bluuebunny/crossref_metadata_2025_split huggingface dataset:
La tradition des oracles sibyllins dévoilée par les inscriptions des peintures des écoinçons du rond-point de Notre-Dame-la-Grande de Poitiers (fin xie-début xiie siècle) : à propos d’un article récent
Authors: Kumaoka Soline 
Published: February 2022

Les peintures murales de Notre-Dame-la-Grande, rendues visibles grâce à la technologie la plus récente, ont été parfaitement élucidées par Robert Favreau. Nous nous contentons d’y ajouter trois éléments : une série d’études sur l’élaboration de la tradition liturgique ayant comme origine le Sermon contre les Juifs de Quodvultdeus et les deux sources potentielles mentionnant les prophétesses-sibylles : la sibylle érythréenne, dont l’acrostiche était si connu, venant peut-être directement de l’œuvre d’Augustin ou plus probablement d’un des auteurs qui l’ont cité, par exemple Fréculf de Lisieux dans son Historia ; la sibylle tiburtine, avec l’oracle qui lui est attribué, un texte largement diffusé à partir du xiie siècle. Les traces de la transmission de ces deux textes en Poitou sont bien présentes dans la Chronique de Saint-Maixent, un recueil gigantesque de divers textes, constitué avant 1124, et une source capitale pour l’histoire philologique et codicologique du Poitou et des régions avoisinantes. La source directe de la clause prophétique de la sibylle tiburtine reste indéterminée. Nous pouvons seulement indiquer qu’elle est répandue à partir du xve siècle, dans des textes dont l’incipit est identique à celui de l’œuvre poitevine gravée trois siècles auparavant.
« Migrants et dialectes » dans la presse italienne : représentations, enjeux et implications
Authors: Villa Valeria 
Published: February 2022

Cette contribution vise à montrer les représentations des immigrés véhiculées par la presse italienne au travers de la mise en valeur de leurs compétences linguistiques. Nous nous concentrons notamment sur la visibilité accordée par les médias – même par le biais de la polyphonie énonciative – à leur emploi et/ou connaissance des dialectes italiens, sur les implications dans leur intégration sociale et sur l’image de leurs pratiques linguistiques.
Image(s) et Constitution(s). Un regard français sur le savoir constitutionnel canadien
Authors: Blanc Nicolas 
Published: February 2022

Le phénomène constitutionnel est en transition, du positivisme au pluralisme juridique : il peut être construit selon une pluralité de perspectives, de paradigmes. Ces images constitutionnelles sont en concurrence : le discours constitutionnel est cadré, selon les choix plus ou moins explicites du comparatiste de droit constitutionnel. Si rien n’indique en quoi un paradigme est meilleur qu’un autre, cette question relève de la théorie de l’argumentation.
Mutation Spectrum of Primary Lipid Storage Myopathies
Authors: Vengalil Seena , Polavarapu Kiran , Preethish-Kumar Veeramani , Nashi Saraswati , Arunachal Gautham , Chawla Tanushree , Bardhan Mainak , Mohan Dhaarini , Christopher Rita , Bevinahalli Nandeesh , Kulanthaivelu Karthik , Nishino Ichizo , Faruq Mohammad , Nalini Atchayaram 
Published: February 2022

Background:
Lipid storage myopathies (LSM) constitute an important group of treatable myopathies. Genetic testing is essential for confirming the diagnosis and also helps in explaining phenotypic heterogeneity. The objective of this study was to describe the clinical features and genetic spectrum of LSM seen in a quaternary referral center in India.

Methods:
Eleven cases of suspected LSM underwent clinical, biochemical, histopathological and genetic evaluation. Tandem Mass Spectrometry and clinical exome sequencing with Sanger validation were performed.

Results:
All patients had exertion induced myalgia and either progressive or episodic limb girdle muscle weakness (LGMW). The age of onset ranged 10 to 31 years (mean- 21 ± 6.7y), age at presentation- 14 to 49 years (mean- 26.5 ± 9.5y). Mutations identified: ETFDH = 5, CPT2 = 3, FLAD1 = 1, ACADVL = 1, FLAD1 = 1. Dropped head syndrome was seen in two patients with ETFDH mutations. Bulbar symptoms and Beevor's sign were noted in a patient with FLAD1 variant. Novel variants were identified in seven patients.

