bluuebunny/crossref_metadata_2025 huggingface dataset:
Il n’est de tiers qu’exclu
Authors: Colin Bertrand
Published: March 2020

L’interprétation gagne à être porteuse du point de vue du tiers exclu auquel le patient peut s’identifier. L’identification au tiers exclu est une condition de la portée d’une interprétation de transfert ainsi médiatisée. Cette hypothèse approfondit d’une part l’idée qu’il n’est de tiers qu’exclu, et conduit d’autre part à l’idée de ce que « tiers enfant », comme « assomption » du tiers exclu, et « tiers paternel » se doivent mutuellement. Autrement dit, il n’est de tiers qu’exclu, et le tiers ne se joue qu’à deux – tiers paternel et tiers enfant, deux modalités du tiers s’articulant l’une à l’autre. Techniquement, quand l’interprétation manque le point de vue du tiers exclu auquel s’identifier, elle peut s’avérer dommageable, elle prend le risque d’être persécutrice. Cependant, pratiquement, le tiers ne se joue qu’à deux que pour autant qu’il se joue à trois – moyennant le tiers féminin, « porte-parole » de la scène originaire.
La castration, passer du binaire au multiple
Authors: Glas Jérôme
Published: March 2020

L’auteur propose d’appréhender la castration, pivot de la processualité psychique, en tant qu’opérateur processuel. Par là-même, la castration sort de son exclusive binaire, elle quitte la dualité de l’avoir ou pas pour s’appréhender dans toute sa polymorphie et advenir en tant qu’opérateur psychique engageant ainsi le multiple. Celle-ci se déploie sur un gradient passant de l’angoisse de castration proprement dite à son utilisation défensive, jusqu’à son investissement en tant qu’ombilic de la jouissance. Elle change alors de statut pour s’appréhender non plus comme simple figure soustractive apte à être aisément représentée, mais devient ainsi un opérateur économique. L’auteur illustre son propos par la présentation de la clinique de Miguel, jeune homme rencontré lors d’une consultation psychanalytique dans un service d’urgence psychiatrique.
Il faut un esprit pour faire un autre esprit. Une idée si peu freudienne ?
Authors: Joubert Martin
Published: March 2020

Freud fait une large part à la confrontation entre la psyché de l’enfant et celle de ses parents. Dès l’« Esquisse » et jusqu’à l’introduction du masochisme primaire, en passant par le double retournement pulsionnel, il a maintenu ce vertex. Le masochisme primaire n’est pas un donné ; il arrive qu’il ne s’organise pas valablement. Une part de désintrication provenant de la psyché parentale est nécessaire à la mise en route des processus de pensée de l’enfant pour ordonner et mettre en sens l’afflux massif d’excitations et de stimulations du post-partum. La capacité à négativer partiellement le vivant est indispensable : imaginons ce que serait la vie dans un environnement sans cesse sur le point de s’animer ! La pensée autistique, avec sa tendance à dévitaliser le vivant, peut en être la conséquence. Le jeu des forces primitives entre la psyché naissante de l’enfant et celle de ses parents conditionne l’accès à un monde dont les objets ne sont plus de la seule création de la psyché infantile et peuvent pourtant être tolérés malgré qu’ils s’avèrent animés d’un désir propre.
Jeu de-ux langues en séance
Authors: Lambertucci Mann Sabina
Published: March 2020

Dans ce texte, l’auteure souhaite partager son expérience clinique quotidienne avec des analysants qui choisissent ou refusent de parler leur langue maternelle en séance. Elle fait l’hypothèse que le choix de la langue en séance représente une modalité symptomatique, parmi tant d’autres, qui traduit une dimension traumatique sous-jacente. Si le travail psychique est efficient, l’élaboration du traumatique, au cours de l’analyse, permet à ces patients d’endeuiller leurs objets d’enfance et leurs vécus de perte pour s’acheminer vers une résolution de la conflictualité œdipienne et acquérir un surmoi impersonnel. Les symptômes qui s’expriment par la langue de l’analyse peuvent ainsi se transformer pour laisser la place à un fonctionnement psychique plus souple où les deux langues, la langue maternelle et celle du pays d’adoption, coexistent plus harmonieusement, exprimant des vécus qui s’entremêlent et se différencient, restant toujours en contact avec l’affect.
De l’intérêt du double au psychodrame
Authors: Broclain Claude
Published: March 2020

Le patient, en s’appuyant sur le double interprété par un acteur, dans l’aire de jeu qu’est la scène psychodramatique, va pouvoir s’attribuer une partie qu’il n’a pas encore assimilée de lui-même ou se la réapproprier, si elle a été projetée à l’extérieur. Il aura ainsi la possibilité d’accéder à la conflictualité interne et aux identifications. Cela suppose pour l’acteur cothérapeute d’avoir la capacité de se laisser régresser à son infantile, de faire preuve d’une plasticité momentanée, afin de permettre un travail de transformation et de figurabilité, comparable au travail du rêve et d’accéder ainsi à des éléments jusque-là irreprésentables pour le patient. Deux vignettes cliniques vont illustrer l’intérêt de l’utilisation de cette technique au psychodrame.
La fonction du travail deux à deux en institution psychiatrique
Authors: Girard Martine
Published: March 2020

