Investigating pseudo parabolic dynamics through phase portraits, sensitivity, chaos and soliton behavior.

This research examines pseudoparabolic nonlinear Oskolkov-Benjamin-Bona-Mahony-Burgers (OBBMB) equation, widely applicable in fields like optical fiber, soil consolidation, thermodynamics, nonlinear networks, wave propagation, and fluid flow in rock discontinuities. Wave transformation and the generalized Kudryashov method is utilized to derive ordinary differential equations (ODE) and obtain analytical solutions, including bright, anti-kink, dark, and kink solitons. The system of ODE, has been then examined by means of bifurcation analysis at the equilibrium points taking parameter variation into account. Furthermore, in order to get insight into the influence of some external force perturbation theory has been employed. For this purpose, a variety of chaos detecting techniques, for instance poincaré diagram, time series profile, 3D phase portraits, multistability investigation, lyapounov exponents and bifurcation diagram are implemented to identify the quasi periodic and chaotic motions of the perturbed dynamical model. These techniques enabled to analyze how perturbed dynamical system behaves chaotically and departs from regular patterns. Moreover, it is observed that the underlying model is quite sensitivity, as it changing dramatically even with slight changes to the initial condition. The findings are intriguing, novel and theoretically useful in mathematical and physical models. These provide a valuable mechanism to scientists and researchers to investigate how these perturbations influence the system's behavior and the extent to which it deviates from the unperturbed case.

Disclosure of sexual abuse by adolescents treated in a psychiatry department.

OBJECTIVES: The aim of the study is to describe the population of adolescents who have disclosed sexual abuse to a health professional during their care in a psychiatric department. We also want to discuss the circumstances that enable adolescents to make this disclosure. METHODS: This single-center retrospective observational study is based on the mandatory reports (n=139) sent by a Paris adolescent psychiatry department between 2005 and 2021 after patients disclosed previous sexual abuse. R® (3.6.1) and RStudio® (1.2.5001) software were used for statistical analysis. RESULTS: Girls accounted for almost all the adolescents who disclosed (95.7%). First abuse occurred around the age of 12 years and was first disclosed to a health professional a mean of 3.5 years later; 66 (47.5%) patients were admitted for inpatient care during their follow-up. The most common diagnoses were depression, eating disorders, posttraumatic stress disorders, and other anxiety disorders. Before disclosing to a health professional, most of these adolescents had already talked about it, mainly to a family member (69.8%) or peers (24.7%). CONCLUSION: This is the first study in France on the reporting of sexual abuse after its disclosure by adolescents being treated in a psychiatry unit. Our results show that child sexual abuse is rarely reported and that health care professionals are far from being the first recipients of these disclosures. We recommend routine screening for sexual abuse in adolescent psychiatry units, improved training for staff receiving these disclosures, and consideration of how best to coordinate medical, social, and legal services for these adolescents.

Cephalic Tetanus Presenting as Peripheral Facial Palsy: A Case Report.

Tetanus is a serious disease that has become rare in countries that adopt an effective and sustainable vaccination strategy; however, tetanus remains a fairly common problem in developing countries. The diagnosis of tetanus is fairly easy. However, its cephalic form is a rare but potentially life-threatening neurological condition caused by the bacteria Clostridium tetani, which can result in symptoms such as spasms, rigidity, and paralysis of various muscles and nerves in the head and neck region. This article is about a 43-year-old man who had presumed an idiopathic facial palsy at the beginning and who turned out after the evolution of the clinical picture that it is cephalic tetanus. In this article, we will see the subtleties and clinical elements that have allowed us to rectify the diagnosis. Peripheral facial palsy can be a presenting symptom of cephalic tetanus and should be considered in patients with a history of tetanus infection or exposure. Early recognition and prompt treatment of cephalic tetanus are crucial in preventing complications and improving outcomes. Treatment typically involves the administration of tetanus immunoglobulin and antibiotics, as well as supportive care for any associated symptoms or complications.

The impact of polarity score on real option valuation for multistage projects.

In most cases, the valuation of the investments characterized by various stages with a high level of uncertainty is done through the compound real option valuation (ROV). This decision making support can consider various types of uncertainty that can affects these investment phases, such as that linked to technology. Specifically, within the category of uncertain investments there are the broadband opportunities that can be valued as real options in order to quantify the risks associated with the investment. However, since ROV theory has no definitive way to determine model parameters based on market information, we propose one that can adjust them dynamically. In this paper, to include this aspect in the project valuation, we have unified the ROV with the sentiment analysis, a natural language processing technique that allows us to quantify the polarity of expressions in natural language numerically. In particular, the inherent risks related to the different phases of the project can be extracted from the information present in the surrounding environment and published in newspapers. From there, we obtain a sentiment score which, through appropriate manipulations, manages to modify the evaluation of the success probabilities of each stage. Then, we embed these success probabilities in the ROV in order to provide a valuation methodology that includes the impact of information on the investment decision.

Clinical and radiographic outcomes of primary total hip arthroplasty with the revelation hip system using density mapping.

