bluuebunny/crossref_metadata_2025_split huggingface dataset:
Mémoires, fractures et stratégies de survie dans l’écriture théâtrale féminine contemporaine aux Caraïbes (Maryse Condé, Gaël Octavia, Marie-Thérèse Picard)
Authors: Rolla Chiara 
Published: May 2023

L’étude se penche sur trois pièces de trois auteures caribéennes : La Faute à la vie de Maryse Condé (2009), Rhapsodie de Gaël Octavia (2020), La Médaille de Marie-Thérèse Picard (2014). À travers leurs ouvrages qui témoignent de la pluralité et de la force de créativité de la production artistique des Antilles, on met en évidence comment ce théâtre ultramarin contemporain au féminin dit et traduit la souffrance de l’exil et de la séparation, les difficultés du rapport au passé et aux origines, la violence et les fractures des relations humaines dans une société inégalitaire où dominent encore les conflits entre les sexes et les races.
The choice of bridging stents in fenestrated endovascular aortic repair
Authors: Niu Fang , Bi Jiaxue , Li Peng , Luo Guangze , Pan Hongrui , Chen Yonghui , Qu Chao , Liu Zongwei , Zhang Xiaoxing , Dai Xiangchen 
Published: May 2023

PURPOSE:
To study the medium and long-term patency and endoleak rate of visceral arteries in fenestrated endovascular aortic repair (fEVAR), and explore the strategies for bridging stent selection.

METHODS:
The clinical data of 44 patients with thoracoabdominal aneurysms, infrarenal short-necked aortic aneurysms and aortic dissection involving the visceral artery treated using fEVAR were reviewed. The indications for stents for different visceral vessels were evaluated.

RESULTS:
A total of 104 target vessels were revascularized with 7 scallops and 97 fenestrations. Among them, 12 were without stents and 92 were bridged with 96 stent-grafts, including 28 uncovered stents and 68 covered stents. The success rate of the one-time placement of bridging stents was 95.7% (88/92). The overall Type-I endoleak rate was 2.9% (3/104), and the overall visceral stent patency rate was 97.1%. The receiver operating characteristic curve revealed that the critical distances between the celiac trunk artery, superior mesenteric artery (SMA), renal artery, and aneurysm were 10.25 mm, 4.3 mm, and 10.05 mm, respectively, for selecting covered stents or uncovered stents and 12.4 mm for SMAs with or without stents.

CONCLUSION:
The branch-to-aneurysm distance may be important for bridging stents choice in fEVAR.
Pseudo Air–Bone Gap in Sensorineural Hearing Loss: Effect of Signal Frequency and Degree of Hearing Loss – Implications for Clinical Diagnosis
Authors: Vijayasarathy Srikar , Shetty Hemanth Narayan 
Published: May 2023

Introduction:
Pseudo air–bone gaps (ABGs) in the audiogram can lead to a false diagnosis of middle ear pathology where none exists. While it is known that the magnitude of such false ABGs are frequency dependent, the effect on the severity of hearing loss on this relationship needs more clarity.

Objective:
The purpose of the study was to identify frequencies that are susceptible to pseudo-ABGs and investigate the effect of the degree of hearing loss on the magnitude of such air–bone gaps.

Materials and Methods:
A retrospective analysis of the ABG in three degrees of sensorineural hearing loss: mild (26–40 dB HL), moderate (41–55 dB HL), and moderately severe (56-70 dB HL) was carried out. One hundred and fifty samples were considered in each category (18–60 years). Differences across frequencies and degree of hearing loss were assessed.

Results:
Large ABGs were observed at 250 Hz and 4000 Hz, and the ABGs significantly increased with the degree of hearing loss at 250 Hz and 500 Hz.

Conclusions:
Caution needs to be exercised while interpreting the ABG at the low frequencies and 4000 Hz, especially when the degree of hearing loss is moderate and higher, to avoid the misdiagnosis of a conductive component in a sensorineural pathology.
Vitamin A on Tumor Necrosis Factor-Alpha Expression and Otorrhea Score in Benign Chronic Suppurative Otitis Media
Authors: Naftali Zulfikar , Lasminingrum Lina , Astuti Meira Dewi Kusuma 
Published: May 2023

Background:
Benign Chronic Suppurative Otitis Media (CSOM) is a middle ear inflammation characterized by otorrhea with perforation in the central tympanic membrane. Topical ofloxacin as a standard therapy in this type of CSOM has limitations in reducing otorrhea score. Vitamin A supplementation could be given simultaneously with topical ofloxacin because of its property as a regulator of the local immune response in the middle ear.

