bluuebunny/crossref_metadata_2025 huggingface dataset:
Survey of health informatics education in Finland in 2017
Authors: Tolonen Johanna , Värri Alpo
Published: May 2017

The European Union and the USA collaborate in developing the skills of the application of information technology in the health care workforce. A part of this activity is a project which studies the gaps in the present education and proposes methods of filling these gaps. The objective of this paper is to identify the existing IT related education to the health care work force in Finland. A secondary objective was to get an impression of the experience and attitudes of the members of this workforce about health IT education.

This paper presents the results of the survey of how information technology is educated to the students of the health care professions in Finland in the year 2017. In addition to literature search including also the study guides of many major health care professional education organizations, 24 telephone interviews of health care professionals in different fields in Finland were made.

The results show that although basic information technology education is often available at every level of education, it is expected that the health care professionals learn to use the health information systems during their training periods or later in working life. The interviews showed that the given education varied considerably and some of the personnel had received no or only a little education on IT during studies. As the amount and quality of on-the-job information technology education varies, many health care professionals are not able to fully benefit from the information systems if their general feeling is that they just “survive” from daily activities with them.

The results lead to suggest that the health professional degrees should contain at least a minimal amount of relevant health IT education which is tested with an exam and that the present health care workforce should receive ear-marked in-service training in the use of health information technology based on the needs of the individual.
Towards business ecosystems for connected health
Authors: Francis Gomes Julius , Pikkarainen Minna , Ahokangas Petri , Niemelä Riikka
Published: May 2017

Digitalisation is seen as a vehicle for restructuring practices of social and health care in Finland. A conceptual model of connected health has evolved over time focusing on bringing together individuals and health professionals by means of ‘eHealth’, ‘telecare’, ‘telemedicine’ or ‘telehealth’ services and data connected via the Internet of Things. Digital transformation has triggered the emergence of innovative connected health services, as well as novel business models in the health and healthcare sector. Additionally, current literature emphasises growing importance of ecosystems in advancing the connected health business. The main reason for this, the increased understanding of business ecosystems would allow companies to create coherent services that would be easier for patients and health professionals (e.g. doctors and nurses) to use.

This paper aims to develop and present a conceptual model for business ecosystem for connected health by mapping service needs for healthcare in the future. For this research, we conducted 16 meetings/workshops related to business models and business ecosystems. We also involved different end-user groups in our research (seven doctor interviews, four workshops with nurses and digital discussions and workshops with 12 parents with sick children).

This qualitative case study illustrates the construct of the Nordic Central Hospital test lab- an innovation ecosystem for connected health service providers. Alongside the broad service map, we demonstrate the logic of value flow between different layers of services in the ecosystem. From an originality perspective, this multidisciplinary paper focuses on the pediatric day surgery to check the scope of connected health, which has not been done before.
Booking system, video conferencing (VC) solution and online forms for improving child psychiatric services in Pohjois-Savo region
Authors: Bykachev Kirsi , Turunen Outi , Sormunen Marjorita , Karppi Jussi , Kumpulainen Kirsti , Turunen Hannele
Published: May 2017

Abstract

Purpose Early detection and timely treatment of child psychiatric problems require multi-professional collaboration and interaction between primary and specialized health care. The “eHealth Services for Child and Adolescent Psychiatry (eCAP), 2015-2018” project aims at improving child psychiatric services in peripheral areas by developing eHealth tools facilitating better cooperation between professionals working with children with mental health problems.

Methods The online booking system allows the primary healthcare professionals in Pohjois-Savo region to book a video conference (VC) with experts in child psychiatry for consultation, supervision or follow-up of care. Background information gathered from the parents, teacher and the child by online forms helps the consult to prepare for the meeting, which can be carried out on computer, laptop, table or smartphone. The developed services will be evaluated based on the log data and user experiences from the pilot phase.

Results The services will improve the quality, availability and cost-effectiveness of child psychiatric outpatient services in the region. Increased multi-professional collaboration among professionals will support preventive work, early identification and treatment in natural developmental environments of children. The travel needs for families are expected to decrease.

Conclusions eHealth can help to meet the global challenge of providing sufficient, timely child psychiatric services in remote, sparsely populated areas with limited resources, but information security and compatibility of different technical applications require innovative solutions. Furthermore, the people-related factors are crucial in introducing a sustainable change: the users must understand the benefits and receive training to adopt the new tools and routines for their work.
POLÍTICAS PÚBLICAS E DIREITO DE BRINCAR DAS CRIANÇAS
Authors: Amado João , Almeida Ana Cristina
Published: May 2017

A questão fundamental que colocamos para a reflexão neste texto é a de saber “porquê” e “como” é que as políticas públicas devem preocupar-se com o brincar das crianças. Procurámos dar-lhe uma resposta atendendo à progressiva institucionalização internacional dos direitos da criança, e às conclusões da investigação científica multidisciplinar sobre a importância da atividade lúdica. Tendo em conta, ainda, a ação de movimentos nacionais e internacionais que procuram atuar no sentido do bem-estar das crianças, incluindo o seu direito a brincar, fizemos uma breve síntese dos princípios básicos que devem orientar as políticas públicas, designadamente as que decorrem da iniciativa dos municípios.
OS FÓRUNS DE EDUCAÇÃO INFANTIL E AS POLÍTICAS PÚBLICAS PARA A INFÂNCIA NO BRASIL
Authors: Arelaro Lisete Regina Gomes , Maudonnet Janaína Vargas de Moraes
Published: May 2017