The Revelation Hip System is a cementless stem with a lateral flare concept. Stable fixation is achieved by fitting the stem to the medullary cavity of the proximal lateral femoral cortex. Patients who have undergone total hip arthroplasty using the Revelation Hip System show good postoperative clinical and radiographic outcomes. However, to the best of our knowledge, no study has reported the relationship between stem fitting and clinical or radiological outcomes after the surgery. In the present study, we investigated the relationship between stem fitting and clinical or radiological outcomes after total hip arthroplasty (THA) using the Revelation Hip System. In this study, 28 hips of 26 patients who were treated with the Revelation Hip System for osteoarthritis, osteonecrosis of the femoral head, rheumatoid arthritis, and rapidly destructive coxarthropathy and were followed up for > 5 y were enrolled. These patients were divided into two groups, including the rest fit group (11 hips, group R) and the control group (17 hips, group C), according to the results of the density mapping analysis. In group R, the lateral side of the stem fits on the medullary cavity of the proximal lateral femoral cortex, while in group C, the lateral side of the stem did not fit. Radiographic results showed no significant differences between the groups in terms of stem alignment, subsidence, and stress shielding around the cup. The incidence of stress shielding around the stem in zone 7 was not significant but tended to be higher in group R than in group C (p = 0.052). Clinical outcomes showed no significant differences between group R and group C in terms of the Harris hip score, the Japanese Orthopaedic Association (JOA) score, and the Japanese Orthopaedic Association Hip Disease Evaluation Questionnaire (JHEQ) total score. However, pain complaints that were assessed by patient-reported outcomes using the 36-Item Short Form Health Survey (SF-36) bodily pain and vitality subscales and the JHEQ pain subscale were significantly higher in group R than in group C at the final follow-up. These results suggest that some patients had pain complaint even if the stems were inserted as per the concept after THA with the Revelation Hip System.Trial Registration911.

A história pregressa da criança e o processo de revelação da adoção, na perspectiva de pais adotivos / The child's history past and the adoption revelation process, from the perspective of adoptive parents / La historia pasada del niño y el proceso de revelación de la adopción, desde la perspectiva de los padres adoptivos

O presente artigo teve como objetivo compreender a história pregressa da criança e o processo de revelação da adoção na perspectiva de pais adotivos. Trata-se de uma pesquisa de campo, qualitativa, descritiva e exploratória, que utilizou como método o estudo de caso. Foram realizadas entrevistas semiestruturadas com duas mães e um pai adotivos. Os dados foram analisados por meio da análise do conteúdo de Minayo. Observou-se que as histórias das crianças e/ou o acesso dos pais a essas, mostraram-se com questões muito particulares, mediante a disponibilidade dos órgãos de proteção em passar informações sobre esse passado. A maioria dos pais demonstrou interesse em revelar a adoção, entretanto, a questão apareceu vinculada a insegurança, posto que, além de não terem tido acesso a informações sobre a história pregressa de seus filhos, os pais demonstraram dificuldades em lidar com o passado da criança, dados que revelam a importância do psicólogo para auxiliar adotantes na elaboração de conteúdos vinculados a experiência adotiva, dentre eles, suas próprias angustias vinculadas ao medo de perder seu filho, em virtude da camuflagem: família biológica x família adotiva.

This article aimed to understand the child's past history and the process of revelation of adoption from the perspective of adoptive parents. It is a research field qualitative, descriptive and exploratory, which used the case study as a method. Semi-structured interviews were conducted with two adoptive mothers and fathers. The results were analyzed through of the analysis of the content of Minayo. It was observed that the children's stories and/or the parents' access to them, showed themselves with very particular issues, due to the availability of the protection organs, associated with the cases, to pass on information about this past. Most parents showed interest in revealing the adoption, however, the issue was linked to insecurity, since, in addition to not having access to information about their children's previous story, parents showed difficulties in dealing with the child's past, data that reveal the importance of the psychologist to assist adopters in the elaboration of contents linked to the adoptive experience, among them, yours anxieties linked to the fear of losing their child, due to the camouflage: biological family x adoptive family.

Buscamos entender cómo los padres adoptivos significan la historia pasada de los niños y su revelación. Se trata de una investigación de campo cualitativa, descriptiva y exploratoria, que utilizó el estudio de caso como método. Se realizaron entrevistas semiestructuradas con dos madres y padres adoptivos. Los datos fueron analizados a la luz del análisis del contenido de Minayo. Se observó que las historias de los niños y/o el acceso de los padres a ellas, se mostraron con problemáticas muy particulares, debido a la disponibilidad de los órganos de protección, asociados a los casos, para transmitir información sobre este pasado. La mayoría de los padres mostraron interés en revelar la adopción, sin embargo, el problema parecía estar relacionado con la inseguridad, ya que, además de no tener acceso a información sobre la historia pasada de sus hijos, los padres demostraron dificultades para lidiar con el pasado del niño, datos que revelan la importancia del psicólogo para ayudar a los adoptantes en la elaboración de contenidos vinculados a la experiencia adoptiva, entre ellos, sus propias ansiedades ligadas al miedo a perder a su hijo, debido al camuflaje: familia biológica x familia adoptiva.

