bluuebunny/crossref_metadata_2025_split huggingface dataset:
Les questions environnementales, espace de (re)politisation de la jeunesse taïwanaise
Authors: Lepesant Tanguy 
Published: January 2019

La jeunesse taïwanaise est souvent pointée du doigt par les générations actuellement au pouvoir et stigmatisée pour son inconsistance, son manque de ténacité face à la pression et son « incurie politique ». Pourtant, cette nouvelle génération a été au cœur de tous les grands mouvements sociaux des années 2010, notamment sur les questions environnementales. Cet article souhaite montrer en quoi ces dernières constituent l’un des espaces actuels de politisation de la plus jeune des générations de citoyens taïwanais. Trois aspects de cette mise en contact avec le politique seront étudiés. Tout d’abord, le retour en force des questions environnementales participe à la création d’un sentiment plus général de crise et d’urgence au sein d’une jeunesse saisie par l’impression grandissante de la faillite du modèle de développement économique mis en place par les générations précédentes. Ensuite, les protestations générées par ce sentiment de crise ont contribué à faire sauter certains verrous psychologiques au sein de la jeunesse taïwanaise en produisant une transformation radicale du rapport à la contestation dans une société encore très conservatrice. Enfin, ces sujets de préoccupation constituent des voies dérivées de matérialisation d’un espace politique commun renforçant l’identification à une communauté de destin liée au territoire de Taïwan et à sa survie.
Les deux Corées depuis 1945 : guerre froide et nationalisme coréen
Authors: Morillot Juliette 
Published: January 2019

Prise en tenaille entre les empires chinois et japonais, la petite péninsule coréenne n’a guère été au cours de son histoire maîtresse de son destin. Le 38 e parallèle, dernière balafre de la guerre froide sur le globe terrestre, rappelle qu’aujourd’hui encore celle-ci demeure un important enjeu géostratégique pour les grandes puissances. Contrairement à la Chine qui affirma son pouvoir en assimilant les cultures étrangères, le nationalisme coréen, forgé dans la résistance à l’ennemi tout autant que dans une farouche volonté d’indépendance, reste au cœur des mentalités au Nord comme au Sud. Au cœur aussi du rapprochement historique que connaissent aujourd’hui les frères ennemis.
Un seul peuple et un nationalisme partagé ?
Authors: Sun-song Park , Hyun-tag Shin 
Published: January 2019

Cet article analyse la formation et l’évolution des nationalismes propres à la Corée du Sud et à la Corée du Nord, nations issues d’un même peuple. Sous le « système de division » imposé, la Corée du Sud a connu, jusqu’aux années 1990, une confrontation entre nationalisme étatique et nationalisme populaire anti-régime. Cependant, depuis la démocratisation de la Corée du Sud, l’influence de ces deux nationalismes s’est significativement affaiblie. Malgré les divergences apparentes entre ces derniers, il est possible de conclure que le principe même de la cause nationale – autodétermination et unification – demeure le ciment des relations intercoréennes.
Intention de quitter les services de premier niveau chez les sages-femmes et infirmières-obstétriciennes au Mali
Authors: Sidibé Cheick Sidya , Bintou Traoré Fatoumata , Keita Assa , Touré Ousmane , Dieleman Marjolein 
Published: January 2019

Introduction : Le Mali connaît un taux élevé de décès maternels et néonatals. Son système de santé souffre d’un manque et d’une distribution inéquitable de personnel soignant. Celui-ci est réticent à travailler dans les services de premier niveau et à y rester. Cette étude analyse l’intention des sages-femmes et infirmières-obstétriciennes de quitter le poste qu’elles occupent au sein de ces structures, et explore les facteurs de management qui participent de cette intention. Méthodes : Une étude mixte transversale a été conduite auprès de 220 sages-femmes et infirmières-obstétriciennes dans 46 structures de santé de trois régions sanitaires. Des analyses descriptives et bivariées ont permis de tester les liens existant entre les pratiques managériales, les caractéristiques démographiques et l’intention de quitter son poste. Les facteurs sous-jacents pouvant expliquer ce souhait ont été appréhendés à partir d’une analyse thématique des données. Résultats : Près de la moitié des sages-femmes et infirmières-obstétriciennes souhaitent quitter leur poste. Cette intention est plus marquée chez les sages-femmes ayant peu d’attrait pour le service de premier niveau aussi bien rural qu’urbain. Lui sont associés l’âge, le type de structure et la zone d’affectation. Les pratiques managériales, variables selon les localités et les types de structure, ont également une certaine influence sur cette intention. Conclusion : L’intention de quitter son poste est très présente chez les sages-femmes et infirmières-obstétriciennes exerçant dans les services de premier niveau. Celle-ci est davantage influencée par les pratiques managériales en milieu rural et chez les infirmières-obstétriciennes.
Management des déchets médicaux et risque biologique à l’hôpital universitaire de Cocody, Côte d’Ivoire
Authors: N’Zi Konan Constant , Traoré Youssouf , Dindji Médé Roger , Acho Yapo Blaise , Bonny Jean-Sylvain 
Published: January 2019

