bluuebunny/crossref_metadata_2025 huggingface dataset:
L’impact des politiques d’exonérations territoriales sur l’emploi : méthodes d’évaluation et résultats
Authors: Havet Nathalie
Published: March 2019

Cet article propose une revue de la littérature sur l’efficacité des politiques d’exonérations territoriales aux États-Unis et en France. Elle montre que leurs résultats sont mitigés en termes de créations nettes d’emplois, de créations d’entreprises et de retours à l’emploi des chômeurs de ces zones. Pour la France, les évaluations sur les Zones FranchesUrbaines (ZFU) concluent à un faible impact positif sur l’activité locale tandis que celle sur les Zones de Redynamisation Rurale (ZRR) n’ont aucune retombée significative. Le régime dérogatoire dans les DOM n’a malheureusement pas encore fait l’objet d’évaluation ex post. Cette revue de littérature met aussi en évidence les défis méthodologiques à relever (définitions des groupes de contrôle, des périmètres des zones, etc.) pour obtenir une évaluation de qualité.
Combien les résidents sont-ils disposés à payer pour des améliorations de la qualité de l’eau ? Une application simultanée de la méthode d’expériences des choix à quatre sites récréatifs d’un bassin hydrographique
Authors: Poirier Julie , Fleuret Aurore
Published: March 2019

HowMuch Are ResidentsWilling to Pay for Improvements inWater Quality ? A Simultaneous Application of the Choice Experiment Method to Four River-Basin Recreation Sites.

Using the choice experiment method, this paper examines local residents’ preferences for water quality management along a specific river basin in France. We defined site-specific attributes, setting their levels to reflect currentwater quality and an improved quality. We then combined the levels to produce different water management options, each associated with a “ monetary price”. We estimated the value attached by residents to water quality improvement at each site from their choice of management options. Results show that local residents are willing to pay for improvements in water quality.
La France peut-elle atteindre l’objectif du Facteur 4 ? Une évaluation à l’aide d’un modèle stylisé énergie-économie
Authors: Henriet Fanny , Maggiar Nicolas , Schubert Katheline
Published: March 2019

Can France Reach the Factor 4 Objective ? An Assessment Based on a Stylised Energy-Economy Model.

We build, calibrate and simulate a stylised energy-economymodel designed to evaluate the level of carbon tax thatwould allow the French economy to reduce its CO2 emissions by a factor of four over a forty-year horizon. We estimate the substitution possibilities between fossil energy and other factors for households and firms. We showthat if energy-saving technical progress continues at its recent historical pace, the initial level of the carbon tax recommended by the Quinet report is totally inadequate.
Impacts macroéconomiques sur la croissance et l’emploi à court-moyen terme des investissements associés au Grenelle de l’environnement
Authors: Guillerminet Marie-laure , Briard Philippe , Fery Pierre , Galko Elodie , Klein Caroline , Ollivier Timothée
Published: March 2019

L’objectif de cette étude est d’examiner ex ante les effets sur l’emploi et la croissance des principales mesures économiques du Grenelle de l’Environnement à court et moyen termes. D’après les simulations réalisées à partir du modèle macroéconométrique Mésange, ces mesures auraient un impact positif sur le PIB et l’emploi à court terme, principalement lié au multiplicateur de l’investissement. L’impact devient ensuite négatif à partir de 2020 à cause du ralentissement des investissements et de la hausse des prélèvements obligatoires nécessaires à leur financement. Ces résultats sont robustes pour différentes hypothèses en matière d’évolution des prix du pétrole, de comportement d’épargne des ménages, de mode de financement des mesures et de gains de productivité associés aux nouveaux projets de transports. Ils ne prennent toutefois pas en compte les effets du Grenelle sur l’environnement, la compétitivité et le bien-être.
L’ajustement microéconomique des prix des carburants en France
Authors: Gautier Erwan , Le Saout Ronan
Published: March 2019

En utilisant des millions de relevés individuels de prix entre 2007 et 2009, cette étude décrit plusieurs faits stylisés sur l’ajustement des prix des carburants en France : ils changent en moyenne une fois par semaine ; ils sont plus souvent modifiés le mardi et le vendredi ; la concurrence accroît la fréquence des changements de prix ; la distribution des tailles de changements de prix présente peu de changements inférieurs à 2% ; taille des changements de prix et durée des prix sont corrélées ; l’inflation des prix des carburants est surtout déterminée par la part relative des stations-service augmentant ou baissant leur prix. Les modèles de coût d’ajustement incluant des rigidités informationnelles reproduisent le mieux ces faits stylisés.
Premier bilan de la tarification à l’activité (T2A) sur la variabilité des coûts hospitaliers
Authors: Milcent Carine
Published: March 2019

French Drg-Based Payment : First Feedback on Cost Variability.

