bluuebunny/crossref_metadata_2025_split huggingface dataset:
Patient Acceptable Symptom State for Burden From Appearance Changes in People With Systemic Sclerosis: A Cross-sectional Survey
Authors: Le Ralle Myrianne-Fleur , Daste Camille , Rannou François , Kwakkenbos Linda , Carrier Marie-Eve , Lefèvre-Colau Marie-Martine , Roren Alexandra , Thombs Brett D. , Mouthon Luc , Nguyen Christelle 
Published: June 2022

ObjectivePeople with systemic sclerosis (SSc) often report substantial burden from appearance changes. We aimed to estimate the patient acceptable symptom state (PASS) for burden from appearance changes in people with SSc.MethodsWe conducted a secondary analysis of the SCISCIF II study, a cross-sectional survey of 113 patients with SSc from France enrolled in the Scleroderma Patient-centered Intervention Network Cohort. Burden from appearance changes was assessed with a self-administered numeric rating scale (0, no burden to 10, maximal burden). Acceptability of the symptom state was assessed with a specific anchoring question. Participants who answered yes were in the group of patients who considered their symptom state as acceptable. The PASS for the burden from appearance changes was estimated with the 75th percentile method.ResultsAssessments of burden from appearance changes and answers to the anchoring question were available in 82/113 (73%) participants from the SCISCIF II study. Median age was 55 (IQR 24) years, mean disease duration 9.6 (SD 6.5) years and 32/80 (40%) participants had diffuse cutaneous SSc. The PASS estimate for the burden from appearance changes was 4.8 (95% CI 1.0-7.0) of 10 points.ConclusionOur study provides a PASS estimate for burden from appearance changes. Our estimate could serve as a binary response criterion to assess the efficacy of treatments targeting burden from appearance changes.
L’atmosphère, le parfum et la politique de l’utopie : Lucien, Nietzsche, et Illich
Authors: Babich Babette , Albert Nicole G. 
Published: June 2022

L’utopie est nominalement un nulle part qui est aussi, comme nous le dit Thomas More, un “bon” endroit. Bien qu’il existe des notions concurrentes, la description grecque occupe une place importante dans la plupart des récits d’utopie. Les détails de cet idéal sont si précis que la littérature utopique consiste en un catalogue (et une critique) de ces caractéristiques. Cet essai attire l’attention sur le parfum attribué aux « Îles des bienheureux » de Lucien, ainsi que sur la description qu’en fait Nietzsche, sur sa sensibilité à l’odorat et sur l’attention portée par Illich à l’« atmosphère » et au nez. On aborde également le scepticisme envers l’utopie et des parallèles sont établis, d’une part, avec les critiques pragmatiques de l’utopie comme étant intrinsèquement totalitaires, d’autre part, avec la « bonne vie » dans la théorie politique et le défaut programmatique de la fantaisie techno-utopique. L’article se termine par une discussion d’Illich sur la pax – c’est-à-dire la respiration.
The gender politics of do-it-yourself: Frostline kits and the American outdoor equipment boom of the 1970s
Authors: Gross Rachel S. 
Published: June 2022

Dans les années 1970, les amateurs de plein air aux États-Unis ont adopté une nouvelle tendance en matière d’équipement et de vêtements de loisirs : les kits de couture à faire soi-même (en do-it-yourself). La société Frostline et ses concurrents ont fourni aux amateurs de plein air soucieux de leur budget des tissus et des matériaux prédécoupés, ainsi que des instructions sur la manière de les assembler. Au milieu des années 1970, il y avait au moins dix entreprises fabriquant des kits dans tout le pays, toutes tournées vers les loisirs de plein air. Grâce aux fortes remises pratiquées sur les kits démontés, les jeunes gens qui disposaient de plus de temps que d’argent pouvaient ainsi accéder à un équipement moderne haut de gamme. Malgré une tentative de vendre à la fois aux hommes et aux femmes, aux garçons et aux filles, tant le marketing que l’usage des kits DIY se scindèrent selon le genre. Même si, au-delà des baby-boomers qui grandirent en achetant et en cousant des kits Frostline dans les années 1970, peu d’adeptes des loisirs de plein air se souviennent de cette tendance, les kits à monter soi-même restent une partie importante de l’histoire de l’industrie des loisirs de plein air, de l’histoire de l’habillement, ainsi que de l’histoire de la culture de consommation.
Les multiples visages de la biodiversité
Authors: Blondel Jacques 
Published: June 2022

