bluuebunny/crossref_metadata_2025 huggingface dataset:
Aiming for Intrasectorality: Public Safety and Health
Authors: Lima Paulo Luiz Fernando de , Akerman Marco
Published: January 2019

Question: Are Public policies that contemplate intrasectorality capable of producing better results for society, public health and safety?

          Design: Descriptive study with data analysis from September 2014 to December 2015.

          Participants: Civil and Military Police of São Paulo State (western region of São Paulo City).

          Intervention: Analysis of criminal indicators of public health interest in the western region of São Paulo City during the period of applicability of intrasectorality as public health and safety policy.

          Outcome measures: analysis of the management model and record of reports interesting to public health. The first analysis was carried out in 3 police districts, later spreading to the entire western region of São Paulo City.

          Qualitative variables were based on the International Code of Diseases (ICD). The quantitative results obtained were extracted from the Criminal Intelligence System.

          Data were analyzed using descriptive statistics with a significance level of 95%. The software used was the bioestat 5.0 for windows.

          Results: There was a reduction of 4% to 44% in criminal indicators of public health interest.

          Conclusion: Intrasectorality was able to improve public health outcomes when used as public policy in police institutions, reducing the impact of violence on public health.
EXPERIMENTAL INVESTIGATION INTO FIRE RESISTANCE OF HC‐FST COLUMNS UNDER AXIAL COMPRESSION
Authors: Blaževičius Žygimantas , Kvedaras Audronis Kazimieras
Published: January 2019

A certain amount of analytical methods for determining fire resistance of concrete filled steel tubular columns are developed. Mostly those methods refer to or have as an origin the data about the results of real experiments. The research work on this kind of composite column behaviour under fire conditions with a wide range of different parameters measuring was performed. The behaviour of 16 axially loaded HC‐FST (hollow concrete filled steel tubular) columns without fire protection under conditions similar to ISO‐834 fire and under normal conditions was experimentally investigated and the results are presented in this paper. The experimental values of fire resistance were measured and the failure mode was determined for 4 axially loaded columns. And for the comparison of test parameters, 4 axially loaded HC‐FST columns were tested under normal conditions. In addition, 8 hollow concrete‐filled steel tubular stub columns and 4 hollow concrete tubular stub columns under normal conditions were tested. The final objective was to prepare experimental data for analysis and to find some analytical dependence between test parameters with the most significant influence on the fire results of HC‐FST columns.
INTERFACE CONDITION INFLUENCE ON PREDICTION OF FLEXIBLE PAVEMENT LIFE
Authors: Ziari Hassan , Khabiri Mohammad Mahdi
Published: January 2019

The effects of interface condition on the life of flexible pavements have been determined. The methodology consists of implementing a previously derived interface constitutive model into the Kenlayer programme to compute the stresses and strains in typical flexible road structures. The shell transfer functions for fatigue cracking and terminal serviceability were used to estimate the pavement life. The behaviour of in‐service pavements indicates that the condition of the bonding between pavement layers plays an important role in the road structures performance. Premature failure of road sections due to layer separation, leading to redistribution of stresses and strains in the pavement structure, is often encountered, especially in areas where the vehicles are more likely to apply horizontal forces. In computing the critical stresses and strains, most of the mechanistic design procedures of flexible pavement structures consider that pavement layers are completely bonded or completely unbounded.
A STUDY ON THE RELATIONSHIP BETWEEN INTELLECTUAL CAPITAL AND BUSINESS PERFORMANCE IN THE ENGINEERING CONSULTING INDUSTRY: A PATH ANALYSIS
Authors: Huang Chung-Fah , Hsueh Sung-Lin
Published: January 2019

Engineering consulting firms, like other knowledge‐based enterprises, take intellectual capital as their most important asset embedded in the organisation. This research aims to analyse the correlation between intellectual capital and business performance. The questionnaire was sent to all Taiwan's engineering consulting firms, and 101 copies were collected. It was found that, among these engineering consulting firms, the structural capital and relational capital show better performance, while human capital has poorer performance. This is especially true for staff education and training. This indicates that there is still room for improving human resource management by engineering consulting firms. It is observed by path analysis that, among the three dimensions of engineering consulting firms’ intellectual capital, the human capital has a great influence on structural capital and relational capital. However, only relational capital has a direct influence on business performance. Human capital has an influence upon the business performance via the relational capital.
HD 202772A b: A Transiting Hot Jupiter around a Bright, Mildly Evolved Star in a Visual Binary Discovered by TESS
Authors: Wang Songhu , Jones Matias , Shporer Avi , Fulton Benjamin J. , Paredes Leonardo A. , Trifonov Trifon , Kossakowski Diana , Eastman Jason , Redfield Seth , Günther Maximilian N. , Kreidberg Laura , Huang Chelsea X. , Millholland Sarah , Seligman Darryl , Fischer Debra , Brahm Rafael , Wang Xian-Yu , Cruz Bryndis , Henry Todd , James Hodari-Sadiki , Addison Brett , Liang En-Si , Davis Allen B. , Tronsgaard René , Worku Keduse , Brewer John M. , Kürster Martin , Zhang Hui , Beichman Charles A. , Bieryla Allyson , Brown Timothy M. , Christiansen Jessie L. , Ciardi David R. , Collins Karen A. , Esquerdo Gilbert A. , Howard Andrew W. , Isaacson Howard , Latham David W. , Mazeh Tsevi , Petigura Erik A. , Quinn Samuel N. , Shahaf Sahar , Siverd Robert J. , Rodler Florian , Reffert Sabine , Zakhozhay Olga , Ricker George R. , Vanderspek Roland , Seager Sara , Winn Joshua N. , Jenkins Jon M. , Boyd Patricia T. , Fűrész Gábor , Henze Christopher , Levine Alen M. , Morris Robert , Paegert Martin , Stassun Keivan G. , Ting Eric B. , Vezie Michael , Laughlin Gregory
Published: January 2019

