bluuebunny/crossref_metadata_2025_split huggingface dataset:
Electrical Burns in Albania and their Treatment: A Review of Cases Treated in 2019–2020
Authors: Xhepa Gezim , Isaraj Sokol , Zikaj Gentian , Kola Nardi 
Published: September 2023

BACKGROUND: Electrical burns, although constituting a small part of the burns treated in a tertiary hospital, remain a constant burden to the medical staff, due to the nature of the causative agent.
PATIENTS AND METHODS: After the Institutional Review Board approval, a retrospective study was performed including all the patients admitted to the Service of Burns and Plastic Surgery, University Hospital Center “Mother Theresa” of Tirana, Albania, from January 2018 to December 2019. Descriptive statistics was used to review the cases for age distribution, body surface area burned, points of entry and exit of the current, acute and late complications, surgical approach, and timing of the latter.
RESULTS: Twenty-six patients were admitted during this period, of which 22 suffered a real electrical burn, four of them having only superficial damage from the flash of the electric arc without direct contact with the electrical source. Mean hospital stay was 58.1 days for true electrical burns and 7.5 days for burns from electrical arc. Each patient underwent three surgical interventions in average, of which 20% were fasciotomies, 30% were eschar excision, 35% were reconstructive procedures, and 15% were amputations. Only one fatal outcome was registered. About 36% of the patients were children and the only death was registered among them. Most of cases were due to neglect of safety measures while working with the electrical power, although being professional qualified workers. Acute complications were myoglobinuria, cardiac rhythm disorders, respiratory acidosis, psychomotor agitation, brain concussion and contusion, and acute bleeding. Anemia is the most common late complication.
CONCLUSIONS: The prevention is still the best treatment, especially for true electrical burns. Working with the corporate that controls the production and transmission of the electrical power could further reduce the incidence of true electrical burns, while moving to more aggressive surgical approach to such burns might avoid long-term complications and degree of invalidity caused by them.
Récits mémorialistes
Authors: Campos Guerra Andréa Máris , de Oliveira Moreira Jacqueline 
Published: September 2023

À l’époque contemporaine, les modes horizontaux de transmission chez les adolescents gardent une spécificité quant à l’élaboration d’un nouveau savoir et d’un nouveau nom à la jouissance avec le passage par la puberté. Mobilisant les notions psychanalytiques d’inconscient et de mémoire, nous partirons de l’expérience avec la méthodologie psychanalytique des récits mémorialistiques qui impliquent l’énonciation du jeune, l’écoute du psychanalyste et la production esthétique du récit par un artiste. Dans la « dévolution », où le jeune remporte l’œuvre d’art, les trois constituent une nouvelle scène où l’écriture de soi favorise le traitement de la jouissance.
Collectif de pairs en parcours d’insertion, entre ressourceet contrainte : une condition émancipatoire
Authors: Mercier-Millot Sophie 
Published: September 2023

Cet article se propose d’analyser le rôle joué par les collectifs de pairs dans le parcours de personnes à la fois salariées en contrat à durée déterminée d’insertion (CDDI) et bénéficiaires d’un accompagnement social et professionnel dans un atelier ou chantier d’insertion (ACI) sous l’angle des ressources mais également des contraintes induites par l’appartenance au collectif. L’investigation clinique s’appuie sur le matériel issu d’une enquête en psychodynamique du travail dont la méthodologie implique la constitution de groupes de pairs volontaires. Après avoir décrit la constitution du collectif de salarié·es en insertion dans le travail en commun sur le chantier, il s’agira de montrer comment le collectif de pairs contribue à la préservation de la santé mentale des travailleurs en favorisant les conditions d’une résistance à un destin social prédéterminé. Revers du soutien apporté par les pairs : les règles de métier du collectif comportent une dimension de contrainte liée au mimétisme qu’il impose. Outre une réflexion autour du soutien et des ambiguïtés du collectif de pairs dans le parcours singulier d’insertion des individus qui le composent, il s’agira de déterminer dans quelle mesure le rôle joué par les pairs permet que la mission d’insertion puisse être menée à bien.
Testing for the Imports-Led Growth and the Growth-Led Imports Hypotheses in Panels for the Small Island World
Authors: Hoarau Jean-François , Lucic Nicolas 
Published: September 2023

