bluuebunny/crossref_metadata_2025 huggingface dataset:
O DROGATIDO E SUA FAMÍLIA: UM OLHAR SOBRE A DINÂMICA DAS FAMÍLIAS ADICTAS
Authors: Oliveira Emmanuelle Marie Albuquerque , Silva Gabrielle Letícia Albuquerque , Da Silva Rayli Maria Pereira , Monteiro Brenda Séphora de Brito , De Menezes Lílian Balduíno
Published: August 2023

O presente estudo se fundamentou nos questionamentos existentes na sociedade acerca de como se dá o relacionamento dos usuários de álcool e outras drogas e seus familiares. Esta relação que no imaginário popular é pautada por constantes conflitos. Muitas vezes teremos a própria família como causadora da desordem psíquica que o indivíduo se encontra, através de um meio onde o vício em drogas já esteja instalado, mas por vezes essa mesma família será o apoio e a alça impulsionadora da “cura” do indivíduo. Para tanto, realizou-se um estudo bibliográfico, descritivo, tipo revisão integrativa da literatura com estudos que investigaram a relação entre os aspectos constitutivos da dinâmica familiar e sua relação com o sintoma das adicções. O que podemos inferir é que os problemas relacionados ao uso de álcool e outras drogas e o processo do cuidado representam um fenômeno complexo que requer uma análise e compreensão sistêmica dos fatores envolvidos, seja no processo do uso, seja no âmbito do cuidado.
COLABORAÇÃO DA NEUROCIÊNCIA NO ATENDIMENTO A VÍTIMA DE TRAUMATISMO CRÂNIOENCEFÁLICO
Authors: De Farias Wanderson Santos , Da Silva Uanderson Pereira , Silva Anne Brandão
Published: August 2023

O TCE é uma lesão que vem sendo investigado principalmente no que diz aos aspectos epidemiológicos e nos protocolos assistenciais. A neurociência tem como objetivo estuar o sistema nervoso, sua formação embrio e histológica bem como a ligação da fisiologia de todo corpo, para tal tem colaborado para entendermos os mecanismos estímulo-resposta, mecanismo esse que é importante para entender a resposta do corpo humano nas injurias como é o caso o TCE. Partindo deste princípio, a problemática levantada para esta pesquisa foi: Quais cuidados ofertados para pacientes vítima de TCE e a colaboração da neurociência. Sendo assim, este estudo teve como principal objetivo descrever a fisiopatologia do TCE, o suporte terapêutico para as vítimas desse agravo e a colaboração da neurociência. Este estudo rata-se de uma revisão integrativa. Portanto, elaborou-se a seguinte questão norteadora: Quais cuidados ofertados para pacientes vítima de TCE e a colaboração da neurociência. É importante salientar que uma parcela dos indivíduos que sobrevivem a um TCE tem a possibilidade de proceder com danos de caráter permanentes implicando em déficits motores, os sensoriais, cognitivos, os de linguagem, emocionais ou até mesmo comportamentais.
SEO-OPTIMIZED WRITING: REMOVING THE MYSTERY
Authors: Doby Jerry
Published: August 2023

In the digital age, SEO optimization plays a crucial role in enhancing the visibility and reach of online content. This paper, authored by Jerry Doby, Ph.D., Editor-in-Chief of The Hype Magazine, aims to demystify SEO-optimized writing for professionals such as journalists, bloggers, copywriters, and other enthusiasts. The study delves into the step-by-step process of optimizing content to improve search engine placement and attract a larger audience. The paper begins by discussing the significance of an SEO-optimized headline and its impact on search engine placement. It emphasizes the importance of researching relevant keywords and phrases and incorporating them into the headline while maintaining a clear and concise message. Additionally, the paper highlights the use of numbers, questions, and emotional triggers to increase click-through rates and engagement, further enhancing search engine placement.
ORGANIZATIONAL AMBIDEXTERITY: A PATH TO DIGITAL TRANSFORMATION IN SMALL AND MEDIUM ENTERPRISES
Authors: Da Silva Rodrigo Rubens , Larieira Cláudio Luís Carvalho , Meirelles Fernando de Souza , Dos Reis António Maria Palma
Published: August 2023

The Organizational Ambidexterity (OA) has been perceived as an enabling capability for the Digital Transformation (DT) in organizations and includes the trade-off between its dimensions: exploration and exploitation. Its development involves management complexity and enough availability of resources, making it difficult implementation in small companies, a segment whose usual lack of organizational and cognitive assets also creates barriers to DT . Understanding such phenomena in small and medium enterprises (SMEs) contributes to identify initiatives to promote DT in this segment, which employs the majority of the world's population. Our research presents the context in the service sector, aiming to overcome the lack of studies that investigate OA in SMEs. Using multiple case studies, we investigated ambidextrous behaviors adopted by managers of small companies that favor DT. The findings identify combined characteristics of the Structural, Contextual and Leadership-Based Ambidexterity models that enable companies to satisfactorily take advantage of organizational resources in the context of DT. Our research identified a set of mechanisms whose adoption gives evidence of contribution on promoting DT in SMEs. Such aspects involve issues related to knowledge management, human resources, organizational structure and promotion of digital culture.
AVALIAÇÃO DO COMPORTAMENTO RESPIRATÓRIO DE PACIENTES INTERNADOS COM INFECÇÃO SUSPEITA OU CONFIRMADA DE COVID-19 ATENDIDOS PELA FISIOTERAPIA
Authors: Oti Karla da Costa Braz , Mota Bianca de Araújo , De Barro Gizeli Vidal , Santiago Leonardo Kinupp , Santiago Leonardo Kinupp , Da Silva Luana Mello , De Oliveira Miriana Carvalho , Da Fonseca Ricardo Bach , Da Silva Rodolpho Martins , Pimentel Letícia Corrêa , Fernandes Alba Barros Souza
Published: August 2023

