Une petite fille de 7 ans réalise une mentalisation de la différence des sexes au cours d’une séquence de séances au téléphone imposées par le risque de contamination. Suite à la disparition physique ...de son analyste, soutenue par l’invitation de celle-ci à utiliser le langage, elle fait appel au registre du vu (hallucination, fantasme, perception d’éléments tangibles référés au frère), puis à celui de l’entendu, un conte écrit figurant ses éprouvés de menace, de manque, de relibidinalisation.
This study explored how the phenomenon of meals appeared in the interrelationship between adolescents and young adults (AYAs) receiving high-emetogenic chemotherapy, their next of kin and health ...professionals in the clinical setting.
Data were collected by 140 h of participant observation conducted to gain insights into the nature of how meals appeared in the interrelationship between 12 AYAs (age 15–29 years), their next-of-kin and health professionals. The AYAs were patients with oncological and haematological diseases recruited from three university hospital departments. Data analysis was guided by van Manen's hermeneutic-phenomenological approach.
The essential meaning of the phenomenon may be characterized by the overarching theme; ‘Seeking the joy of meals in the shadow of treatment’ and the following three themes: ‘Meals as a necessary evil’ (AYAs); ‘Meals as a matter of love’ (next-of-kin); and ‘Meals in the shadow of medical treatment’ (health professionals).
Meals is a multi-facetted and complex phenomenon that has different meanings to AYAs, next-of-kin and health professionals. To the AYAs, meals emerged as a necessary evil in connection with which urges to eat occurred as glimpses of desire. Prominent feelings of powerlessness and food as love were highlighted by the next-of-kin, whereas food and meals appeared secondary to treatment for health professionals, reflecting the traditional biomedical paradigm. The findings revealed that adopting a holistic approach to AYAs concerning meals can have the potential to increase their food intake.
•Meals appears as a duty to AYAs with cancer receiving high-emetogenic chemotherapy.•Ensuring adequate intake among AYAs with cancer is a highly complex phenomenon.•Prominent feelings of powerlessness and food as love were highlighted among the next of kin•Meals appears secondary to primary cancer care services.•Adopting a holistic approach concerning meals had the potential to increase food consumption.
This article reports on the results of an intervention to promote the reintegration of Yezidi children and youth in the Kurdistan Region of Iraq, who had been in ISIS captivity or were displaced by ...ISIS, by increasing their cognitive complexity through experiential learning. The article explores the challenges faced by this demographic, including trauma and exclusion. It looks at the impact of a group-based curriculum designed to increase cognitive complexity (measured by integrative complexity), and discusses how the intervention addressed socio-cognitive needs in order to support reintegration. The intervention was piloted with young people associated with ISIS and those displaced by ISIS. Participants were thirty-three Yezidi males. Ages of participants ranged from 12-26 (Mean age = 17.77; SD = 3.69). Pre and posttest results show significant gain in IC in the overall sample (Cohen’s d = 1.76, 95% CI -1.86, -2.35). Both cohorts showed significant gain, with a slightly higher gain among the cohort of internally displaced persons. Participants gained important skills such as increased empathy and emotional regulation. Implications for additional uses of this approach are discussed.
This article concerns gendered sustainability of careers in the UK TV industry. Much academic scrutiny is focused on equality of access and progression, using data secured from those still working in ...the sector. The research featured here offers a new insight by focusing on career sustainability and exit, reporting on a survey of 80 individuals, both male and female, who left professional careers in the industry to move on to other careers or activities. While quantitative data demonstrate that incompatibility with parenting was the overwhelmingly dominant factor motivating early exit from the sector for women, the qualitative findings also advance discussions of wider structural barriers and gendered inequalities, embedded in working cultures, practices and attitudes. The article explores the wider perception of a lack of care for the sector’s workers, as well as the individual bereavement and identity loss encountered by those who leave.
Recent research has shown that spatial-spectral information can help to improve the classification of hyperspectral images (HSIs). Therefore, three-dimensional convolutional neural networks (3D-CNNs) ...have been applied to HSI classification. However, a lack of HSI training samples restricts the performance of 3D-CNNs. To solve this problem and improve the classification, an improved method based on 3D-CNNs combined with parameter optimization, transfer learning, and virtual samples is proposed in this paper. Firstly, to optimize the network performance, the parameters of the 3D-CNN of the HSI to be classified (target data) are adjusted according to the single variable principle. Secondly, in order to relieve the problem caused by insufficient samples, the weights in the bottom layers of the parameter-optimized 3D-CNN of the target data can be transferred from another well trained 3D-CNN by a HSI (source data) with enough samples and the same feature space as the target data. Then, some virtual samples can be generated from the original samples of the target data to further alleviate the lack of HSI training samples. Finally, the parameter-optimized 3D-CNN with transfer learning can be trained by the training samples consisting of the virtual and the original samples. Experimental results on real-world hyperspectral satellite images have shown that the proposed method has great potential prospects in HSI classification.