Cet article analyse la relation empirique entre les importations réelles de marchandises par tête et le PIB réel par tête pour un ensemble de 52 îles affiliées et souveraines sur la période 1970-2019. L’objectif est de vérifier si les importations réelles de marchandises par tête peuvent être considérées comme un bon prédicteur des conditions de vie matérielles des populations insulaires. Pour ce faire, nous testons la possibilité d’une double causalité entre ces deux variables en effectuant d’un côté, des tests de causalité au sens de Granger à la Toda-Yamamoto [1995], dans le cadre d’une modélisation VAR en panel, et de l’autre, l’approche du « Pooled Mean Group estimator » de Pesaran et al. [1999], basée sur la modélisation ARDL en panel. Pour les petites îles souveraines, la causalité bidirectionnelle se vérifie dans le court et le long terme. Pour les petites îles affiliées, la bidirectionnalité n’existe qu’à court terme, l’hypothèse des importations tirées par la croissance étant malgré tout validée à long terme. En définitive, ce travail permet de montrer qu’un haut niveau d’importations par tête est un facteur de bien-être matériel élevé dans le cadre des petites économies insulaires. Codes JEL : C33, F43, 011
La Montagne de Jules Michelet, un essai sur la Révolution ?
Authors: Tbini Jihane 
Published: September 2023

La Montagne , dernier volet des essais d’histoire naturelle de Jules Michelet, apparaît à plus d’un titre comme un essai sur la Révolution. Incarnée par un épisode particulier ou appréhendée comme une essence, la Révolution nourrit constamment l’imaginaire micheletien. Outre les références explicites aux années révolutionnaires, le texte fait des Alpes un véritable actant des transformations sociopolitiques. Au fil des paysages, l’historien transpose une série de valeurs révolutionnaires comme la Paix, le primat du peuple et l’héroïsme des humbles.
La parole arrogante : du « glorieux » à la déliaison sociale
Authors: Assoun Paul-Laurent 
Published: September 2023

S’arroger le droit et le mérite, telle est la présomption du sujet arrogant. C’est dans un certain « ton » et un régime de parole que l’arrogance se manifeste principiellement : c’est comme « parlêtre » que se notifie sa Majesté le moi, en une souveraineté revendiquée. Selon les deux pôles antithétiques du dandy, homme de semblant, et du « grand homme », entre imaginaire et symbolique, le savoir de l’inconscient permet d’éclairer cette position d’exception, entre narcissisme et lien social.
Consentement et emprise
Authors: Lazerges Christine 
Published: September 2023

L’approche méthodologique plurielle, qui fut celle de la Commission indépendante sur les abus sexuels dans l’Église catholique (Ciase), est reprise pour démontrer combien les vices du consentement tels qu’ils sont définis par le droit sont insuffisants à englober l’emprise. La force de la parole des victimes a permis une meilleure compréhension des phénomènes d’emprise. L’emprise ne suppose ni la violence, ni la contrainte, ni la menace, ni la surprise pour annihiler le consentement. L’emprise est plus subtile, elle se nourrit de la domination, de l’ascendant, du pouvoir de celui dont vous êtes victime. Dans le domaine des violences sexuelles, elle doit entrer nommément dans la loi. Les dégâts de l’emprise, à l’origine d’une honte et d’une culpabilité destructrices, sont considérables. Ces dégâts, qui vont jusqu’à « l’impossibilité d’être », obligent à construire une justice restaurative étatique et sociétale.
Problématisations sur l’aliénation
Authors: Birman Joel 
Published: September 2023

L’intention de cet essai consiste à réaliser la lecture de la catégorie d’aliénation en Occident, depuis la fin du XVIII e siècle jusqu’aux années 30-40 du XX e , en parcourant les divers discours théoriques de la psychiatrie, de la philosophie et de la psychanalyse.
Parental Health Literacy, Empowerment, and Advocacy for Food Allergy Safety in Schools: A Cross-Sectional Study
Authors: Koo Laura W. , Baur Cynthia , Horowitz Alice M. , Wang Min Qi 
Published: September 2023

Background:
Approximately 8% of elementary school-aged children in the United States have food allergies, a complicated health management situation that requires parents to use many types of health literacy, empowerment, and advocacy skills to work with school staff to protect their children.

