bluuebunny/crossref_metadata_2025 huggingface dataset:
Applicability of International Treaties in a Criminal Procedure: the Case of Belarus
Authors: SAMARYN Vadzim
Published: June 2022

The article indicates that the norms of international treaties can be a legal basis for making decisions in the course of criminal procedural activities, serve as a message in the formation and formulation of a legal position by participants in criminal proceedings. The absence of general regulation of the rules of interaction between the criminal procedure law and international treaties of the Republic of Belarus was established. Attention is drawn to the fact that a self-executing international treaty, permitted for application on the territory of Belarus by an internal legal act, is included in the system of sources of criminal procedural law of the Republic of Belarus. The norms of such an international treaty can be applied in the course of criminal proceedings, acting practically as special in relation to the rules of the Belarusian legislation. The text of the Criminal Procedure Code of Belarus contains a number of norms referring to international treaties regulating certain specific issues. Several varieties of such partial references have been identified. The article reveals a range of international treaties, that should by mandatory applicable within criminal proceedings due to explicit reference in the Criminal Procedure Code of Belarus (defining human rights and freedoms; containing norms on the procedure for providing international legal assistance in criminal matters; regulating civil proceedings). Other international treaties have been identified, which in their essence can be applied within criminal proceedings in Belarus, and sometimes their norms can replace the corresponding national criminal procedural norms. The need to take into account the norms of consular conventions which contain criminal procedural norms (for example, on the right of a detainee to consular assistance) was especially noted. Due to the lack of a general reference to international treaties in the Criminal Procedure Code of Belarus, based on the principle of pacta sunt servanda, it is indicated that there is an unacceptable legislative encumbrance on the application of such treaties. In the course of the research, general conditions for the applicability of an international treaty within the criminal proceedings of the Republic of Belarus were formulated.
The CEFR Companion Volume - What's new and what might it imply for teaching/learning and for assessment?
Authors:   CEFR and CEFR/CV co-author, North Brian
Published: June 2022

This article discusses key aspects of the CEFR vision that are further elaborated in the CEFR Companion Volume and their potential for innovation in language education. The paper starts with an outline of the content of the CEFR/CV, and a clarification of its status and the relationship to the CEFR 2001, as well as an explanation of the background to the 2014-2020 project that produced it. The article then goes on to briefly summarise the main research perspectives—the integrationist/enactive perspective; the complex, ecological perspective; the agentive perspective; the socio-constructivist/ sociocultural perspective; and the plurilingual perspective—that fed into the development of the CEFR/CV. It points out that, when the CEFR appeared, very many language professionals viewed the CEFR just as an instrument to promote communicative language teaching, which had some useful levels and descriptors. The key innovative concepts in the CEFR/CV—the social agent, the action-oriented approach, mediation, and plurilingualism—were all foregrounded by the CEFR in 2001, but required time for developments in research and from practitioners in the field to pave the ground for their elaboration and wider dissemination with the CEFR/CV. The article ends by considering the implications of these concepts and developments for the classroom and for assessment.
Insuficiencia cardíaca con función sistólica preservada de etiología infiltrativa. El enemigo silencioso
Authors: Gómez Polo Juan Carlos , Espejo Paeres Carolina , Pérez de Isla Leopoldo
Published: June 2022

La insuficiencia cardíaca con función sistólica preservada continúa siendo uno de los grandes cuadros clínicos de la cardiología actual, tanto desde el punto de vista del diagnóstico, donde identificar la etiología concreta resulta un reto frente al que las novedosas técnicas de strain rate comienzan a aportar luz, como del tratamiento, dada la ausencia de medidas específicas que mejoren el pronóstico de estos pacientes. Este caso clínico trata de mostrar la situación clínica y los patrones ecocardiográficos que deben establecer la sospecha de amiloidosis cardíaca.
Los trucos para obtener un buen strain global longitudinal
Authors: Fernández Fernández Laura , Lahuerta Martínez Iñaki
Published: June 2022

El estudio de los parámetros de deformación miocárdica (strain, strain rate…) permite establecer de forma cuantitativa la función sistólica del miocardio. Su uso aporta información muy valiosa en distintos escenarios clínicos y los equipos actuales disponen de la tecnología que permite su cálculo. Este artículo intenta describir los principios fundamentales del análisis de strain y algunos recursos necesarios a nivel de operador para optimizar esta técnica.
Absceso tricuspídeo abierto a pericardio. Una complicación excepcional de la endocarditis infecciosa
Authors: Buelvas Jannes
Published: June 2022

Se presenta el caso de un paciente que desarrolla un absceso tricuspídeo como complicación de una endocarditis infecciosa. Éste es un ejemplo de una complicación excepcional en la que para el diagnóstico se suele necesitar una ecocardiografía  transesofágica y que precisa tratamiento con cirugía.
Cardiomiopatía de Tako-Tsubo en una niña de 3 años poscirugía cardíaca
Authors: Quiroz-Zegarra Pierina Patricia , Talledo-Paredes Luisa , Skraboja-Crespo Antonio
Published: June 2022

La miocardiopatía Tako-Tsubo o miocardiopatía de estrés es un síndrome caracterizado por dolor torácico, disfunción ventricular izquierda transitoria y cambios electrocardiográficos que simulan un infarto agudo de miocardio en ausencia de enfermedad obstructiva de arterias coronarias. Pocos casos se han descrito en niños. En este artículo se describe el caso de una niña de 3 años a quien se le realizó una reparación quirúrgica de un defecto del septo interventricular, con tiempo corto de clampado aórtico y circulación extracorpórea, que presentó disfunción ventricular izquierda aguda con discinesia apical sin obstrucción de arterias coronarias, sugiriendo miocardiopatía de Tako-Tsubo.
Ecocardiografía tridimensional transesofágica en la evaluación del septo interauricular
Authors: Gil Ongay Aritz , De Tapia Beatriz , Ceña Juan S , Olavarri Miguel Iván , Vázquez de Prada José A
Published: June 2022

