bluuebunny/crossref_metadata_2025_split huggingface dataset:
La formation à l’épreuve de la psychanalyse
Authors: Assoun Paul-Laurent 
Published: February 2021

Le terme de formation semble lié à un discours technique et pédagogique, et c’est cela que la psychanalyse met radicalement à l’épreuve. Aussi est-il essentiel de reconsidérer, comme à neuf, à quoi l’on forme quand on « forme » un psychanalyste. Il est essentiel de redécouvrir à cette fin le concept de Bildung , en sa connotation éminemment culturelle. Freud invente l’analyste, en son originalité absolue, par son slogan Psycha. Fara da se , en sorte qu’elle ne craint rien de l’Université et y a sa place légitime… d’autant plus qu’elle pourrait s’en passer. En sorte qu’il n’hérite de la psychothérapie qu’en la dé- formant suffisamment pour y affronter le réel inconscient. Il faut alors, pour penser l’ Ausbildung , c’est-à-dire la formation au sens « professionnel », démarquer la question du savoir de celle de l’acquisition des connaissances – problème auquel s’est confronté l’Institut psychanalytique de Berlin il y a juste un siècle. Lacan, dont on sait les démêlés institutionnels sur la question de la formation, enfonce le clou freudien en faisant de l’analyste même un symptôme, une formation inconsciente. Il y aurait alors à redécouvrir l’idée de « mouvement psychanalytique » comme acte culturel autant que clinique. Ledit analyste étant le mieux placé pour adresser à la Kultur le réel de son malaise, attesté par le symptôme. Métier de l’impossible, selon l’expression freudienne, à ce titre irremplaçable.
Conférence donnée le 14 mars 2020 en ouverture des journées d’études de la SFG
Authors: Jullien François 
Published: February 2021

De larges extraits de la conférence de F. Jullien restituent ici la vivacité de sa pensée dont il nous a fait bénéficier en direct le 14 mars 2020. À partir de son expérience de l’altérité radicale du chinois pour un philosophe européen il évoque là ce que lui a apporté la capacité de sortir de sa pensée. Ce qui le conduit vers ses thèmes de prédilection depuis cette expérience d’immersion en une pensée intraduisible : vivre ou exister, l’inouï et la dé-coïncidence, l’accès à l’inouï par la poésie, l’inouï de l’autre… Une démarche forte qui ne peut laisser indifférent aucun Gestalt-thérapeute.
Il était temps de réagir
Authors: Bady Myriam , Balansa Chantal 
Published: February 2021

Dans un milieu médical qui lui renvoie souvent un statut « d’étranger », être ASS en psychiatrie tient souvent du jeu d’équilibriste. Ayant pour objectif de faire en sorte que leur catégorie professionnelle, peu représentée, souvent « muette » travaillant dans l’ombre, soit entendue et reconnue dans ses compétences, les auteurs ont voulu ici témoigner de la façon dont elles ont redonné du sens à leur pratique professionnelle, dans un hôpital psychiatrique toulousain et dans le champ associatif.
Using Design-Based Research to Develop Innovation in Open University in Thailand
Authors: Chanyawudhiwan Gan , Mingsiritham Kemmanat 
Published: February 2021

<p class="0abstract">This paper discusses Design-Based Research (DBR) used to develop an innovation in a distance university. The innovation focuses on self-study through technology. It has results in 3 aspects which are 1) Instructors can assess knowledge and prepare the content from both internal and external learning sources in accordance with students’ needs, 2) Students can analyze their ability in order to plan successful online learning by themselves, and 3) Instructional designers can analyze, plan, design activities and select learning resources in accordance with the content and learning behavior. This paper describes the concept of DBR with the sample of "STOU Smartlearn" innovation design which is a smart evaluation system of Sukhothai Thammathirat Open University (STOU). The innovation was designed based on DBR process. It has been used with students and could be modified to suit students’ needs. The results of the two experiments with undergraduate students in the academic year 2018 and 2019 found that the effect size increased from .27 to .32.</p>
Quand la subversion nourrit la norme. La chambre d’Isabella de Jan Lauwers
Authors: Caemerbeke Pascale 
Published: February 2021

