bluuebunny/crossref_metadata_2025_split huggingface dataset:
L’invasion par la réalité (ou par la négociation) : angoisse d’extinction et éthique psychanalytique
Authors: Nociforo Nicola 
Published: January 2019

L’expression « angoisse d’extinction » décrit un sentiment généralisé et particulièrement réel de perte de tout avenir. En tant qu’émotion groupale caractérisée par la terreur d’une extinction de l’espèce humaine, de la famille ou de groupes professionnels et culturels, elle enserre l’individu dans un sentiment de désespoir et d’impuissance par l’entremise des groupes internes présents dans son esprit. Cet article vise à montrer qu’une angoisse d’extinction a également infecté les psychanalystes et les institutions psychanalytiques, affaiblissant ainsi l’éthique psychanalytique. Le terme « éthique » ne doit pas ici être confondu avec la morale ; il est compris comme un sentiment de bonheur inhérent à la capacité d’être responsable de soi-même et de son identité professionnelle. La contagion de l’angoisse d’extinction a, en fait, accentué la crise des psychanalystes et leur foi en la psychanalyse. L’auteur rapporte une expérience clinique particulièrement tourmentée pour montrer que seule une relation forte à la psychanalyse et à sa capacité d’interpréter les manifestations de l’inconscient permet de reconnaître les effets de ce qu’il définit comme un véritable envahissement par la réalité, et de restaurer le pouvoir de la pensée de nouer une relation profonde, transformationnelle et féconde entre les réalités interne et externe.
Les mouvements contre-transférentiels du superviseur et leurs interférences dans l’évaluation de la capacité des candidats à valider leur cursus : des facteurs toujours présents mais systématiquement sous-estimés
Authors: Ehrlich Lena Theodorou , Mann Kulish Nancy , Fitzpatrick Hanly Margaret Ann , Robinson Marianne , Rothstein Arden 
Published: January 2019

À partir de matériel détaillé et approfondi extrait de séances de supervision qui ont eu lieu dans le monde entier (étudié dans le cadre des groupes « Évaluation de la Fin de la Formation » [EFF]), cet article montre que les superviseurs sont sujets à des mouvements contre-transférentiels intenses, multiformes et variés, et parfois même continus, qui empiètent sur leur capacité d’évaluer les progrès des candidats. Les sources multiples, externes et internes, de ces interférences sont examinées ici. Les auteurs avancent l’idée que les mouvements contre-transférentiels des superviseurs et leurs manifestations via des mises en acte en parallèle demeurent sous-estimés et inutilisés, de même que leur impact et les informations qu’ils contiennent. Les auteurs soutiennent que la reconnaissance, l’endiguement et l’utilisation de ces phénomènes parallèles et des mouvements contre-transférentiels en supervision sont essentiels pour pouvoir évaluer les progrès des candidats et leur capacité de valider leur cursus. Ils décrivent également les signaux les plus courants de ce type d’enchevêtrement qui altère la fonction évaluative du superviseur et proposent trois solutions « tierces » pour aider les superviseurs à utiliser leur contre-transfert à bon escient : auto-supervision, consultation et mesures de correction institutionnelles.
Advanced Organizers: A Framework to Implement Learning Readiness in Support of Broad-Scale Change
Authors: Carkhuff Marjorie H , Crago Michael G 
Published: January 2019

ABSTRACT
Staff development educators are challenged to bring value to the adoption of new organizational management tools to improve the health care of patients. One strategy used to pursue health care excellence is the adoption of the ISO 9000 standards. However, implementation of this quality management system requires acceptance at all levels of the healthcare organization. This article explores the concept of learning readiness and uses an example of a training design strategy called an "Advanced Organizer." The authors describe its use as a development readiness strategy, outline the methodology for development and implementation, and provide steps for successful implementation. The implications for staff development educators are reviewed for the concept of learning readiness and broad-scale performance improvement initiatives.
Surviving the Nursing Shortage: Developing a Nursing Orientation Program to Prepare and Retain Intensive Care Unit Nurses
Authors: Cavanaugh Debra A , Huse Anita L 
Published: January 2019

