bluuebunny/crossref_metadata_2025 huggingface dataset:
Causes and mechanisms in producing of iatrogenic injuries of the main bile duct in laparoscopic cholecystectomy. Measures of prevention
Authors:   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Suliman Emel , Palade Radu Şerban ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Suliman Emine ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti
Published: September 2021

Iatrogenic injuries of main bile duct in laparoscopic cholecystectomy are the most severe complications that can occur during surgery. It is presented the causes that favor the occurrence of these injuries, the mechanisms of producing and measures of prevention on who the operator should them know very well and respect them during the surgical act.
Retrolabyrinthine syndromes of tumoral etiology – acoustic neuroma
Authors:   Institutul Naţional de Neurologie şi Boli Neurovasculare, Bucureşti, Toader Corneliu ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Toader Mioriţa ,   Spitalul Clinic de Urgenţă pentru Copii „Grigore Alexandrescu“, Bucureşti, Vivisenco Iolanda ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti,   Spitalul Clinic de Urgenţă pentru Copii „Grigore Alexandrescu“, Bucureşti, Drăghici Mircea ,   Spitalul Dentirad, Ploieşti, Palade Dragoş ,   Universitatea de Medicină şi Farmacie „Gr. T. Popa“, Iaşi
Published: September 2021

Among retrolabyrinthine syndromes of tumoral etiology, acoustic neuroma ranks the most important place, being a benign tumor, but with malignant evolution. It is more common in women and occurs predominantly in the age range 20-60 years old. It is usually unilateral and only about 4% of cases are bilateral. Portmann et al, quoting Nager, say that certain peculiarities of the cranial nerve development explain the intracanalicular location of the neuroma at the beginning. Being a tumor with a very serious prognosis, acoustic neuroma needs to be diagnosed in very early stages, when it can be surgically removed.
Complex protocol of surgical nursing of postoperative feeding stoma
Authors:   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Şerban Dragoş , Savlovschi Costel ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Brănescu Cristian ,   Spitalul Universitar de Urgenţă, Bucureşti, Tudor Corneliu ,   Spitalul Universitar de Urgenţă, Bucureşti, Borcan Răzvan ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Nica Adriana ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Vancea Geta ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti, Dascălu Ana-Maria ,   Universitatea de Medicină şi Farmacie „Carol Davila“, Bucureşti
Published: September 2021

During 1985-2014 in our Clinic nearly 4,925 gastrostomes were performed, for a large variety of pathologies: benign and malign esophageal stenosis, esophageal fistulas, posttraumatic ruptures, iatrogenic pathology, strokes. Among those, some were definitives and the others were temporary. We used Gavriliu technique with peritoneal collar in 96% of the cases. During those 30 years we managed to establish an immediate and long-term care protocol of the feeding gastrostomes. This protocol contains specific measures for the monitoring of the vital parameters, biological and metabolical ones, but also the close analysis of the gastric stasis, the imposing of the digestive repose during the first 48-72 hours, the continue follow-up of the quality and the rhythm of alimentation and the mechanical protection of the Pezzer tube. The efficiency of this type of nursing consists in the introduction of food after 48-72 hours, with the second stage of efficiency of the gastrostomy in the same time with the long-term care of the associated oncological and metabolical complications. Due to the importance of the moment of the surgical indication, the technique and nursing that has been used, the survival of the patient with definitive gastrostomy has significantly improved. The elimination of the temporary ones didn’t involve in most of the cases surgical closing.
Proyeksi Masa Depan Kendaraan Listrik di Indonesia: Analisis Perspektif Regulasi dan Pengendalian Dampak Perubahan Iklim yang Berkelanjutan
Authors: Nur Asrul Ibrahim , Kurniawan Andrian Dwi
Published: September 2021

Produksi dan penjualan kendaraan listrik (electric vehicles) di berbagai negara mengalami kemajuan yang sangat signifikan terutama di Tiongkok, Eropa, dan Amerika Serikat. Indonesia cenderung tertinggal dari negara lain dalam penggunaan kendaraan listrik secara massif karena regulasi terkait diundangkan pada 2019, ketika sudah banyak negara yang memiliki regulasi untuk mendukung penggunaan kendaraan rendah emisi tersebut. Keberadaan kendaraan listrik yang mensubstitusi kendaraan berbahan bakar fosil secara langsung maupun tidak langsung akan berdampak pada berkurangnya emisi karbon yang dihasilkan suatu negara. Tulisan ini akan membahas proyeksi masa depan kendaraan listrik dari perspektif regulasi dan pengendalian perubahan iklim yang berkelanjutan dari perspektif ilmu perundang-undangan dan politik hukum. Sebagai penelitian hukum, metode penelitian yang akan digunakan dalam menganalisis permasalahan adalah metode penelitian hukum dengan pendekatan normatif. Penggunaan metode penelitian ini akan berupaya untuk memotret regulasi kendaraan listrik di Indonesia dan dampaknya dalam upaya pengendalian dampak perubahan iklim yang berkelanjutan.
Menilai Kembali Politik Hukum Perlindungan Lingkungan dalam UU Cipta Kerja untuk Mendukung Keberlanjutan Ekologis
Authors: Pambudhi Hario Danang , Ramadayanti Ega
Published: September 2021