L’auteur interroge la fonction du travail deux à deux comme la plus petite dimension formalisable du travail institutionnel en psychiatrie, au sens de travail à plusieurs, dans le contexte d’un hôpital de jour pour adultes psychotiques ; autre manière d’envisager dans la transversalité l’incarnation d’un premier tiers institutionnel réel. Après en avoir précisé quelques modalités d’organisation comme la double référence infirmière et médicale ou la règle du « au moins deux » pour animer un atelier thérapeutique, l’auteur développe une vignette clinique. Est abordée la lente émergence d’une appropriation du corps et d’une intimité psychique à travers l’articulation entre soins au quotidien assumés par l’infirmière référente, consultations à trois et ateliers thérapeutiques comme matrice du transfert. Mais au-delà de l’organisation réglée du travail deux à deux, c’est aussi sa dimension aléatoire qui est mise en avant comme espace d’ouverture toujours en potentialité de surgir.
Épreuve de réalité au lieu d’interprétation. Une phase du travail psychanalytique avec des descendants de survivants à l’Holocauste
Authors: Grubrich-Simitis Ilse
Published: March 2020

Si l’on a fréquemment observé que des descendants de survivants à la Shoah répétaient des expériences de la première génération, cela tient à l’érosion de leur capacité de faire de façon relativement fiable la distinction, dans la zone traumatique, entre réalité intérieure et réalité extérieure. Cela est à son tour la conséquence d’une nécessaire défense dissociative contre des événements extrêmement traumatiques au sein des familles en question. À la lumière du matériau clinique, il apparaît qu’au cours du travail psychanalytique avec des patients des générations suivantes, il peut être nécessaire, dans une certaine phase, en suspendant temporairement l’activité interprétative, de faciliter l’examen de la Shoah posée comme réalité factuelle, parce que cela favorise le passage de la répétition à la remémoration. En même temps, cela implique une position qui s’oppose à la conception récemment défendue selon laquelle l’efficacité curative serait due avant tout à ce qui peut être obtenu dans le hic et nunc de la situation analytique à partir du processus de transfert et contre-transfert, à propos de ce qui est stocké dans la mémoire implicite. Le matériau clinique exploité dans ce qui suit montre que, et explique pourquoi, dans le contexte traumatique, le travail psychanalytique classique de reconstruction, donc la prise en compte de la réalité extérieure et de ce qui est encodé dans la mémoire explicite, autobiographique, est indispensable.
Mutisme sélectif et déficience intellectuelle : entre le miracle de Pâques et la mise à profit de la situation
Authors: Hanot Michel
Published: March 2020

Accompagner une jeune qui présente un mutisme sélectif demande beaucoup de temps, de patience et d’engagement de la part des intervenants et nécessite la mise en place d’un projet d’accompagnement autour de quatre axes principaux : une participation de la jeune à des activités de groupe, un accompagnement thérapeutique individuel, des entretiens de famille et/ou de fratrie et une concertation avec le réseau. Ce processus offre des perspectives intéressantes.
Processus familiaux à l’œuvre dans la coparentalité après la séparation conjugale
Authors: Stolnicu Alexandra , Hendrick Stéphan
Published: March 2020

L’objectif de notre étude est d’enrichir la compréhension du concept de coparentalité postrupture conjugale. En essayant de comprendre « le rôle de la famille d’origine dans la qualité de la relation coparentale après la séparation conjugale des parents », nous avons analysé le vécu de quatre parents issus de deux couples parentaux hétérosexuels séparés. L’analyse phénoménologique interprétative – IPA (Smith, Flowers, et Larkin, 2009) – nous a permis de dégager plusieurs facteurs de protection familiaux de la coparentalité. En corollaire, l’influence de la famille d’origine, le rôle des grands-parents, ainsi que des règles familiales en situation de séparation conjugale ont été également mis en évidence. De ce fait, le présent article propose une compréhension intergénérationnelle de la coparentalité postséparation conjugale.
Le jeu des places, le désaveu-exclusion et le pas tout à fait
Authors: Mertens Mark
Published: March 2020

À la recherche des interactions qui pourraient être décisives pour le développement ou non de psychopathologie et à la recherche de comment modifier ce sort, des concepts fondamentaux de la systémique sont soumis à la démarche de déconstruction et sont confrontés aux concepts de philosophes récents tels que Lacan et Žižek. Le désaveu-exclusion est mis en avant comme concept clé. Il passe facilement inaperçu, il perturbe le moment structurant de l’Œdipe et a un effet destructeur pour le développement psychique et les interactions futures. Il ouvre aussi des possibilités psychothérapeutiques en confrontant le thérapeute à un choix éthique.
Dynamics informing xenophobia and leadership response in South Africa
Authors: Masikane Champion M. , Hewitt Magda L. , Toendepi Joyce
Published: March 2020

