bluuebunny/crossref_metadata_2025_split huggingface dataset:
Les infirmières travaillant au domicile des patients : maîtriser l’espace et le temps d’un exercice professionnel (une enquête franco-japonaise dans quatre régions : Picardie, Paca, Nagano et Fukushima)
Authors: Mossé Philippe , Harayama Tetsu , Boulongne Garcin Maryse 
Published: February 2018

Introduction : cet article présente les principaux résultats d’une enquête qui vise à analyser les activités et les opinions des infirmières exerçant au domicile des patients au Japon et en France. Contexte : des recherches préalables centrées sur les infirmières hospitalières ont montré l’existence de différences attribuées, notamment, à un traitement différent de la tension entre le soin technique ( cure ) et le soin relationnel ( care ). Objectif : l’hypothèse est que cette tension engage les infirmières au-delà de leurs pratiques professionnelles. Seraient alors en jeu les caractéristiques des « espaces professionnels » et les mobilités qu’ils autorisent. Méthode : une enquête par questionnaires a été menée auprès de 200 infirmières exerçant au domicile. Quatre régions ont été choisies (deux en France, deux au Japon) afin de rendre compte de la diversité des environnements. Résultats : il apparaît que les représentations et le rapport au travail sont fortement marqués par l’expérience passée dont l’activité hospitalière est le référent principal. Mais la façon dont cette expérience s’inscrit dans la trajectoire professionnelle est largement construite par des choix d’ordre privé. Discussion : fondés sur une enquête qualitative, ces résultats devraient être confirmés à l’aide d’une recherche plus étendue.
Une simulation interprofessionnelle : une exploration des expériences des étudiantes en sciences infirmières
Authors: Lalonde Michelle , Malouin-Benoit Marie-Christine , Gagnon Elizabeth , Michon Alain , Maisonneuve Monique , Desroches Janie 
Published: February 2018

Contexte : la littérature suggère que la simulation interprofessionnelle est efficace pour répondre aux besoins d’apprentissages des étudiantes en sciences infirmières. Traditionnellement, l’apprentissage par simulation pour ces étudiantes prend place dans les écoles durant leur formation éloignée, du milieu clinique, des patients et de l’équipe de soins. Objectif : explorer les expériences des étudiantes en sciences infirmières durant leur stage clinique de troisième année suite à leur participation à des activités de simulation interprofessionnelle situées dans un laboratoire de simulation en centre hospitalier. Méthode : une étude de cas, avec des groupes de discussions et entrevues individuelles, a été utilisée pour explorer ce phénomène. Résultats : treize personnes ont participé à trois séances de simulation, comprenant chacune deux scénarios. L’analyse de contenu des groupes de discussion a révélé quatre thèmes : 1) le besoin d’un environnement réaliste, mais sécuritaire ; 2) l’alimentation de leur confiance en soi ; 3) la contribution à leur connaissance du rôle de l’infirmière ; et 4) la contribution à l’augmentation de leurs connaissances sur le travail d’équipe. Deux thèmes ont été soulevés suite aux entrevues individuelles : 1) les connaissances et habiletés techniques acquises durant la simulation ont été conservées dans le temps et 2) des effets sur la qualité et la sécurité des soins des patients ont été notés. Conclusion : l’utilisation de la simulation pourrait être particulièrement efficace pour le développement de la connaissance du rôle infirmier, du travail d’équipe, et de la confiance.
Assistance médicale à la procréation et groupes de parole
Authors: Masle Christophe , Bourdelet Adèle 
Published: February 2018

Cet article présente le dispositif des groupes de parole créés par l’Association des enfants du don ( adedd ), initialement destinés aux enfants issus d’un don de gamètes. Aujourd’hui, ces groupes de parole s’adressent aussi aux personnes en parcours d ’amp ou aux parents d’un enfant conçu par don. Les auteurs présentent la particularité de ces groupes et leurs rôles.
Rotational Stability of Monofocal and Trifocal Intraocular Toric Lenses With Identical Design and Material but Different Surface Treatment
Authors: Vandekerckhove Kristof 
Published: February 2018

PURPOSE:
To compare the rotational stability, total misalignment, and visual and refractive outcomes achieved with a trifocal toric versus a monofocal toric intraocular lens (IOL).

METHODS:
In this prospective, interventional case series, eyes of patients consecutively scheduled for cataract surgery who had clinically relevant astigmatism were implanted with a FineVision Pod FT trifocal toric IOL or an Ankoris monofocal toric IOL (both PhysIOL SA, Liège, Belgium). Certain comorbidities, such as pseudoexfoliation syndrome, were allowed. IOL rotation and total misalignment were analyzed 15 minutes, 1 day, 1 week, 6 weeks, 6 months, and 1 year postoperatively.

