bluuebunny/crossref_metadata_2025 huggingface dataset:
Monitoring of evaluation indicators for the fire prevention program
Authors: Зенкова И.Ф. , Козырев Е.В. , Сорокин В.А.
Published: September 2023

Развитие профилактической деятельности органов государственного пожарного надзора формирует потребность в проведении оперативной оценки ее результатов. Исследованы данные информационных систем МЧС России по осуществлению надзорной деятельности и профилактической работы, проведена формализация задачи и предложен вариант расчетов текущих оценочных показателей. На основе использования механизмов математического моделирования и приемов графического отображения полученных результатов предложен способ оперативного сопоставления текущих показателей с количественными отчетными показателями. Предложен пример алгоритма определения целесообразности принятия управленческого решения при выявлении проблемы в процессе мониторинга показателей оценки профилактической деятельности органов государственного пожарного надзора.

The relevance of the study is due to the development of regulatory legal support for the preventive activities of state fire supervision bodies in the Russian Federation which creates the need for approaches that allow for an operational assessment of the results of this activity. The proposed study of the possibility of monitoring the indicators of assessing the preventive activities of state fire supervision bodies aimed at preventing the risks of harm or damage to values protected by law as a result of fire is due to the lack of a tool, the use of which will allow assessing the compliance of these activities with established performance and effectiveness indicators. The goal is to develop a mechanism for assessing the current state of preventive activities in the field of fire safety. The subject of the study is the target quantitative reporting indicators for fire prevention. The following methods were used in the study. To develop a model for assessing the results of preventive activities of state fire supervision bodies there were studied data from the information systems of EMERCOM of Russia concerning the implementation of supervisory activities and preventive work. In addition, the problem was formalized and separate mathematical records of the variant for calculating current estimated indicators were proposed. In the process of performing the work, using mathematical modeling mechanisms, as well as techniques for graphic display of data, the results were obtained: there is presented a method of online comparison of current evaluation indicators with established target quantitative reporting indicators; there is recommended a version of management decision-making algorithm in case of problem detection in the process of monitoring indicators of assessment of preventive activities of state fire supervision bodies. Based on the results of the study, a conclusion was prepared, according to which the use of the proposed approach allows to quickly analyze the state of prevention of risks of harm or damage to fire safety values protected by law.
Visibility Management: New Managerial Work in Digitalized Organizations
Authors: Justesen Lise , Plesner Ursula
Published: September 2023

Visibility management is becoming an important task in organizations as work is increasingly made visible by digital technologies, but the consequences of increased visibility for management are still underexplored. Based on a qualitative study in heavily digitalized public organizations, the paper investigates managers’ experiences with visibility and control. New concerns arise relating to the risk of employee prying, increase in visualizations of workflow deviations, and the explosion in performance indications. These concerns entail new types of managerial work that we refer to as visibility management, consisting of technological mediation work, relation work, and compensation work. By identifying these types of work, the study challenges the assumption that more visibility, understood as increased ease of access to information, automatically eases control tasks for managers. The paper offers a vocabulary that can help practitioners describe and better understand new types of otherwise often invisible managerial work in digitalized organizations.
Data economy: legal and ethical aspect
Authors: DUBNIAK M.
Published: September 2023

The article formulates the ethical issues of the data economy and outlines the problems of data ethics research. The concept of digital and gig economy was analyzed and the concept of data economy was formulated. The concept of “information sovereignty” was studied in the context of the problem of personal data protection. GDPR and DGA regulations were analyzed and the dynamic attribute of data was established. The legal uncertainty of the regime of personal and non-personal metadata under these acts is demonstrated on the example of specific data sets. Scientific approaches to determining the price of data have been studied From an economic perspective, the value of data collection and processing depends on the volume, quality, timeliness and completeness of the data. Unit data cannot be considered in the economic sense as a unit of value, since it is not a scarce resource and does not reflect a constant value (price) at a certain point in time. From a legal point of view, an object of law (information resource, information service, personal data, industrial sets of non-personal data, open data, metadata, big data) can have an economic value, even taking into account the immaterial and dynamic attribute of data.
The dangerous trends of using malware by the aggressor country to the damage of state interests under the legal regime of martial law
Authors: FEDIENKO O.
Published: September 2023

The trends in the use of malware by the russian hackers and cybercriminals commissioned by the special services of the Russian Federation have been determined. The scope and consequences of the spread of malware on a global scale are outlined. The threats and risks associated with cyber-attacks and the spread of malicious software are detailed. The attention is focused on the use of the TOR network by cybercriminals in modern conditions. The tasks of the special services of the Russian Federation in the conditions of cyber warfare, the forms and methods of conducting attacks using malicious software are summarized. The methodology of spreading malicious software through such mechanisms as financial fraud and phishing has been updated. The peculiarities of the distribution of malicious software of Russian origin have been revealed. The achievements related to Ukraine's acquisition of membership in the NATO structure on cooperation in the field of cyber defense are highlighted. The further directions of improving the current legislation in the matter of combating malware, in particular phishing have been determined.
Combating the financing of terrorism using cryptocurrencies
Authors: LUKIANCHUK R.
Published: September 2023