Esse artigo tem como objetivo refletir sobre a atuação dos Fóruns de Educação Infantil na incidência e monitoramento de políticas públicas para a infância no país e seus desafios atuais em um cenário de retrocesso das políticas sociais no Brasil. Para tanto, discute-se as origens dessas instâncias, algumas de suas estratégias de incidência e o modo como vem estabelecendo relação com o Estado.  Também é objeto de discussão os projetos antagônicos de sociedade em que de um lado se crê na descentralização e na  desresponsabilização do Estado e de outro, se defende um projeto democrático popular que compreende descentralização política como possibilidade de articulação de processos decisórios participativos, de controle social e de alargamento do papel do Estado.
EDUCAÇÃO INFANTIL COMO DIREITO E ALEGRIA
Authors: Tiriba Léa
Published: May 2017

Este texto aborda o tema acerca das políticas públicas de educação no que diz respeito aos direitos infantis de convívio com a natureza, entendendo que as crianças são seres que se constituem em conexão com outros seres, humanos e não-humanos e se potencializam neste estado de conexão. Escrito com referência em pesquisa que revelou situação de emparedamento das crianças matriculadas em creches e pré-escolas, seu pressuposto é o de que o desrespeito a este direito corresponde, no plano macropolítico, ao desrespeito à integridade da Terra. A partir de análise de documentos oficiais, o texto alerta para o respeito às crianças em sua condição biofílica, com o propósito de resistir-nos planos micro e macro políticos – à lógica capitalística, geradora de desequilíbrio ambiental, desigualdade social e sofrimento pessoal. Este é um direito humano a ser respeitado por instituições e educadores comprometidos com o cuidado e a educação das crianças.
ASPECTOS DE UMA NÃO LEITURA
Authors: Gatti Márcio Antônio , Almeida Matheus Henrique de
Published: May 2017

O objetivo deste estudo é analisar discursivamente as recusas e/ou resistências para a liberação dos Projetos Político-Pedagógicos (PPP) durante a coleta de dados que compuseram o corpus de nossa pesquisa em torno do termo “democracia” nos PPP de escolas da rede estadual situadas no município de Sorocaba – SP. Para tanto, baseia-se na noção de fórmula proposta por Krieg-Planque (2010), cujos trabalhos se enquadram na Análise do Discurso de orientação francesa. As análises demonstram que as recusas e/ou resistências são índices do caráter polêmico em torno do termo “democracia” e de seu termo correlato “gestão democrática”. Indicam também que a comunidade escolar é negligenciada no processo de difusão do PPP, de modo que o documento tenha como destinatário apenas os órgãos burocráticos superiores. Conclui-se que a negociação do termo “democracia” afeta diretamente o funcionamento da gestão democrática e do PPP, colocando em discussão a finalidade destes.
POLÍTICAS PÚBLICAS E EDUCAÇÃO INFANTIL
Authors: Santos Maria Walburga dos , Lombardi Lucia Maria Salgado dos Santos
Published: May 2017

Tendo por tema principal as Políticas Púbicas e a Educação Infantil, o presente dossiê compõe o volume 3, número 1, da Laplage em Revista e propõe diálogo, debate e reflexão em torno de pesquisas recentes que problematizam, na vastidão e complexidade da área, questões que versam a respeito de temáticas caras para a educação das crianças  em interface com  Políticas Públicas, contando com trabalhos acadêmicos oriundos dos estados de São Paulo, Rio de Janeiro, Ceará e Paraná e contribuições internacionais de Cuba e Portugal.
Frequency of detection of congenital heart diseases in different regions of Kyrgyz Republic
Authors: Kudaiberdiev Taalaibek , Akhmedova Irina , Imanalieva Gulzada , Tursunbekova Gulnaz , Tilemanbetova Kayirnisa
Published: May 2017

In this article, we present preliminary results of screening for congenital heart diseases (CHD) in Kyrgyz Republic. Pilot project for early diagnostics of CHD, launched in this year, shows initial results of screening in remote areas of our country.
Oxygen Detection in Biological Aqueous Solutions using Positive Muon for Cancer Research
Authors: Pant Amba Datt
Published: May 2017

Spin relaxation of muonium (Mu) observed in molecular oxygen (O2) dissolved in water shows characteristic behaviour which enables us to detect O2 in aqueous solution of albumin, serum and haemoglobin (Hb). These results suggest development of a new method using positive muon to measure oxygen level in biological systems which can be applied for diagnosis and treatment of cancer.

Journal of Nepal Physical Society
Volume 4, Issue 1, February 2017, Page: 7-10
Features of Ground Flashes before and after the Massive Earthquake Observed from Kathmandu, Nepal
Authors: Adhikari Pitri Bhakta
Published: May 2017

Lightning electric field signatures pertinent to the subtropical thunderstorms occuring over the rugged terrain have been measured and recorded at a hilly station Kathmandu, Nepal. In the present work signatures of the ground flashes have been selected from all the records before and after the massive earthquake and were analyzed. It is the first time that such signatures were analyzed and presented. Two hundred and eight flashes (208) of the totals of six hundred and forty–five (645) flashes were selected from about eight thunderstorm days before and after the massive earthquake and analyzed. Majority of the positive ground flashes were found to be single stroke ones whereas the average number of strokes per flash is found to be 1.13 with a maximum value of 4, after the massive earthquake.