Abstrak

Diundangkannya Undang-Undang Nomor 11 Tahun 2020 tentang Cipta Kerja (Omnibus Law) membawa diskursus baru mengenai keberlanjutan ekologis di Indonesia. Pasalnya, terdapat perubahan politik hukum mendasar mengenai perlindungan lingkungan mengarah pada sifat eksploitatif dibandingkan konservasi sehingga menjauhi prinsip keadilan lingkungan. Hal ini dibuktikan dengan adanya permasalahan simplifikasi perizinan, deorientasi strict liability, dan pembatasan hak atas lingkungan. Padahal perlindungan lingkungan sebagai salah satu unsur keadilan lingkungan merupakan hal yang esensial sebagai upaya memastikan distribusi hak dan kualitas lingkungan hidup yang baik dan sehat bagi generasi sekarang maupun yang akan datang. Metode penelitian dilakukan melalui penelitian kualitatif dengan pendekatan yuridis normatif yang bersifat deskriptif analisis. Digunakan teknik pengumpulan data yaitu kajian literatur dari sumber data sekunder dengan tiga bahan hukum.  Hasil penelitian menyimpulkan perlu adanya suatu langkah untuk merespon perubahan politik hukum perlindungan lingkungan dalam omnibus law agar tetap mendukung keberlanjutan ekologis, berupa arah kebijakan dalam pembangunan berkelanjutan yang lebih merefleksikan keadilan lingkungan.          

Kata kunci: Ekologis, Keadilan Lingkungan, Partisipasi, Politik Hukum
Reducing Violence against Health Professionals
Authors: Chakravorty Indranil
Published: September 2021

There is a rising trend of violence against healthcare professionals across the world, especially after the COVID-19 pandemic. Many countries report between 43-75% of professionals experiencing at least one incident in any annual survey. The most recent incident of doctors and healthcare staff in a Manchester City General Practice raised alarms. As the healthcare infrastructure and services are severely stretched following the disruption of 2020, there are more reasons for disquiet and frustration from the public. The media and political portrayal of primary care physicians as not caring enough to provide face-to-face appointments in the UK is believed to increase the public angst. There are protests from professional organisations but this is not heard by the public. In any violence prevention strategy, a multi-system approach is critical. While tackling misinformation is essential, so is the tackling the root causes, the waiting lists and a balanced information to the public. Political and organisational leaders need to be visible and vocal in explaining why the healthcare infrastructure is beyond breaking point. This will justify the additional resources needed and reduce the frustrations of the public, in need of care. There is also a vital need to help new doctors and nurses as well as all frontline staff in violence dissipation techniques, self-preservation. The Voluntary community organisations including those that support professional groups have a vital role to play. The NHS People Plan has recommended that VSCEs should join robust and reliable partnerships with Integrated Care Organisations in developing strategies and interventions. There is more work to be done. This article is a call for action and invites all VSCEs interested in the reduction of violence against staff to join with employing organisations to set up collaborative working groups with specific actions to implement. This is essential to reduce harm and reduce the demoralisation of an already burnt-out healthcare workforce.
CRITERIA FOR ASSESSING THE RELATION OF ENTERPRISES TO SMALL BUSINESSES
Authors:   Rostov State Economic University, SCHEMELEV SERGEY N. , USENKO LYUDMILA N. ,   Rostov State Economic University, SHUMAEVA LYUBOV I. ,   Rostov State Economic University
Published: September 2021

The national project for the development of small business in Russia provides for an increase in the number of people employed in this area in 2024 to 25 million people (in 2019 5.5 million people) and the share of SME products in the country’s GDP to 30% (currently less than 23 %). The ongoing economic crisis in the country, exacerbated by the Covid-19 pandemic and internal problems of economic development, created additional difficulties for achieving these goals in the small business sector. In this regard, it is necessary, first of all, to scientifically identify the very sphere of small business and its inherent problems that impede development and have both internal and external character, taking into account the variety of organizational and legal forms of small enterprises, the specifics of their types of activity, to determine indicators , really reflecting the processes taking place in this area. On the basis of the data obtained, substantiate a system of measures to ensure the acceleration of the development of small business. The purpose of this work is to develop the theory of state regulation of small business development, in terms of identifying the sphere of small business as a basic condition for creating an effective system to stimulate its development. The historical and logistic analysis of small business development processes is used, based on an eleven-year retrospective of the performance indicators of small businesses, the totality of which is considered as a system, which makes it possible to apply economic and statistical research methods to it. As a result of the work carried out, indicators have been established that most adequately reflect the development of the small business sector and the change in the existing procedure and criteria for classifying enterprises as small has been substantiated. The results obtained can be used to change the classification of small enterprises in Russia and other countries of the world, which will increase the effectiveness of the support carried out in relation to their state policy.
EVALUATION OF THE EFFECTIVENESS OF THE SALE OF AGRI-FOOD PRODUCTS IN THE DOMESTIC AND FOREIGN MARKETS: EAT OR SELL?
Authors:   Center for Agro-Food Policy, IPEI RANEPA, UZUN VASILY YA.
Published: September 2021