The role and significance of the cryptocurrency phenomenon is defined. The directions of criminal use of cryptocurrencies are outlined. Algorithms for the use of cryptocurrencies and illegal crypto markets by Russian criminals have been revealed. The prerequisites and features of the use of cryptocurrency mixers and tumblers for the purpose of concealing criminal cryptocurrency operations are disclosed. The decentralized service “Tornado Cash” and the directions of its criminal use are characterized. Modern ways of circumventing sanctions and avoiding sanctions pressure during the purchase of cryptocurrencies by Russian war criminals and hackers have been identified. The features of the functioning of centralized and decentralized cryptocurrency exchanges in the context of existing and probable restrictions on cross-border cryptocurrency payments and p2p transfers by Russians are detailed. The basic provisions of the EU law on AML were considered in order to introduce restrictions on the implementation of anonymous cryptocurrency transactions. The positive experience of Israel in combating the financing of terrorism with the help of cryptocurrencies is highlighted. The further directions of improvement of the mechanisms to prevent the use of cryptocurrencies for the purpose of supporting war criminals and financing terrorism have been identified, including within the framework of regulatory settlement.
Formation of anti-terrorist competencies of specialists of the national cyber security system
Authors: KUDINOV S.
Published: September 2023

The article is devoted to topical issues of combating terrorism in cyberspace. Attention is focused on the relevance of terrorist threats to Ukraine and the world. The national cyber security system, existing approaches to training specialists for it and relevant international experience in this field are characterized. Taking into account the existence of a terrorist threat, the need for the formation of anti-terrorist competence among specialists of the specified system is substantiated, its content is described, and ways of introducing such training in Ukraine are determined on the basis of international experience.
Characterizing a World Within the Hot-Neptune Desert: Transit Observations of LTT 9779 b with the Hubble Space Telescope/WFC3
Authors: Edwards Billy , Changeat Quentin , Tsiaras Angelos , Allan Andrew , Behr Patrick , Hagey Simone R. , Himes Michael D. , Ma Sushuang , Stassun Keivan G. , Thomas Luis , Thompson Alexandra , Boley Aaron , Booth Luke , Bouwman Jeroen , France Kevin , Lowson Nataliea , Meech Annabella , Phillips Caprice L. , Vidotto Aline A. , Yip Kai Hou , Bieger Michelle , Gressier Amélie , Janin Estelle , Jiang Ing-Guey , Leonardi Pietro , Sarkar Subhajit , Skaf Nour , Taylor Jake , Yang Ming , Ward-Thompson Derek
Published: September 2023

We present an atmospheric analysis of LTT 9779 b, a rare planet situated in the hot-Neptune desert, that has been observed with Hubble Space Telescope (HST)/WFC3 with G102 and G141. The combined transmission spectrum, which covers 0.8–1.6 μm, shows a gradual increase in transit depth with wavelength. Our preferred atmospheric model shows evidence for H2O, CO2, and FeH with a significance of 3.1σ, 2.4σ, and 2.1σ, respectively. In an attempt to constrain the rate of atmospheric escape for this planet, we search for the 1.083 μm helium line in the G102 data but find no evidence of excess absorption that would indicate an escaping atmosphere using this tracer. We refine the orbital ephemerides of LTT 9779 b using our HST data and observations from TESS, searching for evidence of orbital decay or apsidal precession, which are not found. The phase-curve observation of LTT 9779 b with JWST NIRISS should provide deeper insights into the atmosphere of this planet and the expected atmospheric escape might be detected with further observations concentrated on other tracers such as Lyα.
Relationship between Prolonged QT Interval and Mortality in COVID-19 Patients at Ulin Hospital, Banjarmasin
Authors: Djallalluddin Djallalluddin , Prenggono Muhammad Darwin , Fajari Nanang Miftah , Rudiansyah Mohammad , Elfa Loudry
Published: September 2023

BACKGROUND: QT prolongation in COVID-19 infection may be caused by SARS-CoV-2 infection, inflammation, ischemia, hypoxia, and the administration of drugs related to COVID-19. This condition is associated with a poor prognosis due to an increased risk of ventricular arrhythmias and sudden cardiac arrest.
METHODS: This study used an observational case-control design. Data were obtained consecutively using medical records of COVID-19 patients confirmed through RT-PCR swabs who died (case) and survived (control) at Ulin General Hospital, Banjarmasin. The number of samples in this study was 138 patients. The independent variables were prolonged QT interval (>430 m/s or QTc >450 m/s) and normal QT interval, while the dependent variable was the mortality of COVID-19 patients.
RESULTS: QT prolongation significantly increased the risk of death by 4 times (OR 4.48; 95% CI = 2.162-9.280; p = 0.000) compared to COVID-19 patients with normal QT intervals.
DISCUSSION: Prolonged QT intervals increased the risk of death in COVID-19 patients at Ulin General Hospital, Banjarmasin. These findings are in accordance with several other studies where this variable might be used as a prognostic factor in the mortality of hospitalized COVID-19 patients.
CONCLUSION: Prolonged QT intervals are associated with mortality in patients with COVID-19 at Ulin Hospital, Banjarmasin.
Ultrasound in the Management of Patients With Psoriatic Arthritis: Systematic Literature Review and Novel Algorithms for Pragmatic Use
Authors: Gouze Hélène , Backhaus Marina , Balint Peter , Di Matteo Andrea , Grassi Walter , Iagnocco Annamaria , Naredo Esperanza , Wakefield Richard J. , Østergaard Mikkel , Emery Paul , D’Agostino Maria-Antonietta
Published: September 2023

Objective

In 2015, the European Alliance of Associations for Rheumatology (EULAR) published recommendations for the use of imaging for the diagnosis and management of spondyloarthritis (SpA) in clinical practice. These recommendations included the use of ultrasound (US) in patients with psoriatic arthritis (PsA), but the management was not clearly distinguished from that of SpA. We aimed to systematically review the literature on the role of US for the management of PsA, and to propose pragmatic algorithms for its use in clinical practice.

