bluuebunny/crossref_metadata_2025_split huggingface dataset:
L'écrivain archivé
Authors: Fabre Daniel 
Published: April 2018

Jusqu'aux années 1780, les écrivains abandonnaient leurs manuscrits aux mains des typographes puisque le livre imprimé était la véritable réalisation de l'œuvre, celle qui éliminait tous les états antérieurs. Hormis dans le cas de ses textes inédits, aucun écrivain classique n'aurait eu l'idée de s'archiver lui-même. La montée en valeur non seulement du manuscrit achevé mais de tous les brouillons et esquisses qui l'ont préparé est ici interprétée comme une pièce importante de la nouvelle conception de la littérature qu'introduit le « sacre de l'écrivain ». On examine la genèse de cette attention au XIX e siècle, qui implique que l'écrivain s'incarne tout particulièrement dans l'écriture tracée de sa main. C'est sans doute dans la dernière phase du sacre de l'écrivain, au XX e siècle, que l'infusion de l'écrivain dans ses archives devient d'autant plus absolue que les institutions de conservation et le champ de la critique ont fait du manuscrit la grande voie d'accès à la présence du créateur.
Les papiers de la guerre, la guerre des papiers
Authors: Michonneau Stéphane 
Published: April 2018

Depuis trente ans bientôt, un débat déchire l'Espagne à propos des archives de la guerre civile qui furent constituées en 1939 par spoliation dans les zones républicaines récemment occupées par l'armée franquiste puis entreposées à Salamanque à des fins répressives. Depuis le début de la transition démocratique, le gouvernement autonome de Catalogne réclame « ses papiers » au nom de la restitution des biens volés. Mais les gouvernements centraux, les autorités de la région de Nouvelle Castille et les municipalités salamantines successives ne l'entendent pas de cette oreille. De commissions d'étude en comités d'experts, l'affaire a dégénéré en une véritable « guerre des papiers ». Ce conflit, d'abord historiographique et archivistique, est devenu politique. Finalement, il révèle de profondes lignes de fracture mémorielles: c'est l'enjeu de la mémoire de la guerre civile et de la répression franquiste qui se pose là et, à travers lui, un débat sur la nature de la démocratie espagnole.
Reducing the Risk for Pressure Injury During Combat Evacuation
Authors: Bridges Elizabeth , Whitney JoAnne D. , Burr Robert , Tolentino Ernesto 
Published: April 2018

BACKGROUND
Combat casualties undergoing aeromedical evacuation are at increased risk for pressure injuries. The risk factors pressure and shear are potentially modifiable via solutions appropriate for en route care.

OBJECTIVES
To compare transcutaneous oxygen levels and skin temperatures in healthy participants under offloaded (side lying) and loaded (supine or supine with 30° backrest elevation) under 4 conditions: control (no intervention), Mepilex sacral and heel dressings, LiquiCell pad, and Mepilex plus LiquiCell.

METHODS
Participants were randomly assigned to 4 groups according to ideal body weight. Backrest positions were randomized. Transcutaneous oxygen level and temperature were measured on the sacrum and the heel; skin interface pressure was measured with an XSensor pressure imaging system. Measurements were obtained for 5 minutes at baseline (offloaded), 40 minutes with participants supine, and 15 minutes offloaded.

RESULTS
In the 40 healthy participants, interface pressure, transcutaneous oxygen level, and skin temperature did not differ between the 4 groups. Peak interface pressures were approximately 43 mm Hg for the sacrum and 50 mm Hg for the heel. Sacral transcutaneous oxygen level differed significantly between unloaded (mean, 79 mm Hg; SD, 16.5) and loaded (mean, 57 mm Hg; SD, 25.2) conditions (P &lt; .001) in a flat position (mean, 85.2 mm Hg; SD, 13.6) and with 30° backrest elevation (mean, 66.7 mm Hg; SD, 24.2) conditions (P &lt; .001). Results for the heels and the sacrum were similar. Sacral skin temperature increased significantly across time (approximately 1.0°C).