Objectives:
This study aimed to analyse the effect of vitamin A supplementation on Tumor Necrosis Factor-α (TNF-α) and otorrhea score in benign CSOM patients.

Materials and Methods:
The pre-experimental method with post-test only control group approach was held from January to March 2020 at Rembang Regional Hospital, Central Java, Indonesia. The subjects of the study were benign CSOM patients aged 18-60 years who did not consume antibiotics or steroids for two weeks prior to the study. Subjects of the study were divided into two groups. The standard (control) group was given topical ofloxacin as standard therapy while the intervention group was given topical ofloxacin in combination with Vitamin A supplementation. The subjects consisted of 21 subjects in the standard group and 10 subjects in the intervention group.

Results:
The percentage of TNF-α expression in intervention group was 64.20 ± 36.18, while the percentage in the standard group was 91.10 ± 11.3. The result of the independent t-test showed that there was a significant difference between the two groups (P = 0.016; 95% CI = 9.41-44.37). There was a significant difference in the otorrhea score between the two groups (P = 0.003).

Conclusion:
There was a significant difference in TNF-α expression and the otorrhea score between the standard and the intervention group.
Application of Finite Element Model of Middle Ear in the Study of the Middle Ear Biomechanics in Normal and Diseased States
Authors: Parveen Sana , Jain Shraddha , Disawal Ashish , Singh Chandraveer , Deshmukh Prasad , Gaurkar Sagar , Ashraf Sameer 
Published: May 2023

Aim:
The aim of this study was to create a three-dimensional model of the middle ear by finite element (FE) analysis, using measurements performed on human and cadaveric high-resolution computed tomography (HRCT) temporal bone, and to study the biomechanics in diseased conditions.

Materials and Methods:
This observational, cross-sectional study was conducted in Acharya Vinoba Bhave Rural Hospital, Sawangi, Meghe, Maharashtra, in the Department of Otorhinolaryngology. The first step of FE modeling approach comprised computer-aided geometric model incorporating the static dimensions from human and cadaveric temporal bones and dynamic dimensions from prepublished data. HRCT Scans of both sets of temporal bones were performed with 0.5 mm cuts, and measurements of the ossicles, middle ear, and tympanic membrane were taken. The cadaveric temporal bones were drilled, the ossicles dissected out and measured using HRCT as well as vernier calipers. This was followed by construction of the working FE model and application of this FE model for studying middle ear biomechanics in normal and diseased states.

Results:
The mean measurements of ossicles were calculated, and the movement of tympanic membrane was maximum at the site of umbo and stapes footplate, whereas minimum movement was within the ossicles. Larger peak-to-peak displacement was seen at 1000 Hz to 3000 Hz frequency. Our results suggest that FE model can prove beneficial in the study of middle ear biomechanics.

Conclusion:
The changes in the tympanic membrane movement in diseased state have been compared to normal ear and can be applied to reconstructed ears. FE analysis can be used to study the effect of material properties of various graft materials used in tympanomastoidectomy.
Multidisciplinary treatment for locally advanced gastric cancer: A systematic review and network meta-analysis
Authors: Yu Zhiyuan , Tu Huaiyu , Qiu Shuzhong , Dong Xiaoyu , Zhang Yonghui , Ma Chao , Li Peiyu 
Published: May 2023

Introduction:
This study aimed to evaluate the efficacy of multidisciplinary treatment for patients with locally advanced gastric cancer (LAGC) who underwent radical gastrectomy.

Patients and Methods:
Randomised controlled trials (RCTs) comparing the effectiveness of surgery alone, adjuvant chemotherapy (CT), adjuvant radiotherapy (RT), adjuvant chemoradiotherapy (CRT), neoadjuvant CT, neoadjuvant RT, neoadjuvant CRT, perioperative CT and hyperthermic intraperitoneal chemotherapy (HIPEC) for LAGC were searched. Overall survival (OS), disease-free survival (DFS), recurrence and metastasis, long-term mortality, adverse events (grade ≥3), operative complications and R0 resection rate were used as outcome indicators for meta-analysis.

