bluuebunny/crossref_metadata_2025 huggingface dataset:
Cytological grading of canine mast cell tumors: correlation with histologic grading and survival time
Authors: Modesto Talita Cristina , Gundim Lígia F. , Oliveira Lígia A. , Bandarra Márcio B. , Magalhães Geórgia M. , Medeiros-Ronchi Alessandra A.
Published: April 2023

ABSTRACT: Mast cell tumors are one of the most common neoplasia in dogs and cytopathology and/or histopathology examinations are used for diagnosis. Histologic grading is considered the gold standard test to predict the prognosis of this neoplasia. However, studies have been conducted using the cytological grading system to provide similar information in a faster, less invasive, and more accessible way. This study aimed to investigate cytological graduation and correlate it with histological grading and the survival time of dogs diagnosed with cutaneous mast cell tumors at the Veterinary Hospital of “Universidade Federal de Uberlândia” over five years. For that, cytological and histological slides from 72 animals were reviewed. The statistical methods used were the kappa test for agreement between grading systems, the Kaplan-Meier for survival time, Cox regression for comparison of cytological and histological grades and survival time. The cytological grading when compared to the two-tier histologic grading, high and low grades, had a moderate agreement (kappa 0.566). When the correlation between survival time and the cytological grade was evaluated, there was a higher death rate in the group with high-grade mast cell tumors compared to low grade, pointing to a correlation between survival time and cytological grade (p=0.009). In conclusion, the cytological grade is useful to treatment planning and providing prognostic information that precedes tumor removal, showing a good correlation with the two-tier histologic grading and with the survival time of the animals.
Implementação dos diagnósticos de enfermagem do transoperatório e pós-operatório imediato no sistema de gestão informatizado
Authors: Fritzen Aline , Santos Danielle Pletes dos , Rocha Bianca Silva da , Jost Marielli Trevisan , Caregnato Rita Catalina Aquino , Linch Graciele Fernanda da Costa
Published: April 2023

RESUMO Objetivo: Implementar, em um software de gestão em saúde, os registros eletrônicos do processo de enfermagem perioperatório e a etapa de diagnósticos de enfermagem transoperatório e pós-operatório imediato, fundamentados na taxonomia NANDA International. Método: Relato de experiência conduzido a partir da realização do ciclo PDSA (Plan-Do-Study-Act), o qual permite o planejamento de melhoria com um propósito mais claro, direcionando cada etapa. Este estudo foi realizado em um complexo hospitalar da região sul do Brasil, utilizando o software Tasy/Philips Healthcare. Resultados: Para a inclusão dos diagnósticos de enfermagem, rodaram-se três ciclos, estabeleceram-se previsões de resultados esperados, e as tarefas foram atribuídas, definindo “quem, o quê, quando e onde”. O modelo estruturado contemplou sete possibilidades de aspectos, 92 sinais e sintomas a serem avaliados e 15 diagnósticos de enfermagem para serem utilizados no transoperatório e pós-operatório imediato. Conclusão: O estudo possibilitou implementar, em um software de gestão em saúde, os registros eletrônicos do processo de enfermagem perioperatório, compreendendo diagnósticos de enfermagem do transoperatório e pós-operatório imediato, além de cuidados de enfermagem.
Educación y adoctrinamiento: una mirada desde la educación radical e inclusiva
Authors: Gascón Agustín de la Herrán , Fortunato Ivan , Aguilar Nivia T. Álvarez
Published: April 2023

Resumen El adoctrinamiento es un problema recurrente y universal de la educación. Normalmente se confunden, aunque se trate de contrarios. El objetivo de este ensayo es plantear este problema como cuestión pedagógica radical, en la que su diferenciación es un imperativo para los educadores. Para ello, se intentarán definir aperturas conceptuales y teóricas, para lograrlo, tanto para la conciencia educativa ciudadana, como para la científica, pedagógica y didáctica. El enfoque adecuado para dar respuesta al objetivo es el “radical e inclusivo”, desarrollado y aplicado a la educación por los autores desde hace treinta años. La metodología es hermenéutica y dialéctica. Confronta lo cuestionado y lo propuesto, generando resultados argumentativos innovadores durante todo el proceso. A modo de conclusión, se aportan razones analíticas y sintéticas para reforzar una Pedagogía más consciente y responsable, a la luz de este fenómeno cotidiano.
A FICÇÃO DOS EXÓRDIOS NOS ROMANCES DE MACHADO DE ASSIS
Authors: ESTEVES LAINISTER DE OLIVEIRA
Published: April 2023

Resumo Desde o século XVIII, os elementos de apresentação exercem funções estratégicas na definição das especificidades do romance. Para além das tarefas de referência ao público, típicas dos exórdios na tradição retórica, os paratextos anunciam os termos da narração e das modalidades de autoria. No caso dos romances de Machado de Assis, os prefácios e notas ao leitor são inseparáveis das ficções do livro que caracterizam a especificidade literária das tramas.
PSYCHOSOCIAL FACTORS AND BURNOUT SYNDROME AMONG TEACHERS IN ELEMENTARY EDUCATION
Authors: Souza Maira Cazeto Lopes de , Carballo Fábio Peron , Lucca Sérgio Roberto de
Published: April 2023