La ecocardiografía tridimensional transesofágica ha revolucionado la forma en que se observa hoy día el tabique interauricular, permitiendo una visión anatómica (no accesible previamente) de los remanentes de la circulación fetal: fosa oval y foramen oval. Más de un 25% de la población presenta un foramen oval permeable, que ocasionalmente puede tener relevancia clínica. Además, gran parte de los procedimientos de intervencionismo estructural se llevan a cabo por vía transeptal tras la punción de la fosa oval. Por tanto, actualmente resulta necesario tener un adecuado conocimiento de la anatomía del septo interauricular, así como de sus variantes normales y patológicas.
Doble ruptura miocárdica postinfarto de miocardio en una paciente asintomática
Authors: Cisneros-Sánchez Liliam Gretel , Álvarez-Placencia Reinel , Martínez-Peró Rosa María , Carrero-Vázquez Annia María , Pérez-Rivera Taimara
Published: June 2022

Las complicaciones mecánicas después de un infarto agudo de miocardio generalmente producen un cuadro muy sintomático que pone en peligro la vida del paciente. Se presenta un caso inusual de un hallazgo por ecocardiografía de doble ruptura cardíaca (ruptura de la pared libre y del septum interventricular) en una paciente totalmente asintomática que había sufrido un infarto de miocardio inferior hacía 5 años.
Valve-in-Valve TAVI como opción a la reoperación en disfunción de bioprótesis valvulares de colocación quirúrgica
Authors: Crippa Diego Agustín , Lescano Adrián , Darú Victor , Sztejfman Matías , González Nicolás
Published: June 2022

El implante valvular aórtico transcatéter (TAVI) es una opción de tratamiento ya establecida en pacientes con este- nosis aórtica severa y elevado riesgo quirúrgico. Actualmente se estudian otras indicaciones en las que puede tener beneficio, como la disfunción de bioprótesis valvulares en pacientes con elevado riesgo de reoperación. En estos casos se realiza el implante percutáneo de una válvula dentro del anillo de la prótesis quirúrgica colocada previamente en un procedimiento denominado valve-in-valve (VIV TAVI). En este artículo se describen dos casos de disfunción de bioprótesis por insuficiencia grave en los que el tratamiento endovascular solucionó el problema clínico.
Dehiscencia parcial del anillo tricúspide protésico. Diagnóstico con ecocardiografía tridimensional. “La Señora del anillo”
Authors: Ramos Germán , Zapata Mario , Rodríguez Manuel , Herrera Sebastián
Published: June 2022

Una mujer de 58 años con antecedentes de reemplazo valvular mitral mecánico y anuloplastia con anillo protésico tricúspide desarrolló un cuadro de deterioro de la capacidad funcional y edema de las extremidades inferiores. La ecocardiografía transtorácica mostró dilatación del ventrículo derecho con función sistólica preservada e insuficiencia tricúspide (IT) excéntrica grave con un mecanismo poco claro. La ecocardiografía transesofágica confirmó estos hallazgos y reveló una dehiscencia parcial del anillo protésico. La reconstrucción tridimensional en face de la válvula tricúspide permitió la caracterización del defecto y el desarrollo de una estrategia adecuada por el equipo quirúrgico.
Existe evidencia creciente de la presencia de insuficiencia tricúspide residual significativa postoperatoria. La dehiscencia del anillo protésico es un mecanismo infrecuente que eventualmente podría requerir una nueva operación. Por ello, su diagnóstico es relevante y las técnicas novedosas como la ecocardiografía tridimensional pueden ayudar significativamente en la toma de decisiones.
Angiosarcoma primario cardíaco
Authors: Rodríguez Israel Melissa , Alvarado Sánchez Eduardo , Mena Sandí José , Moreno Medina Eva
Published: June 2022

El angiosarcoma cardíaco es un tumor primario maligno infrecuente de origen mesenquimal con muy mal pronóstico, que tiende a infiltrar el corazón e invadir las estructuras circundantes. El diagnóstico inicial se realiza habitualmente con ecocardiografía transtorácica y transesofágica, que aportan mucha información como, por ejemplo, extensión, sitio de implantación, tamaño y parámetros hemodinámicos relacionados con la presencia de la masa. El estudio se puede complementar con otras técnicas como la resonancia magnética cardíaca y la tomografía computarizada cardíaca.
Válvula aórtica cuadricúspide. El trébol de cuatro hojas de la ecocardiografía
Authors: Picco José Miguel , Wolff Sebastián , Astesiano Andrea , Wolff David , Astesiano Alfredo
Published: June 2022

La válvula aórtica cuadricúspide (VAoC) es una enfermedad congénita rara. Sin embargo, el empleo masivo de la ecocardiografía Doppler hace que su detección sea más frecuente. La incidencia de esta malformación congénita es muy baja y su principal complicación es la insuficiencia aórtica. Se presenta una revisión a propósito de tres casos.
DOĞA VE BİLİM KAMPLARININ ZENGİNLEŞTİRİLMESİ: ÖZEL YETENEKLİ ÖĞRENCİLERE YÖNELİK TASARLANAN BİR STEM KAMPININ İNCELENMESİ
Authors: OKULU Hasan Zühtü , ARABACIOĞLU Sertaç , OGUZ UNVER Ayse
Published: June 2022

