bluuebunny/crossref_metadata_2025_split huggingface dataset:
La réflexivité, un élément-clé de la professionnalisation infirmière
Authors: Holmberg-Laurency Carola 
Published: August 2019

La capacité réflexive est considérée par beaucoup comme une caractéristique essentielle de la compétence professionnelle. Ceci sous-entend le développement d’une posture réflexive par des apports théoriques et par l’analyse de la pratique professionnelle. Néanmoins, la réflexivité n’est pas aisée pour les étudiants. Cependant, elle s’apprend à travers un accompagnement par les formateurs. Les instituts de formation en soins infirmiers instaurent la réflexivité en fonction de leurs moyens pédagogiques, ce qui crée des disparités de fonctionnement. L’objet de recherche est axé sur la réflexivité et sa contribution à une professionnalisation des étudiants en soins infirmiers. Cette recherche compréhensive et qualitative vise à comprendre si et en quoi la réflexivité instaurée en formation initiale aide les étudiants en soins infirmiers à se professionnaliser. Que pensent-ils des analyses de pratiques pendant la formation, mais aussi en tant que jeunes diplômés ? Quel est le rôle des tuteurs de terrain dans leur fonction d’encadrement au niveau de la pratique réflexive ?
Les dispositifs sociotechniques et le rapport au corps sensible des étudiants en soins infirmiers
Authors: Meunier Karen 
Published: August 2019

Lors de rencontres de suivi pédagogique, les étudiants en soins infirmiers avouent des difficultés à effectuer des soins où ils doivent toucher des corps nus. À partir d’une recherche qualitative, cette étude cherche à décoder les phénomènes sociaux auxquels sont confrontés les futurs professionnels pour comprendre leurs émotions et leurs représentations. Ces jeunes sont nés, pour la plupart, avec le numérique où règnent Internet et les réseaux sociaux. La médiation technologique favorise le contact virtuel mais tend à l’évitement du toucher du corps réel. Les relations amoureuses se nouent par écrans interposés et leur identité change selon leur humeur. Le toucher est au centre de la relation soignant-soigné. L’identité professionnelle se forge sur la confrontation sur les valeurs individuelles du sujet et celles du système. Dans ce contexte, comment les étudiants en soins infirmiers construisent leur professionnalité soignante à travers leur rapport au toucher du « corps sensible » ?
Phenotypic and Ig Repertoire Analyses Indicate a Common Origin of IgD−CD27− Double Negative B Cells in Healthy Individuals and Multiple Sclerosis Patients
Authors: Fraussen Judith , Marquez Susanna , Takata Kazushiro , Beckers Lien , Montes Diaz Gwendoline , Zografou Chrysoula , Van Wijmeersch Bart , Villar Luisa M. , O’Connor Kevin C. , Kleinstein Steven H. , Somers Veerle 
Published: August 2019

AbstractIgD−CD27− double negative (DN) B cells with proinflammatory characteristics are abnormally elevated in a proportion of multiple sclerosis (MS) patients. In this study, the origin and selection characteristics of DN B cells were studied in MS patients and healthy controls (HC). Expression of developmental markers on peripheral blood DN, IgD−CD27+ class-switched memory (CSM) and IgD+CD27− naive B cells of HC (n = 48) and MS patients (n = 96) was determined by flow cytometry. High-throughput adaptive immune receptor repertoire sequencing was performed on peripheral blood DN and CSM B cells of HC and MS patients (n = 3 each). DN B cells from HC and MS patients showed similar phenotypic and Ig repertoire characteristics. Phenotypic analysis indicated a mature state of DN B cells by low CD5, CD10, and CD38 expression. However, the frequency of CD95+ and IgA+ cells was lower in DN versus CSM B cells. DN B cells are Ag experienced, as shown by somatic hypermutation of their Ig genes in adaptive immune receptor repertoire sequencing, although they showed a lower mutation load than CSM B cells. Shared clones were found between DN and CSM B cells, although &gt;95% of the clones were unique to each population, and differences in V(D)J usage and CDR3 physicochemical properties were found. Thus, DN B cells arise in HC and MS patients via a common developmental pathway that is probably linked to immune aging. However, DN and CSM B cells develop through unique differentiation pathways, with most DN B cells representing an earlier maturation state.
Uncommon skeletal findings in systemic sclerosis (scleroderma)
Authors: Van der Walt Betsie , Van de Werke Irma , Lockhat Zarina 
Published: August 2019

