bluuebunny/crossref_metadata_2025_split huggingface dataset:
La stupidité dans le champ analytique : les vicissitudes du processus de séparation à l’adolescence
Authors: Cassorla Roosevelt M.S. 
Published: January 2019

L’objectif de cet article est d’élargir la compréhension de certains aspects techniques dans le travail avec les adolescents qui érigent des organisations défensives contre la séparation d’avec leurs aspects infantiles. Ces organisations anesthésient l’adolescent face à la réalité de la triangulation et face aux défenses narcissiques. Les familles de ces adolescents peuvent participer de cette organisation et l’analyste lui-même peut aussi être sollicité pour y participer. La perception de l’analyste peut devenir floue comme s’il était frappé de stupidité. Certains aspects des mythes de Narcisse et d’Œdipe sont utilisés comme modèles pour étudier la stupidité. L’analyse d’une adolescente psychotique qui entretient une relation symbiotique à sa famille illustre la façon dont le champ analytique peut être envahi par ces configurations défensives. La jeune patiente, sa famille et l’analyste sont pris dans des collusions de type idéalisées ou de type domination/soumission mais ces organisations défensives ne sont identifiées qu’après la survenue de leur effondrement traumatique. Le développement du réseau de chaînes symboliques permet d’identifier les organisations symbiotiques transgénérationnelles tandis que les modèles de mises en acte permettent de comprendre les aléas de la technique. L’article se termine avec une comparaison imaginaire entre le « patient » Œdipe et la patiente présentée. Ces conjectures permettent une réinterprétation du mythe d’Œdipe. Cette réinterprétation ainsi que l’étude théorico-clinique de ce cas peuvent servir de modèle pour la compréhension des aléas techniques auxquels est confronté l’analyste qui travaille avec des adolescents perturbés.
Applications cliniques de la pensée de Matte Blanco
Authors: Sanchez-Cardenas Michel 
Published: January 2019

Ignacio Matte Blanco (1908-1995) a laissé très peu d’indications précises sur comment se traduisaient dans son style interprétatif ses notions théoriques. L’auteur montre comment il se sert de Matte Blanco pour formuler certaines de ses interprétations. Une première partie de l’article effectue un rappel des concepts matteblanquiens grâce à des vignettes cliniques. Leur vocabulaire théorique est de la sorte explicité. Ensuite deux séances issues de psychanalyses sont exposées plus longuement, ainsi qu’une séance de psychothérapie. On peut voir de la sorte concrètement comment se servir des notions apportées par Matte Blanco qui permettent de revisiter différents pans de la théorie analytique. Ceci concerne en particulier le rêve, une vue d’ensemble de la psychopathologie en fonction des proportions des fonctionnements asymétrique et symétrique dans la bi-logique du patient, la multidimensionnalité de l’inconscient symétrique, l’inconscient structurel, la relation émotion-pensée, l’identification projective, la résistance, la réaction thérapeutique négative. Les conséquences pratiques que cela implique sont développées. Il s’en dégage en particulier la possibilité d’un « penser avec le patient » en séance, qui vise à lui permettre d’introjecter un fonctionnement mental où le mode symétrique n’envahit pas le mode asymétrique (ce qui peut être rapproché du dialogue entre parties psychotique et non psychotique du psychisme, pour reprendre le vocabulaire de Bion).
The Hospital Clinical Preceptor: Essential Preparation for Success
Authors: Baltimore Jane J 
Published: January 2019

ABSTRACT
Hospitals have a responsibility to provide preceptors with the knowledge and skills required to provide bedside instruction to and evaluation of orientees. Formal preceptor preparation programs that provide practical information for immediate application are necessary for successful transition of orientees into patient care environments. Essential content includes the importance of socialization, skill building techniques, critical thinking facilitation, and assignment management. Preceptor preparation courses need to be based on adult learning principles and incorporate interactive and creative teaching strategies.
Doing Phenomenological Research Collaboratively
Authors: Paton Brenda , Martin Sue , McClunie-Trust Patricia , Weir Norma 
Published: January 2019

