bluuebunny/crossref_metadata_2025_split huggingface dataset:
« On veut que je sois républicain » : d’une épithète politique appliquée à la jeunesse dans quelques romans de la monarchie de Juillet
Authors: Puntarello Elisa 
Published: September 2023

La présente étude porte sur l’emploi de l’épithète « républicain » appliquée au jeune héros dans quelques romans de la monarchie de Juillet. L’hypothèse avancée est celle d’un emploi politiquement désémantisé du terme, qui renverrait à une image sociale admise de la jeunesse de 1830. Suivant une démarche sociocritique, nous essayons de reconstruire cette image, tout en interrogeant la réappropriation de représentations symboliques dominantes par les moyens propres de la fiction romanesque, dans un corpus varié qui inclut des œuvres publiées et non publiées, canoniques et non canoniques. Trois cas de figure sont abordés au sein de l’étude, selon que l’étiquette « républicain » est revendiquée par le héros, collée au jeune homme par le personnel romanesque plus âgé, ou employée tour à tour par l’ensemble des entités narratives – y compris le narrateur – pour redéfinir l’identité du héros.
Les Gavroches de 1848. Enfance combattante et justice d’exception après les journées de Juin
Authors: Frondizi Alexandre 
Published: September 2023

L’analyse des procédures administratives et des interactions judiciaires auxquelles les plus jeunes inculpés d’insurrection furent confrontés après les journées de Juin 1848 montre que la juridiction d’exception ouverte par le décret adopté dans la nuit du 27 juin ne leur aménagea aucune place particulière. En la leur refusant sciemment, en mettant en sourdine le Code pénal, l’Assemblée, les commissions militaires et le pouvoir exécutif soumirent ces enfants aux mêmes conditions de jugement et de captivité que les adultes. Mais cette justice d’État rencontra la résistance des enfants arrêtés, de leurs parents, et même de certains de leurs juges d’instruction, qui plaidèrent la circonstance atténuante du jeune âge et réussirent à faire entrer dans cette juridiction d’exception des éléments de droit commun. Ce contraste entre les effets d’une justice de face-à-face et ceux d’une justice à distance révèle les dangers d’une justice exclusivement de papier où les inculpés n’étaient qu’un nom sans âge ni visage et, pour d’aucuns, que des insurgés sans foi ni loi.
Les moineaux de la gouaille. Figures de l’impertinence et de la transgression chez les enfants de la rue dans l’imprimé au xix e siècle
Authors: Bihl Laurent 
Published: September 2023

La postérité de Gavroche a fait du gamin de Paris une métonymie de l’insurrection tout autant que de la gouaille et de l’impertinence. Cette constance de la jeunesse des barricades, mythifiée par l’imagerie, est à la fois indissociable et étrangère aux générations romantiques des artistes et étudiants. Se développe alors toute une iconographie campant une enfance dont la révolte, l’errance de rue ou l’autonomie illustre tout à la fois les inégalités sociales et l’incompréhension du monde des adultes. À l’instar de l’enfant abandonné des romans-feuilletons, le « gamin de Paris » demeure éternellement investi de valeurs positives, à l’intersection de la nuance « canaille » et du « populaire ». C’est la profusion de ces motifs que le texte aborde, en évoquant tout d’abord les héritiers de Gavroche croqués par le dessin d’humour, puis la vision satirique de l’enfance à travers l’univers périodique imprimé.
Organizational Health Literacy and Health Among New York State Medicaid Members
Authors: Robertson Thomas W. , Manganello Jennifer A. , Wu Meng , Miller Lauren S. , Yucel Recai M. , Schettine Anne M. 
Published: September 2023

Background:
The definition of health literacy has recently expanded beyond the idea of individual skills to include the system and environment the individual interacts with to receive care, known as organizational health literacy (OHL). However, neither the prevalence of OHL nor the impact of OHL on individuals' perceptions of their health and healthcare have been examined in New York's Medicaid managed care population.

Objective:
This study aimed to estimate the prevalence of organizational health literacy in the New York State (NYS) Medicaid Managed Care (MMC) program.