Methods

A group of 10 rheumatologists, experienced in imaging and musculoskeletal US, met with the objectives of formulating key questions for a systematic literature review (SLR), appraising the available evidence, and then proposing algorithms on the application of US in suspected or established PsA, based on both the literature and experts’ opinions following a Delphi process.

Results

The SLR included 120 articles, most of which focused on the diagnostic process. The elevated number of articles retrieved suggests the interest of rheumatologists in using US in the management of PsA. After a consensual discussion on literature data and expert opinion, the following 3 algorithms were developed to be used in practical situations: suspicion of PsA, management of PsA with good clinical response, and management of PsA with insufficient clinical response.

Conclusion

The SLR showed interest by rheumatologists in using US to objectively evaluate PsA for diagnosis and management. We propose 3 practical algorithms to guide its use in the clinical management of patients, from diagnosis to the assessment of treatment response. Further studies are needed to define remission and to assess the ability of US to predict disease severity.
The Combination of Depression and Obesity Is Associated With Increased Incidence of Subsequent Total Knee Arthroplasty
Authors: Conley Caitlin E.W. , Landy David C. , Lattermann Christian , Borg-Stein Joanne , Collins Jamie E. , Vranceanu Ana-Maria , Jacobs Cale A.
Published: September 2023

Objective

To compare the incidence of total knee arthroplasty (TKA) within the first 5 years after knee osteoarthritis (OA) diagnoses between matched groups of individuals with or without comorbid diagnoses of obesity and/or depression. We hypothesized that the greatest incidence of TKA within 5 years of OA diagnosis would be in the cohort of individuals with combined obesity and depression.

Methods

The PearlDiver Mariner Ortho157 database was used to identify 4 cohorts of individuals with knee OA based on diagnosis codes that were matched by age, sex, and the Charlson Comorbidity Index: those without diagnoses associated with depression or obesity (Control), those with obesity but not depression (Obesity), those with depression but not obesity (Depression), and those with diagnoses of both obesity and depression (Depression + Obesity). The incidence of subsequent TKA within the first 5 years after the index OA diagnosis were compared between the 4 matched cohorts.

Results

Each cohort comprised 274,403 unique individuals (180,563 females, 93,840 males; mean age = 55 [SD 7] years). The incidence of TKA was greatest for the Depression + Obesity group (11.9%) when compared to the Control group (8.3%,P< 0.001; risk ratios [RR] 1.43, 95% CI 1.41-1.45,P< 0.001), Obesity group (10.2%,P< 0.001; RR 1.13, 95% CI 1.11-1.14,P< 0.001), or Depression group (7.8%,P< 0.001; RR 1.53, 95% CI 1.50-1.55,P< 0.001).

Conclusion

The incidence of subsequent TKA was greatest for those with the combination of obesity and depression when compared to the control group and those with an individual diagnosis of obesity or depression.
Features of Knee and Multijoint Osteoarthritis by Sex and Race and Ethnicity: A Preliminary Analysis in the Johnston County Health Study
Authors: Novin Sherwin , Alvarez Carolina , Renner Jordan B. , Golightly Yvonne M. , Nelson Amanda E.
Published: September 2023

Objective

To evaluate knee osteoarthritis (KOA) and multijoint osteoarthritis (MJOA), and to compare features by sex and race and ethnicity in a population-based cohort.

Methods

Participants (n = 544) enrolled in the Johnston County Health Study (JoCoHS) as of January 2023 were categorized by radiographic and symptomatic KOA and MJOA phenotypes, and frequencies were compared by sex and race and ethnicity. Symptoms were assessed according to the Knee Injury and Osteoarthritis Outcome Score (KOOS) and pain, aching, and stiffness (PAS) scores at various joints. Models produced estimates (odds ratio [OR] or mean ratios [MR] and 95% CI) adjusted for age, BMI (kg/m2), and education.

Results

Men had twice the odds of having MJOA-6 (≥ 3 lower extremity joints affected); there were no significant differences in MJOA phenotypes by race and ethnicity. Women had 50% higher odds of having KOA or having various features of KOA. Women reported significantly worse KOOS Symptoms scores (MR 1.25). Black participants had higher odds of more severe KOA (OR 1.47), subchondral sclerosis (OR 2.06), and medial tibial osteophytes (OR 1.50). Black participants reported worse KOOS Symptoms than White participants (MR 1.18). Although not statistically significant, Hispanic participants (vs non-Hispanic participants) appeared to have lower odds of radiographic changes but reported worse symptoms.

