bluuebunny/crossref_metadata_2025 huggingface dataset:
Kineziterapijos paslaugų pirminės sveikatos priežiūros lygyje pobūdis ir vertinimas
Authors: Sakalauskė Diana , Liseckienė Ida , Valius Leonas , Rimdeikienė Inesa , Strautnikaitė Goda
Published: March 2022

Tyrimo tikslas. Atlikti kineziterapijos paslaugų pirminės sveikatos priežiūros lygyje analizę ir vertinimą. Metodai. Tiriamųjų apklausa vykdyta anoniminės anketinės apklausos būdu ir interviu metodu. Duomenys analizuoti naudojant statistinių duomenų analizės paketą IBM SPSS 23 ir neparametrinį kriterijų – Mann Whitney U testą. Statistinė išvada laikyta reikšminga, jei kriterijaus tikimybė (p) tenkino sąlygą p < 0,05. Transkripcijos analizuotos remiantis indukcijos principu. Rezultatai. 94,1 proc. PSP pacientų siųsti kineziterapijai dėl raumenų-kaulų sistemos patologijos, iš kurių dažniausiai (31,4 proc.) buvo įvardyta kaklo, nugaros, juosmens ir kryžmens sričių skausmai. Pacientai buvo labiausiai patenkinti kineziterapeutų profesionalumu ir atidžiu skundų išklausymu (88 proc.), mažiausiai – asmeniniu įsitraukimu, nustatant veiklos tikslus ir priimant sprendimus (40 proc.) Statistiškai reikšmingo pasitenkinimo skirtumo tarp skirtingų amžiaus, apsilankymų skaičiaus, skausmo balų grupių nenustatyta. PSP komandos narių bendradarbiavimas yra vertinamas kaip sėkmingas, tačiau stebima ir neigiamų aspektų: nepakankama komunikacija ir specialistų įsitraukimas, supratingumo tarp specialistų bei išmanymo apie kineziterapiją trūkumas, dalis nepalankių organizacinių ir aplinkos veiksnių. Išvados. Pagrindinės priežastys, dėl kurių PSP pacientai siunčiami kineziterapijos paslaugoms, buvo atramos judėjimo sistemos sutrikimai. Pacientai labiausiai patenkinti kineziterapeutų profesionalumu ir atidžiu skundų išklausymu. Bendradarbiavimas tarp PSP komandos narių yra vertinamas kaip sėkmingas, tačiau stebima ir tobulintinų bendradarbiavimo aspektų.
Aproximación cualitativa a la calidad de vida de una persona mayor hemodializada en Chile en acompañamiento de su familiar
Authors: Molina-Bello Águeda , Moncada-Vásquez Geraldine , Reyes-Vargas Claudia , Vásquez-Navarrete Joel , Segura Hernández Paulina , Cerda-Aedo Bárbara
Published: March 2022

Introducción: La importancia de medir la calidad de vida radica en el estrecho vínculo que existe entre la misma, la mortalidad y la morbilidad en los pacientes con enfermedad renal crónica en diálisis; por lo que es de suma importancia saber cómo están percibiendo su condición de salud durante el tratamiento de sustitución renal. Objetivo: Comprender el significado de calidad de vida para una persona mayor sometida a hemodiálisis y su cuidadora principal. Material y Método: Estudio cualitativo, descriptivo con enfoque fenomenológico, que se llevó a cabo por medio de la realización de entrevistas en profundidad dirigidas a una persona mayor sometida a tratamiento de hemodiálisis y a su cuidadora principal. Posteriormente, se efectuó transcripción textual de cada una de las entrevistas previamente grabadas. Resultados: Los resultados se clasificaron según dimensiones de calidad de vida, los cuales fueron: social, actividades de la vida diaria, salud, sistemas de salud, bienestar material y se agregó una categoría emergente llamada pandemia de acuerdo a la situación epidemiológica actual. El término calidad de vida para las participantes de la investigación, fue descrito como “vivir saludable, sin presencia de enfermedades”. Conclusión: La aplicación correcta de los tratamientos y contar con un personal de enfermería formado en hemodiálisis permitiría proporcionar educación, intervenciones, apoyo y un acompañamiento apropiado, lo que es fundamental, para abordar y favorecer el bienestar biopsicosocial y espiritual.
Kendoku Oyununun Ortaokul Matematik Öğretim Programındaki Kazanımlar Açısından Öğretmen Görüşlerine Dayalı Olarak İncelenmesi
Authors: Aksakal Kübra
Published: March 2022

