bluuebunny/crossref_metadata_2025 huggingface dataset:
Đánh giá hiệu quả giảm đau bằng gây tê ngoài màng cứng trong phẫu thuật nội soi cắt đại, trực tràng
Authors: Nguyen Thanh Xuan
Published: January 2022

TÓM TẮT

Đặt vấn đề: Gây tê ngoài màng cứng để giảm đau trong và sau mổ được áp dụng rộng rãi trên thế giới từ nhiều thập niên qua. Kết quả của nhiều công trình nghiên cứu cho thấy phương pháp này làm giảm những biến chứng trong và sau mổ, giảm tỉ lệ tử vong sau mổ của các phẫu thuật nặng. Nghiên cứu nhằm đánh giá hiệu quả và các tác dụng phụ của gây tê ngoài màng cứng trong phẫu thuật ung thư đại, trực tràng.

Phương pháp: Nghiên cứu mô tả cắt ngang trên 28 bệnh nhân được gây tê ngoài màng cứng trong mổ ung thư đại, trực tràng có phối hợp gây mê nội khí quản. Sinh hiệu và tình trạng sức khỏe của bệnh nhân được theo dõi trước và sau khi tiêm thuốc giảm đau. Ghi nhận mức độ giảm đau theo Visual Analog Scale (VAS), mức độ liệt vận động theo Bromage và các tác dụng phụ sau mổ.

Kết quả: Hiệu quả giảm đau sau mổ tốt, tại các thời điểm sau mổ VAS đều ≤ 1,5. Tỉ lệ các biến chứng: tụt huyết áp: 7,14%, đau đầu: 7,14%, lạnh run: 10,71%, buồn nôn, nôn: 17,86%.

Kết luận: Kỹ thuật gây tê ngoài màng cứng phối hợp với gây mê toàn thân là kỹ thuật giảm đau hiệu quả và an toàn cho phẫu thuật vùng bụng trong mổ và 24 giờ sau mổ. ABSTRACT

THE EFFICIENCY OF SPINAL EPIDURAL ANESTHESIA FOR LAPAROSCOPIC COLORECTAL CANCER SURGERY

Background: Epidural anesthesia for pain relief during and after surgery has been widely applied in the world for decades. The results of many studies show that this method reduces intra - and postoperative complications and reduces the postoperative mortality rate of major surgery. The study aimed to evaluate epidural anesthesia’s effectiveness and side effects in colorectal cancer surgery.

Methods: A cross - sectional descriptive study on 28 patients receiving epidural anesthesia in surgery for colorectal cancer in combination with endotracheal anesthesia. The patient’s vital signs and health status were monitored before and after the injection of pain medication. Record the level of pain relief according to the Visual Analog Scale (VAS), the degree of motor paralysis according to Bromage, and the side effects after surgery.

Results: Good postoperative pain relief effect, at all times after surgery, VAS was ≤ 1.5. Rate of complications: hypotension: 7.14%, headache: 7.14%, shiver: 10.71%, nausea, vomiting: 17.86%.

Conclusion: The epidural anesthesia combined with general anesthesia is an effective and safe analgesia technique for abdominal surgery during surgery and 24 hours after surgery.

Keywords: Epidural anesthesia, colorectal cancersurgery
SPİRİTÜEL TURİZM KÖYÜ MODELİ: ERDEK (BCS’21)
Authors: AYDOĞDU ATASOY Özlem
Published: January 2022

Turizm insanların daimi olarak ikamet ettiği yerin dışına sürekli kalışa dönüşmemek ve gelir getirici herhangi bir çabada bulunmamak kaydıyla temelde dinlenme, eğlenme, gezme, görme, tanıma gibi amaçlarla yapılan faaliyetleri kapsayan olay ve ilişkiler bütünü olarak tanımlanabilir. Zaman içerisinde sürekli gelişen, değişen, dönüşen bilgi ve teknolojiler sayesinde artık neredeyse küresel bir köy haline gelen dünyadaki turizm türlerine her geçen gün yenileri eklenmektedir. Aslında en eski turizm türlerinden biri sayılabilecek olmakla birlikte anlam itibariyle tam olarak anlaşılamayan, ülkeden ülkeye bile farklı uygulamaları olan spiritüel turizm de bu turizm türlerinden biri olarak karşımıza çıkmaktadır. Kelime anlamı “maddeyle ilgisi olmayan, manevi olan” anlamına gelen spiritüel kelimesinin ağırlıklı olarak maneviyatı çağrıştırdığı söylenebilir. Daha çok din ve inanç ile bağdaştırılan kavramın anlamı literatürde son yıllarda farklılaşarak kişinin kendi özünü/maneviyatını bulma arayışı olarak yer almaya başlamıştır. Bu haliyle spiritüel turizm de kişinin kendini bulmak üzere çıktığı seyahatler olarak tanımlanabilir. Spiritüel turizm denildiğinde ilk akla gelen ülkeler Hindistan, Nepal, Peru ve Bali olsa da ülkemiz coğrafyasının da bu turizm çeşidi için gerekli niteliklere sahip olduğu düşünülmektedir. Özellikle Çanakkale, Mardin, Hatay, Ağrı, Urfa, Kapadokya Bölgesi gibi destinasyonlar spiritüel turizm yapılabilmesi için en elverişli destinasyonlar olarak kabul edilebilir. Balıkesir/Erdek ilçesinin de bu turizm türü için oldukça uygun olduğu düşünülmektedir. Bu bağlamda yapılan çalışmanın amacı öncelikle spiritüel turizm kavramına değişik bir bakış açısı kazandırarak Erdek’te aslında var olduğu düşünülen ancak ortaya çıkarılmamış/çıkarılamamış olan spiritüel turizm potansiyelini ortaya koymak üzere bir model önermektir. Yapılan literatür çalışması ve alan araştırması sonrasında Erdek ilçesinin spiritüel turizm yapılabilmesi için uygun olduğu tespit edilmiştir.
BALKAN SAVAŞLARI SIRASINDA BALIKESİR BÖLGESİNDE ASAYİŞİ SAĞLAMAK İÇİN ALINAN TEDBİRLER (BCS’21)
Authors: KARACAKAYA Furkan
Published: January 2022