ABSTRACT
Collaborative research between nurses employed in the academic and practice sectors is a cost-effective and innovative way to investigate aspects of clinical practice, articulate clinical and teaching expertise, and extend professional practice knowledge. In collaborative ventures, researchers from different institutional cultures often work together to investigate a particular area of interest. This poses challenges in relation to the perceptions, understandings, and interpretations of the research question and of the mode of inquiry, particularly when investigating through the qualitative paradigm.
The purpose of this article is twofold. The first is to clarify some of the challenges experienced while conducting collaborative research and describe the steps taken to ensure consistency between the purpose of the research and the phenomenological research design used to explore the learning that nursing students acquire in their final clinical practicum. Second, it was thought that by illuminating this learning, registered nurses working as preceptors and those supporting new graduates could gain insight into the complexities of learning the skills of safe and competent practice from the student's perspective. This insight is essential in creating a strategy between education and practice to minimize the duplication of learning opportunities and lessen the cost of supporting newly registered nurses, which may be at the expense of investment in the professional development of experienced registered nurses.
Reduce the Nursing Shortage: Help Inactive Nurses Return to Work
Authors: McLean Therese , Anema Marion 
Published: January 2019

ABSTRACT
One solution to alleviate the nursing shortage is to help inactive nurses return to work. A self-directed refresher course at Tennessee State University School of Nursing is meeting the challenge to help inactive registered nurses return to practice. The course allows inactive nurses autonomy in scheduling their individual study and their clinical experiences. A survey, sent to nurses who completed the course, revealed that the flexible schedule was the key factor in their ability to return to practice. Refresher courses are one option to increase the number of registered nurses.
National Quality Efforts: What Continuing and Staff Development Educators Need to Know
Authors: Gallagher Rita Munley 
Published: January 2019

ABSTRACT
In 1994, the American Nurses Association initiated a series of activities currently referred to as Nursing's Quality Initiative. This first step toward public accountability was based on the premise that all nurses must become more knowledgeable about the measurement, improvement, and benchmarking of clinical costs, quality, and outcomes specific to nursing. The American Nurses Association has not been working alone to advance quality health care. Rather, it has taken an active role in several collaborative activities, including those of the National Quality Forum. The National Quality Forum has focused on a variety of issues, including nursing care performance measurement, an activity in which the American Nurses Association has been involved. It is up to professional nursing, the National Quality Forum, and all who have interest in the provision (or receipt) of quality health care to advance quality in a collaborative, coordinated way.
Innovative Approaches to Reducing Nurses' Distractions During Medication Administration
Authors: Pape Tess M , Guerra Denise M , Muzquiz Marguerite , Bryant John B , Ingram Michelle , Schranner Bonnie , Alcala Armando , Sharp Johanna , Bishop Dawn , Carreno Estella , Welker Jesusita 
Published: January 2019

ABSTRACT
Background: Contributing factors to medication errors include distractions, lack of focus, and failure to follow standard operating procedures. The nursing unit is vulnerable to a multitude of interruptions and distractions that affect the working memory and the ability to focus during critical times. Methods that prevent these environmental effects on nurses can help avert medication errors.
Methods: A process improvement study examined the effects of standard protocols and visible signage within a hospital setting. The project was patterned after another study using similar techniques. Rapid Cycle Testing was used as one of the strategies for this process improvement project. Rapid Cycle Tests have become a part of the newly adopted Define, Measure, Analyze, Improve, and Control steps at this particular hospital.
Results: As a result, a medication administration checklist improved focus and standardized practice. Visible signage also reduced nurses' distractions and improved focus.
Conclusion: The results provide evidence that protocol checklists and signage can be used as reminders to reduce distractions, and are simple, inexpensive tools for medication safety.
Boundaries and Borders: How Do Recipients Interpret Social-Sexual Behaviour at Work?
Authors: Adikaram Arosha S. 
Published: January 2019