Zekâ oyunları dersi öğretim programındaki akıl yürütme ve işlem oyunları ünitesinden bir oyun çeşidi olan
Kendoku Oyununun ortaokul matematik öğretim programındaki kazanımlar bakımından öğretmen görüşlerine
dayalı olarak incelenmesi amaçlanmıştır. Bu sebeple sadece ilköğretim matematik öğretmenlerinin görüşleri
incelenmiştir. Çalışma grubunu Ankara ve Kırıkkale illerindeki 6 devlet okulunda çalışan 12 ilköğretim
matematik öğretmeni oluşturmaktadır. Çalışmada nitel araştırma yöntemlerinden durum çalışmasından
faydalanılmıştır. Zekâ Oyunları Öğretim Programında basamaklı öğretim programı uygulandığı için oyunlar
üç seviyede toplam altı oyun şeklinde oluşturulmuştur. Kendoku Oyununun kuralları anlatılarak öğretmenlere
oynatıldıktan sonra hazırlanan görüşme soruları ile Kendoku Oyununun hangi kazanımlarla bağlantılı
olduğuna dair öğretmenlerin görüşleri alınmıştır. Öğretmenler ile yapılan görüşmeler sonrası veriler nitel
tekniklerle çözümlenmiştir. Görüşmelerin ses kayıtları dinlenerek yazılı metinler haline getirilmiştir.
Öğretmenlerin ifadelerinde tekrar eden kod ve temaları belirlemek için nitel analiz yaklaşımlarından “içerik
analizi” tekniği kullanılmıştır. Araştırmada öğretmenlerin kendoku oyununu eğlenceli buldukları ve
derslerinde oynatmak istedikleri belirlenmiştir. Öğretmenler kendoku oyununun öğrenciler için dört işlem
becerisini akıcı bir şekilde kullanabilecekleri bir oyun olduğunu ifade etmişlerdir.
Seeing-Sorted Large Binocular Camera U-band Imaging of the Extended Groth Strip
Authors: Redshaw Caleb , McCabe Tyler , Otteson Lillian , Windhorst Rogier A. , Jansen Rolf A. , Cohen Seth H. , Carleton Timothy , Ashcraft Teresa A. , Nonino Mario , Paris Diego , Grazian Andrea , Fontana Adriano , Giallongo Emanuele , Speziali Roberto , Testa Vincenzo , Boutsia Konstantina , Koekemoer Anton , O’Connell Robert W. , Rutkowski Michael J. , Ryan Russell E. , Scarlata Claudia , Teplitz Harry I. , Wang Xin , Rafelski Marc , Grogin Norman A.
Published: March 2022

We present the results of deep ground-based U-band imaging of the Extended Groth Strip (EGS) field, and the creation of a best resolution mosaic and a best depth mosaic following the seeing-sorted stacking method of Ashcraft et al. The analysis uses 324 images taken from 2012 March to 2021 June using the Large Binocular Camera. The best resolution mosaic includes the 16.4% of images with FWHM ≤ 0.″9, while the best depth mosaic includes the 73.5% of images with FWHM ≤ 1.″6. Each image’s zero-point was matched to SDSS u, to account for transparency variations. Images with stellar ellipticity (1 − b/a) ≥ 0.08 were omitted. We find that the galaxy counts turn over at U
AB ∼ 25.75 mag in the best resolution mosaic and at ∼26 mag in the best depth mosaic. The EGS field is the final UVCANDELS field analyzed using the seeing-sorted stacking method.
La diplomatie du Saint-Siège, entre réalisme et prophétisme
Authors: Besmond de Senneville Loup
Published: March 2022

Le Saint-Siège entretient des relations diplomatiques avec près de deux cents États. Sans moyens militaires ni économiques, sa diplomatie joue pourtant un rôle non négligeable. Ses principes guides sont, outre la défense des catholiques, la paix, la justice, la promotion du bien commun. Dans les situations concrètes, leur mise en œuvre n’est pas sans tension entre l’idéalisme des valeurs et la réalité des terrains, comme le montrent les exemples de la Chine et de la Russie. La figure du « polyèdre », chère au pape François, indique un chemin pour surmonter ces tensions.
Samuel, ou des dérives du pouvoir
Authors: Wénin André
Published: March 2022

L’actualité fait revenir la question du pouvoir. Il peut être source d’abus, cachée sous les meilleures intentions. Une lecture attentive de la figure biblique de Samuel révèle toute l’ambiguïté de l’exercice d’un pouvoir lorsqu’il se présente comme prophétique ou « salutaire ». Samuel illustre à merveille combien il est difficile aux détenteurs du pouvoir de lâcher prise.
Le travail relationnel des médecins dans la prise en charge des patients : une étude qualitative des réunions de concertation pluridisciplinaires en oncologie dans deux centres hospitaliers universitaires
Authors: Cucharero Atienza Paula
Published: March 2022

L’étude présentée dans cet article vise à répondre à la question de recherche : comment le travail relationnel réalisé par les médecins nucléaires au sein des réunions de concertation pluridisciplinaires (RCP) favorise-t-il leur inclusion dans la prise en charge des patients ? Pour répondre à ce questionnement, nous nous appuyons sur les travaux analysant les relations entre médecins spécialistes. L’inclusion est appréhendée comme l’intégration d’un individu dans un collectif tout en conservant son identité particulière. La méthodologie qualitative déployée s’appuie sur les techniques d’entretien semi-directif et d’observation. Nous avons réalisé quarante-sept entretiens auprès des médecins nucléaires et médecins cliniciens avec lesquels ils interagissent au sein de deux centres hospitaliers universitaires (CHU) de France. Cette technique d’enquête a été complétée par l’observation non participante de vingt-trois RCP entre médecins de différentes spécialités qui se tiennent dans le domaine de l’oncologie pour discuter du traitement des patients. Cela nous a permis de caractériser le travail relationnel réalisé par les médecins nucléaires au sein des RCP afin d’assurer leur inclusion dans le collectif de prise en charge des patients. Si la RCP permet la mise en relation des médecins spécialistes, nous observons que cela ne garantit pas l’inclusion, les médecins devant s’investir et s’approprier ce dispositif pour rendre effective l’inclusion. Ainsi, c’est le travail relationnel, que nous définissons comme le développement et l’entretien des liens de collaboration, réalisé par les médecins nucléaires au sein des RCP, qui favorise l’inclusion dans le collectif médical. Nos résultats mettent en lumière le travail relationnel qui fait partie intégrante du travail des médecins et qui accompagne le travail strictement curatif ou technique des médecins.
Le rôle du dialogue social au sein des commissions sur la responsabilité sociale de l’entreprise pour le développement d’une gouvernance partenariale
Authors: de la Rochefoucauld Mehdi , Chader Adnane
Published: March 2022

