Études de cas portant sur les traits de personnalité et les mécanismes de défense d'hommes ayant commis un homicide d'une partenaire intime

L’homicide d’une partenaire intime a des répercussions majeures sur les protagonistes, leurs familles et la société en général en raison du caractère irréparable du geste. La compréhension de ce geste inscrit dans une relation de couple s’avère complexe en raison des implications émotionnelles. Le profil psychologique de l’homme ayant commis un homicide d’une partenaire intime semble une préoccupation des chercheurs dans ce domaine. Cette recherche, inscrite dans un processus de production d’une thèse en vue de l’obtention du doctorat de psychologie clinique (D.Ps.), a pour objectif d’évaluer et de mieux comprendre les traits de personnalité et les mécanismes de défense chez deux hommes ayant commis le délit d’homicide dans un contexte conjugal. Cette thèse est présentée sous forme de deux articles scientifiques. Le premier article rend compte de l’état de la recherche en relation avec les traits de personnalité et évalue les traits de personnalité de deux hommes ayant commis le délit d’homicide de la conjointe à l’aide de l’entrevue CDI-F (Westen, 2002) et du test SWAP-200 (Shedler & Westen, 1998). L’analyse des traits de personnalité se fait suivant les classifications catégorielle et dimensionnelle du DSM-5 (2015). Le deuxième article porte sur les mécanismes de défense dans le cadre des homicides conjugaux. Les résultats décrivent les mécanismes de défense des participants obtenus auprès d’une catégorisation des mécanismes de défense selon le DSM-IV-TR à l’entrevue CDI-F et d’une analyse du TAT (Murray, 1935) suivant l’interprétation de l’école française (Brelet-Foulard & Chabert, 2003). Les résultats sont présentés préconisant une méthodologie mixte quantitative et qualitative en vue de relever un ample éventail des traits de personnalité et des mécanismes de défense chez ces hommes. Les résultats relèvent une panoplie de traits de personnalité paranoïaque, narcissique, antisociale, limite, dépendante et histrionique (ce dernier seulement chez G). Ainsi, dans le cas G, les traits de personnalité majoritairement répertoriés et ayant fait l’objet d’analyse qualitative sont le sentiment de grandiosité, le manque d’empathie, la pensée interprétative, l'idée d'être spécial, l’irresponsabilité, le sentiment de malveillance, l’absence de remords, la fantaisie de succès illimité, la tromperie-mensonge et le sentiment de vide; des traits qui pointent majoritairement vers un trouble de personnalité narcissique. Alors que dans le cas LF, les résultats montrent une absence de remords, une idée d'être spécial, il s’attend à être exploité, une difficulté à exprimer ses émotions, une impulsivité (TPL et TPAS), un besoin d’être admiré, une tromperie-mensonge, une irresponsabilité et un remplacement rapide des relations. Dans ce cas, malgré un score des traits de personnalité antisociale plus élevé, le participant semble répondre à un fonctionnement hétérogène imbriqué dans les personnalités narcissique, paranoïaque, limite et dépendante. L’étude de la personnalité sur un plan dimensionnel soulève principalement une grandiosité, de la méfiance, une insensibilité, une impulsivité, une prise de risques, une irresponsabilité et une dysrégulation cognitive-perceptuelle, chez les participants à l’étude. Quant aux mécanismes de défense mis en œuvre par les participants, l’étude révèle la présence d’omnipotence, projection, identification projective, clivage, rationalisation, idéalisation, passage à l’acte, dépréciation, déni et intellectualisation (ce dernier seulement chez G). Les mécanismes de défense traduisent des failles au niveau des limites du moi et des opérations défensives chez ces hommes qui en contexte de rupture auraient tendance à se protéger d’une perception d’attaques de la figure féminine, laquelle est perçue comme étant malveillante et abandonnique

Análisis de la gestión administrativa y su incidencia en los resultados económicos del año 2014 de la empresa Banariego Cia. Ltda del cantón Triunfo

