bluuebunny/crossref_metadata_2025_split huggingface dataset:
L’impact contre-transférentiel des défenses autistiques chez un patient non-autiste
Authors: O’Neill Sylvia 
Published: August 2016

Cet article explore la difficulté particulière de maintenir une attitude de neutralité thérapeutique stable dans la psychothérapie psychanalytique d’une patiente qui présente une pathologie autistique encapsulée. Les vicissitudes du transfert et du contre-transfert sont passées en revue. L’auteur remarque que l’intolérance du patient aux « opposés » ( cf. Tustin, 1986), combinée à une aversion extrême pour la reconnaissance de cette intolérance, peut conduire à des réactions contre-transférentielles correspondantes potentiellement déstabilisantes. Ces réactions comprennent une tension instable entre des forces coexistantes qui poussent à la fois à la fusion avec le patient et à son expulsion. Cette coexistence est soumise à des forces encore plus importantes qui tendent à la dissimuler. Tant qu’elle n’est pas détectée, cette tension risque d’entrer en collusion avec les forces fusionnelles ou expulsives et compromet la capacité de remarquer les particularités du processus transférentiel et même de prendre conscience des images transférentielles coexistantes positives et négatives. L’auteur fournit une illustration clinique détaillée, dont notamment une séance où il est difficile de remarquer que la patiente éprouve le couple comme un objet combiné. L’auteur considère que ces observations de tensions contre-transférentielles bipolaires sont éclairées par Green grâce à ses concepts de narcissisme positif et négatif et de fonction désobjectalisante et par Ribas qui en rend spécifiquement compte dans sa théorie de l’autisme considéré comme une désintrication pulsionnelle radicale.
Anna Freud et l’Holocauste : deuil et culpabilité du survivant
Authors: J. Hartman John 
Published: August 2016

L’auteur de cet article étudie la période de la vie d’Anna Freud à compter du moment où elle prend connaissance de la mort de ses tantes dans les camps de concentration nazis au cours de la Deuxième guerre mondiale. La compréhension de cette période peut être enrichie si l’on prend en considération le rôle de l’Holocauste dans la complexité de son deuil. Ainsi, l’auteur réexamine une série de rêves d’Anna Freud à la lumière de la culpabilité du survivant et de la complexité du deuil de son père dans le contexte de l’Holocauste. L’auteur soutient que les reproches inconscients d’Anna Freud à l’égard de son père ont conduit à une identification à ce dernier incluant sa « décision » de laisser ses sœurs à Vienne. La culpabilité du survivant face au meurtre de ses tantes est considérée comme l’un des facteurs ayant complexifié le processus de deuil chez Anna Freud. L’auteur discute également du rôle que cette période a pu jouer, à en juger notamment par son travail avec les enfants survivants des camps de concentration, dans ses écrits d’après-guerre. La dualité que l’on observe dans son œuvre entre innovation et conservatisme est examinée sous l’angle de l’issue du processus de deuil inhérent à cette période. L’auteur soutient que les points de vue d’Anna Freud sur le deuil, le trauma, l’attachement, ainsi que l’ouverture du champ des indications de la psychanalyse qu’elle a opérée, ont été influencés par l’issue de son travail de deuil. Enfin, l’auteur note, non sans ironie, que son attitude à l’égard de l’altruisme ne changea jamais en dépit de l’altruisme de ceux qui contribuèrent à la sauver du nazisme.
Contre le déterminisme historique, en islam comme ailleurs
Authors: Dupret Baudouin 
Published: August 2016

Ce petit essai vise d’abord à contester la mauvaise façon endémique de poser la question du « monde arabo-musulman méditerranéen ». Il propose ensuite une réflexion sur la nature même du phénomène religieux, y compris la charia, et de sa constitution en facteur explicatif du devenir de ce monde. Enfin, il insiste sur le fait que parler en termes de révolution et d’illusion n’est avantageux qu’à la condition d’être engagé dans une démarche de production militante d’un maître-récit global visant à imposer une lecture de l’histoire plutôt qu’à décrire ce que l’histoire donne à voir.
Entre État et Religion : repenser la société civile et l’État civil depuis les révoltes arabes
Authors: Challand Benoît 
Published: August 2016

