bluuebunny/crossref_metadata_2025_split huggingface dataset:
Du risque de la mort pendant le parcours migratoire à la reconstruction d’une identité post mortem pour les personnes décédées et leurs communautés d’appartenance
Authors: Alexopoulos-de Girard Christina , Oulahal Rachid 
Published: September 2023

Le texte interroge les liens entre la mort en exil, potentielle, probable ou advenue, et les modalités d’une reconstruction identitaire aux niveaux individuel et collectif, à travers la perspective de périr en tant que réalité psychique et sociale présente tout au long de l’expérience migratoire, comme une donnée immanente, inhérente aux périls du périple, mais aussi transcendante, reliée à une intentionnalité politique de dissuasion qui peut prendre des allures de destinée pour les personnes concernées. En prenant appui sur des consultations thérapeutiques menées en centre d’hébergement d’urgence, l’article s’intéresse aux différentes modalités de faire face à la terreur de la perspective d’une mort probable chez les personnes en situation d’exil qui fuient la guerre, la torture, les persécutions génocidaires, aux mécanismes de défense face aux violences subies, à la réception et à l’élaboration de la mort en tant que réalité crainte et advenue, chez le sujet, sa communauté et la société civile dans son ensemble. L’enterrement en terre d’exil selon des rites qui marquent l’ancrage culturel d’origine des défunts permet d’explorer une des modalités possibles de réappropriation d’une identité post mortem tant pour les personnes décédées que pour leurs communautés d’appartenance et de référence. L’exemple des Algériens de Nouvelle Calédonie illustre la construction d’une identité interculturelle à partir de la création d’un cimetière musulman à la fin du XIX e siècle servant à une inscription identitaire en terre d’exil par le biais de cette inscription des corps-morts en migration. Enfin exister à travers la médiatisation de sa mort à défaut d’avoir été reconnu de son vivant dans son humanité en souffrance est le propre des personnes mortes pendant un parcours migratoire marqué par des violences systémiques. L’inscription des pratiques funéraires dans un ordre culturel propre à sa culture d’origine peut être à la fois un apprivoisement de la terre d’exil qui devient de la sorte une terre d’accueil et une réhabilitation de sa capacité d’autodétermination, constitutive de sa reconnaissance de sujet.
« I died in Sabratha ». Figures de la disparition dans le travail clinique avec les sujets exilés
Authors: Barbieri Gaia 
Published: September 2023

Cet article est consacré aux conséquences psychiques de la mort aux frontières, dans le cadre des politiques européennes de refoulement des personnes exilées. Comment survivre à la mort de l’autre, le compagnon de voyage, l’être cher perdu en chemin ? Qu’est-ce que le sujet peut faire de cette exposition extrême à sa propre mortalité, en dehors de l’univers de symboles et de liens qui rend possible l’humanisation de la mort ? À partir de l’accompagnement d’Akamere, reçu dans le cadre d’une permanence psychologique auprès d’un squat de personnes migrantes, je propose de penser la mort aux frontières comme une forme de disparition. Il importe alors de restaurer la réflexivité du sujet, pour que sa posture de martyr puisse laisser la place à un processus de témoignage.
Quand la perte d’un proche est colorée par l’expérience de l’exil : une étude de cas à propos de la mise à mal du deuil suite à la disparition forcée de personne
Authors: Bourguignon Manon , Katz-Gilbert Muriel , Dermitzel Alice , Arduini Vic 
Published: September 2023

La « disparition forcée de personne » est un crime contre l’humanité, tristement célèbre durant les dictatures latino-américaines. À travers une étude de cas, nous nous intéressons au vécu subjectif d’un exilé politique confrontée à la perte de son ex-compagne disparue il y a plus de quarante ans en Argentine. Nous explorons d’une part en quoi le fait de vivre en exil peut être un élément facilitant ou non les démarches pour établir la vérité et d’autre part, les répercussions que génère l’exil sur le vécu de la perte. Dans ces circonstances, on observe que la personne est confrontée à une triple perte : de la personne aimée, des idéaux et de la patrie. Ce crime porte par ailleurs atteinte aux contrats narcissiques (Aulagnier, 1976 ; Kaës, 2009b).
Privilège ou du droit à la philosophie
Authors: Ávalos Valdivia Carolina 
Published: September 2023