Que veut-on transmettre lorsqu’on utilise les termes « hors-norme » ou « subversion » ? La subversion affichée peut, dans certains cas, réitérer des clichés sans qu’ils soient relevés. En nous penchant sur le spectacle de Jan Lauwers, La chambre d’Isabella – en tournée depuis neuf ans et loué par les critiques pour son caractère subversif – nous verrons que l’élément subversif, lié à la sexualité, fait accepter une vision de l’homme noir et de l’Afrique dévalorisante.
Du fait linguistique au(x) genre(s) : oralité et scripturalité à l’époque classique
Authors: Goux Mathieu 
Published: February 2021

Dans cet article, nous étudions les relations entre les genres textuels et l’emploi du pronom relatif lequel à la fonction sujet au long de la période classique. Nous montrons que l’emploi de ce pronom relatif s’explique, en addition de divers phénomènes linguistiques, par une opposition entre les contextes de production des discours. Nous avons en ce sens distingué les genres dits « écrits » et destinés à une lecture silencieuse, tels les romans ou les essais, et les genres oralisables, comme les pièces de théâtre, les correspondances ou les oraisons. Notre analyse, fondée sur les récentes études de la grammaire des genres, nous permet dès lors d’éclairer certains aspects de l’emploi de ce pronom relatif atypique au cours du XVIIe siècle.
Montaigne : un cas intertextuel ?
Authors: O’Brien John 
Published: February 2021

À partir d’exemples pris dans les guerres de religion et le scepticisme, l’intertextualité montaignienne est pensée non comme une concurrence entre elle et l’auteur dont le prix serait la célèbre « mort de l’auteur », mais comme une collaboration entre l’auteur et le lecteur au profit de la spécificité historique des Essais. Sont ainsi mis en valeur les Essais comme fruit d’une activité qui met l’accent sur la transformation des données de l’enquête menée par la skepsis.
Ce que les Essais nous apprennent sur les impensés de la philosophie
Authors: Mollier Thomas 
Published: February 2021

À quelles conditions est-il possible de parler légitimement de la philosophie de Montaigne ? À la faveur d’une démarche critique, l’article fait surgir comme problème cardinal la délimitation de la philosophie dans les Essais. Le paradoxe du sorite sert de paradigme pour penser les solutions disponibles en philosophie et dévoile le travail localisé de la configuration textuelle comme impensé majeur d’un lecteur philosophe désireux de rendre raison de la philosophie de Montaigne, qui apparaît in fine comme un byproduct.
« Et route par ailleurs... » : d’un usage philosophique de Montaigne
Authors: de Souza Birchal Telma 
Published: February 2021

L’article soutient la thèse qu’une approche philosophique ne peut se faire qu’en utilisant des concepts et des problèmes qui sont donnés par l’histoire de la philosophie – pas forcément par l’objet d’étude lui-même. Il présente les deux « usages philosophiques » que j’ai fait des Essais – la quête du statut de la subjectivité et de la portée de l’éthique – et discute deux défis qui se posent à ces « usages » : le problème de l’anachronisme et la possibilité d’une morale sceptique.
Preferências por métodos de ensino e transferências para o jogo: um olhar de jogadoras de handebol
Authors: Jatobá Thayná Della Nina , Menezes Rafael Pombo 
Published: February 2021

O objetivo deste estudo foi identificar, na opinião de jogadoras de handebol, os métodos de ensino preferidos e as transferências entre os conceitos enfatizados em cada método e o jogo formal. Foram entrevistadas 17 jogadoras de handebol da categoria adulta de uma equipe municipal do Estado de São Paulo. Seus depoimentos foram analisados a partir do método do Discurso do Sujeito Coletivo. Os resultados mostraram que as jogadoras apresentam preferência por métodos de ensino ativo (como o situacional e o global-funcional), principalmente pelas questões que envolvem a complexidade do contexto do jogo. Em relação à transferência entre os métodos de ensino ativos e o jogo as jogadoras destacaram a demanda psicológica, as questões técnico-táticas, as semelhanças com o contexto do jogo e a necessidade de ajustar os comportamentos às demandas do jogo. Conclui-se que as jogadoras preferem treinamentos atrelados à dinâmica do jogo, com oposição, privilegiando situações que provoquem questionamentos sobre o jogo.
The Crystal Structure of the MHC Class I (MHC-I) Molecule in the Green Anole Lizard Demonstrates the Unique MHC-I System in Reptiles
Authors: Wang Yawen , Qu Zehui , Ma Lizhen , Wei Xiaohui , Zhang Nianzhi , Zhang Bing , Xia Chun 
Published: February 2021