[The disclosure of sexual violence by adolescents: clinical and therapeutic complexity]. / Complexités face à la révélation de violences sexuelles par des adolescents.

Despite the frequency and traumatic impact of sexual violence, very few victims allow themselves to speak. Two clinical cases allow us to discuss the modalities of support for adolescents who reveal, during their psychiatric follow-up, that they have been victims of such violence.

The value of case analysis combined with role revelation method in cultivating thinking ability of surgical nursing training / 中华医学教育探索杂志

Objective:To explore the value of case analysis combined with role revelation in cultivating thinking ability of surgical nursing training.Methods:A total of 87 newly recruited nurses who needed to rotate in the surgical system of Fenyang Hospital, Shanxi Medical University from January 2019 to October 2020 were selected as the study subjects. They were divided into control group ( n=43) and study group ( n=44). The control group used traditional teaching, and the study group used case analysis combined with role revelation. The clinical thinking ability of nurses was evaluated by written examination of clinical thinking ability and clinical thinking ability score table. SPSS 22.0 was used for t-test. Results:The scores of written examination of clinical thinking ability (history collection, preliminary clinical diagnosis, preliminary nursing measures, auxiliary examination interpretation, comprehensive analysis of diagnosis and treatment process, nursing and discharge diagnosis, and health education) of nurses in the study group were significantly higher than those in the control group ( P<0.05). The scores of clinical thinking ability (critical thinking ability, system thinking ability and evidence-based thinking ability) of nurses in the study group were higher than those in the control group, and the difference was statistically significant ( P<0.05). Conclusion:Case analysis combined with role revelation in the surgical nursing training of new nurses is helpful to improve the trainees' clinical thinking ability.

Genetic variations in ZmSAUR15 contribute to the formation of immature embryo-derived embryonic calluses in maize.

The ability of immature maize (Zea mays) embryos to form embryonic calluses (ECs) is highly genotype dependent, which limits transgenic breeding development in maize. Here, we report the association map-based cloning of ZmSAUR15 using an association panel (AP) consisting of 309 inbred lines with diverse formation abilities for ECs. We demonstrated that ZmSAUR15, which encodes a small auxin-upregulated RNA, acts as a negative effector in maize EC induction. Polymorphisms in the ZmSAUR15 promoter that influence the expression of ZmSAUR15 transcripts modulate the EC induction capacity in maize. ZmSAUR15 is involved in indole-3-acetic acid biosynthesis and cell division in immature embryo-derived callus. The ability of immature embryos to induce EC formation can be improved by the knockout of ZmSAUR15, which consequently increases the callus regeneration efficiency. Our study provides new insights into overcoming the genotypic limitations associated with EC formation and improving genetic transformation in maize.

The archetype of the apocalypse. Analysing the pandemics of racism, COVID-19 and climate change.

What we are witnessing in the present time in human history, in the 2020's, is a vortex of intersecting pandemics - jolting revelations that are unfolding with a terrific energy and force - so much so that we cannot ignore them or escape them. These include the world-wide pandemics of racism, COVID-19 and climate change. This paper argues that all of these swirling pandemics are manifestations of the archetype of the apocalypse, which is constellating now in a very powerful way. Any one of these phenomena could swallow humanity whole as a species. Together they represent a seemingly overwhelming challenge for us to meet over the next century of life on earth. If humanity cannot meet the challenge of these combined negative forces, it could simply perish. A multi-layered intersecting set of challenges such as this has never yet occurred in human history. We must therefore be very alert to what is going on, and as to how we can consciously mediate these threats, both individually and collectively. It also presents an unprecedented opportunity for humanity to evolve and grow psychologically both individually and collectively, nationally and globally.

Ce dont nous sommes témoins à l'heure actuelle dans l'histoire de l'humanité, dans les années 2020, est un vortex de pandémies qui s'entrecroisent - des révélations choquantes qui se déploient avec une énergie et une force formidables - tellement que l'on ne peut les ignorer ou leur échapper. Cela inclue la pandémie mondiale de racisme, la COVID-19, et le changement climatique. Cet article soutient que toutes ces pandémies tourbillonnantes sont des manifestations de l'archétype de l'apocalypse, qui se constelle en ce moment de manière très puissante. Chacun de ces phénomènes pourrait avaler l'humanité toute entière en tant qu'espèce. Ensembles ils représentent un défi apparemment insurmontable auquel nous avons à faire face durant le siècle à venir de la vie sur terre. Si l'humanité ne peut pas faire face au défi de ces forces négatives combinées, elle pourrait tout simplement périr. Un tel ensemble - de défis qui s'entrecroisent sur plusieurs niveaux - ne s'est encore jamais produit dans l'histoire humaine. Ainsi nous devons être très vigilants à ce qui se passe, et à comment nous pouvons consciemment opérer une médiation de ces menaces, à la fois individuellement et collectivement. Cela représente également une opportunité sans précédent pour que l'humanité évolue et grandisse psychologiquement à la fois individuellement et collectivement, au niveau de la nation et globalement.