We report the first confirmation of a hot Jupiter discovered by the Transiting Exoplanet Survey Satellite (TESS) mission: HD 202772A b. The transit signal was detected in the data from TESS Sector 1, and was confirmed to be of planetary origin through radial velocity (RV) measurements. HD 202772A b is orbiting a mildly evolved star with a period of 3.3 days. With an apparent magnitude of V = 8.3, the star is among the brightest and most massive known to host a hot Jupiter. Based on the 27 days of TESS photometry and RV data from the CHIRON, HARPS, and Tillinghast Reflector Echelle Spectrograph, the planet has a mass of

and radius of

, making it an inflated gas giant. HD 202772A b is a rare example of a transiting hot Jupiter around a quickly evolving star. It is also one of the most strongly irradiated hot Jupiters currently known.
On a New Method to Estimate the Distance, Reddening, and Metallicity of RR Lyrae Stars Using Optical/Near-infrared (B, V, I, J, H, K) Mean Magnitudes: ω Centauri as a First Test Case
Authors: Bono G. , Iannicola G. , Braga V. F. , Ferraro I. , Stetson P. B. , Magurno D. , Matsunaga N. , Beaton R. L. , Buonanno R. , Chaboyer B. , Dall’Ora M. , Fabrizio M. , Fiorentino G. , Freedman W. L. , Gilligan C. K. , Madore B. F. , Marconi M. , Marengo M. , Marinoni S. , Marrese P. M. , Martinez-Vazquez C. E. , Mateo M. , Monelli M. , Neeley J. R. , Nonino M. , Sneden C. , Thevenin F. , Valenti E. , Walker A. R.
Published: January 2019

We developed a new approach to provide accurate estimates of the metal content, reddening, and true distance modulus of RR Lyrae stars (RRLs). The method is based on homogeneous optical (BVI) and near-infrared (JHK) mean magnitudes and on predicted period–luminosity–metallicity relations (IJHK) and absolute mean magnitude–metallicity relations (BV). We obtained solutions for three different RRL samples in ω Cen: first overtone (RRc, 90), fundamental (RRab, 80), and global (RRc+RRab) in which the period of first overtones were fundamentalized. The metallicity distribution shows a well defined peak at [Fe/H]∼−1.98 and a standard deviation of σ = 0.54 dex. The spread is, as expected, metal-poor ([Fe/H] ≤ −2.3) objects. The current metallicity distribution is ∼0.3 dex more metal-poor than similar estimates for RRLs available in the literature. The difference vanishes if the true distance modulus we estimated is offset by −0.06/−0.07 mag in true distance modulus. We also found a cluster true distance modulus of μ = 13.720 ± 0.002 ± 0.030 mag, where the former error is the error on the mean and the latter is the standard deviation. Moreover, we found a cluster reddening of E(B − V) = 0.132 ± 0.002 ± 0.028 mag and spatial variations of the order of a few arcmin across the body of the cluster. Both the true distance modulus and the reddening are slightly larger than similar estimates available in the literature, but the difference is within 1σ. The metallicity dependence of distance diagnostics agrees with theory and observations, but firm constraints require accurate and homogeneous spectroscopic measurements.
Subarcsecond Blobs in Flare-related Coronal Jets
Authors: Zhang Q. M. , Ni L.
Published: January 2019

In this paper, we report multiwavelength observations of subarcsecond blobs in coronal jets. In AR 12149, a C5.5 circular-ribbon flare occurred at ∼04:55 UT on 2014 August 24, which consisted of a discrete circular ribbon and a short inner ribbon inside. Two jets (jet1 and jet2) were related to the flare. Jet1 appeared first and experienced untwisting motion during its early propagation along a closed coronal loop. Jet2 appeared 6 minutes later and propagated upward along another closed loop. During its initial phase, a big plasmoid was ejected out of jet2 at a speed of ∼150 km s−1. After the flare peak time (05:02 UT), multiple bright and compact blobs appeared in the lower part of jet2, which were observed by the Slit-Jaw Imager (SJI) on board the Interface Region Imaging Spectrograph. The blobs observed by SJI in 1330 Å have sizes of 0.″45–1.″35, nearly 84% of which are subarcsecond (<1″). The mean value and standard deviation of the sizes are 0.″78 and 0.″19, respectively. The velocities of the blobs range from 10 to more than 220 km s−1, some of which decelerate and disappear during the upward propagation. Three of the blobs had their counterparts in extreme-ultraviolet (EUV) wavelengths observed by the Atmospheric Imaging Assembly on board the Solar Dynamics Observatory spacecraft. The velocities are almost identical in ultraviolet (UV) and EUV wavelengths. We propose that the blobs observed in 1330 Å are the cool component (∼0.025 MK), while the blobs observed in EUV are the hot component of several MK. In jet1, only one blob was present, with a size of ∼1″ and a velocity of ∼40 km s−1. We conclude that the blobs are created by the tearing-mode instability of the current sheet at the base or inside the coronal jets. Our results have important implications for uncovering the fine structures of coronal jets and understanding the relationship between the blobs observed at UV and EUV wavelengths.
ALMA Autocorrelation Spectroscopy of Comets: The HCN/H13CN Ratio in C/2012 S1 (ISON)
Authors: Cordiner M. A. , Palmer M. Y. , Val-Borro M. de , Charnley S. B. , Paganini L. , Villanueva G. , Bockelée-Morvan D. , Biver N. , Remijan A. J. , Kuan Y.-J. , Milam S. N. , Crovisier J. , Lis D. C. , Mumma M. J.
Published: January 2019