Abstract
The reptile MHC class I (MCH-I) and MHC class II proteins are the key molecules in the immune system; however, their structure has not been investigated. The crystal structure of green anole lizard peptide–MHC-I–β2m (pMHC-I or pAnca-UA*0101) was determined in the current study. Subsequently, the features of pAnca-UA*0101 were analyzed and compared with the characteristics of pMHC-I of four classes of vertebrates. The amino acid sequence identities between Anca-UA*0101 and MHC-I from other species are &lt;50%; however, the differences between the species were reflected in the topological structure. Significant characteristics of pAnca-UA*0101 include a specific flip of ∼88° and an upward shift adjacent to the C terminus of the α1- and α2-helical regions, respectively. Additionally, the lizard MHC-I molecule has an insertion of 2 aa (VE) at positions 55 and 56. The pushing force from 55-56VE triggers the flip of the α1 helix. Mutagenesis experiments confirmed that the 55-56VE insertion in the α1 helix enhances the stability of pAnca-UA*0101. The peptide presentation profile and motif of pAnca-UA*0101 were confirmed. Based on these results, the proteins of three reptile lizard viruses were used for the screening and confirmation of the candidate epitopes. These data enhance our understanding of the systematic differences between five classes of vertebrates at the gene and protein levels, the formation of the pMHC-I complex, and the evolution of the MHC-I system.
The Effectiveness of Sternocleidomastoid Muscle Dry Needling in Patients with Cervicogenic Headache
Authors: Mohammadi Zahra , Shafizadegan Zohreh , Tarrahi Mohammad Javad , Taheri Navid 
Published: February 2021

Background:
Cervicogenic headache (CGH) is a secondary headache with a cervical source that radiates pain to the head or face. Accordingly, one reason of CGH is myofascial trigger points. The purpose of this study was to investigate the effect of one session dry needling (DN) of myofascial trigger points of the sternocleidomastoid (SCM) muscle in patients with CGH.

Materials and Methods:
In this before-and-after clinical trial, 16 females aged 18–60 years with a clinical diagnosis of CGH were enrolled. All of the patients received one session DN into the myofascial trigger points of the SCM muscle. Headache index (HI), headache duration, headache frequency, and headache disability index (HDI) were assessed at 2 weeks before and 2 weeks after the intervention. This study was registered in Clinical Trials as IRCT20181109041599N1.

Results:
One session DN into myofascial trigger points of the SCM muscle showed a significant improvement in HI (P < 0.001). Duration and frequency of headache as well as HDI significantly reduced after intervention (P < 0.001).

Conclusion:
One session DN into myofascial trigger points of the SCM muscle was effective on improvement of HI, headache duration, headache frequency, and HDI in patients with CGH.
Spirometric abnormalities in patients with sleep-related breathing disorders
Authors: Mehfooz Nazia , Siraj Farhana , Shabir Afshan , Mantoo Suhail , Shah Tajamul Hussain , Hafiz Umar , Qadri Mudasir , Shah Sanaullah , Jan Rafi , koul Parvaiz A. 
Published: February 2021

Introduction:
Patients with sleep-related breathing disorders (SRBD) have various structural and functional abnormalities of the upper airway during sleep which may get reflected on their pulmonary function tests. The aim of the study was to find the correlation between the spirometric indices and snoring, grades of apnea–hypoapnea index (AHI), and STOPBANG. There is scarcity of literature showing correlation of STOP BANG with spirometric variables.

Material and Methods:
Patient with SRBD fulfilling the inclusion and exclusion criteria were enrolled. The pretest probability sleep score STOPBANG and polysomnography (PSG) were calculated for all the patients. Spirometric indices like forced expiratory volume in one sec (FEV1), forced vital capacity (FVC), postbronchodilator ratio FEVI/FVC (PBDR), and peak expiratory flow rate (PEFR) were studied. Their association with snoring, different grades of obstructive sleep apnea (OSA), and STOPBANG were evaluated using statistical analysis.

Results:
A total of 70 patients were enrolled. Abnormalities of spirometric indices were found to be common in patients with SRBD but their association with snoring, grades of OSA, and STOPBANG were not statistically significant. There is no statistically significant correlation between body mass index (BMI) and grades of AHI.