Le mot « biodiversité » est d’emploi courant, mais recouvre une pluralité de significations, tant dans le domaine des sciences de la vie que dans celui des sciences de l’homme et de la société. L’important est de prendre conscience de l’ensemble des interconnexions du vivant, à l’encontre d’une réduction utilitariste. Les zoonoses en sont une bonne illustration. Cela remet en cause l’anthropocentrisme moderne au profit d’un « écocentrisme ».
Simone de Beauvoir et le féminisme contemporain
Authors: de Villeneuve Camille 
Published: June 2022

La convocation de Simone de Beauvoir dans les ouvrages féministes récents révèle une nécessité, celle de l’actualisation de la description de la condition féminine pour traiter les questions saillantes aujourd’hui : celles des violences dont les femmes sont victimes, à commencer par le viol et le meurtre. Mais, contrairement aux mouvements féministes actuels, l’œuvre beauvoirienne n’ouvre pas au régime de la plainte mais à celui de l’émancipation. Si elle fait l’éloge de la fraternité entre hommes et femmes, la dimension de sororité si présente dans le féminisme contemporain, de même que les questions de la maternité et du couple restent des impensés.
Ecov, l’innovation privée au service de l’action publique
Authors: Ménétrier Laure 
Published: June 2022

Ecov aide les collectivités à développer des lignes régulières de covoiturage, en complément des réseaux de transports publics, dans une logique de “service public partagé” assuré par les citoyens. L’idée est née d’un double constat : d’une part, l’urgence écologique et le besoin de justice sociale replacent la puissance publique au centre du jeu économique ; d’autre part, on ne saurait relever ces défis sans innover radicalement, exercice auquel les entreprises du secteur privé sont plus rodées que la puissance publique…
Chapitre 3. Les technologies de modification du génome : quels enjeux pour la paix et quelle place pour le droit international ?
Authors: Byk Christian 
Published: June 2022

Les technologies de modification du génome humain sont-elles susceptibles de constituer une menace pour la sécurité et comment celle-ci pourrait-elle être contrôlée par un ordre juridique international qui cherche sa voie entre l’application du droit existant au désarmement et l’invention d’un nouveau droit issu des principes d’éthique applicables aux nouvelles technologies ?
Tavern revenues and alcohol consumption in the Muscovite state, 1620s-1640s
Authors: Liseitsev Dmitrii 
Published: June 2022

The level of alcohol consumption and the role of alcohol taxes as a source of state revenue in pre-Petrine Russia have been the subject of much scholarly interest and political speculation, yet reliable data on the magnitude of trade in “grain wine” is still lacking. This article draws on the records of central government agencies from the 1620s to the early 1650s to partially fill this gap. In the decades immediately following the Times of Trouble, tavern revenues nearly doubled in absolute numbers and accounted for about a quarter of the total state revenue of Muscovy. The growth rate of tavern revenues was on par with the rate of population growth (the urban population increased by 60 percent between the 1620s and 1640s). The article discusses different methods of running the state alcohol monopoly and estimates the profitability of alcohol trade and the overall levels of alcohol consumption during the period under study.
Patrick Gordon and Peter I, 1690-1698: Favorites and foreign policy
Authors: Bushkovitch Paul 
Published: June 2022

Patrick Gordon was an almost constant companion of Peter I in the tsar’s first decade of independent rule. Aristocratic contemporaries and later historians have ascribed to him predominant influence on the young Peter. An examination of the full text of Gordon’s diary does not sustain that belief. Gordon certainly had an impact on Peter’s military affairs, and served at Azov and against the musketeer revolt of 1698, but he does not seem to have any impact on Peter’s decisions in foreign policy. He was in close contact with the ambassadors of the Habsburgs and Poland, Peter’s allies against the Ottomans and may have been the source of much of the information in their reports. Gordon, a Scottish Catholic, seems to have supported the Turkish War as did the main Catholic states in Europe other than France, ironically the patron of the Scottish Jacobites. Gordon was a major figure in Moscow in the 1690’s, but his impact was more military and cultural than political.
«Восточный проект» Петра I
Authors: Петрухинцев Николай Н. 
Published: June 2022