Scleroderma or progressive systemic sclerosis is a diffuse disease characterised by excessive deposition of collagen and small-vessel arteritis. Systemic sclerosis is divided into two groups.1. Diffuse scleroderma, where interstitial pulmonary fibrosis is common, and2. The CREST syndrome, which is characterised more commonly by vasculitis with pulmonary hypertension.The CREST syndrome consists of calcinosis of the skin, Raynaud's phenomenon, sclerodactyly, telangiectasis and oesophageal dysmotility.This case describes a 48-year-old woman with known scleroderma demonstrating some of the less common radiological features.
Knowledge and Attitudes of Maintaining Bone Health among Post-Menopausal Women in Malaysia
Authors: Hatta Nik Noor Kaussar Nik Mohd , Nurumal Mohd Said , Isa Muhammad Lokman Muhammad , Daud Azlina , Ibrahim Muhammad , Sharifudin Mohd Ariff , Deraman Samsul 
Published: August 2019

Introduction: Public awareness of osteoporosis is low among women in the developing countries. Health education was shown to be effective in improving knowledge and awareness on maintaining bone health. This study aims to identify the level of knowledge and attitudes among post-menopausal women in Malaysia on achieving bone health throughout the menopausal transition period.Methods: A total of 116 post-menopausal female patients of orthopedic menopause clinic were recruited using a purposive sampling approach. Data on osteoporosis awareness and knowledge were collected using validated structured questionnaires Osteoporosis Prevention and Awareness Tool and Osteoporosis Attitude Knowledge Test. The chi-square test was used to determine the association between post-menopausal women’s socio-demographic characteristics and their knowledge and attitude towards maintaining bone health.Results: Participants’ age ranged between 49 and 82 years (61.84, SD=7.87). The knowledge of osteoporosis varied significantly by age (p=0.014) and education (p=0.001) among the studied population. No significant diffrences were found for participants’ attitude towards bone health.Conclusion: This study showed that the age and education levels have significantly different knowledge of bone health.
The Integration of University with High School Through an Experience Using Pjbl
Authors: Marins Luciano , Carvalho Edson De Paula , Marins Walkiria Silva Soares , Soares Douglas Do Couto , Gouveia Francilaine Calixto 
Published: August 2019

The present work describes an exchange of experiences among students of the State School CIEP 291 - Dom Martinho Schlude in the City of Pinheiral, RJ, with the Advertising and Propaganda students, Information Systems and Engineering of the University Center of Volta Redonda (UniFOA) during a period of six months. The partnership arose due to a school´s need to develop some actions to participate in the Jaguar Land Rover Competition, 4x4 in Schools Technology Challenge. The challenge required technological changes in a prototype of a 4x4 vehicle approximately 20 cm long, 10 cm wide and 10 cm high. A micro-enterprise was create, with a logo and marketing actions, approaching an entrepreneurial vision. All actions taken were on display on a given day through verbal presentations and visualization of the team's booth. In addition to fulfill these needs, each team were evaluate on the performance test of the prototype in an obstacle course to take time. A partnership with UniFOA was created to assist in project development and support in the area of technology, strategy and marketing. Companhia Siderúrgica Nacional (CSN) led the industry's support in research and development for strategic planning for the team's actions. The students of the courses of Design, Information Systems, Advertising and Propaganda and Electrical and Mechanical Engineering assigned two hours a week for approximately six months to a technical monitoring involving the needs of the Team.
In the end, the secondary students were able to elaborate all the necessary requirements according to the regulation participating in the National Stage and later of the World Stage. The UniFOA students were able to apply the concepts using Project Based Learning as a methodology fulfilling the role of the university in the society that is to produce knowledge, generate critical thinking, organize and articulate knowledge, forming citizens and professionals. The experience was very enriching providing for all involved strengthening of numerous cognitive and socio emotional skills. As a result of the project, the AUTO291 team was the champion in the National Stage, conquering the opportunity to represent the country in the world event, being the champion team in the category of "Best Media Dissemination" and was among the top three in the "in Abu Dhabi, United Arab Emirates..
A Cinematic Education: Remembrance of Films Past, or Mind over Medium
Authors: Cardullo Robert J. 
Published: August 2019