A pandemia de COVID-19 vem sobrecarregando os sistemas de saúde de todo o mundo. Uma parcela dos indivíduos infectados evolui para um estágio mais grave da doença, necessitando de hospitalização e, em alguns casos, de ventilação mecânica. Como o profissional Fisioterapeuta está à frente do processo de atendimento desses pacientes, definir estratégias que determinem o tratamento mais eficaz faz-se imprescindível. Objetivo: Avaliar o comportamento cardiorrespiratório de pacientes internados com infecção suspeita ou confirmada de COVID-19 atendidos pelo setor de Fisioterapia de um hospital escola, localizado no Estado do Rio de Janeiro. Metodologia: Estudo clínico, observacional, quantitativo e retrospectivo, realizado por meio da análise dos prontuários de pacientes internados com infecção suspeita ou confirmada de COVID-19 atendidos pela Fisioterapia no Hospital das Clínicas de Teresópolis Costantino Ottaviano (HCTCO). Foram verificados: tempo de permanência em cateter nasal com suplementação de O2; tempo de permanência em intubação orotraqueal; eficácia da pronação; sucesso no desmame ventilatório, alta da Terapia Intensiva e óbitos. Resultados: A COVID 19 causa alterações na função pulmonar, com hipoxemia grave que levam a necessidade de assistência especializada fisioterapêutica para eleição de suporte ventilatório. Pacientes críticos acometidos pela COVID-19 podem necessitar de suporte desde oxigenoterapia até VMI, a depender da evolução e da gravidade do caso. Uma elaboração de estratégias ventilatórias eficazes resultam em maior número de altas hospitalares em comparação aos óbitos, como apresentado neste estudo.
DA TEORIA À PRÁTICA: DESAFIOS DA IMPLANTAÇÃO DA CULTURA DEVOPS NA ROTINA DE EMPRESA DE DESENVOLVIMENTO DE SISTEMAS
Authors: Beppler Bernardo Alberto Faedo
Published: August 2023

Cada vez mais as empresas de desenvolvimento de software encontram um cenário competitivo para a comercialização de serviços que tragam maiores valores aos negócios de seus clientes. Para que essa valorização ocorra é necessário que os sistemas desenvolvidos sejam disponibilizados de maneira rápida e com qualidade, visando otimizar a experiência do usuário final. Para que isso aconteça, as empresas adotam metodologias ágeis para uma entrega contínua do software. Neste contexto, o presente trabalho explora a cultura DevOps dentro de uma empresa de desenvolvimento de software de pequeno porte. O objetivo é analisar os desafios da implantação de tal cultura desde a teoria até a prática. O método utilizado é análise de conteúdo, após aplicação de formulários a membros da equipe. Constata-se que, apesar da consciência da necessidade de DevOps por parte dos profissionais, questões controversas na discussão de novos projetos, integração de times, otimização de ferramentas e outras barreiras na rotina impedem a implantação total da cultura, afastando os envolvidos dos caminhos para obter resultados melhores.
ASSESSING WATER QUALITY CHANGES CAUSED BY DREDGING OPERATIONS IN SANTOS ESTUARY, SÃO PAULO, BRAZIL
Authors: Consulim Carlos Eduardo Neves , Pareschi Daniela Cambeses , Masutti Mariana Beraldo , Gonçalves Cristina , Silvério Patrícia Ferreira
Published: August 2023

Dredging activity may cause sediment resuspension, altering water quality regarding to dissolved oxygen and conductivity (measured in the field), turbidity, total suspended solids and nutrients (such as phosphorus and total organic carbon), analyzed in the laboratory. In this work ten sampling campaigns were performed in four areas of Santos harbor’s navigation channel, with different grain sizes, in order to monitor along one hour, the variation of these parameters in the sediment plume formed due to dredging activity. A previous campaign was carried out before dredging activities. This study showed that despite of variations in the results of the investigated parameters, these variations are of small magnitude and of short duration.
PROJETOS DE ENSINO COM FOCO NO ACOMPANHAMENTO PEDAGÓGICO: INTERLOCUÇÕES COM A EDUCAÇÃO POPULAR
Authors: Grellert Ana Paula , Da Silva Ederson Pinto , Oliveira Neiva Afonso
Published: August 2023

O referido trabalho trata sobre a concepção de Educação Popular desde Paulo Freire como uma concepção de educação capaz de dar conta dos desafios do acompanhamento pedagógico ao estudante no Ensino Superior, sendo este processo integrado à assistência básica estudantil. Destaca a importância da Educação Popular como concepção de educação e propõe a partir de uma experiência concreta de acompanhamento pedagógico a partir de projetos de ensino a concretização de uma educação libertadora, considerando seus limites e possibilidades, desde a realidade institucional. O referido trabalho foi elaborado a partir da práxis profissional na referida instituição, e como recurso metodológico utilizou-se a pesquisa bibliográfica, tendo como referencial as obras de Paulo Freire. Os resultados evidenciam que o trabalho com projetos de ensino no acompanhamento pedagógico ao estudante no ensino superior pode trazer novas perspectivas para a Educação Popular na universidade e na assistência básica estudantil.
COMUNICAÇÃO ALTERNATIVA DE ALTA TECNOLOGIA: NEURODIVERSIDADE E DISPOSITIVOS DE POTENCIALIZAÇÃO DO PROCESSO DE INCLUSÃO ESCOLAR
Authors: Sois Linkoln Luiz Teodoro , Fofonca Eduardo
Published: August 2023