The article examines the impact of export-­oriented growth on the development of agriculture and food security in the country, outlines the methodological issues of assessing the comparative effectiveness of the sale of certain types of food in the domestic market and for export, substantiates the need for mutual coordination of state regulation of the domestic market and exports. With a higher efficiency in the sale of products in the domestic market in comparison with exports, it is advisable to stimulate the growth of domestic consumption and refuse to support exports, since this violates the interests of domestic consumers.
THE MECHANISMS FOR EQUALIZING THE FINANCIAL CAPABILITIES OF THE REGIONS OF THE RUSSIAN FEDERATION
Authors:   Municipal Educational Establishment Secondary School № 30, Balashikha, OSHCHEPKOV ALEXANDR I.
Published: September 2021

The paper considers the differentiation of the budgets of the constituent entities of the Russian Federation by the level of own income per capita, its economic causes, as well as possible changes in the current rules for the distribution of tax revenues among the budgets of the budget system of the Russian Federation on the example of one tax — personal income tax. There is presented the reasoning of the relevant proposals on the basis of a sociological study conducted and changes in labor legislation, which came into force on January 1, 2021. The results of the work are of practical importance for the introduction into the budget legislation of the Russian Federation.
RUSSIA IS ON THE THRESHOLD OF Z, WHAT ARE THE VALUES OF THIS GENERATION. WHAT EFFECT Z WILL HAVE ON CERTAIN SECTORS OF THE RUSSIAN ECONOMY IN 5–10 YEARS?
Authors:   Lyceum No. 64, Omsk, POLOCHANSKIY MARK V.
Published: September 2021

In this work, I would like to conduct a study of generation Z, to find out what their values. To assume what impact the Gen Z generation will have on certain sectors of the Russian economy in the next 5–10 years. I will conduct an analysis related to individual industries, which will be most influenced in 5–10 years. I will also assume how companies will change under Generation Z.
THE CONSEQUENCES OF MORTGAGE EXPANSION AS THE PREREQUISITES OF A BUBBLE DETECTION IN THE RUSSIAN HOUSING MARKET
Authors:   National Research Tomsk State University, RAKHLEVSKIY ARTEM M.
Published: September 2021

The housing sector of the Russian economy as an example of an economic branch hardly affected by the 2020 pandemic has been investigated in the paper. The factors of such an indifference have been detected and defined as the prerequisites of the identification of a financial bubble in the segment due to the duality of housing as a financial asset. Tests have been carried out to examine the prerequisites of bounded rational behavior of market agents. The research of the prerequisites has been found to allow us not to reject the hypothesis that the housing market is inefficient. It could be regarded as a forming process of a bubble.
DOES RUSSIA NEED INDEPENDENT UNIVERSITIES? NON-STATE EDUCATION: MYTHS AND REALITY (PART 1)
Authors:   Russian New University, ZERNOV VLADIMIR A. , MANIUSHIS ALGIRDAS J. ,   Moscow International University
Published: September 2021

The article considers the system of measures for the transformation of the educational space of Russia related to the development of non-state education. In part 1, the features of the genesis of the non-state segment of education in Russia are analyzed, its potential advantages and limitations are noted. The widespread «myths» about non-state education are considered in detail, an objective characteristic of its current state is given. In part 2, the proposals of the further integration of the non-state segment into the general educational space of Russia are formulated. The authors formulated proposals how to support non-state education during the period of restrictive measures related to countering the spread of the coronavirus pandemic COVID-19. The article presents the position of the Association of Private Educational Organizations of Russia — ANVUZ of Russia.
CHARITY. EFFECTIVE ALTRUISM
Authors:   Financial University under the Government of the Russian Federation Ural branch, BATURINA ALYONA A.
Published: September 2021

Many households donate money emotionally and thoughtlessly. They believe that they are doing a good thing, but in most cases they are only doing harm. The article examines such a social movement as effective altruism, which is designed to solve this problem, is designed to make households donate money wisely and generally treat charity more rationally.
COMPLIANCE OF THE RUSSIAN EDUCATION SYSTEM WITH THE REQUIREMENTS OF THE DIGITAL ECONOMY
Authors:   Institute of Economics and Finance, Russian University of Transport, SMAGINA VICTORIA I.
Published: September 2021

Improving the education system provides the digital economy with competent personnel, contributes to a painless transformation of the labor market, forms a system of motivation for the development of the necessary competencies and the participation of personnel in the development of the digital economy of Russia. Such a significant influence that the education system has as an investment in human capital leads to the need to consider this element in the surrounding cultural environment as a key factor in both national and international business. Comparative data with foreign markets can help in understanding, for example, the level of accessibility of education and its impact on lifelong learning and the establishment of market relations.
New Blue and Red Variable Stars in NGC 247
Authors: Davidge T. J.
Published: September 2021

