bluuebunny/crossref_metadata_2025_split huggingface dataset:
Epidemiology of enterotoxigenic Escherichia coli and impact on the growth of children in the first two years of life in Lima, Peru
Authors: Pajuelo Monica J. , Noazin Sassan , Cabrera Lilia , Toledo Angie , Velagic Mirza , Arias Lucero , Ochoa Mayra , Moulton Lawrence H. , Saito Mayuko , Gilman Robert H. , Chakraborty Subhra 
Published: March 2024

BackgroundEnterotoxigenic E. coli (ETEC) is a leading cause of diarrheal morbidity and mortality in children, although the data on disease burden, epidemiology, and impact on health at the community level are limited.MethodsIn a longitudinal birth cohort study of 345 children followed until 24 months of age in Lima, Peru, we measured ETEC burden in diarrheal and non-diarrheal samples using quantitative PCR (LT, STh, and STp toxin genes), studied epidemiology and measured anthropometry in children.ResultsAbout 70% of children suffered from one or more ETEC diarrhea episodes. Overall, the ETEC incidence rate (IR) was 73 per 100 child-years. ETEC infections began early after birth causing 10% (8.9–11.1) ETEC-attributable diarrheal burden at the population level (PAF) in neonates and most of the infections (58%) were attributed to ST-ETEC [PAF 7.9% (1.9–13.5)] and LT + ST-ETEC (29%) of which all the episodes were associated with diarrhea. ETEC infections increased with age, peaking at 17% PAF (4.6–27.7%; p = 0.026) at 21 to 24 months. ST-ETEC was the most prevalent type (IR 32.1) with frequent serial infections in a child. The common colonization factors in ETEC diarrhea cases were CFA/I, CS12, CS21, CS3, and CS6, while in asymptomatic ETEC cases were CS12, CS6 and CS21. Only few (5.7%) children had repeated infections with the same combination of ETEC toxin(s) and CFs, suggested genotype-specific immunity from each infection. For an average ETEC diarrhea episode of 5 days, reductions of 0.060 weight-for-length z-score (0.007 to 0.114; p = 0.027) and 0.061 weight-for-age z-score (0.015 to 0.108; p = 0.009) were noted in the following 30 days.ConclusionThis study showed that ETEC is a significant pathogen in Peruvian children who experience serial infections with multiple age-specific pathotypes, resulting in transitory growth impairment.
“Whatever I said didn’t register with her”: medical fatphobia and interactional and relational disconnect in healthcare encounters
Authors: Kost Carolin , Jamie Kimberly , Mohr Elizabeth 
Published: March 2024

IntroductionThis article focuses on medical fatphobia as a specific phenomenon structuring interactions between patients and healthcare practitioners. Throughout the article, we use ‘fat’ and ‘fatphobia’ as the preferred terms in the body positivity and fat acceptance communities. It is well documented that ‘fat’ people frequently experience negative and highly stigmatising healthcare encounters where weight is disproportionately centred and over-attributed as a cause of ill-health. This can compound and worsen disordered eating, trigger mental health problems, and lead to healthcare avoidance. Although the regularity and risks of these weight-focused encounters are well established, there does not yet exist a coherent theoretical framework for understanding such discriminatory practises.MethodsIn this article, we draw on the experiences of 15 fat women who are members of the Health at Every Size (HAES) online community to explore how they perceive their fatness impacting medical encounters.Results and discussionThrough these data and specifically drawing on the framework of ‘cultural health capital,’ we suggest that given the deep purchase of cultural tropes surrounding it, fatness is perceived to embody and therefore confer on patients’ assumptions of low cultural health capital. We argue that ubiquitously characteristic of medical fatphobia is what we call an ‘interactional and relational disconnect’ between fat patients and healthcare practitioners. We suggest that this disconnect structures fatphobic interactions by over-attributing fatness as the underlying cause of medical problems, which entrenches patient and practitioner ambivalence because of a lack of joint decision-making. We argue that interactional and relational disconnect is produced by, sustained by, and reproduces asymmetric power relations between patients and practitioners. While we demonstrate that patients develop tactics to mitigate and manage fatphobia in healthcare encounters, the persistent interactional asymmetry between doctors and patients means these attempts often fail. We conclude with a plea for sociology to take medical fatphobia seriously as a form of intersectional systemic discrimination. While movements like HAES, fat positivity, and body acceptance create kinship and support fat patients with self-advocacy in healthcare interactions, we suggest that systemic rather than individual change is necessary for effective healthcare inclusion and interaction.
Selection of treatment strategies for lumbar Brucella spondylitis: a retrospective clinical study
Authors: Liu Changhao , Liu Qiang , Zheng Jianping , Niu Ningkui , Shi Jiandang , Yang Zongqiang 
Published: March 2024