We study the variability in hospital costs for stays involving comparable conditions and procedures (diagnosis related groups : DRGs). During the period where hospitals were reimbursed under a “ comprehensive” budget, high cost variability was observed. What is the situation today ? The French DRG-based payment reform(T2A) was implemented from 2004 to 2008. Theoretically, a fee payment leads the supplier to minimise the difference between the fee and the cost. While the reform does reduce cost variability, the DRG-based payment still fails to fully capture the sources of hospital heterogeneity and patient heterogeneity. So far, this payment system has not eliminated the negative effects of patient selection and quality losses.
Emploi et réforme de la fiscalité sur le travail : une approche en équilibre général pour la France
Authors: Alla Zineddine , Espinoza Raphaël , Pérez Ruiz Esther
Published: March 2019

Cet article propose un modèle d’équilibre général pour quantifier l’effet de mesures de réduction de coût du travail, en distinguant offre de travail qualifié, qui se repose sur une courbe de type Blanchflower-Oswald, et offre de travail non qualifié, qui est supposée très élastique autour du salaire minimum. Le modèle est calibré pour la France et utilisé pour estimer les effets sur la production et l’emploi induits par deux réformes fiscales récentes : le CICE et le Pacte de Responsabilité et Solidarité. Lorsqu’elles ne sont pas compensées par d’autres mesures, ces réformes contribueraient à la création d’environ 195 000 emplois à court terme (340 000 à 870 000 emplois à long terme), en faisant abstraction des effets keynésiens de demande.
Une simulation sur un modèle d’appariement : l’impact de l’article 4 de l’ANI de 2013 sur la segmentation du marché du travail
Authors: Berson Clémence , Ferrari Nicolas
Published: March 2019

Le marché du travail français est segmenté entre les personnes bénéficiant d’un emploi stable et celles alternant contrats temporaires et périodes de chômage. À partir de simulations sur un modèle d’appariement calibré sur la France, la réforme issue de l’accord national interprofessionnel de 2013 apparaît pertinente pour réduire cette dualité. L’estimation des effets des majorations de cotisation sur les CDD et des exonérations pour les embauches de jeunes en CDI introduites par l’ANI du 11 janvier 2013montre en effet un impact positif mais faible au regard de la réforme relativement similaire dite à l’italienne et étudiée dans Berson et Ferrari (2015).
Is the German experience applicable to France?
Authors: Chusseau Nathalie , Hellier Joël
Published: March 2019

L’expérience allemande est-elle transposable à la France ?

On analyse les conséquences d’une politique structurelle, qui répliquerait une partie de l’expérience allemande, sur l’économie française et on s’interroge sur la possibilité de stratégies alternatives. À partir du modèle EGC développé par Beissinger et alii (2016), plusieurs simulations sont menées pour analyser les impacts (i) d’une réforme du marché du travail à l’allemande qui réduit le salaire de réservation, et (ii) d’une politique favorisant la demande de services non échangeables. Les simulations montrent qu’une politique à l’allemande a une efficacité moindre et un coût plus élevé en termes d’inégalité en France en raison de différences structurelles. Elles montrent également qu’une politique qui ciblerait la demande de services non-échangeables serait une alternative possible.
La France et le Japon à Tianjin, 1937-1940 : de la neutralité à la collaboration
Authors: Gotteland Mathieu
Published: March 2019

L’enjeu de cet article est double : redonner à la concession française de Tianjin sa place pleine et entière dans l’histoire impériale de la ville et dans celle de la Seconde Guerre sino-japonaise ; et estimer quelle a été la véritable position de la France pendant cette guerre : entre neutralité, coopération (traditionnelle entre étrangers dans les ports ouverts en Chine et particulièrement forte à Tianjin où il y a une occupation militaire importante de nations diverses) et collaboration.

Il apparait que, malgré une alliance parfois objective, parfois implicite liant la France et le Japon à Tianjin avant 1937 dans le cadre du système complexe et hybride que constitue l’impérialisme étranger en Chine, la France, tenant d’abord une position strictement neutre, puis de compromis en utilisant l’écran de la défunte coopération impériale qui s’est au moins très fortement dégradée depuis la guerre de Mandchourie en 1931-1933, a enfin dû céder après un bras de fer inégal opposant concessions française et britannique d’une part et Japon de l’autre. Notre conclusion constitue une analyse de la reddition britannique et française et de l’accord de collaboration qui suivit en juillet 1940, notamment au travers du traitement mémoriel du soldat tonkinois Nguyen Van Toai, tombé pendant la bataille de Tianjin.
De la reproduction à la révolution pédagogique. Les coopérants face aux élèves malgaches
Authors: Raison Françoise
Published: March 2019

On s’accorde sur un minimum de 70 % d’enseignants parmi les coopérants des années 1960-1980 en Afrique et à Madagascar. Leur pratique de travail est donc importante à éclairer si nous voulons apprécier l’efficacité des transferts culturels dans la formation des élites locales d’alors. Les coopérants les plus motivés pensaient que la réforme pédagogique nécessaire pour un enseignement plus détaché de la France et afrocentré passait par un changement des programmes, qui resta longtemps théorique en raison de l’absence de nouveaux manuels. Cependant, les élèves souhaitaient-ils tous ce recentrage ? Certains entretiens donnent à percevoir des attentes plus complexes. Enfin, cette fixation sur les programmes, bien française, révèle l’indifférence à la sociologie, la psychologie, et avec d’heureuses exceptions, au «travail de terrain » . Les témoignages accessibles révèlent une singulière proximité avec les problèmes agités aujourd’hui dans l’enseignement des collèges de quartiers sensibles... L’article s’appuie sur les sources suivantes : des copies d’élèves corrigées, des réponses à une enquête du SNES (Syndicat national de l’Enseignement secondaire) menée en 1963 sur l’enseignement des lettres et de la philosophie à Madagascar, les courriers publiés par le BLACT (Bulletin de liaison des agents de coopération technique), des romans et autobiographies mettant en scène les enseignants au travail, tel Une enfant de Poto-Poto, de Henri Lopes (2012).
Pottery function and culinary practices of Yarmukian societies in the late 7th millennium cal. BC: First results
Authors: Vieugué Julien , Garfinkel Yosef , Barzilai Omry , Van den Brink Edwin C. M.
Published: March 2019