Images recorded with the Gemini Multi-Object Spectrograph (GMOS) on Gemini South are combined with archival images from other facilities to search for variable stars in the southern half of the nearby disk galaxy NGC 247. Fifteen new periodic and nonperiodic variables are identified. These include three Cepheids with periods <25 days, four semiregular variables, one of which shows light variations similar to those of R CrB stars, five variables with intrinsic visible/red brightnesses and colors that are similar to those of luminous blue variables (LBVs), and three fainter blue variables, one of which may be a noneclipsing close binary system. The S Doradus instability strip defines the upper envelope of a distinct sequence of objects on the (i, g−i) color–magnitude diagram (CMD) of NGC 247. The frequency of variability of an amplitude ≥0.1 magnitude in the part of the CMD that contains LBVs over the seven-month period when the GMOS images were recorded is ∼0.2. The light curve of the B[e] supergiant J004702.18–204739.9, which is among the brightest stars in NGC 247, is also examined. Low-amplitude variations on day-to-day timescales are found, coupled with a systematic trend in mean brightness over a six-month time interval.
Radius and Mass Distribution of Ultra-short-period Planets
Authors: Uzsoy Ana Sofía M. , Rogers Leslie A. , Price Ellen M.
Published: September 2021

Ultra-short-period (USP) planets are an enigmatic subset of exoplanets defined by having orbital periods <1 day. It is still not understood how USP planets form, or to what degree they differ from planets with longer orbital periods. Most USP planets have radii <2 R
⊕, while planets that orbit further from their star extend to Jupiter size (>10 R
⊕). Several theories attempt to explain the formation and composition of USP planets: they could be remnant cores of larger gas giants that lost their atmospheres due to photoevaporation or Roche-lobe overflow, or they could have developed through mass accretion in the innermost part of the protoplanetary disk. The radius and mass distribution of USP planets could provide important clues to distinguish between potential formation mechanisms. In this study, we first verify and update the Kepler catalog of USP planet host star properties, incorporating new data collected by the Gaia mission where applicable. We then use the transit depths measured by Kepler to derive a radius distribution and present occurrence rates for USP planets. Using spherical and tidally distorted planet models, we then derive a mass distribution for USP planets. Comparisons between the updated USP planet mass distribution and simulated planetary systems offer further insights into the formation and evolutionary processes shaping USP planet populations.
Detecting Neutrino Mass by Combining Matter Clustering, Halos, and Voids
Authors: Bayer Adrian E. , Villaescusa-Navarro Francisco , Massara Elena , Liu Jia , Spergel David N. , Verde Licia , Wandelt Benjamin D. , Viel Matteo , Ho Shirley
Published: September 2021

We quantify the information content of the nonlinear matter power spectrum, the halo mass function, and the void size function, using the Quijote N-body simulations. We find that these three statistics exhibit very different degeneracies among the cosmological parameters, and thus the combination of all three probes enables the breaking of degeneracies, in turn yielding remarkably tight constraints. We perform a Fisher analysis using the full covariance matrix, including all auto- and cross correlations, finding that this increases the information content for neutrino mass compared to a correlation-free analysis. The multiplicative improvement of the constraints on the cosmological parameters obtained by combining all three probes compared to using the power spectrum alone are: 137, 5, 8, 20, 10, and 43, for Ω
m
, Ω
b
, h, n

s
, σ
8, and M

ν
, respectively. The marginalized error on the sum of the neutrino masses is σ(M

ν
) = 0.018 eV for a cosmological volume of

1

h

−
1

Gpc

3

, using

k

max

=
0.5

h

Mpc

−
1

, and without cosmic microwave background (CMB) priors. We note that this error is an underestimate insomuch as we do not consider super-sample covariance, baryonic effects, and realistic survey noises and systematics. On the other hand, it is an overestimate insomuch as our cuts and binning are suboptimal due to restrictions imposed by the simulation resolution. Given upcoming galaxy surveys will observe volumes spanning

∼
100

h

−
1

Gpc

3

, this presents a promising new avenue to measure neutrino mass without being restricted by the need for accurate knowledge of the optical depth, which is required for CMB-based measurements. Furthermore, the improved constraints on other cosmological parameters, notably Ω
m
, may also be competitive with CMB-based measurements.
Hubble Frontier Field Clusters and Their Parallel Fields: Photometric and Photometric Redshift Catalogs
Authors: Pagul A. , Sánchez F. J. , Davidzon I. , Mobasher Bahram
Published: September 2021

We present a multiband analysis of the six Hubble Frontier Field clusters and their parallel fields, producing catalogs with measurements of source photometry and photometric redshifts. We release these catalogs to the public along with maps of intracluster light and models for the brightest galaxies in each field. This rich data set covers a wavelength range from 0.2 to 8 μm, utilizing data from the Hubble Space Telescope, Keck Observatories, Very Large Telescope array, and Spitzer Space Telescope. We validate our products by injecting into our fields and recovering a population of synthetic objects with similar characteristics to those in real extragalactic surveys. The photometric catalogs contain a total of over 32,000 entries, with 50% completeness at a threshold of magAB ∼ 29.1 for unblended sources and magAB ∼ 29 for blended ones, in the IR-weighted detection band. Photometric redshifts were obtained by means of template fitting and have an average outlier fraction of 10.3% and scatter σ = 0.067 when compared to spectroscopic estimates. The software we devised, after being tested in the present work, will be applied to new data sets from ongoing and future surveys.
A Shallow Dark Matter Halo in Ultra-diffuse Galaxy AGC 242019: Are UDGs Structurally Similar to Low-surface-brightness Galaxies?
Authors: Brook Chris B. , Di Cintio Arianna , Macciò Andrea V. , Blank Marvin
Published: September 2021

