Academic literature on the topic '- Dieu sans l'être'

Background: Endogenous ochronosis (EO) is an autosomal recessive inherited disorder where there is incomplete oxidation of tyrosine and phenylalanine due to a lack of the enzyme homogentisic acid oxidase. Objective: We report a singular observation of EO with a fatal outcome. Case Report: We report the case of a 46-year-old man born to consanguineous parents with a medical history of recurrent renal colic and chronic nonspecific arthropathy. On clinical examination, slate blue pigmentation was seen on the cheeks, forehead, and nose, as well as blue-gray patches on all fingernails and bluish discoloration of the gums. Familial investigation revealed that his sister had similar pigmentation on the ears, hands, and fingernails. Histologic examination of a biopsy specimen from a pigmented lesion showed a dermal deposit of an acellular, eosinophilic material without cell reaction. Based on the clinical and histopathologic data, combined with the family medical history, our patient was considered to have EO with mucocutaneous, articular, and renal involvement. Unfortunately, the diagnosis was late because our patient died a few months later of terminal renal failure. Conclusion: Skin signs are the hallmarks of EO and must alert the clinician to look for involvement of vital organs. Renseignements de base: L'ochronose endogène (OE) est une affection héréditaire récessive autosomique où il se produit une oxydation incomplète de la tyrosine et de la phénylalanine en raison d'un manque d'oxydase de l'acide homogentisique. Objectif: Nous présentons une observation singulière d'OE dont l'issue a été fatale. Rapport de cas: Nous exposons le cas d'un homme de 46 ans né de parents consanguins ayant des antécédents médicaux de coliques néphrétiques récurrentes et une arthropathie chronique non spécifique. À l'examen clinique, nous avons observé une pigmentation bleu ardoise au niveau des joues, du front, et du nez, ainsi que des plaques bleu gris sur tous les ongles de doigts et une décoloration bleuâtre des gencives. Une étude des antécédents familiaux a révélé que sa sœur présentait une pigmentation semblable au niveau des oreilles, des mains, et des ongles de doigts. L'examen histologique de l'échantillon de la biopsie pratiquée sur une lésion pigmentée a montré un dépôt cutané de matériel éosinophile acellulaire sans réaction cellulaire. Selon les données cliniques et histopathologiques, combinées aux antécédents médicaux familiaux, notre patient présentait une OE avec une atteinte rénale, articulaire, et muco-cutanée. Malheureusement, le diagnostic a été tardif puisque notre patient est décédé quelques mois plus tard d'insuffisance rénale terminale. Conclusion: Les signes cutanés constituent les caractéristiques de l'OE et ceux-ci doivent alerter le clinicien de manière à ce qu'il cherche la contribution des organes vitaux.