The Atacama Large Millimeter/submillimeter Array (ALMA) is a powerful tool for high-resolution mapping of comets, but the main interferometer (comprised of 50 × 12 m antennas) is insensitive to the largest coma scales due to a lack of very short baselines. In this Letter, we present a new technique employing ALMA autocorrelation data (obtained simultaneously with the interferometric observations), effectively treating the entire 12 m array as a collection of single-dish telescopes. Using combined autocorrelation spectra from 28 active antennas, we recovered extended HCN coma emission from comet C/2012 S1 (ISON), resulting in a fourteen-fold increase in detected line brightness compared with the interferometer. This resulted in the first detection of rotational emission from H13CN in this comet. Using a detailed coma radiative transfer model accounting for optical depth and non-local thermodynamic equilibrium excitation effects, we obtained an H12CN/H13CN ratio of 88 ± 18, which matches the terrestrial value of 89. This is consistent with a lack of isotopic fractionation in HCN during comet formation in the protosolar accretion disk. The possibility of future discoveries in extended sources using autocorrelation spectroscopy from the main ALMA array is thus demonstrated.
Broad Absorption Line Disappearance/Emergence in Multiple Ions in a Weak Emission-line Quasar
Authors: Yi W. , Vivek M. , Brandt W. N. , Wang T. , Timlin J. , Ak N. Filiz , Schneider D. P. , Fynbo J. P. U. , Ni Q. , Vito F. , Indahl B. L. , Sameer
Published: January 2019

We report the discovery of the disappearance of Mg ii, Al iii, C iv, and Si iv broad absorption lines (BALs) at the same velocity (0.07c), accompanied by a new C iv BAL emerging at a higher velocity (up to 0.11c), in the quasar J0827+4252 at z = 2.038. This is the first report of BAL disappearance (i) over Mg ii, Al iii, C iv, and Si iv ions and (ii) in a weak emission-line quasar (WLQ). The discovery is based on four spectra from the Sloan Digital Sky Survey and one follow-up spectrum from Hobby–Eberly Telescope/Low-Resolution Spectrograph-2. The simultaneous C iv BAL disappearance and emergence at different velocities, together with no variations in the Catalina Real-Time Transient Survey light curve, indicate that ionization changes in the absorbing material are unlikely to cause the observed BAL variability. Our analyses reveal that transverse motion is the most likely dominant driver of the BAL disappearance/emergence. Given the presence of mildly relativistic BAL outflows and an apparently large C iv emission-line blueshift that is likely associated with strong bulk outflows in this WLQ, J0827+4252 provides a notable opportunity to study extreme quasar winds and their potential in expelling material from inner to large-scale regions.
Morphological and cytogenetic characteristics of Neobisium (Blothrus) slovacum Gulička, 1977 (Pseudoscorpiones, Neobisiidae), the northernmost troglobitic species of the subgenus Blothrus in Europe
Authors: Červená Martina , Šťáhlavský František , Papáč Vladimír , Kováč Ľubomír , Christophoryová Jana
Published: January 2019

A redescription is provided of the adult, tritonymph and deutonymph life stages of the troglobitic Neobisium (Blothrus) slovacum Gulička, 1977, which is known from Slovakia and Hungary. Material examined included 35 previously deposited museum specimens and 15 newly collected specimens. In addition, the karyotype and distribution of 18S rDNA clusters are described, using fluorescence in situ hybridization (FISH). The male karyotype ofN.slovacumcomprises 69 chromosomes, with a predominance of biarmed chromosomes, and an X0 sex chromosome system. Two pairs of signals for 18S rDNA on biarmed chromosomes (submetacentric and metacentric) of different sizes were identified. The present study provides the first information about the distribution of these clusters in the arachnid order Pseudoscorpiones. The geographic distribution of the species is summarized and mapped.Neobisiumslovacumis endemic to the Slovak and Aggtelek Karst area in southern Slovakia and north-western Hungary, where it has been recorded from 16 caves. One of these, Hačavská cave (in Slovakia), is the northernmost locality known for any species of the subgenus Blothrus.
Predictors of Achieving Remission among Patients with Psoriatic Arthritis Initiating a Tumor Necrosis Factor Inhibitor
Authors: Ogdie Alexis , Palmer J. Lynn , Greenberg Jeffrey , Curtis Jeffrey R. , Harrold Leslie R. , Solomon Daniel H. , Kavanaugh Arthur , Kremer Joel M. , Mease Philip J.
Published: January 2019

Objective.

To examine predictors of remission among patients with psoriatic arthritis (PsA) initiating a tumor necrosis factor (TNF) inhibitor.

Methods.

Patients with PsA enrolled in the Corrona Registry between 2005 and 2013 were followed from initiation of a TNF inhibitor (TNFi; etanercept, adalimumab, infliximab, certolizumab, or golimumab) to the visit closest to 12 months. Additional inclusion criteria included 3 tender or 3 swollen joints. Outcomes of interest were Clinical Disease Activity Index (CDAI) ≤ 2.8 (remission), low disease activity (LDA; CDAI ≤ 10), change in the modified Health Assessment Questionnaire (mHAQ) ≥ 0.35 and achievement of mHAQ < 0.30. Predictors were measured on or before TNFi initiation. Covariates significant in univariable logistic regression models and ≤ 5% missing values were included in a multivariable model and removed individually until all remaining variables were significant (p < 0.05).

Results.

Among 1832 TNFi initiations, 774 initiations (624 patients) met inclusion criteria. Median age at initiation was 52 years [interquartile range (IQR) 44–60], 56% were female, median PsA duration was 4 years (IQR 2–11), and median CDAI at baseline was 20 (IQR 14.5–28). Remission was achieved by 14% and LDA (or remission) by 37%. Achieving remission was positively associated with college education (OR 1.88, 95% CI 1.11–3.19) but negatively associated with female sex (0.62, 95% CI 0.40–0.97), obese body mass index (0.51, 95% CI 0.32–0.81), hypertension (0.55, 95% CI 0.32–0.95), previous biologic use (0.41, 95% CI 0.26–0.65), and baseline pain (0.80 per 10 mm visual analog scale, 95% CI 0.73–0.87). Predictors for LDA, mHAQ < 0.30, and mHAQ change were similar.