II. Meşrutiyet’in ilanı Doğu Sorunu çerçevesinde Osmanlı Devleti’nin parçalanması planlarına karşı etkili olmamış ve Avusturya’nın Bosna’yı 1909 yılında ilhak etmesinin ardından Balkan Devletleri de gözlerini Osmanlı Devleti’nin Rumeli topraklarına dikmiştir. Bu dönemde II. Meşrutiyet’in getirdiği iç siyasi bunalımların yanında Avusturya’nın Bosna’yı ve İtalya’nın da Trablusgarp’ı almak için harekete geçmesi Osmanlı Devleti’ni oldukça zor bir durumda bırakmıştır. Henüz İtalya ile Trablusgarp için mücadele ederken Balkan Devletlerinin birleşerek Osmanlı Devleti’ne savaş ilan etmeleri ise bu durumu içinden çıkılmaz bir hale koymuştur. Balkan Savaşları için ilan edilen seferberlik, taşraya gönderilmesi gereken jandarmaların da orduya katılmasını içermiş bu yüzden birçok bölgede asayiş problemleri ortaya çıkmıştır.

Balıkesir bölgesinde bulunan jandarmaların da orduya katılmalarının ardından kız kaçırma, yol kesme, hayvan çalma gibi adi suçların yanında daha çok asker firarilerinin dağa çıkarak çete teşkil etmeleri gibi kapsamlı sayılabilecek asayiş sorunları ortaya çıkmıştır. Bu çalışmada Balkan Savaşları için ilan edilen seferberliğin ardından oldukça sınırlı sayıda jandarması bulunan Karesi Mutasarrıflığı’nın bölgedeki asayişi sağlamak adına yaptığı faaliyetler ve girişimler incelenecektir. Ayrıca Karesi Mutasarrıflığı’nın atı olan vatandaşları jandarma olarak kaydetme, emekli subayların tekrar göreve çağırılması, yeni jandarma karakolları yapılması, mülki idarecilerin değiştirilmesi gibi aldığı tedbirlerin ne kadar başarılı olduğu değerlendirilecektir.
MANYAS KOCAGÖL KAZAKLARINDAN GERİYE KALAN SANAT ESERLERİ (BCS'21)
Authors: ALTUN Feride İmrana , ERDAĞ UÇAR Cansu
Published: January 2022

Bu çalışmada Balıkesir’in Manyas İlçesi’ne bağlı Kocagöl Köyü’nde bulunan Don Kazaklarına ait sanat eserleri tanıtılmıştır. Don Kazaklarının Kocagöl Köyü’ne 18. yüzyılın sonlarında geldikleri düşünülmektedir. Kocagöl’de yaşadıkları süre boyunca birçok sanat eseri üretmişler ve 1962 yılında Rusya’ya geri dönerlerken eserlerinin birçoğunu burada bırakmak zorunda kalmışlardır.

Çalışma kapsamında Kocagöl’de bulunan Don Kazaklarına ait ikonalar, evler ve kilise yapıları incelenmiştir. İkonalar teknik ve işlenen konular; evler ve kiliseler ise plan şeması ve kullanılan malzeme açısından değerlendirilmiştir. Bu bağlamda, özellikle söz konusu kiliselerin önemi vurgulanmış ve Don Kazaklarının sanat eserlerinin kalıcı olmasını sağlamak amacıyla öneriler sunulmuştur.
Edincikli Firdevsî-i Tavîl’in “Kitâb-ı Hayât Ü Memât” Adlı Eserinde Ölüm Psikolojisi (Manevî Danışmanlık ve Rehberlik Açısından Bir Değerlendirme)BCS'21
Authors: DURMUŞLAR Zeynep Kübra
Published: January 2022

15. yüzyılın ikinci yarısı ile 16. yüzyılın ilk çeyreğinde yaşamış önemli bir Osmanlı mesnevî müellifi olan Firdevsî, başta tarih olmak üzere edebiyat, felsefe, geometri, tıp, astronomi, hadis, tasavvuf, ahlâk, mitoloji, astroloji, silahlar, satranç, boyacılık ve diğer bazı alanlarda pek çok eseri telif ya da tercüme etmiştir. Firdevsî-i Tavîl, Uzun Firdevsî veya Türk Firdevsî olarak tanınan yazar, tahsilini Bursa’da yaptığı için Firdevsî-i Bursevî olarak da anılmaktadır. Soyu III. Alâaddin Keykubat dönemine kadar uzanan Firdevsî’nin Edincik’te doğduğu bilinmektedir. Ömrü daha çok Edincik ve Bandırma’da geçen müellif, ayrıca Manisa ve Bursa’da bir süre bulunmuştur. Balıkesir’de yaşadığı sırada “Da‘vetnâme” adlı eserini Türkçeye çevirmiş, ayrıca “Firâsetnâme” adlı kitabını kaleme almıştır. Firdevsî en önemli şaheseri olan ve 80’den fazla cilde ulaşan Süleymannâme’ye de yine Balıkesir’de başlamıştır. 72 eser yazdığını belirten Firdevsî’nin bu kitaplarından bir kısmı günümüze ulaşmamış, bazı kitapların kendisine aidiyeti ise belirlenememiştir. Bu bildiride Firdevsî’nin hayat ve ölüm hakkında uzun uzadıya bilgiler verdiği “Kitâb-ı Hayât ü Memât” adlı eserden yola çıkılarak ölüm korkusuyla yüz yüze gelen insanlara nasıl manevî danışmanlık yapılması gerektiği üzerinde durulacaktır.
La Participation
Authors: Noguès Henry
Published: January 2022