Notre recherche interroge le rôle du dialogue social au sein des commissions sur la responsabilité sociale de l’entreprise (RSE). Pour cela, nous avons mené une étude qualitative basée sur la méthodologie de l’étude de cas multiple. Notre étude empirique s’est ainsi concentrée sur quatre organisations privées. Nous avons mené 44 entretiens semi-directifs, une observation non participante et une analyse documentaire. Nos résultats soulignent l’intérêt de se saisir de la commission RSE afin d’animer le dialogue autour des politiques responsables de l’entreprise. Tout d’abord, il s’agit d’une instance issue de la négociation qui élargit la gouvernance de l’organisation. Puis, sa fonction consultative et préventive en lien avec le développement durable joue un rôle important afin d’éviter des dérives de greenwashing ou de social washing lors de la rédaction du rapport extra-financier de l’entreprise. Enfin, nos résultats mettent en exergue l’importance de la commission RSE en tant que levier propulseur d’initiatives permettant une émulation collective autour du développement durable et de la responsabilité sociale de l’organisation. Ils mettent en perspective l’instauration d’un dialogue social avec les parties prenantes dans une dynamique de gouvernance partenariale soutenant les entreprises souhaitant répondre aux différentes préoccupations écologiques, sociales et sociétales dans le cadre de leurs échanges avec les partenaires sociaux.
Predicativism as a Philosophical Position
Authors: Hellman Geoffrey
Published: March 2022

Les exigences qui definissent la predicativite, a savoir que les objets soient explicitement presentables et les preuves acceptables du point de vue predicatif sont distinguees des theses predicativistes de caractere philosophique. Celles de ces theses qui expriment un scepticisme a Vegard de I'objectivite de ['ensemble de toutes les parties d'un ensemble infini sont familieres. Cependant, Varticulation de theses limitatives fortes se revele problematique: des modes de pensee impredicatifs se glissent dans les formulations mimes de ces theses, par exemple quart d on afftrme que la « definissabilite predicative » marque la limite de l'« intelligibility ». Une experience de pensee estproposee pour ebranler I'idee que les parties arbitraires d'un tout infini d'atomes « dependent de Vesprit » ou « dependent du langage ». D'un autre cote, des theses plus faibles, comme, par exemple, celle selon laquelle les mathematiques predicatives sont « plus sures » que les mathematiques impredicatives, sont presque des platitudes. L'influence philosophique interessante du predicativistne semble etre de caractere negatif dans sa contestation des arguments d'indispensabilite a la Godel-Friedman en faveur du transfini en mathematiques pures, ou a la Quine-Putnam enfaveur des mathematiques abstraites dans les sciences. II y a de plus en plus de raisons qui plaident enfaveur de Godel-Friedman, par exemple Vimpredicativite des formulations sans variables de theoremes comme ceux de Kruskal ou du « Graph Minor », et, d'une portee plus grande, les travaux recents en theorie des relations booleennes. On pent etre ainsi conduit a realiser Videe de Godel, qui etait de justifier les axiomes de grands cardinaux par leur role explicatif unificateur en mathematiques, en analogie avec la facon dont on justifie certaines hypotheses en physique theorique.
The Basic Problem of the Logic of Meaning (I)
Authors: de Rouilhan Philippe
Published: March 2022

Le « probleme fondamental de la theorie des ensembles » (comme disait Mirimanoff) est pose par le paradoxe de Russell relatif aux ensembles. Ce paradoxe montre qua line formule a line variable libre ne correspond pas toujours un ensemble, et le probleme est de faire le depart entre les formules auquelles correspond un ensemble et celles auxquelles n 'en correspond pas. Or la situation avec les propositions en tant qu'objets des attitudes propositionnelles est, sans qu'on s'en soit suffisamment rendu comptejusqu 'id, analogue a ce qu 'elle est pour les ensembles. II existe un certain paradoxe relatif aux propositions, decouvert lui aussi par Russell, et par la suite pratiquement tombe dans I'oubli. Le caractere « hyperintensionnel » (Vexpression est de Cresswell) des propositions russelliennes joue un role essentiel dans la production du paradoxe. Ce paradoxe montre qua un enonce ne correspond pas toujours line proposition; le probleme est alors de faire le depart entre les enonces auxquels correspond line proposition et ceux auxquels n'en correspond pas. C'est le « probleme fondamental de la theorie des propositions ». L'extension de ce paradoxe aux proprietes et aux relations conduit au « probleme fondamental de la logique de la signification ». La litterature contient dejd une solution, dont I'idee remonte a la theorie des types ramifiee de Russell. Mais je privilegie Videe d'une logique non typee de la signification. Je reprends le probleme a zero en m 'inspirant de recherches miennes plus anciennes sur la notion fregeenne de representation (Vertretung). Je propose une formalisation de la logique naive de la signification et des paradoxes hyperintensionnels auxquels elle donne prise. Je demontre que les strategies classiques de resolution des paradoxes extensionnels en theorie des ensembles ne sont pas applicables a la resolution des paradoxes hyperintensionnels en logique de la signification.
Une question de point de vue James, Husserl, Wittgenstein et l'« erreur du psychologue »
Authors: Steiner Pierre
Published: March 2022

