bluuebunny/crossref_metadata_2025 huggingface dataset:
Le temps remué par le transgénérationnel
Authors: Eiguer Alberto
Published: March 2021

Dans la représentation que les membres de la famille se font des ancêtres, le temps n’est pas révélé comme intemporel, mais éternel et immortel. Pour explorer ces représentations, l’auteur étudie les formes multiples de mémoire vécues par ces sujets face aux traumatismes subis par les ancêtres, à la fois désorganisateurs et organisateurs, primitifs ou élaborés, toujours poignants. La clinique aide à comprendre la place des amnésies, des hypermnésies, des distorsions, à les retravailler pour clarifier le sensoriel, l’hallucinatoire, et même les refoulements et les dénis. Pour le comprendre, il faut reformuler la logique ordinaire pour se plonger dans les paradoxes et autres variations de pensée. Les applications pratiques seront donc particulièrement bénéfiques.
Accueillir les fantômes dans les entretiens familiaux
Authors: Calandra Emmanuelle
Published: March 2021

L’auteure décrit, au travers d’une longue présentation clinique, le cheminement psychique d’une mère et de sa fille adolescente, suite au décès du père. L’émergence de phénomènes paranormaux et, partant, le recours à des théories parapsychologiques amenées par la famille dans les entretiens familiaux ouvrent un espace potentiel et transitionnel, espace qui va permettre la mise en suspens du travail de deuil et la mise en question des assignations dans le cadre de l’héritage laissé par les ancêtres, concernant notamment les pouvoirs extralucides de certains membres de la famille. Les séances, hantées par la présence du père et de la grand-mère, vont mettre en lumière et permettre l’exploration des alliances et pactes familiaux, ouvrir à un remaniement des liens intrafamiliaux et intergénérationnels, jusqu’à la résolution par le truchement d’un objet de relation qui, figurant et contenant les divers éléments en jeu, referme l’espace potentiel et clôt le cheminement psychique de cette famille dans une forme symbolique.
Démarche diagnostique et processus de soin en thérapie familiale psychanalytique : quelle articulation possible ?
Authors: Le Bouille Jean , Mauré Caroline , Nègre Romain
Published: March 2021

La question du diagnostic est de plus en plus centrale dans le travail des structures de soins en pédopsychiatrie. Elle est devenue un enjeu premier au niveau des politiques de soins et fait l’objet de budgets et de structures dédiés, qui se retrouvent régulièrement coupés du champ thérapeutique. À travers le cas de parents qui revendiquent au départ un diagnostic pour leur fille, les auteurs mettent en avant l’importance, en parallèle, de la mise au travail psychique via la thérapie familiale psychanalytique. En somme, les démarches de soins et de recherche d’un diagnostic se nourrissent et se font évoluer mutuellement, évitant l’écueil d’un objet conceptuel figé. Par ce dispositif d’accueil global de la demande, une place est donnée aux enjeux psychiques individuels afin de les réinscrire dans une histoire commune au groupe familial, faisant éclore une position subjective de l’enfant, insaisissable jusque-là.
Contenir les familles vulnérables avec difficultés parentales
Authors: Jadeau Ellen
Published: March 2021

L’auteure expose une thérapie familiale psychanalytique concernant une famille vulnérable. L’analyse de l’intertransfert y fut déterminante pour contenir la place de chacun et dégager l’autorité parentale et celle des thérapeutes dans le cadre de la thérapie. Les thérapeutes sont amenés à interroger leur place d’autorité en articulation avec les règles du cadre et les parents vont retrouver une place générationnelle qui leur confère de nouveau une autorité parentale tempérée. En effet, ils semblaient figés dans une position infantile au regard de leurs propres parents et de leur histoire transgénérationnelle traumatique, origine de la vulnérabilité de la famille.
Le faux-self familial
Authors: Tordo Frédéric
Published: March 2021

Le faux-self familial apparaît comme une organisation fondamentale de la famille, qui présente alors une identité de surface, ou une fausse identité. Ses caractéristiques sont les suivantes : le faux-self familial est un phénomène groupal, qui concerne les membres d’une famille ; il se traduit par l’impossibilité de convoquer une pensée réflexive familiale ; pour tenter de se défaire d’une souffrance, ou d’une toxicité dans les liens, l’organisation familiale poursuit une extinction de la résonance fantasmatique ; pour faire écran à cette vitalité perdue, la famille peut s’accrocher à un objet en lien qui offre à ses membres l’illusion d’une dynamique ; en conséquence, la famille met en place une idéologie artificielle, qui artificialise en retour les liens familiaux.
Violence et défaut de rêverie dans le couple
Authors: Sanahuja Maria de la Almudena , Bernard Alexandra , Naimi Marie
Published: March 2021