ABSTRACT Objective: to investigate the adherence of mothers/caregivers to the recommendations of the 10 steps to a healthy eating in children less than two years-old, followed by the family health units in the municipality of Paulista, Pernambuco. Methodology: this is about a descriptive and exploratory study from qualitative approach. Data comes from 32 mothers/caregivers of children aged six to twenty-four months who were assisted by the Family Health Strategy in the municipality of Paulista-PE. We collected the data through the use of an interview with closed and opened questions. The project was approved by the Committee of Ethics in Research involving Human Beings of the Center for Health Sciences at the Federal University of Pernambuco, protocol No. 338/09. For the analysis of the data we used simple statistics, with percentages and absolute values. Results: approximately 88% of caregivers were the mothers and 78,1% of the caregivers were not working outside their homes. Over 81% of caregivers reported adherence to the 6th, 7th, and 10th steps to healthy eating in children, but just 18.75% of them followed the 1st step and 12.5% the 2nd step. Conclusion: we found greater adherence to only three steps, which were the 6th, 7th and 10th, comprising the offer of a varied diet, the daily offer of fruits and vegetables and the encouragement of feeding when the child is sick, respectively. Descriptors: breast feeding, child nutrition, public health.RESUMOObjetivo: investigar a adesão das mães/cuidadores às recomendações dos 10 passos para a alimentação saudável em crianças menores de dois anos, acompanhadas em unidades de saúde da família no município de Paulista, Pernambuco. Metodologia: estudo descritivo, exploratório e com abordagem quantitativa. A coleta de dados foi realizada com 60 mães/cuidadores de crianças de zero a dois anos assistidas pela Estratégia de Saúde da Família no município de Paulista-PE. Utilizou-se uma entrevista com questões fechadas e abertas. O projeto foi aprovado pelo Comitê de Ética em Pesquisa envolvendo seres humanos do Centro de Ciências da Saúde da Universidade Federal de Pernambuco, protocolo N° 338/09. Para a análise dos dados foi utilizada estatística simples com valores percentuais e absolutos. Resultados: aproximadamente 88% dos cuidadores eram a genitora e 78,1% não trabalhavam fora de casa. Acima de 81% dos cuidadores referiram adesão ao 6º, 7º e 10º passos para a alimentação saudável da criança, porém apenas 18,75% destes seguiram o 1° passo, e 12,5% o 2º. Conclusão: houve maior adesão apenas a três passos (6º, 7º e 10º) que compreendem, respectivamente, a oferta de uma alimentação variada, oferta diária de frutas, verduras e legumes e estímulo da alimentação da criança doente. Descritores: aleitamento materno; nutrição da criança; saúde pública.RESUMEN Objetivo: investigar la adhesión de las madres/cuidadores a las recomendaciones de los diez pasos para una alimentación sana en niños menores de dos años, por parte de de las madres y cuidadores, acompañados por las unidades de salud de la familia en el municipio de Paulista, Pernambuco. Metodología: estudio descriptivo y exploratorio mediante una aproximación cualitativa. La colecta de dados fue realizada con 60 madres y cuidadores de niños de seis a veinticuatro meses, quienes fueron asistidos por la Estrategia de Salud Familiar en el municipio de Paulista-PE. Recolectamos los datos a través del uso de una entrevista con preguntas cerradas y abiertas. El proyecto fue aprobado por el Comité de Ética en Pesquisa con seres humanos del Centro de Ciencias de la Salud de la Universidad Federal de Pernambuco, protocolo n. 338/09. Para el análisis de los datos, se utilizó estadística simple, con el uso de porcentajes y valores absolutos. Resultados: aproximadamente el 88% de los cuidadores eran las madres, el 78,1% de los cuidadores no trabajaban fuera de casa, más del 81% de los cuidadores informaron de la adhesión a lo sexto, séptimo y décimo pasos a la comida saludable del niño, pero sólo el 18,75% de estos siguieron el primero paso, y el 12,5% el segundo. Conclusión: hubo más adhesión a sólo tres (sexto, séptimo y décimo), los cuales comprenden la administración de una dieta variada; el consumo diario de frutas, verduras y hortalizas; y la estimulación a la alimentación de los niños enfermos, respectivamente. Descriptores: lactancia materna; nutrición del niño; salud pública.