Results:
Forty-five RCTs with 10077 participants were finally analysed. Adjuvant CT had higher OS (hazard ratio [HR] = 0.74, 95% credible interval [CI] = 0.66–0.82) and DFS (HR = 0.67, 95% CI = 0.60–0.74) than surgery-alone group. Perioperative CT (odds ratio [OR] = 2.56, 95% CI = 1.19–5.50) and adjuvant CT (OR = 0.48, 95% CI = 0.27–0.86) both had more recurrence and metastasis than HIPEC + adjuvant CT, while adjuvant CRT tended to have less recurrence and metastasis than adjuvant CT (OR = 1.76, 95% CI = 1.29–2.42) and even adjuvant RT (OR = 1.83, 95% CI = 0.98–3.40). Moreover, the incidence of mortality in HIPEC + adjuvant CT was lower than that in adjuvant RT (OR = 0.28, 95% CI = 0.11–0.72), adjuvant CT (OR = 0.45, 95% CI = 0.23–0.86) and perioperative CT (OR = 2.39, 95% CI = 1.05–5.41). Analysis of adverse events (grade ≥3) showed no statistically significant difference between any two adjuvant therapy groups.

Conclusion:
A combination of HIPEC with adjuvant CT seems to be the most effective adjuvant therapy, which contributes to reducing tumour recurrence, metastasis and mortality – without increasing surgical complications and adverse events related to toxicity. Compared with CT or RT alone, CRT can reduce recurrence, metastasis and mortality but increase adverse events. Moreover, neoadjuvant therapy can effectively improve the radical resection rate, but neoadjuvant CT tends to increase surgical complications.
The Incidence and Risk Factors for Barotrauma in COVID-19 in Intensive Care Unit, a Single-Center Retrospective Study
Authors: Yildirim Süleyman , Kirmizigül Engin , Uçar Hüseyin , Ediboglu Özlem , Kirakli Cenk 
Published: May 2023

Background and Objectives:
Coronavirus disease-19 (COVID-19) led to respiratory failure and is sometimes complicated with barotrauma. The knowledge about risk factors for the development of barotrauma is scarce and conflict. We aimed to examine the incidence and risk factors for the development of barotrauma in COVID-19 patients who followed up in the intensive care unit (ICU).

Materials and Methods:
Patients who admitted to ICU from March 15, 2020, to March 31, 2022 were included in the study and retrospectively screened for barotrauma. Patients with barotrauma at ICU admission were excluded from the study. A multiple regression analysis was performed to determine the risk factors for the development of barotrauma.

Results:
A total of 1113 patients were included in the study, 676 (60.7%) of them were COVID-19. During the study period, at least one barotrauma event was observed in 96 (8.6%) patients. Barotrauma was more common in patients with COVID-19 than non-COVID-19 patients (10.9% vs. 5%, P = 0.001). Positive pressure ventilation was found as the strongest independent risk factor for the development of barotrauma (odds ratio [OR] = 8.80, confidence intervals [CI], 3.88–19.98, P < 0.001). Steroid use also increased the development of barotrauma (OR = 3.45, CI, 1.78–6.67, P = 0.005). Patients with barotrauma had longer length of ICU stay and higher mortality rate than patients without barotrauma.

Conclusion:
Patients with COVID-19 have a higher risk for the development of barotrauma. Barotrauma is associated with longer ICU stay and increased mortality. Positive pressure ventilation and steroid use are the independent risk factors for barotrauma.
Diagnostic Role of Video-Assisted Thoracoscopy in the Management of Indeterminate Pleural Effusion
Authors: Eze NJ , Nwagboso CI , Ogbudu SO , Chidiebere E , Bassey OO , Etiuma AU 
Published: May 2023

Background:
The management of pleural effusion usually involves the drainage of the effusion, identification, and treatment of the underlying cause (s). Studies have shown that the initial diagnostic techniques do not give conclusive diagnosis in some cases of pleural effusion. This group of patients described as patients with indeterminate or undiagnosed pleural effusion constitutes a significant proportion of patients with pleural effusion in clinical practice. In this study, we examined the role of video-assisted thoracoscopy (VAT) in the diagnostic work-up of these patients.

Aim:
To determine the diagnostic outcome of VAT in the management of indeterminate pleural effusion in our center.

Patients and Methods:
Consecutive patients who presented with pleural effusions and who met the inclusion criteria had video-assisted thoracoscopy for diagnostic purposes. Outcome measures including the diagnostic yield, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of VAT in patients with indeterminate pleural effusion, duration of the procedure, duration of hospitalization after the procedure, and complications for all the patients were documented and analyzed.

Results:
Of the 22 patients with indeterminate pleural effusion, conclusive diagnosis was obtained in 18 (81.8%) with a sensitivity of 91.7% [95% confidence interval (CI); 61.5–99.8%], specificity of 100% (95% CI; 69.1–100%), PPV of 100% (95% CI; 0–100%), and NPV of 90.9% (95% CI; 60.5–98.5%) for malignancy and a sensitivity of 78% (95% CI; 40–97%), a specificity of 100% (95% CI; 75.3–100%), PPV of 100% (95% CI; 0–100%), and NPV of 86.7% (95% CI; 65.7–95.7%) for tuberculosis.