Methods:
A brief measure to assess organizational health literacy was developed from responses to two questions in the 2018 NYS Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. Generalized Estimating Equation models were developed to analyze the association between organizational health literacy and three aspects of perceptions of health and health care, controlling for demographic differences and clustering effects from health insurance plans. Missing data were handled using multiple imputation.

Key Results:
Among 3,598 members included in the study, 20% of the MMC members reported inadequate organizational health literacy. These members were more likely to be older, less educated, from racial and ethnic minority groups, and less fluent with English. They are more likely to have poorer self-reported health (odds ratio [OR] 1.49), lower perceived access to health care (OR 6.97), and lower satisfaction with their health care (OR 6.49) than members who did not report inadequate organizational health literacy.

Conclusions:

Our results suggest that a proportion of the NYS MMC population faces inadequate organizational health literacy, which can present a barrier to health care access and result in patients having a significantly poorer health care experience. Using an existing data source that is part of existing data collection allows for routine assessment of organizational health literacy, which can help inform health plans about areas for potential improvement. [

HLRP: Health Literacy Research and Practice
. 2023;7(3):e154–e164.

]
ANALYZING THE IMPACT OF TECHNOLOGY MERGERS AND ACQUISITIONS ON THE INNOVATION CAPABILITY OF CORE DEVELOPERS IN CONSTRUCTION FIRMS
Authors: Ren Ruobing , Zhang Jingxiao , Zillante George , Hu Ruizhi , Cui Hengyuan , Cheng Liyuan 
Published: September 2023

ABSTRACTTechnology mergers and acquisitions are some of the most important ways to introduce technology into a company. The study reveals the impact of technology mergers and acquisitions on the innovation capability of core developers in construction companies. Among core developers are those who have deep professional knowledge accumulation and strong ability to digest and innovate external knowledge. The social network analysis method is used to measure the relevant indicators of the core Research and Development (R&D) personnel cooperation network. Bridge Group Co Ltd with Chongqing Beixin Yuchang Expressway Construction Co Ltd are used as examples where the changes in the network structure before and after the merger were investigated using quantitative analysis. These changes were investigated from two perspectives: the individual center cooperation network and the overall cooperation network of core R&D personnel. The results show that the density and centrality indicators of the core developers’ cooperation network have a positive effect on their innovation capability after the merger whereas the structural hole indicators have a negative effect on their innovation. The study broadens the thinking of social networks in the field of technology Mergers and Acquisitions (M&A) and provides directions for enhancing the innovation capability of core developers, as well as serving as a theoretical guide and reference for M&A activities in the construction industry.
RELATIONSHIPS BETWEEN EMBODIED, OPERATIONAL, AND LIFE CYCLE CARBON IN PASSIVE HOUSE MULTIFAMILY RESIDENTIAL BUILDINGS
Authors: Williams Robert L. 
Published: September 2023

ABSTRACT
The building sector is responsible for a significant portion of global CO2 emissions and any attempt to meet global climate change mitigation goals requires dramatic reductions in CO2 emissions from building construction and use. Among the many green building certification programs intended to reduce the environmental impact of buildings, the passive house standards are one of the most stringent certifications with respect to reducing operational energy. While there is significant research demonstrating the reductions in operational energy use in passive house and passive house inspired buildings, there is comparatively little research into the embodied energy and embodied carbon emissions associated with these buildings. The aim of this research was to evaluate the relationship between embodied carbon emissions, operational carbon emissions, and overall carbon use intensity in passive house certified residential buildings, using a recently completed, multifamily passive house as a case study. First, the case study building was defined, and a partial life cycle assessment (LCA) was performed to evaluate the embodied and operational carbon emissions associated with this base case. Second, a catalog of alternative wall and roof assemblies were defined and the LCA of the case study was updated for each alternative assembly to assess the impact on the embodied carbon, operational carbon, and overall carbon use intensity. The results of this analysis indicate that the material composition of the exterior envelope assemblies can have significant impact on the overall, cumulative carbon impact of a particular building. Moreover, the results also indicate that there are clear scenarios in which operational energy efficiency should be sacrificed in favor of reducing upfront embodied carbon emissions, particularly when evaluated over critical time spans. Based on these results, this study recommends that green building standards and certifications, including passive house but also USGBC LEED, Living Building Challenge, and others, should place greater emphasis on embodied carbon and holistic carbon accounting in addition to operational efficiency.
Clinical utility of reverse perfusion pattern with 99mTc myocardial stress perfusion scintigraphy
Authors: Ajit Nimmagadda , Manthri Ranadheer Gupta , Velam Vanajakshamma , Mohan V. S. Krishna , Rallapeta Ramya Priya , Kalawat Tek Chand 
Published: September 2023