Özel yeteneklilerin eğitiminde zenginleştirme modelleri okul dışı öğrenme ortamlardaki etkinlikler için geniş bir uygulama potansiyeline sahiptir. Mevcut araştırma, STEM eğitimi kapsamında özel yetenekli öğrenciler için Maker zenginleştirme modeline dayalı olarak tasarlanan bir doğa ve bilim kampının öğrenme ortamı, içerik, süreç ve ürün bağlamlarında nasıl zenginleştirdiğini incelemeyi amaçlamaktadır. STEM eğitimi temalı doğa ve bilim kampı, Türkiye Bilimsel ve Teknolojik Araştırma Kurumu (TÜBİTAK) tarafından desteklenen yedi günlük yoğunlaştırılmış bir programı içermektedir. Durum çalışmasına dayalı araştırmanın çalışma grubunu Türkiye’nin 13 farklı şehrinde yer alan Bilim ve Sanat Merkezlerine devam eden 29 (n = 15 kız ve n = 14 erkek) özel yetenekli öğrenci ve 14 kamp eğitmeni oluşmaktadır. Araştırma verileri etkinlik, kamp ve eğitmen değerlendirme formları ve araştırmacı gözlem notları ile toplanmıştır. Araştırma bulguları doğa ve bilim kampının özellikle öğrenme ortamı için bütünleşik bir yapıda olma, içerik bağlamında karmaşıklığa vurgu yapma, süreç temelinde üst düzey düşünmeyi öne çıkarma ve ürün temasında gerçek sorunların çözümüne yönelik tasarımlar oluşturma özelikleri ile zenginleştirildiğine işaret etmektedir. Bu sonuçlar doğa ve bilim kampının öğrenme ortamı, içerik, süreç ve ürün temelinde özgünleşerek özel yetenekli öğrencilerin STEM eğitimini desteklediğini ortaya koymuştur.
Artistic Expressions of the Covid-19 Pandemic: Ideology and Otherness in the digital comic "The Wuhan I Know" by Laura Gao
Authors: Puchmüller Dr.Andrea
Published: June 2022

This paper aims to analyze the graphic memoir "The Wuhan I know" (Gao, 2020) published on the WWW and social networks during the first stage of the Covid-19 pandemic. The comic narrates the discrimination towards Asians and, particularly, towards Wuhanese in the United States during the pandemic. The comic is approached from a postcolonial perspective and nodal conceptual concepts such as ideology, identity, and Otherness. Umberto Eco's theory (2008) has been followed to study the structure of the comic as an ideological statement. The analytical reading concludes that in the Covid-19 pandemic crisis, “The Wuhan I Know” acquires epistemic salience in a continuum of discriminatory discourses that it attempts to deconstruct.
Manfaat Pemeliharaan Apotek Hidup Di Lingkungan Posyandu Kelurahan Tuah Karya Dalam Menjaga Daya Tahan Tubuh Di Masa Pandemi Covid – 19
Authors: Fezi Waldeseska Aulia  , Akbarsyah Agustry , Hutabarat Anggita Aditia , Aristi Mentari Dwi
Published: June 2022

The Tuah Karya community in utilizing the Posyandu yard land has not been used optimally, this needs to be done by managing the yard for the maintenance of live pharmacy plants in addition to decorating the posyandu environment as well as medicine, especially during the COVID-19 pandemic, it is required to maintain endurance. Live apothecary plants have very good content to maintain the immune system. KKN Students Together Against COVID19 conducted socialization and training to the Tuah Karya sub-district community regarding the maintenance of live pharmacy plants in maintaining body resistance. The results of these activities are expected that the community is aware, interested, and interested in growing live pharmacy plants in their own yard, then able to increase knowledge about the use of posyandu yard land for planting live pharmacy plants, and the public can know plants that can be used for medicine as living pharmacies.
Pemanfaatan Potensi Lahan Dengan Mengoptimalkan Toga (Tanaman Obat Keluarga) Dikelurahan Bambu Kuning
Authors: Salsabila Ababil Ferrel , Fitria Nur Salim Dinul , Ilham Ilham , Zumrotun Nasihah , Sunaini Sunaini , Diah Angraina
Published: June 2022

One of the UMRI group 21 KKN activities carried out was the planting of TOGA, the widespread spread of COVID-19 spurred residents to increase their immunity. This activity aims to increase public understanding of COVID-19 prevention efforts using TOGA. The method of implementation is direct practice, the activities are carried out in RW 09, Bamboo Kuning Village, Tenayan Raya sub-district. The result achieved is the increased understanding of citizens about efforts to prevent covid-19 by using TOGA.
Penyuluhan Digital Untuk SMP YWKA 2
Authors: Saputri Nia Liska , Widiyarto Sigit , Nugroho Nugroho , Hadi Irfan
Published: June 2022

This Community Service activity aims to introduce Schoology as a digital classroom platform to improve the quality of educators in teaching. This activity involved two lecturers and one student from Indraprasta University PGRI. The target participants of this community service activity are junior high school educators Yayasan Wanita Kereta Api II Jakarta. This activity was attended by 11 teachers of SMP YWKA 2 Pulogadung, East Jakarta. The approach used is Andragogy. Andragogy as the art and science of helping students (adults) to learn, the science and arts of helping adults learn (Knowles, 1970). The practice and discussion methods used can help facilitate participants' understanding. This activity went smoothly without any significant obstacles..