Journal of Nepal Physical Society
Volume 4, Issue 1, February 2017, Page: 11-22
Design & Application of Computer Controlled Switch
Authors: Shrestha Rajesh , Subedi Dipak , Gurung Shekhar
Published: May 2017

A parallel port is an inexpensive and powerful tool for controlling the real world peripherals. It provides eight Transistor Transistor Logic (TTL) outputs, fives inputs and four bidirectional input and output for Personal Computer (PC) interruption. By using the structure oriented programming language they are fused in circuit boards, microcontrollers etc. to carry out specified functions. The reason is the elegance and simplicity of the code used in visual basic.

Journal of Nepal Physical Society
Volume 4, Issue 1, February 2017, Page: 97-100
A Study on Zero Offset Uncertainty on CMP 6 Pyranometer
Authors: Adhikari Krishna Raj
Published: May 2017

This paper presents the zero offset in CPM6 pyranometer installed in Pokhara. In a pyranometer, a negative output called zero offset is observed when inner dome has a different temperature from the sensor and there is a net loss of energy by the pyranometer dome to the colder atmosphere which in turn is compensated by the sensor. This offset occurs due to thermal exchanges and temperature gradient within the instrument is often referred to as a zero offset, one of the uncertainties, because it becomes apparent at times when the signal should be zero. In this study, it is found that the variation of the uncertainty is independent of the day length but varies specially with climatic/weather conditions (cloud cover, wind speed, air temperature, etc) of that particular day, month, season and location. Commonly, two negative maxima were found every day; one associated with early morning hour (before sunrise) and another with evening/night before 24 hours (after sunset).

Journal of Nepal Physical Society
Volume 4, Issue 1, February 2017, Page: 111-118
Kinetics of the Acetaminophen-Based Oscillatory Chemical Reaction with and without Ferroin as Catalyst: An Inorganic Prototype Model for Acetaminophen–Ethanol Syndrome
Authors: Riyaz Sayima , Peerzada Ghulam Mustafa , Ganaie Nadeem Bashir , Gull Usma
Published: May 2017

This paper describes the nonlinear behaviour of the acetaminophen-based uncatalysed Belousov–Zhabotinsky oscillator and its dynamics in the presence of ferroin as catalyst. The role of free metal ions as catalysts was examined and the results compared with those of corresponding complexed catalysts. Free metal ions were found to be sluggish with respect to the evolution of the oscillatory regime as compared to complexed ones. The effect was monitored of change of the ligand moiety of the catalyst complex on the oscillatory parameters. Since ethanol potentiates the hepatotoxicity caused by acetaminophen in vivo, it is thought to understand this interaction by virtue of causing perturbation of the acetaminophen-based oscillator with different concentrations of ethanol with and without ferroin as catalyst. Another dimension to the ethanol effect was examined by perturbation of the system with ethanol at different stages of the reaction so as to get an idea as to whether it is acetaminophen or some reactive intermediate generated in the reaction system which reacts with ethanol. Further, the ferroin-catalysed oscillator is taken as a prototype inorganic model of the acetaminophen–ethanol syndrome, as ferroin and hypobromous acid (HOBr) act as inorganic replacements for cytochrome P450 and nicotinamide adenine dinucleotide phosphate (NADPH) in alcohol metabolism.
Kinetics and Mechanism of Degradation of Aqueous Promecarb Insecticide Studied by UV Spectrophotometry and HPLC
Authors: Bakhti Hayet , Hamida Najib Ben
Published: May 2017

The present paper deals with the degradation mechanism of the insecticide promecarb, or 3-isopropyl-5-methylphenyl- N-methylcarbamate, in aqueous media. The reaction kinetics have been investigated using UV spectrophotometry and reversed phase HPLC. The determination of 3-isopropyl-5-methylphenol as the main product of promecarb hydrolysis gives evidence for the significant reactivity of this insecticide in alkaline solution. The rate constants were determined following a proposed first-order kinetic model. The positive activation entropy obtained Δ S≠ = +66.82 J mol−1 K−1 and the absence of general basic catalysis indicates an E1cB mechanism involving unimolecular collapse of the promecarb via a methylisocyanate intermediate. These results were confirmed by the fact that promecarb fits well into Brønsted and Hammett plots obtained for a series of substituted N-methylcarbamates for which the decomposition in aqueous media was established to follow an E1cB mechanism.
Kinetics of Dicyclopentadiene Hydroformylation over Rh–SiO2 Catalysts
Authors: Ma Yubo , Gao Zhixian , Yuan Tao , Wang Tianfu
Published: May 2017

The hydroformylation of dicyclopentadiene (DCPD) to monoformyltricyclodecenes (MFTD) represents a key intermediate step in the conversion of the C5 fraction derived from the petrochemical process to value-added fine chemicals, for example, diformyltricyclodecanes and tricyclodecanedimethylol. Although both heterogeneous and homogeneous catalysts can catalyse this reaction, the heterogeneously catalysed pathway has received significantly less attention due to its lower catalytic activities. We demonstrate in this work that a low Rh loaded heterogeneous 0.1% Rh–SiO2 catalyst can present a similar performance relative to the homogeneous Rh(PPh3)Cl, a reference catalyst for this reaction. Furthermore, an extensive kinetic study of DCPD hydroformylation to MFTD using heterogeneous 0.1% Rh–SiO2 catalysts has been performed. A series of kinetic experiments was carried out over a broad range of conditions (temperature: 100–120 °C; pressure: 1.5–5 MPa; catalyst-to-reactant mass ratio: 0.02–0.05; PPh3 concentration: 5–12.5 g L−1). A kinetic analysis was carried out, indicating the activation energy for the reaction to be 84.7 kJ mol−1. DCPD conversion and MFTD yield could be optimised to be as high as 99% at 0.1% Rh loading, a DCPD/catalyst mass ratio of 25, a PPh3 concentration of 10 g L−1, a reaction time of 4 h and a reaction pressure of 4 MPa.
Socio-demographic Characteristics of Patients with Tuberculosis Spine in Bangladesh
Authors: Alam Md Shafiul , Salam Md Abdus , Farzana Tayseer , Newaz ASM Raushan , Islam Md Saiful
Published: May 2017

