bluuebunny/crossref_metadata_2025_split huggingface dataset:
La patiente anorexique a-t-elle encore une place dans la thérapie familiale ? Etat des lieux et recommandations thérapeutiques
Authors: Cook-Darzens Solange 
Published: January 2017

Des liens privilégiés se sont tissés dès les années 1970 entre la thérapie familiale et les troubles du comportement alimentaire de l’adolescent. Les formes de thérapie familiale appliquées à ces troubles n’ont cessé d’évoluer, donnant naissance à des modèles très diversifiés, dont certains tendent à rétrécir la place accordée à la patiente (et à sa fratrie), voire à l’exclure du processus thérapeutique. De surcroît, les modalités thérapeutiques perçues comme aidantes par les patients (approches individuelles et thérapie familiale centrée sur les relations familiales) ne concordent pas avec les thérapies reconnues comme étant les plus efficaces (thérapie familiale conjointe et thérapie parentale centrées sur l’amélioration des symptômes), un décalage qui constitue une autre forme d’exclusion pour les patients. De manière synergique, ces deux types d’« exclusion » tendent à affaiblir l’efficacité de modèles de thérapie familiale, certes « probants » mais dont les taux de réussite restent modestes. Dans cet esprit, nous faisons plusieurs recommandations thérapeutiques qui redonnent pleinement sa place à la patiente et mobilisent ses ressources, dans le cadre d’un modèle de thérapie familiale souple, intégratif et modulaire. Des pistes de recherche sont également évoquées.
Embedding Microethical Dilemmas in High-Fidelity Simulation Scenarios: Preparing Nursing Students for Ethical Practice
Authors: Krautscheid Lorretta C. 
Published: January 2017

Background:
Despite the inclusion of ethics education in the formal curriculum, students felt ill-prepared to manage ethical issues and protect patients' health and well-being. Nursing students reported knowing what should be done to promote optimal patient care; however, they also reported an inability to act on their convictions due to fear of reprisal, powerlessness, and low confidence.

Method:
Bloom's Taxonomy guided the development and implementation of experiential-applied ethics education via microethical dilemmas embedded in existing high-fidelity simulation (HFS) scenarios. Students were unaware that ethical dilemmas would be presented, replicating complex and spontaneous practice environments.

Results:
Students reported that the educational strategy was powerful, increasing ethical decision-making confidence, empowering effective advocacy, and building courage to overcome fears and defend ethical practice.

Conclusion:

Simulation extends ethics education beyond the cognitive domain, ensuring the purposeful integration of affective and psychomotor learning, which promotes congruence between knowing what to do and acting on one's convictions. [
J Nurs Educ.
2017;56(1):55–58.]
Crosshole and downhole seismics: a new quality assurance tool for jet grout columns
Authors: Guerreros J.C. Galindo , Niederleithinger Ernst , Mackens Sonja , Fechner Thomas 
Published: January 2017

ABSTRACTSealing and strengthening of the subsoil by grout injection is a major issue in the field of geotechnical engineering. One commonly applied method is jet grouting, which allows creating columns of grouted soil by eroding and mixing the in‐situ soil with a thin cement suspension. A general difficulty linked with this method is in predicting the resulting column diameter and its material strength. In this paper, we illustrate the application of a newly developed non‐destructive quality assurance tool used to determine the diameter of jet grout columns. This approach incorporates standard crosshole and downhole seismic measurements. To demonstrate its effectiveness, we tested the new approach within two‐dimensional finite‐difference numerical simulations. Additional field tests showed that this tool is also applicable in real site conditions. For this purpose, three jet grout columns were produced with different process parameters in a depth between 3 and 10 m. The evaluated diameters were within 1 and 1.5 m, slightly deviating from the previously predicted range by the jet grouting contractor. Moreover, we were able to detect the base of the columns at a 10‐m depth with no significant difficulties. On the other hand, unsaturated, less compacted sands between the groundwater level and surface considerably affected the seismic data, hence complicating the detection of the top of the columns.
Use of a Suction drain in Thyroid Surgery
Authors: Wijesinghe K. M. G. S. S. S. , Perera D. S. C. , Mahathanthila D. M. K. , Pallewatta A. S. , Jayasuriya C. 
Published: January 2017