Abstract

Background:
Reverse distribution is a pattern that is occasionally observed with 99mTc sestamibi myocardial stress perfusion scintigraphy. The actual cause for this kind of pattern to occur is still under evaluation with no specific aetiology identified.

Methods:
We retrospectively studied 1195 patients who underwent 99mTc sestamibi myocardial stress perfusion scintigraphy. There was no history of acute myocardial infraction 1 month before the scan; no prior percutaneous transluminal coronary angioplasty was performed in any of these patients. Twenty-seven patients (2.2%) were found to have reverse distribution pattern based on the criteria after ruling out artefacts.

Results:
Their mean age was 53.5 ± 10.4 years; there were 18 females. Their mean body mass index (BMI) was 27.6 ± 3.4 kg/m2. Six patients had a history of hypertension, 4 patients had a history of diabetes mellitus and 2 patients had both before the scan. Scan findings suggested low probability for coronary artery disease (CAD) in 24 patients and high probability for CAD in three patients. Left anterior descending artery (LAD) territory, posterior descending artery and left circumflex (LCX) artery territory were involved in 22, 8 and 1 patient respectively. The mean time of follow-up was 36.3 ± 4.3 months. None of the patients later had any recurrent episode of chest pain or worsening of symptoms or sentinel events such as death after the scan.

Conclusions:
Reverse distribution pattern is sometimes observed with 99mTc-MIBI stress MPI. Such a finding has minimal prognostic significance, especially in patients with low and intermediate probability for CAD on imaging.
Intraoperative modifications done to continue performing traumatic maxillofacial surgery during COVID-19 times
Authors: Narendra S. M. , Shetty Naren , Ellur Sunder Raj 
Published: September 2023

Abstract

Background:
Operating on maxillofacial trauma cases in the severe acute respiratory syndrome coronavirus-2 disease 2019 (COVID-19) era comes with its own disadvantages to operating teams with the current standard operating protocol.

Methods:
We present the various modification in techniques we have devised in a step-wise manner to overcome these difficulties while operating in COVID-19 times. Twenty-eight cases of maxillofacial fracture were operated in a span of 1 COVID year, i.e., from March 2020 to February 2021. Intraoperative modifications were applied for the techniques of drilling, implants used associated with aerosol generation (AG).

Results:
Of the 28 cases that had undergone maxillofacial injury, 20 were mandible fractures, 6 are midface, 2 are upperface/midface and 1 upper face fracture, of the mandible fractures, 12 were single sites and 8 were fractures involving two sites.

Conclusions:
Using microplating with self-drilling screws appear to be the first choice for fixing mandible fractures in COVID times, reducing AG by decreasing the duration of drilling and containing the aerosol spread by an adequate protective barrier around the drill apparatus should be considered. Intraoperative stability of fracture fixation sites post-fixation with mini and microplate as individual and in combination was found to be helpful.
A comparison of the effect of Vitamin D and Vitamin E supplementations, alone, and in combination, on reducing the intensity and duration of dysmenorrhea in women
Authors: BEHROUZI LAK Tahereh , AGHAKHANI Nader , VAHABZADEH Davoud , EGHTEDAR Samereh , CHERAGHI Rozita , GHASEMZADEH Nazafarin , ALINEJAD Vahid , MESGARZADEH Maryam 
Published: September 2023

Objective:
The aim of this study is to compare the effect of Vitamin D and Vitamin E supplementations, alone, and in combination, on reducing the intensity and duration of dysmenorrhea in women who were referred to the Kowsar gynecological clinics of Shahid Motahari Hospital of Urmia University of Medical Sciences.