Lo que estamos atestiguando en el presente de la historia humana, en el año 2020, es un vórtice de pandemias entrecruzadas - revelaciones que sacuden y se despliegan con tremenda fuerza y energía - tanto que no podemos ignorarlas ni escapar de éstas. Estas incluyen la pandemia mundial del racismo, el COVID-19 y el cambio climático. El presente trabajo argumenta que todas estas turbulentas pandemias son manifestaciones del arquetipo del apocalipsis, el cual se está constelando en la actualidad de manera poderosa. Cualquiera de estos fenómenos podría tragarse a la humanidad entera como especie. Juntas representen un aparentemente abrumador desafío para nosotros, a confrontar durante el próximo siglo de vida en la tierra. Si la humanidad no puede afrontar los desafíos de estas fuerzas negativas combinadas, podría simplemente perecer. Nunca ha ocurrido en la historia humana, una intersección de desafíos como éstos, en múltiples niveles. Tenemos que estar muy alertas respecto a lo que está pasando, y sobre cómo podemos conscientemente mediar estas amenazas, ambas individual y colectivamente. También presenta una oportunidad sin precedentes para que la humanidad pueda evolucionar y crecer psicológicamente, tanto individual, como colectivamente, nacional y globalmente.

The international experiences of Investigator-initiated Clinical Trials and implications / 中华医学科研管理杂志

Objective:To introduce the experience of international Investigator- initiated Clinical Trials (IIT), provide suggestions for the construction of IIT management system in China. Methods:Applying the literature review research methodologies to analyze the document materials, five aspects including the funding source, technical support, personnel training, management mechanism and policy assurance were analyzed.Comparison was conducted to identify possible problems existed in Chinese IIT, and further explore possible lessons that we can learn in Chinese context.Results:Identified problems of Chinese IIT include insufficient funds, unsound scientific research design, imperfect data information system, lack of standard training for researchers, as well as the urgent need for more optimized whole-process management, quality control, and policy support.Conclusions:Suggested series of measurements that including expand the funding sources, improve the construction of scientific steering committee, improve the construction of data information platform at the national level, standardize the training of researchers, and update the operation mechanism and also the regulatory requirement are proposed to enhance the IIT research quality, as well as the IIT management.

Inhibition Mechanism of Indoleamine 2, 3-Dioxygenase 1 (IDO1) by Amidoxime Derivatives and Its Revelation in Drug Design: Comparative Molecular Dynamics Simulations.

For cancer treatment, in addition to the three standard therapies of surgery, chemotherapy, and radiotherapy, immunotherapy has become the fourth internationally-recognized alternative treatment. Indoleamine 2, 3-dioxygenase 1 (IDO1) catalyzes the conversion of tryptophan to kynurenine causing lysine depletion, which is an important target in the research and development of anticancer drugs. Epacadostat (INCB024360) is currently one of the most potent IDO1 inhibitors, nevertheless its inhibition mechanism still remains elusive. In this work, comparative molecular dynamics simulations were performed to reveal that the high inhibitory activity of INCB024360 mainly comes from two aspects: disturbing the ligand delivery tunnel and then preventing small molecules such as oxygen and water molecules from accessing the active site, as well as hindering the shuttle of substrate tryptophan with product kynurenine through the heme binding pocket. The scanning of key residues showed that L234 and R231 residues both were crucial to the catalytic activity of IDO1. With the association with INCB024360, L234 forms a stable hydrogen bond with G262, which significantly affects the spatial position of G262-A264 loop and then greatly disturbs the orderliness of ligand delivery tunnel. In addition, the cleavage of hydrogen bond between G380 and R231 increases the mobility of the GTGG conserved region, leading to the closure of the substrate tryptophan channel. This work provides new ideas for understanding action mechanism of amidoxime derivatives, improving its inhibitor activity and developing novel inhibitors of IDO1.

Tradução do advocacy na preparação da família de criança com HIV/aids na produção de um vídeo para enfermeiras / Translating advocacy care on preparing families of children with HIV/AIDS on a video production for nurses

