Interview with Reverend Dr. Michael Pfleger

Length: 76 minutes Interview with Reverend Michael Pfleger by Jesse Betend. In his interview with Jesse Betend, Reverend Michael Pfleger discusses his life leading up to his involvement with the Civil Rights Movement in 1968. He recalls how his childhood and early experiences affected his later work, his religious yet very progressively outspoken family and attending a highly diverse high school (Quigley Preparatory Seminary South). He recalls his first exposures to racism and segregation through family friends, classmates, and work with Native American and Black communities. He describes the violence perpetrated by his own community during a speech by Dr. Martin Luther King, Jr. in 1966, who became a highly influential figure in his life, including in his decision to join the priesthood. He discusses his studies in college and his early days working and living at Precious Blood Parish, which led to his involvement with the Black Panthers, who met at the parish youth center. From there, he met activists Larry Johnson, Fred Hampton, and Mark Clark and he volunteered with the organization regularly. He discusses how civil rights activism was the driving force behind his motivation to join the priesthood, the “DNA” of his faith. He recalls his involvement with the anti-Vietnam war protests, the police violence at DNC protests in 1968, and his continuing faith that individuals can be agents of change

Urinary excretion of prostaglandins and electrolytes in developing children

Urinary excretion of prostaglandins and electrolytes in developing children. A longitudinal study of the urinary excretion of prostaglandins (PG's) E and Fα was performed in 55 healthy children aged from 1 to 114 months. In addition, the urinary PG's and electrolytes were studied in 6 children with Bartier's syndrome before and after an oral treatment with indomethacin. In normal children, both urinary PGE and PGFα increased with age, more markedly before 24 months of age. During this period, a positive and significant correlation was found with the urinary osmolality (r = 0.61, N = 16, P < 0.05 for PGE; r = 0.82, N = 16, P < 0.001 for PGFα). At every age, the urinary PG's were related to the potassium excretion (r = 0.68, N = 55, P < 0.001 for PGE; r = 0.65, N = 55, P < 0.001 for PGFα) but not to the natriuresis. In children with Bartter's syndrome, the increased urinary excretion of PGE, PGFα and potassium was found to be consistently reduced after indomethacin treatment when the natriuresis was either decreased or increased after treatment. These results suggest that the renal PG's might play a role in the control of potassium excretion by the kidney. In addition, the determination of normal values in different age groups appears necessary for an accurate interpretation of the urinary PG's.Excrétion des prostaglandines urinaires et des électrolytes au cours du développement de l'enfant. L'élimination urinaire des prostaglandines (PG's) E et Fα a été étudiée chez 55 enfants normaux âgés de 1 à 114 mois ainsi que chez 6 enfants présentant un syndrome de Bartter, avant et après traitement par l'indométacine. Chez l'enfant normal, l'excrétion urinaire des PGE et PGFα augmente progressivement avec l'âge, surtout durant les 24 premiers mois de la vie où elle apparaît significativement corrélée à l'osmolalité urinaire (r = 0,61, N = 16, P < 0.05 pour PGE; r = 0.82, N = 16, P < 0.001 pour PGFα. Chez l'ensemble des 55 enfants normaux, elle n'apparaît pas liée à la natriurèse alors qu'elle est significativement corrélée à la kaliurèse (r = 0.68, N = 55, P < 0.001 pour PGE; r = 0.65, N = 55, P < 0.001 pour PGFα). Chez les enfants présentant un syndrome de Bartter, l'élimination urinaire des PGE et PGFα ainsi que la kaliurèse diminuent toujours sous indometacine alors que la natriurèse est soit diminuée, soit augmentée. Ces résultats suggèrent que les PG's rénales pourraient participer au contrôle de l'excrétion du potassium par le rein. Par ailleurs, il apparaît indispensable de se référer à des valeurs normales déterminées chez des sujets correctement appariés quant à l'age pour pouvoir interpréter d'une manière correcte les dosages urinaires

L’européanisation des acteurs de la lutte contre les discriminations LGBT+ au sein de l’Union européenne

Les discriminations fondées sur l’orientation sexuelle et l’identité de genre sont persistantes au sein de l’Union européenne. La présente étude vise à analyser la manière dont les institutions européennes se sont saisies de cette problématique et comment les différents acteurs de la lutte contre les discriminations LGBT+ se sont mobilisés et adaptés au nouvel échelon de gouvernance qu’est l’Union. Notre but est de voir dans quelle mesure nous pouvons parler d’une européanisation de la lutte contre les discriminations LGBT+ au sein de l’Union européenne. Nous étudierons le traitement de cette problématique par les institutions européennes et nous concentrerons sur les autres acteurs impliqués et leurs méthodes

La programmation du lien ville-hôpital dans les programmes d'éducation thérapeutique (positionnement des pharmaciens)

LYON1-BU Santé (693882101) / SudocSudocFranceF

L'emploi de la punition chez les enseignants primaires : dans quelle mesure la punition répond-elle à des besoins spécifiques des enseignants ? Seize professionnels genevois se confient…

