bluuebunny/crossref_metadata_2025 huggingface dataset:
The Impact of Deindustrialization on Economic Growth——Evidence from China
Authors: Feng Yang , Wang Yang
Published: April 2021

Deindustrialization is a widespread phenomenon, both in developed economies or developing countries in the history. This paper examinate the impact of deindustrialization, which is caused by administrative measures aimed at overcapacity, on China’s economic growth in the lastest decade. We adopt empirical approach to estimate the impact, the results show deindustrialization have a significantly negative effect on economic growth in the central and western China, which is stronger in the cites with fast deindustrialization, and in medium and small cities. It provides evidence that rapid deindustrialization hinders the sustainability and magnifies the vulnerability of economic growth, especially premature deindustrialization.
Inleiding: coronabeleid en democratie in lokaal, regionaal en internationaal perspectief
Authors: Metze Tamara , Hendriks Frank
Published: April 2021

Dossier

In this feature authors discuss recent research findings that are of interest to readers of Beleid en Maatschappij.
Verschuivingen in informatievoorziening tijdens Covid-19
Authors: Vliegenthart Rens , Bakker Bert N. , de Vreese Claes
Published: April 2021

Changes in the information environment during Covid-19: consequences for political trust and attitudes towards democracy

Combatting the coronavirus politicians and policy makers have to continuously make a trade-off between public health and democratic rights. How do citizens’ attitudes towards democracy develop in a pandemic? In this study we test whether changes in the information environment affect citizens’ trust in the local and national government. Moreover, we study whether changes in the information environment are associated with the perceptions about the extent to which democratic processes are under pressure. We address these questions using a five wave panel study in the Netherlands conducted between April and September 2020. We find that during this period media use and political trust decreased. Moreover, Dutch citizens are worried about the effects of the corona crisis on local and national democracy. When it comes to the effects of media use on political trust and attitudes towards democracy, we find that media use has a limited effect on attitudes towards democracy. If anything, consuming news via the public broadcaster has a positive effect on political trust. To conclude, our study provides descriptive evidence about the development of attitudes towards democracy in the Netherlands during a major public health crisis. Dutch citizens are worried about democracy but media play a limited role in amplifying or reducing these worries.
Verzorgenden Individuele Gezondheidszorg: de grootste beroepsgroep als blinde vlek van de zorg
Authors: van Wieringen Marieke , Nies Henk
Published: April 2021

The blind spot

The most relevant part of a discussion is not what is discussed but what cannot be spoken of. The real taboos are those for which it is taboo to call them taboos. The status quo defines itself as non-ideological while denouncing any challenge to itself as radical.

Therefore the column ‘De Blinde Vlek’ frames the framers, politicizes the status quo and articulates what is not heard of.
Bestuurlijke manie bij prestigeprojecten: van maquette naar mislukking
Authors: Verheul Wouter Jan , Bokhorst Meike
Published: April 2021

Managerial mania at prestigious projects: from model to misfortune

Prestigious urban projects demonstrate many insights in the functioning of public administration. Especially, prestigious urban projects can teach us about what we call ‘managerial mania’. Following the perspective of behavioural public administration, this article observes significant characteristics of managerial mania, such as elated behaviour, an exaggerated positive self-image, infectious enthusiasm, selective argumentation, tunnel vision, and an unsubstantiated faith that plans will succeed. As a consequence of managerial mania, prestigious projects are at risk of cost overruns, project fiascos, or underdelivering the expected outcomes promised by politicians or top-level managers. This article explores the phenomenon of managerial mania based on examples of large and controversial urban projects. Furthermore, this article describes and analyses the symptoms of managerial mania, its implications, and its mechanisms. Finally, the authors suggest some means of restraining the most extreme forms of managerial mania.
Nederlands Caribisch rechtspersonenrecht
Authors: Frielink K.
Published: April 2021

Nederlands Caribisch rechtspersonenrecht

In deze bijdrage over het rechtspersonenrecht wordt een overzicht gegeven van de ontwikkelingen op het terrein van wetgeving, rechtspraak en literatuur in de afgelopen 10 jaar.
Tien jaar arbeidsrecht (2010-2020)
Authors: Veling P.H.
Published: April 2021

Tien jaar arbeidsrecht (2010-2020)

Wetgeving: Invoering van titel 7.10 NBW laat op zich wachten. Rechtspraak: Opschorting van loon bij niet-naleven controlevoorschriften bij ziekte vaste rechtspraak? Zorgplicht van de werkgever gaat ver. Statutair bestuurder van een rechtspersoon geen arbeidsovereenkomst ook niet als hij al in dienst was vóór zijn benoeming. ‘Service charge’ ook voor uitzendkrachten. Matiging van de loonvordering na nietig ontslag alleen als doorbetaling van het loon in gegeven omstandigheden tot onaanvaardbare gevolgen zou leiden. Matiging van de wettelijke verhoging behoort geen automatisme te zijn. Goed werkgeverschap. De dringende reden; het fixatiebeginsel. Cessantia als maatstaf voor schadevergoeding bij onregelmatig ontslag. Cessantia versus bedrijfspensioen. Afscheidsbeleid.
Threshold Dynamics of an HIV-TB Co-infection Model with Multiple Time Delays
Authors: Pitchaimani M. , Devi A. Saranya
Published: April 2021