A central question regarding ultra-diffuse galaxies (UDGs) is whether they are in a separate category from low-surface-brightness (LSB) galaxies, or just their natural continuation toward low stellar masses. In this Letter, we show that the rotation curve of the gas rich UDG AGC 242019 is well fit by a dark matter halo with an inner slope that asymptotes to ∼−0.54, and that such a fit provides a concentration parameter that matches theoretical expectations. This finding, together with previous works in which shallow inner profiles are derived for UDGs, shows that the structural properties of these galaxies are like other observed LSBs. UDGs show slowly rising rotation curves and this favors formation scenarios in which internal processes, such as supernova-driven gas outflows, are acting to modify UDG profiles.
L’amnésie dissociative : limites méthodologiques, limites conceptuelles, et explications alternatives
Authors: Dodier Olivier
Published: September 2021

Les années 1990 ont été le théâtre d’une vive opposition entre les partisans de l’idée de refoulement traumatique et les sceptiques, expliquant qu’un tel concept n’était pas soutenu par des preuves scientifiques. Aujourd’hui plus volontiers nommé amnésie dissociative et inclus dans la 5 e  édition du manuel diagnostique et statistique des troubles mentaux, ce concept est toujours largement utilisé par les psychologues, alors même que ses preuves d’existence sont toujours peu convaincantes. Dans cet article, nous proposons un regard critique du concept, passons en revue les preuves avancées par ses défenseurs et développons leurs limites méthodologiques et conceptuelles. Nous proposons aussi des mécanismes alternatifs pour expliquer le phénomène des souvenirs retrouvés : faux souvenirs, réinterprétation d’événements traumatiques, stratégies d’évitement, etc. Enfin, nous terminons par un appel à la prudence à destination de la communauté scientifique et clinique.
La remunicipalisation des services publics locaux : ampleur, causes et perspectives
Authors: Albalate Daniel , Bel Germà , Gradus Raymond , Reeves Eoin
Published: September 2021

Depuis le début du siècle, une tendance mondiale à la remunicipalisation est apparue, les villes revenant sur les privatisations antérieures et restituant les infrastructures et les services publics au secteur public. Le retour en arrière sur les mesures de privatisation n’est pas un phénomène entièrement nouveau. Aux États-Unis, par exemple, le retour à la production interne pour les services publics est une tendance déjà ancienne de la « gestion publique pragmatique ». Cependant, de nombreux cas de remunicipalisation qui ont eu lieu depuis le début des années 2000 représentent un changement distinctif par rapport aux politiques de privatisation antérieures. Des cas très médiatisés dans des villes comme Paris et Hambourg ont propulsé la remunicipalisation sous les feux de la rampe, car ils ont fait suite à des campagnes publiques motivées par l’insatisfaction à l’égard des résultats de la privatisation et le désir de restaurer le contrôle public de services vitaux comme l’eau et l’énergie. Tout comme la réforme des services publics au profit de la privatisation a donné naissance à un vaste corpus d’études, le phénomène actuel de remunicipalisation attire de plus en plus l’attention des chercheurs de différentes disciplines. Les articles contenus dans ce symposium contribuent à cette littérature émergente. Ils abordent certaines des questions les plus brûlantes liées à la remunicipalisation, mais ils soulignent également les problèmes qui restent à résoudre et mettent en lumière un programme de recherche qui n’a pas fini de prendre forme.
Effets du pays, du secteur et de la méthode dans l’étude de la remunicipalisation : une méta-analyse
Authors: Voorn Bart
Published: September 2021

Une littérature de plus en plus abondante révèle la remunicipalisation croissante des services publics locaux. Pourtant, alors même que cette littérature est en train de s’étoffer, de nombreux débats subsistent sur les causes de la remunicipalisation. Le présent article rapporte les résultats d’une méta-analyse de la littérature sur la remunicipalisation, en se concentrant sur la question suivante : comment les effets du pays, du secteur et de la méthode affectent-ils les résultats des études sur la remunicipalisation ? J’inclus des articles sur la remunicipalisation sous différents termes (« remunicipalisation », « privatisation inversée », « internalisation » et « externalisation ») recourant à un large éventail de méthodes (études de cas, enquêtes et analyse de documents) et couvrant une vaste période (1995-2019). J’identifie 30 causes de remunicipalisation qui sont envisagées et rencontrées dans la littérature. Les facteurs politiques et pragmatiques semblent être les plus fréquemment envisagés et rencontrés comme causes de remunicipalisation dans la littérature ; les facteurs environnementaux sont moins souvent envisagés mais semblent très pertinents. Par ailleurs, je découvre d’importantes différences entre les littératures qualitative et quantitative. Je propose un programme de recherche visant à permettre une synthèse future plus développée dans la littérature sur la remunicipalisation. Remarques à l’intention des praticiens La littérature sur la remunicipalisation est très fragmentée et la remunicipalisation peut avoir de nombreuses causes. La remunicipalisation semble être une tendance à la fois politique et pragmatique, mais la littérature est encore trop fragmentée pour que l’on puisse en être sûr. Soyez conscient des biais et des limites potentiels de la recherche actuelle sur (les causes de) la remunicipalisation.
Gestion des opportunités suscitées par la pandémie de COVID-19 : tester la crise dans une perspective globale
Authors: Kuhlmann Sabine , Bouckaert Geert , Galli Davide , Reiter Renate , Van Hecke Steven
Published: September 2021