Conclusion.

Few patients with PsA in a US-based registry achieved remission by CDAI criteria. Female sex, obesity, comorbidities, and education influence achievement of remission on a TNFi.
Association Between Psoriasis with Arthritis and Hearing Impairment in US Adults: Data from the National Health and Nutrition Examination Survey
Authors: Semenov Yevgeniy R. , Hsiang Esther Y. , Huang Amy , Herbosa Christina M. , Hui Xuan , Kwatra Shawn G. , Cohen Bernard , Anadkat Milan J.
Published: January 2019

Objective.

Emerging data has linked inflammatory arthritis with hearing impairment (HI). The objective of this study was to investigate the relationship between psoriasis with arthritis (PsA) and HI in the US population. Given the known association of HI and depression, a secondary aim is to investigate the effect of PsA on mental well-being.

Methods.

Cross-sectional study using the National Health and Nutrition Examination Survey for adults aged ≥ 20 years (n = 10,747). Association of PsA with above outcomes was examined using multivariable generalized linear and ordinal logistic regression models, adjusted for demographics and medical comorbidities. Structural equation models examined the extent to which HI mediated the effect of PsA on mental health.

Results.

Individuals with PsA were more likely to report hearing difficulties (OR 1.50, p = 0.043), visit a mental health provider (OR 1.62, p = 0.084), have 1.62 more days of poor mental health over the previous month (p = 0.033), and have depression (OR 2.01, p = 0.015) compared to controls. HI mediated 6.5%, 8.3%, and 5.0% of the effect of PsA on the above mental health outcomes, respectively.

Conclusion.

PsA is independently associated with a significantly increased risk of HI, which partially mediates an association with worsened psychiatric outcomes.
Detection of Sacroiliitis by Short-tau Inversion Recovery and T2-weighted Turbo Spin Echo Sequences: Results from the SIMACT Study
Authors: Greese Juliane , Diekhoff Torsten , Sieper Joachim , Schwenke Carsten , Makowski Marcus R. , Poddubnyy Denis , Hamm Bernd , Hermann Kay Geert A.
Published: January 2019

Objective.

To compare proton density–weighted short-tau inversion recovery (PD-STIR) and T2-weighted fat-suppressed turbo spin echo (T2-FS) sequences for detecting osteitis lesions of the sacroiliac joints (SIJ) in patients with chronic low back pain (CLBP).

Methods.

This prospective study included 110 patients with CLBP and suspected spondyloarthritis and 18 healthy controls. All 128 participants (age range: 19–57 yrs) underwent 3.0 Tesla magnetic resonance imaging (MRI) of the SIJ including PD-STIR and T2-FS. Two readers independently scored PD-STIR and T2-FS images for osteitis in separate sessions. Sum scores and signal-to-noise (SNR) and contrast-to-noise (CNR) ratios were calculated. Images were further analyzed as to whether they fulfilled the Assessment of SpondyloArthritis international Society (ASAS) criterion of a positive MRI (MRI+). Interreader agreement was calculated using intraclass correlation coefficients.

Results.

Average osteitis sum scores were higher for T2-FS images (mean sum score of 4.10 in T2-FS vs 2.55 in PD-STIR, p = 0.017). Mean SNR was 16.54 for PD-STIR and 37.30 for T2-FS (p = 0.0289). Mean CNR was 4.14 for PD-STIR and 20.20 for T2-FS (p = 0.0212). For both readers, the ASAS MRI+ definition was more often fulfilled by T2-FS than by PD-STIR images, resulting in more patients being classified as having axial spondyloarthritis (axSpA): 68 patients using T2-FS versus 58 patients using PD-STIR. Interreader intraclass correlation coefficients were very good for both PD-STIR (0.91) and T2-FS (0.86).

Conclusion.

T2-FS sequences improve image quality and hence the detection of osteitis compared to the PD-STIR sequence. More patients were classified as axSpA based on a positive MRI by T2-FS.
Gene Expression Pathways across Multiple Tissues in Antineutrophil Cytoplasmic Antibody-associated Vasculitis Reveal Core Pathways of Disease Pathology
Authors: Friedman Marcia A. , Choi Dongseok , Planck Stephen R. , Rosenbaum James T. , Sibley Cailin H.
Published: January 2019

Objective.

To identify commonalities in gene expression data across all antineutrophil cytoplasmic antibody (ANCA)–associated vasculitis (AAV) tissues thus far characterized.

Methods.

Gene expression data were collected from the 3 AAV tissues thus far characterized (orbit, peripheral leukocytes, and sinus brushings). These data were analyzed to identify commonly expressed genes and disease pathways. The pathways data were adjusted for multiple comparisons using a combined local false discovery rate, which estimates the probability of a false discovery of a given pathway in all 3 tissues analyzed.

Results.

Only 4 genes were upregulated in all 3 tissues —IL1RN,TLR2, SLC11A1, andMMP9. After multiple comparison adjustments, the network pathway analysis revealed 28 pathways associated with all 3 tissues. The most strongly associated pathway for all 3 tissues was the neutrophil degranulation pathway [multidimensional local false discovery (md-locfdr) = 1.05 × 10−12], followed by the osteoclast differentiation (md-locfdr = 3.8 × 10−05), cell surface interactions at the vascular wall (md-locfdr = 4.2 × 10−04), signaling by interleukins (md-locfdr = 6.1 × 10−04), and phagosome (md-locfdr = 0.003) pathways. There were no downregulated genes or pathways common to all 3 tissues.

Conclusion.