In this article, a mathematical model to study the dynamics ofHIV-TB co-infection with two time delays is proposed and analyzed.We compute the basic reproduction number for each disease (HIV andTB) which acts as a threshold parameters. The disease dies out whenthe basic reproduction number of both diseases are less than unityand persists when the basic reproduction number of atleast one of thedisease is greater than unity. A numerical study on the model is alsoperformed to investigate the influence of certain key parameters on thespread of the disease. Mathematical analysis of our model shows thatswitching co-infection (HIV and TB) to single infection (HIV) can beachieved by imposing treatment for both the disease simultaneouslyas TB eradication is made possible with effective treatment.
Regulação do acesso às consultas especializadas: percepções de gestores e profissionais em município de médio porte do Sul do Brasil
Authors: Bernardi Heloisa , Albiero Jose Francisco Gontan , Santa Helena Ernani Tiaraju de
Published: April 2021

A regulação assistencial envolve relações políticas, técnicas e de cuidado, que fazem a mediação entre as necessidades da população e o acesso aos serviços de saúde. Dificuldades no acesso à assistência especializada geram filas de espera, demora nas consultas e críticas dos usuários. O objetivo desse estudo foi identificar limites no processo de regulação do acesso às consultas médicas especializadas através da percepção de gestores e de profissionais de saúde. Trata-se de uma pesquisa exploratória, do tipo estudo de caso, com abordagem qualitativa. Foram realizados dois grupos focais, sendo o primeiro com os profissionais das Estratégias de Saúde da Família e o segundo com gestores e profissionais do setor de regulação do município. Como resultados foram apontadas limitações estruturais tais como a carência de materiais e de profissionais especialistas e reguladores. Foi apontado ainda ausência ou desconhecimento de fluxos e protocolos regulatórios além de problemas na comunicação entre os atores envolvidos. Dentre os desafios aos gestores estão prover uma estrutura material e humana adequada ao sistema de regulação e adotar a atenção básica como coordenadora do cuidado tendo o diálogo entre os atores como estratégia central.
A força de trabalho e a relação de profissionais por leito dos hospitais públicos no município de Fortaleza
Authors: Carvalho Desirée Dos Santos , Souza Carlos Eduardo Antoniete de , Souza Gislene Henrique de
Published: April 2021

Este artigo visa caracterizar a força de trabalho disponível nos hospitais públicos de Fortaleza e conhecer a relação de profissionais por leito conforme os perfis de cada um. É um estudo transversal descritivo, de abordagem quantitativa, realizado com dados secundários disponíveis no Cadastro Nacional de Estabelecimentos de Saúde, contemplando 19 unidades, entre hospitais gerais e especializados. A força de trabalho dos hospitais é de 15.384 profissionais e caracterizou-se pela diversidade dos tipos de contratação, sendo mais frequentes os vínculos públicos. A equipe de enfermagem representou 40% da força de trabalho total e constitui-se por uma maioria de profissionais de nível técnico. A relação de profissionais por leito, seja referente a todas ocupações ou a enfermagem, variou entre os hospitais, sem demonstrar um padrão no município ou entre aqueles com mesmo perfil, conforme esfera administrativa, porte, tipo de unidade ou presença de atividade de ensino. Quando agrupados os hospitais, as médias dos estaduais foram maiores do que as demais esferas administrativas, único perfil onde houve diferença estatisticamente significativa. A caracterização da força de trabalho e os indicadores de relação de profissionais por leito podem subsidiar atividades de dimensionamento, visto que representam a disponibilidade de trabalhadores nos serviços hospitalares, porém não devem ser utilizados de forma isolada como parâmetro para estimar o número de profissionais necessários por limitarem-se à aferição da força de trabalho existente e sua comparação à capacidade instalada de leitos.
Análise do comportamento de uma rede IEEE 802.15.4 utilizando 6LowPAN
Authors: Dos Santos Gabriel , Da Fonseca Pedro , Ferrigo Samuel
Published: April 2021

O 6LowPAN é um protocolo que permite que redes IPv6 comuniquemse nativamente com dispositivos de uma rede IEEE 802.15.4. O presente trabalho analisa o consumo energético e a latência de dispositivos IEEE 802.15.4 que utilizam o protocolo 6LowPAN. Como principal resultado obtido, veriﬁcouse que o comportamento dos dispositivos analisados que realizavam funções de roteamento apresentaram um maior consumo energético.
Avaliação de Desempenho para Banco de Dados com Genoma em Nuvem Privada
Authors: Dopke Luan , Rockenbach Dinei , Griebler Dalvan
Published: April 2021

Os bancos de dados são ferramentas particularmente interessantes para a manipulação de dados gerados através do sequenciamento de DNA. Este artigo tem como objetivo avaliar o desempenho de três bancos de dados com cargas relacionadas ao sequenciamento de DNA: PostgreSQL e MySQL como bancos de dados relacionais e MongoDB como banco de dados NoSQL. Os resultados demonstram que o PostgreSQL se sobressai aos demais.
Análise de padrões de acesso à memória em aplicações single threaded
Authors: Evaristo Gabriel , Dos Santos Sairo , Alves Marco
Published: April 2021

Esse trabalho busca avaliar os padrões de acesso à memória utilizando as aplicações do SPEC CPU-2017, buscando especiﬁcamente observar a regularidade dos acessos quanto aos endereços e seus saltos. O objetivo é entender o comportamento dominante nas aplicações para propor melhorias no simulador de arquiteturas e nos componentes arquiteturais, tendo como simulador alvo o Ordinary Computer Simulator (OrCS).
Paralelismo em Técnicas de Sampling de Grafos e seus Impactos na Visualização de Grafos
Authors: Santos Gabriel , De Rose César
Published: April 2021