 

Keywords: Schoology, digital classroom, Andragogy
SEKOLAH “BERADAT” (BELA NEGARA PEDULI SEHAT) MENUJU TRANSISI PEMBELAJARAN TATAP MUKA DI SD MUHAMMADIYAH PURWODININGRATAN YOGYAKARTA
Authors: Muhammad Salisul Khakim  , Diah Sari Armenia
Published: June 2022

Kebijakan pembelajaran tatap muka pada masa pandemik dikeluarkan guna memfasilitasi anak-anak agar dapat belajar dengan layak dan aman. Sekolah Dasar menjadi bagian penting dalam hal ini untuk melakukan persiapan dan pembinaan sebelum kegiatan sekolah ini berlangsung tatap muka. SD Muhammadiyah Purwodiningratan berada di tengah kota, yang merupakan daerah rawan terhadap penyebaran Covid-19 Di Daerah Istimewa Yogyakarta. Oleh karena, itu pendidikan harus tetap dapat berjalan secara efektif dengan memperhatikan kesehatan. Hal yang penting dilakukan disini adalah menjaga semangat belajar bagi guru maupun siswa dengan menjaga kepedulian terhadap kesehatan pendidikan bela negara melalui kepedulian kesehatan dimasa pandemi Covid-19. Tujuan program ini yaitu meningkatkan pengetahuan, sikap guru dan siswa disekolah terhadap perilaku bela negara dengan semangat gotong royong dalam menerapkan protokol kesehatan, serta meningkatkan peran aktif dari guru dan siswa di sekolah untuk penerapan protokol kesehatan, gerakan masyarakat sehat dan perilaku hidup bersih dan sehat. Hasil pelaksanaan program ini menunjukkan guru dan siswa sangat antusias dan bersemangat selama proses kegiatan mulai dari pemberian materi dan diskusi.
E-health: Evaluation of the implementation of the Personal Electronic Health Record by family doctors in Greece
Authors: LAPPA Evangelia , PAGANAS Aristofanis , GKARMIRI Vasiliki , GIATA Ourania , KARAPOULIOS Dimitrios
Published: June 2022

Introduction

Ε-health (eH) is a basic component of current health care provision. The cornerstone of eH is the electronic health record (EHR) system.

Material and methods

The purpose of this survey is to assess the Greek EHR application by Greek family doctors, taking into consideration the brief period of EHR implementation in Greece. We adapted a preexisting questionnaire, with permission, translating and standardizing it in Greek. The questionnaire focused on computer use capability, EHR usage, and efficiency in daily clinical practice, user satisfaction and global user evaluation of the application. 175 family doctors filled out the questionnaire in February 2019.

Results

Low usage rates, minimal facilitation in daily practice, competency issues, and moderate user satisfaction were among our findings.

Conclusions

Greek EHR has several problems and inadequacy areas. Reversing these problems and optimizing the application, then reevaluating the results after a wider period of implementation is important.
The role of the board of directors in the institutional strategic process within public hospitals
Authors: NICULITA Ana
Published: June 2022

Introduction. According to the normative provisions, the Board of Directors (hereinafter the BD) is an administrative and supervisory body of public hospitals, which, in addition to other exclusive (quite limited) duties, is responsible for the examination and approval of the plans of activity of the hospital. However, just as the expressions "strategic plan" or "strategy" do not appear in this task, sometimes the involvement of the BD in the examination and approval of institutional strategic documents are omitted.

Material and methods. The purpose of the study is to evaluate the experience of the BD members of the public hospitals in the North region, regarding the involvement in the institutional strategic process. They expressed their opinion on the perceived role in the process of elaboration and implementation of institutional strategies; the vision, mission and set of institutional values, strategic areas, the performance of which they monitor; communication with stakeholders in the strategic context; taking corrective action in a timely manner, etc. The strategies / strategic plans of the medical institutions included in the study were analyzed too.

Results. The results of the study show that the involvement of BD members of the public hospitals in the institutional strategic process is often formal and declarative.

Conclusions. The study emphasizes a superficial attitude of the BD members on the strategic process or the fact that they do not have the necessary competencies to examine the institutional strategies.
Cardiovascular damage in seronegative spondylarthritis
Authors: STOICA Mihaela , SCORPAN Anatolie , SARBU Oxana , GOREA Alexandru , ISTRATI Valeriu
Published: June 2022

Introduction. Cardiovascular mortality in patients diagnosed with seronegative spondyloarthritis (SSN) is on the rise. Impairment of the cardiovascular system in ankylosing spondylitis (SpA) is 20-40%, in psoriatic arthritis (APs) 18-22% and in reactive arthritis (ARe) 1-3%.Material and methods. The study included 77 patients diagnosed with SSN. Laboratory (erythrocyte sedimentation rate – ESR, C-reactive protein – CRP, fibrinogen) and instrumental (echocardiography – EcoCG, electrocardiogram – ECG) data were analyzed.Results. In 35 patients diagnosed with SpA, the left branch hemiblock of the Hiss bundle was determined – 71% and bradycardia – 57%. Aortic valve (VAo) changes were diagnosed in 54% and left ventricular hypertrophy (LVH) in 57%. Elevated CRP values were found in 34.5% of cases, ESR – 22.8% and fibrinogen – 17.2%. In 24 patients with APs, 33.5% showed VAo induration and fibrosis. Another change diagnosed in these patients was LVH (37.5%). Cardiac conductivity disorders in 25% were due to the left branch hemiblock of the Hiss bundle, and among the increased inflammatory markers were: fibrinogen (16.6%) and CRP (12.5%). In 18 patients with ARe as a rhythm disorder, tachycardia is predominant – 94% and VAo damage in 27.7%. Inflammatory markers with values above the upper limit were fibrinogen (66%) and CRP (33%).Conclusions. Our study showed that SSN is closely related to the inflammatory syn-drome, on which the activity of the disease and the degree of damage to the cardiovascular system depend. Most often the heart is affected with its components.
Biodigestor doméstico para comunidades rurales y urbanas
Authors: Cerón García Israel
Published: June 2022

A partir de una metodología de proyectos de emprendimiento en el Colegio de Estudios Científicos y Tecnológicos del Estado de México en el Plantel Tequixquiac se contribuye al desarrollo ecotecnológico mediante un prototipo biodigestor doméstico para comunidades rurales y urbanas con el propósito de disminuir la emisión de gases contaminantes y promover una cultura ecológica sustentable en la región.
Cardiac Sarcoidosis Managed by Biventricular Pacing: A Case Report
Authors: Khoury Samih , Bechara Tony , Dabbous Mohammed , Saba Micheal , El Orra Said
Published: June 2022