Ce texte se propose de revenir sur la manière dont les Principles of Psychology ont été compris et discutés par Husserl et par Wittgenstein. Pour ce faire, on se focalisera ici sur le sens et l’importance stratégique de la dénonciation effectuée par James de l’ erreur du psychologue dans le chapitre VII de l’ouvrage, antérieur au chapitre « The Stream of Thought » qui a retenu toute l’attention de Husserl et de Wittgenstein. Il est suggéré qu’une des sources permettant de déterminer ce qui est en jeu dans les usages divergents des Principles par Husserl et Wittgenstein se situe crucialement dans la manière dont cette dénonciation de l’erreur du psychologue peut être comprise à partir des perspectives respectives des deux auteurs. Un rappel des tensions principales entre, d’une part, le travail de James dans les Principles et, d’autre part, les critiques husserliennes et wittgensteiniennes de la psychologie, permet de comprendre l’importance, la radicalité, mais aussi les insuffisances de cette dénonciation jamesienne de l’erreur du psychologue.
Ortega et la Métaphysique
Authors: de Nigris Francesco
Published: March 2022

En approfondissant la pensée d'Ortega, nous découvrons que la métaphysique est une science de la réalité radicale, du sens et un mode de vie. Nous verrons que la réalité radicale est la vie individuelle et que le sens de la raison vitale est personnel, ce qui implique un changement dans la conception traditionnelle du sujet, de l'objet et de la vérité.
Ortega : réalité et phénoménologie
Authors: González Fernández Enrique
Published: March 2022

Selon Julian Marías, dès qu'Ortega pensa soigneusement la phénoménologie, il alla au-delà de celle-ci en ce qu'elle a de philosophie idéaliste, d'affirmation de la conscience comme réalité absolue. L'élimination de l'exécutif est illusoire, parce que la réalité même, et non son image ou son concept, est exécutoire ; quand le phénoménologue croit être en train de se consacrer à un moi phénoménologiquement réduit, à un moi-conscience, c'est son moi exécutif, pleinement réel, qui opère avec une image passée de son moi, qui fut également auparavant exécutif. La réalité de notre vie apparaît sous l'illusion de la conscience.
The Birth of Materialism out of the Spirit of Expressionism: Nietzsche and Bloch’s Philosophy of Language
Authors: Moir Cat
Published: March 2022

Cet article propose d’explorer la relation entre le statut d’écrivain supposé de Bloch, sa réception de l’œuvre de Nietzsche, et sa philosophie du langage, implicite dans son travail selon l’auteur. D’abord, nous montrerons que l’élan central au cœur du travail expressionniste, à savoir « l’esprit d’expressionisme », provient de l’idée nietzschéenne selon laquelle le langage, qu’il soit verbal ou visuel, ne représente pas de façon transparente une vérité extérieure donnée ou immuable, mais plutôt que la pensée et le sens dépendent intrinsèquement de la forme des expressions matérielles qu’ils reçoivent. Nous expliquerons que cette idée non seulement conditionne la philosophie du langage de Nietzsche, mais aussi anime la génération d’artistes et de penseurs à laquelle Bloch appartient. Ensuite, nous situerons la réception initiale blochéenne de l’œuvre de Nietzsche dans le contexte plus global de son entreprise de création de la métaphysique matérialiste. Pour ce faire, nous montrerons que le matérialisme de Bloch est né, à de nombreux égards, de son interprétation de la façon dont Nietzsche construit la nature du sens, interprétation fondée sur une vision marxienne qui promeut la construction collective et subjective du sens à travers l’action sociale. Enfin, nous proposerons de reconstruire la philosophie du langage de Bloch, d’abord à ses balbutiements dans Geist der Utopie , puis dans sa forme plus aboutie dans Experimentum Mundi.
L'hétéronomie des savoirs
Authors: Balland Ludivine , David Marie
Published: March 2022

Cet article porte sur la manière dont la sociologie, comme discipline académique d’enseignement, est travaillée dans les Écoles supérieures du professorat et de l’éducation (ESPE, récemment devenues INSPE). Il s’appuie sur une enquête menée dans quatre ESPE à partir d’entretiens, d’observations directes et d’une analyse documentaire. L’enquête montre que la sociologie enseignée en ESPE dispose d’une faible autonomie, les savoirs sociologiques étant en partie produits par des logiques hétéronomes qui dépendent des rapports de forces et des acteurs en présence. Ces rapports de forces tendent à diminuer la place relative de la sociologie en tant que discipline académique dans l’offre de formation. L’évolution de l’offre de savoirs en ESPE traduit un mouvement plus général dans l’enseignement supérieur, qui voit la séparation progressive des savoirs de la discipline académique dans laquelle ils ont été élaborés et leur recomposition dans des enseignements organisés autour de finalités sociales et politiques (notamment l’employabilité des formés).
Mental Health of LGBTQ Older Adults
Authors: Inventor Ben R. , Paun Olimpia , McIntosh Erik
Published: March 2022

More than 54 million people in the United States are aged ≥65 years, including an estimated 2.4 million people who identify as lesbian, gay, bi-sexual, transgender, or queer (LGBTQ). As a group, LGBTQ older adults experienced criminalization, discrimination, and social stigma the majority of their lives, with rates of victimization and stigma increasing with age. LGBTQ older adults continue to experience social and health disparities compared to heterosexual individuals. To meet the needs of LGBTQ older adults, it is necessary to understand the impact of politics, culture, and social norms as they came of age. Unique mental health needs, such as social isolation, loneliness, disenfranchised grief, and long-term social support, are discussed through the lens of the minority stress model. Implications and recommendations for health care, research, and policy, such as creating a safe and welcoming environment and providing culturally competent care for LGBTQ older adults, are discussed. [
Journal of Psychosocial Nursing and Mental Health Services, 60
(4), 7–10.]
Novel criteria for robust stability of Cohen-Grossberg neural networks with multiple time delays
Authors: Ketencigil Muhammet Mert , Faydasicok Ozlem , Arik Sabri
Published: March 2022