This article aims to provide a conceptual framework for elucidating how and under what circumstances women interpret social-sexual behaviours they experience at work as sexual harassment, by reviewing journal articles related to the interpretation of sexual conduct and harassment published between 1990 and 2016. By appraising, expanding, synthesising and collating extant literature in the area, it is proposed that social-sexual behaviour experienced by women at the workplace will be interpreted as harassing or not depending on: a) how they perceive the appropriateness of the intentions of the harasser, b) their sensitivity to the issue of sexual harassment, c) how personally vulnerable they are, d) the context within which the behaviour occurred and c) the behaviour itself. The proposed framework adds to existing knowledge by building on and expanding the prior understanding of how social-sexual behviour at work is interpreted, going beyond the constricted attention paid to one or few factors affecting interpretation in a piecemeal fashion.
Characterization of Low-Inductance Microcoaxial Cables for Power Distribution
Authors: Torres Daniela A. , Kopa Anthony , Barron Sara C. , McCormick Robert , White Robert D. , Gray Caprice 
Published: January 2019

Abstract
Low-impedance microcoaxial cables have been developed to supply power to microchips. These uniquely low-inductance cables are enabled by a very thin dielectric compared with a conventional 50-Ω cable. These cables will be used in a novel packaging platform in which traditional interconnects are replaced by microscale coaxial cables. This method saves time and cost for small production volumes and custom electronics, compared with high density interconnects and silicon interposer technologies. These microcoaxial cables are designed to have minimal impedance to meet the stringent power supply requirements of today's electronics. As a concrete example, we consider a Kintex 7 Field-Programmable Gate Array (FPGA). To power this chip with interconnect lengths of 25 mm and a voltage ripple less than 30 mV, a resistance of 3.20–6.40 mΩ/mm and an inductance of 12–15 pH/mm is needed. The tight voltage ripple constraint is what makes this device challenging to design power distribution for. One cable fabricated by Draper, to achieve these power requirements, is the focus of this article. The Draper cable consists of a 127-μm Copper core, 12-μm polyesterimide dielectric layer, and 55-μm gold shield. The measured resistance per unit length at DC, inductance per unit length, capacitance per unit length, and characteristic impedance of the Draper cable are 2.0 mΩ/mm, 40 pH/mm, 118 pF/mm, and 6.56 Ω, respectively.
NEW THERAPEUTIC OPTIONS FOR THE TREATMENT OF SICKLE CELL DISEASE
Authors: Matte Alessandro , Mazzi Filippo , Federti Enrica , Olivieri Oliviero , De Franceschi Lucia 
Published: January 2019

Sickle cell disease (SCD; ORPHA232; OMIM # 603903) is a chronic and invalidating disorder distributed worldwide, with high morbidity and mortality. Given the disease complexity and the multiplicity of pathophysiological targets, development of new therapeutic options is critical, despite the positive effects of hydroxyurea (HU), for many years the only approved drug for SCD.
New therapeutic strategies might be divided into (1) pathophysiology-related novel therapies and (2) innovations in curative therapeutic options such as hematopoietic stem cell transplantation and gene therapy. The pathophysiology related novel therapies are: a) Agents which reduce sickling or prevent sickle red cell dehydration; b) Agents targeting SCD vasculopathy and sickle cell-endothelial adhesive events; c) Anti-oxidant agents.
This review highlights new therapeutic strategies in SCD and discusses future developments, research implications, and possible innovative clinical trials.
High prevalence of Hepatitis C Virus associated B-cell lymphoma in Mansoura Region (Egypt), ANRS 12263 study
Authors: Saleh Layla M. , Canioni Danielle , Shamaa Sameh , El-Zaafarany Maha , Emarah Ziad , Abdel-Aziz Sherin , Eladle Entsar , Abdelaziz Alsaeed , Hermine Olivier , Besson Caroline , Abdel-ghaffar Hasan 
Published: January 2019