Background:  Cardiac sarcoidosis (CS) is a rare pathology that affects the middle-aged population. Its diagnosis, as well as its treatment, can be quite challenging, especially dealing with device management. We hereby discuss a case of CS, managed by a biventricular pacemaker in a 43-year-old man.
Case Report: A 43-year-old male presented to the emergency department with a 15-day history of chronic cough and worsening dyspnea. On examination, he was found to be bradycardic in the context of a third-degree heart block on ECG as well as bilateral hilar lymphadenopathy on chest radiography. Based on these findings, cardiac sarcoidosis was suspected. A temporary right internal jugular transvenous pacemaker was implanted in the right ventricle and empiric corticosteroid management was commenced. Lung tissue biopsies were obtained via bronchoscopy and were positive for granulomas consistent with a diagnosis of sarcoidosis.  Even though the patient showed a partial positive response to corticosteroid treatment, he required a permanent pacemaker. A dual-chamber implantable cardioverter-defibrillator (ICD) was implanted and the patient was discharged on prednisone. His follow-up plan consisted of serial echocardiography and consideration of a new coronary sinus lead in the event of left ventricular dysfunction in the future.
Conclusion: Cardiac rhythm management in the context of CS is often difficult, with decisions that need to be made between a pacemaker, a defibrillator, or a cardiac resynchronization device. The idea that biventricular pacing has a preventative role against heart failure in patients with normal left ventricular ejection fraction and CS deserves more attention and discussion.
La responsabilité du magistrat
Authors: Arens Chantal
Published: June 2022

L'auteure montre d'abord que la responsabilité des magistrats ne peut être dissociée de leur indépendance et de leur protection. Elle expose ensuite les différentes mesures de renforcement de la déontologie mises en place par le Conseil supérieur de la magistrature et la Cour de cassation. Elle conclut en rappelant que la responsabilité du juge est intérieure et prend sa source dans un travail du juge sur lui-même.
Les troubles anormaux du voisinage
Authors: Lasserre Valérie
Published: June 2022

Les propositions de réforme de la responsabilité pour troubles anormaux du voisinage semblent claires et opportunes ; elles permettent au juge la recherche de solutions équilibrées entre le droit à la tranquillité, à une vie paisible et saine et les enjeux du vivre ensemble, qu’ils soient économiques, sociaux et environnementaux.
Les causes d’exonération de la responsabilité civile
Authors: Genicon Thomas
Published: June 2022

Les projets de réforme appréhendent les causes d'exonération – totale ou partielle – de la responsabilité civile en saisissant ensemble la responsabilité contractuelle et la responsabilité extracontractuelle. L'examen des différentes innovations envisagées montrent que cette approche n'est pas à l'abri de la critique et pourrait susciter des difficultés d'application.
La responsabilité de la doctrine
Authors: Pimont Sébastien
Published: June 2022

À l’heure où l’on parle de déclin de la doctrine, raisonner à partir de sa prétendue responsabilité n’est pas sans intérêt. Cela peut enrichir les discussions sur ce qu’elle est, et, plus largement, sur les devoirs de ceux qui disent y appartenir. De cette responsabilité en passant par la déontologie ou l’éthique des auteurs de textes doctrinaux, il est finalement possible de s’interroger sur ce qui fait exister la doctrine comme une communauté savante.
Le costume féminin des élites germaniques orientales et ses répliques « populaires » dans le royaume wisigothique aux V e -VI e siècles
Authors: Kazanski Michel , López Quiroga Jorge , Périn Patrick
Published: June 2022

L’objet de cet article est, d’une part, d’examiner l’état de la recherche portant sur les traces archéologiques du costume « princier » féminin de tradition « ponto-danubienne » à deux fibules en tôle métallique du v e  siècle sur le territoire du royaume wisigothique et, d’autre part, d’identifier ses répercussions dans le costume « hispano-wisigothique » de la « classe moyenne » de la deuxième moitié du v e  siècle et de la première moitié du vi e  siècle. Le costume féminin est un indice ethnographique des sociétés traditionnelles parmi les plus stables. Cependant, à un niveau social élevé, ce costume peut devenir aussi un indice d’appartenance à la « classe dirigeante ». Dans ce cas, le costume de prestige, quelles que soient ses origines, commence tôt ou tard par être imité par la population « ordinaire ». Les communautés villageoises de l’Espagne wisigothique étant très majoritairement romaines, on peut donc conclure que la diffusion dans ce milieu de la mode ponto-danubienne « barbare » montre le début de la fusion de la culture matérielle des Wisigoths et des Hispano-Romains.
La puissance inquiète
Authors: Michalewski Alexandra
Published: June 2022

Cette note se propose, à partir de l’examen d’un parallèle entre Enn. VI.3 (44).23 et Enn. III.7. (45).11, relatif au caractère affairé du mouvement en lien avec une dynamis, de formuler l’hypothèse suivante : alors même que Plotin affirme explicitement, à l’ouverture d’Enn. VI.3 (44), que l’examen de la nature de l’âme sera exclu de la recherche actuelle, il y ferait néanmoins une allusion subreptice lorsqu’il évoque la puissance dont dépend le déploiement du mouvement sensible en Enn. VI.3 (44).23.
Le retour de l’âme à son lieu d’origine après la mort et sa descente ici-bas selon Numénius
Authors: Jourdan Fabienne
Published: June 2022

