bluuebunny/crossref_metadata_2025_split huggingface dataset:
Dioscures ou dadophores ? A propos des sculptures «mithriaques» et du «Mithraeum» de Boulogne-sur-Mer. Présence des cultes orientaux à Boulogne et en Morinie
Authors: Belot Eric 
Published: July 2016

The sculptures dug out in 1826 in the Grande Rue in Boulogne-sur-Mer and known since 1884 as Dadophores of the Mithra cult, represent in reality the Dioscures, Castor and Pollux, protectors of the soldiers and sailors. This new identification deprives the more than centenary assumption of the localization of a mithraeum on the spot of the discovery, «opposite the ancient Museum», in the Grande Rue of any validity.
This re-interpretation must not however lead us to believe in the absence of oriental cults in Boulogne and in the Morinie : the analysis of the archaeological collections of the Castle Museum yields indeed tokens, often hitherto unpublished, of the actual presence of the oriental religions.
Quentovic : état des recherches
Authors: Leman Pierre 
Published: July 2016

Suite à une intense campagne de prospections, une équipe d'archéologues de l'Université de Manchester a réussi à repérer un vaste gisement archéologique au lieu-dit «Visemaretz» au sud de la Canche entre Montreuil et Etaples.
Plusieurs indices ont été retenus afin de délimiter cette zone : niveau d'occupation riche en objets carolingiens, délimitation du secteur épargné par les inondations des hautes eaux de la Canche en hiver, digue- rempart au nord.
Parmi les objets mis au jour, notons la présence de poteries, de morceaux d'ambre et d'une monnaie de type «Sceatta». Le secteur étudié occupe une surface de près de 50 hectares, ce qui correspond à la surface de Dorestad ou de Haitabu.
Des fouilles intensives seront nécessaires pour trouver les lieux d'habitats et d'embarquement, preuve définitive de l'emplacement de Quentovic.
La reconstruction de Boulogne-sur-Mer après la seconde guerre mondiale.
Authors: Mégret Emmanuel 
Published: July 2016

Depuis l'époque romaine, Boulogne-sur-mer a vu se dérouler de nombreux conflits dont le plus grand est sans nul doute la seconde guerre mondiale. Elle a laissé la ville exangue de ses habitants et de ses murs à plus de 80 %.
Après la libération du pays en 1945, les pouvoirs publics décident de relever l'agglomération. Pendant plus de 20 ans, les boulonnais vont connaître la reconstruction sous la direction de Monsieur Pierre Vivien. D'une ville resserrée sur elle-même, avec des rues petites et des réseaux insuffisants ; les boulonnais vont hériter de larges rues, d'installations modernes comme la gare maritime, l'hôpital et les deux lycées. De nouvelles zones urbaines adaptées aux normes techniques et bénéficiant du confort de l'époque sont aussi édifiées.
Boulogne-sur-Mer a su profiter de l'élan de l'après-guerre pour évoluer d'une image traditionnelle de ville de pêcheurs vers une image moderne de premier port de pêche de France.
THE NEW ECLIPSING CV MASTER OTJ192328.22+612413.5—A POSSIBLE SW SEXTANTIS STAR
Authors: Kennedy M. R. , Callanan P. , Garnavich P. M. , Szkody P. , Bouanane S. , Rose B. M. , Bendjoya P. , Abe L. , Rivet J. P. , Suarez O. 
Published: July 2016

ABSTRACT
We present optical photometry and spectroscopy of the new eclipsing cataclysmic variable MASTER OTJ192328.22+612413.5, discovered by the MASTER team. We find the orbital period to be P = 0.16764612(5) day/4.023507(1) hr. The depth of the eclipse (2.9 ± 0.1 mag) suggests that the system is nearly edge on, and modeling of the system confirms the inclination to be between 81.°3 and 83.°6. The brightness outside the eclipse varies between observations, with a change of 1.6 ± 0.1 mag. Spectroscopy reveals double-peaked Balmer emission lines. By using spectral features matching a late M-type companion, we bound the distance to be 750 ± 250 pc, depending on the companion’s spectral type. The source displays 2 mag brightness changes on timescales of days. The amplitude of these changes, along with the spectrum at the faint state, suggest that the system is possibly a dwarf nova. The lack of any high-excitation He ii lines suggests that this system is not magnetically dominated. The light curve in both quiescence and outburst resembles that of Lanning 386, implying MASTER OTJ192328.22+612413.5 is a possible cross between a dwarf nova and a SW Sextantis star.
FIRST-ORDER COSMOLOGICAL PERTURBATIONS ENGENDERED BY POINT-LIKE MASSES
Authors: Eingorn Maxim 
Published: July 2016