Conclusion

Preliminary findings in the diverse JoCoHS cohort suggest more lower extremity–predominant MJOA in men compared to women. Women and Black participants had more KOA features and more severe symptoms. Hispanic participants appear to have higher pain and symptoms scores despite having fewer structural changes. Studies in diverse populations are needed to understand the burden of OA.
Les socialistes réformistes au sein de l’opposition en RDA (1949-1990)
Authors: Camarade Hélène
Published: September 2023

Ce texte replace les groupes et penseurs marxistes ou ceux relevant, plus largement, d’un socialisme réformiste dans l’ensemble des courants de l’opposition en RDA entre 1945 et 1990 et cherchent à mesurer leur impact. En procédant chronologiquement, il évoque la résistance, essentiellement antimarxiste des années 1940 et 1950, ainsi que les conflits au sein du SED lors du soulèvement du 17 juin 1953, puis l’émergence d’un courant réformiste à partir de 1956 qui évolue vers la dissidence chez certains (W. Harich, R. Havemann, W. Biermann, R. Bahro). À partir du printemps de Prague en 1968, puis de l’affaire Biermann en 1976, on assiste à un phénomène consistant à retourner les textes marxistes-léninistes contre le SED. Le mouvement citoyen qui se constitue à partir de 1976 compte quelques groupes d’inspiration marxiste qui se retrouvent, au moment de la révolution de 1989, sous la bannière de Gauche unie ( Vereinigte Linke ).
Marxisme, nation, internationalisme
Authors: Balibar Étienne , Ducange Jean-Numa , Burlaud Antony
Published: September 2023

Dans cet entretien se confrontent deux points de vue sur une question cardinale pour Marx et les traditions marxistes : la question de la nation et de l’internationalisme. L’historien et le philosophe puisent tous deux dans le marxisme pour penser la question sur la longue durée et jusqu’à nos jours, tout en divergeant sur plusieurs points. Il ressort de cette confrontation une nécessaire prise en compte non fétichiste des « classiques du marxisme », insuffisants pour penser la totalité de la complexité de la persistance de la « nation », mais indispensables malgré tout pour définir une visée émancipatrice.
Socialisme industriel et socialisme paysan
Authors: Lefebvre Henri , Lefebvre Armelle , Revol Claire
Published: September 2023

Cet inédit issu du fonds d’archives Henri Lefebvre est la retranscription d’une conférence prononcée en 1959 qui porte sur l’évaluation des enjeux des luttes paysannes, mal saisis selon l’auteur. Il est augmenté d’une présentation qui insiste sur l’inscription de ce thème dans un programme précoce qui, attaché à la question de la rente foncière dans la perspective des textes de jeunesse de Marx, alimentera la réflexion lefebvrienne sur les formes sociales comme fondements de la sociologie historique de Marx. Selon Lefebvre, les travaux incessants de Marx sur la dissolution de la propriété collective au cours de l’histoire et hors du contexte européen sont à la fois inaboutis et insuffisamment compris, alors qu’ils faisaient une place plus importante au socialisme paysan.
La plus-value n’est pas une « survaleur ». Une alternative critique à l’approche d’Étienne Balibar
Authors: Bidet Jacques
Published: September 2023

Dans la version française du Capital , Marx a choisi de traduire Mehrwert , non pas par survaleur, mais par « plus-value ». Heureux choix, car la différence entre les deux concepts ne relève pas seulement de la quantité, d’un « plus », mehr . Elle répond au clivage structurel – de l’abstrait au concret (de pensée) – entre deux registres distincts au sein du réel : au sein du rapport capitaliste. La valeur est un pouvoir sur des choses, à vendre ou à consommer. La plus-value est un pouvoir sur des personnes, à exploiter pour produire plus de plus-value. La rationalité du rapport de valeur hante la plus-value. L’irrationnalité de la plus-value est introuvable dans la valeur. Ce point décisif échappe au marxisme commun, faute d’avoir élucidé les éléments constitutifs de la théorie de la valeur : le couple anthropologique travail concret/abstrait, la séquence épistémologique du rapport de travail au rapport de travail marchand. Il en suit une série de confusions portant sur l’ensemble de la théorie (plus-value absolue et plus-value relative, travail productif et production, soumission formelle / soumission réelle, etc.), qui obscurcissent les perspectives économiques, sociales et politiques que la théorie initiée par Marx ouvre à la pensée critique.
L’entreprise Puig ou la discrétion d’une grande entreprise « éditrice » de cosmétiques depuis 1914
Authors: Chupin Simon
Published: September 2023

À l’occasion des 100 ans de l’entreprise Puig, en 2014, un véritable plan de communication a été mis en œuvre pour montrer l’importance de cette institution espagnole de la vente de cosmétique, de parfum et de prêt à porter de luxe. Le point d’orgue étant l’inauguration de son nouvel immeuble, dans le quartier des affaires à Barcelone. Parmi les outils de communication, le livre Puig, 100 années d’une entreprise familiale écrit par la journaliste Eugenia de la Torriente, alors en poste à El Pais . Cet ouvrage revient sur la carrière des trois générations de dirigeants qui se sont succédé à la tête de cet empire : Antonio Puig Castello (1889-1979) le fondateur de l’enseigne, son fils Mariano Puig Planas (1927-2021) et le petit-fils Marc Puig Guasch (1962-). Au-delà du récit, ce livre cherche à mettre en avant certains choix et à en dissimuler d’autres, notamment à propos de la marque Uriage qui est absente du récit, alors que Puig en est propriétaire depuis 2011. Ces décisions sont bien sûr conscientes et il est important de revenir sur cette période qui est synonyme de stratégie de positionnement sur le luxe pour Puig. L’analyse des objets de communication (livre, communiqué de presse) et des archives Internet de la marque permet de caractériser la stratégie de Puig comme un exemple pertinent des « entreprises d’édition », consistant à être expert de la façon de vendre les produits. Point de chimiste ou d’expert en molécule, mais des hommes qui ont pris le temps de connaître leur marché, avec son lot de succès et d’échecs, pour devenir une des entreprises de parfumerie les plus influentes au monde, tout en cherchant à rester discrets aux yeux des néophytes.
Ouverture de l’école et inégalités. Constats et perspectives
Authors: Netter Julien
Published: September 2023