Le présent article propose un cadre conceptuel pour l’analyse de la gouvernance de la crise du COVID-19 au cours du premier semestre 2020 dans une perspective comparative internationale. Notre article porte plus particulièrement sur la question de la gestion des opportunités, c’est-à-dire sur la façon dont les acteurs concernés appartenant à des cultures administratives distinctes ont fait de la crise une fenêtre d’opportunité. Nous sommes partis d’un intérêt général pour les facteurs qui ont influencé les politiques nationales de gestion de crise pour répondre à la question de savoir si et comment les acteurs politiques et administratifs de différents pays ont fait de la crise une opportunité pour faciliter, accélérer ou empêcher des évolutions dans les cadres institutionnels. Notre objectif est d’étudier les cadres institutionnels et les structures de gouvernance, les solutions et remèdes (présumés), ainsi que les constellations d’acteurs et de préférences qui ont influencé le mode de gestion de la crise et des opportunités. Enfin, notre article résume certains résultats comparatifs majeurs tirés des études par pays de ce numéro spécial, en se concentrant sur les similitudes et les différences dans les réponses apportées à la crise et les modes de gestion des opportunités. Remarques à l’intention des praticiens Les crises apparaissant dans des séquences de temps de plus en plus courtes, la gestion des troubles et l’exploitation des crises pour des décisions institutionnelles stratégiques sont devenues une question de plus en plus importante pour les décideurs politiques. Afin d’apporter des réponses efficaces et proportionnées, les décideurs politiques doivent tenir compte des conditions institutionnelles, des traditions administratives et des constellations d’acteurs pertinentes dans la gestion de crise, autant d’aspects essentiels pour tirer des enseignements des expériences d’autres pays. La comparaison de ces expériences et l’analyse des politiques de gouvernance de crise dans une perspective transnationale peuvent aider les décideurs politiques à identifier les forces et les faiblesses de leurs propres approches nationales/régionales et à saisir les opportunités découlant de la crise pour procéder à des réformes institutionnelles aux niveaux national et international. 2
Ressources en soins palliatifs en France : disparités territoriales en 2017
Authors: Cousin François
Published: September 2021

Introduction : En France, l’objectif du plan soins palliatifs 2015-2018 était de compléter le maillage territorial en LUSP (Lit d’unités de soins palliatifs) et en LISP (Lits identifiés de soins palliatifs, hors USP, ouverts dans des unités accueillant beaucoup de patients en fin de vie), en visant une densité moyenne de un LUSP pour 100 000 habitants. Objectif : Dresser un état des lieux de l’offre en LUSP et en LISP en 2017 et vérifier la diminution des inégalités territoriales. Résultats : En 2017, la France comptait en moyenne 2,6 LUSP et 7,8 LISP pour 100 000 habitants. D’importantes disparités territoriales persistaient en termes de LUSP : 27 départements n’avaient toujours pas de LUSP et quatre autres avaient moins de un LUSP pour 100 000 habitants. La création de LISP les avait en partie compensées : les départements sans LUSP avaient en moyenne 9,6 LISP pour 100 000 habitants, mais 17 d’entre eux affichaient une densité en LISP et LUSP cumulés nettement inférieure à la moyenne nationale (6,5 versus 10,5 lits de soins palliatifs pour 100 000 habitants). Si ces résultats apparaissent relativement satisfaisants sur le plan quantitatif, ils doivent être relus à la lumière de la qualité des prestations en soins palliatifs dans les LISP : répond-elle aux besoins des patients ? Conclusion : Une meilleure connaissance du type de soins délivrés dans les LISP versus les LUSP est nécessaire pour vérifier si les inégalités territoriales d’accès aux soins palliatifs ont réellement été améliorées par la création des LISP.
Quelle démarche méthodologique afin d’aboutir à une offre pertinente de soins palliatifs à Mayotte ?
Authors: Benoist Raphaël , Walker Philippe , Allain-Baco Karine , Aubry Régis
Published: September 2021