While the studies of Neolithic ceramic assemblages in the Near East have largely focused on the pottery styles and techniques, they have seldom taken the function of ceramic vessels into consideration. Yet, the use of pottery, found in large amounts in the Early Pottery Neolithic settlements, allows us to access to many aspects of daily life of prehistoric societies— in particular food practices. In order to characterise the culinary practices of Levantine societies at the end of the 7th millennium cal. BC, an exploratory study was undertaken on the use of Yarmukian pottery. The multidisciplinary approach combines typometry (shape, size, volume, wall thickness) with use-wear (residues and abrasions) of Neolithic vessels. The first results show that the Yarmukian populations of the late 7th millennium used their pottery for storing, transporting, cooking and consuming various substances. For cooking porridges, communities chose specific vessels within the available range of pottery types, put them in the middle of a fireplace and heated foodstuffs for a large group of people. The food habits of Yarmukian communities in the Southern Levant seem different from those of the contemporary Pre/ Proto-Halafian populations in Mesopotamia who apparently used their vessels much less for long-term storage but more frequently for transporting and cooking staple foods.
Un four de potier médiéval à Méru (Oise), 155 rue Anatole France. Structure et production céramique
Authors: Derbois Martine , Lefèvre Annie , Warmé Nicolas
Published: March 2019

La fouille d’une partie d’un four de production céramique ainsi que la datation archéomagnétique de la sole de son alandier ont été réalisées lors d’une opération de diagnostic sur l’ancien hameau d’Agnicourt, aujourd’hui inclus dans la commune de Méru (Oise). Cette intervention a permis d’appréhender la technique de mise en oeuvre de cette structure de combustion ainsi que d’entrevoir la nature de la production. Cette dernière est essentiellement constituée de oules à col en bandeau et de cruches à anses plates réalisées dans une pâte fine sableuse claire portant fréquemment un décor peint. Ce mobilier est caractéristique des récipients en circulation dans le sud de la Picardie et la région francilienne, à l’extrême fin du XIe siècle ou dans la première moitié du XIIe siècle.
Un atelier de potiers médiéval au coeur de la ville de Noyon (Oise)
Authors: Mouny Sandrine
Published: March 2019

In 1992, excavations in the town centre of Noyon (Oise) uncovered a ceramist’s workshop, giving evidence of the activity of potters in an urban area during the second half of the 12th century. The items discovered attest the production of highly decorated ceramics. This paper presents both a typological and a morphological

classification.
Une concentration de vestiges caractéristiques du Beuronien à segments : le gisement de Warluis I (Oise)
Authors: Ducrocq Thierry , Bridault Anne , Cayol Nicolas , Coutard Sylvie
Published: March 2019

La fouille préventive du gisement de Warluis I, dans la vallée du Thérain (Oise), a permis d’isoler une concentration de vestiges du Beuronien à segments datés de la deuxième moitié du huitième millénaire avant notre ère. Les Préhistoriques se sont installés sur un sol sec boisé à proximité d’un cours d’eau. Ils ont exploité sur place une matière première siliceuse abondante, ont collecté des noisettes et ont pratiqué une prédation ciblée sur le sanglier, probablement une compagnie (laie et ses petits). Le faible nombre d’animaux, l’absence de certaines parties squelettiques, la pauvreté typologique de l’outillage ainsi que sa courte durée d’utilisation, plaident en faveur d’un séjour de durée limitée.
Ambleny “Le Soulier” (Aisne). Un hameau à parcelles laniérées (XIe-XIIIe siècles)
Authors: Desplanque Gilles , Normant Stéphanie , Hourlier Michel , Jouanin Gaëtan , Robin Nadège
Published: March 2019

Bei der Ausgrabung von Ambleny „ Le Soulier“ wurden außer zwei Gräbern der Frühlatènezeit, die auf eine gallische Nekropole im Westen des untersuchten Bereichs weisen, zahlreiche Siedlungsspuren aus dem 11. -13. Jahrhundert freigelegt. Die Strukturen – mehrheitlich eingetiefte Gebäude, Gruben und Silos – sind nach einem strukturieren Plan in einem Parzellennetz angeordnet, das durch parallele, in relativ gleichmäßigen Abständen angelegte Gräben gebildet wird. Obwohl die untersuchte Fläche nur einen begrenzten Einblick gewährt, bietet sich hier die seltene Gelegenheit, einen Teil eines Weilers oder Straßendorfes mit bandförmigen Parzellen freizulegen. Für diese Periode wird diese Siedlungsform, abgesehen von einigen bemerkenswerten Fällen, sowohl in der Picardie als auch im gesamten französischen Territorium in der Tat immer noch unterschätzt. Ambleny „ Le Soulier“ nährt also auf bezeichnende Weise die Problematik der Siedlungsgenese in den Regionen, deren Bewirtschaftung sich zwischen dem 11. und 13. Jahrhundert intensiviert.
Les vestiges de l’Antiquité sur les grands tracés linéaires en Picardie
Authors: Bayard Didier , Lemaire Patrick
Published: March 2019

