bluuebunny/crossref_metadata_2025_split huggingface dataset:
La prématurité au fil du temps : fonction des soignants dans le tissage des enveloppes psychiques
Authors: Bréhat Cécile , Ravier Anaïs 
Published: January 2023

À partir de deux recherches en psychopathologie clinique, les auteures proposent une dialectisation des enjeux de la construction du lien mère-enfant dans le temps entourant une naissance très prématurée et plusieurs années après en illustrant leur propos par deux vignettes cliniques issues de leur corpus. La première recherche a été réalisée à partir d’une analyse discursive et thématique d’entretiens menés auprès de quinze femmes primipares. La deuxième recherche s’appuie sur une méthodologie qualitative à partir d’études de cas dans le cadre de suivis en camsp . Ces deux recherches mettent en exergue l’impact du traumatisme dans la construction du lien, notamment dans la difficulté à construire un « regard auréolé » qui a une fonction de contenant. Elles permettent de préciser la spécificité des fonctions des différentes enveloppes psychiques constituées par les professionnels de soin au regard de la temporalité dans laquelle elles prennent place et des enjeux intersubjectifs repérés.
« J’avais juste envie de baffer le client, mais bon »
Authors: Bazdah Myriam , Allard-Poesi Florence 
Published: January 2023

Reprenant les théories de la dissonance, cet article met au jour les sources de dissonance ressentie par les consultants ainsi que les leviers organisationnels susceptibles de réduire cette dissonance. S’appuyant sur l’observation de missions de conseil en management et de 19 entretiens avec des consultants et managers, cette recherche révèle des phénomènes 1/ de dissonance cognitive induite par un écart entre les compétences et/ou aspirations professionnelles des consultants et le type de missions auxquelles ils sont affectés, 2/ de dissonance émotionnelle suscitée par le comportement irrespectueux du client. Ces résultats contribuent à la littérature existante en soulignant la dimension normative des dissonances ressenties, celles-ci étant suscitées par un écart entre les attentes des consultants induites par les normes professionnelles du métier et les pratiques effectives des cabinets et des clients. Ils soulignent également en quoi l’accompagnement managérial et le soutien social sont susceptibles de modérer voire prévenir ces états de dissonance.
Quelles stratégies individuelles pour s’intégrer ?
Authors: Fournier Céleste , Perrot Serge 
Published: January 2023

Les stratégies et tactiques individuelles d’ajustement constituent l’un des volets de la littérature sur la socialisation organisationnelle, qui renvoie au processus d’intégration des individus dans les organisations. La littérature a permis d’identifier des typologies de comportements proactifs (tactiques), et plusieurs finalités génériques associées à ces comportements (stratégies). Cependant, la plupart des recherches se fonde sur des échantillons classiques comme des jeunes diplômés lors de leur premier emploi. Cette recherche propose de compléter l’analyse des stratégies et tactiques associées dans un contexte extrême, celui des infirmières de l’arctique québécois. Nous qualifions ce contexte d’extrême en matière de socialisation car il est caractérisé par une grande distance (voire absence) de l’organisation (l’hôpital). En effet, les infirmières évoluent dans des équipes très réduites, en autonomie dans une zone isolée, et l’essentiel du processus de socialisation repose donc très largement sur les individus, et très faiblement sur l’hôpital. Nous faisons ainsi émerger deux nouvelles finalités des stratégies individuelles d’ajustement, qui complètent la littérature existante et constituent autant de repères pour repenser les pratiques d’intégration.
« C’était peut-être à cause de moi ? »
Authors: Joselin Laurence , Dayan Clémence 
Published: January 2023

Cette contribution met en regard les résultats des recherches concernant le vécu des frères et sœurs d’un enfant en situation de handicap et la représentation qu’en donne la littérature de jeunesse, via l’analyse de dix albums, édités entre 2006 et 2022, dont la voix narrative appartient à un membre de la fratrie. Les trames narratives mettent fidèlement en scène les principaux éléments observés par la recherche : désarroi et incompréhension au moment de l’annonce, questions complexes que pose le processus d’identification/différenciation, culpabilité et honte, ou bénéfices de la parentification. Mais elles abordent explicitement des émotions souvent réprimées par les frères et sœurs d’enfants en situation de handicap, telles que l’agressivité ou la jalousie. Aussi, les enfants peuvent trouver dans les albums un écho à ce qu’ils vivent mais ne peuvent pas forcément exprimer, et les albums se révèlent un support précieux pour parler des affects en lien avec la situation de handicap.
Comment accueillir un enfant différent ?
Authors: Korff-Sausse Simone 
Published: January 2023