CONCLUSIONS
The intervention strategies did not differ in prevention of pressure injuries.
En Route Care Provided by US Navy Nurses in Iraq and Afghanistan
Authors: Blackman Virginia S. , Walrath Benjamin D. , Reeves Lauren K. , Mora Alejandra G. , Maddry Joseph K. , Stockinger Zsolt T. 
Published: April 2018

BACKGROUNDUS Navy nurses provide en route care for critically injured combat casualties without having a formal program for training, utilization, or evaluation. Little is known about missions supported by Navy nurses.OBJECTIVESTo characterize the number and types of patients transported and skill sets required by Navy nurses during 2 combat support deployments.METHODSAll interfacility casualty transfers between 2 separate facilities in Iraq and Afghanistan were assessed. Number of patients treated, number transported, en route care provider type, transport priority level and duration, injury severity, indication for critical care transport, en route care interventions, and vital signs were evaluated.RESULTSOf 1550 casualties, 630 required medical evacuation to a higher level of care. Of those, 133 (21%) were transported by a Navy nurse, with 131 (98.5%) classified as “urgent,” accounting for 46% of all urgent transports. The primary indication for en route care nursing was mechanical ventilation of intubated patients (97%). Mean (SD) patient transport time was 29.8 (7.9) minutes (range, 17–61 minutes). The most common en route care interventions were administration of intravenous sedation (80%), neuromuscular blockade (79%), and opioids (48%); transfusions (18%); and ventilation changes (11%). No intubations, cricothyroidotomies, chest tube placements, or needle decompressions were performed en route. No deaths occurred during transport.CONCLUSIONSUS Navy nurses successfully transported critically injured patients without observed adverse events. Establishing en route care as a program of record in the Navy will facilitate continuous process improvement to ensure that future casualties receive optimized en route care.
The Role of Spirituality Among Military En Route Care Nurses: Source of Strength or Moral Injury?
Authors: Simmons Angela M. , Rivers Felecia M. , Gordon Sandi , Yoder Linda H. 
Published: April 2018

BACKGROUNDMilitary nurses provide care to seriously injured service members in flight, on the ground, or at sea during transport from the point of injury to a facility capable of providing higher levels of care. From this experience nurses are at increased risk of developing negative behavioral health symptoms. Spirituality, a belief in someone or something greater than oneself, could provide behavioral health support for military nurses who serve in this role.OBJECTIVETo determine the impact of spirituality on the behavioral health of nurses who provided en route care while deployed to Iraq or Afghanistan.METHODSThis exploratory mixed-methods study used 5 instruments to determine levels of anxiety, depression, posttraumatic stress, posttraumatic growth, and resilience among 119 military nurses. Interviews provided rich data about the experiences of these nurses and extended quantitative outcomes.RESULTSPosttraumatic Growth Inventory findings showed no significant change in spirituality based on deployment experiences (mean, 3.07; SD, 3.26). However, interviews revealed that spirituality served as a buffer against developing behavioral health issues. Many relied on spirituality to get them through difficult experiences. There was also a sense of moral injury as a few expressed regrets for things they witnessed or experienced.CONCLUSIONSSpirituality can insulate military nurses from negative behavioral health symptoms. Nurses included in the study relied on their spirituality to stay mentally fit. For nurses who experienced moral injury, supervisory recognition of this and appropriate referral may decrease the long-term effects of deployment on their behavioral health.
An Occupational Paradox: Why Do We Love Really Tough Jobs?
Authors: Pierce Penny F. , McNeill Margaret M. , Dukes Susan F. 
Published: April 2018

BACKGROUNDSometimes we come upon unexpected or counterfactual results during research that make us wonder and lead us into unknown territory. Such was the experience of a team of Air Force researchers exploring aeromedical evacuation crew members’ experiences of safety and patient care concerns throughout the en route care system.OBJECTIVETo explore what it is about the aeromedical evacuation crew members’ occupation that generates a strong motivation to the mission despite the demands it places on its workers.METHODSEight focus groups were conducted with 69 Air Force aeromedical evacuation and staging facility active duty, Air National Guard, and Air Force Reserve Command nurses and medical technicians between May 2012 and April 2013 at 5 locations in the contiguous and outside the contiguous United States.RESULTSAn unexpected finding was that despite the austere nature of the Air Force en route care mission and the acuity of the patients being transported, nurses and medical technicians were passionate about bringing home the wounded, sick, and injured warriors and were committed to providing the best and safest care possible.CONCLUSIONSIt is plausible that a high level of commitment and mission focus contributes significantly to the safety and well-being of those transported. Still, we must wonder why nurses and technicians voluntarily serve in such a demanding and sometimes dangerous occupation, and yet find such a high degree of satisfaction and contentment with this type of job.
Cytomorphological features as predictors of epidermal growth factor receptor mutation status in lung adenocarcinoma
Authors: Sharma Saniya , Gupta Nalini , Singh Navneet , Chaturvedi Rini , Behera Digambar , Rajwanshi Arvind 
Published: April 2018