Dans L’évolution pédagogique en France , Durkheim estime que l’instabilité chronique que l’enseignement secondaire connaît au début du XX e  siècle depuis plusieurs décennies traduit la difficulté à trouver le “changement d’esprit et d’orientation qui se trouve nécessaire”. Un constat étonnamment similaire peut être dressé pour l’école primaire française du début du XXI e  siècle, en proie à des réformes parfois contradictoires qui se succèdent rapidement. Cette réflexion interroge la difficulté de l’école, dans cette situation, à définir un horizon collectif permettant de se saisir de la question persistante des inégalités scolaires. L’article revient d’abord sur l’évolution générale de l’école vers une plus grande fragmentation, liée à l’accumulation de dispositifs permettant la juxtaposition d’acteurs non coordonnés et de conceptions de l’apprentissage peu discutées. Il cherche ensuite à montrer que le fait de penser l’école en termes de dispositifs amène à négliger la question des pratiques pédagogiques, particulièrement délaissées en France.
Éduquer à quoi ? Rapport au métier et à l’école des enseignants débutants du second degré
Authors: Chaar Nada
Published: September 2023

En 2010, la réforme menée par les ministres Luc Châtel et Valérie Pécresse supprime les Instituts universitaires de formation des maîtres (IUFM), crée les masters Métiers de l’enseignement, de l’éducation et de la formation et relève le diplôme exigé à l’entrée dans la carrière au Master 2. Qui sont les nouveaux enseignants du second degré recrutés à partir de 2010 ? Permettent-ils d’esquisser, à partir de leur vision du métier et de leurs valeurs professionnelles, le portrait d’une nouvelle génération par rapport à leurs prédécesseurs formés dans les IUFM ? Une enquête quantitative et qualitative auprès de 112 enseignants débutants en Île-de-France entre 2011 et 2014 montre que leur expérience difficile des premières années de carrière, bien que liée à des facteurs institutionnels anciens, s’inscrit dans une école en chantier permanent qui interroge leurs rapports aux difficultés des élèves et au slogan de la réussite pour tous. Quel nouveau professeur est-on lorsqu’on est jeune en entrant dans un métier en crise dans une institution en doute perpétuel sur sa fonction et sa légitimité ? En dépit d’une vision du métier proche de celle de la génération précédente, certains discours sont très critiques à l’égard du modèle pédagogique dominant depuis les réformes institutionnelles de la fin des années 1980 cherchant à centrer l’école sur l’élève.
La perception de la mort à travers la migracriture
Authors: Duman Delphine
Published: September 2023

Cet article soulève la question de la place de la mort dans la migracriture (la littérature de l’émigration d’expression turque). À travers la fiction, la mort de Gurbetçi (les émigrants turcs) à l’étranger, loin de leur terre natale, est étroitement conjuguée au principe du retour en terre ancestrale. Ce retour concerne, à la fois, les vivants et les morts. La mort à l’étranger, se présentant sous des formes inédites, rompt avec la convention. De même, les pratiques funéraires rompent, elles aussi, avec les traditions islamo-turques. Alors qu’en règle générale, les défunts doivent être rapatriés en Turquie, les exceptions se font très nombreuses dans l’imaginaire littéraire, où le corps occupe une place centrale et devient un objet d’autodérision, et parfois un outil de critique.
Renaître du coma comme expérience exilaire de « seconde mort »
Authors: Peretti Pascale
Published: September 2023

À partir d’un référentiel psychanalytique, et sur la base d’un cas clinique, l’article interroge l’expérience subjective du coma comme épreuve exilaire, de « seconde mort », d’où le sujet, arraché à ses fondements symboliques, pourrait « renaître » à son ex-istence sur la base d’un choix ou assentiment intérieurs, d’une détermination qui vaut comme acte décisionnaire. Lequel acte souligne au fond la ligne de partage entre « vie nue » et existence, aussi bien qu’entre mort réelle et mort symbolique, tout en impliquant une véritable « traversée », migration ou transmutation subjective. Ligne de partage qui dessine peut-être également le seuil à partir duquel le sujet peut exercer sa dignité, notion morale abstraite qu’il s’agit aussi de questionner ici, à travers différents motifs, du point de vue notamment de ses enjeux psychiques.
Le deuil en situation de migration et de crise sanitaire : l’accompagnement en consultation transculturelle
Authors: Idir Hocine , Baubet Thierry
Published: September 2023

Cette contribution expose le dispositif transculturel proposé par une consutation hospitalière dite de deuxième ligne pour deux familles migrantes endeuillées par le SARS-CoV-2 lors du premier confinement. Diagnostic et prise en charge ne peuvent s’abstraire du contexte culturel et social dans lequel ils prennent place. Compte tenu des enjeux importants de ces questions, notamment en termes de santé publique, il est nécessaire d’adapter les prises en charge aux situations transculturelles. Le dispositif groupal est une indication intéressante et ses apports sont importants.
Expérience de transition vécue par les patients avec une maladie oncologique lors de la pose d’un dispositif d’accès veineux implantable : une recherche exploratoire
Authors: Dalex Eliane , Munteanu Nicou Dominique , Roch Barrena Florence , Salvi Catherine , Roulin Marie-José
Published: September 2023