Résumé L’expérience  des  groupes  d’entraide  mutuelle (GEM) fournit un exemple d’innovation porté par des associations de solidarité. Inscrites récemment dans l’espace politique, les GEM constituent une forme d’entreprise d’économie sociale et solidaire originale et non marchande favorable au développement de la liberté de personnes malades mentales et à l’invention de nouvelles formes de solidarité.
La Participation
Authors: Deutsch Claude
Published: January 2022

Résumé Cet article analyse les treize points composant le cahier de doléances des GEM présenté le 18 octobre 2012 lors de la réunion d’évaluation organisée par la CNSA et les ARS par l’Association Advocacy france et soutenu par trois autres associations (Fnapsy, Agapsy, Ungemf ). Il s’appuie sur une analyse textuelle des travaux préparatoires à l’arrêté du 13 juillet 2011. Nous y faisions le constat que ces travaux préparatoires préconisent une dérive des GEM. Nous soutenons l’idée que les Groupes d’Entraide Mutuelle, qui ont pour vocation, comme leur nom l’indique, de développer l’entraide entre usagers en santé mentale, sont en passe de devenir des structures médico-sociales basées sur un mode d’assistance. Ce mode d’assistance prétend avoir pour but de développer l’initiative des usagers. Cela nous semble contradictoire avec le mouvement « irrésistible », que l’on peut lire dans ces travaux, d’encouragement à s’appuyer sur le modèle des institutions médico-sociales. L’entraide mutuelle, à notre sens, ne peut s’appuyer que sur ce que les anglosaxons nomment l’empowerment, ce que nos amis québécois traduisent justement par « appropriation du pouvoir ». Les associations d’usagers revendiquent que l’on revienne aux principes fondamentaux des GEM tels que définis dans la circulaire d’Août 2005. Il faut que les pouvoirs publics soutiennent la création d’associations d’usagers et que celles-ci, dans un deuxième temps se dotent de GEM comme leur outil d’actions et d’activités inscrites dans la cité, alors que c’est souvent le contraire qui a été fait et qui est aujourd’hui pérennisé. Il faut permettre de nouvelles créations par et pour les usagers et cesser de les considérer comme des enfants à protéger.
La Participation
Authors: Pujante Éric
Published: January 2022

Résumé Huit années après leur création, les GEM, initialement conçus pour les personnes ayant des troubles psychiques, sont maintenant plus de 400 en France. Alors que le dispositif s’élargit aux traumatisés crâniens, ces structures sont confrontées aujourd’hui à un double mouvement : une reconnaissance et un intérêt accru de la part des intervenants et usagers de la Santé Mentale d’une part, ainsi que des querelles sur leurs modes de fonctionnements par ailleurs. Directeur d’un Service œuvrant dans le secteur médico-social, j’interviens également auprès de deux GEM, en tant que représentant du parrain de ces structures. Ces dernières années, quelques situations conflictuelles entre des adhérents et animateurs ont suscité de vives réactions, débordant largement le cadre et le contexte habituel de ces lieux. Au-delà de l’énergie déployée face à ces situations, au regard de toutes les autres actions menées dans ces GEM, j’ai pu me rendre compte que ces dissensions n’étaient pas l’apanage de ces seules structures. Plusieurs blogs, articles et témoignages faisaient en effet état, dans des formes et lieux différents, de conflits et divergences dans des termes parfois assez violents.
Premier confinement dans les pouponnières
Authors: Toussaint Emmanuelle , Rousseau Daniel , Rozé Mireille
Published: January 2022

L’article vise à partager le retour d’expériences des professionnels de pouponnière durant la période du premier confinement (mars 2020), lesquelles ouvrent la voie à des éléments de compréhension concernant les réponses à apporter aux très jeunes enfants accueillis en structure collective.
Impact du confinement chez les adolescents et les enfants
Authors: Peille Françoise
Published: January 2022

À partir de deux extraits fictifs de journaux intimes de deux adolescentes, l’auteur met en évidence les difficultés ressenties par les adolescents, et leurs éducateurs, à l’occasion du confinement. Solitude, remise en question d’équilibres parfois instables, inquiétude face à l’avenir incertain et face à des adultes eux-mêmes dans l’inquiétude et le malaise. Ces situations ébranlent toute l’organisation des liens et des appartenances, socle de notre existence.
La pulsion confinée
Authors: Dreyfus Sacha
Published: January 2022

À partir d’une présentation clinique, l’auteur analyse la place et le fonctionnement d’un cmpp durant la période de confinement. Lieu d’accueil des difficultés d’un enfant et de ses parents, ses professionnels ont été attentifs aux impressions communes mais aussi et surtout aux lignes de faille, à la détresse en arrière-fond des rues désertes. Le cmpp s’est rendu disponible sous d’autres formes et a continué à faire vivre le travail d’équipe, qui rend possible le traitement de l’angoisse et de l’urgence subjective qui en découle.
Petit journal de campagne, puisque nous sommes en guerre…
Authors: Chevalier Isabelle , Gaulène Sylvie
Published: January 2022

Le premier confinement lié à la Covid (mars - mai 2020) a provoqué un bouleversement considérable dans les pratiques du service social, qui repose essentiellement sur la base de la rencontre interpersonnelle et la relation directe. Deux cadres de l’action sociale territorialisée analysent au quotidien cette désorganisation puis la mise en place de nouvelles modalités de fonctionnement et leur impact auprès des usagers, des professionnels et des personnels d’encadrement. Le télétravail est analysé, à chaud, du point de vue des travailleurs sociaux et des cadres.
Les impacts et les réponses face aux mesures sanitaires dans les établissements sociaux, médico-sociaux et de formation à la Réunion
Authors: Ranchin Bruno
Published: January 2022

Des aes , accompagnants éducatifs et sociaux, en fonction ou en formation, et la directrice générale adjointe de l’École des métiers de l’accompagnement de la personne, à la Réunion, témoignent des modalités d’adaptation au confinement face au Covid. Les professionnels se sont investis dans la solidarité, en lien direct avec leur fonction, sur les terrains de stage où ils avaient été accueillis, ainsi qu’auprès de leurs familles et voisins. L’école a poursuivi son engagement pédagogique en utilisant toutes les ressources virtuelles mais aussi en soutenant les initiatives solidaires des étudiants.
Pratiques pédagogiques : impact de deux années scolaires au temps de la crise sanitaire
Authors: Nordey Stéphanie , Furno Isabelle
Published: January 2022

