bluuebunny/crossref_metadata_2025_split huggingface dataset:
Entre thanatographie et pathographie, la mort médicalisée d'Hervé Guibert
Authors: Milat Christian 
Published: June 2019

Dans À l’ami qui ne m’a pas sauvé la vie, la mort est omniprésente : celle des autres — notamment celle de Muzil/Foucault — comme celle du narrateur/auteur, conséquence du sida ou menace exercée par cette maladie. Cet article étudie, dans une approche épistémocritique, comment le savoir médical que l’œuvre mobilise contribue à l’écriture de la mort. Il analyse les différentes fonctions — éthique, réaliste, didactique, mystificatrice, esthétique, sémantique, heuristique, dénonciatrice — remplies par les références médicales. Il montre enfin dans quelle mesure l’écriture de la mort aboutit à s’en libérer.AbstractIn À l’ami qui ne m’a pas sauvé la vie, death is omnipresent: other people’s — Muzil/Foucault’s in particular — and the narrator/author’s death as a result or threat of AIDS. Through an epistemocritical approach, this article studies how the medical knowledge mobilized by the novel contributes to the depiction of death. It analyses the several functions — ethical, realist, didactic, mystifying, aesthetic, semantic, heuristic, denunciatory — performed by the medical references. Finally, it shows to what extent writing about death liberates the author.
Hervé Guibert - photographe?
Authors: Poinat Frédérique 
Published: June 2019

Cet article interroge Hervé Guibert en tant que photographe. Dans un premier temps, l’analyse se penche sur la pertinence de la toute nouvelle critique, prologue du catalogue de l’exposition de ses photographies à la Maison européenne de la photographie (2011) : Hervé Guibert photographe. Dans un second temps, l’auteure va rechercher les préoccupations véritables de l’écrivain lorsqu’il utilisait la photographie. Il s’agit alors de montrer que l’organisation photographique était liée à l’exploration de nouvelles limites, que ce soit dans le choix des sujets et leur mise en scène dans le livre, de l’exploration de sens nouveaux ou encore de jeux à deux sur le portrait et l’autoportrait.AbstractThis article questions the recent consideration of Hervé Guibert as photographer. The author will critically assess Hervé Guibert photographe (Hervé Guibert photographer), the catalogue for an exhibition at the Maison européenne de la photographie, Paris, in 2011. Then she will reflect on important dimensions of Guibert’s work with Photography that tended to be ignored in the publication. Three dimensions will be considered, firstly the exploration of new limits, either in the choice of topics and their organisation into a book; secondly a research of new senses and finally pair experiments around the notions of portrait and self-portrait.
CONSIDERAÇÕES SOBRE A DEPENDÊNCIA LATINO-AMERICANA À LUZ DA TEORIA MARXISTA
Authors: Bittencourt David , Farias Hilder , Matos Phelipe 
Published: June 2019

A discussão da dependência latino-americana e do modo como a região passou a fazer parte da economia capitalista efetivamente a partir do início do século XX, bem como os resultantes desse processo, estão estritamente ligados à discussão do desenvolvimento na região, inclusive do próprio Brasil, país que viveu esse processo de modo muito intenso durante seu processo de industrialização. Nesse sentido, entender a posição da região no capitalismo mundial é compreender o processo que a caracteriza e efetivamente a mantém como região dependente e periférica, além de identificar suas consequências, uma compreensão necessária a qualquer esforço de superação.
PERSPECTIVA DO PROCESSO DE TRABALHO NOS MODELOS FORDISTA E TOYOTISTA
Authors: RODRIGUEZ Mónica Liseth Cardozo , PAMPOLHA Francivane Teles 
Published: June 2019