Background:
Epidermal growth factor receptor mutation-positive (EGFR-p) lung adenocarcinomas are sensitive to tyrosine kinase inhibitors. Although histopathological subtype is an independent predictor of mutation status, there is a paucity of data on the cytomorphological features correlating with the EGFR mutation status. Therefore, the aim of this study was to determine whether certain cytomorphological features correlate with EGFR mutation in lung adenocarcinoma.

Materials and Methods:
A retrospective analysis of 48 lung adenocarcinoma cases diagnosed on fine needle aspiration cytology with known EGFR mutation status was conducted. All cytology smears with cellblock sections were reviewed. The cytomorphological features including tumor pattern, stromal features, nuclear and cytoplasmic features, and tumor grade were evaluated. Clinicoradiological features such as age, sex, smoking, tumor size, clinical stage, metastases, and presence of mass, nodule, lymphadenopathy, pleural effusion, and clinical outcome were also assessed.

Results:
Of 48 cases, 19 were EGFR-p and 29 were negative. EGFR-p cases showed a positive and significant correlation with flat monolayered sheets and acini, mild nuclear atypia, fine chromatin and smooth nuclear margins and these tumors were well differentiated. EGFR-negative tumors were moderate to poorly differentiated with predominance of solid clusters, moderate to marked nuclear atypia, with irregular nuclear margins and coarse chromatin. Clinically, female sex, nonsmoking status, smaller tumor size, and good clinical outcome correlated with EGFR-p status.

Conclusion:
Certain cytomorphological features correlate with and may suggest EGFR mutation status in advanced lung adenocarcinoma in an appropriate clinical context.
A Study of the Pitting and Uniform Corrosion Characteristics of X65 Carbon Steel in Different H2S-CO2-Containing Environments
Authors: Pessu Frederick , Hua Yong , Barker Richard , Neville Anne 
Published: April 2018

There have been increasing concerns related to the challenges posed by hydrogen sulfide (H2S) corrosion to the integrity of oilfield pipeline steels. In environments containing variable quantities of both carbon dioxide (CO2) and H2S gas, the corrosion behavior of carbon steel can be particularly complex. There is still no universal understanding of the changes in the mechanisms, sequence of electrochemical reactions and impact on the integrity of carbon steel materials as a result of changes in H2S-CO2 gas ratio. The film formation process, film characteristics, and morphology in CO2- and H2S-containing systems are also known to be different depending upon the environmental and physical conditions and this influences the rates of both general and pitting corrosion. Questions still remain as to how the combined presence of CO2 and H2S gases at different partial pressure ratios influence the corrosion mechanisms, as well as initiation and propagation of surface pits. This paper presents an investigation into the overall (i.e., general and pitting) corrosion behavior of carbon steel in CO2-H2S-containing environments. The work explores the impact of changes in ratios of CO2 and H2S partial pressures at both 30°C and 80°C in a 3.5 wt% NaCl solution. All experiments are performed at atmospheric pressure, while H2S gas content is varied at 0 ppm (0 mol%), 100 ppm (0.01 mol%), 1,000 ppm (0.1 mol%), 10,000 ppm (1 mol%), and 100,000 ppm (10 mol%) in H2S-CO2 corrosion environments. Corrosion film properties and morphology are studied through a combination of scanning electron microscopy and x-ray diffraction. The results show that the morphology and composition of iron sulfide formed changes with H2S gas concentration because of the continuous interaction of the corrosion interface with the corrosion media even in the presence of initially formed FeS (mainly mackinawite). This often leads to the formation of a different morphology of mackinawite as well as different polymorphs of FeS. This also has the impact of either increasing or decreasing the uniform corrosion rate at low and higher concentration of H2S gas depending on the temperature. Pitting corrosion is also evaluated after 168 h to determine the impact of increasing H2S content on the extent and morphology of pitting corrosion attack. The results from the pitting corrosion investigation show that increased and severe pitting corrosion attack occurs at higher H2S concentration and temperature. The morphology of pitting corrosion attack is also linked to the changes in the H2S content with an indication of a critical concentration range at which the nature of attack changes from narrow and small diameter pits to severe localized attack. The critical concentration threshold for such transition is shown in this study to reduce with increasing temperature.
“For all their story sound, from a place as deep”: The Influence of Kurt Vonnegut's Humor on Anne Sexton's Transformations
Authors: Carpenter Amy 
Published: April 2018