Objectif : Cette étude décrit le système de gestion des déchets biomédicaux à l’hôpital universitaire de Cocody (Côte d’Ivoire) et évalue le risque biologique du personnel de soins et de nettoyage. Méthode : Du 1 er au 21 août 2015, une enquête transversale a été menée dans quatre services : réanimation, gynécologie-obstétrique, pédiatrie-néonatalogie et anatomie-pathologie. Le personnel de soins et de nettoyage a renseigné un questionnaire standardisé portant sur les caractéristiques professionnelles, la politique de gestion, le traitement des déchets biomédicaux et le risque biologique. Résultats : La gestion des déchets biomédicaux était irrationnelle pour trois raisons : insuffisance de la politique de gestion, déficit de ressources matérielles et en formation du personnel. Le risque biologique était alors évident pour le personnel. Les résultats objectivaient l’absence de microplans (92,23 %) et d’outils de gestion des déchets (83,50 %). Aucun responsable de la gestion des déchets biomédicaux n’était identifié dans les services (78,64 %). Le tri sélectif était pratiqué pour les objets piquants, coupants et tranchants, avec des boîtes de sécurité conventionnelles (59,22 %), remplies à débordement (44,6 %). Le chromo-codage n’était pas respecté pour les autres déchets infectieux, seuls des sachets noirs étaient disponibles (95,15 %). Les poubelles servant à la collecte des déchets (90,3 %) étaient démunies de fermetures (84,47 %). Environ 40 % des participants n’étaient pas immunisés contre le virus de l’hépatite B et 16 % signalaient des cas d’accident d’exposition au sang (AES). Un tiers des participants (30 %) n’était ni sensibilisé ni formé au traitement des déchets biomédicaux. Conclusion : Une politique de gestion participative, la formation et la sensibilisation du personnel sont des axes prioritaires pour améliorer la qualité de la gestion des déchets biomédicaux dans cet hôpital.
Web-based Professional Education for Advanced Practice Nursing: A Consumer Guide for Program Selection
Authors: Ali Nagia S , Hodson-Carlton Kay , Ryan Marilyn 
Published: January 2019

ABSTRACT
As Web-based education becomes increasingly available, there are more educational opportunities to pursue an advanced practice degree. Despite the increasing number of schools delivering Web-based education courses and programs, evaluation of these programs is primarily in beginning stages. The purposes of this article are first to present a scenario of how a Midwestern nursing school developed, implemented, and continually evaluates Web-based education in its master's program, and second to present a consumer guide for program selection. Elements in the guide are derived from program accrediting agencies, the literature, and distance learning experiences. The consumer's guide is presented for nurses interested in exploring or continuing the completion of an advanced practice degree.
Reflections on the Changing Learning Needs of Nurses: A Challenge for Nursing Continuing Educators
Authors: Collins Janet M 
Published: January 2019

ABSTRACT
Assessing the needs of learners is an essential prerequisite to planning effective nursing continuing education activities. Recorded differences over a 5-year period of gathering such assessments at one university-based continuing education division have relevance for nursing continuing educators and nursing leaders. A shift to more personal psychological interests of nurses may be reflective of the stressors of a changing system of health care delivery during this same time period. Nursing continuing educators are challenged to assist nurses to adapt successfully to these changes in the health care system and in the profession of nursing.
Les toxines des staphylocoques d’origine animale. Préparation et titrage de la toxine β
Authors: Pillet J. , Orta B. , Isbir S. , Mercier P. 
Published: January 2019