Com a inclusão educacional, são incontáveis os dilemas que permeiam a prática pedagógica para o uso de estratégias de ensino mais adequadas, a fim de garantir uma resposta educativa mais efetiva para seu alunado e, sobretudo, que corresponda às propostas advindas da política de educação inclusiva. O objetivo deste ensaio é discutir sobre o uso de comunicação alternativa e os benefícios trazidos por esta prática inclusiva no contexto educacional a partir de um olhar sensível da Neurodiversidade. Assim, o uso de estratégias de comunicação e meios alternativos que contemple a participação e desenvolvimento social, principalmente de estudantes que apresentam algum tipo de prejuízo na área da linguagem e comunicação e transtornos invasivos do neurodesenvolvimento. O ensaio, em suma, ressalta que apesar de inúmeros impasses que permeiam a prática pedagógica e fazem com que, muitas vezes, uma ação educacional de qualidade seja implementada com estudantes que apresentam tais déficits depende definitivamente da constante formação continuada da docência, pois os profissionais necessitam de atualização quanto às novas demandas que surgem frequentemente em sala de aula.
EDUCAÇAO ESPECIAL E O ATENDIMENTO EDUCACIONAL ESPECIALIZADO-A.E. E: Uma Escola INCLUSIVA?
Authors: César Dias Lopes Gabriel
Published: August 2023

O presente artigo discute sobre os avanços da educação inclusiva ao longo dos anos como algo de suma importância, por isso fez-se necessário compreender quais os entraves existentes na promoção do atendimento educacional especializado (AEE) nas escolas deensino regular ofertados para os educandos com necessidades especiais. A partir de pesquisas bibliográficas a temática foi fundamentando teoricamente as discussões. A partir dessa pesquisa, observa-se que a interação entre os docentes do ensino regular e do AEE ainda não acontece efetivamente, como também o número de educadores com formação na área para atuar em salas de recursos multifuncionais é muito baixo, implicando na oferta de qualidade desse serviço, que fica à mercê das indagaçõesfuncionais. Acredita-se que a educação inclusiva na perspectiva da educação especial assume na atualidade um importante papel de transformação da escola tradicional excludente, em lugar acolhedor para todos.
Pandemi Döneminde İntörn Hemşire Öğrenci Olmak: Kadın Doğum Kliniklerinde Uygulama Yapan Hemşirelik Öğrencilerinin Deneyimleri
Authors: BALTACI Nazlı , METİN Ayşe
Published: August 2023

Amaç: Bu çalışmanın amacı COVID-19 pandemisi sürecinde kadın doğum kliniklerinde uygulama yapan intörn hemşirelik öğrencilerinin deneyimlerinin incelenmesidir.

Yöntem: Çalışma, Türkiye’nin kuzeyinde bir üniversitenin Sağlık Bilimleri Fakültesi Hemşirelik bölümünde gerçekleştirilmiştir. “Kadın Hastalıkları ve Doğum Hemşireliği İntörn Uygulama Dersi” ni alan ve yaz döneminde kadın doğum kliniklerinde uygulama yapan son sınıf intörn öğrencileri ile fenomenolojik desenli, tanımlayıcı tipte niteliksel bir araştırma olarak yürütülmüştür. Araştırma verileri, Google Meet uygulaması üzerinden online video konferans şeklinde 31/08/2021 tarihinde tek odak grup görüşmesi yapılarak toplanmış ve betimsel analiz yöntemiyle değerlendirilmiştir.

Bulgular: Elde edilen verilerin analizinde Öğrencilerin “klinik uygulama yapacaklarını ilk öğrendiklerinde hissettikleri” ve “klinik uygulama sırasında hissettikleri” olmak üzere iki ana tema ortaya çıkmıştır. “Klinik uygulama yapacaklarını öğrendiklerinde hissettikleri” temasında; “fırsat”, “korku ve belirsizlik” alt temaları; “klinik uygulama sırasında hissettikleri” temasında ise “korku”, “güven ve farkındalık”, “bakım bilinci” ve “ekip dayanışması” alt temaları belirlenmiştir.

Sonuç: Araştırma sonucunda pandemi sürecinde intörn öğrenci hemşirelerin kadın doğum dersi kapsamında klinik uygulama yapabilmeyi fırsat olarak düşündükleri, uygulamaların mesleki gelişimlerini desteklediği, ancak enfeksiyonu bulaştırma korkusu ve pandemi sürecine ilişkin belirsizlik yaşadıkları ortaya çıkmıştır. Bu bağlamda pandemi kaynaklı klinik uygulamalara ilişkin alternatif planlamaların ve telafilerin, öğrencilerin duygu, düşünceleri ve deneyimleri dikkate alınarak beceri gelişimini yeterli şekilde destekler nitelikte yapılması önerilmektedir.
SURGICAL TREATMENT OF CHRONIC THROMBOEMBOLIC PULMONARY HYPERTENSION: MODERN TRENDS AND OWN EXPERIENCE
Authors: Akchurin R. S. , Mershin K. V. , Tabakyan E. A. , Latypov R. S. , Gazizov V. V. , Tsyrenov D. D.
Published: August 2023

Pulmonary endarterectomy (PEA) is the method of choice in treatment of chronic thromboembolic pulmonary hypertension (CTEPH). There are a lot of factors still restricting the widespread use of these operations. Among them are the difficulties of diagnosing and patient selection, the peculiarities of operation and postoperative treatment, the unawareness of cardiological community about surgical outcomes. We discuss the preparation of the patient to PEA, standards of the surgery and postoperative treatment. The results of preoperative diagnostics and PEA-operations at our center are presented. The possible causes of postopreative mortality and adverse outcomes are also discussed.
OPTIMAL CUT-OFF POINTS OF INSTANTANEOUS WAVE-FREE RATIO IN THE ASSESSMENT OF THE FUNCTIONAL SIGNIFICANCE OF CORONARY ARTERY STENOSES USING NONINVASIVE METHODS AS REFERENCE
Authors: Darenskiy D. I. , Gramovich V. V. , Zharova E. A. , Mitroshkin M. G. , Atanesyan R. V. , Bakashvili G. N. , Matchin Y. G.
Published: August 2023