La question du droit à la philosophie occupe une place primordiale dans l’œuvre de Derrida. Ses textes sur l’université, les institutions philosophiques, la traduction, etc., sont aussi reconnus que le travail qu’il a fait avec le Groupe de recherches sur l’enseignement philosophique (GREPH) et le Collège international de philosophie (CIPH). Cependant, en 1990, Derrida envisage – avec un retard de quinze ans – que les thèmes et les problèmes de la philosophie sont inhérents à l’articulation que suppose le syntagme « droit à la philosophie ». Que signifie avoir droit à la philosophie ? Qui a droit à la philosophie ? Comment va-t-on du droit à la philosophie ? Est-ce possible ? Nous proposons une lecture du droit à la philosophie qui confronte le travail philosophique à la réalité matérielle à laquelle nous sommes soumis dans le domaine universitaire. Pour cela, nous partirons de la responsabilité éthique et politique qui nous a poussés à recourir au texte de Derrida « Privilège. Titre justificatif et remarques introductives » au cours du mouvement de défense de la philosophie au Chili, afin de proposer par la suite une lecture du syntagme « droit à la philosophie » liée à l’importance de l’enseignement dans la vie de Derrida. Philosophie et biographie seront les voies d’accès à cette articulation qui nous pousse à penser le lien entre le droit et la philosophie.
L’éducation est-elle en crise ou est-elle crise ? Une relecture de Hannah Arendt
Authors: Gavarini Laurence 
Published: September 2023

Nous nous intéresserons à la conception originale de la protection de l’enfant développée par Hannah Arendt qui n’est peut-être pas étrangère à son expérience d’enfant juive ayant vécu sous l’emprise du totalitarisme nazi. Nous prolongerons ses idées de « brèche entre le passé et le futur » (titre de la préface à La crise de la culture ) et de natalité en ce qu’elles nous permettent de dépasser une conception conjoncturelle de la crise de l’éducation pour penser, au contraire, l’éducation comme crise.
Desinformación e islamofobia en tiempos de infodemia. Un análisis sociológico desde España
Authors: Ruiz Andrés Rafael , Sajir Zakaria 
Published: September 2023

El presente artículo realiza una exploración sociológica de la desinformación a partir del análisis de bulos de carácter islamófobo en España durante los primeros meses de la irrupción de la COVID-19. Nuestra hipótesis sitúa el foco de la investigación en las dinámicas sociológicas surgidas a partir de la interacción entre las networked connections, el entorno informativo asimétrico y la irrupción de la derecha radical. Tras la explicación de la metodología escogida -de carácter cualitativo- y a la luz de la hipótesis planteada, el artículo identifica y expone tres narrativas principales extraídas del análisis de 17 noticias falsas de carácter islamófobo, que corroboran los resultados de estudios previos y posibilitan el análisis tanto del contenido islamófobo de la muestra escogida de bulos como de las dinámicas sociológicas que explican la génesis y expansión del fenómeno desinformativo a partir del estudio de caso seleccionado.
Esophageal Atresia and Tracheoesophageal Fistula
Authors: Chakraborty Partha , Roy Sourav , Mandal Kartik Chandra , Halder Pankaj Kumar , Jana Gunadhar , Paul Kallol 
Published: September 2023

Background:
A survey of neonates with esophageal atresia and tracheoesophageal fistula (EA ± TEF) to determine additional factors responsible for poor surgical outcomes in our institution where employing an improved standard of care can ameliorate the outcome.

Materials and Methods:
We carried out a retrospective review of 54 neonates, who underwent surgical repair of EA± TEF over a 5-year period. We collected data regarding the patients’ demographics, perioperative findings, records of neonatal intensive care, and ascertained the effects of gender, gestational age, birth weight, age at operation, type of anomaly, coexisting major anomalies, preoperative inotrope therapy, and duration of postoperative ventilation on the surgical outcome.

Results:
The mortality rate was 51.9%, out of which, 42.8% of neonates succumbed to ventilator-associated conditions. Age at the time of surgery, gestational age, preoperative inotrope support, presence of coexisting anomalies, and duration of postoperative ventilation were determined as the significant variables predicting mortality(P < 0.05). The area under the Receiver Operating Curve showed the duration of postoperative ventilation as the best indicator of mortality. The Logistic regression model (χ2 = 11.204, P = 0.019) with the above-mentioned variables showed that neonates who were operated before 2.5 days and who required <74.5 hours of postoperative ventilation were 3.91 and 48.30 times more likely to survive respectively, than their counterparts.