Conclusion:
Our results show that video-assisted thoracoscopy plays a useful role in our center in obtaining diagnosis in patients with indeterminate pleural effusion.
Comparison of Preoperative Anxiety, Bruxism, and Postoperative Pain Among Patients Undergoing Surgery for Septoplasty, Endoscopic Sinus Surgery, and Tympanoplasty
Authors: Atar Y , Karaketir S , Sari H , Çelik C , Aydogdu I , Karaketir SG , Saltürk Z , Kumral TL , Tutar B , Berkiten M , Anarat MEA , Berkiten G 
Published: May 2023

Background:
Septoplasty, endoscopic sinus surgery, and tympanoplasty are the most commonly performed elective functional ear–nose–throat surgeries. Aim: This study investigated the relationship between preoperative anxiety, bruxism, and postoperative pain in inpatient groups undergoing three different functional otorhinolaryngologic surgeries. Patients and

Methods:
This study was conducted in a single center of a tertiary referral hospital. The patients (n = 90) who had undergone septoplasty (group A), endoscopic sinus surgery (group B), and tympanoplasty (group C) were included. The State-Trait Anxiety Inventory (STAI) questionnaire and the Amsterdam Preoperative Anxiety Information Scale (APAIS) were administered. To evaluate bruxism, a self-questionnaire was administered, and for the evaluation of pain, the visual analogue scale (VAS) was administered.

Results:
In group C, preoperative STAI and APAIS and early and late pain values were higher than in the other groups. When patients were divided into two groups according to the presence of bruxism. A significant difference was found between the preoperative STAI and immediate and late VAS values (P < 0.001). A strong correlation was observed between APAIS and early and late VAS values in group C (P < 0.001).

Conclusion:
Patients who will undergo tympanoplasty should be aware of the preoperative anxiety level and pain follow-up. Bruxism can be considered a vital follow-up parameter that manifests due to high preoperative anxiety. It may also be useful to examine preoperative bruxism and take appropriate measures due to its pain-increasing effect in patients.
Determination and Comparison of Potential Drug–Drug Interactions Using Three Different Databases in Northern Cyprus Community Pharmacies
Authors: Alkhalid ZN , Birand N 
Published: May 2023

Background:
Drug interactions are common drug-related problems that can lead to adverse drug reactions and hospitalization.

Aims:
The objectives of the study were to determine the potential drug–drug interactions (pDDIs) in Northern Cyprus community pharmacies and to compare three electronic databases regarding the frequency, mechanism, and severity of drug–drug interactions.

Material and Methods:
A retrospective observational study was conducted between July 1 and September 30, 2021, in Northern Cyprus community pharmacies using the Drugs.com, Lexicomp, and Medscape databases. The Mann–Whitney U-test was used to determine the difference between the values of the databases. Pearson's correlation was used to determine the association between DDIs and polypharmacy.

Results:

A total of 558 (52.1%) of 1072 prescriptions were included in the study. Drugs.com, Lexicomp, and Medscape databases detected 185, 176, and 213 potential drug–drug interactions in patients' prescriptions, respectively. There was a statistically significant difference in moderate drug interactions between the Medscape and Lexicomp databases (p = 0.02). Pearson's correlation showed a weak association (Medscape: r = 0.296, Lexicomp: r = 0.341, Drugs.com: r = 0.289, P = 0.0001) between pDDIs and polypharmacy. The assessment of agreement on severity of pDDIs characterized by Drugs.com and Lexicomp databases using the Kappa index was moderate agreement (0.509, P = 0.0001), while Drugs.com and Medscape databases using the Kappa index were moderate agreement (0.442, P = 0.0001), and Lexicomp and Medscape databases using the Kappa index were fair agreement (0.365, P = 0.0001).

Conclusions:
This study showed that Medscape detected more potential DDIs than Drugs.com and Lexicomp. Therefore, we propose that more than one database should be used to evaluate and identify pDDIs in pharmacy.
Comparison of Apical Debris Extrusion of Different Generation Nickel-Titanium Instrument Systems
Authors: Uygun AD 
Published: May 2023

Background and Aim:
The aim of this study is to evaluate the apical debris extrusion amounts and preparation times of four different nickel-titanium systems with a similar cross-section design—Mtwo, RECIPROC, RECIPROC blue, and VDW.ROTATE.