Materials and Methods:
A double-blinded clinical trial was conducted on 112 women with dysmenorrhea who were randomly allocated into the four study groups. Finally, 100 women complete the study and received capsules containing a placebo (n = 25), 1000 IU of Vitamin D (n = 25), 400 mg of Vitamin E (n = 25), and 1000 IU of Vitamin D + 400 mg of Vitamin E (n = 25) every 24 h for 2 consecutive months at the beginning of the menstrual period. The pain intensity and duration among groups were compared before and after the intervention.

Results:
The mean menstrual pain duration in all three experimental groups (Vitamin E, Vitamin D, and the combination of them) was lower than the placebo group (all P < 0.05), and the mean pain intensity scores in all three experimental groups were significantly lower than the placebo group (all P < 0.05). The results (means) for all of the drugs administered at the end of the 2nd month were better than the 1st month (all P < 0.01).

Conclusions:
Vitamin E and Vitamin D, as well as their combination, are recommended as an effective and safe treatment for the management of the complications of dysmenorrhea.
Influence of cultural factors on choice of childbirth place among women in Oyigbo Local Government Area, Rivers State, Nigeria
Authors: OBIKA-NDIRI Ngozi Afulenu , NDIKOM Chizoma Millicent , OBIKA Ogochukwu Immaculate , ASEMINASO Omineokuma Tubonemi 
Published: September 2023

Objectives:
This study aims to ascertain if cultural factors influence the childbirth place choice of women in Oyigbo.

Materials and Methods:
The study used a cross-sectional study design using a self-structured questionnaire as the instrument to collect data from 384 volunteers through simple random sampling, and these data were analyzed using frequency and percentage for descriptive statistics while Chi-square was used for inferential statistics at 0.05 level of significance.

Results:
The influence of cultural factors such as family traditions (χ
2 = 12.56, P = 0.006), beliefs (χ
2 = 70.66, P = 0.000), lack of confidence in health facilities (χ
2 = 367.83, P = 0.000), and the presence of male skilled birth attendants (χ
2 = 50.85, P = 0.000) were statistically significant to the choice of childbirth place, while patriarchal system (χ
2 = 2.99, P = 0.393) was not statistically significant to the choices of childbirth places of women in Oyigbo. Religion had a statistically significant influence on childbirth place (χ
2 = 125.46, P = 0.000).

Conclusion:
This study shows that religious and cultural factors have a significant influence on the childbirth place choices of women in Oyigbo Local Government Area of Rivers State.
Prognostic Impact of Lynch Syndrome in Signet-Ring Cell Carcinoma: A Case Report and Review
Authors: Kaler Amrit Kaur , Fatima Sheereen , Bora Nandini Shyamali , Satpute Shalaka , Balaji Varsha , Kavyashree P , Goyle Sandeep , Mulchandani Manoj 
Published: September 2023

ABSTRACT
Signet ring cell carcinoma (SRCC) is a rare subtype of colorectal cancer with distinct molecular features and aggressive behavior compared to adenocarcinoma. Most cases are diagnosed at an advanced stage with poor prognosis. SRCC is often associated with CpG island methylation phenotype (CIMP)-high, high (Methylation) BRAF mutations, but their prognostic role is unclear. We report a 57-year-old male with locally advanced sigmoid SRCC and germline Lynch syndrome (pathogenic MLH1 mutation). Despite the advanced stage, he has shown excellent response to adjuvant 5-fluorouracil chemotherapy, unlike typical SRCC outcomes. This case highlights the need to determine the prognostic and predictive significance of lynch syndrome in colorectal SRCC. Identifying patients with improved chemotherapy sensitivity in lynch Syndrome could treatment and improve survival in this rare histological subtype.
Evaluating the Psychosocial Determinants of Patients and Caregivers Seeking Treatment at a Tertiary Cancer Care Center: A Clinical Study
Authors: Agarwal Harsha , Rana Shalu , Mittal Disha 
Published: September 2023

ABSTRACT

Objective:
This clinical study aimed to evaluate the psychosocial determinants influencing patients and caregivers seeking treatment at a tertiary cancer care center.