Le mémoire présenté traite de l'emploi de la punition chez les enseignants primaires. Par cette recherche, les auteurs témoignent d'une réflexion sur de nombreux domaines qui sont en lien direct avec la gestion de classe d'un enseignant, à savoir : l'éducation et la socialisation de l'enfant, l'enseignant dans son rôle éducatif, les pratiques de la punition et de la sanction éducative. Ainsi, pour comprendre le rôle que jouent ces différents aspects dans la pratique enseignante, les auteurs élaborent une problématique autour de la gestion de classe en ces mots : "Dans quelle mesure la punition répond-elle ou non à des besoins spécifiques de seize enseignants?" Au moyen d'entretiens et d'une démarche de recherche compréhensive, cette étude en vient à nous montrer que différentes conceptions, attentes et pratiques enseignantes coexistent, et que celles-ci dépendent d'un vécu personnel de la punition dans le parcours de vie des professionnels interrogés

Delirium as presentation of late-onset and relapsing Susac syndrome.

A 67-year-old patient, only known for bilateral presbycusis, presented with subacute onset of delirium. Clinical examination showed multifocal neurological deficits, all together suggesting subcortical frontal dysfunction together with cerebellar and corpus callosum involvement.Cerebral MRI demonstrated supratentorial and infratentorial subcortical and periventricular T2-hyperintense lesions with cerebellar gadolinium enhancement and multiple central lesions of the corpus callosum (snowball lesions). The diagnosis of Susac syndrome was made and the patient treated with intravenous methylprednisolone, followed by a prednisone maintenance dose over 8 weeks. After a clinical improvement, a relapse was noticed during corticosteroid tapering. The patient was again treated with intravenous methylprednisolone followed by a prednisone maintenance therapy with simultaneous introduction of mycophenolate mofetil acid and one cycle of intravenous rituximab. The patient recovered rapidly. At 11-month follow-up, only mild executive dysfunction and persistent right postural tremor was noted, MRI showed partial regression of subcortical and juxtacortical lesions

Association between prehospital physician clinical experience and discharge at scene – retrospective cohort study

BACKGROUND: Clinical experience has been shown to affect many patient-related outcomes but its impact in the prehospital setting has been little studied. OBJECTIVES:To determine whether rates of discharge at scene, handover to paramedics and supervision are associated with clinical experience. DESIGN, SETTINGS AND PARTICIPANTS: A retrospective study, performed on all prehospital interventions carried out by physicians working in a mobile medical unit (“service mobile d’urgence et de réanimationˮ [SMUR]) at Geneva University Hospitals between 1 January 2010 and 31 December 2019. The main exclusion criteria were phone consultations and major incidents with multiple casualties. EXPOSURE:The exposure was the clinical experience of the prehospital physician at the time of the intervention, in number of years since graduation. OUTCOME MEASURES AND ANALYSIS: The main outcome was the rate of discharge at scene. Secondary outcomes were the rate of handover to paramedics and the need for senior supervision. Outcomes were tabulated and multilevel logistic regression was performed to take into account the cluster effect of physicians. RESULTS: In total, 48,368 adult patients were included in the analysis. The interventions were performed by 219 different physicians, most of whom were male (53.9%) and had graduated in Switzerland (82.7%). At the time of intervention, mean (standard deviation [SD]) level of experience was 5.2 (3.3) years and the median was 4.6 (interquartile range [IQR]: 3.4–6.0). The overall discharge at scene rate was 7.8% with no association between clinical experience and discharge at scene rate. Greater experience was associated with a higher rate of handover to paramedics (adjusted odds ratio [aOR]: 1.17, 95% confidence interval [CI]: 1.13–1.21) and less supervision (aOR: 0.85, 95% CI: 0.82–0.88). CONCLUSION: In this retrospective study, there was no association between level of experience and overall rate of discharge at scene. However, greater clinical experience was associated with higher rates of handover to paramedics and less supervision

Impact of Operator Medical Specialty on Endotracheal Intubation Rates in Prehospital Emergency Medicine — A Retrospective Cohort Study

Prehospital endotracheal intubation (ETI) can be challenging, and the risk of complications is higher than in the operating room. The goal of this study was to compare prehospital ETI rates between anaesthesiologists and non-anaesthesiologists. This retrospective cohort study compared prehospital interventions performed by either physicians from the anaesthesiology department (ADP) or physicians from another department (NADP, for non-anaesthesiology department physicians). The primary outcome was the prehospital ETI rate. Overall, 42,190 interventions were included in the analysis, of whom 68.5% were performed by NADP. Intubation was attempted on 2797 (6.6%) patients, without any difference between NADPs and ADPs (6.5 versus 6.7%, p = 0.555). However, ADPs were more likely to proceed to an intubation when patients were not in cardiac arrest (3.4 versus 3.0%, p = 0.026), whereas no difference was found regarding cardiac arrest patients (65.2 versus 67.7%, p = 0.243) (p for homogeneity = 0.005). In a prehospital physician-staffed emergency medical service, overall ETI rates did not depend on the frontline operator’s medical specialty background. ADPs were, however, more likely to proceed with ETI than NADPs when patients were not in cardiac arrest. Further studies should help to understand the reasons for this difference.</p