ABSTRACT Objective: the aim of our study was to determine the optimal instantaneous wave-free ratio (iFR) cut-off points in assessing the functional significance of intermediate coronary artery stenoses in patients with chronic coronary artery diseases (CAD) using non-invasive methods of myocardial ischemia verification as reference. Methods: 60 patients with chronic CAD or suspected CAD and intermediate coronary stenoses (50-70%) were included in the study. 92 borderline coronary stenoses were investigated. iFR measurement was carried out within 10 days after the non-invasive stress test (a combination of stress echocardiography and SPECT). Results: stress-induced myocardial ischemia was detected in 18 patients (30%). iFR values are in the range 0.68 to 1.0, median of iFR - 0.95 [0.9; 0.99]. Area under iFR ROC-curve - 0.95 ± 0.02 (95%CI: 0.885-0.985). The iFR cut-off point 0.92 is optimal and has a sensitivity of 100%, a specificity of 83% and a negative predictive value (NPV) of 100%. The iFR cut-off point 0.86 is associated with a specificity of 100%, a sensitivity of 33% and a positive predictive value of 100%. The values of iFR «grey» zone ranged from 0.87 to 0.92. Conclusion: using non-invasive methods of verification of myocardial ischemia as a reference, iFR cut-off point 0.92 excludes the functional significance of coronary artery stenosis with a NPV of 100%. iFR cut-off point 0.86 confirms the functional significance of the stenosis with a PPV of 100%. It is recommended to measure the fractional flow reserve in the case of obtaining the iFR values of «grey» zone (0,87-0,92). Key words: iFR, CAD, stress-echo, SPECT.
THE PROCESS OF COMBINED INFERIOR MYOCARDIAL INFARCTION AND RIGHT VENTRICLE MYOCARDIAL INFARCTION WITH TRANSIENT ARTERIAL HYPOTENSION
Authors: Chazymova Z. M. , Beishenkulov M. T. , Kaliev K. R. , Toktosunova A. K. , Abdurashidova T. S.
Published: August 2023

Aim. To study the arterial hypotension influence to the progress of combined inferior and right ventricle myocardial infarction.

Material and methods.There were studied 66 patients with the primary inferior and right ventricle myocardial infarction. Patients were divided into 2 groups: 1st group - patients with inferior and right ventricle myocardial infarction with stable hemodynamics (n=34); 2nd group - patients with inferior and right ventricle myocardial infarction complicated by arterial hypotension in early period (n=32). Electrocardiography (ECG) and echocardiography (EchoCG) were performed in patients 1, 3, 30 days and 6 months after.

Results. On the 6th month of the disease, despite adequate conservative therapy, there was a significant increase of LV volume index in patients from the 2nd group, thus EDV LV was 164.2±4.2 ml3, ESV 94.1±2.8 ml3 (p<0.028). It was positive dynamics in rehabilitationof systolic function of RV in two groups. Thus EDS RV in patients from the 2nd group was 31.4±2.0 sm3, and in patients from the 1st group 25.1±2.2 cm3 (p<0.05), ESS RV in 2nd group became 19.8±2.0 cm3, and in the 1st group 14.4±1.9 cm3 (p<0.05). To the 6th month of disease FIP LV in the 1st group 40.3±3.2%, in the 2nd group 39.4% (p<0.05 in the group). To the 6th month of disease in the 1st group: ACS repeated episodes were in 6 patients (18%), 4 patients with heart failure FC III (12%), death was in 6% (2 patients). In the 2nd group: ACS repeated episodes were in 10 patients (30%) (OR 2.167; 95% CI 0.674-6.967), 7 patients with heart failure fC III (21%), death was in 10% (3 patients) (OR 2.2; 95% CI 0.190-25.517).

Conclusion.The patients with transitory arterial hypotension at the beginning of disease, have the singes of pathological LV remodeling, which complicate the course of disease, but the RV function becomes better.
PECULIARITIES AND SURGICAL TREATMENT TACTICS OF POSTERO-BASAL LEFT VENTRICULAR ANEURYSMS
Authors: Chragyan V. A. , Arutyunyan V. B. , Kadyraliev B. K. , Mialiuk P. A. , Vronskiy A. S. , Lilothia S. H.
Published: August 2023

The literary review reflects the main current data on the problem of surgical treatment of postero-basal left ventricular aneurysms. It is shown that, despite the small percentage of these aneurysms in patients with coronary heart disease (CHD), their importance for surgical treatment is significant, since the effective correction of detected disorders of cardiac structures, myocardium and coronary arteries has not been sufficiently developed to date, and many issues of surgical tactics are contradictory. This applies both to the type of geometric reconstruction of the left ventricle, and the feasibility of mitral regurgitation correction, which due to dysfunction of the papillary muscles is observed in almost all patients with postero-basal aneurysms of the heart. The question of the combined correction of the interventricular septum rupture in patients with postero-basal aneurysms remains complex and unresolved until now. The relevant problem is the choice of surgical tactics of left ventricular reconstruction using two patches in the presence of anteroposterior aneurysms. All of the above reflects the need for further research on the problem of surgical treatment of postero-basal aneurysms of the heart.
TRANSCATHETER AORTIC VALVE IMPLANTATION AND OPEN AORTIC SURGERY: COMPARATIVE ASSESSMENT OF RESULTS
Authors: Ganyukov V. I. , Tarasov R. S. , Vereshchagin I. E. , Kochergin N. A. , Stasev A. N. , Nagirnyak O. A. , Barbarash L. S.
Published: August 2023

Aim. The aim of this study is to compare hospital and long-term outcomes in patients with low surgical risk after aortic stenosis correction in surgical aortic valve replacement (SAVR) and transcatheter aortic valve implantation (TAVI).

Materials and methods. Patients with aortic stenosis (AS) were included in the study. The main criterion for inclusion - the presence of indications for surgical correction of an isolated aortic valve defect. The first group included patients after TAVI (n = 11). As a control group, patients who underwent surgical correction aortic stenosis (n = 23). The TAVI group used non-repositories CoreValve (Medtronic) and repositioned Lotus (Boston Scientific) valves. Biological prosthesis Uniline (KemKor) was used in the group of surgical patients. The efficacy of the interventions was evaluated at the hospital and annual follow-up, based on the analysis of the combined endpoint, and major adverse cardiovascular events.