Abstract
This article examines seven American films (Peter Bogdanovich’s The Last Picture Show; Martin Scorsese’s Mean Streets; John D. Hancock’s Bang the Drum Slowly; Frank Perry’s Last Summer; Sydney Pollack’s They Shoot Horses, Don’t They?; Terrence Malick’s Badlands; and George Roy Hill’s Slaughterhouse-Five) from the perspective of the first time the author saw them versus the perspective of today. What I discover is that I do not feel, or think, the same way about the films in question. In the process of making this discovery—of gaining, as it were, a cinematic education—I explore not only the subjectivity of memory but also the subjectivity of (film) criticism; the changes that have occurred in movie viewing over the years, which themselves have affected perception; and the place of the cinema in one’s life—past, present, and beyond.
Going Together: Toward an Account of Sharing Aesthetic Experiences
Authors: Shanklin Robert , Meyer Michael 
Published: August 2019

Abstract
We share aesthetic experiences, for instance by going to the movies or the theater or by tasting wine together. Sharing aesthetic experiences has received less philosophical scrutiny than it deserves, given its apparent pervasiveness in everyday life and its philosophical import. There are philosophical as well as empirical grounds for thinking that sharing aesthetic experiences can be more meaningful and richer in both phenomenal and epistemic content, as contrasted with solitary ones. This paper sketches an account of sharing aesthetic experience and, in doing so, draws connections between sharing experiences of aesthetic objects on the one hand and aesthetic judgments and education on the other. It then introduces a notion of aesthetic conversations as a central aspect of such experiences, judgment, and learning. The paper concludes with a discussion of ways in which sharing aesthetic experiences is a rich area for further philosophical exploration.
Involvement of the Areae Compositae of the Heart in Endemic Pemphigus Foliaceus
Authors: Abreu-Velez Ana Maria , Upegui-Zapata Yulieth A. , Valencia-Yepes Carlos A. , Upegui-Quiceno Eduardo , Jiménez-Echavarría Alejandra M. , Niño-Pulido César D. , Smoller Bruce R. , Howard Michael S. 
Published: August 2019

Background: A new variant of endemic pemphigus foliaceus in El Bagre (El Bagre-EPF), Colombia, South America, shares features with Senear-Usher syndrome and occurs in an endemic fashion. Patients affected by El Bagre-EPF have heterogeneous antigenic reactivity not only to the skin but to other organs, including the heart. Here we test for autoantibodies to the areae compositaeof the heart (structure consisting of typical desmosomal amalgamated fascia adherensmolecules)and evaluate any possible clinical correlation.
Methods: A case-control study comparing 45 patients and 45 controls from the endemic area, matched by demographics including age, gender, weight, work activities, and comorbidities, was performed. Direct and indirect immunofluorescence, immunohistochemistry, confocal microscopic studies, and echocardiogram studies were completed.
Results: The main clinical abnormally seen in the El Bagre-EPF patients was left ventricular hypertrophy in 15/45 patients, compared with no such findings in the control population (P < 0.1). Seventy percent of El Bagre-EPF patients and none of the controls displayed polyclonal autoreactivity using different immunoglobulins and complement to the areae compositae of the heart using different methods and antibodies (P < 0.1).
Conclusions: Patients affected by El Bagre-EPF demonstrated autoantibodies to the areae compositae of the heart. This finding was associated with left ventricular hypertrophic cardiomyopathy.The areae compositaemay play a role incell junction tension and the El Bagre-EPF patients’ autoantibodies possibly disrupting these junctions and thereby contributing to the left ventricular hypertrophy.
Disseminate Recurrent Folliculitis and Hidradenitis Suppurativa Are Associated Conditions: Results From a Retrospective Study of 131 Patients With Down Syndrome and a Cohort of 12,351 Pediatric Controls
Authors: Sechi Andrea , Guglielmo Alba , Patrizi Annalisa , Savoia Francesco , Cocchi Guido , Leuzzi Miriam , Chessa Marco A. 
Published: August 2019

