bluuebunny/crossref_metadata_2025_split huggingface dataset:
« Paniques, peurs, trauma »
Authors: Mérian Roger 
Published: April 2021

« C’est quand même du malaise que Freud note, du Malaise dans la civilisation , que procède toute notre expérience 2 . » Cette phrase de Lacan nous invite à nouer psychanalyse en intention et psychanalyse en extension. Cette introduction au travail permet de mesurer l’écart entre la psychanalyse et les théories fondées aujourd’hui sur la victimisation généralisée des sujets et sur le traitement identique pour tous, en mettant l’accent sur le fait aux dépens du sujet. Si un même événement entraînait les mêmes effets chez toutes les personnes concernées, celles-ci n’auraient plus rien à en dire de singulier. Le texte de Maurice Blanchot « L’instant de ma mort » permet ainsi d’éclairer ce qui noue peurs et paniques avec le traumatisme.
Affect de toujours : formes d’hier et d’aujourd’hui
Authors: Touchon Fingermann Dominique 
Published: April 2021

Inhibition, symptôme, angoisse se présentent aujourd’hui fréquemment ainsi dans les entretiens préliminaires, travestis des formes que le discours contemporain leur préfabrique, ainsi les vieilles phobies et paniques nous parviennent-elles « remastérisées ». La psychanalyse telle que l’ont conçue Freud et Lacan prend l’angoisse en considération : depuis lors, c’est notre condition éthique, nous ne saurions la négliger sans par là même malmener le désir. Mais si nous voulons avoir de la considération pour l’angoisse aujourd’hui, il faut la prendre de qui ça vient, c’est-à-dire des sujets du discours capitaliste, qui débarquent chez nous avec leurs symptômes calibrés en forme d’ anxiety disorder , en réponse à l’angoisse qui de toujours leur fera trouver les formes qui auront lieu dans le monde, angoisse que le DSM ne prend pas en considération car elle est au dessus de ses forces.
La phobie, le totem et la boue…
Authors: Leblanc Jean-Pierre 
Published: April 2021

La psychanalyse donne une dignité au symptôme qu’aucune autre approche ne conçoit de cette manière. Ainsi, le symptôme phobique, loin de se réduire à une formation morbide qu’il faut éradiquer au plus vite, est une invention du sujet pour se constituer comme tel, une manière de nouage qui lui permet de ne pas disparaître dans la rencontre avec l’innommable de la jouissance. Lacan, dans « Des noms du père », va jusqu’à articuler cette forme de nomination qu’est le symptôme phobique avec ce signifiant fondamental qu’est le totem. La dignité du symptôme réside donc dans son enjeu, un enjeu lié à la constitution même du sujet. Cela souligne la responsabilité de qui accepte d’entendre ce sujet quand il est aux prises avec l’embarras que son invention lui procure, ce qui l’a conduit à s’adresser à un analyste.
Les passions de l’image
Authors: Talabard Catherine 
Published: April 2021

Il s’agit d’aborder la clinique de l’envie et de la jalousie à partir d’un cas clinique, comment un sujet a construit son l’image dans le miroir, les variations de celle-ci quand il ne peut plus compter sur l’image trouvée auprès de doubles. L’envie et la jalousie se déclinent pour ce jeune homme comme passions de l’image. Est-ce l’envie devant l’objet dont il est privé, ou bien l’envie serait-elle devant l’image de la complétude qui apparaît du côté de l’Autre ?
Lol V. Stein n’est pas jalouse
Authors: Moreau Emmanuelle 
Published: April 2021

Freud fait de la jalousie un affect névrotique qui se retrouve dans la vie psychique. La scène augustinienne à laquelle Lacan rattache cet affect met en jeu un rival mais aussi l’objet regard. Il en fait un moment fondateur. Mais que se passe-t-il quand une telle scène ne produit pas de jalousie ? Lol V. Stein, personnage imaginaire, vient illustrer ce qui peut se produire pour un sujet et sur ce qu’il advient de son désir.
Perspectives
Authors: Faleni Geneviève 
Published: April 2021

À partir du travail d’un historien qui expose sa version de « la fabrique du sexe » et de la différenciation homme/femme, est abordée la voie nouvelle ouverte par Freud sur ces questions. Quelques jalons sont posés quant au pas supplémentaire opéré par Lacan avec la répartition des jouissances et le nœud borroméen.
Les appelants du sexe
Authors: Talabard Catherine 
Published: April 2021