ABSTRACT
Critics have regarded Transformations (1974) as a turning point in Anne Sexton's poetic canon, because it utilizes a narrative framework and engages extensively with humor. Though Sexton admired Kurt Vonnegut's Slaughterhouse-Five (1969) and convinced him to write the foreword for her collection, critics have yet to note the impact of his influence. This article argues that Vonnegut's influence on Sexton's humor is twofold. First, Sexton draws from Vonnegut in the craft of her humor—her poetic lines utilize specifically Vonnegut-esque techniques. Second, Sexton's collection uses Vonnegut's understanding of humor as it relates to trauma, mimicking his use of multiple perspectives and concept of time travel in Slaughterhouse-Five. Ultimately, Sexton draws from Vonnegut's understanding of humor in order to subtly embolden the confessional claims in her poetry, embracing a new way of writing that broadened her ability to speak to human suffering.
Perfil ocupacional del consumidor de drogas
Authors: Riveros Espiñeira María Elena 
Published: April 2018

El presente estudio profundiza en el conocimiento de los usuarios de programas de tratamiento y rehabilitación por consumo de drogas mediante la exploración de la variable historia de desempeño ocupacional. Su hipótesis central es que el sujeto consumidor de drogas que ingresa a un programa de tratamiento y rehabilitación presenta una historia ocupacional desequilibrada o disfuncional que estaría asociada a ese consumo. Para el desarrollo de la investigación se utilizó el instrumento Entrevista Histórica de Funcionamiento Ocupacional (OPHI-II). Se realizaron 28 entrevistas que permitieron construir un perfil ocupacional del consumidor de drogas. Los hallazgos indican que existe cierto grado de disfunción ocupacional en las tres escalas que conforman el instrumento (identidad ocupacional; competencia ocupacional; ambientes de comportamiento ocupacional), lo que a su vez es posible de asociar con el consumo de drogas. Estos hallazgos respecto al perfil ocupacional del consumidor de drogas son de gran utilidad, pues permiten identificar algunos de los componentes que debieran formar parte de un programa de prevención que sea eficaz, es decir, capaz de evitar o retrasar el inicio del consumo de drogas. Lo anterior debiera conducir a un posterior análisis crítico de las políticas y programas en prevención actualmente en curso y al diseño preliminar de una estrategia de prevención que dé mejor respuesta a las necesidades de los destinatarios de las mismas, materia que excede los objetivos del estudio, pero que parece importante explicitar.
Valoración del impacto funcional producido en participantes de Taller Laboral Protegido Los Coihues
Authors: Labbé Matus Elisa , Valdés González Carola , Lüer Solorza Katherin Andrea , Acevedo M. Marcela , Barna J. Roberto 
Published: April 2018

El objetivo principal del estudio es demostrar que el área de desempeño del trabajo tiene una influencia determinante en el quehacer funcional de las personas. Por otra parte es importante poder evaluar y objetivar los logros de los programas de acción dirigidos hacia personas discapacitadas. Para ello se propone el siguiente instrumento de evaluación: la Pauta de Independencia Funcional (PIF) (*). Este instrumento fue aplicado a una población de 14 pacientes que han sufrido un accidente de trabajo y/o trayecto y cuya condición actual es de institucionalización, De estos el 80% secuelados de TEC y 20% lesionados medulares que asisten al Taller Laboral Protegido durante un período de 2 años, rango de edad entre 29 y 74 años (promedio 56 años y tiempo de institucionalización de 8 años promedio). La evaluación PIF consideró 5 áreas en su desempeño y habilidades: motora, social, cognitiva, actividades de la vida diaria y laboral. En todas ellas se observaron logros, principalmente en el área social y laboral, siendo facilitadas también las otras áreas. Los pacientes muestran altos niveles de satisfacción personal y beneficios directos en relaciones interpersonales, ánimo. Es importante destacar el sentido de pertenencia al grupo, mayor identidad en roles sociales y un discreto cambio en la expresión verbal y no verbal que manifiesta indicadores volicionales inherentes al ser humano como persona, estos factores se reflejan en la pauta PIF.
Implementación de la intervención temprana con mujeres embarazadas y sus hijos desde el nacimiento hasta los seis meses de vida en el sector público de salud, República Argentina: una experiencia de terapia ocupacional en la promoción del desarrollo de
Authors: Arellano Viviana Mabel , Vega Maria Carlota 
Published: April 2018