ABSTRACT
In the framework of the concordance cosmological model, the first-order scalar and vector perturbations of the homogeneous background are derived in the weak gravitational field limit without any supplementary approximations. The sources of these perturbations (inhomogeneities) are presented in the discrete form of a system of separate point-like gravitating masses. The expressions found for the metric corrections are valid at all (sub-horizon and super-horizon) scales and converge at all points except at the locations of the sources. The average values of these metric corrections are zero (thus, first-order backreaction effects are absent). Both the Minkowski background limit and the Newtonian cosmological approximation are reached under certain well-defined conditions. An important feature of the velocity-independent part of the scalar perturbation is revealed: up to an additive constant, this part represents a sum of Yukawa potentials produced by inhomogeneities with the same finite time-dependent Yukawa interaction range. The suggested connection between this range and the homogeneity scale is briefly discussed along with other possible physical implications.
A FUNDAMENTAL PLANE FOR LONG GAMMA-RAY BURSTS WITH X-RAY PLATEAUS
Authors: Dainotti M. G. , Postnikov S. , Hernandez X. , Ostrowski M. 
Published: July 2016

ABSTRACT
A class of long gamma-ray bursts (GRBs) presenting light curves with an extended plateau phase in their X-ray afterglows obeys a correlation between the rest-frame end-time of the plateau, T

a
, and its corresponding X-ray luminosity, L

a
, (Dainotti et al). In this work we perform an analysis of a total sample of 176 Swift GRBs with known redshifts, exhibiting afterglow plateaus. By adding a third parameter that is the peak luminosity in the prompt emission, L
peak, we discover the existence of a new three-parameter correlation. The scatter of data about this plane becomes smaller when a class-specific GRB sample is defined. This sample of 122 GRBs is selected from the total sample by excluding GRBs with associated supernovae (SNe), X-ray flashes and short GRBs with extended emission. With this sample the three-parameter correlation identifies a GRB “fundamental plane.” Moreover, we further limit our analysis to GRBs with light curves with good data coverage and almost flat plateaus, 40 GRBs forming our “gold sample.” The intrinsic scatter,

, for the three-parameter correlation for this last sub-class is more than two times smaller than the value for the

one, making this the tightest three-parameter correlation that involves the afterglow plateau phase. Finally, we also show that a slightly less tight correlation is present between L
peak and a proxy for the total energy emitted during the plateau phase,

, confirming the existence of an energy scaling between the prompt and afterglow phases.
Coordonner pour faire évoluer la relation thérapeutique : étude des « rapports sociaux d’usage » dans les réseaux de santé
Authors: Hervouet Lucile 
Published: July 2016

La question de l’évaluation des réseaux de santé a été documentée par des travaux qui étudient les effets de la coordination principalement auprès des professionnels de santé. Cet article propose de se placer du point de vue des malades, en se demandant dans quelle mesure les réseaux de santé contribuent à la mutation de la relation thérapeutique vers un modèle « partenarial et équilibré » (Routelous, 2005) incarné par la figure de l’usager. Pour ce faire, nous nous intéressons au cas des réseaux de santé en cancérologie et nous adoptons une démarche qualitative, mobilisant des entretiens semi-directifs (54) auprès de membres professionnels de réseaux de santé, de malades atteints de cancer et de proches de malades. En nous appuyant sur l’approche en termes de « rapports sociaux d’usage » proposée par M. Chauvière, nous montrons que l’usager n’est pas une catégorie administrative neutre. La relation d’usage est fondée sur un échange : le réseau contribue à l’autonomisation de l’usager en lui octroyant des ressources notamment informationnelles et, en retour, l’usager est une source de légitimation pour le réseau lorsque ce dernier s’exprime au nom du bien-être de l’usager. L’ambigüité de la référence à l’usager est finalement mise en évidence, entre source d’émancipation d’une part et contrôle social à travers la norme de participation de l’usager d’autre part.
Les formes d’agir dans la gouvernance des maisons de santé
Authors: Beaucourt Christel , Roux Laëtitia 
Published: July 2016

