bluuebunny/crossref_metadata_2025_split huggingface dataset:
General practice in UK newspapers: an empirical analysis of over 400 articles
Authors: Barry Eleanor , Greenhalgh Trish 
Published: January 2019

BackgroundIn the context of the biggest GP workforce crisis since the NHS began, the alleged negative portrayal of UK general practice in the media is often cited as a reason for falling recruitment.AimTo explore how general practice and GPs are depicted in UK national newspapers.Design and settingA thematic analysis of all newspaper articles mentioning GPs or general practice published in the UK from late October 2016 to early October 2017 was undertaken, along with a sample of articles on hospital medicine.MethodArticles were identified through the LexisNexis® Academic UK search engine; relevant titles were tabulated and data extracted. A preliminary coding scheme was developed through discussion and used to categorise data; additional codes and categories were added iteratively as the analysis progressed.ResultsIn total, 403 articles on general practice or GPs were identified, and 100 on hospital specialists or specialties were sampled. Articles depicted UK general practice as a service in crisis, with low morale and high burnout, and leaving gaps in patient care. The traditional family doctor service was depicted as rapidly eroding through privatisation and fragmentation, with GPs portrayed as responsible for the crisis and the resulting negative impact on quality of care. Hospital specialties were also illustrated as under pressure, but this crisis was depicted as being the fault of the government. GP leaders interviewed in the press were usually defending their specialty; hospital doctors were usually sharing their expertise.ConclusionNewspaper portrayals of general practice are currently very negative. Efforts to influence the media to provide a more balanced perspective of general practice should continue.
Disease Damage Influences Cardiovascular Risk Reclassification Based on Carotid Ultrasound in Patients with Systemic Lupus Erythematosus
Authors: Quevedo-Abeledo Juan C. , Rúa-Figueroa Íñigo , Sánchez-Pérez Hiurma , Tejera-Segura Beatriz , de Vera-González Antonia , González-Delgado Alejandra , Llorca Javier , González-Gay Miguel Á. , Ferraz-Amaro Iván 
Published: January 2019

Objective.Composite scores of cardiovascular (CV) risk factors underestimate the CV risk in patients with systemic lupus erythematosus (SLE). Carotid artery ultrasound (US) was found useful in identifying high CV–risk patients with inflammatory arthritis. We assessed the effect of carotid US assessments on the CV risk stratification of patients with SLE.Methods.This cross-sectional study included 276 patients with SLE. These indices were measured: lipid profile, Systematic COronary Risk Evaluation (SCORE) risk calculation, and disease activity (SLE Disease Activity Index), severity (Katz), and damage [Systemic Lupus International Collaborating Clinics (SLICC)/American College of Rheumatology Damage Index]. Carotid plaques were assessed by US. A multivariable regression analysis, adjusted for classic CV-related factors, was performed to evaluate how risk reclassification was influenced by disease characteristics in patients with SLE.Results.Thirty-six percent of patients had carotid plaques. However, only 6% of them fulfilled the definitions for high or very high risk according to the SCORE risk charts. Following carotid US assessment, 32% of the patients were reclassified as very high risk. Disease duration (OR 1.04, 95% CI 1.00–1.07, p = 0.025) and a SLICC > 0 (OR 2.48 95% CI 1.15–5.34, p = 0.020) were independently associated with a higher risk of reclassification. A predictive model for reclassification included age (cutoff 52 yrs, sensitivity 60%, specificity 86%), disease duration (cutoff 24 yrs, sensitivity 40%, specificity 82%), presence of hypertension, SLICC > 0, waist circumference (cutoff 102 cm, sensitivity 48%, specificity 84%), and C3 (cutoff 127 mg/dl, sensitivity 52%, specificity 92%) and triglyceride (cutoff 140 mg/dl, sensitivity 68%, specificity 79%) serum levels.Conclusion.Reclassification into a very high–risk category is frequent after carotid US assessments in patients with SLE. This is independently influenced by disease damage.
Justice acquisitive, liberté négative et exploitation : le libertarisme est-il cohérent ?
Authors: Lazzeri Christian 
Published: January 2019

Le libéralisme classique n’a que peu abordé théoriquement la question de l’exploitation économique ; à l’inverse, le libertarisme (de droite comme de gauche) tente de rendre compte de ce phénomène à partir du concept central de liberté négative. Une telle option théorique tend à mettre en valeur l’asymétrie entre les libres transactions marchandes et la coercition exercée par des groupes sociaux ou par l’État qui représente la seule définition possible du concept d’exploitation. Au plan normatif, les principes libertariens de justice acquisitive constituent tout à la fois la justification de l’inégalité de la propriété et de l’échange marchand et le principe d’une critique de l’exploitation. L’article interroge la possibilité de construire un concept d’exploitation consistant au moyen des concepts de liberté négative et de justice acquisitive. Codes JEL : D31, D63, D86, J01, J21, J41, P1, P14, P26
La religion du corps-marchandise : un nouvel opium du peuple ?
Authors: Ollier Fabien 
Published: January 2019