Les vestiges de l’Antiquité ont été rencontrés en grand nombre sur les tracés des autoroutes A28, A16 et A29. Tous n’ont pas bénéficié d’une fouille ou même d’une évaluation et rares sont les opérations qui ont abouti à une publication. Il subsiste de ces travaux considérables une masse documentaire hétéroclite en grande partie inédite, qui a fait l’objet d’un recensement, d’un travail de formalisation et de critique dans le cadre l’ACR Quinze ans d’archéologie préventive sur les grands tracés linéaires en Picardie. Nous avons essayé de rendre compte de ce travail dans le premier chapitre, après avoir présenté l’ensemble de la documentation, son état, son potentiel et ses limites. Cet ensemble a été considéré comme un échantillon relativement représentatif des habitats antiques dans les régions traversées, composé de 57 établissements plus ou moins bien caractérisés. L’une des principales difficultés a été justement de caractériser des sites fouillés partiellement et de les attribuer à l’une ou l’autre des cinq ou six principales formes d’occupation qui ont été identifiées : les fermes, les villae, les habitats ouverts, les annexes ou les établissements routiers. L’un des moyens qui a été choisis pour assurer cette caractérisation a été de recenser les éléments archéologiques qui les constituent : fossés, constructions sur poteaux, sur solins ou sur fondations massives, caves et resserres, fonds de cabane, structures de combustion et structures funéraires (chapitre 2). Après une mise en perspective dans le contexte historiographique régional, le dernier chapitre expose les principaux apports de l’ACR à la question de l’occupation du sol et de ses dynamiques, à la connaissance des différentes catégories d’établissement, certaines déjà bien connues comme les villae, les autres, les fermes, les habitats ouverts et les établissements marginaux , complètement méconnues. Le paysage routier fait l’objet d’un développement afin de remettre les quelques établissements routiers découverts dans une perspective générale. Le chapitre se termine avec la présentation des acquis les plus significatifs sur les fossés dits de parcellaire et par une évocation des paysages de l’Antiquité, à partir des données paléo-environnementales.
AN AHP-ISM APPROACH FOR CONSIDERING PUBLIC PREFERENCES IN A PUBLIC TRANSPORT DEVELOPMENT DECISION
Authors: Duleba Szabolcs
Published: March 2019

Recently, there has been a transparent need to involve public in transport development decisions not only in the EU but also in other countries worldwide. Public involvement in decision-making, however, suffers from two critical issues: lack of expertise and lack of enthusiasm. This paper aims to overcome the first problem: how to amend passenger preferences related to public transport development with expert knowledge on transport systems. For this purpose, a new research methodology has been created which combines the well proven Analytic Hierarchy Process (AHP) and Interpretive Structural Modelling (ISM) methods in a novel way. ISM is used to reveal the non-hierarchical connections of the transport system elements and by this, AHP results are modified with the consideration of element interactions. The first stage of the three-stage-survey has been conducted in Yurihonjo (Japan), the second and third in an international workshop with the participation of experts. Results show that the original AHP scores – gained from passenger evaluations – are significantly modified by adding expert knowledge on factor interactions, thus new preference order is gained related to the importance of the development of public transport system elements. The introduced procedure can be applied for other public transport system improvement decision-making situations in which passenger involvement is required.
Assessment of Nurses' Attitudes and Knowledge Regarding Pain Management
Authors: Brown Sylvia T , Bowman Josie M , Eason Frances R
Published: March 2019

ABSTRACT

Background: RNs in North Carolina were surveyed to determine their current knowledge and to determine if educational preparation, practice setting, or clinical specialty influenced their knowledge levels and attitudes.

Method: A stratified random sample of 1,000 practicing RNs in North Carolina were surveyed using the Nurses' Knowledge and Attitudes Survey Instrument developed by McCaffery and Ferrell.

Results: The mean score was 64.58 based on the percentage of correct responses from the 260 subjects who participated. No statistically significant difference was found in scores based on educational preparation, practice setting, or clinical specialty.

Conclusion: The findings of this study support the concern of inadequate knowledge and inappropriate attitudes regarding pain management. It reveals the need for intensive continuing education and staff development.
Características sociodemográficas de homens com hemofilia no sul do brasil / Sociodemographic characteristics of men with hemophilia in the south of brazil
Authors: Feijó Aline Machado , Schwartz Eda , Lise Fernanda , Santos Bianca Pozza dos , Spagnolo Lílian Moura de Lima
Published: March 2019

Objetivou-se descrever as características sociodemográficas de homens com hemofilia em acompanhamento por um Hemocentro Regional situado no Sul do Rio Grande do Sul, Brasil. Trata-se de um estudo qualitativo e descritivo, cuja coleta de dados ocorreu entre junho de 2014 e novembro de 2015. Aplicou-se a técnica de entrevista intensiva e notas de campo e a análise dos dados foi do tipo descritiva. Participaram 12 homens com a forma grave da hemofilia e idade entre 19 e 55 anos, a maioria com hemofilia A, são casados, residentes em municípios da zona Sul do Rio Grande do Sul, com doenças infectocontagiosas, sequelas articulares e histórico de antecedentes familiares de hemofilia que evoluíram para o óbito, e metade deles com filhos e aposentados por invalidez. Conclui-se que descrever as características sociodemográficas dos homens com hemofilia pode aproximar os profissionais de saúde, sociedade e família acerca de quem eles são, além de promover o conhecimento sobre a doença e suas consequências sociais e fomentar uma prática de cuidados voltada para as necessidades de saúde e promoção da qualidade de vida.
 Participação de mulheres em grupos de apoio: contribuições para a experiência do parto / Participation of women in support groups: contributions to the experience of childbirth
Authors: Ferreira Graziani Izidoro , Bussadori Jamile Clarode Castro , Guilhem Dirce Bellezi , Fabbro Marcia Regina Cangiani
Published: March 2019