ABSTRACT Burnout Syndrome is a disorder resulting from chronic stress at work. It affects workers from different areas, including teachers. This is a systematic review study with the objective of verifying the association between psychosocial factors at work (PFW) and burnout in elementary education teachers. Articles from the PubMed, Scielo and Capes Journals databases, published between 2014 and 2018, that used the Maslach Burnout Inventory in the burnout evaluation were analyzed. The results showed a variable prevalence of burnout among teachers. In addition to infrastructure problems, high work demands, lack of autonomy, poor quality of relationships, and physical and psychological violence experienced in schools were the main risk factors for burnout. It is recommendable that we consider the psychosocial and organizational factors of work in the prevention actions of Burnout Syndrome.
INCLUSIVE CHILDREN’S LITERATURE WORKSHOP: EXPERIENCE REPORT
Authors: Braunstein Valéria Campinas , Moisés Jessica Freitas , Santos Franklin Alexandre dos
Published: April 2023

ABSTRACT In order to dialogue about inclusive education has the challenge of creating an atmosphere in which differences and diversities are accepted and appreciated. With the objective of providing favorable conditions for the awareness of diversity as a characteristic of humanity, we report the experience of the creation process and application of an inclusive literature workshop for students of Elementary School I. The results demonstrate that the methodology used was useful for identifying relevant points to be worked on with the children, favored the sense of recognition of individual and collective differences and provided a repertoire to strengthen the confrontation with issues related to bullying and self-image.
Can lingual spurs alter the oral health-related quality of life during anterior open bite interceptive treatment? A systematic review
Authors: MODA Larissa Barbosa , RIBEIRO Suelly Maria Mendes , CHAVES JUNIOR Samuel de Carvalho , ARTESE Flavia , NORMANDO David
Published: April 2023

ABSTRACT Introduction: The use of lingual spurs has been described as one efficient option, with great stability of results, but with scarce information of toleration for use in the mixed and permanent dentition phases. Objective: The purpose of this study was to assess the impact of lingual spurs on the oral health-related quality of life of children and/or adolescents during anterior open bite treatment. Methods: The review was recorded in the PROSPERO database. Eight electronic databases and partial gray literature were searched, without restrictions until march 2022. A manual search was also performed in the references of the included articles. Studies assessing the impact of lingual spurs on the oral health-related quality of life were included. Risk of bias was assessed using JBI or ROBINS-I tool, according to the study design. The level of evidence was assessed through GRADE. Results: Five studies met the eligibility criteria. Two non-randomized clinical trials had a serious risk of bias. Of the case-series studies, two had a low risk of bias and the other, a moderate risk of bias. The certainty of the evidence was classified as very low for all the evaluated results. In general, the studies reported an initial negative impact with the use of lingual spurs, however this was transitory in nature. A quantitative analysis was not performed due to the great heterogeneity between the studies. Conclusion: Current evidence, although limited, suggests that lingual spurs have an initial transient negative impact during interceptive treatment. Additional well-conducted randomized clinical trials are needed.
Closure of maxillary lateral incisor agenesis space in unilateral cleft lip and palate: a digital model assessment
Authors: MANFIO Aura Sofia Caceres , GARIB Daniela , FLORES-MIR Carlos , LAURIS José Roberto Pereira , TEIXEIRA Rodrigo , ALMEIDA Ana Lúcia Pompéia Fraga de
Published: April 2023

ABSTRACT Objective: To compare dental positional and gingival parameters of maxillary anterior teeth in unilateral cleft lip and palate (UCLP) after orthodontic treatment with canine substitution due to lateral incisor agenesis. Methods: This split-mouth study comprised 57 subjects with UCLP (31 male, 26 female) and agenesis of maxillary lateral incisor at the cleft side, from a single center. Canine substitution was completed after the secondary alveolar bone graft. Dental models were taken between 2 to 6 months after debonding (mean age: 20.4 years). The following variables were measured in the maxillary anterior teeth: crown height, width, proportion, and symmetry, as well as steps between incisal edges, gingival margins, tooth mesiodistal angulation and labiolingual inclination. Paired t-tests with Bonferroni post-hoc correction was used for comparisons between cleft and non-cleft sides (p<0.05). Results: At the cleft side, canines replacing missing lateral incisors had a higher crown height (0.77mm) and an increased width (0.67mm), and first premolars showed a shorter crown height (1.39mm). Asymmetries were observed in the gingival level of central and lateral incisors, with a greater clinical crown at the cleft side (0.61 and 0.81mm, respectively). Cleft side central incisors were more upright than their contralaterals (2.12º). Conclusions: Maxillary anterior teeth demonstrated positional, size and gingival height differences between cleft and non-cleft side after space closure of maxillary lateral incisor agenesis. Slight asymmetries in tooth position and gingival margin in the maxillary anterior teeth should be expected after orthodontic treatment in UCLP patients.
Who’s Afraid of Derrida?: Gumbrecht and the metaphysics of presence
Authors: Souza Gustavo Ramos de
Published: April 2023

ABSTRACT This paper proposes a reflection on the concept of presence theorized by Hans Ulrich Gumbrecht premised on Heidegger’s thought, contrasting it with the philosophy of Jacques Derrida, especially in his deconstruction of the metaphysics of presence. Accordingly, it is neither a matter of tracing the Heideggerian presence throughout his oeuvre nor of defending Derrida from the accusations of linguistic existentialism, but rather of demonstrating that, by having Heidegger as an ally, Gumbrecht’s crusade against metaphysics and the hermeneutic field ultimately restores them more strongly, thereby he commits to what he aims to oppose.
Morphology and germination of Vigna unguiculata (L.) Walp. seeds
Authors: Rego Carlos Henrique Queiroz , Cicero Silvio Moure , Silva Fabiano França , Gomes Junior Francisco Guilhien
Published: April 2023