Conclusions:
This is the first report on the genetic spectrum of LSM from India. LSM should be considered in patients with exertion induced myalgias, LGMW, cranial nerve involvement or dropped head syndrome. Genetic testing is essential for identification of these treatable disorders.
Isolated Medial Orbital Wall Fracture Correction with Revision of Levator Plication - A Case Report
Authors: Balaji S. M. , Balaji Preetha 
Published: February 2022

The Rationale:
Treatment options for isolated medial orbital wall fractures (IMOWF) vary. In young and favourable situations, most of the times, the fracture is left to heal spontaneously. If not properly monitored, it may improperly fuse causing poor form and function.

Patient Concerns:
A 24-year-old male presented for correction of his sunken left eye. The patient had a blunt trauma 10 years back and had left upper eyelid as well as ptosis correction elsewhere. Since that surgery, the patient noticed that the eye had been slowly and progressively “sinking” with time.

Diagnosis:
An IMOWF with periorbital fat entrapment and detachment of levator palpebrae superioris was identified.

Treatment and Outcome:
The fracture site was reached via a transcaruncular approach, the fracture corrected and orbital defect corrected with a mesh. One week later, in a second-stage surgery, under local anaesthesia, the muscle was repositioned. Recovery was uneventful and the desired aesthetic-functional results were achieved.

Take-Away Lessons:
An untreated IMOWF in young adolescents could persist and subsequent growth could amplify the enophthalmos. A careful diagnosis and treatment is warranted.
Surgery First Approach in Orthognathic Surgery - Considerations and Clinical Case Report
Authors: Borges Thaynan Maximiano , Sol Izabella , de Castro Rodrigues Cristovão Marcondes , Peres Lima Felipe Gomes Gonçalves , Silva Claudia Jordão , Furtado Lair Mambrini 
Published: February 2022

The Rationale:
The surgery first approach is a safe and stable procedure for the correction of dentofacial deformities that requires little orthodontic correction, leading to a faster return of functions.

Patient Concerns:
Patient with facial discrepancies seeks treatment that returns function and aesthetics, requiring a less prolonged treatment with adequate results.

Diagnosis:
Clinical, facial, and radiological image analysis was used for diagnosis and treatment plan.

Treatment:
Surgery first approach was performed in a patient with facial pattern II dolichocephalic, vertical maxillary excess, mandibular growth deficiency, aesthetic, and functional complaints, with the completion of the orthodontic treatment in 15 months.

Outcomes:
Follow-up of 36 months showed no evidence of recurrence of the initial condition and occlusal stability was maintained. The patient had no more functional and aesthetic complaints.

Take-away Lessons:
Aesthetic and functional improvements were observed more rapidly due to the correction of the skeletal deformity, with improvement in behavior and self-esteem.
Reporting adverse events of ChAdOx1 nCoV-19 coronavirus vaccine (Recombinant) among the vaccinated healthcare professionals
Authors: Kaur Sukhpal , Singh Ajay , Saini Sushma , Rohilla Latika , Kaur Jasvir , Chandi Anadeep , Kaur Gurpreet , Singh Manjeet , Kumar Pramod , Soni Shiv Lal , Kajal Kamal , Naik Naveen B. , Malhotra Pankaj , Verma Sanjay , Gupta Madhu , Devnani Mahesh , Das Karobi , Pandav S.S. , Puri G.D. 
Published: February 2022

Background & objectives
The safety of the ChAdOx1 nCoV-19 vaccine is a cause of concern for many who have been vaccinated. The people have multiple concerns and fear regarding the adverse events of the vaccine. Thus, this study was undertaken to establish the safety profile of ChAdOx1 nCoV-19 Corona Virus Vaccine (Recombinant) among the healthcare professionals.

Methods
This was a descriptive cross-sectional survey. After taking clearance from the institutional ethics committee 1500 healthcare professionals, who had their vaccination in the past two weeks were selected. They were provided with an online survey proforma regarding adverse events following immunization (AEFIs) of COVID-19 vaccine developed using google forms with an informed consent form affixed to it.