Methods:
The study included 175 patients or caregivers (86 males and 88 females) who visited the cancer hospital for checkups or treatment. Data were collected using self-designed questionnaires. The questionnaire assessed psychological and psychosocial issues, including anxiety, sleep, appetite, pain, fatigue, distress, depression, financial issues, family issues, social support, occupational issues, sexual issues, patient satisfaction, mood and thought, and concerns about the future. Statistical analyses, such as independent t-tests, were conducted to compare the differences between demographic factors and psychological and psychosocial issues.

Results:
The findings revealed that males scored higher on psychological issues, while females scored higher on psychosocial issues. Caregivers reported higher scores on both psychological and psychosocial issues compared to patients. Married patients exhibited higher scores on anxiety, sleep, and appetite compared to unmarried patients. Moreover, individuals with a family history of cancer scored higher on psychological issues, while those without a family history of cancer scored higher on psychosocial issues.

Conclusion:
The study highlights the significance of addressing psychosocial determinants when patients or their caregivers visit a tertiary cancer care center. Understanding and addressing psychological and psychosocial factors can contribute to better support and treatment for cancer patients and their caregivers.
Evaluation of Anxiety and Depression Symptoms in Patients Undergoing Initial Oncology Treatment: A Clinical Study
Authors: Agarwal Harsha , Rana Shalu , Pal Shivangi 
Published: September 2023

ABSTRACT

Background:
This clinical study aimed to evaluate the symptoms and severity of anxiety and depression among patients undergoing initial treatment in an oncology setup. The research focused on assessing the psychological and demographic factors related to anxiety and depression.

Aims and Objectives:
The aim of the study was to identify the symptoms and severity of anxiety and depression in patients admitted for the first time to an oncology setup. The specific objectives were to determine the psychological antecedents, i.e., severity and symptoms of anxiety and depression, and explore the differences in demographic antecedents, particularly gender.

Methods:
A total sample of 137 patients (69 males and 68 females) admitted for the first time to an oncology setup was included in the study. The data were collected using the Hospital Anxiety and Depression Scale (HADS), the Hamilton Anxiety Rating Scale (HAM-A), and the Patient Health Questionnaire-9 (PHQ-9). Purposive sampling technique was employed to recruit the participants.

Results:
Data analysis revealed the presence of symptoms of anxiety and depression among the participants, with varying severities. The results indicated that females exhibited higher levels of anxiety compared to males, while males showed higher levels of depression than females.

Conclusion:
This study provides evidence of the prevalence of anxiety and depression symptoms among patients undergoing initial oncology treatment. The findings highlight the importance of early identification and appropriate management of anxiety and depression in this patient population. Furthermore, the study demonstrates the gender differences in the levels of anxiety and depression, emphasizing the need for tailored interventions and support for both male and female patients.
Genomically Driven NUTM1-NSD3 Carcinoma of the Lung: Opportunity for Chemotherapy Response
Authors: Fatima Sheereen , Kaler Amrit Kaur , Shaikh Imran Nisar 
Published: September 2023

ABSTRACT
Nuclear protein in testis (NUT) carcinoma is a rare, genetically-driven carcinoma defined by NUTM1 gene rearrangements. It frequently presents as an aggressive, poorly differentiated squamous cell carcinoma of the midline. NUT carcinoma originating in the lung is extremely uncommon. We present a unique case of a 23-year-old female diagnosed mucoepidermoid carcinoma of the lung found to harbor a rare NSD3-NUTM1 gene fusion on targeted sequencing. Despite multiple metastases at diagnosis, she exhibited dramatic response to first-line carboplatin and paclitaxel doublet chemotherapy. Interim PET-CT after three cycles showed near complete resolution of the left hilar mass and metastases. This response was sustained after six total cycles and continues after six months on maintenance chemotherapy. To our knowledge, this represents the first reported case of NUTM1-NSD3 fusion positive lung carcinoma displaying chemosensitivity, unlike the typically aggressive course of NUT cancers. Our case reveals the emerging molecular heterogeneity of these rare malignancies and suggests platinum doublets may be an effective treatment option warranting further study. Overall, it highlights the potential for precision diagnostics to uncover actionable targets and prognostic insights even in elusive cancers.