O conceito de produção e produtividade do trabalho ao longo dos anos criou uma demanda de necessidade de estruturar processos de produção cada vez mais competitivos e dotados de princípios de racionalidade, flexibilidade e de tecnologia, os quais impulsionaram a indústria ao comprometimento de adotar técnicas organizacionais de produção mais sistêmica nos moldes de larga escala produtiva inerentes aos novos modelos de produção como o Taylor-Fordismo e Toyotismo, ambos consolidados em bases de produção racional e de técnicas para produzir mais e de uma forma moldada a cada modelo produtivo coerente aos conceitos de gestão de produção funcional de linha de montagem ede flexibilidade na forma enxuta de produzir com quase zero desperdício. Agora a produção em massa é o que determina os preços das mercadorias e não produto por produto. A questão é que altas escalas de produtividade faz que a forma valor produto jamais seja definido pelo trabalhador individual se não pela divisão de trabalho social; por tanto, já não é o trabalhador quem impõe o preço da sua mercadoria “Força de Trabalho”, é a estrutura produtiva quem define o seu custo. A produtividade de uma empresa exige mudanças diárias na configuração dos processos de trabalho e por tanto a saturação em um trabalhador de atividades que geram valor.
Parecer
Authors: Silva Reinaldo Pereira e 
Published: June 2019

Honra-me a Ilma. Sra. Presidenta da Associação dos Procuradores do Estado de Santa Catarina, Dra. Angela Cristina Pelicioli, com a designação para elaborar parecer sobre a recente reforma constitucional da Administração Pública, em conformidade com os quesitos aprovados pela Associação Nacional dos Procuradores do Estado, em reunião realizada em Maceió, Estado de Alagoas, em data de 17.04.98. Assim sendo, e observando como norte ideológico deste parecer, além de minhas convicções pessoais, as deliberações da aludida associação estadual da qual sou vice-Presidente, passo a enfrentar, um a um, os quesitos considerados relevantes para a carreira de Procurador do Estado e do Distrito Federal.
Conversa com a polícia judiciária
Authors: Machado L.A 
Published: June 2019

1. A titularidade constitucional do inquérito policial e da investigação criminal pela Polícia Judiciária (Federal, na União, e Civil, nos Estados). 2. O entendimento do princípio constitucional da ampla defesa, pessoal e técnica do investigado. 3. O due process of law e o princípio do contraditório. 4. A vinculação do Ministério Público, como dominus litis criminal, a inquérito policial ou informações que não tenha produzido. 5. A conseqüente inconstitucionalidade da absorção, pelo Ministério Público, da investigação e do processo crime. 6. O ato administrativo vinculado do inquérito policial e da denúncia. 7. A imprestabilidade da prova coligida pelo Ministério Público, fora do processo crime, pela aplicação do princípio do fruto da árvore envenenada (poisonous tree doctrine).
El Derecho Europeo y su incidencia en la Administración
Authors: Ferrari Giuseppe Franco 
Published: June 2019

El Autor ilustra las transformaciones del sistema administrativo nacional inducidas por la integración europea, aunque en un marco de recíprocos intercambios e influencias. En la prima parte, el Autor pone de relieve las peculiaridades del sistema decisional comunitario, desde la óptica de la así llamada comitología, y de su estructura “en red”. Como consequencia de la integración, se manifestó como necesaria la creación de estructuras interministeriales o en la maquina de la Presidencia del Consejo de Ministros, con tareas de coordinación entre políticas administrativas nacionales y comunitarias, y de organismos operantes en el ámbito de lasdiferentes formas de co-administración, de auxiliariedad y de ejecución también, como en el caso de las Autoridades Independientes cuya creaciónha sido impulsada por la legislación comunitaria. Sucesivamente, el Autorsubraya la entrada del principio de subsidiaried en el ordenamiento nacional que ha contribuido a una profunda reforma de la articulación territorial del poder, los entes territoriales diferentes del Estado así alcanzando un nivel decisamente superior de autonomía. En fin, el Autor analiza la “europeización” del derecho administrativo sustancial (privatizaciónes, liberalizaciones, contratos públicos, principios de proporcionalidad, de legítimo encargo, de precaución, con sus evidentes manifestaciones en el procedimiento administrativo) y procesal también.
Outcome of Revision Surgery for Infection After Total Knee Arthroplasty
Authors: Leta Tesfaye H. , Lygre Stein Håkon L. , Schrama Jan C. , Hallan Geir , Gjertsen Jan-Erik , Dale Håvard , Furnes Ove 
Published: June 2019

Background:
Periprosthetic joint infection (PJI) after knee arthroplasty surgery remains a serious complication, yet there is no international consensus regarding the surgical treatment of PJI. This study aimed to assess prosthesis survival rates, risk of revision, and mortality rate following different surgical strategies (1-stage versus 2-stage implant revision and irrigation and debridement with implant retention) that are used to treat PJI.