Conclusion:
A delay in surgery due to delayed diagnosis and or delayed transportation to tertiary centres and prolonged ventilatory support have an additional detrimental effect on the surgical outcomes of EA ± TEF.
Prevalence and Predictors of Anxiety Among Surgical Patients in the Preoperative Holding Area of National Orthopaedic Hospital, Enugu, Nigeria
Authors: Ossai Edmund N. , Nwosu Arinze D.G. , Onwuasoigwe Okechukwu , Ubboe Kenneth , Ameh Johnson , Alu Lawrence 
Published: September 2023

Background:
High preoperative anxiety in surgical patients impacts anesthetic management, postoperative pain scores, patient satisfaction, and postoperative morbidity. The Amsterdam Preoperative Anxiety and Information Scale (APAIS) offers an attractive option for the assessment of preoperative anxiety on account of its brevity and validity.

Aim:
Our aim was to determine the prevalence and predictors of preoperative anxiety in our surgical patients.

Materials and Methods:
We conducted a cross-sectional study among surgical patients by means of interviewer-administered structured questionnaire. The questionnaire incorporated both the APAIS and numeric rating scale for anxiety instruments, with the patients’ demographic and clinical details. The data collection was carried out from January 2021 to October 2022. Data entry and analysis were done using IBM Statistical Product and Service Solutions, statistical software version 25. Continuous variables were summarized using mean and standard deviation, while categorical variables were presented using frequencies and proportions. Chi square test, Student t test, correlation analysis, and multivariate analysis using binary logistic regression were used in the analysis. Statistical significance was determined by a P value of <0.05.

Results:
A total of 451 patients participated in the study, with a mean age of 39.4 ± 14.4 years. The prevalence of clinically significant anxiety was 24.4% (110/451). The predictors of high preoperative anxiety in our cohort were female gender, tertiary education attainment, lack of previous surgical experience, ASA grade 3, and patients scheduled for major surgery.

Conclusion:
A substantial proportion of the surgical patients experienced clinically significant preoperative anxiety.
Hand Hygiene Knowledge Among Eye Care Workers at an Eye Hospital in Nigeria
Authors: Onyiaorah Adaora Amaoge , Uba-Obiano Chizoba Udoka , Akudinobi Cyriacus Ugochukwu , Okpala Nonso Ejikeme , Ezenwa Adanma Chinyele , Nwosu Sebastian N.N. 
Published: September 2023

Aim:
The aim of this article is to determine the knowledge of hand hygiene (HH) practices among eye care workers in a tertiary eye hospital in Nigeria.

Materials and Methods:
This was a cross-sectional study of eye care workers at a tertiary eye hospital in Nigeria. Eye care workers, involved with clinical duties, responded to the WHO Hand Hygiene Knowledge questionnaire containing 24 multiple choice questions on HH knowledge. Each correct answer earned one point; zero was given for a wrong answer. Overall scores were expressed in percentage. An overall score of ≥75% was considered as good; 50–74% moderate; and <50% poor knowledge. Data analysis was with SPSS version 23.

Results:
Fifty-eight workers participated. Thirty-nine (67.2%) were females and 19 (32.8%) were males; the age range was 25–68 years; mean 39.6 ± 7.4 years. The average work experience was 15.3 ± 8.9 years; range 1–40 years. The mean knowledge score was 12.0 ± 2.9 (50%) which is moderate knowledge; range 3–18. Workers who had received training in HH had a significantly higher mean knowledge score than those who did not receive training (12.8 ± 2.3 vs. 11.3 ± 3.2; P = 0.04). There was no statistically significant association between knowledge of HH and age, sex, work experience, and professional category (P > 0.05).

Conclusion:
HH knowledge of the eye care workers studied is sub-optimal. This has negative implication for hospital infection control. Eye care workers’ knowledge of HH can be improved through formal training and frequent rehearsals.
Prognostic Factors in the Management of Empyema Thoracis in Northern Nigeria
Authors: Alioke Ikechukwuka Ifeanyichukwu , Delia Ibrahim Zira , Edaigbini Sunday Adoga , Etiuma Anietimfon Umoh 
Published: September 2023

Background:
Empyema thoracis portrays pleural effusion with demonstrable actively multiplying bacteria. It is a significant cause of morbidity, and commonly complicates parapneumonic effusions. It is important to identify those factors that can be used to prognosticate the outcome of its management in our locality so that those that are modifiable could be applied to improve management outcomes.