Results
A total of 1036 individuals participated in the study. The mean and median (inter quartile range) age of the participants was 37.7 ±11.25 and 35 (29-46) yr, respectively. Of these, 52.1 per cent were female, 29.3 per cent were doctors, 33.4 per cent were nurses and 9.5 per cent were paramedical staff. Forty six per cent participants experienced one or more minor AEFIs such as pain, tenderness, redness, etc. at the injection site. Fatigue (31.75%), generalized feeling of unwell (28.57%), muscle pain (23.16%) and fever (21.71%) were the most commonly reported systemic AEFIs followed by headache (20.07%), dizziness (10.03%) and joint pains (15.25%). Most of them experienced these AEFIs within 24 h of the first dose of administration. About 42 per cent of the participants took oral antipyretics/analgesics for managing the AEFIs.

Interpretation & conclusions
ChAdOx1 nCoV-19 Corona Virus Vaccine was found to be associated with mild local and systemic AEFIs that were more common after the first dose as compared to the second dose. There adverse events could be dealt with oral over-the-counter medications, with no requirement of hospitalization.
Temporal course of late rectal toxicity & impact of intervention in patients undergoing radiation for cervical cancer
Authors: Shejul Jagadish , Chopra Supriya , Ranjan Nilesh , Mahantshetty Umesh , Mehta Shaesta , Patil Prachi , Engineer Reena , Gurram Lavanya , Phurailatpam Reena , Swamidas Jamema , Gupta Sudeep , Shrivastava Shyam 
Published: February 2022

Background & objectives:
There is limited information available on the temporal course of late stage radiotherapy adverse effects. The present study reports on the temporal course of late toxicities after chemoradiation and brachytherapy.

Methods:
Women with cervical cancer who presented with late toxicity after (chemo) radiation were included in the study. Grade of toxicity (Clinical Toxicity Criteria for Adverse Events version 4.03) and type of intervention were recorded at three-monthly interval for the first year and then six monthly until 24 months. Direct cost for the management of toxicity was calculated. Univariate analysis was performed to understand the impact of various factors on persistence of toxicity.

Results:
Ninety two patients were included in this study. Grades I, II, III and IV toxicities were observed in 50 (54%), 33 (36%), 7 (8%) and 2 (2%) patients, respectively, at first reporting. Patients spent a median of 12 (3-27) months with toxicity. At 12 months, 48/92 (52.2%) patients had a complete resolution of toxicity, whereas 27/92 (29.3%) patients had low grade (I-II) persistent toxicity. Only 6/92 (6.5%) patients who had grade III−IV toxicity had resolution to a lower grade. Four (4.3%) patients died due to toxicity. At 24 months, 9 (10%) patients continued to have grade ≥ III toxicity. On an average, 7 (2-24) interventions were required for the clinical management of late toxicity and median direct cost incurred was

JOURNAL/ijmer/04.03/02223309-202108000-00023/math_23MM1/v/2022-09-30T185846Z/r/image-tiff

50,625 (1,125-303,750).

Interpretation & conclusions:
In this study late radiation toxicity resolved within 12 months in more than half of patients. However, others are likely to have had persistent lower grade toxicity or progression to higher grade. Structured strategies are hence needed for the effective management of late toxicities.
Assessment of the level of knowledge, attitudes and practices regarding sterilisation/infection control measures among undergraduate dental students in Jammu City, Jammu and Kashmir
Authors: Singh Malvika , Sahota Jasjit , Singh Prashant , Sharma Tusharika , Gupta Sulbha , Mahajan Tania , Pawar Sushant 
Published: February 2022

Background:
Sterilisation has always been a clinically important matter of study but is often overlooked by dental students as well as clinicians. This study aim to assess the level of knowledge, attitudes and practices regarding sterilisation/infection control measures among undergraduate dental students.

Methods:
A cross-sectional study was conducted using a self-administered questionnaire among 235 undergraduates and interns pursuing Bachelors of Dental Surgery from Institute of Dental Sciences Jammu, Jammu and Kashmir. A questionnaire survey comprising 30 questions regarding knowledge, attitudes and practices was completed by the participants

Results:
It was observed that a majority of the students were highly concerned regarding the sterilisation and infection control protocol. 96.9% of students dispose of their gloves after use. About 92% of the students were aware of diseases caused through unsterilised instruments. All (100%) students were aware of the exact specifications of sterilisation through autoclave. The use of mouth masks and head caps as effective infection control measures was practiced among 93.62% students, while 93.62% of them were aware about waste disposal protocol in clinical departments.