Orientation: The research addressed the issue of leadership response to xenophobia in South Africa that has a unique characteristic of being ‘black on black’.Research purpose: The research purpose was to assess the dynamics informing xenophobia in South Africa, leadership responses and systemic lessons thereon.Motivation for the study: The first black president, the late Nelson Mandela, put in place a Constitution that has an intent to protect all stakeholders in a non-racist, non-sexist and without discrimination based on colour or creed. This pleasantness and warm welcome attracted a large influx of immigrants from across the continent and South Asia who come as international students, skilled professionals and economic refugees. This migratory pattern has led to protracted conflict between immigrants from Africa and indigenous black South Africans.Research design, approach and method: A qualitative, exploratory research that drew data from the semi-structured interviews was carried out. Seven participants were purposefully sampled based on their involvement with the xenophobic affairs in their line of work. Content analysis augmented the primary data.Main findings: The findings of this research showed that xenophobia is a consequence of the socio-economic environment in South Africa and that the leadership response shaped the public opinion on the phenomenon.Practical/managerial implications: The research informed all South Africans, policy-makers and leadership in government on the consequences of xenophobia on the growth and image of the country.Contribution/value-add: This article contributed to the current efforts by leadership in both government and civil society towards addressing the socio-economic issues that fuel xenophobia.
Socially just pedagogies and social justice: The intersection of teaching ethics at higher education level and social justice
Authors: Klaasen John S.
Published: March 2020

This article is part of a longer term project between the Department of Religion and Theology at the University of the Western Cape and Umea University in Sweden. At both the institutions the teaching of ethics as a module within social science curricula has been an important focus area. The critical investigation of the growth of the ethics modules in the Department of Religion and Theology addresses questions of the growth in the number of students taking ethics as a module that have been escalated in the last few years. This research seeks to explore social justice as a pedagogy to teach ethics. The article investigates the relationship between socially just pedagogies and social justice as a means of knowledge production. The ethics modules and students at the Department of Religion and Theology at the University of the Western Cape are the context of the study, and different socially just pedagogies will be investigated as relevant and significant pedagogies for teaching ethics for social change. Particular attention is given to the interaction between the lecturer, student and non-human phenomena as means of knowledge production. The nature of the interaction determines the effectiveness of pedagogies for a social justice agency.
Multilocus sequence typing of azole-resistant Candida auris strains, South Africa
Authors: Magobo Rindidzani , Mhlanga Mabatho , Corcoran Craig , Govender Nelesh P.
Published: March 2020

Background: Candida auris is an emerging multidrug-resistant fungal pathogen associated with high mortality.Methods: We investigated the genetic relatedness of clinical C. auris isolates from patients admitted to either public- or private-sector hospitals, which were submitted to a reference laboratory from 2012 to 2015. Patient demographics and clinical details were recorded. We performed antifungal susceptibility testing, sequencing of the hotspot 1 and 2 regions of the FKS1 and FKS2 genes for all isolates with an echinocandin minimum inhibitory concentration (MIC) of ≥1 µg/mL and cluster analysis using multilocus sequence typing.Results: Eighty-five isolates were confirmed as C. auris. The median patient age was 59 years [inter-quartile range (IQR): 48–68 years], with male patients accounting for 68% of cases. Specimen types included urine (29%), blood (27%), central venous catheter tips (25%), irrigation fluid (7%), tissue (5%), respiratory tract specimens (4%) and other (3%). Ninety-seven per cent of isolates were resistant to fluconazole, 7% were resistant to both fluconazole and voriconazole, 8% were resistant to both fluconazole and echinocandins (considered multidrug resistant) and all were susceptible to amphotericin B. Of the 15 randomly selected fluconazole-resistant isolates, 14 isolates had an isavuconazole MIC ≤ 1 µg/mL. No FKS mutations were detected. Multilocus sequence typing (MLST) analysis grouped isolates into two clusters: cluster 1 and cluster 2 comprising 83 and 2 isolates, respectively.Conclusions: Azole-resistant C. auris strains circulating in South African hospitals were related by MLST, but the possibility of nosocomial transmission should be explored using a more discriminatory technique, for example, whole genome sequencing.
The structural advancement of religious communities and the commercialisation of the Christian religion in Nigeria
Authors: Diara Benjamin , Onukwufor Mmesoma , Uroko Favour
Published: March 2020

This article examines the activities of Christian religious communities and the birth of a commercialised Christian religion. It begins by creating an atmosphere that the Nigerians find themselves in, and explaining as to why they rely more on religious vendors for solutions to their physical and spiritual problems. Thus, the real causalities are the people with no contentment. The commercialisation of religion in Nigeria has been characterised by increased poverty and social vices such as armed robbery, bad leadership and bad citizenship. Findings reveal that adherents of the various churches that have commercialised their blessings comprise both the poor and the rich of the society. The poor are seeking God for instant blessing, while the rich are seeking God for the sustainability of their wealth and protection. True religion is now lost in Nigeria. Some pastors treat the church as an investment, expecting to get something in return personally when the institution prospers financially. This is evident in the rise in sugar-coated preaching in most Nigerian churches. It was discovered that commercialisation of churches is mainly for financial gains, and it is an offshoot of the proliferation of churches in Nigeria.
The e-Government adoption in Higher Education in Portugal: The case of ISCSP at Lisbon University
Authors: Monteiro Maria Helena , Ramos Pinto Ricardo
Published: March 2020

