bluuebunny/crossref_metadata_2025 huggingface dataset:
L’acte comme limite
Authors: de Luca Manuella , Estellon Vincent
Published: October 2015

Face au danger toujours renouvelé d’états de détresse, l’acte est une solution d’urgence privilégiée dans la clinique des états limites et des adolescents. Privilégiant la mise au dehors d’une conflictualité intrapsychique, la fuite d’une élaboration psychique douloureuse, l’externalisation d’une activité fantasmatique mal contenue et dysrégulée, la mise en acte peut être appréhendée comme une modalité de traitement primaire de la symbolisation : une forme de signe avant même d’être langage, susceptible d’être accueilli par le clinicien comme une tentative d’inscription. Au contact de patients qui semblent échapper aux possibilités d’un travail thérapeutique sous-tendu par l’associativité, la narrativité et la remémoration, il importe que ces divers actes messagers puissent être entendus et accueillis par le clinicien comme des équivalents de fantasmes afin de maintenir une écoute psychodynamiquement ouverte. L’article présente divers dispositifs thérapeutiques qui peuvent être mis en place dans les institutions pour traiter ces sujets pris dans les filets des cliniques des actes et des dépendances.
Comment l’école est devenue ma maison
Authors: Salmona Sarah
Published: October 2015

Mes premiers pas à l’école ont été ceux d’une enfant perdue. Moi et ma différence avions trouvé comme meilleure amie la peur. La peur de tomber, d’être rejetée et abandonnée. Quelle difficulté de lui trouver une place à cette différence ! Pas possible de la laisser dans un coin, pas possible de la faire jouer au chat et à la souris, pas possible que la maîtresse en prenne soin, comme maman. Mes défauts de fabrication, à l’école, se voyaient trop. Moi et ma différence avons donc sérieusement travaillé pour corriger les erreurs. Bien écouter, bien apprendre, bien se tenir pour devenir bien parfaites et faire oublier aux autres qu’on ne l’était pas...
De jeunes adultes parlent de leur scolarité
Authors: de Barbot Françoise
Published: October 2015

De jeunes adultes se retrouvent pour évoquer leur scolarité : les auxiliaires de vie scolaire ( avs ), les établissements spécialisés ou non, les relations avec les pairs, les orientations... À partir de ces souvenirs, c’est toute une philosophie qui se dégage : comment vivre sa différence, comment trouver sa place dans la société, comment faire de son handicap « une force ».
Pour devenir inclusive, l’école a-t-elle encore besoin de spécialiser des enseignants ?
Authors: Puig José
Published: October 2015

L’idée de spécialiser des instituteurs est directement liée à celle de la spécialisation des structures scolaires destinées à accueillir le public lui-même spécial des enfants qualifiés successivement comme arriérés, inadaptés, handicapés et, aujourd’hui, « présentant des besoins éducatifs particuliers ». Mais, avec la promotion de l’école inclusive qui fait de la scolarisation en milieu ordinaire un droit reconnu par la loi, est-il encore nécessaire de former des enseignants spécialistes ? En tout cas, si de telles formations restent utiles, elles doivent s’envisager sur de nouvelles bases et ne plus reposer exclusivement sur des technicités médico-pédagogiques cloisonnées par types de déficiences.
Intégration à l’école de 2005 à 2015. Témoignage d’un chef d’établissement
Authors: Rousselet Jeanne
Published: October 2015

Avec une expérience de plusieurs générations d’élèves, je livre en quelques exemples mon analyse de l’intégration en classe ordinaire. L’accueil d’un élève « différent », qu’il souffre de handicap ou pas, est avant tout un choix éthique : ai-je un rôle à jouer dans la réussite de cet élève ? Est-ce bien de ma responsabilité ? Bien sûr que oui ! Ensuite, le souci de donner à cet élève ce dont il a besoin est un travail pédagogique, au même titre que la recherche pour celui-ci qui est « précoce » ou celui-là qui est trop timide pour prendre la parole. (Pour ces deux affirmations, la formation des professeurs est cruciale, mais nous n’en parlerons pas ici.) La troisième condition de réussite, selon moi, est le travail d’équipe : équipe de professeurs, pour réfléchir ensemble aux trouvailles pédagogiques, et pour soutenir les maîtres accueillants successifs aux moments de découragement, équipe avec les parents, et équipe avec les professionnels du soin, chacun tenant sa place dans un respect mutuel.
Scolarité, orchestration de la déficience et configurations inclusives
Authors: Ebersold Serge
Published: October 2015

Le texte s’intéresse à la diversité des modes d’orchestration de la déficience induite par les conceptions entourant les systèmes éducatifs, et à la diversité des possibles scolaires au sein de l’Union européenne pour mettre en lumière les configurations inclusives sous-jacentes aux disparités qui caractérisent la mise en œuvre des politiques inclusives. Il montre qu’une même déficience est conceptualisée diversement selon les normes symboliques et pratiques de l’institution à laquelle elle est référée. Il invite à ne pas opposer les pays les uns aux autres pour considérer les formes d’interdépendance engendrées par les interrelations complexes des structures institutionnelles avec les expériences individuelles et l’identité narrative acquise.
Début de scolarisation : l’accompagnement des familles par les assistants sociaux des CAMSP
Authors: Colomb Florence , Mattera Marie-Ange , Moreau Nadine
Published: October 2015