Methods:
The study was based on 644 total knee arthroplasties (TKAs) that were revised because of a deep infection (i.e., surgically treated PJI) and reported to the Norwegian Arthroplasty Register (NAR) from 1994 to 2016. Kaplan-Meier and multiple Cox regression analyses were performed to assess implant survival rate and risk of revision. We also studied mortality rates at 90 days and 1 year after revision for PJI.

Results:
During the follow-up period, 19% of the irrigation and debridement cases, 14% of the 1-stage revision cases, and 12% of the 2-stage revision cases underwent a subsequent revision because of a PJI. The 5-year Kaplan-Meier survival rate with revision for infection as the end point was 79% after irrigation and debridement, 87% after 1-stage revision, and 87% after 2-stage revision. There were no significant differences between 1-stage and 2-stage revisions with subsequent revision for any reason as the end point (relative risk [RR], 1.7; 95% confidence interval [CI], 0.9 to 3.5) and no difference with revision because of infection as the end point (RR, 1.6; 95% CI, 0.7 to 3.7). In an age-stratified analysis, however, the risk of revision for any reason was 4 times greater after 1-stage revision than after 2-stage revision in patients over the age of 70 years (RR, 4.3; 95% CI, 1.3 to 14.8). Age had no significant effect on the risk of subsequent revision for knees that had been revised with the irrigation and debridement procedure. The 90-day and 1-year mortality rates after revision for PJI were 1.2% and 2.5%, respectively.

Conclusions:
Irrigation and debridement yielded good results compared with previous published studies. Although the 1-stage revisions resulted in a fourfold increase in risk of subsequent revision compared with the 2-stage revisions in older patients, the overall outcomes after 1-stage and 2-stage revisions were similar.

Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Legal and Policy Requirements of Basic Health Insurance Package to Achieve Universal Health Coverage in a developing country
Authors: Hayati Ramin , Kavosi Zahra , Bastani Peivand , Kabir Mohammad Javad , Sobhani Ghasem , nasab Hamide Javadi 
Published: June 2019

Abstract
Objectives

This study has analyzed the policy-making requirements related to Basic health insurance package at the national level with a systematic view.

Results

All the documents presented since the enactment of universal health insurance in Iran from 1994 to 2017 were included applying Scott method for assuring meaningfulness, authenticity, credibility and representativeness of the documents. Then, content analysis was conducted applying MAXQDA10. The legal and policy requirements related to Basic health insurance package were summarized into 11 main themes and 54 subthemes. The main themes include financing benefit package, necessity to determine the package, organizational structure, tariffing and purchasing the packages, services covered by the package, expanded coverage of population, provision of services, implementation rules, premium, integration of policies. According to the results, there is a growing trend in the themes related to Basic health insurance package in terms of the development of legal mechanisms in the last two decades. Provisions are almost comprehensive: as it was described, notable points in this regard are discussions related to the administration and implementation of these cases, monitoring, and finally controlling them.
The effect of concurrent mental illness on tuberculosis treatment outcomes at Butabika National Referral Mental Hospital – Uganda
Authors: Kimuli Derrick , Alfred Etwom , Kirirabwa Nicholas Sebuliba , Tibyonza Racheal , Okello Daniel Ayen , Kibwika Brian , Wieland Julie A. , Lukoye Deus 
Published: June 2019

Abstract
Background

The renaissance of tuberculosis (TB) through certain groups of the population including patients with mental illness has been observed for the last 30 years. However, literature on treatment outcomes of patients with mental illness is still scarce. The following research examines the impact of concurrent mental health illness on TB treatment outcomes in Butabika National Referral Mental Hospital.

Methods

A retrospective analysis of data for registered TB patients with and without mental-illness for the period July 2013 to December 2015. Data was extracted for age, sex, human immunodeficiency virus (HIV) serostatus and Directly Observed Treatment (DOT) status, TB classification and history of TB treatment. For HIV co-infected patients, data on Co-trimoxazole preventative therapy (CPT) and anti-retroviral therapy (ART) uptake was collected. Treatment outcomes of patients with and without mental illness were analyzed.