O objetivo do estudo foi compreender como mulheres que participaram de  grupos de apoio ao parto avaliam esta participação e a própria experiência de parto. Utilizou-se a Metodologia Comunicativa, a técnica de relato comunicativo para coleta de dados e a análise primária da metodologia. Incluíram-se treze gestantes de três grupos de apoio ao parto. A participação das entrevistadas nesses grupos permitiu-lhes identificar elementos transformadores: promotores de vivência prazerosa do parto e, obstacularizadores: barreiras à esta vivência. Os grupos promoveram fonte de informação, empoderamento e apoio na busca pelo parto humanizado, espaços acolhedores para troca de experiências e preparo para o parto por meio da educação em saúde. Observou-se reflexões realizadas a partir de informações idealizadoras sobre o parto, criando expectativas nem sempre condizentes à realidade, ocasionando frustração em algumas mulheres. Estas se depararam com o fato de que o parto humanizado implica em altos custos, dificultando o acesso ao procedimento. Os grupos de apoio ao parto contribuem para transformações sociais significativas no resgate do parto natural, contudo, deve-se repensar como a cultura do parto no Brasil tem sido reconstruída nesse cenário. É preciso respeitar o direito de escolha e também apoiar a mulher que necessita passar pela cesareana.
 Comprometimento da qualidade de vida de pacientes em quimioterapia paliativa e cuidados paliativos: Scoping Review / Life quality assessment of patients in palliative chemotherapy and palliative care: Scoping Review
Authors: Lenhani Bruna Eloise , Tomim Dabna Hellen , Silva Leonel Dos Santos , Nogueira Luciana De Alcantara , Kalinke Luciana Puchalski
Published: March 2019

Objetivo:  avaliar os domínios que comprometem a qualidade de vida de pacientes com câncer avançado em tratamento quimioterápico paliativo e cuidado paliativo. Método: Trata-se de uma scoping review realizada de março a maio de 2018, nas bases de dados CINAHL, LILACS, PubMed, Cuiden e na literatura cinzenta (Google Scholar e referências encontradas nos artigos analisados), utilizando os descritores “palliative care”,“quality of life”,“emotionalcare”, “functional care”,“sexual care”, “physical care”,“social care”,“comfort care”,“spiritual care”,“palliative chemotherapy” e “cancer advanced”. Foi realizada avaliação da qualidade metodológica por meio do instrumento STROBE para estudos observacionais e o CONSORT para os ensaios clínicos. Resultados: Os nove artigos encontrados e analisados são internacionais, publicados entre 2012 e 2016, com boa qualidade metodológica. Os domínios identificados foram os físicos, sociais e emocionais; o internamento hospitalar e local de óbito são fatores que também comprometeram a qualidade de vida. Conclusão: os pacientes em quimioterapia paliativa possuem baixa qualidade de vida. Porém, a presença de familiar e o acompanhamento concomitante com o serviço de cuidados paliativos melhoram essa situação. A avaliação dos pacientes, com enfoque nestes domínios, permite à Enfermagem adotar estratégias para melhoraria da qualidade de vida.
Competências em promoção a saúde à luz do projeto Competencies Health Promotion (CompHP): uma revisão integrativa/Competencies in promoting health in the light of the project Competencies Health Promotion (CompHP): an integrative review
Authors: Xavier Samyra Paula Lustoza , Pereira Antonia Priscila , Moreira Maria Rosilene Cândido , Martins Alissan Karine Lima , Ferreira Heraldo Simões , Machado Maria de Fátima Antero Sousa
Published: March 2019

Objetivo: Identificar o que a literatura tem abordado sobre as competências em promoção da saúde utilizando como aporte teórico o Projeto Competencies Health Promotion (CompHP). Método: Trata-se de uma revisão integrativa da literatura acerca das competências para promoção da saúde seguindo os pressupostos do projeto CompHP. As buscas foram realizadas nas bases da Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature Analysis and Retrieval System Online e na Web of Science. Resultados: Destacaram-se nas publicações o ano de 2016, a língua portuguesa e a revista Saúde & Sociedade. Os achados sinalizam que o CompHP se apresenta como importante referencial para a reorientação do processo formativo em saúde no Brasil, e destacam as diversas possibilidades de pesquisas no campo das competências em promoção da saúde. Conclusões: A pesquisa desvela algumas implicações para a prática, tais como a necessidade de estimular novas reflexões e debates sobre o assunto possibilitando a reorientação dos processos formativos para aquisição de competências.
Inserção escolar da criança em tratamento conservador renal: percepções maternas / School insertion of child in renal conservative treatment: maternal perceptions
Authors: Lise Fernanda , Schwartz Eda , Milbrath Viviane Marten , Nunes Nara Jací Da Silva
Published: March 2019

Objetivo: Compreender as percepções maternas em relação à inserção da criança em tratamento conservador renal na escola. Método: Estudo qualitativo, desenvolvido sob a luz do referencial teórico do interacionismo simbólico a partir de entrevistas semiestruturadas e analise de conteúdo convencional. Resultado: Participaram 11 mães de crianças em tratamento conservador renal de um serviço de nefrologia localizado no Sul do Brasil. Na análise foram construídas duas categorias: “Percebendo a acessibilidade e a inclusão da criança na escola” e “Compreendendo a necessidade de cuidado da criança na escola“, evidenciou-se as dificuldades enfrentadas e a necessidade de adaptação da escola para atender as crianças em tratamento conservador renal. Considerações finais: A partir das percepções maternas em relação à inserção do escolar em tratamento conservador renal, destaca-se a necessidade da comunidade escolar promover autonomia e o desenvolvimento saudável da criança com a presença do enfermeiro na escola, pois, é o profissional com formação para desenvolver atividades de educação para a saúde.
O cuidado de si em discursos de adolescentes grávidas / The self-care in the pregnant teenagers’ speeches
Authors: Barbosa Nayara De Araujo Brazil , Mandú Edir Nei Teixeira
Published: March 2019