Les situations de violences conjugales sont de plus en plus visibles dans l’espace sociétal, politique. Elles s’invitent également dans l’intimité de la scène thérapeutique. L’esquisse d’un modèle de compréhension de la violence dans le couple, en appui sur la théorie analytique familiale, nous conduit à formuler l’hypothèse d’une « empreinte inconsciente maudite », venin transgénérationnel déployé dans l’enveloppe psychique contenant les partenaires. Ce phénomène a pour effet l’abrasion de la capacité de rêverie du couple (« inrêverie couplale »).
De la critique écologique à la critique sociale. Auto-organisation communautaire et autonomie des dominés
Authors: Poupeau Franck
Published: March 2021

Cet article montre dans quelle mesure la critique écologique, lorsqu’elle reprend sans nuances le présupposé de l’autonomie des dominés, échoue à définir une alternative politique. C’est en étudiant les conditions sociales d’accès à la politisation (et aux savoirs militants) qu’il devient alors possible de penser la genèse et la pérennité de formes d’auto-organisation susceptibles de produire du commun. Le problème n’est peut-être pas tant de trouver des expérimentations relatives à l’auto-gouvernement des êtres et des ressources, que de s’interroger sur la façon d’y faire entrer ceux qui n’y participent pas. Dans cette perspective, une sociologie de la domination engage à porter une plus grande attention aux dominés qui sont condamnés à rester dans le « monde abîmé » d’un capitalisme en « ruine », et sans lesquels un projet politique global de rupture avec l’ordre existant reste difficilement pensable.
La répartition spatiale des médecins privés à Annaba (est algérien)
Authors: Harkat Mohamed Lamine , Azzouzi Amar
Published: March 2021

La majorité des communes algériennes est aujourd’hui confrontée à un phénomène de répartition inégale des médecins privés, caractérisé par une concentration dans les grands centres urbains au détriment du reste du territoire régional, en particulier des zones rurales. Ce phénomène a pour conséquence de rendre difficile l’accès aux soins de santé à une partie souvent importante de la population et engendre également des conditions de travail très difficiles pour les médecins. Le présent article vise à examiner la répartition géographique des médecins privés à Annaba au moyen des données les plus récentes. La répartition spatiale des médecins y est décrite plus ou moins en détail. Toutefois, l’étude ne vise pas qu’à présenter des données sur la répartition des médecins par rapport à celle de la population. Elle décrit comment la répartition des médecins privés sur les communes de la wilaya diffère relativement à certaines caractéristiques sociales, urbaines et démographiques.
La frontière interallemande, retour sur les ambivalences du fait frontalier
Authors: Lacquement Guillaume
Published: March 2021

Cette contribution revient sur la genèse de la frontière interallemande pour interroger les ambivalences du fait frontalier. La frontière entre les deux Allemagnes a été tracée au lendemain de la Seconde Guerre mondiale dans le contexte de la Guerre froide, puis a été supprimée avec la réunification du pays en 1990. La frontière interallemande appartient donc au passé, pourtant son héritage continuer de jouer sur les dynamiques territoriales contemporaines. L’article précise tout d’abord les étapes de la formation du tracé et de l’évolution du régime de la frontière jusqu’à sa disparition en 1990, pour montrer comment les rapports de force de la guerre froide ont dominé le jeu des acteurs politiques impliqués dans sa genèse. Il se focalise ensuite sur la recomposition de l’ancien espace frontalier interallemand et décrit les mécanismes d’une intégration selective des territoires qui révèlent la permanence et la diversité des effets de frontière après sa disparition juridique. La troisième partie de l’article s’intéresse à la manière dont les travaux disciplinaires se sont saisis de l’ambivalence du fait frontalier pour conceptualiser les effets de frontière comme facteurs des dynamiques territoriales.
Sur l'imprescriptibilité de l'action négatoire de nationalité
Authors: Lagarde Paul
Published: March 2021

L'action négatoire de nationalité régie par l'article 29-3 du code civil n'est soumise à aucune prescription. (1) Viole ce texte et doit être cassé l'arrêt déclarant prescrite l'action du ministère public en annulation du certificat de nationalité et en constatation d'extranéité, engagée plus de dix ans après que le ministère de la Justice eut été informé du caractère apocryphe de l'acte de naissance produit par l'intéressé à l'appui de sa demande de certificat. (2)
La règle des codéfendeurs et l'action paulienne
Authors: Boskovic Olivera
Published: March 2021

Résumé Pour justifier la compétence du tribunal du lieu de son domicile au titre de l'article 8, § 1, du règlement 1215/2012, la personne appelée à l'instance doit avoir la qualité de défendeur. Tel n'est pas le cas, dans le cadre d'une action paulienne, du débiteur contre lequel aucune demande n'est formée.
Le statut des sujets chez Spinoza
Authors: Jaquet Chantal
Published: March 2021

Le sujet se définit par son obéissance. On peut se demander alors s’il peut résister au souverain. L’article analyse d’abord la conception hobbesienne du sujet, qui doit abandonner son droit de résister. Il se fonde ensuite sur l’étude des deux concepts subditus et subjectum et de leur lien dans la philosophie de Spinoza pour montrer, au contraire, que le statut de sujet n’implique pas l’abandon du droit de résister.
Implementation of inventory management in footwear industry
Authors: Conceição Jeferson , De Souza José , Gimenez Rossini Elton , Risso Alfonso , Beluco Alexandre
Published: March 2021