Background: Spinal tuberculosis is more frequently reported in developing countries.Objective: The purpose of the present study was to see the socio-demographic characteristics of spinal tuberculosis patients.Methodology: This study was carried out in the Department of Neurosurgery, Dhaka Medical College Hospital during the period of January 2002 to December 2004 to elucidate the effectiveness of surgical and conservative treatment of the tuberculosis of the spine. For this purpose, a total number of 50 consecutive cases admitted during the study period with tuberculosis of the spine supported by investigations were included in this study.Result: The mean age of the patients was 25.4 years and ranged from 7 years to 68 years. The highest incidence of tuberculosis of the spine was found in age group between 11 to 20 years and 70% of the patients were under 30 years of age. Incidence of tuberculosis of this spine was more in male (62%) in comparison to female (3 8%) with a male female ratio of 1.63:1. In this study most of the patients came from low class society (66%) followed by middle class (28%) and high class (6%) respectively.Conclusion: Spinal TB more frequently occurs among the young age group with a male predominance.Bangladesh Journal of Infectious Diseases 2016;3(1):3-5
Are phloem sieve tubes leaky conduits supported by numerous aquaporins?
Authors: Stanfield Ryan C. , Hacke Uwe G. , Laur Joan
Published: May 2017

PREMISE OF THE STUDY:

Aquaporin membrane water channels have been previously identified in the phloem of angiosperms, but currently their cellular characterization is lacking, especially in tree species. Pinpointing the cellular location will help generate new hypotheses of how membrane water exchange facilitates sugar transport in plants.

METHODS:

We studied histological sections of balsam poplar (Populus balsamifera L.) in leaf, petiole, and stem organs. Immuno‐labeling techniques were used to characterize the distribution of PIP1 and PIP2 subfamilies of aquaporins along the phloem pathway. Confocal and super resolution microscopy (3D‐SIM) was used to identify the localization of aquaporins at the cellular level.

KEY RESULTS:

Sieve tubes of the leaf lamina, petiole, and stem were labeled with antibodies directed at PIP1s and PIP2s. While PIP2s were mostly observed in the plasma membrane, PIP1s showed both an internal membrane and plasma membrane labeling pattern.

CONCLUSIONS:

The specificity and consistency of PIP2 labeling in sieve element plasma membranes points to high water exchange rates between sieve tubes and adjacent cells. The PIP1s may relocate between internal membranes and the plasma membrane to facilitate dynamic changes in membrane permeability of sieve elements in response to changing internal or environmental conditions. Aquaporin‐mediated changes in membrane permeability of sieve tubes would also allow for some control of radial exchange of water between xylem and phloem.
A strategic approach to [6,6]-bicyclic lactones: application towards the CD fragment of DHβE
Authors: Jepsen Tue Heesgaard , Glibstrup Emil , Crestey François , Jensen Anders A , Kristensen Jesper Langgaard
Published: May 2017

We report an effective synthetic protocol to access [6,6]-bicyclic lactone moieties through a regio- and stereoselective intramolecular Mizoroki–Heck cross-coupling reaction followed by a 6π-electrocyclization. This method enabled the first synthesis of the elusive CD fragment of the Erythrina alkaloid DHβE. Preliminary pharmacological evaluations support the notion that the key pharmacophores of DHβE are located in the A and B rings.
Steep Decay of GRB X-Ray Flares: The Results of Anisotropic Synchrotron Radiation
Authors: Geng Jin-Jun , Huang Yong-Feng , Dai Zi-Gao
Published: May 2017

When an emitting spherical shell with a constant Lorentz factor turns off emission abruptly at some radii, its high-latitude emission would obey the relation of

(the temporal index) = 

(the spectral index). However, this relation is violated by the X-ray fares in some gamma-ray bursts (GRBs), whose

is much more steeper. We show that the synchrotron radiation should be anisotropic when the angular distribution of accelerated electrons has a preferable orientation, and this anisotropy would naturally lead to a steeper decay for the high-latitude emission if the intrinsic emission is limb-brightened. We use this simple toy model to reproduce the temporal and spectral evolution of X-ray flares. We show that our model can well interpret the steep decay of the X-ray flares in the three GRBs selected as an example. Recent simulations on particle acceleration may support the specific anisotropic distribution of the electrons adopted in our work. Reversely, confirmation of the anisotropy in the radiation would provide meaningful clues to the details of electron acceleration in the emitting region.
Automated assembly of a reference taxonomy for phylogenetic data synthesis
Authors: Rees Jonathan , Cranston Karen
Published: May 2017

Taxonomy and nomenclature data are critical for any project that synthesizes biodiversity data, as most biodiversity data sets use taxonomic names to identify taxa. Open Tree of Life is one such project, synthesizing sets of published phylogenetic trees into comprehensive summary trees. No single published taxonomy met the taxonomic and nomenclatural needs of the project. Here we describe a system for reproducibly combining several source taxonomies into a synthetic taxonomy, and we discuss the challenges of taxonomic and nomenclatural synthesis for downstream biodiversity projects.
Apocalypse now…
Authors: Diet Emmanuel
Published: May 2017

