86 research outputs found

    ZaraÊżnā Law áčŹalaÊżet Yā Rēt! On Wish, Hope, and other Bouletic Modalities in Spoken Arabic from Syria

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    In this paper we deal with bouletic (or boulomaic) modalities in spoken Arabic from Syria, a modal variety intimately related to the area of irrealia, possibilia or possible worlds. While the categories of alethic and deontic are rather the domain of truth and reality, bouletic modalities are, par excellence, the realm of interlocutors' subjectivity. Our paper analyzes conventionalized expressions used in spoken Arabic from Syria to convey the meanings of wish and hope (that form the hard core of the larger bouletic modality); we focus on the 'hard core' of bouletic: the semantically complex expression yā rēt (would God...!; if only...!), with its possible combinations, as marker of desirable, and on desiderative operators law, ÊŸizā, Êżalaww, wēn, barki, etc. The interpretative approach highlights the hybrid character of the illocutionary acts performed through the use of bouletic operators, proving that in Syrian - as in natural languages, in general - the bouletic modality is deeply connected with (and even dependant on) other modalities, especially evaluative and deontic. Ultimately, our approach sheds light on the linguistic creativity manifested by Syrian Arabic speakers when modalizing their discourse: an aspect that emphasizes the virtues of the colloquial mode that sets no limits to expressivity

    Ruptured Intracranial Dermoid Cyst

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    Background: A 27-year-old man presented at the emergency room with episodic acute headaches and nausea for a few weeks. Neurological examination was normal

    Vertebroplasty versus sham procedure for painful acute osteoporotic vertebral compression fractures (VERTOS IV):Randomised sham controlled clinical trial

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    Objective To assess whether percutaneous vertebroplasty results in more pain relief than a sham procedure in patients with acute osteoporotic compression fractures of the vertebral body. Design Randomised, double blind, sham controlled clinical trial. Setting Four community hospitals in the Netherlands, 2011-15. Participants 180 participants requiring treatment for acute osteoporotic vertebral compression fractures were randomised to either vertebroplasty (n=91) or a sham procedure (n=89). Interventions Participants received local subcutaneous lidocaine (lignocaine) and bupivacaine at each pedicle. The vertebroplasty group also received cementation, which was simulated in the sham procedure group. Main outcome measures Main outcome measure was mean reduction in visual analogue scale (VAS) scores at one day, one week, and one, three, six, and 12 months. Clinically significant pain relief was defined as a decrease of 1.5 points in VAS scores from baseline. Secondary outcome measures were the differences between groups for changes in the quality of life for osteoporosis and Roland-Morris disability questionnaire scores during 12 months’ follow-up. Results The mean reduction in VAS score was statistically significant in the vertebroplasty and sham procedure groups at all follow-up points after the procedure compared with baseline. The mean difference in VAS scores between groups was 0.20 (95% confidence interval −0.53 to 0.94) at baseline, −0.43 (−1.17 to 0.31) at one day, −0.11 (−0.85 to 0.63) at one week, 0.41 (−0.33 to 1.15) at one month, 0.21 (−0.54 to 0.96) at three months, 0.39 (−0.37 to 1.15) at six months, and 0.45 (−0.37 to 1.24) at 12 months. These changes in VAS scores did not, however, differ statistically significantly between the groups during 12 months’ follow-up. The results for secondary outcomes were not statistically significant. Use of analgesics (non-opioids, weak opioids, strong opioids) decreased statistically significantly in both groups at all time points, with no statistically significant differences between groups. Two adverse events occurred in the vertebroplasty group: one respiratory insufficiency and one vasovagal reaction. Conclusions Percutaneous vertebroplasty did not result in statistically significantly greater pain relief than a sham procedure during 12 months’ follow-up among patients with acute osteoporotic vertebral compression fractures

    Predictive factors for sustained pain after (sub)acute osteoporotic vertebral fractures:Combined results from the VERTOS II and VERTOS IV trial

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    PURPOSE: Osteoporotic vertebral compression fractures are treated conservatively or in selected cases with percutaneous vertebroplasty (PV). The purpose of this retrospective analysis is to determine predictive factors for a high visual analogue scale (VAS) pain score after conservative, sham or PV and is based on previously published randomized trials. METHODS: The VERTOS II compared conservative versus PV, and VERTOS IV compared sham versus PV treatment. The conservative group received pain medication. The sham and PV group received subcutaneous lidocaine/bupivacaine. In addition, the PV group received cementation, which was simulated in the sham group. Nineteen different predictors of high (≄ 5) versus low ( 8, long-term baseline pain, mild/severe Genant and new fractures. CONCLUSIONS: Statistically significant more patients had a high pain score at 12 months in the sham and conservative group when compared with the PV group. Five predictors were identified for sustained high local back pain, regardless of the received treatment. Patients with moderate fracture deformity were less likely to have high pain scores at 12 months if they received PV than if they had sham or conservative therapy. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00270-022-03170-7

    A randomised sham controlled trial of vertebroplasty for painful acute osteoporotic vertebral fractures (VERTOS IV)