Le moment de scolariser un enfant suivi en camsp est le plus souvent source de nouvelles angoisses pour ses parents. Chaque transition ravive le traumatisme de l’annonce d’un retard, d’un diagnostic, d’un handicap avéré. Il est nécessaire d’accompagner les familles et de les soutenir dans cette nouvelle étape qui pourra être semée d’embûches qu’elles devront trouver la force de surmonter. Trois assistantes sociales de camsp nous livrent leur expérience.
UEM : des textes à notre réalité, dans tous les cas une bien belle idée !
Authors: Balestrat Nathalie
Published: October 2015

Cet article s’attache à décrire une nouvelle modalité de scolarisation d’enfants d’âge maternel porteurs de ted , promue dans le cadre du plan autisme 2013-2017: les unités d’enseignement en maternelle. Dispositif innovant, original, bénéficiant de moyens particuliers, en adéquation avec les recommandations de bonnes pratiques de la has/anesm , il repose dans son élaboration et sa mise en œuvre sur un important réseau de coopérations. Ce témoignage permettra au lecteur de percevoir, au-delà des logiques qui sous-tendent couramment la conduite de projets en partenariat, l’esprit d’une démarche dont la qualité repose sur les points essentiels que sont : une authentique volonté d’ouverture et de compréhension mutuelle partagée par ses acteurs, l’écoute et l’étayage de familles placées au cœur du dispositif, et l’observance d’une grande rigueur dans la recherche de solutions adaptées au maintien en milieu scolaire ordinaire d’enfants présentant des ted .
Du corps individuel au corps psychique familial
Authors: Loncan Anne
Published: October 2015

Le corps de l’être humain est bien délimité, porteur de caractéristiques permettant de l’identifier, doté d’un métabolisme assurant sa santé et détenteur de fonctions spécifiques qui régulent en permanence son rapport à l’environnement, offrant ainsi un support métaphorique de choix pour concevoir le fonctionnement psychique de la famille. La famille est elle aussi tributaire du temps qui induit des métamorphoses, soumise à l’espace qui lui attribue des limites et des zones d’échange. La métaphore somatique du tégument a permis à D. Anzieu de forger le concept de Moi-peau pour aboutir à celui d’enveloppe psychique familiale. L’auteur interroge ici la dialectique entre enveloppe groupale, enveloppe individuelle et liens intersubjectifs inconscients dans leur appareillage. L’exemple d’une psychanalyse familiale est orienté vers la compréhension de l’espace plurisubjectif familial comme théâtre d’opérations psychiques métaphorisé sur le modèle du corps pour en esquisser la topologie psychique.
Naissance d’un monstre : une figure de l’incestuel familial
Authors: Guehria Anne-Marie
Published: October 2015

Dans une famille en thérapie, un pacte narcissique assignait l’aînée à une place mortifère de monstre. La thérapie familiale a permis que se dégage peu à peu la problématique incestuelle mais aussi les angoisses abandonniques qui empêchaient toute pensée et toute tentative d’individuation. Les éprouvés d’enveloppe suffisamment solide du cadre thérapeutique ont ouvert la voie à la constitution d’un Moi-peau familial. À partir de là, une différenciation a pu s’opérer entre les membres de la famille.
Le don d’ovocytes et ses effets dans la conjugalité
Authors: Levy Lidia , Gomes Isabel Cristina
Published: October 2015

Les configurations familiales issues des innovations biotechnologiques mettent le thérapeute en présence de situations jusqu’ici impensables. En dépassant les limites du corps, la science apporte des bénéfices, mais elle provoque également des angoisses et des fantasmes d’omnipotence. Les auteurs discutent, à l’aide d’un rapport d’expertise demandé par la Justice, les répercussions inconscientes produites chez les époux quand, lors d’une fécondation, le sperme vient du mari et l’ovule d’une autre femme que l’épouse.
Quand la France s’éveillera...
Authors: Vayssettes Philippe
Published: October 2015

Depuis de nombreuses années, le French Bashing s’est progressivement imposé à l’échelle du monde, sans épargner notre pays lui-même. La France est perçue et se perçoit comme engagée dans la spirale infernale du déclin. Cette vision pessimiste tire ses origines de difficultés bien réelles, que nous ne devons pas nier. Cependant, la France d’aujourd’hui a fait le choix de reprendre progressivement conscience de ses atouts et de rétablir la confiance indispensable à toute reprise économique. Engagée dans un processus de « destruction créatrice », la France est en pleine mutation économique et se renouvelle un peu plus chaque jour.
La Silver Économie : un nouveau modèle économique en plein essor
Authors: Rengot Numa
Published: October 2015

La Silver Économie est l’économie tournée vers les personnes vieillissantes et âgées. C’est une économie transversale qui trouve des déclinaisons dans de nombreux marchés. À l’instar de la Green Économie, le vieillissement de la population va impacter tous les secteurs et notamment les loisirs, le transport, l’alimentation, la sécurité, la santé et l’habitation. Tous ces marchés sont déjà en train de s’adapter ou de se décliner sur des segments liés au vieillissement de la population et au bien-vieillir. La France cherche à se positionner comme le leader des marchés de la Silver. En effet, la Silver Économie initiée en février 2014 par un projet de loi relatif à l’adaptation de la société au vieillissement, connaît déjà des réalisations concrètes puisqu’une filière industrie de la Silver Économie a été lancée ainsi qu’un comité national. Cette nouvelle économie apparaît comme particulièrement prometteuse. Déjà, en 2013, le marché global de la Silver Économie française représentait 92 milliards d’euros et dépassera les 130 milliards en 2020. Avec l’évolution démographique envisagée, les marchés de la Silver pourraient engendrer une augmentation de 2,4 % du PIB autour de 2040. Les enjeux de la Silver Économie sont nombreux et représentent autant d’opportunités dans le contexte actuel de relance de l’économie française.
Le cas du franc suisse : quels enseignements pour l’euro ?
Authors: Janson Nathalie
Published: October 2015