ABSTRACT
The shortage of nurses has reached crisis proportions around the world. In response to a critical shortage of qualified neonatal intensive care nurses, one institution developed an educational program so comprehensive that they were able to increase their nursing staff by 20% and staff the neonatal intensive care unit with well-prepared and proficient nurses. This strategy has also resulted in high retention rates, a decrease in overtime, and a relatively low error rate by new nurses.
Influences of Patient Behavior on Clinical Nurses' Pain Assessment: Implications for Continuing Education
Authors: Horbury Carol , Henderson Amanda , Bromley Belinda 
Published: January 2019

ABSTRACT
Pain management is an important consideration in the promotion of patients' comfort. However, research continues to indicate patients' pain management is poor. The nursing literature cites nurses' lack of knowledge as a significant determinant of poor pain management practices. The impetus for this study arose from poor attendance by nurses at inservice sessions discussing pain assessment and management. Knowledge of existing nursing practice and accompanying beliefs and attitudes in relation to pain management is paramount in the development of relevant continuing education for registered nurses. The aim of this investigation was to study nurses' intention to treat pain in different patients. A 10-page questionnaire with eight different patient scenarios was distributed to 886 nurses across all clinical divisions of an acute tertiary facility. Results indicate knowledge deficits regarding optimum pain relief for patients. This article highlights the need for innovative teaching strategies and approaches in the clinical context to heighten nurses' awareness of their lack of knowledge of pain assessment and management.
Teaching Teachers to Teach With Technology
Authors: Doutrich Dawn , Hoeksel Renee , Wykoff Leslie , Thiele Joan 
Published: January 2019

ABSTRACT
As the local and national shortage of nursing faculty grew, the Washington State University College of Nursing revised and expanded their nursing education courses in a technologically intense pilot program. Reflections on all phases of the planning, implementation, and evaluation of the first course in this program are described as lessons learned with implications for future nursing education and research endeavors.
Peer Coaching: The Next Step in Staff Development
Authors: Waddell Donna L , Dunn Nancy 
Published: January 2019

ABSTRACT
A common problem in continuing nursing education and staff development is the transfer of learning to clinical practice. Peer coaching offers a solution to this problem. Initiated by educators, peer coaching has been researched in educational settings and found to be effective in facilitating the transfer of newly acquired knowledge and skill into classroom teaching strategies. This article describes the background, components, process, characteristics, and benefits of peer coaching. A specific example of using peer coaching to teach clinical breast examination skills is used to illustrate the application of peer coaching to the staff development of healthcare professionals. Peer coaching is the next step in nursing staff development.
Do New Graduates of Registered Nursing Programs in Israel Perceive Themselves as Technically Competent?
Authors: Greenberger Haya , Reches Hiba , Riba Shoshana 
Published: January 2019

ABSTRACT
Background: Technical competency of graduate nurses is a much sought after commodity by nurse managers in this age of limited human nursing resources. Clinical coursework in nursing school should provide the graduate with the core skills necessary to function safely and competently in a variety of clinical sites.
Methods: The research presented in this article examines the self-reported competency of 256 recent graduates of four different types of nursing programs in Israel, with respect to 53 technical skills. Information was collected via a structured questionnaire.
Results: Graduates generally perceive themselves as competent, although levels of competence varied for the different skills. Type of nursing program, opportunity for skill practice in nursing school, and employment in a healthcare facility were found to be related to competency.
Conclusions: Suggestions for improvement in competency levels, such as the provision of more opportunities for practice, are offered based on the specific findings of this study and in light of previous research.
THE USE OF HPLC AS A TOOL FOR NEONATAL CORD BLOOD SCREENING OF HAEMOGLOBINOPATHY - A VALIDATION STUDY
Authors: Al-Madhani A. , Pathare Anil , Alkindi Salam 
Published: January 2019