Abstract : Background: The prevalence of Hepatitis C virus in Egypt reaches 15%, which is considered the highest in the world. Genotype 4 represents 93 % of Egyptian HCV infections. Non-Hodgkin lymphoma (NHL) is the 5th most common cancer in Egypt. The association between HCV infection and occurrence of B-cell NHL is well known while data are scarce in Eastern countries. Objectives: We aimed to evaluate the prevalence of HCV infection among patients with B-cell NHL and the clinical characteristics of HCV associated B-cell NHL in Delta region (Mansoura-Egypt). Methods: Between March 2012 and March 2013, 110 adult patients newly diagnosed with B-cell NHL were enrolled in the current study. This study was carried out at Oncology Center, Mansoura University. Study subjects provided serum for HCV testing and for HCV RNA. Results: The prevalence of HCV infection among these patients was 61% (67/110 patients) which is the highest reported value in literature. Among them, 80% (32/40 tested patients) presented with viremia. Contrasting with the histological distribution previously described in Northern regions, the majority of HCV associated lymphomas were DLBCLs (72 %) followed by SLL/CLL (13 %), follicular lymphomas (7.5%) and 7.5% of marginal zone lymphomas. In conclusion: B-cell lymphomas are highly associated with HCV infection in Egypt. Further developments are needed to give access to antiviral treatment for those patients in Delta region.
Challenges Facing New Educators: Expanding Teaching Strategies for Clinical Reasoning and Evidence-Based Medicine
Authors: Barrett Jessica L. , Denegar Craig R. , Mazerolle Stephanie M. 
Published: January 2019

Context:It is the educator's responsibility to prepare the students to be clinicians who think and reason critically while integrating research evidence into practice. Those new to the role of faculty member, who lack clinical and teaching experience, face challenges in the classroom application of those concepts.Objective:To discuss the challenges facing new faculty members and present strategies for addressing them. Specific faculty challenges addressed include learning their roles as educators and teaching multifaceted concepts, such as clinical reasoning and evidence-based medicine.Background:Experience provides a framework for a professional to balance multiple demands, whether as a new instructor teaching or a clinician synthesizing information to determine a course of action. Many new educators do not have extensive experience either clinically or in the classroom. This can cause anxiety as educators are confounded by their roles and responsibilities. Students likewise lack experience and may not possess the ability to systematically analyze patient encounters or research evidence. Constructivist learning theory paired with adult learning principles can address the learning needs of faculty members and students alike.Recommendation(s):Programs must provide assistance for new faculty and implement strategies for students to learn reasoning skills. Use of constructivist learning theory and application of the adult learning model are ways to address these deficiencies. Integrating concepts of active learning and self-direction while aligning expectations and creating overlap between classroom and clinical domains can assist in addressing the challenges faced by new faculty and students.Conclusion(s):The systematic process of evidence-based decision making is grounded in utilizing evidence. Strategies must be identified and implemented throughout curricula to target and enhance students' abilities to organize and synthesize information. Educators must use new methods in their own learning and teaching to enhance their students' abilities. New faculty members in particular require assistance in negotiating their roles.
Commentary: Integrating Diagnostic Ultrasound into Athletic Training Education Programs
Authors: Bliven Kellie C. Huxel , Anderson Barton E. , Makin Inder Raj S. 
Published: January 2019

Context:
The use of point-of-care ultrasound (POCUS) is increasingly becoming a standard of care for sports medicine and orthopedic physicians. As such, there will be increased demand for athletic trainers to have knowledge and skills in diagnostic ultrasound.

Objective:
To provide key considerations for integration of diagnostic ultrasound into athletic training education and address challenges and barriers to such integration.

Background:
Advancements in designing portable, user-friendly ultrasound units have enabled clinicians to perform POCUS as an adjunct to the physical exam, resulting in improved patient care. Increased demands for POCUS across medicine have prompted medical schools to integrate diagnostic ultrasound throughout the curriculum, providing athletic training education programs a framework to consider within their curriculum.

Synthesis:
Integrating diagnostic ultrasound throughout the curriculum provides focused experiences to prepare, conduct, and link imaging to clinical and physical exam skills. Diagnostic ultrasound has a role in visualizing structures in an anatomy course, as an adjunct to physical exam in medical conditions, orthopedic exam, and diagnosis courses, and as a visual feedback tool in rehabilitation courses, thus enabling it to be integrated throughout existing curriculum. Barriers to diagnostic ultrasound include cost, time, and faculty expertise.