Técnicas de sampling de grafos têm como objetivo diminuir a quantidade de processamento necessário para a análise de grandes grafos. Este trabalho veriﬁca a possibilidade de paralelismo para acelerar a produção de samples, assim como seu impacto em visualizações de grafos. Os resultados dos testes realizados até o momento indicam uma melhora na produção de samples apenas em uma abordagem de memória compartilhada.
Proposta de um Framework para Avaliar Interfaces de Programação Paralela em Aplicações de Stream
Authors: Garcia Adriano , Griebler Dalvan , Schepke Claudio , Fernandes Luiz G.
Published: April 2021

Este trabalho propõe um framework que auxilia no desenvolvimento de benchmarks para avaliar Interfaces de Programação Paralela no domínio de paralelismo de stream em C++.
Proposta de Avaliação Prática de Frameworks para a Distribuição de Redes de Aprendizado Profundo
Authors: Solórzano Ana Luisa , Schnorr Lucas
Published: April 2021

Frameworks para distribuir o treinamento de aprendizado profundo usam estruturas aplicáveis a sistemas de computação de alto desempenho, e propõe fácil utilização pelo usuário. Um dos principais desaﬁos dos frameworks é escalar o treinamento para múltiplos processadores, como CPUs e GPUs, sem perder desempenho e precisão com a sobrecarga de comunicações. Este trabalho propõe uma avaliação prática de frameworks recentes tais como Horovod, LBANN e Tarantella para distribuição de Redes de Aprendizado Profundo.
Impactos da Adoção de Infraestruturas de Nuvem no Desenvolvimento de Pesquisas Acadêmicas
Authors: Dos Santos Maicon , Cavalheiro Gerson
Published: April 2021

Este trabalho apresenta uma proposta de estudo que tem como objetivo deﬁnir estratégias para racionalizar a adoção de nuvens computacionais para apoio à pesquisa acadêmica, determinando os modelos de custo necessários para implantação de uma solução, atendendo a uma comunidade federada de Instituições de Ensino e Pesquisa (IEP). O enfoque será dado considerando a realidade do Estado do Rio Grande do Sul, com um olhar sobre as vocações de pesquisa de suas instituições e a realidade de ﬁnanciamentos de projetos. Dentre as contribuições esperadas para este trabalho, está a modelagem de diferentes conﬁgurações de nuvem, públicas, privadas ou híbridas, que possam atender as demandas do conjunto de IEPs do estado.
Practicing Response Surface Designs in Textile Engineering: Yarn Breaking Strength Exercise
Authors: Gönül Şengöz Nefise
Published: April 2021

Predicting properties of end product from known properties of raw material is an important part of quality control in manufacturing. Main concept in this research is to reach a specified property of end product from known properties of raw material by attaining response surface designs with feasible region. The Ne20–19.21 T/inch yarn breaking strength (response, desired value 450 cNs) is acquired from cotton fiber properties (variables). The relationship between response and variables are obtained in response surface drawings and contour plots. The area showing the desired value in contour plots are colored in lilac and are intersected to obtain the feasible regions. By reading backwards from the feasible region borders, the variable value ranges are reached which will give the desired value of the response is obtained. When this information to start the yarn production is ready, the cotton lots containing these fiber property value ranges will be bought or from raw material in hand we will be read which yarn breaking strength will occur at the end of production. It was concluded that response surface designs with feasible region are quick, practical, and effective tools, provide valuable results, contribute a lot to quality control, and are beneficial in textile quality control.
Understanding the Importance of Harmonized Landscape Design for Forest Education Centers in Malaysia
Authors: Kher Bin Hussein Mohd , Syuriaty Bt Jaafar Nor
Published: April 2021

The Forest Education Centre is a place that provides environmental education facilities where the community, teachers and students can visit to learn more about the forest environment. Therefore, landscape design elements’ in this area which include buildings, should be visually in harmony with the sense of place and its surroundings. The design must concern form, color, materials, landscape degradation and preservation of natural processes. Unfortunately, landscape design elements in this area have been built based on in-situ approach where the absence of a ‘code of design’ in creating a well-built environment of landscape and architectural quality has contributed to inharmonious designs. This had led to the significant function of identity and meaning in securing the sense of place which was not adequately examined in the process. Therefore, the aim of this paper is to raise awareness among the stakeholders and the sensitivity towards the importance of harmonizing design in Forest Education Centres. Among the objectives of this study is to firstly understand the user’s perception towards harmonies designs in a forest environment. Secondly, it is to suggest harmonies design approaches towards forest sustainability. The intended audience for this paper include directors, facilities managers, landscape architects, forest officers, architects and engineers.
Teknoparklar Üzerine Bir Değerlendirme: ODTÜ Teknokent Firmalarının Etkinlik Analizi
Authors: Özdemir Yahya
Published: April 2021