À travers un dialogue entre les deux auteurs, les conséquences pédagogiques de deux années de crise sanitaire sont mises en évidence. Changement des pratiques, apprentissage des méthodes à distance tant pour les élèves que pour les enseignants, rôles et perceptions des parents. Si la crise a pu être vécue avec difficultés, certaines habitudes peuvent être durablement modifiées de même que le rapport à l’école et à l’apprentissage.
Le temps des cerises
Authors: Boutonnier Julien , Puyuelo Rémy
Published: January 2022

À partir d’une réflexion sur le temps de l’humain confronté au temps de la Covid, deux écrits en écho mettent en perspective événements traumatiques collectifs, réponses psychiques individuelles et après-coups.
Parcours de migrants
Authors: Belgacem Fatna
Published: January 2022

Les étudiants éducateurs spécialisés de première année du Pôle de formation et de recherche de l’Arseaa, site d’Albi, dans le cadre de l’unité de formation DF4, à propos des phénomènes migratoires, ont rédigé des « parcours de migrants », sous forme de narration, soutenus par la connaissance des diverses causes de la migration et des textes législatifs en vigueur dans les pays concernés. Il en est résulté des documents variés, les rédacteurs tentant d’être au plus près de la vie réelle de ces migrants. Nous publions ici quelques-uns d’entre eux.
La vérité du corps : inconscient et jouissance du corps
Authors: Fierens Christian
Published: January 2022

1. Le corps vivant implique le refus du corps réduit aux besoins ; c’est en quoi le corps est nécessairement branché sur l’inconscient et sur sa politique. 2. Le corps vivant s’inscrit dans la structure de l’acte de langage ; c’est en quoi il fonctionne selon le principe de jouissance plus que selon le principe de plaisir. 3. Le corps peut se dévoiler comme Un ; mais cette unité apparente cache la dimension de l’Autre, où le corps vivant trouve sa vérité. Ces trois thèses sont développées à partir de la lecture de la leçon du 10 mai 1967 du séminaire de Lacan.
Écriture psychosomatique et pandémie
Authors: Porge Erik
Published: January 2022

Parmi les effets sur le corps du virus nommé SARS-Cov-2 rendu responsable de la pandémie dite de la Covid-19, on relève des manifestations dites psychosomatiques. Il semble qu’elles ne soient pas dues seulement à l’atteinte du corps par le virus : on ne peut exclure le rôle effectif des discours publics et privés tenus sur le virus, discours qui accompagnent les mesures anti-contamination. Ces discours sanitaro-sécuritaires doublant les traitements du virus responsable de la pandémie ont constitué pour les psychanalystes un moment de vérité et mis en lumière l’importance du surmoi qui exerce sa fonction très précocement, avant le stade du miroir fondateur du narcissisme, et représente une incorporation du signifiant dans le corps. Le surmoi est un principe de jouissance qui conduit à considérer la consistance de celui-ci comme nouage d’un corps symbolique, d’un corps imaginaire, d’un corps réel, et à considérer le symptôme comme « événement de corps ». Prenant l’exemple des symptômes dits psychosomatiques il y a lieu de recenser les traits discriminants de « la jouissance spécifique » qu’ils incluent et qui témoignent d’une jouissance spécifique de ce symptôme, manifestant un réel sans fissure du corps réel. Le signifiant y est raccordé à la lettre topologique venant d’ailleurs que du signifiant.
L’en-corps et la règle analytique
Authors: Lambotte Marie-Claude
Published: January 2022

La jouissance, pressentie par Freud dans un au-delà du principe de plaisir, inséparable des effets originaires dont elle anime le corps et des marques qu’elle y laisse, relève d’une cause perdue mais toujours agissante, et cela au sein même des articulations logiques du discours du sujet. Aussi bien, le corps reste-t-il nécessairement présent dans le discours du sujet sous la référence d’un Je symbolique qui ne fait qu’assumer, sous la forme du semblant, la coupure d’avec cette jouissance originelle dont il procède. La règle analytique, qui demande au psychanalyste de se départir de toute critique envers le dire du patient et de conserver à l’égard de ce dernier une même attention « en égal suspens », ne peut s’appliquer qu’en présence des corps à leur place respective dès lors que les quatre objets d’ancrage de la jouissance s’inscrivent et témoignent de la structure psychique d’un sujet. Nous tenterons d’élaborer plus avant le rôle de cette « présence » nécessaire des corps dans la dynamique de la cure et les possibles revers de celle-ci lorsqu’elle y fait défaut.
La frontière de l’être parlant
Authors: Le Corre Stévan
Published: January 2022

Au-delà de sa fonction de démarcation, intuitivement repérable, la notion de frontière trouve sa pertinence pour la psychanalyse en ce qu’elle est tout autant un agent de la liaison que de la séparation. Ce qui est patent dans la clinique. À l’appui de sa définition en topologie générale puis de la topologie des surfaces de Lacan, notre article se propose ainsi de mettre en valeur le caractère très singulier de la frontière chez l’être parlant : être de frontière, autre côté menaçant, repli et réversion, frontière ponctuelle, bord radicalement infranchissable, telles sont les variétés de la frontière subjective que nous évoquons.
À corps et à cri Lulu de Frank Wedekind : le mythe de la femme fatale revisité
Authors: Arkhipov Grigory
Published: January 2022

Le mythe de la femme fatale coïncide chronologiquement avec les années de la vie de Freud et son questionnement sur le « continent noir » de la féminité. En prenant le personnage de Lulu pour point d’appui, ce texte trace les métamorphoses corporelles du mythe, le passage de la pulsion à la sublimation étant notre fil d’Ariane.
La jouissance du mal : la démocratie en question
Authors: Marie Pierre
Published: January 2022