L’auteure décrit un certain nombre de conséquences lorsque l’enfant qui naît est différent. Devenir père ou mère d’un enfant handicapé est un véritable traumatisme qui touche toute la famille : parents, grands-parents, fratrie. L’anormalité pose des questions douloureuses à propos de la transmission et de la filiation qui auront un impact sur la construction identitaire de l’enfant lui-même.
Tempêtes et marées de l’accompagnement
Authors: Gardou Charles 
Published: January 2023

Le texte reprend des extraits de l’ouvrage de Charles Gardou, La fragilité de source. Ce qu’elle dit des affaires humaines , paru en mars 2022 aux éditions érès. Quel peut être le statut d’un être totalement tributaire de celui qui donne et qui peut être tenté de devenir maître de son destin ? Tel est l’enjeu de la première partie. La deuxième aborde la question des accompagnants « pas comme les autres ». La dernière débat de la société inclusive espérée, notamment, par les « personnes empêchées ».
De la situation anthropologique et fondamentale du sujet âgé
Authors: Gutton Philippe 
Published: January 2023

L’objectif de cet article est de distinguer et de souligner les deux modèles de processus dans le cadre de la subjectivation au grand âge. Processus négatif blessant le fonctionnement de la deuxième topique et posant la question de l’être et de l’identité ; processus positif favorisant la créativité et la valorisation de l’Autre, resignifiant le maternel.
Temporalité, identité
Authors: Bertrand Michèle 
Published: January 2023

comment définir l’identité propre du sujet ? On a tendance à considérer l’identité comme permanence dans le changement. Mais l’identité n’est-elle pas construite dans le temps ? Se référant à la fois à Freud, à Piera Aulagnier, et à Ricoeur, l’auteur propose de définir l’identité comme une auto-construction du Je.
Le Conseil constitutionnel garant du caractère unitaire de l’État ?
Authors: Haquet Arnaud 
Published: January 2023

Le Conseil constitutionnel défend la forme de l’État prévue dans la Constitution. Celle de « l’État unitaire » n’est certes pas mentionnée de façon expresse dans le texte constitutionnel, mais les éléments qui la caractérisent apparaissent. De surcroît, le juge constitutionnel ne peut ignorer la forme unitaire traditionnellement reconnue à l’État français. Cette forme a néanmoins évolué. Depuis la révision de la Constitution de 2003, l’« organisation » de la République « est décentralisée ». Un État unitaire décentralisé est supposé reposer sur un équilibre entre l’unité et la pluralité. Pour autant, le Conseil constitutionnel n’a pas renoncé à défendre l’unité de la structure politique et juridique de l’État.
La décentralisation : étude comparative au sein de l’UE
Authors: Blairon Katia 
Published: January 2023

La plupart des États de l’Union européenne connaissent un double mouvement décentralisateur : intégrant progressivement la démocratie locale, la décentralisation fait l’objet de réformes régulières consistant dans des transferts de compétences supplémentaires aux collectivités locales et une incitation à leurs regroupements. Cette convergence est d’autant plus remarquable que les États européens font preuve d’une très grande diversité. La décentralisation obéit en effet à des modèles opposés dans les États unitaires et fédéraux. Elle est modérée dans les premiers, soucieux de privilégier une centralisation de la prise de décision ; elle est au contraire exacerbée dans les seconds désirant valoriser une tradition locale. La décentralisation connaît enfin des modulations en faveur de certaines régions, façonnant une décentralisation à la carte.
Kalanchoe dineshii (Crassulaceae), a new species from southern Western Ghats, India
Authors: Radh Sasi Syam , Nampy Santhosh 
Published: January 2023