Background: Newborn cord blood screening identifies infants with underlying haemoglobinopathies before they develop the characteristic symptoms or sequelae. Aims: This study was performed to validate the interpretation high-performance chromatography (HPLC) along with complete blood count (CBC) results as a tool for universal neonatal screening of hemoglobin disorders in Oman. Methods: HPLC and CBC data on subjects who participated in the National Neonatal screening program at birth were obtained from archival records. The results recorded at birth were compared with a second study performed on the same subjects, after approval from the local medical research and ethics committee.Results: Only 290 subjects from amongst the original cohort of 3740 newborns could be recalled between April 2010 to March 2011, to repeat HPLC and CBC, as well as perform confirmatory DNA studies, wherever necessary. All these subjects had been documented to show an initial abnormal result. 31 cases who had no HbA at birth on HPLC were confirmed as either homozygous β-thalassaemia major (n=5 subjects) or homozygous sickle cell anemia (n=26 subjects) by appropriate DNA analysis. Additionally, amongst 151 subjects, 72 subjects were studied in the initial study by Hb Bart’s quantitation using aalpha thalassaemia short program at birth. In this cohort, 42 subjects with Hb Bart’s >1% at birth could be confirmed as having either deletional or non-deletional thalassaemia by GAP PCR studies. No case of HbH was detected in this cohort. Further, carrier status for structural hemoglobin variants (HbS, HbC, HbD, HbE) (n=67) and beta thalassaemia allele with low HbA at birth (n=29 out of 41) were confirmed by relevant molecular studies.Conclusions: The study validated the earlier observation by 100% concordance with results of CBC and HPLC. Presence of Hb Bart’s at birth does not always mean the presence of alpha thalassemia, as subjects with Hb Bart’s was below 1% by quantitation, were shown to be normal by molecular studies. Key Words: Neonatal, screening, HPLC validation, haemoglobinopathy, sickle cell disease, thalassaemia
Disablement Model and Health-Related Quality of Life Classification for Patient-Reported Outcomes Measurement Information System (PROMIS) Instruments
Authors: Snyder Valier Alison R. , Bacon Cailee E. Welch , Lam Kenneth C. 
Published: January 2019

ContextThe National Institutes of Health created a medical research road map that included the development of the Patient-Reported Outcomes Measurement Information System (PROMIS). A key feature of PROMIS was the development of patient-reported outcome measures (PROs) addressing various aspects of health. Understanding disablement dimensions and health-related quality-of-life (HRQOL) domains captured through PROMIS measures will help with instrument selection.ObjectiveTo evaluate the pediatric PROMIS PROs and determine the areas of disablement and HRQOL captured within each instrument.DesignDescriptive laboratory study.SettingLaboratory.Patients or Other ParticipantsTwenty-two pediatric PROMIS instruments (19 short forms and 3 profiles).Main Outcome Measure(s)Three raters independently reviewed the PROMIS instruments and categorized each question on each instrument according to the World Health Organization's International Classification of Functioning, Disability, and Health disablement model domains (body functions and structures, activity, participation, environmental factors, personal factors) and HRQOL (psychological, physical, social, spiritual, economic) dimensions. A consensus process determined the final question category. The frequencies of disablement model domains and HRQOL dimensions captured by questions on PROMIS instruments were reported.ResultsThe most frequently reported disablement model domain was body function and structure, which was captured by questions in 16/22 (73%) pediatric PROMIS instruments, followed by activity (13/22 [59%] pediatric PROMIS instruments) and participation (9/22 [41%] pediatric PROMIS instruments). The most frequently captured HRQOL dimensions were physical and psychological health, both evaluated in 13/22 (59%) of the pediatric PROMIS instruments. The social dimension of HRQOL was assessed in 9/22 (41%) of the pediatric PROMIS instruments.ConclusionsPediatric PROMIS fixed-length instruments captured a variety of disablement domains and health dimensions, but, like most PRO instruments, no single PROMIS instrument captured them all. Clinicians and researchers must consider their goals when selecting PRO instruments, which may require implementing multiple instruments and those beyond PROMIS.
La recepción temprana de Marcel Proust en el espacio de revistas culturales argentinas de los años veinte
Authors: Merbilhaá Margarita 
Published: January 2019

