150 research outputs found

    30 grandes notions de psychopathologie de l’enfant et de l’adolescent

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    Angels in the Clouds: Stillbirth and Virtual Cemeteries on 50 YouTube Videos

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    Today every aspect of our life is published and shared online, including grief. The virtual cemeteries and social networks’ use could be considered as a new modern mortuary ritual. Starting from the keyword 'stillbirth', fifty videos published on YouTube since 2008 have been analyzed qualitatively. The videos, 70% published by the mother, with an average length of 5.52 minutes, a mean of 242957,6 views and 256,3 of comments, follow a sort of script: the second part with black and white photos, background music and religious references. Could the continuous access to the child’s technological grave encourage a complicated grief or be a support, given by the interaction with users, limiting the sense of isolation. The parent shows his own conceptions about death and, as a modern baptism, presents the child to the whole society. Videos keep child’s memory alive and fuel a process of personalization and tenderness in the user

    Educación y ambigüedades de la au tonomización: hacia una pedagogía crítica de la promoción del individuo autónomo

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    O presente artigo, confrontando a educação com o desiderato da autonomização, pretende analisar as ambiguidades a que esse confronto dá hoje origem e estabelecer, mediante a explicitação de uma conceção contra-hegemónica de autonomização, as bases e as coordenadas de uma pedagogia crítica da promoção do indivíduo autónomo, que seja simultaneamente humanista, emancipadora e transformadora tanto da realidade do sujeito quanto da realidade do contexto. A estrutura narrativa, em consonância com esse amplo propósito, articula as seguintes dimensões: a educação e a normatividade da autonomização; as ambiguidades da autonomização: sentidos divergentes de fazer educação para a autonomia; e, por fim, o empowerment emancipatório e transformador: vetor da educação enquanto autonomização contra-hegemónica. A conclusão aponta as linhas diretoras da construção de uma pedagogia crítica do indivíduo autónomo, assumida nas vertentes de emancipação individual e transformação social.This paper confronts education with the desideratum of autonomization and it intends to analyze the ambiguities that this confrontation leads and establishes, through the explanation of a counter-hegemonic conception of autonomization. The foundations and the coordinates of a critical pedagogy for the promotion of the autonomous individual that is humanistic, emancipator and transformative, both the reality of the subject and the reality of the context. The narrative structure, in line with that broad purpose, articulates the following dimensions: education and the normativeness of autonomization; the ambiguities of autonomization: divergent ways of making education for autonomy; the transformative and emancipatory empowerment; vector of education as counter-hegemonic autonomization. The conclusion points out the principal lines of the construction of a critical pedagogy of the autonomous individual taken in the areas of individual emancipation and social transformation.Este artículo, enfrentando la educación con el desideratumde la autonomización, pretende analizar las ambigüedades que surgen de dicha confrontación y establecer, mediante la explicitación de una concepción contrahegemónica de la autonomización, las bases y las líneas de una pedagogía crítica y al mismo tiempo humanista, emancipadora y transformadora (tanto de la realidad del sujeto como de la realidad del contexto) de la promoción del individuo autónomoLa estructura narrativa, en línea con dicho propósito, articula las siguientes dimensiones: la educación y la normatividad de la autonomización; las ambigüedades de la autonomización: diferentes sentidos de hacer educación para la autonomía y, por fin, el empoderamiento emancipador y transformador, vector de la educación como autonomización contrahegemónica. La conclusión señala las líneas maestras de la construcción de una pedagogía crítica del individuo autónomo en las vertientes de emancipación individual y transformación social.(undefined

    Welcome to Pikettyville? Mapping London's Alpha Territories

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    This paper considers the influence of the burgeoning global ‘super-rich’ on contemporary socio-spatialization processes in London in the light of a contemporary re-reading of Pahl’s classic volume, Whose City? It explores if a turn to ‘big data’ – in the form of commercial geodemographic classifications – can offer any additional insights to a sociological approach to the study of the ‘super-rich’ that extends the ‘spatialization of class’ thesis further ‘up’ the class structure