Abstract: The occurrence of damage and empty space inside the seed can directly affect germination. The aim of this study was to evaluate the relationship between the occurrence of damage or empty space inside cowpea seeds and the physiological potential. In this study, seven lots of seeds of the cultivar ‘BRS Guariba’ were subjected to the X-ray test to identify damage by tissue deterioration, mechanical damage, damage by insects and malformed seeds and, later, to the germination test. The percentage of empty space between the embryonic area and the seed coat was determined from radiographic images in ImageJ software. Based on the results obtained, the seeds were classified into different categories, and the results were compared with the germination data. It was concluded that the analysis of radiographic images allowed the identification of damage and measurement of empty space in the internal cavity of the seeds, making it possible to establish a relationship between internal morphology and germination. The presence of damage, especially that caused by tissue deterioration or mechanical damage, depending on its location and intensity, has the potential to negatively affect the germination of cowpea seeds. Likewise, seeds that contain higher levels of empty space in their internal cavity tend not to germinate or to generate abnormal seedlings at the time of germination.
Sustação de normas de agências reguladoras pelo Congresso Nacional: pesquisa empírica sobre a prática do art. 49, V, da CRFB
Authors: Jordão Eduardo Ferreira , Salinas Natasha Schmitt Caccia , Sampaio Patrícia Regina Pinheiro , Oliveira Beatriz Scamilla Jardim de Moraes
Published: April 2023

Resumo Este artigo tem por objetivo analisar o controle do Congresso Nacional sobre as agências reguladoras federais por meio da propositura de projetos de decretos legislativos (PDL) nos últimos 22 anos (1997-2019). O artigo analisa o fundamento e a frequência de PDLs como estratégia utilizada pelo Poder Legislativo para intervir na produção normativa dessas agências. Apresenta, além disso, fatores materiais e burocráticos que influenciam o seu desenvolvimento, bem como eventuais reações das agências à propositura de PDLs. Para tanto, foram selecionados 158 projetos em trâmite ou que já tramitaram pela Câmara dos Deputados desde que a primeira agência reguladora foi criada em 1996. Essas iniciativas foram analisadas qualitativa e quantitativamente no que diz respeito ao seu objeto e às suas condicionantes político-conjunturais. Com este estudo descritivo-exploratório sobre a atuação do Congresso Nacional no controle dos atos normativos das agências reguladoras, espera-se lançar as bases para a construção de uma agenda de pesquisa ainda pouco desenvolvida no Brasil.
Efetividade da reabilitação vestibular no equilíbrio, tontura, funcionalidade e sintomas depressivos em idosos
Authors: Ribeiro Marlon Bruno Nunes , Mancini Patrícia Cotta , Bicalho Maria Aparecida Camargos
Published: April 2023

RESUMO Objetivo Avaliar a efetividade da reabilitação vestibular na funcionalidade, ganho dos canais semicirculares ao Video Head Impulse Test (v-HIT), nas respostas ao Potencial Evocado Miogênico Vestibular (VEMP), sintomas depressivos, equilíbrio e tontura em idosos. Métodos Estudo longitudinal, quase experimental e analítico, realizado entre dezembro de 2019 e julho de 2022, com 50 idosos com disfunção vestibular, submetidos à reabilitação vestibular e à aplicação dos exames VEMP, v-HIT, dos questionários e escalas Escala Visual Analógica, Dizziness Handicap Inventory e Escala de Equilíbrio de Berg, além do Questionário de Atividades Funcionais de Pfeffer e Escala de Depressão Geriátrica. Todos os exames e questionários foram aplicados antes e após oito sessões semanais de reabilitação vestibular. A análise estatística foi realizada pelo programa SPSS, por meio do teste Wilcoxon (p<0,05). Resultados Observou-se melhora do ganho do canal semicircular anterior direito (0,71/0,78), redução do incômodo da tontura (7/5), do impacto da tontura na qualidade de vida (35/15), melhora do equilíbrio (45/51), além de melhora da funcionalidade (2/1) e redução dos sintomas depressivos (5/3). Conclusão Idosos com disfunção vestibular submetidos à reabilitação vestibular apresentaram melhora do ganho do reflexo vestíbulo-ocular, do equilíbrio, da funcionalidade, redução do impacto da tontura na qualidade de vida e dos sintomas depressivos.
Discretization approach for large-scale sediment modeling: calibration strategies based on hydro-sediment variability at a range of spatial scales
Authors: Rossoni Renata Barão , Fan Fernando Mainardi
Published: April 2023

ABSTRACT The lack of observed data and calibration strategies, scale variability, and difficulties in representing heterogeneity of sediment-processes contribute to the usual challenges in achieving satisfactory results in hydro-sedimentological modeling, particularly when using the MUSLE equation for large-scale applications. As a consequence, we investigated five major topics: (1) a sediment-process-based parameterization technique (Hydro-sedimentological Response Unit map - HRUSed); (2) the quality of hydrological modeling with different process-focused parameterizations; (3) a calibration strategy based on the sediment discretization approach for hydro-sedimentological modeling; (4) the use of suspended sediment concentration (SSC) versus suspended sediment discharge (SSD) data for calibration; and (5) trade-offs between increasing the spatial resolution of a large-scale model and using the proposed HRUSed discretization. The current study demonstrated (1) the HRUSed map for South America and (2) a similar performance of large-scale hydrological modeling using a hydrological or hydro-sedimentological discretization approach. (3) The HRUSed discretization approach produced better hydro-sedimentological modeling results. (4) We improved the model’s performance for HRUSed (SSC and SSD results) and for HRU (Hydrological Response Unit map) only for SSD results. (5) Only more detailed spatial discretization has failed to improve process representation. However, increased spatial discretization with a process-parameterization approach focused on hydro-sedimentological dynamics improved model performance.
Ensino Religioso no Brasil: da confessionalidade à laicidade?
Authors: Brasil Taciana
Published: April 2023