Cet article est une réflexion sur le moment historique des premiers mois de 2011 qui fait entrevoir, derrière le mouvement social révolutionnaire l’esquisse endogène d’une société civile émergente réclamant un État civil. L’auteur revisite le concept de « société civile » – au-delà des formes structurées ou institutionnalisées attendues que sont les ONGs soutenues par l’aide internationale – pour l’étendre à des formes plus spontanées (le cercle familial) ou informelles (la sphère religieuse). Il est ainsi possible de voir le jeu complexe du religieux, notamment dans l’agir collectif. Enfin, l’article défend l’idée que l’État civil peut être une solution pratique et interne susceptible d’articuler une relation constructive entre religion et politique.
Réflexions sur la sécularisation aux premiers siècles de l’Islam
Authors: Abbès Makram 
Published: August 2016

Présentée comme un pur produit de la culture occidentale, la sécularisation – entendue aussi bien en tant que transfert des règles théologiques vers le domaine politique qu’en tant que refoulement progressif du religieux dans la sphère privée – est souvent décrite comme un processus antinomique avec les principes religieux de l’Islam, voire comme une négation de ses expériences humaines et civilisationnelles. Cette thèse qui s’est développée au XX e siècle dans les courants de pensée se réclamant de l’islamisme engage des recherches sur la spécificité politique de l’Islam et sur la prétendue identité exclusive à travers laquelle on saisirait les concepts d’État, de constitution ou de souveraineté au sein de cette culture. A rebours de cette thèse, l’article cherche à attirer l’attention sur la présence d’une forte tradition séculière en terre d’Islam, et s’appuie sur quelques figures majeures de la pensée religieuse et politique afin de montrer l’existence d’une approche problématisée des « faits religieux ». Il invite aussi à suivre les traces d’une forte réflexion critique portant sur la tolérance et l’intolérance, le fanatisme et les possibilités du vivre-ensemble ou encore sur les rapports, souvent conflictuels, entre la religion et la politique.
Spontaneous Hemoperitoneum: An Unusual Presentation of a Common Disease
Authors: Raghunath BV , Bhat Vishwanath 
Published: August 2016

ABSTRACTIntraluminal hemorrhage associated with ectopic gastric mucosa in a Meckel's diverticulum is a common presentation. However, intraperitoneal bleeding associated with Meckel's diverticulum, is considerably rare. Herein, we report a case of spontaneous intraperitoneal bleeding caused due to nonruptured, acutely inflammed Meckel's diverticulum causing erosion of one of the branches of ileocolic artery and presenting with peritonism.How to cite this articleRaghunath BV, Bhat V. Spontaneous Hemoperitoneum: An Unusual Presentation of a Common Disease. J Med Sci 2015;1(2):36-37.
Uterine Necrosis following B-Lynch and Gunasheela's Global Stitch Sutures for Primary Postpartum Hemorrhage
Authors: Punya BS , Sailakshmi MPA , Akash Suhasini 
Published: August 2016

ABSTRACTUterine atony causing postpartum hemorrhage (PPH) is one of the leading causes of maternal morbidity and mortality. Here by reporting a case of 22-year-old woman who underwent full-term vaginal delivery followed by atonic PPH, for which emergency laparotomy was done and stepwise devascularization along with B-Lynch and Gunasheela's global brace sutures over the uterus. On postoperative day 9, she developed features suggesting sepsis and magnetic resonance imaging (MRI) showed area of avascularity and features of abscess formation in the uterine wall. She underwent subtotal hysterectomy and histopathology showed uterine necrosis.How to cite this articlePunya BS, Sailakshmi MPA, Akash S, Nagarathnamma R. Uterine Necrosis following B-Lynch and Gunasheela's Global Stitch Sutures for Primary Postpartum Hemorrhage. J Med Sci 2015;1(2):38-40.
Effectiveness and Utilization Pattern of Cognitive Behavior Therapy of Anxiety Disorders: Evidence from a Psychiatry Clinic
Authors: Hebbar Sudhir 
Published: August 2016