RESULTS:

Seventy-one eyes of 53 patients were assessed: 37 eyes were implanted with the trifocal IOL and 34 eyes with the monofocal IOL. More IOL rotation occurred in the monofocal group compared to the trifocal group (mean 4.23° ± 4.64° vs 2.55° ± 2.62°;
P
= .043, 12 months). Mean total misalignment was higher in the monofocal group (6.67° ± 6.59° at 12 months vs 3.79° ± 3.59° in the trifocal group) (
P
= .017). Postoperatively, more eyes achieved a refractive cylinder of 0.50 diopters or below in the trifocal group (65% at 12 months) than in the monofocal group, even in the monofocal subgroup analysis that excluded keratoconic eyes (42% at 12 months;
P
= .009).

CONCLUSIONS:
The monofocal and trifocal toric IOLs both appear to effectively reduce refractive astigmatism and provide good visual acuity in astigmatic patients having cataract surgery. The trifocal toric IOL offers better rotational stability than the monofocal IOL, probably due to the higher frictional coefficient of its surface.

[
J Refract Surg.
2018;34(2):84–91.]
Corneal Apical Scar After Hyperopic Excimer Laser Refractive Surgery: Long-term Follow-up of Treatment With Sequential Customized Therapeutic Keratectomy
Authors: Vinciguerra Paolo , Camesasca Fabrizio I. , Morenghi Emanuela , Azzolini Claudio , Pagano Luca , Trazza Silvia , Vinciguerra Riccardo 
Published: February 2018

PURPOSE:
To evaluate long-term results of sequential customized therapeutic keratectomy (SCTK) in highly aberrated corneas with apical scars consequent to hyperopic excimer laser refractive surgery.

METHODS:
Fifteen eyes of 12 patients treated with SCTK for a corneal apical scar after hyperopic excimer laser refractive surgery were retrospectively evaluated. SCTK is a sequence of custom therapeutic excimer laser keratectomies where the results are monitored step-by-step by intraoperative corneal topography. In the preoperative and postoperative course, corrected distance visual acuity (CDVA), corneal topography and aberrometry, Scheimpflug tomography, and anterior segment optical coherence tomography were compared before and after SCTK.

RESULTS:

The postoperative follow-up comprised 7 patients with 1 year and 8 patients with more than 2 years of follow-up. Functional results showed a significant increase of CDVA from 0.36 ± 0.31 to 0.14 ± 0.25 logMAR at the last available follow-up. Mean sphere did not change significantly from the baseline, demonstrating that SCTK does not induce hyperopic shift. Higher order aberrations decreased significantly from 2.57 ± 1.92 to 0.80 ± 0.42
µ
m at the last follow-up. Topographic indexes (irregular astigmatism index, surface asymmetry index, and surface regularity index) showed a significant improvement after SCTK. Pachymetry 3 months postoperatively showed no significant reduction during the entire follow-up in either minimum or central thickness.

CONCLUSIONS:
Long-term results demonstrate that SCTK can treat this sight-threatening complication of hyperopic excimer laser refractive surgery, achieving significant improvements in visual acuity and in many corneal morphological parameters.

[
J Refract Surg.
2018;34(2):113–120.]
Incidence and Outcomes of Optical Zone Enlargement and Recentration After Previous Myopic LASIK by Topography-Guided Custom Ablation
Authors: Reinstein Dan Z. , Archer Timothy J. , Carp Glenn I. , Stuart Alastair J. , Rowe Elizabeth L. , Nesbit Andrew , Moore Tara 
Published: February 2018

PURPOSE:
To report the incidence, visual and refractive outcomes, optical zone enlargement, and recentration using topography-guided CRS-Master TOSCA II software with the MEL 80 excimer laser (Carl Zeiss Meditec AG, Jena, Germany) after primary myopic laser refractive surgery.

METHODS:
Retrospective analysis of 73 eyes (40 patients) with complaints of night vision disturbances due to either a decentration or small optical zone following a primary myopic laser refractive surgery procedure using the MEL 80 laser. Multiple ATLAS topography scans were imported into the CRS-Master software for topography-guided ablation planning. The topography-guided re-treatment procedure was performed as either a LASIK flap lift, a new LASIK flap, a side cut only, or photorefractive keratectomy. Axial curvature maps were analyzed using a fixed grid and set of concentric circles superimposed to measure the topographic optical zone diameter and centration. Follow-up was 12 months.