La décision prise en janvier dernier par le gouverneur de la Banque centrale suisse d’abandonner le cours plancher établi avec l’euro depuis 2011 a pris tout le monde de court. Pourtant, la situation particulière du franc suisse sur le marché des changes en tant que monnaie refuge fragilisait dès le départ la capacité de la Banque centrale suisse, dans un contexte de fortes turbulences économiques, d’honorer un tel accord sans compromettre sa politique monétaire. L’objectif de l’article est de revenir sur les contraintes fortes qu’impose tout système de changes fixes afin d’en souligner les limites. À la lumière de cette analyse, il revient sur les incohérences sur lesquelles s’est construite la zone euro conduisant à la crise européenne des dettes souveraines.
La Russie au Moyen-Orient : entre enjeux géopolitiques et intérêts économiques
Authors: Therme Clément
Published: October 2015

Le retour de la Russie au Moyen-Orient s’explique à la fois par l’ambition du Président Poutine de préserver le statut de grande puissance de son pays mais aussi par des choix stratégiques distincts de l’Occident. La vision russe du Moyen-Orient se définit aussi par la relation qu’entretient Moscou avec son « étranger proche » et la prééminence de la « menace islamiste », en particulier le Caucase et l’Asie centrale. Après l’accord sur le nucléaire iranien du 14 juillet, la Russie se trouve confrontée au défi d’une reprise des coopérations économiques entre Téhéran et les pays occidentaux. La créativité diplomatique russe sera-t-elle une condition suffisante pour surmonter ce défi au retour russe au Moyen-Orient ?
De la diplomatie institutionnelle à la diplomatie stratégique : comment agir dans un monde incertain ?
Authors: Chenu Anne
Published: October 2015

Aujourd’hui, si elle n’est que purement défensive, la diplomatie perd de sa puissance car elle se prive de l’immense liberté de manœuvre liée à l’initiative. Dès lors, le diplomate d’entreprise doit se positionner non plus exclusivement en réaction, mais, avant tout, en force de proposition. Dans un monde de plus en plus incertain, il devient vital de ne pas subir l’avenir, mais de le faire. C’est l’ère du diplomate stratège.
Using Wikis for Environmental Education and Awareness of Primary and Secondary Education Students in Greece
Authors: Poutakidou Marianna , Gouscos Dimitris
Published: October 2015

Environmental education (EE) institutions worldwide strive to promote awareness and learning related to the protection of the environment and sustainability issues. In this effort, they take stock of the capabilities of online and social media. This paper briefly overviews characteristic examples for the use of social media for environmental education, as well as basic ideas that underpin the use of wikis in particular in education and learning, and discusses the ways in which wikis can be used, within environmental education programs, for raising environmental awareness of primary and secondary education students. This discussion is based on a research project employing wikis and conducted during 2011-2012 in Athens, Greece. The research questions guiding this project, the design and implementation choices of the research, the difficulties encountered and the revisions decided, as well as the research results and findings, together with proposals for further research work, constitute the contents of the paper.
Psychological Injury to Children at Work
Authors: Ahuja Daman
Published: October 2015

Child Labour (Prohibition and Regulation) Act 1986 talks about the hazardous units of the employability and prohibit the employers to employ children in them and regulate employability of children in the non-hazardous units. Law has laid emphasis on physical injury that effects the physiology of a child but the “psychological injury” is left as such. Psychological injury can have disastrous impact to shape the personality of a child. The paper reviewed types of non–hazardous occupations where children are involved at work, methods, Ericson's developmental stages of children affected by child's labour activities, assessing psychological effects, constitutional provisions; psychosocial analysis, and concluded that once a child gets employed he or she loses the freedom to spend his or her time by his own free will.
Framework for Social Change through Startups in India
Authors: Baporikar Neeta
Published: October 2015

Capacity of a country to develop new science and transform it into innovative technologies and ramp them into successful, sustainable business that generate revenue, high-quality jobs and promote development is of paramount importance in today's world. Startups are an effective way of doing this. A startup is a temporary organization in search of a scalable, repeatable, profitable business model and a small startup founded by two or three entrepreneurs can produce and test the feasibility of tens of possibilities for a new business idea. Through grounded research and content analysis the objective is to have an overview of contemporary perspective on startups in India, enhance understanding of startup ecosystems and recognize the framework for social change taking shape due to Indian startups contribution to the national economy. The paper also attempts to understand the key success factors and provides commandments to further foster startups to optimize the social change.
Risk, Activism, and Empowerment
Authors: Eid Mahmoud , Nahon-Serfaty Isaac
Published: October 2015