Purpose: The objective of this research was to implement new inventory management in a footwear company through the analysis of indicators obtained from inventory data collection.Design/methodology/approach: The methods of ABC analysis, demand forecasting, safety stock, reorder point and economic order quantity were applied. The items in inventory were classified by order of financial importance through ABC analysis, and the proposed indicators were analyzed to determine the moment the inventory replenishment should be carried out as well as the purchase lot size for each item. The research also analyzed the behavior of the demand and pointed out the demand forecasting method that came closest to reality.Findings: The study presents a method of implementing inventory management based on indicators derived from the application of ABC curve methods, demand forecasting, safety stock, re-fulfillment point, and economic purchased lot. It also indicates how the ABC classification of stocks can be used to check the most representative materials in stock. The study also highlights that the rejection of modifications can be surpassed by obtaining favorable results.Research limitations/implications: The inventory management applied in this work is based on indicators that resulted in two main data which were able to define the size of the purchase lot to be ordered and the amount of material needed.Practical implications: The methods of ABC analysis, demand forecasting, safety stock, reorder point and economic order quantity were applied. The items in inventory were classified by order of financial importance through ABC analysis, and the proposed indicators were analyzed to determine the moment the inventory replenishment should be carried out as well as the purchase lot size for each item. The research also analyzed the behavior of the demand and pointed out the demand forecasting method that came closest to reality.Originality/value: In this study, a method applied is presented, highlighting the importance of the methodological application for the implementation of inventory management. The study contributes to the encouragement and adoption of methodologies to improve analysis and inventory management in companies.
Collagen Fibril Abnormalities in the Extraocular Muscles in Ehlers-Danlos Syndrome
Authors: Meyer Ewy , Ludatscher Ruth M , Zonis Shlomo
Published: March 2021

ABSTRACT

The dermal collagen fibrils and the fibrils of the extraocular muscles and the conjunctivas of both eyes of a child afflicted with Ehlers-Danlos syndrome (EDS) were studied ultrastructurally. The results were evaluated statistically. Biopsy material was used In all Instances. The collagen fibrils from all involved tissues showed a high percentage of size variation. Abnormalities of shape were noted. In the reticular dermis, 48% of fibrils were of normal diameter, 23% were enlarged, and 29% were thinner than normal. In the extraocular muscles, 77% were of normal size, 14.5% were larger, and 8.5% were smaller. In the conjunctivas, 73% of fibrils were normal-sized, 22% were enlarged, and 5% were of small diameter. No small-sized fibrils were encountered in control extraocular muscles.
Bifurcation in the almost periodic $ 2 $D Ricker map
Authors: Ryals Brian , Sacker Robert J.
Published: March 2021

This paper studies bifurcations in the coupled \begin{document}$ 2 $\end{document} dimensional almost periodic Ricker map. We establish criteria for stability of an almost periodic solution in terms of the Lyapunov exponents of a corresponding dynamical system and use them to find a bifurcation function. We find that if the almost periodic coefficients of all the maps are identical, then the bifurcation function is the same as the one obtained in the one dimensional case treated earlier, and that this result holds in \begin{document}$ N $\end{document} dimension under modest coupling constraints. In the general two-dimensional case, we compute the Lyapunov exponents numerically and use them to examine the stability and bifurcations of the almost periodic solutions.
Asymptotic behaviors of jellyfish model with stage structure
Authors: Win Zin Thu , Tian Boping , Liu Shengqiang
Published: March 2021

In this paper, a stage-structured jellyfish model with two time delays is formulated and analyzed, the first delay represents the time from the asexually reproduced young polyp to the mature polyp and the second denotes the time from the developed polyp to ephyra (incipient medusa). Global dynamics of the model are obtained via monotone dynamical theory: the jellyfish populations go extinct and the trivial equilibrium is globally asymptotically stable if the survival rate of polyp during cloning and the survival rate of the incipient medusa during strobilation are less than their death rates. And if the survival rate of polyp during cloning and the survival rate of the incipient medusa during strobilation are larger than their death rates, a unique positive equilibrium is globally asymptotically stable. Moreover, it is proved that the only stage of polyps will continue without growing into medusa and the boundary equilibrium is globally asymptotically stable if the survival rate of polyp is larger than its death rate during cloning and if there is no survival of the incipient medusa. Numerical simulations are performed to verify our analytical results and to explore the dynamics with/without delays.
Avances en el diseño y cálculo de columnas de grava. Parte II: Grupos de columnas y consolidación secundaria
Authors: Castro Jorge
Published: March 2021