Dans leur opposition formelle, la terreur intégriste et la destructivité ultra-libérale du capitalisme paradoxal doivent être pensées comme les avatars de la nouvelle lutte des classes. Elles s’avèrent, dans l’engrènement entre paranoïa et perversion, les deux formes de la pulsion de mort anthropolytique qui attaquent radicalement la Kulturarbeit . L’état de menace et les violences agies, vécues comme une fin du monde, sont en même temps dévoilement et révélation, l’occasion du retour du dénié et d’une possible prise de conscience du travail de la destructivité au sein même de la civilisation qui prétend s’opposer à la barbarie intégriste. L’horreur de l’attentat qui renvoie les sujets à leur finitude et à leur mortalité pourrait ainsi, dans un ultime paradoxe, être à l’origine d’une reconstruction du symbolique qu’il veut détruire.
Nos enfants terroristes victimes du libéralisme, même
Authors: Liaudet Jean-Claude
Published: May 2017

Le système d’idéaux du libéralisme ne permet pas aux adolescents de se structurer psychiquement. Ces derniers se trouvent fixés dans une logique pré-adolescente de révolte contre un père imaginaire et de recherche déréelle d’un idéal auquel s’identifier. C’est pourquoi ils sont sensibles à la « solution du djihad ». Il faut en rechercher la cause dans le défaut de transmission entre cette génération historique, celle de la précarité, et la génération historique précédente, celle d’un libéralisme triomphant. Ce dernier est caractérisé par les « non-idéaux » suivants : liberté conçue comme exercice d’une toute puissance dans un contexte de laisser faire, et donc refus de subir comme d’exercer une autorité symbolique. D’où la faillite de la transmission parentale.
Penser la théopathologie au carrefour des idéologies de l’extrême et de l’errance religieuse
Authors: Mecheri Keira , Bibeau Gilles
Published: May 2017

S’appuyant sur une psychiatrie d’inspiration anthropologique, les auteurs esquissent les contours d’une clinique transdisciplinaire pour la prise en charge des cas de théopathologie. Celle-ci est définie comme un état psychique douloureux caractérisé par un fléchissement de la capacité de discernement, la certitude d’être détenteur de la vérité et d’être porteur d’une mission. La dynamique intrapsychique à l’œuvre dans les théopathologies est discutée en relation à une « théorie du moi » qui distingue dans le sujet trois épaisseurs – le protocolaire, l’essentiel et le transcendantal –, se contaminant mutuellement lorsqu’une personne bascule dans un recours erratique à la religion. Les idéologies de la haine et la pensée de l’extrême font alors apparaître des fanatismes constituant un piège insécurisant pour les sociétés et un danger de dérive pathologique pour les personnes. Ils font appel à une étude de cas clinique pour illustrer la porosité des frontières psychiques et ses dérives potentielles.
Emprise de l’idéal, pacte dénégatif et répétition : l’islamisme comme matrice idéologique du terrorisme djihadiste
Authors: Laoukili Abdelaâli
Published: May 2017

Le présent article veut examiner comment l’islam depuis ses origines était porteur d’un double message : rétablir le Bien dans l’humanité et combattre le Mal en restaurant la Loi de Dieu sur terre. Les musulmans se sont rassemblés et différenciés dans l’interprétation de ce double message. L’entente fraternelle et la discorde guerrière et destructrice ont jalonné l’histoire des musulmans et des pouvoirs politiques qui se sont succédé, depuis le temps prophétique jusqu’à aujourd’hui. L’idéalisation de la Oumma (communauté des musulmans : matrice fantasmée de l’identité collective) et de la fraternité musulmane a passé sous silence ses aspects violents et mortifères. Au nom de ce même Idéal, constitutif de l’idéologie islamiste, des crimes ont été commis et continuent de l’être dans le monde arabo-musulman et en dehors. Le déni de cette histoire, des mécanismes à l’œuvre et la poursuite de l’idéalisation des origines empêchent une partie des musulmans, et ceux qui épousent l’idéologie islamiste notamment, de construire un rapport apaisé à leur identité et tolérant à l’égard des différences entre eux et avec les autres.
« … Naître de peur »
Authors: Corcos Maurice , Rojas-Urrego Alejandro
Published: May 2017

Au début, au commencement, pour certains est La peur. Cette sensation brutale de se sentir « seul au monde » qui témoigne qu’à un moment il y a eu désinvestissement, décrochage… qu’un mouvement tendre n’est pas venu, n’a pas été donné, n’a pas pu être reçu… et n’a pas pansé et pensé la forme étrange que le corps en attente de l’enfant prenait. L’enfant souffrira-t-il définitivement de cette « informité »? Encore faudrait-il distinguer une gradation importante (problématique de perte contre problématique du non advenu) : l’attente non de celui qui n’a plus rien à attendre, mais de celui qui n’a rien à attendre… ; l’attente désespérée de celui qui a connu une expérience accordante avec l’objet (et en a acquis une certaine consistance, conscience et connaissance) et l’attente désespécée de celui qui ne l’a pas connue, l’attente dans un monde intérieur vide ou plein d’un objet interne.
L’euthanasie : quelques Mots de vocabulaire et d’histoire
Authors: Biotti-Mache Françoise
Published: May 2017