Results:
Cost sharing or use of ultrasound simulators can overcome cost barriers. Use of online educational modules to deliver content virtually is effective and allows face-to-face time to be spent in hands-on experiential learning. Finally, developing interprofessional partnerships to “teach the teacher” is an effective model in teaching faculty about diagnostic ultrasound.

Recommendation(s):
Educational programs should consider ways to overcome barriers and integrate diagnostic ultrasound into curriculum equipping future athletic trainers with knowledge and skills for POCUS, thus increasing their effectiveness on a health care team.

Conclusion(s):
Proactive integration of diagnostic ultrasound into athletic training education will equip graduates to add value to a health care team.
Educational Technique: Using a Phased Approach to Integrate Diagnostic Ultrasound into Athletic Training Education
Authors: Bliven Kellie C. Huxel , Anderson Barton E. , Richter Saskia D. , Makin Inder Raj S. 
Published: January 2019

Context:
The use of point-of-care diagnostic ultrasound is increasing in health care, specifically among sports medicine clinicians as an adjunct to the physical exam. Given the role of athletic trainers in interdisciplinary sports medicine teams, athletic training educational programs should consider integrating this noninvasive imaging modality into curricula.

Objective:
To provide a framework for integrating diagnostic ultrasound imaging content into existing athletic training curricula.

Background:
A phased approach to incorporating ultrasound imaging into existing courses with minimal disruption is important for adoption. Foundational knowledge for skill performance begins with early exposure to ultrasound concepts and is followed by phased integration of hands-on ultrasound imaging into athletic training courses.

Description:
Content delivery considerations, such as online modules and technology needs, to enhance hands-on learning is discussed. Examples of integrating diagnostic ultrasound imaging throughout the curriculum, including anatomy, clinical assessment, and manual therapy courses, are provided.

Clinical Advantage(s):
Integrating ultrasound throughout curricula teaches students how to use and interpret ultrasound images as an adjunct to physical exam, enhancing the athletic trainer's value on a health care team and improving clinical practice. Ultrasound imaging can also be used as a valuable feedback mechanism during the performance of hands-on athletic training skills, including special tissue tests and manual therapy techniques.

Conclusion(s):
Following initial exposure to ultrasound imaging, the inclusion of diagnostic ultrasound instruction in athletic training curricula can expose students to ultrasound imaging, basic concepts, transducer characteristics, and image interpretation, which is a valuable adjunct to clinical practice.
Thermal structure of the mesopause region during the WADIS-2 rocket campaign
Authors: Wörl Raimund , Strelnikov Boris , Viehl Timo P. , Höffner Josef , Pautet Pierre-Dominique , Taylor Michael J. , Zhao Yucheng , Lübken Franz-Josef 
Published: January 2019

Abstract. This paper presents simultaneous temperature measurements by three
independent instruments during the WADIS-2 rocket campaign in northern Norway
(69∘ N, 14∘ E) on 5 March 2015. Vertical profiles
were measured in situ with the CONE instrument. Continuous mobile IAP Fe lidar (Fe
lidar) measurements during a period of 24 h, as well as horizontally resolved temperature maps by the Utah State University (USU) Advanced
Mesospheric Temperature Mapper (AMTM) in the mesopause region, are analysed.
Vertical and horizontal temperature profiles by all three instruments are in
good agreement. A harmonic analysis of the Fe lidar measurements shows the
presence of waves with periods of 24, 12, 8, and 6 h.
Strong waves with amplitudes of up to 10 K at 8 and
6 h are found. The 24 and 12 h components play only a
minor role during these observations. In contrast only a few short periodic
gravity waves are found. Horizontally resolved temperatures measured with the
AMTM in the hydroxyl (OH) layer are used to connect the vertical temperature profiles.
In the field of view of 200 km×160 km only small deviations from
the horizontal mean of the order of 5 K are found. Therefore only weak
gravity wave signatures occurred. This suggests horizontal structures of more
than 200 km. A comparison of Fe lidar, rocket-borne measurements, and
AMTM temperatures indicates an OH centroid altitude of about 85 km.