This analysis identified individual genes and pathways of disease common to all AAV tissues thus far characterized. The use of a network pathway analysis allowed us to identify pathologic mechanisms that were not readily apparent in the commonly expressed genes alone. Many of these pathways are consistent with current theories about infectious drivers and the crossroads of innate and adaptive immune mechanisms. In addition, this analysis highlights novel pathways, such as vessel wall interactions and platelet activation, which require further investigation.
Increased Risk of Hypertension Associated with Spondyloarthritis Disease Duration: Results from the ASAS-COMOSPA Study
Authors: Derakhshan Mohammad H. , Goodson Nicola J. , Packham Jonathan C. , Sengupta Raj , Molto Anna , Marzo-Ortega Helena , Siebert Stefan ,   the BRITSpA and COMOSPA Investigators
Published: January 2019

Objective.

Spondyloarthritis (SpA) is associated with a number of cardiovascular (CV) comorbidities. We examined the association of SpA disease duration and delay in diagnosis with CV-related conditions.

Methods.

Using data from the COMOSPA study, the associations between SpA disease duration and CV-related conditions were evaluated in univariable and multivariable logistic regression models. Each model examined 1 CV-related factor as dependent and “SpA disease duration” as a predictor, adjusted for relevant confounders.

Results.

Data from 3923 subjects (median SpA disease duration 5.1 yrs, interquartile range 1.3–11.8 yrs) were available for analysis. The main CV-related conditions were hypertension (HTN; 22.4%), ischemic heart disease (2.6%), stroke (1.3%), and diabetes mellitus (5.5%). HTN was associated with SpA disease duration in both univariable and multivariable analysis, with an OR of 1.129 (95% CI 1.072–1.189; p < 0.001) for each 5-year increase in SpA disease duration. Other factors associated with HTN were age, male sex, current body mass index, ever steroid therapy, and ever synthetic disease-modifying antirheumatic drug therapy, but not nonsteroidal antiinflammatory drugs (NSAID). In subgroup analysis, the strongest association of HTN and disease duration was seen in subjects with the axial-only SpA phenotype (OR 1.202, 95% CI 1.053–1.372) but not in those with peripheral-only SpA (OR 0.902, 95% CI 0.760–1.070). The other CV conditions were not associated with SpA disease duration.

Conclusion.

Duration of SpA disease in the ASAS-COMOSPA cohort is associated with higher odds of HTN, particularly in those with axial disease, but not with other CV-related conditions. The association with HTN does not appear to be related to NSAID exposure.
The SPECTRA Collaboration OMERACT Working Group: Construct Validity of Joint Space Outcomes with High-resolution Peripheral Quantitative Computed Tomography
Authors: Manske Sarah L. , Brunet Scott C. , Finzel Stephanie , Stok Kathryn S. , Conaghan Philip G. , Boyd Steven K. , Barnabe Cheryl
Published: January 2019

Objective.

We assessed construct validity of high-resolution peripheral quantitative computed tomography (HR-pQCT) joint space outcomes by comparison with radiographs in patients with rheumatoid arthritis.

Methods.

In 43 patients, quantitative, volumetric, HR-pQCT measurements were compared with ordinal Sharp/van der Heijde scoring (SvdH) in the 2nd and 3rd metacarpophalangeal joints.

Results.

Generalized estimating equations showed that joint space minimum, SD, and asymmetry by HR-pQCT were associated with SvdH scores (p < 0.05). There was a considerable range in HR-pQCT measurements at SvdH equal to 0.

Conclusion.

HR-pQCT demonstrated construct validity outcomes and provides improved 3-D visualization of joint space.
Addressing Challenges in Developing a Core Domain Set in Adherence Interventions in Rheumatology: A Report from the OMERACT-Adherence Group
Authors: Kelly Ayano , Bartlett Susan J. , de Wit Maarten P. , Beaton Dorcas E. , Dawson Therese , Evans Vicki , Gill Michael , Hassett Geraldine , March Lyn , Scholte-Voshaar Marieke , Singh Jasvinder A. , Tong Allison , Tugwell Peter , Wong Peter , Tymms Kathleen
Published: January 2019

Objective.

The OMERACT-Adherence meeting was convened to discuss the conceptual and methodological challenges in developing a core domain set (Adherence-CDS) for trials of interventions for medication adherence in rheumatology.

Methods.

Forty participants from nine countries participated.

Results.

Four ideas emerged: for adherence trials, the Adherence-CDS could include adherence and the condition-specific CDS; many factors affect adherence and are intervention targets, contextual factors, or outcome domains; adherence is a critical factor in drug trials; and standardized adherence measures are needed.

Conclusion.

Despite the challenges, the meeting clarified an approach to developing an Adherence-CDS that complements existing OMERACT work and methodology.
Toward a Core Domain Set for Glucocorticoid Impact in Inflammatory Rheumatic Diseases: The OMERACT 2018 Glucocorticoid Impact Working Group
Authors: Cheah Jonathan T.L. , Black Rachel J. , Robson Joanna C. , Navarro-Millán Iris Y. , Young Sarah R. , Richards Pamela , Beard Susan , Simon Lee S. , Goodman Susan M. , Mackie Sarah L. , Hill Catherine L.
Published: January 2019

Objective.

To understand the effects of glucocorticoids (GC), which are of importance to patients.

Methods.

The results of 2 literature reviews, a patient survey, and a qualitative study were presented.

Results.

No validated instrument exists to evaluate GC effect on patients. Survey data revealed skin thinning/bruising, sleep disturbance, and weight gain as the most frequent adverse effects. The qualitative research yielded rich data covering rapid benefits and physical and emotional consequences of GC.

Conclusion.

It was agreed that a patient-reported outcome to measure GC effect was required and a research agenda was developed for this goal.
The OMERACT-OARSI Core Domain Set for Measurement in Clinical Trials of Hip and/or Knee Osteoarthritis
Authors: Smith Toby O. , Hawker Gillian A. , Hunter David J. , March Lyn M. , Boers Maarten , Shea Beverley J. , Christensen Robin , Guillemin Francis , Terwee Caroline B. , Williamson Paula R. , Dodd Susanna , Roos Ewa M. , Loeser Richard F. , Schnitzer Thomas J. , Kloppenburg Margreet , Neogi Tuhina , Ladel Christoph H. , Kalsi Gurdyal , Kaiser Ulrike , Buttel Thomas W. , Ashford Anne E. , Mobasheri Ali , Arden Nigel K. , Tennant Alan , Hochberg Marc C. , de Wit Maarten , Tugwell Peter , Conaghan Philip G.
Published: January 2019

Objective.