Dans « Propos directifs pour un congrès sur la sexualité féminine », Lacan situe les tenants du désir et les appelants du sexe. En effet, dans l’inconscient il n’y a pas le signifiant de la femme, celle-ci se définit avec un signifiant qui lui manque. Elle se fait objet du désir d’un homme et ainsi se réfère au phallus, elle sait manier les semblants. Cependant, c’est aussi à partir de cette béance, de cette structure trouée du Grand Autre qu’elle symbolise le sexe. Je m’appuie sur la clinique différentielle pour interroger les cas où la sexuation n’a pas pu s’inscrire dans la castration, le phallus n’ayant pas été symbolisé.
Habiter le langage ou le temps de la récusation
Authors: Drapier Jean-Pierre 
Published: April 2021

Discours de la Science et discours capitaliste changent radicalement la manière dont le sujet moderne appréhende sexuation et sexualité : masculin et féminin, hétéro ou homo sexualité sont des signifiants qui peinent à offrir une inscription à chacun. Faut-il repenser le tableau de la sexuation de Lacan ?
« C’est une question de grammaire »
Authors: Combres Anne-Marie 
Published: April 2021

« C’est une question de grammaire. » Cette affirmation, liée à un changement d’identité sexuée pour la personne qui l’énonce, peut-elle éclairer notre recherche pour une clinique différentielle des sexes ? L’examen de cette question s’appuie sur le témoignage que donne Marie-Pierre Pruvot dans son livre Marie, parce que c’est joli et le documentaire de S. Lifshit : Bambi ».
Silences et transfert
Authors: Faure Alexandre 
Published: April 2021

Cet article propose de réinterroger les valeurs du silence, à partir de l’articulation des silences aux manifestations de transfert. Côté analyste, comment ne pas faire du silence un silence dogmatique, voire un silence de refuge , selon l’expression de Lacan ? Côté analysant, comment entendre la pluralité des silences à partir du repérage de l’objet en jeu et de sa fonction ? En suivant le commentaire qu’il a fait du tableau de Munch Le Cri , je m’arrêterai plus précisément sur ce que Lacan nomme le « phénomène limite du champ du grand Autre », à savoir son absence de réponse – et ses conséquences. Qu’est-ce qu’une réponse ? Du reste, comme trait différentiel de la présence de l’analyste, le silence porte la parole de l’analysant, tout autant qu’il semble faire signe d’un désir d’entendre. L’ indécence du silence serait-elle alors de faire causer ?
Présence du transfert
Authors: Terral François 
Published: April 2021

Le confinement qui a fait suite à l’épidémie de Covid 19 a vu l’émergence d’une pratique clinique à distance. Quid de l’efficace du transfert dans ces conditions ? La réponse à cette question ne va pas de soi. C’est l’occasion de revenir à un certain nombre de questions théoriques et éthiques.
L’obstacle e(s)t la condition
Authors: Latour Marie-José 
Published: April 2021

Je souhaiterais mettre la pertinence de la formulation de notre thème à l’épreuve de la présentation de patients. Qu’est-ce que peut nous apprendre ce dispositif, mettant en jeu un unique entretien et qui fait le cœur de nos collèges cliniques, sur le nouage du transfert et du symptôme, de la parole et du corps, quant à la mise en perspective d’un traitement possible par la psychanalyse ?
Le « truc » analytique
Authors: Hatat Brigitte 
Published: April 2021

Si l’acte analytique est sans sujet, s’il n’y a pas de sujet supposé savoir de l’acte, comment comprendre ce que dit Lacan en 1978 : « Le sujet supposé savoir, c’est quelqu’un qui sait. Il sait le truc, […] la façon dont on guérit une névrose. »
La politique du symptôme : opération symptôme
Authors: Touchon Fingermann Dominique 
Published: April 2021

Le discours contemporain et l’emprise du marché sur la science réduisent les symptômes à de « simples » dysfonctionnements qui viennent déranger l’ordre du monde. L’expérience de la psychanalyse propose une autre politique du symptôme : il s’agit d’une véritable révolution car la traversée d’une analyse permet à la fin d’extraire, de la souffrance qui trouble l’ordre du sujet sa valeur singulière, la « note propre de la dimension humaine 1 » de chaque un. Nous déclinerons les trois temps de l’opération symptôme : de la mise en question de son non-sens originel, à la pratique du sens que le transfert soutient, jusqu’à en distinguer cette note propre comme la marque d’origine qui tombe sous le sens à la fin. Cela fait toute la différence qui peut être utilisée à d’autres fins.
Le maniement du transfert, la responsabilité du psychanalyste
Authors: Stéphan Marie-Paule 
Published: April 2021