El siguiente trabajo de investigación que se presenta a continuación se realizó a la empresa Banariego Cía. Ltda que tiene su matriz en el Cantón El Triunfo de la Provincia del Guayas y cuya actividad económica es la venta al por menor y mayor de materiales de pvc, herramientas y fertilizantes para el sector agrícola, el mismo que se orientó en analizar la Gestión Administrativa y la incidencia en los resultados económicos del año 2014, con el objetivo de proponer una mejora continua en sus procesos administrativos. Para su realización se aplicó las siguientes metodologías: aplicada, de campo, descriptiva, explicativa, correlacional y diagnóstica, además recurrimos a emplear técnicas e instrumentos para la obtención de la información como la observación, la encuesta y la entrevista. La información recolectada se la proceso, analizo e interpreto de manera que nos permitió determinar la manera en que la empresa realiza los procesos administrativos y la relación que existente entre las variables de estudio con los resultados económicos de la empresa, las cuales son las siguientes: El proceso de reclutamiento y selección, desempeño laboral, software empresarial, sistema de información, estructura organizacional, control administrativo, toma de decisiones y la creación de valor, se plantearon las hipótesis y luego del análisis se pudieron verificar

Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults

Background Underweight and obesity are associated with adverse health outcomes throughout the life course. We estimated the individual and combined prevalence of underweight or thinness and obesity, and their changes, from 1990 to 2022 for adults and school-aged children and adolescents in 200 countries and territories. Methods We used data from 3663 population-based studies with 222 million participants that measured height and weight in representative samples of the general population. We used a Bayesian hierarchical model to estimate trends in the prevalence of different BMI categories, separately for adults (age ≥20 years) and school-aged children and adolescents (age 5–19 years), from 1990 to 2022 for 200 countries and territories. For adults, we report the individual and combined prevalence of underweight (BMI <18·5 kg/m2) and obesity (BMI ≥30 kg/m2). For schoolaged children and adolescents, we report thinness (BMI <2 SD below the median of the WHO growth reference) and obesity (BMI >2 SD above the median). Findings From 1990 to 2022, the combined prevalence of underweight and obesity in adults decreased in 11 countries (6%) for women and 17 (9%) for men with a posterior probability of at least 0·80 that the observed changes were true decreases. The combined prevalence increased in 162 countries (81%) for women and 140 countries (70%) for men with a posterior probability of at least 0·80. In 2022, the combined prevalence of underweight and obesity was highest in island nations in the Caribbean and Polynesia and Micronesia, and countries in the Middle East and north Africa. Obesity prevalence was higher than underweight with posterior probability of at least 0·80 in 177 countries (89%) for women and 145 (73%) for men in 2022, whereas the converse was true in 16 countries (8%) for women, and 39 (20%) for men. From 1990 to 2022, the combined prevalence of thinness and obesity decreased among girls in five countries (3%) and among boys in 15 countries (8%) with a posterior probability of at least 0·80, and increased among girls in 140 countries (70%) and boys in 137 countries (69%) with a posterior probability of at least 0·80. The countries with highest combined prevalence of thinness and obesity in school-aged children and adolescents in 2022 were in Polynesia and Micronesia and the Caribbean for both sexes, and Chile and Qatar for boys. Combined prevalence was also high in some countries in south Asia, such as India and Pakistan, where thinness remained prevalent despite having declined. In 2022, obesity in school-aged children and adolescents was more prevalent than thinness with a posterior probability of at least 0·80 among girls in 133 countries (67%) and boys in 125 countries (63%), whereas the converse was true in 35 countries (18%) and 42 countries (21%), respectively. In almost all countries for both adults and school-aged children and adolescents, the increases in double burden were driven by increases in obesity, and decreases in double burden by declining underweight or thinness. Interpretation The combined burden of underweight and obesity has increased in most countries, driven by an increase in obesity, while underweight and thinness remain prevalent in south Asia and parts of Africa. A healthy nutrition transition that enhances access to nutritious foods is needed to address the remaining burden of underweight while curbing and reversing the increase in obesit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

XVI International Congress of Control Electronics and Telecommunications: "Techno-scientific considerations for a post-pandemic world intensive in knowledge, innovation and sustainable local development"