ABSTRACTPsychotherapy efficacy studies are conducted in highly controlled research settings. In contrast, effectiveness studies are done in routine clinical practice. In India, the literature on psychotherapy outcome is almost nonexistent.Materials and methodsHere is a retrospective effectiveness study done by a psychiatrist in his clinic. A total of 67 patients visited for the treatment of anxiety disorders, whose data were available for analysis.ResultsOut of this sample, 44 patients opted for cognitive behavior therapy (CBT) of which 20 (45%) patients dropped out of therapy by the 3rd session. Male patients represented 4 times more than female patients. The average number of sessions attended was 5.4. Of the 24 patients who attended 4 and more number of sessions, on Clinical global impression scale, 10 (41%) improved very much, 11 (45%) improved much, 2 (8%) improved minimally, and 1 (4%) did not change.ConclusionThis indicates CBT is quite effective for anxiety disorders in patients who attend 4 and more sessions. Early dropout is a significant obstacle to the effectiveness.How to cite this articleHebbar S. Effectiveness and Utilization Pattern of Cognitive Behavior Therapy of Anxiety Disorders: Evidence from a Psychiatry Clinic. J Med Sci 2015;1(3):52-54.
Erdheim–Chester Disease
Authors: Patil Mamatha , Jaiswal Deepak 
Published: August 2016

ABSTRACTErdheim–Chester disease (ECD) is an extremely rare disorder that can affect many different organs of the body. This is an unusual form of non-Langerhans-cell histiocytosis. This is characterized by excessive production and accumulation of histiocytes. The normal function of the histiocytes is to fight infections. Histiocytes accumulate in the loose connective tissue of various organ systems of the body and cause thickening of tissues and may become dense and fibrotic. In the absence of successful treatment, the disease is debilitating and can result in multi-system organ failure. Erdheim–Chester disease is often described in the medical literature as an extremely rare1 entity. Erdheim–Chester disease usually presents in adults aged between 40 and 60 years. Here we present a case report of ECD in a 26-year-old young male patient with progressive course over a period of 4 years with symptoms suggestive of multi-organ involvement.How to cite this articlePatil M, Jaiswal D. Erdheim–Chester Disease. J Med Sci 2015;1(3):55-57.
Squamous Cell Carcinoma under the Veil of a Trophic Ulcer in a Case of Hansen's Disease
Authors: Rahim Safal 
Published: August 2016

ABSTRACTHansen's disease is seldom associated with trophic ulcers, which over a period of time when neglected has the potential for malignant transformation. In this case report, a 44-year-old male patient previously treated for Hansen's disease presented with non-healing plantar ulcer, who developed squamous cell carcinoma with metastasis in the lymph nodes. We highlight the importance of having a high degree of suspicion in each case as our patient was asymptomatic and repeated biopsies and lymph node Fine needle aspiration cytology (FNAC) were required to diagnosis.How to cite this articleRahim S. Squamous Cell Carcinoma under the Veil of a Trophic Ulcer in a Case of Hansen's Disease. J Med Sci 2015;1(3):60-61.
Postoperative Nausea and Vomiting in Day Care Patients: A Comparative Randomized Controlled Trial of Total Intravenous Anesthesia with Propofol, Air, and Oxygen vs Inhalation Anesthesia with Isoflurane and Nitrous Oxide
Authors: Sandhya A , Mamatha R , Banerjee Antara 
Published: August 2016

ABSTRACTIntroductionWe compared the incidence of postoperative nausea and vomiting (PONV) after total intravenous anesthesia (TIVA) using propofol–air to inhalational anesthesia with isoflurane–nitrous oxide in day care patients at a tertiary care academic institution.Materials and methodsWe randomized 60 patients and assigned to either group I (inhalational anesthesia with isoflurane– nitrous oxide) or group II (TIVA with propofol–air). Incidence of PONV, use of anti-emetics, and duration of stay in the recovery were recorded for 72 hours by blinded observers.ResultsTotal intravenous anesthesia reduced the PONV up to 72 hours by 27% among our patients (from 37 to 10%, p < 0.001). This effect was seen more in the early postoperative period. Overall, 13.3% of patients in the group I received antiemetic compared to 40% in group II. In our study, patients without PONV were discharged from the recovery room 15 minutes earlier after TIVA than after isoflurane and N2O anesthesia.ConclusionTotal intravenous anesthesia with propofol and air resulted in a reduction of PONV compared with iso-flurane–nitrous oxide anesthesia. Overall, patients in group I required less rescue antiemetic, compared to group II. Total intravenous anesthesia resulted in shorter stay in the postoperative anesthetic care unit compared to isoflurane–N2O group.How to cite this articleSandhya A, Mamatha R, Banerjee A, Sahajananda H. Postoperative Nausea and Vomiting in Day Care Patients: A Comparative Randomized Controlled Trial of Total Intravenous Anesthesia with Propofol, Air, and OxygenvsInhalation Anesthesia with Isoflurane and Nitrous Oxide. J Med Sci 2015;1(4):63-68.
Infantile Hemangioma: An Overview
Authors: Dhanraj Prema 
Published: August 2016