Was studied the adoption of information technologies in the higher education area in Portugal, analysing the case of a centenary institution (ISCSP) and trying to understand how its leadership managed and organized the ICT capabilities to deliver value to students, professors and all other stakeholders. Innovative ICT capabilities were introduced within a planned, motivated and controlled environment where leadership styles and management practices were always focused on business success. We applied a Program Transformation Model based in good practices of Policy Research innovation and diffusion Models complemented with Program Management approaches. Through the academic results and data obtained during this program’s implementation we present experience evidence that confirms the progressive Digital Transformation of the ISCSP at Lisbon University.
Understanding the Organizational Barriers of Promoting Electronic Delivery Options in the United States Health Care System: An Insurer’s Perspective
Authors: O'Leary Danielle A. , Kiel Joan M
Published: March 2020

Consumer-driven technologies are rapidly transforming how industries conduct business both internally and externally. From online banking to retail, the broad adoption of smart devices, internet access, and wearables amongst consumers has shifted the way enterprises develop software and conduct information technology (IT) operations. Although successful adoption of consumer-driven technologies is a reality for many industries, the healthcare platform is lagging. The promotion and adoption of online patient engagement is widely perceived to be one of the biggest hurdles faced by healthcare organizations (Carr, 2014). While setting up patient portals and electronic delivery options can be relatively simple, promoting consumer utilization and achieving widespread use of these portals use has posed challenges.
The healthcare paradigm has shifted in recent decades from viewing the patient as incidental to the delivery of healthcare to a more patient-centric approach. The previous model of indirectly funding Medicare, Medicaid, or employers has been noted as one of the greatest flaws of the healthcare system by contributing to cost inflation (Carr, 2014). Recent trends have promoted patient-empowered care, but have generally transferred the burden of cost to the individual. The Affordable Care Act (ACA) stimulated this shift by creating insurance exchanges which allow insurers to directly reach consumers; however, these readily-available healthcare options now require higher monthly premium payments from shoppers. This new model proposes that as patients become increasingly financially liable, they become more invested in their healthcare trajectories.
Family Status and Self-Motivation in Studies
Authors: Costaños Angel Mae Mantica , Moneva Jerald C. , Malbas Marsha H.
Published: March 2020

Family can inspire the child to perform well in school. When the students belong to a complete family they can gain more confidence to do the task. Students who have complete family can be encouraged themselves to produce positive learning style in their studies. When the student belongs to a broken family the set of behaviors can be different towards certain task. Using the correlation quantitative design, the study was conducted in the Jagobiao National High School-Senior High Department in which the data were treated with chi-square to determine the relationship between family status and self-motivation. As a result, family status and self-motivation has no significant correlation in studies of any students, self-motivation exist regardless of family status, broken and complete. The motivation of student deals with their innate behavior and attitude to achieve better academic performance.
Corona de asedios y borrascas : la proclamación del segundo imperio en la península de Yucatán
Authors: Canto Mayén Emiliano
Published: March 2020

A diferencia de otras regiones, en la Península de Yucatán se proclamó al Segundo Imperio sin el desembarco de fuerzas armadas. Las particularidades geográficas y las luchas entre sus pobladores permitieron que la marina francesa promoviera el triunfo de la causa monárquica en este territorio.
The use of scrotal ultrasound in the evaluation of varicoceles: A survey study of reproductive specialists
Authors: Gondokusumo Jabez , Butaney Mohit , Balasubramanian Adithya , Beilan Joanathan , Tatem Alexander , Thirumavalavan Nannan , Pastuszak Alexander , Lipshultz Larry
Published: March 2020

Introduction: Urologists use ultrasound in the male infertility workup to evaluate scrotal contents and objectively identify varicoceles if their presence is questionable on physical examination. We assessed practice patterns and diagnostic criteria of male reproductive urologists using ultrasound to evaluate varicoceles.

Methods: An anonymous online survey was sent to the Society for Male Reproduction and Urology (SMRU) members. We queried respondents about ultrasonographic criteria and ultrasound techniques employed in varicocele evaluation. Chi-squared was used to determine association between categorical variables.

Results: In total, 110/320 (34.4%) SMRU members responded. Sixty percent of respondents (66/110) reported performing scrotal ultrasound; 92.4 % (61/66) were attending urologists and 87.9% (58/66) completed an andrology fellowship. A total of 37.9% (25/66) performed their own ultrasound, while the remainder had ultrasound performed by an alternate practitioner. Among those performing their own ultrasound, 95.5% (21/22) measured varicocele venous diameter compared to 76% (29/38) when another practitioner performed the ultrasound. Venous diameter used to define a varicocele ranged from 2–4 mm. Although 80% (49/61) of respondents assessed retrograde flow during ultrasound, only 52.5% reported that retrograde flow was required for varicocele diagnosis. Almost all (60/61) indicated that they would fix palpable varicoceles in patients with abnormal semen parameters. Fewer (42.6%, 26/61) respondents stated they would repair varicoceles found exclusively on ultrasound.