ObjectiveThis study aims to investigate the treatment strategies for lumbar brucellar spondylitis by comparing the outcomes of pure pharmacological treatment with diseased intervertebral fixation fusion, with or without lesion clearance.MethodsA total of 157 patients with lumbar brucellar spondylitis were categorized into three groups: Group A (52 cases) received pure pharmacological treatment, Group B (53 cases) underwent posterior vertebral fixation fusion, and Group C (52 cases) received posterior (or anterior) lesion clearance followed by posterior vertebral fixation fusion. Clinical data were analyzed, and the efficacy of the three treatment methods was evaluated.ResultsThe surgical groups showed better outcomes at various time points compared to the pharmacological treatment group (P &lt; 0.05). The pure fixation group outperformed the lesion clearance fusion group during the perioperative period (P &lt; 0.05). The ESR, CRP, ODI scores, imaging evaluation and complications of the lesion clearance followed by fixation group were all better than those of the other two groups (P &lt; 0.05). Surgical treatment groups showed no statistically significant difference in VAS scores (P &gt; 0.05), and both were superior to the pharmacological treatment group. There were no statistically significant differences in clinical efficacy among the three groups at the last follow-up.ConclusionSurgical treatment achieves early recovery goals compared to pharmacological treatment for brucellar spondylitis. However, individualized treatment principles should guide surgical decisions to select the most suitable approach for patients.
Green Macroalgae Hydrolysate for Biofuel Production: Potential of Ulva rigida
Authors: Sayed Walaa , Cabrol Audrey , Salma Alaa , Amrane Abdeltif , Benoit Maud , Pierre Ronan , Djelal Hayet 
Published: March 2024

In this study, the green macroalgae Ulva rigida, which contains 34.9% carbohydrates, underwent treatment with commercial hydrolytic enzymes. This treatment yielded a hydrolysate that contained 23 ± 0.6 g·L−1 of glucose, which was subsequently fermented with Saccharomyces cerevisiae. The fermentation process resulted in an ethanol concentration of 9.55 ± 0.20 g·L−1. The optimal conditions for ethanol production by S. cerevisiae were identified as follows: non-sterilized conditions, an absence of enrichment, and using an inoculum size of 118 mg·L−1. Under these conditions, the fermentation of the green macroalgal hydrolysate achieved a remarkable conversion efficiency of 80.78%. The ethanol o/t ratio, namely the ratios of the experimental to theoretical ethanol produced, for Scheffersomyces stipitis, Candida guilliermondii, Kluyveromyces marxianus, and S. cerevisiae after 48 h of fermentation were 52.25, 63.20, 70.49, and 82.87%, respectively. Furthermore, S. cerevisiae exhibited the best outcomes in terms of ethanol production (9.35 g·L−1) and conversion efficiency (80.78%) after 24 h (optimal time) of fermentation.
Validation of a Mid-Fidelity Numerical Approach for Wind Turbine Aerodynamics Characterization
Authors: Savino Alberto , Ferreri Andrea , Zanotti Alex 
Published: March 2024

This work is aimed at investigating the capabilities and limits of the mid-fidelity numerical solver DUST for the evaluation of wind turbines aerodynamic performance. In particular, this study was conducted by analysing the benchmarks NREL-5 MW and Phase VI wind turbines, widely investigated in the literature via experimental and numerical activities. The work was started by simulating a simpler configuration of the NREL-5 MW turbine to progressively integrate complexities such as shaft tilt, cone effects and yawed inflow conditions, offering a detailed portrayal of their collective impact on turbine performance. A particular focus was then given to the evaluation of aerodynamic responses from the tower and nacelle, as well as aerodynamic behavior in yawed inflow condition, crucial for optimizing farm layouts. In the second phase, the work was focused on the NREL Phase VI turbine due to the availability of experimental data on this benchmark case. A comparison of DUST simulation results with both experimental data and high-fidelity CFD tools shows the robustness and adaptability of this mid-fidelity solver for these applications, thus opening a new scenario for the use of such mid-fidelity tools for the preliminary design of novel wind turbine configurations or complex environments as wind farms, characterised by robust interactional aerodynamics.
Numerical Study of the Gas–Solid Separation Performance of Axial Flow Cyclone Separators
Authors: Mao Yanqin , Chertovskih Roman , Cai Liang 
Published: March 2024