The prevalence of breast cancer in Venezuela is particularly alarming, which is attributed to healthcare inequalities, low health literacy, and lagging compliance with prevention methods (i.e., screening and mammography). While the right to health is acknowledged by the Venezuelan constitution, activism beyond governmental confines is required to increase women's breast cancer awareness and decrease mortality rates. Through the development of social support and strategic communicative methods enacted by healthcare providers, it may be possible to empower women with the tools necessary for breast cancer prevention. This paper discusses issues surrounding women's breast cancer, such as awareness of the disease and its risks, self-advocacy, and the roles of activists, healthcare providers, and society. Specifically, it describes a four-year action-oriented research project developed in Venezuela, which was a collaborative work among researchers, practitioners, NGOs, patients, journalists, and policymakers. The outcomes include higher levels of awareness and interest among community members and organizations to learn and seek more information about women's breast cancer, better understandings of the communicated messages, more media coverage and medical consultations, increasing positive patient treatments, expansion of networking of NGOs, as well as a widely supported declaration for a national response against breast cancer in Venezuela.
Semantic System for Attacks and Intrusions Detection
Authors: El Azzouzi Abdeslam , El Kadiri Kamal Eddine
Published: October 2015

The increasing development of information systems complicate task of protecting against threats. They have become vulnerable to malicious attacks that may affect the essential properties such as confidentiality, integrity and availability. Then the security becomes an overriding concern. Securing a system begins with prevention methods that are insufficient to reduce the danger of attacks, that must be accomplished by intrusion and attack detection systems. In this paper, a method for detecting web application attacks is proposed. Unlike methods based on signatures, the proposed solution is a technique based on ontology. It describes the Web attacks, the HTTP request, and the application using semantic rules. The system is able to detect effectively the sophisticated attacks by analysing user requests. The semantic rules allow inference about the ontologies models to detect complex variations of web attacks. The ontologies models was developed using description logics which was based Web Ontology Language (OWL). The proposed system is able to be installed on an HTTP server.
Localization of Tampering Created with Facebook Images by Analyzing Block Factor Histogram Voting
Authors: Mire Archana V. , Dhok Sanjay B. , Mistry Narendra. J. , Porey Prakash D.
Published: October 2015

Facebook images get distributed within a fraction of a second, which hackers may tamper and redistribute on cyberspace. JPEG fingerprint based tampering detection techniques have major scope in tampering localization within standard JPEG images. The majority of these algorithms fails to detect tampering created using Facebook images. Facebook utilizes down-sampling followed by compression, which makes difficult to locate tampering created with these images. In this paper, the authors have proposed the tampering localization algorithm, which locates tampering created with the images downloaded from Facebook. The algorithm uses Factor Histogram of DCT coefficients at first 15 modes to find primary quantization steps. The image is divided into BXB overlapping blocks and each block is processed individually. Votes cast by these modes for conceivable tampering are collected at every pixel position and the ones above threshold are used to form different regions. High density voted region is proclaimed as tampered region.
Behaviour of an Educational Simulation Model Depending on the Initial Conditions of the Simulation
Authors: Michalík Petr
Published: October 2015

When using simulation experiments in classes, it sometimes happens that students, after creating a simulation model, execute the simulation in order to verify the behaviour and working principle of an electronic circuit, but find that the outputs are completely different from the theoretical assumptions. The problem hardly ever lies in the model being erroneously assembled, but is usually caused by the simulation being run with default initial conditions whose suitability has not been verified with regard to achieving the intended educational objective. The same situation is also experienced by teachers using simulations of electronic systems in their classes. The situation described above can negatively influence secondary-school students' attitude towards computer simulations and give the false impression that simulations do not work well. The aim of this article is not only to warn teachers and others interested in simulations of electronic circuits about such a situation, but also to demonstrate its possible solution with an illustrative example.
PlanetFactory
Authors: Corral-Marfil José A. , Serrat Núria Arimany , Ferràs Xavier , Nylund Petra A.
Published: October 2015

This teaching case considers the situation of a small Catalan company without the support of a local cluster, which is competing in a dynamic global industry characterized by rapid technological change. The company faces the challenge of creating and commercializing a breakthrough innovation for digital education, with educational content for teachers and easy-to-use authoring tools for modifying this content. The case analysis includes an internal and external analysis of the company and the industry, and introduces concepts associated to rapidly changing markets such as lead-user innovation, first-mover advantage, and transient advantage. The case is therefore adequate for courses on technology management, innovation, competitive strategy, or marketing management.
Determinants of ERP Implementation and System Success in India
Authors: Rajendran R. , Kalaiarasi V. , Amaravathi M.
Published: October 2015

Manufacturing industries implement ERP to increase the sales and profit and reduce the legacy system issues in their organization. However, in the implementation stage itself they face lot of challenges, sometimes they even face failure in implementation. The implementing companies need lot of resources and coordination from different areas and without these resources and coordination they cannot succeed. Even though they succeed in implementation, the performance is not up to the expected level in many cases. Since many CSFs are involved in this process, the managers have to identify the CSFs and plan accordingly to achieve system success. In this case, the authors discuss the important Critical Success Factors involved in different stages of implementation of ERP. Furthermore, they have tried to study the extent of system success in the companies and also identify the influence of ERP implementation on organization effectiveness.
Behavioral phenotype and autism spectrum disorders in Cornelia de Lange syndrome
Authors: Parisi Lucia , Di Filippo Teresa , Roccella Michele
Published: October 2015