Objective:
This cross-sectional study examined (a) whether the highest versus lowest levels of functional, communicative, and critical health literacy are associated with higher perceived effectiveness of parental advocacy behaviors for safe food allergy management in schools [parental advocacy]; and (b) whether communicative and critical health literacy are more strongly associated with parental advocacy than functional health literacy.

Methods:
A sample of parents of elementary school-aged children was recruited through 26 food allergy organizations and a research patient registry. Participants completed an anonymous online survey. Self-reported measurements of parental health literacy, empowerment, and advocacy were adapted and refined through pre-testing and pilot-testing. General linear model analyses were conducted to predict parental advocacy.

Key Results:

Participants (
N
= 313) were predominantly White, college-educated mothers with moderately high levels of food allergy knowledge, health literacy, empowerment, and parental advocacy skills. Parents who scored at the highest levels in the three dimensions of health literacy reported they engaged in more effective advocacy behaviors than parents who scored at the lowest levels. Parental advocacy was predicted largely by parental empowerment and the quality of the relationship with the school (
B
= .41 and
B
= .40, respectively). Functional health literacy and the child's diagnosis of asthma were smaller predictors. While accounting for covariates, functional health literacy was significantly associated with parental advocacy whereas communicative and critical health literacy were not.

Conclusions:

Interventions to impact parental empowerment and parent-school relationships, including a health-literate universal precautions approach of communicating food allergy school policies, may influence parental advocacy for food allergy safety in schools. Further research could use a performance-based multidimensional measure of health literacy. [

HLRP: Health Literacy Research and Practice
. 2023;7(3):e165–e175.

]
PEAKS PREDICTION OF BUILDING CARBON EMISSION BASED ON BUILDING ENERGY CONSUMPTION MONITORING: A CASE STUDY OF NINGBO CITY
Authors: Pu Xingfan , Yao Jian , Shang Haifeng , Lou Junwei , Knefaty Ala Deen , Zheng Rongyue , Xie Honglei 
Published: September 2023

ABSTRACT
The premise of implementing the total amount control plan of building carbon emission should be based on the prediction of the future change trend of building carbon emission. This paper investigates and analyzes peaks of building carbon emission in Ningbo city of China through the Ningbo’s building energy monitoring platform and uses the STIRPAT model to predict the medium and long-term carbon emissions in Ningbo. The peak time and peak value of carbon in the construction field at the city level under the dynamic scenario are simulated based on the Monte Carlo method. The results show that under the benchmark scenario, the carbon emission in the construction field of Ningbo will peak around 2037, with a peak of 22.68 million tons. Through the improvement of building energy-saving laws and regulations, the popularization of green energy-saving buildings, and the establishment of a building energy-saving system, the Ningbo construction department will achieve its carbon emission peak time in 2031 (±2), with a peak of about 15.45 (±1.07) million tons of CO2.
IS SUSTAINABILITY COSTLY? EMPIRICAL EVIDENCE FROM BUILT PROJECTS
Authors: Hu Ming 
Published: September 2023

ABSTRACT
The affordability of sustainable building remains a significant challenge; developers, building owners, and design teams often point to high construction costs as the primary obstacle hindering the uptake of sustainable building. Because of a lack of clarity, empirical studies and evidence supporting the claim of sustainable building as expensive are inadequate, thus the perceived high cost of sustainable building is still debatable. This study has a three-pronged approach: (1) to collect actual construction costs of certified sustainable buildings, (2) to take a deep dive into construction cost using empirical data and analyze the correlation between the level of sustainability and the construction cost, and (3) to examine the influence of cost components on the total construction cost. Data from 72 LEED buildings was collected and included in the analysis. The findings show the following: (a) the construction costs of the studied sustainable buildings are comparable to those of conventional buildings (even lower); (b) the correlation between the level of sustainability and the construction cost is inconclusive; and (c) soft costs, especially the design cost, have a similar level of influence on the total construction cost as those of hard costs.
A hospital-based study on the burden of hyponatraemia, risk factors and outcomes in neonates admitted to intensive care unit
Authors: Chanana Surbhi , Khan Sana Salim , Farooq Ishaq , Kaifi Siddiqui 
Published: September 2023

Abstract

Background:
Hyponatraemia occurs frequently in newborns admitted to the neonatal intensive care unit (NICU).