Resumo Este artigo discute acerca da trajetória histórica do Ensino Religioso escolar no Brasil, e seu alinhamento com um projeto de nação e com as políticas públicas de Educação. Para alcançar esse objetivo, optamos por pesquisa bibliográfica. Além de legislação e documentos curriculares oficiais, consultamos autores que auxiliam na compreensão desses textos e da história da Educação brasileira. Os resultados foram apresentados através de quatro tópicos: definição de laicidade e sua expressão no Brasil; história do Ensino Religioso da colonização no Período Militar; o desenvolvimento da disciplina no período pós-redemocratização; e suas definições curriculares após a promulgação da Base Nacional Comum Curricular. Concluímos que o desenvolvimento epistemológico experimentado pelo Ensino Religioso o aproximou dos ideais de laicidade e valorização da diversidade religiosa expressos na legislação brasileira.
Uso de redes sociales y prácticas de chat: sus relaciones con la comprensión de textos en estudiantes universitarios
Authors: del Cueto Julio Daniel , Roldán Luis Ángel
Published: April 2023

Resumen Se analizan las relaciones entre frecuencia e intensidad en el uso de internet, redes sociales y prácticas de chat con la comprensión de textos impresos. Para tal fin se incluyeron en el estudio 101 estudiantes universitarios que asistían a una universidad pública argentina. No se encontraron correlaciones significativas entre ninguna de las medidas de frecuencia e intensidad y la prueba de comprensión del texto narrativo. En cambio, se encontró una asociación negativa significativa entre la comprensión del texto académico con la intensidad en el uso de redes sociales y las prácticas de chat. Adicionalmente, los alumnos fueron subdivididos según nivel de intensidad en el uso de internet, redes sociales y prácticas de chat. Así, quedaron conformados tres subgrupos: de alto, medio y bajo uso. El análisis mostró que los sujetos con bajo y alto nivel de intensidad en el uso de redes sociales se diferenciaron de forma estadísticamente significativa en el desempeño de la prueba de comprensión del texto académico. Esta información sostiene la hipótesis que la participación y las prácticas de lectura que se ponen en juego en esos entornos digitales dificultan la comprensión. Conocer el perfil de los estudiantes relativo al uso de redes sociales y las prácticas de chat sería un insumo de interés para el diseño de intervenciones eficaces en el dominio de la compresión de textos académicos.
Reflections on the educational practice of active Panamanian mathematics teachers
Authors: Marimón Orlando García , Diez-Palomar Javier
Published: April 2023

Abstract The purpose of this document is to analyze the results of previous research where the components with the low or null presence of the Didactical Suitability Criteria (DSC) in developed tasks (didactic sequences) for a training course in the teaching of Mathematics are reviewed. Individual semi-structured interviews were conducted with five teachers who participated in the previous research to gather information on why these results were obtained. The interview consisted of eight questions on the component’s connections, didactical innovation, representativeness of complexity, errors, social-professional practicality, and autonomy. The analysis was conducted through a qualitative study of the semantic units of meaning (descriptive analysis). These were extracted from the transcripts of the interviews guided. The results revealed that most interviewees indicated that components, such as autonomy and social-professional practicality, generate positive emotions in their students. It is concluded that the teachers’ reflection on their mathematics classes up to that time was considered a non-priority for the components whose score was low. However, the interviewees considered the importance of modifying their educational practices by employing other components of the DSCs to have quality teaching and learning processes.
Reclamando a liberdade: mulheres em busca de emancipação em sociedades escravistas nas Américas (séculos XVIII e XIX)
Authors: Machado Maria Helena Pereira Toledo , Ariza Marília B. A.
Published: April 2023

Resumo: Este dossiê objetiva compreender como mulheres negras construíram projetos de autonomia, próprios e de outras pessoas, e como enfrentaram desafios impostos à consecução dos mesmos e conceberam a liberdade a ser usufruída após a emancipação. Interessa-se, igualmente, por discutir, em crivo crítico, a circulação de padrões de feminilidade, raça e gênero em sociedades escravistas no decorrer dos processos de abolição - contemplando, nesse sentido, a presença de mulheres negras e brancas nesses processos.
Gênero, escravidão e religião: a liberdade de Flora Blumer sob a perspectiva da missionária norte-americana Martha Watts (1881-1892)
Authors: Nakanishi Victor Mitsukazu
Published: April 2023

Resumo: O artigo busca abrir uma fresta para vislumbrar a história de uma mulher negra chamada Flora Maria Blumer de Toledo e da missionária Martha Watts, atentando nas questões de gênero, escravidão e religião. O estudo versa sobre o caso de alforria de Flora e sua prestação de serviço como cozinheira a uma escola metodista de Piracicaba (SP), dirigida por Watts. Embora diversos estudos mencionem determinadas questões relativas à prestação de serviços domésticos pelas libertas durante o Oitocentos, o caso de Flora amplia o leque de diversidade, dado que seu serviço era prestado a uma escola norte-americana. O artigo vale-se de variadas fontes documentais e bibliográficas, além da coletânea de correspondências de Martha Watts publicadas originalmente pelo Woman’s Missionary Advocate, periódico da Sociedade Missionária de Mulheres Metodistas dos Estados Unidos.
A Escola Técnica Nacional e a ditadura civil-militar: história e memória de uma escola e da luta dos estudantes (1960-1966)
Authors: Oliveira Samuel Silva Rodrigues de
Published: April 2023