Numénius aborde le thème du retour de l’âme à son origine divine dans un seul contexte : la description du voyage des âmes après la mort. Son propos est transmis par des témoignages de Porphyre (De antro nympharum, §10 et §§ 21-23) et de Proclus (In Remp. II p. 129. 4-130. 2 Kroll). Leur examen montre que même si Numénius semble généralement concevoir l’incarnation comme un mal pour l’âme, il envisage aussi sa descente ici-bas comme l’effet d’une attirance pour l’intellect qui dirige le monde et le pénètre. Dans ce cas, l’âme concernée n’est pas l’âme irrationnelle ou la partie irrationnelle de l’âme. Il s’agit de l’intellect qui pénètre ce monde pour l’emplir à son tour de sa présence rationnelle et divine. L’âme ne retrouverait donc pas sa source spirituelle et son semblable d’un ordre supérieur uniquement lorsqu’elle quitte ce monde ; elle le retrouverait aussi lorsqu’elle y descend. De là viendrait le plaisir, cette fois rationnel, qu’elle aurait à s’incarner. Une telle conception aura peut-être conduit Numénius, dans ce cadre précis, à lire les deux passages d’Héraclite (22 B 77a et b DK = 102 Pradeau) opposant la vie de l’âme et la nôtre d’une manière différente de celle que nous faisons habituellement.
Jamblique. L’âme et ses parcours d’élévation
Authors: Taormina Daniela Patrizia
Published: June 2022

Dans le nouveau paradigme des savoirs théorisé par Jamblique, l’élévation de l’âme (ἀναγωγή) ne comporte pas un changement de son statut ontologique. Elle est plutôt évoquée comme le facteur de discrimination des genres de vie les meilleurs et en ce sens, elle désigne le sommet de la philosophie, comme de la théologie et de la théurgie. Bien que conçue dans les trois disciplines comme une recherche de l’unité, elle prend dans chacune d’entre elles des caractères propres : elle se fonde sur la mobilisation des différentes puissances de l’âme et sur l’implication de réalités de nature différente, et conduit aussi à un résultat différent. Dans les mathématiques, l’élévation de l’âme est opérée par le raisonnement ou par la raison discursive, porte sur les genres et les espèces mathématiques et aboutit à la cause identique et unifiée. Dans la dialectique, l’élévation est accomplie par l’intellect, porte sur les idées et conduit vers le principe du tout. Dans la théologie, l’élévation est opérée toujours par l’intellect, mais elle conduit à la contemplation du dieu et de tout ce qui est dans la série du dieu. Dans la théurgie, l’élévation est accomplie au-delà de l’intellect et de la connaissance et ne résulte plus de l’effort individuel, mais est plutôt un don des dieux.
Retour de l’âme et salut de l’homme chez Origène d’Alexandrie
Authors: Zambon Marco
Published: June 2022

Origène, pour interpréter la nature et le destin de l’homme, s’est inspiré, entre autres, du mythe – raconté par Platon dans le Phèdre (246a-249d) – de la perte et de la récupération des ailes par l’âme. Par rapport à la manière dont les platoniciens contemporains ont interprété ce mythe, il a introduit d’importantes nouveautés, dérivées de la tradition de la foi chrétienne : la nécessité d’un sauveur, la centralité de la foi, l’idée que la réalité sensible et historique participe également au salut.
Le retour de l’âme à l’intellect. Lectures neo-platoniciennes du De Anima III 4-5 d’Aristote
Authors: Steel Carlos
Published: June 2022

La distinction qu’Aristote introduit, en De Anima III, 4-5, entre un principe actif et un principe passif de la pensée a amené ses lecteurs néo-platoniciens à reconsidérer le rapport entre l’âme humaine et l’intellect. Leurs interprétations sont intimement liées à leurs conceptions différentes sur le retour de l’âme par la pensée. Le passent en revue Plotin, Porphyre, Thémistius, Plutarque d’Athènes, ps. Simplicius et Philopon. Si jusqu’à Themistius, l’exégèse de ce passage était mise au service d’une pensée du retour de l’âme au sens fort d’une union mystique à l’intelligible, les commentateurs tardifs lisent DA III 4-5 d’une façon très différente. On n’y rencontre plus les spéculations sur l’âme et sa remontée au monde intelligible. La thèse de la fusion de l’âme et de l’intellect, par laquelle l’âme trouve sa béatitude, disparaît pour revenir en force dans la philosophie arabe avec Alfarabi et Averroès…par l’intermédiaire de Thémistius.
L’ivresse de l’intellect : quelques réflexions au sujet du récit plotinien de l’Ascension
Authors: Dillon John
Published: June 2022

Plotin a souvent été décrit comme un philosophe qui aurait eu des visions directes de l’Un et de l’intelligible, dont témoignent le début du traité 6 (IV, 8) et les affirmations de Porphyre dans sa Vie de Plotin. L’auteur des Ennéades rejoint donc une longue tradition de mystiques connus pour leur expérience du divin. Mais des études récentes ont montré que ces expériences mystiques pouvaient souvent s’expliquer par des troubles neurologiques. Le but de cet article est de comparer la description plotinienne de l’intelligible avec celle d’une expérience de mort imminente (EMI) vécue par l’auteur Eben Alexander et explicable du point de vue strictement neurologique. De cette façon, nous verrons si nous pouvons approfondir notre connaissance des visions plotiniennes telles qu’elles ont pu être vécu par le philosophe.
Leptospirosis in central & eastern Uttar Pradesh, an underreported disease
Authors: Shukla Surabhi , Mittal Vineeta , Karoli Ritu , Singh Peetam , Singh Aditi
Published: June 2022

Background & objective

Leptospirosis is a zoonotic disease associated with potentially fatal consequences and a grossly underreported disease in Uttar Pradesh. However, only a few studies are available which report the prevalence of leptospirosis in this State. Hence, this study was undertaken to know the status of the disease in central and eastern Uttar Pradesh.

Methods

A total of 143 serum and urine samples were collected from patients with acute febrile illness from July 2017 to March 2019. All the serum samples were tested for Leptospira by rapid IgM antibody card and IgM ELISA and urine samples were tested by real-time polymerase chain reaction (RT-PCR) to detect Leptospira DNA. All positive and 10 per cent negative sera from ELISA and RT-PCR (all rapid test positive were also ELISA positive) were sent to the ICMR-Regional Medical Research Centre, Port Blair for microscopic agglutination test (MAT).