Methods:
In this cross-sectional study, risk factors and outcomes (with respect to survival/neurological sequelae) of hyponatremia in neonates admitted to NICU.

Results:
In this study 384 neonates were studied, of which 324 neonates were admitted on day 1 of life, while 60 were transferred subsequently into NICU when indicated. Hyponatraemia was observed in 154 (36.9%) and hypernatraemia in 16 (3.8%) neonates. Logistic regression showed that pre-maturity (adjusted odds ratio [aOR] = 1.918, P = 0.005) and Apgar score <7 at 5 min (aOR = 2.867, P = 0.001) were statistically significant risk factors for the development of hyponatraemia. One hndred and forty seven neonates died; 17 were discharged against medical advice (DAMA). Hyponatraemia was present in 41.5% of neonates who died compared to 38.6% who survived (P = 0.82). Neurological abnormality was seen in 13/220 neonates who had survived and were followed-up for outcomes. Of these, 6 had hyponatraemia and 1 had hypernatraemia.

Conclusions:
Hyponatraemia is common in sick newborns in NICU. Pre-maturity and Apgar score <7 at 5 min are significant risk factors for hyponatraemia.
A cross-sectional study of lipid profile among school-going children with subclinical hypothyroidism in rural Telangana
Authors: Challa Chaitanya , Subramanian Preethi , Chitgupikar Sudharshan Raj 
Published: September 2023

Abstract

Background:
Subclinical hypothyroidism (SCH) is defined as serum thyroid-stimulating hormone (TSH) concentration above the statistically defined upper limit of the reference range and serum-free thyroxine (fT4) concentration within its reference range. The correlation of higher levels of TSH and dyslipidaemia in children is controversial. This study was done among school children to document the prevalence of SCH and to investigate the association between the lipid profile and TSH in children with SCH.

Methods:
A cross-sectional study among 982 school-going children (6-12 years) was conducted and 91 children with SCH were included. Their weight, height, body mass index (BMI), fasting lipid profile (serum total cholesterol [TC], triglycerides [TG] and high-density lipoprotein [HDL]) were converted to z scores and compared with the reference population data.

Results:
The prevalence of SCH was 11%. Mean TC, TG and HDL levels (mg/dL) were 169 ± 8.8, 66.4 ± 7.7 and 40.5 ± 4.1, respectively. The mean HDL value in the study population was significantly lower, whereas the mean TC levels were significantly higher than the population mean. There was no correlation between TC z scores and TSH (ρ = 0.071) and HDL z scores and TSH (ρ = −0.01371). Multiple linear regression showed a statistically significant association between TSH and HDL z scores (P = 0.006) and TSH and TC z scores (P = 0.008) after adjusting for age and BMI z scores.

Conclusions:
Children with SCH have an abnormal lipid profile. There is association between TSH and dyslipidaemia (decreased HDL and increased TC) in SCH.
The impact of nurses' organizational commitment on their perceptions of the work environment
Authors: ZUO Pengxiang , LU Cengceng , ZHOU Jing , HOU Ming , JIAO Xiaohui 
Published: September 2023

Objective:
The objective is to assess the direct and indirect effects of nurses' organizational commitment (OC) on their work environment perceptions (WEP) and the role of the psychological contract (PC).

Methods:
A cross-sectional quantitative study of 3047 registered nurses in four Chinese hospitals was conducted. The Essentials of Magnetism II (Chinese version), OC, and PC scales were used in the study, and the structural equation modeling was used to assess the connections among variables.