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    <p>Abstract</p> <p>Background</p> <p>The standard care in patients with a painful osteoporotic vertebral compression fracture (VCF) is conservative therapy. Percutaneous vertebroplasty (PV), a minimally invasive technique, is a new treatment option. Recent randomized controlled trials (RCT) provide conflicting results: two sham-controlled studies showed no benefit of PV while an unmasked but controlled RCT (VERTOS II) found effective pain relief at acceptable costs. The objective of this study is to compare pain relief after PV with a sham intervention in selected patients with an acute osteoporotic VCF using the same strict inclusion criteria as in VERTOS II. Secondary outcome measures are back pain related disability and quality of life.</p> <p>Methods</p> <p>The VERTOS IV study is a prospective, multicenter RCT with pain relief as primary endpoint. Patients with a painful osteoporotic VCF with bone edema on MR imaging, local back pain for 6 weeks or less, osteopenia and aged 50 years or older, after obtaining informed consent, are included and randomized for PV or a sham intervention. In total 180 patients will be enrolled. Follow-up is at regular intervals during a 1-year period with a standard Visual Analogue Scale (VAS) score for pain and pain medication. Necessary additional therapies and complications are recorded.</p> <p>Discussion</p> <p>The VERTOS IV study is a methodologically sound RCT designed to assess pain relief after PV compared to a sham intervention in patients with an acute osteoporotic VCF selected on strict inclusion criteria.</p> <p>Trial registration</p> <p>This study is registered at ClinicalTrials.gov., <a href="http://www.clinicaltrials.gov/ct2/show/NCT01200277">NCT01200277</a>.</p

    Increasing involvement of CAPN1 variants in spastic ataxias and phenotype-genotype correlations

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    Spastic ataxias are rare neurogenetic disorders involving spinocerebellar and pyramidal tracts. Many genes are involved. Among them, CAPN1, when mutated, is responsible for a complex inherited form of spastic paraplegia (SPG76). We report the largest published series of 21 novel patients with nine new CAPN1 disease-causing variants and their clinical characteristics from two European university hospitals (Paris and Stockholm). After a formal clinical examination, causative variants were identified by next-generation sequencing and confirmed by Sanger sequencing. CAPN1 variants are a rare cause (~ 1.4%) of young-adult-onset spastic ataxia; however, together with all published cases, they allowed us to better describe the clinical and genetic spectra of this form. Truncating variants are the most frequent, and missense variants lead to earlier age at onset in favor of an additional deleterious effect. Cerebellar ataxia with cerebellar atrophy, dysarthria and lower limb weakness are often associated with spasticity. We also suggest that cognitive impairment and depression should be assessed specifically in the follow-up of SPG76 cases.Identification of new causative genes in spinocerebellar degenerations by combination of whole genome scan, next-generation sequencing and biological validation in vitro and in vivoInfrastructure de Recherche Translationnelle pour les BiothĂ©rapies en NeurosciencesEuropean Union’s Horizon 2020 research and innovation programm

    Studies on Arabic Dialectology and Sociolinguistics

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    This volume contains over fifty articles related to various fields of modern Arabic dialectology. All the articles are revised and enhanced versions of papers read on the 12th Conference of the Association Internationale de Dialectologie Arabe (AIDA) held in Marseille in June 2017. Since its first conference in Paris in 1993, AIDA members gather every two years in different country. The collection of the AIDA proceedings offer an updated insight of the development of the field. During the past few decadesthe the study of Arabic dialects has become an important branch of research covering a wide range of subjects from phonological analyses, morphosyntax, semantics to pragmatics, sociolinguistics, folk linguistics, studies on literacy and writings, cultural and artistic practices, etc. As many articles of this volume illustrate, the study of Arabic dialects explores different aspects of the languages and cultures of the contemporary Arab world. A remarkable feature is the growing and constant participation of young scholars from all around the globe

    Computer simulation of infrared spectra and structures of molecular nanoparticles

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    Molecular nanoparticles, i.e. molecular aggregates held together by weak intermolecular interactions, are ubiquitous in planetary atmospheres and the interstellar space. Although they play a crucial role for radiative energy transfer and chemical processes, the understanding of their properties — which can differ significantly from those of the bulk — is still in its infancy. The present thesis is devoted to a better understanding of the influence of intrinsic properties of these particles on their infrared spectra. The influence of shape, size, architecture and phase on infrared spectra is modeled at a molecular level and propensity rules are established. The high complexity of these huge aggregates, which are composed of up to tens of thousands of molecules, makes a straightforward interpretation of their infrared spectra difficult or even impossible. The present thesis makes use of a combination of a quantum mechanical model for the calculation of the vibrational spectra — the extended vibrational exciton model — and a molecular dynamics approach for the generation of the particle structures. Calculations are performed for pure and mixed aggregates containing NH₃,SF₆, C0₂,CO, and CHF₃.With a microscopic model at hand, it becomes even possible to go beyond system specific effects to uncover general underlying trends.Science, Faculty ofChemistry, Department ofGraduat

    Pierre Larcher : Les Mu’allaqat ou Les sept poĂšmes prĂ©islamiques, traduits de l’arabe, avec Introduction  et notes ; prĂ©face d’AndrĂ© Miquel, Éditions “Fata Morgana”, 136 p.

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    Proposer une nouvelle traduction des Mu’allaqĂąt, surtout en français, c’est une entreprise aussi audacieuse que contraignante : “audacieuse” puisque les textes de ces cĂ©lĂšbres poĂšmes antĂ©islamiques ont dĂ©jĂ  connu en français beaucoup de variantes des plus rĂ©ussies (de toutes celles qui ont Ă©tĂ© donnĂ©es dans diverses langues) et donc cette “nouvelle venue” pourrait ĂȘtre questionnĂ©e sur ce qu’elle propose de diffĂ©rent par rapport aux autres ; et “contraignante” parce que ces textes, fait  bien c..
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