Materials and Methods:
A prospective cohort study of patients managed for empyema thoracis at the Ahmadu Bello University Teaching Hospital (ABUTH), Zaria, Nigeria from February 2017 to January 2018 was conducted. Eighty-three patients were enrolled for this study and recruitment into the study included all consecutive patients being managed for empyema thoracis in ABUTH, Zaria during the study period. Data collected included age, gender, aetiology, microbial isolates, BMI, initial and total empyema volumes, and duration before hospital presentation. The patients were subsequently managed and observed, and the outcome of management (duration of drainage and hospital stay, percentage of lung expansion, and need for decortication) was noted.

Results:
Patients in the paediatric age group correlated positively with an earlier presentation to the hospital. The duration before presentation correlated positively with the stage of the disease. The duration before presentation and the total empyema volume indexed to body surface area could prognosticate all four outcome parameters assessed. The age and stage of the disease prognosticated the lung expansion and the need for decortication. The initial empyema volume indexed to body surface area prognosticated the length of hospital stay. The presence of complications was a determinant of the need for decortication. Adolescents and adults had 2.1 times increased probability of requiring a decortication for successful management.

Conclusion:
The age, stage of the disease, duration before presentation, initial empyema volume indexed to body surface area, and total empyema volume indexed to body surface area can be used to prognosticate the outcome of empyema thoracis. With the onset of complication comes a higher chance of requiring decortication. Children are less likely to require decortication for satisfactory management of empyema thoracis.
Metachronous Contralateral Breast Cancer in Ahmadu Bello University Teaching Hospital, Zaria, Northwestern Nigeria
Authors: Abur Peter Pase , Yusufu Lazarus M. , Odigie Vincent I. , Emeka Nwabuoku Stanley 
Published: September 2023

Background:
Breast cancer is the most frequent cancer of women. Metachronous contralateral breast cancer (MCBC) is a cancer in the contralateral breast after 6 months of the initial diagnosis of the first breast cancer. It is an important public health issue because of an increased incidence of a primary breast cancer and improved survival. There is a paucity of data in the Northwestern region of the country. The study was to document the incidence, the method of detection, clinicopathological features, and the treatment of MCBC in our hospital.

Patients and Methods:
It was a 7-year prospective study from January 2011 to December 2017. Patients who had treatment for nonmetastatic breast cancer, American Joint Committee on Cancer (AJCC) Stages 1–111, were followed up. Those that developed MCBC were studied. Age, the method of detection, stage at presentation, pathological types, hormone receptor status, and treatment were documented. Data obtained were analysed using SPSS version 21.0. Results were presented as simple percentages and charts.

Results:
Of 1285 women with nonmetastatic breast cancer, 47 had MCBC (incidence of 3.7%); 30 (63.8%) were aged 21–50 years; 23 (48.9%) detected by self-breast examination; 13 (27.7%) by clinical breast examination; seven (14.9%) by mammography; and four (8.5%) by breast ultrasound scan. Fourteen (29.8%) were AJCC stage I; 23 (48.9%), stage II; seven (14.9%), stage III; and three (6.4%), stage IV. Thirty-nine (83%) were invasive ductal carcinoma; 22 (50.0%) were estrogen receptor/progesterone receptor (ER/PR) positive, human epidermal receptor (HER)-2 neu negative; nine were (20.5%) ER/PR and HER-2 neu positive; six (13.6%) were ER/PR negative, HER-2 neu positive, whereas seven (15.9%) were triple negative. Forty-three (91.5%) had modified radical mastectomy and 19 (40.4%) had cytotoxics.

Conclusion:
With an average of six cases in a year, MCBC is common in our hospital. Majority (63.8%) were young. The commonest method of detection was by self-breast examination. Majority (78.3%) presented at an early stage. Most (91.5%) still had modified radical mastectomy.
Bland–Altman Plot
Authors: Olaleye Omolara Adepate , Olatunji Olubunmi O. , Jimoh Kamaldeen O. , Olaleye Abiola O. 
Published: September 2023

Purpose:
The aim of this article is to evaluate the agreement of placenta thickness (PT) with other foetal biometric parameters in the determination of gestational age (GA) in normal singleton foetuses.