Introdução: Investigou-se a tradução do conhecimento sobre preparo de famílias na revelação do HIV/AIDS à criança, na linguagem de um curta-metragem destinado a enfermeiras. Tomou-se o modelo conceitual do conhecimento a ação da estratégia knowledge translation (tradução do conhecimento) para desenvolver os seguintes objetivos: a) selecionar narrativas de enfermeiras e familiares do banco de dados da pesquisa "Cuidado de Advocacia no preparo de famílias de crianças com HIV/AIDS: (im)possibilidade no fazer da enfermeira"; b) relacionar situações que requeiram preparo de famílias na revelação do HIV a essas crianças com os conteúdos científicos, a serem traduzidos no roteiro de um curta- metragem; c) descrever o processo de produção do curta-metragem sobre preparo de famílias crianças na revelação do HIV/AIDS à criança; d) avaliar o curta-metragem com enfermeiros e enfermeiras que interagem com famílias de crianças com HIV/AIDS. Métodos: Estudo de inovação tecnológica aplicado à produção do curta-metragem "Nossas Histórias". Os procedimentos adotados foram: análise de discurso do banco de dados (conhecimentos de primeira geração); revisão integrativa (síntese do conhecimento de segunda geração); produção do roteiro e filmagem do curta-metragem (conhecimentos de terceira geração). A avaliação do produto, implicou em duas etapas. Quantitativa, com a aplicação da escala de Likert para validação interna do conteúdo do roteiro por 19 experts. Qualitativa, com o desenvolvimento do método da roda com 12 enfermeiros experts. Os dados quantitativos foram submetidos à análise estatística simples com Índice de Validade de Conteúdo (IVC) de 0,80; os dados qualitativos, à análise de discurso (banco de dado) e análise temática (roda de conversa). Resultados: O conhecimento de primeira geração consistiu em cinco dramas contemplando famílias com estruturas homoafetiva feminina mista, heteroafetiva mista e monoparental estendida. O conhecimento de segunda geração resultou de revisões integrativas de quatro temas: aconselhamento para revelação do HIV na infância, o HIV e a comunicação de tema sensível, pistas de prontidão da criança para receber a informação de HIV e o estigma e preconceito na revelação. Como conhecimento de primeira e segunda geração, gerou-se um roteiro, que foi submetido à validação interna de conteúdo. O título (IVC=0,89); cenários da sala de espera, (IVC=0,84) e consultório de enfermagem (IVC= 0,94); personagens (IVC médio=0,94) e a consulta de enfermagem no desenvolvimento da história (IVC=0,89) foram validados. Dez de 12 temas abordados nas cenas foram validados. A produção do curta-metragem de seis minutos envolveu pré-produção, produção e pós- produção. Ele foi submetido à avaliação qualitativa, de onde emergiram três temas: o conjunto da ferramenta curta-metragem, indissociabilidade entre personagens e conteúdos e indissociabilidade entre personagem e técnica. Porque não foi aplicado pré-teste, o curta- metragem é um protótipo, podendo haver necessidades de ajustes para consumo do conhecimento na clínica do cuidado de advocacia. Considerações finais: Esta tese sustenta que o modelo conceitual do conhecimento à ação aplicado à produção de um curta-metragem, sobre preparo da família para revelar o HIV à criança soropositiva, traduziu dramas reais de famílias e enfermeiros e as melhores evidências científicas, com possibilidade de promover o cuidado de advocacia e o poder de ambos, no encontro terapêutico.

Introduction: we investigated knowledge translation on preparing families to disclose HIV to seropositive children in the language of a short film for nurses. We used the conceptual framework of knowledge to action from knowledge translation to develop the following aims: a) to select nurses and family narratives from the research database "Advocacy Care in the preparation of families of school-age children with HIV/AIDS: (im) possibility in the nurse's doing"; b) to relate situations that require preparation of families in the disclosure of HIV to these children with the scientific contents, to be translated in the script of a short film; c) to describe the process of production a short film about preparing families of children with HIV/AIDS; d) to evaluate the short film with nurses that interact with families of children with HIV/AIDS. Methods: Technological innovation applied to producing the short film "Our Stories". Procedures were: discourse analysis of the database (first-generation knowledge); integrative review (second-generation knowledge synthesis); producing a screenplay and filming of the short film (third-generation knowledge). Tool evaluation involved two steps. A quantitative one, with Likert scale applied to validate internal content from the screenplay with 19 experts. A qualitative one, with the conversation wheel method applied to 12 expert nurses. Quantitative data were submitted to simple statistical analysis with Content Validity Index (CVI) of 0,80; qualitative data were submitted to discourse analysis (database) and thematic analysis (conversation wheel). Results: The first-generation knowledge consisted of five dramas contemplating families with mixed female homo- affective, mixed hetero-affective and extended single-parent structures. Second-generation knowledge resulted from integrative reviews of four themes: counseling for HIV disclosure in childhood, HIV and sensitive subject communication, child readiness cues to receive HIV information, and stigma and prejudice on disclosure. Combining first and second-generation knowledge, we created a screenplay that was submitted to internal content validation. The title (CVI=0,89); waiting room (CVI=0,84) and nursing consultation room (CVI= 0,94) settings; characters (CVI=0,94) and nursing consultation in the development of the story (CVI=0,89) were validated. Ten of the 12 themes approached in the scenes were also validated. A six-minute short film was produced through three steps: pre-production, production and post-production. It was submitted to qualitative evaluation, from which three themes emerged: the short film tool set, inseparability between characters and contents and inseparability between characters and technique. The short film was considered a prototype because we did not apply a pre-test, thus, there might be the need to adjust it to knowledge consumption in the advocacy care clinic. Final considerations: This dissertation argues that applying the conceptual model of knowledge to action to produce a short film about the family's preparation to reveal HIV to the seropositive child contributed to translate real life dramas of families and nurses and the best scientific evidence to a tool that have the possibility to promote advocacy care and shared power in the therapeutic encounter between both.