La psychanalyse n’est pas une psychologie, mais une prise en compte de la « réalité humaine » dans sa globalité qui inclut tant les conditions de l’organisation du vivre ensemble que les conditions de l’organisation du penser et de l’agir de chacun, les premières s’articulant aux secondes, de sorte que l’œuvre politique de Freud et de Lacan n’est pas une suite de réflexions accessoires à leurs élaborations cliniques, mais est au cœur de ces dernières comme l’illustre toute tentative de penser le drame de la démocratie moderne qui voit surgir régulièrement, sans qu’on n’en puisse mais, des personnages exposant sans vergogne leur jouissance sans limite du mal  : il y aurait un lien, qu’on le veuille ou non, entre démocratie et perversion, si cette dernière, pour reprendre la proposition d’Augustin puis de Lacan s’égale à mettre à mal autrui .
En pure perte. Jouissance de la mélancolie
Authors: Longé Thierry
Published: January 2022

En suivant pas à pas la description des mouvements de l’âme tels qu’exposés par madame Guyon dans ce qu’elle nomme l’état de perte, la mystique nous offre un jalon supplémentaire à la compréhension de la mélancolie entre jouissance et pure perte.
« Sentir et Savoir, une Nouvelle Théorie de la Conscience », de Antonio Damasio
Authors: Aisenstein Marilia
Published: January 2022

À la croisée de la neurobiologie, la psychologie et la philosophie Antonio Damasio montre dans cet essai passionnant l’importance des sentiments dans la construction de la conscience. Le cerveau nous fournit « les expériences mentales que nous associons systématiquement à notre soi. Les sentiments sont loin d’être purement mentaux ils sont des « hybrides d’esprit et de corps » mais sans la conscience nous ne saurions rien du le plaisir ni de la douleur. Elle est la pierre angulaire de l’extraordinaire essor des cultures humaines.
Un groupe de parole d’adolescents à Athènes
Authors: Papageorgiou Eleana
Published: January 2022

Dans cet article, nous présenterons, un groupe de parole d’adolescents animé par deux co-thérapeutes dans une institution spécialisée pour adolescents à Athènes. Le cadre institutionnel, la mise en place du dispositif groupal, et l’accueil du groupe par l’institution constituent autant d’enveloppes contenantes du processus thérapeutique en cours. À l’aide de quelques séquences du groupe, nous tenterons de mettre en relief les mécanismes groupaux en œuvre dans ce travail psychothérapeutique de parole. L’accent sera mis sur l’élaboration, au sein du processus groupal, des questions identitaires et du rapport de l’adolescent aux autres comme objets à reconstruire durant cette période transitionnelle critique.
Recueillir la parole adolescente en petit groupe à des fins de recherche : un dispositif à effets thérapeutiques
Authors: Kattar Antoine
Published: January 2022

En partant de son expérience groupale avec des adolescents, l’auteur décrit le dispositif qu’il a nommé Paroles d’adolescents en groupe ( pag ). C’est un dispositif qu’il a imaginé dans le cadre de la recherche longitudinale qu’il a conduite auprès d’un groupe d’adolescents intitulée : « Avoir 18 ans en 2020 ». Il montre que ce dispositif est inspiré du dispositif d’entretien clinique en groupe à visée de recherche qu’il a construit depuis une dizaine d’années pour recueillir la parole des adolescents dans le cadre des recherches cliniques d’orientation psychanalytique qu’il mène en sciences de l’éducation. Pour étayer son propos, il présente ensuite les résultats de l’analyse de l’évolution de la position subjective de l’un des adolescents du groupe.
« Prenez garde à la fermeture des portes. » Le clinicien-chercheur face à la désymbolisation en psychiatrie
Authors: Haliday Héloïse
Published: January 2022

Cet article propose une méthode interdisciplinaire de recueil et d’analyse des données de recherche de terrain en psychiatrie, combinant position ethnographique, au moyen d’observations et d’entretiens semi-dirigés, et élaborations psychodynamiques dans l’après-coup. Nous partons d’une situation d’agression d’un patient envers une soignante en unité d’hospitalisation, telle que consignée dans notre journal de terrain, qui questionne les aspects réels, symboliques et imaginaires de la liberté de circulation en psychiatrie. Nous montrons comment de telles situations complexes ne peuvent être comprises qu’avec une triple grille de lecture déclinant paramètres de l’établissement, vie institutionnelle et dynamique groupale. À l’aide de la théorie bionienne des cycles de transformations, nous faisons, enfin, une hypothèse théorique selon laquelle existeraient des transformations désymbolisantes, qui par cycles successifs contribueraient à la pathoplastie institutionnelle. Nous invitons les chercheurs en clinique institutionnelle à investiguer davantage cette hypothèse.
Fonction de l’observateur écrivant dans un groupe à médiation
Authors: Mambou Jean Pierre , Brun Anne
Published: January 2022

Alors que l’introduction d’un observateur écrivant a été considérée pendant des années comme non souhaitable dans un groupe, depuis une dizaine d’années, les auteurs conceptualisent l’intérêt d’un dispositif groupal avec un thérapeute observateur écrivant. Cet article a montré l’intérêt d’un tel dispositif, notamment avec des pathologies sévères comme les problématiques psychotiques et autistiques. Ainsi, la dynamique trasnféro/contre-transférentielle et l’associativité sensorimotrice induites par la présence d’un observateur écrivant permettent de relancer la potentialité symbolisante, notamment dans le cadre des médiations thérapeutiques, par l’introduction de jeux sensoriels archaïques, ainsi que la reprise intersubjective par les cliniciens (par accordages, partage d’affect, théâtralisation et dialogue sensorimoteur), puis par l’émergence progressive de jeux typiques qui n’ont pas pu se jouer dans la première enfance.
De l’espace ouvert à l’espace habité. Étude d’un dispositif groupal à médiation dédié à des sujets en situation d’errance
Authors: Bertrand Valérie , Blanquet Brigitte
Published: January 2022