Historiquement et étymologiquement, euthanasie n’est pas un mot grec classique. Les grecs avaient forgé un adverbe, un verbe puis un substantif qui signifiaient que la mort était douce ou belle, mais ils ne leur donnaient pas le même sens assez restrictif qu’on lui donne aujourd’hui, avec intervention d’un tiers. Pourtant, l’Antiquité a bien connu le suicide sous la forme d’une euthanasie. Puis une longue période interdit et condamne sans appel le suicide comme l’euthanasie et les religions juives, chrétiennes et musulmanes partagent toutes le respect absolu de la vie humaine, créée par Dieu. Il faut attendre le siècle des lumières pour voir ressurgir le mot d’euthanasie et le XIX e siècle pour que la médecine et les mentalités évoluent. Ce n’est qu’au XX e siècle que l’on osera enfin (re)poser la question du libre choix de la mort pour la personne concernée ou pour son entourage quand elle ne peut plus s’exprimer, mais avec d’infinies précautions que seul le vocabulaire le plus explicite peut traduire. Aujourd’hui, les pays légifèrent, les uns après les autres, sur le sujet de l’euthanasie, le plus souvent sous la pression de l’opinion publique et des interrogations individuelles ou sociologiques. Ainsi se fait jour la diversité des législations et des positions religieuses, pour la plupart inchangées depuis des siècles, mais qui témoignent toutes du caractère toujours infiniment délicat de l’euthanasie. Les êtres humains veulent bien mourir, mais de mort douce !
La mort (ou la grande faucheuse ou l’étranger ou le messager souci, ou celui qui dit non…)
Authors: Bersay Claude
Published: May 2017

Le texte décrit l’attitude de l’homme devant la mort, l’évolution des conceptions sociales au cours des siècles, les progrès médicaux tant dans la recherche fondamentale que dans les soins aux mourants et, enfin les hypothèses sur l’après vie.
Right Ring Finger Volar Mass in a 14-Year-Old Boy
Authors: Fox Mary P. , McKay Jack E. , Craver Randall D. , Pappas Nicholas D.
Published: May 2017

A trigger digit is relatively uncommon in adolescents and often has a different etiology in that age group vs adults. In the pediatric population, trigger digits frequently arise from a variety of underlying anatomic situations, including thickening of the flexor digitorum superficialis or flexor digitorum profundus tendons, an abnormal relationship between the flexor digitorum superficialis and flexor digitorum profundus tendons, a proximal flexor digitorum superficialis decussation, or constriction of the pulleys. In addition, underlying conditions such as mucopolysaccharidosis, juvenile rheumatoid arthritis, Ehlers-Danlos syndrome, and central nervous system disorders such as delayed motor development have been associated with triggering. Less commonly, triggering secondary to intratendinous or peritendinous calcifications or granulations has been described, which is what occurred in the current case. This report describes a case of tenosynovitis with psammomatous calcification treated with excision of the mass from the flexor digitorum superficialis tendon and release of both the A1 and palmar aponeurosis pulleys in an adolescent patient. [
Orthopedics.
2017; 40(5):e918–e920.]
Diagnostic Evaluation of Upper Extremity Masses and Tumors
Authors: Tyser Andrew R. , Holt Patrick A. , Randall R. Lor
Published: May 2017

The appropriate evaluation of hand and upper extremity masses is an important aspect of the care of orthopedic patients. Although most of these masses are benign, the orthopedic surgeon must have a high index of suspicion when assessing them because early diagnosis and treatment of aggressive or malignant masses may have a great effect on patient outcomes. This article provides an overview of benign and malignant osseous and soft tissue masses that orthopedic surgeons may encounter and a detailed algorithm for evaluating these masses. [
Orthopedics
. 2017; 40(5):e758–e764.]
Instructors Age and Gender Differences in the Acceptance of Mobile Learning
Authors: Al-Hunaiyyan Ahmed , Alhajri Rana , Al-Sharhan Salah
Published: May 2017

Mobile learning is a new learning landscape that offers opportunity for collaborative, personal, informal, and students’ centered learning environment. In implementing any learning system such as mobile learning environment, it is important to understand challenges that affect its implementations in a particular culture. Additionally, learners’ and instructors’ expectations are deemed necessary for consideration. However, there is a lack of studies on this aspect, particularly in the context of Kuwait HE institutions. This research presents opportunities and prospects of m-learning, and discusses challenges and implications facing its implementation. The authors of this paper conducted a study in Kuwait HE to examine both students’ and instructors’ perceptions and attitudes toward this trend of learning, to evaluate its effectiveness, and to investigate cultural and social challenges that affect the implementation of m-learning in Kuwait HE. A questionnaire was administered to 499 students and 110 Instructors from different higher educational institutions in Kuwait. The results reveal that students and instructors have positive perceptions of m-learning, and believe that m-learning enhances the teaching and the learning process. The study reports some social and cultural issues that may act as barriers to m-learning implementation.
Opinions and Expectations of Parents on Integration of Mobile Technologies to Education and School Family Cooperation
Authors: Ozdamli Fezile , Yildiz Pelin
Published: May 2017

Abstract—This study underlines the importance of mobile technologies in school family cooperation process. The aim is to specify expectations from mobile technologies and parent’s opinions and capacity of mobile learning whose children attend to elementary and primary schools at Nicosia, TRNC. In this study which is conducted in a survey model frame, 790 parents involved in the study group to specify parent’s level of using mobile tools, their opinions on usage of mobile devices in an educational purpose and on improvement of school-family cooperation with mobile technologies.In the study, a 2 dimensioned survey form used as data collection tool and gathered data processed appropiately to statistical teqniques with SPSS 21 package application. In data analysis, frequency, percentage values, t-test and Kruskal-Wallis tests are used. This is confirmed that parent’s opinion on the usage of mobile devices in an educational pupose is generally positive. On the other hand, this is also clear that the parent’s opinions on school-family cooperation and family participation with mobile technologies are positive. Parents stated that they can take education and information from relevant people of school with mobile technologies on child development and education. Also they specified the necessity of communicating with mobile technologies to take school-family cooperation to an advanced level.
Cloud-based Context-aware Mobile Intelligent Tutoring System of Technical Computer Skills
Authors: Elazhary Hanan
Published: May 2017