Resumo: O artigo analisa a trajetória da Escola Técnica Nacional entre os anos 1960 e 1966. Dirigida no período por Celso Suckow da Fonseca, a luta e o cotidiano estudantis foram marcados pela reforma do ensino industrial e polarização entre esquerda e direita. O golpe de 1964 e a mobilização anticomunista de professores e estudantes contra a esquerda estudantil foi um marco nas reformas do ensino industrial e na mudança de nome da instituição em 1967 para Escola Técnica Federal Celso Suckow da Fonseca. O artigo faz uso do jornal estudantil O Micron e da pesquisa na Hemeroteca Digital da Biblioteca Nacional, para compreender as transformações no cotidiano escolar.
Sobre livros e saúvas: propriedade intelectual e literária no Império do Brasil, 1864-1881
Authors: Godoi Rodrigo Camargo de
Published: April 2023

Resumo: Baseando-se em ações julgadas em tribunais de primeira e segunda instância no Rio de Janeiro, entre as décadas de 1860 e 1870, o artigo analisa como as demandas movidas por inventores e herdeiros de autores literários foram peças fundamentais na constituição da propriedade intelectual e literária no Império do Brasil. Destaca-se o papel desempenhado pela lei de patentes de 28 de agosto de 1830 na regulamentação da propriedade e da autoria literária, ao mesmo tempo em que se procura demonstrar como processos judiciais influíram sobre as práticas do mercado editorial brasileiro.
Activité de médecine de la plongée appliquée à l’aide humanitaire au profit de plongeurs pêcheurs au Vietnam
Authors: PONTIER J.-M. , CAVENEL P. , NGUYEN V.-M. , RUFFEZ J.
Published: April 2023

De très nombreux plongeurs pêcheurs au Vietnam sont victimes d’accidents de plongée, principalement des accidents de
décompression, parfois mortels et souvent responsables de douleurs articulaires et de paralysies. Dans le cadre de l’aide
humanitaire, des spécialistes en médecine de la plongée ont été sollicités pour proposer des réponses pratiques afin de
remédier à cette situation. Une formation dédiée à la prévention des accidents de plongée a ainsi été élaborée avec
également la mise en oeuvre d’une méthode de traitement par réimmersion en inhalant de l’oxygène. Il s’agit d’une
méthode de délivrance d’oxygène hyperbare en l’absence de caisson thérapeutique disponible. La réalisation de ces
formations pendant 3 années consécutives depuis 2009 a permis de réduire la mortalité et la morbidité dans deux
communautés de plongeurs pêcheurs du Centre-Vietnam. Au total, 24 réimmersions ont été réalisées avec une disparition
des symptômes dans 79 % des cas. Cette démarche pourrait être développée à plus grande échelle afin de limiter
l’ampleur du désastre humanitaire dont sont victimes les plongeurs pêcheurs.
Problèmes éthiques posés par la recherche duale sur les cellules souches menée par le Service de santé des armées
Authors: HÉRODIN F.
Published: April 2023

Les conséquences dramatiques de l’usage des armes classiques et des agents de la menace nucléaire, radiologique, biologique
et chimique exigent une prise en charge médicale pertinente adaptable à un afflux massif de victimes. Le Service de santé
des armées mène dans ce domaine une recherche duale (militaire et civile) portant notamment sur les cellules souches afin
de proposer aux cliniciens des protocoles de thérapie cellulaire assurant des niveaux de réparation tissulaire appropriés à
la gravité des délabrements causés aux militaires et aux civils au cours d’actes de guerre ou d’attentats. La conduite de ce
type de projets pose aux chercheurs du Service un questionnement éthique concernant les travaux sur les biothérapies et le
contexte extraordinaire de la recherche biomédicale de Défense. Les acteurs doivent en effet respecter les lois de bioéthique
qui définissent le cadre d’utilisation des cellules souches, appliquer la nouvelle réglementation sur l’expérimentation
animale, notamment celle conduite sur des primates non humains, et justifier les buts et moyens de leurs recherches. Enfin,
de la conception à l’administration d’un traitement par thérapie cellulaire, l’autonomie de la personne humaine doit être
respectée. Une démarche d’éthique délibérative sur la thérapie cellulaire et l’expérimentation animale nécessite un cadre
et une formation appropriés.
Evaluation d’un programme de formation à la réflexion éthique au profit des étudiants en soins infirmiers de l’École du personnel paramédical des armées
Authors: HALLY-PEREZ S. , BLANCHÈRE-CHAILLOT S. , PHILIPP M.
Published: April 2023

En septembre 2011, a débuté à partir d’un projet commun, entre l’École du personnel paramédical des armées et l’Institut de
recherche biomédicale des armées, un programme expérimental de formation au profit des élèves infirmiers militaires. Ce
dispositif a eu pour objectif la mise en place de nouvelles modalités d’enseignement capables de favoriser une acculturation
à la réflexion éthique et à la gestion des conflits moraux inhérents à la profession et cela plus spécifiquement en milieu
opérationnel. La finalité pour l’École du personnel paramédical des armées a été de répondre à des impératifs d’adéquation
et d’adaptation de la formation dispensée, au regard des évolutions contextuelles des missions du Service de santé des armées
et des exigences du référentiel de formation. Pour l’Institut de recherche biomédicale des armées l’objectif a été de mettre
à disposition des moyens de formation théoriques et pratiques capables d’influer favorablement sur la préservation de la
condition psychologique de l’infirmier militaire, et de diminuer ainsi l’incidence du stress moral généré essentiellement
en milieu opérationnel. Au terme de trois années d’expérimentation, l’évaluation du dispositif réalisée auprès des élèves
témoigne d’une adhésion majoritaire et d’une appropriation satisfaisante des contenus, mais des axes d’amélioration sont
identifiés comme souhaitables.
Voyager à l’étranger avec son animal de compagnie
Authors: TROMBINI G. , LAMOUR T. , MAGNAN S. , ANDRÉO V. , GINESTA J. , GIRARDET C.
Published: April 2023