Objectif : Le département de Mayotte présente un retard important dans l’accès aux soins palliatifs. Nous présentons la démarche méthodologique d’évaluation des besoins en soins palliatifs de la population ayant conduit à faire une proposition d’offre de soins adaptée au contexte local (étude SP Mayotte). Méthode : Les grands principes d’une méthodologie de santé publique relative à l’évaluation des besoins de santé ont été suivis. Les chercheurs ont procédé à une analyse globale de la situation s’appuyant sur plusieurs axes : recherche bibliographique, recueil de données quantitatives, étude qualitative, entretiens avec experts locaux et décideurs institutionnels. Une restitution synthétique des résultats auprès des acteurs de terrain a été réalisée en clôture de l’étude, afin de soutenir les propositions de création d’une offre de soins palliatifs adaptée. Résultats : Devant la pauvreté des données épidémiologiques, l’étude qualitative a été déterminante pour évaluer les besoins. Les échanges avec les décideurs institutionnels ont permis d’approfondir la compréhension des spécificités locales et d’améliorer la relation entre les acteurs locaux, conduisant à l’émergence d’un processus de co-construction. En décembre 2019, une offre de soins palliatifs émanant des propositions de l’étude a été financée. Conclusion : Notre méthodologie s’est appuyée sur des échanges réguliers sur le terrain et a permis de favoriser l’émergence d’un élément déterminant pour la réussite du projet : l’adhésion des soignants et des décideurs institutionnels. Cette co-construction entre les partenaires a permis une interactivité entre les différentes catégories d’acteurs impliqués et a renforcé la qualité des travaux ainsi que l’émergence d’une intelligence collective.
Gestion de la crise sanitaire par des interventions non pharmaceutiques et surmortalité de l’épidémie COVID-19
Authors: Pech de Laclause Gilles , Delenda Arnaud , Augustincic Lana
Published: September 2021

Introduction : Cette étude observe trois pays comparables touchés par l’épidémie à coronavirus 2019 : Belgique, Pays-Bas, Suède. Ces trois pays ont réalisé des « interventions non pharmaceutiques » à trois niveaux différents, de l’isolement social total (Belgique) à la simple distanciation sans port de masque (Suède). Objectif : Cette étude porte sur l’efficacité des interventions d’ordre général et indifférenciées quant à la surmortalité. Elle met en œuvre les modèles SIS, SIR, SEIR comme aide à la décision et à la gestion de crise. Elle examine leur robustesse dans une utilisation prédictive. Résultats : Les interventions non pharmaceutiques générales non ciblées et strictes n’ont pas « retardé » le pic, ni « aplani » les courbes. Les différences de systèmes hospitaliers ne sont pas une donnée explicative. Conclusion : L’hypothèse que des NPI ( Non Pharmaceutical Interventions ) générales et non ciblées auraient un impact direct sur l’indicateur R (nombre reproducteur de base) de propagation épidémique est erronée. A contrario dans ce raisonnement, elles maintiendraient R au-dessus du niveau imaginé et l’épidémie se prolonge.
La participation des patients en santé mentale : vers un cadre d’analyse des pratiques
Authors: Abidli Yamina , Dubois Vincent , Mahieu Céline
Published: September 2021

Introduction : Cet article a pour objectif de faire le point sur les manières dont le concept de participation est mobilisé en santé mentale, particulièrement dans la littérature relative à l’accompagnement du patient. Sur la base des débats et des enjeux identifiés, nous proposons un cadre d’analyse des pratiques participatives. Méthode : Notre méthodologie repose sur une revue de littérature à laquelle une méta-synthèse a été appliquée. Cette méthode d’analyse secondaire de recherches qualitatives a permis, dans un premier temps, de synthétiser et de structurer les connaissances sur le sujet étudié. Dans un second temps, une analyse interprétative a été menée pour dégager une proposition de cadre d’analyse des pratiques. Résultats : Le processus de recherche, mené au départ de deux bases de données, a renvoyé 28 articles après exclusion pour l’extraction et l’analyse complètes des données. La méta-synthèse des données a permis de faire émerger trois idéaux-types de la participation en santé mentale : l’approche linéaire, l’approche conditionnelle et l’approche inconditionnelle. Conclusion : Nos résultats montrent que l’intérêt de mobiliser les déclinaisons conceptuelles de la participation, du point de vue des soignants, dans l’accompagnement sanitaire ne réside pas dans l’opposition des concepts. Elle repose plutôt sur la possibilité d’éclairer les différentes formes que prend cette participation dans la représentation des professionnels et leur évolution dans la pratique de terrain.
Evaluation of self-regulated learning on problem-solving skills in online basic Physics learning during the COVID-19 pandemic
Authors: Abtokhi Ahmad , Jatmiko Budi , Wasis Wasis
Published: September 2021

The problems of learning physics have experienced increasingly complex obstacles amid the demands of online learning due to the COVID-19 pandemic. The purpose of this study is to explain the basic physics learning process through an online system during a pandemic, by evaluating the Self-Regulated Learning (SRL) approach to Problem-solving Skills (PSS). Data were collected through distributing questionnaires, interviews and documentation studies, then analyzed. This study shows that the applied SRL has been implemented well, but has not been optimal in improving PSS in online Basic Physics learning. The unpreparedness of technological devices and the competence of educators and students become obstacles that result in difficulties in solving physics problems so that the expected results are not following the expected learning targets. Also, this study shows the difficulty of learning physics online during the pandemic. Thus, a responsive physics learning model is needed with conditions that allow the delivery of physics material to be well understood, even though it is delivered through digital media. This is a demand that needs the attention of all parties so that the achievement of online learning targets remains optimal and effective in increasing the problem-solving skills of students during the COVID-19 pandemic.
Clinician Advocacy and Intersex Health: A History of Intersex Health Care and the Role of the Clinician Advocate Past, Present, and Future
Authors: Indig Gnendy , Serrano Mariana , Dalke Katharine B. , Ejiogu Nwadiogo I. , Grimstad Frances
Published: September 2021