Cet article témoigne d’une double réflexion de psychosociologue et de psychologue clinicienne sur la problématique d’un public dit « exclus ». Les auteures interrogent les effets d’un dispositif groupal à médiation, un atelier d’écriture au sein d’un centre d’hébergement et d’orientation, dédié à des hommes sans domicile fixe. Elles proposent un aménagement du cadre suffisant en prenant en compte le mouvement libertaire de ces sujets errants.
Dynamic analysis of a malaria reaction-diffusion model with periodic delays and vector bias
Authors: Zhao Hongyong ,   Department of Mathematics, Nanjing University of Aeronautics and Astronautics, Nanjing 210016, China, Shi Yangyang , Zhang Xuebing ,   Key Laboratory of Mathematical Modelling and High Performance Computing of Air Vehicles (NUAA), MIIT, Nanjing 211106, China,   College of Mathematics and Statistics, Nanjing University of Information Science and Technology, Nanjing 210044, China
Published: January 2022

One of the most important vector-borne disease in humans is malaria, caused by Plasmodium parasite. Seasonal temperature elements have a major effect on the life development of mosquitoes and the development of parasites. In this paper, we establish and analyze a reaction-diffusion model, which includes seasonality, vector-bias, temperature-dependent extrinsic incubation period (EIP) and maturation delay in mosquitoes. In order to get the model threshold dynamics, a threshold parameter, the basic reproduction number $ R_{0} $ is introduced, which is the spectral radius of the next generation operator. Quantitative analysis indicates that when $ R_{0} < 1 $, there is a globally attractive disease-free $ \omega $-periodic solution; disease is uniformly persistent in humans and mosquitoes if $ R_{0} > 1 $. Numerical simulations verify the results of the theoretical analysis and discuss the effects of diffusion and seasonality. We study the relationship between the parameters in the model and $ R_{0} $. More importantly, how to allocate medical resources to reduce the spread of disease is explored through numerical simulations. Last but not least, we discover that when studying malaria transmission, ignoring vector-bias or assuming that the maturity period is not affected by temperature, the risk of disease transmission will be underestimate.
A nonlinear population dynamics model of patient diagnosis and treatment involving in two level medical institutions and its qualitative analysis of positive singularity
Authors: Zhao Xiaoxia ,   Faculty of Management and Economics, Kunming University of Science and Technology, Yunnan, Kunming 650093, China, Jiang Lihong , Zhao Kaihong ,   First People's Hospital of Yunnan Province, Yunnan, Kunming 650032, China,   Department of Mathematics, Kunming University of Science and Technology, Yunnan, Kunming 650500, China
Published: January 2022

In this article, we firstly establish a nonlinear population dynamical model to describe the changes and interaction of the density of patient population of China's primary medical institutions (PHCIs) and hospitals in China's medical system. Next we get some sufficient conditions of existence of positive singularity by utilising homotopy invariance theorem of topological degree. Meanwhile, we study the qualitative properties of positive singularity based on Perron's first theorem. Furthermore, we briefly analyze the significance and function of the mathematical results obtained in this paper in practical application. As verifications, some numerical examples are ultimately exploited the correctness of our main results. Combined with the numerical simulation results and practical application, we give some corresponding suggestions. Our research can provide a certain theoretical basis for government departments to formulate relevant policies.
PREPARATION AND NUMERICAL SIMULATIONS OF DRUG-LOADED HYDROXYAPATITE BIOMATERIALS
Authors: Wang Zhenyu , Yu Chi , Chen Shuhua , Zhan Shiping
Published: January 2022

To meet the challenge of regenerating bone lost to disease or trauma, biodegradable scaffolds are being investigated as a way to regenerate bone without the need for an auto- or allograft. Herein, we prepared poly (lactic acid) (PLA)/chitosan(CS)/nano-hydroxyapatite biomaterials through solution polymerization and solvent volatilization. Cefadroxil was used as a model drug for loading on biomaterials using supercritical carbon dioxide. In addition, we investigated the in vitro drug release effect, and the in vitro release results showed that the drug could release more than 73% of the drug load within 48[Formula: see text]h. This excellent drug release property could allow continuous drug use at the wound site, further broadening its application in the medical field. A three-dimensional finite element (FE) model of bone screws was established, and the mechanical properties of the screws were numerically calculated. The stress and deformation of the bone screws under different external conditions were simulated. The bending simulation showed that the screw can withstand the maximum deformation of 0.418[Formula: see text]mm and equivalent stress of 566.94[Formula: see text]MPa at a force of 700 N. The maximum equivalent stress of the screw reached 321.84[Formula: see text]MPa, and the corresponding torque was 779.68 N⋅mm when the torsion angle was gradually increased to 30[Formula: see text]. The fabricated material has excellent mechanical properties and can be used for bone repair. This study provides a new direction for preparing drug-loaded polymer biomaterials and developing new materials for bone repair.
Common Heritage of Mankind and the Deep Seabed Area Beyond National Jurisdiction: Past, Current, and Future Prospects
Authors: Egede Edwin , Charles Eden
Published: January 2022

Abstract The common heritage of mankind (CHM) is of a relatively recent origin. This study examines Arvid Pardo's speech to the United Nations General Assembly in 1967, in which he urged that body to designate the seabed beyond national control as CHM. The commentary next
looks at Part XI of the United Nations Convention on the Law of the Sea 82, as amended by the 1994 Agreement, which incorporates the CHM as a core principle governing mineral mining in the deep bottom area beyond national jurisdiction. Finally, it discusses CHM's future prospects in relation
to the draft International Seabed Authority (ISA) Exploitation Regulations, the Enterprise, an ISA organ that has yet to be operationalized, and ongoing discussions about an international legally binding instrument on the conservation and sustainable use of marine biological diversity under
the UNCLOS. The purpose of this study is to highlight the complexity surrounding the CHM, which is a key principle governing deep seabed activities.
Determination of the Appropriate Ballast Water Treatment Systems Based on the Voyage Regions for Turkish Shipowners' Companies
Authors: Top Çağlayan , Kara Esma Gül Emecen , Yıldız Murat , Kara Gökhan , Kaçmaz Ersoy
Published: January 2022