La toxine staphylococcique β, caractéristique des souches d’origine animale, peut être obtenue en quantité importante en milieu liquide, mais est très généralement associée à des quantités variables de toxine u, ce qui entraîne des difficultés considérables dans les titrages.
Parmi les méthodes permettant d’obtenir la toxine α isolée, la floculation spécifique de la toxine a effectuée sur une toxine mixte α β est la meilleure, le chauffage ou l'action du formol entraînant une perte importante en toxine β.
Nous remercions bien sincèrement les Professeurs Guilhon et Goret, M. Zottner, directeur des Laboratoires des services de l’élevage du Maroc, le vétérinaire commandant Pigoury, M. Dutheil, de Roquefort, ainsi que nos collègues Staub, Chevé et Jacotot, d’avoir bien voulu nous adresser ces souches.
All-cause mortality of metabolically healthy or unhealthy obese: risk stratification using myocardial perfusion imaging
Authors: Lorenzo Andrea De , Carazza Mariana , Lima Ronaldo 
Published: January 2019

IntroductionThere is still controversy about the favorable prognosis of “metabolically healthy” (MH) obese. This study evaluated mortality and the use of myocardial perfusion scintigraphy (MPS) for risk stratification of MH or metabolically unhealthy (MU) obese or nonobese patients.Material and methodsPatients without dyslipidemia, hypertension, or diabetes were considered MH, and those with ≥ 1 of these risk factors were considered MU. The MPS was categorized as normal, abnormal or ischemic. Patients were followed for 4.0 ±1.0 years for all-cause death.ResultsOf 2450 patients, 613 were obese. The MH obese patients less often had ischemia than MU obese, but there was no significant difference in the prevalence of ischemia compared to all nonobese. The annualized death rate of MH obese was 1.3% and of nonobese 1.0% (p = 0.4). An abnormal MPS and the MU status were independently associated with death, with hazard ratios of 1.85 and 1.72, respectively. A normal MPS identified patients with low risk among all subgroups; annualized rates of death were 1.0%, 1.1% and 1.0% for all nonobese, MH obese and MU obese, respectively (p = 0.63).ConclusionsThe annualized death rate of MH obese patients was not significantly different from that of nonobese individuals. Myocardial perfusion scintigraphy was able to stratify prognosis in the overall patient population. These data may be helpful to identify high-risk individuals, thereby improving patient management.
Pulse wave velocity and its gender-related associations with cardiovascular risk factors in a high cardiovascular risk population
Authors: Zemtsovskaja Galina , Abina Jelena , Meigas Kalju , Pilt Kristjan , Viigimaa Margus 
Published: January 2019

IntroductionAssociations found between pulse wave velocity (PWV) and cardiovascular risk factors (CVrF) are diverse. We aimed to evaluate whether differences in PWV and its associations with CVrF in a high cardiovascular risk population exist between genders and between the whole population (WHgr) and groups of apparently healthy (AHgr) and those of hypertensive, obese or diabetics (Rgr).Material and methodsPulse wave velocity measured by Arteriograph was investigated in 805 adults aged 20–65, randomly selected from the Tallinn Population Register.ResultsPulse wave velocity was the highest in Rgr and no differences were found between genders of the same group. In women of WHgr and AHgr age and SBP with addition of BMI and apolipoprotein B (ApoB) were associated with 54% and 48%, and without ApoB in Rgr with only 30% of PWV values. In men aged ≥ 50 of WHgr with elevated SBP odds ratios for increased PWV were 25.3 and 3.5, in Rgr 21.2 and 2.2, in those aged ≥ 50 AHgr 28.4. In women aged ≥ 50 of WHgr with elevated SBP and diabetes odds ratios were 5.5, 4.9 and 4.0, in Rgr with elevated SBP and diabetes 3.6 and 3.7, in those aged ≥ 50 AHgr 29.3.ConclusionsThe associations of ApoB and BMI with PWV and diabetes with elevated PWV indicative of increased aortic stiffness were unique for women. Aging and SBP were related to PWV even in AHgr, although age ≥ 50 years in Rgr women and normal SBP in AHgr were not associated with elevated PWV.
Effects of selenium supplementation on paraoxonase-1 and myeloperoxidase activity in subjects with cardiovascular disease: the Selenegene study, a double-blind randomized controlled trial
Authors: Mirmohammadsadeghi Amirhossein , Gharipour Mojgan , Roohafza Hamidreza , Dianatkhah Minoo , Sadeghi Masoumeh 
Published: January 2019