Quel corps ? De cette question fondamentale en découlent des myriades qui concernent le corps-pour-soi, le corps-pour-autrui, le corps-au-monde, le corps-à-la-vie, le corps symbolique, le corps métapsychologique, le métacorps, le corps politique. Cet article se focalise sur le corps comme rapport politique . Pris dans les rouages des institutions et appareils capitalistes qui l’exploitent, le numérisent, le vendent et l’achètent morceaux par morceaux, le corps humain souffre de l’élimination progressive de toute vie possible. En retour, comme pour compenser la réification qu’il endure, le corps n’a jamais été autant vénéré qu’aujourd’hui. Les soins, les performances, les modifications, les prétendues augmentations, les imaginaires utopiques du corps sont au cœur de toutes les préoccupations. Il n’est même plus exagéré de parler d’ obsession du corps . Mais tous les dispositifs sociaux, politiques, idéologiques de l’emprise au corps participent surtout de la fausse conscience sur le corps.
Mettre en travail les représentations ethno-raciales par la recherche-intervention : le cas de la formation en travail social
Authors: Baralonga Louisa 
Published: January 2019

Afin de mettre en travail les représentations ethno-raciales, cet article présente un dispositif de recherche-intervention déployé auprès de sujets-apprenants, inscrits dans deux écoles de travail social en Île-de-France. Dans le contexte des attentats parisiens qui ont eu lieu entre 2015 et 2016 et l’accroissement de l’accueil de mineurs dits non accompagnés dans les institutions sociales ou médico-sociales franciliennes, l’approche pédagogique proposée a permis d’accueillir les expériences de violence socio-raciale – dont sont parfois témoins, victimes ou auteurs les futurs travailleurs sociaux –, et de mettre en mouvement les identifications entre les sujets-apprenants en formation, leur permettant ainsi de déployer leurs aptitudes socioéducatives et cliniques.
Winnicott, élève de Melanie Klein ?
Authors: Drossart Francis 
Published: January 2019

Résumé À partir de certains textes de Winnicott, et de façon non exhaustive, nous essayons de montrer combien sa pensée se situe dans la continuité de celle de Melanie Klein (dont il se considère être l’« élève »), mais aussi comment elle s’en différencie, notamment, quant au rôle attribué par Klein à la pulsion de mort dans les phénomènes de destructivité, phénomènes que Winnicott étudie sous un autre angle. Mais aussi, quant à la genèse du faux self, l’un des apports essentiels de Winnicott à la clinique psychanalytique.
Donald Meltzer, grand passeur de l’école kleinienne
Authors: Durieux Marie-José 
Published: January 2019

Résumé Donald Meltzer a largement contribué à l’introduction de la pensée kleinienne en France en se rendant régulièrement aux invitations du gerpen depuis les années 1970. Il est intéressant de se souvenir notamment de ses commentaires abondants et étayés du formidable ouvrage posthume de Melanie Klein, le fameux « cas Richard », qui défraya la chronique dans l’Université française et qui est encore aujourd’hui très riche d’enseignements.
Un écrivain public en Maison d’arrêt
Authors: Arveiller-Bachet Odile 
Published: January 2019

Cela fait 12 ans que la présence d’un écrivain public au sein de la Maison d’Arrêt de Nanterre a été souhaitée conjointement par le Directeur de l’établissement pénitentiaire et celui du Service Pénitentiaire d’Insertion et de Probation. Dans ce but, il a été fait appel à une association très active de correspondance épistolaire avec les personnes détenues : le Courrier de Bovet. Récit d’une expérience.
De la danse thérapeutique au savoir d’expérience
Authors: Neirynck Isabelle , Beaujean Jacques 
Published: January 2019

L’expérience vécue au décours de la pratique thérapeutique est constitutive d’un savoir d’expérience d’une grande richesse pour démystifier les côtés vécus comme « magique » ou simplement compassionnel de la psychothérapie, alors qu’elle est un processus fait de multiples petites touches, un peu comme la peinture impressionniste. Une des difficultés réside en la façon de mettre au jour ce savoir d’expérience et les processus par lesquels il s’est construit. Beaujean et ses collaborateurs du CFTF à Liège (Belgique) ont construit un outil réflexif qui se propose de répondre à cette difficulté : la vignette de savoir d’expérience (VSE).
Reconstruction de l’image du père absent chez l’enfant migrant, une danse entre présence et absence, entre réel et symbolique
Authors: Platteau Geneviève 
Published: January 2019