ODTÜ Teknokent hem bölgesel hem de uluslararası rekabet gelişme stratejilerinde Türkiye’de önemli bir inovatif kimliğe sahip olması, Türkiye’nin ihracat rakamlarına katkı sağlıyor olması, bunun yanında inovasyon güdümlü iktisadi kalkınma için önemli bir itici güç olmasından dolayı son derece önem arz etmektedir. Üniversite-sanayi işbirliğine önemli katkısı olan ODTÜ Teknokent'te üniversitesi ile firmaların bir araya gelip sinerjik bir çarpan etki oluşturdukları yüksek katma değer ürünleri uluslararası pazarlara sunan önemli bir ekosistemdir. Bu araştırmada ODTÜ Teknokent içerisinde faaliyet gösteren firmaların mevcut yapılanmaları ve teknokent imkânları içerisindeki destek ve fırsatlarla birlikte etkinlik ve performansları betimleyici istatistiklerle ortaya konulmaktadır. Araştırmanın temel amacı Türkiye’de faaliyet gösteren en önemli teknokentlerden birinin firma algılamaları çerçevesinde irdelenerek mevcut durumlarının analiz edilmesidir. Bu açıdan ODTÜ teknokent firmaları faaliyet alanı, kuruluş yapısı, kuruluş yeri, faaliyet yılı, personel durumları gibi temel tanımlayıcı bilgilerden sonra, teknokent bünyesindeki hizmet ve desteklerden memnuniyet düzeyleri ortaya konulmuştur. Ayrıca ODTÜ teknokent firmları işbirlik, ar-ge yapılanması, ciro durumu, pazar yapısı, proje sayıları ve istihdam durumları açısından irdenlenmiştir.
Dermoscopic Features as Predictors of BRAF Mutational Status and Sentinel Lymph Node Positivity in Primary Cutaneous Melanoma
Authors: Filipović Nika , Šitum Mirna , Buljan Marija
Published: April 2021

Dermoscopy is a diagnostic tool widely used in clinical practice for the detection of skin tumors, especially early stages of melanoma. Recent studies have shown that different dermoscopic features are associated with important prognostic parameters of melanoma, such as BRAF mutational status and sentinel lymph node status. More than half of all melanomas harbor a mutation in the BRAF oncogene. The current management of advanced-stage melanomas is greatly determined by the presence or absence of a mutation in this gene, as targeted therapy with BRAF kinase inhibitors is one of the first therapeutic choices for these patients. Sentinel lymph node status is one of the most significant predictors of a melanoma patient’s survival. Recent studies have shown that different dermoscopic patterns are also associated with sentinel lymph node status. This short article reviews studies that investigated correlations between dermoscopic features, BRAF mutation status and sentinel lymph node status.
Suárez’s Notion of Analogy
Authors: Novák Lukáš ,   Philosophy Documentation Center
Published: April 2021

Suárez’s theory of analogy is commonly considered problematic, insomuch as it attempts to combine the assertion of perfect unity and precision of the concept of being with the insistence that it is not univocal but analogical. In this article I first attempt to identify the precise nature of the problem in Suárez’s account (critically evaluating some older and recent approaches) and then propose an interpretation of Suárez’s notion of analogy according to which what Suárez calls “analogy” is basically the same thing as Scotus’s essential order (sans the formal distinction). I suggest that Suárez’s distancing from Scotus is often merely verbal, and that much of the confusing aspect of his doctrine stems from his idiosyncratic terminology. In corroboration of my interpretation I adduce the assessment of Suárez by the Scotist B. Mastri, and I provide some broader context to clarify Suárez’s relation to other theories of analogy, medieval and post-medieval.
Sogni e visioni di madri
Authors: Franchi Roberta ,   Instituto Patristico Augustinianum
Published: April 2021

Following the example of classical literature, Christian texts of the fourth century portray dreams of pregnant mothers. In such dreams, the mother sees her son or daughter, and knows the name of the infant and the great future for which the infant is destined. The dreams of Emmelia, Nonna and Monica are described in the writings of their sons (Gregory of Nyssa, Gregory of Nazianzus and Augustine, respectively). Thanks to her visions and dreams about her child, each mother becomes a mediatrix of God.
Recepción de Ireneo en el siglo XII
Authors: Narvaja José Luis ,   Instituto Patristico Augustinianum
Published: April 2021

The study of the reception of Irenaeus of Lyons in the Liber de sectis hereticorum of Baldwin of Canterbury (+ 1191) illuminates three aspects of the author’s context: (1) the theological and ecclesial context (the problem of Catharism and of Nihilism); (2) the context of the libraries in which Baldwin could have read the Adversus Haereses; (3) the context of the manuscript tradition of the Adversus Haereses. Here a study of the titles of the chapters and of the textual variants allows us greater precision concerning the manuscripts which we know in a stemma codicum. Our conclusion is that the work of Baldwin is the only witness which we have to the manuscript of Canterbury which, in turn, is shown to have a closer kinship with the manuscripts of the family of manuscripts preserved in Lyons, especially with the Arundel manuscript.
Leibniz’s Early Theodicy and its Unwelcome Implications
Authors: Feeney Thomas ,   The Leibniz Society of North America
Published: April 2021

To explain why God is not the author of sin, despite grounding all features of the world, the early Leibniz marginalized the divine will and defined existence as harmony. These moves support each other. It is easier to nearly eliminate the divine will from creation if existence itself is something wholly intelligible, and easier to identify existence with an internal feature of the possibles if the divine will is not responsible for creation. Both moves, however, commit Leibniz to a necessitarianism that is stronger than what prominent interpreters such as Robert Sleigh and Mogens Lærke have found in the early Leibniz, and stronger than the necessitarianism that threatens his later philosophy. I defend this reading of Leibniz and propose that some features of Leibniz’s later metaphysics, including his “striving possibles” doctrine, are an artifact of the effort to rescue the early theodicy from its unwelcome implications.
An overview of the Brazilian inselberg genus Ameroglossum (Linderniaceae, Lamiales), with the description of seven new species
Authors: Almeida Erton M. , Christenhusz Maarten J.M. , Wanderley Artur Maia , Cordeiro Joel Maciel P. , De Melo José Iranildo Miranda , Da Costa Batista Fabiane Rabelo , Felix Leonardo P.
Published: April 2021