IntroductionWe previously highlighted the potential link between supplementation with selenium, as an antioxidant trace element, and changes in the levels of paraoxonase (POX1) and myeloperoxidase (MPO), as an antioxidant enzyme, in patients with documented cardiovascular disease (CVD). The aim of this study was to determine the effects of selenium supplementation on POX1 and MPO activity in patients with cardiovascular diseases (CVDs).Material and methodsA total of 160 eligible patients were enrolled in the study. After performing some laboratory tests, including the measurement of blood selenium, triglyceride, cholesterol, and low- and high-density lipoprotein levels, the patients received 200 mg tablets of either selenium yeast or placebo. The medicines were taken orally, once daily after a meal for 60 days. Four weeks after the initial visit, the patients were invited for a follow-up visit, and interviews and non-laboratory evaluations, similar to those performed at baseline, were repeated. Compliance of patients for using selenium and placebo was measured by telephone. Medication compliance rates were monitored by telephone. The final assessments were conducted eight weeks after the beginning of the study.ResultsThere was no significant difference in cholesterol levels between intervention and control groups (p = 0.87). No significant changes in selenium levels were observed in either the selenium or the placebo group after the intervention (p = 0.44 and p = 0.48, respectively). The two groups had a significant difference in terms of POX1 level (p = 0.039). No such difference was present in the case of MPO levels. Moreover, comparison of the values before and after the intervention showed no significant differences in the mean levels of any of the measured parameters.ConclusionsAccording to the obtained results, the increased POX1 levels after selenium supplementation could be attributed to the positive effect of selenium on inhibiting lipid peroxidation as part of the complicated pathophysiology of CVD.
Comparison of results of whole-body magnetic resonance imaging scans and traditional imaging modalities in diagnostic management of chronic recurrent multifocal osteomyelitis
Authors: Sułko Jerzy , Oberc Artur 
Published: January 2019

IntroductionThe diagnosis of chronic recurrent multifocal osteomyelitis (CRMO) is frequently the result of excluding other diseases. The only methods that provide images of the multicentricity of radiologically active foci are whole body bone scintigraphy (SCI) and whole body MRI (WBMRI). The objective of the study was to compare the results of WBMRI and traditional imaging modalities in CRMO.Material and methodsThe study group consisted of 20 children with the mean age of 9.5 years. WBMRI imaging was performed between June and December of 2014. The mean follow-up period after completion of the study was 35 months. All the patients included in the study were additionally subjected to examination of clinically active CRMO foci by computed tomography, classic radiographic diagnostic management and scintigraphy.ResultsAll the patients manifested clinically active foci. In the group of the investigated patients, the highest number of foci in concordance with the clinical picture was noted in SCI – 29, followed by CT – 22 and WBMRI – 21, while plain X-ray yielded the lowest number of positive results – 12.ConclusionsThe results of the present study do not confirm the highest sensitivity of WBMRI in determining possible disease foci in CRMO as compared to other imaging modalities. Higher sensitivity in detection of radiologically active foci in CRMO was noted in bone system scintigraphy. During the 35-month follow-up, none of the WBMRI-detected radiologically active and clinically silent foci underwent clinical activation.
Comparison of moxifloxacin-based therapies and standard bismuth-based quadruple therapy for first-line treatment of Helicobacter pylori infection
Authors: Akpinar Muhammet Yener , Aksoy Evrim Kahramanoglu , Sapmaz Ferdane , Goktas Zeynep , Uzman Metin , Nazligul Yasar 
Published: January 2019

IntroductionHelicobacter pylori antibiotic resistance continues to be an important issue for decisions regarding eradication treatment. The aim of our study was to compare the efficacy of two bismuth-containing quadruple regimens: one including moxifloxacin, and the other including metronidazole, tetracycline and triple therapy with moxifloxacin as a first-line regimen.Material and methodsA total of 332 patients received three different regimens: (a) moxifloxacin-containing bismuth quadruple therapy, BMAR (bismuth subsalicylate 562 mg, BID, moxifloxacin 500 mg QD, amoxicillin 1 g, BID, rabeprazole 20 mg, BID); (b) standard bismuth quadruple therapy, BTMR (bismuth subsalicylate 562 mg, BID, tetracycline 500 mg, QID, metronidazole 500 mg, TID, rabeprazole 20 mg, BID, for 2 weeks); or (c) moxifloxacin-containing triple therapy, MAR (moxifloxacin 500 mg, QD, amoxicillin 1 g, BID and rabeprazole 20 mg, BID).ResultsThe eradication rates of the three groups using ITT analysis were BMAR 93.6%, BTMR 78.4% and MAR 90.8%. Rates were 98.9%, 87% and 99.1%, respectively, using PP analysis. The eradication rate was significantly higher in the BMAR group than in the other groups based on ITT analysis (p < 0.001). There was no significant difference between the BMAR and MAR groups based on PP analysis (p > 0.05); however, the eradication rate was significantly higher in both of the groups than in the BTMR group (p < 0.001).ConclusionsMoxifloxacin-containing regimens are efficacious choices for first-line therapy of H. pylori eradication. Adding bismuth therapy to moxifloxacin-based therapies only increases adverse events without increasing the eradication rate.
Dilatation of benign anastomotic strictures after colorectal surgery with bougies
Authors: Dincer Mürşit 
Published: January 2019