Cornelia de Lange syndrome (CdLS) is a congenital disorder characterized by distinctive facial features, growth retardation, limb abnormalities, intellectual disability, and behavioral problems. Cornelia de Lange syndrome is associated with abnormalities on chromosomes 5, 10 and X. Heterozygous point mutations in three genes (NIPBL, SMC3 and SMC1A), are responsible for approximately 50-60% of CdLS cases. CdLS is characterized by autistic features, notably excessive repetitive behaviors and expressive language deficits. The prevalence of autism spectrum disorder (ASD) symptomatology is comparatively high in CdLS. However, the profile and developmental trajectories of these ASD characteristics are potentially different to those observed in individuals with idiopathic ASD. A significantly higher prevalence of self-injury are evident in CdLS. Self-injury was associated with repetitive and impulsive behavior. This study describes the behavioral phenotype of four children with Cornelia de Lange syndrome and ASDs and rehabilitative intervention that must be implemented.
Malachi’s concept of a Torah-compliant community (Ml 3:22 [MT]) and its associated implications
Authors: Boloje Blessing O. , Groenewald Alphonso
Published: October 2015

This article focuses on Malachi’s distinctive claims that guarantee a well-ordered community, namely the validity and feasibility of a Torah-compliant community. Since Torah compliance is a fundamental core of Israel’s life, in the book of Malachi, Yahweh’s Torah functions as the reliable and invariable authority for the community well-being as a whole. Community well-being as pictured by Malachi is created not only by Yahweh but also as the consequent contemplation and action of community. Malachi notes clearly that it is the sins of the community as a whole that renders it inconceivable that Yahweh’s blessings should attend to them as they are now, and Malachi demands certain definite and substantial actions as preconditions to the manifestation of the desired expectations. To him the secret of creating and maintaining a healthy, viable community and living as people in covenant relationship with Yahweh, is by ‘remembering’ (upholding and practicing) Yahweh’s Torah. Accordingly, Malachi enjoined his audience to remember the Torah of Moses, which constitutes the fundamental dimensions of their relationship with Yahweh. This article is thus an attempt to understand Malachi’s concept of a Torah-compliant community and its associated blessings of happiness and shalom.
Can the sensitivity of soil-dwelling organisms to landfarmed soils contribute to asess the sustainablity of landfarming of oil refinery waste?
Authors: Reinecke Adriaan J. , Reinecke Sophia A. , Van Wyk Mia
Published: October 2015

Beneficial soil organisms inhabiting healthy soils participate in providing soil ecosystem sevices. Oil refineries generate large quantities of solid waste containing several classes of hydrocarbons as well as metals, which are ploughed into the soil during landfarming to utilise the biodegradation capabilities of the ecosystem of the soil. The contaminants may be toxic to these organisms. For the sustainable use of the services of the ecosystem of the soil, it is crucial to know whether remediation had been sufficient for the intended land use. Indicators are needed to assess the degree of recovery. This study aimed to analyse landfarmed soil at an oil refinery chemically and to assess the toxicity and recovery by using a variety of standardised bioassays with the vermicomposting species Eisenia andrei (Oligochaeta) and the springtail Folsomia candida (Collembola). The results showed that soil from the landfarming site, despite remediation, still contained several hazardous chemicals such as diesel range organics, but that the soil mixture was not acutely toxic to the exposed test organisms. It did cause a loss in earthworm (E. andrei) biomass, inhibited cocoon production and also decreased juvenile production of the springtail F. candida. The results suggested the site still needs remediation before landfarming should continue. Bioassays provide a more ecologically relevant assessment of the remediation status of the soil and its toxicity than chemical analysis alone. This finding supports the use of bioassays as an ecotoxicological tool for assessment of landfarmed soils.
Estudo do perfil epidemiológico dos pacientes com meningioma cerebral da região do Alto Tietê
Authors: Pimentel Fernanda Lellis , Guerra Giovanna Guazzelli , Santos Katherine dos , Mello Marina Osti , Souza Stephanie Rugeri de , Soufen Marco Antonio , Marques Ricardo Henrique
Published: October 2015

Objetivo. Traçar um perfil epidemiológico através da coleta e análise de dados de pacientes com Meningioma Cerebral na região do Alto Tietê. Método. Para esse trabalho foi determinado um intervalo entre janeiro de 2010 a dezembro de 2012. Prontuários da área de neu­rocirurgia foram solicitados e obteve-se uma amostra de 674 casos. Os prontuários foram selecionados de acordo com as palavras-chave: microcirurgia, microcirurgia de tumor, microcirurgia vascular, micro­cirurgia para tumor de base de crânio, ressecção de tumor e tratamen­to conservador de tumor do SNC. Dessa filtragem foram obtidos 90 prontuários que se encaixavam nos quesitos necessários. Estes foram observados e foi constatado um total de 20 prontuários referentes ao Meningioma Cerebral, dos quais foram feitas as análises. Resultados. A doença tem maior incidência em duas situações: em pacientes com mais de 50 anos e em pacientes do sexo feminino. Grande parte dos prontuários analisados mostrou que não houve sequelas e daqueles que apresentaram, o maior índice foi de sequela motora. Conclusões. O perfil epidemiológico do Meningioma no Alto Tietê é de pacien­tes com 50 anos ou mais, do sexo feminino. A maioria dos pacientes não tem sequelas. Porém nos que apresentaram sequelas, a incidência destas foram predominantemente motora, compreendendo 75% dos casos.
Efeito e segurança da mobilização funcional em crianças com Síndrome de Werdnig-Hoffman
Authors: Saquetto Micheli B , Oliveira Ina KS , B Ferreira Juliana , Oliveira Cacyane PN , Silva Cássio MS , Neto Mansueto Gomes
Published: October 2015