Este artículo recoge algunos aspectos teóricos recientes relativos a columnas de grava que pueden resultar útiles para su diseño y cálculo. En esta segunda parte, se recogen comentarios sobre la estimación del diámetro de las columnas, sobre grupos de columnas, y sobre la problemática específica causada por asientos de consolidación secundaria. Se muestra que el número de columnas mientras se mantenga el área de sustitución bajo la cimentación no tiene influencia en el valor del asiento y que la posición de las columnas dentro de la cimentación tiene una influencia muy pequeña. La longitud crítica de las columnas es del orden de 2 veces el ancho o diámetro de la cimentación superficial. También se muestra la menor eficacia de las columnas de grava en la reducción de asientos por consolidación secundaria. Cuando se estime que los asientos por consolidación secundaria pueden ser importantes, lo recomendable es realizar una sobrecarga.
MR On-SeT: A Mixed Reality Occupational Health and Safety Training for World-Wide Distribution
Authors: Rauh Sebastian Felix , Koller Marius , Schäfer Philip , Meixner Gerrit , Bogdan Cristian , Viberg Olga
Published: March 2021

The current generation of dedicated Mixed Reality (MR) devices can be considered as the first generation, which is truly mobile while also being capable of sufficient tracking and rendering. These improvements offer new opportunities for the on-set use of MR devices enabling new ways of using MR. However, these new use cases raise challenges for the design and orchestration of MR applications as well as how these new technologies influence their field of application. In this paper, we present MR On-SeT, a MR occupational health and safety training application, which is based on the experiences of an operational division of a world-wide operating German company. The intended purpose of MR On-SeT is to increase employees’ awareness of potential hazards at industrial workplaces by using it in occupational health and safety training sessions. Since the application is used at various locations throughout the company’s world-wide subsidiaries, we were able to evaluate it through an expert survey with the occupational health and safety managers of seven plants in France, Germany, Japan, and Romania. They reported the condensed experience of around 540 training sessions collected within three months. The purpose of the evaluation was twofold: 1. to understand their perceived attitudes towards the application-in-use, and 2. to collect feedback they received from respondents in training sessions. The results suggest that MR On-SeT can be used to extend current, predominantly theoretical, methods of teaching occupational health and safety at work, which also motivates existing employees to actively engage in the training sessions. Based on the findings, several further design implications are proposed.
Analysis on Academic Benchmark Design and Teaching Method Improvement under Artificial Intelligence Robot Technology
Authors: Cao Xiaojuan , Li Zheng , Zhang Ruyi
Published: March 2021

To allow robots to better complete teaching tasks in the education field, based on artificial intelligence robot technology, the academic benchmark is designed for information technology teaching. First, LEGO MINDSTORMS EV3 is introduced for statement, which is developed through information technology courses based on robot education. Then, according to the sensor teaching in robot education, the teaching contents are designed for the information technology course. After that, the teaching method is improved based on sensor teaching for the information technology course. Finally, the feasibility is evaluated of the existing of teaching resources, and the effect of information technology teaching is analyzed through a questionnaire survey. The results show that more than 80% of students are interested in robot teaching, and more than 70% of students can master relevant theoretical knowledge in practical operation, which proves that robot education can arouse students' interest in information technology courses. In conclusion, the learning methods proposed in this study can enable students to better master related theories, and improve students' operation and innovation abilities. The study provides a reference for the application of artificial intelligence robot technology in the field of education.
Intelligent Decision System of Higher Educational Resource Data under Artificial Intelligence Technology
Authors: Ma Junhong
Published: March 2021

It aims to apply the neural network algorithm to the mining of educational resource data and provide new ideas for the intelligent development of teaching evaluation. The potential correlations between the teaching evalua-tion results and the teacher’s age, gender, professional title, and academic qualification are analyzed with the Apriori algorithm, which is improved with the decision tree based on the research of the existing university teaching evaluation system. The back propagation (BP) neural network model is improved based on the differential evolution algorithm (DEA). The DEA-BP model is applied to the prediction of teaching evaluation results for analysis. The results show that the execution time of the improved association rule algorithm (ARA) is significantly better than that of other models. In addition, the teacher’s age (40 - 50 years old or 50 - 60 years old), gender (female), professional title (senior or deputy senior), and academic qualifications (undergraduate or master) have certain correlation with the teaching evaluation results (excellent). When the DEA-BP algorithm is adopted to predict the teaching evaluation results, the average absolute error (1.05%) and the relative accuracy rate (95.44%) between its prediction value and the true value are optimal. Therefore, the ARA algorithm and DEA-BP algorithm based on the decision tree can intelligently extract the potential laws and knowledge in the teaching evaluation data, and provide support for teaching evaluation decisions. Thus, it exerts the role of promotion in the mining of educational resource data in universities and the intelligent development of decision-making systems
Computer Assisted Instruction System under Artificial Intelligence Technology
Authors: Zhang Jingjing
Published: March 2021