Field studies of the inselberg flora of north-eastern Brazil have resulted in the discovery of much greater morphological diversity of the genus Ameroglossum, than previously envisaged. These enigmatic plants are endemic to isolated rock outcrops, which have long been surrounded by unsuitable habitat. The morphological forms are geographically isolated and stable in cultivation when grown under similar conditions. We here provide detailed descriptions of the two previously known species and propose an additional seven new species in the genus. A taxonomic revision of the genus, including an identification key is provided. We hypothesize that the evolution of this genus is driven by the diversity of their hummingbird pollinators. Due to the threatened nature of inselberg habitats and the small populations found for most taxa, the species described here are likely to be under threat and in need for formal redlisting.
Y a-t-il une isothanatie dans l’Athènes démocratique ?
Authors: Auberger Janick
Published: April 2021

La démocratie athénienne est célèbre pour l’isonomia (égalité de tous face à la loi) et l’isègoria (égalité de tous face à la prise de parole). Qu’en est-il de l’égalité de tous face à la mort ? Loi de Nature, diront les uns. Est-ce pour cela que la cité semble se questionner sur elle et remettre en question ce que la Nature lui dictait ? La cité semble vouloir refuser cette loi de Nature et décider à sa place de la hiérarchie des morts.
Quelques réflexions sur le travail en équipe et les soins palliatifs
Authors: Mongeau Suzanne , Foucault Claudette
Published: April 2021

En soins palliatifs, le travail en équipe est nécessaire, pertinent mais difficile. Cet article précise les difficultés qui y sont reliées. Les caractéristiques des équipes qualifiées de plus ou moins vivantes et celles des équipes qualifiées de plus ou moins mortifères sont ensuite dégagées. Des repères pour faciliter l’aménagement des difficultés du travail en équipe sont présentés.
La souffrance des soignants en soins palliatifs
Authors: Jacquemin Dominique
Published: April 2021

Les soins palliatifs doivent répondre, en France, à une obligation de moyens dans la prise en charge des personnes en fin de vie. Faisant ainsi partie de l’imaginaire social, ils pourraient sembler en adéquation avec la volonté de nombreux soignants d’assumer au mieux cette ultime période de la vie. Cependant, un idéal – qui n’est pas à remettre en question – se trouve confronté aux limites du « bien faire » dans les pratiques. Divers décalages ont à être pensés et nommés pour reconnaître, rencontrer et accompagner la souffrance des soignants engagés dans ce type de soins.
Les besoins d’apprentissage, les valeurs et les croyances des infirmières concernant la douleur chronique chez la personne âgée
Authors: Savoie Maryse L. , Le May Sylvie
Published: April 2021

La présente étude exploratoire et descriptive a pour but d’évaluer les besoins d’apprentissage, les valeurs et les croyances des infirmières concernant le soulagement de la douleur chez les personnes âgées en vue d’élaborer un programme de formation sur mesure. Les infirmières ont rapporté des valeurs solides tel que donner des soins visant le confort, la qualité de vie et le respect des volontés du patient.
Le soulagement de la douleur
Authors: Mullins Gary
Published: April 2021

Les thèmes abordés dans cet article sont l’obligation de soigner et le droit de
recevoir des soins, la nature et les caractéristiques des soins dispensés, la protection de
l’intégrité de la personne, la confusion entre l’euthanasie et la règle du double effet, le
droit de refuser d’être soulagé et le meilleur intérêt de la personne malade.
Comprendre la douleur chronique pour éviter la douleur de l’incompréhension
Authors: Beauchamp Yvon
Published: April 2021

La douleur chronique est présente quotidiennement dans toutes les sphères médicales. Les malades qui en sont atteints n’acceptent plus de souffrir et ne tolèrent plus que leurs soignants ignorent leurs douleurs. Souvent cette ignorance par les médecins du phénomène douloureux est le reflet de leur ignorance des mécanismes fondamentaux neuro-endocriniens de la douleur. Il est plus facile d’ignorer ou de nier l’existence de ce qu’on ne saurait expliquer. Malheureusement, comment et pourquoi apaiser ce qui ne pose pas problème pour certains médecins ?
L’accompagnement ou la leçon de transcendance avec Yourcenar
Authors: Parent Nathalie
Published: April 2021

Cet article présente une étude sur le thème de la mort et de la transcendance dans deux nouvelles de Marguerite Yournecar tirées des Nouvelles orientales : La tristesse de Cornélius Berg et Comment Wang-Fô fut sauvé. On cherche ici à mettre en parallèle deux représentations de la mort, des derniers instants de la vie et de l’accompagnement. Une première représentation, celle de La tristesse de Cornélius Berg, met en scène une désacralisation du réel et la solitude dans la mort. Une seconde représentation, celle de Comment Wang-Fô fut sauvé, témoigne de l’apprentissage d’une nouvelle perception du monde et une mort transcendée dans un passage harmonieux et accompagné où le réel se fond à l’art.
La construction du risque chez des hypertendus considérés inobservants à leurs médicaments antihypertenseurs
Authors: Proulx Michelle , Leduc Nicole , Vandelac Louise , Guibert Rémi , Grégoire Jean-Pierre
Published: April 2021

Cet article a pour but d’illustrer les perceptions du risque chez des individus considérés inobservants à leurs médicaments antihypertenseurs, puis d’analyser dans quelle mesure ces perceptions influent sur la prise irrégulière du médicament. Il met en évidence certains des enjeux relatifs au transfert des connaissances auprès des publics, auxquels les cliniciens sont appelés à porter un intérêt croissant.
Le lien entre les concepts de guerre et de martyre au début de l’islam
Authors: Dizboni Ali G.
Published: April 2021

