First Health Facility Services in Indonesia: Does sociodemographic matter?
Authors: Nantabah Zainul Khaqiqi , Mubasyiroh Rofingatul , Kristanto Antonius Yudi , Indrawati Lely , Paramita Astridya , Tjandrarini Dwi Hapsari , Laksono Agung Dwi 
Published: September 2023

Objective:
To investigate individual characteristics related to satisfaction with the quality of First Health Facility Services (FHFS) in Indonesia.

Methods:
This cross-sectional study analyzes national representation data. Meanwhile, the study involved 9846 representative respondents in 2019. Respondent's satisfaction with FHFS based on the five dimensions of service quality (SERVQUAL) is a dependent variable. Independent variables consist of sex, marital status, age, education, employment, insurance ownership, and economics. The study used multivariate logistic regression to explain the relationship between individual characteristics and FSHS quality.

Results:
77.3% Respondents were satisfied with FHFS, with the highest order of satisfaction dimensions being assurance (59.4%), empathy (57.3%), reliability (53.6%), responsiveness (52.7%), and then tangibility (49.1%). Multivariate logistic analysis showed that divorce was 1.48 more likely than never-married to be satisfied (95% CI 1.17-1.87). Employees were 0.77 less likely than the unemployed to get satisfied (95% CI 0.70-0.86). Respondents with higher education was 0.82 less likely than those with primary education to be satisfied (95% CI 0.67-0.99). Meanwhile, respondents who had government-run insurance were 1.61 more likely than uninsured to be satisfied (95% CI 1.42-1.80). Moreover, the rich were 0.82 less likely than the poor to get satisfied (95% CI 0.73-0.92).

Conclusions:
Community satisfaction with FHFS is generally high, though some areas could be improved. Demographic factors are still strongly related to satisfaction ratings. The government can assess the quality of services in accordance with standards and disseminate information about service standards for primary facilities to all levels of society, ensuring that service satisfaction is rated as good by all groups.
Patterns of Use and Cessation Services Received for Other Substances in Patients with Alcohol Dependence Syndrome: A Hospital-Based Cross-Sectional Study
Authors: Amrita J. , Ramadas Smitha 
Published: September 2023

Abstract

Background:
Alcohol is one of the common substances used in India. Although majority of people with alcohol dependence syndrome (ADS) use other substances, this is underidentified. Thus, a valuable opportunity to offer cessation services for other substances goes unutilized. Extant Indian studies exploring this are scanty.

Aim:
The aim of the study is to analyze the pattern of use and cessation services received for other substances in patients with a primary diagnosis of ADS, admitted to a tertiary care center, in a state with a high per capita consumption of alcohol.

Methods:
After ethical clearance, 100 consecutive consenting male patients with ADS, aged 18–60 years, admitted to a psychiatry ward in a tertiary care center, were selected. Their pattern of use of other substances and cessation services received were studied.

Results:
Majority of the participants had moderate ADS (39%). About 46% of them smoked tobacco, 17% used smokeless form of tobacco, and 6% used both forms. Almost 64% of the participants were dependent on tobacco and the majority had severe dependence. Other substances used were cannabis (6%), benzodiazepines (2%), and opioids (1%). All of them used tobacco in addition. A significant association was noted between the severity of ADS and nicotine use (P = 0.016). Although 77% of participants with ADS used tobacco, only 20% received cessation services for tobacco use.

Conclusion:
Tobacco use in patients with ADS was not adequately identified, losing a golden opportunity to address a substance use with harmful health consequences. Psychiatrists need to be aware of this hidden problem and adopt routine screening for tobacco use in alcohol-dependent patients.
Pattern of suspicious deaths of married females brought for medico-legal autopsy at teaching institute of India
Authors: Parmar Pragnesh B. , Rathod Gunvanti B. , Bansal Prerna , Maru Alpeshkumar M. , Pandya Binita , Bansal Anupam K. 
Published: September 2023

ABSTRACT

Background:
Death is unnatural and suspicious when it is caused by external causation like injury or poisoning or other than natural course. In such deaths of married females, the inquest is carried out, and a medico-legal autopsy is conducted to ascertain the cause of death and manner of death.

Materials and Methods:
This record-based, retrospective study was carried out at RVRS Medical College, Rajasthan in the year 2021 (1st January, 2021 to 31st December, 2021) to know the pattern of the suspicious death of married females brought for medico-legal autopsy. The inquest report, medico-legal autopsy report, histopathological examination report, and chemical analysis report findings were tabulated and analyzed.

Results:
The maximum number (31.62%) of female deaths belonged to the age group of 18–22 years of age. A total of 33.82% of females died during a marriage duration of less than 5 years of married life. A total of 22.79% of female deaths were related to dowry and 60.2% of females belonged to rural areas. A total of 59.56% of females were died due to poisoning and 75% of female deaths considered suicidal.