Introduction : à l’annonce d’un diagnostic de cancer ou d’une récidive, les patients vivent une transition de type maladie. Contexte : la pose d’un dispositif d’accès veineux implantable (DAVI) survient souvent juste après l’annonce ; il est un facteur de perturbation supplémentaire à leur équilibre. Objectif : explorer les besoins non comblés et les attentes des patients en interrogeant leur expérience vécue de la pose du DAVI pour proposer des interventions de soins adaptées. Méthode : une méthode d’analyse de contenu déductive a été réalisée, ainsi qu’une analyse à la lumière de la théorie de la transition de Meleis. Douze entretiens ont été réalisés. Résultats : les résultats montrent la vulnérabilité des patients lors de la pose du DAVI. Des conditions entravantes et facilitantes de la transition, de nature personnelle, interpersonnelle et organisationnelle, influencent la qualité de l’expérience vécue. Différentes stratégies de coping sont utilisées par les patients pour diminuer leur détresse émotionnelle. Discussion : la préparation anticipée, le soutien au développement des capacités d’autosoins, la gestion de la douleur contribuent à diminuer l’anxiété et l’insécurité. Conclusion : les infirmières se doivent d’offrir des soins transitionnels pour favoriser une expérience positive de la pose du DAVI.
Comparison of methods to testing for differential treatment effect under non-proportional hazards data
Authors: Pardo María del Carmen , Cobo Beatriz
Published: September 2023

Many tests for comparing survival curves have been proposed over the last decades. There are two branches, one based on weighted log-rank statistics and other based on weighted Kaplan-Meier statistics. If we carefully choose the weight function, a substantial increase in power of tests against non-proportional alternatives can be obtained. However, it is difficult to specify in advance the types of survival differences that may actually exist between two groups. Therefore, a combination test can simultaneously detect equally weighted, early, late or middle departures from the null hypothesis and can robustly handle several non-proportional hazard types with no a priori knowledge of the hazard functions. In this paper, we focus on the most used and the most powerful test statistics related to these two branches which have been studied separately but not compared between them. Through a simulation study, we compare the size and power of thirteen test statistics under proportional hazards and different types of non-proportional hazards patterns. We illustrate the procedures using data from a clinical trial of bone marrow transplant patients with leukemia.
Structuration des situations didactiques et continuités dans la dynamique de construction des savoirs en sciences
Authors: Marty Laurence , Ligozat Florence , Venturini Patrice
Published: September 2023

De nombreuses études mettent en lumière une faible prise en compte par les enseignants des propositions des élèves, et donc une faible participation de ceux-ci à la construction des savoirs en classe de sciences, y compris au sein de pratiques d’enseignement qui s’appuient sur des « démarches d’investigation ». Pour renouveler l’interprétation de ce phénomène, nous choisissons de porter notre attention sur les situations didactiques qui médiatisent la relation entre l’enseignant et les élèves et sur les opportunités que ces situations offrent en termes de dynamique de construction des savoirs. Nous exposons deux études de cas, une au primaire (France) et l’autre au secondaire (Suisse romande), analysées à l’aide d’un cadre théorique qui articule une modélisation de l’action didactique considérée comme une action conjointe, d’une part et une approche pragmatiste de la construction des significations dans les discours en classe, d’autre part. Nos résultats tendent à montrer que l’introduction précoce d’éléments de modélisation scientifique, qui acquièrent progressivement une signification au fur et à mesure de leur confrontation avec une succession organisée de phénomènes physiques est susceptible de favoriser une dynamique de construction des savoirs dans laquelle l’enseignant prend en compte et s’appuie sur les significations construites par les élèves pour faire avancer les savoirs.
Energy Financial Risk Management in China Using Complex Network Analysis
Authors: Fang Guobin , Deng Yaoxun , Ma Huimin , Zhang Jun , Pan Li
Published: September 2023

Effective energy financial risk management is crucial to ensure that China's economic system can remain stable. This article utilizes the quantile vector autoregressive spillover index model, complex networks, and deep learning methods to simultaneously assess both the internal and external energy financial market risks in China. Spillover effects under different market conditions are also examined. The research findings indicate that: (1) Under extreme market conditions, static total spillover values between internal and external markets exceed 70%, while under normal market conditions, they are only around 53% and 13%, respectively; (2) Crude oil and fuel oil as well as energy and stocks are important nodes in both internal and external markets; and (3) The attention-convolutional neural network-long short-term memory model outperforms the second-best performing model, and achieves an improvement of 12.9% and 21.4% in terms of mean absolute error and root mean square error, respectively; inclusion of early warning indicators leads to further improvements of 19.8% and 31.9%, respectively.
An analysis of the Relationship between Deparession and Menopausal Syndromes in Women at Midlife
Authors: Chung Eun soon
Published: September 2023

This study was done for the purpose of analysing the relationship between menopausal syndrome and depression in the pre and post menopausal women's group. Data were collected by a questionnaire from November, 1995 to December, 1996. The subject were 244 midlife women(94 subjects were in pre-menopausal period, 150 subject were in post-menopausal period). The instruments used for this study were the menopausal syndrome scale by Neugarton and depression scale by Zung. Data were analyzed with the SPSS/PC using frequency, t-test, and Pearson correlation coefficients.The results of this study were as follows ; 1. The most serious menopausal symptom in the midlife women was 'back pain and joint pain'.2. The item of 'Hot flush'(t=-2.78, p<0.01), 'sweating'(t=-2.31, p<0.05) and 'nervousness'(t=-2.13, p<0.05) as menopausal syndromes were statistically significant in the two groups ; Post menopausal group were higher then premenopausal group.3. Postmenopausal group were a little higher then premenopausal group as depression level. It was none statistically significant in the two groups.4. The relationship between menopausal syndromes and the level of depression was statistically significant in the group of post-menopausal group(r=0.2083, p<0.01).
Women's Perception of Nursing Student Support during Labor
Authors: Park Nam Jun
Published: September 2023