This research paper deals with the investigation of global robust stability results for Cohen-Grossberg neural networks involving the multiple constant time delays. The activation functions in this neural network model are supposed to be in the set of non-decreasing slope-bounded nonlinear functions and the uncertainties in the constant network parameters are considered to have bounded upper norms. By employing a proper positive definite Lyapunov-type functional and using homeomorphism mapping theory, we propose some novel sets of novel conditions that assure both existence, uniqueness and global robust asymptotic stability of equilibrium points of this nonlinear Cohen-Grossberg-type neural network model involving the multiple time delays. The derived robustly stable conditions mainly rely on examining some proper relationships that are imposed on constant valued interconnection matrices of this delayed neural network. These stability conditions can be certainly verified by employing various simple and useful properties of real interval matrices. Some comparisons are made to address the key advantages of these novel criteria over previously reported corresponding results. An instructive example is also examined to observe novelty of these proposed criteria.
Compact EBG structure for ground bounce noise suppression in high-speed digital systems
Authors: Karuppiah Vasudevan , Gurusamy UmaMaheswari
Published: March 2022

This paper proposes Inductive Enhanced-Electromagnetic Bandgap (IE-EBG) structure to suppress the Ground Bounce Noise (GBN) for high-speed digital system applications. The GBN excited between the power and ground plane pair could be a source of interference to the adjacent analog IC's on the same PCB (or) nearby devices because of radiated emission from the PCB edges. Hence, it must be suppressed at the PCB level. The proposed two-dimensional IE-EBG patterned power plane suppressed the GBN effectively over a broad frequency range. The four unit-cell IE-EBG provides a -40 dB noise suppression bandwidth of 13.567 GHz. With a substantial increment in the overall area, the nine unit-cell IE-EBG provides a -50 dB bandwidth of 19.02 GHz. The equivalent circuit modeling was developed for nine unit-cell IE-EBG and results are verified with the 3D EM simulation results. In addition, dispersion analysis was performed on the IE-EBG unit-cell to validate the lowest cut-off frequency and bandgap range. The prototype model of the proposed IE-EBG is fabricated and tested. The measured and simulated results are compared; a negligible variation is observed between them. In a multilayer PCB, the solid power plane is replaced with the 1 x 4 IE-EBG power plane and its impact on high-speed data transmission is analyzed with single-ended/differential signaling. The embedded IE-EBG with differential signaling provides optimum MEO and MEW values of 0.928 V, 0.293 ns for a random binary sequence with the 0.1 ns rise-time. Compared to single-ended signaling, embedded IE-EBG with differential signaling maintain good signal integrity and supports high-speed data transmission.
Sur les « fantasias » marocaines d’Eugène Delacroix
Authors: Pouillon François
Published: March 2022

Concernant les démonstrations équestres du Maghreb, on dispose d’une enquête d’une précision exceptionnelle : les carnets d’Eugène Delacroix pendant son voyage au Maroc en 1832-1833. C’est d’ailleurs au titre d’un de ses tableaux que l’on fait classiquement remonter le terme fantasia qui servit à désigner ces cavalcades passablement ritualisées en Afrique du nord. Un examen plus précis de la documentation montre pourtant que Delacroix n’utilisa jamais le terme pendant son séjour marocain et que ce qu’il montre, dans ses dessins et les tableaux qu’il en tire, est tout autre chose que ce que l’on a pris l’habitude de désigner sous ce terme. La précision de la documentation, mais aussi les enquêtes conduites en Algérie à la même période, sur les pratiques équestres des Arabes (en particulier la somme publiée par le Général Daumas sur les Chevaux du Sahara), nous donne un bon exemple de ce que l’on appelle suivant Hobsbawm et Ranger, l’« invention de la tradition ». Car ce n’est qu’autour de 1850, soit après que l’émir Abdelkader eût déposé les armes, que l’on assiste à une formalisation de ces jeux équestres, cela même dans une entreprise de séduction des aristocraties indigènes par le pouvoir colonial. C’est bien là l’irruption d’une rupture historique : une pratique guerrière devenue un rituel folklorisé.
APLICAÇÕES DA PERSUASÃO PARA OTIMIZAÇÃO DE CAMPANHAS NA SAÚDE: UMA REVISÃO
Authors: Santos Isabella Silva , Pimentel Carlos Eduardo , Alves Thamires Pereira
Published: March 2022

Apesar da persuasão estar presente de forma natural na comunicação humana, o seu uso adequado parece estar ausente nas campanhas de conscientização na saúde, como é evidenciado pela disparidade entre a frequência de certas campanhas e a diminuição dos comportamentos associados a ela. Nesse sentido, o objetivo do estudo foi realizar uma revisão de literatura acerca dos tipos de persuasão empregados na saúde, sua eficácia, e contextos de aplicação mais adequados. Foram considerados trabalhos em português ou inglês, publicados nos últimos cinco anos nas plataformas BVS, PubMed e Scielo, sendo selecionado o total de 38 artigos que foram divididos por estratégia de persuasão ou o tipo de questão abordada (alimentação, doenças, drogas, exercício, vacinação e outros). Os resultados indicaram que no geral, as estratégias persuasivas obtiveram eficácia em alcançar seus objetivos, sendo o maior desafio a adequação na escolha das estratégias ao tipo de questão abordada pela campanha. Portanto, é concluído que pensar na forma de persuadir o público-alvo é um tema pertinente para otimizar as campanhas de saúde, devendo ser um aspecto considerado no futuro.
Study on the natural resistance of tubercle bacillus
Authors: Kim Ki Ho , Park Sung Ok
Published: March 2022