Cet article explore le lien entre les deux concepts de guerre et de martyre et leur statut au début de l’islam dans le Coran ainsi que dans les paroles de Mahomet et de ses compagnons. Afin de montrer l’interaction entre le texte coranique et son contexte arabe, nous ouvrons la discussion par un débat sur la culture de guerre pendant la période préislamique. Ceci nous permet d’observer une certaine continuité qui, avec des justifications normatives différentes, demeurera présente au niveau de la valorisation de la guerre et du sacrifice physique.
L’horreur et l’humanité
Authors: Rousseau Cécile
Published: April 2021

Cette réflexion porte sur la souffrance provoquée par la violence organisée. Elle propose d’une part que la souffrance ainsi produite ne créee pas uniquement du handicap mais devient aussi source de transformation créatrice et, d’autre part, que les modèles médicaux et psychologiques actuels peuvent fréquemment, en reconnaissant peu ou pas la bivalence des effets de l’horreur et en pathologisant les réponses psychologiques et physiologiques à la terreur, en aggraver les conséquences.
Quand la revitalisation urbaine dévitalise la marge sociale juvénile
Authors: Colombo Annamaria , Parazelli Michel
Published: April 2021

Compte tenu des enjeux entourant la revitalisation urbaine des centres-villes, nous formulons l’hypothèse selon laquelle les dispositifs de contrôle associés au contexte de revitalisation du centre-ville-est de Montréal précariseraient davantage le processus de sortie de la rue chez les jeunes qui désirent fuir la menace d’enfermement de la rue. Le discours économique valorisant le développement d’activités et de décors projetant des apparences de prospérité encourage la dispersion et l’évacuation des jeunes de la rue, ces derniers diffusant par leur simple présence des prégnances de décadence urbaine. La répression systématique de la marge sociale juvénile contribuerait à restreindre les possibilités pour ces jeunes d’éprouver pleinement l’expérience de l’autonomie sociale et, conséquemment, d’élaborer un projet de sortie.
L’exposition traditionnelle des défunts à Lévis (1920-1960)
Authors: Guay Caroline
Published: April 2021

L’exposition des défunts à la maison était pratique courante dans les familles québécoises au début du XXe siècle. Les témoignages de personnes interrogées dans le cadre d’une enquête orale nous décrivent comment se passaient les choses à Lévis.
Mort et suicide
Authors: Leccia Jean-Dominique
Published: April 2021

Dans une grande ville comme Paris, les cliniques d’urgence psychiatriques sont confrontées quotidiennement aux drames que sont les actes suicidaires. Un psychiatre nous en parle.
Limite des ressources et enjeux éthiques reliés à un traitement palliatif
Authors: Saint-Arnaud Jocelyne
Published: April 2021

L’utilisation d’une technique palliative comme la dialyse rénale est très coûteuse en termes de budget, de personnel, de locaux et d’appareils. Contrairement à la pratique sélective des années 1960, la pratique actuelle est ouverte à un nombre de plus en plus grand de personnes dont un pourcentage important souffre de comorbidités. Ces conditions suscitent de nombreux enjeux éthiques liés aux différentes étapes du processus de soin. Dans cet article, ces enjeux sont étudiés à partir des écrits scientifiques des dix dernières années et des résultats d’une étude exploratoire effectuées dans deux centres de dialyse québécois.
Le deuil dans la littérature
Authors: Reboul Hélène
Published: April 2021

Plusieurs écrivains se sont servis de leur plume pour engager un travail de deuil à la suite du décès d’un proche. Parmi ceux-ci des auteurs très connus, tels que Simone de Beauvoir et Jean-Paul Sartre et d’autres qui le sont moins mais dont l’écrit présente un intérêt non négligeable : Anne Philipe ou Michel Ragon. Dans la mesure où la démarche de ces écrivains, réalisée avec leur sensibilité propre et une certaine liberté d’expression, retrace le vécu avec la personne disparue, ces écrits constituent des autobiographies. Celles-ci sous le terme de Mémoires contribuent également à faire le deuil des décennies passées. Parallèlement, l’auteur de l’article s’engage dans une démarche similaire grâce au choix des ouvrages et à l’intérieur de ceux-ci des circonstances relatées.
Mémoire et survivance en art contemporain
Authors: DeGarie-Lamanque Ève
Published: April 2021

Cet article s’intéresse au besoin que ressent l’être humain, devant l’éphémère de sa vie, de laisser pour la postérité une trace de son passage sur Terre. À travers certaines oeuvres artistiques de Betty Goodwin et de Christian Boltanski, l’auteure présente différents processus de sacralisation de l’objet dans l’art contemporain.
Rendre son dû à la Peur
Authors: Migneault Pierre
Published: April 2021

Un texte d’évocation et de sensibilisation à l’importance de la Peur dans l’économie psychique individuelle et collective. On a généralement peur de la Peur, pourtant un guide et allié fort bénéfique. La Peur, comme grille de lecture et compréhension des institutions et systèmes religieux, politiques, scientifiques, psychologiques... avec risque de dérives, comme le consortium de la peur. En arriver à mieux vivre avec les aspects mobilisateurs et positifs de la peur.
Le corps et l’esprit
Authors: Hummel Stricker Cornelia
Published: April 2021