IntroductionThe development of benign anastomotic strictures after colon-rectum operations is one of the complications. Endoscopic balloon and bougie dilatations are applied primarily in the treatment. In this study, we aimed to investigate the causes of benign anastomosis after low anterior resection and present the results of bougie dilatation in anastomosis stenosis.Material and methodsThe patients with anastomosis after low anterior resection in the last year were retrospectively evaluated. Anastomosis and dilatation after the development of the cases were examined. The patients who underwent bougie dilatation were included in the study. Demographic characteristics of the patients, indications of surgery, causes of stenosis, duration of development of stenosis, level of stenosis and number of operations were recorded. Dilatation was performed under sedation. Polyvinyl bougies with a guide wire were used during the procedure. The dilatation process was continued starting with the smallest diameter bougie that could pass through the anastomosis, up to the maximum diameter bougie.ResultsAfter low anterior resection, seven patients with anastomosis were included in the study. In four cases, the only successful session was after the bougie dilatation. In one case, anastomosis was detected after multiple operations. In two cases, the bougie dilatation failed.ConclusionsAs a result, bougie dilatation in anastomotic stenosis is a feasible, effective and safe minimally invasive method with a low complication rate.
Criseida Lacrymosa? Rereading the Weeping Criseyde
Authors: Fumo Jamie C. 
Published: January 2019

Abstract
Building on emotion studies and the cognate disciplines of sociology and behavioral psychology, this article considers the tears (or lack thereof) shed by Chaucer's Criseyde and her literary siblings at pivotal moments in the Trojan story as transmitted from Benoît de Sainte-Maure, Guido delle Colonne, and Giovanni Boccaccio to Chaucer's love epic. It argues that the Criseyde-character was indigenously and polemically identified with tearful expression in the antifeminist tradition to which Chaucer responded, and that Chaucer, through what we might call a revisionist lacrimology, reframed the significance of Criseyde's weeping to establish her as his poem's most complex emotional agent. Chaucer capitalized on the phenomenological multivalence of tears to destabilize venerable literary expectations surrounding female tearfulness, particularly in relation to widowhood and infidelity. He accomplishes this both by complicating the signifying properties of Criseyde's tears and by affiliating her with a poetics of laughter.
Tied in “lusty leese”: Gender and Determinism in Troilus and Criseyde
Authors: Slayton Kendra 
Published: January 2019

Abstract
This article reconsiders Chaucer's depiction of Criseyde's social constraints in the context of medieval theological debates on free will and natural inclination. Unlike Boethius's vision in the Consolation of Philosophy of God as the benevolent summum bonum toward which all humans naturally incline, Troilus and Criseyde powerfully explores the deterministic potential of secular society when its ideology subverts the Christian summum bonum. Although Criseyde declares, “I am myn owene womman” (II, 750), Chaucer's employment of words with circumscribing connotations, such as lusty leese and muwe, undercuts Criseyde's self-perception. In addition to this semantic slippage, Chaucer imbues his text with ghosts of the violent classical past to point towards the atemporal quality of the snare in which Criseyde is trapped, circumscribing her past, present, and future.
What's in Criseyde's Book?
Authors: Schwebel Leah 
Published: January 2019

Abstract
After Pandarus interrupts Criseyde listening to a book on the siege of Thebes, she and he describe this work in two contrasting ways. The apparent disconnect between their descriptions, along with the fact that the book remains unnamed, has led scholars to advocate for either the Latin Thebaid or the French Roman de Thèbes as the likely candidate for this work. This article will argue that the exegetical exercise we must perform in our search for Criseyde's book is precisely the point. In our futile search for the book's identity—in our comparative study of “Theban gestes”—we retrace a pattern of authorial erasure and misprision prevalent in medieval works on Thebes. In describing Criseyde's book in two ways, and in leaving it nameless, Chaucer thus points his readers to the inevitable silencing and manipulation that accompany textual transmission and translation.