Objetivo: Analisara construção social e os significados políticos dos sentidos sobre o cuidado de si expressos em discursos de adolescentes em pré-natal na Estratégia Saúde da Família.Métodos:Estudo explicativo qualitativo, realizado com 12 adolescentes grávidas de 15 a 18 anos. Nele utilizou-se grupo focal, entrevista semiestruturada e coleta de dados de prontuários. No processo analítico-interpretativo adotou-se preceitos da Análise Crítica do Discurso de Fairclough e focou-se os discursos como constituintes da prática social e política de comunicação. Resultados: Entre as adolescentes, cuidar de si na gravidez apresentou o sentido de cuidar dobem-estar do filho, sobretudo por meio da adoção de novos comportamentos alimentares, possível pela disposição para responsabilizar-se pela saúde do filho e pela disciplina de incorporação ou dispensa de determinadas práticas de alimentação antes aceitas.Considerações finais: Os sentidos das adolescentes sobre o cuidado de si revelaram forte incorporação e reforço de ideias preventivas do modelo biomédico e da cultura de gênero que delineia subjetividades e responsabilidades da mulher frente à maternidade.
Left ventricular dyssynchrony assessment using tissue synchronization imaging in acute myocardial infarction
Authors: Azazy Ahmed S , Soliman Mahmoud , Yaseen Rehab , Mena Morad , Sakr Haitham
Published: March 2019

Objectives: To assess left ventricular (LV) dyssynchrony in patients with ST elevation myocardial infarction (STEMI). Background: Mechanical synchronization disorder leads to a decrease in LV ejection fraction (LVEF) and stroke volume, an abnormal distribution of wall tension, and increase in workload during cardiac contraction. Methods: We enrolled 56 participants, 36 with acute STEMI and 20 healthy controls. The automatically color-coded time to peak myocardial velocity was measured using a 6mm sample volume, manually positioned within the two-dimensional-tissue strain image of the 12 basal and middle LV segments. Results: A significant delay was found between the septal-lateral and septal-posterior walls in patients with STEMI compared to patients in the control group (36.36 vs. −6.0ms, P = 0.036; and 42.7 vs. 23.94ms, P = 0.042, respectively). Furthermore, all segment maximum differences and all segment standard deviation (SD; dyssynchrony index) were found to be significantly higher in the STEMI group (131.28 vs. 95.45ms, P = 0.013; and 44.47 vs. 26.45ms, P = 0.001, respectively). A significant delay between the septal-lateral walls and septal-posterior walls, all segment maximum difference, and all segment SD (dyssynchrony index) were found in patients with complicated STEMI (70.89 vs. 15.83ms, P = 0.038; 57.44 vs. 19.06ms, P = 0.040; 138.11 vs. 100.0ms, P = 0.035; and 45.44 vs. 32.50ms, P = 0.021, respectively). There was a significant negative correlation between tissue synchronization imaging parameters and LVEF, and a positive correlation with LV end systolic dimension. Conclusion: Patients with acute STEMI showed significant LV dyssynchrony, which was an independent predictor of inhospital complications.
Historical Evolution of Traditional Medicine in Japan
Authors: Zhu Gensheng , Yan Huan , Chen Liyun , Ren Yijun , Chu Guixiang
Published: March 2019

Traditional Japanese Medicine originated from traditional Chinese medicine and was first introduced to Japan directly from the mainland of China or the Korean Peninsula. After its dissemination, integration, adaption, and development in Japan for generations, it had evolved into Kampo medicine with Japanese characteristics and taken a leading role in Japanese medical practice. In history, there appeared successively schools such as Followers of Later Developments in Medicine, Followers of Classic Methods, Integrated School, and School of Textual Research. After Meiji Restoration, Kampo medicine experienced a tremendous impact by western medicine. However after World War II, with unremitting endeavors from learned scholars, traditional Japanese medicine was revived again.
Traditional Chinese Medicine in Malaysia: A Brief Historical Overview of the Institutions
Authors: Ng Shih Chau , Wong Hon Foong , Tan Wen Tien , Liu Jun , Wang Huiying , Lin Xun , Goh Si Woei , Hoo Bao Ling , Chai Chyong En
Published: March 2019

Traditional Chinese Medicine (TCM) in British Malaya developed concurrently with the influx of Chinese immigrants. To cater for this growing community, Chinese medical halls which sell Chinese herbs were established in major townships. Consultation and various TCM treatments were also offered by contract TCM practitioners in some of these medical halls. As the needs for TCM services continued to grow, dedicated TCM institutions were set up subsequently. The establishment of these institutions marked the beginning of professional TCM services in the history of Malaysia.
Resurgence of the past: political and media discourse during the breakup of the former yugoslavia
Authors: Perko Gregor
Published: March 2019