Materials and Methods:
The study was a cross-sectional descriptive study conducted among 406 consecutively recruited pregnant women with singleton foetuses at 15–40 weeks of gestation at the National Hospital, Abuja, Nigeria from October to December 2019. Biparietal diameter (BPD), femur length (FL), head circumference (HC), abdominal circumference (AC), and PT were measured using standard measurement protocols. Bland and Altman (BA) plots were used to compare PT and other foetal biometric parameters. The significant statistical level was determined at a critical value of P < 0.05.

Results:
The mean age of study participants was 31.8 ± 4.8 years. The BA plot of PT and HC demonstrated a normal distribution; the mean difference was around zero (3.968) and 95% of the measurements fell within 2SD of the mean. The BA plot of HC and AC measurements also showed that the 95% limits of agreement for differences fell within 10% of the mean of the measurements (-4.236 to 15.987 with a mean difference of 5.876), indicating good agreement between the two pairs of variables. However, BA plots between PT and BPD as well as PT and FL showed no agreement.

Conclusion:
This study indicates that there is good agreement or comparability between PT and HC measurements as well as between PT and AC measurements. Hence, either HC or AC measurements may be interchangeable with PT measurements in the ultrasound determination of GA. However, PT measurements did not agree well with BPD and FL measurements, respectively.
Postpartum Multiple Colon Perforation After Cesarean Section in COVID-19 Patients
Authors: Mirzaie Monireh , Lotfi Sara , Yazdi Zahra , Asgarian Azadeh , Savari Marzieh 
Published: September 2023

Introduction:
Gastrointestinal symptoms are present in 50% of polymerase chain reaction (PCR)-positive COVID-19 patients. In addition, bowel abnormalities are a common finding of COVID-19, and bowel-wall disorder is reported in 31% of computed tomography images of COVID-19 patients.

Case History:
We report three postpartum cases with colon perforation after Cesarean section and positive PCR for SARS-CoV-2-RNA and during the main peak of COVID-19 pandemic, who were managed by early detection, laparotomy, and effective treatment and were discharged and followed up.

Conclusion:
A colonic perforation could be considered as one of the causes of abdominal pain especially in women with a past surgical history as well as patients with infectious diseases such as COVID-19. Therefore, abdominal and pelvic ultrasound or x-ray was strongly recommended for postpartum women with abnormal abdominal distension, gastrointestinal symptoms, and pain to prevent possible fetal complications.
Preoperative Intravenous Dexamethasone and Postoperative Analgesia Following Breast Surgery
Authors: Degraft-Johnson PapaKobina Gyakye , Djagbletey Robert , Baddoo Henry K. , Aniteye Ernest , Aryee George , Essuman Raymond , Amable Faustina , Darkwa Ebenezer Owusu 
Published: September 2023

Introduction:
Breast surgery may be associated with significant postoperative pain and if not adequately treated, may lead to the development of chronic post-surgical pain. This necessitates the use of effective management, involving the use a multimodal analgesia regimen for the management of post breast surgery pain. The analgesic effect of perioperative use of dexamethasone has been explored but findings have been inconsistent.

Aim:
The aim of this study was to determine the postoperative analgesic enhancing effect of a single preoperative dose of dexamethasone on patients undergoing breast surgery at a tertiary hospital in Ghana.

Materials and Methods:
This was a prospective, double-blind, placebo-controlled study involving 94 consecutively recruited patients. Patients were randomized into two groups: dexamethasone (n = 47) and placebo (n = 47). Patients in the dexamethasone group had 8mg (2 mL of 4 mg/mL) dexamethasone and those in the placebo group had 2 mL of saline administered intravenously just before induction of anaesthesia. All patients received a standard general anaesthesia with endotracheal intubation. The numerical rating score (NRS), time to first analgesic request and the total opioid consumed in the first 24 h were recorded.

Results:
Patients receiving dexamethasone had lower NRS scores at all measured time points but this was significant only at 8 h post-surgery (P = 0.037). The time to first rescue analgesia was significantly prolonged in the dexamethasone group (339.26 ± 312.90 min vs. 182.10 ± 166.72 min; P = 0.020). However, the mean total opioid (pethidine) consumed in the first 24 h postoperatively was not significantly different between the dexamethasone and control groups (113.75 ± 51.35 mg vs. 100.00 ± 60.93 mg; P = 0.358).

Conclusion:
A single preoperative dose of 8mg dexamethasone given intravenously, reduces postoperative pain compared to placebo, significantly reduces the time to first analgesia but not the total opioid consumed in the first 24 h post breast surgery.