Dans cet article, l’auteur analyse ce qu’il appelle le « projet oriental » de Pierre Ier, – un ensemble de mesures interdépendantes afférentes à la politique « orientale » de la Russie à la fin du xviie siècle –, qui occupa une place centrale au début du règne indépendant de Pierre Ier. Initié au tournant des années 1694 et 1695 avec des plans d’intensification de la guerre russo-turque de 1686-1700, le « projet oriental » de Pierre Ier (1695-1712), selon l’auteur, connut trois phases principales de développement, associées à un changement cohérent de stratégie dans la confrontation avec l’Empire ottoman, et eut une influence significative sur la phase initiale des réformes (la Grande Ambassade de Pierre Ier [1697-1698] fut ainsi un élément important du « projet oriental »). Éclipsé par le projet « occidental » plus connu, le « projet oriental » est clairement sous-estimé dans l’historiographie (cela est probablement dû, pour une grande part, au fait que sa dernière phase était en cours de développement au début de la guerre du Nord).
Преподавание в российских университетах XVIII в.: не «токмо на латинском и русском»
Authors: Костина Татьяна В. 
Published: June 2022

En Russie, au xviiie siècle, comme en Europe, les universités ont été confrontées au problème de « l’affaiblissement » de la langue latine comme langue d’enseignement. Cependant, en Russie, l’alternative au latin n’était pas seulement le russe, il fallait compter aussi avec les langues européennes modernes, au premier chef l’allemand, puis le français.Au milieu du xviiie siècle, l’enseignement dans les langues européennes modernes était interdit dans les universités russes ; du point de vue du législateur, la transition depuis le latin ne pouvait s’effectuer que vers le russe. Pourtant, une analyse des sources a montré que les enseignements à l’université académique de Saint-Pétersbourg et à l’université de Moscou n’étaient pas soumis au même niveau de restriction dans l’utilisation de langues alternatives : à Saint-Pétersbourg, l’interdiction s’appliquait à tous les cours et à Moscou, uniquement à ceux ouverts au public. Cela permit aux enseignants de l’université de Moscou de contourner partiellement l’interdiction et, de temps en temps, de dispenser certains cours dans des langues européennes modernes, ce qui fut très bien accueilli par l’auditoire.L’article émet l’hypothèse qu’il était politiquement inacceptable pour Catherine II d’approuver l’utilisation de la langue moderne d’une nation non-titulaire comme langue d’enseignement dans les universités qui faisaient partie d’un espace éducatif européen. C’est probablement l’une des raisons pour lesquelles de nouvelles universités n’ont pas été fondées et l’Université académique transformée en un collège universitaire où les cours de sciences exactes et naturelles étaient dispensés dans les langues européennes modernes. En outre, à partir des années 1770, le Sénat autorisa les inscriptions à l’université sans qu’il fût obligatoire de connaître le latin.
Venous Thromboembolism
Authors: Okoye Helen C. , Nwagha Theresa U. , Eweputanna Lisa I. , Efobi Chilota C. , Ezigbo Eyiuche D. , Ugwu Angela O. , Obodo Onochie I. , Nonyelu Charles E. 
Published: June 2022

Background:
The burden of venous thromboembolism (VTE) can be reduced through awareness programs, as VTE is largely preventable.

Objective:
We sought to determine the level of knowledge among medical students in Southeast Nigeria.

Materials and Methods:
We conducted a descriptive cross-sectional study in clinical students at four medical schools in the southeast of Nigeria. The pretested and prevalidated version 11 of the Ipsos-Reid questionnaire was used.

Results:
A total of 784 students with a mean age of 23.5 ± 3.0 years participated in the study. Our respondents showed a high level of awareness of VTE (99.1%). The majority 638 (87.6%) of the respondents correctly described vein thrombosis as a blood clot in a vein. A little more than half of them knew how clots feel in the legs (51.0%) and lungs (57.5%). Their level of awareness of possible risk factors for VTE was above 57%. The relationship between medical school and the level of perception was statistically significant ([P ≤ 0.0001.