Conclusions:
The level of knowledge and attitude of sterilisation measures were good and followed meticulously by dental students. Our observations suggest that need was felt by the student fraternity for inclusion of sterilisation awareness as a part of curriculum, webinars and workshops.
Effectiveness of exclusive E-learning during COVID-19 in a medical school in India – A student perspective
Authors: Bathini Prapthi Persis , Kundoor Neetha , Mathai Dilip 
Published: February 2022

Purpose:
India went into lockdown due to the COVID-19 pandemic which led to the closure of all the educational institutes. We had to adapt to the new system of complete online teaching and learning in a short span of time. The present study aimed to evaluate the effectiveness of exclusive E-learning during the present COVID-19 pandemic through student feedback.

Methods:
A 21-item validated questionnaire on three independent elements – technology and resources (6 questions), content and design (7 questions) and opinion on E-learning (8 questions) – was designed to evaluate the effectiveness of the E-learning programme. The questionnaire was e-mailed to 400 students across the four batches out of which 227 responded.

Results:
E-learning design was thought to be vital for attracting users by 74.2% though 83.8% opined that E-learning needs self-motivation and 81.9% felt that it needs more commitment when compared to conventional teaching and learning. Several (36.7%) perceived that they could not correlate the lectures without clinical or practical training; however, 60.3% felt that abstract concepts were well explained with images. Despite 69.6% of the participants having access to a dependable computer or laptop, only 55.5% had uninterrupted internet access. The mean effectiveness of E-learning was significantly lower for the final year (69.9 ± 9.48) when compared to 1st-year (75.1 ± 11.33) and 2nd-year (76.7 ± 10.15) medical students.

Conclusions:
The students rapidly adapted to exclusive E-learning, but it was seen that it only has a complementary role and it is perceived as less effective when compared to traditional teaching.
Self-esteem, locus of control and religiosity in predicting death anxiety among students in a Nigerian tertiary institution
Authors: Akanni Oluyemi Oluwatosin , Koleoso Olaide N 
Published: February 2022

Background:
Anxiety usually accompanies the thought of death, and certain variables have been repeatedly linked to it. However, the link has not been thoroughly investigated in Nigeria. Self-esteem, religiosity and locus of control (LOC), which have been linked to death anxiety in Western countries, were investigated among students in a higher institution in Ibadan, Oyo State, Nigeria.

Methods:
In this cross-sectional survey, convenience sampling was used in selecting participants from the tertiary institution. A questionnaire consisting of Templer Death Anxiety Scale, Rosenberg Self-Esteem Scale, Revised Intrinsic/Extrinsic Religious Orientation Scale and Multi-dimensional LOC Scales was used to obtain the data on death anxiety, self-esteem, religious orientation and LOC, respectively.

Results:
A total of 317 students (mean age 23.8 ± 3.25 years; 131 male) participated in the study. The findings showed that only 'powerful others' LOC (P < 0.01) made a unique and statistically significant contribution to death anxiety among the students.

Conclusions:
While effort on intervention by health professionals can be directed at the external LOC to lessen death anxiety, other variables require further probe.
Medication adherence of antiretroviral drugs in HIV-positive children in Maharashtra
Authors: Gore Tanishq N. , Pasalkar Neeraja , Daniel Rojin Mathew , Deshpande Prasanna R. 
Published: February 2022

Background:
Human immunodeficiency virus (HIV) is a viral infection that can lead to acquired immunodeficiency syndrome (AIDS). It is a virus that breaks down the CD4 cells in the immune system which weakens the immune system allowing it to be vulnerable for lethal opportunistic infections.

Aim and Objective:
Medication adherence of antiretroviral drugs in HIV-positive children in Maharashtra.

Methodology:
A prospective, observational, multi-centric study was conducted among HIV-inflicted paediatrics in Maharashtra. This study was conducted for a duration of 6 months, i.e., from October 19 to March 20 on patients under the inclusion criteria. Marathi and English versions of MARS (Medication Adherence Report Scale) questionnaire and demographic details were collected form the participants.

Results:
A total of 75 questionnaires were distributed and procured, filled with vital information of the participants among the three study sites. The average age of the participants was found to be 14.1 years. Overall female predominance was there (55% girls. According to our scoring scale, an adherence of 90.66% was observed among the participants, whereas the other 9.33% were considered non-adherent or partially adherent.