Materials and Methods:
Eighty human mandibular central incisors were divided into four equal groups (n = 20). The test apparatus was inserted into an assembly that provided root canal temperature. Preparation times were recorded using a stopwatch, and the amount of extruded debris was collected in pre-weighed Eppendorf tubes. After drying, the net amount was determined by subtracting the previously measured Eppendorf tube weights from the total weight.

Results:
The Mtwo had the largest amount of debris, but there was no significant difference among the other groups. The VDW.ROTATE completed the preparation in a significantly shorter time than the RECIPROC blue and Mtwo.

Conclusion:
Compared to other files, the Mtwo sequence produced significantly more debris and required significantly more time to complete the whole root canal preparation.
Examples of exponential bases on union of intervals
Authors: Asipchuk Oleg , Drezels Vladyslav 
Published: May 2023

AbstractIn this paper, we construct explicit exponential bases of unions of segments of total measure one. Our construction applies to finite or infinite unions of segments, with some conditions on the gaps between them. We also construct exponential bases on finite or infinite unions of cubes in
$\mathbb {R}^d$
and prove a stability result for unions of segments that generalize Kadec’s
$\frac 14$
-theorem.
Product decompositions of moment-angle manifolds and B-rigidity
Authors: Amelotte Steven , Briggs Benjamin 
Published: May 2023

AbstractA simple polytope P is called B-rigid if its combinatorial type is determined by the cohomology ring of the moment-angle manifold
$\mathcal {Z}_P$
over P. We show that any tensor product decomposition of this cohomology ring is geometrically realized by a product decomposition of the moment-angle manifold up to equivariant diffeomorphism. As an application, we find that B-rigid polytopes are closed under products, generalizing some recent results in the toric topology literature. Algebraically, our proof establishes that the Koszul homology of a Gorenstein Stanley–Reisner ring admits a nontrivial tensor product decomposition if and only if the underlying simplicial complex decomposes as a join of full subcomplexes.
The Image of the Native Ruler in the Writings of the Participants of the Circumnavigations of the 16th century
Authors: Mikheev Dmitry V. 
Published: May 2023

The article deals with the analysis of the formation of the image of the native ruler in the compositions of the participants of the first circumnavigations of the 16th century.
The participants of the expeditions often became the first Europeans to reach remote corners of the world and get acquainted with previously unknown nations. Basic judgments about those peoples were often based on descriptions of their rulers. The study attempts to identify common characteristic features in the descriptions of native leaders left by Spanish and English travelers in the 16th century. The comparison of the evidence allows us to trace the evolution of the image of the native leader, and in some cases, to identify the falsifications that resulted from the individual tendentious writings of the era. It was possible to identify the similarity of the images of Eastern rulers. The authors of the works note their wealth, a special ceremonial surrounding, and almost absolute power over their subjects. At the same time, a characteristic feature of the Eastern ruler is his cunning, which is always implied when constructing the image. But despite the negative features, both Spanish and English discoverers always sought to conclude an alliance with the ruler, appeasing him with gifts and promises of military assistance to gain a foothold in the open lands relying on his power.
Pembinaan dan Pengembangan Usaha Sektor UKM di Kecamatan Benai Kabupaten Kuantan Singingi
Authors: Kasmiruddin Kasmiruddin 
Published: May 2023

Usaha Kecil dan Menengah (UKM) merupakan bidang penyerap lapangan kerja dan berkontribusi dalam peningkatan kesejahteraan masyarakat. UKM sulit mengembangkan usahanya, karena pengetahuan tentang manajemen usaha terbatas dan minimnya fasilitas yang disediakan untuk memasarkan atau menumbuhkan usahanya. Kesulitan UKM dalam pengembagan dan pemasaran produk dalam bersaing dengan produk lainnya karena keterbatasan daya tarik bagi konsumen dan tidak memiliki keunggulan. Atas pertimbangan masalah ini, perlu diberikan pengetahuan kepada pelaku UKM untuk mengembangkan usahanya agar dapat memahami dan mampu menerapkan cara-cara untuk mengembangkan usaha yang lebih efektif. Kegiatan pembinaan dengan metode ceramah dilanjutkan dengan diskusi secara khusus membahas kasus-kasus bisnis yang dihadapi dalam mengembangkan bisnis UKM, Hasil kegiatan dengan adanya partisipasi aktif peserta dan keinginan yang kuat untuk memahami materi pembinaan. Kegiatan pembinaan ini sejalan dengan kebutuhan para pelaku UMKM untuk mengatasi permasalahan yang dihadapi dalam mengembangkan usaha yang lebih maju, sehingga kehidupan wirausaha semakin sejahtera