Results. The mean age of the patients was 66.9±5.7 years in the SAVR group and 75.3±4.1 years in the TAVI group (р=0,003). The average score for EuroSCORE II was 3.49±0.3 in the SAVR group and 3.93±1.2 in the TAVI group (р=0,31). Repositionable and non-repositionable valves were implanted in 2 and 9 cases, respectively. The combined endpoint was noted in one patient in the TAVI group and in four patients in the SAVR group according to the annual observation results. There are three (13%) fatal outcomes in the surgical prosthesis group.

Conclusion. The possibility of using TAVI in low-risk patients with aortic stenosis was demonstrated on the basis of comparable results of evaluating efficacy and safety with SAVR in 1-year follow-up.
Mild thrombocytopenia and postpartum hemorrhage in pregnancies with placenta previa
Authors: OZDEN TOKALIOGLU Eda , GÖNCÜ AYHAN Şule , TURGUT Ezgi , TUĞRUL ERSAK Duygu , TANACAN Atakan , SAHİN Dilek
Published: August 2023

ABSTRACT

Aim

Postpartum hemorrhage (PPH) is a major cause of maternal mortality and morbidity. Although thrombocytopenia is one of the known risk factors for postpartum hemorrhage, little is known about the effect of mild thrombocytopenia on PPH. The current study aimed to investigate the relationship between postpartum hemorrhage and mild thrombocytopenia in pregnant women with placenta previa.

Method

We conducted a retrospective cohort study of pregnant women who underwent placenta previa surgery between October 1, 2019 and May 1, 2022. Women with mild thrombocytopenia (platelet count 100,000-149,999/ µl) comprised the study group. The women in the control group had normal platelet counts (platelet count 150.000- 450.000 / µl). The outcome was the incidence of postpartum hemorrhage which is a combination of one or more of the following: 1) the requirement for a transfusion of pRBC during the intraoperative or postpartum period; 2) a decrease in Hb levels of at least 3 gr/dL postpartum compared to prepartum.

Results

There were 170 women in the study; 30 were in the group with mild thrombocytopenia and 140 were in the control group. Mild thrombocytopenia was found to be associated with postpartum hemorrhage (adjusted odds ratio: 3.90 95% CI: 1.56-9.72). Also in the mild thrombocytopenia group, the number of patients receiving blood transfusion and Hb decline >3 g/dL were significantly higher compared to the control group (p
Beating Stellar Systematic Error Floors Using Transit-based Densities
Authors: Eastman Jason D. , Diamond-Lowe Hannah , Tayar Jamie
Published: August 2023

It has long been understood that the light curve of a transiting planet constrains the density of its host star. That fact is routinely used to improve measurements of the stellar surface gravity and has been argued to be an independent check on the stellar mass. Here we show how the stellar density can also dramatically improve the precision of the radius and effective temperature of the star. This additional constraint is especially significant when we properly account for the 4.2% radius and 2.0% temperature systematic errors inherited from photometric zero-points, model atmospheres, interferometric calibration, and extinction. In the typical case, we can constrain stellar radii to 3% and temperatures to 1.75% with our evolutionary-model-based technique. In the best real-world cases, we can infer radii to 1.6% and temperatures to 1.1%—well below the systematic measurement floors—which can improve the precision in the planetary parameters by a factor of two. We explain in detail the mechanism that makes it possible and show a demonstration of the technique for a near-ideal system, WASP-4. We also show that both the statistical and systematic uncertainties in the parallax from Gaia DR3 are often a significant component of the uncertainty in L
* and must be treated carefully. Taking advantage of our technique requires simultaneous models of the stellar evolution, bolometric flux (e.g., a stellar spectral energy distribution), and the planetary transit, while accounting for the systematic errors in each, as is done in EXOFASTv2.
Changes in serum cytokine profile and deficit severity in patients with relapsing-remitting multiple sclerosis
Authors: Slavov Georgi
Published: August 2023

Introduction: In experimental autoimmune encephalomyelitis, neurological deficit correlates with axonal loss and the CD8+ T cells are a likely mediator of axonal damage. In relapsing-remitting multiple sclerosis, there is a correlation of the immune inflammatory activity in the lesion foci with the axon transection.

Aim: To evaluate the changes occurring in the serum concentrations of TNF-α, IFN-γ, IL17, TGF-β1, IL4, and IL10 during relapse and remission, and their correlations with the degree of neurological deficit.

Materials and methods: In an open, prospective, case-control study conducted between 2012 and 2014, we examined 86 people: 46 patients (33 women and 13 men) and 40 healthy individuals (20 women and 20 men).

Serum cytokine concentrations were analyzed using ELISA – once in the controls, twice in the patients during the relapse and remission of the condition.

The collected data were analyzed using SPSS 19.0. We used the Kolmogorov-Smirnov test, the independent sample t-test, the Spearman and Pearson correlation, the Mann-Whitney test, and regression analysis.

Results: Immune imbalance was found in the patients compared to the healthy controls in both relapse and remission. During the relapse, the IFN-γ levels were significantly increased compared to the levels in remission (p=0.017). During remission, the deficit was statistically significantly improved (p<0.001) and the anti-inflammatory IL4 and TGF-β1 were increased compared to their levels in the exacerbation period (p=0.006 and p=0.009, respectively). There was a causal relationship between the serum concentrations of TNF-α and EDSS in relapse (Vanetto-significance). During this phase, the regression analysis established two factors that had statistically significant influence on the deficit severity – TNF-α and IL17 (t=2.093, p=0.042; t=−2.140, p=0.038).