Results

A total of 325 records were analyzed, of which 105 (32%) patients were found to have had mental illness. Of the patients with mental illness, 61 (58%) were HIV positive while of those without mental illness, 134 (61%) were HIV positive. Patients with mental illness were less likely to complete treatment (adj. OR 0.3, 95% CI 0.2 - 0.5, p = 0.000) more likely to die, (adj. OR 2.3, 95% CI 1.2 – 4.3, p = 0.01) and more likely to get lost to follow up during treatment (adj. OR 2.8, 95% CI 1.3 – 6.0, p = 0.005) compared to those without mental illness.

Conclusion

Mental illness is associated with unfavorable outcomes of TB treatment. We recommend targeted interventions for patient follow up at this hospital and further studies to guide improvement in the quality care in this patient population. We also recommend psychosocial assessment and counselling for all patients on TB treatment as practice to improve treatment outcomes for all TB patients in Kampala.
A systematic review to investigate student performance and their learning experiences within integrated healthcare curricula
Authors: Nazar Hamde , Khan Ausaf , Nazar Zachariah , Husband Andy 
Published: June 2019

Abstract
Background
Integrated curricula is being adopted within healthcare programmes with a growing number of curriculum evaluations being undertaken and reported. A framework exists to guide educationalists in the planning, design and implementation of integrated curricula. It is unknown how widely utilised this framework has been to inform curricula development. This study presents a systematic appraisal of the evidence on how healthcare students experience and perform within integrated interventions and aims to assess how the context of the curriculum has influenced these outcomes.
Methods
Six electronic databases: Medline, Embase, Scopus, Psych-INFO, CINHAL and ProQuest were systematically searched in September 2018. Studies reporting on undergraduate healthcare students providing feedback, or performing at terminal assessment after experiencing integrated curricula were included. The assessments were categorised by the learning domain they aimed to test. Studies were assessed for methodological quality and risk of bias using a critical appraisal checklist. Studies were appraised against the implementation framework to facilitate contextual understanding of the intervention and findings.
Results
Forty studies from programmes in medicine, pharmacy and dentistry met the inclusion criteria and were included. Interdisciplinary level integration was most widely adopted, with a wide range of teaching and learning strategies employed in the delivery. Assessments testing higher learning domains, e.g. application and analysis of knowledge, were more commonly reported. Students appear to perform similarly or conservatively better after experiencing integrated education, however adopted study designs preclude the deduction of a direct causal relationship. Students report generally positive feedback on their integrated experiences, claiming the development of a wide range of skills. However, authors provide insufficient detail about the integrated educational developments to best inform future educationalists on the best systems for curriculum integration.
Conclusions
There is an impetus in research purporting best practices in curriculum integration, however, more standardised, evidence-informed design and reporting of interventions and outcomes are required to strengthen evidence in this area.
Evaluation of objective and subjective treatment outcomes in orthodontic cases treated with extraction of a mandibular incisor
Authors: Lee Sherry , Firth Fiona A. , Bennani Florence , Harding Winifred , Farella Mauro , Antoun Joseph S. 
Published: June 2019

ABSTRACT

Objectives:
To analyze changes in occlusal characteristics following mandibular incisor extractions (MIE), to determine the usefulness of wax setups in treatment planning MIE cases and to compare the pre- and posttreatment dental attractiveness between MIE cases and nonextraction (NE) controls.

Materials and Methods:
The Peer Assessment Rating (PAR) Index was used to score pre- and posttreatment dental casts of MIE cases (n = 14) and matched NE controls (n = 14). Occlusal characteristics were evaluated on diagnostic wax setups and posttreatment casts. Attractiveness of pre- and posttreatment cases judged on intraoral photographs of cases (n = 6) and controls (n = 6) were rated by 76 dental students and 10 laypeople using visual analogue scales (VAS).

Results:
The difference in PAR score reduction (%) between the MIE and NE groups was not significant. Between the wax setup and posttreatment casts, there were moderate correlations in overjet, overbite, and right canine classification. There was no significant difference in pre- and posttreatment change in VAS scores (%) for attractiveness between the MIE (49.8 ± 4.3 [S.E.]) and control groups (40.8 ± 4.3 [S.E.]). However, there was a significant difference (P = .000) between the observer groups.