Introduction: Dans cette thèse, est examinée la traduction des savoirs concernant la préparation des familles à la révélation à leur enfant de l'infection au VIH/Sida, sous la forme d'un court-métrage destiné aux infirmières. Le modèle conceptuel du savoir menant à l'action issu de la stratégie knowledge translation a été adopté pour développer les objectifs suivants: a)sélectionner des récits d'infirmières et de familles issus de la base de données de la recherche "Soin d'Advocacy dans la préparation des familles d'enfants porteurs du VIH/Sida: (im)possibilité de l'action de l'infirmière" b) mettre en relation des situations qui demandent la préparation des familles à la révélation du VIH à ces enfants avec des documents scientifiques, devant être traduits en scénario d'un court-métrage;c)décrire le processus de production du court-métrage à propos de la préparation des familles à la révélation du VIH/Sida à leur enfant;d)faire évaluer le court-métrage par des infirmiers et infirmières qui interagissent avec les familles d'enfant porteurs du VIH/Sida. Méthodologie:Étude de l'innovation technologique appliquée à la production du court-métrage "Nos Histoires".Les procédés adoptés furent: l'analyse de discours de la base de données (savoir de première génération); la méthode d'examen par intégration (synthèse du savoir de deuxième génération); la production du scénario et le tournage du court-métrage (savoir de troisième génération). L'évaluation du produit a été faite en deux étapes. Une étude quantitative, avec l'utilisation de l'Échelle de Likert, afin d'effectuer la validation interne du contenu du scénario auprès de 19 experts. Une étude qualitative avec le développement de la méthode de la table-ronde avec 12 personnels infirmiers experts.Les données quantitatives ont été soumises à une analyse statistique simple à partir d'une Indice de Validité de Contenu (IVC) de 0,80; les données qualitatives ont été soumises à une analyse de discours (base de données) et à une analyse thématique (discussion en table-ronde). Résultats: Le savoir de première génération est composé de cinq drames prenant place au sein de familles homo-affectives féminines mixtes, hétéro-affectives mixtes et mono-parentales élargies. Le savoir de deuxième génération a été produit à partir de l'examen par intégration de quatre thèmes: l'orientation pour la révélation du VIH pendant l'enfance, le VIH et la communication d'un thème sensible, les pistes autour de la préparation de l'enfant à la réception de l'information de l'infection au VIH et la stigmatisation et préjugé autour de la révélation. Un scénario a été élaboré à partir des connaissances de première et de deuxième génération, qui a été ensuite soumis à une analyse interne de contenu. Le titre (IVC=0,89); les décors des salles d'attente, (IVC=0,84) le cabinet de soins infirmiers (IVC= 0,94); les personnages (IVC moyen=0,94) et la consultation auprès du personnel infirmier pour le développement de l'histoire (IVC=0,89), ont été validés. Dix des douze thèmes abordés dans les scènes ont été validés. La production du court-métrage de six minutes a demandé une pré-production, une production et une post-production. Il a été soumis à une évaluation qualitative, qui a fait émerger trois thèmes : l'ensemble de l'outil court-métrage, l'indissociabilité des personnages et des contenus, et l'indissociabilité du personnage et de la technique. Étant donné qu'un test préalable n'a pas été appliqué, le court-métrage est un prototype, pouvant demander des ajustements nécessaires à l'utilisation des savoirs au sein de la clinique de soin d'advocacy. Conclusions : Cette thèse soutient que la base conceptuelle du savoir menant à l'action appliquée à la production d'un court-métrage abordant la préparation de la famille à la révélation de l'infection au VIH à leur enfant séropositif, a permis de retranscrire des drames réels liés aux familles et au personnel infirmier ainsi que des preuves scientifiques, qui permettent de promouvoir le soin d'advocacy, et le pouvoir que détiennent ces acteurs, lors de la rencontre thérapeuthique.

Efectos en el afrontamiento y soporte social ante la revelación de la homosexualidad a la familia: estudio comparativo en gais y lesbianas / Effects on coping and social support before the revelation of homosexuality to the family: a comparative study in gays and lesbians

Resumen Objetivo: El presente trabajo es resultado de una investigación que se realizó en las ciudades de Monclova y Saltillo en el estado de Coahuila, México, con el objetivo de indagar acerca de la autopercepción que tienen gais y lesbianas respecto de los efectos en su afrontamiento y del soporte social después de haber revelado su homosexualidad a la familia. Método: Para medir las variables de estudio se empleó la Batería de Evaluación Psicosocial de Sucesos Vital (Cantú y Álvarez, 2009; 2013), la cual se aplicó a 30 sujetos: 15 gais y 15 lesbianas. Los datos se analizaron de forma descriptiva y comparando ambos grupos respecto a cada variable, a través de la prueba T de Student. Resultados: Respecto al afrontamiento y al soporte social no se encuentra diferencia significativa, mostrando ambos grupos estrategias de afrontamiento para resolver problemas. En cuanto al soporte social se encontraron diferencias significativas en dos ítems: "obtuve apoyo emocional de familiares que no viven en casa", y "tuve ayuda económica o de información de mi pareja en relación a la situación", y tanto lesbianas como gais encuentran mayor soporte social en amistades. Conclusiones: Hombres y mujeres tienen una consideración negativa de la homosexualidad, incluso aquellos que se reconocen como homosexuales; además, tanto gais como lesbianas encuentran mayor soporte fuera de la familia y concretamente en amistades. Por ello, en un inicio la revelación de la propia homosexualidad no suelen hacerla a la familia. Resulta necesario un proceso de reorganización del individuo, así como de la familia y del grupo social a fin de modificar la consideración negativa a priori dominante acerca de la homosexualidad.