Conclusions: IL17 and TNF-α serum concentrations are significant factors for the neurological deficit severity. The levels of IFN-γ, IL4, and TGF-β1 during both periods are criteria for evaluation of the immune inflammatory activity.
The morphology and spectral characteristics of the compound eye of Agasicles hygrophila (Selman & Vogt, 1971) (Coleoptera, Chrysomelidae, Galerucinae, Alticini)
Authors: Fan Wei-Li , Liu Xiao-Kun , Zhang Tian-Hao , Liang Zu-Long , Jiang Lei , Zong Le , Li Cong-Qiao , Du Zhong , Liu Hao-Yu , Yang Yu-Xia , Wu Feng-Ming , Ge Si-Qin
Published: August 2023

The first exploratory study was conducted on the compound eye morphology and spectral characteristics of Agasicles hygrophila (Selman & Vogt, 1971) to clarify its eye structure and its spectral sensitivity. Scanning electron microscopy, paraffin sectioning, and transmission electron microscopy revealed that A. hygrophila has apposition compound eyes with both eucones and open rhabdom. The micro-computed tomography (CT) results after 3D reconstruction demonstrated the precise position of the compound eyes in the insect’s head and suggested that the visual range was mainly concentrated in the front and on both sides of the head. The electroretinogram (ERG) experiment showed that red, yellow, green, blue, and ultraviolet light could stimulate the compound eyes of A. hygrophila to produce electrical signals. The behavioural experiment results showed that both males and females had the strongest phototaxis to yellow light and positive phototaxis to red, green, and blue light but negative phototaxis to UV light. This study of the compound eyes of A. hygrophila will be helpful for decoding its visual mechanism in future studies.
Current knowledge on the diversity of Eumolpinae (Coleoptera, Chrysomelidae) in New Caledonia
Authors: Platania Leonardo , Gómez-Zurita Jesús
Published: August 2023

The Eumolpinae leaf beetles of New Caledonia are very diverse, but our knowledge about their diversity is still incomplete. Following a renewed interest in the group in the last two decades, there has been an exponential increase in the number of species described, with species descriptions and taxonomic reassessment ongoing. In this work, the catalogue of New Caledonian Eumolpinae is updated, incorporating all these recent changes, and also indicating the collection where type specimens are currently available. The updated catalogue includes 120 species in 13 genera, and more additions and taxonomic changes, including new combinations, are expected in forthcoming years. Here two new synonymies are reported, namely Dumbea striata Jolivet, Verma & Mille, 2007 = Taophila cancellata Samuelson, 2010, syn. nov.; and Dematochroma theryi Jolivet, Verma & Mille, 2010 = Dematochroma poyensis Jolivet, Verma & Mille, 2010, syn. nov. Moreover, two species still retaining their original adscription to the genus Colaspis Fabricius, 1801, are treated as incertae sedis. This catalogue represents a useful tool for future taxonomic studies of New Caledonian Chrysomelidae and can assist biodiversity surveys and conservation studies within the archipelago.
Architecture, construction, retention, and repair of faecal shields in three tribes of tortoise beetles (Coleoptera, Chrysomelidae, Cassidinae: Cassidini, Mesomphaliini, Spilophorini)
Authors: Chaboo Caroline Simmrita , Adam Sally , Nishida Kenji , Schletzbaum Luke
Published: August 2023

Animal constructions are the outcomes of complex evolutionary, behavioural, and ecological forces. A brief review of diverse animal builders, the materials used, and the functions they provide their builders is provided to develop approaches to studying faecal-based constructions and faecal-carrying in leaf beetles (Coleoptera: Chrysomelidae). Field studies, rearing, dissections, photography, and films document shields constructed by larvae in two species in two tribes of the subfamily Cassidinae,Calyptocephala attenuata(Spaeth, 1919) (Spilophorini), andCassida sphaerulaBoheman, 1853 (Cassidini). Natural history notes on an undetermined Cassidini species andStolas cucullata(Boheman, 1862) (Tribe Mesomphaliini) outline the life cycle of tortoise beetles and explain terms. Commonly, the cassidine shield comprises exuviae onto which faeces are daubed, producing a pyramidal-shaped shield that can cover most of the body (up to the pronotum). InCal. attenuatathe larval shield comprises only exuviae, while inCass. sphaerula, instar 1 initiates the shield by extending its telescopic anus to apply its own faeces onto its paired caudal processes; at each moult the exuvia is pushed to the caudal process base but remains attached, then more faeces are applied over it. The larva’s telescopic anus is the only tool used to build and repair the shield, not mouthparts or legs, and it also applies chemicals to the shield. Pupae inCal. attenuataretain part of the exuviae-only shield of instar VI, while pupae inCass. sphaerularetain either the entire 5thinstar larval shield (faeces + all exuviae) or only the 5thlarval exuvia. The caudal processes are crucial to shield construction, shield retention on the body, and as materials of the central scaffold of the structure. They also move the shield, though the muscular mechanism is not known. Altogether the faecal + exuviae shields may represent a unique morpho-behavioural synapomorphy for the crown-clade Cassidinae (10 tribes, ~ 2669 species) and may have been a key innovation in subsequent radiation. Defensive shields and domiciles may help explain the uneven radiation of chrysomelid subfamilial and tribal clades.
Clinical efficacy of angiotensin receptor-neprilysin inhibitor in de novo heart failure with reduced ejection fraction
Authors: Park Su Yeong , Kong Min Gyu , Moon Inki , Park Hyun Woo , Choi Hyung-Oh , Seo Hye Sun , Cho Yoon Haeng , Lee Nae-Hee , Lee Kwan Yong , Jang Ho-Jun , Kim Je Sang , Choi Ik Jun , Suh Jon
Published: August 2023