La demande d’amour est commune à toutes les relations libidinales, mais c’est à partir de sa position que l’analyste en fait une demande autre et transforme cet amour en un « amour qui s’adresse au savoir ». Son instauration, son soutien, son terme sont de la responsabilité du psychanalyste, une responsabilité liée à la fin de sa propre cure et à son orientation.
An Urban Consortium: A Low Cost Quality Approach to Critical Care Education
Authors: Slate Ethel , May Louise , Doucet Mary , Stark June 
Published: April 2021

ABSTRACT
In 1979, nursing directors selected joint educational programming as a strategy to meet the continued learning needs of critical care nurses. The result of this decision was the formation of a multi-hospital educational consortium. This consortium was utilized to plan, implement and evaluate continuing education programs for critical care nurses. The results indicated that this approach was cost effective, satisfied learning needs, further developed nurse educators and became a model for other joint hospital collaborative efforts.
Gaming: A Teaching Strategy for Adult Learners
Authors: Lewis Donna J , Saydak Susan J , Mierzwa Irene P , Robinson Janice A 
Published: April 2021

ABSTRACT
Developing stimulating and innovative educational episodes poses a challenge to nurse educators. The technique of gaming is making a comeback on the educational scene as it facilitates internalization of concepts and promotes affective learning and the application of psychomotor skills. The theoretical use of gaming strategies, development, implementation, and applicability in staff development is discussed.
The Nursing Assessment Decision Grid: Tool for Delegation Decision
Authors: Conger Margaret M 
Published: April 2021

ABSTRACT
The ability of registered nurses to delegate patient care to nurse extenders has become an important skill. This study measures the effectiveness of the Nursing Assessment Decision Grid to teach RNs delegation skills. The ability of 93 staff nurses to analyze tasks and problems found in two patient vignettes and then delegate some care to an LVN working in a dyad was measured before and after exposure to the Nursing Assessment Decision Grid. A paired sample t test was used to compare mean pretest and posttest scores for the three parameters. Analysis of variance was used to examine the effect of professional and personal experiences on this decision making ability.
RNs showed a statistically significant increase in their ability to identify nursing tasks and patient problems embedded in two vignettes. They were then able to make delegation decisions about the care of the patients in the vignettes. Primary language of the study subject may have had an effect on the ability to perform patient problem analysis.
Nurses' Perceptions of Usefulness of Laboratory Data for Nursing Practice
Authors: Corbett Jane Vincent , LaBorde Ann 
Published: April 2021

ABSTRACT
The purpose of this study was to examine nurses' perceptions about the usefulness and barriers to the use of laboratory tests. An investigator-developed questionnaire was given to participants in 20 continuing education workshops. The sample consisted of 536 registered nurses and 40 licensed vocational nurses. Descriptive statistics and content analysis were performed. No significant differences existed in the nurses' reported uses or barriers to using laboratory data by area of practice or length of time since graduation. A significant difference (Fisher's exact P = 0.02) found was the educational level in the reported major usefulness of laboratory data.
The Impact of Continuing Education on Patient Outcomes in the Elderly Hip Fracture Population
Authors: Gill Kelly P , Ursic Pauline 
Published: April 2021

ABSTRACT
As the health care system is oriented to provide service with finite dollars, nursing educators are being asked to demonstrate how continuing education for staff improves patient outcomes. The purpose of this study was to evaluate the impact of an orthopedic-geriatric continuing education program for nurses on the elderly patient who had sustained a hip fracture. A significant difference was found between the control and experimental unit patients with respect to time to first ambulation and length of stay on the orthopedic unit.
Distance Education Programs: Defining Issues of Assessment, Accessibility, and Accommodation
Authors: Sherwood Gwen D , Armstrong Myrna L , Bond Mary Lou 
Published: April 2021

ABSTRACT
Identification and resolution of a variety of issues is imperative to establishing effective distance education via telecommunications. In this first-hand experience, the authors describe selected issues and possible responses inherent in the development and implementation of a new teaching modality. The decision to pursue distance education by telecommunications should be made only after a thorough examination of the needs, the required resources, and the changes to be expected. Advance planning is essential for problem solving.
Meeting the Basic and Educational Needs of Foreign Nurses
Authors: Dijkhuizen Sheila Rutherford 
Published: April 2021