Conclusion:
Awareness is high, but general knowledge was low among our medical students. This may be a call to curriculum adjustment in our medical schools.
Adherence and Implementation-related Challenges of Integrated Management of Childhood Illness Guidelines among Nurses at Health Centers in Port Harcourt, Nigeria
Authors: Amachree Damiete M. , Eleke Chinemerem 
Published: June 2022

Background:
The Integrated Management of Childhood Illness (IMCI) guidelines are a standardized diagnostic and treatment approach developed by the World Health Organization for the management of common childhood diseases.

Objective:
This study assessed the adherence and implementation-related challenges of the IMCI guidelines among nurses at health centers in Port Harcourt, Nigeria.

Materials and Methods:
A cross-sectional descriptive-analytical design was employed to examine nurses in all the 12 Model Comprehensive Primary Healthcare Centers (MCPHCs) in Port Harcourt, Nigeria. The census sampling technique was used to enroll 52 consenting participants. Data were collected by (1) observation and recording on a checklist and then (2) semi-structured questionnaire. Collected data were analyzed using frequency, percentages, Chi-square, and prevalence ratio at a 5% level of significance with the aid of IBM-SPSS version 25.

Results:
About half (53.8%) of the participants demonstrated adequate overall adherence to all the steps of the IMCI guidelines. Adequate adherence to all the steps of the IMCI guidelines was 83% higher among participants trained on the IMCI guidelines (P = 0.038). The participants’ educational qualifications (P = 0.722) and years of professional nursing practice (P = 0.477) were not associated with adherence to the IMCI guidelines. The categories of the IMCI guidelines implementation-related challenges reported by the participants were a lack of training update on the IMCI guidelines (94.2%), a lack of the IMCI booklets (69.2%), and work-time pressure (53.8%) among others.

Conclusion:
Adherence to the IMCI guidelines was short of desired levels. In recommendation, frequent training and regular provision of the IMCI booklets in the MCPHCs are required.
Predictors of Dietary Diversity among HIV Clients in a Low-resource Tertiary Health Facility in Southeast Nigeria
Authors: Ezenwosu Ifeyinwa , Ugwunna Nwachukwu , Ajuba Miriam , Ezenwosu Osita , Otache Emmanuel , Ejike Ijeoma 
Published: June 2022

Background:
In a resource-limited setting where nutrient availability is a challenge, it may be necessary to determine factors that affect dietary diversity in people living with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) as addressing them could lead to better access to diversified diets in this group.

Objective:
The objective of this study was to determine the factors that influence dietary diversity among HIV clients attending the HIV clinic in a low-resource tertiary health facility.

Materials and Methods:
An institutional-based cross-sectional study was conducted among HIV clients receiving anti-retroviral therapy in Enugu state, Nigeria. A systematic random sampling technique was employed in selecting the study participants. Bivariate analysis was done using the chi-square test which was further subjected to multivariate logistic regression analyses to determine predictors of dietary diversity.

Results:
In this study, respondents who earned a family monthly income of 72.5 US dollars and below were 2.6 times less likely to have high dietary diversity (AOR = 0.378, CI = 0.180–0.792) compared to those who earned above 145 dollars. Also, HIV clients on cotrimoxazole prophylaxis were 2.3 times more likely to have high dietary diversity (AOR = 2.304, CI = 1.155–4.598) compared to those who were not on the prophylaxis.

Conclusions:
High family monthly income and being on cotrimoxazole prophylaxis were predictors of high dietary diversity in People living with HIV/AIDS. Therefore, there is a need to improve the income of PLWHA as well as ensure the ready availability of cotrimoxazole to reduce the rate of opportunistic infections thus leading to better consumption of diversified diets.
Prevalence, Pattern and Sociodemographic Correlates of Psychosocial Disorders in Obese Adolescents in Enugu, Nigeria
Authors: Ozoalor Okechukwu N. , Ikefuna Anthony N. , Aronu Ann E. , Ojinnaka Ngozi C. 
Published: June 2022

Background:
Adolescent obesity is a serious public health issue. Inconsistent findings on its association with mental health problems are reported.

Objective:
This study aimed to determine the prevalence, pattern, and sociodemographic correlates of psychosocial disorders among obese adolescents in Enugu metropolis, Nigeria.