Este trabajo analiza el fenómeno de lectura de En busca del tiempo perdido, de Marcel Proust, a partir de la centralidad que cobró su recepción en un arco muy diverso de publicaciones literarias y culturales aparecidas en Buenos Aires en la década de 1920. Analiza el modo en que a través de éstas las diversas colaboraciones encontraron en la lectura de esta obra distintos motivos para definir una sensibilidad emergente y, por otro lado, para pensar el lugar del arte en nueva cultura urbana y masiva. En este sentido, se describen dos claves de lectura, espiritualista y de apertura a la experimentación narrativa, que junto a un interés por teorizar acerca de la novedad en el arte, confirman disposiciones vanguardistas que van más allá del grupo nucleado en torno a la revista Martín Fierro(1924-1927). Por último, el análisis se detiene en la apropiación específica de algunas ideas de Proust desde una experiencia cultural periférica respecto de los centros europeos.
Benito Milla: un Ulises desgraciado en el Río de la Plata. De Cuadernos Internacionales a Mundo Nuevo, del socialismo libertario al humanismo antibelicista
Authors: Jannello Karina 
Published: January 2019

El siguiente artículo se propone recuperar la gestión cultural del republicano español exiliado en Montevideo Benito Milla entre los años 1950 y 1965. Desde su arribo a Montevideo, alentado por sus ideales anarquistas, Milla configura un espacio de referencia para la cultura uruguaya que va reconfigurando una izquierda humanista y antibelicista. A través de sus revistas Cuadernos Internacionales, Deslinde, Letras 62, Número (2ª. época) y Temas,pero también a través de las editoriales que crea para la difusión de los nuevos talentos de la Generación del 45: Deslinde y Alfa, se constituye en un eslabón fundamental para comprender la fuerte expansión de la cultura uruguaya en esos años.
Escrituras de mujeres, las huellas del feminismo en las revistas de los Centros Académicos Independientes, Chile 1980-1990
Authors: Moyano Barahona Cristina 
Published: January 2019

Este artículo revisa la red textual que constituyeron las revistas Proposiciones, Apuntes para el Trabajo Social y el área de documentos de Trabajo de Flacso. Este grupo constituyó parte de los espacios donde las mujeres intelectuales de las ciencias sociales, que realizaron investigación-acción, utilizaron como medio para difundir los debates respecto de las condiciones de vida de las mujeres populares, dialogando con el feminismo y con la izquierda en proceso de renovación.El objetivo central corresponde a la identificación de los corpus de debates en los participaron las mujeres intelectuales socialistas, junto con resaltar el esfuerzo para generar una intersección entre el género y la clase. Desde 1980 hasta 1990, las revistas tuvieron a las mujeres como un actor central, pese a que disputaron esos espacios con otros intelectuales de la época. Así lo más valioso de estas escrituras es su carácter abierto al debate en las ciencias sociales, donde se instalan las marcas de un feminismo que aspiraba a dotar de sentido a lo popular.
El acierto en el fracaso. La revista Imán (1931), un episodio de la historia literaria latinoamericana
Authors: Maíz Claudio 
Published: January 2019

En este trabajo pretendemos poner de relieve que la fugacidad de la revista Imán, que apareció en París en 1931, editada por la argentina Elvira de Alvear (1907-1959) no mermó su capacidad en cuanto a los objetivos literarios que se había propuesto. Imánacertó cuando difundió fragmentos de obras de quienes formarían parte de la renovación de la prosa latinoamericana del siglo XX: Alejo Carpentier, Miguel Ángel Asturias y Arturo Uslar Pietri.
REINFORCEMENT OF RUBBER USING REACTIVE OLIGO(β-ALANINE) SUPRAMOLECULAR FILLERS
Authors: Tan Xin , Zhao Yihong , Hamed Gary , Jia Li 
Published: January 2019