Conclusions: Ultrasound is commonly employed by male reproductive urologists to diagnose varicoceles. We identified that practitioners use various ultrasonographic criteria and techniques for varicocele diagnosis. Study limitations include recall bias and high degree of specialization among respondents.
A fountain of knowledge? The quality of online resources for testicular cancer patients
Authors: Yeo Sarah , Eigl Bernhard , Ingledew Paris-Ann
Published: March 2020

Introduction: Testicular cancer is the most common solid malignancy diagnosed in young men aged 15–29. This population is also the age group that searches most actively for health information online. This study systematically evaluates the quality of websites available to patients with testicular cancer.

Methods: The term “testicular cancer” was inputted into the search engines Google, Dogpile, and Yippy. The top 100 websites intended for patient education were compiled. A validated structural rating tool was used to evaluate the websites with respect to attribution, currency, disclosure, interactivity, readability, and content.

Results: Less than half of the websites (44) disclosed authorship. Sixty-one websites provided a last modified date, and of those, 46 were updated in the last two years. The average readability level was 11.01 using the Flesh Kincaid grade level system. The most accurate topic was treatment, with 82 websites being completely accurate and containing all required information. The least accurate topic was prognosis, with 27 being completely accurate.

Conclusions: These results show that authorship and currency are lacking in many online testicular resources, making it difficult for patients to validate the reliability of information. The high average readability of testicular cancer websites can affect comprehension. Topics such as prognosis were incompletely covered although represent an area for which patients often seek more information. These results can be used to counsel patients on the strength and weaknesses of online testicular cancer resources.
Exploring the patterns of practice and satisfaction among female urologists in Canada
Authors: Hird Amanda E. , St-Laurent Marie-Pier , Nadeau Geneviève , Carr Lesley , Farcas Monica
Published: March 2020

Introduction: Our aim was to explore the satisfaction, personal and professional challenges, and practice barriers among female urologists in Canada.

Methods: A literature review was completed to design our survey. Trends with respect to career and personal satisfaction were identified, including academic advancement, mentorship, professional challenges, workplace discrimination, family satisfaction, and remuneration, among others. These key themes were formatted into 44 questions, translated into French, and distributed electronically as a survey to 80 female urology staff across Canada.

Results: Sixty (75.0%) women completed the survey. Many had been in practice <5 years (44.1%) and 72.9% completed a fellowship. Overall, 96.6% of women were very or somewhat satisfied with their career. Seeing more time-consuming patients and financial constraints within the healthcare system were the greatest source of dissatisfaction. Two-thirds of respondents reported that they received significant mentorship and 40% found it difficult to find a mentor during their training. Overall, 65.0% experienced gender discrimination, most commonly from a colleague or a patient. Women who practiced in the community were more likely to report experiencing discrimination compared to women practicing in an academic setting (78.1% vs. 51.9%; p=0.034). Mean time for maternity leave was 17.1 (±8.3) weeks, and 29.6% reported a pregnancy-related complication triggered by their work. Overall, 66.1% would choose urology again.

Conclusions: It is important to advocate for the wellness of female urologists. To accomplish this, we need to address the challenges revealed in the survey, including supporting women on maternity leave, improving mentorship, and prioritizing female urology leadership initiatives. We have established a formal circle of support within the urology community in Canada to achieve these goals.
Clinical predictors of a positive test result in patients undergoing genetic evaluation for a hereditary kidney cancer syndrome
Authors: Kokorovic Andrea , Thomas Aidan , Serrano-Lomelin Jesus , Ferguson Meghan , Rendon Ricardo A.
Published: March 2020

Introduction: Guidelines are available to assist providers in identifying patients with renal cell carcinoma (RCC) that may benefit from genetic counselling, however, the evidence for these recommendations lacks support from the literature and controversy remains as to who should be referred. We aimed to delineate risk factors associated with a positive genetic test in a real-life cohort of patients with RCC referred to a regional medical genetics unit for evaluation of a hereditary kidney cancer syndrome.

Methods: Patients with a diagnosis of RCC referred to Maritime Medical Genetics Service (Nova Scotia, Canada) from 2006–2017 were reviewed using retrospective data. The primary outcome was identification of clinical features that were associated with a positive test result. Logistic regression models were used for analysis.

Results: A total of 135 patients were referred to medical genetics for evaluation; 102 patients were evaluated, 75 underwent testing, and 74 were included in the final analysis. Five patients tested positive: three Birt Hogg Dube, one Cowden syndrome, and one Von Hippel Lindau. Presence of dermatological lesions (specifically fibrofolliculomas) and more than two high-risk features were the only predictors of a positive test result.

Conclusions: The presence of dermatological lesions and more than two high-risk features are the only predictors of a positive test result in patients with a suspected hereditary kidney cancer syndrome. These findings are not reflected in current guidelines, and the clinical implementation of our results may improve the identification of high-risk patients for genetic counselling.
Implementing and evaluating the efficacy of an acute care urology model of care in a large community hospital
Authors: Kirubarajan Abirami , Buckley Roger , Khan Shawn , Richard Rebecca , Stefanova Veselina , Golda Nicole
Published: March 2020

Introduction: We implemented an acute care urology (ACU) model at a large Canadian community hospital to determine the impacts on safe and timely care of patients with renal colic. The model includes a dedicated ACU surgeon, a clinic for emergency department (ED) referrals, and additional daytime operating room blocks for urgent cases.