Results:
The results showed that OC was positively correlated with WEP (r = 0.561, P < 0.001), and PC was negatively correlated with the WEP (r = −0.717, P < 0.001), and OC (r = −0.739, P < 0.001). Nurses' PC played a strong mediating role between OC and WEP, accounting for 87.64% of the total effect. Besides, PC played an important role in creating a healthy work environment.

Conclusions:
The exploration of the relationships among WEP, PC, and OC provides new insights for hospital managers to build a better work environment for nurses, which is conducive to maintaining a stable nurse team and providing high-quality nursing services for patients.
Training needs in intravenous infusion care for children in China
Authors: LI Jingjing , FANG Jiaxin , HAN Liu , YANG Junhan , FAN Xueyan , ZHANG Dahua 
Published: September 2023

Aim:
This study aims to evaluate demands for general and pharmacological knowledge and training related to intravenous (IV) therapy among pediatric nurses.

Materials and Methods:
This multicentric cross-sectional study involved 12,707 pediatric nurses from 100 hospitals in China. A questionnaire was used to assess information about IV drug administration training received, and the demands for pharmacology-related knowledge, and corresponding methods of acquisition. A generalized linear model using Logit link function was employed to assess relationships between factors and multivariate analysis was conducted.

Results:
More than 99% of participants showed their training demands for IV therapy training. Pediatric nurses' demands and methods for acquiring IV therapy knowledge and the knowledge related to IV therapy pharmacology have significant differences in social demographic factors, previous knowledge, whether they have received training or not, and other factors (all P < 0.05). Received a needlestick injury in the past month (P = 0.007) and knowledge acquired through in-hospital or out-of-hospital training (P = 0.039) were factors that reduced the demands for methods to acquire further pharmacology-related knowledge of IV therapy. Working in internal medicine (P = 0.025) and not having experienced a needlestick injury in the past year (P = 0.007) reduced the demands for IV therapy knowledge. Attended hospital (P = 0.007) or departmental meetings (P = 0.009), being pediatric primary nurses (P = 0.044), and studied special IV guidelines (P = 0.006) reduced the desire for methods to acquire IV therapy knowledge.

Conclusion:
There was a high demand for greater general and pharmacological knowledge related to IV therapy among pediatric nurses. Resources should be coordinated to provide ongoing training to nurses to improve the quality of IV care.
Comparative Evaluation of Aloe vera, Curcumin, and Lycopene in Oral Submucous Fibrosis Patients – A Randomized Controlled Trial
Authors: Nigam Satyaprakash , Saxena Rupal , Singh Sabhrant , Jain Ruchi , Thomas Shaji 
Published: September 2023

ABSTRACT

Background:
Oral submucous fibrosis (OSMF) is a potentially malignant disorder characterized by fibrosis of the oral mucosa. Various treatment modalities, including conventional interventions and natural products, have been explored for managing OSMF. This study aimed to compare the efficacy of Aloe vera, curcumin, and conventional intervention in Grade II OSMF patients.

Materials and Methods:
A randomized controlled trial was conducted with a total of 120 Grade II OSMF patients. They were randomly assigned to three treatment groups: A. vera group (n = 40), curcumin group (n = 40), and lycopene intervention group (n = 40). The primary outcomes assessed were mouth opening, symptom relief, and improvement in quality of life. Baseline measurements were recorded, and the interventions were administered for 12 weeks. Follow-up assessments were conducted at the end of the intervention period. SPSS 25.0 was used for data analysis.

Results:
All three treatment groups showed significant improvements in mouth opening and symptom relief. The lycopene group exhibited the highest mean increase in mouth opening, though not significant. There were no significant differences among the groups in terms of symptom relief. The interventions were generally well-tolerated, with no serious adverse events reported.

Conclusion:
The findings of this study suggest that A. vera, curcumin, and conventional intervention are effective in improving the primary outcomes in Grade II OSMF patients. Both curcumin and A. vera showed promising results in terms of mouth opening and reduction in fibrotic bands. These natural products can be considered adjunctive therapies to conventional interventions for managing Grade II OSMF. Further research with larger sample sizes and longer follow-up periods is warranted to confirm these findings and optimize the treatment approach for OSMF.