Conclusions:
There were no significant differences in the treatment outcomes of orthodontic cases treated with MIE or NE, indicating that MIE is a valid treatment option. A wax setup is moderately correlated with posttreatment results. Both laypeople and dental students rated posttreatment dental attractiveness higher than pretreatment in MIE and NE groups. Dental students tended to be more critical than laypeople in their ratings.
Cost-effectiveness of Shared Telemedicine Appointments in Young Adults With T1D: CoYoT1 Trial
Authors: Wan Wen , Nathan Aviva G. , Skandari M. Reza , Zarei Parmida , Reid Mark W. , Raymond Jennifer K. , Huang Elbert S. 
Published: June 2019

OBJECTIVE
Young adults with type 1 diabetes (T1D) often struggle to achieve glycemic control and maintain routine clinic visits. We aimed to evaluate the societal cost-effectiveness of the Colorado young adults with T1D (CoYoT1) Clinic, an innovative care model of shared medical appointments through home telehealth.

RESEARCH DESIGN AND METHODS
Patients self-selected into the CoYoT1 (N = 42) or usual care (N = 39) groups.

RESULTS
Within the trial, we found no significant differences in 9-month quality-adjusted life; however, the control group had a larger decline from baseline in utility than the CoYoT1 group, indicating a quality of life (QoL) benefit of the intervention (difference in difference mean ± SD: 0.04 ± 0.09; P = 0.03). There was no significant difference in total costs. The CoYoT1 group had more study-related visits but fewer nonstudy office visits and hospitalizations.

CONCLUSIONS
The CoYoT1 care model may help young adults with T1D maintain a higher QoL with no increase in costs.
Determinación de indicadores y herramientas para alcanzar competitividad empresarial
Authors: Cotera Regalado Esperanza , Soberanes Martín Anabelem 
Published: June 2019

Para que las empresas logren objetivos tales como incrementar ventas, aumentar ingresos, generar utilidades, ser líderes empresariales, entre otros, es necesario buscar estrategias de competitividad a seguir sin importar el tamaño o giro. Por lo que el objetivo de este estudio fue determinar los indicadores y herramientas que se necesitan para que las empresas logren ser competitivas.
El estudio tuvo un enfoque cuantitativo. La muestra estuvo integrada por 23 empresas que se ubican en dos municipios del Estado de México: Chalco y Valle de Chalco. La investigación se realizó en cinco fases: 1) Conceptual: se delimitó el problema y se llevó a cabo la investigación documental; 2) Planeación y diseño de la investigación; 3) Empírica: se realizó la recolección de los datos y preparación para su análisis; 4) Análisis de los datos e interpretación de resultados, y 5) Difusión.
El análisis se realizó con base en las cinco fuerzas de Porter. Entre los resultados se pudo observar que las empresas en un alto porcentaje no están preparadas para hacer frente a los actuales o nuevos competidores. Y respecto a las distintas fuerzas como, por ejemplo, los competidores directos, donde se ve la influencia de los precios, la competencia y el comportamiento del mercado, resalta que 60 % de la muestra considera que no tiene control sobre los precios; en cuanto a los productos sustitutos, 50 % de los encuestados muy frecuentemente conocen el impacto de estos en la empresa; 40 % casi nunca cuenta con una propuesta de valor para atraer al cliente; en cuanto al dominio de negociación que se tiene, y los proveedores con los que se cuenta, 40 % expresó que frecuentemente se negocia con ellos; por mencionar tan sola algunas de ellas. Una de las conclusiones a las que se arribó es que cuando las empresas conocen e identifican los indicadores de competitividad pueden lograr permanencia y crecimiento.
Influence of manufacturing temperature on the rheological behavior of some vegetable lubricating greases
Authors: Vodounon Cyrille Alode , Sterpu Ancaelena Eliza , Prodea Iuliana Marlena , Koncsag Claudia Irina 
Published: June 2019

Abstract
Lubricant greases from renewable resources are considered as an alternative to those manufactured from mineral or synthetic oils, due to their close-loop supply chain. Low toxicity makes them prone for machinery in food industry. The goal of the present study was to find the optimum parameters for their manufacture from some vegetable oils and calcium stearate soap synthesized in situ. The effect of synthesis temperature (between 80-110 °C) and soap concentration (between 15-25% wt.) on the rheology and consistency of the products was studied. The optimum manufacture resulted to be 100 °C and soap concentration between 20-25% wt. The conclusions of these study can serve as a basis for improving the said greases through additivation.