The wars and conflicts that accompanied the breakup of the former Yugoslavia are inextricably linked to “language”. The “breakup” of Serbo-Croat into several national languages and the determination of Slovenes and, to a lesser extent, Ma­cedonians to restrain the influence of Serbo-Croat on their respective languages ​​was a prelude to the country’s political breakup. Military violence was carefully prepared by linguistic means: hate speech, which quickly turned into war speech, dominated the words of politicians, media, culture and everyday conversation. This would not have been possible without resorting to the past and to the mythologized history of the warring parties (the Battle of Kosovo Polje, Yugoslavia before the Second World War, the Second World War itself). The analysis of the political and media discourses carried out in this study revealed three major types of semantic inversions on which the underlying discursive mechanisms largely rely: diachronic inversions (the resurgence of the terms “Ustashe”, “Chetniks”, “Turks”), semantic and logical travesties (in which terms such as “defend” and “liberate” lose their primary meanings) and semantic asymmetries (the enemy is an inhuman “aggressor” and “slaughterer”, while “our” side is made up of “innocent victims”, “martyrs” or “heroes”). As a result, the terms and utterances used lose their semantic and referential “basis”, so that they can no longer fully function except within the discursive universe that generated them.
Le premier ministre sur le sentier de la guerre ou le chien à deux queues. Le langage non conventionnel dans le discours politique (anti-)belliqueux hongrois
Authors: Szabó Dávid
Published: March 2019

Ce travail analyse les aspects argotiques et non conventionnels du langage politique hongrois contemporain, et plus particulièrement le langage anti-belliqueux d’un petit parti parodique tout récent, le parti du chien à deux queues. Alors que le discours habituellement belliqueux du gouvernement hongrois était, lors de la campagne contre la relocalisation des réfugiés, en 2016, pauvre en éléments argotiques ou en néologismes, la campagne du parti parodique était, d’un point de vue linguistique aussi, bien plus créative et non conventionnelle que celle du gouvernement. Notre analyse est fondée en majeure partie sur un corpus recueilli sur Internet en 2016-17.
Slang in soldiers’ songs of the Great War
Authors: Szkopiński Łukasz
Published: March 2019

During the First World War songs played an extremely important role not only for the morale of the soldiers and as a means of political propaganda, but above all as a source of opinion and distraction. The aim of this article is firstly to present some examples of songs from the Great War, to highlight some of their dominant themes and to analyse their linguistic content with a special emphasis on the use of slang. The next part of the article focuses on the definition of the “argot des poilus”, that is the military jargon of the First World War soldiers, and on its role in the analysed texts. Several books and dictionaries devoted to this subject were published between 1915 and 1919, a time when everything concerning the soldiers and their experiences on the front, including certain aspects of their jargon, as popularised by the songs, was of special importance to the society of that period. This contributed to an in-depth analysis of military slang and to a greater openness towards slang studies in general. The paper also examines the functions of slang and jargon in the texts in question, and shows that two main types of language transfer were possible in this context. On the one hand, through songs or the press, slang words penetrated into the language behind the frontlines, and on the other hand, there are examples of literary creations that enriched the actual military jargon itself.
La traduction slovène de l’argot militaire dans Le Feu de Barbusse
Authors: Vaupot Sonia
Published: March 2019

Le Feu, sous-titré Journal d’une escouade est un roman de guerre inspiré par le vécu de son auteur, Adrien Gustave Henri Barbusse. Il paraît intégralement à la fin de novembre 1916 aux éditions Flammarion. Il reçoit la même année le Prix Goncourt. Ce roman a été traduit en slovène en 1921 par Anton Debeljak, sous le titre Ogenj (dnevnik desetnije).Dans cette contribution, nous nous demanderons s’il existe des parallèles culturels entre la Première Guerre mondiale vécue en France et en Slovénie. Notre but sera également de mettre en valeur les difficultés face à la traduction de l’argot militaire. Nous commencerons par des données générales sur l’écrivain, puis le contexte historique et culturel qui ont donné naissance à son œuvre. Nous poursuivrons en précisant la présence des termes issus de l’argot militaire dans le roman et, enfin, nous aborderons les procédés adoptés pour traduire l’argot en slovène.
Talking about War: dialogues in World War One novels
Authors: Bastian Sabine , Sähn Thomas
Published: March 2019

This article discusses problems involved in the literary representation of argot and spoken language in the context of the First World War based on the analysis of a multilingual corpus including the French novel Le Feu, written by Henri Barbusse in 1916, its German version, Das Feuer, translated by Leo von Meyenbourg in 1918, as well as the German novel Im Westen nichts Neues, written by Erich Maria Remarque in 1929, and its French translation À l’Ouest, rien de nouveau by Alzir Hella and Olivier Bournac published the same year.
Volume 13, Number 4
Authors: DeVito, Jr. Richard A.
Published: March 2019

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Comparison of two physical activity interventions on the physical fitness for informal caregivers
Authors: Van Puymbroeck, PhD, CTRS, CRC Marieke , Hsieh, MS Pei-Chun , Pernell, BS, CTRS Danielle
Published: March 2019

Physical activity is known to improve components of physical fitness such as strength, flexibility, and endurance. Informal caregivers often provide intensive care to their relatives or friends, which may require a moderate level of physical fitness. However, intervention studies with caregivers have not focused on improving the fitness of caregivers. Therefore, data from two studies were compared to determine the influence of yoga and mall-walking on the physical fitness of informal caregivers. The findings indicate that yoga provided the most physical fitness benefits, while mall-walking provided some benefits, and that caregivers with no intervention experienced the most decrements in physical fitness over an eight-week time period.
Psychological interventions for traumatic stress
Authors: Simon, BS, MA Neil
Published: March 2019

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The impact of natural disasters on agriculture: Improving damage assessment and mitigation
Authors: Beach, PhD Robert H.
Published: March 2019