A new species of Kalanchoe (Crassulaceae), K. dineshii Syam Radh & Nampy, is described and illustrated. The new species occurs in the Mathikettan Shola National Park in southern Western Ghats, Kerala, India, and it is only known from the Idukki district. It is morphologically most similar to K. bhidei, but distinguished from the latter by its small stature (30-40 cm high), obovate to obtrullate sessile leaves adnate to stem in the basal ¼th, and widely ovate calyx lobes. Information is also given on the distribution, habitat, phenology, and conservation status of the new taxon.
Development of a Fuzzy Model and Usability Test of a Recommended Interface Design for Mobile Phones for Elderly Users
Authors: Polnigongit Weerapong , Chanwimalueng Waiwit , Fitzgerald Sandey 
Published: January 2023

Although mobile phone application developers aim to design software to be user-friendly, elderly users report having problems with flexible user interfaces. The purpose of this study was to examine a range of flexible user interface designs for mobile phones with the aim of locating and addressing the limitations reported by elderly users. Accordingly, a fuzzy model drawing on a range of variables was developed from an age/vision impaired related data set for the development of a variety of basic design elements for user interfaces. The model was tested to assess the preciseness and accuracy of its functions, achieving a Mean Absolute Error (MAE) close to 0 and an Effectiveness Index (EI) close to 1, giving the model a high value for effectiveness. A subsequent usability test of the generated design interfaces using four types of mobile phones (18 screens in all) was conducted among 25 elderly users with vision impairment. The findings showed that the size and shape of both numeric and function buttons was a significant factor in assessing phone usability both for communication and for social media use, as was text and number size, although, significantly, the latter was qualified by screen size. Recommended numeric and dial function button sizes are 15.6mm and 16.2 mm, respectively. Likewise, recommended text and numbers sizes are 14 and 25 points, respectively. Furthermore, square-shaped buttons with rounded-edge buttons are the most suitable for elderly users, as is a background in a light shade, with texts and icons in dark colors. The model demonstrates that it is possible to design user interfaces with particular groups in mind such as the elderly and vision-impaired, in order to enhance mobile phone usability for these groups.
Proposed Multi-Layer Firewall to Improve the Security of Software Defined Networks
Authors: AbdulRidha Hussein Mohammed 
Published: January 2023

one of the most important motivations behind the use of software-defined networking (SDN) is the desire to move from the approach of traditional networks to a more flexible and intelligent software development technology. This paper focuses on the importance of the SDN-based platform POX controller security firewall modules and its effectiveness on networks including the central administration of the SDN-based platform controller for protecting the network from possible attacks. The work is performed using the Mininet emulator with the aid of iperf bandwidth measurement tool. Result reveals that the proposed multi-layer firewall does not compromise the flexibility of the network in any way.
Effect of Core Stability Training on Postpartum Mother's Sexual Desire
Authors: Maleki Mahshid , Bahadoran Parvin , Shekarchizadeh Parivash 
Published: January 2023

Background:
Women may experience different problems in every aspect of their sexual life throughout their lives; therefore, it is essential to check women's sexual health and try to improve it. The present research aims to assess core stability trainings on postpartum mothers' sexual desire.

Materials and Methods:
This quasi-experimental research was conducted by random sampling on 72 mothers who referred to comprehensive health centers in Isfahan in 2019 in postpartum period. The samples were divided into experimental and control groups by random placement method (blocking). Core stability exercises were performed in the experimental group for 24 sessions. The demographic questionnaire and Female Sexual Function Index (FSFI) were filled out in two stages (before and one month after the intervention) by the samples, and the data were analyzed by Mann-Whitney, independent t-test, paired t-test, Chi-square.

Results:
The result of this study showed that the average score of the sexual desire after intervention in the experimental group was significantly higher than that in the control group (p = 0.03). The average score of the sexual desire after the intervention in the experimental group was significantly higher than that before the intervention (p < 0.001). The average scores of the sexual desire before and after the intervention in the control group were not significantly different (p = 0.40).