ABSTRACT
Oligo(β-alanine)–based supramolecular fillers that possess an 11-mercaptoundecanoyl oleophilic moiety and an oligo(β-alanine) oleophobic moiety of varied lengths (SA1, SA2, and SA3, having a β-alanine unimer, dimer, and trimer moiety, respectively) have been systematically investigated for reinforcement of SBR. An analog of SA2 with 11-mercapto-undecanoyl being replaced by 3-mercaptopropanoyl, SA2′, was also studied for comparison. Fourier transform infrared evidence has confirmed that all supramolecular fillers exist exclusively as hydrogen-bonded β-sheets in the rubber composites. Differential scanning calorimetry studies have revealed that SA2, SA2′, and SA3 form crystalline domains in the SBR phase at all filler loadings, while SA1 only forms crystalline domains at &gt;15 phr, indicating that microphase separation from the SBR phase is weaker for SA1 than for its higher congeners. Transmission electron microscopy investigations have shown that the filler crystalline domains are dispersed uniformly as short fibers in a continuous SBR phase. The widths of the fibers are below 10 nm, and the lengths range from a few tens to a couple of hundreds of nanometers. The oligo(β-alanine)–based supramolecular fillers exhibit diverse reinforcing characteristics among themselves and in comparison with carbon black. SA1 gives comparatively high extensibility and low tensile strength, while SA2 and SA3 give relatively low extensibility, high stiffness, and high strength. SA2′ behaves similarly to SA1 at low filler loadings but significantly compromises the extensibility at relatively high loadings. Cyclic tensile testing shows that SA1 gives high hysteresis and high set, while SA2 and SA3 give low hysteresis at low elongation and high hysteresis at high elongation in comparison with carbon black. Dynamic mechanical study at 2% strain shows that SA1, SA2, and SA3 result in markedly lower tan δ at 60 °C than carbon black. In addition, abrasion study shows that SA1 and SA2 result in lower weight loss than carbon black at 30 phr of filler loading.
Discourse Analysis of References in the Speech of Amir of Qatar Sheik Tamim Bin Hamad Al -Thani in the 72 Session of the United Nations General Assembly
Authors: Al-Khalidy Hatmal Odeh 
Published: January 2019

Discourse as a connected speech which extends beyond the borders of a single sentence. Therefore, this study analyse references in the speech of Amir of Qatar Sheik Tamim Bin Hamad Al -Thani in the 72 session of the United Nations General Assembly on 19- September 2017. The researcher will present personal, demonstratives and comparative references by analysing their frequency of occurrence as an analytical study. Basically, this study reveals that personal references are most frequently used by Sheik Tamim, followed by demonstrative references. The comparative references happen to be the least occurring type.
Right to One's Own Image in Spain: What It Is and What It Is Not
Authors: Sánchez de Diego Manuel 
Published: January 2019

Abstract
The right to one's own image is a relatively young right that, in Spain, has its roots in the dignity of the person and it was first recognized in the 1978 Constitution. It is a right that arises from the self-determination of the human being and that is related with other rights such as the right to honor, privacy, protection of personal data, even with older ones such as the right to the inviolability of the home and the right to secrecy of communications. This characteristic makes it different from a purely commercial right, although it can't be denied that, possibly, this is the constitutional right with the greatest economic content.
The Implant stability and bone height changes for immediately loaded single implant-retained mandibular overdentures with locator attachments
Authors: Abdel-Khalek Elsayed Abdallah , El Mekawy Nesreen 
Published: January 2019

Aim: The aim was to evaluate the efficacy of attachment placement on initial stability and bone height changes for immediately loaded single-implants retaining mandibular overdentures.
Methodology: Twenty edentulous patients were recruited for this study; 9 females (45.0%) and, 11 males (55.0%) (age ranged from 59.0 to 70.0 year). Single endoosseos implant was inserted in the mandibular midline region. Immediately after surgery; Locator abutment was secured on the implant and the male housing was connected intraorally using direct pick-up procedure. Marginal bone height measurements and implant stability values were assessed at the time of implant placement (baseline), 2,4,6,8, 12, 24 weeks then every 6-month interval up to 18 months post-implant placement.
Results: The implant stability values decreased markedly from the baseline, during 4 weeks and, then increased gradually until reaching the initial values after 12 weeks followed by continuous increase to study’s end (p<0.05). The peri-implant marginal bone level revealed an acceptable range of bone loss with a statistically signiﬁcant differences between different follow-up times and it continued to the end of the study (p<0.05).
Conclusion: Retaining an overdenture by immediately loaded single implant could be a successful treatment option for mandibular edentulous arches, especially in people with limited financial resources. The use of Locator attachment seemed to have a favorable effect on implant stability and marginal bone around immediately loaded single implant mandibular overdenture after 18-months of function.