IntroductionThe use of a suction drain in Thyroid surgery is in common practice. This is done mainly to ‘prevent’ formation of haematomas and seromas on the Thyroid bed and subsequently to reduce complications and hospital stay. ObjectiveThe aim of this study is to determine the efficacy of routine drainage after Thyroid surgery. MethodA randomized prospective control trial was conducted on 50 patients over a period of ten months. These patients were randomly allocated to drained and non-drained groups. The surgeon was informed of the group just before the closure of the wound. Post-operative ultrasound scan neck was done on second post-operative day by the Radiologist to assess the amount of fluid on the thyroid bed. Wound infection, seroma and heamatoma formation were assessed during the hospital stay and 1st and 2nd week after surgery. Post-operative pain was also assessed on postoperative day 2. The data were analysed using two sample T-test. ResultsBoth groups were homogenous according to the age, size of the gland, type of the procedure performed and histopathological diagnosis. There was no significant collection of fluid on the Thyroid bed assessed by the USS scan on day 2 in the 2 groups (P = 0.1016). But the length of hospital stay was significantly reduced amongst the non-drained group (P = 0.0002). None of the patients in either group had post-operativeseroma orheamatoma and did not require reoperation for post-operative bleeding. No significant difference in post-operative pain was observed amongst two groups (P = 0.6818). ConclusionRoutine insertion of suction drain following Thyroid surgery is not necessary. Not applying a drain to the wound, resulted in decreased hospital stay. Post-operative pain is not increased significantly by inserting a drain.
Comparison of the species richness and abundance of Cerambycidae (Coleoptera) and Scolytinae (Coleoptera: Curculionidae) captured in aerial malaise traps with and without a bottom collector
Authors: DiGirolomo Marc F. , Dodds Kevin J. 
Published: January 2017

AbstractMethods for detection and monitoring invasive insect species are continually being refined and developed. Detecting invasive pests early can improve chances of eradication or management of populations. Aerial malaise traps are successfully used in monitoring for insects such as longhorned beetles (Coleoptera: Cerambycidae) and bark and ambrosia beetles (Coleoptera: Curculionidae: Scolytinae). These traps have both a top and bottom collecting cup. The bottom portion of these traps leading to the collection cup collects canopy litter at a high rate, greatly increasing time required to sort through and possibly affecting the diversity and abundance of insects captured. Traps with top and bottom collecting cups were compared with traps with only top collecting cups to determine the effect on species richness and abundance of cerambycids and scolytines. There was no significant difference in species richness and abundance of cerambycids, and abundance of scolytines, however species richness of scolytines was significantly higher in top/bottom traps. We conclude that removing the bottoms from aerial malaise traps would benefit monitoring programmes that use this type of trap in combination with funnel traps, albeit with the potential loss of information on scolytine richness.
Low-Level MHC Class II Expression Leads to Suboptimal Th Cell Response, Increased Autoaggression, and Heightened Cytokine Inducibility
Authors: Chen Yi-Ting , Su Yu-Chia , Chang Mei-Ling , Tsai Pi-Fang , Kung John T. 
Published: January 2017

AbstractThe development and activation of MHC class II (MHC-II)–restricted CD4+ T cells are distinct immunological processes that are strictly MHC-II–dependent. To address their relative dependence on MHC-II, we established a novel ENU-induced mutant mouse on the C57BL/6 background, named I-A12%, with ∼8-fold reduced I-A expression on the surface of B cells, dendritic cells, cortical thymic epithelial cells, and medullary thymic epithelial cells. I-A100% and I-A12% mice are highly similar with respect to the numbers of double-positive thymocytes, CD4+CD8− T cells, regulatory T cells, CD4+ T cell marker expression, lifespan, and Th/regulatory T cell function. Despite the demonstration of functional intrathymic negative selection in I-A12% mice, transfer of I-A12% CD25−CD4+ T cells into RAG-knockout hosts revealed increased autoaggression activity against the liver. Compared to I-A100% mice, infection of I-A12% mice with graded doses of Listeria monotcytogenes or influenza virus revealed comparable and significantly reduced generation of Ag-specific CD4+ T cells at high and low infection doses, respectively. A significantly weakened Ag-specific recall cytokine production response was also found for I-A12% mice previously infected with a relative low dose of L. monocytogenes. CD44hiCD4+ T cells from I-A100% and I-A12% mice previously infected with a relatively high L. monocytogenes dose displayed highly similar Ag-specific multicytokine production profiles. In contrast, polyclonal activation of endogenous memory-like I-A12% CD44hiCD4+ T cells revealed highly elevated production of multiple cytokines. Our results demonstrate that there exist distinct thresholds for different MHC-II–dependent immunological processes. The I-A12% mutant mouse model we describe in the present study is a valuable tool for investigations on the quantitative cause–effect relationship in MHC-II–dependent normal and autoimmune responses.
The Epidemiology of Severe Injuries Sustained by National Collegiate Athletic Association Student-Athletes, 2009–2010 Through 2014–2015
Authors: Kay Melissa C. , Register-Mihalik Johna K. , Gray Aaron D. , Djoko Aristarque , Dompier Thomas P. , Kerr Zachary Y. 
Published: January 2017