Conclusions:
Eight weeks of core stabilization exercises can improve endurance of the pelvic floor muscles and the central part of the body, subsequently promoting females' sexual desire. The findings of this study can be considered in the fields of education, health, clinical, and policy.
Use of Propanolol versus Intralesional Bleomycin in the Management of Infantile Hemangioma
Authors: Chaudhry Ali Raza , Gondal Mudassar Fiaz , Khan Rashid , Rehman Inayat Ur , Saman Rumaisaa , Abbas Khawar 
Published: January 2023

Introduction:
Infantile haemangiomas (IHs) are widespread vascular tumours having incidence of 10% and most of them involute spontaneously. However, they are known to be located in proximity of vital organs and can have poor cosmetic and functional sequel if left untreated. Objective: To assess the efficacy of oral propranolol and intraleisonal bleomycin in the treatment of infantile cutaneous haemangioma in terms of size regression.

Materials and Methods:
IH patients presenting in the outpatient department in PIMS were divided randomly by stratified random sampling in two groups. Out of 90 patients, 45 patients had treatment with oral propranolol and other 45 patients received intralesional bleomycin. Baseline size of haemangiomas was taken and regression in size was noted again at 3 and 6 months. Mean and standard deviation were calculated for the age and size of haemangioma in both groups. The mean size regression for both treatments was compared using independent t-test taking P < 0.05 as significant.

Results:
Out of 90 cases included in this study, the mean age of patients was 10.9 ± 6.1 months in Bleomycin group compared to 10.2 ± 6.9 months in propranolol group. The average size of haemangioma at baseline was 9.5 cm2 in bleomycin group compared to 8.9 cm2 in propranolol group. At 3 months after the intervention, the mean size regression was 3.5 cm2 in bleomycin group compared to 5.3 cm2 in propranolol group and after 6 months of treatment with bleomycin group the mean size of haemangioma was 0.45 cm2, whereas in the propranolol group, it was 2.8 cm2 and difference in the two was found statistically highly significant (P < 0.001).

Conclusion:
The present study concluded that treatment with intralesional injection Bleomycin for IHs helps in size reduction more efficiently with minimal side effects as compared to oral propranolol for comparable sized haemangiomas.
Increased airway resistance among exclusive waterpipe smokers detected using impulse oscillometry
Authors: Chami Hassan A. , Houjeij Nourhan , Makki Maha , Itani Lina , Tamim Hani , Al Mulla Ahmad , Celli Bartolome , Zeineldine Salah 
Published: January 2023

INTRODUCTION:
Waterpipe smoking is increasing in popularity, yet the evidence implicating waterpipe smoking in lung disease is limited. We hypothesized that impulse oscillometry (IOS) would detect airway abnormalities in waterpipe smokers (WPS).

METHODS:
We studied 210 participants, 40 years or older, from the community, of whom 92 were exclusive WPS and 118 were never-smokers. Waterpipe smoking history was assessed using a validated questionnaire. All participants underwent spirometry, and IOS and absolute and percentage predicted results (for age, sex, height, and weight) were compared between WPS and nonsmokers. The association of IOS parameters with waterpipe smoking duration and extent (waterpipe smoked/day * smoking duration) was evaluated using linear regression.

RESULTS:
WPS smoked on average 1.8 ± 1.2 waterpipes/day, over an average duration of 23.3 ± 39.8 years. WPS and nonsmokers were largely asymptomatic and had similar age, body mass index, sex distribution, and spirometric values. Nevertheless, WPS had higher IOS measured resistance at 5Hz compared to nonsmokers, (0.53 ± 0.2 vs. 0.48 ± 0.2 kPa/L/s, P = 0.03) and higher percentage-predicted resistance (124.5 ± 36.3 vs. 115.7% ± 35.6%, P = 0.04). Waterpipe smoking duration was also associated with resistance (β = 0.04 kPa/L/s/year, P = 0.01) and with percentage-predicted resistance (β = 0.05/year, P = 0.02). Waterpipe smoking extent was associated with resistance (β = 0.009 kPa/L/s/waterpipe-year, P = 0.04), while the association with percentage-predicted resistance was near significance (β = 0.009/waterpipe-year, P = 0.07).