L’image de la vieillesse dans les sociétés occidentales est traditionnellement présentée comme étant associée à la dégradation, à la maladie, au handicap et à la mort. Le dernier âge de la vie serait ainsi conçu comme un déclin général, touchant indifféremment le corps et l’esprit. Une étude portant sur les représentations sociales de la vieillesse auprès de jeunes adultes invalide cette hypothèse. L’analyse des interviews laisse apparaître une conception de la vieillesse qui dissocie le corps et l’esprit, en leur attribuant des logiques propres. Alors que le corps, par sa détermination biologique, est perçu comme inéluctablement voué à la dégénérescence, le devenir de l’esprit est négociable.
Le syndrome de Diogène
Authors: Naef Jean-Jacques
Published: April 2021

Le « syndrome de Diogène », entité médico-psychosociale, définie en Angleterre il y a trente ans, nous interpelle en tant que soignant dans la communauté. La prise en charge de ces patients dans le refus conduisait à des intervention en urgence, alors que leur état de santé s’était dégradé à un point tel que les deux tiers devaient décéder lors de leur admission en milieu hospitalier. Ces patients dans le refus, l’isolement et la crasse, vivant comme des « clochards » à domicile nous préoccupent. Que faire pour diminuer cette mortalité catastrophique ? Ces personnes avaient-elles leur capacité de discernement ? Leur esprit n’était-il pas suffisamment perturbé pour que nous puissions nous passer de leur avis pour intervenir sans leur consentement ? À l’aide de quelques situations, nous essaierons de montrer que l’esprit de ces personnes est bien vivant et qu’il est possible de maintenir ces personnes à domicile et de diminuer de façon radicale les taux de mortalité observés.
Mort et libération de l’esprit
Authors: Leclerc Gilbert
Published: April 2021

La mort de l’esprit peut être vécue comme une expérience de vide existentiel, c’est-à-dire d’absence de sens par rapport à l’ensemble de la vie. Trois expériences de ce type sont rapportées ici et analysées d’un point de vue psychologique et philosophique. Chacune d’elles révèle à sa manière que l’esprit ne vit et ne se construit que par le sens qu’il donne aux êtres et aux choses, et que ce sens ne se réalise pleinement que dans la mesure où la personne consent à dépasser ses propres limites en nouant des relations dépouillées de tout repli sur elle-même avec les autres êtres et, en particulier, avec la Source de l’être.
Suicide, hommes et socialisation
Authors: Charbonneau Lucie , Houle Janie
Published: April 2021

Depuis les années 70, au Québec, le taux de suicide des hommes a grimpé de 78 % et aujourd’hui, 80 % des suicides sont commis par des hommes. Pourquoi les hommes se suicident-ils plus que les femmes ? Plusieurs éléments contribuent à cette surmortalité, mais la socialisation masculine apparaît comme leur dénominateur commun. En effet, la socialisation masculine facilite l’apparition de facteurs de risque liés au suicide et empêche l’émergence de facteurs de protection. Comme société et comme individus, il nous faut réfléchir à nos pratiques et à nos attitudes face aux hommes en difficulté afin de créer un espace où leur souffrance pourra s’exprimer.
L’utilisation du génogramme dans la clinique du suicide
Authors: d’Aragon Normand
Published: April 2021

Description de l’utilisation du génogramme comme outil d’évaluation et d’intervention dans la clinique du risque de passage à l’acte suicidaire ou du deuil par suicide. Illustration de la rencontre des facteurs intrapsychiques et interactionnels. L’accent est placé sur l’influence des deuils jamais résolus dans la ou les générations précédentes dans la dynamique familiale. Le modèle d’analyse s’inspire de l’approche familiale intergénérationnelle.
Pain as Sign and Symptom: A Semiotic Analysis of Nursing Clinical Practice and Research
Authors: Long Thomas Lawrence
Published: April 2021

Physical pain, far from being a monolithic sensation, is a complex and varied somatic response to trauma or pathophysiology. The body registers pain in response to a threat to bodily wholeness; the patient or clinician interprets pain, seeking to associate the pain with its cause (diagnosis or etiology) in order to undertake a remedy and to predict its future course (prognosis). In nursing clinical practice, wheresymptomassessment and management are central to the scope of practice, reading pain assign(the clinician’s empirical observation) or assymptom(an experience reported by the patient) entails complex interpretation and translation of the body’s manifestations. This article will make explicit the semiotic dimensions of nursing pain research (and its concomitant implications for clinical practice) in two cases : Xiaomei Cong’s research into procedural pain in infants in neonatal intensive care units (NICU) and Deborah Dillon McDonald’s research into pain communication between older adults with osteoarthritis or post-surgical pain and their healthcare providers.
Towards an Integrated Model of Customer Religiosity: A Self-Determination Theory Perspective
Authors:   Sukkur IBA University, Gilal Faheem , Gadhi Abdul Khalique ,   Sukkur IBA University, Gul Gilal Rukhsana ,   Sukkur IBA University, Gul Gilal Naeem ,   Huazhong University of Science and Technology, Zhang Na ,   Beijing Information Science & Technology University
Published: April 2021