Objetivo. Investigar os efeitos e a segurança da mobilização funcional para ganho de flexibilidade em crianças com Síndrome de Werdnig­-Hoffman ventiladas cronicamente. Método. Este trabalho é um relato de casos. Trata-se de crianças com diagnóstico de Síndrome de Werdnig-Hoffman, internadas em UTI Pediátrica, utilizando ventilação mecânica invasiva sob traqueostomia. As crianças foram submetidas ao protocolo de mobilização funcional por oito semanas, durante 30 minutos, cinco vezes por semana, baseado no método de neurodesenvolvimento. A flexibilidade foi avaliada semanalmente por meio de medidas goniométricas para flexão dos cotovelos, extensão dos joelhos e dorsiflexão dos tornozelos. A segurança da mobilização foi avaliada antes durante e após o procedimento através das medidas da frequência cardíaca, respiratória e a saturação de oxigênio. Resul­tados. Foram incluídas duas crianças com Síndrome de Werdnig Ho­ffman. Na avaliação inicial a criança (A) com cinco anos e a criança (B) com três anos, possuíam severa hipotonia. Durante a mobilização funcional, não foram observadas alterações nos parâmetros hemodinâ­micos e ventilatórios. As crianças apresentaram maior restrição articu­lar em membros do lado esquerdo. Após oito semanas de mobilização funcional, observou-se ganho na amplitude de movimento articular. Conclusão. A mobilização funcional gerou efeitos positivos na flexibi­lidade, sem repercussões negativas em parâmetros cardiorrespiratórios.
Hospital-Based Surveillance for Infectious Etiologies Among Patients with Acute Febrile Illness in Georgia, 2008–2011
Authors: Kuchuloria Tinatin , Imnadze Paata , Mamuchishvili Nana , Chokheli Maiko , Tsertsvadze Tengiz , Endeladze Marina , Mshvidobadze Ketevan , Gatserelia Lana , Makhviladze Manana , Kanashvili Marine , Mikautadze Teona , Nanuashvili Alexander , Kiknavelidze Khatuni , Kokaia Nora , Makharadze Manana , Clark Danielle V. , Bautista Christian T. , Farrell Margaret , Fadeel Moustafa Abdel , Maksoud Mohamed Abdel , Pimentel Guillermo , House Brent , Hepburn Matthew J. , Rivard Robert G.
Published: October 2015

Information on the infectious causes of undifferentiated acute febrile illness (AFI) in Georgia is essential for effective treatment and prevention. In May 2008, a hospital-based AFI surveillance was initiated at six hospitals in Georgia. Patients aged ≥ 4 years with fever ≥ 38°C for ≥ 48 hours were eligible for surveillance. Blood culture and serologic testing were conducted for Leptospira spp., Brucella spp., West Nile virus (WNV), Crimean–Congo hemorrhagic fever virus, Coxiella burnetii, tick-borne encephalitis virus (TBEV), hantavirus, Salmonella enterica serovar Typhi (S. Typhi), and Rickettsia typhi. Of 537 subjects enrolled, 70% were outpatients, 54% were males, and the mean age was 37 years. Patients reported having fatigue (89%), rigors (87%), sweating (83%), pain in joints (49%), and sleep disturbances (42%). Thirty-nine (7%) patients were seropositive for R. typhi, 37 (7%) for Brucella spp., 36 (7%) for TBEV, 12 (2%) for Leptospira spp., 10 (2%) for C. burnetii, and three (0.6%) for S. Typhi. None of the febrile patients tested positive for WNV antibodies. Of the patients, 73% were negative for all pathogens. Our results indicate that most of the targeted pathogens are present in Georgia, and highlight the importance of enhancing laboratory capacity for these infectious diseases.
Investigation of particle and vapor wall-loss effects on controlled wood-smoke smog-chamber experiments
Authors: Bian Q. , May A. A. , Kreidenweis S. M. , Pierce J. R.
Published: October 2015