In order to promote the development of intelligent teaching system, artificial intelligence technology is combined with computer assisted instruction (CAI) system to produce intelligent CAI (ICAI), and the design of ICAI is studied in order to facilitate the application and implementation of intelligent teaching system. First, there is an introduction of the basic concepts, related theories, and implementation principles of ICAI. Then, the requirements of ICAI are analyzed in detail on the basis of studying the relevant technologies required by ICAI, including the functional and non-functional requirements. The subsystem is set based on the different needs of the target users (administrator, teacher, and student users). Finally, the general and functional structure of ICAI are designed, and there are tests for the system functions. The results show that the system takes Java Server Pages (JSP) as the development language, Struts2 as the technical framework, and SQL Server 2008 as the back-end database, which realizes a teaching platform mainly for teachers, students, and administrators. After testing, the overall operation of the system is good, and the functional test results of the login module, homework release, and learning resource upload meet the software design requirements. The response time of the system prolongs, the number of users who can’t successfully log in grows, and the utilization of server central procession unit (CPU) and memory utilization both increase, which are caused by the increasing number of concurrent users. The results indicate that the combination of CAI and artificial intelligence (AI) technology can meet students’ online teaching demands, break the time-space limitation of traditional teaching, and provide important reference value for the reform of teaching mode and the improvement of teaching quality
Design and Development of Educational Robot Teaching Resources Using Artificial Intelligence Technology
Authors: Huang Suo
Published: March 2021

To further innovate English teaching reform and promote the optimization and development of intelligent and innovative English teaching resources, an intelligent educational robot has been developed based on the current vigorous development of artificial intelligence educational robot technology. In addition, a set of educational robot assisted teaching curriculum resources is designed based on the robot, which is applied in primary school English teaching practice, and has achieved good application effect. The research shows that the robot can complete the functions of English vocabulary teaching, role play and free dialogue, and can further improve students' attention and initiative in classroom practice. The results of the questionnaire survey show that the teaching curriculum based on educational robot has higher scores in the completion of teaching objectives, the design of teaching content, the fluency of teaching links and the innovation of teaching process, which is superior to the traditional English teaching. This exploration provides important case data and theoretical basis for primary school English teaching reform, and it is of great significance to further innovate educational resources and promote teaching reform.
Design of a Blockchain-Based e-Portfolio Evaluation System to Assess the Education and Teaching Process
Authors: Zheng Yan
Published: March 2021

The e-Portfolio evaluation can truthfully assess the education and teaching process. This technique boasts several advantages: diverse evaluation sub-jects, emphasis on process evaluation, support to individualized develop-ment, and integration between teaching and evaluation. This paper applies blockchain to e-Portfolio evaluation, aiming to solve the thorny issues in tra-ditional e-Portfolio evaluation: privacy protection, data sharing, and infor-mation tracing. Firstly, the functional demand of blockchain-based e-Portfolio evaluation system was analyzed for multiple users: student, teacher, visitor, and administrator. Next, modular design was conducted for the sys-tem, the system boundaries and roles were defined, the relationship between roles was clarified, and a use case was provided to illustrate the client for each user. Based on the functional realization logic of the system, a se-quence diagram was plotted for the realization of system functional demand. Finally, seven chaincodes were designed to satisfy the requirements of the evaluation system. The advantages of the system performance were verified through experiments. The research results provide theoretical and practical bases for the application of blockchain in other evaluation tasks of education and teaching.
Application of Information Technology in Optimizing the Governance of Basic Education Groups
Authors: Wang Yafei
Published: March 2021

Running schools by forming basic education groups is an important measure for the reform and innovation of education system in China. A basic education group is a collection of schools, and its internal governance is very important for the smooth operation and performance improvement of the group. Nowadays, the highly developed information technology has provided a powerful tool for optimizing the governance of basic education groups, however, the relevant research on the application of information technology in optimizing the governance of basic education groups is very insufficient. For this reason, this paper sorted out the problems existing in the governance of basic education groups; then, from the perspective of industrial organization, the paper analyzed the mechanisms to optimize the governance of basic education groups, and proposed a few ideas for applying information technology to optimize the governance of basic education groups.
The Use of AR Technology to Overcome Online Shopping Phobia: A Systematic Literature Review
Authors: Shah Kazmi Syed Sibtain Ali , Hassan Muhammad , Khawaj Shahid Ali , Falindah Padlee Siti
Published: March 2021

With every year’s start being a new beginning and a source of happiness, reigniting hopes and optimism around the world, the happiness and enjoyment of the year 2020 faded away quite earlier. It was not long into the year 2020 that the notorious COVID-19 hit the world. Millions of people died of it and billions of people got affected by it either directly or indirectly. With its impact on everybody, it drastically affected the business world as well; individuals lost their jobs and companies lost their businesses. However, companies learned to respond to the pandemic by converting their businesses to the online business model and the customers also shifted to online shopping. With this compelling shift, the customers still had the phobia of online shopping and tried to abstain from it as much as possible. To respond to this, a systematic review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was developed to offer a systematic and holistic literature review of the research regarding customer confidence in online shopping particularly by the use of Augmented Reality (AR) technology. The database of this review includes a set of 54 systemically selected state-of-the-art articles from Scopus database covering empirical and theory research conducted in different countries with different resource endowments. The results show that the use of AR technology can help customers in overcoming their shopping phobia and thus, it can be a source of enhanced online business for companies. Some possible opportunities for future research are also illustrated in this paper.
A PRÁTICA DA TESSELAÇÃO: RACIONALIZAÇÃO CONSTRUTIVA DE PAINÉIS ARQUITETÔNICOS COMPLEXOS
Authors: Lima Fábio
Published: March 2021