ABSTRACTObjective: to identify the scientific production in the field of nursing of nonpharmacological pain relief for the elderly through studies presented in the scientific literature. Method: this paper is a literature search performed in the Virtual Health Library (BVS), Latin American and Caribbean Center on Health Sciences (LILACS) and Database of Nursing (BDENF) during the last ten years. Results: we find that those complementary therapies can serve as excellent adjuvants to drug therapy and, in some cases, the non-pharmalogical way can even replace the regular drug therapy; making pain management more sensible and humane, contributing to improve the quality of life of elderly patients. Associated with conventional treatment, those complementary therapies can help improve the care of elderly patients, providing a healthy and comfortable way of dealing with everyday situations of pain experienced by them. Conclusion: the analysis of scientific literature shows that non-pharmacological interventions can help drug therapy for pain relief. Descriptors: pain; nursing care; complementary therapies; health of the elderly.RESUMOObjetivo: identificar produções científicas de enfermagem referente à intervenções não farmacológicas para alivio da dor em idosos através de estudos apresentadas na literatura cientifica. Método: trata-se de uma pesquisa bibliográfica realizada na Biblioteca Virtual em Saúde (BVS), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Base de Dados de Enfermagem (BDENF), nos últimos dez anos. Resultados: constatamos que as terapias complementares podem atuar como excelente co-adjuvante à terapia medicamentosa e, em algumas situações, até substituí-la, tornando a abordagem da dor mais sensível e humanizada, contribuindo para a melhoria da qualidade de vida do paciente idoso. Associadas ao tratamento convencional, as terapias complementares podem contribuir para a melhora no cuidado do paciente idoso, proporcionando a esse uma forma sadia e confortável de lidar com as situações rotineiras de dor vivenciadas pelos idosos. Conclusão: a análise da produção científica apontam que intervenções não farmacológicas podem ajudar a terapia medicamentosa para o alívio da dor. Descritores: dor; cuidados de enfermagem; terapias alternativas; saúde do idoso.RESUMENObjetivo: analizar la producción científica de la enfermería relacionada a las intervenciones no farmacológicas para aliviar el dolor en los ancianos a través de estudios presentados en la literatura científica. Método: este trabajo es una búsqueda bibliográfica realizada en la Biblioteca Virtual en Salud (BVS), Centro Latinoamericano y del Caribe en Ciencias de la Salud (LILACS) y Base de Datos de Enfermería (BDENF) en los últimos diez años. Resultados: constatamos que las terapias complementarias pueden servir como complemento al tratamiento farmacológico y, en algunos casos, incluso sustituirlas, y por lo que el tratamiento del dolor más sensible y humano, contribuyendo a mejorar la calidad de vida de los pacientes de edad avanzada. Asociadas con el tratamiento convencional, las terapias complementarias pueden ayudar a mejorar el cuidado de los pacientes mayores, siempre que una forma sana y cómoda de hacer frente a situaciones cotidianas de dolor experimentadas por las personas mayores. Conclusión: el análisis de los estudios científicos demuestran que las intervenciones no farmacológicas pueden ayudar a la terapia con medicamentos para aliviar el dolor. Descriptores: dolor; atención de enfermería; terapias complementarias; salud de los ancianos.

Judith Pfeiffer: Confessional polarization in the 17th century Ottoman Empire and Yūsuf İbn Ebī ʿAbdü’dDeyyān’s Keşfü’l-esrār fī ilzāmi’l-Yehūd ve’l-aḥbār / Camilla Adang: Guided to Islam by the Torah: The Risāla alhādiya by ʿAbd al-Salām al-Muhtadī al-Muḥammadī /Sabine Schmidtke: Epistle forcing the Jews [to admit their error] with regard to what they contend about the Torah, by dialectical reasoning (Risālat ilzām al-yahūd fīmā zaʿamū fī l-tawrāt min qibal ʿilm al-kalām) by alSalām ʿAbd al-ʿAllām. A critical edition / Monika Hasenmüller: Die Beschreibung Muḥammads im Evangelium. Eine muslimische Polemik gegen die Christen aus dem osmanischen Reich (Anfang 18. Jhdt.) / Paolo Lucca: Šabbetay Ṣewi and the Messianic Temptations of Ottoman Jews in the Seventeenth Century According to Christian Armenian Sources / Elisabetta Borromeo: Le clergé catholique face au pouvoir ottoman. Les brevets de nomination (berât) des évêques et des archevêques (17ème siècle) / Heleen Murre-van den Berg : Apostasy or ‘a House Built on Sand’. Jews, Muslims and Christians in East-Syriac texts (1500-1850) / Rudi Matthee: The Politics of Protection. Iberian Missionaries in Safavid Iran under Shāh ʿAbbās I (1587-1629) / Dennis Halft: Schiitische Polemik gegen das Christentum im safawidischen Iran des 11./17. Jhdts. Sayyid Aḥmad ʿAlawīs Lawāmiʿ-i rabbānī dar radd-i šubha-yi naṣrānī / Reza Pourjavady – Sabine Schmidtke: Sayyid Muḥammad Mahdī alBurūjirdī al-Ṭabāṭabāʾī’s (d. 1212/1797) debate with the Jews of Dhu l-Kifl. A survey of its transmission, with critical editions of its Arabic and Persian versions / Vera B. Moreen: Iranian Jewish History Reflected in JudaeoPersian Literature

This chapter examines the concept of purgatory. A temporary, therapeutic system of punishment after death that progressively cleanses sinners and thereby permits them to enter heaven did not come to be called purgatory for many centuries. According to Jacques Le Goff, there were two dramatically different phases in this development. First, he says, is a perception that suffering for those who die with only slight sins will cleanse them through punishments that are “purgatorial.” The adjective “purgatorial” describes certain pains—such as purgatorial fire—that remove the last imperfections from a saved soul needing only slight amendment before admission to heaven. Then, around 1170, thinkers began to conceive of purgatory as a place, considered as a proper noun, with a name of its own (purgatorium in Latin), occupying a demarcated, physical space between hell and heaven. Repentance remains the decisive factor between the purgatorial and the eternal fires.