Methods: We conducted a chart review of 579 patients presenting to the ED with renal colic. Data was collected before (pre-intervention, September to November 2015) and after (postintervention, September to November 2016) implementation of the ACU model. Secondary methods of evaluation included surveying patients and 20 ED physicians to capture subjective feedback.

Results: Of the 579 patients presenting with renal colic,194 were diagnosed with an obstructing kidney stone and were referred to urology for outpatient care. The ED-to-clinic time was significantly lower for those in the ACU model (p<0.001). Furthermore, the ACU clinic resulted in significantly more patients being referred for outpatient care (p=0.0004). There was also higher likelihood that patients would successfully obtain an appointment post-referral (p=0.0242). The number of after-hours and weekend surgeries decreased significantly after dedicated ACU daytime operating room (OR) blocks were added in Sep 2015 (p<0.0001). All surveyed patients rated the care as either “excellent” or “very good,” and all physicians believed the ACU model has improved patient care.

Conclusions: The ACU model has shown benefit in ensuring timely followup for ED patients, reducing use of after-hour OR time, and improving patient and physician satisfaction.
The Effects of Pre-service English Language Teachers’ Making Vocabulary Learning Materials in Web-Supported Situated Learning Environment on Their Vocabulary Learning
Authors: Ünal Kerim , Yelken Tuğba Yanpar
Published: March 2020

The aim of this study was not only to help pre-service English language teachers (PS-ELTs) to design vocabulary learning materials for a web-supported situated learning (SL) environment but also to have them learn the vocabulary they used to prepare those materials in the web-supported SL environment. Also, the effects of this process on the PS-ELTs’ academic achievement, self-efficacy beliefs in designing situated learning environments (SEB-SLE), and technological pedagogical content knowledge self-confidence (TPACK-SC) were revealed. One of the advanced mixed-method designs, intervention design, was employed, and 56 PS-ELTs participated in the study. The data were collected via quantitative measurements (two scales, a vocabulary achievement test) and qualitative measurements (student diary, online messaging logs, open-ended interview form, and focus group interview records). For the quantitative data, independent samples t-test, related-samples t-test, and 2X3 repeated measures ANOVA test were used; for the qualitative data, content analysis. The results showed that there was a significant difference between the within-group gain scores and retention test scores in terms of the vocabulary achievement test and the SEB-SLE scale. However, despite a significant difference in the within-group gain scores in terms of the TPACK-SC scale, no significant difference was found between the post-test and retention test scores. Moreover, although both groups revealed no significant differences in the scores of the vocabulary achievement test and the TPACK-SC scale, the scores of the SEB-SLE scale showed a significant difference in favor of the treatment group. Related to the procedure, PS-ELTs highlighted that preparing vocabulary learning materials according to the web-supported SL model had a considerable effect on their vocabulary learning. Besides, the application process supported permanent learning and vocabulary knowledge development. What is more, the procedure helped them gain critical thinking, problem-solving, synthesis, and research skills as well as improving their TPACK.
Student Learning Outcomes (SLOs) and Assessment of Cybersecurity Body of Knowledge (BOK): Evaluation & Challenges
Authors: Alluhaidan Ala , Abu-Taieh Evon M.
Published: March 2020

The rapid growth of technology and related fields has led to creation in academia to match the expansion demand for IT professionals. One of the current majors that attract attention in industry is cybersecurity. There is a great need for individuals who are skilled in cybersecurity to protect IT infrastructure. Coaching a security-focused workforce has become the target of government agents, industry, and academic institutions.

As research and academic faculties respond to this growing demand, evolving curriculum and methodologies for teaching cybersecurity graduates still need to be formed comprehensively. There have been few researches to define and assess the student outcomes in cybersecurity. This paper presents a step forward by developing Student Learning Outcomes (SLOs) and the desired assessment method to measure those outcomes.

This research contributes to academia and training institution by defining the SLOs and suggests preferable assessment methods in cybersecurity. This initial research is based on a qualitative study of academician evaluation of cybersecurity courses. The paper presents the result of interviews along with discussions of ongoing and future suggestions.
The Analysis of the Concept of Empathy Skill in Postgraduate Social Studies Theses
Authors: Güleç Selma
Published: March 2020

The skill of empathy is mentioned among the basic skills included in the Social Studies Course Teaching Program of the Ministry of National Education. The social studies course is one of the most important courses in which students are made to acquire the information, skills and values which are required to become an effective citizen. Communication has an important place in the achievement of these goals. Empathy is very important in the establishment of effective communication. For this reason, the study aimed to examine the concept of empathy, one of the basic skills included in the Social Studies Course Teaching Program. Afterwards, in the study, it was also aimed to reveal if the students taking postgraduate education in universities in Turkey investigated into the skill of empathy included in the social studies course teaching program in terms of carious variables. For this purpose, the master’s and doctoral theses written under the heading of empathy in the field of Social Studies Education at universities in Turkey between the years of 2000 and 2019 and recorded at the official website of the Higher Education Council National Thesis Center were examined. A total of 17 theses were reached. The data of the study was evaluated in tems of the publication year of the thesis, the gender of the researcher, the university where it was published, the sample groups, the methods of investigation and the subjects of investigation. In the study, the document analysis technique, one of the qualitative research methods, was used.
Dictionary Look-up Strategies Used by Saudi EFL Students: A Think-Aloud Study
Authors: Alhaisoni Eid
Published: March 2020