Les maisons de santé ont été initiées pour promouvoir une nouvelle approche de la santé et des relations avec les usagers. Au sein de ces maisons, les professionnels associés ont alors construit des modalités de gouvernance facilitant la coordination de leurs différentes logiques d’action. Tout cela a produit ici ou là des dynamiques collectives plus ou moins innovantes sans nécessairement modifier les modes de relations entre professionnels et avec les usagers. Là où nous avons pu voir émerger des relations nouvelles, c’est lorsque la dimension politique a été intégrée dans la gouvernance des maisons de santé. C’est ce travail d’observation et d’analyse (à partir d’une études de cas approfondie) que nous présentons dans l’article qui suit. Après avoir caractérisé les formes d’agir stratégique dans les maisons de santé, et montrer les limites d’une approche de la gouvernance vue comme un processus de régulation entre ces agirs pluriels et évolutifs, nous complétons cette lecture en faisant émerger la place d’un agir que nous nommons « politique » dans ces nouvelles organisations de santé.
La gouvernance différenciée des contrats locaux de santé
Authors: Haschar-Noé Nadine , Salaméro Émilie , Honta Marina 
Published: July 2016

Selon une sociologie politique considérant l’action publique comme une construction collective d’acteurs publics et privés en interaction, notre recherche se focalise sur la « nouvelle » gouvernance sanitaire des « territoires de santé » promue par les Agences régionales de santé (ARS) en s’intéressant aux modalités de fabrication des contrats locaux de santé (CLS). Dans la région étudiée, l’ARS lance, dès octobre 2010, les deux premiers CLS comme une forme d’expérimentation in vivo, avant leur future généralisation. A partir d’une analyse comparée des sept CLS signés en 2014, nos résultats montrent, d’une part, que leur gouvernance négociée donne lieu à d’importantes variations territoriales bien que domine une approche populationnelle légitimant l’action des élus locaux. D’autre part, via une enquête socio ethnographique de deux CLS en train de se faire , nous montrons que leur mode de négociation par l’ARS oscille entre deux logiques de gouvernance, descendante ou ascendante, « dure ou molle », et qu’un certain nombre de conditions favorables participent à la construction des accords et des compromis acceptables pour les diverses parties prenantes. Loin de prendre les formes d’une gouvernance « unifiée », fabriquer un CLS s’apparente davantage à faire du « sur mesure ». Les acteurs qui s’y engagent sont ainsi condamnés à s’entendre pour répondre, selon un jeu d’instrumentalisations réciproques, aussi bien aux problématiques « spécifiques » des territoires infrarégionaux qu’aux objectifs du Plan régional de santé.
Les outils financiers dans les hôpitaux : penser leur déploiement au-delà de la dimension technique
Authors: Bérard Émilie , Flachère Isabelle , Saulpic Olivier , Zarlowski Philippe 
Published: July 2016

En France, les réformes hospitalières ont été accompagnées par le déploiement, depuis le niveau national, d’outils financiers relativement standardisés dans leur format et leur structure. Pourtant, la mise en œuvre de ces outils aboutit à des situations d’utilisation et des effets très variés selon les établissements. Comment rendre compte de cette diversité ? Et comment réfléchir au déploiement de nouveaux outils de gestion dans un contexte hospitalier ? Nous proposons une grille d’analyse socio-technique du déploiement des outils fondée sur cinq dimensions et nous en illustrons le potentiel interprétatif à partir de trois études de cas de déploiement de CREA dans des hôpitaux publics.
Informatisation incrémentale ou de rupture ? Le cas du dossier patient hospitalier
Authors: Béjean Mathias , Kletz Frédéric , Moisdon Jean-Claude , Sicotte Claude 
Published: July 2016

Au niveau international, l’informatisation de la production des soins hospitaliers ne se développe que lentement. Un terme souvent utilisé dans la littérature pour expliquer ce phénomène est celui des « facteurs organisationnels », mais sans, la plupart du temps, que ce terme soit précisé. L’article, à partir d’une recherche observationnelle multi-sites, analyse sur le cas français les évolutions organisationnelles des unités cliniques consécutives à l’implantation d’un Dossier Patient Informatisé (DPI). Il montre que le système en place n’a subi que peu de transformations, au prix d’accommodements avec l’outil informatique. Une telle situation peut paraitre satisfaisante aux yeux des tutelles qui promeuvent l’innovation technologique, mais pose la question de la création de valeur organisationnelle, c’est-à-dire la possibilité pour les professionnels de soins de se saisir de l’outil dans une optique de transformation et d’amélioration à terme des différentes composantes de la performance.
The Latent Reservoir for HIV-1: How Immunologic Memory and Clonal Expansion Contribute to HIV-1 Persistence
Authors: Murray Alexandra J. , Kwon Kyungyoon J. , Farber Donna L. , Siliciano Robert F. 
Published: July 2016

