bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dans quelle mesure le coaching « empathique » permet-il… de surmonter certaines impasses et dérives du coaching « réflexif » ?
Authors: Leblanc Sophie , Jardat Rémi 
Published: November 2022

Comment dépasser les limites liées au caractère introspectif du coaching ? La recherche-action qui a inspiré cet article a recouru une forme innovante de coaching qui accorde une place particulière à l’empathie du coaché, à son lien à autrui et au collectif. Elle s’est notamment appuyée sur les avancés des sciences cognitives en mobilisant la théorie de la spatialisation de l’empathie de Berthoz (2004). Cette théorie avance que l’empathie est une opération spatiale, de décentrement. Les auteurs relatent quatre séances de coaching durant lesquelles ils ont expérimenté l’empathie par décentrement et qui présentent un éventail de situations professionnelles. Ces coachings ont eu lieu dans une entreprise de travaux spéciaux en pleine croissance, dans le cadre de dispositifs d’intégration des nouveaux arrivants. L’intégration de conducteurs de travaux et de commerciaux, tous jeunes ingénieurs sans expérience dans les travaux spéciaux, est un enjeu considérable pour cette entreprise en plein développement. L’article restitue les enseignements majeurs de ces expérimentations mais évoque aussi les limites de cette typologie de coaching.
Le coaching des cadres et le psychologue double bind ?
Authors: Garcia Frédéric , Froment Myriam , Ferret-Bosch Célye 
Published: November 2022

Le « coaching » propose des accompagnements, surtout aux cadres, pour développer la productivité et la performance. Les lacunes sont nombreuses : discussion des postulats, approche scientifique, variabilité des coachs, des dynamiques psychiques, des situations de travail réel... Mais les besoins des cadres sont majeurs, notamment dans la fonction publique française. De plus, le coaching interroge les pratiques des psychologues et des intervenants en santé au travail. Cette communication approfondit ces constats et discute ces pratiques. Les interactions entre l’analyse qualitative de terrain et les apports théoriques permettent une approche exploratoire pluridisciplinaire. La variété des dispositifs en santé au travail et d’accompagnement des cadres nécessite d’être sécurisée scientifiquement. Les garanties doivent être construites ou réaffirmées, comme dans le Code de déontologie des psychologues.
Les dimensions éthiques et sociétales de l’adoption des technologies émergentes
Authors: Lejealle Catherine 
Published: November 2022

Les programmes et systèmes qui composent l’intelligence artificielle (IA) recueillent de nombreuses données personnelles permettant une personnalisation du service. Si celle-ci apporte un bénéfice valorisé par l’utilisateur, elle peut menacer la protection de la vie privée et induire des risques éthiques. Comment une entreprise peut-elle faciliter l’adoption de technologies basées sur l’IA en tenant compte des risques éthiques ? Le cas abordé est celui du promoteur immobilier Cogedim qui souhaite concevoir le logement connecté piloté par l’IA. Face à une large offre et des clients méfiants, l’équipe innovation doit concilier risques éthiques et bénéfices.
Construire une filière européenne de l’électrolyse : le passage au stade de l’industrialisation
Authors: Héquet Roland 
Published: November 2022

L’hydrogène est en passe de s’imposer comme le vecteur énergétique majeur du XXI e siècle : dans un premier temps en complément, puis en remplacement des filières actuelles basées sur les énergies fossiles. L’hydrogène produit à partir de sources d’énergies renouvelables représentera 20 % de la consommation électrique de l’Europe en 2050 et révolutionnera l’industrie, la mobilité et, plus globalement, la gestion de l’énergie. La production de cet hydrogène décarboné est une formidable opportunité pour l’Europe, et cela à maints égards : bien évidemment, en termes de lutte contre la pollution et le réchauffement climatique, mais aussi en termes économiques, voire de leadership technologique. Les électrolyseurs sont un élément clé de la chaîne de production de l’hydrogène décarboné. Construire une filière européenne autour de ce produit est un enjeu majeur nécessitant des efforts de recherche et développement importants, de faire des choix technologiques judicieux, d’élaborer un cadre normatif et d’assurer un accompagnement de la filière.
Produire et publier des ouvrages de mécanique pour le plus grand nombre dans la France des années 1820 et 1830
Authors: Chatzis Konstantinos 
Published: November 2022