Conclusion:
Suspicious deaths of married women brought for medico-legal autopsy must be dealt with due to precaution to determine the cause and manner of death. One must be vigilant that the suspicious death of a married female may be associated with dowry in the Indian scenario.
Prevalence of goitre and iodine deficiency among school children (6–12 years) in rural areas of North Karnataka, India: A cross-sectional survey, 2016–19
Authors: Prasad U Venkateswara , Vastrad Phaniraj , Chaudhuri Sirshendu , Kirte Rahul , Peerapur Basavraj V. , Kumar G Ajay , Gururaj NA , Patil Kavitha , Yuvaraj BY , Mane Vijaykumar , Itagi Vijayanath , Kesari Pallavi M. , Chillargi Chandrakanth , Goud T. Gangadhara , Sameena M , Dorle AS , Patil Shrinivas K. , Mallapur Ashoka S. , Nair Anish Mohan , Roy Subarna 
Published: September 2023

ABSTRACT

Introduction:
Iodine deficiency disorders (IDD) have remained an unresolved public health problem in India. In this survey, we have estimated the prevalence of IDD among 6–12 years of school children in rural areas of north Karnataka, India and estimated the prevalence of low iodine content (<15 ppm) in salt at the household level and urine iodine excretion in this population.

Material and Methods:
In this cross-sectional survey, we recruited 16,827 children between 6 and 12 years of age through multistage sampling from six districts. Goitre was examined clinically for all children. Household-level salt iodine estimation and urinary iodine estimation were carried out among a subset of the participants.

Results:
Overall prevalence of goitre was 17.1% (95% CI: 16.5, 17.7). Out of this, 76.7% (n = 2116) had Grade-1 goitre, and 23.7% (n = 656) had Grade-2 goitre. The prevalence of goitre was higher among females (17.9%, vs. male 16.4%, P < 0.05). The prevalence of low iodine content (<15 ppm) in salt was 48.5% (95%CI: 46.7, 50.3). The overall median iodine excretion in urine was 85 μg/L (IQR: 60–150 μg/L). In total, 37.2% (n = 601) had mild iodine deficiency, 5.2% (n = 84) had moderate deficiency, and 10.1% (n = 163) had severe deficiency. All parameters showed high inter- and intradistrict variations.

Conclusion:
North Karnataka has a high goitre prevalence. Low use of iodized salt can be a major reason for the high prevalence of the condition. Ensuring the availability of iodized salt in this region and periodic surveillance to measure the impact of the programme should be the priority in this region.
Declining high-impact clinical publication rate: A potential contributor to health disparities among persons with developmental and intellectual disabilities
Authors: Dharampuriya Priyanka R. , Singh Neha , Abend Susan L. 
Published: September 2023

ABSTRACT

Background:
Persons with intellectual and developmental disabilities (IDD) suffer from stark, well-documented health and healthcare disparities, despite data indicating that the majority see a healthcare provider at least annually. Multiple surveys have indicated that over 90% of physicians feel they have inadequate knowledge and skill in caring for those with IDD. This has been recognized as a key barrier to health equity.

Objective:
To evaluate the content of high-impact clinical literature for a potential cause of clinician knowledge deficits.

Methods:
We performed a bibliometric analysis of publications within major, high-impact general, and specialty clinical journals from 1946 to 2020 to determine the relative frequency of publications regarding IDD and publication rate.

Results:
We observed a significant decline in articles regarding IDD over the past 20 years within high-impact general medical journals, and a significant decline over the past 15 years within high-impact, specialty society-published journals of Psychiatry, Psychology, and Neurology. Furthermore, we observed that high-impact general medical journals devoted a significantly smaller proportion of publication space to articles regarding IDD than they did for conditions with similar prevalence such as HIV/AIDS, breast cancer, and drug abuse.

Conclusion:
The declining rate and low frequency of clinical publications regarding IDD within the major, respected clinical literature may be contributing to physicians’ ability to source evidence-based information, thereby impacting perceptions of skill and knowledge deficits, and therefore may be contributing to healthcare disparities in this population. Well-designed clinical studies that engage persons with IDD may lead to an evidence base within the clinical literature that will improve physician confidence and care quality.
Non-alcoholic fatty liver disease and diabetic retinopathy: Is there an association?
Authors: Jacob Mathew , Joseph Mary , Idiculla Jyothi 
Published: September 2023

ABSTRACT

Background:
Studies have not proven whether an association exists between diabetic retinopathy (DR) and non-alcoholic fatty liver disease (NAFLD). The reports from various parts of the world have not used uniform criteria, and hence, results are inconclusive. Both DR and NAFLD are common conditions encountered in primary care.

Methods:
A total of 130 patients with type 2 diabetes from the medical wards of a tertiary care hospital were enrolled. After documentation of clinical and biochemical data, they underwent ultrasonography (USG) of the abdomen and fibroscan grading of liver. Retinopathy was assessed and classified as per the Early Treatment Diabetic Retinopathy Study.