Context:
Few researchers have described the incidence of the most severe injuries sustained by student-athletes at the collegiate level.

Objective:
To describe the epidemiology of severe injuries within 25 National Collegiate Athletic Association (NCAA) sports in the 2009–2010 through 2014–2015 academic years.

Design:
Descriptive epidemiology study.

Setting:
Aggregate injury and exposure data from 25 NCAA sports.

Patients or Other Participants:
Collegiate student-athletes in the 2009–2010 through 2014–2015 academic years.

Main Outcome Measure(s):
Injury data from the NCAA Injury Surveillance Program were analyzed. A severe injury (1) occurred during a sanctioned competition or practice, (2) required medical attention by an athletic trainer or physician, and (3) resulted in at least 21 days lost from sport activity or a premature end to the sport season. Injury counts, proportions, rates per 1000 athlete-exposures (AEs), rate ratios (RRs), and injury proportion ratios were reported with 95% confidence intervals (CIs).

Results:
A total of 3183 severe injuries were reported, for an injury rate of 0.66/1000 AEs. Wrestling had the highest severe injury rate (1.73/1000 AEs), followed by women's gymnastics (1.40/1000 AEs) and football (0.97/1000 AEs). Overall, the severe injury rate was higher in competition than in practice (RR = 4.25, 95% CI = 3.97, 4.56). Most severe injuries were reported during the regular season (69.3%, n = 2206); however, severe injury rates did not differ between the preseason and regular season (RR = 0.98, 95% CI = 0.91, 1.06). Common severely injured body parts were the knee (32.9%, n = 1047), lower leg/ankle/foot (22.5%, n = 715), and head/face/neck (11.2%, n = 358). Common severe injury diagnoses were sprains (32.9%, n = 1048), strains (16.9%, n = 538), and fractures (14.4%, n = 458). Common severe injury mechanisms were player contact (39.3%, n = 1251), noncontact (25.1%, n = 800), and surface contact (12.0%, n = 383).

Conclusions:
Severe injuries occurred across many sports and by numerous mechanisms. By identifying these sport-specific patterns, clinicians' efforts can be tailored toward improving injury-prevention strategies and health outcomes.
A diagnosis more than skin deep: A case of late-stage pulmonary langerhans’ cell histiocytosis with skin lesions
Authors: Verson Josh , Egusquiza Alexander , Nguyen David C 
Published: January 2017