Este título, sugestivo por los impactos durante la situación de la Covid 19 en el mundo, y que en Colombia lastimosamente han sido muy críticos, permiten asumir la obligada superación de tensiones sociales, políticas, y económicas; pero sobre todo científicas y tecnológicas. Inicialmente, esto supone la existencia de una capacidad de la sociedad colombiana por recuperar su estado inicial después de que haya cesado la perturbación a la que fue sometida por la catastrófica pandemia, y superar ese anterior estado de cosas ya que se encontraban -y aún se encuentran- muchos problemas locales mal resueltos, medianamente resueltos, y muchos sin resolver: es decir, habrá que rediseñar y fortalecer una probada resiliencia social existente - producto del prolongado conflicto social colombiano superado parcialmente por un proceso de paz exitoso - desde la tecnociencia local; como lo indicaba Markus Brunnermeier - economista alemán y catedrático de economía de la Universidad de Princeton- en su libro The Resilient Society…La cuestión no es preveerlo todo sino poder reaccionar…aprender a recuperarse rápido.This title, suggestive of the impacts during the Covid 19 situation in the world, and which have unfortunately been very critical in Colombia, allows us to assume the obligatory overcoming of social, political, and economic tensions; but above all scientific and technological. Initially, this supposes the existence of a capacity of Colombian society to recover its initial state after the disturbance to which it was subjected by the catastrophic pandemic has ceased, and to overcome that previous state of affairs since it was found -and still is find - many local problems poorly resolved, moderately resolved, and many unresolved: that is, an existing social resilience test will have to be redesigned and strengthened - product of the prolonged Colombian social conflict partially overcome by a successful peace process - from local technoscience; As Markus Brunnermeier - German economist and professor of economics at Princeton University - indicates in his book The Resilient Society...The question is not to foresee everything but to be able to react...learn to recover quickly.Bogot

Which method is best for the induction of labour?: A systematic review, network meta-analysis and cost-effectiveness analysis

Background: More than 150,000 pregnant women in England and Wales have their labour induced each year. Multiple pharmacological, mechanical and complementary methods are available to induce labour. Objective: To assess the relative effectiveness, safety and cost-effectiveness of labour induction methods and, data permitting, effects in different clinical subgroups. Methods: We carried out a systematic review using Cochrane methods. The Cochrane Pregnancy and Childbirth Group’s Trials Register was searched (March 2014). This contains over 22,000 reports of controlled trials (published from 1923 onwards) retrieved from weekly searches of OVID MEDLINE (1966 to current); Cochrane Central Register of Controlled Trials (The Cochrane Library); EMBASE (1982 to current); Cumulative Index to Nursing and Allied Health Literature (1984 to current); ClinicalTrials.gov; the World Health Organization International Clinical Trials Registry Portal; and hand-searching of relevant conference proceedings and journals. We included randomised controlled trials examining interventions to induce labour compared with placebo, no treatment or other interventions in women eligible for third-trimester induction. We included outcomes relating to efficacy, safety and acceptability to women. In addition, for the economic analysis we searched the Database of Abstracts of Reviews of Effects, and Economic Evaluations Databases, NHS Economic Evaluation Database and the Health Technology Assessment database. We carried out a network meta-analysis (NMA) using all of the available evidence, both direct and indirect, to produce estimates of the relative effects of each treatment compared with others in a network. We developed a de novo decision tree model to estimate the cost-effectiveness of various methods. The costs included were the intervention and other hospital costs incurred (price year 2012–13). We reviewed the literature to identify preference-based utilities for the health-related outcomes in the model. We calculated incremental cost-effectiveness ratios, expected costs, utilities and net benefit. We represent uncertainty in the optimal intervention using cost-effectiveness acceptability curves. Results: We identified 1190 studies; 611 were eligible for inclusion. The interventions most likely to achieve vaginal delivery (VD) within 24 hours were intravenous oxytocin with amniotomy [posterior rank 2; 95% credible intervals (CrIs) 1 to 9] and higher-dose (≥ 50 μg) vaginal misoprostol (rank 3; 95% CrI 1 to 6). Compared with placebo, several treatments reduced the odds of caesarean section, but we observed considerable uncertainty in treatment rankings. For uterine hyperstimulation, double-balloon catheter had the highest probability of being among the best three treatments, whereas vaginal misoprostol (≥ 50 μg) was most likely to increase the odds of excessive uterine activity. For other safety outcomes there were insufficient data or there was too much uncertainty to identify which treatments performed ‘best’. Few studies collected information on women’s views. Owing to incomplete reporting of the VD within 24 hours outcome, the cost-effectiveness analysis could compare only 20 interventions. The analysis suggested that most interventions have similar utility and differ mainly in cost. With a caveat of considerable uncertainty, titrated (low-dose) misoprostol solution and buccal/sublingual misoprostol had the highest likelihood of being cost-effective. Limitations: There was considerable uncertainty in findings and there were insufficient data for some planned subgroup analyses. Conclusions: Overall, misoprostol and oxytocin with amniotomy (for women with favourable cervix) is more successful than other agents in achieving VD within 24 hours. The ranking according to safety of different methods was less clear. The cost-effectiveness analysis suggested that titrated (low-dose) oral misoprostol solution resulted in the highest utility, whereas buccal/sublingual misoprostol had the lowest cost. There was a high degree of uncertainty as to the most cost-effective intervention