Abstract Ships must be equipped with ballast water treatment systems to comply with the D-2 standard of the Ballast Water Management Convention. It is required that the adaptation processes of all ships must be completed by September 8, 2024, according to the timetable created
by the International Maritime Organization. There are many ballast water treatment systems that shipowners' companies can adopt in the market. The characteristics of the treatment methods used in these systems are different from one another. There are strengths and weaknesses relative to each
method. In this process, the choice of one of these ballast water treatment systems is a perplexing problem for shipowners' companies, whose ships have different tonnage and voyage regions. In this context, this study aims to clarify criteria used in the selection of a ballast water treatment
system by Turkish shipowners' companies based on the voyage regions of ships. The relative weight of criteria for both international transporting companies and coastal transporting companies are calculated using analytical hierarchy process. Consequently, the most suitable ballast water treatment
systems for these two companies are determined using both Technique for Order Preference by Similarity to Ideal Solution and VIKOR, and the factors that play a role in this choice were discussed comparatively.
Mathematical Modeling and Dynamic Analysis of a Compact Vectored Thruster
Authors: Du Hongyi , Yan Tianhong , He Bo , Zhang Yujie , Gong Yingbo
Published: January 2022

Abstract In this paper, a compact vectored thruster based on a composite gear train is proposed. First, the space transformation between different coordinate systems is carried out, and the mathematical model of the vectored thruster is established, according to classical
navigation mechanics theory. Then, the swing and roll motion analysis of the composite gear train is implemented, and the motion relationship of the whole thruster structure is analyzed systematically. Moreover, SolidWorks and MATLAB software are used for simulation to verify the accuracy
of the mathematical model. In addition, the trajectories of the propeller shaft under different motion modes are analyzed and compared. Finally, the dynamic analysis of the vectored thruster is carried out, and the change trend of the scaling factors of the vector thrust components with the
swing angle δ and the roll angle χ is studied, and comparison with the scaling factors of the vectored water jet propeller presented in other literature is taken into account. To endow the thruster with superior maneuverability, the fairwater structure of the vectored thruster is
optimized, and the lateral vector component of the optimized vectored thruster is greatly increased.
Resistance Optimization of Fishing Boat Based on Parametric Modeling Method and Sensitivity Analysis
Authors: Guan Guan , Zhou Shuai , Zhuang Zhengmao , Yang Qu
Published: January 2022

Abstract In the conventional process of parametric ship optimization, the selection of design variables mostly relies on design experience. The lack of a clear and quantitative method of parameter selection leads to a certain degree of blindness and inefficiency. In this
article, a parametric hull modeling method is proposed. The sensitivity analysis based on orthogonal experimental design is performed to select the design variables of optimization. Through variance and range analysis, the parameters that have a significant influence on the optimization objective
are selected as the design variables. A combination of Sobol and tangent search method is applied during the optimization. The shape optimization of a fishing boat with minimum resistance is taken as an example. The optimization result proves the efficiency of the proposed parametric modeling
method and the sensitivity analysis, which are significant for the shape optimization of a fishing boat.
Research on Novel Multi-Way Hydraulic Quick Connector for Underwater Production System
Authors: Wang Hao , Chen Jiawang , Zhou Hang , Le Xiaoling , Ruan Dongrui , Xiao Yiping , Chen Xin , Wang Lu
Published: January 2022

Abstract The underwater hydraulic connector is one of the most important components of an underwater oil production system. The equipment is mainly used to transport oil, chemical reagents, and other high-pressure fluids. We developed a novel underwater hydraulic multi-way
quick connector system (MQCS) that is able to realize simultaneous, rapid, and precise plugging and unplugging of 10 underwater pipelines. It can be widely used for connection between subsea oil production equipment. The MQCS consists of a fixed plate assembly that is fixed to the oil production
equipment and a free plate assembly that is connected to the pipelines on the drilling platform. This study describes the structure and working principle of the MQCS in detail. In addition, the process of the elastic collet clamping the mandrel was studied. Based on the finite element analysis
software Abaqus, we investigated how the key geometric parameters of the elastic collet influence the axial force that needs to be provided by the underwater robot. A prototype was built based on the simulation results. To verify the performance of MQCS, a high-pressure chamber test was conducted.
The results show that MQCS can accurately connect 10 high-pressure lines (about 69 MPa) in a high-pressure chamber and there is no pressure drop for 3 h after docking.
Navigating Environmental Approval Pathways for Deep Seabed Mining Projects in Areas Beyond National Jurisdiction (the Area)
Authors: Gwyther David
Published: January 2022

Abstract Deep-seabed mining (DSM) is a developing industry with high potential to help meet the metal demand for the transition to a renewable energy world. No DSM projects have yet received environmental approval, although several are in progress, following the Environmental
and Social Impact Assessment (ESIA) process that has been developed and widely applied for projects in national jurisdictions. Currently, the International Seabed Authority's (ISA) regulations, standards, and guidelines for mineral exploitation of seabed minerals in the Areas Beyond National
Jurisdiction (the Area) are in draft form. Proponents are guided in their ESIA studies by the ISA's Recommendations for the Guidance of Contractors for the Assessment of the Possible Environmental Impacts Arising From Exploration for Marine Minerals in the Area and are proceeding in
expectation that the currently draft regulations will be finalized by the time an environmental impact statement can be submitted. This paper discusses the pathways leading to environmental assessment and approvals, comparing the processes in national jurisdictions with those for projects
in the Area.
Long-Term Monitoring and Research in the Clarion-Clipperton Zone
Authors: Madin Laurence P.
Published: January 2022