Introduction: Langerhans’ cell histiocytosis (LCH) is a group of rare diseases with a wide variety of presentations across age groups. We describe a case of pulmonary LCH diagnosed at a late stage despite having additional skin findings for several years.Case description: A 32-year-old male presented with acute exacerbation of chronic dyspnea resulting in markedly decreased functional capacity as well as cutaneous lesions. He had smoked cigarettes for 10 years with no occupational exposures. The patient also complained of a pruritic rash in his axillary and groin areas. His vitals were within normal limits. His exam was notable for diminished right lung sounds and expiratory wheezes bilaterally. A chest x-ray showed marked emphysema and bilateral upper lobe reticular opacities suggestive of scarring. Computerized tomography of the chest showed loculated right pneumothorax and hyperinflated lungs with destructive changes secondary to numerous irregular, thick walled cysts and scatteredirregular pulmonary nodules. Diagnosis was ultimately confirmed with biopsy of concomitant cutaneous lesions and characteristic radiographic findings on Chest CT. The patient started inhaled corticosteroids, inhaled anticholinergic, and inhaled short-acting beta agonists. He was sent home with oxygen and strongly encouraged to abstain from smoking.Discussion: LCH is characterized by end-organ infiltration of proliferating monoclonal Langerhans’ cells, a histiocyte involved in antigen presentation. The highest incidence of LCH is between ages 5-10 years; the adult incidence is estimated to be less than half as frequent than the pediatric, about one patient in 500,000. LCH most commonly involves the skin, bones, and lungs. Pulmonary LCH (PLCH) is interesting in that it has a peak incidence in ages 20-40 years and occurs almost exclusively in smokers (> 90% of cases). Conclusion: Smoking cessation is the cornerstone of management of PLCH. It has been hypothesized that tobacco smoke can incite the production of cytokines by alveolar macrophages, leading to increased recruitment of histiocytes to the lung parenchyma. In isolated pulmonary pathology, lung transplant with smoking cessation is often curative.
Modified Activated Carbon Prepared from Acorn Shells as a New Solid-Phase Extraction Sorbent for the Preconcentration and Determination of Trace Amounts of Nickel in Food Samples Prior to Flame Atomic Absorption Spectrometry
Authors: Ebrahimi Bahram 
Published: January 2017

Abstract
A new solid-phase extraction (SPE) sorbent was introduced based on acidic-modified (AM) activated carbon (AC) prepared from acorn shells of native oak trees in Kurdistan. Hydrochloric acid (15%, w/w) and nitric acid (32.5%, w/w) were used to condition and modify AC. The IR spectra of AC and AM-AC showed that AM lead to the formation of increasing numbers of acidic functional groups on AM-AC. AM-AC was used in the SPE method for the extraction and preconcentration of Ni+2 prior to flame atomic absorption spectrometric determinationat ng/mL levels in model and real food samples. Effective parameters of the SPE procedure, such as the pH of the solutions, sorbent dosage, extraction time, sample volume, type of eluent, and matrix ions, were consideredand optimized. An enrichment factor of 140 was obtained. The calibration curve was linear with an R2 of 0.997 in the concentration range of 1–220 ng/mL. The RSD was 5.67% (for n = 7), the LOD was 0.352 ng/mL, and relative recoveries in vegetable samples ranged from 96.7 to 103.7%.
EPISTEMOLOGIA DO TESTEMUNHO: O TESTEMUNHO COMO FONTE DE JUSTIFICAÇÃO
Authors: Silva Ronaldo Miguel 
Published: January 2017

Artigo retirado da Revista Sociais e Humanas, por ser uma cópia (exceto pequenas alterações) do seguinte artigo já publicado na revista Problemata: SILVA, Ronaldo Miguel. Epistemologia do Testemunho: o testemunho como fonte de justificação. Problemata: R. Intern. Fil. v. 5. n. 2 (2014), p. 221-251.e-ISSN 2236-8612. doi:http://dx.doi.org/10.7443/problemata.v5i2.19900
Shear Wave Elastography Is a Reliable and Repeatable Method for Measuring the Elastic Modulus of the Rectus Femoris Muscle and Patellar Tendon
Authors: Taş Serkan , Onur Mehmet Ruhi , Yılmaz Seval , Soylu Abdullah Ruhi , Korkusuz Feza 
Published: January 2017

ObjectivesThe purpose of this study was to determine intraobserver, interobserver, and inter‐day reliability levels for stiffness measurements of the patellar tendon and rectus femoris muscle using shear wave elastography (SWE).MethodsThis study was conducted on 12 healthy male individuals. Two examiners measured mean shear wave velocity values of the patellar tendons and rectus femoris muscles of both extremities using a 9L4 (4‐9 MHz) transducer and an Acuson S3000 ultrasound system (Siemens Medical Solutions, Mountain View, CA). The elasticity images were acquired by the Virtual Touch tissue imaging quantification technique (Siemens Medical Solutions). Measurements were repeated 20 minutes and 1 week after the first measurements. The reliability of SWE measurements was assessed by means of the intraclass correlation coefficient (ICC).ResultsThe 12 participants ranged in age from 19 to 33 years (mean age ± SD, 25.33 ± 4.56 years). For the patellar tendon stiffness measurements with SWE, it was found that intraobserver reliability (ICC, 0.91–0.92) and interday reliability (ICC, 0.81–0.83) were excellent, and interobserver reliability (ICC, 0.71) was good. For the rectus femoris muscle stiffness measurements with SWE, it was found that the intraobserver reliability (ICC, 0.93–0.94), interday reliability (ICC, 0.81–0.91), and interobserver reliability (ICC, 0.95) were perfect.ConclusionsShear wave elastography using the Virtual Touch tissue imaging quantification technique is a reliable and repeatable technique for patellar tendon and rectus femoris stiffness measurements according to intraobserver, interday, and interobserver ICC values.
A Proximal Straining Mesh Location Is Associated With De Novo Stress Urinary Incontinence After Transobturator Mesh Procedures
Authors: Huang Wen‐Chen , Yang Jenn‐Ming 
Published: January 2017