    Identification of CRF66_BF, a New HIV-1 Circulating Recombinant Form of South American Origin

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    Circulating recombinant forms (CRFs) are important components of the HIV-1 pandemic. Among 110 reported in the literature, 17 are BF1 intersubtype recombinant, most of which are of South American origin. Among these, all 5 identified in the Southern Cone and neighboring countries, except Brazil, derive from a common recombinant ancestor related to CRF12_BF, which circulates widely in Argentina, as deduced from coincident breakpoints and clustering in phylogenetic trees. In a HIV-1 molecular epidemiological study in Spain, we identified a phylogenetic cluster of 20 samples from 3 separate regions which were of F1 subsubtype, related to the Brazilian strain, in protease-reverse transcriptase (Pr-RT) and of subtype B in integrase. Remarkably, 14 individuals from this cluster (designated BF9) were Paraguayans and only 4 were native Spaniards. HIV-1 transmission was predominantly heterosexual, except for a subcluster of 6 individuals, 5 of which were men who have sex with men. Ten additional database sequences, from Argentina (n = 4), Spain (n = 3), Paraguay (n = 1), Brazil (n = 1), and Italy (n = 1), branched within the BF9 cluster. To determine whether it represents a new CRF, near full-length genome (NFLG) sequences were obtained for 6 viruses from 3 Spanish regions. Bootscan analyses showed a coincident BF1 recombinant structure, with 5 breakpoints, located in p17 gag , integrase, gp120, gp41-rev overlap, and nef, which was identical to that of two BF1 recombinant viruses from Paraguay previously sequenced in NFLGs. Interestingly, none of the breakpoints coincided with those of CRF12_BF. In a maximum likelihood phylogenetic tree, all 8 NFLG sequences grouped in a strongly supported clade segregating from previously identified CRFs and from the CRF12_BF "family" clade. These results allow us to identify a new HIV-1 CRF, designated CRF66_BF. Through a Bayesian coalescent analysis, the most recent common ancestor of CRF66_BF was estimated around 1984 in South America, either in Paraguay or Argentina. Among Pr-RT sequences obtained by us from HIV-1-infected Paraguayans living in Spain, 14 (20.9%) of 67 were of CRF66_BF, suggesting that CRF66_BF may be one of the major HIV-1 genetic forms circulating in Paraguay. CRF66_BF is the first reported non-Brazilian South American HIV-1 CRF_BF unrelated to CRF12_BF.This work was funded through Acción Estratégica en Salud Intramural (AESI), Instituto de Salud Carlos III, projects PI16CIII/00033 and PI19CIII/00042; Red de Investigación en SIDA (RIS), Instituto de Salud Carlos III, Subdirección General de Evaluación y Fondo Europeo de Desarrollo Regional (FEDER), Plan Nacional I+D+I, project RD16ISCIII/0002/0004; and scientific agreements with Consellería de Sanidade, Government of Galicia (MVI 1004/16) and Osakidetza-Servicio Vasco de Salud, Government of Basque Country (MVI 1001/16).S

    Trajectories of middle-class belonging: The dynamics of place attachment and classed identities

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    This paper examines the processes by which middle-class belonging is generated, through the exploration of social and spatial trajectories in narratives of residential choice and mobility. It is based on an understanding of residential choice as indicative and constitutive of social mobilities. In particular the paper builds on the discussion of the match between habitus and field that lies at the root of the notions of middle-class belonging and place attachments to draw attention not only to the conditions under which ‘fit’ is possible, but also acknowledge that belonging is a dynamic process, generated and maintained through residence that feeds back into understandings of classed identities. This paper argues that residential space is not just appropriated to reflect pre-existing tastes and lifestyles, but may also contribute in the transformation of habitus to fit to particular neighbourhoods and ways of living