De nombreuses familles de migrants, principalement des familles monoparentales marocaines, consultent à l’hôpital des enfants à Bruxelles dans le service de pédopsychiatrie de l’Hôpital universitaire des enfants Reine-Fabiola (HUDERF) pour des troubles du comportement, de l’attention, des problèmes psychosomatiques. Ces familles viennent sans le père qui a souvent « disparu » et reste « absent-présent », ou « absent ». Le but de ces entretiens est d’aider l’enfant à se représenter ce père, par le langage analogique, et au moyen d’objets flottants, à se situer par rapport à sa double appartenance ; ce travail se fait en présence de la mère et de la fratrie, partenaires précieux. Il est intéressant de découvrir que les représentations réelles et imaginaires diffèrent ; celles-ci permettent la symbolisation de la place du père, l’élaboration d’un deuil éventuel, la découverte de l’ambivalence, la construction de nouveaux liens dans un contexte plus sécure.
Hospital Nurses' Self-Reported Confidence in Their Telehealth Competencies
Authors: van Houwelingen Cornelis T.M. , Ettema Roelof G.A. , Kort Helianthe S.M. , ten Cate Olle 
Published: January 2019

Background:
The diffusion of telehealth into hospital care is still low, partially because of a lack of telehealth competence among nurses. In an earlier study, we reported on the knowledge, skills, and attitudes (KSAs) nurses require for the use of telehealth. The current study describes hospital nurses' confidence in possessing these telehealth KSAs.

Method:
In a cross-sectional study, we invited 3,543 nurses from three hospitals in the Netherlands to rate their self-confidence in 31 telehealth KSAs on a 5-point Likert scale, using an online questionnaire.

Results:
A total of 1,017 nurses responded to the survey. Nine KSAs were scored with a median value of 4.0, 19 KSAs with a median value of 3.0, and three KSAs with a median value of 2.0.

Conclusion:

Given that hospital nurses have self-confidence in only nine of the 31 essential telehealth KSAs, continuing education in additional KSAs is recommended to support nurses in gaining confidence in using telehealth. [
J Contin Educ Nurs.
2019;50(1):26–34.]
Automated Irrigation/Aspiration Before Phacoemulsification in Eyes With White Cataracts
Authors: Chen Yung-Jen , Wu Pei-Chang 
Published: January 2019

* BACKGROUND AND OBJECTIVE: A white mature cataract still presents a significant challenge for the cataract surgeon. Because of the reduced visibility and increased intracapsular pressure in such cases, it is difficult to consistently achieve controlled continuous curvilinear capsulorhexis. Several simple procedures for treatment of eyes with white mature cataract are described.
* PATIENTS AND METHODS: Seven consecutive patients (7 eyes) with white cataracts were enrolled for cataract surgery from July 2002 to February 2003. A small, central anterior capsular opening was created after carefully filling the anterior chamber with viscoelastic agents. Automated irrigation/aspiration by lowering of a connected bottle of balanced salt solution was used to aspirate the liquefied milky lens contents and decrease intracapsular pressure.
* RESULTS: All patients obtained controlled capsulorhexis, safe cataract phacoemulsification, and in-thebag intraocular lens implantation.
* CONCLUSION: Automated irrigation/aspiration before phacoemulsification is safe and effective for eyes with white cataracts.
[Ophthalmic Surg Lasers Imaging 2005,36:118-121.]
Surgical Management of Non-Metallic and Non-Magnetic Metallic Intraocular Foreign Bodies
Authors: Soheilian Masoud , Feghi Mostafa , Yazdani Shahin , Anisian Arash , Ahmadieh Hamid , Dehghan Mohammad H , Azarmina Mohsen , Moradian Siamak , Moshfeghi Andrew A , Peyman Gholam A 
Published: January 2019