Cyclone separators, which have a high separation performance, play a crucial role in mitigating the occurrence of dust explosion incidents. This study aims to improve the performance of an axial cyclone separator using the results of simulations employing the RNG k-ε model together with a user-defined function to simulate the wall collision process. The effectiveness of various structural modifications to the vortex tube has been addressed. Specifically, we found that increasing the number of blades, reducing the blade exit angle, and adopting L-shaped blades increase separation efficiency. Additionally, enlarging the guide vane and exhaust pipe diameters, as well as increasing the exhaust pipe inclination angle, contribute to an improved separation performance due to the developed tangential velocity and vortex cores. However, it also increases the pressure drop losses due to the increase in the turbulence pulsation entropy and the wall entropy, while the time-averaged entropy is found to be less significant. As a result, our study sheds light on the flow characteristics, the gas–solid separation process, and the energy loss mechanism in the cyclone separator.
INTERDISCIPLINARY APPROACH TO TEACHING GRAPHIC DESIGN FOR FUTURE TEACHERS OF LABOR EDUCATION IN THE CONTEXT OF IT EDUCATION
Authors: Cherniavskyi T. 
Published: March 2024

This article examines the importance of effectively integrating graphic design into computer science education, emphasizing the need for integrative curricula. It is emphasized that such an approach requires taking into account the specifics of both disciplines and contributes to the formation of a comprehensive understanding of the subject, the development of professional competencies, and the training of specialists capable of meeting the requirements of modern society. In the context of the rapid development of digital technologies, the article emphasizes the relevance of the integration of graphic design into IT education. The practical aspects of such integration are considered, including the usage of innovative technical tools, programs, and teaching methods aimed at improving the quality of education.
Special attention is paid to project-oriented learning, which allows students to implement practical tasks, developing both graphic and computer skills. Examples are given of how students can be involved in the development of websites, mobile applications, and multimedia projects, using knowledge from both fields. Emphasis is also placed on the importance of software tools such as Adobe Photoshop, and Illustrator for graphic design and programming languages and environments for web development, enabling students to acquire the necessary technical skills for their future careers.
Special attention is paid to the role of integration in qualified teacher training capable of working effectively in a high-tech, information-oriented society. Specific examples of courses and projects that demonstrate the implementation of an interdisciplinary approach in education are provided, as well as recommendations for further improvement of educational programs are developed. The analysis emphasizes the potential and importance of integrated teaching of graphic design and informatics for the training of future teachers, aimed at their professional development and improvement of the educational process in general.
The Social Hunger : Les psychothérapies de groupe d’enfants aux Etats-Unis
Authors: Chapelier Jean-Bernard 
Published: March 2024

Ce travail présente les principales techniques de groupe utilisées chez l’enfant aux Etats-Unis. Il est montré comment, à partir de techniques utilisant l’activité et la bonne «expérience émotionnelle correctrice», les auteurs ont évolué vers des groupes d’inspiration psychanalytique, utilisant de plus en plus l’interprétation et le transfert comme leviers thérapeutiques.
Cette tendance n’empêche pas les thérapeutes d’adapter ces techniques groupales en fonction de la pathologie des enfants, proposant quelquefois, selon les indications, des cadres très directifs. Enfin, il est à noter combien, à la différence des théories développées en Europe, les réponses groupales ne sont ni conceptualisées, ni même utilisées par le plus grand nombre des thérapeutes américains.
Context, content and process : interrelationships between small and large groups in a transcultural workshop
Authors: Brown Dennis 
Published: March 2024