The purpose of this study was to define whether NSILQ is useful for the nursing student in supporting women labor room(Nursing Support in Labor Questionnaire). The retrospective study was conducted to identify the helpfulness of nursing student support behaviors as perceived by women in Labor. This sample of 152 women completed two data collection instruments : a demographic & obstetric questionnaire(12) and NSILQ(20). The data were analyzed by Cronbach alpha, descriptive statistics, t-test, ANOVA with SAS program.The result of this study are as follows.1. All of NSILQ nursing behaviors were perceived as helpful in this study. The total mean of perceived score was 3.4+/-0.90.2. According to the type of nursing support, the mean of Affect(AT) care was 3.48+/-0.79, the mean of Aid(AD) care was 3.37+/-0.82, the mean of Affirmation(AM) care was 3.35+/-0.90. Among the type of care, the AD care was 52.2%, and the most helpful one.3. The significant characters of nursing support are antenatal care numbers and husband with or not in labor process. In the group of score of nursing support, the number of antenatal care was low(F=3.90, P=0.02). The score of the group husbands in labor process was higher.(T=4.55, P=0.001).4. The significant characters of influencing on nursing support required are the person who helped and whether women has job or not.5. The highest numbers of wanting nursing support are Aid cares(74.3%). The care the women wanted mostly was Aid cares (74.3%; pain control in labor(56.6%), physical comfort(6.6%), coach in labor(3.9%), explain of dilatation(1.3%) in rank.
A Study on Women's Health Status for Setting up Women's Health Nursing Center and Developing Health Program
Authors: Lee Eun Hee , Choi Sang Soon , So Ae Young
Published: September 2023

The purpose of this paper was to identify the performance of health promoting lifestyles and health perception over 18 years old women living Wonju city so that the results will be based for setting up women's health nursing center. The subjects were 1080 women selected by stratified and purposive sampling. The data were collected by self reporting questionnaire and interview from May to June, 1998. Data were analyzed by SPSS win program. The results were as follows : 1. The range of age was 18-84 years, The proportion according to women's lifecycle was premarital group 20.0%, delivery and rearing group 49.9%, over middle aged-elderly group 29.8%.2. The mean menarchial age was 15.2 and menopausal age was 48. Mean frequenices of pregnancy is 2.4 and artificical abortion rate is 36.4%. Primary cause of abortion was unwanted babies 42.8%. The practice rate of family planning was 79.4% and permanent sterilization rate was 37.6%.3. Fatigue was predominated problem in target population. Depression and headache was predominated in premarital group, headache and nervous felling in delivery and rearing group, arthritis and loss of memory in over middle aged-elderly group.4. Only 13.7% of the target population make some efforts for their health in compare to 85.9% have attention for their health. Perception of unhealthy rate was 9.1% in premarital group, 24.8% in delivery and rearing group, 30.1% in middle aged-elderly group.5. The average score of the HPLP(Health Promoting Lifestyle Profile) was 2.41. The variable with the highest degree of performance was interpersonal relationship, whereas the one with the lowest degree was the professional health maintenance. The significant difference was found in HPLP according to age, residential area, marital status, educational level, income level.6. Majority(95.1%) of the target population agreed on necessity for women's health nursing center. Proper location area was presented to women's center and public health center. The priority for health education program was proper diet, family health, stress management, and exercise.In conclusion, we should prepare the education program for women's health according to women's lifecycle, because health perception, HPLP, and education program needed was differentiated in women's lifecycle. Also we suggest that women's health nursing center based community was needed for proper management of women's health.
CT Guided Evaluation of Dedicated Aimer versus Free Hand Drilling Technique in the Placement of Femoral and Tibial Tunnels in Double Bundle ACL Reconstruction
Authors: Tank Shekhar , Padhiyar Mahipal Ajitsinh , Saurabh Dutt , Rawal Nitin , Sidhu Mahipal Singh , Kumar Vinod
Published: September 2023

Aim:

The use of a dedicated aimer versus freehand, in double-bundle anterior cruciate ligament reconstruction by co-ordinate axis method on three-dimensional computed tomography (3D-CT) reconstructions models were performed to compare the locations of the femoral and tibial tunnels.

Patients and Methods:

Use of aimer vs free hand technique through the trans portal approach. A 3-Dimensional CT on 40 operated knees and evaluated the position of femoral and tibial tunnels on 3D-CT scan was prepared.

Results:

For femoral tunnel locations, the average posterior-anterior distance for anteromedial (AM) and posterolateral (PL) tunnel positions in the aimer group and freehand group were 46.8% ± 7.4% (B/C) and 34.5% ± 5.0% (A/C) and 56.4% ± 3.1% (B/C) and 40.5% ± 9.0% (A/C), respectively. For, tibial tunnel locations, mean anterior-to-posterior distances for the AM and PL tunnel in the aimer group and freehand group were 29.7% ± 2.5% (A/C) and 46.9% ± 3.8% (B/C) and 28.8% ± 4.3% (A/C) and 47.2% ± 3.6% (B/C), respectively. B/C AND A/C are the measurements posterior to the anterior tunnels for the AM and the PL tunnels, respectively. a/c and b/c are the proximal-distal measurements.