Abstract Objective: This paper is the result of a research whose purpose is related to gays and lesbian's self-perception and their coping effects and social support after having revealed their homosexuality to their families. Method: Variables such as Psychosocial Assessment of Vital Events Battery (Cantú y Álvarez, 2009; 2013) was used to measure these variables. 30 individuals were sampled as follows: 15 gays and 15 lesbians. The data analysis was descriptive, where both groups for each variable were compared; Student's T test was used. Results: In relation with gays and lesbians' coping support, there is no significant differences, in the manner that show coping strategies to solve a situation which they consider a problem; also, in relation with social support, significant differences were found, both lesbians and gays find greater social support in friendships but not from their family, as follows : they got emotional support from family members who do not live with them; and they got financial aid and information help from their couples. Conclusions: Men and women have a negative opinion related to homosexuality, even those who are recognized as homosexual individual; both gays and lesbians receive more support from people outside the family that means friends. It is necessary to modify the negative and a priori concept of homo-sexuality considered by the society, that is why an individual, family and social group's re-organization process is required.

Experiences, Emotions, and Adjustments of HIV-Infected Men in HIV-Concordant Marital Relationship in Cambodia.

Although it has been well documented that the HIV infection experience can be problematic for those affected, the experiences and perceptions of living with HIV among married males in Cambodia have not yet been examined until now. This study's purpose was to describe the revelations, emotions, reactions, and adjustments to HIV diagnosis among infected Cambodian males in seroconcordant heterosexual relationship. Fifteen qualitative in-depth interviews were conducted with 15 HIV-positive males using unstructured, open-ended questions and in the local Khmer language. Conventional content analysis method was employed for analyzing data. After analysis, four main categories were developed: knowledge of HIV-positive status; realization of self-deeds; discouraging news for both partners; and comparative improvement of life. Participants reported the appearance of physical symptoms as the only reason for pursuing HIV testing. Feelings ranged from sadness and guilt to acceptance of HIV infection in their lives. The participants' wives expressed anger and worry about being infected by their husbands. However, sufficient inspiration from medical personnel and peer groups, as well as a shared concern for their children, helped couples adjust to their dyadic relationship. The study results highlight the link between individual and couple experiences and emotions post-infection, with implications for designing and implementing coping interventions for this population. The findings of this study have public health implications in the design of couple-based intervention and counseling programs for HIV prevention and treatment with the input of the HIV-positive individuals' voices.

Suporte materno mediante o abuso sexual infantil: revisão de literatura / Support breast by sexual abuse child: a literature review / Soporte de mama por abuso sexual infantil: revisión de literatura

O suporte materno é fundamental para minimizar os efeitos traumáticos dos maus tratos infantis. Objetivou-se com este estudo investigar como as mães se comportam frente à revelação do abuso sexual contra seus filhos. Com base nas diretrizes do guia Preferred Reporting Items for Systematic Reviews and Meta-Analyses PRISMA, foram selecionados artigos publicados entre 1995 e 2015, nas bases de dados SciELO, BVS e Science Direct, usando os descritores "maternal support", "disclosure", "child sexual abuse" e "psychological assessment", "suporte materno", "denúncia", "abuso sexual infantil", "avaliação psicológica". Identificaram-se 80 artigos, sendo 17 incluídos neste estudo. Diante da revelação do abuso: i) as mães oferecem apoio às filhas e necessitam de suporte para prestar auxílio; ii) o uso de álcool e drogas, as ideias suicidas e homicidas são fatores contribuintes para a falta de assistência das mães. O suporte materno em situação de abuso sexual está relacionado à rede de apoio psicossocial oferecido (AU)

Breast support is critical to minimize the traumatic effects of child abuse. The objective of this study to investigate how mothers behave against the revelation of sexual abuse against children. Based on guidelines Preferred Reporting Items for Systematic Reviews and Meta-Analyses PRISMA selected articles published between 1995 and 2015, the SciELO databases, BVS and ScienceDirect, using the keywords "maternal support", "disclosure", "child sexual abuse" and "psychological assessment", "breast support", "complaint", "child sexual abuse", "psychological assessment". They identified 80 articles, 17 included in the study. At the revelation of abuse: i) mothers provide support and daughters need support to provide assistance; ii) the use of alcohol and drugs, suicidal and homicidal are contributing factors to the lack of care of mothers. Maternal support in sexual abuse situation is related to psychosocial support network offered (AU)