Conclusion:
This study found no statistically significant correlation between spirometric parameters and STOPBANG and degree of AHI. Primary care physicians should be aware that obstructive lung disease does coexist with the sleep disordered breathing but as per this study, their statistically significant association needs further validation.
knowledge, attitude and practice about infection control among primary care professionals in Abha City, kingdom of Saudi Arabia
Authors: Al-Ahmari Ahmed M. , Alkhaldi Yahia M. , Al-Asmari Bandar A. 
Published: February 2021

Aim of study:
To assess knowledge, attitude and practice of health care professionals working in Abha primary health care (PHC) centers regarding standard precautions of infection control.

Subjects and Methods:
This cross sectional study included 212 health care professionals in Abha PHC centers. An electronic questionnaire was constructed by the researchers and was used for data collection. It consisted of five parts, i.e., socio-demographic characteristics, knowledge questions about infection control and standard precautions, statements about attitude of participants, practice of health care providers regarding infection control and perceived obstacles against adequate application of standard precautions.

Results:
Most participants were physicians with Bachelor degree (68.9%, and 45.3%, respectively), while 51.9% had an experience less than five years in PHC. About two thirds of PHC centers (60.8%) had a special and separate room for medical waste. Only 55.7% attended training programs on infection control and 72.6% viewed a memo about coronavirus. About one third of participants (31.6%) had poor knowledge about infection control, 88.2% had positive attitude toward infection control policy and procedures, while 49.5% had poor practice level. There were no significant differences in participants' knowledge or attitude according to their socio-demographic characteristics, while their practices were significantly better among those who got a training program about infection control and those who had an experience <5 years in primary care (p = 0.040, and P = 0.032, respectively).

Conclusions:
Health professionals have suboptimal knowledge and practice levels regarding standard precautions of infection control, while most of them have positive attitude. Therefore, it is recommended to enforce their training and to increase the supervision in PHC settings regarding infection control policy and procedures.
Study of Risk factors and treatment modalities of ectopic pregnancy
Authors: Andola Shruthi , kumar R Ramesh , Desai Ratnamala M. , S.A krutika 
Published: February 2021

Introduction:
In the past two decades globally, the incidence of ectopic pregnancy has been increasing exponentially. One of the major triggering factors being the introduction of medical assisted procreation techniques. The present study emphasis more on clinical presentations, risk factors, associated maternal morbidity and mortality with respect to ectopic pregnancy.

Methodology:
Patients diagnosed with ectopic pregnancy in reproductive age group (15-44 years) after clinical examination and investigations during one year period were included in the study. It was a prospective study using contingency table analysis and Chi-square test.

Results:
A total of 42 patients were diagnosed and treated as ectopic pregnancy during the study period. Risk factors were found in 37 patients, of which most common were white discharge per vagina (WDPV) in 20 and tubectomy in 6 patients. PID was seen in 5 and no risk factors in 5 patients. Of the 42 patients, 37 underwent surgery as primary modality of treatment and 5 patients underwent medical management. Only 2 patients had complete resolution with medical management while 3 failed medical management. Post operative period was uneventful.

Conclusion:
As the incidence of ectopic pregnancy has been on the rise, screening of high risk cases, early diagnosis and early intervention are required to enhance maternal survival and conservation of reproductive capacity.
knowledge and utilization of family planning among rural postpartum women in Southwest Nigeria
Authors: Anate Benedicta Chinyere , Balogun Mobolanle Rasheedat , Olubodun Tope , Adejimi Adebola Afolake 
Published: February 2021

Background:
In Nigeria, contraceptive use has remained low, 12% for any modern method, despite the huge resources committed to family planning programs by stakeholders. This study was carried out to assess the knowledge and utilization of family planning and determine predictors of utilization of family planning among postpartum women attending primary health care centers (PHCs) in a selected rural area of Lagos State, southwest Nigeria.

Methods:
This was a descriptive cross-sectional study conducted among 325 postpartum women attending PHCs in Ibeju-Lekki local government area of Lagos State selected using a multi-stage sampling technique. A pretested, interviewer-administered questionnaire was used to collate data which was analyzed using the IBM SPSS Statistics version 23.

Result:
The mean age was 29.94 ± 5.14 years. All the respondents (100%) had heard of contraceptive methods, however only 38 (11.7%) had good knowledge of family planning. About 38.5% of the respondents used modern family planning methods during the postpartum period. The most commonly used methods were male condoms (26.3%) and implants (17.0%). The significant predictors of postpartum family planning (PPFP) were non-intention to have more children [AOR = 1.88 (95% CI: 1.14–3.11)], and good knowledge of family [AOR = 2.31 (95% CI: 1.11–4.81)].