Une nouvelle réglementation relative aux mouvements de chiens, chats et furets au sein de l’Union européenne ou en
provenance de pays tiers s’applique. Une personne désirant voyager avec un carnivore domestique dans un cadre non
commercial doit connaître les conditions réglementaires et sanitaires à respecter. Pour un voyage au sein de l’Union
européenne, un passeport européen, une vaccination antirabique et une identification sont suffisants pour la plupart des
pays. Pour un voyage en dehors de l’Union européenne, les modalités sont généralement données par l’ambassade en France
du pays concerné et peuvent parfois être un vrai parcours du combattant pour le propriétaire. En supplément des exigences
imposées par le pays de destination, l’Union européenne oblige au respect de certaines mesures pour la réintroduction de
l’animal sur son territoire. Elles reposent sur les mêmes conditions qu’un voyage au sein de l’Union européenne associées
à un dosage des anticorps antirabiques, une visite vétérinaire dans les dix jours précédant le retour et un contrôle au point
d’entrée des voyageurs. Hormis ce cadre réglementaire, de nombreuses maladies peuvent représenter un risque pour la santé
de son animal de compagnie qui effectue un voyage. Les principales maladies susceptibles d’être contractées et les moyens
de prévention disponibles sont détaillés.
Opération « Serval »: enseignements vétérinaires et perspectives
Authors: DEMONCHEAUX J.-P. , FAURE N. , BONI M. , MÉRIGAUD J.-P. , LEMOINE T. , MICHEL R.
Published: April 2023

Déclenchée afin de contrer l’avancée terroriste au Mali, l’opération « Serval » est l’engagement armé le plus important
conduit par la France ces cinquante dernières années. Au sein de la chaîne santé, un vétérinaire est déployé comme expert
du commandement de niveau opératif. Il réalise des expertises des risques liés à l’alimentation, la qualité de l’eau et
l’environnement biologique. Il assure également le soutien des chiens militaires de Bamako à Tessalit. Les particularités
géographiques, politiques et militaires de cette opération ont fortement impacté la logistique et ont été à l’origine d’affections
nombreuses, en particulier des gastro-entérites et des troubles liés à la déshydratation. Après un bref rappel des moyens de la
cellule vétérinaire, sont abordées l’origine des faits sanitaires majeurs, les recommandations apportées et les améliorations
encore nécessaires. Ce retour d’expérience d’une entrée de théâtre, aux enseignements nombreux dans le domaine de la santé
publique vétérinaire, ouvre des perspectives pour améliorer la place, l’organisation du soutien vétérinaire et les compétences
attendues par le commandement militaire à tous les niveaux hiérarchiques.
Opération « Serval » : L’unité de distribution en produits de santé, soutien des unités médicales opérationnelles
Authors: PONSARD M.-L. , ADAM A. , CONTE B.
Published: April 2023

Lors du déclenchement de l’opération « Serval » au Mali le 11 janvier 2013, plus de 5 500 militaires ont été déployés. En
quelques jours, la logistique s’est organisée, et dans ce cadre, une unité de distribution en produits de santé a été projetée afin
d’assurer le ravitaillement sanitaire des unités médicales opérationnelles. Quelques mois après le déploiement, l’opération
est passée dans une phase de stabilisation où le ravitaillement sanitaire a pu se consolider afin d’assurer au mieux ses
missions. La complexité de ce théâtre se caractérise pour l’unité de distribution en produits de santé par ses élongations et
par la diversité des unités médicales opérationnelles à soutenir. Dans ce contexte, les principaux enjeux (décrits au sein de
l’ordre administratif et logistique de l’opération) auxquels l’unité de distribution en produits de santé a dû faire face ont été :
– garantir l’entretien du stock de produits de santé ;
– s’adapter aux contraintes logistiques du théâtre, tout en faisant valoir sa spécificité concernant le ravitaillement en produits
thermolabiles, notamment les produits sanguins labiles ;
– assurer la gestion des trousses individuelles du combattant ;
– entretenir une communication sans faille, garante du bon déroulement du ravitaillement sanitaire, avec de nombreux
interlocuteurs, qu’ils soient du Service de santé des armées ou non.
Intérêt de la projection d’un médecin « ORL et chirurgien cervico-facial » : bilan d’une année d’activité en Afghanistan
Authors: TRENDEL D. , RAYNAL M. , CONESSA C.
Published: April 2023

D’octobre 2011 à septembre 2012, un praticien assure la prise en charge médico-chirurgicale des pathologies urgentes et
programmées relevant de l’ORL et de la chirurgie de la face et du cou, au profit des militaires français et de la coalition, ainsi
qu’au profit des populations civiles. L’analyse de cette année d’activité au sein de la structure internationale de l’Hôpital
médico-chirurgical de Kaboul International Airport, permet de légitimer la présence de cette spécialité chirurgicale. En
effet, la présence d’un ORL sur un Role 3 apporte une expertise dans la prise en charge des lésions traumatiques de guerre
de l’extrémité céphalique et, à travers une activité réglée adaptée au théâtre, permet également d’assurer une prise en charge
programmée, conséquente, au profit des populations locales.
Enseignement de la médecine du sport à l’École du Val-de- Grâce : intérêt du télé-enseignement
Authors: BARBIER O. , FERRER M.-H. , OLLAT D.
Published: April 2023