Abstract
Purpose
Our aim was to assess the sinonasal magnetic resonance imaging (MRI) features of acute invasive fungal rhinosinusitis (AIFRS) in coronavirus disease (COVID)-associated mucormycosis ...(CAM) and to correlate these with histopathology and patient outcome in terms of duration of hospital stay and survival at 10 weeks.
Methods
Twenty patients with histopathologically confirmed sinonasal CAM underwent MRI (including postcontrast T1-weighted and diffusion-weighted imaging). Histopathological findings (presence of coagulative necrosis, granulomatous reaction, and fungal burden) were recorded and all patients were followed up at 6 and 10 weeks. Statistical analysis was done using chi-square test and Fischer's exact test.
Results
Enhancement patterns seen in our subjects included homogeneous, heterogeneous, and lack of contrast enhancement (LOC), with LOC being the most common (65%). Diffusion restriction was found in 90% patients. Statistically significant correlation was found between LOC pattern and presence of coagulative necrosis (
p
-value = 0.007), extent of fungal hyphae (
p
-value = 0.047), and duration of hospital stay (
p
-value = 0.004). Restricted diffusion was also seen to correlate with a high fungal load (
p
-value = 0.007).
Conclusion
Our study describes the MRI findings of AIFRS in CAM and highlights the imaging features which may be surrogate markers for coagulative necrosis and fungal burden.
AbstractQuality and client satisfaction is a long-established focus of attention in the construction industry due to its significant role in the success or failure of a project, yet few studies have ...examined the impact of a lack of quality on client satisfaction in the context of public construction projects. This study, therefore, proposes that lack of quality in construction projects has a significant impact on client satisfaction using a partial least squares structural equation modeling (PLS-SEM) technique. A conceptual model was developed for assessment of client satisfaction, and the model consisted of two main latent variables. Through the questionnaire survey, an empirical analysis was carried out to test the conceptual model. Data were collected from 484 construction experts employed in the Pakistani public construction industry. The result of the analysis found that the R2 value of the model was 0.454, which revealed that lack of quality in projects has a significant impact on client satisfaction. Based on the final form of the model, the construction-related factor (beta=0.491) has a greater influence on client satisfaction. The goodness of fit index of the conceptual model was measured to be 0.54, which revealed that the conceptual model has appropriate reliability and validity and fits the data correctly. This study adds to the body of knowledge by offering new insights and contributes toward greater understanding of lack of quality in public projects and its impact on client satisfaction, and use of applied advance statistical method, PLS-SEM, which is previously missing in the literature. The lessons from this study would be helpful for policymakers and decision makers to focus on highlighted issues and problems faced by the public construction industry worldwide.
Previous studies have reported altered neural activity in the motor cortex after short-term cast immobilization, even in healthy participants. However, the effects of short-term movement restriction ...on tissue structure are not well understood.
To investigate the effects of short-term lower limb immobilization on muscle tissue hardness.
Seventeen healthy participants were enrolled in the study. Each participant's non-dominant lower limb was fixed with a soft bandage and medical splint for 10 h. Gastrocnemius muscle tissue hardness was measured using a tissue hardness meter before cast application and immediately after cast removal. Measurements were performed five times for each lower limb, and the three values with the lowest coefficient of variance were adopted as the value of muscle tissue hardness.
Gastrocnemius muscle tissue hardness in the immobilized limb was lower after cast removal than that before cast application (from 53.6 to 51.8; p< 0.01), whereas the non-fixed limb showed an increase in muscle tissue hardness at the end of the experiment (from 52.9 to 54.3; p= 0.03).
The findings indicate that 10 h movement restriction induced a reduction in muscle tissue hardness, suggesting acute adverse effects of cast immobilization for orthopedic treatment.
Celotno besedilo
Dostopno za:
DOBA, FSPLJ, IZUM, KILJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
The paper deals with questions of aluminium, which concentration can be significant in plants, although it is not an essential element. The concentration of aluminium of tea leaves is extremely high. ...The concentration of aluminium of plants strongly depends on the pH-value of the soil, if the level of acidity in the soil is high, the Al-content of the soil-solution is also high, causing P-deficiency for plants. The intake of aluminium of the humans is a function of the ratio of consumption of plant and animal origin foodstuffs. The aluminium content of animal origin foodstuffs – because of low level absorption rate of aluminium is rather low – so the concentration range of milk of aluminium is low. After the macroelements the aluminium is the metallic micro element which it’s daily intake generally the highest in the human diet, approximately between 30 and 50 mg. The too high aluminium uptake in the diet can produce various healthy disorders in the human body, and probably there is a connection between Al-intake and Alzheimer-disease and the old age dementia, as well (The association between aluminium uptake and Alzheimer’s disease is disputed by several sources in the literature; the Editor).
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