Apoyo a la lactancia es fundamental para minimizar los efectos traumáticos de abuso infantil. El objetivo de este estudio para investigar cómo las madres se comportan en contra de la revelación de abuso sexual contra los niños. Sobre la base de las directrices de informes preferidos Artículos para revisiones sistemáticas y metaanálisis de artículos publicados PRISMA seleccionado entre 1995 y 2015, las bases de datos SciELO, BVS y Science Direct, utilizando las palabras clave "apoyo materno", "divulgación", "sexual infantil abuso" y "evaluación psicológica", "apoyo a la lactancia", "queja", "abuso sexual infantil", "evaluación psicológica". Se identificaron 80 artículos, 17 incluidos en el estudio. En la revelación de abuso: i) las madres proporcionan apoyo e hijas necesitan apoyo para prestar asistencia; ii) el uso de alcohol y drogas, suicidio y homicidio son factores que contribuyen a la falta de cuidado de las madres. Apoyo materno en situación de abuso sexual está relacionada con la red de apoyo psicosocial ofrecido (AU).

Revelation effects in remembering, forecasting, and perspective taking.

The revelation effect is a robust phenomenon in episodic memory whereby stimuli that immediately follow a simple cognitive task are more likely to garner positive responses on a variety of memory tests, including autobiographical memory judgments. Six experiments investigated the revelation effect for judgments of past and future events as well as judgments made from others' perspectives. The purpose of this work was to determine whether these subjectively distinct judgments are subject to the same decision-making biases, as might be expected if they are governed by similar processes (e.g., Schacter, Addis, & Buckner 2007). College-aged participants were asked to rate a variety of life events according to whether the events had occurred during their childhoods or would occur during the next 10 years. Events that followed an anagram task were judged as more likely to have happened in the past and more likely to occur in the future. We also showed a revelation effect when participants were asked to adopt the perspective of others when making judgments about past and future events. When the task was reworded to be non-episodic (participants judged how common the events were during childhood and adulthood), no revelation effect was found for either past or future time frames, which suggests common boundary conditions for both types of judgments. The results are consistent with studies showing strong parallels between remembering and other forms of self-projection but not with semantic memory judgments.

The revelation effect: A meta-analytic test of hypotheses.

Judgments can depend on the activity directly preceding them. An example is the revelation effect whereby participants are more likely to claim that a stimulus is familiar after a preceding task, such as solving an anagram, than without a preceding task. We test conflicting predictions of four revelation-effect hypotheses in a meta-analysis of 26 years of revelation-effect research. The hypotheses' predictions refer to three subject areas: (1) the basis of judgments that are subject to the revelation effect (recollection vs. familiarity vs. fluency), (2) the degree of similarity between the task and test item, and (3) the difficulty of the preceding task. We use a hierarchical multivariate meta-analysis to account for dependent effect sizes and variance in experimental procedures. We test the revelation-effect hypotheses with a model selection procedure, where each model corresponds to a prediction of a revelation-effect hypothesis. We further quantify the amount of evidence for one model compared to another with Bayes factors. The results of this analysis suggest that none of the extant revelation-effect hypotheses can fully account for the data. The general vagueness of revelation-effect hypotheses and the scarcity of data were the major limiting factors in our analyses, emphasizing the need for formalized theories and further research into the puzzling revelation effect.

Task difficulty moderates the revelation effect.

Tasks that precede a recognition probe induce a more liberal response criterion than do probes without tasks-the "revelation effect." For example, participants are more likely to claim that a stimulus is familiar directly after solving an anagram, relative to a condition without an anagram. Revelation effect hypotheses disagree whether hard preceding tasks should produce a larger revelation effect than easy preceding tasks. Although some studies have shown that hard tasks increase the revelation effect as compared to easy tasks, these studies suffered from a confound of task difficulty and task presence. Conversely, other studies have shown that the revelation effect is independent of task difficulty. In the present study, we used new task difficulty manipulations to test whether hard tasks produce larger revelation effects than easy tasks. Participants (N = 464) completed hard or easy preceding tasks, including anagrams (Exps. 1 and 2) and the typing of specific arrow key sequences (Exps. 3-6). With sample sizes typical of revelation effect experiments, the effect sizes of task difficulty on the revelation effect varied considerably across experiments. Despite this variability, a consistent data pattern emerged: Hard tasks produced larger revelation effects than easy tasks. Although the present study falsifies certain revelation effect hypotheses, the general vagueness of revelation effect hypotheses remains.

Participatory health system priority setting: Evidence from a budget experiment.

Budget experiments can provide additional guidance to health system reform requiring the identification of a subset of programs and services that accrue the highest social value to 'communities'. Such experiments simulate a realistic budget resource allocation assessment among competitive programs, and position citizens as decision makers responsible for making 'collective sacrifices'. This paper explores the use of a participatory budget experiment (with 88 participants clustered in social groups) to model public health care reform, drawing from a set of realistic scenarios for potential health care users. We measure preferences by employing a contingent ranking alongside a budget allocation exercise (termed 'willingness to assign') before and after program cost information is revealed. Evidence suggests that the budget experiment method tested is cognitively feasible and incentive compatible. The main downside is the existence of ex-ante "cost estimation" bias. Additionally, we find that participants appeared to underestimate the net social gain of redistributive programs. Relative social value estimates can serve as a guide to aid priority setting at a health system level.