A técnica mais usual para tornar exequíveis painéis resultantes de geometrias complexas advindas de superfícies arquitetônicas irregulares tem sido a tesselação. Essa técnica de divisão de polígonos viabiliza a execução de painéis para fachadas, estruturas espaciais, brises, elementos decorativos, etc. A divisão objetiva a formação de peças planas, sem distorções estéticas e com relativa perda de suavidade da formação inicial. Essa divisão não pode ser arbitrária, já que o conjunto de formas deve estar preferencialmente dentro de um número finito e mais facilmente determinável. São realizados os seguintes ensaios: estudo da abordagem inicial da tesselação, operação de discretizar, análise gaussiana, operação de otimizar e, por fim, legitimação do resultado. Essas ações tornam adequadas a construção da forma irregular arquitetônica (variável em relação à escala), simplificando formas geométricas em níveis muito específicos. Os resultados da pesquisa apresentam reflexões no sentido de tornar realizável a construção das superfícies complexas, organizando a subdivisão em etapas, para garantir satisfatória exequibilidade: facilidade de execução das peças, logística de manuseio e transporte, compatibilização entre a estrutura e a vedação, execução no local.Palavras Chave: subdivisão de superfícies, adequação construtiva, superfícies de formas livres.
RETROFIT ENERGÉTICO EM UM EDIFÍCIO HISTÓRICO EM PELOTAS, RS, SEGUNDO O RTQ-C E A ENERPHIT
Authors: Carvalho Amanda Rosa de , Cunha Eduardo Grala da , Oliveira Ana Lucia Costa de
Published: March 2021

A cidade de Pelotas possui 1.700 prédios inventariados pelo município, tendo no seu centro um grande acervo de prédios históricos. É de suma importância criar mecanismos de incentivo para evitar degradamento por abandono. Um desses mecanismos é o retrofit energético, pois além de revitalizar a edificação, também melhora o nível de conforto térmico de seus usuários. Este estudo teve como objeto o retrofit em uma edificação histórica comercial do séc. XIX de Pelotas, RS. Para comparar o desempenho energético da edificação antes e após o retrofit, foram adotados como parâmetros o RTQ-C (Requisitos técnicos para o nível de eficiência energética de edificações comerciais, de serviços e públicas) e a certificação alemã EnerPHit Standard. As simulações computacionais foram realizadas com o software EnergyPlus, observando possíveis medidas de otimização do nível de desempenho da edificação de modo a preservar a fachada e a volumetria do edifício. Em seguida, avaliou-se o custo destas modificações e o tempo de retorno do investimento. Por fim, contatou-se que é possível realizar o retrofit energético em um edifício histórico sem alterar os elementos arquitetônicos de sua fachada obtendo níveis elevados de eficiência energética e conforto térmico. Palavras-chave: Desempenho termoenergético, Patrimônio histórico, Revitalização da edificação.
THE PARADIGM OF CIRCULAR ECONOMY IN HERITAGE PRESERVATION OF SOUTHERN CHILE
Authors: Valdebenito Galo , Vásquez Virginia , Prieto Andrés J. , Alvial Jorge
Published: March 2021

A mudança para um paradigma de economia circular deve ser estabelecida mediante a implementação de diferentes ações e estratégias de tomada de decisão que geralmente são apoiadas pela sobreposição de dinâmicas sustentáveis criadas pelo encontro das abordagens natural, econômica, humana e cultural. Esta nova abordagem para a gestão do patrimônio cultural requer conhecimento científico de múltiplas disciplinas para decidir sobre uma ação específica. O estudo considera um total de 26 variáveis relacionadas com o patrimônio construído, a vulnerabilidade física dos edifícios e os riscos exteriores ao qual estão submetidos. Além disso, desenvolve um índice de degradação funcional para os edifícios estudados. Essas informações ajudam a ampliar o conhecimento existente sobre o processo de tomada de decisão na gestão de um conjunto de edifícios patrimoniais na América do Sul. Um total de 20 edifícios de madeira, localizados em Valdivia (sul do Chile), foram examinados por inspeção visual no local. Os edifícios foram classificados em termos de prioridade segundo sua funcionalidade intrínseca. Esses tipos de abordagens são novas contribuições para a área da sustentabilidade na gestão do patrimônio cultural, que inclui uma integração equilibrada de desempenho tecnológico, ambiental, econômico, social, governamental e comportamental.Keywords: Economia circular, gestão, degradação funcional, patrimonio, Chile.
Efficacy of penile low-intensity shockwave treatment for erectile dysfunction
Authors: Caretta Nicola , De Rocco Ponce Maurizio , Minicuci Nadia , De Santis Ilaria , Palego Pierfrancesco , Garolla Andrea , Foresta Carlo
Published: March 2021