Abstract
Combination antiretroviral therapy (ART) for HIV-1 infection reduces plasma virus levels to below the limit of detection of clinical assays. However, even with prolonged suppression of viral replication with ART, viremia rebounds rapidly after treatment interruption. Thus, ART is not curative. The principal barrier to cure is a remarkably stable reservoir of latent HIV-1 in resting memory CD4+ T cells. In this review, we consider explanations for the remarkable stability of the latent reservoir. Stability does not appear to reflect replenishment from new infection events but rather normal physiologic processes that provide for immunologic memory. Of particular importance are proliferative processes that drive clonal expansion of infected cells. Recent evidence suggests that in some infected cells, proliferation is a consequence of proviral integration into host genes associated with cell growth. Efforts to cure HIV-1 infection by targeting the latent reservoir may need to consider the potential of latently infected cells to proliferate.
Duration of suicide process among suicide attempters and characteristics of those providing window of opportunity for intervention
Authors: Kattimani Shivanand , Sarkar Siddharth , Menon Vikas , Muthuramalingam Avin , Nancy Premkumar 
Published: July 2016

ABSTRACT
Background: There is limited cross-cultural literature on the duration of suicide process among attempters. Aims: The primary aim was to assess the duration of suicide process among suicide attempters attending the Crisis Intervention Clinic. We also aimed to identify the characteristics of those who reported a longer duration for this process. Methods: In this retrospective record-based study, we collected the duration of the suicidal process from the records of all the suicide attempters evaluated over a 3-year period (n = 319). Attempters were divided into four groups based on the quartile value of the duration of the suicidal process. For analysis, the characteristics of those in the last quartile with suicide process time of >120 min (n = 75) were compared with those in the first three (n = 244). Those in the last quartile were considered to provide a window of opportunity for intervention. Results: The median time for the suicidal process was 30 min (interquartile range of 5 min to 120 min). Seventy-five (23.5%) subjects belonged to the fourth quartile (duration of suicide process >120 min). A significant proportion of them came from urban areas (P = 0.011), had a diagnosis of mood disorder (P = 0.028), had visited a health professional in the recent past (P = 0.015), and had lower rates of attempt under intoxication (P = 0.005). A lesser proportion of them showed problem-focused disengagement style of coping strategy (P = 0.015). Conclusions: The suicide process time among Indian suicide attempters is short. However, a quarter of them has suicide process duration of 2 h which provides some scope for intervention. Individual and community level interventions need further evaluation for their potential efficacy in preventing the progress of the suicidal process.
Evaluation of pituitary function in cases with the diagnosis of pediatric mild traumatic brain injury: Cross-sectional study
Authors: Aylanç Hakan , Tütüncüler Filiz , Süt Necdet 
Published: July 2016

ABSTRACT
Background: This study was to determine whether pituitary dysfunction occurs after head trauma in children or not and which axis is affected more; to define the association of pituitary dysfunction with the severity of head trauma and duration time after the diagnosis of head trauma. Materials and Methods: In this study, 24 children who were diagnosed with head trauma were evaluated regarding pituitary dysfunction. In all cases, after 12 h fasting, serum cortisol, fT3, fT4, thyroid-stimulating hormone, prolactin, insulin-like growth factor-1, serum sodium, urine density, follicle-stimulating hormone, luteinizing hormone, in female cases E2, in male cases, TT levels were determined. Results: Mean age of children was 9.5 ± 3.1 years, 14 children (58.3%) had mild, 9 children (37.5%) had moderate, and 1 children (4.2%) had severe head trauma according to the Glasgow coma scale. Mean duration time after head trauma was 29.4 ± 9.8 months. In all cases, no pathologic condition was determined in the pituitary hormonal axis. In one children (4.2%), low basal cortisol level was found. There were no children with hormonal deficiency in this study. Conclusion: Although pituitary dysfunction after head trauma may develop in the early period, some may present in the late period; therefore, all cases should be followed up at outpatient clinics for a longer period.
Clinical features, risk factors, and outcome of cerebral venous thrombosis in Tehran, Iran
Authors: Yadegari Samira , Ghorbani Askar , Miri S Roohollah , Abdollahi Mohammad , Rostami Mohsen 
Published: July 2016