L’objectif de cet article est d’éclairer le paysage éditorial en matière d’ouvrages de mécanique adressés à des personnes qui seraient privées de ressources nécessaires, notamment mathématiques, pour se plonger dans les traités savants publiés dans la France des années 1820-1840. La première partie de l’article est dédiée à une vue panoramique du champ éditorial, alors que la seconde est consacrée à l’analyse plus approfondie d’un seul livre, le Traité élémentaire de mécanique industrielle, paru en 1835 sous la signature de l’ingénieur saint-simonien Stéphane Flachat. La conclusion générale s’attache enfin à expliquer pourquoi l’effervescence éditoriale constatée durant la période 1820-1840 s’estompe progressivement au fur et à mesure qu’on avance dans le temps.
L’art de la question
Authors: Fontana Vincent 
Published: November 2022

Alors que l’interrogatoire constitue la pierre angulaire de la procédure dite « inquisitoire » sous l’Ancien Régime, cet acte d’instruction demeure prépondérant dans l’enquête pénale que reconfigure le droit révolutionnaire et impérial. Malgré l’évolution du système probatoire liée à l’avènement des codes modernes, l’aveu demeure la « reine des preuves » pendant tout le XIXe siècle. L’art de l’interrogatoire est constitutif du métier de juge d’instruction – cette figure emblématique du modèle judiciaire napoléonien. Il importe toutefois de mesurer la dynamique d’innovation à l’œuvre. Quelles ruptures introduisent les premiers manuels de police judiciaire par rapport à la doctrine d’Ancien Régime ? Quelles sont les techniques privilégiées par la magistrature napoléonienne pour auditionner les suspects ? Cet article interroge l’impact des codes pénaux modernes sur les méthodes de l’interrogatoire à partir des pratiques d’enquête dans le chef-lieu département du Léman (1801-1814).
Tapas, oreilles et diktats : négocier l’écriture de l’information à La Croix
Authors: Deseilligny Oriane 
Published: November 2022

L’écriture journalistique rencontre sur le web de nouveaux formatages pour se soumettre aux « diktats » de Google, qui prescrit des normes rédactionnelles pour donner de la visibilité aux articles. Nous évoquons ici les usages concernant l’ensemble de la titraille, et la manière dont ces pratiques sont reçues par les journalistes. À partir d’une série d’entretiens menés auprès de professionnels de la rédaction de La Croix entre 2019 et 2022, nous montrons les dilemmes auxquels sont confrontés chaque jour les journalistes pour poursuivre leur mission d’information, conseillés par les spécialistes en référencement mais dont les préconisations passent néanmoins après l’éditorial. Pour autant, la culture du référencement infuse dans la rédaction qui recherche par ailleurs des alternatives à la course au flux, à la visibilité et au trafic sur le site pour fidéliser les lecteurs et conquérir de nouveaux abonnements.
Development of models for predicting the objective response of immune checkpoint inhibitor therapy in patients with nonsmall-cell lung cancer
Authors: Yang Qiao , Cui Lin , Gao Yu , Yang Xiu , Sun Jianguo 
Published: November 2022

Background:
Immune checkpoint inhibitors (ICIs) have significantly improved the therapeutic efficacy and extended the survival of patients with advanced nonsmall-cell lung cancer (NSCLC); however, the benefits were confined to certain populations. How to optimally select eligible patients for ICI therapy needs to be solved.

Materials and Methods:
A total of 100 NSCLC patients treated with ICIs from two independent studies were included and then were randomly assigned to the train dataset and the validation dataset. A logistic regression model and a decision tree model were developed to predict the objective response outcome. The area under the receiver operating characteristic curves (AUC) of the two models was evaluated. The confusion matrix for decision tree model was also calculated.

Results:
The comparison of baseline clinical features between the train and validation datasets showed no significant difference. The multivariable logistic regression identified three variables associated with objective response, i.e, age, tumor mutational burden (TMB), and programmed cell death ligand 1. Moreover, a logistic regression model was developed based on these variables. A decision tree, including age and TMB, was also developed. The AUCs of the two models were both 0.85 in the train dataset. And, that was better than each single variable. The AUC of the decision tree in the validation dataset was inferior to that of the logistic regression model. The performance showed that the decision tree could not effectively identify responders.