ABSTRACTInfantile hemangiomas (IH) are benign vascular neoplasms that have a characteristic clinical course marked by early proliferation and followed by spontaneous involution. Hemangiomas are the most common tumors of infancy and usually are medically insignificant. The vast majority of infantile hemangiomas do not require any medical or surgical intervention. Treatment options for clinically significant hemangiomas include, laser surgery, surgical excision or Medication.How to cite this articleDhanraj P. Infantile Hemangioma: An Overview. J Med Sci 2015;1(4):69-71.
A Rare Case of Bicornuate Uterus with Embedded Intrauterine Contraceptive Device
Authors: Gayatri A , Prasad Nagendra 
Published: August 2016

ABSTRACTEarly intrauterine contraceptive devices (IUCDs) like Lippes Loop were intended for long-term use until menopause and hence often retained for years, and many patients present well into menopause still bearing a Lippes Loop either deliberately or forgotten. We present a case of a 65-year-old postmenopausal female patient presented with complaints of spotting per vagina since 20 days, associated with white discharge per vagina. Ultrasound abdomen showed calcified endometrium with IUCD in the cervical canal. Hysteroscopy was done. As IUCD could be visualized but could not be removed, hence hysterectomy was done.How to cite this articleGayatri A, Nagarathnamma R, Prasad N. A Rare Case of Bicornuate Uterus with Embedded Intrauterine Contraceptive Device. J Med Sci 2015;1(4): 72-73.
Anesthetic Management of an Elderly Patient with Permanent Pacemaker posted for Fixation of Tibial and Radial Fracture
Authors: Karthik GS , Halgunaki Praveen , LNU Rangalakshmi 
Published: August 2016

ABSTRACTCardiac patients with pacemaker presenting for noncardiac surgery pose a considerable challenge to the anesthesiologists. In the United States it is said that there are more than 500,000 patients with pacemaker and every year more than 115,000 devices are implanted. Intraoperative care of the pacemaker as well as understanding its anesthetic implication is crucial in the management of these high-risk patients. We hereby present a case of an 85-year-old male posted for plating of tibial fracture with k-wiring of radius fracture who had permanent cardiac pacemakerin situ.How to cite this articleHalgunaki P, Karthik GS, Rangalakshmi, Sahajananda H. Anesthetic Management of an Elderly Patient with Permanent Pacemaker posted for Fixation of Tibial and Radial Fracture. J Med Sci 2015;1(4):77-79.
On the $O(1/k)$ Convergence Rate of He's Alternating Directions Method for a Kind of Structured Variational Inequality Problem
Authors: Xu Haiwen 
Published: August 2016

The alternating directions method for a kind of structured variational inequality problem (He, 2001) is an attractive method for structured monotone variational inequality problems. In each iteration, the subproblemsare convex quadratic minimization problem with simple constraintsand a well-conditioned system of nonlinear equations that can be efficiently solvedusing classical methods. Researchers have recently described the convergence rateof projection and contraction methods for variational inequality problems andthe original ADM and its linearized variant. Motivated and inspired by researchinto the convergence rate of these methods, we provide a simple proof to show the $O(1/k)$ convergencerate of alternating directions methods for structured monotone variational inequality problems (He, 2001).
Exosomal MicroRNAs Derived From Umbilical Mesenchymal Stem Cells Inhibit Hepatitis C Virus Infection
Authors: Qian Xijing , Xu Chen , Fang Shuo , Zhao Ping , Wang Yue , Liu Houqi , Yuan Wen , Qi Zhongtian 
Published: August 2016