Background/Aims: We aimed to analyze the efficacy of angiotensin receptor-neprilysin inhibitor (ARNI) by the disease course of heart failure (HF).Methods: We evaluated 227 patients with HF in a multi-center retrospective cohort that included those with left ventricular ejection fraction (LVEF) ≤ 40% undergoing ARNI treatment. The patients were divided into patients with newly diagnosed HF with ARNI treatment initiated within 6 months of diagnosis (de novo HF group) and those who were diagnosed or admitted for HF exacerbation for more than 6 months prior to initiation of ARNI treatment (prior HF group). The primary outcome was a composite of cardiovascular death and worsening HF, including hospitalization or an emergency visit for HF aggravation within 12 months.Results: No significant differences in baseline characteristics were reported between the de novo and prior HF groups. The prior HF group was significantly associated with a higher primary outcome (23.9 vs. 9.4%) than the de novo HF group (adjusted hazard ratio 2.52, 95% confidence interval 1.06–5.96, p = 0.036), although on a higher initial dose. The de novo HF group showed better LVEF improvement after 1 year (12.0% vs 7.4%, p = 0.010). Further, the discontinuation rate of diuretics after 1 year was numerically higher in the de novo group than the prior HF group (34.4 vs 18.5%, p = 0.064).Conclusions: The de novo HF group had a lower risk of the primary composite outcome than the prior HF group in patients with reduced ejection fraction who were treated with ARNI.
Peut-il y avoir devoir moral sans religion ?
Authors: Dromelet Catherine
Published: August 2023

Dans son Enquête sur l’entendement humain , Hume démontre que la religion ne possède aucune autorité épistémique et ne devrait donc pas dicter les principes de la morale. Pourtant, il constate qu’elle semble effectivement exercer une influence sur les actions humaines et possède donc une autorité morale. L’ Enquête sur les principes de la morale consiste à présenter l’origine séculaire de la morale et donc le fait que la religion n’y joue aucun rôle. En même temps, Hume emploie des métaphores et analogies religieuses lorsqu’il parle de l’autorité morale des institutions sociales. Le présent article tente de déterminer la position de Hume par rapport à l’autorité morale de la religion en clarifiant sa théorie du devoir moral et en interprétant le sens de son vocabulaire religieux dans le cadre de sa philosophie antireligieuse.
Mettre en débat la représentation syndicale
Authors: Rouxel Pierre
Published: August 2023

Sur fond d’érosion de leur ancrage social et de leur crédit symbolique, les organisations syndicales sont traversées aujourd’hui par des luttes autour des pratiques et du sens de l’engagement. Dans cette perspective, l’article analyse les efforts de délégués d’une usine du nord de Buenos Aires, en Argentine, pour faire émerger et diffuser un « sens syndical alternatif », à partir de l’animation d’un centre socio-éducatif et d’un cycle de formation proposé à des ouvriers de l’industrie chimique. Après être revenu sur les ressorts sociaux et organisationnels de ce projet militant, l’article en explore les conditions de réussite. Si cet espace de formation rend possible une mise en débat des formes et du périmètre d’intervention du syndicalisme, l’enquête ethnographique montre aussi combien ce processus est entravé par les appels au loyalisme des dirigeants du syndicat de branche, auxquels certains participants – en raison de leurs trajectoires et de leurs dispositions – se montrent sensibles.
Déformation militante du travail médical
Authors: Ruault Lucile
Published: August 2023

Les groupes du Mouvement pour la liberté de l’avortement et de la contraception (MLAC) qui fleurissent en 1973-1974 en France défendent, pour forcer le changement de loi, une activité abortive non clandestine, qui en vient à façonner une part substantielle de la formation militante. une approche localisée des MLAC révèle que la transmission des savoirs abortifs divise, et même cristallise les luttes de sens au sein du mouvement. En particulier, les bornes de la formation sont un nœud de tensions entre médecins et non-médecins. Alors que la formation pourrait subvertir la division des rôles, elle semble aboutir à la fabrique de savoirs spécialisés et à la clôture du groupe professionnel. De sorte que « la pratique » polarise les attentes : est-elle un état transitoire destiné à faire de l’avortement un « acte médical comme les autres », ou bien une action politique pérenne pour l’accès des femmes à l’autodétermination de leur corps ? Reposant sur une vaste enquête par entretiens et archives sur divers MLAC, cet article analyse la formation à la pratique abortive comme terrain de luttes internes. Il interroge la définition conflictuelle du public légitime de la formation (sélectionner ou massifier ?), avant de montrer comment les groupes aux intérêts différenciés qui en résultent (MLAC à majorité médicale ou profane) développent des usages et sens divergents de la passation de savoirs. Se dégagent alors deux modes de formation d’ordre idéal-typique : la dissociation entre soins et techniques versus leur union.
Du powerviolence et du mignon
Authors: Levinson Leah B. , Labaye Chloé
Published: August 2023

Dans ce texte dense, l’écrivaine et musicienne Leah Levinson (des groupes Cali Below et Agriculture) ne nous raconte pas tant l’histoire du mouvement rock hardcore labellisé « powerviolence » — que celle de l’abandon de l’attitude anarchiste du premier punk. Le « grind » et le powerviolence nous parlent du rapport de la jeunesse californienne à l’espoir et à l’idéal après la contre-révolution néolibérale de Reagan. Une fois évacuée la possibilité d’un véritable changement systémique, que reste-t-il aux enfants affligés de la nation ? Que doivent-ils faire de leurs guitares ? Ces artistes répondent par une esthétique du refus qui tourne à vide, qui ne concerne que soi-même, le skate et les beuveries — une décision consciente de n’aller nulle part, de ne rien dire, voire de se laisser tomber comme des morts. Contrairement ce que suggère le terme de « powerviolence », et presqu’à l’opposé de ce que décrit Alex « Ratcharge » dans le texte qui clôt ce numéro, Leah B. Levinson nous montre que cette même « violence » censée compenser l’impuissance politique va avec une manière d’accepter de guerre lasse sa dilution dans le spectacle, jusqu’à partager une affinité étrange avec la poésie contemporaine, son humeur cute et son sous-texte morbide.
Annuaire français de relations internationales
Authors: Xenou Lamprini
Published: August 2023