ABSTRACT
Introduction: Despite increasing the use of magnetic resonance imaging (MRI), cerebral venous sinus thrombosis (CVST) has remained an under-diagnosed condition. In this study, characteristics and frequency of various risk factors of CVST patients in a tertiary referral hospital were closely assessed. Methods: Patients with an unequivocal diagnosis of CVST confirmed by MRI and magnetic resonance venography during 6 years of the study were included. All data from the onset of symptoms regarding clinical signs and symptoms, hospital admission, seasonal distribution, medical and drug history, thrombophilic profile, D-dimer, neuroimaging, cerebrospinal fluid findings, mortality, and outcome were collected and closely analyzed. Result: A total of 53 patients with female to male ratio of 3.07 and mean age of 33.7 years were included in the study. Headache and papilledema were the most frequent clinical features (44 and 36 patients, respectively). An underlying disease (diagnosed previously or after admission) was the most common identified risk factor for CVST in both females and males (21 patients). A total of 15 women used the oral contraceptive pill (OCP) where 12 of them had simultaneously other predisposing factors. Overall, 19 patients (36%) had more than one contributing factor. D-dimer had a sensitivity of 71.4% in CVST patients. The mortality of patients in this study was 3.7% (n = 2). Focal neurologic deficit and multicranial nerve palsy were associated with poor outcome which defined as death, recurrence, and massive intracranial hemorrhage due to anticoagulation (P = 0.050 and 0.004, respectively). Conclusion: Unlike most of the CVST studies in which OCP was the main factor; in this study, an underlying disease was the most identified cause. Considering the high probability of multiple risk factors in CVST that was shown by this study, appropriate work up should be noted to uncover them.
Screening of Gestational Diabetes and Hypertension Among Antenatal Women in Rural West India
Authors: Dave Viral R. , Rana Bhavik M. , Sonaliya Kantibhai N. , Chandwani Suraj J. , Sharma Samkit V. , Khatri Swati O. , Shaikh Khalid M. , Hathiari Farida M. 
Published: July 2016

Background: Hypertension and gestational diabetes are among the leading causes of maternal and perinatal mortality, especially in rural areas of developing countries with meager health facilities. With early diagnosis and timely treatment, these adverse events can be decreased. The primary aim of this study was to implement a screening program for gestational diabetes and hypertension, and to assess risk factors associated with these conditions among antenatal women in the rural area of the Gujarat province in India.Methods: A cross–sectional study was conducted at one of the rural areas of Gujarat province in India. Following a random cluster sampling procedure, the village of Davas was selected. A multistage random sampling method was utilized, resulting in a sample of 346 antenatal women. Screening guidelines from the American Diabetes Association were followed for gestational diabetes screening.Results: The majority of antenatal mothers (55.50%) were between 21-25 years of age. 242 antenatal women were multigravida, and among them, 85.96% had institutional delivery at their last pregnancy. Of the total 346 women, 17.60% were prehypertensive. The prevalence of systolic hypertension was 1.40%, diastolic hypertension was 0.90%, and gestational diabetes was 1.73%.Conclusion: Socioeconomically upper class, a family history of hypertension, and BMI ≥ 25 were strong risk factors for hypertension during pregnancy and gestational diabetes. Health education should be made readily available to antenatal mothers by paramedical workers regarding symptoms of hypertension and gestational diabetes mellitus for early self identification.
Social Sutra: Yoga, identity, and health in New York’s changing neighborhoods
Authors: Biswas P 
Published: July 2016

Taking note of the rapid, visible expansion of yoga studios in American cities, this article explores the role of yoga as a social determinant of urban health and yoga’s entanglements with race and class identities. Who are the interpreters of yoga in America, and how has yoga, based on a premise of psychosomatic wholeness, paradoxically served as a prism for refracting social difference? Answers to these questions hold significant implications for the culture of health observed in cities today and possibilities for wellness. Through narrative inquiry, my argument centers on three identities that embody the role of yoga in health: the yoga teacher as healer, the yoga student as seeker of spiritually informed mind-body wellness, and the modern yoga practitioner as consumer of a physically focused, commercialized yoga.A recombination of the identities involved in yoga – healer, seeker, and consumer – can recover the possibilities for yoga to contribute to improved urban health across race and class.