Contexte, contenu et processus : l'articulation en petits et grands groupes dans un séminaire transculturel.
Cet article décrit la structure d’un séminaire transculturel basé sur des groupes linguistiques. Les petits groupes étaient relativement homogènes au plan linguistiques, alors que les pléniers étaient hétérogènes. Les thèmes et les élaborations dans les petits et grands groupes se reflétaient les uns les autres, bien que, comme on pouvait s’y attendre, les petits groupes aient plus travaillé à un niveau personnel et les grands groupes à un niveau culturel. La question de l’identité était patente dans les deux, mais dans le petit groupe observé par l’auteur ce furent l’histoire personnelle et le conflit avec des introjections parentales ayant une implication ambivalente qui dominèrent : dans les réunions plénières, ce furent surtout l’histoire culturelle, le langage et les questions d’identité.
Rituel et jeu comme mécanismes régulateurs dans un psychodrame en groupe de psychotiques
Authors: Bizouard Élisabeth 
Published: March 2024

Rituals and games as regulating mechanisms in a psychodrama within a psychotic group.
A particular form of psychodrama, with many psychotic patients, is able to develop theirs possibility to play, to make day dreams and to get the representation of the absent object. The ritual either may help the failing play, or assures fonctions its own.
Approche corporelle et groupe dans la formation
Authors: Beauchesne Hervé , Comte B. , Grapin Jean-Jacques , Lavaux F. 
Published: March 2024

A corporal approach to the training group.
The use of group dynamics and corporal expression in therapy currently runs the risk of creating a number of illusions, in particular with respect to psychanalysis during the period of sensitivation and development of human relations. The use of corporal techniques (in this particular case, dance) is proposed in training sessions having to do with group psychoanalysis. This leads to the possibility of analysing the narcissistic and archaic dimensions, provided that the framework is clearly defined. The modes and contingencies of this framework and its effects are considered in this paper along with the limitations, reasonable reservations and criticisms as well as the real potential of this type of session. Finally, the conditions necessary for remaining within a truly psychoanalytical perspective are examined.
Autour de l’analité dans les groupes
Authors: Grapin Jean-Jacques 
Published: March 2024

Sobre la analidad en los grupos.
Mas alla del debate de la teorización de los procesos grupales — de inspiración freudiana o kleiniana — al abordar los procesos de identificación, aparecieron dos obstáculos : las angustias de separación y el papel del objeto real, ¿ Séria la clinica de la separación un prejuicio teórico que valorizando lo arcáico con detrimento de lo pulsional, conducina a abandonar el concepto de regresión ? Si el papel del objeto real parece privilegiar la elaboración de los procesos interpersonales, ¿ qué modificación intra-psíquica se espera ? Por último, el acentuar con insistencia la imago materna omnipotente, ¿ No séria una forma de alejar, para protegerse, la del padre de la horda primitiva ?
L’élaboration du temps généalogique dans l’espace de la cure de thérapie familiale psychanalytique
Authors: Granjon Evelyn 
Published: March 2024

La elaboración del tiempo genealógico en el espacio de la cura de terapia familiar analítica.
La familia es el lugar y el aparato de transmisión de la vida psíquica. Esta función cuyos efectos y modalidades complejas conciernen al sujeto en su singularidad, en su pertenencia grupal y en su inscripción genealógica, se imposibilita a veces. Algunas de las manifestaciones psíquicas que se descubren entonces, tanto a nivel grupal como individual, vienen a representar lo que, al atravesar las generaciones, no ha podido inscribirse psíquicamente y que constituye ciertos aspectos de «lo negativo». La proposición de una terapia familiar psicoanalítica corresponde a una agrupación de la familia y de cada uno de sus miembros en una situación terapéutica psicoanalítica. El espacio psíquico del grupo de TFA se ofrece a ser el lugar donde se reciben y elaboran ciertas formaciones psíquicas solicitadas en ese espacio, en lo que toca a cada uno y a todos juntos en el grupo, y que brotan de los errores de la transmisión psíquica. Ahí puede construirse y diferenciarse, en el trabajo de contra-transferencia y en el tejido discursivo, el tiempo genealógico y el tiempo individual.
Porte-la-honte et maillage des contenants généalogiques familiaux et communautaires en thérapie familiale
Authors: Benghozi Pierre 
Published: March 2024