Numerous programs and policies have been developed at federal, state, and local levels to mitigate damages associated with natural disasters. However, agriculture has not been a priority area for natural disaster preparation, response, and recovery planning. Understandably, reducing deaths and injuries and aiding homeowners take precedence in an emergency. Nonetheless, agricultural losses account for a substantial share of total damages resulting from natural disasters. This article summarizes the findings of a study designed to identify key areas for improving agricultural disaster response and to recommend policies to reduce damages and expedite recovery from weather-related natural disasters affecting North Carolina agriculture.
March/April 2006
Authors: DeVito, Jr. Richard A.
Published: March 2019

Volume 4, Number 2
The Hospital Emergency Incident Command System—is the Army Medical Department on board?
Authors: Casey III, USA, MSSI, MHS Major John J.
Published: March 2019

Catastrophic scenarios that once seemed merely theoretical have become a stark reality. Horrific natural disasters, the emergence of state-sponsored terrorism, pro liferation of chemical and biological agents, availability of materials and scientific weapons expertise, and recent increases in less discriminate attacks all point toward a growing threat of mass casualty (MASCAL) events. Hospitals across America are upgrading their ability to respond to disasters and emergencies of all kinds as the nation wages its war on terror. To respond to these challenges, many civilian hospitals are relying on the Hospital Emergency Incident Command System (HEICS), an emergency management model that employs a logical management structure, detailed responsibilities, clear reporting channels, and a common nomenclature to help unify responders. Modeled after the FIRESCOPE (FIrefighting RESources of California Organized for Potential Emergencies) management system, HEICS is fast becoming a key resource in healthcare emergency management. Over the past couple of years, military hospitals have begun embracing the HEICS model as well. This article discusses the prevalence of HEICS and provides an analysis of its effectiveness within the Army Medical Department (AMEDD).
Animals in disaster: The emergency planning process of Heartland Humane Society, Corvallis, Oregon
Authors: Dorsey, USN LTjg Christopher
Published: March 2019

Animals play a major role in people’s lives. Humans interact with animals in the food chain, train them for entertainment, and often accept them as integral members of their families. Recent disasters have shown the strength of the human-animal bond; for example, a number of people have refused to leave flooded homes without their pets.Organizations that deal with animal control can play a vital role during disasters. This case study highlights the employment of emergency management principles at a community animal shelter. The study follows the project from initial assessments through the development of an initial emergency program. Key elements in this process include a realistic risk assessment, training, and available local support, as well as economic concerns. Although this does not display a finished product, it demonstrates the initial steps involved in creating an emergency management program for a small public service organization.
Product Directory
Authors: DeVito, Jr. Richard A.
Published: March 2019

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Water, water everywhere, but not a drop to drink
Authors: Wilen, MD Saul B.
Published: March 2019

Many of today’s perspectives are limited because they are based on antiquated paradigms. Pre - paredness (the state of readiness to perform and support) is an operational goal for realistic solutions. Planning is a critical element for creating preparedness. Effective emergency management incorporates the planning process from the outset. This allows for consideration of the spectrum of possibilities and for adjusting actions as conditions change.The planning process has universal applications, and its utilization clearly has an impact on the rate of successful outcomes. It is helpful to examine challenges faced by and responses from those involved in emergency management and disaster preparedness, including government officials. It is important to explore the forces that support solutions and those that impede them. This analysis will offer such a focus.
Mandatory emergency response training for clinicians in New York State: Can a policy case be made?
Authors: Silber, DO, ScM Steven H. , Gebbie, DrPH, RN Kristine M. , Gaeta, DO, MPH Theodore J.
Published: March 2019

There is no mandatory training for individual physicians with respect to overall emergency preparedness in New York State. This paper explores the policy implications of linking licensure and registration to mandatory competency-based educational programs on emergency preparedness response structure and high-risk biological agents. In this article, we explore the implications of mandatory registration and training with a single emergency response facility or agency, and we propose creative solutions that may make such a policy palatable to all stakeholders.
Still wary of the Web? The evolution of state emergency management agency Web sites 2008-2017
Authors: Guth, MA David W.
Published: March 2019

A 2008 content analysis of state emergency management agency Web sites showed that they tended to be internally focused and needed to be more citizen-focused and journalist friendly. The study was replicated in 2017. Because of changes in technology and agency missions, the content richness indicators were expanded. The study shows an increased acceptance of Internet and social communication. However, it also shows that the full potential of social media in emergency communication has not been reached.
Volume 16, Number 6
Authors: DeVito, Jr. Richard A.
Published: March 2019

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A vision of growth for the emergency management higher education academic discipline: A program management perspective
Authors: Walsh, MPA, MEP Wendy
Published: March 2019

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Twenty years after ‘Listening to Prozac but hearing placebo’. Do we hear placebo even louder?
Authors: Oronowicz-Jaśkowiak Wojciech , Bąbel Przemysław
Published: March 2019

An active placebo is a substance that produces side effects similar to an active ingredient while not producing the same intended therapeutic effect. The aim of this study is to review the literature on the hypothesis of the active placebo response as a mechanism of action of antidepressants.

It was found that persons who expect the occurrence of side effects of a pure placebo taken under the guise of an antidepressant present a higher degree of depressive symptoms than persons who do not expect the occurrence of side effects.

There are reasons to believe that the entirety or part of the difference in the effectiveness of antidepressants and placebo is due to the fact that participants of the clinical trials correctly guess which study group they have been assigned to.