1). ln order to measure the natural resistance of Tubercle Bacilli in this country, the sensitivity test was carried out with the sputum of 42 pulmonary T. B. cases who stated that they had no previous treatment with Anti TB drugs such as S M l N H and PAS, at the time of their first visit to this clinic.2). The natural resistance rates of Tubercle bacilli in the sputum of those cases were 0.8% in the culture containing5r of SM, 1. 7% in 10r of PAS and 2.4% in 10r of INH per cc of culture.3). These natural resistance rates were shown to be higher than those reported in the foreign literatures.4). It was felt, through this study, that an accurate measurement of the natural resistance rate of Tubercle bacilli is quite difficult task due to the various social factors in Korea.
A Small Epidemic of Tuberculosis in a Rural Village
Authors: Park S. S.
Published: March 2022

1) As a result of mass-survey for the whole inhabitants of Yun-soo-dong, a small epidemic of tuberculosis was found in Poosoodi, a very small village of 239 inhabitants. The morbidity rated to 10 % and tuberculin sensitivity to 81 %.2) 7 adult cases of moderately or far advanced pulmonary tuberoulosis were found in such a smaIl community. 4 cases of them were cavitary form and supposed to have played an important role as potent sources of infection.3) 13 cases of primary type were found among the age groups less than 15 years, constituting the main part of victims of the epidemic caused by the potent sources of 10 infection. 10 of those 13 cases Were found among the 0-4 group. The morbidity and infection rate in the age group were extreme!y high, spiking up to 28 % and 44% respectively. ln the cases of 3 chronic pulmonary tuberculosis (adult type) among adolescence, the intimate and Iong-standing contacts with those open cases are supposed to have influenced on the development of disease.4) Frequent and intimate contacts with neighbors and the poor cOl1ditions of hygiene in rural area arc supposed to have played an important role in the spread of tuberculosis by providing an environment 5uitable for the spread of infection.
Studies on Resistance of acid Fast Bacilli to Anti-Tuberculous Agents 2) Difference in sensitivity between S and R forms of soil acid fast bacilli to chemotherapeutic agents
Authors: Chung Jae Kyu
Published: March 2022

In the previous communication, difference is sensitivity to chemotherapeutic agents were detected between the S and R forms. In the present report, this relationship is discussed in detail, the R variants were induced with S strain by blind transfer in Long's media Also the S, R. colonies were segregated directly by single step in Long’s media.These R forms and R colonies were significantly more sensitve to chemotherapeutic agents and slower in growth rate as compare to the original S forms. The significance of nutritional elements in the sensitivity test was discussed and marked differences were noticed in the same strain depending upon the difference in the culture medium.
Study on the Developmental Morphology of Human Tubercle Bacillus
Authors: Seong Song Ho
Published: March 2022

Study on the Developmental Morphology of Human Tubercle Bacilli. liquid media in test tubes. stained by Zieldl-Neelsen and modified nuclear staining technique. The following observations have been made. Human Tubercle Bacilli not only grow by budding from one end but from both ends. Chromatin-bodies. stained clear. change in number and arrangement depending on the age of the Human Tubercle Bacilli.The possibility of longitudinal division in addition to transverse division of cell has been, seen while observing the changes in morphology of Tubercle Bacilli and Chromatin-bodies in different periods of life cycle .Cordformation of Tubercle Bacilli appears to be baced on longitudinal division and cord factor.Branching of Tubercle Bacilli has been seldom seen. if observed. the branching originated from special large Chromatin-bodies.The author hereby express his appreciation for assistance and advice given by Dr. W. H. Hall on the present work during his stay at the V. A. Hospital. Minneaposlis Minnn.
The Diagnostic Significance of Aspiration Biopsy of the Parietal Pleura
Authors: Lee Dae Yon , Lee San Yon , Chang Kwang Sub , Cho Kwang Hyun
Published: March 2022

The aspiration biopsy of the parietal pleura as an aid tn the etiologic diagnosis of pleural effusion performed in 40 cases during Sept.1958 to Aug. 1959.1) Results of 40 pleural biopsies are reported and compared with the other available diagnostic methods including chemical, cytologic and bacteriologic analysis of fluid.2) In 40 cases in which this procedure was utilized, diagnostic tissue was obtained in 72. 5 per cent and specific diagnosis in 52. 5 per cent.3) The aspiration biopsy was of considerable value in a group of patient classified clinically as “ undeterminate", giving a definite tissue diagnosis per cent.4) In 17 cases with pleural effusion suspected of tuberculous, aspiration biopsy of the parietal pleura diagnostic tissue was obtained in 47 per cent.5) The literature on pleural biopsy has been briefly reviewed and summary of previously reported results are compared with our results.6) There is definite need for additional diagnostic procedure to estabilish the etiology of pleural effusion.7) The aspiration biopsy of the parietal pleura is a safe, easy and accurate method and may be considerably valuable in obtaining an early diagnosis.
Concentration of Biologically Active Isoniazid in Koreans
Authors: Song Ho Seun , Park Seung Suh , An Young Chan , Kim Keun Youl
Published: March 2022