CONCLUSIONS:
Waterpipe smoking is associated with increased airway resistance assessed by IOS but not by spirometry in largely asymptomatic individuals from the community.
Application of single-port laparoscopic retrograde gastric mobilization during McKeown esophagectomy for esophageal cancer
Authors: Liu Bo , Li Xu , Yu Min-Jie , Xie Jin-Bao , Liao Guo-Liang , Qiu Ming-Lian 
Published: January 2023

BACKGROUND:
As a novel alternative to the conventional minimally invasive esophagectomy (MIE) to treat esophageal cancer, single-port laparoscopic retrograde three-step gastric mobilization (SLRM) for esophageal reconstruction during MIE to treat esophageal cancer was attempted in our department. The aim of the present study was to explore the preliminary clinical outcomes and feasibility of this innovative surgery.

METHODS:
From March 2020 to November 2021, patients undergoing SLRM combined with four-port thoracoscopic McKeown esophagectomy for their esophageal cancers were reviewed. Gastric mobilization with abdominal lymph node dissection was performed through SLRM. The clinical characteristics and short-term outcomes were analyzed retrospectively.

RESULTS:
A total of 120 patients underwent R0 resection without conversion to open surgery. The mean times needed for the thoracic part, abdominal part, and total operation were 43 ± 6 min, 60 ± 18 min, and 230 ± 20 min, respectively. The numbers of mediastinal and abdominal lymph nodes harvested were 13.2 ± 2.7 and 10.2 ± 2.5, respectively. Postoperative pneumonia was encountered in 10 (8.3%) patients. Anastomotic leakage occurred in 3 (2.5%) cases. Temporary vocal cord paralysis was reported in 20 (16.6%) cases. The mean length of hospital stay was 8.5 ± 4.6 days.

CONCLUSIONS:
The SLRM is a technically feasible and safe treatment for patients with esophageal cancer. It can be considered an alternative method for patients, especially for the ones with obesity and gastric distension.
Effect of Empowerment Model-Based Program on Quality of Life in Patients with Type 2 Diabetes
Authors: Ebrahimi Hossein , Sadeghi Mahdi , Esmaeili Seyed-Mahdi , Janmohammadi Farahnaz , Bahonar Elahess 
Published: January 2023

Background:
Type 2 diabetes (T2D) is a chronic disease with a high prevalence globally, which is in the second place of importance for the investigation of chronic diseases. According to previous studies, Quality of Life (QOL) is low in diabetic patients. Hence, this study was conducted with the aim to evaluate the effect of the empowerment model on the QOL of patients with T2D.

Materials and Methods:
A randomized controlled trial was performed on 103 T2D patients over 18 years of age, with a definitive diagnosis of diabetes and medical records in a diabetic center. Patients were randomly assigned to either the intervention or the control groups. Routine education was presented to the control group, and the empowerment model was used for education in the experimental group for 8 weeks. The data collection tools used consisted of a demographic characteristics form and the diabetic clients QOL questionnaire. The one-way analysis of variance, Chi-square test, paired t-test, and independent t-test were used for data analysis.

Results:
After the intervention, there were significant differences between the two groups in terms of the physical (p = 0.003), mental (p = 0.002), social (p = 0.013), economic (p = 0.042), and illness and treatment dimensions of QOL (p = 0.033), as well as the total QOL score (p = 0.011).

Conclusions:
According to the results of this study, the training program based on empowerment significantly increased the QOL of patients with T2D. Therefore, using this method can be recommended in patients with T2D.
Factors Affecting the Providing of Sexual Health Services by Midwives
Authors: Mohseni Maryam , Riazi Hedyeh , Karimian Zahra , Kariman Nourossadat , Nasiri Malihe 
Published: January 2023

Background:
Sexual health is one of the most important aspects of health. In Iran, most services associated with reproductive and sexual health are provided by midwives at health centers. As different factors are effective in providing care services associated with sexual health, the present study aims to investigate the factors affecting the provision of sexual health services by midwives.

Materials and Methods:
In this qualitative content analysis study, data were collected by conducting in-depth interviews with 16 midwives, 7 key informants, and 6 stakeholders. Besides, the sampling method was purposeful, and data analysis was conducted using conventional content analysis and MAXQDA software.

Results:
After analyzing the content of the qualitative data, two themes were extracted, which included facilitators of and barriers to providing sexual health services by midwives.

Conclusions:
By modifying educational curricula, providing in-service training, and adopting appropriate policies, barriers for providing accessible sexual health services by midwives can be reduced.