Abstract

Hepatitis C virus (HCV) is a significant global public health problem, causing more than 350,000 deaths every year. Although the development of direct-acting antivirals has improved the sustained virological response rate in HCV patients, novel anti-HCV agents with higher efficacy as well as better tolerance and cheaper production costs are still urgently needed. Cell-based therapy, especially its unique and strong paracrine ability to transfer information to other cells via extracellular vesicles such as exosomes, has become one of the most popular therapeutic methods in recent years. In our study, exosomes secreted from umbilical mesenchymal stem cells (uMSCs), which are widely used in regenerative medicine, inhibited HCV infection in vitro, especially viral replication, with low cell toxicity. Our analysis revealed that microRNAs (miRNAs) from uMSC-derived exosomes (uMSC-Exo) had their unique expression profiles, and these functional miRNAs, mainly represented by let-7f, miR-145, miR-199a, and miR-221 released from uMSC-Exo, largely contributed to the suppression of HCV RNA replication. These four miRNAs possessed binding sites in HCV RNA as demonstrated by the target prediction algorithm. In addition, uMSC-Exo therapy showed synergistic effect when combined with U.S. Food and Drug Administration-approved interferon-α or telaprevir, enhancing their anti-HCV ability and thus improving the clinical significance of these regenerative substances for future application as optimal adjuvants of anti-HCV therapy.

Significance
This work reported, for the first time, the identification of stem cell-derived exosomes of antiviral activity. Umbilical mesenchymal stem cell-secreted exosomes inhibited hepatitis C virus infection through transporting a mixture of microRNAs complementing the viral genomes to the host cells. This finding provides insights and prospects for physiologically secreted substances for antiviral therapy.
Dissolved organic carbon uptake in streams: A review and assessment of reach‐scale measurements
Authors: Mineau Madeleine M. , Wollheim Wilfred M. , Buffam Ishi , Findlay Stuart E. G. , Hall Robert O. , Hotchkiss Erin R. , Koenig Lauren E. , McDowell William H. , Parr Thomas B. 
Published: August 2016

AbstractQuantifying the role that freshwater ecosystems play in the global carbon cycle requires accurate measurement and scaling of dissolved organic carbon (DOC) removal in river networks. We reviewed reach‐scale measurements of DOC uptake from experimental additions of simple organic compounds or leachates to inform development of aquatic DOC models that operate at the river network, regional, or continental scale. Median DOC uptake velocity (vf) across all measurements was 2.28 mm min−1. Measurements using simple compound additions resulted in faster vf (2.94 mm min−1) than additions of leachates (1.11 mm min−1). We also reviewed published data of DOC bioavailability for ambient stream water and leaf leachate DOC from laboratory experiments. We used these data to calculate and apply a correction factor to leaf leachate uptake velocity to estimate ambient stream water DOC uptake rates at the reach scale. Using this approach, we estimated a median ambient stream DOC vf of 0.26 mm min−1. Applying these DOC vf values (0.26, 1.11, 2.28, and 2.94 mm min−1) in a river network inverse model in seven watersheds revealed that our estimated ambient DOC vf value is plausible at the network scale and 27 to 45% of DOC input was removed. Applying the median measured simple compound or leachate vf in whole river networks would require unjustifiably high terrestrial DOC inputs to match observed DOC concentrations at the basin mouth. To improve the understanding and importance of DOC uptake in fluvial systems, we recommend using a multiscale approach coupling laboratory assays, with reach‐scale measurements, and modeling.
Energetic particle imaging: The evolution of techniques in imaging high‐energy neutral atom emissions
Authors: Mitchell D. G. , Brandt P. C. , Westlake J. H. , Jaskulek S. E. , Andrews G. B. , Nelson K. S. 
Published: August 2016

AbstractEnergetic neutral atom imaging instruments have been flown on a variety of space missions to satisfy a variety of science requirements. In this paper we discuss the most recent developments that lead to improvements in energy range, angular resolution, and background rejection for the high‐energy range, as represented in the past by the Cassini magnetosphere imaging instrument Ion and Neutral Camera, the Imager for Magnetopause‐to‐Aurora Global Exploration (IMAGE) mission High‐Energy Neutral Atom instrument, and to some degree the IMAGE mission Medium‐Energy Neutral Atom instrument. The new approaches discussed here rely on the use of ultrathin foils without UV filters and on very high speed coincidence logic to reduce accidentals from intense background sources. We present laboratory results demonstrating an electrostatic design that meets the coincidence timing requirements, position, and scattering performance consistent with angular resolution (full width at half maximum) of ~2° for hydrogen above 10 keV and a hydrogen energy threshold ≤1 keV.