Conclusion:

In the present study, on comparison position of the AM and PL tunnels of the femur and tibia were fairly similar in both techniques.
A Systematic Review of Noncircular (Rectangle, Oval) Femoral Tunnel Anterior Cruciate Ligament Reconstruction: Does it Improve Outcomes?
Authors: Ghasemi S. Ali , McCahon Joseph A. S. , Herr Sanjeev J. , Raphael James S. , Shaffer Gene W. , Bartolozzi Arthur R.
Published: September 2023

Purpose:

The purpose of this study is to systematically review the clinical and biomechanical studies regarding noncircular (rectangular and oval) femoral tunnel anterior cruciate ligament reconstruction (ACLR). We hypothesized that noncircular femoral tunnel ACLR has its advantages in unique situations while maintaining comparable clinical and radiographic outcomes when compared to conventional techniques.

Methods:

A systematic review of the literature was performed in PubMed and Scopus databases to identify published articles on the clinical outcomes of noncircular (rectangle and oval) ACLR. The results of the eligible studies were analyzed in terms of instrumented laxity measurements, Lachman test, pivot-shift test, Lysholm and Tegner scores, objective and subjective International Knee Documentation Committee (IKDC) scores, and surgical complications/failures. A meta-analysis was performed on Lysholm scores and KT side-to-side data comparing noncircular ACLR with the conventional round technique.

Results:

A total of 22 papers for the rectangle group (n = 1314) met the inclusion criteria. With an average follow-up of 15.8 months (±10.4 months), the mean reported Lysholm score was 97.8 (±0.80) and the mean reported KT-1000 arthrometer measurement was 1.2 (±1.9). When comparing the rectangle technique to the conventional round, no significant differences were seen regarding the Lysholm score (P = 0.95) or KT-1000 arthrometer measurements (P = 0.14) at the final follow-up. In the oval group, a total of 5 studies (n = 322) met the eligibility criteria. With an average follow-up of 20.2 months (±13.7 months), the mean reported Lysholm score was 94.4 (±2.0), the mean IKDC subjective was 90.4 (±1.2), and the mean KT-1000 arthrometer measurement was 1.6 (±0.4). The scarcity of randomized controlled trials available for this analysis limited the amount of data available for meta-analysis.

Conclusions:

Noncircular femoral tunnel ACLR has shown reasonable and comparable clinical outcomes to the conventional technique, demonstrating no difference between the two techniques and making it a valuable option for primary or revision ACLR.
Trauma Forensics in Blunt and Sharp Force Injuries
Authors: Eze Uwom Okereke , Ojifinni Kehinde Abraham
Published: September 2023

Trauma forensics is the concept of examining trauma from a medicolegal standpoint in a given jurisdiction. Blunt and sharp force traumas are classified based on the different mechanisms of causation, which have a medicolegal significance. Adopting a standard approach to the medical evaluation of such injuries in patients would serve both the purposes of rendering appropriate treatment and the documentation and preservation of medical evidence. However, most trauma cases are seen by medical practitioners with very limited forensic knowledge and skills, and they are still expected to meet the needs of the court or the judicial mechanism in subsequent legal proceedings. Therefore, some measures, including 10 practical considerations, which are applicable in attending to blunt and sharp force traumas, would limit the risk a clinician faces in the crossfire of medicine and law.
Intramedullary Tuberculoma of the Conus Medularis in an Immunocompetent Young Adult with no Pulmonary Tuberculosis, the Challenges of Diagnosis and Management
Authors: Alfin Jeneral Dumura , Akpa Philip Ojile , Shilong Danaan Joseph , Bot Gyang Markus , Nwibo Onyemaechi Ereke , Kyesmen Nanapan Isa , Olalere Shina Abidemi , Bakwa Nenkimum Dirting , Emmanuel Innocent
Published: September 2023

Background and Objective:

Intramedullary tuberculoma (IMT) of the conus medullaris is an extremely rare tumour that constitutes a diagnostic and management challenge in a resource-limited setting. We report a case of conus medullaris, IMT in a young immunocompetent, patient with no prior clinical features of pulmonary or extra-pulmonary tuberculosis.

Case Summary:

The patient presented with six months history of progressive and persistent mid back pain and slight weakness of both lower limbs of 3 months duration. Physical examination revealed a well-nourished man with power of 3/5 and hyperreflexia on both lower limbs. Chest radiograph and other investigations for tuberculosis were negative. Magnetic resonance imaging (MRI) of the lumbosacral spine showed fusiform expansion of the conus medullaris, with a well circumscribed, ring enhancing, intramedullary mass straddle between T12 and L1. Patient had gross total resection with no intraoperative monitoring assistance and no post-operative worsening of neurological function. Histology showed granulomatous lesion with central caseation in keeping with a tuberculoma. Patient was commenced on post-operative anti-tuberculous therapy with physiotherapy, with full motor recovery at six months post-surgical intervention and anti-tuberculous therapy.

Conclusion:

Intramedullary tuberculoma can be considered as one of the differential diagnoses of intradural, intramedullary tumour of the conus, even in immunocompetent individual with no clinical features of tuberculosis.