Abstract. Smog chambers are extensively used to study processes that drive gas and particle evolution in the atmosphere. A limitation of these experiments is that particles and gas-phase species may be lost to chamber walls on shorter timescales than the timescales of the atmospheric processes being studied in the chamber experiments. These particle and vapor wall losses have been investigated in recent studies of secondary organic aerosol (SOA) formation, but they have not been systematically investigated in experiments of primary emissions from combustion. The semi-volatile nature of combustion emissions (e.g. from wood smoke) may complicate the behavior of particle and vapor wall deposition in the chamber over the course of the experiments due to the competition between gas/particle and gas/wall partitioning. Losses of vapors to the walls may impact particle evaporation in these experiments, and potential precursors for SOA formation from combustion may be lost to the walls, causing underestimations of aerosol yields. Here, we conduct simulations to determine how particle and gas-phase wall losses contributed to the observed evolution of the aerosol during experiments in the third Fire Lab At Missoula Experiment (FLAME III). We use the TwO-Moment Aerosol Sectional (TOMAS) microphysics algorithm coupled with the organic volatility basis set (VBS) and wall-loss formulations to examine the predicted extent of particle and vapor wall losses. We limit the scope of our study to the dark periods in the chamber before photo-oxidation to simplify the aerosol system for this initial study. Our model simulations suggest that over one-third of the initial particle-phase organic mass (41 %) was lost during the experiments, and over half of this particle-organic mass loss was from direct particle wall loss (65 % of the loss) with the remainder from evaporation of the particles driven by vapor losses to the walls (35 % of the loss). We perform a series of sensitivity tests to understand uncertainties in our simulations. Uncertainty in the initial wood-smoke volatility distribution contributes 18 % uncertainty to the final particle-organic mass remaining in the chamber (relative to base-assumption simulation). We show that the total mass loss may depend on the effective saturation concentration of vapor with respect to the walls as these values currently vary widely in the literature. The details of smoke dilution during the filling of smog chambers may influence the mass loss to the walls, and a dilution of ~ 25:1 during the experiments increased particle-organic mass loss by 33 % compared to a simulation where we assume the particles and vapors are initially in equilibrium in the chamber. Finally, we discuss how our findings may influence interpretations of emission factors and SOA production in wood-smoke smog-chamber experiments.
Optical properties of long-range transported Saharan dust over Barbados as measured by dual-wavelength depolarization Raman lidar measurements
Authors: Groß S. , Freudenthaler V. , Schepanski K. , Toledano C. , Schäfler A. , Ansmann A. , Weinzierl B.
Published: October 2015

Abstract. Dual-wavelength Raman and depolarization lidar observations were performed during the Saharan Aerosol Long-range Transport and Aerosol-Cloud interaction Experiment in Barbados in June and July 2013 to characterize the optical properties and vertical distribution of long-range transported Saharan dust after transport across the Atlantic Ocean. Four major dust events were studied during the measurements from 15 June to 13 July 2013 with aerosol optical depths at 532 nm of up to 0.6. The vertical aerosol distribution was characterized by a three-layer structure consisting of the boundary layer, the entrainment or mixing layer and the pure Saharan dust layer. The upper boundary of the pure dust layer reached up to 4.5 km in height. The contribution of the pure dust layer was about half of the total aerosol optical depth at 532 nm. The total dust contribution was about 50–70 % of the total aerosol optical depth at 532 nm. The lidar ratio within the pure dust layer was found to be wavelength independent with mean values of 53 ± 5 sr at 355 nm and 56 ± 7 sr at 532 nm. For the particle linear depolarization ratio, wavelength-independent mean values of 0.26 ± 0.03 at 355 nm and 0.27 ± 0.01 at 532 nm have been found.
A numerical study of convection in rainbands of Typhoon Morakot (2009) with extreme rainfall: roles of pressure perturbations with low-level wind maxima
Authors: Wang C.-C. , Kuo H.-C. , Johnson R. H. , Lee C.-Y. , Huang S.-Y. , Chen Y.-H.
Published: October 2015

Abstract. This paper investigates the formation and evolution of deep convection inside the east–west oriented rainbands associated with a low-level jet (LLJ) in Typhoon Morakot (2009). With the typhoon center to the northwest of Taiwan, the westerly LLJ occurred as a result from the interaction of typhoon circulation with the southwest monsoon flow, which supplied the water vapor for the extreme rainfall (of ~ 1000 mm) over southwestern Taiwan. The Cloud-Resolving Storm Simulator with 1 km grid spacing was used to simulate the event, and it successfully reproduced the slow-moving rainbands, the embedded cells, and the dynamics of merger and back-building (BB) on 8 August as observed. Our model results suggest that the intense convection interacted strongly with the westerly LLJ that provided reversed vertical wind shear below and above the jet core. Inside mature cells, significant dynamical pressure perturbations (p'd) are induced with positive (negative) p'd at the western (eastern) flank of the updraft near the surface and a reversed pattern aloft (> 2 km). This configuration produced an upward-directed pressure gradient force (PGF) to the rear side and favors new development to the west, which further leads to cell merging as the mature cells slowdown in eastward propagation. The strong updrafts also acted to elevate the jet and enhance the local vertical wind shear at the rear flank. Additional analysis reveals that the upward PGF there is resulted mainly by the shearing effect but also by the extension of upward acceleration at low levels. In the horizontal, the upstream-directed PGF induced by the rear-side positive p'd near the surface is much smaller, but can provide additional convergence for BB development upstream. Finally, the cold-pool mechanism for BB appears to be not important in the Morakot case, as the conditions for strong evaporation in downdrafts do not exist.
Retrieving microphysical properties of dust-like particles using ellipsoids: the case of refractive index
Authors: Kemppinen O. , Nousiainen T. , Merikallio S. , Räisänen P.
Published: October 2015