In the wild garden of an early America there coiled and crawled the devil’s own plenty of poisonous vipers—cottonmouths, copperheads, coral snakes, the whole nasty family of rattlers and sidewinders. A naturalist roaming far from the settlements regularly ran the risk of a fatal snake bite. Fortunately, he was reassured by the field experts of the day, the deadly reptile always furnishes its own antidote. It conceals itself in the very plants whose roots can counteract its poison, plants like the so-called “Indian snakeroot.” As the viper sank its sharp fangs into your leg, you simply pulled up the roots of that plant, quickly chewed them down, and laughed in the viper’s face. You were instantly immune. How many backwoods naturalists and hunters died from believing that bit of advice is not known. Science, ever improving its hypotheses, now suggests carrying a snakebite kit in your pack or calling in a helicopter. But before we dismiss the old advice as completely foolish, we might ask whether it might not have had some useful, genuine logic in it. Sometimes the remedy for wounds does indeed lie near at hand among the shrubs and weeds in which the reptile lives; and sometimes dangerous forces do indeed suggest, or even contain, their own antidote. Take, for instance, the case of North America’s continuing environmental degradation. What we humans have done over the past five hundred years to maim this continent and tear apart its fabric of life is in large degree the consequence of the Judeo-Christian religious ethos and its modern secular offspring—science, industrial capitalism, and technology. I would put almost all the blame on the modern secular offspring, but I have to agree that religion too has been a deadly viper that has left its marks on the body of nature. Paradoxically, I would add what no one else seems to have noticed: an Indian snakeroot for this venom has appeared in the reptile’s own nest. The antidote for environmental destruction has been a movement called environmentalism and that movement has, in the United States, owed much of its program, temperament, and drive to the influence of Protestantism.

Abstract: The paper deals with Le Corbusier’s unbuilt project for Venice analyzing the meaning of the Civic Hospital within the cultural context between 1954, the year in which the new master plan started to take shape, and 1966, when an extraordinary ‘acqua alta’ put an end to city’s contemporary ambitions. In Venice’s quest for modernity, the master plan (1954-1962), the national competition for the San Giuliano district (1959), the national competition for the Hospital (1963) and the international one for the Tronchetto Island (1964-1965) represent key events in which conservatives and modernists found themselves face to face, and in relation to which Le Corbusier’s project has not yet been studied. Even though Le Corbusier’s Hospital was presented to the public opinion as a courageous and innovative project, this paper seeks to demonstrate that it was actually more in line with the conservative front because it brought back the “problem of Venice” to its insular dimension after more than a decade of attempts to solve it considering a wider regional frame. Resumen: El articulo trata sobre el proyecto, no cumplido, por Le Corbusier para Venecia incluyéndolo en el contexto cultural desarrollado entre el año 1954, en el que el nuevo master plan empezaba a coger forma, y el 1966, cuando una extraordinaria ‘acqua alta’ cortó los anhelos de modernidad del tiempo. Los acontecimientos clave de este periodo fueron: el master plan, el concurso nacional para el barrio de San Giuliano, el concurso nacional para el Hospital y el concurso internacional para la Isla de Tronchetto. Con respecto a estos el proyecto de Le Corbusier no había todavía estado analizado. El Hospital de Le Corbusier había estado presentado, en su tiempo, como un proyecto innovador. Lo que este articulo quiere demostrar es que, en realidad, representó una posición conservadora, pues volvió a llevar el problema de Venecia en sus medidas insulares después de mas diez años de intentos para solucionarlo a escala regional. Keywords: Venice; Civic Hospital; Le Corbusier; modernity; center and periphery. Palabras clave: Venice; Civic Hospital; Le Corbusier; modernidad; centro y periferia. DOI: http://dx.doi.org/10.4995/LC2015.2015.1033