We analyzed the efficacy of penile low-intensity extracorporeal shockwave treatment for erectile dysfunction (ED) combined with cavernous artery disease (CAD). ED was evaluated by the International Index of Erectile Function, subdividing patients into mild and moderate/severe forms. CAD was assessed using penile color Doppler ultrasonography. Patients (n = 111) with a positive outcome after treatment, based upon the minimal clinically important difference of the International Index of ED, were followed up for 3 months and 6 months. We found a significant mean increase in the index of erectile function, with an overall improvement in hemodynamic parameters of the cavernous artery. In particular, 93.9% of the patients with mild ED without CAD responded to treatment and 72.7% resumed normal erectile function. Only 31.2% of the patients with moderate/severe ED and CAD responded to treatment, and none resumed normal erectile function. All patients with mild ED and no CAD maintained the effects of therapy after 3 months, while no patients with moderate/severe ED and CAD maintained the benefits of treatment after 3 months. Thus, patients with mild ED and no CAD have better and longer lasting responses to such treatment, with a higher probability of resuming normal erectile function than patients with moderate/severe ED and CAD.
Laparoscopic resection for low rectal cancer in a patient with horseshoe kidney – Technical considerations to prevent iatrogenic injuries
Authors: Vigneshwaran B. , Muduly Dillip , Sultania Mahesh , Houghton Tim , Kar Madhabananda
Published: March 2021

Horseshoe kidney (HSK) is a rare congenital malformation of the kidneys and is commonly associated with other anomalies of the renovascular and ureteropelvic systems. These anomalies present a surgical challenge, especially for surgeries involving the retroperitoneum. We present the case of a 56-year-old male patient with biopsy-proven rectal cancer who had completed neoadjuvant chemoradiation and was planned for curative resection. Contrast-enhanced computed tomography (CECT) of the abdomen and pelvis revealed the presence of an HSK. Reconstructed three-dimensional (3D) images of the renal vasculature revealed the presence of an accessory renal artery originating directly from the aorta and supplying the isthmus of the HSK without any other venous or ureteral anomalies. Laparoscopic abdominoperineal resection with total mesorectal excision was done without any untoward complications. The presence of HSK per se is not a contraindication for laparoscopic operations involving the retroperitoneum. Pre-operative 3D CECT helps to identify the presence of anatomical variations and guides surgical resection.
Experience in Identifying the Variant Adrenal Venous anatomy during Modified Retroperitoneoscopic Adrenalectomy
Authors: Hu Dongliang , Zhu Dan , Zhang Yingao , Wang Xinghuan
Published: March 2021

Background:

Adrenal vein plays an important role in performing laparoscopic adrenalectomy successfully. However, it often presents with a multitude of venous anatomical variants. Hence, having a thorough knowledge on the variant types is crucial to reduce operative complications. This study aims to present our experience in identifying adrenal vein variation in adrenalectomy through modified retroperitoneal approach.

Patients and Methods:

A total of 187 patients underwent modified retroperitoneoscopic adrenalectomy between July 2017 and February 2019. Perioperative data and adrenal vein variants were recorded and analysed.

Results:

Variant adrenal veins were encountered in seven patients. On the right side, two cases were drained by two adrenal veins; one case had a common trunk of adrenal vein and an accessory hepatic vein and one case had an adrenal vein joined with the opening of the right renal vein. On the left side, two cases of anatomic variations were described as follows: one vein converged with the left inferior phrenic vein and joined with the left renal vein, whereas the other vein directly joined with the left renal vein. One case had two adrenal veins that joined with the left renal vein.

Conclusions:

Accurate identification and proper handling of the anatomical variation in the drainage of adrenal vein are crucial to safe LA. It is helpful to anticipate and avoid bleeding, especially in large adrenal tumours.
Prevalence of dental fear in children of 3–14 years visiting the OPD in Dental College, Lucknow, India
Authors: Singh Ankita , Palshikar Anuradha , Agarwal Sugandha , Singh Shweta
Published: March 2021

Introduction:

Dental fear and anxiety pose a significant problem for the practice of dentistry, especially in children. Therefore, it is necessary to identify and quantify this anxiety, to implement, and to monitor the effectiveness of treatment interventions.

Materials and Methods:

A cross-sectional study was conducted on children in the age group of 3–14 years. The children who had sound health and visited outpatient department of a Dental College, Lucknow, India with their parents for dental care were considered for study purposes. Children’s dental fear and anxiety were measured by using three scales.

Result:

Out of the total 220 respondents, 118 (53.6%) were males and 102 (46.4%) females. The outcome of the study showed that the dental fear among children was 13.3%, 22.9%, 7.8%, respectively, in existence measured by the three scales, viz., (a) facial image scale (FIS), (b) dental fear scale (DFS), and (c) children’s fear survey schedule-dental subscale (CFSS-DS). About 70.2% of the children showed Frankl’s behavior rating of 3, i.e. positive.