Conclusion:
The performance of the decision tree developed in this study was dismal. Its predictive ability was inferior to the logistic regression model.
Cost-Effective Treatment for Deep-Vein Thrombosis in Rural Tertiary Care Hospital
Authors: Arasappa Arunkumar , Kumar Nirmal , Anto M , Manoharan GV , Selvanathan Duraipandian 
Published: November 2022

Objective:
The aim was to compare the cost of treating deep-vein thrombosis (DVT) using unfractionated heparin (UFH) and low-molecular-weight heparin (LMWH) among patients in rural tertiary care hospitals.

Materials and Methods:
A retrospective study was conducted at a Rural Tertiary Care Hospital from April 2017 to April 2019. Fifty-four patients who had symptoms of swelling of the unilateral or bilateral lower limb with or without pain were subjected to Padua prediction score and Doppler study of both lower limbs. Confirmed cases of DVT were treated with UFH or LMWH. The cost of these two treatments was compared.

Results:
The mean cost of heparin was 2493.33 ± 1406.27 Indian rupee (INR) in the study population. The mean cost of LMWH was 13,520 ± 9806.35 (INR) in the study population. There was a statistically significant difference between UFH and LMWH with regard to the cost of drugs (INR) for treatment (P < 0.001), which indicated that UFH was a cost-effective treatment compared to LMWH.

Conclusions:
The study's findings prove that UFH is a cost-effective treatment compared to LMWH in Rural Tertiary Care Hospitals for DVT. Based on the patient's affordability, the treatment decision can be made.
Perioperative Outcomes of Open Surgical Repair for Juxtarenal and Infrarenal Aortoiliac Occlusive Disease in Patients with Poor Cardiac Status
Authors: Balaji S K , Robinson C Saravanan , Yalamuru Sudharsan Reddy , Kumar Sabarish G , Maruthupandian Adharsh Kumar , Ahmed Syed Mohammed Ali , Bharat Arun M V , Ray Ruru 
Published: November 2022

Purpose:
The most common cause of mortality in patients undergoing open surgical repair for aortoiliac disease is from cardiac complications. As there is a paucity of literature about the surgical outcomes in patients with compromised cardiac status, this study was undertaken to study the perioperative outcomes of open surgical repair for aortoiliac occlusive disease in patients with poor cardiac status.

Methodology:
A retrospective study was carried out from January 2017 to December 2020. Patients with aortoiliac occlusive disease based on computed tomography angiographic findings with poor cardiac reserve (ejection fraction ≤40% on echocardiography) were included in the study. The primary endpoints were perioperative complications which included intraoperative hemodynamic complications and early postoperative complications.

Results:
During 2017–2020, a total of 44 patients with aortoiliac occlusive disease (AIOD) with erectile function ≤40% underwent open surgical repair. Of these, 25 (57%) patients had infrarenal aortoiliac involvement and 19 (43%) had juxtarenal aortoiliac involvement. In our study of open surgical repair for juxtarenal and infrarenal aortoiliac occlusive disease in patients with poor cardiac status, intraoperative hemodynamic complications were noted in 26 (59%) patients, early postoperative complications were noted in 11 (25%), and mortality rate was 4.5%.

Conclusion:
Even though AIOD patients with poor cardiac status are at high operative risk than patients with normal cardiac status, open surgical repair with in-line bypass can be considered as a suitable option in these patients, especially where facilities for appropriate intraoperative monitoring and management are available.
COVID-19 and Clotting
Authors: Agarwal Rahul , Atreyapurapu Viswanath , Sharma Pritee , Yerramsetty Vamsi Krishna , Saripalli Chainulu , Reddy K Santhosh , Atturu Gnaneswar , Gupta Prem Chand 
Published: November 2022

Introduction:
A surge in the number of patients with acute limb ischemia (ALI) was seen during the first and second waves of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. This has been ascribed to the hypercoagulable state seen in COVID infections. The aim of this study is to report our experience and outcomes of ALI associated with SARS-CoV-2 infection.

Materials and Methods:
It was a single-center observational retrospective study from a prospectively maintained database of patients with SARS-CoV-2 infection presenting with ALI between July 2020 and December 2020 with 1-year follow-up.

Results:
Thirty-nine acutely ischemic limbs were treated in 32 patients including three upper limbs. The mean age of patients was 55.75 (range: 27–80). There were 23 (71.87%) males and 9 (28.12%) females. Majority of the limbs were in Class IIB of ALI, whereas 20.51% had irreversible ischemia. Of the 39 affected limbs in 32 patients, 22 limbs were revascularized, 9 had primary amputation, and 8 were managed conservatively with anticoagulation. The overall limb salvage was 26 out of 39 limbs (66.7%), whereas it was 81.8% for the limbs that had an intervention. The overall mortality was 9.4%. There was no further limb loss or mortality during 1-year follow-up. Interestingly, 15 patients did not have any symptoms suggestive of SARS-CoV-2 infection other than ALI. The severity of COVID infection did not correlate with the severity of ALI.