In spite of the ultimate importance of procedural technical skills for most disciplines, there is shortage in the number of corresponding Intelligent Tutoring Systems (ITSs). This paper proposes a cloud-based context-aware mobile ITS of Technical computer Skills (TS-ITS). TITS is developed as a mobile application to be ubiquitously providing a valuable learning tool. Due to the nature of technical skills, they require more complex ITSs relative to typical ones requiring, for example demonstration videos that need considerable storage space. Accordingly, TS-ITS is developed using mobile cloud computing to benefit from the cloud resources and make up for limited mobile resources. On the other hand, effective multiple choice, true and false and short-answer questions can be delivered to the mobile. This also has the advantage of facilitating maintenance of the data stores on the cloud. TS-ITS is context-aware delivering training material relevant to the topic the student is studying, the skill the student is trying to acquire or the task the student is trying to accomplish. Each skill is accompanied by a short demonstration video and to facilitate searching for a relevant one, keyword search is adopted. Personalized questions are delivered based on the skills of interest and the assessed student knowledge. TS-ITS can be adopted to other domains and extended to include advanced types of training material such as Virtual reality (VR) immersive environments and interactive questions as they become available. Empirical evaluation of a prototype implementation of TS-ITS shows its tutoring effectiveness
Gestion des eaux à Bruxelles : enseignements des longues séries temporelles de données du système de télémétrie Flowbru
Authors: de Ville Nicolas , Verbanck Michel
Published: May 2017

Les longues séries temporelles de données fournies par le réseau hydrométrique régional Flowbru (www.flowbru.be) offrent une nouvelle occasion de mieux comprendre le système hydrographique de Bruxelles. L'exploration et l'analyse de ces données, assorties de leur consolidation, de leur modélisation et de leur interprétation minutieuse, apportent un éclairage nouveau sur les performances du système d'assainissement. En premier lieu, le problème des infiltrations d'eau limpide parasite dans le réseau est abordé. De nouvelles méthodes sont mises au point pour calculer les volumes d'eau claire qui pénètrent quotidiennement dans l'ensemble de la zone traitée par la station d'épuration de Bruxelles-Nord. L'importance des variations saisonnières des infiltrations est mise en lumière, de même que les moyens de détecter ces variations dans les séries temporelles limnimétriques, de façon à repérer les canalisations sujettes à des infiltrations. L'étude porte ensuite sur l'accumulation des sédiments dans le principal collecteur de la Région bruxelloise, à savoir, le grand émissaire de la rive droite du canal. La dynamique de cette accumulation est examinée, puis une comparaison entre la situation actuelle et celle des années 1980 fait apparaître que le phénomène s'est fortement accentué au cours de ces dernières décennies. Les possibles causes et conséquences de cette accumulation sont enfin brièvement évoquées.
Waterbeheer in Brussel: kennis vergaard via de langdurige gegevensreeksen van het gewestelijk telemetriesysteem Flowbru
Authors: de Ville Nicolas , Verbanck Michel
Published: May 2017

De langdurig verzamelde gegevens, vrijgegeven door het regionaal hydrometrisch netwerk Flowbru (http://www.flowbru.be) vertegenwoordigen een nieuwe kans om kennis te vergaren over het hydrografisch systeem in Brussel. Via een combinatie van datamininganalyse, gegevensconsolidatie, modellen en diepgaande gegevensinterpretatie, worden nieuwe inzichten over de prestaties van het rioleringssysteem verkregen. Allereerst wordt het probleem van de infiltratie van parasitair helder water in het rioleringssysteem aangekaart. Een nieuwe methode werd ontwikkeld om de dagelijkse hoeveelheden geïnfiltreerd helder water te berekenen in de gehele zone die behandeld wordt door de rioolwaterzuiveringsinstallatie Brussel Noord (RWZI). We tonen de sterke seizoensgebonden infiltratieschommelingen en hoe dit patroon in limnimetrische tijdreeksen kan worden geïdentificeerd om de riolen waar de infiltratie gebeurt aan te duiden. In tweede instantie buigen we ons over de accumulatie van rioolsedimenten in de Brusselse hoofdcollector Rechteroever – de grootste riolering in het Brussels Gewest. De accumulatiedynamiek wordt besproken, en een vergelijking tussen de huidige situatie en die van de jaren 1980 toont de enorme stijging in sedimentaccumulatie in de afgelopen decennia. De mogelijke oorzaken en gevolgen van deze accumulatie worden kort besproken.
Autoreactivity to Sulfatide by Human Invariant NKT Cells
Authors: Stax Annelein M. , Tuengel Jessica , Girardi Enrico , Kitano Naoki , Allan Lenka L. , Liu Victor , Zheng Dongjun , Panenka William J. , Guillaume Joren , Wong Chi-Huey , van Calenbergh Serge , Zajonc Dirk M. , van den Elzen Peter
Published: May 2017