Materials and Methods:
A cross-sectional study was conducted over a 5-month period in 16 secondary schools in Enugu, Nigeria. A multi-staged systematic sampling technique was used to select participating schools. A total of 4364 adolescents aged 10–19 years from these schools were screened for obesity by measuring their height and weight, and calculating their body mass indices (BMIs), which were plotted on the Centers for Disease Control and Prevention BMI percentile chart. Seventy-four obese students were identified, and from their respective class registers, systematic sampling scheme was applied in selection of equal number of apparently healthy normal BMI (5th–84th percentile) controls matched for age and sex. The youth version of the Pediatric Symptom Checklist was used to screen for psychosocial disorder in the study participants.

Results:
The prevalence of psychosocial disorder was 17.6% and 12.2% among the obese and control adolescents, respectively (P = 0.02). Attention and externalizing problems were the highest among the obese adolescents, whereas psychosocial disorders were more in females than males (28.1% vs 9.5%; χ
2 = 4.34, P = 0.04).

Conclusion:
Obese adolescents have a higher prevalence of psychosocial disorder compared to controls, with attention and externalizing problems being most common, and this was influenced by gender. Periodic assessment of the mental health of obese adolescents is advocated.
Willingness to Pay (WTP) for Community-based Health Insurance Scheme (CBHIS) in a Nigerian State
Authors: Idoko Chinedu A. , Obienu Chuka 
Published: June 2022

Background:
Since the turn of the millennium, efforts across the world have been aimed at promoting good living and reducing poverty. This has resulted in countries taking necessary steps to ensure increased access to affordable health care by promoting Universal Health Coverage. Nigeria is not an exemption especially as private health spending has its own substantial impoverishing effects on households.

Objective:
The objective of this study was to study willingness to pay (WTP) for Community-based Health Insurance Scheme in a Nigerian State.

Materials and Methods:
The study sample was purposively selected to cover the three senatorial zones of Enugu State, Nigeria. A questionnaire was used to collect data from the respondents that were randomly selected. Focus group discussions were held to collect qualitative data. Key variables which included WTP for in- and outpatient care for the different stated amount of of money in naira and dollar: N400 ($1.0), N500 ($1.25), N1000 ($2.5) or more) were compared across socio-economic status (SES) groups using “asset holding and level of WTP” with the groups classified into SES quartiles.

Results:
Most respondents were neither WTP a minimum of N400 ($1.0) nor a maximum of N1000 ($2.5) for inpatient or outpatient care. The overall maximum amount to pay by the groups was N500 ($1.25), whereas the minimum amount across the communities was N50 ($0.125).

Conclusion:
There was a ceiling of maximum/minimum willing amounts to pay across the different socio-economic strata and these ceilings were observed to be low.
The Nutritional Status of Children with Asthma and Its Relationship with Acute Exacerbations
Authors: Akhiwu Helen O. , Aliyu Ibrahim , John Collins , Yiltok Esther S. , Oguche Stephen 
Published: June 2022

Background:
Asthma is a chronic inflammatory disease of the airways. There is increasing international interests in the role of nutrition in asthma control.

Objectives:
This study was carried out to determine the nutritional status of children with asthma using the World Health Organization (WHO) growth reference charts for height, weight, and body mass index (BMI) for age and to determine the relationship if any between nutritional status and frequency of acute asthmatic exacerbations.

Materials and Methods:
It was a descriptive cross-sectional study of children aged 6–17 years with asthma attending the pediatric respiratory clinic of a tertiary hospital from October 2017 to March 2019. All the values obtained were interpreted using the WHO reference growth charts z-scores.

Results:
A total of 71 children participated in the study. The study showed that 94% of the children with asthma were of normal height with 2.6% stunted and 2.6% severely stunted. There was no significant association between the height and the frequency of acute exacerbation. About 65% of the children had normal BMI. Those that were wasted/severely wasted were 19.7%, whereas 15.5% were overweight/at risk of overweight. There was no significant association between the BMI and the frequency of acute exacerbations (P > 0.05). The odds of having more frequent exacerbations in children with either above normal or below normal BMI were 1.05 (0.11–10.44) and 0.81 (0.08–7.88), respectively.

Conclusion:
Majority of the children with asthma were of normal height. Despite the fact that there were more children who were wasted/severely wasted than overweight/risk of overweight, these findings were not significantly associated with more frequent acute exacerbations.