Conclusion:
COVID-19 infection can be associated with arterial thrombosis and ALI, which, if treated early with appropriate intervention, can result in a satisfactory limb salvage rate. Prophylactic anticoagulation in COVID-19-infected patients may not prevent arterial thrombosis, and the clinical severity of the COVID-19 infection is not a predictor of arterial thrombosis.
Serum levels of Activin A: Marker of insulin resistance and cardiovascular risk in prediabetics
Authors: Chauhan Ajay , Gupta Asmita , Goyal Parul , Kumar Tarun 
Published: November 2022

ABSTRACT

Background:
A substantial proportion of health burden in diabetic individuals can be attributed to cardiovascular complications. The increasing risk of cardiovascular complications along the spectrum of dysglycemia warrants the need to devise novel markers for early assessment and management. Activin A is a multifunctional cytokine with an important role in glucose homeostasis and vascular diseases. It can thus serve as a guide for early identification of cardiovascular disease (CVD) risk in prediabetes.

Objective:
The aim of the study was to measure serum levels of activin A in prediabetics, compare them with normoglycemic controls and find the correlation of activin A with markers of insulin resistance such as the homeostatic model assessment of insulin resistance (HOMA-IR).

Methods:
Sixty prediabetic patients and similar age-, sex-, blood pressure–, and BMI-matched controls were recruited in the study. In both groups, serum levels of fasting blood glucose and post prandial glucose, glycated hemoglobin (HbA1c) and fasting insulin were measured. HOMA-IR values were calculated. Serum activin A levels were measured in both groups using ELISA. The obtained values were compared between the two groups.

Results:
The median (IQR) of s. fasting insulin (mIU/L) in the case group was 15.3 (12.2–18.62) which was significantly higher than that in the control group, which was 6 (4.2–7.3). The median (IQR) of s. activin A (ng/mL) in the case group was 263.55 (227.18–279.56) which was significantly higher than that in the control group, which was 159.9 (150.73–178.75) (P < 0.001). There was a very strong positive correlation of s. activin A (ng/mL) with s. fasting insulin (mIU/L) and HOMA-IR (rho = 0.67 and 0.75, respectively, P < 0.001).

Conclusion:
Activin A, if combined with other atherosclerotic markers, might improve the assessment of insulin resistance and cardiovascular risk in prediabetics and lead to focus on lifestyle modifications and preventive medical therapy, thereby contributing to the prevention of CVD-related mortality and morbidity in these patients.
Electrocardiographic abnormalities in patients with COVID-19 pneumonia and raised interleukin-6
Authors: Kaeley Nidhi , Mahala Prakash , Walia Rohit , Arora Poonam , Dhingra Vandana 
Published: November 2022

ABSTRACT

Background:
Cardiac injury is associated with high mortality in patients with COVID-19 infection. Electrocardiographic changes can give clues to the underlying cardiovascular abnormalities. Raised inflammatory markers like raised interleukin-6 (IL-6) are associated with arrhythmia, heart failure, and coronary artery disease. However, past studies have not highlighted the electrocardiographic abnormalities in patients with COVID-19 infection with raised IL- 6 levels. This study compared the electrocardiogram (ECG) changes in COVID-19 patients with high and normal IL-6 levels.

Methods:
A retrospective analysis of ECG of 306 patients with COVID-19 infection was done, out of which 250 patients had normal IL- 6 levels, whereas 56 patients had raised IL-6 levels. IL-6 levels were measured in all the patients. Detailed clinicodemographic profile of all the serial COVID-19 patients admitted with moderate to severe COVID-19 pneumonia was noted from the hospital record section. Electrocardiographic findings and biochemical parameters of all the patients were noted.

Results:
Out of 56 patients with raised IL-6 levels, 41 (73.2%) patients had ECG abnormalities compared to 177 (70.8%) patients with normal IL-6 levels. This difference was not statistically significant. However, ECG abnormality such as sinus tachycardia was significantly more common in patients with raised IL-6 levels than those with normal levels. Among patients with raised IL-6 levels who were discharged, 5 (16.6%) had sinus tachycardia, 2 (6.6%) had ST/T wave changes as compared to 15 (57.6%), and 10 (38.4%) who had tachycardia and ST/T wave change respectably succumbed to death. This difference was statistically significant.