Abstract The widely recognized need for large-scale transition from fossil to renewable energy sources has led to renewed effort to obtain metals needed for battery-based electric transportation and other functions. A potential source of some of these metals is the deposits
of polymetallic nodules on the deep seafloor. If mining of these deposits proceeds in the coming decade, the enterprise creates an opportunity for extensive, long-term oceanographic research in the mining locations. The need to monitor environmental effects of mining activity can best be met
with a near-continuous presence of a research platform in the vicinity. The platform could be a ship or potentially a semi-submersible platform like those used in the offshore oil industry. Such a facility might be supported by a consortium of mining companies and also provide opportunities
for academic research in ocean and climate science.
Experimental Investigation Into Soil and Mechanical Pick-up Device Interaction in Nodule Mining of Deep Seabed
Authors: Sudarvelazhagan Krishnan , Srinivas Kuchibhotla , Kumar Murugesan Pradeep , Raguraman Senthamari Raju , Deepak Chullickal Raphael , Ramesh Narayanamurthy Renganayahi , Amudha Krishnan , Ramadass Gidugu Ananda , Atmanand Malayath Aravindakshan
Published: January 2022

Abstract This research is focused to experimentally analyze the nodule picking efficiency of a deep sea mechanical pick-up device developed by National Institute of Ocean Technology, India. Experiments were conducted in a simulation tank with different operating parameters
on a bentonite soil bed simulating the deep seabed and artificial nodules. Digging depth of the pick-up device, its angle and haulage velocity were the input variable parameters. From the experimental investigations, the values of the operating parameters that result in the highest pick-up
efficiency were identified. The nodule picking efficiency increased as the pick-up device inclination was increased and reduced when the digging depth and haulage velocity were increased. The maximum nodule picking efficiency was 85% when the haulage speed, digging depth, and pick-up device
inclination were 0.0375 m/s, 25 mm, and 30°, respectively. The research outcome would be useful in actual deep seabed conditions for efficient polymetallic nodule mining. Multiple mining machines with increased working width are proposed for large-scale operations.
Polymetallic Nodules: Resource Potential and Mining Prospects
Authors: Sharma Rahul
Published: January 2022

Abstract Deep-sea minerals such as polymetallic nodules have attracted significant interest among stakeholders not only for evaluating their potential as an alternative source of critical metals that are required for various industrial applications including green energy
but also in developing technology for their exploitation. There has been a steady increase in the number of contractors having exploration rights over large tracts on the seafloor in the “Area,” and the International Seabed Authority that is mandated with the responsibility of
regulating such activities is in the process of preparing a code for exploitation of these deep-sea minerals. This commentary takes a look at the resource potential and mining prospects of polymetallic nodules while addressing the economic and environmental issues associated with them.
Invited Paper: Rotorcraft Design: The Crucial Influence of Safety from Concept to Fleet Support The 41st Alexander A. Nikolsky Honorary Lecture
Authors: Nannoni Fabio
Published: January 2022

It is an immense honor to have been selected to hold the prestigious 41st Nikolsky Lecture and to have the opportunity to synthesize my experiences with regards to the most important principle that permeates aeronautical engineering—"the concept of safety." Having worked in the
rotary-wing field for 39 years, with growing levels of involvement and responsibilities, I have been involved in the design, development, and certification of many helicopter models at the Leonardo Helicopters Division (LHD; formerly Agusta and then AgustaWestland), such as A109, A119, EH101,
A129, NH90, AW609. More recently, I had the full responsibility of design, development, certification, and entry into service of three new helicopter types within the "AW Family concept", specifically the AW139, AW189, and AW169. I am profoundly grateful for the mentors encountered in my professional
life—Bruno Lovera and Santino Pancotti, both of whom were also honored with the Nikolsky Lectureship. In working with them, not a single day passed where the word "safety" was not mentioned. They taught me that "safety" shall be the mantra of every aeronautical engineer because it is
our principal duty and responsibility, towards those who travel in, work on, and work with our products and entrust their lives to our work and professionalism daily. I have tried hard never to forget this lesson, and to convey this to the young engineers that I have had the chance and pleasure
to work with. If I have been able to pass on this lesson successfully, through my work with others through this lectureship, it would be the greatest achievement of my life. In this vein, this paper is organized in three parts: (i) definitions and principles, along with some "philosophical"
concepts; (ii) the application of these principles at Leonardo in the design of the latest generation of helicopters, and finally (iii) a discussion of emerging "safety technologies" that promise to improve the safety of future helicopters and operations.
Use of Five-Layered Adi's Cotton Face Masks with a Filter and Its Commercial Application During and after COVID-19
Authors: Agrawal Anuja , Agrawal Aditya Kuldeepkumar , Vasava Sangita , Lakhani Sucheta Jitendra , Golwala Paresh
Published: January 2022

Introduction:

COVID-19 is a global pandemic that has led to crisis in the supply of essential goods and services and personal protective equipments including face masks.

Aim:

The aim of the study is to compare Adi's five-layered cotton face masks with N95 masks and surgical face masks with regard to cost and efficacy.

Materials and Methods:

After IEC approval, a sample size of 10 was randomly selected. In a closed chamber made up of glass, three plates of blood agar, chocolate agar, and MacConkey Agar (MCA) were kept and at four different times, first without mask (Group D), second with N95 mask (Group N), third with surgical mask (Group S), and finally with Adi's face mask (Group A). Participants at first coughed three times then sang for 3 min and finally spoke for 2 min for each group. Plates were observed for growth after 24 h.

Inclusion Criteria:

Age 18–40 years of either sex, with no comorbidities.

Exclusion Criteria:

Anyone having cough, cold, or fever.

Results:

Group A (Adi's face mask with filter) showed no growth all ten times, Group N (N95 Mask) showed no growth of colonies four times, and one colony growth six times. As far as Group D (Direct speech without mask) is concerned, it showed multiple colonies all ten times and Group S (Surgical mask) showed one colony growth all ten times.

Conclusion:

Adi's mask is almost equivalent to wearing an N95 mask. It is easy to use, innovative, simple, scientific, and cost-effective.