This study investigates dictionary look-up strategies (DLS) while performing a reading task by 10 Saudi EFL English major students. Think-aloud protocol was used as an instrument in this study. The results revealed that the subjects used 31 DLS while reading. Reading L1 equivalents and reading L2 definitions were found to be the most frequent strategies that Saudi students use when referring to their dictionaries. The results also demonstrated that the students use the guessing strategy infrequently and prefer to resort to the dictionary immediately. The data also illustrated that the monolingual dictionary yielded different overall success rates. The users of the monolingual dictionary referred to their dictionary to solve 32 words problems (12.5% of all look-ups).
Intertextual Relationships in Literary Genres
Authors: Khafaga Ayman F.
Published: March 2020

Most contemporary playwrights acknowledge that Shakespeare’s dramas are for use as raw material to be assimilated into contemporary mould, not to be revered strictly as untouchable museum pieces. Being the model of all dramatists, Shakespeare had a great influence on English theatre, his plays are still performed throughout the world, and all kinds of new, experimental work find inspiration in them. This paper investigates the intertextual relationships between William Shakespeare’s King Lear (1606) and Edward Bond’s Lear (1978). The main objective of the paper is to explore the extent to which Bond manages to use Shakespeare’s King Lear as an intertext to convey his contemporary version of Shakespearean classic. Two research questions are tackled here: first, how does Shakespeare’s King Lear function as a point of departure for Bond’s contemporary version? Second, to what extent does Bond deviate from Shakespeare to prove his originality in Lear? The paper reveals that Bond’s manipulation of intertextuality does not mean that he puts his originality aside. He proves his originality by relating the events of the old story to contemporary issues which in turn makes the story keep pace with modern time.
Why is “John Ran to the House” the Same as “John Went to the House Running” in Arabic?
Authors: Kabli Hanan M.
Published: March 2020

The study explores how Arabic has the same conflation pattern characteristics as English even though it belongs to Verb-framed Languages. A focused-group approach is used to evaluate the effect of the first language (L1) and the potential role of proficiency in the acquisition of the English directional preposition ‘to’ with manner-of-motion to goal construction. One group consists of Saudi speakers at two levels of development; an intermediate and advanced proficiency levels; whereas, the second group (control group) comprises of English native speakers. Acceptability Judgment Task associated with video animation clips is designed to elicit participants’ judgments in the depicted event. Results indicated that the intermediate Saudi speakers accept the directional preposition ‘to’ with and without boundary-crossing event, as is the case of their L1, which was opposite for the advanced and native English speakers for the without boundary-crossing event. The advanced Saudi speakers accept the constructions of encoding the manner with the motion and expressing the manner as the complement depicting an appropriate description of the event, reflecting L1 influence. All the group’s judgment varies based on the acceptance to conflate the manner with the motion overexpressing manner as a complement in an event without boundary-crossing.
Diving in Sin and Resurfacing with the Discovery of the Self in Defoe’s Robinson Crusoe
Authors: Abdu Khalid Sultan Thabet
Published: March 2020

This paper attempts to study the novel of Robinson Crusoe from the perspective of Eurocentric discourse of travel. The paper sheds light on Western hegemony of travel from the metropolis to the peripheries for the sake of discovering and colonizing the “Other” parts of the world in one hand; on the other hand, these journeys enable the protagonist to grow physically, psychologically, spiritually and mentally. The paper also traces the physical journey that coincides with the inner journey which results in the self-discovery of the protagonist of himself as sequences of gradual growth from childhood to maturity; this trait makes the novel as bildungsroman. The protagonist commits a sin of disobedience at the beginning of his life and he has to endure all difficulties of life because of that deadly sin and with the passage of time he discovers his mistakes and repents from his wickedness and comes back to God who redeems him from his original sin. Therefore, he discovers himself after reaching the stage of wisdom, maturity and repentance. He has also been redeemed and awarded the fruitfulness of his endurance by reaching his father’s house again and reunited with his family.
A Double Combined Symmetric T-shaped Slots and Rotated L-shaped Strips Inspired UWB Antenna for C and X-band Elimination Filters
Authors: Elhabchi M. , Srifi M. N. , Touahni R.
Published: March 2020

In this paper, we present a modified UWB antenna with hexagonal slotted ground plane inspired with a double combined symmetric T-shaped slots and dual rotated L-shaped strip for dual band notched characteristics. Initially, the operating frequency range is from 3GHz to 12 GHz. To eliminate the unwanted C-band (3.625-4.2GHz) and the entire uplink and downlink of X-band satellite communication systems (7.25 -8.39 GHz) frequency bands, we are investigating the conventional UWB patch antenna and loaded it with a mentioned strips and slots respectively. The performances of the antenna are optimized both by CST Microwave Studio and Ansoft HFSS. To further analyze the parametric effects of the slots and strips, the surface current distribution is presented and discussed. The antenna gain versus frequency gives an acceptable value except the notched band regions, these values are   reduced from its normal  to be  a negative in  the notched bands (3.625-4.2GHz) and (7.25 to 8.39 GHz).
High Order Relaxation Methods for Co-simulation of Finite Element and Circuit Solvers
Authors: Nshimiyimana J. D. , Plumier F. , Ndagije C. , Gyselinck J. , Geuzain C.
Published: March 2020