RESULTS:
The incidence of use in the population of myopic treatments during the study period was 0.79% (73 of 9,249). The optical zone diameter was increased by 11% from a mean of 5.65 to 6.32 mm, with a maximum change of 2 mm in one case. Topographic decentration was reduced by 64% from a mean of 0.58 to 0.21 mm. There was a 44% reduction in spherical aberration, 53% reduction in coma, and 39% reduction in total higher order aberrations. A subjective improvement in night vision symptoms was reported by 93%. Regarding efficacy, 82% of eyes reached 20/20 and 100% reached 20/32 (preoperative CDVA was 20/20 or better in 90%). Regarding safety, no eyes lost two lines of CDVA and 27% gained one line. Regarding predictability, 71% of re-treatments were within ±0.50 diopters.

CONCLUSIONS:
Topography-guided ablation was effective in enlarging the optical zone, recentering the optical zone, and reducing higher order aberrations. Topography-guided custom ablation appears to be an effective method for re-treatment procedures of symptomatic patients after myopic LASIK.

[
J Refract Surg.
2018;34(2):121–130.]
Intraoperative Patient Experience and Postoperative Visual Quality After SMILE and LASIK in a Randomized, Paired-Eye, Controlled Study
Authors: Damgaard Iben B. , Ang Marcus , Farook Mohamed , Htoon Hla M. , Mehta Jodhbir S. 
Published: February 2018

PURPOSE:
To compare intraoperative and postoperative subjective patient experience after small incision lenticule extraction (SMILE) and femtosecond laser–assisted LASIK.

METHODS:
In a prospective, randomized, paired-eye, single-masked clinical trial at Singapore National Eye Centre, 70 patients were randomly treated with SMILE and LASIK in each eye. The intraoperative questionnaire was completed immediately after surgery and included light perception and levels of anxiety, fear, and discomfort. The postoperative 1- and 3-month questionnaires evaluated severity of light sensitivity, eye discomfort, eye dryness, excessive tearing, gritty sensation, glare, halos, blurring, and fluctuations in vision.

RESULTS:

Average discomfort scores were higher during tissue manipulation in SMILE (1.9 ± 0.9) than flap lifting in LASIK (1.59 ± 0.8) (
P
= .020) but comparable during docking and laser application (
P
> .249). Fear scores were lower in SMILE than LASIK during docking (2.6 ± 1.6 vs 3.4 ± 1.9,
P
= .024) but similar during occasional blackout, laser application, and lenticule/flap manipulation (
P
> .364). Fear scores were generally higher in patients with intraoperative suction loss (n = 3). For SMILE, light sensitivity, eye discomfort, blurring, and fluctuations in vision improved from 1 to 3 months (
P
< .039). For LASIK, improvements were reported for light sensitivity, eye discomfort, eye dryness, gritty sensation, and fluctuations in vision from 1 to 3 months (
P
< .046). At 1 month, patients experienced more blurring after SMILE than LASIK (2.1 ± 0.8 vs 1.8 ± 0.7,
P
= .025), but with no differences in any of the visual symptoms at 3 months.

CONCLUSIONS:
Tissue manipulation may be more uncomfortable during SMILE than LASIK, but not more frightening. Subjective visual symptoms were comparable after 3 months.

[
J Refract Surg.
2018;34(2):92–99.]
Long-term Clinical Outcomes of Phototherapeutic Keratectomy in Corneas With Granular Corneal Dystrophy Type 2 Exacerbated After LASIK
Authors: Jun Ikhyun , Jung Ji Won , Choi Young Joon , Kim Tae-im , Seo Kyoung Yul , Kim Eung Kweon 
Published: February 2018

PURPOSE:
To investigate the long-term clinical outcomes and recurrence patterns of phototherapeutic keratectomy (PTK) in patients with granular corneal dystrophy type 2 (GCD2) exacerbated after LASIK.

METHODS:
Fifty-one patients (76 eyes) with GCD2 exacerbated after LASIK who underwent PTK between January 2007 and February 2017 were included. Participants underwent ophthalmic examination, including slit-lamp microscopy, corrected distance visual acuity (CDVA), slit-lamp photography, and Fourier domain optical coherence tomography at preoperative and postoperative visits. PTK was performed using VISX S4 IR (VISX, Inc., Santa Clara, CA). Visual acuity, complications, interval, and contributing factors of recurrence were evaluated.