Results

Thirty eight (26.6%) out of 143 samples were positive for leptospirosis either by ELISA or RT-PCR. Positive results were eight (6%) by Rapid card, 32 (22%) by IgM ELISA, 10 (7%) by MAT, 10 (7%) by RT-PCR. In MAT, the most common serovar was Lai followed by Hebdomadis, Bangkinang and Pomona.

Interpretation & conclusions

Leptospirosis was found to be one of the important causes for acute febrile illness in the central and eastern parts of Uttar Pradesh. The results of the present study suggest that it is necessary to increase diagnostic facility and awareness in clinicians for the screening of leptospirosis in acutely febrile patients to decrease morbidity and mortality associated with this disease.
Clinical characteristics & outcome of SARS-CoV-2 infected neonates presenting to paediatric emergency
Authors: Kumar Jogender , Kumar Praveen , Saini Shiv Sajan , Sundaram Venkataseshan , Mukhopadhyay Kanya , Dutta Sourabh , Paulpandian Raja Rajan , Mittal Piyush , Das Swati , Rameshbabu Monisha , Mandula Phani Priya , Ranjan Ankit , Tiwari Deepika , Taneja Manish , Garg Ashok , Jayashree Murlidharan , Goyal Kapil , Singh Mini , Puri Goverdhan Dutt , Lakshmi P.V.M. , Guru Rashmi Ranjan
Published: June 2022

Background & objectives

Data on neonatal COVID-19 are limited to the immediate postnatal period, with a primary focus on vertical transmission in inborn infants. This study was aimed to assess the characteristics and outcome of COVID-19 in outborn neonates.

Methods

All neonates admitted to the paediatric emergency from August 1 to December 31, 2020, were included in the study. SARS-CoV-2 reverse transcription- (RT)-PCR test was done on oro/nasopharyngeal specimens obtained at admission. The clinical characteristics and outcomes of SARS-CoV-2 positive and negative neonates were compared and the diagnostic accuracy of a selective testing policy was assessed.

Results

A total of 1225 neonates were admitted during the study period, of whom SARS-CoV-2 RT-PCR was performed in 969. The RT-PCR test was positive in 17 (1.8%). Mean (standard deviation) gestation and birth weight of SARS-CoV-2-infected neonates were 35.5 (3.2) wk and 2274 (695) g, respectively. Most neonates (11/17) with confirmed COVID-19 reported in the first two weeks of life. Respiratory distress (14/17) was the predominant manifestation. Five (5/17, 29.4%) SARS-CoV-2 infected neonates died. Neonates with COVID-19 were at a higher risk for all-cause mortality [odds ratio (OR): 3.1; 95% confidence interval (CI): 1.1-8.9, P=0.03]; however, mortality did not differ after adjusting for lethal malformation (OR: 2.4; 95% CI: 0.7-8.7). Sensitivity, specificity, accuracy, positive and negative likelihood ratios (95% CI) of selective testing policy for SARS-CoV-2 infection at admission was 52.9 (28.5-76.1), 83.3 (80.7-85.6), 82.8 (80.3-85.1), 3.17 (1.98-5.07), and 0.56 (0.34-0.93) per cent, respectively.

Interpretation & conclusions

SARS-CoV-2 positivity rate among the outborn neonates reporting to the paediatric emergency and tested for COVID-19 was observed to be low. The selective testing policy had poor diagnostic accuracy in distinguishing COVID-19 from non-COVID illness.
A systematic review and meta-analysis of substance use among medical students in India
Authors: Sahu Anamika , Bhati Nikita , Sarkar Siddharth
Published: June 2022

Background and Aims

Substance use among medical students may have consequences like poor academic performance and impaired patient care. There is a growing literature on substance use among medical students in India. This systematic review and meta-analysis were done to synthesize the literature on substance use among medical students in India.

Methods

Medline and Google Scholar were used as search engines to ascertain the literature that reported substance use among Indian medical students from January 2000 to January 2022. The pooled prevalence of tobacco, alcohol, other substance, and overall substance use was computed.

Results

A total of 65 studies were included. The pooled prevalence of tobacco use was 21.9% (95% confidence intervals [CI] 18.5% to 25.3%, n = 20,165, k = 51), while the pooled prevalence of alcohol use was 27.1% (95% CI of 23.0% to 31.1%, n = 11,823, k = 31). The overall pooled prevalence of substance use was 40.3% (95% CI of 25.5% to 55.2%, n = 4960, k = 10), while pooled prevalence of cannabis was 8.2% (95% CI of 4.9% to 11.5%, n = 2418, k = 7). The use of tobacco was about 10 times higher in males than females, while the odds of alcohol use were about five times higher in males.

Conclusion

Substance use is common among medical students, with rates of substance use being generally higher in males as compared to females. Targeted interventions may help to reduce substance use and prevent the development of substance use disorders in this population.
Outcomes of Surgical Treatment in Spinal Metastasis
Authors: Ghimire Nischal , Krishnan Venkatesh
Published: June 2022

With increase in the elderly population and improved survival among patients with malignancies, the rates of patients presenting with metastatic involvement of the spine is on the rise. Surgical management of spinal metastasis requires a multidisciplinary approach and surgery is a key component of multimodality management of metastatic spinal lesions. A PubMed search of relevant articles was performed and a narrative review of available pertinent literature in English language is presented.
Primary Spinal Melanoma
Authors: Paul Paramita
Published: June 2022