Background: Hidradenitis suppurativa (HS) is a chronic, inflammatory, recurrent skin disease of the pilosebaceous unit characterized by protean manifestations. Several studies have found an increased incidence and earlier presentation of this disease in patients carrying trisomy 21. Patients with Down syndrome (DS) have a higher risk of developing a wide range of cutaneous manifestations, including HS and chronic folliculitis. Recently, disseminate recurrent folliculitis (DRF) has been reported as an atypical monosymptomatic feature of HS at its onset.
Objective: To assess the prevalence of HS and DRF by comparing a cohort of patients carrying trisomy 21 vs pediatric controls.
Methods: A retrospective 2-year monocentric clinical study was performed by collecting clinical data of 131 patients with DS, aged 4-36 years, followed at the Dermatology Unit and Down Syndrome Regional Center of Bologna University. Data were matched with those coming from 12,351 pediatric controls.
Results: In DS patients, DRF and HS showed a prevalence of, respectively, 6.8% and 24.4%, while 5.3% of patients presented both diseases. In the control group the prevalence for HS+ and DRF+ was 0.5% and 1.2%, respectively, with a 0.14% of overlap cases. The association between HS and DRF proved to be statistically significant in both groups (P < 0.05). In the DS cohort the mean age of symptoms onset was 15.67 (SD: 2.29) years for HS and 13.11 (SD: 4.93) years for DRF. Buttocks were the most frequently affected body area for DRF followed by the inguinocrural area, while in HS buttocks were less frequently involved than groins and upper thighs.
Conclusions: Because of the later onset of HS, patients with DRF at an early age should be monitored for the possible onset of HS in the apocrine-bearing areas.
Effects of a 1-Day Training Course in Dermoscopy Among General Practitioners
Authors: Augustsson Anna , Paoli John 
Published: August 2019

Background: General practitioners (GPs) are often the first point of contact for Swedish patients seeking medical advice for skin lesions of concern, but many lack training in dermoscopy.
Objective: To examine the effects of a 1-day training course in dermoscopy among Swedish GPs.
Methods: The intervention group consisted of GPs who underwent a 1-day training course in dermoscopy and a control group that did not undergo any education. Before the training course, the intervention group performed a test consisting of 30 dermoscopy cases including 9 different benign and malignant melanocytic and nonmelanocytic diagnoses. The participants then took the same test directly after the course and again after 6 months. The control group took the same test twice with a 6-month interval in between tests in order to avoid recall bias.
Results: Twenty-seven GPs in the intervention group took the test before and immediately after the course with an improvement of their median test scores by 8 points (13 vs 20 correct answers, P < 0.01). Eighteen participants also took the test a third time after 6 months with similar results compared with the second test (median scores of 20.5 vs 20.0, P = 0.3). In the control group, 16 persons preformed both tests with an improvement of their median score by 2 points (13.5 vs 15.5 correct answers, P = 0.06).
Conclusions: The results of this study show positive effects on diagnostic accuracy in a test situation among GPs receiving a 1-day training course in dermoscopy.
Differential Diagnosis of Epithelioid Malignant Mesothelioma With Lung and Breast Pleural Metastasis: A Systematic Review Compared With a Standardized Panel of Antibodies—A New Proposal That May Influence Pathologic Practice
Authors: Le Stang Nolwenn , Burke Louise , Blaizot Gaetane , Gibbs Allen R. , Lebailly Pierre , Clin Bénédicte , Girard Nicolas , Galateau-Sallé Françoise ,   for the MESOPATH and EURACAN networks
Published: August 2019

Context.—Pleural mesothelioma is a rare cancer with an often-challenging diagnosis because of its potential to be a great mimicker of many other tumors. Among them, primary lung and breast cancers are the 2 main causes of pleural metastasis. The development and application of targeted therapeutic agents have made it even more important to achieve an accurate diagnosis. In this setting, international guidelines have recommended the use of 2 positive and 2 negative immunohistochemical biomarkers.Objectives.—To define the most highly specific and sensitive minimum set of antibodies for routine practice to use for the separation of epithelioid malignant mesothelioma from lung and breast metastasis and to determine the most relevant expression cutoff.Design.—To provide information at different levels of expression of 16 mesothelial and epithelial biomarkers, we performed a systematic review of articles published between 1979 and 2017, and we compared those data to results from the Mesothelioma Telepathology Network (MESOPATH) of the standardized panel used in routine practice database since 1998.Results.—Our results indicate that the following panel of markers—calretinin (poly)/thyroid transcription factor 1 (TTF-1; clone 8G7G3/1) and calretinin (poly)/estrogen receptor-α (ER-α; clone EP1)—should be recommended; ultimately, based on the MESOPATH database, we highlight their relevance which are the most sensitive and specific panel useful to the differential diagnosis at 10% cutoff.Conclusions.—Highlighted by their relevance in the large cohort reported, we recommend 2 useful panels to the differential diagnosis at 10% cutoff.
Genre romanesque et romanesque cinématographique
Authors: Gris Fabien 
Published: August 2019