RESULTS:
The follow-up period ranged from 1 to 108 months (mean: 35.22 months). The mean logMAR CDVA was 0.55 ± 0.43 (Snellen equivalent 20/80) preoperatively and 0.09 ± 0.43 (Snellen equivalent 20/25) at 3 months postoperatively. Forty-five (61.6%) eyes developed biomicroscopic recurrence at a mean of 18.6 months after PTK; 20 (27.4%) eyes developed significant recurrence at a mean of 31.3 months after PTK. The flap removal group demonstrated better CDVA at 3 years after surgery and lower recurrence and complication rates than the flap conservation group. Multivariate analysis revealed that flap removal remarkably reduced the risk of both any sign of and significant recurrence.

CONCLUSIONS:
PTK improved corneal transparency and visual acuity in patients with GCD2 exacerbated after LASIK, although GCD2 eventually recurred. PTK with flap removal was superior to PTK with flap conservation in terms of visual acuity, recurrence, and complications.

[
J Refract Surg.
2018;34(2):132–139.]
Activity of Southeastern Bats Along Sandstone Cliffs Used for Rock Climbing
Authors: Loeb Susan C. , Jodice Patrick G. R. 
Published: February 2018

AbstractBats in the eastern United States are facing numerous threats and many species are in decline. Although several species of bats commonly roost in cliffs, researchers know little about use of cliffs for foraging and roosting. Because rock climbing is a rapidly growing sport and may cause disturbance to bats, our objectives were to examine use of cliff habitats by bats and to assess the effects of climbing on their activity. We used radiotelemetry to track small-footed bats Myotis leibii to day roosts, and Anabat SD2 detectors to compare bat activity between climbed and unclimbed areas of regularly climbed cliff faces, and between climbed and unclimbed cliffs. We tracked four adult male small-footed bats to nine day roosts, all of which were in various types of crevices including five cliff-face roosts (three on climbed and two on unclimbed faces). Bat activity was high along climbed cliffs and did not differ between climbed and unclimbed areas of climbed cliffs. In contrast, overall bat activity was significantly higher along climbed cliffs than unclimbed cliffs; species richness did not differ between climbed and unclimbed cliffs or areas. Lower activity along unclimbed cliffs may have been related to lower cliff heights and more clutter along these cliff faces. Due to limited access to unclimbed cliffs of comparable size to climbed cliffs, we could not thoroughly test the effects of climbing on bat foraging and roosting activity. However, the high overall use of climbed and unclimbed cliff faces for foraging and commuting that we observed suggests that cliffs may be important habitat for a number of bat species. Additional research on bats' use of cliff faces will improve our understanding of the factors that affect their use of this habitat including the impacts of climbing.
Grammaire, bienveillance et boîtiers de vote : analyse d’une rénovation pédagogique
Authors: Gorce Hélène Josse - de La , Riou Marine , Beaupoil-Hourdel Pauline , Bouquet-Ysos Clotilde 
Published: February 2018

Le concept de bienveillance en enseignement ne saurait se limiter à une intention de l’enseignant envers ses étudiants. La bienveillance doit trouver une traduction concrète en actes pédagogiques. Ainsi, nous souhaitons interroger la manière dont les apprenants ressentent la bienveillance des enseignants à leurs égards et sur les actes pédagogiques qui favorisent sa mise en place. Pour ce faire, nous nous appuyons sur une expérimentation de rénovation pédagogique d’un cours de grammaire anglaise réalisée en 2015-2016 sur une cohorte de 264 étudiants en 2ème année de licence d’anglais. Notre propos s’attache à montrer que la bienveillance de l’enseignant est une préoccupation majeure des étudiants et que les boîtiers de vote peuvent être un outil privilégié pour instaurer une pédagogie bienveillante. Cependant, leur introduction peut déplacer la nature du stress ressenti par les étudiants en cours, en particulier si elle s’accompagne de la disparition de supports de cours écrits plus classiques auxquels les étudiants sont habitués.
Confiance et reliance des moniteurs dans un centre de langues
Authors: Abendroth-Timmer Dagmar 
Published: February 2018

Dans cet article, nous présentons l’analyse d’entretiens réalisés auprès de 10 moniteurs intervenant dans un Espace-Langues d’une université technico-médicale, et chargés de permanences et d’ateliers de conversation. Nous analysons leurs auto-catégorisations et leurs représentations par rapport à leur enseignement à la lumière de l’approche réflexive dans le cadre de la formation des enseignants et de la recherche. Leur capacité à motiver et à encourager des pratiques allant vers des formes de comportement autonome fera aussi l’objet de notre analyse. Enfin, nous nous intéresserons à leur sentiment de confiance en soi et leur reliance ou attachement à l’équipe du centre de langues tel qu’il se dégage des entretiens ainsi qu’à la représentation que les moniteurs ont de la confiance des apprenants
Mise en place d’un espace d’apprentissage sécurisant
Authors: Sournin Sophie Dufossé 
Published: February 2018