Conclusions:
The present study indicates that the HIV-inflicted paediatric patients have a good knowledge about their medical condition and were adherent to antiretroviral therapy.
Comparative Study of Surgically Induced Astigmatism in Superior and Temporal Scleral Incisions in Manual Small-Incision Cataract Surgery Patients
Authors: Tripathi Abhishek Kumar , Joshi Ajit Kamalakar , Mandlik Hanumant 
Published: February 2022

Background:
The purpose of the study is to evaluate surgically induced corneal astigmatism and visual outcome in patients undergoing small-incision cataract surgery (SICS) by modifying incision site on the basis of type of regular astigmatism.

Material and Methods:
This is a prospective study including 100 patients, having senile immature cataract, divided in two groups of 50 patients each according to the type of preoperative corneal astigmatism over a period of January 2018 to June 2019. A detailed preoperative evaluation was done including automated refractokeratometry, on the basis of which patients having steeper vertical axis (90° ±30°), i.e., “with the rule” astigmatism placed in Group A and subjected to superior SICS, and those having horizontal steeper axis (150°–180° and 0°–30°), i.e., “against the rule” astigmatism, were placed in Group B and subjected to temporal SICS. All surgeries were performed by a single ophthalmic surgeon with a similar technique of a 6.00 mm superior or temporal scleral straight incision. Surgically induced astigmatism (SIA) was calculated by a computer application SIA calculator version 2.0 on the 45th postoperative day and compared.

Results:
Present study showed mean SIA was significantly less in the temporal group (1.09 ± 0.42 D) as compared to the superior group (1.38 ± 0.62 D).

Conclusion:
Modification of incision site in SICS as per preoperative astigmatism produces comparable results to other sophisticated techniques such as phacoemulsification, and hence, it provides an alternative path to attain better visual outcome and reduced SIA with limited resources available in most of the developing countries.
A Study of Clinical Profile of 100 Icteric Leptospirosis Cases
Authors: Sethia Mohit , Jain Rahul , Singh Santosh Kumar , Tilak Rina , Yadav Arun Kumar 
Published: February 2022

ABSTRACT

Background:
Leptospirosis is a widespread zooanthroponosis prevalent in tropical regions due to its etiologic agent’s favorable environmental survival conditions. The disease has protean clinical manifestation. The present study was conducted to describe clinical signs, symptoms, and outcomes in severe icteric leptospirosis cases.

Materials and Methods:
This observational study was carried out in Surat from r 2012–2014. A total of 100 confirmed cases of icteric Leptospirosis was included in the study. Clinico-socio-demographic profile of the cases was noted. The symptoms and signs were described. The clinical outcome was described in terms of laboratory and other findings.

Results:
Fever was seen as the most common presenting symptom in 100% patients. Icterus (100%) crepts (86%) and tachypnea (80%) were the most common presenting signs. Breathlessness and hemoptysis were significantly more common in nonsurvivors than survivors. Mortality was more common in cases who had not taken chemoprophylaxis, platelet count <50,000/mm3, serum creatinine more than three mg%, international normalized ratio less than two, and multiorgan dysfunction.

Conclusion:
The study brought out common sign and symptoms of icteric leptospirosis. Sociodemographic and clinical parameters associated with poor outcome were also delineated. Smoking and alcohol seemed to be important contributory factors in aggravation of the disease. Chemoprophylaxis was preventive in adverse outcome. The clinical parameter may help in prediction of the course of the disease.
Potential of Youth Participation in Local Territory Branding Management
Authors: Pevnaya Maria , Kostina Svetlana , Cernicova-Bucă Mariana , Kazmierczyk Jerzy , Asoyan Lilit 
Published: February 2022

The purpose of this article is an attempt to determine the main characteristics of the potential for youth participation in branding of territory for the implementation of a scientific approach to branding of cities with the participation of residents in different countries. This is the first article that relatively approaches the issue of youth participation in branding of places and takes into account different experiences of countries. The results of a survey of young people in several cities in Poland, Romania, Armenia, Russia were used to develop a model of the potential for youth participation in territory branding on the basis of two scales – attractiveness of the territory and willingness of youth to participate in promoting settlements of their residence. Cross-country differences in the representation of various youth groups were identified in terms of their potential for participating in the branding of local territories. The model can be used as a basis for the development of urban programs for involving youth in territory branding. These programs do not differ significantly across countries and cities. However, the model can be used at the first stage of the development of such programs to highlight the specifics of each territory based on an assessment of the potential according to the research presented in the article.