Purpose: Drawing on self-determination theory (SDT), this article aims to examine the impact of customers’ intrinsic and extrinsic religiosity on purchase intentions for luxury brands. Moreover, this study delves into the moderating effect of customer brand loyalty in these relationships. Methodology: To this end, we tested our hypotheses with a student sample (N = 169) from Pakistan. Exploratory factor analysis (EFA), confirmatory factor analysis (CFA), structural equation modeling (SEM), and moderation analysis techniques were used to analyze the data using SPSS 24.0 and AMOS 24.0. Findings: The results of data analysis indicated that a customer’s purchase intention for luxury brands is significantly influenced by extrinsic religiosity, while intrinsic religiosity has trivial influence in boosting purchase intention for a luxury brand. Our results for moderation analysis further show that customer purchase intention for a luxury brand is reinforced by intrinsic religiosity when customer brand loyalty is high but not when customer brand loyalty is low, whereas purchase intention for a luxury brand is fortified more by extrinsic religiosity when customer brand loyalty is low than when customer brand loyalty is high. Research Limitations: As with any set of cross-sectional studies, our research is not without limitations. For instance, the sample size in the current study is purposefully small. This limits the generalizability of findings across a wider population. Implications/originality/value: This study has provided a framework to explain how customers’ intrinsic and extrinsic religiosity affected the purchase intentions of luxury brands in the emerging market.
Causes, consequences and control of student protests
Authors: Onivehu Adams
Published: April 2021

This study investigated the causes, consequences and control of student protests, especially the EndSARS (Special Anti-Robbery Squad) protest. A descriptive survey was adopted for the study. A total of 600 undergraduates, selected by multi-stage sampling, participated in the study. Three research questions were raised and a questionnaire titled Causes, Consequences and Control of Youth Protest Questionnaire (CCCYPQ) was used to collect data. The findings showed that the protest was caused by extra-judicial killings, assaults, harassment, extortion, bad governance, and youth unemployment. In addition, the findings indicated that the consequences of the protest include destruction of lives and property, hacking of the websites of public ministries, departments, agencies and corporate organizations, destruction of public infrastructural facilities, and disruption of academic activities in schools. The various control measures include disbandment of SARS, compensation for victims of police brutality, and provision of skills acquisition programmes and employment opportunities for youths. There were no significant gender differences in the perceived causes, consequences and control of the protest. Based on the findings, it was recommended that dialogue and collaborative decision-making should be employed in controlling student protest.
A Child-Centred Discourse in Zambian Kindergartens?
Authors: Eriksen Elisabeth Almaz Berger
Published: April 2021

This article aims to identify and discuss the existence and strengthening of a child-centred teaching discourse in Zambian kindergartens. The article is based on the understanding that the teacher-directed approach to teaching is a historically based hegemonic discourse within Zambian kindergartens. This means that the teacher-directed teaching discourse dominates thinking in many ways and is translated into institutional arrangements (Hajer, 1995, in Svarstad, 2005, p. 243). Several studies have pointed to the challenges posed by the teacher-directed teaching discourse in kindergartens in Sub-Saharan Africa as a hindrance of pedagogical quality in such institutions, pointing to a child-centred teaching discourse as an important path towards development (EFA, 2015, p. 208, Temba, 2014, p. 110; Mwaura et al., 2008; 2011). This article includes a positive discourse analysis of the Zambian Education Curriculum Framework[1] and a small-scale qualitative study, based on observations from four classrooms in four kindergartens in the Copperbelt province of Zambia. The article focuses on conducting a positive discourse analysis of the elements of child-centred teaching discourse observed in one of the four classrooms. The findings point to the existence of a child-centred teaching discourse in the Zambian Education Curriculum Framework. However, only one of the four Zambian kindergarten teachers seemed to implement teaching practices that could be identified as a child-centred teaching discourse. he elements of a child-centred teaching discourse identified through the positive discourse analysis were: the kindergarten teachers’ professional decisions, good interaction with children, use of a variety of materials, and children’s participation. The findings are discussed in light of the Zambian Education Curriculum Framework as well as theoretical perspectives on child-centred teaching discourse, argumentation theory and children’s right to participation. Finally, the article includes a critical discussion of how the findings may strengthen a child-centred teaching discourse in Zambian kindergartens.
Comparison of Levobupivacaine and Levobupivacaine with Dexmedetomidine for Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries-A Randomised Controlled Trial
Authors: Hariharasudhan Balraj , Savithasree Sridhar , Mane Rajesh S , Sivakumar S , Arish BT
Published: April 2021

Introduction: Brachial plexus blockade at the supraclavicular level delivers an excellent regional anaesthetic technique with unmatched effectiveness for upper limb surgeries. Levobupivacaine, a safer alternative to the commonly used bupivacaine for regional anaesthesia and addition of α2-agonists like dexmedetomidine further improves the quality of regional anaesthesia. Aim: To evaluate the efficacy of levobupivacaine in combination with dexmedetomidine for supraclavicular brachial plexus block. Materials and Methods: This randomised controlled study enrolled 50 American Society of Anaesthesiologist (ASA) grade I and II patients aged between 18-60 years posted for elective upper limb surgeries. Randomisation was done and the patients were divided into two groups with 25 each, to receive either 39 mL of 0.5% levobupivacaine and 100 μgs (1 mL) of dexmedetomidine in group LD (Levobupivacaine with Dexmedetomidine) and 39 mL of 0.5% levobupivacaine and 1 mL of normal saline in group LS (Levobupivacaine with Saline). The onset and duration of sensory and motor blockade along with duration of analgesia were observed. All Quantitative data were compared and analysed using student’s unpaired t test while qualitative data were analysed using Chi-square test. A p-value of less than 0.05 was considered to be statistically significant. Results: The onset of sensory and motor blockade in group LD was significantly faster when compared to group LS (p<0.001). group LD had a longer mean duration of sensory and motor blockade along with duration of analgesia when compared to group LS (p<0.001). There was a better hemodynamic stability in group LD when compared to group LS. Conclusion: Dexmedetomidine added to levobupivacaine provides significantly shorter onset times, greatly prolongs the duration of sensory and motor blockade along with duration of analgesia without any systemic side effects.