Conclusions:
Sinus tachycardia followed by atrial fibrillation and right bundle branch block are common ECG changes in patients with COVID-19 infection with raised IL-6. The possible association of cardiac injury in patients with COVID-19 infection with coexisting raised IL-6 levels should be explored further.
Acceptance of artificial intelligence (AI)-based screening for breast health in urban slums of central Karnataka, India – SWOC analysis
Authors: Davalagi Shubha B. , Palicheralu Balu S. , Murthy Sanjana S Narasimha , Hurlihal Shalini 
Published: November 2022

ABSTRACT

Background:
Artificial intelligence-based imaging is a low-cost, radiation-free solution for the breast imaging process that uses infrared radiation emitted by the body. This is a novel procedure that, when feasible, could be a better solution, particularly in underprivileged communities having low access to breast health care.

Aims:
To assess the acceptance and explore challenges for an artificial intelligence-based screening solution for breast health among the urban slum population.

Settings and Design:
A mixed-method study was conducted in urban slums of central Karnataka, India.

Material and Methods:
The study was carried out for a period of two years in 2019–21 among women in the reproductive age group in urban slums of central Karnataka to understand the acceptance of an artificial intelligence-based imaging solution for screening breast health. In-depth interviews were conducted to identify the strength, weaknesses, opportunities, and challenges (SWOC) screening for breast health.

Statistical Analysis Used:
Quantitative data were analysed using Statistical Package for the Social Sciences (SPSS) v16.0, and for qualitative data, manual descriptive content analysis was carried out, and the sub-themes were generated.

Results:
A total of 768 women accessed the thermalytix ® breast imaging services, the majority of them in the age group 31–40 years (35%), belonging to the Muslim religion (68.5%) with a mean monthly family income of Rs. 11,950.67/-. SWOC analysis identified reduced cost for the screening services and involvement of female self-help groups (SHGs) as strengths. Weaknesses included poor breast health awareness among women and the stigma associated with breast cancer.

Conclusions:
Artificial intelligence-based screening is a feasible solution for breast health in low-income, low health access areas like urban slums. Engagement of the local community and active involvement of the health system is of paramount importance for the sustainability of any novel strategy.
COVID-19 suspicion and diagnosis in pregnancy: A big conundrum!
Authors: Singh Parul , Bhuriya Vandana , Nanda Smiti , Chauhan Meenakshi Barsaul , Dahiya Pushpa , Singhal Savita 
Published: November 2022

ABSTRACT

Introduction:
This article aims to discuss all the challenges faced in the diagnosis of coronavirus disease 2019 (COVID-19) in pregnancy, isolation of suspected and positive patients, their management, and the strategies to prevent the transmission of infection among the healthy population and medical fraternity. The diagnosis of COVID in pregnancy is influenced by many factors, including normal physiological changes in pregnancy, comorbid conditions associated with pregnancy, and the presence of asymptomatic infection in patients. Suspicion of COVID-19 in pregnant females is of utmost importance at a primary health center for risk mitigation of exposure to medical personnel.

Material and Methods:
A retrospective study was carried out in the labour room in a tertiary care center in India. Two groups were made, suspected COVID and confirmed COVID in pregnant patients. The case records were analysed.

Results:
Out of a total of 5164 admissions, 95 patients were admitted as suspected (1.8%), but only two patients were COVID-positive amongst them. 84% of COVID-positive patients were asymptomatic. Fever was the most common symptom in both groups (P-value: 0.15). Preeclampsia and anaemia were the most common comorbidities in both groups, not statistically significant. There were 32% of intensive acre unit (ICU) admissions in suspected COVID patients, and 77% of them were having respiratory distress.

Conclusion:
COVID-19 presents as an asymptomatic infection in most pregnant patients. Physiological changes to the cardiorespiratory and immune systems along with associated comorbidities in pregnancy, increase a woman’s susceptibility and delay diagnosis. Consideration of patients as suspected COVID at triage stations on the basis of only contact or travel history poses a great burden on the health care system. Although triage is an essential tool to identify symptomatic COVID patients, universal testing strategies should continue simultaneously. Streamlining medical care professionals into self-sufficient teams ensures adequate clinical coverage amongst the suspected COVID, confirmed COVID, and routine labour room admissions.