Abstract. Distributions of ellipsoids are often used to simulate the optical properties of non-ellipsoidal atmospheric particles, such as dust. In this work, the applicability of ellipsoids for retrieving the refractive index of dust-like target model particles from scattering data is investigated. This is a pure modeling study, in which stereogrammetrically retrieved model dust shapes are used as targets. The primary objective is to study whether the refractive index of these target particles can be inverted from their scattering matrices using ellipsoidal model particles. To achieve this, first scattering matrices for the target model particles with known refractive indices are computed. First, a non-negative least squares fitting is performed, individually for each scattering matrix element, for 46 differently shaped ellipsoids by using different assumed refractive indices. Then, the fitting error is evaluated to establish whether the ellipsoid ensemble best matches the target scattering matrix elements when the correct refractive index is assumed. Second, we test whether the ellipsoids best match the target data with the correct refractive index, when a predefined (uniform) shape distribution for ellipsoids is assumed, instead of optimizing the shape distribution separately for each tested refractive index. The results show not only that for both of these approaches using ellipsoids with the true refractive index produces good results but also that for each scattering matrix element even better results are acquired by using wrong refractive indices. In addition, the best agreement is obtained for different scattering matrix elements using different refractive indices. The findings imply that retrieval of refractive index of non-ellipsoidal particles whose single-scattering properties have been modeled with ellipsoids may not be reliable. Furthermore, it is demonstrated that the differences in single-scattering albedo and asymmetry parameter between the best-match ellipsoid ensemble and the target particles may give rise to major differences in simulated aerosol radiative effects.
Decadal-scale relationship between measurements of aerosols, land-use change, and fire over Southeast Asia
Authors: Cohen J. B. , Lecoeur E.
Published: October 2015

Abstract. A simultaneous analysis of 13 years of remotely sensed data of land cover, fires, precipitation, and aerosols from the MODIS, TRMM, and MISR satellites and the AERONET network over Southeast Asia is performed, leading to a set of robust relationships between land-use change and fire being found on inter-annual and intra-annual scales over Southeast Asia, reflecting the heavy amounts of anthropogenic influence over land use change and fires in this region of the world. First, we find that fires occur annually, but with a considerable amount of variance in their onset, duration, and intensity from year to year, and from two separate regions within Southeast Asia from each other. This variability is already partially understood from previous works, including the impacts of both inter-annually and intra-annually occurring influences such as the Monsoon and El-Nino events, but yet there are other as of yet unknown influences that also are found to strongly influence the results. Second, we show that a simple regression-model of the land-cover, fire, and precipitation data can be used to recreate a robust representation of the timing and magnitude of measured AOD from multiple measurements sources of this region using either 8-day (better for onset and duration) or monthly based (better for magnitude) measurements, but not daily measurements. We find that the reconstructed AOD matches the timing and intensity from AERONET measurements to within 70 to 90 % and the timing and intensity of MISR measurements from to within 50 to 95 %. This is a unique finding in this part of the world, since could-covered regions are large, yet the robustness of the model is still capable of holding over many of these regions, where otherwise no fires are observed and hence no emissions source contribution to AOD would otherwise be thought to occur. Third, we determine that while Southeast Asia is a source region of such intense smoke emissions, that it is also impacted by transport of smoke from other regions as well. There are regions in northern Southeast Asia which have two annual AOD peaks, one during the local fire season, and the second smaller peak corresponding to a combination of some local smoke sources as well as transport of aerosols from fires in southern Southeast Asia, and possibly even from anthropogenic sources in South Asia. Conversely, we show that southern Southeast Asia is affected exclusively by its own local fire sources during its own local fire season. Overall, this study highlights the importance of taking into account a simultaneous use of land-use, fire, and precipitation for understanding the impacts of fires on the atmospheric loading and distribution of aerosols in Southeast Asia over both space and time.
High-resolution ammonia emissions inventories in China from 1980–2012
Authors: Kang Y. , Liu M. , Song Y. , Huang X. , Yao H. , Cai X. , Zhang H. , Kang L. , Liu X. , Yan X. , He H. , Shao M. , Zhu T.
Published: October 2015

Abstract. Ammonia (NH3) can interact in the atmosphere with other trace chemical species, which can lead to detrimental environmental consequences, such as the formation of fine particulates and ultimately global climate change. China is a major agricultural country, and livestock numbers and nitrogen fertilizer use have increased drastically since 1978, following the rapid economic and industrial development experienced by the country. In this study, comprehensive NH3 emissions inventories were compiled for China for 1980–2012. In a previous study, we parameterized emissions factors (EFs) considering ambient temperature, soil acidity, and the method and rate of fertilizer application. In this study, we refined these EFs by adding the effects of wind speed and new data from field experiments of NH3 flux in cropland in northern China. We found that total NH3 emissions in China increased from 5.9 to 11.2 Tg from 1980 to 1996, and then decreased to 9.5 Tg in 2012. The two major contributors were livestock manure and synthetic fertilizer application, which contributed 80–90 % of the total emissions. Emissions from livestock manure rose from 2.87 Tg (1980) to 6.17 Tg (2005), and then decreased to 5.0 Tg (2012); beef cattle were the largest source followed by laying hens and pigs. The remarkable downward trend in livestock emissions that occurred in 2007 was attributed to a decrease in the numbers of various livestock animals, including beef cattle, goats, and sheep. Meanwhile, emissions from synthetic fertilizer ranged from 2.1 Tg (1980) to 4.7 Tg (1996), and then declined to 2.8 Tg (2012). Urea and ammonium bicarbonate (ABC) dominated this category of emissions, and a decline in ABC application led to the decrease in emissions that took place from the mid-1990s onwards. High emissions were concentrated in eastern and southwestern China. Seasonally, peak NH3 emissions occurred in spring and summer. The inventories had a monthly temporal resolution and a spatial resolution of 1000 m, and thus are suitable for global and regional air-quality modeling.