* BACKGROUND AND OBJECTIVE: To identify clinical features and evaluate outcomes of vitreoretinal surgery in eyes with retained non-metallic and nonmagnetic metallic intraocular foreign bodies (IOFBs).* PATIENTS AND METHODS: Retrospective chart review. Thirty-two eyes (28 patients) with non-metallic and non-magnetic metallic IOFBs underwent removal of IOFBs with intraocular forceps, either via the pars plana in 30 eyes (93.9%) or a limbal approach in 2 eyes (6.25%). The main outcome measures were postoperative visual acuity, rate of retinal break formation, development of retinal detachment, and type of IOFB.* RESULTS: IOFBs were non-metallic in 22 eyes (68.7%) and non-magnetic metallic in 10 eyes (31.1%). The average follow-up period was 7.5 months. Overall, final visual acuity was 20/40 or better in 10 eyes (31.1%) and 5/200 to 20/50 in 10 eyes (31.1%). A higher incidence of retinal break formation posterior to the sclerotomy was seen with glass IOFBs (P= .02). Retinal detachment was observed preoperatively in 4 eyes (12.5%) and postoperatively in 2 eyes (6.25%).* CONCLUSION: Final visual outcome was independent of size and type of IOFB. Pars plana extractions may be associated with a higher rate of retinal break formation and subsequent retinal detachment, particularly with glass IOFBs.[Ophthalmic Surg Lasers Imaging 2005;36:189196.]
Le réseau routier cévenol au Moyen Âge : un lien entre Massif central et sillon rhodanien
Authors: Brechon Franck 
Published: January 2019

La relation entre la route et la montagne a souvent été pensée en termes d’obstacle, de césure entre deux plaines ou de contraintes de circulation. Cette approche, trop limitative, n’est pas fonctionnelle pour le Massif central, qui offre de très vastes étendues à une altitude moyenne assez élevée. Dans ce contexte, cette relation doit être repensée pour prendre en compte le rôle propre de la montagne. À l’échelle du rebord sud-est du Massif central, les contacts entre plaine et montagne mettent à profit les complémentarités climatiques et productives, et induisent des flux commerciaux qui se développent à compter du xiiie siècle. Ces flux sont à l’origine d’une structuration originale du réseau routier presque entièrement dédié à ces circulations qui relient plaines et plateau. Il n’est alors pas question de traverser la montagne, mais de la desservir et de l’irriguer.
Des sommets des Pyrénées à la cartographie de la Grèce : Pierre Peytier (1793-1862)
Authors: Débarbat Suzanne 
Published: January 2019

Dans le cadre fixé pour le Congrès des sociétés historiques et scientifiques de 2017, « Circulations montagnardes et européennes », qui se tenait à l’université de Pau et des pays de l’Adour, la carrière de Pierre Peytier (1793-1862), qui a œuvré dans les Pyrénées puis en Grèce, a été examinée. Ses travaux s’insèrent, principalement à partir de 1816, dans le projet de nouvelle carte de France, projet qui réalisera ce qui s’est appelé la Carte d’état-major. Puis, entre 1828 et 1836, Peytier est appelé comme ingénieur-géographe du Dépôt de la guerre à être associé aux savants de l’expédition de Morée, chargée de contribuer à la cartographie de la Grèce. Il rédigera en outre le troisième volume du tome IX du Mémorial du Dépôt général de la guerre en 1853.
IL-27 and TCR Stimulation Promote T Cell Expression of Multiple Inhibitory Receptors
Authors: DeLong Jonathan H , O’Hara Hall Aisling , Rausch Matt , Moodley Devapregasan , Perry Joseph , Park Jeongho , Phan Anthony T , Beiting Daniel P , Kedl Ross M , Hill Jonathan A , Hunter Christopher A 
Published: January 2019

Abstract
Inhibitory receptors (IR) are a diverse group of cell surface molecules that modulate T cell activation, but there are gaps in our knowledge of the cell-extrinsic factors that regulate their expression. The present study found that in vivo overexpression of IL-27 in mice led to increased T cell expression of PD-L1, LAG-3, TIGIT, and TIM-3. In vitro, TCR stimulation alone promoted expression of multiple IRs, whereas IL-27 alone induced expression of PD-L1. However, the combination of intermediate TCR stimulation and IL-27 resulted in synergistic induction of LAG-3, CTLA-4, and TIGIT. In vivo, infection with Toxoplasma gondii resulted in parasite-specific effector T cells that expressed high levels of IR, and at local sites of infection where IL-27 production was highest, IL-27 was required for maximal effector cell expression of PD-L1, LAG-3, CTLA-4, and TIGIT. Together, these results affirm the critical role of TCR signals in the induction of IR expression but find that during infection, IL-27 promotes T cell expression of IR.
The Omega-3 Index in National Collegiate Athletic Association Division I Collegiate Football Athletes
Authors: Anzalone Anthony , Carbuhn Aaron , Jones Lauren , Gallop Ally , Smith Alex , Johnson Palmer , Swearingen Lisa , Moore Craig , Rimer Ernest , McBeth Joe , Harris William , Kirk K. Michelle , Gable David , Askow Andrew , Jennings Will , Oliver Jonathan M. 
Published: January 2019