Results:
The mean age of the patients included in the study was 46.5+/-8.8 with 55% of the participants being male and 45% female. The mean HbA1c was 7.168+/2.4. The association between DR and hepatic fibrosis was assessed by fibroscan (p 0.003) and USG (p 0.001) and was significant on univariate analysis. Multivariate analysis did not confirm this. There was no association between increasing grades of either condition. Although fibroscan and USG significantly concorded in diagnosing NAFLD, fibroscan diagnosed more cases as compared to USG (83 vs 73).

Conclusion:
Larger studies should be conducted to conclusively determine the association in order to investigate pathogenetic factors and treatment strategies.
Effect of supported sitting position during second stage of labor on its outcome in primigravidae: A quasi-experimental study
Authors: Chauhan Jagriti , Vyas Himanshu , Singh Pratibha , Sharma Mukesh C. , Thirunavukkarasu Deviga 
Published: September 2023

ABSTRACT

Background:
The childbirth position has a significant influence on labor, maternal comfort, and neonatal outcome. In sitting position, there is a faster fetal descent with the effect of gravity. The information on this subject is relatively scant. Therefore, this study aimed to examine the effect of a supported sitting position during second stage of labor on its outcome in primigravidae.

Materials and Methods:
A quasi-experimental study with a post-test only control group design was used. 60 primigravidae were selected using total enumerative sampling. The labor outcome was assessed by self-structured maternal neonatal outcome checklist and socio-demographic proforma.

Results:
Statistically significant difference was observed on the mean duration of second stage of labor among primigravidae in control and experimental group (t = 5.87, P < 0.001) and also in the APGAR score of newborns (t = -3.98, P < 0.001). A statistical significant association of duration of second stage of labor with height and intensity of maternal work was also observed.

Conclusions:
A supported sitting position during labor was found to be effective in reducing duration of the second stage of labor. This can be used as a nursing intervention while providing care during labor especially at primary healthcare centers that can help in reducing the duration of second stage of labor.
Foot self-care practices among diabetic patients attending a teaching hospital in Tamil Nadu, India
Authors: Paramasivam Selvam , Ramalingam Govindarajan , Gani A R Parveen 
Published: September 2023

ABSTRACT

Introduction:
Diabetes is a common non-communicable disease in the world. Diabetic foot ulcer is a common complication of diabetes mellitus. Awareness and practice of foot self-care play a major role in the prevention of complications due to diabetic neuropathy.

Methods:
Descriptive cross-sectional study was conducted among diabetic patients from Sep 2022 to Feb 2023. A semi-structured questionnaire containing four parts including socio-demographic including clinical details, questions related to knowledge and practice of foot self-care, and clinical examination was used. Ten grams monofilament and 128 Hz tuning fork were used to assess the sensation of the foot.

Results:
A total of 211 patients were included. The average age was found to be 58.4 ± 10.0 years and the majority were females (64.0%). The mean percentage score of knowledge on diabetes and foot self-care was found to be 59.6 ± 27.5 and 55.1 ± 11.9, respectively. Participants with low knowledge scores and those who do not engage in regular physical activity had significant poor foot care practices. The majority (54.5%) of the participants had at least one of the clinical problems related to diabetic foot. The most common problem was found to be heel fissures (29.4%), followed by deformed nails (15.2%), callus (5.2%), toe web infection (3.3%), and ulcer (2.8%). Monofilament test and vibration was not detectable in 12.3% and 15.2%, respectively.

Conclusion:
More than half of the participants were found to have good diabetic foot self-care practices. Diabetics having good knowledge on foot care and involving in regular physical activity showed good foot self-care practices.
Experiences of hospitalized patients with COVID-19 – A single centre qualitative study
Authors: Shanmugam Karthikeyan , Venkatesan Sandhiya , Ramalingam Sudha , Thangaraj Prabha 
Published: September 2023

ABSTRACT

Introduction:
COVID-19 pandemic caused a huge impact on the healthcare system worldwide. With a spectrum of outcome ranging from mild symptoms to mortality, the experiences of patients admitted in isolation wards have not been documented.

Objective:
To explore the experience of COVID-19 patients during hospitalization during the early phase of pandemic.

Materials and Methods:
A qualitative study using in-depth interviews was conducted among 30 COVID positive patients admitted in COVID wards of a private medical college in Coimbatore, South India between May and June 2020. Qualitative data analysis was done using the seven steps of Colaizzi’s descriptive phenomenological method.

Results:
The experiences of COVID-19 patients during their hospitalization were categorized into three themes. Firstly, their initial reaction to being diagnosed positive for COVID-19. Secondly, experience during hospitalization with regards to their mental health, treatment providers, caregivers (family and relatives) and other COVID patients admitted in the same ward. Lastly, perceived change in their quality of life after discharge.

Conclusion:
The study highlights that the psychological experiences of COVID-19 patients admitted to the hospital were heterogeneous. Therefore, primary care physicians should provide individualized psychological interventions based on the needs. Since many expressed fear on diagnosis and stigma of the disease, hence policy makers and health care providers should plan intervention for control and treatment without causing stigma to patients and their families.