Conclusion:

Dental fear and anxiety are the most common problems of children and because of this, they are afraid of undergoing any dental treatment. By using the above scale, we can know about those factors which can enhance their fear so that we can modify our treatment approach. Altering in a treatment modality not only leads the children to get the treatment done easily but also removes the fear for dental treatment in the future.
Cross-sectional study regarding pattern of adverse drug reactions in a tertiary care hospital, Kakinada, India
Authors: Bendi Sreenivasa Rao , Suvvari Tarun Kumar , Kutikuppala Lakshmi Venkata Simhachalam
Published: March 2021

Introduction:

Drugs are considered as double-edged weapons with the potential to cause benefit as well as harm. Recent studies reveal that adverse drug reactions (ADRs) imply a remarkable burden on the length of hospital stay, healthcare facilities, and sometimes they require additional investigations and drug therapies for the treatment of symptoms and diseases caused to the patient. So, further local studies are required to understand the scenario and to improve the safety of prescribing and monitoring drugs and improved patient adherence to medication.

Objectives:

To evaluate and assess the pattern of adverse drug reactions reported to the ADR Monitoring Centre, Rangaraya Medical College, Kakinada, India.

Materials and Methods:

The current study was a retrospective and an observational type of study carried out at the ADR Monitoring Centre of a tertiary care hospital. Total ADRs reported during the two years from June 2016 to June 2018 were included in the study. Each ADR was analyzed for demographic data, relationship to drugs as per causality assessment, and frequency of ADRs. Microsoft Excel 2019 and SPPS version 20 were used for data analysis.

Results:

The most common group of drugs showing ADRs were anti-retroviral therapy (ART) drugs, followed by anti-microbial agents. Most of the ADRs were probable and mild. Rash was the most frequently occurring ADR.

Conclusion:

The study of ADRs in a particular institute using demographic patterns will contribute to patient safety by sensitizing the clinicians in that particular institute.
The practice of hand hygiene among undergraduate medical students
Authors: Singh Gurjeet , Singh Raksha
Published: March 2021

Background:

Health care-associated infections (also called hospital-acquired or nosocomial infections) add to the morbidity and mortality and costs that one might expect from the underlying illness alone. All this has led to concerted efforts to implement infection control programs in all teaching hospitals, hospitals, and other health centers; the quality of such programs reflects the overall standard of care provided by the institution. The practice of hand hygiene is a simple yet effective way to prevent infections. Cleaning of the hands can prevent the spread of microorganisms, specifically those that are multidrug-resistant organisms (MDRO), and that are getting troublesome, if certainly feasible, to treat. These factors, compounded by the scarcity of accessibility of new antimicrobials, have required a relook into the function of essential acts of contamination counteraction in current medical services. Good hand hygiene practice, including the use of alcohol-based hand rubs and handwashing with soap and water, is critical to reducing the risk of spreading infections in ambulatory care settings.

Aims and Objectives:

This study was conducted to evaluate the knowledge, attitudes, and practices of hand hygiene of undergraduate medical students.

Materials and Methods:

A cross-sectional study was carried out at the Department of Microbiology, N.C. Medical College and Hospital, Israna, Panipat, Haryana, India, over six months from January 2018 to May 2018. A total of 147 students from the second professional year were told to fill a questionnaire consisting of their age, gender, class, washing of hands with soap and water before eating food, washing with soap and water after urinating, washing with soap and water after defecating, washing hands after using the practical laboratory, the reason for the disinfection of the body, and the number of illnesses in the past one year.

Results:

Analysis of the outcome demonstrated that the medical students studied were careful about the average towards hand hygiene and on an overall note have come to embrace the importance of hand hygiene stressing on the numerous adverse effects its lack of practice have come to prove over the years.

Conclusion:

A connection between hand cleanliness, sickness rate, and explanations behind not rehearsing hand cleanliness appears in the outcomes. The current examination proposes that both handwashing and the utilization of hand sanitizers have a beneficial outcome on the health of medical students. The results of improved hand cleanliness propensities for the students bring about diminished medical services costs for the college since fewer students may need to use well-being focus assets.
The complete classification of empty lattice 4-simplices
Authors: Iglesias-Valiño Óscar , Santos Francisco
Published: March 2021

An empty simplex is a lattice simplex with only its vertices as lattice points. Their classification in dimension three was completed by G. White in 1964. In 1988, S. Mori, D. R. Morrison, and I. Morrison started the task in dimension four, with their motivation coming from the close relationship between empty simplices and terminal quotient singularities. They conjectured a classification of empty simplices of prime volume, modulo finitely many exceptions. Their conjecture was proved by Sankaran (1990) with a simplified proof by Bober (2009). The same classification was claimed by Barile et al. in 2011 for simplices of non-prime volume, but this statement was proved wrong by Blanco et al. (2016+). In this article, we complete the classification of 4-dimensional empty simplices. In doing so, we correct and complete the classification by Barile et al., and we also compute all the finitely many exceptions, by first proving an upper bound for their volume. The whole classification has: 1) One 3-parameter family, consisting of simplices of width equal to one. 2) Two 2-parameter families (the one in Mori et al., plus a second new one). 3) Forty-six 1-parameter families (the 29 in Mori et al., plus 17 new ones). 4) 2461 individual simplices not belonging to the above families, with (normalized) volumes ranging between 24 and 419. We characterize the infinite families of empty simplices in terms of the lower dimensional point configurations that they project to, with techniques that can potentially be applied to higher dimensions and other classes of lattice polytopes.