Studies of the metabolism of Isoniazid by metabolic fate of this drug in different subjects. Another author has given evidence which suggests that the result of treatment with Isoniazid in patients with pulmonary tuberculosis may depend upon the concentration of biologically active drug in the blood. In addition, the demonstration of a high incidence of rapid inactivators among persons of Japanese descent has provided another means of investigating the significance of biologically active Isoniazid serum concentrations in the treatment of tuberculosis. The present study was undertaken to estimate the metabolic pattern of Isoniazid in the people of Korea, as compared to the concentration of biologically active Isoniazid in the blood from other non oriental groups. 121 persons were studied; 96 were patients with pulmonary tuberculosis, ranging in age from six to seventeen. 25 were a group of healthy adults made up of doctors, nurses and employees. The method is a slight modification of that used by Bell and his associates, and is as follows.1) Youmans modification of Proskaur & Beckliquid medium was used.2) Individual tubercle bacilli solution of H37 Rv. strain was made as follows; Colonies were crushed in an tube with liquid media and were centrifuged for 10 minutes at 1,000 r.p.m. and then were centrifuged again, and the supernate fluid was used as the solution of bacteria. 3) Then 0.1 ml of bacilli solution were inoculated in the media in each tube with graded concentrations of Isoniazid and were incubated for three days.4) From the above cultures, stained smears were made.5) Inhibition of growth is determined micro scopically on the stained smear by the change in the size of the tubercle bacillis. Inhibited bacilli were remained in their initial size in good contrast with growing bacilli which were markedly increase in their size.6) The determination of serum Isoniazid concentration is performed by comparing the highest dilution of serum inhibiting growth with the minimam inhibiting concentration of Isoziazid in the control tube. The result are shown in Fig.1 The great majority of people of Korean descent are rapid inactivators, as high as 72.7%. Therefore most tuberculous patients of Korean descent are expected to have serum concentrations of free Isonizid below the "optimal"range A clinical and bacteriological response significantly less than tiat described in American patients would be anticipated in Korea patients with pulmonary tuberculosis treated on drug regimens utilizing conventional doses of 4-5 MGM per kilograms. Based on the estimation of Isoniazid blood levels, it is felt that a dosage of Isoniazid higher than conventional recommended amounts is required in the treatment of pulmonary tuberculosis in this specific racial group, the Korean people.
The Results of Korean BCG Vaccination on Human
Authors: Kim Hyun Kyu
Published: March 2022

Following results were obtained the investigation to 8, 562 children ( almost all in the age-group 7-13 years) who were vaccinated with Korean Iiquid BCG vaccine from July 1948 to March 1959. The vaccine routinely used in these investigations was prepared by The National Institute of Health, Seoul, Korea.
A case of Tuberculous Meningitis with a high Content of Protein in the Cerebrospinal Fluid
Authors: Kim Je Hyun
Published: March 2022

A case of tuberculous meningitis where the cerebrospinal fluid contained 5,000mg protein per 100 ml, is reported. Such high amounts of protein is seldom found in this disease. The relationship between the protein content and other biochemical, bacteriological and Cytological findings in the cerebrospinal fluid from some cases of tuberculous meningitis, is discussed. No relationship between the protein content on the one side and the concentration of chloride and sugar or the number of leucocyte3 on the other side, could be detected.
Diasnostic Valuc of Pleural Ncedle Biopsy
Authors: Oh Saong Baik
Published: March 2022

In evaluating the complex causes of pleural effusion, it is very often difficult to obtain a definite diagnosis by traditional means only. Examination of aspirated fluid, including bacteriological and cytological study, too frequently gives a negative result. The introduction of a simple and convenient needle biopsy technic, as reported among others by De Francis & al. in 1955, to a great extent has improved our diagnostic possibilities. In many cases the new technic allows an accurate histopathological diagnosis by direct study of tissue pieces from parietal pleura, and a big number of publications on this method have appeared in the medical literature during the last years.The purpose of this report is to present an evaluation of the diagnostic value of pleural needle biopsy in a material from National Medical Center in Korea. A punch-type biopsy needle, made by Stillcs in Sweden, has been used in all the 41 biopsies,(see ill.). A comparison has been made between the results of the histological examination of the biopsy material and those of the specimen of pleural decortication in 14 cases which were later operated upon for therapeutic reasons.Main results:1) The tissue pieces obtained were adequate in 37(ca. 90%), inadequate in 4(ca. 10%) of the 41 biopsies. performed on 37 patients.2) Of the 37 patients the histo[ogica[ diagnosis in 9 cases(ca. 24%) were tuberculosis. in 1 case paragonimiasis, in 2 cases acute fibrillous pleurisy of non-specific type, and in the remaining 22 cases(ca.60%) fibrinous thickening, the structure of which did not permit a distinct etiological diagnosis.3) Out of 27 cases of clinically proved tuberculosis. 4(ca. 15%) were diagnosed by biopsy only.4) No acid fast bacilli was discovered by microscopical examination of sections from the 9 biopsies where tuberculosis was dìagnosed histologically.5) Of the 14 cases later undergoing decortication the biopsy diagnosis was confirmed in alI but 1 case.by subsequent examination of the whole pleura .6) 1 case of specific pleuro-cutaneous fìstulation was encountered as a possible complication among the 41 biopsies. It was later cured by antituberculous' drug medication.7) Most lost of the conclusive diagnostic results were reported from biopsies taken during early stages of the disease. Biopsies from long standing effusions were apt to result in the less helpful diagnosis of “fibrinous thickening".Whenever possible the pleural biopsy should be taken at the same time as the first aspiration of fluid.(A full report in Korean, including tables and 1 illustration, is attached.)
Aristolochic acid: What urologists should know
Authors: Thangavelu Mohanarangam , Ismail Asmaa , Zakaria Ahmed , Elmansy Hazem , Shahrour Walid , Prowse Owen , Kotb Ahmed
Published: March 2022