ABSTRACT
Foreign nurses are arriving in the United States in large numbers. It is important for educators and recruiters to understand what motivates foreign nurses and to have some awareness of their educational and cultural backgrounds. This knowledge enables the educator to meet the foreign nurses' needs, facilitate their orientation, and promote their integration into the practice of American nursing. Research (Rutherford, 1989) indicates a direct relationship between job satisfaction and the nationality of the foreign nurse. This relationship is influenced by their ethnic, cultural, religious, and educational background. All must be taken into consideration as these factors will affect recruitment and retention of foreign nurses. Research has shown that, when basic needs are met, job satisfaction is more likely to be attained, and the organization benefits in the areas of cost containment and improved quality of care.
Developing a Teaching Video on Mechanical Ventilation Weaning to Facilitate Effective Nursing Research
Authors: Birdsall Carole , Barker Kathleen , Setti Karen 
Published: April 2021

ABSTRACT
This article describes the process of developing a teaching video associated with conducting a nursing research study and directed at educating critical care staff nurses about the process of successfully weaning patients from mechanical ventilation. Techniques on developing the script and filming and editing the video are presented. The results of this process included staff empowerment and a teaching video used by 10 hospitals in a multi-site research project.
Reducing Restraints: Where to Start
Authors: Terpstra Terry L , Terpstra Tammy L , Van Doren Elaine 
Published: April 2021

ABSTRACT
To begin a restraint reduction program at a large neuropsychiatric Veterans Affairs medical center, nursing educators examined perceptions of and knowledge about restraint use among 113 nursing staff members employed on one acute, two intermediate, and five long-term care units. Strumpf and Evans' (1988) Perceptions of Restraint Use Questionnaire, a knowledge test, and questions about personal characteristics were used. Top reasons for restraint use identified were to prevent pulling on an intravenous line, to prevent breaking open sutures, and to protect from a fall. Although knowledge scores were high, they did not correlate significantly with ability to suggest alternatives. Respondents viewed restraint use as a somewhat important intervention. Statistically significant differences were found between level of practice and number of alternatives listed, knowledge score, and personal perception score. Implications for nursing educators embarking on a restraint reduction program are discussed including myths and quality-of-life issues.
Using Role Theory Concepts to Understand Transitions From Hospital-Based Nursing Practice to Home Care Nursing
Authors: Murray Teri A 
Published: April 2021

ABSTRACT
Background: The phenomena experienced by professional nurses who make practice-based career changes are seldom addressed in the literature. Nurses changing from a hospital-based practice to a home health care setting report feelings of anxiety, incompetency, and lack of the necessary skills to care for clients in the home.
Method: An integrative review of the literature on role theory can provide the conceptual understanding of the transitional experience of nurses whose roles change when they move from hospital-based practice to a home health care setting.
Results: A model of the role transition process is helpful in identifying the transition experienced by nurses new to the home health care setting. Experiences during the initial transition period are critical in shaping the nurse's understanding of the role.
Conclusion: Educators can play a key part in assisting novice home health care nurses with role enactment by developing comprehensive orientation and education programs aimed at minimizing role strain.
Preceptorship: A Model to Empower Nurses in Rural Health Settings
Authors: Dusmohamed Haroon , Guscott Anthony 
Published: April 2021

ABSTRACT
Continuing education and staff development help nurses meet new needs and demands caused by rapid changes in society, demography, technology, politicoeconomic structure, and disease patterns. Rural nurses have a unique, generalist role within their practice but are disadvantaged in accessing professional development because of geographical and professional isolation. A preceptorship program was developed to empower individual nurses in rural health units in South Australia. This program equipped them with the knowledge, skills, and attitudes necessary to make changes in their health units. At the same time, it enabled participants to act as mentors to colleagues in collaborative partnerships designed to meet the complex health needs of their rural clients.
TOTAL HIP REVISION: INDICATIONS AND SURGICAL TECHNIQUE
Authors: Stillwell William Thomas , Hamati Yousif I , Drinker Henry , Turner Roderick H 
Published: April 2021