Context
The essential omega-3 fatty acids (ω-3 FAs) eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) exhibit vital biological roles and are critical for cardiovascular and neurologic health. Compared with the general population, football athletes may be at an increased risk of cardiovascular disease. Further, those same athletes are also exposed to repetitive head impacts, which may lead to long-term neurologic deficits. Both diets high in ω-3 FAs and supplementation with ω-3 FAs have been reported to reduce the risk of cardiovascular disease, and early evidence suggests a potential neuroprotective effect of supplementation.

Objective
To determine the (1) erythrocyte content of DHA and EPA, as measured by the Omega-3 Index, expressed as a percentage of total fatty acids, in National Collegiate Athletic Association Division I football athletes and (2) distribution across the Omega-3 Index risk zones established for cardiovascular disease: high risk, &lt;4%; intermediate risk, 4% to 8%; and low risk, &gt;8%.

Design
Cross-sectional descriptive study.

Setting
Multicenter trial.

Patients or Other Participants
Deidentified data including complete erythrocyte fatty acid profile from the 2017–2018 season, age at time of testing, height, weight, and ethnicity were collected from 404 athletes.

Main Outcome Measure(s)
Omega-3 Index.

Results
About 34% of athletes (n = 138) had an Omega-3 Index considered high risk (&lt;4%), and 66% (n = 266) had a risk considered intermediate (4%–8%). None had a low-risk Omega-3 Index.

Conclusions
The Omega-3 Index is a simple, minimally invasive test of ω-3 FA status. Our data indicate that football athletes may be deficient in the ω-3 FAs DHA and EPA. The fact that no athlete had an Omega-3 Index associated with low risk suggests football athletes may be at increased risk for cardiovascular disease in later life.
A multi-technology analysis of the 2017 North Korean nuclear test
Authors: Gaebler Peter , Ceranna Lars , Nooshiri Nima , Barth Andreas , Cesca Simone , Frei Michaela , Grünberg Ilona , Hartmann Gernot , Koch Karl , Pilger Christoph , Ross J. Ole , Dahm Torsten 
Published: January 2019

Abstract. On 3 September 2017 official channels
of the Democratic People's Republic of Korea announced the successful test of
a thermonuclear device. Only seconds to minutes after the alleged nuclear
explosion at the Punggye-ri nuclear test site in the mountainous region in
the country's northeast at 03:30:02 (UTC), hundreds of seismic stations
distributed all around the globe picked up strong and distinct signals
associated with an explosion. Different seismological agencies reported body
wave magnitudes of well above 6.0, consequently estimating the explosive
yield of the device on the order of hundreds of kT TNT equivalent. The
2017 event can therefore be assessed as being multiple times larger in energy
than the two preceding North Korean events in
January and September 2016. This study provides a multi-technology analysis of the 2017 North Korean event
and its aftermath using a wide array of geophysical methods. Seismological
investigations locate the event within the test site at a depth of approximately
0.6 km below the surface. The radiation and generation of P- and S-wave energy in
the source region are significantly influenced by the topography of the Mt.
Mantap massif. Inversions for the full moment tensor of the main event reveal a
dominant isotropic component accompanied by significant amounts of double couple
and compensated linear vector dipole terms, confirming the explosive character
of the event. The analysis of the source mechanism of an aftershock that occurred
around 8 min after the test in the direct vicinity suggest a cavity
collapse. Measurements at seismic stations of the International Monitoring
System result in a body wave magnitude of 6.2, which translates to an yield
estimate of around 400 kT TNT equivalent. The explosive yield is possibly
overestimated, since topography and depth phases both tend to enhance the peak
amplitudes of teleseismic P waves. Interferometric synthetic aperture radar
analysis using data from the ALOS-2 satellite reveal strong surface deformations
in the epicenter region. Additional multispectral optical data from the Pleiades
satellite show clear landslide activity at the test site. The strong surface
deformations generated large acoustic pressure peaks, which were observed as
infrasound signals with distinctive waveforms even at distances of 401 km. In
the aftermath of the 2017 event, atmospheric traces of the fission product
133Xe were detected at various locations in the wider region. While
for 133Xe measurements in September 2017, the Punggye-ri test site is
disfavored as a source by means of atmospheric transport modeling, detections in
October 2017 at the International Monitoring System station RN58 in Russia
indicate a potential delayed leakage of 133Xe at the test site from the
2017 North Korean nuclear test.