Conclusion:
It is recommended that interventions be designed to educate and advocate for the use of family planning methods not only to stop childbearing but also to space pregnancies. Education about family planning should also be intensified to improve knowledge of family planning, and thus practice.
Prevalence and dependency of tobacco use among tribal gypsies in Thoothukudi district - A cross sectional study
Authors: Chellappa Lalitha Rani , L Leelavathi , Indiran Meignana Arumugham , Rathinavelu Pradeep kumar 
Published: February 2021

Introduction:
The Narikuravars or “gypsy” are a semi vagrant groups distributed across borders, but primarily live in Tamil Nadu, India. They are notorious to face discrimination that interprets into low education level, low socio-economic status and lack of pertinent access to health care. The focus of the present study is to determine the prevalence and dependency with tobacco use among tribal gypsies in Thoothukudi district.

Materials and Methods:
The study design of the present study was a cross sectional which was done in Thoothukudi district in the month of December, 2019. Oral health status of the study population was analysed by WHO assessment form (adults), 2013. Tobacco dependence was analysed by Fagerstrom Nicotine dependency scale. The inclusion criteria were to include every gypsy person who is a citizen of Thoothukudi district and of all ages. The study included all the narikuravars (164) whose origin is Thoothukudi district. SPSS version 20.0 was used for statistical analysis. Descriptive statistics and Chi square tests were done to establish the distribution and association of the variables, respectively.

Results:
The total study participants of this cross-sectional study were 164, among them 128 were adults and 36 were children. Results revealed that among the adult population 64.55% were using tobacco, among them 29.1% were using smoking tobacco, 63.4% were using smokeless tobacco and 7.5% were using both. Medium nicotine dependency was more prevalent in both smoking and smokeless tobacco users (82.75% and 53.57%). The association between prevalence of tobacco use and gingival bleeding was statistically significant. Gingival bleeding was present in 88.9% of tobacco users and 11% of non-users (p value- 0.01). Significant association was found between gender and tobacco usage (p value- 0.042), dental erosion and tobacco usage (p value- 0.007). There exists significant association established between gender and nicotine dependency. (p value - 0.000).

Conclusion:
More than 60% of the adult study participants were using some form of tobacco. Medium tobacco dependency was prevalent among tobacco users. The tribal people have no access to all the services as their counterparts and it's our duty to educate them and create an insight about the ill effects of tobacco usage.
A study on the anxiety level and stress during Covid19 lockdown among the general population of West Bengal, India- A must know for primary care physicians
Authors: Bhowmick Subhrojyoti , Parolia Saksham , Jana Shubham , kundu Debarati , Choudhury Digbijoy , Das Nina , Ray krishnanghsu , karPurkaysatha Sujit 
Published: February 2021

Background:
Covid19 pandemic has resulted in drastic changes in human lives across the globe in the form of lockdown and an uncertain future. Information regarding the COVID-19-related anxiety and well-being among the public in India is very limited, especially from the state of West Bengal. We conducted this e-survey among the general population of West Bengal to assess the anxiety levels and the well-being status during lockdown. This information would be helpful to guide family physicians to screen patients for anxiety from the primary care level.

Aims:
The main aim of this questionnaire based study was to assess the levels of anxiety and well-being status among the public including the frontline workers in West Bengal, India.

Materials and Methods:
A prospective study was conducted with a validated e-questionnaire after Institutional Ethics committee approval, from 18th April, 2020 to 3rd May, 2020. The questionnaire had 12 questions which included the Generalized Anxiety disorder (GAD)-7 scale and the WHO-5 scale (5 question-items) to assess the well-being of the participants. The survey link was distributed through the social networking sites of WhatsApp, LinkedIn, Facebook and Twitter and e-mails within West Bengal. Microsoft Excel (version 2016) was used to analyse the data.

Results:
A total of 355 responses were received 15.49% responders were observed to have anxiety and 37.74% participants had low well-being scores. Majority of healthcare workers (89.47%) were seen to have anxiety and a significant (52.03%) had a low well-being status.

Conclusions:
We report the presence of anxiety and low well-being among the general population of West Bengal. It is important to understand the current psychological status of the public for the family physicians as many would visit them with vague symptoms. There is a dire need to screen all patients including front line workers visiting primary care physicians for mental health to ensure better clinical outcome.