On a l’habitude d’évoquer un retour du romanesque pour qualifier la littérature narrative française depuis les années 1980. Ce retour a été favorisé, entre autres, par un tropisme du roman vers le cinéma, et notamment vers ses genres populaires. La question du genre littéraire et celle du cinéma trouveraient un point d’intersection dans cette notion de « romanesque », comprise dans ses deux sens : ce qui relève du genre du roman et ce qui relève d’un certain foisonnement fictionnel. Néanmoins, pendant trente ans, ce retour au romanesque s’est effectué de façon critique ou distanciée, comme si l’objet demeurait toujours partiellement suspect. Or nous faisons l’hypothèse d’une récente modification de perspective. Cette voie serait le fait d’une partie de la nouvelle génération d’écrivains, qui semble aujourd’hui se tourner notamment vers le cinéma de genre et l’imaginaire des blockbusters hollywoodiens pour nourrir sa quête romanesque. « Quête », car la particularité de ce nouveau romanesque est qu’il s’énonce sous la modalité du désir, du fantasme, objet visé mais jamais pleinement atteint. Magie industrielle de Patrice Blouin et L’étoile du Hautacam de Pierric Bailly sont des oeuvres représentatives de ce nouveau désir de romanesque placé sous l’influence du blockbuster contemporain.
Du récit épique à la construction d’un ethos d’auteur
Authors: Cohen Nadja 
Published: August 2019

Considérés par les chercheurs en cinéma comme de simples documents éclairant la genèse d’un film, et largement ignorés par les littéraires, même dans le cadre des études sur les rapports entre l’écrit et l’écran, les journaux de tournage n’ont jusqu’à présent donné lieu qu’à quelques études ponctuelles. En raison de leur instabilité générique et de leur hétérogénéité, ils ont, en outre, rarement été envisagés comme un ensemble cohérent. Cet article explore cette question générique en analysant trois d’entre eux : le vibrant Journal d’un film écrit par Cocteau pendant le tournage de La Belle et la Bête ; celui tenu par François Truffaut sur le plateau de Fahrenheit 451, ainsi que Pas à pas dans la brume électrique où Bertrand Tavernier raconte la fabrique de son film Dans la brume électrique. Après avoir étudié l’inscription parfois malaisée de ces textes dans un contexte éditorial, cette étude met en évidence leur parenté sur deux plans : tonal d’une part, les tournages étant présentés comme des aventures collectives aux accents souvent épiques, pragmatique ensuite, en montrant que l’écriture diariste offre aux auteurs un espace privilégié d’affirmation de leur éthos de créateur.
Charlot, une source d’inspiration pour Henri Michaux
Authors: Gillain Nathalie 
Published: August 2019

Henri Michaux compte parmi ces écrivains qui, au début du xxe siècle, refusent de reproduire aveuglément les codes génériques fixés par la tradition littéraire. Cependant, il ne croit pas en la possibilité d’écrire sans être influencé par ceux-ci ; ainsi, plutôt que de feindre l’oubli, l’écrivain prend le parti d’écrire contre les genres, c’est-à-dire de les attaquer, par les moyens conjugués de la déformation expressive et du court-circuitage. Cet article montre que Michaux élabore ces procédés en se donnant, comme horizon d’écriture, le rythme trépidant du slapstick américain et, plus particulièrement, les mouvements simples mais subversifs du personnage incarné par Charlie Chaplin. En analysant des extraits de ses premiers recueils (Plume, Mes propriétés, Ecuador) à la lumière d’articles sur le cinéma écrits peu avant, nous démontrons en effet que les stratégies énonciatives mises au point par Michaux pour déjouer la reproduction des genres littéraires sont inspirées par les gestes à la fois agressifs et indifférents que Charlot oppose aux conduites réglées par les conventions sociales. Dès 1924, l’écrivain partant en guerre contre les genres s’identifie au personnage de Chaplin et multiplie impassiblement, comme lui, les gestes d’agression envers les représentants de l’ordre. À l’image de Charlot, qui fait basculer d’un coup de pied le corps d’un agent de police, l’écrivain renverse les modèles génériques en prenant la littérature par-dessus la jambe et fait ainsi de la désinvolture, sinon de l’indifférence, sa marque de fabrique : il ne s’agit pas simplement d’écrire vite, pour traduire les mouvements du corps et de la matière pensante, mais aussi de porter atteinte aux modèles littéraires par un geste impulsif, qu’on peut assimiler à une rature.