Coupled problems result in very stiff problems whose char- acteristic parameters differ with several orders in magni- tude. For such complex problems, solving them monolithi- cally becomes prohibitive. Since nowadays there are op- timized solvers for particular problems, solving uncoupled problems becomes easy since each can be solved indepen- dently with its dedicated optimized tools. Therefore the co-simulation of the sub-problems solvers is encouraged. The design of the transmission coupling conditions between solvers plays a fundamental role. The current paper ap- plies the waveform relaxation methods for co-simulation of the finite element and circuit solvers by also investigating the contribution of higher order integration methods. The method is illustrated on a coupled finite element inductor and a boost converter and focuses on the comparison of the transmission coupling conditions based on the waveform iteration numbers between the two sub-solvers. We demon- strate that for lightly coupled systems the dynamic iterations between the sub-solvers depends much on the inter- nal integrators in individual sub-solvers whereas for tightly coupled systems it depends also to the kind of transmission coupling conditions.
A Compact Wide Bandpass Filter for Satellite Communications with Improved Out-of-Band Rejection
Authors: Ait  Ahmed B. , Naghar A. , Aghzout O. , Vazquez Alejos A. , Falcone F.
Published: March 2020

This paper presents a compact C-band bandpass filter with improved out-of-band rejection. It consists of a symmetric three-pole parallel coupled line microstrip loaded with complementary split ring resonators (CSRRs) and slot resonators. Enhancements regarding the filter responses are obtained by etching these two parasitic shapes successively. When, CSRRs are introduced in the ground plane, exactly in the back of the transmission line of 50 -Ohms , improvements on the filter selectivity level are achieved. Whereas, the slot resonator elements are implemented on the feed line to permit the suppression of the second harmonics. To reduce the second harmonics of 11:1-13GHz, the parasitic elements are both combined, widen the filter rejection of 5:81%. The surface current distribution together with the equivalent circuit are also studied in order to demonstrate the slots and the CSRRs effect parameters on the behavior of the proposed filter. A prototype of the optimal filter is fabricated and measured.Theory and experiment results prove the validity of the new design procedure.
Validity of Improved MTL for Effective Length of Counterpoise Wires under Low and High-Valued Lightning Currents
Authors: Ostadzadeh S. R.
Published: March 2020

In this paper, an efficient modeling approach called improved MTL is used to predict effective length of counterpoise wires considering both ionization and dispersion of soils. This paper consists of two parts. At first part, validity of the model for computing effective length of counterpoise wires considering only soil ionization is investigated. The simulation results show that the improved MTL-based effective length of counterpoise wire are in good agreement with the existing formulae. Application of this modeling approach to include ionization and dispersion effects simultaneously (both-affected soil) is carried out in the second part. The simulation results show that in both-affected soils, the effective length with respect to only-ionized soils, is decreased especially in highly resistive soils under slow-fronted currents. This makes inclusion of both effects financially important in designing counterpoise wires.
Investigation of Palm Oil Mill Effluent Pollution Impact on Groundwater Quality and Agricultural Soils
Authors: Nta S. A. , Udom I. J. , Udo S. O.
Published: March 2020

A field study was conducted to investigate palm oil mill effluent (POME) pollution impact on ground water quality and agricultural soils. Raw POME and two water samples were also collected from the downstream and upstream locations away from the effluent discharge point using 1 litre capacity container. This was found less than 100 m from the mill. Soil samples from the POME dumpsite as well as non-POME soil were collected. Temperature, pH, electrical conductivity (EC), salinity, total hardness, turbidity, sulphate, COD, BOD5, total dissolved solids (TDS), total suspended solids (TSS), dissolved oxygen, total alkalinity and percentage saturation for water samples were determined. pH, water holding capacity, total organic carbon (TOC), total organic matter (TOM), total nitrogen, available phosphorus, exchangeable cations: K, Na, Ca, Mg and cation exchange capacity for soil. Data obtained from the study were subjected to statistical analyses of variance (ANOVA). Significant variations exist in most of the physicochemical variables among the sampled parameters. Data for water samples were also compared with world health organization and Nigerian standard for drinking water quality. Most of these parameters indicated pollution but were below the standard limits for consumption. pH, EC, total hardness, turbidity, sulpahte, COD, BOD5, TDS, TSS, dissolved oxygen, total alkalinity, % saturation were all significant difference from each other. Soil pH, EC, TOC, total nitrogen, available P, TOM, Ca and exchangeable acidity were also all significant difference from each other. It is concluded that a strong move towards quality and environmental management through ecological improvement and cleaner technology approach within manufacturing industries in Nigeria is implemented.