Invariant NKT (iNKT) cells are innate-like lymphocytes that recognize lipid Ags presented by CD1d. The prototypical Ag, α-galactosylceramide, strongly activates human and mouse iNKT cells, leading to the assumption that iNKT cell physiology in human and mouse is similar. In this article, we report the surprising finding that human, but not mouse, iNKT cells directly recognize myelin-derived sulfatide presented by CD1d. We propose that sulfatide is recognized only by human iNKT cells because of the unique positioning of the 3-O-sulfated β-galactose headgroup. Surface plasmon resonance shows that the affinity of human CD1d-sulfatide for the iNKT cell receptor is relatively low compared with CD1d–α-galactosylceramide (KD of 19–26 μM versus 1 μM). Apolipoprotein E isolated from human cerebrospinal fluid carries sulfatide that can be captured by APCs and presented by CD1d to iNKT cells. APCs from patients with metachromatic leukodystrophy, who accumulate sulfatides due to a deficiency in arylsulfatase-A, directly activate iNKT cells. Thus, we have identified sulfatide as a self-lipid recognized by human iNKT cells and propose that sulfatide recognition by innate T cells may be an important pathologic feature of neuroinflammatory disease and that sulfatide in APCs may contribute to the endogenous pathway of iNKT cell activation.
Passive Immunization of Farmed Fish
Authors: Rajan Binoy , Løkka Guro , Koppang Erling Olaf , Austbø Lars
Published: May 2017

The fast growth and potential of global aquaculture has necessitated the adoption of sustainable and welfare-oriented therapeutics and prophylactic strategies. Knowledge gathered from studies about maternal passive immunity in fish and fish-to-fish passive immunization experiments supports the concept of using therapeutic Abs (of piscine and other vertebrate origin) in aquaculture. Traditional Ab formats (IgG, IgM) are expensive and laborious to produce; however, the introduction of new rAb fragments and single-domain Abs have reinvigorated the concept of passive immunization. This review will focus primarily on farmed salmonids (salmon and trout) within a comparative context and will give an overview of the basic principles and scientific premises for the passive immunization strategy, including existing and emerging Ab therapeutics.
Granulomatosis with polyangiitis in Tunisia
Authors: Ben Ghorbel I. , Belfeki N. , Baouendi N. , Ben Salem T. , Houman M.H.
Published: May 2017

Granulomatosis with polyangiitis (GPA) is more frequent in Northern rather than Southern countries. Very few studies have been conducted in Africa. We have performed a retrospective descriptive study including clinical and laboratory profiles of 30 Tunisian GPA patients seen at the department of Internal Medicine of the University Hospital of la Rabta from 2000 to 2014. Mean age at initial GPA diagnosis was 46±12 years, and the average number of months between the onset of symptoms and diagnosis was 25. Seventeen (56%) were male, and 13 (44%) were female. Ear/nose/throat involvement occurred in 83%. Lung and renal involvement were observed in respectively 70% and 56% followed by mucocutaneous (50%), neurological (50%), ocular (33%), vascular (20%), ureteral (16%), and cardiac involvement in 10%. Cytoplasmic pattern-antineutrophil cytoplasmic antibodies (ANCA) was detected in 27 (90%) patients. Induction therapy consisted of intravenous cyclophosphamide pulses in 27 patients (90%) and oral methotrexate in 3 patients (10%). Trimethoprime-sulfamethoxazole was used in 26 patients (86%). Maintenance therapy consisted of azathioprine in 17 cases and methotrexate in 13 cases. Relapses occurred in 36%. Eighteen patients had favorable outcome and 12 died. Our patients had a distinct phenotype with high prevalence of pleural involvement, lymph node enlargement, sensorimotor neuropathy and ureter stenosis. ENT symptoms were less frequent as inaugural presentation. Overall 2-year survival was 60%.
Acute calcific tendonitis of dorsal interosseous muscles of the hand: uncommon site of a frequent disease
Authors: Schneider D. , Hirsch M.
Published: May 2017

Acute calcific tendinopathy is one of the manifestations of hydroxyapatite crystal deposition disease. While it is more frequent in the shoulder, it has been described in virtually all areas of the body, but rarely in the muscles of the hand. Its etiopathogenesis is not yet fully understood and despite being a fairly frequent condition, it is commonly misdiagnosed. The onset of the disease is usually acute and resolves spontaneously. Acute calcific tendinitis of the interosseous tendons of the hand is an uncommon site of a frequent condition. The clinical presentation is similar to other entities, thus errors in diagnosis frequently occur, resulting in over-treatment or unnecessary tests. We describe a case of acute calcific tendinitis of the interosseous muscles of the hand with a brief review of the current literature with emphasis on diagnostic imaging methods.
Epidemiology and clinical characteristics of sarcoidosis: an update from a population-based cohort study from Olmsted County, Minnesota
Authors: Ungprasert P. , Crowson C.S. , Matteson E.L.
Published: May 2017

Information about the epidemiology, clinical manifestations and comorbidities of sarcoidosis among Caucasians is relatively scarce. This review focuses primarily on the data from a recently published Caucasianpredominant population-based cohort from Olmsted County, Minnesota. Overall, the incidence rate was 10.0 per 100,000 population, which suggested that sarcoidosis is less common in Caucasians than in Blacks, but is more common in Caucasians than in Asians. Intrathoracic involvement was seen in the vast majority of patients, but less than half have respiratory symptoms. The most common extra-thoracic manifestations were skin rash followed by arthralgia, ophthalmologic involvement, hepatic involvement, splenomegaly, renal involvement, neurological involvement, extra-thoracic lymphadenopathy, exocrine gland involvement, upper respiratory tract involvement and cardiac involvement. Compared to sex and age-matched subjects, patients with sarcoidosis suffer from increased rates of cardiovascular disease, venous thromboembolism and hospitalized infection.