La médecine du sport est en plein essor depuis les années 2000. En effet le sport lui-même est devenu un véritable phénomène
de société. Dans les armées, le sport est une nécessité pour entretenir les capacités physiques opérationnelles des individus
et favorise aussi le développement des valeurs d’ordre psychologique ou social comme la cohésion, la connaissance des
personnels, l’amélioration des qualités morales et de rusticité… La médecine du sport est donc fondamentale pour les
médecins militaires. Elle étudie à la fois la physiologie et la biologie du sport, les aptitudes physiques de chacun mais aussi
comprend la prévention des accidents et la prise en charge en urgence des traumatismes dus au sport et la surveillance et
l’évaluation médicale des entraînements. Malheureusement l’enseignement de la médecine du sport n’est pas une priorité
dans les facultés civiles. L’École du Val-de-Grâce a donc mis en place un enseignement complémentaire pour les internes
de médecine en fin de cursus. Nous rapportons ici l’expérience de l’enseignement de la médecine du sport mis en place
au sein du Service de santé des armées et dans ce cadre, discutons de l’intérêt du e-learning ou de la formation en ligne.
Intérêt de la prescription écrite des modalités d’utilisation de la thermothérapie en cas de lombalgie aiguë : étude prospective contrôlée randomisée en milieu militaire sur 47 patients
Authors: BORDACHAR F. , KEDZIEREWICZ R. , BAUMANN C. , BORDACHAR J. , ANDREANI B. , FACIONE J.
Published: April 2023

Introduction : la lombalgie aiguë est une pathologie fréquente et son passage à la chronicité représente la deuxième cause
d’invalidité dans les pays industrialisés. L’impact économique est donc considérable. Améliorer sa prise en charge est donc un
enjeu majeur de santé publique. Ce travail a pour objectif d’étudier l’impact d’une prescription écrite de thermothérapie par
rapport à un conseil oral, sur la lombalgie à J7. Matériel et méthodes : deux groupes de patients souffrant de lombalgie aiguë
ont été comparés. L’un recevant un conseil oral de thermothérapie, l’autre ce même conseil associé à une prescription écrite.
Le critère de jugement principal était la douleur à J7 (au repos et en activité) évaluée grâce à l’échelle visuelle analogique.
L’observance était évaluée par la bonne réalisation du protocole de thermothérapie, sur déclaration des patients. Résultats :
quarante-sept patients ont été suivis sur une semaine. La douleur à J7 était significativement plus faible dans le groupe
ayant reçu la prescription, que ce soit au repos L’observance était meilleure dans le groupe prescription écrite que dans le
groupe conseil oral, respectivement 95,8 % versus 60,9 % (p = 0,004). Conclusion : la remise d’une prescription écrite de
thermothérapie est un acte simple, peu coûteux et pouvant être facilement mis en place par le médecin traitant. La diffusion
de ces résultats pourrait inciter les médecins généralistes à remettre une prescription écrite de thermothérapie à leurs patients
souffrant de lombalgie aiguë commune, dans l’espoir d’améliorer l’observance de ce traitement et donc son efficacité.
Elaboração e validação de conteúdos sobre fisioterapia ocular para matriz curricular do curso de graduação em Fisioterapia
Authors: Nascimento Thaynara de Oliveira , Vieira Juliany Silveira Braglia Cesar , Silva Júnior José Roberto da
Published: April 2023

INTRODUÇÃO: A Fisioterapia, uma das áreas mais jovens da saúde, nasceu no Brasil e continuou a se desenvolver por meio dos esforços de uma categoria que, até 2004, era composta por aproximadamente 80.000 profissionais. A Fisioterapia Ocular é muito importante na sua reabilitação, pois os fisioterapeutas podem trabalhar a mobilidade ocular, assim os fisioterapeutas podem avaliar medindo os músculos oculares envolvidos e analisando possíveis alterações na patologia. OBJETIVO: Elaborar e validar conteúdos sobre a fisioterapia ocular para matrizes de curso de graduação em Fisioterapia. MÉTODO: A população do presente estudo foi composta por 109 fisioterapeutas de diversas regiões do Brasil. Os participantes foram contatados via plataformas digitais de forma online e em seguida no formato bola de neve. Foi enviado o Termo de Consentimento Livre e Esclarecido (TCLE) e um instrumento tipo questionário para participar da validação online. RESULTADOS: Responderam ao questionário 66 participantes. Quanto à validade dos conteúdos propostos no instrumento, 100% (n=66) deles obtiveram um IVC superior a 80. Diante disto, todos os participantes (n=66) foram avaliados por 100% dos especialistas como indispensáveis. Nenhum conteúdo novo foi sugerido pelos especialistas, já que a maioria dos comentários não foram relacionados ao tema e sim a construção de ementa do curso de Fisioterapia, o que não era o objetivo do presente estudo. CONCLUSÃO: Esse estudo elaborou e validou 16 conteúdos principais e dois para avaliação e tratamento para fisioterapia ocular na graduação de Fisioterapia.
Modernization of astronomical complex of observational station Lisnyky
Authors:   Taras Shevchenko national University of Kyiv, Kleshchonok V. , Karbovsky V. ,   Main astronomical observatory of the National Academy of Sciences of Ukraine, Kyiv, Ukraine, Buromsky М. ,   Taras Shevchenko national University of Kyiv, Lashko M. ,   Main astronomical observatory of the National Academy of Sciences of Ukraine, Kyiv, Ukraine, Efimenko V. ,   Taras Shevchenko national University of Kyiv
Published: April 2023