    L’usage de la poésie haïku en psycho-oncologie

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    International audienceAbstract Aim: Our study aims to describe the discourseeffects of specific and structured protocol focused on severalhaiku poems about one patient, who have experienced cancer.Procedure: The protocol consists of 4 steps: a preliminaryexploratory interview, fifteen haiku proposed without a partof the poem (a creative writing filled in by the patient), a freeform haiku composed by the patient, and finally, a finalinterview.Clinical case: A man, D., aged 25, had tumor.Result: Using this protocol, we showed discourse variationson the illness before and after the experience of poetrywriting, by Tropes V8.4 software.Conclusion: Haiku poetry can be a useful tool in the contextof supportive interventions or as preparatory work for engagementin psychotherapeutic intervention. We believe thatthe formal structure of haikus can create conditions for aspecific poetic work composed of: poetic evocation, synthesis,and mapping of the most intimate experiences in oncologyenvironment.Résumé Objectif : Cette étude qualitative et exploratoirevise à décrire les effets d’un protocole poétique centré surles haïkus en psycho-oncologie sur l’approche de la maladiechez un patient atteint de cancer.Matériel et méthodes : Il s’agit d’un protocole d’écriturepoétique composé de quatre étapes : un entretien préliminaire,la proposition de 15 haïkus (sans le vers du milieu)tirés de grands auteurs japonais, la réalisation d’un poèmecomposé librement par deux patients atteints de cancer, unentretien final sur l’expérience de l’écriture poétique.Cas clinique : Un homme, M. D., âgé de 25 ans, qui est entraitement pour un cancer.Résultats : Nous montrons les variations discursives utiliséesavant et après l’expérience de l’écriture poétique, à travers lelogiciel Tropes V8.4.Conclusion : Le travail poétique avec le haïku peut être unoutil utile, dans un contexte de support clinique en institutionou comme préparation à un travail de psychothérapie. Nouspensons que la structure formelle des haïkus peut inviter à untravail poétique spécifique : évocation poétique, synthèse etschématisation des vécus plus intimes en milieu oncologique

    Bactericidal disruption of magnesium metallostasis in Mycobacterium tuberculosis is counteracted by mutations in the metal ion transporter CorA

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    A defining characteristic of treating tuberculosis is the need for prolonged administration of multiple drugs. This may be due in part to subpopulations of slowly replicating or nonreplicating Mycobacterium tuberculosis bacilli exhibiting phenotypic tolerance to most antibiotics in the standard treatment regimen. Confounding this problem is the increasing incidence of heritable multidrug-resistant M. tuberculosis. A search for new antimycobacterial chemical scaffolds that can kill phenotypically drug-tolerant mycobacteria uncovered tricyclic 4-hydroxyquinolines and a barbituric acid derivative with mycobactericidal activity against both replicating and nonreplicating M. tuberculosis. Both families of compounds depleted M. tuberculosis of intrabacterial magnesium. Complete or partial resistance to both chemotypes arose from mutations in the putative mycobacterial Mg2+/Co2+ ion channel, CorA. Excess extracellular Mg2+, but not other divalent cations, diminished the compounds’ cidality against replicating M. tuberculosis. These findings establish depletion of intrabacterial magnesium as an antimicrobial mechanism of action and show that M. tuberculosis magnesium homeostasis is vulnerable to disruption by structurally diverse, nonchelating, drug-like compounds

    Identification of a HIV-1 circulating BF1 recombinant form (CRF75_BF1) of Brazilian origin that also circulates in Southwestern Europe