Throughout the history of Western culture, sex has been reflected as a binary rule, with this binary system affecting self-expression, lifestyle choices, and health outcomes of everyone, but especially those with intersex traits. “Intersex” (or differences of sex development) is an umbrella term used to describe a wide range of natural variations in genitalia, gonads, and chromosome patterns that do not fit typical binary notions of male or female bodies. Currently, people who identify as intersex or as having intersex traits are not provided with the appropriate care needed for their wellbeing. Intersex health care has undergone a great deal of change in the last century, led by intersex leaders and advocates. Clinician advocates have also played a vital role. This article will focus on this history of intersex health care evolution, the role of clinician advocacy, and suggestions for how clinicians can become advocates for improving intersex health care.[Pediatr Ann. 2021;50(9):e359–e365.]
ArtontheBrain: Results of a Pilot Project Among Long-Term Care Residents
Authors: Howard Elizabeth P. , Retalic Tammy , Rogan Jessica , Murphy Kelly , Swaminathan Swathi , Altschuler Aviva
Published: September 2021

For long-term care (LTC) residents, multiple barriers impede access to formal museum-based participa-tory art programming. Capitalizing on available technologies may circumvent common barriers and improve quality of life for those older adults even in the presence of dementia.

Targets:

A convenience sample of 31 older adults was recruited from the population of residents in one LTC facility.

Intervention:

ArtontheBrain, a web-based program, engages participants in activities centered on visual artwork, enabling users to learn about artists through activities, such as puzzles, storytelling, and group discussions.

Mechanisms of Action:

Researchers hypothesized that engagement with ArtontheBrain would benefit perceived quality of life in the domains of meaningful activity engagement and personal relationships and secondarily, improvements in functional performance, mood state, and cognitive performance may occur.

Outcomes:

Application of a quality of life survey pre and post ArtontheBrain intervention revealed significant improvements within the individual subsample for two activity options: engagement in enjoyable activities on weekends and evenings and explore new skills and interests. Total scores for the personal relationship scale had significant improvements post-intervention for the individual and group subsamples. The individual subsample demonstrated improvement in cognitive performance, which worsened for the group subsample. Mood and functional ability worsened for the entire sample.[
Research in Gerontological Nursing, 14
(5), 235–243.]
Gil Morlanes “El Viejo” y Maestro Hilario: un retablo y una reja para la capilla del Palacio de la Diputación del Reino de Aragón en Zaragoza (1500-1514)
Authors: M. Mateos Rusillo Santos
Published: September 2021

El palacio de la Diputación del General del Reino de Aragón fue uno de los edificios más relevantes en la Zaragoza de los siglos XV y XVI. Provisto de una capilla privada para sus diputados y oficiales, su dotación artística a partir de 1500 se encargaría a relevantes artistas como el escultor Gil Morlanes «el Viejo», el rejero Maestro Hilario y los pintores Antón de Aniano y Pedro de Aponte, que la convertirían en uno de los espacios más esplendorosos de las artes figurativas de la Corona de Aragón de principios del siglo XVI. Se presenta la actuación de todos ellos en la obra de la reja y del retablo, aportándose nuevas noticias documentales sobre ambas obras; y la historia patrimonial del edificio hasta su desaparición en el siglo XIX.
Adoption of Chatbots for Learning among University Students: Role of Perceived Convenience and Enhanced Performance
Authors: Malik Reena , Shrama Ambuj , Trivedi Sonal , Mishra Rikkee
Published: September 2021

With the advent of internet and exponentially growing smartphone market, chatbots are becoming popular and are being widely used for interactions in varied fields. This study investigated the usage of chatbots for educational/learning purpose by university students. Wide research has been done exploring usage of chatbots in service industry; still there is vacuum regarding usage of chatbots in education for effective learning. Using path analysis, the study demonstrates validation of two newly added constructs as an extension in Technology Adoption Model and tries to understand the antecedents for intension to adopt chatbots. This study is of utmost importance to researchers, policy makers, system designers for e- learning platforms, teachers, and students in order to make learning effective.
Answer-Aware Question Generation from Tabular and Textual Data using T5
Authors: Pandraju Saichandra , Mahalingam Sakthi Ganesh
Published: September 2021

Automatic Question Generation (AQG) systems are applied in a myriad of domains to generate questions from sources such as documents, images, knowledge graphs to name a few. With the rising interest in such AQG systems, it is equally important to recognize structured data like tables while generating questions from documents. In this paper, we propose a single model architecture for question generation from tables along with text using “Text-to-Text Transfer Transformer” (T5) - a fully end-to-end model which does not rely on any intermediate planning steps, delexicalization, or copy mechanisms. We also present our systematic approach in modifying the ToTTo dataset, release the augmented dataset as TabQGen along with the scores achieved using T5 as a baseline to aid further research.