To update the 1997 OMERACT-OARSI (Outcome Measures in Rheumatology-Osteoarthritis Research Society International) core domain set for clinical trials in hip and/or knee osteoarthritis (OA).

Methods.

An initial review of the COMET database of core outcome sets (COS) was undertaken to identify all domains reported in previous COS including individuals with hip and/or knee OA. These were presented during 5 patient and health professionals/researcher meetings in 3 continents (Europe, Australasia, North America). A 3-round international Delphi survey was then undertaken among patients, healthcare professionals, researchers, and industry representatives to gain consensus on key domains to be included in a core domain set for hip and/or knee OA. Findings were presented and discussed in small groups at OMERACT 2018, where consensus was obtained in the final plenary.

Results.

Four previous COS were identified. Using these, and the patient and health professionals/researcher meetings, 50 potential domains formed the Delphi survey. There were 426 individuals from 25 different countries who contributed to the Delphi exercise. OMERACT 2018 delegates (n = 129) voted on candidate domains. Six domains gained agreement as mandatory to be measured and reported in all hip and/or knee OA clinical trials: pain, physical function, quality of life, and patient’s global assessment of the target joint, in addition to the mandated core domain of adverse events including mortality. Joint structure was agreed as mandatory in specific circumstances, i.e., depending on the intervention.

Conclusion.

The updated core domain set for hip and/or knee OA has been agreed upon. Work will commence to determine which outcome measurement instrument should be recommended to cover each core domain.
Les mutations de l’expression « exploitation de l’homme par l’homme » chez les saint-simoniens (1829-1851)
Authors: Bourdeau Vincent
Published: January 2019

Cet article analyse l’apparition de l’expression « exploitation de l’homme par l’homme » sous la monarchie de Juillet dans les milieux saint-simoniens et suit son évolution jusqu’en 1851. L’expression permet de comprendre la société issue de la Révolution française à partir de la division antagoniste du social en deux classes : la bourgeoisie et le prolétariat, qui remplacent le schème industrieux/oisifs utilisé par Saint-Simon auparavant. Les saint-simoniens républicains resituent l’exploitation au sein du monde industriel lui-même, affirmant qu’elle doit être surmontée non en niant les divisions de la société, mais en les intégrant dans une architecture institutionnelle spécifique. JEL  : B14, J53
Une conception économique de l’exploitation : Smith, Marx et Torrens
Authors: Benetti Carlo , Rebeyrol Antoine
Published: January 2019

Nous privilégions une conception de Marx selon laquelle l’exploitation est la conséquence directe de la séparation des travailleurs de leurs moyens de production, et montrons qu’elle est indépendante de la question de leur niveau de vie. Notre objectif est de présenter une formulation économique cohérente de cette idée, ce qui implique entre autres l’abandon de la théorie de la valeur travail. Notre méthode, dont l’origine remonte à Smith, consiste à comparer deux états d’une même économie selon que le produit du travail appartient ou non entièrement au travailleur. Nous construisons le premier état dans un modèle inspiré de Torrens où le surplus positif se définit par le fait qu’il est égal à l’accumulation nette. L’exploitation apparaît alors comme la pure appropriation de ce surplus par une classe de non-travailleurs. JEL :  B12, B14, B51
L’exploitation comme domination
Authors: Renault Emmanuel
Published: January 2019

Cet article cherche à montrer que la théorie marxienne de l’exploitation capitaliste repose sur deux prémisses relativement indépendantes, une théorie de la valeur et une théorie de la domination, et qu’il est possible et fructueux de s’attacher à cette seconde prémisse pour aborder la question de l’exploitation dans Le Capital . La première partie explique pourquoi la conception marxienne de l’exploitation capitaliste est relativement indépendante de la théorie de la valeur. La deuxième partie distingue les différentes formes de domination qui interviennent dans le mécanisme de l’exploitation capitaliste. La troisième partie considère une objection : les formes spécifiquement capitalistes de la domination sont des dominations impersonnelles fondées en dernière instance dans l’exigence de valorisation de la valeur. La conclusion met en lumière ce qui semble constituer l’intérêt durable de l’analyse marxienne du rapport entre domination et exploitation capitaliste, à savoir d’une part un programme de recherche sur les transformations des formes d’exploitation, et d’autre part un programme de recherche sur la place des rapports de pouvoir dans les phénomènes économiques. JEL :  B4
Exploitation productive, injustice systémique et injustice distributive
Authors: Tricou Fabrice
Published: January 2019

L’exploitation productive peut être identifiée par une discordance entre un état de fait et une situation idéale déterminée par une règle de justes contributions et rétributions. Cette norme de répartition peut qualitativement exprimer une notion plus ou moins exigeante de justice : commune humanité, égalité formelle, égalité réelle. Et cette norme de répartition peut quantitativement s’exprimer par plusieurs règles de « justice d’égalité » (égalitarisme ou proportionnalisme) ou de « justice supérieure » (productivisme ou utilitarisme). La violation d’une règle donnée de justice engage un mode d’exploitation qui peut être anomique (comportement de passager clandestin), ou statutaire, ou mystificateur. Au niveau systémique, la dénonciation de l’exploitation féodale, qui est statutaire, opère comme critique axiologique de l’organisation hiérarchique par une vision égalitaire ; alors que la démonstration d’une injustice à l’œuvre dans la relation salariale repose sur l’élucidation théorique de la notion de profit : l’exploitation capitaliste est mystificatrice. Classification JEL :  D63, P50, D33
Can the Concept of Exploitation be Associated with that of Inferiorisation? A Critical Analysis
Authors: Sindzingre Alice Nicole
Published: January 2019