Dans cette fiche pédagogique nous allons montrer comment la restructuration de l’enseignement dans le secteur des langues pour spécialistes d’autres disciplines de l’École supérieure du professorat et de l’éducation de l’académie de Limoges a permis de développer un environnement apaisant et bienveillant conforme aux recommandations du Ministère de l’enseignement supérieur et à la politique universitaire locale. L’organisation en vigueur auparavant, et réaménagée depuis la rentrée 2016-2017 (présentiel et numérique), semble proposer un cadre d’apprentissage des langues vivantes (anglais et espagnol) de qualité, apte à répondre aux besoins hétérogènes des étudiants non spécialistes de 1ère et 2ème année en master « métiers de l’enseignement, de l’éducation et de la formation » pour lesquels les moyens mis en place précédemment n’étaient peut-être plus suffisants.
Lieux et réseaux d’enfermement des migrants à la frontière orientale de la Grèce
Authors: Pillant Laurence 
Published: February 2018

Le contrôle migratoire à la frontière orientale de la Grèce repose principalement sur l’enfermement des migrants ayant franchi la frontière sans autorisation. Dans les années 2000 émergent des lieux d’enfermement peu réglementés, aux fonctionnements hétérogènes. Cet article explore les modalités de contrôle des autorités sur les migrants dans ces lieux. Celui-ci consiste notamment en une incertitude spatio-temporelle qui renforce le caractère répressif et dissuasif de la privation de liberté. Ces incertitudes ne sont pas uniquement à l’échelle du lieu mais se doublent de transferts fréquents qui peuvent survenir à tout moment. En suivant les mobilités forcées des migrants, il s’agit d’appréhender la fonction des lieux d’enfermement, leur multiplication, ainsi que leur connexion en réseau.
Carbon Monoxide Impairs CD11b+Ly-6Chi Monocyte Migration from the Blood to Inflamed Pancreas via Inhibition of the CCL2/CCR2 Axis
Authors: Wu Jinghua , Zhang Ruling , Hu Guoyong , Zhu Helen He , Gao Wei-Qiang , Xue Jing 
Published: February 2018

Abstract
Acute pancreatitis (AP) is a sterile inflammation, in which inflammatory monocytes (CD11b+Ly-6Chi) are recruited into the inflamed tissue at the onset of disease. Monocyte infiltration and activation at the site of inflammation are critical to the pathogenesis of AP. Our previous studies have shown a protective role for CO in AP, which is partially mediated by inhibition of macrophage activation via TLR4 signaling. In the current study, to gain a better understanding of CO’s therapeutic effect, we further investigated whether CO could affect inflammatory monocyte trafficking during AP. In a mouse model of AP, we found that treatment with CO-releasing molecule-2 (CORM-2) impaired recruitment of inflammatory monocytes, but not that of neutrophils, from peripheral blood to inflamed pancreas. During the early stage of AP, a single dose of CORM-2 decreased pancreatic CCL2 and soluble ICAM-1 expression. In addition, using in vivo and in vitro experiments, we found that CORM-2 had the ability to inhibit CD11b+Ly-6Chi monocyte migration via blockade of CCR2 endocytosis. Notably, we showed that CORM-2 inhibited CCR2 endocytosis of inflammatory monocytes (CD14hiCD16−) from AP patients. Taken together, our results highlighted CO’s effect on inflammatory monocyte trafficking, shedding additional light on its therapeutic potential in AP.
Evaluation of the effectiveness of the National Benchmarking Initiative (NBI) in improving the productivity of water services authorities in South Africa
Authors: Brettenny Warren , Sharp Gary 
Published: February 2018

Water shortages, public demonstrations and lack of service delivery have plagued many South African water services authorities (WSAs) for a number of years. From 2004–2007 the National Benchmarking Initiative (NBI) was implemented to improve the performance, efficiency and sustainability of WSAs. The current study demonstrates the use of data envelopment analysis (DEA) and the Malmquist productivity index (MPI) for the assessment of the effectiveness of the NBI in achieving these goals. Furthermore, the MPI is used to assess the impact that the termination of the NBI had on the efficiency of the WSAs in the years that followed. In conclusion, the MPI is identified as a valuable tool for regulators and policy makers that wish to assess the performance of their benchmarking initiatives.