The Lisnyky observation station (international code 585) is actively used for observations of small bodies and for educational purpose. The station operates two telescopes AZT-8 (D=700 mm, F=2830 mm, D/F=1:4) and AZT-14 (D=480 mm, F=7715 mm, D/F=1:16). They have an outdated design and need to be modernized to meet the modern requirements of observational astronomy. The world practice of modernizing optical telescopes is reduced, as a rule, to installing new modern light receivers, changing the optical system, improving optical characteristics by aluminizing mirrors. Light receivers are now CCD image sensors, the use of which allows you to significantly increase the penetrating power (to observe fainter objects) and the temporal and spatial resolution of telescopes. Modern light receivers are equipped with automatic filter units with various sets of astronomical filters. Different sets of light receivers are used for different tasks of observational astronomy. The concept of modernization of the observation complex based on the AZT-14 and AZT-8 telescopes was developed according to these modern requirements. A new Moravian C4-16000ES CMOS camera (4096 × 4096 pixels, 9 × 9 μm) with a UBVRI light filter unit of the Johnson-Cousins photometric system was installed at the main focus of the AZT-8 telescope in 2021. In this version, the telescope is used to monitor small bodies and search for new comets and asteroids, photometric and positional observations of comets, observations of active galactic nuclei. An optical reducer (4.5 times reduction focal length) with a block of broadband light filters BVRI light filters was developed and manufactured for the AZT-14 telescope in order to increase the field of view on the CCD array, reduce the size of star images and increase the light power of the telescope. A new block of 8 comet narrowband filters, which is used with the Apogee Alta U47 CCD camera, was designed and manufactured for observations of comets. An electronic control system, which includes the following main electronic components: a light filter position sensor board, an electronic board, a stable frequency generator, a stepper motor driver, a controller for controlling all electronic components and for communication with a personal computer, was developed and manufactured for control the unit.
COVID-19-related cardiac lesion: The questions of pathogenesis and diagnostics
Authors: Filatova Daria A. , Mershina Elena A. , Sinitsyn Valentin E.
Published: April 2023

Coronavirus infection is still a topic of interest in the medical community today. Among the heterogeneous clinical manifestations of this disease, lesions of cardiac structures often occur. They are mainly inflammatory in nature and can be acute or delayed. Aside from myocarditis, coronavirus infection can induce cardiac injuries, including acute coronary syndrome, thromboembolic events, heart failure, and heart rhythm disturbances. It is well known that the prognosis for patients with cardiac lesions significantly worsens; timely diagnosis and treatment initiation play an important role in preventing severe complications.
This review presents the most recent literature data on the pathogenesis of cardiac lesions in COVID-19 patients and discusses the rational diagnosis of this pathology using modern techniques, such as laboratory, functional imaging (cardiac magnetic resonance is the most important of these), and invasive ones. It is now established that diagnosing myocarditis caused by coronavirus infection differs fundamentally from diagnosing other types of myocarditis. Furthermore, the main aspects of inflammatory heart lesions associated with COVID-19 vaccination are discussed, as this complication occurs more frequently than is commonly believed. It is often used as a rationale for refusing vaccination; however, this decision may severely affect the individual and the population.
A Study of News Discourse from the Perspective of Fairclough’s Three-Dimensional Model
Authors: Wu Yayin , Zhang Yi
Published: April 2023

The coronavirus spreads at a horrendous speed and has influenced people’s lives. Based on Fairclough’s threedimensional model, this paper, with quantitative analysis and qualitative analysis, chooses thirty texts from The New York Times and then dissects them by means of the corpus AntConc 3.5.8 and manual collection from three angles including text, discursive practice and social practice. It is found that in the dimension of text, high-frequency words demonstrate the severe status quo of the epidemic, while words with emotional meanings show reporters’ critical views. In the dimension of discursive practice, Indirect speech as a preponderant reporting mode shows that subjective moods exist in news reports. In the dimension of social practice, five mainstream values deeply rooted in American people’s minds influence their attitudes towards the epidemic. This paper reveals the relationship between language and society in news reports on the Covid-19 epidemic, promoting the process of researches on critical discourse analysis of news reports on public health events.
A Case Study of Online Teaching in a Higher Vocational College in China during Covid-19
Authors: Wang Kai
Published: April 2023

This paper is based on a researcher’s exploration into a teachers’ implementation of teaching students English writing online in a higher vocational college in China during Covid-19, which aims to find the role of teacher to facilitate the efficient online teaching. It adopts a qualitative research design with the samples including one teacher, 34 students and a sample class. The research instrumentals include the researcher’s online classroom observation in the sample class and the semi-structured interview of the teacher and all the students after the sample class. All the data are collected for content analysis and triangulation. A theoretical framework of Community of Inquiry (CoI) is applied in the content analysis of the data within the context. A conclusion is drawn by the result and discussion that a leader and helper role of teacher who provides scaffolding in class and consultation after class with the modern educational ideal and information technology helps to promote the effective online teaching.
Optimality Theory and the Development of Do-Support in Children’s Wh-Questions
Authors: Fukaya Nobuyo
Published: April 2023

This study aims to explore where-, how-, and why-questions produced by young L1 English-speaking children and to account for how children develop wh-questions within Optimality Theory (OT). For this purpose, the data have been collected from the Child Language Data Exchange System database. The analysis showed that where-questions were produced earlier than how- and why-questions and that early where-questions tended to fail subject-auxiliary inversion in the early stages. Another finding is that children produced howquestions with subject-auxiliary inversion even when howquestions started to be attested. To account for the developmental differences observed in the data, I propose an OT analysis. This study shows the applicability of OT to syntactic language development and demonstrates that OT provides a unified account of the development of wh-questions by reranking the same constraint set. Moreover, a developmental difference shown in wh-phrases can also be accounted for by assuming that the constraint, Operator in Specifier (OP-SPEC), can be divided into sub-constraints.