L’objectif de la présidence française de l’Union européenne (PFUE) a été double : que l’Union devienne une puissance numérique mondiale et que la France soit « l’âme numérique » de l’Union. En se fondant sur un concept qui gagne de l’ampleur – la souveraineté numérique –, la PFUE a proposé un modèle de gouvernance de l’espace numérique comportant trois axes : la régulation, l’innovation et la protection. Ce modèle illustre le fait que la politique suivie par la PFUE est avant tout celle du président Emmanuel Macron. C’est une politique de « patriotisme économique », avec un aspect offensif marqué puisque la PFUE met l’accent sur le besoin de faire émerger des entreprises européennes innovantes et suffisamment fortes afin de concurrencer et même remplacer les entreprises américaines et chinoises. Les outils proposés à cet égard par la PFUE demeurent insuffisants. Par ailleurs, l’approche humaniste du modèle de souveraineté proposé, qui consiste à placer l’individu au cœur de la transition numérique, a été peu défendue par la PFUE.
La couleur en questions
Authors: Roque Georges
Published: August 2023

Résumé Ce chapitre, consacré à une approche sémiotique de la couleur, porte plus précisément sur les relations entre la matière sensible de la couleur et la forme. Dans la mesure où il s’agit là d’un ensemble de questions fondamentales, mais complexes, il convient d’être prudent et de procéder pas à pas afin de déterminer comment la matière colorée, que nous appellerons pigments, s’articule tant avec la teinte qu’avec la forme. Dans un premier temps, j’examinerai certains des problèmes que posent les pigments pour une approche sémiotique, étant donné leur nature matérielle. Ensuite, j’aborderai les rapports entre pigment et teinte, ainsi que les liens entre teinte, clarté et saturation. Enfin, après avoir ainsi balisé le terrain, je serai à même de proposer une classification des rapports entre pigments et formes. À l’horizon de cet essai figure la volonté d’ébaucher une méthode d’analyse des couleurs dans les œuvres d’art.
La couleur en questions
Authors: Imbert Claude
Published: August 2023

Résumé Le colorisme du xix e siècle a signé l’indépendance d’une peinture qui développe ses propres dimensions et en laquelle le peintre dépose son propre regard. Ce fut une rupture entre la couleur et toute théorie physique ou métaphysique de la lumière. Le chromatisme, lié à la palette du peintre, est libéré du prisme newtonien, il emprunte très librement au cercle de Chevreul. L’arc-en-ciel dissout son message dans l’inconstance des météores. Place était faite pour l’expression de modalités subjectives adhérentes au thème pictural : humeurs, désirs, ambitions et mélancolies. Turner ( Regulus ), Cézanne ( La Pendule noire ), et Van Gogh ( Le Café de nuit ) ont délogé de la toile la mémoire du cadran solaire et son inéluctable temporalité. Si diverses que furent leurs peintures, elles en sont un document décisif.
Écoles, langues et cultures d’enseignement en contexte plurilingue africain
Authors: Thiam Khadimou Rassoul
Published: August 2023

Depuis 1990, le Conseil supérieur de la langue française a engagé une réforme de l’orthographe du français portant, selon ses tenants, sur des points qui nécessitent une harmonisation et une homogénéisation à des fins didactiques et normatives. Ces rectifications, consignées dans le Journal officiel de la République française n° 100 du 6 décembre 1990, ayant reçu un avis favorable de l’Académie française à l’unanimité, ainsi que l’accord du Conseil de la langue française du Québec et celui du Conseil de la langue de la Communauté française de Belgique, qui ont été consultés dans le processus, sont effectives en France depuis la rentrée 2016. Mais qu’en est-il du reste du monde francophone et notamment de l’Afrique francophone ? Si aujourd’hui le français a une dimension internationale et qu’il compte plus de locuteurs hors de l’Hexagone, il semble paradoxal que l’essentiel des pays ayant le français en partage ne soit pas associé à cette réforme nationale portant sur un objet commun. Une telle posture ne traduit-elle pas des rapports verticaux entre l’Hexagone et les autres pays francophones en matière de normalisation linguistique ? Les institutions franco françaises, Académie française, conseil supérieur sur la langue française, doivent-elles constituer les instances qui décident du fonctionnement et du devenir du français à l’échelle internationale quand l’on connait les bases historiques, sociales et les politiques nationalistes qui ont été à l’origine de leur érection ? Cette réforme commandée par le gouvernement français engage-t-elle ou devrait-elle engager le reste de la francophonie et notamment l’Afrique francophone ?
Langues, formations et pédagogies : le miroir africain
Authors: Tchagnaou Akimou
Published: August 2023

La répartition des élèves par classe relève de l’organisation de l’école, du collège ou du lycée. Elle est soumise à des contraintes administratives qui, par principe, sont supposées être objectives et logiques. Mais s’agissant des CEG de Lomé, cette situation exige une réflexion puisqu’au fur et à mesure qu’on évolue dans le système partant des classes de sixième aux classes de troisième, il y a une réduction systématique du nombre de classes. L’importance des effectifs à l’entrée du premier cycle du secondaire n’impulse aucunement l’accroissement des infrastructures d’accueil.
Langues, formations et pédagogies : le miroir africain
Authors: Zanga Godefroy Iréné
Published: August 2023

Après de nombreux atermoiements, le pouvoir politique camerounais a finalement décidé d’introduire l’enseignement des langues et cultures nationales dans le système éducatif, du primaire au supérieur, en passant par le secondaire. Cette décision qui est à sa cinquième année d’application amène le chercheur à s’intéresser à ses avancées sur le terrain à travers un certain questionnement. En effet, le Cameroun est une véritable mosaïque où se côtoient environ 245 langues, qui se déploient dans 4 aires pour presqu’autant de sous-aires culturelles. Dans ce contexte, lesquelles sont enseignées et d’après quels critères de sélection ? Ensuite, compte tenu du fait que l’École Normale supérieure en charge de la formation des enseignants de langues et cultures nationales n’en est qu’à sa cinquième promotion, comment se font les couvertures de programmes sur l’étendue du territoire national ? Enfin, étant entendu qu’il s’agit d’enseignements de langues et cultures nationales, comment s’élaborent les contenus et pour quels supports didactiques ? Ces quelques questions qui n’excluent pas d’autres constituent le socle sur lequel reposera notre réflexion dont la modeste ambition est de voir plus clair autour d’un projet pédagogique en cours d’élaboration et voir quels aménagements lui proposer.