Le concept d’exploitation a été l’objet de nombreuses analyses. Une question a été cependant moins investiguée, celle de la relation de ce concept avec celui d’« infériorisation », définie comme les croyances et normes conduisant un individu à placer un autre individu dans une position inférieure. L’article montre qu’une analyse des liens entre ces deux concepts mène à une aporie : le concept d’exploitation semble impliquer celui d’infériorisation, mais simultanément, la définition théorique de l’exploitation capitaliste d’un être humain est incompatible avec celle de son infériorisation.
La protection juridique du corps dans l’hypermodernité : les excès de la volonté individuelle en question
Authors: Hurpy Hélène
Published: January 2019

La protection juridique du corps dans l’hypermodernité amène à appréhender les excès de la volonté individuelle sur l’intégrité physique, liés aux évolutions sociales et techniques actuelles. Ces excès rendent-ils implicitement la personne propriétaire de son corps, libre de s’en déposséder ou d’en tirer profit ? Assurément non. Il sera au contraire démontré ici que la protection de l’autonomie personnelle encourage la préservation de l’unicité du sujet de droit, malgré la paradoxalité indéniable de la juridicité du corps humain, envisagée du point de vue de la personne et de celui des autorités publiques. L’hyper-subjectivité se traduit ainsi par une revendication boulimique de droits individuels dans différents domaines, montrant à la fois une disponibilité accrue du corps humain, et un renforcement de la protection de l’intégrité physique de la personne en raison de la revalorisation de son consentement. L’hyper-régulation atteste que les autorités publiques se font l’écho de cette évolution, en protégeant à la fois les aspirations personnelles liées au corps – au risque de perdre leur fonction d’institutionnalisation du sujet de droit –, et le primat de sauvegarde de la vie humaine, afin de préserver la dignité de la personne.
Corps en quête d’identité : de la chirurgie réparatrice à la chirurgie transformatrice
Authors: Diet Anne-Lise
Published: January 2019

Le libéralisme politique et économique, représenté par les gafam , a décidé de faire main basse sur le vivant et d’investir le corps humain pour faire des profits capitalistiques. L’article tente de rappeler la filiation nazie de ce projet et de démontrer, au travers l’analyse de l’histoire d’une femme, l’impasse dans laquelle ce projet engage les sujets, par le déferlement de la pulsion de mort qu’il entraîne.
Corps et paroles de réfugiés
Authors: Douville Olivier
Published: January 2019

L’auteur travaille depuis 2015 dans le cadre d’une équipe « psychiatrie et précarité » de l’Établissement psychiatrique de Ville-Évrard avec des hommes qui ont fui des situations où leur vie était en vif péril, en raison de conflits armés, ouverts ou larvés. Nous intervenons à la demande d’un centre d’hébergement lorsque les symptômes de fatigue extrême, d’épuisement psychique, de troubles du comportement ou de l’humeur alertent. Nous avons choisi de faire quelques suivis prolongés de ces hommes réfugiés pour lesquels l’obtention d’un statut de réfugié et d’un titre de séjour, pour heureuse qu’elle soit, ne réintroduit pas nécessairement la personne à la vie ordinaire. En prenant appui sur le temps des premières rencontres et des suivis qui en découlent, l’auteur explore le rapport au temps, à l’espace, au corps et à l’objet qui est en jeu dans ces rencontres. La notion d’humain comme « espèce politique et cérémoniale » est mise en valeur, et de même est évalué de façon critique l’abord strictement transculturel de ces situations.
Le corps imparfait dans les pratiques performatives italiennes, des années 1970 au nouveau siècle
Authors: Gallo Francesca
Published: January 2019

La performance focalise sur le corps, d’ordinaire celui de l’artiste : il y a, en cela, une tradition qui remonte aux années 1970 et qui explore la résistance du physique aux fatigues, à l’exténuation de l’action répétée, au danger et à l’interaction avec un public pas toujours bienveillant. Il s’agit, dans la plupart des cas, d’un corps jeune, souvent athlétique et entraîné, en tout cas, à résister à la fatigue et à la douleur, par des pratiques de méditation. À côté de ce courant, cependant, se définit une sorte de contre-chant représenté par des artistes qui mettent en scène un corps diminué, imparfait, embarrassant et embarrassé. Le texte explore, au travers de quelques exemples, dans une perspective italienne, ce second groupe de recherches, et y saisit, au-delà d’un exercice ironique, la critique de certaines valeurs liées au succès, à l’aisance et à la fonctionnalité du corps dans le capitalisme avancé.
Les trois combats de Melanie Klein
Authors: Durieux Marie-José
Published: January 2019

Résumé Toute sa vie Melanie Klein a mené des combats pour mettre la psychanalyse d’enfants à hauteur de celle des adultes, malgré l’hostilité d’une partie de la communauté analytique. À Budapest puis à Berlin, et enfin à Londres, elle doit mener une lutte acharnée pour s’imposer comme femme, analyste et freudienne. N’oublions pas que tous ces combats ne sont pas définitivement gagnés.
Les bébés sont-ils winnicottiens, kleiniens, lacaniens ou bioniens ?
Authors: Breil Fleur , Pages Catherine
Published: January 2019

Résumé Les auteurs se proposent de dialectiser les différents apports de l’école anglaise avec le courant lacanien par un jeu de métaphores autour du bébé « trans-théorique ». La clinique du bébé reste complexe et sera approchée à travers deux exemples de nourrissons hospitalisés en pédiatrie. Face à la complexité des débuts de la vie psychique, les thérapeutes de tout-petits doivent apprendre aujourd’hui à articuler des savoirs théoriques différents.
Angoisses spatiales et création de l’espace dans la clinique de l’autisme
Authors: Lheureux-Davidse Chantal
Published: January 2019