ObjectivesThe purpose of this study was to explore the association between mesh location and de novo stress urinary incontinence (SUI) after transvaginal mesh procedures.MethodsWe retrospectively analyzed a database of women who had received transvaginal mesh procedures for stage III or greater cystocele according to the Pelvic Organ Prolapse Quantification system. Only data for women who neither reported SUI preoperatively nor had received concomitant anti‐incontinence surgery were included for analyses. The mesh location was investigated by sonography via the percentage of the urethra covered by mesh, defined as the number calculated by dividing the portion of the urethral length covered by mesh (the distance from the bladder neck to the point of the urethra, which was indicated by an imaginary line at the level of the lower [caudal] mesh end and perpendicular to the urethra) by the total urethral length (the distance from the bladder neck to the external urethral meatus) in the sagittal plane. The resting, straining, coughing, and squeezing mesh locations of women who did (n = 29) and did not (n = 54) report SUI at the 12‐month follow‐up were compared.ResultsAt the 12‐month follow‐up, women who reported SUI had a significantly smaller straining percentage of the urethra covered by mesh (mean ± SD, 28.5% ± 9.6%) compared with continent women (35.2% ± 15.8%), indicating a more proximal straining mesh location.ConclusionsSonography is useful in investigating the location of the transvaginal mesh. De novo SUI after transvaginal mesh procedures is associated with a more proximal straining mesh location.
Two decades of Pacific anthropogenic carbon storage and ocean acidification along Global Ocean Ship‐based Hydrographic Investigations Program sections P16 and P02
Authors: Carter B. R. , Feely R. A. , Mecking S. , Cross J. N. , Macdonald A. M. , Siedlecki S. A. , Talley L. D. , Sabine C. L. , Millero F. J. , Swift J. H. , Dickson A. G. , Rodgers K. B. 
Published: January 2017

AbstractA modified version of the extended multiple linear regression (eMLR) method is used to estimate anthropogenic carbon concentration (Canth) changes along the Pacific P02 and P16 hydrographic sections over the past two decades. P02 is a zonal section crossing the North Pacific at 30°N, and P16 is a meridional section crossing the North and South Pacific at ~150°W. The eMLR modifications allow the uncertainties associated with choices of regression parameters to be both resolved and reduced. Canth is found to have increased throughout the water column from the surface to ~1000 m depth along both lines in both decades. Mean column Canth inventory increased consistently during the earlier (1990s–2000s) and recent (2000s–2010s) decades along P02, at rates of 0.53 ± 0.11 and 0.46 ± 0.11 mol C m−2 a−1, respectively. By contrast, Canth storage accelerated from 0.29 ± 0.10 to 0.45 ± 0.11 mol C m−2 a−1 along P16. Shifts in water mass distributions are ruled out as a potential cause of this increase, which is instead attributed to recent increases in the ventilation of the South Pacific Subtropical Cell. Decadal changes along P16 are extrapolated across the gyre to estimate a Pacific Basin average storage between 60°S and 60°N of 6.1 ± 1.5 PgC decade−1 in the earlier decade and 8.8 ± 2.2 PgC decade−1 in the recent decade. This storage estimate is large despite the shallow Pacific Canth penetration due to the large volume of the Pacific Ocean. By 2014, Canth storage had changed Pacific surface seawater pH by −0.08 to −0.14 and aragonite saturation state by −0.57 to −0.82.