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    IntroductionThe high recombinogenic potential of HIV-1 has resulted in the generation of countless unique recombinant forms (URFs) and around 120 reported circulating recombinant forms (CRFs). Here we identify through analyses of near full-length genomes (NFLG) a new HIV-1 CRF derived from subtypes B and F1.MethodsHIV-1 protease-reverse transcriptase (Pr-RT) sequences were obtained by RT-PCR amplification from plasma RNA. Near full-length genome sequences were obtained after amplification by RT-PCR in 5 overlapping fragments. Phylogenetic sequence analyses were performed via maximum likelihood. Mosaic structures were analyzed by bootscanning and phylogenetic analyses of genome segments. Temporal and geographical estimations of clade emergence were performed with a Bayesian coalescent method.ResultsThrough phylogenetic analyses of HIV-1 Pr-RT sequences obtained by us from samples collected in Spain and downloaded from databases, we identified a BF1 recombinant cluster segregating from previously reported CRFs comprising 52 viruses, most from Brazil (n = 26), Spain (n = 11), and Italy (n = 9). The analyses of NFLG genomes of 4 viruses of the cluster, 2 from Spain and 2 from Italy, allowed to identify a new CRF, designated CRF75_BF1, which exhibits a complex mosaic structure with 20 breakpoints. All 4 patients harboring CRF75_BF1 viruses studied by us had CD4+ T-cell lymphocyte counts below 220/mm3 less than one year after diagnosis, a proportion significantly higher (p = 0.0074) than the 29% found in other patients studied in Spain by us during the same period. The origin of the clade comprising CRF75_BF1 and related viruses was estimated around 1984 in Brazil, with subsequent introduction of CRF75_BF1 in Italy around 1992, and migration from Italy to Spain around 1999.ConclusionA new HIV-1 CRF, designated CRF75_BF1, has been identified. CRF75_BF1 is the 6th CRF of South American origin initially identified in Western Europe, reflecting the increasing relationship of South American and European HIV-1 epidemics. The finding of low CD4+ T-cell lymphocyte counts early after diagnosis in patients harboring CRF75_BF1 viruses warrants further investigation on the virulence of this variant

    Health-related quality of life in patients with newly diagnosed advanced ovarian cancer treated with niraparib vs placebo : Results from the phase 3 randomized PRIMA/ENGOT-OV26/GOG-3012 trial

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    Objective: To assess patient-reported health-related quality of life (HRQoL) in patients with ovarian cancer (OC) who received niraparib as first-line maintenance therapy. Methods: PRIMA/ENGOT-OV26/GOG-3012 (NCT02655016) enrolled patients with newly diagnosed advanced OC who responded to first-line platinum-based chemotherapy. Patients were randomized (2:1) to niraparib or placebo once daily in 28-day cycles until disease progression, intolerable toxicity, or death. HRQoL was assessed as a prespecified secondary end point using patient-reported responses to the European Organisation for Research and Treatment of Cancer QOL Questionnaire (EORTC QLQ-C30), the EORTC QLQ Ovarian Cancer Module (EORTC QLQ-OV28), the Functional Assessment of Cancer Therapy–Ovarian Symptom Index (FOSI), and EQ-5D-5L questionnaires. Assessments were collected at baseline and every 8 weeks (±7 days) for 56 weeks, beginning on cycle 1/day 1, then every 12 weeks (±7 days) thereafter while the patient received study treatment. Results: Among trial participants (niraparib, n = 487; placebo, n = 246), PRO adherence exceeded 80% for all instruments across all cycles. Patients reported no decline over time in HRQoL measured via EORTC QLQ-C30 Global Health Status/QoL and FOSI overall scores. Scores for abdominal/gastrointestinal symptoms (EORTC QLQ-OV28) and nausea and vomiting, appetite loss, and constipation (EORTC QLQ-C30) were higher (worse symptoms) in niraparib-treated patients than placebo-treated patients; except for constipation, these differences resolved over time. Patients did not self-report any worsening from baseline of fatigue, headache, insomnia, or abdominal pain on questionnaires. Conclusions: Despite some early, largely transient increases in gastrointestinal symptoms, patients with OC treated with niraparib first-line maintenance therapy reported no worsening in overall HRQoL.Peer reviewe
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