Résumé Les psychanalystes anglais nous ont sensibilisés à la difficulté des personnes autistes à investir le volume de l’espace, ce qui suscite chez elles des angoisses spatiales. Les travaux d’Alain Berthoz nous permettent de préciser quatre zones de l’espace qui constituent la notion de volume dans l’espace. Dans un accompagnement en psychothérapie sur ces lieux de passage entre ces quatre zones de l’espace, où se constituent certaines stéréotypies, l’investissement de l’espace devient plus souple et construit peu à peu les relations intersubjectives.
Winnicott, un style suffisamment libre
Authors: Cohen de Lara Aline
Published: January 2019

Résumé L’auteur évoque le style suffisamment libre de Winnicott, qui navigue concernant la question épineuse du contre-transfert entre deux pôles, deux écueils : d’un côté, la rigueur et la fidélité au socle de la théorie et de la méthode freudienne ; de l’autre, l’écart créatif et novateur au regard de la pratique et de la théorie.
Transférance féminine et tact contre-transférentiel
Authors: Givre Philippe
Published: January 2019

Résumé Pour traiter du tact contre-transférentiel, l’auteur insiste sur la nécessité pour l’analyste de cultiver une attitude interne qui lui permette de s’ajuster à l’interface des transferts, pour mieux définir la ligne élastique sur laquelle doivent se régler ses interventions. Pour réussir à déceler cette disposition ajustée, l’analyste devra se laisser gagner par la temporanéïté singulière de la transférance féminine, laquelle opère par imprégnation directe pour mieux distiller transfert d’existence et/ou transfert d’inexistence.
Le transfert sur l’environnement thérapeutique
Authors: Houssier Florian
Published: January 2019

Résumé L’auteur présente une approche à la fois historienne, clinique et théorique des enjeux transférentiels de la notion d’environnement thérapeutique. Centré sur Winnicott, le propos remet en perspective la position de ce dernier, entre Anna Freud et Melanie Klein.
Contre-transfert et transmission : d’un embarras à l’autre
Authors: Matha Catherine
Published: January 2019

Résumé L’enseignant-chercheur qui est psychanalyste doit pouvoir accepter de se confronter à cette question, source d’élaboration conflictuelle : comment transmettre et présenter le processus de « contre-transfert » qui relève d’une expérience intime et unique de l’analyse, dont l’objet – l’inconscient – est par définition insaisissable et donc irreprésentable ? Qui plus est : comment transmettre une dynamique liée au maniement du transfert (et du contre-transfert) à des étudiants en psychologie, non analystes et donc profanes  ?
Le concept d’« après-coup »
Authors: Athanassiou-Popesco Cléopâtre
Published: January 2019

Résumé L’auteur situe le concept d’après-coup au centre d’une dynamique psychique dans laquelle le Moi remanie sans cesse les différents niveaux de son organisation. Ce travail permet de redonner sa place à la première topique freudienne et de l’articuler à la découverte des positions kleiniennes ainsi qu’au concept de transformation de W.R. Bion.
Variations sur le cadre analytique
Authors: Paccoud Olivier
Published: January 2019

Résumé Ce texte vise à clarifier la notion de cadre psychanalytique, et, partant, à mieux situer la question du cadre au regard de la pratique psychanalytique. Dans un premier temps, l’auteur essaie de mettre le cadre, la « question-du-cadre », en bonne position théorique, afin de tenter de démêler ce qui, dans cette question, relèverait de symptômes théoriques, de ce qui afférerait à de véritables et cruciaux enjeux pour la psychanalyse. L’auteur tente de situer, au regard notamment de sa conception des visées de la psychanalyse, la position métapsychologique du cadre. Enfin, il tente de penser le cadre en lien avec certains enjeux théorico-cliniques, touchant notamment à la question de l’acte, qui semblent fondamentaux pour la psychanalyse d’aujourd’hui et de demain. Pour ce faire, il se soutient de la pensée de Bion, mais également de celles de Ferro, Ogden, Bollas, Grotstein.
Quelques constats
Authors: Brière Jean-Luc
Published: January 2019

Soin et incarcération sont-ils compatibles ? Avant même de nous pencher sur cette épineuse question, ne vaudrait-il pas mieux commencer par nous attaquer à la question suivante : Les conditions actuelles d’incarcération peuvent-elles servir de cadre à une possibilité de soin ?
Les parents de malades psychiques incarcérés, aidants familiaux non reconnus
Authors: Doucin Michel
Published: January 2019

La surreprésentation des personnes affectées de troubles psychiatriques en prison interroge sur ses causes : quels mécanismes judiciaires conduisent-ils en détention des personnes qui devraient d’abord bénéficier de soins et qui en recevront peu et mal derrière les barreaux ? L’une des associations les plus anciennes et représentatives, l’Union nationale des familles et amis de malades psychiques (UNAFAM), ne s’est emparée du sujet qu’en 2013, 50 ans après sa fondation. Elle a constaté que les opinions de ceux de ses membres dont un proche avait connu la prison divergeaient sur les conséquences de l’emprisonnement, selon que le rôle d’aidant qu’ils assumaient avant l’incarcération avait pu être maintenu ou non.
Continuité des soins et articulation santé-justice
Authors: Balmain Alexandre , Laqueille Xavier
Published: January 2019

La prison peut-elle être un lieu pour initier ou poursuivre des soins ? Dans l’état actuel de l’existant, cet article tente de montrer, à l’aide d’exemples cliniques, ce qu’il est possible de faire et les articulations que l’on peut mettre en place avec l’extérieur. Mais le moment de la sortie remettra, de toutes façons, l’ancien détenu, dans une situation nouvelle où il souhaitera bien souvent surtout, couper avec tout ce qui le rattachait à la prison…dont le projet de soin au long cours.