ABSTRACT: Specialized techniques for evaluation and treatment of failed total hip arthroplasties were developed in the management of 171 patients from 1972 through 1978, using an integrated, interdisciplinary approach. Various surgical techniques were tailored to the individual and directed at the specific etiology of failure. Intraoperative biplanar fluoroscopic monitoring of a high-speed, low-torque pneumatic drill facilitated removal of femoral acrylic and reaming of the distal shaft. Coordinated use of instrumentation for autotransfusion, cement fragmentation, bone debridement and acetabuloplasty, together with new advances in the diagnosis and management of various intraoperative complications are described.
An average follow-up of 36 months was obtained in 91 cases. Good to excellent hip ratings were seen in 83%.
Knee Arthroscopy With Local Anesthesia in Ambulatory Patients: Methods, Results and Patient Compliance
Authors: Eriksson Ejnar , Häggmark Tom , Saartok Tönu , Sebik Ahmed , Ortengren Börje 
Published: April 2021

ABSTRACT: Knee arthroscopy in locally anesthetized ambulatory patients has been performed by filling the knee joint with 50 ml to 60 ml of 0.5% prilocaine, with adrenaline and with additional local infiltration at the sites of puncture. During the arthroscopic procedure the joint cavity is further distended with a mixture of the same local anesthetic diluted 1:10 with physiological saline or Ringer's acetate. During a normal arthroscopy of the knee joint about 500 mg of the local anesthetic is used.
In 17 patients the blood concentrations of the local anesthetic used was measured 2.5 min to 135 min after instillation. The highest plasma levels found (after 60 min to 120 min) were stitl 1 0 to 1 5 times lower than an acceptable upper plasma level. These low blood levels probably depend on a slow absorption and that a considerable amount of the local anesthetic is washed out after the arthroscopy.
A questionnaire was sent to 278 patients who during a two year period had undergone arthroscopy as an outpatient procedure. The degree Of satisfaction for the anesthetic procedure was highest for general anesthesia where 97% were completely satisfied. Sixty-four percent were satisfied when given spinal anesthesia. However, 11% had to be put to sleep due to insufficient spinai block and 12% had headaches more than one day after outpatient spinal anesthesia. Seventy-seven percent were satisfied with local anesthesia. There was no statistical difference between the degree of satisfaction after local or spinal anesthesia
Although general anesthesia has a higher patient acceptance than spinal or local anesthesia, the latter simplifies and expedites the technique of knee arthroscopy in ambulatory patients and allows them to retu rn home immediately. Local anesthesia can also be performed with a good safety margin.
DECREASED PAIN WITH LOWER FLEXURAL RIGIDITY OF UNCEMENTED FEMORAL PROSTHESES
Authors: Skinner Harry B , Curlin Frederick J 
Published: April 2021

ABSTRACT
One hundred one consecutive uncemented hip arthroplasties (87 patients) were analyzed radiographically at 1-year follow up to relate mechanical factors to hip pain as determined by clinical pain scores. The average area moment of inertia and flexural rigidity were greater for the bone than the metal prosthesis for each type of prosthesis (AML, HG, PCA). Normalization of the flexural rigidity ratio (bone to prosthesis) for patient weight yielded a Spearman correlation coefficient of 0.232, significant at P =.02, suggesting that both applied stress and bending stiffness have an effect on pain. No relationship was seen between pain and AP, or average gap between prostheses and bone.
EXTRAPERIOSTEAL TOE PHALANX TRANSFER FOR CONGENITAL APHALANGIA: REFINEMENT OF TECHNIQUE
Authors: Toby E Bruce , Koman L Andrew , Poehling Gary G 
Published: April 2021

ABSTRACT
Toe phalanges with attached periosteum can be transferred to hands with congenital aphalangia, constructing rudimentary digits with growth potential. Using a volar technique, rather than the traditional dorsal method, allows stabilization of the constructed metacarpophalangeal joint and maximizes flexor function.
Mechanical Strength and Wear of Used EBI External Fixators
Authors: Dirschl Douglas R , Obremskey William T 
Published: April 2021

Abstract
Thirty-one EBI external fixators (Dynafix; EBI, Parsippany, NJ) subjected to one or two clinical uses underwent static mechanical testing identical to that performed on new devices prior to market approval. No fixator exhibited catastrophic mechanical failure. For all fixators tested, the mean load to failure was not significantly different from that of identical testing of new devices. Although loss of material from serrated joints was observed in some joints, mechanical strength was not affected. Additional testing of fixators of a variety of designs is necessary to expand on the results of this investigation. The results of this study represent a first step in validating the safety of external fixator component reuse.