The hidden cold-water coral communities of the Ormonde seamount (Gorringe Bank): a world to explore, a world to discover

In September-October 2016 the oceanographic cruise MEDWAVES was conducted (in the frame of the ATLAS project H2020), in order to follow the path of the Mediterranean Outflow Water (MOW) in the Atlantic from Cádiz to the Azores. MEDWAVES aimed to investigate the influence of the MOW in the community composition of benthic assemblages in several Atlantic geomorphological features. One of the targeted areas was the Ormonde seamount in the Atlantic Ocean, 160 nautical miles SW off Cape St. Vincent, Portugal. This seamount, together with the Gettysburg seamount, is part of a volcanic ridge named Gorringe that rises from 5,000 m to less than 80m depth, respectively representing the abyssal plain until the photic zone. Its panoply of marine life and environments increased the demand for conservation measures. Consequently, Gorringe bank is currently protected by the Habitats Directive and part of Natura 2000 network since 2015. Other protective measures include the intention to designate the Gorringe Bank,as part of the seamount complex Madeira-Tore, as new Portuguese MPA of large dimensions delimited in deep oceanic areas, under the Marine Strategy Framework Directive implementation. Given its ecological importance and location through the pass of the MOW, the Ormonde seamount was selected as one of the main target areas during the MEDWAVES cruise. Six ROV dives were conducted with the Remotely Operated Vehicle (ROV) “Liropus” (IEO), covering the Northeast and North flanks of the seamount between 1,950 and 600 meters depth. As expected, the depth gradient revealed different benthic communities in the distinct depth zones. Ormonde seems to be a flourishing area for deep-sea sponges (e.g. Asconema sp.), present in high densities along with high species diversity. Scleractinian corals (e.g. Solenosmillia variabilis) as well as gorgonians (e.g. Viminella sp., Corallium tricolor) and black corals (e.g. Stichopathes sp.) were also present in the area displaying varying density patterns in the different flanks of the seamount. The depth gradient is also related with a vertical variation of the water masses, among others, the MOW, located between 500 and 1,400 m depth, with salinities from 35.6 to 36.4 and temperatures between 10 and 12°C. In this work we present the first characterization of the deep benthic megafauna communities of Ormonde and its potential relation to depth, substrate type and water masses

The hidden cold-water coral communities of the Ormonde seamount (Gorringe Bank): a world to explore, a world to discover

In September-October 2016 the oceanographic cruise MEDWAVES was conducted (in the frame of the ATLAS project H2020), in order to follow the path of the Mediterranean Outflow Water (MOW) in the Atlantic from Cádiz to the Azores. MEDWAVES aimed to investigate the influence of the MOW in the community composition of benthic assemblages in several Atlantic geomorphological features. One of the targeted areas was the Ormonde seamount in the Atlantic Ocean, 160 nautical miles SW off Cape St. Vincent, Portugal. This seamount, together with the Gettysburg seamount, is part of a volcanic ridge named Gorringe that rises from 5,000 m to less than 80m depth, respectively representing the abyssal plain until the photic zone. Its panoply of marine life and environments increased the demand for conservation measures. Consequently, Gorringe bank is currently protected by the Habitats Directive and part of Natura 2000 network since 2015. Other protective measures include the intention to designate the Gorringe Bank,as part of the seamount complex Madeira-Tore, as new Portuguese MPA of large dimensions delimited in deep oceanic areas, under the Marine Strategy Framework Directive implementation. Given its ecological importance and location through the pass of the MOW, the Ormonde seamount was selected as one of the main target areas during the MEDWAVES cruise. Six ROV dives were conducted with the Remotely Operated Vehicle (ROV) “Liropus” (IEO), covering the Northeast and North flanks of the seamount between 1,950 and 600 meters depth. As expected, the depth gradient revealed different benthic communities in the distinct depth zones. Ormonde seems to be a flourishing area for deep-sea sponges (e.g. Asconema sp.), present in high densities along with high species diversity. Scleractinian corals (e.g. Solenosmillia variabilis) as well as gorgonians (e.g. Viminella sp., Corallium tricolor) and black corals (e.g. Stichopathes sp.) were also present in the area displaying varying density patterns in the different flanks of the seamount. The depth gradient is also related with a vertical variation of the water masses, among others, the MOW, located between 500 and 1,400 m depth, with salinities from 35.6 to 36.4 and temperatures between 10 and 12°C. In this work we present the first characterization of the deep benthic megafauna communities of Ormonde and its potential relation to depth, substrate type and water masses