Primary malignant melanoma of central nervous system accounts for approximately 1% of all melanomas. Primary spinal melanomas are even more unusual. The clinico-radiological features of primary spinal melanoma are complex and non-specific, resulting in a high misdiagnosis rate. Here, primary cervico-thoracic spinal melanoma is presented in a 53-year-old woman which mimicked a hematoma on magnetic resonance imaging and an arteriovenous malformation intraoperatively. Histopathology and immunohistochemistry confirmed the diagnosis of malignant melanoma.
Minimally Invasive Surgery for Spinal Metastases
Authors: Kumar Naresh , Thomas Andrew Cherian , Lee Sean Junn Kit , Lopez Keith Gerard , Tang Sarah Shuyun , Hallinan James Thomas Patrick Decourcy
Published: June 2022

The incidence of metastatic spine disease (MSD) is on the rise and is currently present in 70% of patients presenting with systemic cancer. The majority of patients with MSD present with clinical symptoms such as neurological deficit, pathological fracture causing pain and spinal instability. Management of MSD is a multidisciplinary endeavor that involves surgery, radiotherapy (RT), and chemotherapy. The conventional open spine surgery approach has evolved into a less invasive surgery model categorized as minimally invasive spine surgery (MISS) or minimal access spine surgery. This evolution was brought about to address the complications associated with open surgery such as longer hospital stays and wound-related problems. MISS has been now widely explored in MSD due to lower wound-related complications, decreasing operative time, less neurological complications, and shorter hospital stays. Decompression and stabilization still remain the core concepts in MISS. Kyphoplasty/vertebroplasty, percutaneous pedicle screw fixation, separation surgery, and radiofrequency ablation are some of the minimally invasive techniques and procedures for surgical management of MSD. MISS is used in conjunction with other modern techniques like intraoperative neuromonitoring to help identify any adverse neurological events. MIS techniques will evolve with time, extending their application for the management of hypervascular tumors with significant anterior cord compression and recurrent tumors in which the open surgery currently remains the choice of approach.
Spinal Metastases
Authors: Zaveri Gautam R. , Krishnan Venkatesh
Published: June 2022

The goal of treatment in patients with spinal metastasis is palliation, that is, to improve the quality of remaining life as judged by alleviation of pain, preservation or restoration of neurology, and improvement in function. Local control of the spinal metastasis not only influences the overall survival of a cancer patient but is vital to maintain treatment benefits for the duration of the patient's survival. However, cancer therapy––both surgical and nonsurgical––carries a significant risk of complications, morbidity, and even mortality. Decision-making regarding the most appropriate treatment strategy is vital when treating terminally ill patients with spinal metastatic disease.
Acute Thrombotic Occlusion of Infrarenal Abdominal Aorta – Rare and Catastrophic Event After Blunt Abdominal Trauma
Authors: Rawat Rajneesh , Chauhan Rohit K. , Baghel Jyoti , Prakash Avinash
Published: June 2022

Acute abdominal aortic occlusion is a rare injury with potentially devastating consequences. Clinically, patients present with severe pain of the bilateral lower limbs with paresthesia or paraplegia. Here, we present a case of thrombotic occlusion of the infrarenal portion of the abdominal aorta with extension to bilateral iliac arteries following a road traffic accident in a young adult. It also highlights the complications associated with thromboemboli arising from blunt abdominal trauma probably due to delayed hospital presentation.
Fear of Falling and Environmental Factors: A Scoping Review
Authors: Rico Claudia Liliana Valencia , Curcio Carmen Lucía
Published: June 2022

Fear of falling is a geriatric condition that must be understood from both a clinical perspective and from the environment in which older adults live. This review aimed to describe the scientific evidence reported in the last 5 years regarding the fear of falling in older adults and its relationship with environmental factors. The relationships between fear of falling and environmental factors are mainly evidenced in the built environment. Older adults with a fear of falling are described as perceiving the built environment as dangerous when they do not meet the requirements of safety, accessibility, and comfort; they also report the importance of living in communities with controlled crime levels and available social support for older adults to improve their insecurity and feelings of vulnerability.
THE EFFECT OF ORGANIZATIONAL COMMITMENT AND WORK ENVIRONMENT ON JOB SATISFACTION OF EMPLOYEES OF THE SOUTH COAST DISTRICT INSPECTORATE OFFICE
Authors: Badri Juarsa , A Megaliza.
Published: June 2022

This study aimed to analyze and prove the effect of organizational commitment and work environment on job satisfaction of employees in the Inspectorate Office of Pesisir Selatan District. The data analysis technique used to test the hypothesis is multiple linear regression. The sampling technique used is saturated sampling, while the number of samples used for analysis is 47 people. In this study, there are two independent variables: organizational commitment and work environment. Based on the multiple linear regression analysis results, it was found that the variable organizational commitment has a positive and significant effect on job satisfaction, and the work environment has a positive and significant effect on job satisfaction in the Inspectorate Office of Pesisir Selatan District. This study recommends practically to the Inspectorate Office of Pesisir Selatan District to continue to improve employee job satisfaction optimally in achieving organizational goals in the future
THE EFFECT OF PRODUCT QUALITY, PRICE AND SERVICE QUALITY ON CONSUMER SATISFACTION AT CAFE SAVA KOFFIE
Authors: Marselina Sherli , Badri Juarsa
Published: June 2022

This study examines the effect of product quality, price and service quality on customer satisfaction at Café Sava Koffie. This type of research is quantitative, the research process emphasizes objective measurement of results using statistical analysis. The population in this study are consumers who visit Café Sava Koffie. The total population is 606 people. The sampling technique used is accidental sampling based on certain criteria, namely consumers who visit Café Sava Koffie, while the number of samples is 86 people obtained using the slovin formula. The type of data used in this study is quantitative data. While the data sources are primary and secondary. The data analysis technique uses multiple linear regression using the SPSS version 21.00 program. The hypothesis was tested using the t test at = 0.05. This study indicates that product quality, price, and service quality have a positive and significant effect on consumer satisfaction at Café Sava Koffie