To the Editor, Aristolochic acid is one of major causes for upper tract urothelial carcinoma, especially in younger population. While it is mentioned as a cause in guidelines, little is actually known about the toxin by urologists. We are aiming in our letter to provide some direct and clear information to ourselves that would help us to know more about that toxin and how it can adversely affect our patients [...].
Sex differences in SARS-CoV-2 infections, anti-viral immunity and vaccine responses
Authors: Mohanty Abhishek , Sawhney Aanchal , Gupta Shefali , Rao Vishal , Govindaraj Periyasamy , Mohanty Sambit , Jain Vandana
Published: March 2022

The COVID-19 pandemic has revealed sex-based differences in anti-viral responses, with a higher rate of SARS-CoV-2 infections as well as a higher rate of morbidity and mortality in men than in women. Males and females also show disparate immune responses to COVID-19 infection, which may be important contributors to lower rates of infection, disease severity and deaths in women than in men. Here, the authors review sex differences in SARS-CoV-2 infections, anti-viral immunity and vaccine responses, putting forth the importance of sex, the underappreciated variables in vaccine response and disease infectivity.
Comparison of Cox proportional hazards model, Cox proportional hazards with time-varying coefficients model, and lognormal accelerated failure time model
Authors: Mardhiah Kamaruddin , Wan-Arfah Nadiah , Naing Nyi Nyi , Hassan Muhammad Radzi Abu , Chan Huan-Keat
Published: March 2022

Objective:

To compare the prognostic factors of mortality among melioidosis patients between lognormal accelerated failure time (AFT), Cox proportional hazards (PH), and Cox PH with time-varying coefficient (TVC) models.

Methods:

A retrospective study was conducted from 2014 to 2019 among 453 patients who were admitted to Hospital Sultanah Bahiyah, Kedah and Hospital Tuanku Fauziah, Perlis in Northern Malaysia due to confirmed-cultured melioidosis. The prognostic factors of mortality from melioidosis were obtained from AFT survival analysis, and Cox’s models and the findings were compared by using the goodness of fit methods. The analyses were done by using Stata SE version 14.0.

Results:

A total of 242 patients (53.4%) survived. In this study, the median survival time of melioidosis patients was 30.0 days (95% CI 0.0-60.9). Six significant prognostic factors were identified in the Cox PH model and Cox PH-TVC model. In AFT survival analysis, a total of seven significant prognostic factors were identified. The results were found to be only a slight difference between the identified prognostic factors among the models. AFT survival showed better results compared to Cox’s models, with the lowest Akaike information criteria and best fitted Cox-snell residuals.

Conclusions:

AFT survival analysis provides more reliable results and can be used as an alternative statistical analysis for determining the prognostic factors of mortality in melioidosis patients in certain situations.
Diffuse alveolar hemorrhage complicating dengue haemorrhagic fever in a 15-year-old boy
Authors: Gopal Prashant , Hareshkumar Chaudhary Niraliben , Saranya N.S.S. , Diggikar Pradnya
Published: March 2022

Rationale:

Dengue fever is a viral infection that is spread through the bites of infected female Aedes mosquitos. It can cause life threatening complications, including dengue haemorrhagic fever (DHF) and dengue shock syndrome.

Patient concerns:

A 15-year-old male presented with fever and petechiae and later developed hemoptysis.

Diagnosis:

Dengue fever with DHF with diffuse alveolar hemorrhage.

Interventions:

Invasive ventilation with high positive end expiratory pressure, multiple transfusions of packed red blood cells, fresh frozen plasma, single donor platelets and inotropic support

Outcomes:

The patient was stabilized and discharged on minimal supplemental oxygen.

Lessons:

Diffuse alveolar hemorrhage, although very rare, should be considered in a patient with dengue who presents with hemoptysis. The treatment is directed at providing respiratory and circulatory support, and preventing the progression of microcirculation damage.
The Effect of Orexin-2 and Endocannabinoid-1 Antagonists on Neuronal Activity of Hippocampal CA1 Pyramidal Neurons in Response to Tramadol in Rats
Authors: Imanpour Vajihe , Reisi Parham
Published: March 2022

Background:

CA1, as a major structure involved in learning and memory, has been shown to be affected by tramadol addiction. Both orexin and endocannabinoid receptors express in CA1 and play an important role in drug dependency. The aim of this study was to evaluate the modulatory effects of orexin-2 (OX2R) and endocannabinoid-1 (CB1R) receptors on neuronal activity in CA1, in response to tramadol in rats.

Materials and Methods:

Male Wistar rats were divided into 8 groups (n = 6–7); saline-dimethyl sulfoxide (DMSO), tramadol-DMSO, saline-TCS-OX2-29, saline-AM251, tramadol-TCS-OX2-29, tramadol-AM251, saline-TCS-OX2-29-AM251, tramadol-TCS-OX2-29-AM251. Tramadol was injected intraperitoneally, and then, AM251 (1 nmol/0.3 μL), CB1R antagonist and TCS-OX2-29 (1 nmol/0.3 μL), OX2R antagonist, were microinjected individually or concurrently into the CA1. Using in vivo extracellular single-unit recording, the firing of CA1 pyramidal neurons was investigated.

Results:

Tramadol decreased neuronal activity in CA1 (P < 0.01) but increased it after micro-injection of DMSO. TCS-OX2-29 increased neuronal activity in saline group (P < 0.05) but decreased it in tramadol group. AM251 had no effect on saline group but decreased neuronal activity in tramadol group (P < 0.05). Concurrent micro-injection of TCS-OX2-29 and AM251 had no effect on saline group but decreased neuronal activity in tramadol group (P < 0.05).

Conclusions:

Our findings suggest that neural activity in CA1 is rapidly affected by acute use of tramadol, and some of these effects may be induced through the endocannabinoid and orexin systems. Thus, the function of endocannabinoid and orexin systems in CA1 may play a role in tramadol addiction.