La investigación consta de dos etapas: 1º implementación de la intervención temprana en forma de talleres participativos con mujeres embarazadas, para facilitar los conocimientos de apropiadas experiencias sensoriales/motoras/vinculares del niño e intensificar la confianza de la madre en sus capacidades maternas. 2º: Evaluación del desarrollo integral hasta los 6 meses del bebé; para evaluar (valorar, medir) el impacto de la intervención con modalidad de talleres. Estos se desarrollan en un nuevo campo de la Terapia Ocupacional, destinado a colaborar en los equipos interdisciplinarios en el área de embarazo. Diseño: cuasiexperimental, de corte longitudinal. Población: mujeres embarazadas que concurrieron al Curso Psicoprofilaxis del parto y sus bebés desde el nacimiento hasta los 6 meses, en Centro de Salud Pública. Técnicas utilizadas: Entrevista estructurada y semiestructurada, Escala de Evaluación del Desarrollo Psicomotor de Rodriguez, Arancibia y Undurraga, Observación no participante (Diagrama de Observación del Vínculo madre-bebé de Oiberman), Observación participante y registro de información en los talleres, Recopilación documental (historias clínicas). Hasta la fecha se realizó la 1º etapa, con desarrollo exitoso de los talleres, alta participación, avidez de información de las mujeres, observándose mayor seguridad en las madres, mayor acercamiento y participación en los controles del niño sano. Se desarrollan las evaluaciones del desarrollo y actualmente se están analizando dichos datos.
Terapia de restricción-inducción de movimiento (CIMT), una técnica de utilidad para terapeutas ocupacionales que trabajan en neurorehabilitación
Authors: Castro González Osvaldo 
Published: April 2018

Este artículo tiene por objetivo realizar una revisión de la terapia de restricción - inducción de movimiento (CIMT), técnica de tratamiento especifica para personas que han sufrido un accidente cerebro vascular y que tienen como secuela una hemiparesia leve o moderada. Sus principios básicos incluyen la restricción del movimiento de la extremidad superior indemne durante un 90% del día, y la estimulación del uso de la extremidad superior afectada en sesiones terapéuticas enfocadas prioritariamente a aspectos funcionales. Se mantiene este protocolo de entrenamiento durante doce días. Durante este periodo de tratamiento se observan cambios a nivel cortical y funcional. Este artículo describe varios estudios que corroboran la eficiencia del programa, y que incluyen pruebas funcionales estandarizadas cuyos resultados se comparan con otras técnicas de tratamiento usadas en pacientes similares en el mismo periodo de tiempo. Los Terapeutas Ocupacionales somos por esencia los profesionales del área de rehabilitación que buscamos que nuestros usuarios logren el máximo nivel de funcionalidad. Sin lugar a dudas, el conocer la existencia de técnicas como la CIMT, nos permitirá tener más herramientas para cumplir exitosamente este objetivo.
Un enfoque sobre la medición y nuestra disciplina
Authors: Capozzo Marcela , Gómez Mengelberg Elizabeth 
Published: April 2018

El propósito de este trabajo es promover la reflexión, en una disciplina de carácter esencialmente social, como la Terapia Ocupacional, sobre el rol que juega lo mensurable y el peligro que atañe considerar lo cuantitativo y la formalización como las únicas formas válidas de producción del conocimiento. Esta reflexión se inscribe en el debate epistemológico actual de las ciencias sociales, que focaliza en los aspectos cualitativos y cuantitativos, la medición, la formalización y sus alcances. El método utilizado para aproximarnos y examinar esta temática es el de la búsqueda y revisión bibliográfica, y el análisis de los conceptos centrales de la temática sobre la cual nos planteamos la presente indagación.