The Carrier of Shame and the Mesh of Genealogical Family and Community Containers in Family Therapy.
Clinical impasses led us to hear shame better. The logic of shame is intersubjective and trans-psychic. I distinguish three registers : to be ashamed, as a conscious affect, contaminating the group of belonging ; to incarnate shame, as a designation and to carry shame as an expression of unconscious transmission. With the function of «carrying shame», the symptom carrier is the depository heir, memory of the imprint of the unmentionable. Shame is analysed as an organizer of the trans-generational transmission of the negative. The relation to shame delimits, with forms of the glance, the outside and inside, genealogical family group and community containers ; it organizes the identity relational link with ascendants, descendants, the unborn. In family therapy, we are essentially concerned with pathologies of the genealogical container. The work of genealogical meshing is an examination of the link and transmission. It participates in the deconstruction, narrative co-construction of the genealogical family picture.
Psychodynamique de l’identité face à l’exclusion
Authors: Soula Desroche Monique 
Published: March 2024

Psychodynamics of Identity in the Face of Exclusion.
For questions that are both social and personal, concerning work and private life, certain persons find themselves confronted with situations of failure that overwhelm them ; they «give up » in front of a new ordeal, lose courage, disinvest, become depressed, somatize. These persons are touched by their representation of themselves. In order to respond to this, we set up group settings accessible to those who, for various reasons, do not have recourse to forms of psychological support or treatment at present. The setting consists of two aspects : support (Transition, Group and institutional analysis) and training in the ICS-ARIP program. The duality of approach gives a wide flexibility to the whole and corresponds to the way in which requests arrive.
Le schizophrène a-t-il sa place dans un groupe de psychothérapie ?
Authors: Enjalbert Jean-Marie 
Published: March 2024

Does the Schizophrenic Have a Place in Group Psychotherapy ?
The author presents an experience covering twenty years of group therapy and group psychodrama founded on psychoanalytic concepts for schizophrenics in institutions. These are daily therapeutic groups in a highly structured frame. The author uses the works of Bion, Winnicott and Searles to develop the notion of «group-personality», the very specific nature of the transference and therapeutic interventions emanating from the counter-transference as well as the use of transitional space to attempt to allow the schizophrenic subject access to symbolization and individuation.
La voix et la parole
Authors: Avron Ophélia 
Published: March 2024

La voz y lo «no verbal» en los grupos de teràpia.
Intento de anàlisis de lo «no verbal» que se expresa en el centro mismo del verbo, a través de la expresividad vocal. Un ejemplo clinico sobre la capacidad de palabra recobrada por una paciente en situación de grupo de terapia, situarà la complejidad del apretado enlazamiento entre lo verbal y lo no verbal.
Le non-verbal au regard de l’éthologie dans les groupes de psychothérapie psychanalytique
Authors: Garrigues Pierre 
Published: March 2024

Dans cet article, le non-verbal est conçu dans le cadre de l'éthologie définie comme une biologie sémiotisée du comportement. En accord avec l'hypothèse évolutionniste d'une continuité de l'animal à l’homme, le modèle éthologique proposé est celui des interactions comportementales animales avec leur sémiotique. Le langage verbal en est exclu.
La nature, la fonction et la signification du non-verbal chez l'homme peuvent être connues grâce à l'attitude éthologique. Celle-ci conçoit l'organisme et son milieu comme un système vivant. Elle se traduit en pratique par une observation longue, répétée et patiente, de la totalité de l'organisme, une description minutieuse de la forme comportementale émergeant ainsi de l’ensemble des perceptions, une connaissance de la phylogenèse, de l'ontogenèse et de la place de cette forme dans l'histoire du sujet.
A la faveur de sa double pratique en éthologie humaine et de psychothérapie de groupe, l’auteur propose de mettre en correspondance le niveau sémiotique de ce modèle éthologique avec le niveau des échanges et du vécu corporels qui apparaissent, en psychothérapie psychanalytique de groupe, au seuil de la mentalisation et proches des processus primaires.
L’institution soignante dans les groupes de psychothérapie analytique
Authors: Gaudriault Martine 
Published: March 2024

La institución terapeutica en los grupes psicoanaliticos.
El autor plantea la hipotesis que el grupo psicoanalitico en una organisación psiquiatrica esta especifido. La «illusion grupal» institucional, la «sociabilidad sincretica», las «transferencias paradójicas» invaden el pequeño grupo que, primero, no se diferencia del grande grupo institucional. Séria necesario trabajar los elementos institucionales importados en el grupo psicoterapeutico para arreglar un espacio analitico grupal.